Therapists in Quathiaski Cove, BC

Zoë Miles
Counsellor, RCC, CCC, MEd
5 Endorsed
Serves Area
I see relationships as one of our primary sources of meaning in life, but they can be hard. Like many people, you may be feeling frustrated and lonely despite trying your best to make your relationships work. Maybe you long to feel seen, accepted, and valued, but instead, you feel drained, discouraged, and disconnected, wondering if anything can really change. Whether it's for your romantic, family, parenting, friendship, or workplace relationships, counselling can help. I am currently accepting new clients; please contact me for a free consultation. I bill directly to TELUS Health, Pacific Blue Cross, and SunLife.
I see relationships as one of our primary sources of meaning in life, but they can be hard. Like many people, you may be feeling frustrated and lonely despite trying your best to make your relationships work. Maybe you long to feel seen, accepted, and valued, but instead, you feel drained, discouraged, and disconnected, wondering if anything can really change. Whether it's for your romantic, family, parenting, friendship, or workplace relationships, counselling can help. I am currently accepting new clients; please contact me for a free consultation. I bill directly to TELUS Health, Pacific Blue Cross, and SunLife.
(431) 304-7911 View (431) 304-7911

More Therapists Nearby

Joelene Heathcote Registered Counsellor
Counsellor, BA, MFA, RTC
Serves Area
I support clients managing emotional challenges, Borderline traits, Narcissism, depression, OCD, negative internal dialogue, addiction, grief, trauma, and family estrangement. Together we explore a client's history, experience, emotions, and focus on skill development for managing challenges. Often maladaptive coping strategies are no longer serving the client. Developing emotional regulation, interpersonal effectiveness and more compassionate self-talk is integral to my work with individuals and families. Together we find solutions for healing and moving forward in healthy ways so clients can live more fulfilling lives.
I support clients managing emotional challenges, Borderline traits, Narcissism, depression, OCD, negative internal dialogue, addiction, grief, trauma, and family estrangement. Together we explore a client's history, experience, emotions, and focus on skill development for managing challenges. Often maladaptive coping strategies are no longer serving the client. Developing emotional regulation, interpersonal effectiveness and more compassionate self-talk is integral to my work with individuals and families. Together we find solutions for healing and moving forward in healthy ways so clients can live more fulfilling lives.
(672) 202-3647 View (672) 202-3647
Sehleeah Schevers Rcc
Counsellor, RCC, CCC
5 Endorsed
Serves Area
I’m so glad you are here. New Clients are welcome, both young and old (individuals, couples, families). Let’s talk about how therapy helps. There are so many ways we can feel better, we just need to take one step. Reaching out is the first, and often clients feel better after the first session. There are no waitlists for new clients, when you are ready to begin, we begin. Every moment is an opportunity to feel better, but sometimes we lose hope and stop trying. I encourage self love and self-compassion with playfulness and creativity. “Love has the intense ability to heal the wounds from the blows that life gives us.” Sue Johnson
I’m so glad you are here. New Clients are welcome, both young and old (individuals, couples, families). Let’s talk about how therapy helps. There are so many ways we can feel better, we just need to take one step. Reaching out is the first, and often clients feel better after the first session. There are no waitlists for new clients, when you are ready to begin, we begin. Every moment is an opportunity to feel better, but sometimes we lose hope and stop trying. I encourage self love and self-compassion with playfulness and creativity. “Love has the intense ability to heal the wounds from the blows that life gives us.” Sue Johnson
(249) 802-3584 View (249) 802-3584

Online Therapists

Lisa Steels
Counsellor, RCC, CCC, MACP, IAYT-YT, PCP-IV
4 Endorsed
Courtenay, BC V9N
Life can be chaotic and full of unexpected change! Many clients are unaware that their nervous system is overwhelmed and unregulated, which can cause symptoms such as fatigue, poor sleep, hyper-vigilance and anxiety. As a somatic (body-informed) therapist, I understand how the body can hold emotions, trauma or defensiveness, which can change how people function and show up in the world. As a result, you may feel angry, stressed out, distracted or ambivalent. My work as a Firefighter and Paramedic for over 10 years, allowed me to experience and observe how highly adaptable the human body is at processing traumatic events.
Life can be chaotic and full of unexpected change! Many clients are unaware that their nervous system is overwhelmed and unregulated, which can cause symptoms such as fatigue, poor sleep, hyper-vigilance and anxiety. As a somatic (body-informed) therapist, I understand how the body can hold emotions, trauma or defensiveness, which can change how people function and show up in the world. As a result, you may feel angry, stressed out, distracted or ambivalent. My work as a Firefighter and Paramedic for over 10 years, allowed me to experience and observe how highly adaptable the human body is at processing traumatic events.
(249) 486-6439 View (249) 486-6439
Kate Pinsonneault
Counsellor, MACP, RCC-ACS, CIMH, CCTP
6 Endorsed
Courtenay, BC V9N
I am the director of Seahorse Counselling and Psychotherapy with offices in Courtenay and Victoria, BC. Our professional counsellors offer a variety of therapeutic options so you can choose an approach that is comfortable for you. Every individual is welcomed. We are here to help and support each client regardless of their needs, challenges, or financial limitations. Our client-centred practise ensures that everyone is treated with respect, confidentiality, compassion, and cultural sensitivity, and that each client determines their goals, pace, and treatment options that are the best fit for them.
I am the director of Seahorse Counselling and Psychotherapy with offices in Courtenay and Victoria, BC. Our professional counsellors offer a variety of therapeutic options so you can choose an approach that is comfortable for you. Every individual is welcomed. We are here to help and support each client regardless of their needs, challenges, or financial limitations. Our client-centred practise ensures that everyone is treated with respect, confidentiality, compassion, and cultural sensitivity, and that each client determines their goals, pace, and treatment options that are the best fit for them.
(855) 982-1185 View (855) 982-1185
Jennifer McIntosh Counselling
Counsellor, MA, RCC
Comox, BC V9M
I work with teens and adults; individuals, couples and families, assisting you to navigate challenging circumstances or chapters with growth and connection. I have over 20 years experience in diverse clinical settings with specialities in assisting you through Life transitions and any presenting issues. I specialize in offering EMDR, CBT, ACT and MBSR as well as The Developmental Model re Couples Counselling. If you have goals to feel better and to learn to think about things in new ways, I can help you along your path to create meaning, inspire growth and live with more peace.
I work with teens and adults; individuals, couples and families, assisting you to navigate challenging circumstances or chapters with growth and connection. I have over 20 years experience in diverse clinical settings with specialities in assisting you through Life transitions and any presenting issues. I specialize in offering EMDR, CBT, ACT and MBSR as well as The Developmental Model re Couples Counselling. If you have goals to feel better and to learn to think about things in new ways, I can help you along your path to create meaning, inspire growth and live with more peace.
(226) 406-5072 View (226) 406-5072
Lee Fraser
Counsellor, MMFT, RCC
2 Endorsed
Online Only
Connection with others can be both the most important and the most painful aspect of life. You may feel conflicted: yearning for more rewarding relationships while being repeatedly hurt or disappointed by them. Perhaps you have grown tired of making sacrifices in your family or community without seeming to get anything back in return. Chronic disappointment is important to pay attention to, as it can impact mental, physical, and spiritual health. I am an experienced clinician who can help you identify and process thoughts, feelings and body sensations in order to transform them from depletion to vitality.
Connection with others can be both the most important and the most painful aspect of life. You may feel conflicted: yearning for more rewarding relationships while being repeatedly hurt or disappointed by them. Perhaps you have grown tired of making sacrifices in your family or community without seeming to get anything back in return. Chronic disappointment is important to pay attention to, as it can impact mental, physical, and spiritual health. I am an experienced clinician who can help you identify and process thoughts, feelings and body sensations in order to transform them from depletion to vitality.
(204) 813-2130 View (204) 813-2130
Anthony Spiegelberg-Arnason
Counsellor, MPCC-P
2 Endorsed
Online Only
Do you feel like nobody truly sees you for who you are? Are you feeling lost in life and unsure of how to get out of the fog? I work with anyone over 18 years old to help them build a greater sense of direction in life and in the process learn to express themselves honestly in the world. I help my clients get in touch with themselves and what they want by facilitating the connection to their bodies and encouraging them to express in a way that feels comfortable and authentic to them. I take a relational approach in my work because I strongly believe that we cannot be truly well if we lack authentic connection.
Do you feel like nobody truly sees you for who you are? Are you feeling lost in life and unsure of how to get out of the fog? I work with anyone over 18 years old to help them build a greater sense of direction in life and in the process learn to express themselves honestly in the world. I help my clients get in touch with themselves and what they want by facilitating the connection to their bodies and encouraging them to express in a way that feels comfortable and authentic to them. I take a relational approach in my work because I strongly believe that we cannot be truly well if we lack authentic connection.
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Kelly Blanchard
Counsellor, RCC, MA, MEd
Courtenay, BC V9N
As a counsellor working with children (10+), youth, and adults, I am committed to guiding people on this journey called life. Whether you seek specific support for anxiety, depression, grief & loss, life transitions, relationship challenges, low self-esteem and perfectionism, or you simply need a place to explore and reflect, I am here to walk alongside you, offering a safe and empowering space where you feel seen and supported. I offer virtual sessions for folks across Canada, nature-based sessions in the Comox Valley, and in-office settings at Treehouse Therapy in Courtenay, with a wide range of availability.
As a counsellor working with children (10+), youth, and adults, I am committed to guiding people on this journey called life. Whether you seek specific support for anxiety, depression, grief & loss, life transitions, relationship challenges, low self-esteem and perfectionism, or you simply need a place to explore and reflect, I am here to walk alongside you, offering a safe and empowering space where you feel seen and supported. I offer virtual sessions for folks across Canada, nature-based sessions in the Comox Valley, and in-office settings at Treehouse Therapy in Courtenay, with a wide range of availability.
(825) 450-1229 View (825) 450-1229
Unbridled Therapeutics
Counsellor, CCC, MACP, RN
2 Endorsed
Courtenay, BC V9N
I am honoured to provide adults with both individual and couples counselling services. I wholeheartedly believe in the importance of finding a therapist that you can connect with and trust, given the extremely sensitive and sacred context of our work together. As a Registered Nurse, my experiences have profoundly influenced my perspectives on healing and the universality of life’s core experiences. This outlook is captured in my existentially inspired approach where I offer my reverence for the complex, interconnected, and expansive nature of life to help you unravel your thoughts and feelings, to formulate a step by step approach.
I am honoured to provide adults with both individual and couples counselling services. I wholeheartedly believe in the importance of finding a therapist that you can connect with and trust, given the extremely sensitive and sacred context of our work together. As a Registered Nurse, my experiences have profoundly influenced my perspectives on healing and the universality of life’s core experiences. This outlook is captured in my existentially inspired approach where I offer my reverence for the complex, interconnected, and expansive nature of life to help you unravel your thoughts and feelings, to formulate a step by step approach.
(343) 321-2160 View (343) 321-2160
Tricia Antoniuk
Clinical Social Work/Therapist, MSW, RSW
Online Only
Imagine finding Hope & Passion in your Life... If you feel stuck or frustrated, in emotional pain or a struggling relationship, counselling can help. With respect and patience we will discover how you can meet your deep longings and be free to be your truest self. You deserve to feel good about you. I work with gay, lesbian, transgender, queer, and straight youth and adults. I want you to have the inner freedom to be who you were meant to be. I want you to feel better about yourself, your relationships, and your life.
Imagine finding Hope & Passion in your Life... If you feel stuck or frustrated, in emotional pain or a struggling relationship, counselling can help. With respect and patience we will discover how you can meet your deep longings and be free to be your truest self. You deserve to feel good about you. I work with gay, lesbian, transgender, queer, and straight youth and adults. I want you to have the inner freedom to be who you were meant to be. I want you to feel better about yourself, your relationships, and your life.
(778) 764-1555 View (778) 764-1555
Jessica Bell
Counsellor, MA
Comox, BC V9M
I love working alongside people in all stages of life and across a wide range of experiences. My approach is warm, welcoming, and non-judgmental—whether you’re new to counselling or have done this work before, you are welcome here. Together, we can gently explore the roots of what you’re facing, making sense of patterns and long-standing challenges so that meaningful change can begin to unfold.
I love working alongside people in all stages of life and across a wide range of experiences. My approach is warm, welcoming, and non-judgmental—whether you’re new to counselling or have done this work before, you are welcome here. Together, we can gently explore the roots of what you’re facing, making sense of patterns and long-standing challenges so that meaningful change can begin to unfold.
(825) 819-0435 View (825) 819-0435
Tides of Change Counselling and Psychotherapy
Counsellor, RCC, MEd, PhD
Comox, BC V9M
Feeling overwhelmed, like you're barely keeping your head above water? When life feels like an endless wave—stress, anxiety, trauma, or simply too much—it can be hard to imagine things getting better. Maybe you're tired of just getting by. You want to thrive—to feel grounded, connected, and more like yourself again. Whether you’re navigating trauma (past or present), ADHD, major life transitions, burnout, anxiety, grief, relationship challenges, self-esteem, identity questions, disordered eating, or the impact of emotionally immature parents or narcissistic people—you're not alone, I’m here to help.
Feeling overwhelmed, like you're barely keeping your head above water? When life feels like an endless wave—stress, anxiety, trauma, or simply too much—it can be hard to imagine things getting better. Maybe you're tired of just getting by. You want to thrive—to feel grounded, connected, and more like yourself again. Whether you’re navigating trauma (past or present), ADHD, major life transitions, burnout, anxiety, grief, relationship challenges, self-esteem, identity questions, disordered eating, or the impact of emotionally immature parents or narcissistic people—you're not alone, I’m here to help.
(782) 824-4585 View (782) 824-4585
Molly Howes
Counsellor, MACP, CCC
1 Endorsed
Comox, BC V9M
Is the world too loud, fast-paced, and overwhelming? Do you feel things more deeply and notice subtleties that others miss? Being part of a society that is not designed for those with high sensitivity can often lead to anxiety, stress, and low self-esteem. Trying to “keep up” to those with a majority temperament may leave you feeling burned out and unable to show up for yourself and those you love in the ways that you want and deserve. Learning to understand your unique expression of this innate trait allows for you not only to survive, but to thrive and see the beautiful gifts of being a highly sensitive person (HSP).
Is the world too loud, fast-paced, and overwhelming? Do you feel things more deeply and notice subtleties that others miss? Being part of a society that is not designed for those with high sensitivity can often lead to anxiety, stress, and low self-esteem. Trying to “keep up” to those with a majority temperament may leave you feeling burned out and unable to show up for yourself and those you love in the ways that you want and deserve. Learning to understand your unique expression of this innate trait allows for you not only to survive, but to thrive and see the beautiful gifts of being a highly sensitive person (HSP).
(431) 341-2636 View (431) 341-2636
Dustin Fleming
Counsellor, RTC
Dustin is a Registered Therapeutic Counsellor (RTC) trained in Transpersonal Counselling. His counselling practice is centered around Family Systems Theory and Internal Family Systems Therapy (IFS), with a working understanding of Trauma Informed Therapy, Hakomi and Somatic Experiencing modalities as well as the Enneagram of Personalities. Dustin has also completed over 2000 hours of psychedelic psychotherapy work which includes 500 hrs of personal work and 1500 hrs of direct support with clients.
Dustin is a Registered Therapeutic Counsellor (RTC) trained in Transpersonal Counselling. His counselling practice is centered around Family Systems Theory and Internal Family Systems Therapy (IFS), with a working understanding of Trauma Informed Therapy, Hakomi and Somatic Experiencing modalities as well as the Enneagram of Personalities. Dustin has also completed over 2000 hours of psychedelic psychotherapy work which includes 500 hrs of personal work and 1500 hrs of direct support with clients.
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Jessica Waslen
Pre-Licensed Professional, MA
1 Endorsed
Comox, BC V9M
I am here to walk alongside youth, adolescents, and young adults as they move through life transitions, moments of feeling overwhelmed, stuck, or anxious, and to provide a safe space where they can simply be heard. I can offer a calm, non-judgmental space to explore your thoughts, emotions, identity, and relationships. An inclusive, collaborative, and respectful environment will enable support for stress, anxiety, self-esteem, life transitions, grief, relationships, and more.
I am here to walk alongside youth, adolescents, and young adults as they move through life transitions, moments of feeling overwhelmed, stuck, or anxious, and to provide a safe space where they can simply be heard. I can offer a calm, non-judgmental space to explore your thoughts, emotions, identity, and relationships. An inclusive, collaborative, and respectful environment will enable support for stress, anxiety, self-esteem, life transitions, grief, relationships, and more.
(506) 405-3055 View (506) 405-3055
Coastal Tides Counselling
Counsellor, MA, RCC, CCC
Hello, my name is Lindsey Morton. After working overseas for nearly a decade, I made the journey back to my hometown of Campbell River with the professional intention of supporting both youth and adults working toward mental wellbeing within the community. I hold a Master of Arts in Counselling Psychology and I am currently employed by school district 72 as a school counsellor. I am incredibly grateful to live in a beautiful coastal community and honoured to have the opportunity to practice counselling on Vancouver Island.
Hello, my name is Lindsey Morton. After working overseas for nearly a decade, I made the journey back to my hometown of Campbell River with the professional intention of supporting both youth and adults working toward mental wellbeing within the community. I hold a Master of Arts in Counselling Psychology and I am currently employed by school district 72 as a school counsellor. I am incredibly grateful to live in a beautiful coastal community and honoured to have the opportunity to practice counselling on Vancouver Island.
(249) 505-0533 View (249) 505-0533
Jen Burt, Counselling & Art Therapy
Clinical Social Work/Therapist, MEd, DVATI, RSW
Courtenay, BC V9N
Jen is taking the stigma out of mental health, being creative and having fun. Confidential, safe, no lotus flowers. Offering Counselling or professional Art Therapy to: adults, couples, youth, children (6 yrs +), clinical supervision and other services. With over 20 years experience ( how does she look so young? ), Jen is accomplished and multi award winning. Click on photos below to get a sense if she would be a good fit for you.
Jen is taking the stigma out of mental health, being creative and having fun. Confidential, safe, no lotus flowers. Offering Counselling or professional Art Therapy to: adults, couples, youth, children (6 yrs +), clinical supervision and other services. With over 20 years experience ( how does she look so young? ), Jen is accomplished and multi award winning. Click on photos below to get a sense if she would be a good fit for you.
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Bonnie Seitz
Counsellor, RCC, MA
Online Only
I have worked with clients dealing with trauma, anxieties, depression, ADHD, autism, LGBTQIA+ issues, PTSD, spirituality, grief and loss, phobias, and relationship issues. I have worked with clients of many different spiritual beliefs and faiths, from Catholic to Hindu, pagan to atheist, and anything in-between, and I am an approved counsellor by the First Nations Health Authority (FNHA). I work with all my clients to create a sacred space that works for them, no matter what their needs are.
I have worked with clients dealing with trauma, anxieties, depression, ADHD, autism, LGBTQIA+ issues, PTSD, spirituality, grief and loss, phobias, and relationship issues. I have worked with clients of many different spiritual beliefs and faiths, from Catholic to Hindu, pagan to atheist, and anything in-between, and I am an approved counsellor by the First Nations Health Authority (FNHA). I work with all my clients to create a sacred space that works for them, no matter what their needs are.
(365) 363-3961 View (365) 363-3961
Island Psych Support
Psychologist, RPsych
Based in Campbell River I provide psychotherapy and counselling to Campbell River, the North Island and the Comox Valley. Island Psych Support provides a safe place for you to work with a caring, supportive registered clinical counsellor, addressing anything from adjusting to life changes to pervasive internal conflict. Whatever the issue, it is my aim to work in partnership with you to help you gain insight into your difficulties, foster positive change and develop greater confidence to meet future challenges and to live a rich and meaningful life.
Based in Campbell River I provide psychotherapy and counselling to Campbell River, the North Island and the Comox Valley. Island Psych Support provides a safe place for you to work with a caring, supportive registered clinical counsellor, addressing anything from adjusting to life changes to pervasive internal conflict. Whatever the issue, it is my aim to work in partnership with you to help you gain insight into your difficulties, foster positive change and develop greater confidence to meet future challenges and to live a rich and meaningful life.
(866) 645-2414 View (866) 645-2414

How does your Counsellor compare?

Number of Counsellors in Quathiaski Cove, BC

< 10

Counsellors in Quathiaski Cove, BC who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Geriatric
100% Grief
100% Parenting
100% Family Conflict

Average years in practice

3 Years

Top 3 insurances accepted

100% Great-West Life
100% Green Shield Canada
100% Blue Cross

How Counsellors in Quathiaski Cove, BC see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Quathiaski Cove?

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.