Therapists in Ottawa, ON

Photo of Mubuntu Counselling and Consulting Services, Registered Social Worker in Ottawa, ON
Mubuntu Counselling and Consulting Services
Registered Social Worker, BA, BSW MSW, RSW
Verified Verified
Ottawa, ON K2P
I have been working with clients for 25 years on various issues such as gender based violence, racism, addictions and mental health. I have extensive knowledge on compassion fatigue, self -care and building resilience. I have supervised both undergraduate and Masters students from different post secondary institutions. I work collaboratively with individuals in therapy. Since you're the expert of your life, I believe my role as your therapist is to support you as you explore and navigate your healing journey.
I have been working with clients for 25 years on various issues such as gender based violence, racism, addictions and mental health. I have extensive knowledge on compassion fatigue, self -care and building resilience. I have supervised both undergraduate and Masters students from different post secondary institutions. I work collaboratively with individuals in therapy. Since you're the expert of your life, I believe my role as your therapist is to support you as you explore and navigate your healing journey.
(343) 500-6432 View (343) 500-6432
Photo of ADHD Therapy for Young Adults - Sarah Guy, Registered Psychotherapist (Qualifying) in Ottawa, ON
ADHD Therapy for Young Adults - Sarah Guy
Registered Psychotherapist (Qualifying), RP(Q), BA
Verified Verified
1 Endorsed
Ottawa, ON K0A
Accepting new clients! - Having navigated the challenges of ADHD myself, I truly understand how crucial it is to have someone you can connect with genuinely. Life, with its whirlwind of distractions and overwhelming moments, can be even more complex when ADHD is in the mix. Whether you're dealing with daily struggles specific to ADHD or bigger life events, I've got your back. Let's collaborate and transform these challenges into stepping stones. Together, we can build a path towards a more focused, peaceful, and empowered life. Remember, you're not in this journey alone.
Accepting new clients! - Having navigated the challenges of ADHD myself, I truly understand how crucial it is to have someone you can connect with genuinely. Life, with its whirlwind of distractions and overwhelming moments, can be even more complex when ADHD is in the mix. Whether you're dealing with daily struggles specific to ADHD or bigger life events, I've got your back. Let's collaborate and transform these challenges into stepping stones. Together, we can build a path towards a more focused, peaceful, and empowered life. Remember, you're not in this journey alone.
(343) 342-1237 View (343) 342-1237
Photo of Echo MacLeod, Registered Psychotherapist (Qualifying) in Ottawa, ON
Echo MacLeod
Registered Psychotherapist (Qualifying), MA
Verified Verified
Ottawa, ON K2E
Embark on a journey to mental well-being with personalized counseling designed just for you. Fluent in Mandarin and Cantonese, I offer a supportive space crafted for individuals in the vibrant Asian-Canadian community. Drawing on over three decades of expertise across diverse industries and countries, I provide seasoned guidance for navigating life's challenges. Driven by genuine passion and enthusiasm for your well-being, I invite you to experience transformative, culturally sensitive psychotherapy. Take the first step towards holistic healing and self-discovery—schedule your session today. Your path to well-being begins here.
Embark on a journey to mental well-being with personalized counseling designed just for you. Fluent in Mandarin and Cantonese, I offer a supportive space crafted for individuals in the vibrant Asian-Canadian community. Drawing on over three decades of expertise across diverse industries and countries, I provide seasoned guidance for navigating life's challenges. Driven by genuine passion and enthusiasm for your well-being, I invite you to experience transformative, culturally sensitive psychotherapy. Take the first step towards holistic healing and self-discovery—schedule your session today. Your path to well-being begins here.
(343) 304-6116 View (343) 304-6116
Photo of Helene Belanger, Pre-Licensed Professional in Ottawa, ON
Helene Belanger
Pre-Licensed Professional, BBA
Verified Verified
Ottawa, ON K1K
Waitlist for new clients
Are you experiencing a period of life transition? Of indecision raising inner tensions? Are you looking to regain energy? Or interested in understanding patterns underlying your life? What if underneath day to day challenges lies an opportunity to understand yourself better? As we go through life, we must adapt to the demands of our environment, sometimes at the expense of our innate nature. This phenomenon may result in developing discomforts (such as anxiety and depression). Exploring the psyche provides an opportunity to re-enter into relation with all the aspects of our psyche, towards harmony with oneself and others.
Are you experiencing a period of life transition? Of indecision raising inner tensions? Are you looking to regain energy? Or interested in understanding patterns underlying your life? What if underneath day to day challenges lies an opportunity to understand yourself better? As we go through life, we must adapt to the demands of our environment, sometimes at the expense of our innate nature. This phenomenon may result in developing discomforts (such as anxiety and depression). Exploring the psyche provides an opportunity to re-enter into relation with all the aspects of our psyche, towards harmony with oneself and others.
(613) 777-5437 View (613) 777-5437
Photo of Lisa Robinson-Rogers, Registered Psychotherapist (Qualifying) in Ottawa, ON
Lisa Robinson-Rogers
Registered Psychotherapist (Qualifying)
Verified Verified
5 Endorsed
Ottawa, ON K2C
While this may not resonate with you yet, I know that you are worthy and deserving of support. I believe that each person is valuable and has a story to tell, given their own unique set of values, beliefs, and experiences. By creating an atmosphere of trust, understanding, and acceptance, I strive to empower individuals to take control of their own life journey. I am passionate about helping those in need discover their own way to emotional wellness.
While this may not resonate with you yet, I know that you are worthy and deserving of support. I believe that each person is valuable and has a story to tell, given their own unique set of values, beliefs, and experiences. By creating an atmosphere of trust, understanding, and acceptance, I strive to empower individuals to take control of their own life journey. I am passionate about helping those in need discover their own way to emotional wellness.
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Photo of Annie Dori, Registered Psychotherapist (Qualifying) in Ottawa, ON
Annie Dori
Registered Psychotherapist (Qualifying), MA
Verified Verified
Ottawa, ON K1C
If you are feeling stressed, questioning your life purpose, spirituality, sexual orientation, or life changes, getting married, moving in with someone, or struggling within your couple or other family challenges, you have come to the right place.
If you are feeling stressed, questioning your life purpose, spirituality, sexual orientation, or life changes, getting married, moving in with someone, or struggling within your couple or other family challenges, you have come to the right place.
(343) 303-6891 View (343) 303-6891
Photo of Anxiety Therapy for Women - Caitlin Bailer, Registered Psychotherapist (Qualifying) in Ottawa, ON
Anxiety Therapy for Women - Caitlin Bailer
Registered Psychotherapist (Qualifying)
Verified Verified
1 Endorsed
Ottawa, ON K1K
Accepting new clients! If you're a woman dealing with anxiety, I'm here to help. As someone who has been to therapy myself, I know how important it is to have someone you can talk to and trust with your daily worries and challenges. No matter what you're going through, whether it's a lot of things at once or something really big that's got you feeling swamped, I'm here to support you. We can team up to change these tough times into opportunities for growth, moving you towards a life filled with peace and strength.
Accepting new clients! If you're a woman dealing with anxiety, I'm here to help. As someone who has been to therapy myself, I know how important it is to have someone you can talk to and trust with your daily worries and challenges. No matter what you're going through, whether it's a lot of things at once or something really big that's got you feeling swamped, I'm here to support you. We can team up to change these tough times into opportunities for growth, moving you towards a life filled with peace and strength.
(249) 505-0795 View (249) 505-0795
Photo of Chantal Brière, Registered Social Worker in Ottawa, ON
Chantal Brière
Registered Social Worker, MSW, RSW, CYC
Verified Verified
2 Endorsed
Ottawa, ON K0A
I am here to support you in navigating the challenges you face by providing a confidential space to talk, explore, and learn new coping strategies. Therapy is an excellent tool that allows us to discuss topics we might not feel ready to talk about with others. I approach all client relationships from a strengths-based lens with the aim of helping you in tangible ways. I build real relationships with my clients with a foundation of trust and security, moving you toward where you want to be in life. I am passionate about supporting individuals, couples, and families in feeling stable, heard, and cared for.
I am here to support you in navigating the challenges you face by providing a confidential space to talk, explore, and learn new coping strategies. Therapy is an excellent tool that allows us to discuss topics we might not feel ready to talk about with others. I approach all client relationships from a strengths-based lens with the aim of helping you in tangible ways. I build real relationships with my clients with a foundation of trust and security, moving you toward where you want to be in life. I am passionate about supporting individuals, couples, and families in feeling stable, heard, and cared for.
(343) 338-3142 View (343) 338-3142
Photo of Doro Yip, Registered Psychotherapist (Qualifying) in Ottawa, ON
Doro Yip
Registered Psychotherapist (Qualifying), MEd
Verified Verified
1 Endorsed
Ottawa, ON K2P
The stories that we hold about ourselves and others, and the stories the world says about us, all shape who we are and what we do. I focus on helping clients make sense of these stories, which is informed by narrative and social justice principles, and my own lived experience as a racialized queer first-generation immigrant. Some common clinical issues I treat include anxiety, depression, trauma, relationship issues, identity exploration, and stress management. I also specialize in supporting individuals with sexuality and gender identity concerns and BIPOC mental health.
The stories that we hold about ourselves and others, and the stories the world says about us, all shape who we are and what we do. I focus on helping clients make sense of these stories, which is informed by narrative and social justice principles, and my own lived experience as a racialized queer first-generation immigrant. Some common clinical issues I treat include anxiety, depression, trauma, relationship issues, identity exploration, and stress management. I also specialize in supporting individuals with sexuality and gender identity concerns and BIPOC mental health.
(343) 801-1449 View (343) 801-1449
Photo of Breanna Pizzuto, Registered Psychotherapist (Qualifying) in Ottawa, ON
Breanna Pizzuto
Registered Psychotherapist (Qualifying), BHSc , BAPsych, MACP
Verified Verified
4 Endorsed
Ottawa, ON K2G
Waitlist for new clients
Are you facing grief, anxiety, communication challenges, or difficulty with setting boundaries? Do you find it hard to stick to consistent habits, find fulfilment in your work or relationships, or feel down or stuck often? Maybe some of your goals include processing life's challenges, unpacking your feelings, learning new coping strategies, or having a space in your week to feel heard and take an hour just for you. I walk alongside my clients who are looking to better manage their anxiety, work on self-acceptance, live more authentically and process loss.
Are you facing grief, anxiety, communication challenges, or difficulty with setting boundaries? Do you find it hard to stick to consistent habits, find fulfilment in your work or relationships, or feel down or stuck often? Maybe some of your goals include processing life's challenges, unpacking your feelings, learning new coping strategies, or having a space in your week to feel heard and take an hour just for you. I walk alongside my clients who are looking to better manage their anxiety, work on self-acceptance, live more authentically and process loss.
(343) 321-0895 View (343) 321-0895
Photo of Alisia Toniello, Registered Psychotherapist in Ottawa, ON
Alisia Toniello
Registered Psychotherapist, MACP
Verified Verified
Ottawa, ON K2E
Not accepting new clients
Therapy can benefit anyone with any type of issue or concern. There are times when we need another perspective or an objective space to talk through some issues. These problems can be big or small, simple or complex, but in the end it affects us all the same. This includes anxiety, depression, stress, trauma, interpersonal problems, concerns about the future, or existential questions or concerns. We can work collaboratively to outline your goals and desired outcome and work through these issues through an integrative lens that puts you and your needs first.
Therapy can benefit anyone with any type of issue or concern. There are times when we need another perspective or an objective space to talk through some issues. These problems can be big or small, simple or complex, but in the end it affects us all the same. This includes anxiety, depression, stress, trauma, interpersonal problems, concerns about the future, or existential questions or concerns. We can work collaboratively to outline your goals and desired outcome and work through these issues through an integrative lens that puts you and your needs first.
(613) 702-8189 View (613) 702-8189
Photo of Nisrine Abdel Samad, Registered Social Worker in Ottawa, ON
Nisrine Abdel Samad
Registered Social Worker, MSW, BSW, RSW
Verified Verified
2 Endorsed
Ottawa, ON K1B  (Online Only)
Not accepting new clients
Welcome to my practice! I am a dedicated registered social worker and clinical counselor committed to fostering positive change in individuals. I bring a comprehensive approach to supporting individuals facing various challenges in their lives. My passion lies in empowering others to navigate through difficulties, develop resilience, and ultimately lead fulfilling lives. I believe in the inherent worth and dignity of every individual, regardless of their circumstances.
Welcome to my practice! I am a dedicated registered social worker and clinical counselor committed to fostering positive change in individuals. I bring a comprehensive approach to supporting individuals facing various challenges in their lives. My passion lies in empowering others to navigate through difficulties, develop resilience, and ultimately lead fulfilling lives. I believe in the inherent worth and dignity of every individual, regardless of their circumstances.
(343) 312-9851 View (343) 312-9851
Photo of Véronique Livermore, Registered Psychotherapist in Ottawa, ON
Véronique Livermore
Registered Psychotherapist, MEd, RP, CCC
Verified Verified
1 Endorsed
Ottawa, ON K2J
Waitlist for new clients
I see individuals in therapy for a variety of concerns such as: adult ADHD, anxiety, relationship issues, family dynamics, parenting, self-esteem & climate anxiety. In sessions, I aim to provide a safe, compassionate, non-judgemental space where you can explore your feelings, thoughts, and behaviours at your own pace. I help clients gain clarity about the challenges they are facing, find a healthy sense of balance, and learn strategies to cope more effectively. I like to collaboratively approach problems and help clients find creative solutions that fit their values.
I see individuals in therapy for a variety of concerns such as: adult ADHD, anxiety, relationship issues, family dynamics, parenting, self-esteem & climate anxiety. In sessions, I aim to provide a safe, compassionate, non-judgemental space where you can explore your feelings, thoughts, and behaviours at your own pace. I help clients gain clarity about the challenges they are facing, find a healthy sense of balance, and learn strategies to cope more effectively. I like to collaboratively approach problems and help clients find creative solutions that fit their values.
(343) 341-4030 View (343) 341-4030
Photo of Myriam L Hernandez, Registered Psychotherapist in Ottawa, ON
Myriam L Hernandez
Registered Psychotherapist, MA, RP
Verified Verified
Ottawa, ON K2P
You are not alone in this journey. I am here to support you whether you are suffering from anxiety or depression, facing relationship issues, wanting to explore who you truly are, or finding meaning in life, in a safe and non-judgemental way. I offer a genuine and warm integrative approach that combines different therapies to support you in ​exploring past or present experiences that are affecting your life and addressing current symptoms.
You are not alone in this journey. I am here to support you whether you are suffering from anxiety or depression, facing relationship issues, wanting to explore who you truly are, or finding meaning in life, in a safe and non-judgemental way. I offer a genuine and warm integrative approach that combines different therapies to support you in ​exploring past or present experiences that are affecting your life and addressing current symptoms.
(819) 412-6615 View (819) 412-6615
Photo of Sameen Salim, Registered Psychotherapist in Ottawa, ON
Sameen Salim
Registered Psychotherapist, MA, RP, LCT
Verified Verified
2 Endorsed
Ottawa, ON K1P  (Online Only)
I am a Registered Psychotherapist with the College of Registered Psychotherapists of Ontario (CRPO) and a Licensed Counselling Therapist with the College of Licensed Counselling Therapists of New Brunswick (CCTNB). Through working in community settings, I have gained experience working with a diverse clientele, presenting many different concerns (such as anxiety, depression, trauma, gender-based violence, etc.).
I am a Registered Psychotherapist with the College of Registered Psychotherapists of Ontario (CRPO) and a Licensed Counselling Therapist with the College of Licensed Counselling Therapists of New Brunswick (CCTNB). Through working in community settings, I have gained experience working with a diverse clientele, presenting many different concerns (such as anxiety, depression, trauma, gender-based violence, etc.).
(343) 801-1801 View (343) 801-1801
Photo of Jennifer Goodfellow, Registered Psychotherapist in Ottawa, ON
Jennifer Goodfellow
Registered Psychotherapist, RN, RP (Q)
Verified Verified
1 Endorsed
Ottawa, ON K2P  (Online Only)
Do your negative thoughts, worries and self-judgment weigh you down and interfere with your daily activities and relationships? Do you find yourself feeling overwhelmed, like life is too much to handle? You are not alone. I am here to listen and help you explore your emotions and thoughts. Overwhelm, anxiety, and stress can leave you feeling lonely, exhausted, and stuck but it doesn’t have to be that way.
Do your negative thoughts, worries and self-judgment weigh you down and interfere with your daily activities and relationships? Do you find yourself feeling overwhelmed, like life is too much to handle? You are not alone. I am here to listen and help you explore your emotions and thoughts. Overwhelm, anxiety, and stress can leave you feeling lonely, exhausted, and stuck but it doesn’t have to be that way.
(365) 649-1657 View (365) 649-1657
Photo of Maz counselling and Psychotherapy Center, Registered Psychotherapist in Ottawa, ON
Maz counselling and Psychotherapy Center
Registered Psychotherapist, CRPO, RP, CCPA
Verified Verified
1 Endorsed
Ottawa, ON K1S  (Online Only)
**ACCEPTING NEW CLIENTS & COVERED BY MOST INSURANCES** I am also a CLINICAL SUPERVISOR, and I accept new supervisees. Choosing the right therapist is an important decision in order for you to make real progress in counselling. I offers a safe, non-judgmental and supportive counselling environment that focuses on addressing your needs and achieving your objectives. I strongly believe that the best way to succeed in therapy is for us to work together as a team. Once trust is established, we will be able to work together to address your areas of concerns and find solutions that will help you realize your goals and dreams.
**ACCEPTING NEW CLIENTS & COVERED BY MOST INSURANCES** I am also a CLINICAL SUPERVISOR, and I accept new supervisees. Choosing the right therapist is an important decision in order for you to make real progress in counselling. I offers a safe, non-judgmental and supportive counselling environment that focuses on addressing your needs and achieving your objectives. I strongly believe that the best way to succeed in therapy is for us to work together as a team. Once trust is established, we will be able to work together to address your areas of concerns and find solutions that will help you realize your goals and dreams.
(613) 800-6200 View (613) 800-6200
Photo of Siobhan Laura Nearey, Registered Psychotherapist in Ottawa, ON
Siobhan Laura Nearey
Registered Psychotherapist, MEd, CCC, RP
Verified Verified
1 Endorsed
Ottawa, ON K1V
Not accepting new clients
Stressed? Overwhelmed? Burnt out? Struggling to make sense of the world? Trying to figure out where you fit in? I take a radically compassionate approach to supporting folks who are trying to navigate the complexities of life today.
Stressed? Overwhelmed? Burnt out? Struggling to make sense of the world? Trying to figure out where you fit in? I take a radically compassionate approach to supporting folks who are trying to navigate the complexities of life today.
(613) 209-5210 View (613) 209-5210
Photo of Faisa Omer, Registered Psychotherapist in Ottawa, ON
Faisa Omer
Registered Psychotherapist
Verified Verified
Ottawa, ON K1T  (Online Only)
Faisa’s background in Neuroscience coupled with counselling has given her understanding on how trauma and stress effect the brain. She also has a passion providing counselling at-risk youth through her time working with the legal system and school systems.
Faisa’s background in Neuroscience coupled with counselling has given her understanding on how trauma and stress effect the brain. She also has a passion providing counselling at-risk youth through her time working with the legal system and school systems.
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Photo of Rania Oustad- Blissful Balance Counselling, Registered Psychotherapist in Ottawa, ON
Rania Oustad- Blissful Balance Counselling
Registered Psychotherapist, MA, RP
Verified Verified
3 Endorsed
Ottawa, ON K2P  (Online Only)
Currently accepting clients! Are you experiencing low mood, high stress, conflict in your relationships, and/or low self-esteem? I want to assure you that you are not alone. As a Registered Psychotherapist, my job is to help you navigate these difficult times through the use of evidence-based approaches. I believe every client has their individual set of strengths, and together we will work to highlight and incorporate them into the treatment plan.
Currently accepting clients! Are you experiencing low mood, high stress, conflict in your relationships, and/or low self-esteem? I want to assure you that you are not alone. As a Registered Psychotherapist, my job is to help you navigate these difficult times through the use of evidence-based approaches. I believe every client has their individual set of strengths, and together we will work to highlight and incorporate them into the treatment plan.
(343) 306-0467 View (343) 306-0467

See more therapy options for Ottawa

How does your Counsellor compare?

Number of Counsellors in Ottawa, ON

2,000+

Average cost per session

$160

Counsellors in Ottawa, ON who prioritize treating:

94% Anxiety
87% Depression
84% Self Esteem
81% Stress
80% Relationship Issues
73% Coping Skills
70% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

62% SunLife
57% Canada Life | Great-West Life
54% Manulife

How Counsellors in Ottawa, ON see their clients

58% In Person and Online
42% Online Only

Gender breakdown

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

How can I find a therapist in Ottawa?

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.