Therapists in Toronto, ON
David St Bernard
JD, MBA, BA
Verified Verified
Toronto, ON M5X
With my diverse background spanning law, business, athletics, and community service, I offer a multifaceted approach to empowering individuals seeking realignment with their professional purpose. I bring a unique blend of legal acumen and business proficiency and an understanding of the importance of maintaining high performance developed through my years of experience in top-tier international law firms and organizations and as a former national athlete. With my guidance, individuals can tap into their passions and values, finding inspiration and purpose in their professional endeavours.
With my diverse background spanning law, business, athletics, and community service, I offer a multifaceted approach to empowering individuals seeking realignment with their professional purpose. I bring a unique blend of legal acumen and business proficiency and an understanding of the importance of maintaining high performance developed through my years of experience in top-tier international law firms and organizations and as a former national athlete. With my guidance, individuals can tap into their passions and values, finding inspiration and purpose in their professional endeavours.
Shannon Deacon
Registered Social Worker, BSW, MSW
Verified Verified
Toronto, ON M4J
In the fast-paced world we live in today, many of us are struggling to keep up. Feeling overwhelmed and disconnected has become an unfortunate norm. Depression, anxiety, relationship issues abound as we struggle to find a way through it all. It is vital to find the space and time to reconnect with ourselves, our families and the world around us. Therapy can help us to find our way back. My work is to help you to reconnect to yourself and those around you. I work with families, children, couples and individuals to build and repair connections.
In the fast-paced world we live in today, many of us are struggling to keep up. Feeling overwhelmed and disconnected has become an unfortunate norm. Depression, anxiety, relationship issues abound as we struggle to find a way through it all. It is vital to find the space and time to reconnect with ourselves, our families and the world around us. Therapy can help us to find our way back. My work is to help you to reconnect to yourself and those around you. I work with families, children, couples and individuals to build and repair connections.
Katarina Guillen
Registered Psychotherapist, MA, RP
Verified Verified
1 Endorsed
Toronto, ON M5C (Online Only)
Life can be tough, especially if you are feeling stuck, alone, stressed, disconnected, burned out, or like something is missing. It takes a great deal of strength and commitment to work on the difficulties you are facing, you have taken an important step in making a change by looking for support. I offer couples, family, and individual adult and youth psychotherapy. I am here to provide support and guidance if you are experiencing relational strain, anxiety, self-criticism, lack of intimacy and connection, difficulties related to parenting or family dynamics, or if you would like to develop emotional insight and regulation skills.
Life can be tough, especially if you are feeling stuck, alone, stressed, disconnected, burned out, or like something is missing. It takes a great deal of strength and commitment to work on the difficulties you are facing, you have taken an important step in making a change by looking for support. I offer couples, family, and individual adult and youth psychotherapy. I am here to provide support and guidance if you are experiencing relational strain, anxiety, self-criticism, lack of intimacy and connection, difficulties related to parenting or family dynamics, or if you would like to develop emotional insight and regulation skills.
Rachel Anenberg
Registered Social Worker, BA, BSW, MSW RSW
Verified Verified
Toronto, ON M6H (Online Only)
Virtual office. The integrative healing approach is ideal for those seeking to heal and evolve. Traditional psychotherapeutic techniques are integrated with spiritual, energetic, and soul based insight. Psychodynamic, emotion-focused, somatic, transpersonal, narrative, trauma-informed, energy psychology, IFS, vibrational medicine approaches and techniques are included.
Virtual office. The integrative healing approach is ideal for those seeking to heal and evolve. Traditional psychotherapeutic techniques are integrated with spiritual, energetic, and soul based insight. Psychodynamic, emotion-focused, somatic, transpersonal, narrative, trauma-informed, energy psychology, IFS, vibrational medicine approaches and techniques are included.
Parool Joshi
Pre-Licensed Professional
Verified Verified
5 Endorsed
Toronto, ON M4K (Online Only)
My clients are seeking a place to dive deep into themselves, so they can better understand their patterns and habits. To explore their difficult feelings and memories as well to share their dreams. My clients are looking to find meaning and purpose, to improve relationships, understand and integrate peak experiences as well as to engage with life more fully.
My clients are seeking a place to dive deep into themselves, so they can better understand their patterns and habits. To explore their difficult feelings and memories as well to share their dreams. My clients are looking to find meaning and purpose, to improve relationships, understand and integrate peak experiences as well as to engage with life more fully.
Tayler Middleton
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Toronto, ON M6G
I work with adults, teens, and couples who are experiencing a variety of life transitions and challenges. A stressful life event, sudden change, or recent loss can make it feel like the ground has fallen out from under you. My work is centred around helping you increase self-understanding, process difficult feelings, memories or experiences, and expand your coping abilities. Together we will establish a therapeutic space that feels safe to explore how to move towards a more balanced present.
I work with adults, teens, and couples who are experiencing a variety of life transitions and challenges. A stressful life event, sudden change, or recent loss can make it feel like the ground has fallen out from under you. My work is centred around helping you increase self-understanding, process difficult feelings, memories or experiences, and expand your coping abilities. Together we will establish a therapeutic space that feels safe to explore how to move towards a more balanced present.
Julia Walter
Registered Social Worker, RSW, MSW, BSW
Verified Verified
Toronto, ON M6C (Online Only)
There are moments in our lives where we feel stuck or moments of crisis where we have done things that we don't feel ok about. We may be living with persistent fears, thoughts, and behaviours that frighten us, or no longer align with who we are. We may experience difficulties in our relationships or trouble managing the world. We may suffer from current experiences of harm and violence, the wounds from our past, or repeating patterns and behaviours that no longer serve us. In these moments, it’s important to have a space to process our fears, pain, and our hopes while building skills, self-compassion, and a vision for ourselves.
There are moments in our lives where we feel stuck or moments of crisis where we have done things that we don't feel ok about. We may be living with persistent fears, thoughts, and behaviours that frighten us, or no longer align with who we are. We may experience difficulties in our relationships or trouble managing the world. We may suffer from current experiences of harm and violence, the wounds from our past, or repeating patterns and behaviours that no longer serve us. In these moments, it’s important to have a space to process our fears, pain, and our hopes while building skills, self-compassion, and a vision for ourselves.
Mikaela Gossmann-Bond
Registered Psychotherapist (Qualifying), MA, RP(Q)
Verified Verified
1 Endorsed
Toronto, ON M6P (Online Only)
Does your relationship lack passionate love, or require healing from wounds? Are you wanting to develop more self-esteem, communication skills and confidence? Do you desire a fulfilling life but don't know how to create it? Is your connection to God important to you? Maybe you want to improve your relationship but your partner isn't willing to join therapy. Whether your story is one that includes a mental health diagnosis or not, and whether you are looking for therapy by yourself or with your partner, there is so much possibility for momentum towards the things you desire. I commit to working hard to support you and your goals.
Does your relationship lack passionate love, or require healing from wounds? Are you wanting to develop more self-esteem, communication skills and confidence? Do you desire a fulfilling life but don't know how to create it? Is your connection to God important to you? Maybe you want to improve your relationship but your partner isn't willing to join therapy. Whether your story is one that includes a mental health diagnosis or not, and whether you are looking for therapy by yourself or with your partner, there is so much possibility for momentum towards the things you desire. I commit to working hard to support you and your goals.
Kiarmin Lari
Registered Social Worker, MSW, RSW
Verified Verified
2 Endorsed
Toronto, ON M5R (Online Only)
I work from a warm and strength-based approach to get to know you and explore what works best for you. I primarily work with adults and young adults with issues related to relationships, queer, trans and 2SLGBQ experiences, immigration and adjustment, and disordered eating and body image. I identify as a Middle Eastern/Iranian immigrant, I can provide psychotherapy in English and Farsi, and I welcome working with you to integrate your spirituality into your care should you want this.
I work from a warm and strength-based approach to get to know you and explore what works best for you. I primarily work with adults and young adults with issues related to relationships, queer, trans and 2SLGBQ experiences, immigration and adjustment, and disordered eating and body image. I identify as a Middle Eastern/Iranian immigrant, I can provide psychotherapy in English and Farsi, and I welcome working with you to integrate your spirituality into your care should you want this.
Michelle Couto
Registered Psychotherapist, MA, RP
Verified Verified
1 Endorsed
Toronto, ON M5H
Taking the first step to begin therapy can be difficult. I'm here to provide you with a safe and non-judgmental space where we can explore the factors that have shaped your present circumstance. By deepening your understanding with self-compassion, we can help you connect to your inner strengths and wisdom, and empower you to change habits of thinking and behaving that are no longer serving you. Whether you are struggling with low mood, negative thinking, difficulties managing stress or anxiety, feeling unsatisfied in your relationships or work, or feeling generally unfulfilled or stuck in your life, therapy can help.
Taking the first step to begin therapy can be difficult. I'm here to provide you with a safe and non-judgmental space where we can explore the factors that have shaped your present circumstance. By deepening your understanding with self-compassion, we can help you connect to your inner strengths and wisdom, and empower you to change habits of thinking and behaving that are no longer serving you. Whether you are struggling with low mood, negative thinking, difficulties managing stress or anxiety, feeling unsatisfied in your relationships or work, or feeling generally unfulfilled or stuck in your life, therapy can help.
Kimberly Cartwright
Registered Psychotherapist
Verified Verified
Toronto, ON M5R (Online Only)
Not accepting new clients
You feel off balance with your emotional, physical or spiritual health but find it hard to reach out. When you do try, you may feel like you're burdening others or the idea of opening up to someone you don't know might seem challenging. This is why trust is at the core of my practice because I recognize how hard it is to share or try something new. Together, we'll create a non-judgemental space so you can feel safe sharing your hopes, joys, fears and sorrows (and everything in-between).
You feel off balance with your emotional, physical or spiritual health but find it hard to reach out. When you do try, you may feel like you're burdening others or the idea of opening up to someone you don't know might seem challenging. This is why trust is at the core of my practice because I recognize how hard it is to share or try something new. Together, we'll create a non-judgemental space so you can feel safe sharing your hopes, joys, fears and sorrows (and everything in-between).
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Rubaiyat Karim
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Toronto, ON M4C (Online Only)
Currently accepting new clients, I am skilled in various counselling modalities. I have extensive experience working with adolescents and adults to support them with concerns related to anxiety, depression, relationships, boundaries, self-esteem, self-harm, suicidal ideation and trauma. I am trained in Solution-focused Therapy, Trauma-Informed, Feminist, and Anti-Racist Anti-Oppressive Approaches, Cognitive and Dialectical Behaviour Therapies (CBT/DBT), Narrative Therapy, and Mindfulness practice.
Currently accepting new clients, I am skilled in various counselling modalities. I have extensive experience working with adolescents and adults to support them with concerns related to anxiety, depression, relationships, boundaries, self-esteem, self-harm, suicidal ideation and trauma. I am trained in Solution-focused Therapy, Trauma-Informed, Feminist, and Anti-Racist Anti-Oppressive Approaches, Cognitive and Dialectical Behaviour Therapies (CBT/DBT), Narrative Therapy, and Mindfulness practice.
Dr. Nikan Eghbali
Psychologist, PhD, CPsych
Verified Verified
1 Endorsed
Toronto, ON M5R
Although pain, anxiety, and uncertainty are sometimes inevitable, it is possible to experience a good life when we develop and practice certain habits of the mind. In the process of working through our concerns with openness and curiosity, we can also cultivate psychological growth and resilience. In my work, I use the science and art of psychology to accompany you in this journey and help you reach your wellness and life goals.
Although pain, anxiety, and uncertainty are sometimes inevitable, it is possible to experience a good life when we develop and practice certain habits of the mind. In the process of working through our concerns with openness and curiosity, we can also cultivate psychological growth and resilience. In my work, I use the science and art of psychology to accompany you in this journey and help you reach your wellness and life goals.
Shift Collab | We'll find your perfect fit!
Registered Social Worker, MSW, RSW, RP
Verified Verified
Toronto, ON M5V (Online Only)
Are you struggling to find a therapist that feels like a good fit? Are you constantly scrolling through directories and feeling overwhelmed? Ya, we get it. Finding a therapist is kind of like dating, and it takes effort to find the right fit for you. We’ve got you. Shift Collab is one of Canada’s leading online therapy practices, offering exceptional mental health care across Canada. Our diverse team collaborates with you to navigate all of life’s challenges. We believe therapy should feel simple, actionable and relatable, which is why we’ve created an innovative matching process to partner you with a therapist who truly gets you.
Are you struggling to find a therapist that feels like a good fit? Are you constantly scrolling through directories and feeling overwhelmed? Ya, we get it. Finding a therapist is kind of like dating, and it takes effort to find the right fit for you. We’ve got you. Shift Collab is one of Canada’s leading online therapy practices, offering exceptional mental health care across Canada. Our diverse team collaborates with you to navigate all of life’s challenges. We believe therapy should feel simple, actionable and relatable, which is why we’ve created an innovative matching process to partner you with a therapist who truly gets you.
Emily Reed
Registered Psychotherapist, MEd, RP
Verified Verified
5 Endorsed
Toronto, ON M6H (Online Only)
Feeling stressed and overwhelmed? When most of our time is spent juggling responsibilities, working on relationships, and keeping track of all our worries, our own wellness can fall to the bottom of the long to do list. Entering into therapy is a chance to take a breath, reassess and figure out the best ways to move forward. It would be an honour to join you in that journey.
Feeling stressed and overwhelmed? When most of our time is spent juggling responsibilities, working on relationships, and keeping track of all our worries, our own wellness can fall to the bottom of the long to do list. Entering into therapy is a chance to take a breath, reassess and figure out the best ways to move forward. It would be an honour to join you in that journey.
Dynamic Health Collaborative Holistic Mental Health Clinic
Verified Verified
1 Endorsed
Toronto, ON M3H
The ideal therapy client seeks support in navigating life's challenges and achieving personal growth. They may struggle with issues like anxiety, depression, or relationship difficulties. Their needs include empathy, validation, and practical coping strategies to manage their emotions and behaviors effectively. Their goal is to enhance their well-being, find inner peace, and cultivate healthier relationships. Ultimately, they want to gain insight into themselves, develop resilience, and live a more fulfilling life. They pursue therapy because they value their mental health and are committed to their own self-improvement journey.
The ideal therapy client seeks support in navigating life's challenges and achieving personal growth. They may struggle with issues like anxiety, depression, or relationship difficulties. Their needs include empathy, validation, and practical coping strategies to manage their emotions and behaviors effectively. Their goal is to enhance their well-being, find inner peace, and cultivate healthier relationships. Ultimately, they want to gain insight into themselves, develop resilience, and live a more fulfilling life. They pursue therapy because they value their mental health and are committed to their own self-improvement journey.
Zoe Cohen
Registered Social Worker, MSW, RSW, LCSW
Verified Verified
Toronto, ON M6J
With caring, compassion, and good humor, I can help you increase clarity into your personal values and goals, identify and change patterns that are holding you back, and make meaning from your experiences. I collaborate with you to ensure that we are effectively making strides to restoring a sense of balance. I provide Individual Therapy for Adolescents and Adults to treat Mood and Anxiety Disorders, Relationship Issues, Life and Career Transitions, Addiction, and Emotion Dysregulation. I have advanced training in Dialectical Behavior Therapy and have practiced in residential, intensive outpatient, and outpatient clinic settings.
With caring, compassion, and good humor, I can help you increase clarity into your personal values and goals, identify and change patterns that are holding you back, and make meaning from your experiences. I collaborate with you to ensure that we are effectively making strides to restoring a sense of balance. I provide Individual Therapy for Adolescents and Adults to treat Mood and Anxiety Disorders, Relationship Issues, Life and Career Transitions, Addiction, and Emotion Dysregulation. I have advanced training in Dialectical Behavior Therapy and have practiced in residential, intensive outpatient, and outpatient clinic settings.
Sabrina Deutsch Salamon
Registered Psychotherapist, PhD, RP
Verified Verified
Toronto, ON M5R
Waitlist for new clients
People seek psychotherapy for a diverse range of reasons. Some clearly know why, while others may only have a vague sense that something is "off". To a great extent, psychotherapy is a journey in getting to know yourself better and growing as a person. To do so, beyond having some curiosity about yourself and a willingness to 'dig deeper', you need a space where you feel seen, understood and safe to explore.
People seek psychotherapy for a diverse range of reasons. Some clearly know why, while others may only have a vague sense that something is "off". To a great extent, psychotherapy is a journey in getting to know yourself better and growing as a person. To do so, beyond having some curiosity about yourself and a willingness to 'dig deeper', you need a space where you feel seen, understood and safe to explore.
Chris Spiess
Registered Social Worker, BSW, MSW, RSW
Verified Verified
2 Endorsed
Toronto, ON M4C (Online Only)
Aaniin/Boozhoo/Willkommen/Hello, Is life feeling hard? Overwhelming? Emotions feel too big, or maybe not at all? Are you Looking for support for your family or a young person? My goal is to work with people in authentic ways. I journey with folks through difficult, hard, messy, and scary situations. I work from a trauma informed, decolonial, Anti-Racist/Anti-Oppression framework. My work centres around supporting folks dealing with trauma and systemic oppression, mental illness, gender identity, sexual orientation, and substance use. I often focus on individual and family work with 2S Queer and Trans youth and adults
Aaniin/Boozhoo/Willkommen/Hello, Is life feeling hard? Overwhelming? Emotions feel too big, or maybe not at all? Are you Looking for support for your family or a young person? My goal is to work with people in authentic ways. I journey with folks through difficult, hard, messy, and scary situations. I work from a trauma informed, decolonial, Anti-Racist/Anti-Oppression framework. My work centres around supporting folks dealing with trauma and systemic oppression, mental illness, gender identity, sexual orientation, and substance use. I often focus on individual and family work with 2S Queer and Trans youth and adults
Shannon Burton
Registered Social Worker, MSW, RSW
Verified Verified
Toronto, ON M6S
Hi there, I am a Child, Youth & Family Therapist (RSW)/Paediatric specialist offering therapy to children & their families regarding child social, emotional & behavioural challenges & complex family dynamics. I use of creative methods (movement, art, music, play, sandtray) to supplement evidence based Cognitive Behavioural & Dialectical Behavioural Therapy approaches. *Not a general therapist- services are very specialized to children's needs and attunement to their attachment & relationships are incorporated into the therapy sessions. *IN PERSON SESSIONS OFFERED *MSW, RSW - Covered by insurance
Hi there, I am a Child, Youth & Family Therapist (RSW)/Paediatric specialist offering therapy to children & their families regarding child social, emotional & behavioural challenges & complex family dynamics. I use of creative methods (movement, art, music, play, sandtray) to supplement evidence based Cognitive Behavioural & Dialectical Behavioural Therapy approaches. *Not a general therapist- services are very specialized to children's needs and attunement to their attachment & relationships are incorporated into the therapy sessions. *IN PERSON SESSIONS OFFERED *MSW, RSW - Covered by insurance
See more therapy options for Toronto
How does your Counsellor compare?
Number of Counsellors in Toronto, ON
3,000+
Average cost per session
$150
Counsellors in Toronto, ON who prioritize treating:
93% | Anxiety |
87% | Depression |
84% | Relationship Issues |
84% | Self Esteem |
80% | Stress |
72% | Coping Skills |
69% | Trauma and PTSD |
Average years in practice
9 Years
Top 3 insurances accepted
62% | Green Shield Canada |
61% | SunLife |
57% | Canada Life | Great-West Life |
How Counsellors in Toronto, ON see their clients
51% | In Person and Online | |
49% | Online Only |
Gender breakdown
81% | Female | |
16% | Male | |
3% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Toronto?
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.