Therapists in Spruce Grove, AB

Photo of Melodie J. Brousseau, Psychologist, RPsych, MC, BSc
Melodie J. Brousseau
Psychologist, RPsych, MC, BSc
Spruce Grove, AB T7X
I am a Registered Psychologist, working in Spruce Grove and Parkland County. I provide a client-centered approach in my counselling sessions, and love to work with clients to identify unhelpful thought processes, and develop helpful cognitions, behaviours, and strategies. I am very passionate about working with concerns related to depression, anxiety, grief, behaviours, emotional regulation, trauma, and psychoeducation. I have previously worked with children with Autism, and more recently with individuals who have experienced or witnessed domestic violence.
I am a Registered Psychologist, working in Spruce Grove and Parkland County. I provide a client-centered approach in my counselling sessions, and love to work with clients to identify unhelpful thought processes, and develop helpful cognitions, behaviours, and strategies. I am very passionate about working with concerns related to depression, anxiety, grief, behaviours, emotional regulation, trauma, and psychoeducation. I have previously worked with children with Autism, and more recently with individuals who have experienced or witnessed domestic violence.
(780) 719-5121 View (780) 719-5121
Photo of John A Millett, Drug & Alcohol Counsellor, MA, BA
John A Millett
Drug & Alcohol Counsellor, MA, BA
1 Endorsed
Spruce Grove, AB T7X
I am motivated by the belief that change is possible for all. We can have difficulty believing in ourselves. Sometimes life can derail our chosen path. When barriers to the journey of freedom are challenging for you, I can be the supportive and collaborative presence you may need to achieve your desired outcomes. I do this by utilizing a holistic approach incorporating Transtheoretical Model of Behavioural Change, coupled with Motivational Interviewing. In our time together, you can expect a safe, non-judgmental process, to establish a relationship of trust that supports the process of recovery, based on your desired outcomes.
I am motivated by the belief that change is possible for all. We can have difficulty believing in ourselves. Sometimes life can derail our chosen path. When barriers to the journey of freedom are challenging for you, I can be the supportive and collaborative presence you may need to achieve your desired outcomes. I do this by utilizing a holistic approach incorporating Transtheoretical Model of Behavioural Change, coupled with Motivational Interviewing. In our time together, you can expect a safe, non-judgmental process, to establish a relationship of trust that supports the process of recovery, based on your desired outcomes.
(587) 405-2813 View (587) 405-2813
Photo of Sierra Torell, Counsellor, BScN, MAC, CCC
Sierra Torell
Counsellor, BScN, MAC, CCC
5 Endorsed
Spruce Grove, AB T7X
You deserve support, healing, and meaningful change. You might feel stuck, disconnected, or uncertain about who you are or where you’re headed. Maybe anxiety, depression, or low self-esteem are holding you back, or relationship challenges leave you feeling unseen and unheard. Past wounds may still shape how you connect with others and see yourself, making it hard to break free from old patterns. You’re seeking clarity, confidence, and deeper connections—both with others and within yourself. You don’t have to navigate this alone. Healing is possible, and I’m here to help.
You deserve support, healing, and meaningful change. You might feel stuck, disconnected, or uncertain about who you are or where you’re headed. Maybe anxiety, depression, or low self-esteem are holding you back, or relationship challenges leave you feeling unseen and unheard. Past wounds may still shape how you connect with others and see yourself, making it hard to break free from old patterns. You’re seeking clarity, confidence, and deeper connections—both with others and within yourself. You don’t have to navigate this alone. Healing is possible, and I’m here to help.
(587) 410-6670 View (587) 410-6670
Photo of David Gillen, Pre-Licensed Professional
David Gillen
Pre-Licensed Professional
2 Endorsed
Spruce Grove, AB T7X
I love to work with others and combine ideas. I believe something collaborative will always be greater than the sum of its individual parts. Helping others has always given me a lot of satisfaction. In a therapeutic setting, working with clients as they overcome challenges helps me feel like I’m making a difference. I am inclined toward clients dealing with anxiety, depression, grief and loss, or identity concerns. I help a variety of populations including late teens, adults, seniors, as well as neurodivergent and LGBTQ+ communities.
I love to work with others and combine ideas. I believe something collaborative will always be greater than the sum of its individual parts. Helping others has always given me a lot of satisfaction. In a therapeutic setting, working with clients as they overcome challenges helps me feel like I’m making a difference. I am inclined toward clients dealing with anxiety, depression, grief and loss, or identity concerns. I help a variety of populations including late teens, adults, seniors, as well as neurodivergent and LGBTQ+ communities.
(587) 841-0557 View (587) 841-0557
Photo of Paige Alexa Northway, Registered Provisional Psychologist, BA, MEd
Paige Alexa Northway
Registered Provisional Psychologist, BA, MEd
1 Endorsed
Spruce Grove, AB T7X
I understand that life has its ups and downs, and that sometimes, we need help to live our most authentic lives or be the best versions of ourselves. I value the therapeutic relationship that is formed within the counselling room. Furthermore, I feel that all people deserve to feel heard, connected, seen, and understood.
I understand that life has its ups and downs, and that sometimes, we need help to live our most authentic lives or be the best versions of ourselves. I value the therapeutic relationship that is formed within the counselling room. Furthermore, I feel that all people deserve to feel heard, connected, seen, and understood.
(587) 417-5992 View (587) 417-5992
Photo of Nyamal Guet, MA
Nyamal Guet
Verified Verified
2 Endorsed
Spruce Grove, AB T7X
Not accepting new clients
My clients often feel stuck—whether in old wounds, relationships, or life transitions. They want clarity, relief, and deeper self-understanding but feel weighed down by emotions they can’t quite name or patterns they don’t know how to break. Some seek healing from grief or trauma, while others long to trust themselves again. They don’t just want coping skills; they want something real—a space where they can sit with what’s hard, untangle what’s underneath, and move forward in a way that actually feels right for them.
My clients often feel stuck—whether in old wounds, relationships, or life transitions. They want clarity, relief, and deeper self-understanding but feel weighed down by emotions they can’t quite name or patterns they don’t know how to break. Some seek healing from grief or trauma, while others long to trust themselves again. They don’t just want coping skills; they want something real—a space where they can sit with what’s hard, untangle what’s underneath, and move forward in a way that actually feels right for them.
(587) 851-0738 View (587) 851-0738
Photo of Sarah Perreault, Registered Provisional Psychologist, MACP
Sarah Perreault
Registered Provisional Psychologist, MACP
1 Endorsed
Spruce Grove, AB T7X
I work from a trauma-informed, person-centred perspective to help individuals work through attachment wounds received throughout life. I aim to help people better understand themselves and navigate through this crazy thing called life!
I work from a trauma-informed, person-centred perspective to help individuals work through attachment wounds received throughout life. I aim to help people better understand themselves and navigate through this crazy thing called life!
(825) 606-6880 View (825) 606-6880
Photo of Lynette Beauchamp, Clinical Social Work/Therapist, BSW, RSW
Lynette Beauchamp
Clinical Social Work/Therapist, BSW, RSW
Spruce Grove, AB T7X
Feeling overwhelmed! Not sure what to do or where to start? I believe the purpose of counselling is to help you develop the necessary skills to help get you through difficult times. I have 15+ years of expertise in treating depression, anxiety, trauma and PTSD, relationship issues, workplace issues, grief/loss, self-esteem, and personality-related problems. We will explore how to change negative thought patterns, deal with difficult emotions, explore new perspectives, create behavioral changes, improve self worth, enhance relationships communication and connection and create a more meaningful life.
Feeling overwhelmed! Not sure what to do or where to start? I believe the purpose of counselling is to help you develop the necessary skills to help get you through difficult times. I have 15+ years of expertise in treating depression, anxiety, trauma and PTSD, relationship issues, workplace issues, grief/loss, self-esteem, and personality-related problems. We will explore how to change negative thought patterns, deal with difficult emotions, explore new perspectives, create behavioral changes, improve self worth, enhance relationships communication and connection and create a more meaningful life.
(780) 962-0661 View (780) 962-0661
Photo of Ben Palmer, Registered Provisional Psychologist, BA, MACP
Ben Palmer
Registered Provisional Psychologist, BA, MACP
1 Endorsed
Spruce Grove, AB T7X
Everyone has problems in their lives, as much as they would like to have you believe they don't. Sometimes a problem is so close to us that the rest of our lives become obscured. I aim to provide a new perspective on the difficulties you face, and help you uncover the abilities that you already have that will allow you to overcome those difficulties.
Everyone has problems in their lives, as much as they would like to have you believe they don't. Sometimes a problem is so close to us that the rest of our lives become obscured. I aim to provide a new perspective on the difficulties you face, and help you uncover the abilities that you already have that will allow you to overcome those difficulties.
(780) 719-5121 View (780) 719-5121
Photo of Nicole Ella Wenckowski, Psychologist, MEd, RPsych
Nicole Ella Wenckowski
Psychologist, MEd, RPsych
Spruce Grove, AB T7X
I am a Registered Psychologist with experience working in corrections and community settings. I am a member of ATSA (Association for the Treatment and Prevention of Sexual Abuse) and work with clients who are facing legal issues around sexual offending as well as clients who are struggling with problematic sexual thoughts and behaviors. I strive to provide a non-judgmental space for those clients who need a safe place to seek help.
I am a Registered Psychologist with experience working in corrections and community settings. I am a member of ATSA (Association for the Treatment and Prevention of Sexual Abuse) and work with clients who are facing legal issues around sexual offending as well as clients who are struggling with problematic sexual thoughts and behaviors. I strive to provide a non-judgmental space for those clients who need a safe place to seek help.
(587) 409-4544 View (587) 409-4544
Photo of Alisha Waddleton, Registered Social Worker, MSW , BSW, RSW
Alisha Waddleton
Registered Social Worker, MSW , BSW, RSW
Online Only
Have you faced trauma in your life that has been impacting your current ability to thrive? Are you unsure of where to turn and who to trust? Life can be challenging and we often all need a little extra support. I offer a welcoming, safe, non-judgmental, and comfortable environment where we can discuss your issues, big or small, that you are dealing with. We can work on these together- you are not alone.
Have you faced trauma in your life that has been impacting your current ability to thrive? Are you unsure of where to turn and who to trust? Life can be challenging and we often all need a little extra support. I offer a welcoming, safe, non-judgmental, and comfortable environment where we can discuss your issues, big or small, that you are dealing with. We can work on these together- you are not alone.
(825) 605-9062 View (825) 605-9062
Photo of Tamara Stuart, Psychologist, MC, RPsych
Tamara Stuart
Psychologist, MC, RPsych
3 Endorsed
Online Only
I work with individuals with a wide-range of concerns and backgrounds but my main areas of focus are working with anxiety, eating disorders, ADHD and addiction issues. In my therapeutic approach, I aim to understand you and your world. Although people may share the same common symptoms, issues, and life’s ups and downs: no two people experience them exactly the same. It is important for me to understand how you experience things, so I can help you find solutions that fit for you. Together we will work collaboratively to figure out what is working for you and how to change the things that are not.
I work with individuals with a wide-range of concerns and backgrounds but my main areas of focus are working with anxiety, eating disorders, ADHD and addiction issues. In my therapeutic approach, I aim to understand you and your world. Although people may share the same common symptoms, issues, and life’s ups and downs: no two people experience them exactly the same. It is important for me to understand how you experience things, so I can help you find solutions that fit for you. Together we will work collaboratively to figure out what is working for you and how to change the things that are not.
(587) 801-2438 View (587) 801-2438
Photo of Daniel Sundahl, Counsellor, RPC-C, ACP
Daniel Sundahl
Counsellor, RPC-C, ACP
1 Endorsed
Spruce Grove, AB T7X
Are you feeling stuck, overwhelmed, or disconnected from the life you want? I provide a safe, supportive space to explore the symptoms of trauma and understand patterns to create meaningful change. Whether you’re struggling with anxiety, relationship challenges, or depression, I’m here to help. Together, we’ll uncover your strengths, address obstacles, and develop tools to build resilience and fulfillment. You deserve to feel empowered and aligned with your values. Let’s work together to help you thrive.
Are you feeling stuck, overwhelmed, or disconnected from the life you want? I provide a safe, supportive space to explore the symptoms of trauma and understand patterns to create meaningful change. Whether you’re struggling with anxiety, relationship challenges, or depression, I’m here to help. Together, we’ll uncover your strengths, address obstacles, and develop tools to build resilience and fulfillment. You deserve to feel empowered and aligned with your values. Let’s work together to help you thrive.
(825) 804-4221 View (825) 804-4221
Photo of Katt Gunter - Vaya Counselling and Psychotherapy, Counsellor, CCPCPR, CAND
Vaya Counselling and Psychotherapy
Counsellor, CCPCPR, CAND
1 Endorsed
Spruce Grove, AB T7X
Hi and welcome! I have experience working with the following: anxiety, depression, teen issues, infidelity, abusive relationships, narcissistic personality disorder, covert narcissism, emotional abuse, domestic abuse, co-dependency, avoidant / anxious attachment styles, couples therapy, setting boundaries, and helping individuals discover who they really are and what is holding them back. I believe that everyone deserves a chance to be heard and understood. Life can be hard but personal growth often comes from the toughest times. There is a light at the end of the tunnel! Accepting a limited amount of new clients at this time.
Hi and welcome! I have experience working with the following: anxiety, depression, teen issues, infidelity, abusive relationships, narcissistic personality disorder, covert narcissism, emotional abuse, domestic abuse, co-dependency, avoidant / anxious attachment styles, couples therapy, setting boundaries, and helping individuals discover who they really are and what is holding them back. I believe that everyone deserves a chance to be heard and understood. Life can be hard but personal growth often comes from the toughest times. There is a light at the end of the tunnel! Accepting a limited amount of new clients at this time.
(587) 851-0849 View (587) 851-0849
Photo of Sheila Hudson - Sheila Hudson (Aspire Counselling and Psychology), Psychologist, MC, BEd, BA, RPsych
Sheila Hudson (Aspire Counselling and Psychology)
Psychologist, MC, BEd, BA, RPsych
4 Endorsed
Spruce Grove, AB T7X
Waitlist for new clients
Life is messy. That's all there is to it. Sometimes the mess is manageable...even beautiful. But, as Dr. Seuss says, sometimes it's "so big and so deep and so tall" you have absolutely no idea where to start the process of sorting it out. It is particularly challenging when the tangled mess involves difficult thoughts, big feelings, and important relationships. If you would like some help sorting through your mess, I can help.
Life is messy. That's all there is to it. Sometimes the mess is manageable...even beautiful. But, as Dr. Seuss says, sometimes it's "so big and so deep and so tall" you have absolutely no idea where to start the process of sorting it out. It is particularly challenging when the tangled mess involves difficult thoughts, big feelings, and important relationships. If you would like some help sorting through your mess, I can help.
(780) 719-5121 View (780) 719-5121
Photo of Carolynn Archibald, Psychologist, MEd, R Psych
Carolynn Archibald
Psychologist, MEd, R Psych
Spruce Grove, AB T7X
I specialize in the assessment of children and adolescents. Is your child or teen struggling with learning, behaviour or emotional challenges? Perhaps you are wondering if your child or teen has a diagnoseable condition or specialized learning needs. I can help you find the answers you are looking for to help your child or teen meet their potential and get the support they need.
I specialize in the assessment of children and adolescents. Is your child or teen struggling with learning, behaviour or emotional challenges? Perhaps you are wondering if your child or teen has a diagnoseable condition or specialized learning needs. I can help you find the answers you are looking for to help your child or teen meet their potential and get the support they need.
(587) 600-2014 View (587) 600-2014
Photo of Amy Quintal, Registered Social Worker, BA NS, IMSW, RSW
Amy Quintal
Registered Social Worker, BA NS, IMSW, RSW
1 Endorsed
Spruce Grove, AB T7X
I offer compassionate counselling rooted in Indigenous values, holistic wellness, and lived experience. I work with youth (10+), adults, and families navigating trauma, neurodivergence, systemic oppression, and life’s challenges. My approach is neurodivergence-affirming, trauma-informed, guided by Indigenous ethics and healing approaches, and founded in good relationships, compassion, and respect. As an AuDHD person and mother to a multiply disabled teen, I bring not only clinical knowledge but also lived experience, empathy, and advocacy to my work.
I offer compassionate counselling rooted in Indigenous values, holistic wellness, and lived experience. I work with youth (10+), adults, and families navigating trauma, neurodivergence, systemic oppression, and life’s challenges. My approach is neurodivergence-affirming, trauma-informed, guided by Indigenous ethics and healing approaches, and founded in good relationships, compassion, and respect. As an AuDHD person and mother to a multiply disabled teen, I bring not only clinical knowledge but also lived experience, empathy, and advocacy to my work.
(587) 855-8988 View (587) 855-8988
Photo of Deborah Randazzo, Clinical Social Work/Therapist, MSW, RCSW, LCSW
Deborah Randazzo
Clinical Social Work/Therapist, MSW, RCSW, LCSW
Online Only
I am a Licensed Clinical Social Worker in private practice with a deep commitment to helping individuals, couples, and families navigate life’s challenges and build lasting emotional resilience. With over 20 years of clinical experience, I specialize in providing compassionate, evidence-based therapy tailored to each client’s unique needs.
I am a Licensed Clinical Social Worker in private practice with a deep commitment to helping individuals, couples, and families navigate life’s challenges and build lasting emotional resilience. With over 20 years of clinical experience, I specialize in providing compassionate, evidence-based therapy tailored to each client’s unique needs.
(587) 805-4926 View (587) 805-4926
Photo of Wanda Elaine Wylie, Pre-Licensed Professional, BA, CIP, FCIP, MACP
Wanda Elaine Wylie
Pre-Licensed Professional, BA, CIP, FCIP, MACP
1 Endorsed
Spruce Grove, AB T7Y
My desire is to help people live full, happy, authentic lives. My primary focus is on determining the patterns that cause root issues in our lives. I utilize Equine Therapy or Animal Assisted Therapy to help people co-regulate their emotions, learn to read the non-verbal body language of the horse, who CAN read your mind, thoughts and emotions, and help create new, healthier awareness and patterns. I desire most to work with people who are ready to change, ready to go deep, and look at what might be causing the blockages in their lives. I work with families, children, people with trauma, and neurodevelopmentally delayed children.
My desire is to help people live full, happy, authentic lives. My primary focus is on determining the patterns that cause root issues in our lives. I utilize Equine Therapy or Animal Assisted Therapy to help people co-regulate their emotions, learn to read the non-verbal body language of the horse, who CAN read your mind, thoughts and emotions, and help create new, healthier awareness and patterns. I desire most to work with people who are ready to change, ready to go deep, and look at what might be causing the blockages in their lives. I work with families, children, people with trauma, and neurodevelopmentally delayed children.
(587) 843-6486 View (587) 843-6486
Photo of Cheryl Otterbein, Counsellor, RCS, MTC, CCHT, HT
Cheryl Otterbein
Counsellor, RCS, MTC, CCHT, HT
3 Endorsed
Spruce Grove, AB T7X
Welcome to my profile. I’m Cheryl Otterbein, a Master Therapeutic Counsellor specializing in C-PTSD, trauma, and grief—including complicated grief and prolonged grief disorder. I am committed to supporting individuals through all stages of healing, with a particular focus on men’s mental health, trauma recovery, and emotional well-being. My approach integrates Mindfulness-Based Cognitive Behavioural Therapy (CBT), Dialectical Behaviour Therapy (DBT), Acceptance and Commitment Therapy (ACT), clinical counselling hypnotherapy, and other evidence-based therapies. I tailor every session to meet your unique needs in a safe, collaborative
Welcome to my profile. I’m Cheryl Otterbein, a Master Therapeutic Counsellor specializing in C-PTSD, trauma, and grief—including complicated grief and prolonged grief disorder. I am committed to supporting individuals through all stages of healing, with a particular focus on men’s mental health, trauma recovery, and emotional well-being. My approach integrates Mindfulness-Based Cognitive Behavioural Therapy (CBT), Dialectical Behaviour Therapy (DBT), Acceptance and Commitment Therapy (ACT), clinical counselling hypnotherapy, and other evidence-based therapies. I tailor every session to meet your unique needs in a safe, collaborative
(587) 872-7461 View (587) 872-7461

See more therapy options for Spruce Grove

How does your Counsellor compare?

Number of Counsellors in Spruce Grove, AB

100+

Average cost per session

$215

Counsellors in Spruce Grove, AB who prioritize treating:

95% Anxiety
89% Depression
80% Relationship Issues
80% Stress
76% Trauma and PTSD
75% Self Esteem
72% Coping Skills

Average years in practice

6 Years

Top 3 insurances accepted

77% Alberta Blue Cross
76% Green Shield Canada
65% Canada Life | Great-West Life

How Counsellors in Spruce Grove, AB see their clients

87% In Person and Online
13% Online Only

Gender breakdown

83% Female
15% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Spruce Grove?

Search for nearby therapists or counsellors by inputting your city, postal code, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postal code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Most Counsellors and Psychotherapists listed in the directory are certified by one of the main professional associations, mainly the Canadian Counselling and Psychotherapy Association (CCPA), and will have a Certified Canadian Counsellor (CCC) designation with their name. Social Workers listed in the directory must be registered members of the college specific to their province. To be listed in the directory, Psychologists must be registered with the psychological college specific to their province or territory.

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given the considerable variation in professional regulation and prerequisites across Canadian provinces, some providers may possess significant professional qualifications without necessarily holding professional memberships or being obliged to acquire them. As a result, they may be selectively included without the "Verified" seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Psychologists, counsellors, psychotherapists and social workers can all provide counselling or talking therapy and have credentials and supervised, practical experience that enable them to do so in Canada.

Psychologists have a master's and/or doctoral degree and have passed both written and oral exams. Psychologists are able to complete mental health assessments and provide diagnostic information to clients as well as provide counselling therapy or psychotherapy. Counsellors and psychotherapists are expected to have a master's or doctoral degree in counselling psychology, social work, or a related mental health discipline and certification by a professional association, such as the Canadian Counselling and Psychotherapy Association. Registered Social Workers possess a Bachelor's or Master's degree in Social Work and where possible must be licensed or certified by the provincial government and/or regulatory college.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, the cost of a therapy session in Canada could be between $100 and $200. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. Some types of outpatient mental health services are covered by Medicare, provided these are performed by a licensed mental health professional in the provinces or territory you reside in and who accepts the assignment.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postal code.

Are therapy sessions confidential?

Professionals licensed by regulatory colleges and those certified by associations such as the Canadian Counselling and Psychotherapy Association are obligated to uphold client confidentiality unless there is a legal reason that requires them to disclose information. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there is the potential or known harm to the client or others, or a court order, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.