Therapists in Vancouver, BC

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Photo of Mark Holland, Counsellor in Vancouver, BC
Mark Holland
Counsellor, MA, RCC
Verified Verified
3 Endorsed
Vancouver, BC V6C
Mark Holland believes in the healing power of relationships. He believes people can change their lives for the better. His model has helped professionals refine skills in high-pressure environments, manage life transitions, and navigate intimate relationships. He works with clients to leverage strengths as a means to overcome barriers to success. If you are feeling anxious, overwhelmed or stressed, Mark can help. If you are struggling in your relationships or feeling overwhelmed, Mark is experienced and he can help.
Mark Holland believes in the healing power of relationships. He believes people can change their lives for the better. His model has helped professionals refine skills in high-pressure environments, manage life transitions, and navigate intimate relationships. He works with clients to leverage strengths as a means to overcome barriers to success. If you are feeling anxious, overwhelmed or stressed, Mark can help. If you are struggling in your relationships or feeling overwhelmed, Mark is experienced and he can help.
(778) 233-5534 View (778) 233-5534
Photo of Lily Rafizadeh, Counsellor in Vancouver, BC
Lily Rafizadeh
Counsellor, MC, RCC
Verified Verified
1 Endorsed
Vancouver, BC V6J
Whatever your unique struggles or sufferings might look like, together we can explore how to move through and ultimately grow larger than them. I work alongside individuals who are navigating questions of identity, transitions, meaning and purpose, conflict and disconnection, and with those who seek to heal past and present hurts. I am committed to being a safe and compassionate presence, encouraging you to delve deeper into yourself.
Whatever your unique struggles or sufferings might look like, together we can explore how to move through and ultimately grow larger than them. I work alongside individuals who are navigating questions of identity, transitions, meaning and purpose, conflict and disconnection, and with those who seek to heal past and present hurts. I am committed to being a safe and compassionate presence, encouraging you to delve deeper into yourself.
(778) 717-3129 View (778) 717-3129
Photo of Clayton Andres, Counsellor in Vancouver, BC
Clayton Andres
Counsellor, MCP, RCC, CCC
Verified Verified
1 Endorsed
Vancouver, BC V6B
Hi there, I'm Clayton! I am a Registered Clinical Counsellor with the BCACC. I have a Master's degree in Counselling Psychology from Adler University in Vancouver, BC. I specialize in relieving depression and anxiety, processing life transitions, and trauma. I strive to be compassionate in all areas of life, both in and outside of the counselling room.
Hi there, I'm Clayton! I am a Registered Clinical Counsellor with the BCACC. I have a Master's degree in Counselling Psychology from Adler University in Vancouver, BC. I specialize in relieving depression and anxiety, processing life transitions, and trauma. I strive to be compassionate in all areas of life, both in and outside of the counselling room.
(705) 710-3550 View (705) 710-3550
Photo of Tima Musina, Counsellor in Vancouver, BC
Tima Musina
Counsellor, MA, BA, RCC
Verified Verified
3 Endorsed
Vancouver, BC V6J
As a relational therapist, I specialize in experientially working with self-discovery, relationship health, intimacy, and attachment trauma. I find what is often missing in our lives are the deeply attuned connections where we feel seen, heard, and understood. Generally, I operate from an intersection of attachment, neuroscience, plant medicine, and somatic frameworks. In my practice I welcome all individuals, couples, and people in multi-partner/poly relationships across the whole sexuality spectrum.
As a relational therapist, I specialize in experientially working with self-discovery, relationship health, intimacy, and attachment trauma. I find what is often missing in our lives are the deeply attuned connections where we feel seen, heard, and understood. Generally, I operate from an intersection of attachment, neuroscience, plant medicine, and somatic frameworks. In my practice I welcome all individuals, couples, and people in multi-partner/poly relationships across the whole sexuality spectrum.
(604) 841-8622 View (604) 841-8622
Photo of Veronica Berezowsky, Counsellor in Vancouver, BC
Veronica Berezowsky
Counsellor, R-DMT, RCC, RSMT, EMDR
Verified Verified
1 Endorsed
Vancouver, BC V6J
I work with women who are ready to commit to a deep & conscious spiritual process of healing & transformation. Whether wanting to recover from trauma, feeling lost inside, depressed, anxious, empty, I am committed to supporting your journey. Convinced that no healing happens if body is not involved, my approach weaves somatic therapy, EMDR & cyclical awareness from a humanistic & client centred stance and keeps developing as I keep deepening my research in the areas of trauma, attachment theory, ancestral legacies of trauma & energy healing.
I work with women who are ready to commit to a deep & conscious spiritual process of healing & transformation. Whether wanting to recover from trauma, feeling lost inside, depressed, anxious, empty, I am committed to supporting your journey. Convinced that no healing happens if body is not involved, my approach weaves somatic therapy, EMDR & cyclical awareness from a humanistic & client centred stance and keeps developing as I keep deepening my research in the areas of trauma, attachment theory, ancestral legacies of trauma & energy healing.
(604) 706-1816 View (604) 706-1816
Photo of Tracy Whitmore, Registered Social Worker in Vancouver, BC
Tracy Whitmore
Registered Social Worker, RSW
Verified Verified
1 Endorsed
Vancouver, BC V5N  (Online Only)
Are you tired of feeling trapped, stressed, or overwhelmed? Are you treating yourself in a way that goes against your own values? Have you been seeking solutions but feel stuck? Is a cloud of negativity holding you back from your true potential? Are you grappling with questions about your identity and purpose? If you or your child identify as LGBTQ+, do fear, shame, rejection, isolation, confusion, or overwhelm affect your life and relationships? The good news is that there is hope.
Are you tired of feeling trapped, stressed, or overwhelmed? Are you treating yourself in a way that goes against your own values? Have you been seeking solutions but feel stuck? Is a cloud of negativity holding you back from your true potential? Are you grappling with questions about your identity and purpose? If you or your child identify as LGBTQ+, do fear, shame, rejection, isolation, confusion, or overwhelm affect your life and relationships? The good news is that there is hope.
(819) 805-3187 View (819) 805-3187
Photo of Mark F Morissette, Marriage & Family Therapist in Vancouver, BC
Mark F Morissette
Marriage & Family Therapist, MSW, PhD, RSW
Verified Verified
Vancouver, BC V6T
Let me ask you: Are you struggling with an important relationship in your life? To do with your family, your partner, your child, your work? Are you troubled by the emotions you’re experiencing? Feeling a profound sense of frustration, confusion, or desperation? Worried about the toll these issues are beginning to take? Think you've exhausted all your options for how to effectively manage? Do you wonder if there's quality professional help available? Help that recognizes & acknowledges what's important to you? If so, then look no further. Call now. We'll schedule a time.
Let me ask you: Are you struggling with an important relationship in your life? To do with your family, your partner, your child, your work? Are you troubled by the emotions you’re experiencing? Feeling a profound sense of frustration, confusion, or desperation? Worried about the toll these issues are beginning to take? Think you've exhausted all your options for how to effectively manage? Do you wonder if there's quality professional help available? Help that recognizes & acknowledges what's important to you? If so, then look no further. Call now. We'll schedule a time.
(604) 210-1832 View (604) 210-1832
Photo of Alexa Harder, Counsellor in Vancouver, BC
Alexa Harder
Counsellor, RCC, MC, MBA
Verified Verified
2 Endorsed
Vancouver, BC V6H
Waitlist for new clients
My intention as a therapist is to create a compassionate, non-judgmental, and trusting space where you can arrive as your whole self and be heard, accepted, and supported. I specialize in working with folks struggling with eating disorders, body image, depression, anxiety, and relationships. I take an integrative approach that combines here and now behavioural modalities with attachment, emotion, and nervous system based therapies, but my foundational style is client-centred—meaning that our work will be tailored to meet your needs, goals, and preferences.
My intention as a therapist is to create a compassionate, non-judgmental, and trusting space where you can arrive as your whole self and be heard, accepted, and supported. I specialize in working with folks struggling with eating disorders, body image, depression, anxiety, and relationships. I take an integrative approach that combines here and now behavioural modalities with attachment, emotion, and nervous system based therapies, but my foundational style is client-centred—meaning that our work will be tailored to meet your needs, goals, and preferences.
(506) 308-0953 View (506) 308-0953
Photo of Shanthi Jayarajah, Counsellor in Vancouver, BC
Shanthi Jayarajah
Counsellor, MEd, RCC
Verified Verified
Vancouver, BC V6J
I believe that creating a safe, appreciative, and collaborative atmosphere is paramount in therapy. I am passionate about helping people explore their authentic selves, connect with their inner strengths, and use these strengths to create the changes that they desire. I believe people can use strengths and resources to not only overcome obstacles, but also to continually push themselves to achieve their ambitions. I love helping people embrace a growth mindset, view setbacks as opportunities for growth, and continuously strive towards being their best selves.
I believe that creating a safe, appreciative, and collaborative atmosphere is paramount in therapy. I am passionate about helping people explore their authentic selves, connect with their inner strengths, and use these strengths to create the changes that they desire. I believe people can use strengths and resources to not only overcome obstacles, but also to continually push themselves to achieve their ambitions. I love helping people embrace a growth mindset, view setbacks as opportunities for growth, and continuously strive towards being their best selves.
(778) 760-3766 View (778) 760-3766
Photo of Skylark Counselling , Counsellor in Vancouver, BC
Skylark Counselling
Counsellor, MCP, RCC
Verified Verified
1 Endorsed
Vancouver, BC V6B
Hi there, I'm Karina! I am a registered Clinical Counsellor with the BCACC. I did my Bachelor of Arts in Psychology at Ramapo College of New Jersey and completed my Masters in Counselling Psychology at Adler University in Vancouver, BC. I specialize in relieving depression and anxiety, coping with stress and trauma, and coping with Mood Affect Disorders. As someone who has had personal experiences with mental health, felt unheard and sat in the client chair, I strive to be someone who can listen to peoples unheard voices.
Hi there, I'm Karina! I am a registered Clinical Counsellor with the BCACC. I did my Bachelor of Arts in Psychology at Ramapo College of New Jersey and completed my Masters in Counselling Psychology at Adler University in Vancouver, BC. I specialize in relieving depression and anxiety, coping with stress and trauma, and coping with Mood Affect Disorders. As someone who has had personal experiences with mental health, felt unheard and sat in the client chair, I strive to be someone who can listen to peoples unheard voices.
(506) 497-2338 View (506) 497-2338
Photo of Aim Counselling & Hypnotherapy, Counsellor in Vancouver, BC
Aim Counselling & Hypnotherapy
Counsellor, MEd, BA, RCC
Verified Verified
1 Endorsed
Vancouver, BC V6B  (Online Only)
I aim to help you no longer need therapy. I help motivate and empower a change in behaviour, mood and mindset by finding the root of unhappiness and unmet needs. Through understanding and compassion we help you build a better relationship with your self, your aspirations and the people you share your life with .Explorations and insights gained through various healing modalities often translate to greater happiness and wellbeing for you and your loved ones.
I aim to help you no longer need therapy. I help motivate and empower a change in behaviour, mood and mindset by finding the root of unhappiness and unmet needs. Through understanding and compassion we help you build a better relationship with your self, your aspirations and the people you share your life with .Explorations and insights gained through various healing modalities often translate to greater happiness and wellbeing for you and your loved ones.
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Photo of Nicole Nozick, Pre-Licensed Professional in Vancouver, BC
Nicole Nozick
Pre-Licensed Professional, BA, MA(Jrn)
Verified Verified
1 Endorsed
Vancouver, BC V6K
Are you grappling with feelings of anxiety, self-doubt, or resentment? Do you long for more fulfilling relationships, and greater ease in interpersonal and social interactions? Do people think you’ve got it all together, but inside you feel like you're just hanging on? Whether you're facing a new issue or dealing with long-standing concerns, we’ll explore the factors that have led to your current state, using evidence-based therapeutic interventions to provide clarity and direction. I’ll support you in moving forward with increased confidence and capacity for connection, so that you can live with more ease and stability.
Are you grappling with feelings of anxiety, self-doubt, or resentment? Do you long for more fulfilling relationships, and greater ease in interpersonal and social interactions? Do people think you’ve got it all together, but inside you feel like you're just hanging on? Whether you're facing a new issue or dealing with long-standing concerns, we’ll explore the factors that have led to your current state, using evidence-based therapeutic interventions to provide clarity and direction. I’ll support you in moving forward with increased confidence and capacity for connection, so that you can live with more ease and stability.
(226) 640-5102 View (226) 640-5102
Photo of Blue Iris Counselling, Counsellor in Vancouver, BC
Blue Iris Counselling
Counsellor, RCC, MACP
Verified Verified
1 Endorsed
Vancouver, BC V5X  (Online Only)
I believe feelings are not meant to be supressed rather they are to be acknowledged. Embracing your courage becomes the voice that can roar or be the quiet voice of change and acceptance
I believe feelings are not meant to be supressed rather they are to be acknowledged. Embracing your courage becomes the voice that can roar or be the quiet voice of change and acceptance
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Photo of ARC: Anxiety Relief Centre, Clinical Social Work/Therapist in Vancouver, BC
ARC: Anxiety Relief Centre
Clinical Social Work/Therapist, MSW, RSW
Verified Verified
3 Endorsed
Vancouver, BC V6B
Welcome :) I'm Amenda, a Registered Social Worker (RSW) with a Masters of Social Work (MSW) from the University of British Columbia, and a Bachelor of Arts (BA) from Simon Fraser University. Over the years I have successfully helped clients with the complex challenges that life presents, and I would be honoured to be a part of your therapeutic journey.
Welcome :) I'm Amenda, a Registered Social Worker (RSW) with a Masters of Social Work (MSW) from the University of British Columbia, and a Bachelor of Arts (BA) from Simon Fraser University. Over the years I have successfully helped clients with the complex challenges that life presents, and I would be honoured to be a part of your therapeutic journey.
(778) 760-3843 View (778) 760-3843
Photo of Lauren Gelfer, Counsellor in Vancouver, BC
Lauren Gelfer
Counsellor, MC, RCC
Verified Verified
3 Endorsed
Vancouver, BC V5Y  (Online Only)
Hi! I’m Lauren (she/her). I’m here to help you heal, grow and thrive by tapping into the inner knowing and wisdom of your body and heart, and by encouraging you to step into your power and truth. The clients who seek me out are often on journeys of self discovery or facing life transitions that open up questions and possibilities about who they are, what matters most to them, and how they want to live. I was called to this work through my personal journey of owning my unique path in life, despite it being different than the societal expectations that I grew up with.
Hi! I’m Lauren (she/her). I’m here to help you heal, grow and thrive by tapping into the inner knowing and wisdom of your body and heart, and by encouraging you to step into your power and truth. The clients who seek me out are often on journeys of self discovery or facing life transitions that open up questions and possibilities about who they are, what matters most to them, and how they want to live. I was called to this work through my personal journey of owning my unique path in life, despite it being different than the societal expectations that I grew up with.
(819) 201-2077 View (819) 201-2077
Photo of Rashiqah Rizwan, Clinical Social Work/Therapist in Vancouver, BC
Rashiqah Rizwan
Clinical Social Work/Therapist, MSW, RSW
Verified Verified
1 Endorsed
Vancouver, BC V5Z
Rashiqah supports individuals who face cross-cultural issues, especially those who identify as South Asian Canadian women, as she identifies with this community herself. Through lived experiences, she understands the challenges you may face and can support you in finding your identity, building your self-worth, boundary setting, and better managing family dynamics and their expectations. She can also support you with anxiety, life transitions, workplace stress, and grief and loss.
Rashiqah supports individuals who face cross-cultural issues, especially those who identify as South Asian Canadian women, as she identifies with this community herself. Through lived experiences, she understands the challenges you may face and can support you in finding your identity, building your self-worth, boundary setting, and better managing family dynamics and their expectations. She can also support you with anxiety, life transitions, workplace stress, and grief and loss.
(506) 799-3957 View (506) 799-3957
Photo of Morgan McKusick, Counsellor in Vancouver, BC
Morgan McKusick
Counsellor, MA, RCC
Verified Verified
5 Endorsed
Vancouver, BC V6J
One of the greatest trials and rewards is to feel a sense of ease in your life and with who you are. If you’re here, it’s likely something is blocking you from this ease - trauma, anxiety, depression, or past relationships. While you may appear to have it all together, you know something is missing. Like many others, you might find it difficult to be vulnerable or lean on others, yet you face challenges in managing your emotions or experiences alone. Some days you may feel empty or numb, and at times worry, sadness or anger consume you for no apparent reason. You may feel alone and disconnected from others or who you once were.
One of the greatest trials and rewards is to feel a sense of ease in your life and with who you are. If you’re here, it’s likely something is blocking you from this ease - trauma, anxiety, depression, or past relationships. While you may appear to have it all together, you know something is missing. Like many others, you might find it difficult to be vulnerable or lean on others, yet you face challenges in managing your emotions or experiences alone. Some days you may feel empty or numb, and at times worry, sadness or anger consume you for no apparent reason. You may feel alone and disconnected from others or who you once were.
(778) 743-2326 View (778) 743-2326
Photo of Vanessa Fernando Counselling, Registered Social Worker in Vancouver, BC
Vanessa Fernando Counselling
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Vancouver, BC V6B
I'm a Registered Social Worker with a social justice oriented, anti-oppressive, and somatic lens. My areas of specialization include trauma, particularly sexual assault; intimate partner violence; and childhood abuse. I frequently (though not exclusively!) work with folks who identify as LGBTQ2S. I have been involved in community-based social justice work since my teens, and received my MSW from UBC in 2016.
I'm a Registered Social Worker with a social justice oriented, anti-oppressive, and somatic lens. My areas of specialization include trauma, particularly sexual assault; intimate partner violence; and childhood abuse. I frequently (though not exclusively!) work with folks who identify as LGBTQ2S. I have been involved in community-based social justice work since my teens, and received my MSW from UBC in 2016.
(604) 373-0416 View (604) 373-0416
Photo of Allison Esau, Registered Psychotherapist in Vancouver, BC
Allison Esau
Registered Psychotherapist, MEd, RCC, CCC
Verified Verified
1 Endorsed
Vancouver, BC V6B
When we meet, you will be met with warmth and openness. I am a registered clinical counsellor who is fascinated by the human experience, and by how much transformative healing can happen within safe and trusting connection. I bring kindness and curiosity to my work, and know that when we feel safe and connected, we have an innate ability to heal and return to the best version of ourselves. I support individuals with issues relating to LGBTQIA+, religious/ spiritual trauma, regulating emotions, learning to communicate feelings / needs more effectively, and changes and adjustments in adolescence and early adulthood.
When we meet, you will be met with warmth and openness. I am a registered clinical counsellor who is fascinated by the human experience, and by how much transformative healing can happen within safe and trusting connection. I bring kindness and curiosity to my work, and know that when we feel safe and connected, we have an innate ability to heal and return to the best version of ourselves. I support individuals with issues relating to LGBTQIA+, religious/ spiritual trauma, regulating emotions, learning to communicate feelings / needs more effectively, and changes and adjustments in adolescence and early adulthood.
(587) 602-1699 View (587) 602-1699
Photo of Aisha Afzal, Registered Social Worker in Vancouver, BC
Aisha Afzal
Registered Social Worker, RSW
Verified Verified
1 Endorsed
Vancouver, BC V5Z  (Online Only)
Perhaps you may be experiencing a sense of fear or anxiety that is holding you back. You may be feeling exhausted or stuck, unsure about how to move forward. As your therapist, I would be honoured to walk alongside you. I believe each one of us experiences times in our lives when we need extra support. I am dedicated to creating a non-judgmental space in which you are no longer alone with it all. Together, we will gently expand the edge of your comfort zone, build psychological flexibility, and learn to balance acceptance with change.
Perhaps you may be experiencing a sense of fear or anxiety that is holding you back. You may be feeling exhausted or stuck, unsure about how to move forward. As your therapist, I would be honoured to walk alongside you. I believe each one of us experiences times in our lives when we need extra support. I am dedicated to creating a non-judgmental space in which you are no longer alone with it all. Together, we will gently expand the edge of your comfort zone, build psychological flexibility, and learn to balance acceptance with change.
(365) 649-5056 View (365) 649-5056

See more therapy options for Vancouver

How does your Counsellor compare?

Number of Counsellors in Vancouver, BC

2,000+

Average cost per session

$150

Counsellors in Vancouver, BC who prioritize treating:

91% Anxiety
84% Depression
80% Self Esteem
79% Relationship Issues
77% Stress
71% Trauma and PTSD
70% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

55% SunLife
48% Pacific Blue Cross
45% Green Shield Canada

How Counsellors in Vancouver, BC see their clients

67% In Person and Online
33% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Vancouver?

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.