Therapists in Calgary, AB
Nora MacQuarrie Psychological Services
Psychologist, MEd, R, Psych
Verified Verified
7 Endorsed
Calgary, AB T3A
Did you know that most clients have been thinking of getting help for months, if not years. 100% of my clients rate my services as Very Good-to-Excellent, and would refer a friend or family member to me. I am a psychologist and I specialize in counselling, working with people who are feeling stressed, distressed, sad, worried, overwhelmed, stuck and unhappy. I am available to meet in-person or virtually.
Did you know that most clients have been thinking of getting help for months, if not years. 100% of my clients rate my services as Very Good-to-Excellent, and would refer a friend or family member to me. I am a psychologist and I specialize in counselling, working with people who are feeling stressed, distressed, sad, worried, overwhelmed, stuck and unhappy. I am available to meet in-person or virtually.
Hanita R Dagan
Psychologist, MA, RPsych, RMFT
Verified Verified
1 Endorsed
Calgary, AB T2P
I am a Registered Psychologist and Registered Marriage and Family Therapist with over 25 years of experience working with individuals, couples and families. I am committed to implementing evidence based treatment and staying current with best practices through attending national and international conferences, as well as keeping up-to-date with the latest research in the field. I believe that positive, meaningful relationships form the foundation of our well-being and the resolution of conflict can improve these relationships for the benefit of the couples, children and families involved.
I am a Registered Psychologist and Registered Marriage and Family Therapist with over 25 years of experience working with individuals, couples and families. I am committed to implementing evidence based treatment and staying current with best practices through attending national and international conferences, as well as keeping up-to-date with the latest research in the field. I believe that positive, meaningful relationships form the foundation of our well-being and the resolution of conflict can improve these relationships for the benefit of the couples, children and families involved.
Lauren Cowley
Counsellor, CCC, MC, BAID
Verified Verified
3 Endorsed
Calgary, AB T2R
Picture a sacred space of human connection that invites you to make room for the complexity of emotion and experience, moving towards meaning and personal values. In our sessions, there is the invitation to cozy up with a warm cup of tea, slow down, and reconnect with yourself, practicing self-acceptance through exploration. From a place of gentleness and curiosity, I aim to be courageous alongside you as we navigate the thoughts, feelings, and sensations that seem too big to carry alone. Because, let's keep it real, being human is hard, and healing begins with the permission to embrace our messy, imperfect selves.
Picture a sacred space of human connection that invites you to make room for the complexity of emotion and experience, moving towards meaning and personal values. In our sessions, there is the invitation to cozy up with a warm cup of tea, slow down, and reconnect with yourself, practicing self-acceptance through exploration. From a place of gentleness and curiosity, I aim to be courageous alongside you as we navigate the thoughts, feelings, and sensations that seem too big to carry alone. Because, let's keep it real, being human is hard, and healing begins with the permission to embrace our messy, imperfect selves.
Sara Lapp
Counsellor, MC , CCC
Verified Verified
2 Endorsed
Calgary, AB T2R
Not accepting new clients
Experiences that traumatize us, experiences that make us question who we are, and experiences that challenge our sense of belonging and worth - happen to all of us. My goal is to provide you the safe space, security and professional expertise to work through and strengthen your sense of self and positive well-being. I work with children, youth, adults and families. In addition, I specialize in working with individuals and families that have experienced pregnancy and infant loss.
Experiences that traumatize us, experiences that make us question who we are, and experiences that challenge our sense of belonging and worth - happen to all of us. My goal is to provide you the safe space, security and professional expertise to work through and strengthen your sense of self and positive well-being. I work with children, youth, adults and families. In addition, I specialize in working with individuals and families that have experienced pregnancy and infant loss.
Kassie Peltonen
Counsellor, BA , MACP, CCC
Verified Verified
1 Endorsed
Calgary, AB T2E
If you find yourself struggling with anxiety, depression, stress, substance abuse, grief or trauma then I believe I am the right fit for you. I have an analytic mind and a compassionate nature, eager to find workable solutions to a wide variety of presenting problems. I will work WITH you along your mental health journey to get you back to your life. I believe mental health is a process that requires active participation from both the client and counsellor. I will guide and support you through your journey to mental wellness.
If you find yourself struggling with anxiety, depression, stress, substance abuse, grief or trauma then I believe I am the right fit for you. I have an analytic mind and a compassionate nature, eager to find workable solutions to a wide variety of presenting problems. I will work WITH you along your mental health journey to get you back to your life. I believe mental health is a process that requires active participation from both the client and counsellor. I will guide and support you through your journey to mental wellness.
Dr. Trista Keating
Psychologist, PhD
Verified Verified
Calgary, AB T2W
My ideal clients are toddlers, children, teens and young adults who are experiencing various academic, emotional, social, behavioral, or developmental difficulties. Their parents, or they themselves may have noticed signs of struggle, and they seek a professional assessment to understand the underlying causes and find ways to help them cope and thrive. My ideal clients are eager to understand why they or their loved ones are struggling. They are open to exploring the underlying factors contributing to the challenges, seeking insights into their emotions and behaviors. They believe in the possibility of positive change.
My ideal clients are toddlers, children, teens and young adults who are experiencing various academic, emotional, social, behavioral, or developmental difficulties. Their parents, or they themselves may have noticed signs of struggle, and they seek a professional assessment to understand the underlying causes and find ways to help them cope and thrive. My ideal clients are eager to understand why they or their loved ones are struggling. They are open to exploring the underlying factors contributing to the challenges, seeking insights into their emotions and behaviors. They believe in the possibility of positive change.
Jennifer Thomson
Clinical Social Work/Therapist, MSW, RSW
Verified Verified
Calgary, AB T2S
I believe that life can throws us challenges and some of those challenges may feel harder than others to overcome. I strongly value connection and the need for relationship as a key piece of effectively navigating these life challenges. I strive to offer clients compassion, and the space they need to do this. My hope is that through a strong therapeutic relationship we can create shared meaning to strive towards meaningful change.
I believe that life can throws us challenges and some of those challenges may feel harder than others to overcome. I strongly value connection and the need for relationship as a key piece of effectively navigating these life challenges. I strive to offer clients compassion, and the space they need to do this. My hope is that through a strong therapeutic relationship we can create shared meaning to strive towards meaningful change.
Kathleen Boothman
Psychologist, Bsc, MC
Verified Verified
Calgary, AB T2E
Kathleen works with children, adolescents, and parents (ages 3 and up) with various complex behavioural and emotional needs. She began her career as an early intervention therapist, child and youth care counsellor, and behavioural consultant before registering as a provisional psychologist in March 2021. She has over ten years of experience working with children and adolescents in community, school, public, and private settings. Kathleen uses this diverse experience to support, assess, and diagnose those with many behavioural, developmental and mental health disorders, including ADHD, ASD, depression, anxiety, and OCD.
Kathleen works with children, adolescents, and parents (ages 3 and up) with various complex behavioural and emotional needs. She began her career as an early intervention therapist, child and youth care counsellor, and behavioural consultant before registering as a provisional psychologist in March 2021. She has over ten years of experience working with children and adolescents in community, school, public, and private settings. Kathleen uses this diverse experience to support, assess, and diagnose those with many behavioural, developmental and mental health disorders, including ADHD, ASD, depression, anxiety, and OCD.
Krista Clelland
Psychologist, MA, RPsych
Verified Verified
Calgary, AB T2Z
We all need support with managing the struggles and challenges of life. Having an empathic, respectful, safe client-therapist relationship is the key to therapeutic success. I believe that clients bring their own wisdom, expertise, and insight to the therapeutic process, and view counselling as a collaboration. Using a variety of clinical approaches, I support clients in reaching their goals by building on their strengths and resiliency, teaching practical skills and strategies, increasing self-awareness and understanding, and improving overall coping and wellness.
We all need support with managing the struggles and challenges of life. Having an empathic, respectful, safe client-therapist relationship is the key to therapeutic success. I believe that clients bring their own wisdom, expertise, and insight to the therapeutic process, and view counselling as a collaboration. Using a variety of clinical approaches, I support clients in reaching their goals by building on their strengths and resiliency, teaching practical skills and strategies, increasing self-awareness and understanding, and improving overall coping and wellness.
Jocelyn Simpson
Registered Provisional Psychologist, BEd, MC
Verified Verified
3 Endorsed
Calgary, AB T3A
Life can often feel like a ship sailing, sometimes on smooth seas, at times amid a storm, sometimes aimlessly, other times stuck. There are seasons in life where gleaning perspective and insight are necessary to navigate diverse circumstances, pivot in the midst of challenges or find a safe space to process. My experience as a third culture kid from South East Indian decent, international living in the Philippines as a young adult and being in a mixed marriage provides a unique perspective on cultural fusion. Anxiety, depression, grief, neurodiversity, parenting, relationships, school challenges and stress are areas of focus.
Life can often feel like a ship sailing, sometimes on smooth seas, at times amid a storm, sometimes aimlessly, other times stuck. There are seasons in life where gleaning perspective and insight are necessary to navigate diverse circumstances, pivot in the midst of challenges or find a safe space to process. My experience as a third culture kid from South East Indian decent, international living in the Philippines as a young adult and being in a mixed marriage provides a unique perspective on cultural fusion. Anxiety, depression, grief, neurodiversity, parenting, relationships, school challenges and stress are areas of focus.
Karl Melting Tallow
Registered Provisional Psychologist, MC
Verified Verified
1 Endorsed
Calgary, AB T2N
I believe that although life has its share of challenges and adversities, people possess the inner strength and resiliency to cope. I enjoy discovering and reinforcing these skills alongside my clients. I provide support to people experiencing mental health issues and challenges including though not limited to Anxiety/Depression; Trauma/PTSD; Family Conflicts; Complex Mental Health Diagnosis (i.e. Schizophrenia, Bipolar Disorder); Cognitive and Intellectual Disabilities; Dual Diagnosis; Inappropriate Sexualized Behaviors; and Domestic Violence (both supporting victims and perpetrators).
I believe that although life has its share of challenges and adversities, people possess the inner strength and resiliency to cope. I enjoy discovering and reinforcing these skills alongside my clients. I provide support to people experiencing mental health issues and challenges including though not limited to Anxiety/Depression; Trauma/PTSD; Family Conflicts; Complex Mental Health Diagnosis (i.e. Schizophrenia, Bipolar Disorder); Cognitive and Intellectual Disabilities; Dual Diagnosis; Inappropriate Sexualized Behaviors; and Domestic Violence (both supporting victims and perpetrators).
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Dr. Nicole Nayoski
Psychologist, PhD, RPsych
Verified Verified
1 Endorsed
Calgary, AB T2N
I help individuals who struggle with difficult emotions such as anxiety, sadness, anger, guilt, jealousy and shame. You can learn to change your emotional reaction and respond the way you to want in this world. You can develop critical skills to deal with your own thoughts as well as life stressors, including relationship difficulties, work stress, life transitions, grief and loss, and chronic illness. You can learn to let go of past hurts and focus on the here and now. Together, we address barriers to your well-being so that you can feel secure and experience a balanced, meaningful life.
I help individuals who struggle with difficult emotions such as anxiety, sadness, anger, guilt, jealousy and shame. You can learn to change your emotional reaction and respond the way you to want in this world. You can develop critical skills to deal with your own thoughts as well as life stressors, including relationship difficulties, work stress, life transitions, grief and loss, and chronic illness. You can learn to let go of past hurts and focus on the here and now. Together, we address barriers to your well-being so that you can feel secure and experience a balanced, meaningful life.
Karina Ramdath
Registered Social Worker, RSW, MSW
Verified Verified
1 Endorsed
Calgary, AB T2E (Online Only)
You're worthy of joy, love, confidence, and strength. You may feel alone, broken, stressed, hurt, and stuck right now. Trauma, anxiety, depression, poor communication skills and unhealthy behaviours should not get in the way of work, school, or relationships. I know you feel unsure, awkward, or intimidated about reaching out to a therapist, so you’re very courageous to take this time to explore your options. I encourage you to take the next step to call or email me. I want to support you because you're willing to try; you want to grow and to live your best life.
You're worthy of joy, love, confidence, and strength. You may feel alone, broken, stressed, hurt, and stuck right now. Trauma, anxiety, depression, poor communication skills and unhealthy behaviours should not get in the way of work, school, or relationships. I know you feel unsure, awkward, or intimidated about reaching out to a therapist, so you’re very courageous to take this time to explore your options. I encourage you to take the next step to call or email me. I want to support you because you're willing to try; you want to grow and to live your best life.
Alisha Mann
Registered Provisional Psychologist
Verified Verified
Calgary, AB T2Z
Alisha offers a compassionate and client-centred approach to therapy. As a trauma therapist, she has many years of experience creating a safe and non judgmental space for clients to navigate the complexities of trauma and foster a sense of resiliency, coping, and growth. She believes in empowering clients to explore the narratives that may be constraining them, and facilitate a process to break free from patterns and behaviours that are no longer serving them.
Alisha offers a compassionate and client-centred approach to therapy. As a trauma therapist, she has many years of experience creating a safe and non judgmental space for clients to navigate the complexities of trauma and foster a sense of resiliency, coping, and growth. She believes in empowering clients to explore the narratives that may be constraining them, and facilitate a process to break free from patterns and behaviours that are no longer serving them.
Tina Roxanne Parsons
Psychologist, MSc, MEd, RPsych
Verified Verified
Calgary, AB T2V
Waitlist for new clients
As a Registered Psychologist since 1999, I have worked in a variety of settings including not-for-profit, public school system, university and health care. I currently offer therapy to children, adolescents and adults around a range of clinical issues including anxiety, depression, emotional dysregulation, AD/HD, LD, social problems and/or stress. I offer psychoeducational assessments for children and adults for queried Learning Disabilities, AD/HD and/or Asperger's. My therapeutic approach is empirically supported by best practice research. I have a strong interest in the mind-body connection and I employ Mindfulness based approaches to treatment.
As a Registered Psychologist since 1999, I have worked in a variety of settings including not-for-profit, public school system, university and health care. I currently offer therapy to children, adolescents and adults around a range of clinical issues including anxiety, depression, emotional dysregulation, AD/HD, LD, social problems and/or stress. I offer psychoeducational assessments for children and adults for queried Learning Disabilities, AD/HD and/or Asperger's. My therapeutic approach is empirically supported by best practice research. I have a strong interest in the mind-body connection and I employ Mindfulness based approaches to treatment.
Terrie Ann McKinley
Psychologist, RPsych, BA, MACP
Verified Verified
1 Endorsed
Calgary, AB T2N
Why do we make the choices that we do? Life provides unique experiences that affect people in different ways. These experiences contribute positively or negatively to our well-being and guide our life choices and impulses. It is important to honour the good things we have encountered but it is vital to address the challenges that we have faced, especially when they keep us stuck.
Why do we make the choices that we do? Life provides unique experiences that affect people in different ways. These experiences contribute positively or negatively to our well-being and guide our life choices and impulses. It is important to honour the good things we have encountered but it is vital to address the challenges that we have faced, especially when they keep us stuck.
Elizabeth A. Mannas
Clinical Social Work/Therapist, MSW, RCSW
Verified Verified
6 Endorsed
Calgary, AB T2T
Not accepting new clients
As a Registered Clinical Social Worker, I offer a safe place for you to address difficulties with emotions, thoughts and behaviours. I can assist with concerns you may have such as anxiety, relationship conflicts, addiction, phobias, depression, grief and loss as well as post-traumatic stress disorder. I have been working in the field of helping since 2006 and have experience working with a diverse group of clients. I work with individuals as well as I provide couples therapy. I have worked extensively with first responders and am an approved provider with VAC and RCMP.
As a Registered Clinical Social Worker, I offer a safe place for you to address difficulties with emotions, thoughts and behaviours. I can assist with concerns you may have such as anxiety, relationship conflicts, addiction, phobias, depression, grief and loss as well as post-traumatic stress disorder. I have been working in the field of helping since 2006 and have experience working with a diverse group of clients. I work with individuals as well as I provide couples therapy. I have worked extensively with first responders and am an approved provider with VAC and RCMP.
Dan McKinnon
Psychologist, BA, MA, PhD
Verified Verified
2 Endorsed
Calgary, AB T3A
I offer decades of relevant experience and expertise to clients who are in the midst of a life changing transition and/or existential dilemma. My approach entails creating a safe, open, engaging relational space and then acting as a catalytic companion by using strategic questions to probe and coax the client to the discoveries and adaptations that will make a difference for them. Once the client's stress states, emotional concerns and confused thinking have been calmed and clarified, my aim is to identify and build upon their signature strengths so that they can fully realize their potentials and capacities.
I offer decades of relevant experience and expertise to clients who are in the midst of a life changing transition and/or existential dilemma. My approach entails creating a safe, open, engaging relational space and then acting as a catalytic companion by using strategic questions to probe and coax the client to the discoveries and adaptations that will make a difference for them. Once the client's stress states, emotional concerns and confused thinking have been calmed and clarified, my aim is to identify and build upon their signature strengths so that they can fully realize their potentials and capacities.
Melodie Sanford
Psychologist, MA, MSc, CST
Verified Verified
8 Endorsed
Calgary, AB T2M
NOT ACCEPTING NEW CLIENTS - My passion for psychology comes from my genuine belief that we have the ability to not only overcome significant challenges, but to transform our lives. As a Registered Psychologist, I work with a wide range of topics including relationship challenges (i.e. intimacy, communication, infidelity, separation/divorce, blended family, etc.), trauma, depression, anxiety, life transitions, grief and loss, and wellness. As an AASECT certified Sex Therapist, I am highly trained in working with sexual(ity) concerns, alternative relationship structures (i.e. open relationship, Poly, Kink), and LGBTQ2S+ challenges.
NOT ACCEPTING NEW CLIENTS - My passion for psychology comes from my genuine belief that we have the ability to not only overcome significant challenges, but to transform our lives. As a Registered Psychologist, I work with a wide range of topics including relationship challenges (i.e. intimacy, communication, infidelity, separation/divorce, blended family, etc.), trauma, depression, anxiety, life transitions, grief and loss, and wellness. As an AASECT certified Sex Therapist, I am highly trained in working with sexual(ity) concerns, alternative relationship structures (i.e. open relationship, Poly, Kink), and LGBTQ2S+ challenges.
Jordan Pisesky R. Prov. Psychologist
Psychologist, Prov
Verified Verified
1 Endorsed
Calgary, AB T2T
Are you or someone in your family struggling with anxiety, fragile self-esteem or low mood? Does it seem like it started off small but feels like it is escalating and you are unsure of how to help them or yourself? Growing up can be hard. Many children and teens today face increased anxiety, social challenges, learning difficulties, depression, loss or family challenges like divorce or illness of a parent or loved one. In adulthood, the challenges may look different, but age does not shield us from the challenges caused by career pressures, overwhelm or blows to our confidence.
Are you or someone in your family struggling with anxiety, fragile self-esteem or low mood? Does it seem like it started off small but feels like it is escalating and you are unsure of how to help them or yourself? Growing up can be hard. Many children and teens today face increased anxiety, social challenges, learning difficulties, depression, loss or family challenges like divorce or illness of a parent or loved one. In adulthood, the challenges may look different, but age does not shield us from the challenges caused by career pressures, overwhelm or blows to our confidence.
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Number of Counsellors in Calgary, AB
1,000+
Average cost per session
$200
Counsellors in Calgary, AB who prioritize treating:
93% | Anxiety |
87% | Depression |
81% | Self Esteem |
80% | Stress |
78% | Relationship Issues |
73% | Coping Skills |
71% | Trauma and PTSD |
Average years in practice
10 Years
Top 3 insurances accepted
63% | Green Shield Canada |
58% | Alberta Blue Cross |
51% | Canada Life | Great-West Life |
How Counsellors in Calgary, AB see their clients
81% | In Person and Online | |
19% | Online Only |
Gender breakdown
84% | Female | |
15% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Calgary?
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
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.
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.
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.
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.