Therapists in Sidney, BC

Photo of Jennifer Broughton, Clinical Social Work/Therapist in Sidney, BC
Jennifer Broughton
Clinical Social Work/Therapist, MSW, RSW
Verified
Sidney, BC V8L  (Online Only)
I offer individual sessions for moms and dads, as well as couples/relationship counselling. It's so common for partners to hit some bumps along the way, and I am here to help you find your connection, or navigate whatever challenges end up on your plate. I am a mom to three young children (including twins), and have mostly been parenting away from extended family and built-in sources of support. I have a keen sense of the isolation that many parents feel and how that can impact so many areas of wellness and adjustment during the perinatal period. My goal is to help clients feel heard, supported, and develop confidence in their role.
I offer individual sessions for moms and dads, as well as couples/relationship counselling. It's so common for partners to hit some bumps along the way, and I am here to help you find your connection, or navigate whatever challenges end up on your plate. I am a mom to three young children (including twins), and have mostly been parenting away from extended family and built-in sources of support. I have a keen sense of the isolation that many parents feel and how that can impact so many areas of wellness and adjustment during the perinatal period. My goal is to help clients feel heard, supported, and develop confidence in their role.
(587) 907-5122 View (587) 907-5122
Photo of Taskeen Mansur, Registered Social Worker in Sidney, BC
Taskeen Mansur
Registered Social Worker
Verified
Sidney, BC V8L
I support clients of all genders in individual counselling, and also offer relationship counselling for folks wanting support with relationship or parenting challenges. I want all parents to know that fluctuations in emotions, mood, and even patience don't make you a bad parent. Every situation can improve, little by little. This applies for relationships too: it's so common to struggle with things like communication, managing role transitions, intimacy, and dealing with stress and conflict. I am here to help you navigate all these ups and downs so that you can feel more connection, support, and fulfillment.
I support clients of all genders in individual counselling, and also offer relationship counselling for folks wanting support with relationship or parenting challenges. I want all parents to know that fluctuations in emotions, mood, and even patience don't make you a bad parent. Every situation can improve, little by little. This applies for relationships too: it's so common to struggle with things like communication, managing role transitions, intimacy, and dealing with stress and conflict. I am here to help you navigate all these ups and downs so that you can feel more connection, support, and fulfillment.
(343) 453-4260 View (343) 453-4260
Photo of Michael Mackenzie, Counsellor in Sidney, BC
Michael Mackenzie
Counsellor, PhD, RCC
Verified
Sidney, BC V8L
Online and in-person therapy to help navigate the uncertainty of living with a health condition, adjust to life challenges related to illness, and better manage your health. Our work can include: comprehensive counselling & psychotherapy to help reduce your distress and cope with illness; health coaching to create sustainable health behaviour and lifestyle changes; and mind-body therapy to help manage symptoms and improve quality of life.
Online and in-person therapy to help navigate the uncertainty of living with a health condition, adjust to life challenges related to illness, and better manage your health. Our work can include: comprehensive counselling & psychotherapy to help reduce your distress and cope with illness; health coaching to create sustainable health behaviour and lifestyle changes; and mind-body therapy to help manage symptoms and improve quality of life.
(604) 774-6900 View (604) 774-6900
Photo of Joanne Masiokas, Counsellor in Sidney, BC
Joanne Masiokas
Counsellor, >MEd, RPC
Verified
Sidney, BC V8L  (Online Only)
I specialize in anxiety, panic attacks and phobias. If you are suffering from fear related issues, you may often feel tense, or on edge, or worry that something bad is going to happen. You may experience physical symptoms like chest tightness, a racing heart, or feel dizzy or faint. You may be feeling anxious about having more anxiety or afraid of having another panic attack. Perhaps you have fears that are stopping you from doing certain things. Anxiety, panic and fear can leave you feeling overwhelmed, irritable and exhausted. I get how scary and uncomfortable this can be. The good news is that anxiety issues are very treatable.
I specialize in anxiety, panic attacks and phobias. If you are suffering from fear related issues, you may often feel tense, or on edge, or worry that something bad is going to happen. You may experience physical symptoms like chest tightness, a racing heart, or feel dizzy or faint. You may be feeling anxious about having more anxiety or afraid of having another panic attack. Perhaps you have fears that are stopping you from doing certain things. Anxiety, panic and fear can leave you feeling overwhelmed, irritable and exhausted. I get how scary and uncomfortable this can be. The good news is that anxiety issues are very treatable.
(587) 841-0216 View (587) 841-0216
Photo of Pam Dillon, Marriage & Family Therapist in Sidney, BC
Pam Dillon
Marriage & Family Therapist, MEd, RMFT
Verified
2 Endorsed
Sidney, BC V8L  (Online Only)
Adverse Childhood Events (ACEs), in our tender years, whether they were caused by abuse, neglect or chronic parental mis-attunement are not only impediments to thriving in one's life, they increase the risk of serious physical disease in later life. Whatever hurts inside is simply asking to be known and loved. I believe that the difficulties and traumas of life need never define us as human beings. Rather, I believe that when safety, skillful caring and authentic connection are finally available for us, these very traumas can become the doors through which we discover our own unique gifts, talents and power as individuals.
Adverse Childhood Events (ACEs), in our tender years, whether they were caused by abuse, neglect or chronic parental mis-attunement are not only impediments to thriving in one's life, they increase the risk of serious physical disease in later life. Whatever hurts inside is simply asking to be known and loved. I believe that the difficulties and traumas of life need never define us as human beings. Rather, I believe that when safety, skillful caring and authentic connection are finally available for us, these very traumas can become the doors through which we discover our own unique gifts, talents and power as individuals.
(579) 539-0147 View (579) 539-0147
Photo of The Perinatal Collective (TPC), Counsellor in Sidney, BC
The Perinatal Collective (TPC)
Counsellor, MA, MSW, RSW, RCC, RP
Verified
Sidney, BC V8L  (Online Only)
Society sets us up to believe that parenthood will come naturally and be a simple and easy transition that “we were built for.” But parenthood can be turbulent and not anything like you expected - full of so many new layers of stress, anxiety, and interpersonal challenges that you never could have seen coming. And even if you’re years into family life, you know that somehow the stress keeps piling up and it feels impossible to hold it all.
Society sets us up to believe that parenthood will come naturally and be a simple and easy transition that “we were built for.” But parenthood can be turbulent and not anything like you expected - full of so many new layers of stress, anxiety, and interpersonal challenges that you never could have seen coming. And even if you’re years into family life, you know that somehow the stress keeps piling up and it feels impossible to hold it all.
(672) 648-0514 View (672) 648-0514
Photo of Colin Lester, Counsellor in Sidney, BC
Colin Lester
Counsellor, MEd, RCC
Verified
Sidney, BC V8L
For more than 30 years I have counselled people having problems with depression, anxiety and life adjustment, and as well, those wanting to grow personally. I identify with the Humanistic/Positive Psychology approach and am primarily a Rogerian by practice - utilising active listening and communicating back of understanding. Not only is this very affirming and helps people find relief from their problems and concerns, but they come to more fully understand their assumptive world, achieve greater self-understanding and acceptance and a desire to develop constructive and fruitful changes in their outlook and behaviour.
For more than 30 years I have counselled people having problems with depression, anxiety and life adjustment, and as well, those wanting to grow personally. I identify with the Humanistic/Positive Psychology approach and am primarily a Rogerian by practice - utilising active listening and communicating back of understanding. Not only is this very affirming and helps people find relief from their problems and concerns, but they come to more fully understand their assumptive world, achieve greater self-understanding and acceptance and a desire to develop constructive and fruitful changes in their outlook and behaviour.
(506) 560-3488 View (506) 560-3488
Photo of Michele L Dolan, Counsellor in Sidney, BC
Michele L Dolan
Counsellor, MA, RCC, CCC
Verified
1 Endorsed
Sidney, BC V8L
Are you hurting inside? Maybe you feel lonely and alone with a pain and suffering that only gets worse. You worry about what you do or don't do. You worry how others see you, or about how you feel. Maybe you don't like yourself very much. Your life seems to have gotten smaller. Relationships have you feeling confused, broken, scared, lost or just numb so you avoid them. You don't know how to go forward even though you've been trying and searching for help. You are worried that things will never get better in your life. You ask yourself, "Will I ever get better?"
Are you hurting inside? Maybe you feel lonely and alone with a pain and suffering that only gets worse. You worry about what you do or don't do. You worry how others see you, or about how you feel. Maybe you don't like yourself very much. Your life seems to have gotten smaller. Relationships have you feeling confused, broken, scared, lost or just numb so you avoid them. You don't know how to go forward even though you've been trying and searching for help. You are worried that things will never get better in your life. You ask yourself, "Will I ever get better?"
(867) 988-1472 View (867) 988-1472
Photo of Phil N Enns, Counsellor in Sidney, BC
Phil N Enns
Counsellor, MA, RCC
Verified
1 Endorsed
Sidney, BC V8L  (Online Only)
Before getting into who I treat you should know that because of Covid-19 and the flu I am only doing sessions online or by telephone. The clients I treat are adults who may be dealing with things such as anxiety, PTSD, trauma, family of origin issues, relationship issues, grief and loss, depression, life decisions, career challenges, life and workplace stress. I see clients wanting to overcome a personal challenge to be able to feel more free and alive to pursue a healthier and less stressful life. I also see couples wanting to improve their relationship skills and reduce conflict.
Before getting into who I treat you should know that because of Covid-19 and the flu I am only doing sessions online or by telephone. The clients I treat are adults who may be dealing with things such as anxiety, PTSD, trauma, family of origin issues, relationship issues, grief and loss, depression, life decisions, career challenges, life and workplace stress. I see clients wanting to overcome a personal challenge to be able to feel more free and alive to pursue a healthier and less stressful life. I also see couples wanting to improve their relationship skills and reduce conflict.
(604) 706-1833 View (604) 706-1833
Photo of Colleen McKee, Counsellor in Sidney, BC
Colleen McKee
Counsellor, BA, MA, RCC
Verified
Sidney, BC V8L
ACCEPTING NEW CLIENTS - Now open in Sidney, BC! Are you feeling anxious, overwhelmed, struggling, stuck in negative self-thought patterns, or in need of a little help to sort through life’s challenges? You are not alone and I can help. As a therapist, I have developed skills to support and help you along your healing journey. Our therapeutic relationship is an integral part of your healing and it is my goal to provide a safe, nonjudgmental, compassionate environment based on caring and trust. We can work together to help you find ways to overcome life's difficulties and challenges so you can live your best life.
ACCEPTING NEW CLIENTS - Now open in Sidney, BC! Are you feeling anxious, overwhelmed, struggling, stuck in negative self-thought patterns, or in need of a little help to sort through life’s challenges? You are not alone and I can help. As a therapist, I have developed skills to support and help you along your healing journey. Our therapeutic relationship is an integral part of your healing and it is my goal to provide a safe, nonjudgmental, compassionate environment based on caring and trust. We can work together to help you find ways to overcome life's difficulties and challenges so you can live your best life.
(778) 764-2343 View (778) 764-2343
Photo of Louis Iannone, Counsellor in Sidney, BC
Louis Iannone
Counsellor, MA, RCC
Verified
Sidney, BC V8L
I acknowledge and admire the courage it takes to seek out a counsellor to work through life's challenges. I strive to create a strong, client centered connection, based on openness, honesty, daring and respect. My counselling style is collaborative, and focuses on increasing self-awareness, highlighting personal strengths, honouring one's own insights, and removing the obstacles standing in the way of growth and development. My experience as a counsellor has taught me that in the midst of personal dissatisfaction, individuals often engage in counter-productive, even destructive thoughts and behaviors.
I acknowledge and admire the courage it takes to seek out a counsellor to work through life's challenges. I strive to create a strong, client centered connection, based on openness, honesty, daring and respect. My counselling style is collaborative, and focuses on increasing self-awareness, highlighting personal strengths, honouring one's own insights, and removing the obstacles standing in the way of growth and development. My experience as a counsellor has taught me that in the midst of personal dissatisfaction, individuals often engage in counter-productive, even destructive thoughts and behaviors.
(888) 712-5008 View (888) 712-5008
Photo of Lianne Perry, Counsellor in Sidney, BC
Lianne Perry
Counsellor, MA, MSc, RCC
Verified
7 Endorsed
Sidney, BC V8L  (Online Only)
I believe in using a client-centered approach, which emphasizes the role of the client as an equal partner in the therapeutic process. Our sessions will be flexible and tailored around what your needs are on that specific day, while keeping in mind what you have expressed as your primary goals for therapy. You will always be treated with respect, compassion, and empathy, which are the key elements of any successful therapeutic relationship.
I believe in using a client-centered approach, which emphasizes the role of the client as an equal partner in the therapeutic process. Our sessions will be flexible and tailored around what your needs are on that specific day, while keeping in mind what you have expressed as your primary goals for therapy. You will always be treated with respect, compassion, and empathy, which are the key elements of any successful therapeutic relationship.
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Photo of Michelle Deen, Psychologist in Sidney, BC
Michelle Deen
Psychologist, MEd, BEd, RPsych
Verified
Sidney, BC V8L  (Online Only)
Michelle is a Registered Psychologist who obtained her Master of Education in School and Applied Child Psychology from the University of Calgary. She has over seventeen years of experience as a special education teacher and school psychologist, has worked in several school boards within Alberta, and has served on various province-wide committees with a focus on mental health initiatives. Michelle uses a collaborative, strength-based approach when working with youth, their families, and various support systems to complete psychological assessments and provide counselling.
Michelle is a Registered Psychologist who obtained her Master of Education in School and Applied Child Psychology from the University of Calgary. She has over seventeen years of experience as a special education teacher and school psychologist, has worked in several school boards within Alberta, and has served on various province-wide committees with a focus on mental health initiatives. Michelle uses a collaborative, strength-based approach when working with youth, their families, and various support systems to complete psychological assessments and provide counselling.
(587) 415-0650 View (587) 415-0650
Photo of Mercedes Cepeda, Pre-Licensed Professional in Sidney, BC
Mercedes Cepeda
Pre-Licensed Professional, RPC-C
Verified
Sidney, BC V8L
Are you ready to start your life? If you feel as if you have been sitting on the sidelines watching others live life to the fullest while waiting for yours to start, then I can help. I specialize in sexuality, religeous trauma, body image and neurodiversity. I you are a survivor of purity culture, struggle with your own sexuality or sexual identity, or are deconstructing a religeous upbringing, we can work together to conquer them. I have extensive experience with neurodiversity, including ADHD, autism, cognitive decline, and brain injuries. Our brains are amazing and different, lets understand yours better so you can thrive.
Are you ready to start your life? If you feel as if you have been sitting on the sidelines watching others live life to the fullest while waiting for yours to start, then I can help. I specialize in sexuality, religeous trauma, body image and neurodiversity. I you are a survivor of purity culture, struggle with your own sexuality or sexual identity, or are deconstructing a religeous upbringing, we can work together to conquer them. I have extensive experience with neurodiversity, including ADHD, autism, cognitive decline, and brain injuries. Our brains are amazing and different, lets understand yours better so you can thrive.
(587) 400-2370 View (587) 400-2370
Photo of Caron Smith, Clinical Social Work/Therapist in Sidney, BC
Caron Smith
Clinical Social Work/Therapist, BSc, RSW, BSW, MSW, RCC
Verified
1 Endorsed
Sidney, BC V8L  (Online Only)
Are you hoping to achieve more intimacy and caring in your relationship? Is it important to you to understand and be understood? To hear and be heard? Whether you come in by yourself, or with your partner, you can learn the tools of better communication.You can learn how to maintain emotional strength and stability in the midst of open and honest discussion, leading you to the relationship of your deepest desires. I work with clients of all ethnicities and sexual orientations.
Are you hoping to achieve more intimacy and caring in your relationship? Is it important to you to understand and be understood? To hear and be heard? Whether you come in by yourself, or with your partner, you can learn the tools of better communication.You can learn how to maintain emotional strength and stability in the midst of open and honest discussion, leading you to the relationship of your deepest desires. I work with clients of all ethnicities and sexual orientations.
(877) 656-2012 View (877) 656-2012
Photo of Wade Hirschfield, Counsellor in Sidney, BC
Wade Hirschfield
Counsellor, MC, RCC
Verified
Sidney, BC V8L
When confronted with challenging times - whether it is struggling with mental health, your relationships, addiction, identity or just not knowing what to do - feelings of despair, loneliness, desperation, and fear can overwhelm hope.
When confronted with challenging times - whether it is struggling with mental health, your relationships, addiction, identity or just not knowing what to do - feelings of despair, loneliness, desperation, and fear can overwhelm hope.
View
Photo of Kathryn Sandberg, Clinical Social Work/Therapist in Sidney, BC
Kathryn Sandberg
Clinical Social Work/Therapist, MSW, RSW
Verified
2 Endorsed
Sidney, BC V8L
I am a Master's level therapist and Registered Social Worker with 18 years of experience providing psychotherapeutic supports. I am a sensitive and compassionate person who will create a safe space for you to share your concerns and what is on your heart. I devoted most of my career to working with children and youth with serious and complex mental health issues as well as university students, adults, multicultural and First Nations communities. I take a holistic or “biopsychosociospiritual” approach in alignment with your wishes, needs, abilities and beliefs. You are far more than your amazing brain.
I am a Master's level therapist and Registered Social Worker with 18 years of experience providing psychotherapeutic supports. I am a sensitive and compassionate person who will create a safe space for you to share your concerns and what is on your heart. I devoted most of my career to working with children and youth with serious and complex mental health issues as well as university students, adults, multicultural and First Nations communities. I take a holistic or “biopsychosociospiritual” approach in alignment with your wishes, needs, abilities and beliefs. You are far more than your amazing brain.
(250) 800-2711 View (250) 800-2711
Photo of Jill Parker Counselling Inc, Counsellor in Sidney, BC
Jill Parker Counselling Inc
Counsellor, MEd, BSW, BA, RCC, RSW
Verified
1 Endorsed
Sidney, BC V8L
Not accepting new clients
***My practice is currently full.***"I like how you help me to see myself as powerful and capable..." & "I didn't know counselling could be like this...." Are words spoken by my clients. My genuine, caring and compassionate approach, along with my lighthearted sense of humor, are instrumental in establishing an empowering and safe relationship with my clients. I work with people of all ages who face challenges which impede their ability to live full and meaningful lives.
***My practice is currently full.***"I like how you help me to see myself as powerful and capable..." & "I didn't know counselling could be like this...." Are words spoken by my clients. My genuine, caring and compassionate approach, along with my lighthearted sense of humor, are instrumental in establishing an empowering and safe relationship with my clients. I work with people of all ages who face challenges which impede their ability to live full and meaningful lives.
(250) 800-2685 View (250) 800-2685
Photo of Heather Doidge-Sidhu, Counsellor in Sidney, BC
Heather Doidge-Sidhu
Counsellor, MA, RCC, CCC
Verified
1 Endorsed
Sidney, BC V8L
Becoming a new mother is a tremendous change, and one that can sometimes trigger old soul wounds and a need for healing. My approach is individualized, as each new mother experiences her pregnancy, birth, and postpartum time in a unique way.
Becoming a new mother is a tremendous change, and one that can sometimes trigger old soul wounds and a need for healing. My approach is individualized, as each new mother experiences her pregnancy, birth, and postpartum time in a unique way.
(778) 288-7082 View (778) 288-7082
Photo of Mark Watts, Counsellor in Sidney, BC
Mark Watts
Counsellor, MTC, RCH, BA Psyc
Verified
11 Endorsed
Sidney, BC V8L
Call me for a no-charge half-hour consultation. I am committed to creating a warm, accepting environment for change, using therapeutic approaches that have the strongest proven results. If you're reading this then you are possibly searching for a suitable counsellor to help you navigate a life that is not quite the way you would like it to be. It could be what's happening for you right now, or it might have been building for a while. You so deserve to be supported.
Call me for a no-charge half-hour consultation. I am committed to creating a warm, accepting environment for change, using therapeutic approaches that have the strongest proven results. If you're reading this then you are possibly searching for a suitable counsellor to help you navigate a life that is not quite the way you would like it to be. It could be what's happening for you right now, or it might have been building for a while. You so deserve to be supported.
(866) 623-1740 View (866) 623-1740

See more therapy options for Sidney

How does your Counsellor compare?

Number of Counsellors in Sidney, BC

60+

Average cost per session

$145

Counsellors in Sidney, BC who prioritize treating:

90% Anxiety
87% Depression
82% Relationship Issues
78% Stress
73% Self Esteem
72% Life Transitions
68% Grief

Average years in practice

10 Years

Top 3 insurances accepted

50% Other
46% Pacific Blue Cross
39% Blue Cross

How Counsellors in Sidney, BC see their clients

82% In Person and Online
18% Online Only

Gender breakdown

75% Female
25% Male

FAQs - About Therapy and Counselling

How can I find a therapist in Sidney?

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.