Therapists in London, ON
Martha Elliott
Registered Social Worker, MA, MSW, RSW
Verified Verified
1 Endorsed
London, ON N6B (Online Only)
am a Registered Social Worker through the Ontario College of Social Work offering online psychotherapy services to adolescents and adults 13 years and older. I am experienced in working with youth and young adults struggling with emotional dysregulation, self-harm and suicidal ideation, depression, anxiety, self-criticism, grief and loss, and relationship difficulties. My therapeutic approach includes Dialectical Behaviour Therapy, Cognitive Behaviour Therapy, Mindful Self-Compassion, Polyvagal Therapy, Narrative Therapy, and is informed by a feminist, anti-oppressive, and LGBTQA+ affirming theories.
am a Registered Social Worker through the Ontario College of Social Work offering online psychotherapy services to adolescents and adults 13 years and older. I am experienced in working with youth and young adults struggling with emotional dysregulation, self-harm and suicidal ideation, depression, anxiety, self-criticism, grief and loss, and relationship difficulties. My therapeutic approach includes Dialectical Behaviour Therapy, Cognitive Behaviour Therapy, Mindful Self-Compassion, Polyvagal Therapy, Narrative Therapy, and is informed by a feminist, anti-oppressive, and LGBTQA+ affirming theories.
Christina deBoer Counselling
Registered Psychotherapist, MDiv, RP
Verified Verified
3 Endorsed
London, ON N6E (Online Only)
I am honoured to work with you on your journey to find healing, resolution, and strength in those places we get stuck sometimes. I specialize in helping individuals, with past trauma (abuse, PTSD), relationship issues (parenting, couples), mental health (stress, anxiety, depression, etc), and life transitions. I specialize in tailoring counselling to meet you where you're at.
I am honoured to work with you on your journey to find healing, resolution, and strength in those places we get stuck sometimes. I specialize in helping individuals, with past trauma (abuse, PTSD), relationship issues (parenting, couples), mental health (stress, anxiety, depression, etc), and life transitions. I specialize in tailoring counselling to meet you where you're at.
Shaneen Duffield
Registered Social Worker, BSW
Verified Verified
1 Endorsed
London, ON N5Y
Empowering BIPOC women over 40 to reconnect with themselves and others. Struggling with people-pleasing, saying 'yes' to everyone but yourself? Feeling isolated despite a busy life filled with obligations to partners, children, and parents? I'm here to help you prioritize your needs, cultivate meaningful relationships, and break free from the cycle of self-neglect and isolation. Let's journey together towards self-care, assertiveness, and the fulfilling connections you deserve."
Empowering BIPOC women over 40 to reconnect with themselves and others. Struggling with people-pleasing, saying 'yes' to everyone but yourself? Feeling isolated despite a busy life filled with obligations to partners, children, and parents? I'm here to help you prioritize your needs, cultivate meaningful relationships, and break free from the cycle of self-neglect and isolation. Let's journey together towards self-care, assertiveness, and the fulfilling connections you deserve."
Avery Cyr
Registered Psychotherapist (Qualifying), RP(Q)
Verified Verified
London, ON N6C
Not accepting new clients
Have you been struggling with anxiety or depression? Feeling stuck? Maybe you had a traumatic experience and you know it still affects you but you don't know how. Often times, we can't simply talk our way out of trauma, depression or anxiety. It can impact the relationship between our body and mind and can even manifest as chronic pain, digestive issues, poor self-esteem and relationship difficulties. Art therapy can offer a container to explore difficult experiences and emotions, to hold things that may be difficult to put into words. It can provide effective coping strategies and help you build a healthy relationship with self.
Have you been struggling with anxiety or depression? Feeling stuck? Maybe you had a traumatic experience and you know it still affects you but you don't know how. Often times, we can't simply talk our way out of trauma, depression or anxiety. It can impact the relationship between our body and mind and can even manifest as chronic pain, digestive issues, poor self-esteem and relationship difficulties. Art therapy can offer a container to explore difficult experiences and emotions, to hold things that may be difficult to put into words. It can provide effective coping strategies and help you build a healthy relationship with self.
Cristina Ionitoiu
Psychiatric Nurse, BScN, RN, CPMHN
Verified Verified
London, ON N6B
I am currently only accepting Ketamine Assisted Psychotherapy clients at this time. Are you ready to make a change and live your genuine life? Or, are you ready to begin building a life worth living? Ready to move past what's holding you stuck? As a therapist, I believe that every person can create and harness their own fuel for mental wellbeing by working on inner strength. I hold the perspective that mental wellbeing doesn't come from our circumstances, but from within the body. I use a holistic approach, looking at every way to improve life- such as skill building, spiritual, emotional and trauma work.
I am currently only accepting Ketamine Assisted Psychotherapy clients at this time. Are you ready to make a change and live your genuine life? Or, are you ready to begin building a life worth living? Ready to move past what's holding you stuck? As a therapist, I believe that every person can create and harness their own fuel for mental wellbeing by working on inner strength. I hold the perspective that mental wellbeing doesn't come from our circumstances, but from within the body. I use a holistic approach, looking at every way to improve life- such as skill building, spiritual, emotional and trauma work.
Michelle Gagnier
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
London, ON N6C
Everyone deserves to be living their best life, and I would like to support you in living yours. My areas of specialty include working with adults who are navigating challenges with trauma, anxiety, PTSD, life transitions, depression, identity, and chronic health issues and/or injuries. I am also passionate about working with survivors of traumatic brain injury and their families, having a comprehensive understanding of the impact a brain injury can have. If you are feeling alone, frustrated, trapped/stuck, questioning who you are, or uncertain with how to proceed, I am here to work with you collaboratively and compassionately.
Everyone deserves to be living their best life, and I would like to support you in living yours. My areas of specialty include working with adults who are navigating challenges with trauma, anxiety, PTSD, life transitions, depression, identity, and chronic health issues and/or injuries. I am also passionate about working with survivors of traumatic brain injury and their families, having a comprehensive understanding of the impact a brain injury can have. If you are feeling alone, frustrated, trapped/stuck, questioning who you are, or uncertain with how to proceed, I am here to work with you collaboratively and compassionately.
Gina Santos
Registered Social Worker, BA, BSW, MSW, RSW
Verified Verified
1 Endorsed
London, ON N6H
Are you having difficulty letting go of distressing memories, do you hold lots of negative beliefs about yourself and about the world, do you often feel sadness, anxiety, depression, and fear? Have you experienced trauma and feel that you "can't get past it"? Would you like to let go of the pain of these memories and feel better about yourself and others? For those in a partnership are you struggling with relationship challenges and seeking stronger emotional connection? Would you like to stop fighting over the same things and stop feeling hopeless in your relationship?
Are you having difficulty letting go of distressing memories, do you hold lots of negative beliefs about yourself and about the world, do you often feel sadness, anxiety, depression, and fear? Have you experienced trauma and feel that you "can't get past it"? Would you like to let go of the pain of these memories and feel better about yourself and others? For those in a partnership are you struggling with relationship challenges and seeking stronger emotional connection? Would you like to stop fighting over the same things and stop feeling hopeless in your relationship?
Emma Wilson
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
London, ON N6B
The individuals and families that I support, experience feelings of overwhelm and find themselves ‘stuck’ in patterns or strategies that hinder their well being. Avoidance, anger outbursts, intense worrying, controlling tendencies, substance use, and disconnecting from ourselves and the people we care for, are just some of the strategies we use to cope with life’s stress. We can become deeply stuck in these patterns even at the expense of our own well-being, and/or inter-personal relationships. Luckily, our brains and bodies are capable of great change. Restoring ourselves to a more optimal way of being, is possible.
The individuals and families that I support, experience feelings of overwhelm and find themselves ‘stuck’ in patterns or strategies that hinder their well being. Avoidance, anger outbursts, intense worrying, controlling tendencies, substance use, and disconnecting from ourselves and the people we care for, are just some of the strategies we use to cope with life’s stress. We can become deeply stuck in these patterns even at the expense of our own well-being, and/or inter-personal relationships. Luckily, our brains and bodies are capable of great change. Restoring ourselves to a more optimal way of being, is possible.
Megan Brooke Phillips
Registered Psychotherapist, RP, DAC, RSSW
Verified Verified
1 Endorsed
London, ON N6A
Struggling with Addiction? Living with Anxiety and/or Depression? The impacts are real and the compassionate and respectful support you need to recover and regain functionality is available now. Finding help for mental health challenges can be a challenge in it's own right. A strong therapist with a keen eye for details, I pride myself on my ability to mix education and therapy to ensure each client is empowered through their knowledge and an active participant in their healing. With an eclectic and dynamic approach to therapy, I will be with you every step of the way.
Struggling with Addiction? Living with Anxiety and/or Depression? The impacts are real and the compassionate and respectful support you need to recover and regain functionality is available now. Finding help for mental health challenges can be a challenge in it's own right. A strong therapist with a keen eye for details, I pride myself on my ability to mix education and therapy to ensure each client is empowered through their knowledge and an active participant in their healing. With an eclectic and dynamic approach to therapy, I will be with you every step of the way.
Galbraith Counselling & Therapy - Diane Galbraith
Registered Social Worker, BA, (Hons), BSW, MSW, RSW
Verified Verified
2 Endorsed
London, ON N6P
At Galbraith Counselling and Therapy we provide youth (12+), individual, and couples counselling. We work with many different issues including anxiety, depression and trauma, as well as relationship struggles, stress, and issues at work/school. We will work to find the best therapist to support you in your healing. We are passionate about what we do and believe together we will work towards healing so you can move forward in the best possible way!
At Galbraith Counselling and Therapy we provide youth (12+), individual, and couples counselling. We work with many different issues including anxiety, depression and trauma, as well as relationship struggles, stress, and issues at work/school. We will work to find the best therapist to support you in your healing. We are passionate about what we do and believe together we will work towards healing so you can move forward in the best possible way!
Katie Rastapkevicius
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
London, ON N6C
Attempting to avoid painful or distressing thoughts and feelings is natural - we all do it. However, the more we struggle with and try to control our emotional experiences, the more challenges it creates. As a Registered Social Worker with the OCSWSSW, I utilize a client-centered approach and draw mainly on Acceptance and Commitment Therapy to guide my work with clients. Noticing and naming our feelings is the first step to gaining more control over our bodies and learning to live a meaningful life that aligns with our values and goals.
Attempting to avoid painful or distressing thoughts and feelings is natural - we all do it. However, the more we struggle with and try to control our emotional experiences, the more challenges it creates. As a Registered Social Worker with the OCSWSSW, I utilize a client-centered approach and draw mainly on Acceptance and Commitment Therapy to guide my work with clients. Noticing and naming our feelings is the first step to gaining more control over our bodies and learning to live a meaningful life that aligns with our values and goals.
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Elina Suprunova
Registered Psychotherapist, RP(Q), MACP, BA, Honours
Verified Verified
1 Endorsed
London, ON N6C (Online Only)
My work as a counsellor is focused on helping you overcome emotional challenges and navigate through overwhelming experiences. With an unwavering belief in the power of creating a non-judgmental and authentic therapeutic environment, I strive to foster a space where you can engage in deep and transformative work that leads to genuine healing and inner peace. I work closely with each person to find and develop a treatment plan that will embrace the uniqueness of each situation and offer the attention required to achieve optimal mental wellness.
My work as a counsellor is focused on helping you overcome emotional challenges and navigate through overwhelming experiences. With an unwavering belief in the power of creating a non-judgmental and authentic therapeutic environment, I strive to foster a space where you can engage in deep and transformative work that leads to genuine healing and inner peace. I work closely with each person to find and develop a treatment plan that will embrace the uniqueness of each situation and offer the attention required to achieve optimal mental wellness.
Sandra Hemming
Registered Social Worker, MSW, RSW
Verified Verified
London, ON N6K
Are you feeling anxious, on edge, angry or unable to keep your emotions in check? Perhaps you are experiencing stress at work or in your family or have been dealing with a major life change or traumatic event. Looking to find some peace and ways to calm and cope then I am here to help. I offer Individual and Family Therapy to children, youth, adults and families. Therapy is hard work but together we can work to find solutions and strategies to help you restore your balance.
Are you feeling anxious, on edge, angry or unable to keep your emotions in check? Perhaps you are experiencing stress at work or in your family or have been dealing with a major life change or traumatic event. Looking to find some peace and ways to calm and cope then I am here to help. I offer Individual and Family Therapy to children, youth, adults and families. Therapy is hard work but together we can work to find solutions and strategies to help you restore your balance.
Mark Shelvock
Registered Psychotherapist (Qualifying), RP(Q), CT, MACP, MA
Verified Verified
2 Endorsed
London, ON N6H (Online Only)
I am passionate about fostering restorative and expansive post-traumatic growth. I welcome big feelings, mystery, existential questions, complex issues around relationships or trauma, and extraordinary health concerns. I can support you in learning how to lean into your pain and grow your edges so that you can express yourself more authentically. My intention is to help you become the most integrated, whole version of your unique self, leading to more connection, freedom, and meaning in your life. I use safe holistic practices to connect people to their own innate wisdom; coherence between your mind, heart, and body is possible.
I am passionate about fostering restorative and expansive post-traumatic growth. I welcome big feelings, mystery, existential questions, complex issues around relationships or trauma, and extraordinary health concerns. I can support you in learning how to lean into your pain and grow your edges so that you can express yourself more authentically. My intention is to help you become the most integrated, whole version of your unique self, leading to more connection, freedom, and meaning in your life. I use safe holistic practices to connect people to their own innate wisdom; coherence between your mind, heart, and body is possible.
Trish Jacques-Laur
Registered Social Worker, MSW, RSW
Verified Verified
London, ON N6A
Let’s figure out what is holding you back and how to move forward in celebrating who you are. We all have parts of ourselves we wish were different, parts of ourselves we are ashamed of or perhaps sad or angry with. Sometimes we start to shape our understanding of ourselves through a narrative that is focused on these parts. My approach is one that uses curiosity to explore, understand and appreciate our unique story. Stories are ways in which we explain and understand our experiences. As your therapist, I will walk alongside you on your journey of exploring your story, rediscovering self and re-writing your story that you value.
Let’s figure out what is holding you back and how to move forward in celebrating who you are. We all have parts of ourselves we wish were different, parts of ourselves we are ashamed of or perhaps sad or angry with. Sometimes we start to shape our understanding of ourselves through a narrative that is focused on these parts. My approach is one that uses curiosity to explore, understand and appreciate our unique story. Stories are ways in which we explain and understand our experiences. As your therapist, I will walk alongside you on your journey of exploring your story, rediscovering self and re-writing your story that you value.
Heather Norrie
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
London, ON N6B
You deserve to live a life that leaves you excited to wake up every morning. Managing difficult mornings or evenings, challenges and stress that occurs during the day can feel better. You can strive to live the life of your dreams and feel better about how you respond to challenges. My passion and the reason I provide therapy services is to support people to live the life of their dreams - with as much ease as possible.
You deserve to live a life that leaves you excited to wake up every morning. Managing difficult mornings or evenings, challenges and stress that occurs during the day can feel better. You can strive to live the life of your dreams and feel better about how you respond to challenges. My passion and the reason I provide therapy services is to support people to live the life of their dreams - with as much ease as possible.
Gabrielle Ferguson
Registered Psychotherapist (Qualifying), BA, GC-C
Verified Verified
1 Endorsed
London, ON N5Z (Online Only)
Can I just say how proud I am of you! Looking for a therapist means you have acknowledged that there is some part of your life that could use a change. Fabulous! I love working with people who, quite frankly, have been through some pretty hard stuff and know that it has had a not-so-great impact on the way they think and act. The one thing I hold true above all else is that a person only starts thriving when they feel safe. Don't have a safe person? I am so here for you!
Can I just say how proud I am of you! Looking for a therapist means you have acknowledged that there is some part of your life that could use a change. Fabulous! I love working with people who, quite frankly, have been through some pretty hard stuff and know that it has had a not-so-great impact on the way they think and act. The one thing I hold true above all else is that a person only starts thriving when they feel safe. Don't have a safe person? I am so here for you!
Ontario Trauma Therapy - Janeen
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
London, ON N6B
When you’re feeling stressed and unhappy, life feels heavy. Issues like depression, anxiety, stress, grief and loss and low self-esteem can make life difficult and you often wonder, “is this all there is?” Perhaps you’re struggling with PTSD, or you are a First Responder who has seen so much you don’t even know where to begin. You might be struggling with anger, addictions, fertility issues, perfectionism or relationship difficulties. Maybe you even find yourself wondering if it would matter if you were here at all. I am here to say, you’re in the right place, and I am going to help you.
When you’re feeling stressed and unhappy, life feels heavy. Issues like depression, anxiety, stress, grief and loss and low self-esteem can make life difficult and you often wonder, “is this all there is?” Perhaps you’re struggling with PTSD, or you are a First Responder who has seen so much you don’t even know where to begin. You might be struggling with anger, addictions, fertility issues, perfectionism or relationship difficulties. Maybe you even find yourself wondering if it would matter if you were here at all. I am here to say, you’re in the right place, and I am going to help you.
David Grand
Registered Social Worker, MSW, RSW, PhD(c)
Verified Verified
London, ON N5Y
If you are living with the impacts of trauma, relationship breakdown, or a crisis of identity, you’re not alone. I have over a decade of experience helping individuals and couples with interpersonal trauma, anxiety, depression, abuse recovery, discrimination, loss of meaning in life, and uncertainties of purpose or identity. My work is psychodynamic, somatically-focused, and supports the psychological growth of clients. I want to help you get to the roots of problems and develop greater self-awareness in the process. I believe that long-term wellness ultimately stems from developing insight into the various patterns of our lives.
If you are living with the impacts of trauma, relationship breakdown, or a crisis of identity, you’re not alone. I have over a decade of experience helping individuals and couples with interpersonal trauma, anxiety, depression, abuse recovery, discrimination, loss of meaning in life, and uncertainties of purpose or identity. My work is psychodynamic, somatically-focused, and supports the psychological growth of clients. I want to help you get to the roots of problems and develop greater self-awareness in the process. I believe that long-term wellness ultimately stems from developing insight into the various patterns of our lives.
Olivia Grigg
Registered Social Worker, RSW, BSW
Verified Verified
8 Endorsed
London, ON N6B
Do you want to feel more confident and trust in yourself more? Are you feeling a sense of overwhelm as a parent? Have you been on a path of reconsidering your faith and belief systems you have been a part of? Do you want compassionate, gentle, and practical support on your journey to self love?
Do you want to feel more confident and trust in yourself more? Are you feeling a sense of overwhelm as a parent? Have you been on a path of reconsidering your faith and belief systems you have been a part of? Do you want compassionate, gentle, and practical support on your journey to self love?
See more therapy options for London
Nearby Searches for London
How does your Counsellor compare?
Number of Counsellors in London, ON
800+
Average cost per session
$150
Counsellors in London, ON who prioritize treating:
93% | Anxiety |
86% | Depression |
81% | Self Esteem |
81% | Stress |
79% | Relationship Issues |
77% | Coping Skills |
70% | Trauma and PTSD |
Average years in practice
10 Years
Top 3 insurances accepted
59% | Green Shield Canada |
52% | SunLife |
52% | Manulife |
How Counsellors in London, ON see their clients
65% | In Person and Online | |
35% | Online Only |
Gender breakdown
81% | Female | |
17% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in London?
Search for nearby therapists or counsellors by inputting your city, postal code, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postal code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
Most Counsellors and Psychotherapists listed in the directory are certified by one of the main professional associations, mainly the Canadian Counselling and Psychotherapy Association (CCPA), and will have a Certified Canadian Counsellor (CCC) designation with their name. Social Workers listed in the directory must be registered members of the college specific to their province. To be listed in the directory, Psychologists must be registered with the psychological college specific to their province or territory.
Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given the considerable variation in professional regulation and prerequisites across Canadian provinces, some providers may possess significant professional qualifications without necessarily holding professional memberships or being obliged to acquire them. As a result, they may be selectively included without the "Verified" seal.
Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given the considerable variation in professional regulation and prerequisites across Canadian provinces, some providers may possess significant professional qualifications without necessarily holding professional memberships or being obliged to acquire them. As a result, they may be selectively included without the "Verified" seal.
What’s the difference between a psychologist, a therapist, and a counsellor?
Psychologists, counsellors, psychotherapists and social workers can all provide counselling or talking therapy and have credentials and supervised, practical experience that enable them to do so in Canada.
Psychologists have a master's and/or doctoral degree and have passed both written and oral exams. Psychologists are able to complete mental health assessments and provide diagnostic information to clients as well as provide counselling therapy or psychotherapy. Counsellors and psychotherapists are expected to have a master's or doctoral degree in counselling psychology, social work, or a related mental health discipline and certification by a professional association, such as the Canadian Counselling and Psychotherapy Association. Registered Social Workers possess a Bachelor's or Master's degree in Social Work and where possible must be licensed or certified by the provincial government and/or regulatory college.
Psychologists have a master's and/or doctoral degree and have passed both written and oral exams. Psychologists are able to complete mental health assessments and provide diagnostic information to clients as well as provide counselling therapy or psychotherapy. Counsellors and psychotherapists are expected to have a master's or doctoral degree in counselling psychology, social work, or a related mental health discipline and certification by a professional association, such as the Canadian Counselling and Psychotherapy Association. Registered Social Workers possess a Bachelor's or Master's degree in Social Work and where possible must be licensed or certified by the provincial government and/or regulatory college.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, the cost of a therapy session in Canada could be between $100 and $200. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. Some types of outpatient mental health services are covered by Medicare, provided these are performed by a licensed mental health professional in the provinces or territory you reside in and who accepts the assignment.
If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. Some types of outpatient mental health services are covered by Medicare, provided these are performed by a licensed mental health professional in the provinces or territory you reside in and who accepts the assignment.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postal code.
Are therapy sessions confidential?
Professionals licensed by regulatory colleges and those certified by associations such as the Canadian Counselling and Psychotherapy Association are obligated to uphold client confidentiality unless there is a legal reason that requires them to disclose information. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there is the potential or known harm to the client or others, or a court order, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.