Therapists in Ottawa, ON
Thinking in Pictures Educational Services
Registered Social Worker, MSW, RSW
Verified Verified
Ottawa, ON K2A (Online Only)
TIPES counsellors are working hard to bridge the gap between behavioural and mental health services, and are working from a multi-disciplinary approach with our clients. Our team of social workers has extensive experience working with autistic, neurodiverse individuals, and their families, as well as working on issues related to depression, anxiety, mood, social isolation, sexual and gender identity and more. Many of our clients require support related to goal setting and building skills around executive functioning and motivation. We offer parent and couples counselling. Clients can also be seen by our Supervising Psychologist.
TIPES counsellors are working hard to bridge the gap between behavioural and mental health services, and are working from a multi-disciplinary approach with our clients. Our team of social workers has extensive experience working with autistic, neurodiverse individuals, and their families, as well as working on issues related to depression, anxiety, mood, social isolation, sexual and gender identity and more. Many of our clients require support related to goal setting and building skills around executive functioning and motivation. We offer parent and couples counselling. Clients can also be seen by our Supervising Psychologist.
Michelle Weil
MSc, RYT, Coach
Verified Verified
1 Endorsed
Ottawa, ON K2G (Online Only)
Waitlist for new clients
Having your life disrupted by insomnia isn’t just physically exhausting. It’s mentally and emotionally draining too. Maybe you’ve made big changes to your life, like cutting out socializing or juggling endless sleep aids and routines (that don’t even work). It’s common to feel lonely and misunderstood. You may also feel confused about some of the physical symptoms happening in your body. I understand what you’re going through because I struggled with insomnia for 5 difficult years. While they were the hardest years of my life, I want you to know there is hope. You can absolutely get back to sleeping and feeling like yourself again.
Having your life disrupted by insomnia isn’t just physically exhausting. It’s mentally and emotionally draining too. Maybe you’ve made big changes to your life, like cutting out socializing or juggling endless sleep aids and routines (that don’t even work). It’s common to feel lonely and misunderstood. You may also feel confused about some of the physical symptoms happening in your body. I understand what you’re going through because I struggled with insomnia for 5 difficult years. While they were the hardest years of my life, I want you to know there is hope. You can absolutely get back to sleeping and feeling like yourself again.
Daphne Paul
Registered Psychotherapist (Qualifying), RP(Q)
Verified Verified
1 Endorsed
Ottawa, ON K2H
I view my role as a therapist to be that of a passenger, providing you with guidance and support throughout your personal journey. I aim to provide a safe space where you feel valued, honoured, and respected, putting forth empathy and a non-judgemental attitude through every step of the way. Together we will uncover the strengths you already possess, discover new tools, and help you apply them to your own everyday life.
I view my role as a therapist to be that of a passenger, providing you with guidance and support throughout your personal journey. I aim to provide a safe space where you feel valued, honoured, and respected, putting forth empathy and a non-judgemental attitude through every step of the way. Together we will uncover the strengths you already possess, discover new tools, and help you apply them to your own everyday life.
Wei-Hao Wu
Registered Psychotherapist (Qualifying), BEd, MEd
Verified Verified
4 Endorsed
Ottawa, ON K2P
As humankind, I genuinely believe that we all have something in common: The need and desire for Connection. It is my core belief that this beautiful common attribute we all possess enables me to better accompany you in the healing journey. In sessions, we will be holding the curiosity about your inner world and all levels of experiences, including emotional, cognitive, somatic, and relational. We will be exploring together what you deeply want for yourself and what is in the way of that.
As humankind, I genuinely believe that we all have something in common: The need and desire for Connection. It is my core belief that this beautiful common attribute we all possess enables me to better accompany you in the healing journey. In sessions, we will be holding the curiosity about your inner world and all levels of experiences, including emotional, cognitive, somatic, and relational. We will be exploring together what you deeply want for yourself and what is in the way of that.
Zahra Nafar
Registered Psychotherapist, MA, RP
Verified Verified
12 Endorsed
Ottawa, ON K1P
I am a Registered Psychotherapist and the director of YourTherapist Psychotherapy and Counselling Clinic with locations in Ottawa, Kingston and the GTA. My experience includes years of advanced training in psychology, neuroscience and genetics, providing trauma-informed interventions for clients with anxiety, depression, and trauma. I am a Certified Clinical Trauma Professional (CCTP) and a Certified Addictions-Informed Mental Health Professional (CAIMHP). I utilize a client-centred methodology to provide a compassionate and safe therapeutic environment for my clients.
I am a Registered Psychotherapist and the director of YourTherapist Psychotherapy and Counselling Clinic with locations in Ottawa, Kingston and the GTA. My experience includes years of advanced training in psychology, neuroscience and genetics, providing trauma-informed interventions for clients with anxiety, depression, and trauma. I am a Certified Clinical Trauma Professional (CCTP) and a Certified Addictions-Informed Mental Health Professional (CAIMHP). I utilize a client-centred methodology to provide a compassionate and safe therapeutic environment for my clients.
Heather Scott
Registered Psychotherapist, MA, RP
Verified Verified
Ottawa, ON K1V (Online Only)
*VIRTUAL PRACTICE - NOW ACCEPTING NEW CLIENTS* I’m so glad you’re here. Telling our story takes courage. If there is one thing I know, it’s that asking for help is a breathtaking act of raw bravery. Whatever has propelled you to this point, welcome. Therapy is a place to talk about the tough stuff: trauma, heartache, loss, stress. It’s also a place to talk about your hopes, longings, goals, and dreams…your identity: the you that you are and maybe, if we’re daring, the you that you want to be.
*VIRTUAL PRACTICE - NOW ACCEPTING NEW CLIENTS* I’m so glad you’re here. Telling our story takes courage. If there is one thing I know, it’s that asking for help is a breathtaking act of raw bravery. Whatever has propelled you to this point, welcome. Therapy is a place to talk about the tough stuff: trauma, heartache, loss, stress. It’s also a place to talk about your hopes, longings, goals, and dreams…your identity: the you that you are and maybe, if we’re daring, the you that you want to be.
Matt Temple
Registered Psychotherapist, MA, CCC
Verified Verified
3 Endorsed
Ottawa, ON K1Y
I believe that everyone experiences life in his or her own unique way. Whatever your situation, my goal is to listen and understand your needs while exploring new ways of living. I aim to create an environment that is safe in order to work with you to explore your past and create freedom to become the person you were meant to be. I am comfortable and trained in working with individuals, couples, and families.
I believe that everyone experiences life in his or her own unique way. Whatever your situation, my goal is to listen and understand your needs while exploring new ways of living. I aim to create an environment that is safe in order to work with you to explore your past and create freedom to become the person you were meant to be. I am comfortable and trained in working with individuals, couples, and families.
Sarah Mather
Registered Psychotherapist, MACP
Verified Verified
1 Endorsed
Ottawa, ON K2H
Are you someone who feels their emotions in a big way? Perhaps you are extra sensitive to the emotions of others and often find yourself feeling anxious. I work with “super-feeling” clients who are struggling with disordered eating, self-esteem and emotion regulation. I strive to create a warm and safe space where clients feel deeply seen.
Are you someone who feels their emotions in a big way? Perhaps you are extra sensitive to the emotions of others and often find yourself feeling anxious. I work with “super-feeling” clients who are struggling with disordered eating, self-esteem and emotion regulation. I strive to create a warm and safe space where clients feel deeply seen.
Intersections Therapy Collective
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Ottawa, ON K2P
Intersections Therapy Collective (ITC) is nestled in the heart of Ottawa's Centretown, easily accessible from East, West, and South of the city. ITC has been proudly serving Ottawa and its surrounding communities since 2020. We offer free on-site parking, a unique advantage compared to other private mental health clinics. Our team is dedicated to providing evidence-based, competent, and compassionate psychotherapy for individuals, couples, and families. With a dedicated child & family therapist, we also focus on treating children and youth, collaborating with parents and schools.
Intersections Therapy Collective (ITC) is nestled in the heart of Ottawa's Centretown, easily accessible from East, West, and South of the city. ITC has been proudly serving Ottawa and its surrounding communities since 2020. We offer free on-site parking, a unique advantage compared to other private mental health clinics. Our team is dedicated to providing evidence-based, competent, and compassionate psychotherapy for individuals, couples, and families. With a dedicated child & family therapist, we also focus on treating children and youth, collaborating with parents and schools.
Natalie Alexov
Registered Psychotherapist, MEd , RP
Verified Verified
2 Endorsed
Ottawa, ON K2P
Waitlist for new clients
Do you feel stuck, unfulfilled, or at a crossroads? Feeling caught in vicious cycles in your life or relationships and unsure what to do? I work with those who have experienced or are experiencing trauma, burnout, low self-esteem, relationship issues, anxiety, and depression. Together we can work to navigate through these symptoms, build a deeper sense of understanding of yourself, and feel more fulfilled. I also have a specific interest working with people going through life transitions, especially new parents.
Do you feel stuck, unfulfilled, or at a crossroads? Feeling caught in vicious cycles in your life or relationships and unsure what to do? I work with those who have experienced or are experiencing trauma, burnout, low self-esteem, relationship issues, anxiety, and depression. Together we can work to navigate through these symptoms, build a deeper sense of understanding of yourself, and feel more fulfilled. I also have a specific interest working with people going through life transitions, especially new parents.
Sara Antunes-Alves
Psychologist, PhD, CPsych
Verified Verified
1 Endorsed
Ottawa, ON K2P
Since 2009, I have enjoyed working with individuals who are experiencing conflict in their relationships (with others or within themselves), and those struggling with either overwhelming emotions or with feeling disconnected from them. I support clients in healing from traumatic life experiences, including abuse and neglect. I particularly enjoy helping men become better attuned to their emotional experience and develop more satisfying connections with others. I offer a compassionate, authentic space to explore the relationship ruptures, health complaints, and difficult emotions that contribute to your presenting concern.
Since 2009, I have enjoyed working with individuals who are experiencing conflict in their relationships (with others or within themselves), and those struggling with either overwhelming emotions or with feeling disconnected from them. I support clients in healing from traumatic life experiences, including abuse and neglect. I particularly enjoy helping men become better attuned to their emotional experience and develop more satisfying connections with others. I offer a compassionate, authentic space to explore the relationship ruptures, health complaints, and difficult emotions that contribute to your presenting concern.
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Registered Psychotherapist (Qualifying), MA
Verified Verified
3 Endorsed
Ottawa, ON K1K (Online Only)
Are you feeling disconnected and disoriented about how to move forward in your life? Perhaps change has swept through your world and left you in disarray, picking up the pieces and trying to return to a time or place when you felt you had it all together and you knew who you were. Whether it’s an identity crisis, a struggle to adapt to a new role or a profound sense of loss, change often happens in ways that can leave us feeling disempowered and alienated from our own lives. While distressing, change can often be a powerful time to reinvent ourselves in a more authentic way. Psychotherapy and inner work are a pathway through.
Are you feeling disconnected and disoriented about how to move forward in your life? Perhaps change has swept through your world and left you in disarray, picking up the pieces and trying to return to a time or place when you felt you had it all together and you knew who you were. Whether it’s an identity crisis, a struggle to adapt to a new role or a profound sense of loss, change often happens in ways that can leave us feeling disempowered and alienated from our own lives. While distressing, change can often be a powerful time to reinvent ourselves in a more authentic way. Psychotherapy and inner work are a pathway through.
Zoey Wilton
Registered Psychotherapist, MEd
Verified Verified
1 Endorsed
Ottawa, ON K2P
New clients welcome! You might be feeling disconnected, like there are too many things out of your control right now, or are overwhelmed. Maybe you're feeling stuck, unable to break out of patterns that are no longer working for you. If this is you, please take comfort in knowing change is possible. Through therapy, I can help you reconnect to yourself. Maybe the tenseness in your shoulders is telling you that you’re stressed, or the stomach ache you’ve been having is telling you that something isn't right. Together we can connect your mind and body to understand what's going on, identify what you need, and create change.
New clients welcome! You might be feeling disconnected, like there are too many things out of your control right now, or are overwhelmed. Maybe you're feeling stuck, unable to break out of patterns that are no longer working for you. If this is you, please take comfort in knowing change is possible. Through therapy, I can help you reconnect to yourself. Maybe the tenseness in your shoulders is telling you that you’re stressed, or the stomach ache you’ve been having is telling you that something isn't right. Together we can connect your mind and body to understand what's going on, identify what you need, and create change.
Elise Gwyn
Registered Psychotherapist, MA, RP
Verified Verified
2 Endorsed
Ottawa, ON K2B
Not accepting new clients
In life’s difficult moments the most powerful thing that we can control is how we treat ourselves. Care, self-awareness, and compassion can help us to move more confidently through life’s challenges, even in very hard times. I provide support and a safe space for people who want to unpack the origins of their patterns, better understand the natural emotions behind them, and explore new ways of relating to themselves and others in order to create positive and sustainable change in their lives.
In life’s difficult moments the most powerful thing that we can control is how we treat ourselves. Care, self-awareness, and compassion can help us to move more confidently through life’s challenges, even in very hard times. I provide support and a safe space for people who want to unpack the origins of their patterns, better understand the natural emotions behind them, and explore new ways of relating to themselves and others in order to create positive and sustainable change in their lives.
Robert Vincent Piro
Registered Psychotherapist, M Ed, CCC, RP
Verified Verified
5 Endorsed
Ottawa, ON K1Z
Not accepting new clients
Real change, healing, and growth happens from the inside out. This is a process of mutual empowerment that occurs through our genuine relationships, as we bring parts of ourselves and hidden parts of our experience into the light of a compassionate awareness. In psychotherapy we can create an authentic space of acceptance to explore life's troubles with compassion, curiosity, and courage. Together we may discover, become, heal, and grow. Whatever brings you to psychotherapy, it is with respect and gratitude that I commit to walk beside you on this path. "A journey of a thousand miles begins where one is and taking a single step."
Real change, healing, and growth happens from the inside out. This is a process of mutual empowerment that occurs through our genuine relationships, as we bring parts of ourselves and hidden parts of our experience into the light of a compassionate awareness. In psychotherapy we can create an authentic space of acceptance to explore life's troubles with compassion, curiosity, and courage. Together we may discover, become, heal, and grow. Whatever brings you to psychotherapy, it is with respect and gratitude that I commit to walk beside you on this path. "A journey of a thousand miles begins where one is and taking a single step."
Krisha Séguin
Registered Psychotherapist, MA, CCC, (she, her)
Verified Verified
2 Endorsed
Ottawa, ON K2P
When we have suffered over a long period of time without much support or compassion, we come to rely on certain ways of being and relating that keep us safe but isolated from ourselves and those we love. This is normal considering what we have experienced. Trauma and lack of early nurturing skew our perceptions of ourselves and the world around us. Neither can be trusted, and this determines how we are in relationship within and with others. At the core of all of this is our longing to be in nurturing relationships because the need to feel loved, wanted, and accepted are so innate in us. Therefore, feeling the converse: rejection and shame is a blow to our very sense of self. We reject because we really want to be needed and accepted, and yet we are afraid. The pain we feel in this dichotomy is profound.
When we have suffered over a long period of time without much support or compassion, we come to rely on certain ways of being and relating that keep us safe but isolated from ourselves and those we love. This is normal considering what we have experienced. Trauma and lack of early nurturing skew our perceptions of ourselves and the world around us. Neither can be trusted, and this determines how we are in relationship within and with others. At the core of all of this is our longing to be in nurturing relationships because the need to feel loved, wanted, and accepted are so innate in us. Therefore, feeling the converse: rejection and shame is a blow to our very sense of self. We reject because we really want to be needed and accepted, and yet we are afraid. The pain we feel in this dichotomy is profound.
Triello Counselling Services
Registered Psychotherapist, RP
Verified Verified
1 Endorsed
Ottawa, ON K1S
Are you feeling overwhelmed, sad or stressed? Perhaps, you are unsure about how you are feeling? Wherever you currently may find yourself, Triello Counselling Services offers counselling and psychotherapy to support your individual needs. We understand that it takes great courage to begin taking steps towards starting therapy, and we are here to walk alongside you on your therapeutic journey. Our initial goal is to create a safe and compassionate environment for you to begin your healing process. We believe all clients are unique, and our priority is to mould our therapeutic approach to suit your individual needs and goals.
Are you feeling overwhelmed, sad or stressed? Perhaps, you are unsure about how you are feeling? Wherever you currently may find yourself, Triello Counselling Services offers counselling and psychotherapy to support your individual needs. We understand that it takes great courage to begin taking steps towards starting therapy, and we are here to walk alongside you on your therapeutic journey. Our initial goal is to create a safe and compassionate environment for you to begin your healing process. We believe all clients are unique, and our priority is to mould our therapeutic approach to suit your individual needs and goals.
Monica Mohareb
Registered Psychotherapist (Qualifying), MEd, RP(Q)
Verified Verified
Ottawa, ON K1Y (Online Only)
Accepting new Clients - Are you seeking a safe and supportive space to explore your thoughts, feelings, and challenges? I am here to support you on your journey. I love working with people to help them understand themselves and their world differently. My goal is to accompany you as you create change in your life and move toward healthier relationships with yourself and others. Whether you are struggling with depression, anxiety, relationship or family issues, cultural issues, or any life transitions, I would be happy to work with you.
Accepting new Clients - Are you seeking a safe and supportive space to explore your thoughts, feelings, and challenges? I am here to support you on your journey. I love working with people to help them understand themselves and their world differently. My goal is to accompany you as you create change in your life and move toward healthier relationships with yourself and others. Whether you are struggling with depression, anxiety, relationship or family issues, cultural issues, or any life transitions, I would be happy to work with you.
Marloes Nienhuis
Registered Psychotherapist (Qualifying), BA, RP(Q)
Verified Verified
3 Endorsed
Ottawa, ON K2C (Online Only)
I am a Registered Psychotherapist (Qualifying) with the College of Registered Psychotherapists of Ontario (CRPO), a student member of the Canadian Counselling and Psychotherapy Association (CCPA) as well as a therapist under supervision at CMAP Health. I completed a joint Bachelor of Honours in Psychology and Philosophy from Carleton University with a specialization in Neuroscience and Mental Health, as well as a Master of Arts in Counselling Psychology from Yorkville University.
I am a Registered Psychotherapist (Qualifying) with the College of Registered Psychotherapists of Ontario (CRPO), a student member of the Canadian Counselling and Psychotherapy Association (CCPA) as well as a therapist under supervision at CMAP Health. I completed a joint Bachelor of Honours in Psychology and Philosophy from Carleton University with a specialization in Neuroscience and Mental Health, as well as a Master of Arts in Counselling Psychology from Yorkville University.
Bruce Johnston Counselling and Psychotherapy
Registered Psychotherapist, MA, RP , CCC, CCAC
Verified Verified
3 Endorsed
Ottawa, ON K2P
Not accepting new clients
I enjoy working with all age groups who present with a variety of life issues. I have experience in treating issues around addiction, depression, anxiety, grief and interpersonal relationships.
I enjoy working with all age groups who present with a variety of life issues. I have experience in treating issues around addiction, depression, anxiety, grief and interpersonal relationships.
See more therapy options for Ottawa
How does your Counsellor compare?
Number of Counsellors in Ottawa, ON
2,000+
Average cost per session
$160
Counsellors in Ottawa, ON who prioritize treating:
94% | Anxiety |
87% | Depression |
84% | Self Esteem |
81% | Stress |
80% | Relationship Issues |
74% | Coping Skills |
70% | Life Transitions |
Average years in practice
8 Years
Top 3 insurances accepted
62% | SunLife |
57% | Canada Life | Great-West Life |
53% | Manulife |
How Counsellors in Ottawa, ON see their clients
58% | In Person and Online | |
42% | Online Only |
Gender breakdown
83% | Female | |
16% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Ottawa?
Search for nearby therapists or counsellors by inputting your city, postal code, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postal code into the search bar.
Learn more about how to find a therapist
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.