Therapists 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.
Holistic Wellness Therapies
Psychologist, MA, MSW, CPsych
Verified Verified
1 Endorsed
Ottawa, ON K1C
We are a team of dedicated & experienced Social Workers and Psychologists. If you are feeling lost, confused, unlike yourself, or simply want to understand yourself - we've got you covered. As a parent, if you are having difficulties with understanding your Childs emotions or behaviours, our highly experienced social worker can support you on your parenting journey. Our therapists help a variety of concerns including grief, depression, anxiety, OCD, burnout, stress, life transitions, parenting, identity, spirituality and so much more. We also offer psychological assessments and psychoeducational assessments. We are here to support!
We are a team of dedicated & experienced Social Workers and Psychologists. If you are feeling lost, confused, unlike yourself, or simply want to understand yourself - we've got you covered. As a parent, if you are having difficulties with understanding your Childs emotions or behaviours, our highly experienced social worker can support you on your parenting journey. Our therapists help a variety of concerns including grief, depression, anxiety, OCD, burnout, stress, life transitions, parenting, identity, spirituality and so much more. We also offer psychological assessments and psychoeducational assessments. We are here to support!
Amber Kaupert
Registered Psychotherapist (Qualifying), MACP
Verified Verified
1 Endorsed
Ottawa, ON K2H (Online Only)
Not accepting new clients
I am a Registered Psychotherapist (Qualifying) offering psychotherapy and counselling services in private practice for individuals 18 years and older. I support individuals in the following areas of anxiety, stress management, grief and loss, low mood/depression, life transitions, and self-esteem.
I am a Registered Psychotherapist (Qualifying) offering psychotherapy and counselling services in private practice for individuals 18 years and older. I support individuals in the following areas of anxiety, stress management, grief and loss, low mood/depression, life transitions, and self-esteem.
Mariam Hanna
Registered Psychotherapist, BA, MA, RP
Verified Verified
Ottawa, ON K1G
I believe that in life we all need a non-judgmental & supportive space where we can feel safe and understood. If you've been feeling "stuck" or you've been through a big life transition or you've been experiencing a lot of stress, I am passionate about providing a safe space for you to be your authentic self and work through life's complexities. I provide a place for you to heal from the pains of the past & present, discover meaning in the world around you, and gain the effective coping mechanism you need for your every day challenges. I have experience working with young professionals and assisting them in their life transitions.
I believe that in life we all need a non-judgmental & supportive space where we can feel safe and understood. If you've been feeling "stuck" or you've been through a big life transition or you've been experiencing a lot of stress, I am passionate about providing a safe space for you to be your authentic self and work through life's complexities. I provide a place for you to heal from the pains of the past & present, discover meaning in the world around you, and gain the effective coping mechanism you need for your every day challenges. I have experience working with young professionals and assisting them in their life transitions.
Sonia Maisonneuve
Drug & Alcohol Counsellor, ICADC, CSAT
Verified Verified
Ottawa, ON K1M
Not accepting new clients
I'm one of the few therapists in Ottawa that is a certified Sex Addiction Therapist trained by the foremost leader in the field, Dr. Patrick Carnes. The people that come into my office are addicts, partners of addicts, couples and family members who are suffering from the consequences of addictions (sex and/or love addiction, drugs, alcohol and process addictions which sometimes interact with one another or are combined). Clients often feel despair, having lost their integrity and direction in life. J'offre aussi mes services en francais.
I'm one of the few therapists in Ottawa that is a certified Sex Addiction Therapist trained by the foremost leader in the field, Dr. Patrick Carnes. The people that come into my office are addicts, partners of addicts, couples and family members who are suffering from the consequences of addictions (sex and/or love addiction, drugs, alcohol and process addictions which sometimes interact with one another or are combined). Clients often feel despair, having lost their integrity and direction in life. J'offre aussi mes services en francais.
Kim Cluff
Registered Psychotherapist, MEd, RP
Verified Verified
2 Endorsed
Ottawa, ON K2M
Hi, I'm Kim. I have worked with people across the age span, individually and in families, for the past few decades. I am currently working with people who are interested in finding ways to better cope with strong emotions, complex trauma, mood disorders and building stronger connections in their relationships. I have a long history of working with children, teenagers and young adults in particular and am often described as conversational, humorous and creative in my approach. I believe in being transparent, flexible, nonjudgmental and creating safe spaces where people feel heard and connected.
Hi, I'm Kim. I have worked with people across the age span, individually and in families, for the past few decades. I am currently working with people who are interested in finding ways to better cope with strong emotions, complex trauma, mood disorders and building stronger connections in their relationships. I have a long history of working with children, teenagers and young adults in particular and am often described as conversational, humorous and creative in my approach. I believe in being transparent, flexible, nonjudgmental and creating safe spaces where people feel heard and connected.
Elisabeth Foreman
Registered Psychotherapist, MEd
Verified Verified
9 Endorsed
Ottawa, ON K1S
Not accepting new clients
I will provide empathic listening while helping you explore your feelings and concerns at a pace that is right for you. Speaking to a therapist often makes us feel vulnerable. It is important for me that you feel safe and heard in our sessions so that we can build a therapeutic relationship that promotes growth. Together we can establish goals, unpack your strengths, and develop greater self-compassion with the aim of fostering positive change.
I will provide empathic listening while helping you explore your feelings and concerns at a pace that is right for you. Speaking to a therapist often makes us feel vulnerable. It is important for me that you feel safe and heard in our sessions so that we can build a therapeutic relationship that promotes growth. Together we can establish goals, unpack your strengths, and develop greater self-compassion with the aim of fostering positive change.
Maya Phansalker-Davies
Registered Psychotherapist, MACP, RP
Verified Verified
3 Endorsed
Ottawa, ON K1H (Online Only)
Your mind is constantly telling you that you need to do more, but it's hard just to get out of bed in the morning. Chronic pain makes everyday tasks really hard. Everyone around you seems normal and you wonder how they have it all together. Maybe family and friends are supportive, but you worry about being a burden. Or maybe your life is good on paper and nobody sees your struggles, nobody sees your pain. As someone who has lived with chronic pain and anxiety, I know how hard life can get. I understand how isolating it can all be.
Your mind is constantly telling you that you need to do more, but it's hard just to get out of bed in the morning. Chronic pain makes everyday tasks really hard. Everyone around you seems normal and you wonder how they have it all together. Maybe family and friends are supportive, but you worry about being a burden. Or maybe your life is good on paper and nobody sees your struggles, nobody sees your pain. As someone who has lived with chronic pain and anxiety, I know how hard life can get. I understand how isolating it can all be.
Bianca Maschi (She.her)
Registered Psychotherapist, BA, MA, RP (Q)
Verified Verified
Ottawa, ON K2J
Bianca Maschi (she/her) offers counselling and psychotherapy through video and telephone counselling (electronic practice) for individuals living in Ontario, Canada. Therapy is defined by you. You are the expert on yourself. Whether that is cultivating greater self-compassion or learning how to identify your needs. I work with you - at your pace. Counselling and Psychotherapy can be terrifying and beautiful, challenging and rewarding. Throughout therapy, you can learn to grow and overcome - while recognizing that you have always been enough. Being a human is difficult and messy. It is ok not to do it alone.
Bianca Maschi (she/her) offers counselling and psychotherapy through video and telephone counselling (electronic practice) for individuals living in Ontario, Canada. Therapy is defined by you. You are the expert on yourself. Whether that is cultivating greater self-compassion or learning how to identify your needs. I work with you - at your pace. Counselling and Psychotherapy can be terrifying and beautiful, challenging and rewarding. Throughout therapy, you can learn to grow and overcome - while recognizing that you have always been enough. Being a human is difficult and messy. It is ok not to do it alone.
Catherine Walmsley
Registered Psychotherapist (Qualifying), MA, MSc
Verified Verified
Ottawa, ON K0A
Hello! If you’re looking for compassionate support and therapeutic tools to help you deal with thoughts, behaviours, sensations and/or emotions, I may be able to help! I offer psychotherapy services to youth and adults, using various evidence-based techniques which target the mind, body, and their inherent connection. My person-centered approach aims to enhance your self-awareness by attending to all the dimensions of you, especially your authentic self. Therapy can be a great place to examine your current ways of being and coping, reflecting on what no longer serves you to learn more adaptive strategies.
Hello! If you’re looking for compassionate support and therapeutic tools to help you deal with thoughts, behaviours, sensations and/or emotions, I may be able to help! I offer psychotherapy services to youth and adults, using various evidence-based techniques which target the mind, body, and their inherent connection. My person-centered approach aims to enhance your self-awareness by attending to all the dimensions of you, especially your authentic self. Therapy can be a great place to examine your current ways of being and coping, reflecting on what no longer serves you to learn more adaptive strategies.
Siovone Rene Bourgeois
Registered Social Worker, MEd, MSW , RSW
Verified Verified
3 Endorsed
Ottawa, ON K1Y
Navigating life can be difficult, especially when you’re in new territory. Feelings of depression or anxiety can spiral into more fears and doubts. Being a young adult brings all sorts of pressure, and most of us don’t get much education in how to make that transition. It’s common to cope by avoiding, using drugs or alcohol, or isolating. Fortunately, things can improve. Life may never be perfect, but you can learn new skills and effective ways of dealing with challenges. I work with teens and adults of all ages, and specialize in helping young adults and couples who want to feel more confident, accepted, and joyful in the world.
Navigating life can be difficult, especially when you’re in new territory. Feelings of depression or anxiety can spiral into more fears and doubts. Being a young adult brings all sorts of pressure, and most of us don’t get much education in how to make that transition. It’s common to cope by avoiding, using drugs or alcohol, or isolating. Fortunately, things can improve. Life may never be perfect, but you can learn new skills and effective ways of dealing with challenges. I work with teens and adults of all ages, and specialize in helping young adults and couples who want to feel more confident, accepted, and joyful in the world.
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Janelle Anglin
Registered Psychotherapist, MA, RP
Verified Verified
2 Endorsed
Ottawa, ON K2H
Does it feel like your emotions are a burden rather than a valuable message? Are you struggling to cope with the demands of school and interpersonal relationships? Are you and your partner feeling stuck in the same negative cycle? Emotions can often feel either numb or too big, getting in the way of authentic connection to self and others. I am here to help you reconnect with your body, with your emotions, and with yourself. I work with eating disorders, anger management, self-compassion, trauma and coping with big or numbed emotions. I work especially with teens but also adults of all ages, including couples.
Does it feel like your emotions are a burden rather than a valuable message? Are you struggling to cope with the demands of school and interpersonal relationships? Are you and your partner feeling stuck in the same negative cycle? Emotions can often feel either numb or too big, getting in the way of authentic connection to self and others. I am here to help you reconnect with your body, with your emotions, and with yourself. I work with eating disorders, anger management, self-compassion, trauma and coping with big or numbed emotions. I work especially with teens but also adults of all ages, including couples.
Randy Kosloski
Counsellor, BA, MA
Verified Verified
1 Endorsed
Ottawa, ON K0A
Randy has been working in the field of Emotional/Mental Health for over 20 years. He is committed to helping improve the lives of individuals, couples, and families with the hope of creating positive contributions to society at large. He believes every small piece can affect the greater whole.
Randy has been working in the field of Emotional/Mental Health for over 20 years. He is committed to helping improve the lives of individuals, couples, and families with the hope of creating positive contributions to society at large. He believes every small piece can affect the greater whole.
Cameron Hanishewski
Registered Psychotherapist (Qualifying), RP, BSc
Verified Verified
1 Endorsed
Ottawa, ON K1R
Cameron recognizes the uniqueness of each person’s story and will work to create a non-judgmental and open environment for clients to explore issues such as anger management, self harm, addictions, sexual and gender identity, self-esteem, relationship issues, depression, anxiety, life transitions, and stress. He primarily draws from Narrative Therapy, Emotion Focused Therapy and mindfulness perspectives to engage clients towards small positive changes.
Cameron recognizes the uniqueness of each person’s story and will work to create a non-judgmental and open environment for clients to explore issues such as anger management, self harm, addictions, sexual and gender identity, self-esteem, relationship issues, depression, anxiety, life transitions, and stress. He primarily draws from Narrative Therapy, Emotion Focused Therapy and mindfulness perspectives to engage clients towards small positive changes.
OWN Community Services
Psychologist
Verified Verified
1 Endorsed
Ottawa, ON K1V
Ontario Workers Network (OWN) offers a team of certified mental health professionals with expertise creating roadmaps to wellness and delivering tailored, effective interventions. Our psychologists have a wealth of experience in formulating diagnostic impressions for a wide range of issues, which allows us to create evidence-based treatment plans that accommodate the needs of our diverse clientele. Our treatment providers are dedicated to providing responsive care that affirms our clients’ values and supports their vision of restored functioning and personal development.
Ontario Workers Network (OWN) offers a team of certified mental health professionals with expertise creating roadmaps to wellness and delivering tailored, effective interventions. Our psychologists have a wealth of experience in formulating diagnostic impressions for a wide range of issues, which allows us to create evidence-based treatment plans that accommodate the needs of our diverse clientele. Our treatment providers are dedicated to providing responsive care that affirms our clients’ values and supports their vision of restored functioning and personal development.
Sharon Hobbs
Registered Psychotherapist, MA, RP, CCC, CCP, SEP
Verified Verified
Ottawa, ON K1S
As a registered psychotherapist and certified coach, my goal is to help you gain the insights, tools and strategies to best support positive behaviour changes and evoke growth. I have spent over 25 years working with people to create meaningful relationships in all aspects of personal and professional life. Using a collaborative and compassionate approach, I will assist you in gaining greater understanding of individual needs, achieve greater balance, life meaning and happiness. My approach is an integration of various counselling theories and customized to meet your unique situation and needs.
As a registered psychotherapist and certified coach, my goal is to help you gain the insights, tools and strategies to best support positive behaviour changes and evoke growth. I have spent over 25 years working with people to create meaningful relationships in all aspects of personal and professional life. Using a collaborative and compassionate approach, I will assist you in gaining greater understanding of individual needs, achieve greater balance, life meaning and happiness. My approach is an integration of various counselling theories and customized to meet your unique situation and needs.
Laura Randolph
Registered Social Worker, MSW, RSW
Verified Verified
Ottawa, ON K2A (Online Only)
Waitlist for new clients
I have been working in clinical and community settings in mental health and addictions since 2011. I am honoured to support individual adults who are experiencing grief due to death or other loss, self-esteem and relationship issues, substance use, depression, anxiety, and traumatic injury. We all have within us a resilience to confront and handle even the most challenging of issues and I have such admiration of an individual's courage to explore and seek guidance in enhancing the quality of their life. A confidential, compassionate, and personalized approach to care is my priority.
I have been working in clinical and community settings in mental health and addictions since 2011. I am honoured to support individual adults who are experiencing grief due to death or other loss, self-esteem and relationship issues, substance use, depression, anxiety, and traumatic injury. We all have within us a resilience to confront and handle even the most challenging of issues and I have such admiration of an individual's courage to explore and seek guidance in enhancing the quality of their life. A confidential, compassionate, and personalized approach to care is my priority.
Zsuzsa (Susan) Grandpierre
Registered Psychotherapist, MA(Ed), RP
Verified Verified
2 Endorsed
Ottawa, ON K2G
I am a Registered Psychotherapist, ADHD coach, mindfulness instructor, and clinical supervisor. I specialize in treating adult ADHD, peri/menopause-related attention, memory or mood changes, trauma, anxiety and mood disorders, and provide support to individuals, couples, and parents affected by these challenges. My therapeutic approach combines ACT & CBT-based psychotherapy, mindfulness & self-compassion training, stress management, executive functions skills development, and coaching strategies to facilitate the development of well-being, self-acceptance, supportive inner talk, and in general showing up for yourself and for others.
I am a Registered Psychotherapist, ADHD coach, mindfulness instructor, and clinical supervisor. I specialize in treating adult ADHD, peri/menopause-related attention, memory or mood changes, trauma, anxiety and mood disorders, and provide support to individuals, couples, and parents affected by these challenges. My therapeutic approach combines ACT & CBT-based psychotherapy, mindfulness & self-compassion training, stress management, executive functions skills development, and coaching strategies to facilitate the development of well-being, self-acceptance, supportive inner talk, and in general showing up for yourself and for others.
Cynthia Redmond
Counsellor, MEd, RSW, CCC
Verified Verified
Ottawa, ON K2P
At times life can be demanding and stressful, even more so if you feel alone and are unsure who to turn to for support and help. But no one should feel like they have to figure everything out on their own. I believe that every person is the expert of their own life but sometimes we need a new perspective or a safe space to talk, open up, and feel heard. As a counsellor, I offer my clients a non-judgmental, empathic, supportive space to fully explore their inner self, thoughts and feelings on their personal journey towards growth and healing.
At times life can be demanding and stressful, even more so if you feel alone and are unsure who to turn to for support and help. But no one should feel like they have to figure everything out on their own. I believe that every person is the expert of their own life but sometimes we need a new perspective or a safe space to talk, open up, and feel heard. As a counsellor, I offer my clients a non-judgmental, empathic, supportive space to fully explore their inner self, thoughts and feelings on their personal journey towards growth and healing.
Jessica Morrow
Registered Psychotherapist, RP, MA
Verified Verified
1 Endorsed
Ottawa, ON K2G
Not accepting new clients
Are you struggling with people-pleasing? Does it feel hard or even impossible to set boundaries? Often when we experience these challenges we tend to also struggle with self-esteem, anxiety, and perfectionism. We might feel burnt out or dissatisfied, and it can be difficult to imagine things could be different. When we fall into people-pleasing patterns we often focus on what we feel is expected of us, leading to disconnection from our own wants, needs, and aspirations.
Are you struggling with people-pleasing? Does it feel hard or even impossible to set boundaries? Often when we experience these challenges we tend to also struggle with self-esteem, anxiety, and perfectionism. We might feel burnt out or dissatisfied, and it can be difficult to imagine things could be different. When we fall into people-pleasing patterns we often focus on what we feel is expected of us, leading to disconnection from our own wants, needs, and aspirations.
See more therapy options for Ottawa
How does your Counsellor compare?
Number of Counsellors in Ottawa, ON
2,000+
Average cost per session
$159
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
63% | SunLife |
56% | Canada Life | Great-West Life |
53% | Manulife |
How Counsellors in Ottawa, ON see their clients
57% | In Person and Online | |
43% | 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
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.
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.
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.
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.