Therapists in London, ON
Lisa J. Smith
Registered Social Worker, MSW, RSW
Verified Verified
3 Endorsed
London, ON N6B
Life will bring challenges and difficult times causing confusion, fear, anxiety, depression…and numbness. We also experience transitions and losses, not only through the death of people we love, but loss of our health, relationships, jobs. Maybe you are a Health Care Provider with moral injury as a result of your challenging work? Chronic stressors can bring up feelings of fear and a lack of belief that we can cope. Some events and relationships may leave deeper, traumatic wounds. Sometimes it just feels like it is all ‘too much’. Whatever challenge brings you here, together we can work with and process these feelings.
Life will bring challenges and difficult times causing confusion, fear, anxiety, depression…and numbness. We also experience transitions and losses, not only through the death of people we love, but loss of our health, relationships, jobs. Maybe you are a Health Care Provider with moral injury as a result of your challenging work? Chronic stressors can bring up feelings of fear and a lack of belief that we can cope. Some events and relationships may leave deeper, traumatic wounds. Sometimes it just feels like it is all ‘too much’. Whatever challenge brings you here, together we can work with and process these feelings.
Michelle Gibson
Registered Social Worker, BSW, MSW, RSW
Verified Verified
London, ON N6C
*Offering virtual trauma therapy throughout Ontario.* While I believe that everyone carries within themselves the capacity to heal, during difficult periods in life our personal strengths can be impossible to access. At these times, we may need a caring and non-judgmental therapist to assist us. My intention is to provide you with a safe space to share your concerns and to help you to fulfill the hopes you have for your life. As each individual is unique, so is therapy. I adapt my approach to meet your personal goals and together we will come to identify the process that best serves you.
*Offering virtual trauma therapy throughout Ontario.* While I believe that everyone carries within themselves the capacity to heal, during difficult periods in life our personal strengths can be impossible to access. At these times, we may need a caring and non-judgmental therapist to assist us. My intention is to provide you with a safe space to share your concerns and to help you to fulfill the hopes you have for your life. As each individual is unique, so is therapy. I adapt my approach to meet your personal goals and together we will come to identify the process that best serves you.
Nate Meidinger
Registered Social Worker, MSW, RSW
Verified Verified
2 Endorsed
London, ON N5V (Online Only)
Are you feeling overwhelmed, frustrated, or weighed down by the challenges life has thrown your way? Whether you're grappling with the weight of work-related stress, the pain of grief, the overwhelm of uncontrolled anger and anxiety, the complexities of breaking or broken relationships, or the scars of unhealed traumas, seeking counseling can be a crucial step towards finding relief and a renewed sense of hope, clarity and confidence in life.
Are you feeling overwhelmed, frustrated, or weighed down by the challenges life has thrown your way? Whether you're grappling with the weight of work-related stress, the pain of grief, the overwhelm of uncontrolled anger and anxiety, the complexities of breaking or broken relationships, or the scars of unhealed traumas, seeking counseling can be a crucial step towards finding relief and a renewed sense of hope, clarity and confidence in life.
Shasta MacDermid
Registered Psychotherapist (Qualifying), MA, RP-Q
Verified Verified
London, ON N5Y (Online Only)
I am hoping to connect with adolescents and adults who are in need of mental health support in areas such as trauma, behavioural challenges, and have difficulty maintaining relationships. With your personal strengths and inner wisdom as our guide we will work together to attain your goals.
I am hoping to connect with adolescents and adults who are in need of mental health support in areas such as trauma, behavioural challenges, and have difficulty maintaining relationships. With your personal strengths and inner wisdom as our guide we will work together to attain your goals.
Nadia Zeversenuke
Registered Psychotherapist, BA, MDiv
Verified Verified
London, ON N6E
Sometimes you need to sit before you can rise! Life can be challenging and making sense of those challenges is difficult especially if you have been stuck for a long time. Oftentimes, we don't pause long enough to truly understand why we are struggling. I want to give you the chance to sit, talk, learn, and then apply what you have discovered to your life. The key to my practice is providing a space where clients feel safe to share, learn and develop strategies to move them forward.
Sometimes you need to sit before you can rise! Life can be challenging and making sense of those challenges is difficult especially if you have been stuck for a long time. Oftentimes, we don't pause long enough to truly understand why we are struggling. I want to give you the chance to sit, talk, learn, and then apply what you have discovered to your life. The key to my practice is providing a space where clients feel safe to share, learn and develop strategies to move them forward.
Mia Pintus
Registered Social Worker, MSW , RSW
Verified Verified
London, ON N6K
You are feeling so overwhelmed that it's hard to remember what "good" felt like. Some days you wonder if you ever actually felt good. On top of it all the pressures of everyday life haven't just disappeared and you feel stretched with not enough down time. The minor challenges you felt in your life suddenly feel insurmountable. You feel lost - maybe even angry - and dread an uncertain future. While many people feel a little down, frustrated, anxious, and stressed at times, you feel so lost that its hard to imagine that you'll ever feel like the best version of yourself ever again. You feel like you are at the end of your rope.
You are feeling so overwhelmed that it's hard to remember what "good" felt like. Some days you wonder if you ever actually felt good. On top of it all the pressures of everyday life haven't just disappeared and you feel stretched with not enough down time. The minor challenges you felt in your life suddenly feel insurmountable. You feel lost - maybe even angry - and dread an uncertain future. While many people feel a little down, frustrated, anxious, and stressed at times, you feel so lost that its hard to imagine that you'll ever feel like the best version of yourself ever again. You feel like you are at the end of your rope.
Julie Lounsbury
Registered Social Worker, MSW, RSW
Verified Verified
3 Endorsed
London, ON N6C
You are struggling to adjust to parenthood, you are feeling overwhelmed, anxious and unsure. Maybe you have experienced a loss or fertility struggles, causing you to feel like giving up hope. You may find yourself quick to anger and lash out in ways you never imagined. Or perhaps your relationship is changing and you and your partner are no longer on the same page. You might feel overwhelmed with the mental load of parenting. Or experiencing stress and anxiety transitioning back to work after leave. Whether you are pregnant, postpartum or experienced parents, it can be difficult to manage the never ending demands and conflicts.
You are struggling to adjust to parenthood, you are feeling overwhelmed, anxious and unsure. Maybe you have experienced a loss or fertility struggles, causing you to feel like giving up hope. You may find yourself quick to anger and lash out in ways you never imagined. Or perhaps your relationship is changing and you and your partner are no longer on the same page. You might feel overwhelmed with the mental load of parenting. Or experiencing stress and anxiety transitioning back to work after leave. Whether you are pregnant, postpartum or experienced parents, it can be difficult to manage the never ending demands and conflicts.
Kathy Roberts
Registered Social Worker, MSW, RSW
Verified Verified
2 Endorsed
London, ON N6B
Maybe you or someone you love is struggling with anxiety, depression or eating challenges. It's hard ... I get it. I can help. I'm a highly-experienced therapist who works mostly with teens, young adults and their supportive families. I'm a people person ... compassionate, enthusiastic and down-to-earth. My approach to counselling is strength-based and relational. I meet you where you're at. From this safe space, I'll understand your hopes and challenges and help you to recognize and build on your strengths. We'll set meaningful goals and I'll support you as you develop the skills to cope and flourish. Let's tackle this together!
Maybe you or someone you love is struggling with anxiety, depression or eating challenges. It's hard ... I get it. I can help. I'm a highly-experienced therapist who works mostly with teens, young adults and their supportive families. I'm a people person ... compassionate, enthusiastic and down-to-earth. My approach to counselling is strength-based and relational. I meet you where you're at. From this safe space, I'll understand your hopes and challenges and help you to recognize and build on your strengths. We'll set meaningful goals and I'll support you as you develop the skills to cope and flourish. Let's tackle this together!
Sarah Pinhal
Registered Psychotherapist, MA, BA, RP
Verified Verified
1 Endorsed
London, ON N6B
As a parent, do you often ask yourself how you could do things differently, feeling guilty or ashamed about the way you manage family situations? Struggling with cycles of negative emotion can leave you feeling alone, anxious, and depressed. Perhaps you feel disconnected from yourself, your partner, and/or your children, and you wish your family dynamic could come together more easily. Practicing acceptance and establishing emotional safety may seem like impossible feats, but know that there is a way.
As a parent, do you often ask yourself how you could do things differently, feeling guilty or ashamed about the way you manage family situations? Struggling with cycles of negative emotion can leave you feeling alone, anxious, and depressed. Perhaps you feel disconnected from yourself, your partner, and/or your children, and you wish your family dynamic could come together more easily. Practicing acceptance and establishing emotional safety may seem like impossible feats, but know that there is a way.
Genesis Counselling & Wellness
Registered Social Worker, BSW, MSW, RSW
Verified Verified
London, ON N5Z
We all have times in our lives when we need someone to talk to and to help us work through issues and challenges. I would be happy to talk to you and to help you identify your goals and learn how to develop positive coping strategies and life skills that are realistic and effective. Your story is built upon your life experiences and learning often occurs during the difficult times in our lives. It is time to take control of your story so you can start living the life you desire.
We all have times in our lives when we need someone to talk to and to help us work through issues and challenges. I would be happy to talk to you and to help you identify your goals and learn how to develop positive coping strategies and life skills that are realistic and effective. Your story is built upon your life experiences and learning often occurs during the difficult times in our lives. It is time to take control of your story so you can start living the life you desire.
Hiral Shah
Registered Psychotherapist (Qualifying), RP
Verified Verified
London, ON N6G (Online Only)
Hello! My name is Hiral. I’m glad you are here. Have you been struggling with life's challenges? LIfe can be hard sometimes. I would be happy to work with you. I offer online professional therapy in the comfort and privacy of your own home. I can provide these services in English, Hindi, or Gujarati. With almost a decade of experience in the field, I have been able to cultivate a deep understanding of the complexities of the human mind and the intricate dynamics that shape our behaviors, emotions, and relationships. Having a lived experience, I understand the aspects of the journey, its challenges and gifts.
Hello! My name is Hiral. I’m glad you are here. Have you been struggling with life's challenges? LIfe can be hard sometimes. I would be happy to work with you. I offer online professional therapy in the comfort and privacy of your own home. I can provide these services in English, Hindi, or Gujarati. With almost a decade of experience in the field, I have been able to cultivate a deep understanding of the complexities of the human mind and the intricate dynamics that shape our behaviors, emotions, and relationships. Having a lived experience, I understand the aspects of the journey, its challenges and gifts.
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Christine Preston
Registered Psychotherapist, MA, RP
Verified Verified
3 Endorsed
London, ON N5W
Ages 12+, In-Person or video, free consultation -> Hi! I'm Christine and I am a Registered Psychotherapist with the CRPO. Many years ago, a therapist helped me through my own battle with mental health, and since then, I have been determined to help others in the same way. I have a special interest in working with trauma where we use a "Trauma-Informed, CBT" approach to help you learn to regulate your emotions, identify and challenge irrational thought processes, and reconnect with others. Your therapy will be primarily led by you with some guided structure from me, such as education and worksheets.
Ages 12+, In-Person or video, free consultation -> Hi! I'm Christine and I am a Registered Psychotherapist with the CRPO. Many years ago, a therapist helped me through my own battle with mental health, and since then, I have been determined to help others in the same way. I have a special interest in working with trauma where we use a "Trauma-Informed, CBT" approach to help you learn to regulate your emotions, identify and challenge irrational thought processes, and reconnect with others. Your therapy will be primarily led by you with some guided structure from me, such as education and worksheets.
Laura Brunskill
Registered Social Worker, MSW, RSW
Verified Verified
London, ON N6P
Not accepting new clients
Hi there, and welcome to this brave space. I am so glad you are here. I see you thinking that you’re failing...that you can’t keep up and you’re losing who you are as a person. So many people feel this way, that they no longer can manage the stresses of life. A recent loss. A new baby. A challenging relationship. Work demands. These experiences can really take a toll. You find yourself wondering, “Am I alone?” or “Will it always be like this?”
Hi there, and welcome to this brave space. I am so glad you are here. I see you thinking that you’re failing...that you can’t keep up and you’re losing who you are as a person. So many people feel this way, that they no longer can manage the stresses of life. A recent loss. A new baby. A challenging relationship. Work demands. These experiences can really take a toll. You find yourself wondering, “Am I alone?” or “Will it always be like this?”
Carlen Costa
Registered Social Worker, DHS, MPH, RSSW, PAP, ACS
Verified Verified
London, ON N6B
Book a free call on my website! As an OCSWSSW psychotherapist & clinical sexologist I teach you how to love yourself & others, better. Online & in-office sessions, individual or couple; to better understand why we feel so disconnected from our happiness. Learn how to manage your anxiety, ADHD & neurodivergence, set healthy boundaries, feel better about your body, understand better coping skills for your mental health, have amazing sex again, heal your trauma, reconnect with your partner with positive communication tools, heal from a divorce and/or start dating again. Come back to yourself & ignite your personal power. Let's grow.
Book a free call on my website! As an OCSWSSW psychotherapist & clinical sexologist I teach you how to love yourself & others, better. Online & in-office sessions, individual or couple; to better understand why we feel so disconnected from our happiness. Learn how to manage your anxiety, ADHD & neurodivergence, set healthy boundaries, feel better about your body, understand better coping skills for your mental health, have amazing sex again, heal your trauma, reconnect with your partner with positive communication tools, heal from a divorce and/or start dating again. Come back to yourself & ignite your personal power. Let's grow.
Jessica Griffin
Registered Psychotherapist (Qualifying), BA, MACP
Verified Verified
1 Endorsed
London, ON N6B (Online Only)
As a Masters student, new mother, and wife, I have first-hand experience of the realities, insights, and lessons that emerge from engaging in multiple roles and identities. My lived-experience of anxiety, life commitments, and an overwhelming home life allows for a deep understanding and commitment in gently guiding you through and alleviating challenges you are experiencing. Although starting therapy takes courage, nerves may show up during the process. For this reason, I offer a safe, relaxed, and comfortable environment fostering a sense of ease as you share your story with me and allow us to get to know each other better.
As a Masters student, new mother, and wife, I have first-hand experience of the realities, insights, and lessons that emerge from engaging in multiple roles and identities. My lived-experience of anxiety, life commitments, and an overwhelming home life allows for a deep understanding and commitment in gently guiding you through and alleviating challenges you are experiencing. Although starting therapy takes courage, nerves may show up during the process. For this reason, I offer a safe, relaxed, and comfortable environment fostering a sense of ease as you share your story with me and allow us to get to know each other better.
Mike Fluit
Registered Social Worker, MSW, RSW
Verified Verified
3 Endorsed
London, ON N6C
I help men and women dealing with stress, anxiety, past trauma or abuse, and relationship difficulties understand the problems in their life, find ways to move forward and find peace. If you often feel overwhelmed or irritable in your daily life, or like your emotions are always simmering just below the surface or spilling over, I can help. I am a therapist at North Counselling and Psychotherapy, a group of Registered Social Workers/Psychotherapists who provide counselling services to adults and children in London, ON.
I help men and women dealing with stress, anxiety, past trauma or abuse, and relationship difficulties understand the problems in their life, find ways to move forward and find peace. If you often feel overwhelmed or irritable in your daily life, or like your emotions are always simmering just below the surface or spilling over, I can help. I am a therapist at North Counselling and Psychotherapy, a group of Registered Social Workers/Psychotherapists who provide counselling services to adults and children in London, ON.
Cindy Steffy
Registered Social Worker, MSW, RSW, RP
Verified Verified
London, ON N6H
Life is filled with many challenges. We all use coping mechanisms that appear to make sense for these challenges. Sometimes these coping mechanisms stop working or cause us other difficulties when they are used for longer periods of time. I provide a safe and comfortable environment in which we can work together to develop skills and strategies that lead to change that can be maintained over the long-term. I am trained to offer Jon Kabat-Zinn's Mindfulness Based Stress Reduction and Mindfulness Based Cognitive Behavioural Therapy and have facilitated many treatment groups using these techniques. Mindfulness groups currently on hold.
Life is filled with many challenges. We all use coping mechanisms that appear to make sense for these challenges. Sometimes these coping mechanisms stop working or cause us other difficulties when they are used for longer periods of time. I provide a safe and comfortable environment in which we can work together to develop skills and strategies that lead to change that can be maintained over the long-term. I am trained to offer Jon Kabat-Zinn's Mindfulness Based Stress Reduction and Mindfulness Based Cognitive Behavioural Therapy and have facilitated many treatment groups using these techniques. Mindfulness groups currently on hold.
Marnie Wedlake
Registered Psychotherapist, HonsBA, MEd, PhD, RP
Verified Verified
London, ON N6H (Online Only)
My interests & expertise include: Workplace traumas, bullying, harassment, discrimination, constructive dismissal, psychologically unsafe workplaces, unanticipated job loss/end. The Mother Wound. Existential despair, i.e. feeling lost/adrift in life, lack of meaning & purpose. Not realizing one’s potential. Issues stemming from trauma in childhood. Difficult life transitions, life endings, e.g. retirement, relationship endings. Support for withdrawal from psychiatric drugs. Dissociation, depersonalization, dis-integration in response to trauma. Many come to me when they’ve exhausted options provided by mainstream mental healthcare.
My interests & expertise include: Workplace traumas, bullying, harassment, discrimination, constructive dismissal, psychologically unsafe workplaces, unanticipated job loss/end. The Mother Wound. Existential despair, i.e. feeling lost/adrift in life, lack of meaning & purpose. Not realizing one’s potential. Issues stemming from trauma in childhood. Difficult life transitions, life endings, e.g. retirement, relationship endings. Support for withdrawal from psychiatric drugs. Dissociation, depersonalization, dis-integration in response to trauma. Many come to me when they’ve exhausted options provided by mainstream mental healthcare.
James Playford
Registered Psychotherapist, MEd
Verified Verified
5 Endorsed
London, ON N6B
Hello, my name is James Playford. I am a Registered Psychotherapist, specializing in Insight-Oriented psychotherapy for teens and adults. Through my Insight-Oriented and Person-Centered clinical approach, my clients are given a supportive and kind therapeutic experience in which honest and confidential conversations help identify and implement the needed cognitive and behavioural changes to support the development of meaning-filled, happy and productive lives.
Hello, my name is James Playford. I am a Registered Psychotherapist, specializing in Insight-Oriented psychotherapy for teens and adults. Through my Insight-Oriented and Person-Centered clinical approach, my clients are given a supportive and kind therapeutic experience in which honest and confidential conversations help identify and implement the needed cognitive and behavioural changes to support the development of meaning-filled, happy and productive lives.
Jennifer Schofield
Registered Social Worker, MSW, RSW
Verified Verified
London, ON N6J (Online Only)
Talking about it is not always easy. Counselling can help to make sense of what you are going through and how to move forward towards realizing your own potential. I provide counselling for individuals and couples as they deal with issues such as anxiety, depression, trauma, grief, anger management, interpersonal relationships, and stress. In every crisis there is opportunity for growth and I am here to help you find it.
Talking about it is not always easy. Counselling can help to make sense of what you are going through and how to move forward towards realizing your own potential. I provide counselling for individuals and couples as they deal with issues such as anxiety, depression, trauma, grief, anger management, interpersonal relationships, and stress. In every crisis there is opportunity for growth and I am here to help you find it.
See more therapy options for London
How does your Counsellor compare?
Number of Counsellors in London, ON
800+
Average cost per session
$150
Counsellors in London, ON who prioritize treating:
93% | Anxiety |
86% | Depression |
82% | Self Esteem |
81% | Stress |
80% | Relationship Issues |
77% | Coping Skills |
71% | Trauma and PTSD |
Average years in practice
10 Years
Top 3 insurances accepted
60% | Green Shield Canada |
52% | Manulife |
51% | SunLife |
How Counsellors in London, ON see their clients
65% | In Person and Online | |
35% | Online Only |
Gender breakdown
81% | Female | |
17% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in London?
Search for nearby therapists or counsellors by inputting your city, postal code, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postal code into the search bar.
Learn more about how to find a therapist
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.