Therapists in London, ON

Photo of Shanna Peters, Registered Psychotherapist in London, ON
Shanna Peters
Registered Psychotherapist, RP, MA, BA Hons
Verified Verified
9 Endorsed
London, ON N6B
Everyone is unique and encounters different life experiences. Some of these experiences change the ways we think, feel, and act. Children and youth might begin to say negative things about themselves, start to struggle with school performance and peer relationships, react easily and in ways that seem bigger than the situation, and experience physical changes like headaches or stomach aches. Another component of these changes involves looking at how adults are processing their responses to them. It is important for adults to know that supporting a child or youth, in addition to themselves, is not something they have to face alone.
Everyone is unique and encounters different life experiences. Some of these experiences change the ways we think, feel, and act. Children and youth might begin to say negative things about themselves, start to struggle with school performance and peer relationships, react easily and in ways that seem bigger than the situation, and experience physical changes like headaches or stomach aches. Another component of these changes involves looking at how adults are processing their responses to them. It is important for adults to know that supporting a child or youth, in addition to themselves, is not something they have to face alone.
(226) 243-2211 View (226) 243-2211
Photo of Ashley Glassco, Registered Psychotherapist (Qualifying) in London, ON
Ashley Glassco
Registered Psychotherapist (Qualifying), MACP
Verified Verified
1 Endorsed
London, ON N6A
Hello! I'm Ashley, a Registered Psychotherapist (Qualifying)! My passion lies in providing support and guidance to help individuals and couples navigate the various challenges and transitions life throws our way. I specialize in working with clients dealing with a wide range of issues, including but not limited to anxiety, worry, panic attacks, and social anxiety. I'm here to offer assistance to those who feel overwhelmed by the demands of their daily lives. Life is full of transitions, and I am dedicated to aiding individuals in successfully adapting to these significant changes. I currently work with individuals, aged 18 and up.
Hello! I'm Ashley, a Registered Psychotherapist (Qualifying)! My passion lies in providing support and guidance to help individuals and couples navigate the various challenges and transitions life throws our way. I specialize in working with clients dealing with a wide range of issues, including but not limited to anxiety, worry, panic attacks, and social anxiety. I'm here to offer assistance to those who feel overwhelmed by the demands of their daily lives. Life is full of transitions, and I am dedicated to aiding individuals in successfully adapting to these significant changes. I currently work with individuals, aged 18 and up.
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Photo of Valerie MacGregor, Registered Psychotherapist in London, ON
Valerie MacGregor
Registered Psychotherapist, BA, Hon, MACP
Verified Verified
1 Endorsed
London, ON N6C
Welcome! As a registered psychotherapist, I specialize in providing compassionate care and support to individuals, families, and youth aged 8 and above. Whether you're grappling with depression, anxiety, trauma, or other challenges, know that you're not alone—I'm here to help. My practice goes beyond individual therapy; I work with entire family units, including couples, adults, teens, and families. Together, we'll develop problem-solving skills and navigate emotions effectively, fostering balance and harmony in your life. In therapy, I strive to foster a safe, supportive, and collaborative environment where everyone feels heard.
Welcome! As a registered psychotherapist, I specialize in providing compassionate care and support to individuals, families, and youth aged 8 and above. Whether you're grappling with depression, anxiety, trauma, or other challenges, know that you're not alone—I'm here to help. My practice goes beyond individual therapy; I work with entire family units, including couples, adults, teens, and families. Together, we'll develop problem-solving skills and navigate emotions effectively, fostering balance and harmony in your life. In therapy, I strive to foster a safe, supportive, and collaborative environment where everyone feels heard.
(226) 798-3344 View (226) 798-3344
Photo of Custom Counselling - Jennifer Carscadden, Registered Social Worker in London, ON
Custom Counselling - Jennifer Carscadden
Registered Social Worker, MSW, RSW, RSSW
Verified Verified
London, ON N6B
Waitlist for new clients
Have you been struggling with the same issues for a period of time? Have you tried different things but it just doesn't seem to make a difference? Have you been thinking maybe it's time to get another perspective on some things in your life? As each individual is unique, so is the therapy. Your counselling sessions will consist of a collaborative process of developing mutually defined goals and identifying the process that best serves you. Custom Counselling can provide you with that perspective that can make a difference and help with those issues with which you have been struggling.
Have you been struggling with the same issues for a period of time? Have you tried different things but it just doesn't seem to make a difference? Have you been thinking maybe it's time to get another perspective on some things in your life? As each individual is unique, so is the therapy. Your counselling sessions will consist of a collaborative process of developing mutually defined goals and identifying the process that best serves you. Custom Counselling can provide you with that perspective that can make a difference and help with those issues with which you have been struggling.
(226) 270-6466 View (226) 270-6466
Photo of Andre Stam, Registered Psychotherapist in London, ON
Andre Stam
Registered Psychotherapist, MACP, RP , OCT, CCC, BEd
Verified Verified
1 Endorsed
London, ON N6B
Are you at a loss? Can't seem to think straight? Is everything coming at you too fast? Are you at the point where you just want to throw in the towel? Do you feel stuck, as if no matter what you do nothing works? Have you lost sight of what you once enjoyed? You are not alone, just know that things can work out, but sometimes you need a nudge to get you started. Sometimes you need someone to listen, to hear what you have to say without fear of judgement.
Are you at a loss? Can't seem to think straight? Is everything coming at you too fast? Are you at the point where you just want to throw in the towel? Do you feel stuck, as if no matter what you do nothing works? Have you lost sight of what you once enjoyed? You are not alone, just know that things can work out, but sometimes you need a nudge to get you started. Sometimes you need someone to listen, to hear what you have to say without fear of judgement.
(226) 546-1733 View (226) 546-1733
Photo of Kaitlyn Cavacas, Registered Social Worker in London, ON
Kaitlyn Cavacas
Registered Social Worker, RSW, MSW
Verified Verified
2 Endorsed
London, ON N6P
Envision a version of yourself that feels fulfilled, whole and connected. Think about how your life may look as reflected by these values. Often times, the busy pace of life can leave us feeling overwhelmed and disconnected from ourselves and others. Pressures and expectations can make it hard to find our voice. You are not alone. Your voice is important and matters.
Envision a version of yourself that feels fulfilled, whole and connected. Think about how your life may look as reflected by these values. Often times, the busy pace of life can leave us feeling overwhelmed and disconnected from ourselves and others. Pressures and expectations can make it hard to find our voice. You are not alone. Your voice is important and matters.
(226) 909-1614 View (226) 909-1614
Photo of Stephen Gleason, Registered Social Worker in London, ON
Stephen Gleason
Registered Social Worker, MSW, BSW, RSW
Verified Verified
1 Endorsed
London, ON N6B
I offer therapy to adults and youth facing a wide variety of issues, including anxiety, obsessive-compulsive disorder (OCD), depression, addiction, grief, anger management, insomnia, relationship issues, and existential worries. I also work with people who are struggling to cope with life in general and want to find a path to greater well-being.
I offer therapy to adults and youth facing a wide variety of issues, including anxiety, obsessive-compulsive disorder (OCD), depression, addiction, grief, anger management, insomnia, relationship issues, and existential worries. I also work with people who are struggling to cope with life in general and want to find a path to greater well-being.
(226) 702-2737 View (226) 702-2737
Photo of Kelly Binder - Trauma Transformation Therapy, Registered Psychotherapist in London, ON
Kelly Binder - Trauma Transformation Therapy
Registered Psychotherapist, MA, MEd, RP, SEP, CCC
Verified Verified
London, ON N6H  (Online Only)
Not accepting new clients
Kelly Binder is the owner of Trauma Transformation Therapy. Her passion is to work collaboratively and compassionately with adults to create the conditions needed to support their nervous system’s ability to renegotiate and release trauma from the body. Her joy is bearing witness to her clients’ increased capacity to gradually be with and integrate their experience of trauma (e.g., thoughts, emotions, sensations, etc.) and rebalance their nervous system; thus, restoring vitality and aliveness so they can lead more fulfilling and meaningful lives.
Kelly Binder is the owner of Trauma Transformation Therapy. Her passion is to work collaboratively and compassionately with adults to create the conditions needed to support their nervous system’s ability to renegotiate and release trauma from the body. Her joy is bearing witness to her clients’ increased capacity to gradually be with and integrate their experience of trauma (e.g., thoughts, emotions, sensations, etc.) and rebalance their nervous system; thus, restoring vitality and aliveness so they can lead more fulfilling and meaningful lives.
(226) 270-5341 View (226) 270-5341
Photo of Jennifer Price Neeb, Registered Psychotherapist in London, ON
Jennifer Price Neeb
Registered Psychotherapist, MACP, RP
Verified Verified
5 Endorsed
London, ON N6B  (Online Only)
Are you feeling like your emotions are getting the better of you too often? Maybe you know the root cause or maybe you are confused about all the ups and downs you are experiencing. When big feelings start to impact your wellbeing, relationships and the quality of your day to day, it can be reassuring to know that there is a lot you can do to feel in charge of yourself again.
Are you feeling like your emotions are getting the better of you too often? Maybe you know the root cause or maybe you are confused about all the ups and downs you are experiencing. When big feelings start to impact your wellbeing, relationships and the quality of your day to day, it can be reassuring to know that there is a lot you can do to feel in charge of yourself again.
(548) 490-0345 View (548) 490-0345
Photo of Carrier Counselling & Consulting, Registered Social Worker in London, ON
Carrier Counselling & Consulting
Registered Social Worker, RSW
Verified Verified
London, ON N6C
Life can be challenging and the pressure of managing life stressors can often feel overwhelming. So whether you are juggling life stressors, managing anxiety or depression, or navigating the impact of trauma I am here to help you through your journey. My priority is to create a safe, non-judgemental and trusting space. I believe that people are experts in their own lives, that with a client-centred and collaborative approach, I help you move forward on your journey of healing and growth. I am accepting new clients, either in person or virtually.
Life can be challenging and the pressure of managing life stressors can often feel overwhelming. So whether you are juggling life stressors, managing anxiety or depression, or navigating the impact of trauma I am here to help you through your journey. My priority is to create a safe, non-judgemental and trusting space. I believe that people are experts in their own lives, that with a client-centred and collaborative approach, I help you move forward on your journey of healing and growth. I am accepting new clients, either in person or virtually.
(226) 240-1428 View (226) 240-1428
Photo of Olivia Grigg, Registered Social Worker in London, ON
Olivia Grigg
Registered Social Worker, RSW, BSW
Verified Verified
8 Endorsed
London, ON N6B
Do you want to feel more confident and trust in yourself more? Are you feeling a sense of overwhelm as a parent? Have you been on a path of reconsidering your faith and belief systems you have been a part of? Do you want compassionate, gentle, and practical support on your journey to self love?
Do you want to feel more confident and trust in yourself more? Are you feeling a sense of overwhelm as a parent? Have you been on a path of reconsidering your faith and belief systems you have been a part of? Do you want compassionate, gentle, and practical support on your journey to self love?
(226) 779-7411 View (226) 779-7411
Photo of Ashley Amicarelli, Registered Psychotherapist in London, ON
Ashley Amicarelli
Registered Psychotherapist, MA, RP
Verified Verified
4 Endorsed
London, ON N6B
I believe that every person has the innate ability to cope with the challenges in their lives, but sometimes experiences from the past make it difficult to tap into these abilities. I help folks who have experienced trauma or other overwhelming life stressors discover their inner strength and resiliency. When you are feeling stuck or disconnected from the life you want to lead, I hope to bring my warm presence, empathy, and genuine curiosity to help close the gap between where you are and where you want to be.
I believe that every person has the innate ability to cope with the challenges in their lives, but sometimes experiences from the past make it difficult to tap into these abilities. I help folks who have experienced trauma or other overwhelming life stressors discover their inner strength and resiliency. When you are feeling stuck or disconnected from the life you want to lead, I hope to bring my warm presence, empathy, and genuine curiosity to help close the gap between where you are and where you want to be.
(226) 639-5248 View (226) 639-5248
Photo of Jacqueline Northmore , Registered Psychotherapist in London, ON
Jacqueline Northmore
Registered Psychotherapist, RP, RSSW
Verified Verified
4 Endorsed
London, ON N6A
Want to feel better but worried about the cost? I'm offering free, individual, single sessions on Tuesday evenings and Wednesday mornings. Please email me to schedule your appointment and begin your journey to well-being. In our sessions, we'll create a safe and supportive space for you to explore your emotions and experiences openly. I tailor my approach to your unique needs, using evidence-based techniques and mindfulness practices to help you achieve lasting change.
Want to feel better but worried about the cost? I'm offering free, individual, single sessions on Tuesday evenings and Wednesday mornings. Please email me to schedule your appointment and begin your journey to well-being. In our sessions, we'll create a safe and supportive space for you to explore your emotions and experiences openly. I tailor my approach to your unique needs, using evidence-based techniques and mindfulness practices to help you achieve lasting change.
(548) 490-3873 View (548) 490-3873
Photo of Mary Walton, Registered Psychotherapist in London, ON
Mary Walton
Registered Psychotherapist, MA, RP
Verified Verified
London, ON N6C  (Online Only)
Not accepting new clients
Hey! Welcome! Just in looking at your options on Psychology today, you've taken the first step in figuring out... well, your next steps! Life can be really overwhelming sometimes, and even just sourcing where that overwhelm comes from can be a challenge. Whether its tough stuff you've had to go through, a person in your life causing pain, or worry about the future, I want to help you process these experiences and develop concrete strategies to step into tomorrow with hope, positivity, and purpose. Please note that I only work virtually at this time (phone or video services).
Hey! Welcome! Just in looking at your options on Psychology today, you've taken the first step in figuring out... well, your next steps! Life can be really overwhelming sometimes, and even just sourcing where that overwhelm comes from can be a challenge. Whether its tough stuff you've had to go through, a person in your life causing pain, or worry about the future, I want to help you process these experiences and develop concrete strategies to step into tomorrow with hope, positivity, and purpose. Please note that I only work virtually at this time (phone or video services).
(226) 639-5536 View (226) 639-5536
Photo of James Das, Registered Psychotherapist (Qualifying) in London, ON
James Das
Registered Psychotherapist (Qualifying), MA
Verified Verified
2 Endorsed
London, ON N6P
Life often unfolds with unexpected moments that can feel overwhelming, leaving us wondering how to navigate them. The daily routines and habits we fall into can become burdens, weighing us down. If you've ever found yourself saying things like, "I'm stuck, and I don't know what to do" or, "I don't know how I can make it through this," I want you to know that you are not alone. I know first-hand that therapy can be intimidating. Opening up and sharing your experiences and beliefs with someone you've just met can feel like a daunting task. I want to encourage you. even if therapy feels like it will be challenging, it is worth it.
Life often unfolds with unexpected moments that can feel overwhelming, leaving us wondering how to navigate them. The daily routines and habits we fall into can become burdens, weighing us down. If you've ever found yourself saying things like, "I'm stuck, and I don't know what to do" or, "I don't know how I can make it through this," I want you to know that you are not alone. I know first-hand that therapy can be intimidating. Opening up and sharing your experiences and beliefs with someone you've just met can feel like a daunting task. I want to encourage you. even if therapy feels like it will be challenging, it is worth it.
(226) 640-5322 View (226) 640-5322
Photo of Rachel Iris Grant, Registered Social Worker in London, ON
Rachel Iris Grant
Registered Social Worker, MSW, RSW
Verified Verified
London, ON N6A  (Online Only)
Welcome to Balance Self-Care,I’m glad you have taken the first step in getting support. Whether you or a loved one are grappling with a life-changing event, looking to process the past or really just focusing on the future and how to gaining helpful tools in your back-pocket, I am here. Remember, reaching out is the first step to regaining your mental health and vitality back. For so many, it's not one thing that happened, but several trajectory changes that piled one on top of another.
Welcome to Balance Self-Care,I’m glad you have taken the first step in getting support. Whether you or a loved one are grappling with a life-changing event, looking to process the past or really just focusing on the future and how to gaining helpful tools in your back-pocket, I am here. Remember, reaching out is the first step to regaining your mental health and vitality back. For so many, it's not one thing that happened, but several trajectory changes that piled one on top of another.
(226) 457-0219 View (226) 457-0219
Photo of Gian Kris Caliao in London, ON
Gian Kris Caliao
BScN, RN, CNP(Q)
Verified Verified
London, ON N5W
Through life's traumas, struggles, and injustices, our image gets slowly distorted. Our cups are emptied. We start to believe in lies and build strongholds. Anxiety and depression take control of us. Daily, we seek things that will "fill" our cups, but we can't... at least, not with our own strength; so instead, we build walls and we isolate. Let's change that narrative!
Through life's traumas, struggles, and injustices, our image gets slowly distorted. Our cups are emptied. We start to believe in lies and build strongholds. Anxiety and depression take control of us. Daily, we seek things that will "fill" our cups, but we can't... at least, not with our own strength; so instead, we build walls and we isolate. Let's change that narrative!
(226) 774-0673 View (226) 774-0673
Photo of Innerharmony-Counselling, Registered Social Worker in London, ON
Innerharmony-Counselling
Registered Social Worker
Verified Verified
London, ON N5W  (Online Only)
Difficult emotions, unresolved experiences and life challenges are often a way of telling us something. Stop. Slow down. They also provide a sacred opportunity to connect with your values, needs, inner wisdom and understanding of the self. In our work together, compassion, curiosity, empowerment and reflection are used to provide an opportunity where you can feel safe, heard and understood. I use a blend of therapeutic modalities to best fit your therapeutic needs.
Difficult emotions, unresolved experiences and life challenges are often a way of telling us something. Stop. Slow down. They also provide a sacred opportunity to connect with your values, needs, inner wisdom and understanding of the self. In our work together, compassion, curiosity, empowerment and reflection are used to provide an opportunity where you can feel safe, heard and understood. I use a blend of therapeutic modalities to best fit your therapeutic needs.
(226) 779-7387 View (226) 779-7387
Photo of Patti Broadfoot - Inner Sojourn Counselling, Counsellor in London, ON
Patti Broadfoot - Inner Sojourn Counselling
Counsellor, BSW, RSW
Verified Verified
4 Endorsed
London, ON N6M
Life can be hard, and it's okay to admit that you're struggling and needing support. If you're feeling overwhelmed by grief or loss, facing the profound challenges of serious illness, battling anxiety, or experiencing burnout from the pressures of daily life, know that you don't have to face it alone. You deserve a safe space where you can express your emotions, confront your fears, and rebuild a sense of hope and resilience. It's time to heal, grow, and find meaning amidst the hurt and pain. Let me help you find that safe space and begin your journey toward a brighter tomorrow.
Life can be hard, and it's okay to admit that you're struggling and needing support. If you're feeling overwhelmed by grief or loss, facing the profound challenges of serious illness, battling anxiety, or experiencing burnout from the pressures of daily life, know that you don't have to face it alone. You deserve a safe space where you can express your emotions, confront your fears, and rebuild a sense of hope and resilience. It's time to heal, grow, and find meaning amidst the hurt and pain. Let me help you find that safe space and begin your journey toward a brighter tomorrow.
(226) 242-9587 View (226) 242-9587
Photo of Dr. Sherin Hussien, Registered Social Worker in London, ON
Dr. Sherin Hussien
Registered Social Worker, PhD, MSW, RSW
Verified Verified
1 Endorsed
London, ON N6H  (Online Only)
I am a trauma informed therapist, and work primarily with individuals who are newcomers and refugees in settlement sector, on a wide variety of issues, including the following: Depression, Anxiety, Relationship challenges and problems (ex. marriage counseling), Self-esteem and identity challenges, Parenting issues and intergenerational conflict, Trauma impacts, Transitions to Canada resource building, and Support networking. My therapeutic approach is centered around building a therapeutic relationship where you feel seen, heard, valued, and trusted.
I am a trauma informed therapist, and work primarily with individuals who are newcomers and refugees in settlement sector, on a wide variety of issues, including the following: Depression, Anxiety, Relationship challenges and problems (ex. marriage counseling), Self-esteem and identity challenges, Parenting issues and intergenerational conflict, Trauma impacts, Transitions to Canada resource building, and Support networking. My therapeutic approach is centered around building a therapeutic relationship where you feel seen, heard, valued, and trusted.
(226) 773-9266 View (226) 773-9266

See more therapy options for London

How does your Counsellor compare?

Number of Counsellors in London, ON

800+

Average cost per session

$150

Counsellors in London, ON who prioritize treating:

94% Anxiety
87% Depression
82% Self Esteem
81% Stress
80% Relationship Issues
77% Coping Skills
70% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

60% Green Shield Canada
53% Manulife
51% SunLife

How Counsellors in London, ON see their clients

65% In Person and Online
35% Online Only

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in London?

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.