Therapists in Sarnia, ON

Photo of Brittany Courteau, Registered Social Worker in Sarnia, ON
Brittany Courteau
Registered Social Worker, BA, MSW, RSW
Verified Verified
1 Endorsed
Sarnia, ON N7T
I am currently accepting new clients and look forward to connecting with you! I come to this field, first, as a fellow human being who appreciates struggles, unknowns, and challenges. My approach to therapy is highly collaborative and interactive. It's about you, your life, your goals and how I can be a strong, skillful support to help you navigate whatever you are facing. Together, we will explore not just hopes, ideas, and dreams, but also the demons, fears, confusion and dark spaces we all wrestle with. In these spaces we peel back the layers to uncover and honour our deepest truths. There will be tears and lots of laughter too.
I am currently accepting new clients and look forward to connecting with you! I come to this field, first, as a fellow human being who appreciates struggles, unknowns, and challenges. My approach to therapy is highly collaborative and interactive. It's about you, your life, your goals and how I can be a strong, skillful support to help you navigate whatever you are facing. Together, we will explore not just hopes, ideas, and dreams, but also the demons, fears, confusion and dark spaces we all wrestle with. In these spaces we peel back the layers to uncover and honour our deepest truths. There will be tears and lots of laughter too.
(226) 794-5275 View (226) 794-5275
Photo of Charlene Taylor, Registered Social Worker in Sarnia, ON
Charlene Taylor
Registered Social Worker, BSW, MSW, RSW
Verified Verified
Sarnia, ON N7T
I am accepting new clients. I have over 15 years of experience as a social worker working with individuals, couples and families. In my sessions I strive to create a safe and non-judgmental space where clients can freely share their stories and experiences without fear of criticism or rejection. Outside of my practice I am a mom of 4 and partner to my husband of 16 years. I understand first hand that life is not always easy, it can be messy and complicated and we can benefit at times from having another person walk alongside us.
I am accepting new clients. I have over 15 years of experience as a social worker working with individuals, couples and families. In my sessions I strive to create a safe and non-judgmental space where clients can freely share their stories and experiences without fear of criticism or rejection. Outside of my practice I am a mom of 4 and partner to my husband of 16 years. I understand first hand that life is not always easy, it can be messy and complicated and we can benefit at times from having another person walk alongside us.
(226) 605-5420 View (226) 605-5420
Photo of Create Your Best Life Counselling, Registered Psychotherapist in Sarnia, ON
Create Your Best Life Counselling
Registered Psychotherapist, RP, EdD, CCC
Verified Verified
Sarnia, ON N7T
Not accepting new clients
Are you seeking a compassionate and dedicated ally on your journey toward healing and self-discovery? I am thrilled to extend a warm welcome to you. As a seasoned psychotherapist, I am committed to providing a safe and empathetic space where you can navigate life's challenges, uncover your inner strengths, and foster profound personal growth. It is my belief that every individual possesses the innate capacity to overcome adversity and lead a more fulfilling life, and I am honoured to walk beside you as you embark on this transformative path.
Are you seeking a compassionate and dedicated ally on your journey toward healing and self-discovery? I am thrilled to extend a warm welcome to you. As a seasoned psychotherapist, I am committed to providing a safe and empathetic space where you can navigate life's challenges, uncover your inner strengths, and foster profound personal growth. It is my belief that every individual possesses the innate capacity to overcome adversity and lead a more fulfilling life, and I am honoured to walk beside you as you embark on this transformative path.
(226) 786-0423 View (226) 786-0423
Photo of Jackie Turner, Registered Social Worker in Sarnia, ON
Jackie Turner
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Sarnia, ON N7T
Sometimes a person has thoughts, feelings, or beliefs that are upsetting or confusing. Maybe they do things that they wish they wouldn’t, or don’t do things they wish they would. This makes life harder than it needs to be. My focus is on how events and relationships affect functioning and happiness. I use a collaborative, client-centred approach, and work from the belief that everyone is doing the best they can. You don’t have to know what’s wrong in order to meet with me.
Sometimes a person has thoughts, feelings, or beliefs that are upsetting or confusing. Maybe they do things that they wish they wouldn’t, or don’t do things they wish they would. This makes life harder than it needs to be. My focus is on how events and relationships affect functioning and happiness. I use a collaborative, client-centred approach, and work from the belief that everyone is doing the best they can. You don’t have to know what’s wrong in order to meet with me.
(226) 458-5376 View (226) 458-5376
Photo of Brenda Teasell, Registered Social Worker in Sarnia, ON
Brenda Teasell
Registered Social Worker, BA, MSW, RSW
Verified Verified
Sarnia, ON N7T
I have over 25 years of expertise working in the field of mental health and addiction. For 16 years I worked at the Centre for Addiction and Mental Health (CAMH) as a therapist and education specialist. I understand that dealing with difficult emotions and making changes can feel overwhelming at times. My passion is to help individuals learn lifelong skills that will allow them to navigate challenging situations, better understand and strengthen their mental health, and increase their resiliency and ability to thrive in their daily life.
I have over 25 years of expertise working in the field of mental health and addiction. For 16 years I worked at the Centre for Addiction and Mental Health (CAMH) as a therapist and education specialist. I understand that dealing with difficult emotions and making changes can feel overwhelming at times. My passion is to help individuals learn lifelong skills that will allow them to navigate challenging situations, better understand and strengthen their mental health, and increase their resiliency and ability to thrive in their daily life.
(226) 400-3815 View (226) 400-3815
Photo of Jenna Willman, Registered Psychotherapist in Sarnia, ON
Jenna Willman
Registered Psychotherapist, MA, RP
Verified Verified
Sarnia, ON N7S
I am currently accepting new clients! Reaching out for help can be difficult. I am here to hold space for your pain and walk alongside you in your healing journey. Let's create a collaborative relationship and use your strengths to navigate your problems. I often see clients who want to dig deeper into the "why" behind their choices and behaviours.
I am currently accepting new clients! Reaching out for help can be difficult. I am here to hold space for your pain and walk alongside you in your healing journey. Let's create a collaborative relationship and use your strengths to navigate your problems. I often see clients who want to dig deeper into the "why" behind their choices and behaviours.
(548) 490-3744 View (548) 490-3744
Photo of Chenessa Solomon, Registered Social Worker in Sarnia, ON
Chenessa Solomon
Registered Social Worker, BSW, MSW, RSW
Verified Verified
Sarnia, ON N7T  (Online Only)
Not accepting new clients
Have you been feeling overwhelmed, stuck, and anxious? Thinking you cannot carry on feeling this way? Do you feel at times embarrassed and ashamed, unable to talk to your friends and family because they do not understand you? Anxiety, depression, and substance use can be all consuming. I am here to help you carry the weight of your experiences and work alongside you, while you discover new tools to allow you to have the life you want. You are not alone, you are not a burden, and you can grow through this. Finding yourself on this page is one of many steps that you’re taking to reclaim your life. That takes courage.
Have you been feeling overwhelmed, stuck, and anxious? Thinking you cannot carry on feeling this way? Do you feel at times embarrassed and ashamed, unable to talk to your friends and family because they do not understand you? Anxiety, depression, and substance use can be all consuming. I am here to help you carry the weight of your experiences and work alongside you, while you discover new tools to allow you to have the life you want. You are not alone, you are not a burden, and you can grow through this. Finding yourself on this page is one of many steps that you’re taking to reclaim your life. That takes courage.
(249) 486-9034 View (249) 486-9034
Photo of Natalie Kaake, Registered Psychotherapist (Qualifying) in Sarnia, ON
Natalie Kaake
Registered Psychotherapist (Qualifying), BASc, MA, RP(Q)
Verified Verified
1 Endorsed
Sarnia, ON N7T
Currently accepting new clients! My priority is providing a safe space for you to begin your empowering journey towards healing. I work collaboratively with individuals to explore their presenting concerns and determine goals for therapy, while ensuring autonomy and choice. My approach to counselling is trauma-informed and client centered to meet the unique needs of every individual.
Currently accepting new clients! My priority is providing a safe space for you to begin your empowering journey towards healing. I work collaboratively with individuals to explore their presenting concerns and determine goals for therapy, while ensuring autonomy and choice. My approach to counselling is trauma-informed and client centered to meet the unique needs of every individual.
(226) 605-0680 View (226) 605-0680
Photo of Kathleen Courtney, Registered Psychotherapist in Sarnia, ON
Kathleen Courtney
Registered Psychotherapist, MEd, RP
Verified Verified
1 Endorsed
Sarnia, ON N7T
I can help you reduce unwanted reactions, tendencies and patterns and move toward living and feeling how you really want. I am passionate about helping people heal from trauma and increase calm, health habits, stability and life satisfaction. I can help with: anxiety, depression, trauma, boundaries, addiction, health goals and complex medical concerns.
I can help you reduce unwanted reactions, tendencies and patterns and move toward living and feeling how you really want. I am passionate about helping people heal from trauma and increase calm, health habits, stability and life satisfaction. I can help with: anxiety, depression, trauma, boundaries, addiction, health goals and complex medical concerns.
(226) 781-8713 View (226) 781-8713
Photo of Kristen Deuzeman - Psychologist, Psychologist in Sarnia, ON
Kristen Deuzeman - Psychologist
Psychologist, CPsych, RPsych
Verified Verified
Sarnia, ON N7V
It takes true courage to reach out and ask for help. I am a registered clinical psychologist who provides individual services for adolescents and adults. Over the past 10 years I have helped my clients to reach greater states of awareness and empowerment to lead more fulfilling lives.
It takes true courage to reach out and ask for help. I am a registered clinical psychologist who provides individual services for adolescents and adults. Over the past 10 years I have helped my clients to reach greater states of awareness and empowerment to lead more fulfilling lives.
(548) 483-6519 View (548) 483-6519
Photo of Alex Wallis, Registered Psychotherapist (Qualifying) in Sarnia, ON
Alex Wallis
Registered Psychotherapist (Qualifying), BAH, MACP
Verified Verified
Sarnia, ON N7T
Waitlist for new clients
Have you experienced child loss or birth trauma and need to process what happened? Maybe you need guidance in a difficult relationship or are experiencing anxiety and rage. It may feel like you aren't in control of anything and life feels lonely. Your family, friends, and partner don't feel these experiences like you do. It's almost like everyone forgot what you went through. This feels extremely invalidating and no one seems to understand. I am passionate about helping women feel empowered and confident as an individual, a parent and a partner.
Have you experienced child loss or birth trauma and need to process what happened? Maybe you need guidance in a difficult relationship or are experiencing anxiety and rage. It may feel like you aren't in control of anything and life feels lonely. Your family, friends, and partner don't feel these experiences like you do. It's almost like everyone forgot what you went through. This feels extremely invalidating and no one seems to understand. I am passionate about helping women feel empowered and confident as an individual, a parent and a partner.
(226) 741-0354 View (226) 741-0354
Photo of Brittany Veale, Registered Social Worker in Sarnia, ON
Brittany Veale
Registered Social Worker, RSW, HBA, DipAdd, CTIP
Verified Verified
1 Endorsed
Sarnia, ON N7T
I am a Registered Social Worker with the OCSWSSW with over 16 years experience working frontline in the mental health and addiction sector. I am passionate about supporting First Responders and Frontline workers due to the complex and varied occupational stressors associated with these professions. A large focus of my education and training is on trauma and the impact that this can have on the brain and body with an emphasis on the perspective of those who work as First Responders/Frontline Workers.
I am a Registered Social Worker with the OCSWSSW with over 16 years experience working frontline in the mental health and addiction sector. I am passionate about supporting First Responders and Frontline workers due to the complex and varied occupational stressors associated with these professions. A large focus of my education and training is on trauma and the impact that this can have on the brain and body with an emphasis on the perspective of those who work as First Responders/Frontline Workers.
(226) 782-2335 View (226) 782-2335
Photo of Searchlight Professional Therapy, Registered Psychotherapist in Sarnia, ON
Searchlight Professional Therapy
Registered Psychotherapist, MDiv, RP, LMFT, CCTP, EMDR CT
Verified Verified
Sarnia, ON N7T  (Online Only)
Waitlist for new clients
Life stages and transitions bring with them many joys, challenges and uncertainties. Mental, emotional and spiritual obstacles often leave us stuck or prevent us from fully realizing the joy and peace we desire in life. Are you familiar with feelings of despair, hopelessness, anxiety, confusion and self-doubt among others? Do your children or adolescents struggle in this way? Are you experiencing a difficult time moving forward? My objective in therapy is to validate your experience as an individual, couple or family. Through practical learnings and education, I will work alongside you to provide hope and help toward healing.
Life stages and transitions bring with them many joys, challenges and uncertainties. Mental, emotional and spiritual obstacles often leave us stuck or prevent us from fully realizing the joy and peace we desire in life. Are you familiar with feelings of despair, hopelessness, anxiety, confusion and self-doubt among others? Do your children or adolescents struggle in this way? Are you experiencing a difficult time moving forward? My objective in therapy is to validate your experience as an individual, couple or family. Through practical learnings and education, I will work alongside you to provide hope and help toward healing.
(226) 605-5442 View (226) 605-5442
Photo of Myckayla Mentus, Registered Social Service Worker in Sarnia, ON
Myckayla Mentus
Registered Social Service Worker, SSW, BSc
Verified Verified
1 Endorsed
Sarnia, ON N7T
I enjoy working with people of all ages who may be experiencing some mental health symptoms due to family, social, or interpersonal issues. I can be a support along side people to figure out what tools benefit them and where they are at in their journey, that can be adapted as they grow and move through life. Coming from a trauma-informed lens is critical to meeting people where they mentally and emotionally are. In applying a polyvagal understanding I aim to create a supportive and healing environment for all of the people I work with.
I enjoy working with people of all ages who may be experiencing some mental health symptoms due to family, social, or interpersonal issues. I can be a support along side people to figure out what tools benefit them and where they are at in their journey, that can be adapted as they grow and move through life. Coming from a trauma-informed lens is critical to meeting people where they mentally and emotionally are. In applying a polyvagal understanding I aim to create a supportive and healing environment for all of the people I work with.
(226) 778-4347 View (226) 778-4347
Photo of Lindsey Travis, Registered Psychotherapist (Qualifying) in Sarnia, ON
Lindsey Travis
Registered Psychotherapist (Qualifying)
Verified Verified
Sarnia, ON N7T
In the counselling process, you will find authenticity, empathy and a genuine openness. I provide a safe space and listening ear in each sessions using an anti-oppressive lens. As we walk through the journey of therapy together you will be assured that you retain the control of what and how much is discussed in session. Together, I will support you to face what life can bring, and help you feel secure and empowered. My dynamic skills set connects well to address issues related to mood, relationships, self concept, boundary building and maintenance, and traumatic experiences.
In the counselling process, you will find authenticity, empathy and a genuine openness. I provide a safe space and listening ear in each sessions using an anti-oppressive lens. As we walk through the journey of therapy together you will be assured that you retain the control of what and how much is discussed in session. Together, I will support you to face what life can bring, and help you feel secure and empowered. My dynamic skills set connects well to address issues related to mood, relationships, self concept, boundary building and maintenance, and traumatic experiences.
(226) 455-8305 View (226) 455-8305
Photo of Lambton Counselling Services, Registered Psychotherapist in Sarnia, ON
Lambton Counselling Services
Registered Psychotherapist, MA, RP, NLP
Verified Verified
1 Endorsed
Sarnia, ON N7T
As solution-focused therapists, our goal is to help you uncover your true potential and lead a life that is worth celebrating. Lambton Counselling Services is committed to making an inspired contribution to personal growth and encouraging health in all states: Mental, Emotional, Physical, and Spiritual. Our mandate is to support clients in identifying and resolving the issues that stop them from experiencing their lives to the fullest. Situated in downtown Sarnia, Lambton Counselling Services is designed to meet a wide range of needs through individual and couples therapy, group work, and workshops.
As solution-focused therapists, our goal is to help you uncover your true potential and lead a life that is worth celebrating. Lambton Counselling Services is committed to making an inspired contribution to personal growth and encouraging health in all states: Mental, Emotional, Physical, and Spiritual. Our mandate is to support clients in identifying and resolving the issues that stop them from experiencing their lives to the fullest. Situated in downtown Sarnia, Lambton Counselling Services is designed to meet a wide range of needs through individual and couples therapy, group work, and workshops.
(226) 212-4628 View (226) 212-4628
Photo of Elena Maystruk, Registered Psychotherapist in Sarnia, ON
Elena Maystruk
Registered Psychotherapist, MA
Verified Verified
3 Endorsed
Sarnia, ON N7T
I may be a good fit if you are looking for support with difficult emotions and traumas, couples counselling, anxiety, depression, burnout, living with grief, or would like to know more about EMDR and Brainspotting therapies. My personality can be described as gentle and inquisitive. I’m good at explaining things, listening to complex stories, and helping to address tough topics in a trauma-informed way.
I may be a good fit if you are looking for support with difficult emotions and traumas, couples counselling, anxiety, depression, burnout, living with grief, or would like to know more about EMDR and Brainspotting therapies. My personality can be described as gentle and inquisitive. I’m good at explaining things, listening to complex stories, and helping to address tough topics in a trauma-informed way.
(226) 640-3662 View (226) 640-3662
Photo of Brian Littlewood, Registered Social Worker in Sarnia, ON
Brian Littlewood
Registered Social Worker, MSW, RSW
Verified Verified
Sarnia, ON N7T  (Online Only)
Online Counselling & Currently Accepting Clients. Hi, my name is Brian and I am a Registered Social Worker. 18 years ago, I quit my job in a factory, and went back to school to get my Master degree in Social Work. Since then, I have been helping support adults, teens and kids who struggle with mental health, addictions, and parenting challenges. Most people know me for my humor, and my ability to get to the “nuts and bolts” of the situation. My job is to then give people the “tools,” on how handle the problem so they feel back in control again.
Online Counselling & Currently Accepting Clients. Hi, my name is Brian and I am a Registered Social Worker. 18 years ago, I quit my job in a factory, and went back to school to get my Master degree in Social Work. Since then, I have been helping support adults, teens and kids who struggle with mental health, addictions, and parenting challenges. Most people know me for my humor, and my ability to get to the “nuts and bolts” of the situation. My job is to then give people the “tools,” on how handle the problem so they feel back in control again.
(226) 210-9690 View (226) 210-9690
Photo of Carly McClughan in Sarnia, ON
Carly McClughan
CYCP, BSW, RSW
Verified Verified
1 Endorsed
Sarnia, ON N7T
Using a compassionate and trauma-informed approach, my focus is to support individuals of all ages as they navigate through various life challenges both past and present as well as goal setting for their future. I have experience in supporting individuals through anxiety, depression, substance use, negative views of self, relationship and family dysfunction, as well as survivors of sexual assault, gender based and domestic violence, and human trafficking.
Using a compassionate and trauma-informed approach, my focus is to support individuals of all ages as they navigate through various life challenges both past and present as well as goal setting for their future. I have experience in supporting individuals through anxiety, depression, substance use, negative views of self, relationship and family dysfunction, as well as survivors of sexual assault, gender based and domestic violence, and human trafficking.
(226) 770-4157 View (226) 770-4157
Photo of Shannon Vokes At Bridgeview Psychotherapy, Registered Psychotherapist (Qualifying) in Sarnia, ON
Shannon Vokes At Bridgeview Psychotherapy
Registered Psychotherapist (Qualifying), BA, MA
Verified Verified
2 Endorsed
Sarnia, ON N7T
Over the past decade I’ve had the honour of working with people of all ages in their mental health journey in a variety of roles. I currently work as a psychotherapist at Bridgeview Psychotherapy with kids, teens, and adults. I provide a non-judgmental space where together we can explore your inner landscape, engage in collaborative problem solving, learn useful tools and strategies, and manage distressing emotions, thoughts, and behaviours. Let's work to make sense of your past and shape your future.
Over the past decade I’ve had the honour of working with people of all ages in their mental health journey in a variety of roles. I currently work as a psychotherapist at Bridgeview Psychotherapy with kids, teens, and adults. I provide a non-judgmental space where together we can explore your inner landscape, engage in collaborative problem solving, learn useful tools and strategies, and manage distressing emotions, thoughts, and behaviours. Let's work to make sense of your past and shape your future.
(226) 240-3073 View (226) 240-3073

See more therapy options for Sarnia

How does your Counsellor compare?

Number of Counsellors in Sarnia, ON

100+

Average cost per session

$150

Counsellors in Sarnia, ON who prioritize treating:

90% Anxiety
84% Stress
82% Depression
81% Coping Skills
78% Self Esteem
77% Relationship Issues
71% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

56% Green Shield Canada
44% SunLife
42% Manulife

How Counsellors in Sarnia, ON see their clients

76% In Person and Online
24% Online Only

Gender breakdown

87% Female
12% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Sarnia?

Search for nearby therapists or counsellors by inputting your city, postal code, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postal code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Most Counsellors and Psychotherapists listed in the directory are certified by one of the main professional associations, mainly the Canadian Counselling and Psychotherapy Association (CCPA), and will have a Certified Canadian Counsellor (CCC) designation with their name. Social Workers listed in the directory must be registered members of the college specific to their province. To be listed in the directory, Psychologists must be registered with the psychological college specific to their province or territory.

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given the considerable variation in professional regulation and prerequisites across Canadian provinces, some providers may possess significant professional qualifications without necessarily holding professional memberships or being obliged to acquire them. As a result, they may be selectively included without the "Verified" seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Psychologists, counsellors, psychotherapists and social workers can all provide counselling or talking therapy and have credentials and supervised, practical experience that enable them to do so in Canada.

Psychologists have a master's and/or doctoral degree and have passed both written and oral exams. Psychologists are able to complete mental health assessments and provide diagnostic information to clients as well as provide counselling therapy or psychotherapy. Counsellors and psychotherapists are expected to have a master's or doctoral degree in counselling psychology, social work, or a related mental health discipline and certification by a professional association, such as the Canadian Counselling and Psychotherapy Association. Registered Social Workers possess a Bachelor's or Master's degree in Social Work and where possible must be licensed or certified by the provincial government and/or regulatory college.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, the cost of a therapy session in Canada could be between $100 and $200. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. Some types of outpatient mental health services are covered by Medicare, provided these are performed by a licensed mental health professional in the provinces or territory you reside in and who accepts the assignment.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postal code.

Are therapy sessions confidential?

Professionals licensed by regulatory colleges and those certified by associations such as the Canadian Counselling and Psychotherapy Association are obligated to uphold client confidentiality unless there is a legal reason that requires them to disclose information. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there is the potential or known harm to the client or others, or a court order, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.