Therapists in New Westminster, BC

Photo of Candida Moreira, MA, RCC, ACS, Counsellor
Candida Moreira
Counsellor, MA, RCC, ACS
Verified Verified
9 Endorsed
New Westminster, BC V3L  (Online Only)
Waitlist for new clients
Are intense emotions taking over your life? Do you find yourself having big reactions to small things?
Are intense emotions taking over your life? Do you find yourself having big reactions to small things?
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Photo of Susan Salazar, MA, MCP, RCC, Counsellor
Susan Salazar
Counsellor, MA, MCP, RCC
Verified Verified
2 Endorsed
New Westminster, BC V3L
I am currently taking new clients for September 2024. I offer an approach to counselling based on authenticity, genuine care and respect. I work with my clients collaboratively and non-judgmentally, using an eclectic approach built on person/child-centred therapy and attachment therapy. I offer short-term and in depth counselling to address issues that make people/parents/children/youth feel stuck, ashamed, confused, guilty, depressed, worried, afraid or just curious and that might be preventing them from reaching a sense of fulfilment, self-efficacy & control in their lives.
I am currently taking new clients for September 2024. I offer an approach to counselling based on authenticity, genuine care and respect. I work with my clients collaboratively and non-judgmentally, using an eclectic approach built on person/child-centred therapy and attachment therapy. I offer short-term and in depth counselling to address issues that make people/parents/children/youth feel stuck, ashamed, confused, guilty, depressed, worried, afraid or just curious and that might be preventing them from reaching a sense of fulfilment, self-efficacy & control in their lives.
(604) 227-3428 View (604) 227-3428
Photo of Trish Leptick, BA, RTC, SEP, Counsellor
Trish Leptick
Counsellor, BA, RTC, SEP
Verified Verified
New Westminster, BC V3L
It was through her own personal journey that Trish came to find her expertise as a Somatic Psychotherapist; helping individuals, couples and families step into balance, health and connection so that they can live in joy, vibrancy and passion! After full recovery from a skiing accident that had her in a wheel chair for months, she began to feel uptight all the time, depressed, had unhealthy eating patterns, an autoimmune diagnosis, and disconnect in her marriage. She had forgotten all about joy, vibrance & passion or how to even reach for those things. If you have ever experienced these feelings & lack connection, Trish can help.
It was through her own personal journey that Trish came to find her expertise as a Somatic Psychotherapist; helping individuals, couples and families step into balance, health and connection so that they can live in joy, vibrancy and passion! After full recovery from a skiing accident that had her in a wheel chair for months, she began to feel uptight all the time, depressed, had unhealthy eating patterns, an autoimmune diagnosis, and disconnect in her marriage. She had forgotten all about joy, vibrance & passion or how to even reach for those things. If you have ever experienced these feelings & lack connection, Trish can help.
(604) 243-1502 View (604) 243-1502
Photo of Shauna Cheney, MSW, RSW, Clinical Social Work/Therapist
Shauna Cheney
Clinical Social Work/Therapist, MSW, RSW
Verified Verified
New Westminster, BC V3M  (Online Only)
If you want to change your life, therapy is a great way to start. I help people develop coping skills to manage complicated thoughts and emotions. With 22 years of experience, I provide a supportive setting to help you manage your emotions, make positive changes, and overcome difficulties. But, the first step is actually reaching out for help.. I provide therapy for clients who struggle anxiety, depression, life transitions, PTSD/trauma, borderline personality disorder (BPD), panic attacks, mood swings, and relationship problems. I also work with couples who are struggling with communication, stress, infidelity and intimacy issues
If you want to change your life, therapy is a great way to start. I help people develop coping skills to manage complicated thoughts and emotions. With 22 years of experience, I provide a supportive setting to help you manage your emotions, make positive changes, and overcome difficulties. But, the first step is actually reaching out for help.. I provide therapy for clients who struggle anxiety, depression, life transitions, PTSD/trauma, borderline personality disorder (BPD), panic attacks, mood swings, and relationship problems. I also work with couples who are struggling with communication, stress, infidelity and intimacy issues
(236) 302-0352 View (236) 302-0352
Photo of Francis Tombu, BA, Pre-Licensed Professional
Francis Tombu
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
New Westminster, BC V3L
I am nearing completion of my MA in Counselling Psychology at SFU. My approach to therapy is based on attachment theory and interpersonal neurobiology. I provide trauma-informed, evidence-based, inclusive care to facilitate a deep, compassionate exploration of your experiences. Our relationship is the foundation - it is here that we do the work that leads to growth and healing. In order to make changes (from big picture, bucket list goals, to coping with mental illness and stress, to everyday experiences that shape our lives), we need to view ourselves and our histories realistically. We need to make meaning of our lives.
I am nearing completion of my MA in Counselling Psychology at SFU. My approach to therapy is based on attachment theory and interpersonal neurobiology. I provide trauma-informed, evidence-based, inclusive care to facilitate a deep, compassionate exploration of your experiences. Our relationship is the foundation - it is here that we do the work that leads to growth and healing. In order to make changes (from big picture, bucket list goals, to coping with mental illness and stress, to everyday experiences that shape our lives), we need to view ourselves and our histories realistically. We need to make meaning of our lives.
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Photo of Barbara Mulski, RCC, Licensed Professional Counsellor
Barbara Mulski
Licensed Professional Counsellor, RCC
Verified Verified
New Westminster, BC V3L  (Online Only)
Are you feeling overwhelmed? Have you tried to solve the problems in your life on your own and now realize you need help from someone else? If you’ve answered yes, then I am so glad you found me and have taken the courageous step of being here. I know this is hard. You’ve quite likely been debating seeking help for months, if not years. We can do this together
Are you feeling overwhelmed? Have you tried to solve the problems in your life on your own and now realize you need help from someone else? If you’ve answered yes, then I am so glad you found me and have taken the courageous step of being here. I know this is hard. You’ve quite likely been debating seeking help for months, if not years. We can do this together
(587) 802-4111 View (587) 802-4111
Photo of Tanya Elez - Dr. Tanya Elez, Registered Psychologist, PhD, RPsych, Psychologist
Dr. Tanya Elez, Registered Psychologist
Psychologist, PhD, RPsych
Verified Verified
1 Endorsed
New Westminster, BC V3M
I am a Registered Psychologist, Registered Marriage and Family Therapist and an Approved Supervisor of the American Association for Marriage and Family Therapy. I work with individuals, couples and families who wish to address issues of past trauma, grief, loss, depression and anxiety, strengthen their relationship, increase intimacy and trust, or augment parenting skills. I practice from a systemic, strength based perspective and hold a holistic, hopeful view of human nature. In in order to promote well being and help you accomplish personal goals, I will collaborate with you, relying on your own incredible resiliency and capacity to heal.
I am a Registered Psychologist, Registered Marriage and Family Therapist and an Approved Supervisor of the American Association for Marriage and Family Therapy. I work with individuals, couples and families who wish to address issues of past trauma, grief, loss, depression and anxiety, strengthen their relationship, increase intimacy and trust, or augment parenting skills. I practice from a systemic, strength based perspective and hold a holistic, hopeful view of human nature. In in order to promote well being and help you accomplish personal goals, I will collaborate with you, relying on your own incredible resiliency and capacity to heal.
(604) 805-4690 View (604) 805-4690
Photo of Maja Futrell-Frühling, MSc, RTC, Counsellor
Maja Futrell-Frühling
Counsellor, MSc, RTC
Verified Verified
7 Endorsed
New Westminster, BC V3M
If we all could have the option to be supported and heard with our struggles, to be connected and cared for, perhaps our ability to move through them and towards our goals would be different. What is it you wish to shift, where would your life be right now? How can I help you get there? If you are a victim of crime you may be eligible for counselling through CVAP. I am an approved CVAP counsellor.
If we all could have the option to be supported and heard with our struggles, to be connected and cared for, perhaps our ability to move through them and towards our goals would be different. What is it you wish to shift, where would your life be right now? How can I help you get there? If you are a victim of crime you may be eligible for counselling through CVAP. I am an approved CVAP counsellor.
(604) 305-2868 View (604) 305-2868
Photo of Ratha Chek - Integrative Somatic Therapy Practice, Vancouver, Counsellor
Integrative Somatic Therapy Practice, Vancouver
Counsellor
Verified Verified
3 Endorsed
New Westminster, BC V3M
The feeling of helplessness can be the most debilitating experience. In a safe nurturing space, you are gently guided to take a proactive role in your healing process, experience self-efficacy, build resilience & reclaim HOPE. We offer Integrative Somatic Therapy Practice (ISTP) incorporating gentle Yoga, Mindfulness, Breathwork, Bodywork, Ceremony, Somatic & Body Oriented Processing. Centering on this organic process of healing trauma, individuals are guided to gently release body-stored trauma, experience self-efficacy, gain greater emotional resilience, and interact with life’s circumstances with clarity, openness, & HEART.
The feeling of helplessness can be the most debilitating experience. In a safe nurturing space, you are gently guided to take a proactive role in your healing process, experience self-efficacy, build resilience & reclaim HOPE. We offer Integrative Somatic Therapy Practice (ISTP) incorporating gentle Yoga, Mindfulness, Breathwork, Bodywork, Ceremony, Somatic & Body Oriented Processing. Centering on this organic process of healing trauma, individuals are guided to gently release body-stored trauma, experience self-efficacy, gain greater emotional resilience, and interact with life’s circumstances with clarity, openness, & HEART.
(450) 977-7890 View (450) 977-7890
Photo of Julia Blackwell, RCC, MCP, Counsellor
Julia Blackwell
Counsellor, RCC, MCP
Verified Verified
1 Endorsed
New Westminster, BC V3M
I invite you practice a few deep breaths as you reflect on aspects of your journey that led you to this page. Have you been feeling stressed, anxious, or overwhelmed? Exhausted or drained? Perhaps seeking to to learn new coping tools or wanting to develop your self-care practices? When we bottle up emotions and feel disconnected to both ourselves and others it can be difficult to access healing, recovery, and growth. Counselling can provide a space to press pause from busyness or turmoil. Seeking a safe space to rest. reflect, and to feel restored.
I invite you practice a few deep breaths as you reflect on aspects of your journey that led you to this page. Have you been feeling stressed, anxious, or overwhelmed? Exhausted or drained? Perhaps seeking to to learn new coping tools or wanting to develop your self-care practices? When we bottle up emotions and feel disconnected to both ourselves and others it can be difficult to access healing, recovery, and growth. Counselling can provide a space to press pause from busyness or turmoil. Seeking a safe space to rest. reflect, and to feel restored.
(778) 771-3438 View (778) 771-3438
Photo of Susanne Rontu, RTC-C, C-IAYT
Susanne Rontu
Registered Therapeutic Counsellor Candidate, RTC-C, C-IAYT
Verified Verified
1 Endorsed
New Westminster, BC V3M  (Online Only)
Are you ready to heal deeply? I provide a safe, compassionate space where you can explore your emotions, heal past wounds, and reconnect with your authentic self. Through a holistic, person-centred approach, I help you uncover the root causes of your challenges, supporting you in creating lasting change and inner peace.
Are you ready to heal deeply? I provide a safe, compassionate space where you can explore your emotions, heal past wounds, and reconnect with your authentic self. Through a holistic, person-centred approach, I help you uncover the root causes of your challenges, supporting you in creating lasting change and inner peace.
(431) 813-3861 View (431) 813-3861
Photo of Alisa Farina Growing Minds Counselling, RCC, MACP, Licensed Professional Counsellor
Alisa Farina Growing Minds Counselling
Licensed Professional Counsellor, RCC, MACP
Verified Verified
2 Endorsed
New Westminster, BC V3M
Waitlist for new clients
Welcome! I'm Alisa I'm here to support you towards a better life. I specialize in counselling for teens, young adults under 45, parents and families. Through my diverse and rewarding career in youth work, special education, and counselling, I've supported hundreds of clients to grow and live their best lives. Whether you're experiencing anxiety, depression, addiction, trauma, and PTSD, or have ADHD or Autism, I'm experienced and dedicated to helping you thrive!
Welcome! I'm Alisa I'm here to support you towards a better life. I specialize in counselling for teens, young adults under 45, parents and families. Through my diverse and rewarding career in youth work, special education, and counselling, I've supported hundreds of clients to grow and live their best lives. Whether you're experiencing anxiety, depression, addiction, trauma, and PTSD, or have ADHD or Autism, I'm experienced and dedicated to helping you thrive!
(604) 788-6152 View (604) 788-6152
Photo of Genevieve Manghi, RPC, CHT, Counsellor
Genevieve Manghi
Counsellor, RPC, CHT
Verified Verified
New Westminster, BC V3M  (Online Only)
Nowadays, we are living in a world that is so advanced yet in many ways leave us feeling stressed and inadequate. if you are struggling with Anxiety, Depression, Difficult relationships, Career Dissatisfaction, Self Limiting Habits and Self Sabotage, you are not alone. Often times these issues show up in our experiences as Fear, Anger, Resentment, Sadness, Weight Gain, Addictive Habits, Fatigue, Sleepiness or Sleeplessness, Headaches, Phobias and many more. Where are you right now? Are you tired of seeking? Change can be paralyzing but the only way to get to the direction you want is to take that first step in spite of the fear.
Nowadays, we are living in a world that is so advanced yet in many ways leave us feeling stressed and inadequate. if you are struggling with Anxiety, Depression, Difficult relationships, Career Dissatisfaction, Self Limiting Habits and Self Sabotage, you are not alone. Often times these issues show up in our experiences as Fear, Anger, Resentment, Sadness, Weight Gain, Addictive Habits, Fatigue, Sleepiness or Sleeplessness, Headaches, Phobias and many more. Where are you right now? Are you tired of seeking? Change can be paralyzing but the only way to get to the direction you want is to take that first step in spite of the fear.
(778) 402-9484 View (778) 402-9484
Photo of Marla Langin, RCC, Counsellor
Marla Langin
Counsellor, RCC
Verified Verified
5 Endorsed
New Westminster, BC V3M
We all have unfinished business. Those life experiences that have not been adequately processed or resolved have a lasting presence in our lives. Counselling gives us the opportunity to explore the role our unfinished business is playing in our lives currently. This exploration can lead to an increased sense of self, better awareness of your needs, and the ability to challenge the roadblocks that have been getting in the way of your healing.
We all have unfinished business. Those life experiences that have not been adequately processed or resolved have a lasting presence in our lives. Counselling gives us the opportunity to explore the role our unfinished business is playing in our lives currently. This exploration can lead to an increased sense of self, better awareness of your needs, and the ability to challenge the roadblocks that have been getting in the way of your healing.
(289) 276-1654 View (289) 276-1654
Photo of Erin Eileen Kenny, BEd, MEd, Counsellor
Erin Eileen Kenny
Counsellor, BEd, MEd
Verified Verified
New Westminster, BC V3L
Often throughout our lives, we need the opportunity to think out loud the various stresses and events that are impacting our ability to enjoy life. We need to be heard in a safe and non-judgmental environment, with an opportunity to review our ideas for change, personal goals and way to cope with trauma.
Often throughout our lives, we need the opportunity to think out loud the various stresses and events that are impacting our ability to enjoy life. We need to be heard in a safe and non-judgmental environment, with an opportunity to review our ideas for change, personal goals and way to cope with trauma.
(365) 376-5759 View (365) 376-5759
Photo of Jessica Vita Ginting, PhD, RPsych, Psychologist
Jessica Vita Ginting
Psychologist, PhD, RPsych
Verified Verified
1 Endorsed
New Westminster, BC V3L
I have experience in helping people with depression, chronic pain, anxiety (e.g., panic disorder, generalized anxiety, social anxiety), and PTSD associated with motor vehicle accidents. I also help people with difficulties coping with other stressors (e.g., work) by addressing assertive communication skills, supporting clients with problem solving and processing meaning of life events.
I have experience in helping people with depression, chronic pain, anxiety (e.g., panic disorder, generalized anxiety, social anxiety), and PTSD associated with motor vehicle accidents. I also help people with difficulties coping with other stressors (e.g., work) by addressing assertive communication skills, supporting clients with problem solving and processing meaning of life events.
(249) 487-0455 View (249) 487-0455
Photo of Lynda Beveridge, PhD, RCC, Counsellor
Lynda Beveridge
Counsellor, PhD, RCC
Verified Verified
New Westminster, BC V3L
Do you feel stuck in a rut? Stressed by outside commitments or internalized "should dos"? Do you feel unable to action the changes you want in your life? Taking a first step by engaging in counselling can help you not only adjust how you view yourself, others, and your current circumstances, but also - the results of therapy are usually improved functioning and a happier, healthier life. I work primarily with individuals, couples and families utilizing a collaborative, strengths-based approach.
Do you feel stuck in a rut? Stressed by outside commitments or internalized "should dos"? Do you feel unable to action the changes you want in your life? Taking a first step by engaging in counselling can help you not only adjust how you view yourself, others, and your current circumstances, but also - the results of therapy are usually improved functioning and a happier, healthier life. I work primarily with individuals, couples and families utilizing a collaborative, strengths-based approach.
(855) 285-8143 View (855) 285-8143
Photo of Tania Bakas, MA, RCC, Counsellor
Tania Bakas
Counsellor, MA, RCC
Verified Verified
6 Endorsed
New Westminster, BC V3L
If you are looking to work on any of the following in your life, we might be a good counselling match! ​-> Healthy communication and boundaries; Self-esteem; Confidence; Motivation; Understanding and fulfilling emotional needs; Healing from past wounds; Moving forward from a difficult breakup; Leaving an abusive relationship; Learning how to cope with difficult family dynamics -> If you are tired of repeating old patterns and want to take a new direction that is also in alignment with your values and desires, let's work together.
If you are looking to work on any of the following in your life, we might be a good counselling match! ​-> Healthy communication and boundaries; Self-esteem; Confidence; Motivation; Understanding and fulfilling emotional needs; Healing from past wounds; Moving forward from a difficult breakup; Leaving an abusive relationship; Learning how to cope with difficult family dynamics -> If you are tired of repeating old patterns and want to take a new direction that is also in alignment with your values and desires, let's work together.
(249) 487-0583 View (249) 487-0583
Photo of David Qi, RCC, Counsellor
David Qi
Counsellor, RCC
Verified Verified
2 Endorsed
New Westminster, BC V3M  (Online Only)
Some days life feels extra difficult. You might have difficulty making the connection you want with the people around you; you might face some really hard decisions that seem impossible to make; you might be dealing with anxiety, depression or anything else and just want life to be a little easier. Regardless of your goals, or whether you even have one, I am here to listen and help you figure things out. My mission is to help you recognize the power you hold and make sense of your life in an environment that is safe and respectful to all people on a fundamental level.
Some days life feels extra difficult. You might have difficulty making the connection you want with the people around you; you might face some really hard decisions that seem impossible to make; you might be dealing with anxiety, depression or anything else and just want life to be a little easier. Regardless of your goals, or whether you even have one, I am here to listen and help you figure things out. My mission is to help you recognize the power you hold and make sense of your life in an environment that is safe and respectful to all people on a fundamental level.
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Photo of Julia Ossipova, MC, RCC, Counsellor
Julia Ossipova
Counsellor, MC, RCC
Verified Verified
New Westminster, BC V3L  (Online Only)
I love helping my clients through self-exploration and growth, navigation of personal, familial, social, or professional relationships, dealing with loss, change, decisions, and uncertainty, making sense of various life experiences, and planning for the future. If you find yourself: struggling with unhelpful thoughts, emotional regulation, low mood, or behavioural patterns; in damaging or breaking relationships; faced with grief, difficult life decisions, or loss of control; want to process past experiences; or searching for a path forward, I will be honoured to help you through these challenges and towards becoming your best self.
I love helping my clients through self-exploration and growth, navigation of personal, familial, social, or professional relationships, dealing with loss, change, decisions, and uncertainty, making sense of various life experiences, and planning for the future. If you find yourself: struggling with unhelpful thoughts, emotional regulation, low mood, or behavioural patterns; in damaging or breaking relationships; faced with grief, difficult life decisions, or loss of control; want to process past experiences; or searching for a path forward, I will be honoured to help you through these challenges and towards becoming your best self.
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See more therapy options for New Westminster

How does your Counsellor compare?

Number of Counsellors in New Westminster, BC

100+

Average cost per session

$145

Counsellors in New Westminster, BC who prioritize treating:

91% Anxiety
90% Depression
86% Stress
85% Self Esteem
79% Relationship Issues
73% Grief
72% Trauma and PTSD

Average years in practice

7 Years

Top 3 insurances accepted

52% Pacific Blue Cross
52% Manulife
51% SunLife

How Counsellors in New Westminster, BC see their clients

75% In Person and Online
25% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in New Westminster?

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.