Therapists in St John's, NL

Photo of Joanne McHugh, Counsellor in St John's, NL
Joanne McHugh
Counsellor, MEd, CCC
Verified Verified
1 Endorsed
St John's, NL A1A
I enjoy working with themes that occur over the life span, such as: Freedom from the self-doubt or anxiety that holds you back; Relational patterns that block your ability to connect with yourself and others; Fear of change, death, living a whole life; Looking for healthy ways of growing and processing unhealed trauma and pain; Developing your intuition and listening to your inner voice; Learning how to identify your thoughts, feelings and sensations.
I enjoy working with themes that occur over the life span, such as: Freedom from the self-doubt or anxiety that holds you back; Relational patterns that block your ability to connect with yourself and others; Fear of change, death, living a whole life; Looking for healthy ways of growing and processing unhealed trauma and pain; Developing your intuition and listening to your inner voice; Learning how to identify your thoughts, feelings and sensations.
(709) 400-6265 View (709) 400-6265
Photo of Change Creates Change Eating Disorder Care , Registered Psychotherapist in St John's, NL
Change Creates Change Eating Disorder Care
Registered Psychotherapist, RD, RP
Verified Verified
1 Endorsed
St John's, NL A1B
Change Creates Change Eating Disorder Care is a multi-disciplinary health care team that helps children, youth & adults recover from an eating disorder, while supporting the family unit every step of the way. New office in St. John's, NL and telehealth services provided across Canada. We are committed to connecting you to care within 2 weeks of first contact to ensure no delay in the treatment process. It is common for us to support individuals who are waiting to begin working with their local public eating disorder program - once your name comes up on the waitlist, we arrange to transfer care to your new treatment team.
Change Creates Change Eating Disorder Care is a multi-disciplinary health care team that helps children, youth & adults recover from an eating disorder, while supporting the family unit every step of the way. New office in St. John's, NL and telehealth services provided across Canada. We are committed to connecting you to care within 2 weeks of first contact to ensure no delay in the treatment process. It is common for us to support individuals who are waiting to begin working with their local public eating disorder program - once your name comes up on the waitlist, we arrange to transfer care to your new treatment team.
(709) 703-4731 View (709) 703-4731
Photo of Heather Goosney, Counsellor in St John's, NL
Heather Goosney
Counsellor, BSc, MACP, CCC
Verified Verified
St John's, NL A1B  (Online Only)
My experience with helping people dates long before my most recent designation as a Certified Canadian Counsellor. I have always been a coach, a tutor, a mentor or a volunteer. What I've learned is the value of true, empathic listening. What makes us different is what makes us beautiful, and I never expect to fit my clients into one, rigid, traditional framework. I am here to listen to you and to help you address your needs, no matter how big or small.
My experience with helping people dates long before my most recent designation as a Certified Canadian Counsellor. I have always been a coach, a tutor, a mentor or a volunteer. What I've learned is the value of true, empathic listening. What makes us different is what makes us beautiful, and I never expect to fit my clients into one, rigid, traditional framework. I am here to listen to you and to help you address your needs, no matter how big or small.
(709) 700-3258 View (709) 700-3258
Photo of Joan Conway, Counsellor in St John's, NL
Joan Conway
Counsellor, MEd, CCC, ND
Verified Verified
St John's, NL A1A
I am a Canadian Certified Counsellor (CCC) who aims to create safe spaces for people to navigate their struggles, stressors, and healing journeys. My approach to counselling is grounded in mindfulness-based therapy, which gives people the tools they need to become more aware of their present moment thoughts and feelings and helps identify how they may impact overall well-being. I operate from an anti-oppressive and trauma-informed lens. While working together, I hope that my clients feel heard, supported, and empowered to achieve their goals.
I am a Canadian Certified Counsellor (CCC) who aims to create safe spaces for people to navigate their struggles, stressors, and healing journeys. My approach to counselling is grounded in mindfulness-based therapy, which gives people the tools they need to become more aware of their present moment thoughts and feelings and helps identify how they may impact overall well-being. I operate from an anti-oppressive and trauma-informed lens. While working together, I hope that my clients feel heard, supported, and empowered to achieve their goals.
(709) 300-1247 View (709) 300-1247
Photo of Priority Health Counselling, Counsellor in St John's, NL
Priority Health Counselling
Counsellor, MEd, CCC, ND
Verified Verified
St John's, NL A1E  (Online Only)
Today you have taken the first step to getting your life back. I know that mental health issues and life circumstances can leave you feeling overwhelmed, out of control, and without hope. BUT, don't believe everything your mind tells you! Regardless of the issues or circumstances that have brought you here, starting right now, you are on the road to recovery. Together, we will work to build the knowledge and skills that will enable you to manage and even overcome your issues, so you can start living the rich, meaningful life you want, today.
Today you have taken the first step to getting your life back. I know that mental health issues and life circumstances can leave you feeling overwhelmed, out of control, and without hope. BUT, don't believe everything your mind tells you! Regardless of the issues or circumstances that have brought you here, starting right now, you are on the road to recovery. Together, we will work to build the knowledge and skills that will enable you to manage and even overcome your issues, so you can start living the rich, meaningful life you want, today.
(709) 700-0535 View (709) 700-0535
Photo of Megan Taylor, Registered Social Worker in St John's, NL
Megan Taylor
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
St John's, NL A1B
I graduated from my MSW program in 2021 and have been working in the field since 2015. I have experience with clinical counselling with individuals, families, and groups and look forward to getting back into that work again. I will be working with clients through virtual or telephone appointments and can help with many areas of mental health and addictions.
I graduated from my MSW program in 2021 and have been working in the field since 2015. I have experience with clinical counselling with individuals, families, and groups and look forward to getting back into that work again. I will be working with clients through virtual or telephone appointments and can help with many areas of mental health and addictions.
(709) 200-0185 View (709) 200-0185
Photo of Lucid Counselling, Counsellor in St John's, NL
Lucid Counselling
Counsellor, BSc, GradD, MA
Verified Verified
St John's, NL A1C  (Online Only)
Clients that are most likely to flourish under my care are those struggling with emotional regulation, negative self-image, depressed mood especially due to feeling lost or purposeless, anxiety, chronic pain, those going through a major life event or crisis, those seeking 2slgbtqia+ guidance, or those who simply wish to deepen their fulfillment in life. My ability to adapt my approach to the client’s needs or personality has been identified as one of my biggest strengths.
Clients that are most likely to flourish under my care are those struggling with emotional regulation, negative self-image, depressed mood especially due to feeling lost or purposeless, anxiety, chronic pain, those going through a major life event or crisis, those seeking 2slgbtqia+ guidance, or those who simply wish to deepen their fulfillment in life. My ability to adapt my approach to the client’s needs or personality has been identified as one of my biggest strengths.
(709) 701-8683 View (709) 701-8683
Photo of Nikita-Rae Piercey, Counsellor in St John's, NL
Nikita-Rae Piercey
Counsellor, BSc , MEd, RPsych
Verified Verified
St John's, NL A1E
Hello! I’m Nikita-Rae Piercey. I am a Registered Psychologist. I am currently offering counselling services in the St. John’s area. I will be working with clients of all ages and offering services to children, adolescents, and adults. Therapeutically, I practice from an eclectic approach using skills and techniques from a wide range of interventions, including but not limited to: Cognitive Behavioral Therapy, Client Centered Therapy, Brief Solution Focused Therapy, and Mindfulness.
Hello! I’m Nikita-Rae Piercey. I am a Registered Psychologist. I am currently offering counselling services in the St. John’s area. I will be working with clients of all ages and offering services to children, adolescents, and adults. Therapeutically, I practice from an eclectic approach using skills and techniques from a wide range of interventions, including but not limited to: Cognitive Behavioral Therapy, Client Centered Therapy, Brief Solution Focused Therapy, and Mindfulness.
(709) 733-2256 View (709) 733-2256
Photo of Brad Yetman, Counsellor in St John's, NL
Brad Yetman
Counsellor, MEd, CCC
Verified Verified
St John's, NL A1B
I have experience working alongside adults, teens, and groups, and experience supporting people who have generalized anxiety, social anxiety, depression, and dealing with life stressors. I have further experience working with substance use, harm, and the impact that it has on people’s everyday lives. Lastly, I have an extensive background in the world of sports, especially hockey, and I am passionate about working with athletes, coaches, and teams, to help maximize their preparation, performance, and mental health in sport. I can help groups learn more about mental health and/or mental skills through presentations.
I have experience working alongside adults, teens, and groups, and experience supporting people who have generalized anxiety, social anxiety, depression, and dealing with life stressors. I have further experience working with substance use, harm, and the impact that it has on people’s everyday lives. Lastly, I have an extensive background in the world of sports, especially hockey, and I am passionate about working with athletes, coaches, and teams, to help maximize their preparation, performance, and mental health in sport. I can help groups learn more about mental health and/or mental skills through presentations.
(709) 703-8506 View (709) 703-8506
Photo of Kelly Lynn Piercey, Registered Social Worker in St John's, NL
Kelly Lynn Piercey
Registered Social Worker, MSW, BSW, RSW
Verified Verified
St John's, NL A1B
Kelly's work is focused on trauma, sexual abuse, mental health, anxiety, family and/or relationship dynamics, parenting children and youth, behaviour modification, and life transformations. Her counselling is trauma informed/client-centered with treatment modalities that include; Accelerated resolution therapy, internal family systems, Cognitive and Dialectical behaviour therapy, and mindfulness. Kelly believes and commits to strong therapeutic relationships that validate clients' lived experiences with the focus on personal growth.
Kelly's work is focused on trauma, sexual abuse, mental health, anxiety, family and/or relationship dynamics, parenting children and youth, behaviour modification, and life transformations. Her counselling is trauma informed/client-centered with treatment modalities that include; Accelerated resolution therapy, internal family systems, Cognitive and Dialectical behaviour therapy, and mindfulness. Kelly believes and commits to strong therapeutic relationships that validate clients' lived experiences with the focus on personal growth.
(709) 200-0449 View (709) 200-0449
Photo of Kristen Hynes Brothers (Phd Scholar), Registered Social Worker in St John's, NL
Kristen Hynes Brothers (Phd Scholar)
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
St John's, NL A1C
Waitlist for new clients
I have been practicing social work for nearly 15 years and am eternally grateful for the work I am able to do, and the relationships I have been able to form. I have worked in diverse practice areas which have provided me with the knowledge, skills and compassion needed to create meaningful, therapeutic relationships with people. I believe in the value of showing up as my genuine self in sessions with you. My approach is client-centered; I bring a variety of tools to the table, and I believe that you do as well, and our work together will be collaborative and goal driven. I work with young people and adults, as well as couples.
I have been practicing social work for nearly 15 years and am eternally grateful for the work I am able to do, and the relationships I have been able to form. I have worked in diverse practice areas which have provided me with the knowledge, skills and compassion needed to create meaningful, therapeutic relationships with people. I believe in the value of showing up as my genuine self in sessions with you. My approach is client-centered; I bring a variety of tools to the table, and I believe that you do as well, and our work together will be collaborative and goal driven. I work with young people and adults, as well as couples.
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Photo of Fizza Khan, Registered Provisional Psychologist in St John's, NL
Fizza Khan
Registered Provisional Psychologist, MS
Verified Verified
1 Endorsed
St John's, NL A1B
I believe that one can improve their quality of life by improving their mental health and so I offer a safe space where clients can share and learn healthy ways to cope with various stressors. I have experience working with neurodiverse population as well as clients facing depression, anxiety, emotional dysregulation, adjustment & anger issues, OCD, relational problems and other stressors
I believe that one can improve their quality of life by improving their mental health and so I offer a safe space where clients can share and learn healthy ways to cope with various stressors. I have experience working with neurodiverse population as well as clients facing depression, anxiety, emotional dysregulation, adjustment & anger issues, OCD, relational problems and other stressors
(709) 703-8564 View (709) 703-8564
Photo of Laura Parsons, Counsellor in St John's, NL
Laura Parsons
Counsellor, BSc, MEd, DCP(c), CCC, PMH-C
Verified Verified
2 Endorsed
St John's, NL A1A
Starting therapy can be overwhelming- I get it! It’s important to me that my practice is a safe and inviting space, trauma informed, and free of judgment. Come in and sit with a complementary refreshment and relax before session. We support children, teens, adults and couples. Whatever your struggle is, you don’t have to be alone. With flexible online booking and virtual therapy, Repose Wellness Collective St. John’s makes it easy to access a team of specialized Counsellors, Social Workers, Speech Language Pathologists (SLP), and Registered Psychologists offering ADHD, Autism, Learning and Behaviour Assessment.
Starting therapy can be overwhelming- I get it! It’s important to me that my practice is a safe and inviting space, trauma informed, and free of judgment. Come in and sit with a complementary refreshment and relax before session. We support children, teens, adults and couples. Whatever your struggle is, you don’t have to be alone. With flexible online booking and virtual therapy, Repose Wellness Collective St. John’s makes it easy to access a team of specialized Counsellors, Social Workers, Speech Language Pathologists (SLP), and Registered Psychologists offering ADHD, Autism, Learning and Behaviour Assessment.
(709) 910-5405 View (709) 910-5405
Photo of Insight Therapy and Assessment Services Inc. , Psychologist in St John's, NL
Insight Therapy and Assessment Services Inc.
Psychologist, RPsych, CCC
Verified Verified
St John's, NL A1B
Immediate openings for counselling and assessment! We are a group of psychologists, clinical social workers, and certified counsellors that offer therapy and assessment services to individuals age 12 and up. Our team members are trained in a variety of modalities and create a safe space for you to explore concerns or current life problems. We are taking new clients for both in-person and online/phone appointments. Have a look at our gallery for a listing of our clinicians or send an email to inquire. We currently have no wait time for counselling and ADHD assessment.
Immediate openings for counselling and assessment! We are a group of psychologists, clinical social workers, and certified counsellors that offer therapy and assessment services to individuals age 12 and up. Our team members are trained in a variety of modalities and create a safe space for you to explore concerns or current life problems. We are taking new clients for both in-person and online/phone appointments. Have a look at our gallery for a listing of our clinicians or send an email to inquire. We currently have no wait time for counselling and ADHD assessment.
(709) 309-0318 View (709) 309-0318
Photo of Sheri Dawn Roberts, Counsellor in St John's, NL
Sheri Dawn Roberts
Counsellor, MEd, CCC
Verified Verified
St John's, NL A1A
I am a Canadian Certified Counsellor (CCC) with a Masters degree in Counselling Psychology. I have over 10 years experience working in student support at Memorial University and have always been an advocate for students’ overall mental health and wellness. During my graduate studies, I worked closely with women who experienced intimate partner violence. Since beginning my practice in 2020, i've expanded my support to students of all ages, as well as teachers, young adults and adults.
I am a Canadian Certified Counsellor (CCC) with a Masters degree in Counselling Psychology. I have over 10 years experience working in student support at Memorial University and have always been an advocate for students’ overall mental health and wellness. During my graduate studies, I worked closely with women who experienced intimate partner violence. Since beginning my practice in 2020, i've expanded my support to students of all ages, as well as teachers, young adults and adults.
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Photo of Lisa Denty, Counsellor in St John's, NL
Lisa Denty
Counsellor, MA, BN,RN, CCHN(C), CCC, CCTP-II
Verified Verified
1 Endorsed
St John's, NL A1B
My goal as a counsellor is to provide all persons I work with a safe, non-judgmental, and supportive space so you can begin exploring challenges impacting your life and start working towards your wellness goals. If you are looking for a counsellor who listens with compassion and empathy and also provides education, coping strategies, and various techniques to get you moving forward on your healing journey, you have come to the right place. With my diverse education, work and lived experience, I am able to support folks facing various challenges.
My goal as a counsellor is to provide all persons I work with a safe, non-judgmental, and supportive space so you can begin exploring challenges impacting your life and start working towards your wellness goals. If you are looking for a counsellor who listens with compassion and empathy and also provides education, coping strategies, and various techniques to get you moving forward on your healing journey, you have come to the right place. With my diverse education, work and lived experience, I am able to support folks facing various challenges.
(709) 701-3643 View (709) 701-3643
Photo of Tranquil Tides, Registered Social Worker in St John's, NL
Tranquil Tides
Registered Social Worker
Verified Verified
St John's, NL A1A
Welcome to Tranquil Tides! A safe, judgement-free space where you can slow down and focus on what matters most to you. We are a group of registered social workers who have a wide variety of experience, education, and interests. We offer evening and weekend appointments as we understand how busy life can be. Whether you have taken part in therapy before, or this is your first time, we can provide an environment that offers you care and empathy while you work towards your goals.
Welcome to Tranquil Tides! A safe, judgement-free space where you can slow down and focus on what matters most to you. We are a group of registered social workers who have a wide variety of experience, education, and interests. We offer evening and weekend appointments as we understand how busy life can be. Whether you have taken part in therapy before, or this is your first time, we can provide an environment that offers you care and empathy while you work towards your goals.
(709) 200-0250 View (709) 200-0250
Photo of Jessica Cole, Counsellor in St John's, NL
Jessica Cole
Counsellor, BA, MEd, MPEd, CCC, ND
Verified Verified
1 Endorsed
St John's, NL A1A
Waitlist for new clients
Hello.. and Welcome! Reaching out for support can feel overwhelming and full of uncertainty, and here you are taking some initial steps. Life is full of twists, turns, and other challenges, and you do not have to face them alone.
Hello.. and Welcome! Reaching out for support can feel overwhelming and full of uncertainty, and here you are taking some initial steps. Life is full of twists, turns, and other challenges, and you do not have to face them alone.
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Photo of Deidre Keating, Counsellor in St John's, NL
Deidre Keating
Counsellor, MEd, CCC
Verified Verified
4 Endorsed
St John's, NL A1E
Hi! I am a counsellor with a deep passion and appreciation of all things involving the body. I enjoy supporting clients in developing and cultivating a more meaningful and connected relationship with their own body experience, whatever it may be. My areas of passion + focus include eating disorders, disordered eating, body image, body dysmorphia, dis/embodiment, body trust, body liberation, body neutrality, body acceptance, shame, sexuality, depression, anxiety, and anything else that the body experiences and holds. My work is rooted in self-compassion, as that is the foundation upon which all good and sustainable things are built.
Hi! I am a counsellor with a deep passion and appreciation of all things involving the body. I enjoy supporting clients in developing and cultivating a more meaningful and connected relationship with their own body experience, whatever it may be. My areas of passion + focus include eating disorders, disordered eating, body image, body dysmorphia, dis/embodiment, body trust, body liberation, body neutrality, body acceptance, shame, sexuality, depression, anxiety, and anything else that the body experiences and holds. My work is rooted in self-compassion, as that is the foundation upon which all good and sustainable things are built.
(709) 910-8669 View (709) 910-8669
Photo of Maggie Abbott, Counsellor in St John's, NL
Maggie Abbott
Counsellor, BEd, BA, MEd, CCC, ND
Verified Verified
1 Endorsed
St John's, NL A1A
Waitlist for new clients
We all experience challenges in life and reaching out for support can be very overwhelming. I believe in creating a safe and non-judgmental space for you or your child so that you feel welcome and supported. We will work together to set individualized therapeutic goals that best meet your needs. I am a Canadian Certified Counsellor (CCC) and Naturopath (ND) with training in CBT, ACT, Solution-Focused, Play Therapy, EMDR to process trauma and distressing life experiences, Exposure and Response Prevention (ERP) for OCD, and Perinatal Mental Health. I enjoy working with children, teens, adults, parents/caregivers, and families.
We all experience challenges in life and reaching out for support can be very overwhelming. I believe in creating a safe and non-judgmental space for you or your child so that you feel welcome and supported. We will work together to set individualized therapeutic goals that best meet your needs. I am a Canadian Certified Counsellor (CCC) and Naturopath (ND) with training in CBT, ACT, Solution-Focused, Play Therapy, EMDR to process trauma and distressing life experiences, Exposure and Response Prevention (ERP) for OCD, and Perinatal Mental Health. I enjoy working with children, teens, adults, parents/caregivers, and families.
(709) 401-0167 View (709) 401-0167

See more therapy options for St John's

How does your Counsellor compare?

Number of Counsellors in St John's, NL

100+

Average cost per session

$140

Counsellors in St John's, NL who prioritize treating:

90% Anxiety
82% Stress
81% Depression
79% Coping Skills
73% Relationship Issues
73% Self Esteem
67% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

64% Canada Life | Great-West Life
63% Blue Cross
63% SunLife

How Counsellors in St John's, NL see their clients

74% In Person and Online
26% Online Only

Gender breakdown

86% Female
11% Male
3% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in St John's?

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.