Therapists in Nanaimo, BC
Trishia Unrau
Counsellor, MA, MS, RCC
Verified Verified
1 Endorsed
Nanaimo, BC V9S
Now accepting new clients, adults only. I specialize in EMDR and Art Therapy/Expressive Arts Therapy. I am also trained in Sensorimotor Psychotherapy, Cognitive Behaviour Therapy (CBT), Dialectical Behaviour Therapy (DBT), Interpersonal Psychotherapy and Emotion Focused Therapy. Expressive Arts Therapy uses all the art forms including visual art, movement, music, theatre and writing. It is a gentle approach where internal resources are highlighted. It is a way to express, contain and problem solve difficult events and emotions. No art experience necessary.
Now accepting new clients, adults only. I specialize in EMDR and Art Therapy/Expressive Arts Therapy. I am also trained in Sensorimotor Psychotherapy, Cognitive Behaviour Therapy (CBT), Dialectical Behaviour Therapy (DBT), Interpersonal Psychotherapy and Emotion Focused Therapy. Expressive Arts Therapy uses all the art forms including visual art, movement, music, theatre and writing. It is a gentle approach where internal resources are highlighted. It is a way to express, contain and problem solve difficult events and emotions. No art experience necessary.
Carrie Liske
Counsellor, MA, RCC
Verified Verified
3 Endorsed
Nanaimo, BC V9T
Congratulations! You've taken the first step toward seeking support for yourself or your family. This takes courage, so I commend you for being here. I believe that we all possess the potential within us to heal and grow into the healthiest, most confident, successful version of ourselves. Life presents challenges and sometimes we all need someone to guide us along the way. Connection, compassion, creativity, collaboration and a touch of humour reside at the heart of my counselling style. My integrative approach is customized to your situation and draws from a variety of theoretical approaches.
Congratulations! You've taken the first step toward seeking support for yourself or your family. This takes courage, so I commend you for being here. I believe that we all possess the potential within us to heal and grow into the healthiest, most confident, successful version of ourselves. Life presents challenges and sometimes we all need someone to guide us along the way. Connection, compassion, creativity, collaboration and a touch of humour reside at the heart of my counselling style. My integrative approach is customized to your situation and draws from a variety of theoretical approaches.
Debra Kine
Counsellor, MA, DSD, MAMS, RCC
Verified Verified
Nanaimo, BC V9R
I have dedicated the past i5 years of my life to working with First Responders. Before opening up my own practice I served as the Director of Trauma and Spiritual Care at a Treatment Centre located on Vancouver Island. I have met many people who have been my teachers. They have been struggling with PTSD, emotional dysregulation, depression, anxiety, loss of instinct of purpose. Some have been struggling with loss and grief not knowing how to grieve in a healthy manner. Others have been struggling with intense fear and self doubt knowing that change needs to happen in their lives and not knowing how to move forward.
I have dedicated the past i5 years of my life to working with First Responders. Before opening up my own practice I served as the Director of Trauma and Spiritual Care at a Treatment Centre located on Vancouver Island. I have met many people who have been my teachers. They have been struggling with PTSD, emotional dysregulation, depression, anxiety, loss of instinct of purpose. Some have been struggling with loss and grief not knowing how to grieve in a healthy manner. Others have been struggling with intense fear and self doubt knowing that change needs to happen in their lives and not knowing how to move forward.
Thrive Family Co.
Counsellor, MACP, BEd, CCC
Verified Verified
1 Endorsed
Nanaimo, BC V9R
Hello! I'm Sian Trombley, a certified clinical counsellor and certified elementary teacher. with over twenty years of experience in various roles including school counsellor, administrator, and educational consultant. I am also the founder of www.thrivefamilycourses.com, a company dedicated to offering innovative online courses designed to help families thrive. As a teacher, I leverage my extensive background in education and counselling to enrich my work as a therapist and to develop the courses I offer at Thrive Family Co. My process-based approach to therapy is distinctly creative and personalized.
Hello! I'm Sian Trombley, a certified clinical counsellor and certified elementary teacher. with over twenty years of experience in various roles including school counsellor, administrator, and educational consultant. I am also the founder of www.thrivefamilycourses.com, a company dedicated to offering innovative online courses designed to help families thrive. As a teacher, I leverage my extensive background in education and counselling to enrich my work as a therapist and to develop the courses I offer at Thrive Family Co. My process-based approach to therapy is distinctly creative and personalized.
Emily Lacasse
Counsellor, MA, RCC
Verified Verified
3 Endorsed
Nanaimo, BC V9T
Do you feel like you are unable to calm? Do you feel anxious and judged by others? Do you feel restless, irritable, and stuck in "on" mode in this ready-to-react mode? Do you have persistent negative thinking, extreme emotion fluctuations, repeating the same actions and patterns? Do you feel stuck and unable to lift your mood? These are among some of the many symptoms of trauma. Trauma changes the nervous system and the ability to regulate our nervous system is directly correlated with our mental health. CBT, DBT, and Somatic therapy can help heal the nervous system, by processing and releasing trauma stored in the body.
Do you feel like you are unable to calm? Do you feel anxious and judged by others? Do you feel restless, irritable, and stuck in "on" mode in this ready-to-react mode? Do you have persistent negative thinking, extreme emotion fluctuations, repeating the same actions and patterns? Do you feel stuck and unable to lift your mood? These are among some of the many symptoms of trauma. Trauma changes the nervous system and the ability to regulate our nervous system is directly correlated with our mental health. CBT, DBT, and Somatic therapy can help heal the nervous system, by processing and releasing trauma stored in the body.
Kristen Buckland
Counsellor, MA, RCC
Verified Verified
Nanaimo, BC V9S
Sometimes we pretend we are fine and things are going well because don't want to burden anyone with our worries or appear "weak." Sometimes it feels like the way the world works, just does not work for us! Sometimes It can feel like we are working 10 times harder than anyone else, and we just don't meet the mark. And sometimes we feel like we just don't fit. Expectations at school, work, sports teams, home life, and our relationships can feel all-encompassing and overwhelming. Whether you are a child, a teen, an adult, or a parent, you fit here. Every ability, gender, race, sexual orientation, and culture, fits here.
Sometimes we pretend we are fine and things are going well because don't want to burden anyone with our worries or appear "weak." Sometimes it feels like the way the world works, just does not work for us! Sometimes It can feel like we are working 10 times harder than anyone else, and we just don't meet the mark. And sometimes we feel like we just don't fit. Expectations at school, work, sports teams, home life, and our relationships can feel all-encompassing and overwhelming. Whether you are a child, a teen, an adult, or a parent, you fit here. Every ability, gender, race, sexual orientation, and culture, fits here.
Lisa Bylsma
Counsellor, MEd, RCC
Verified Verified
1 Endorsed
Nanaimo, BC V9S
Accepting new clients. Available for in-person sessions in Nanaimo or virtual sessions anywhere in BC. - After over 12 years working as a counsellor within government and non-profit organizations, I have decided to open my own practice. In my years of working with people, I have come to strongly believe that people and their problems make sense. I can help you understand your struggles, your emotions, and yourself. I aim to understand you holistically, including your complex life. I strive to listen deeply, to be genuine, and to really see you.
Accepting new clients. Available for in-person sessions in Nanaimo or virtual sessions anywhere in BC. - After over 12 years working as a counsellor within government and non-profit organizations, I have decided to open my own practice. In my years of working with people, I have come to strongly believe that people and their problems make sense. I can help you understand your struggles, your emotions, and yourself. I aim to understand you holistically, including your complex life. I strive to listen deeply, to be genuine, and to really see you.
Melanie Digney
Counsellor, MC, RCC
Verified Verified
Nanaimo, BC V9S
Are you struggling with difficult emotions or anxious thoughts? Are you experiencing changes, challenges or losses which make it difficult to function? I work with adults who are feeling overwhelmed by daily life, in their relationships or at work. Using a person-centred approach, I offer a safe space where you can feel comfortable, heard and understood. A place where we can work together on your goals at your pace, attending to your unique requirements and the situations you are responding to. I draw from various theoretical perspectives to gain insight into your life experiences and narrow the focus to what is important to you.
Are you struggling with difficult emotions or anxious thoughts? Are you experiencing changes, challenges or losses which make it difficult to function? I work with adults who are feeling overwhelmed by daily life, in their relationships or at work. Using a person-centred approach, I offer a safe space where you can feel comfortable, heard and understood. A place where we can work together on your goals at your pace, attending to your unique requirements and the situations you are responding to. I draw from various theoretical perspectives to gain insight into your life experiences and narrow the focus to what is important to you.
Carolyn Clarke Programs
Counsellor, RPC, EFT, NLP, IP, IMN
Verified Verified
2 Endorsed
Nanaimo, BC V9R
You CAN live without anxiety, stress, overwhelm or burnout! Numb, stuck or simply surviving? We live in crazy times! You’ve lived, loved, worked, possibly married and divorced, raised a family, cared for aging parents, surely succeeded in your unique ways and also dealt with life’s natural challenges and losses too. If a helper-type, other’s needs have likely come before your own. Life happens, and often not how planned. Whether anxious and stressed, have a heavy heart or upset emotions, stuck in unhealthy patterns of thought or behaviors, in loss or life transitions, unhappy in relationships, we ALL need support to shift / grow.
You CAN live without anxiety, stress, overwhelm or burnout! Numb, stuck or simply surviving? We live in crazy times! You’ve lived, loved, worked, possibly married and divorced, raised a family, cared for aging parents, surely succeeded in your unique ways and also dealt with life’s natural challenges and losses too. If a helper-type, other’s needs have likely come before your own. Life happens, and often not how planned. Whether anxious and stressed, have a heavy heart or upset emotions, stuck in unhealthy patterns of thought or behaviors, in loss or life transitions, unhappy in relationships, we ALL need support to shift / grow.
Lindy Devine Counselling
Counsellor, MEd, RCC, SEP
Verified Verified
Nanaimo, BC V9R
I have been working as a counsellor for 28 years and my work focuses on addiction and trauma issues. They often go hand in hand but not always as each person is unique. The focus of my counselling work is very respectful as I acknowledge that you know yourself best. Most people seek out counselling because they are stuck in old patterns that they have outgrown yet need help to move forward in a new, more helpful way. I appreciate the courage it takes to reach out and I will work hard to help you make the changes you need.
I have been working as a counsellor for 28 years and my work focuses on addiction and trauma issues. They often go hand in hand but not always as each person is unique. The focus of my counselling work is very respectful as I acknowledge that you know yourself best. Most people seek out counselling because they are stuck in old patterns that they have outgrown yet need help to move forward in a new, more helpful way. I appreciate the courage it takes to reach out and I will work hard to help you make the changes you need.
Breath Control Therapy
Licensed Practical Nurse, BCT, OAC
Verified Verified
Nanaimo, BC V9S
Breath Control Therapy offers breathwork techniques and breathing exercises critical for rehabilitation from both physical and psychological injury and illness but also to maintaining conditioning and improve sports performance.
Breath Control Therapy offers breathwork techniques and breathing exercises critical for rehabilitation from both physical and psychological injury and illness but also to maintaining conditioning and improve sports performance.
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Nicole Puckering
Counsellor, BA CYC, MACP, RCC
Verified Verified
3 Endorsed
Nanaimo, BC V9R
Are you finding that you feel stuck in the same negative thought patterns, or are struggling in your relationships? Is your lack of motivation or anxiety and depression spilling over in your day-to-day routine. Have you experienced a recent loss and are feeling lonely and hopelessness? These difficult emotions can be challenging to deal with daily and even harder to figure out the first step to a solution. I work with co-parents, couples, adults, adolescents, and children who are feeling overwhelmed in their daily life. Together we create goals by focusing on values and connection and by moving towards flexibility and acceptance.
Are you finding that you feel stuck in the same negative thought patterns, or are struggling in your relationships? Is your lack of motivation or anxiety and depression spilling over in your day-to-day routine. Have you experienced a recent loss and are feeling lonely and hopelessness? These difficult emotions can be challenging to deal with daily and even harder to figure out the first step to a solution. I work with co-parents, couples, adults, adolescents, and children who are feeling overwhelmed in their daily life. Together we create goals by focusing on values and connection and by moving towards flexibility and acceptance.
Brittany Hesketh
Counsellor, MA, RCC
Verified Verified
Nanaimo, BC V9R
Are you feeling overcome with stress, anxiety and depressive feelings? Do you find yourself suffering from negative self-talk that contributes to a lack of self-esteem and confidence? Are you lonely, even with people all around you? Do you long to connect with meaningful relationships? Do you find yourself looking for escapes with addictive processes? If this sounds like you, I would love to help you connect to your authentic self by overcoming the negative lens that has been built throughout your life by what others have said, feelings of disapproval, traumatic experiences, societal and cultural conditioning.
Are you feeling overcome with stress, anxiety and depressive feelings? Do you find yourself suffering from negative self-talk that contributes to a lack of self-esteem and confidence? Are you lonely, even with people all around you? Do you long to connect with meaningful relationships? Do you find yourself looking for escapes with addictive processes? If this sounds like you, I would love to help you connect to your authentic self by overcoming the negative lens that has been built throughout your life by what others have said, feelings of disapproval, traumatic experiences, societal and cultural conditioning.
Insight Online Therapy
Counsellor, CCC, MA-MFT, BA, AA
Verified Verified
Nanaimo, BC V9R (Online Only)
Are you struggling with addiction, depression, anxiety or trauma? I can help you navigate through these areas and come out the other side. I have personally had issues with mental health and with the help of therapists over the years and doing the work, I have managed to overcome and manage them. As your therapist, I can assist you in doing the same. If you are ready to begin reach out to me.
Are you struggling with addiction, depression, anxiety or trauma? I can help you navigate through these areas and come out the other side. I have personally had issues with mental health and with the help of therapists over the years and doing the work, I have managed to overcome and manage them. As your therapist, I can assist you in doing the same. If you are ready to begin reach out to me.
Bonita (Bonnie) Doupe
MC, CCC
Verified Verified
1 Endorsed
Nanaimo, BC V9S
My background is in working with people who have Special Needs. I hold 2 counselling diplomas and a Master of Counselling degree. I work with individuals, couples and kids. Although my work is challenging, I love my work! I look forward to meeting you and it is my honor to walk beside you as you make decisions around how you will live in relation to yourself and others.
My background is in working with people who have Special Needs. I hold 2 counselling diplomas and a Master of Counselling degree. I work with individuals, couples and kids. Although my work is challenging, I love my work! I look forward to meeting you and it is my honor to walk beside you as you make decisions around how you will live in relation to yourself and others.
Lisa Marie Passarelli
Counsellor, MA, RCC
Verified Verified
1 Endorsed
Nanaimo, BC V9R
Thank you for visiting my page! I am deeply passionate about promoting mental health and empowering individuals and couples to attain positive and meaningful change in their lives…. for change IS possible! I am skilled in working with anxiety, depression, relationship conflict/issues, BFRBs, OCD, lack of esteem, and stress management and find it a privilege to provide support to clients of all ages and abilities.
Thank you for visiting my page! I am deeply passionate about promoting mental health and empowering individuals and couples to attain positive and meaningful change in their lives…. for change IS possible! I am skilled in working with anxiety, depression, relationship conflict/issues, BFRBs, OCD, lack of esteem, and stress management and find it a privilege to provide support to clients of all ages and abilities.
Jemma Cerson - Hemlock Grove Therapy
Registered Social Worker, MSW, RSW
Verified Verified
4 Endorsed
Nanaimo, BC V9R
Accepting Clients - I am a somatic therapist supporting older youth & adults healing from symptoms of anxiety and depression, the stressors of daily living, processing trauma related to relationships and family, and navigating life transitions. The people who seek me out are often yearning for authentic living and deep connection. They may be in search of their identity or life purpose. Some may be uncovering limiting relational patterns and want to break the cycles that no longer serve them in order to live more fulfilling lives.
Accepting Clients - I am a somatic therapist supporting older youth & adults healing from symptoms of anxiety and depression, the stressors of daily living, processing trauma related to relationships and family, and navigating life transitions. The people who seek me out are often yearning for authentic living and deep connection. They may be in search of their identity or life purpose. Some may be uncovering limiting relational patterns and want to break the cycles that no longer serve them in order to live more fulfilling lives.
Ron Lafleur
Counsellor, M, Ed, RCC
Verified Verified
Nanaimo, BC V9T
My view on counselling is based upon the level of trust and the quality of the connection that we are able to create together. In essence, the relationship that we develop together is key. I would wish to provide you with a safe, caring environment where you could come to feel completely heard and understood. I see my role as being more of a Guide, offering support while at the same time gently encouraging your growth by pointing out certain areas, thoughts, beliefs or behaviours that may be keeping you stuck, or that you may be unaware of.
My view on counselling is based upon the level of trust and the quality of the connection that we are able to create together. In essence, the relationship that we develop together is key. I would wish to provide you with a safe, caring environment where you could come to feel completely heard and understood. I see my role as being more of a Guide, offering support while at the same time gently encouraging your growth by pointing out certain areas, thoughts, beliefs or behaviours that may be keeping you stuck, or that you may be unaware of.
Geraldine Potter
Counsellor, MA, RCC, CCC
Verified Verified
1 Endorsed
Nanaimo, BC V9R
ACCEPTING NEW CLIENTS. If you are feeling like life’s challenges are stressing you out, and getting in the way of you being the person you want to be, then you have come to the right place. I can support you to a place of calm and help enact lasting change so you can know yourself as peaceful, complete, and safe. Problems can appear insurmountable, and our ability to find a way through alone daunting. I can help you to tap into yourself and find a renewed sense that change is achievable.
ACCEPTING NEW CLIENTS. If you are feeling like life’s challenges are stressing you out, and getting in the way of you being the person you want to be, then you have come to the right place. I can support you to a place of calm and help enact lasting change so you can know yourself as peaceful, complete, and safe. Problems can appear insurmountable, and our ability to find a way through alone daunting. I can help you to tap into yourself and find a renewed sense that change is achievable.
Lenka Zdrazilova
Psychologist, PhD
Verified Verified
1 Endorsed
Nanaimo, BC V9T
Brain injuries or adverse life events can significantly impact the brain's ability to self-regulate and this gives rise to difficult mental states such as anxiety, depression, rage, irritability, difficulties with attention and mental focus, etc. Patients who seek treatment from me often carry labels such as bipolar disorder, personality disorder, depression, generalized anxiety disorder, etc. Regardless of labels, the core symptom that majority struggle with is extreme level of emotional arousal that the nervous system has difficulty inhibiting. They feel either "jacked" (or hijacked) or energetically/emotionally collapsed.
Brain injuries or adverse life events can significantly impact the brain's ability to self-regulate and this gives rise to difficult mental states such as anxiety, depression, rage, irritability, difficulties with attention and mental focus, etc. Patients who seek treatment from me often carry labels such as bipolar disorder, personality disorder, depression, generalized anxiety disorder, etc. Regardless of labels, the core symptom that majority struggle with is extreme level of emotional arousal that the nervous system has difficulty inhibiting. They feel either "jacked" (or hijacked) or energetically/emotionally collapsed.
See more therapy options for Nanaimo
How does your Counsellor compare?
Number of Counsellors in Nanaimo, BC
200+
Average cost per session
$140
Counsellors in Nanaimo, BC who prioritize treating:
93% | Anxiety |
83% | Depression |
80% | Self Esteem |
79% | Relationship Issues |
77% | Stress |
75% | Trauma and PTSD |
72% | Coping Skills |
Average years in practice
10 Years
Top 3 insurances accepted
51% | First Nations Health Authority |
40% | Green Shield Canada |
40% | Pacific Blue Cross |
How Counsellors in Nanaimo, BC see their clients
76% | In Person and Online | |
24% | Online Only |
Gender breakdown
79% | Female | |
17% | Male | |
4% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Nanaimo?
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.