Therapists in Hamilton, ON

Photo of Jacqueline Sarah Robertson, Registered Psychotherapist in Hamilton, ON
Jacqueline Sarah Robertson
Registered Psychotherapist, MA, LMFT, RPQ, PATP, EMDR
Verified Verified
Hamilton, ON L9B  (Online Only)
Change is within reach. Do you find yourself battling burnout, anxiety, or depression? Are you feeling trapped or besieged by overwhelming emotions? If you're yearning for a shift in your life, CHANGE is possible. I specialize in guiding individuals through transformative journeys, helping them break free from limiting patterns and heal past wounds that hinder their path to fulfillment. In my therapy sessions, you'll find a safe haven—a space free of judgment and filled with compassion. Together, we'll unravel the layers of your being, unearth hidden truths, and cultivate new coping mechanisms. Your authentic self awaits you.
Change is within reach. Do you find yourself battling burnout, anxiety, or depression? Are you feeling trapped or besieged by overwhelming emotions? If you're yearning for a shift in your life, CHANGE is possible. I specialize in guiding individuals through transformative journeys, helping them break free from limiting patterns and heal past wounds that hinder their path to fulfillment. In my therapy sessions, you'll find a safe haven—a space free of judgment and filled with compassion. Together, we'll unravel the layers of your being, unearth hidden truths, and cultivate new coping mechanisms. Your authentic self awaits you.
(289) 207-7647 View (289) 207-7647
Photo of Stephen Hudecki, Registered Psychotherapist in Hamilton, ON
Stephen Hudecki
Registered Psychotherapist, BFA, MA, RP
Verified Verified
1 Endorsed
Hamilton, ON L8P
I bring a mindful/meditative practice, from my own life and from my education to be of service to you and whatever is ailing you. No problem is too big or too small. Whatever is impacting your life, in a negative way is worth sorting through together. I have a special interest in working with people involved in healthcare because I've spent the last 10 years working in hospitals. Pain and suffering are part of life. How we live and learn from our suffering is our life's work. Once we discover ourselves, our true nature, we are free to live with more happiness and love.
I bring a mindful/meditative practice, from my own life and from my education to be of service to you and whatever is ailing you. No problem is too big or too small. Whatever is impacting your life, in a negative way is worth sorting through together. I have a special interest in working with people involved in healthcare because I've spent the last 10 years working in hospitals. Pain and suffering are part of life. How we live and learn from our suffering is our life's work. Once we discover ourselves, our true nature, we are free to live with more happiness and love.
(289) 302-8325 View (289) 302-8325
Photo of Michael Marshall, Clinical Social Work/Therapist in Hamilton, ON
Michael Marshall
Clinical Social Work/Therapist, MSW, RSW
Verified Verified
1 Endorsed
Hamilton, ON L8P
I am accepting new clients! I believe that change comes from a place of Hope and I work with my clients in an authentic, genuine and passionate manner. I provide a safe, non-judgmental space to discuss hard feelings and situations at your own pace. Together we will create solutions to overcome barriers, develop and maintain coping techniques, and improve your mindset.
I am accepting new clients! I believe that change comes from a place of Hope and I work with my clients in an authentic, genuine and passionate manner. I provide a safe, non-judgmental space to discuss hard feelings and situations at your own pace. Together we will create solutions to overcome barriers, develop and maintain coping techniques, and improve your mindset.
(365) 977-1434 View (365) 977-1434
Photo of Devin Allen, Registered Social Worker in Hamilton, ON
Devin Allen
Registered Social Worker, BSW, RSW
Verified Verified
Hamilton, ON L9H  (Online Only)
Are you a parent who is having challenges adjusting? Maybe you are having a hard time getting out of bed, making a meal, or even getting dressed. Maybe you are having a lot of stress from being the sole caregiver to your child(ren). Or maybe you've just had a hard year. When we work together, you will not have to feel alone. You will have a safe space to share your emotions, and can begin your journey of healing.
Are you a parent who is having challenges adjusting? Maybe you are having a hard time getting out of bed, making a meal, or even getting dressed. Maybe you are having a lot of stress from being the sole caregiver to your child(ren). Or maybe you've just had a hard year. When we work together, you will not have to feel alone. You will have a safe space to share your emotions, and can begin your journey of healing.
(548) 490-6185 View (548) 490-6185
Photo of Timothy Gordon, Registered Social Worker in Hamilton, ON
Timothy Gordon
Registered Social Worker, BA, MSW, RSW
Verified Verified
7 Endorsed
Hamilton, ON L8V
I am collaborative, empathetic, understanding, and hopeful in my work with clients. I am interested in learning about new people and clients often comment that this shows. I am also an award winning author having authored five books on modern CBT, specifically ACT (Acceptance and Commitment Therapy).
I am collaborative, empathetic, understanding, and hopeful in my work with clients. I am interested in learning about new people and clients often comment that this shows. I am also an award winning author having authored five books on modern CBT, specifically ACT (Acceptance and Commitment Therapy).
(289) 210-6008 View (289) 210-6008
Photo of Sarah Downey, Registered Social Worker in Hamilton, ON
Sarah Downey
Registered Social Worker, BAH, MSW, RSW
Verified Verified
Hamilton, ON L8P  (Online Only)
My approach to counselling is strengths based, client centred and collaborative. That means working with you to figure out what’s working well, and how to do more of it. Feelings can often become overwhelming, I help people find balance and meaning. Through our work together, we will explore patterns of thoughts and behaviours which may be keeping you stuck, as well as ways of coping that aren’t helpful. I empower people to make connections between early life experiences and who they are today, moving towards change and building on their resilience.
My approach to counselling is strengths based, client centred and collaborative. That means working with you to figure out what’s working well, and how to do more of it. Feelings can often become overwhelming, I help people find balance and meaning. Through our work together, we will explore patterns of thoughts and behaviours which may be keeping you stuck, as well as ways of coping that aren’t helpful. I empower people to make connections between early life experiences and who they are today, moving towards change and building on their resilience.
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Photo of CU Therapy - Cassandra Umbriaco, Registered Psychotherapist in Hamilton, ON
CU Therapy - Cassandra Umbriaco
Registered Psychotherapist, MACP
Verified Verified
Hamilton, ON L8V  (Online Only)
Are you or is someone you know navigating the complex world of cancer? If you’re feeling overwhelmed and unsure where to start, you’re in the right place. My passion is helping clients live a life where they aren’t living, they’re thriving. While my niche is cancer-related care, I work with other issues, including anxiety, body image, burnout, chronic illness, depression, grief/loss, life transitions and relationships. Grounded in compassion, I aim to help clients shift from reacting to responding by providing the safe space they need to explore and nurture themselves, and leave feeling empowered and reconnected to what’s important.
Are you or is someone you know navigating the complex world of cancer? If you’re feeling overwhelmed and unsure where to start, you’re in the right place. My passion is helping clients live a life where they aren’t living, they’re thriving. While my niche is cancer-related care, I work with other issues, including anxiety, body image, burnout, chronic illness, depression, grief/loss, life transitions and relationships. Grounded in compassion, I aim to help clients shift from reacting to responding by providing the safe space they need to explore and nurture themselves, and leave feeling empowered and reconnected to what’s important.
(289) 278-9929 View (289) 278-9929
Photo of Carrie Stevenson, Registered Social Worker in Hamilton, ON
Carrie Stevenson
Registered Social Worker, MSW, RSW
Verified Verified
Hamilton, ON L8P
Sometimes life can feel challenging and hard and we might lose ourselves a little along the way. This is when we need to slow down and take a deep breath. Reaching out for support can be a very effective way to feel less alone and figure out your next steps. I provide a non-judgmental space so clients can feel safe to openly share their thoughts, emotions and experiences. I specialize in helping individuals learn and apply new skills and strategies that help make impactful shifts that lead to meaningful change.
Sometimes life can feel challenging and hard and we might lose ourselves a little along the way. This is when we need to slow down and take a deep breath. Reaching out for support can be a very effective way to feel less alone and figure out your next steps. I provide a non-judgmental space so clients can feel safe to openly share their thoughts, emotions and experiences. I specialize in helping individuals learn and apply new skills and strategies that help make impactful shifts that lead to meaningful change.
(365) 601-1357 View (365) 601-1357
Photo of Fred Tisdall, Registered Social Worker in Hamilton, ON
Fred Tisdall
Registered Social Worker, RSSW
Verified Verified
1 Endorsed
Hamilton, ON L8R
You've only got this life. If you are struggling, reach out. We are social beings and when we connect with each other life is a little better. Growth and change is an inside job. I believe there is a wisdom within you. I strive to turn you toward your inner strength and build a connection with yourself. When we feel a strong connection, we stop allowing the external world to impact how we feel and navigate. Our internal connection deepens all of your relationships and you begin to experience the intimacy you are seeking.
You've only got this life. If you are struggling, reach out. We are social beings and when we connect with each other life is a little better. Growth and change is an inside job. I believe there is a wisdom within you. I strive to turn you toward your inner strength and build a connection with yourself. When we feel a strong connection, we stop allowing the external world to impact how we feel and navigate. Our internal connection deepens all of your relationships and you begin to experience the intimacy you are seeking.
(365) 602-2577 View (365) 602-2577
Photo of Corey Sleep, Registered Psychotherapist (Qualifying) in Hamilton, ON
Corey Sleep
Registered Psychotherapist (Qualifying), BScKin, MTS, MACP
Verified Verified
Hamilton, ON L8N
I believe in a holistic approach to health, so my clients come in with a slew of different concerns, sometimes without even knowing the full picture. Old traumas often haunt them, grief remains unprocessed, or they struggle to stop acting out in sex or other addictions. I'm certified as a trauma-, addictions-, and grief-informed professional, and have a broad educational base that covers body, mind and even spirit. All of that prepares me pretty well for helping them break the ice and start the hard work of problem-solving. Trauma can heal, grief is a natural process, and addiction can be treated.
I believe in a holistic approach to health, so my clients come in with a slew of different concerns, sometimes without even knowing the full picture. Old traumas often haunt them, grief remains unprocessed, or they struggle to stop acting out in sex or other addictions. I'm certified as a trauma-, addictions-, and grief-informed professional, and have a broad educational base that covers body, mind and even spirit. All of that prepares me pretty well for helping them break the ice and start the hard work of problem-solving. Trauma can heal, grief is a natural process, and addiction can be treated.
(365) 803-1025 View (365) 803-1025
Photo of Access Therapy, Registered Social Worker in Hamilton, ON
Access Therapy
Registered Social Worker, RP, RP(Q)
Verified Verified
1 Endorsed
Hamilton, ON L8R
Looking for a therapist? Not sure what you need? Tired of unanswered calls and long waitlists? At Access Therapy, we make it easy. With our online booking tool, you can pick a consultation time that suits you. Say goodbye to endless calls and emails to find the right therapist. When you book your FREE consultation with us, we dedicate 30 minutes to understand you, listen to your needs and therapy goals, and match you with the perfect member of our team.
Looking for a therapist? Not sure what you need? Tired of unanswered calls and long waitlists? At Access Therapy, we make it easy. With our online booking tool, you can pick a consultation time that suits you. Say goodbye to endless calls and emails to find the right therapist. When you book your FREE consultation with us, we dedicate 30 minutes to understand you, listen to your needs and therapy goals, and match you with the perfect member of our team.
(365) 659-4894 View (365) 659-4894
Krista M Kleinwort
Registered Social Worker, MSW, RSW
Verified Verified
2 Endorsed
Hamilton, ON L8K
Are you the caregiver of a neurodivergent or Deaf youth or young adult? Do you see them struggle with anxiety, low mood or the navigating the transition to post-secondary schooling or employment? I can help you support them.
Are you the caregiver of a neurodivergent or Deaf youth or young adult? Do you see them struggle with anxiety, low mood or the navigating the transition to post-secondary schooling or employment? I can help you support them.
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Photo of Andrew Haselbah, Registered Social Worker in Hamilton, ON
Andrew Haselbah
Registered Social Worker, MSW, RSW
Verified Verified
Hamilton, ON L9C
We all go through difficulties in our lives, ranging from frustrating, distressing, to traumatic. Mental Health struggles can complicate our interaction with the world, causing problems in many parts of life, including socially, with family, in employment or legally. Getting some advice, coping techniques or in depth treatment can be helpful to provide relief to yourself and improve interactions with those around you.
We all go through difficulties in our lives, ranging from frustrating, distressing, to traumatic. Mental Health struggles can complicate our interaction with the world, causing problems in many parts of life, including socially, with family, in employment or legally. Getting some advice, coping techniques or in depth treatment can be helpful to provide relief to yourself and improve interactions with those around you.
(519) 841-3957 View (519) 841-3957
Photo of Aliza Ladak - OCD & Anxiety Specialist , Occupational Therapist in Hamilton, ON
Aliza Ladak - OCD & Anxiety Specialist
Occupational Therapist, MSc
Verified Verified
1 Endorsed
Hamilton, ON L8R
I specialize in helping clients and their loved ones reclaim their lives and relationships from OCD and anxiety disorders. Whether it is your first time reaching out for help or you feel like you've tried everything, I have experience in working with various OCD severities and subtypes. If you are feeling overwhelmed, discouraged, or stuck, I can help you make scary change feel more manageable. l deliver cutting-edge Exposure and Response Prevention (ERP) treatment through a practical and functional lens. Treatment is offered virtually, in the community, and in the client's home (depending on your location).
I specialize in helping clients and their loved ones reclaim their lives and relationships from OCD and anxiety disorders. Whether it is your first time reaching out for help or you feel like you've tried everything, I have experience in working with various OCD severities and subtypes. If you are feeling overwhelmed, discouraged, or stuck, I can help you make scary change feel more manageable. l deliver cutting-edge Exposure and Response Prevention (ERP) treatment through a practical and functional lens. Treatment is offered virtually, in the community, and in the client's home (depending on your location).
(365) 801-5965 View (365) 801-5965
Photo of Juliette Tilbury, Registered Social Worker in Hamilton, ON
Juliette Tilbury
Registered Social Worker, MSW, RSW
Verified Verified
Hamilton, ON L9C
I am a Registered Social Worker in private practice with children, adolescents, and adults of all ages. I support clients experiencing challenges with life transitions, mental health, relationships, parenting, trauma, substance and behavioural addictions, suicidality and self-harm behaviours, emotion dysregulation, and neurodiversity.
I am a Registered Social Worker in private practice with children, adolescents, and adults of all ages. I support clients experiencing challenges with life transitions, mental health, relationships, parenting, trauma, substance and behavioural addictions, suicidality and self-harm behaviours, emotion dysregulation, and neurodiversity.
(289) 206-6889 View (289) 206-6889
Photo of Sandy He, Registered Psychotherapist (Qualifying) in Hamilton, ON
Sandy He
Registered Psychotherapist (Qualifying), MACP, BA, CCTP
Verified Verified
2 Endorsed
Hamilton, ON L8J  (Online Only)
Accepting NEW clients – Do you want to feel less anxious, stressed, or depressed, and understand why these feelings stick? Have you experienced trauma or difficult situations and are unsure how to move forward? Do you want to learn coping skills to better manage your day-to-day or relationships? Are you facing life changes, cultural stressors, or transitions that you’d like support with? I'm here to support you on your journey of healing, understanding, and clarity. I offer a non-judgmental space for you to explore past, present, and future goals. Through collaboration, we can create a plan that fits your unique needs.
Accepting NEW clients – Do you want to feel less anxious, stressed, or depressed, and understand why these feelings stick? Have you experienced trauma or difficult situations and are unsure how to move forward? Do you want to learn coping skills to better manage your day-to-day or relationships? Are you facing life changes, cultural stressors, or transitions that you’d like support with? I'm here to support you on your journey of healing, understanding, and clarity. I offer a non-judgmental space for you to explore past, present, and future goals. Through collaboration, we can create a plan that fits your unique needs.
(365) 650-3150 View (365) 650-3150
Photo of Janine Davies, Registered Psychotherapist (Qualifying) in Hamilton, ON
Janine Davies
Registered Psychotherapist (Qualifying), BA, MA
Verified Verified
2 Endorsed
Hamilton, ON L8P
I believe everyone is the expert in their own life, they may just need some help to navigate life's challenges. A strong therapeutic relationship is the key to clients meeting their goals, and I strive to create a space where pre-teens to adults feel safe to talk, share and explore challenges they are facing. I value collaboration and tailor treatment to each individual/ family/ relationship, and I utilize a number of evidence-based techniques to help clients work through obstacles, develop healthy coping habits, and flourish in their life.
I believe everyone is the expert in their own life, they may just need some help to navigate life's challenges. A strong therapeutic relationship is the key to clients meeting their goals, and I strive to create a space where pre-teens to adults feel safe to talk, share and explore challenges they are facing. I value collaboration and tailor treatment to each individual/ family/ relationship, and I utilize a number of evidence-based techniques to help clients work through obstacles, develop healthy coping habits, and flourish in their life.
(365) 661-4409 View (365) 661-4409
Photo of Kristen Alexandra Di Martino, Registered Psychotherapist in Hamilton, ON
Kristen Alexandra Di Martino
Registered Psychotherapist, RP, MA, BA
Verified Verified
1 Endorsed
Hamilton, ON L9C
Currently have 2 sliding scale spots open. I offer free 15 minute consultations to determine if we would be a good fit! Our relationship is the most important tool to therapy - building comfort and trust is key. Having dealt with anxiety myself and going through therapy, I can offer an understanding of knowing what it feels like to be the client, and how important it is to feel heard by your therapist.
Currently have 2 sliding scale spots open. I offer free 15 minute consultations to determine if we would be a good fit! Our relationship is the most important tool to therapy - building comfort and trust is key. Having dealt with anxiety myself and going through therapy, I can offer an understanding of knowing what it feels like to be the client, and how important it is to feel heard by your therapist.
(289) 272-8703 View (289) 272-8703
Photo of BeWell Hamilton Health Centre, Psychologist in Hamilton, ON
BeWell Hamilton Health Centre
Psychologist
Verified Verified
Hamilton, ON L8N
Grace is a registered Psychological Associate with the College of Psychologists of Ontario. She obtained her Master’s Degree in the field of clinical and forensic psychology in 1986. She has many years of experience in the areas of rehabilitation and clinical psychology. She has obtained intense training in the field of rehabilitation psychology. She is affiliated with several rehabilitation clinics as a senior clinician, providing therapy and counselling to patients with chronic pain problems, and a variety of psychological impairments related to motor vehicle accidents, work injuries or long-term disabilities.
Grace is a registered Psychological Associate with the College of Psychologists of Ontario. She obtained her Master’s Degree in the field of clinical and forensic psychology in 1986. She has many years of experience in the areas of rehabilitation and clinical psychology. She has obtained intense training in the field of rehabilitation psychology. She is affiliated with several rehabilitation clinics as a senior clinician, providing therapy and counselling to patients with chronic pain problems, and a variety of psychological impairments related to motor vehicle accidents, work injuries or long-term disabilities.
(289) 809-9803 View (289) 809-9803
Photo of Emma Fackelmann, Registered Psychotherapist in Hamilton, ON
Emma Fackelmann
Registered Psychotherapist, BA, MA
Verified Verified
Hamilton, ON L9B
Life can feel like a maze of emotions, thoughts, and struggles; I totally get it, I can confidently say I’ve been there! If you’re seeking a compassionate, down-to-earth therapist then you’ve come to the right place. Whether you’re new to starting therapy or have already started the process, I welcome you to Everybody’s Talking Therapy! I provide a safe space where you can gain insights and strategies to navigate life's ups & downs with resilience. I tailor my approach to you and your goals, empowering you to overcome obstacles, find balance, and thrive. I’m a therapist who laughs, cries, shows curiosity, & is human with you.
Life can feel like a maze of emotions, thoughts, and struggles; I totally get it, I can confidently say I’ve been there! If you’re seeking a compassionate, down-to-earth therapist then you’ve come to the right place. Whether you’re new to starting therapy or have already started the process, I welcome you to Everybody’s Talking Therapy! I provide a safe space where you can gain insights and strategies to navigate life's ups & downs with resilience. I tailor my approach to you and your goals, empowering you to overcome obstacles, find balance, and thrive. I’m a therapist who laughs, cries, shows curiosity, & is human with you.
(289) 275-9571 View (289) 275-9571

See more therapy options for Hamilton

How does your Counsellor compare?

Number of Counsellors in Hamilton, ON

1,000+

Average cost per session

$150

Counsellors in Hamilton, ON who prioritize treating:

92% Anxiety
85% Depression
80% Self Esteem
80% Stress
78% Relationship Issues
72% Coping Skills
70% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

70% Green Shield Canada
65% SunLife
59% Canada Life | Great-West Life

How Counsellors in Hamilton, ON see their clients

61% In Person and Online
39% Online Only

Gender breakdown

83% Female
15% Male
2% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Hamilton?

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.