Therapists in Nelson, BC
Matt Lowe
Counsellor, RTC, BS
Verified Verified
1 Endorsed
Nelson, BC V1L
There are times in life when we feel afraid, sad, anxious, angry, stuck, overwhelmed. We can’t find a feeling of ease and contentment within ourselves. We need someone to listen empathically and without judgement, to see us for who we truly are. I’m here to help you connect to your inner knowing and heal old wounds, make sense of confused states, soothe anxiety and sadness, resolve trauma, and appreciate life again. Men in our culture require attention to how their feeling selves have been repressed. Couples, in trouble, often have a deep yearning to become relational and connected while maintaining their authentic selves.
There are times in life when we feel afraid, sad, anxious, angry, stuck, overwhelmed. We can’t find a feeling of ease and contentment within ourselves. We need someone to listen empathically and without judgement, to see us for who we truly are. I’m here to help you connect to your inner knowing and heal old wounds, make sense of confused states, soothe anxiety and sadness, resolve trauma, and appreciate life again. Men in our culture require attention to how their feeling selves have been repressed. Couples, in trouble, often have a deep yearning to become relational and connected while maintaining their authentic selves.
Amanda Erickson Counselling And Consulting
Counsellor, MA, RCC
Verified Verified
Nelson, BC V1L
Hi! I'm Amanda Erickson. Start connecting with deeper inner peace and happiness in your day to day life this year! I support couples and individuals to improve relationships and skillfully navigate communication. I provide counselling for issues such as: couples relationships, family relationships, anxiety, depression, parenting issues, attachment issues, communication issues, substance use, trauma, and grief and loss. I received my Master's Degree in Counselling Psychology in 2007 and I have 17 years experience in private practice. I am a Registered Clinical Counsellor. I have been in the field of social service for 24 years now.
Hi! I'm Amanda Erickson. Start connecting with deeper inner peace and happiness in your day to day life this year! I support couples and individuals to improve relationships and skillfully navigate communication. I provide counselling for issues such as: couples relationships, family relationships, anxiety, depression, parenting issues, attachment issues, communication issues, substance use, trauma, and grief and loss. I received my Master's Degree in Counselling Psychology in 2007 and I have 17 years experience in private practice. I am a Registered Clinical Counsellor. I have been in the field of social service for 24 years now.
Vince Marcelle Wishart
Counsellor, RTC, NLP
Verified Verified
Nelson, BC V1L
Life can be difficult sometimes and it’s hard to work through deep issues when you're in survival mode. I have been supporting people in healing for 17 years. As a counsellor, I offer compassionate, person-centred, therapeutic support, with an integrative approach to safely support you in your healing journey through Anxiety, Relationship difficulties, Religious Oppression, Trauma, Grief & Loss. My passion for therapeutic work stems from my own healing of deep traumas. I know the courage it takes to meet the challenges of healing & solid support makes all the difference as you move toward your goal with clarity and purpose.
Life can be difficult sometimes and it’s hard to work through deep issues when you're in survival mode. I have been supporting people in healing for 17 years. As a counsellor, I offer compassionate, person-centred, therapeutic support, with an integrative approach to safely support you in your healing journey through Anxiety, Relationship difficulties, Religious Oppression, Trauma, Grief & Loss. My passion for therapeutic work stems from my own healing of deep traumas. I know the courage it takes to meet the challenges of healing & solid support makes all the difference as you move toward your goal with clarity and purpose.
Kimberly Wood Counselling
Counsellor, RCC, MA
Verified Verified
1 Endorsed
Nelson, BC V1L
My passion and specialty is to serve individuals ready to work through concerns related to anxiety, shame, and identity. If you are struggling with anxiety and fear, thoughts of not being good enough, judgmental and negative self-talk, or finding it hard to live in a way that reflects your most authentic self – you have come to a compassionate place. I have known these struggles too and how they can feel like a mental prison. Living courageously despite fear, relating to yourself like someone you love, and feeling free to fully live who you truly are, IS possible.
My passion and specialty is to serve individuals ready to work through concerns related to anxiety, shame, and identity. If you are struggling with anxiety and fear, thoughts of not being good enough, judgmental and negative self-talk, or finding it hard to live in a way that reflects your most authentic self – you have come to a compassionate place. I have known these struggles too and how they can feel like a mental prison. Living courageously despite fear, relating to yourself like someone you love, and feeling free to fully live who you truly are, IS possible.
Justine Kaufmann
Counsellor, RTC, RYT, ICF
Verified Verified
Nelson, BC V1L
Now accepting new clients across British Columbia Online or in person. Are you feeling stuck, stagnant and unable to move forward with your life? Tired of feeling alone, anxious, stressed or numb? Often times overwhelming experiences in life can create a disconnect between our mind and body. We may think we're ready to move forward but our bodies are stuck and do not feel safe which can prevent us from taking the next step; however, with support and guidance, you are capable of becoming greater attuned to your body and inner resources to make a sustainable change towards fulfilling experiences and relationships.
Now accepting new clients across British Columbia Online or in person. Are you feeling stuck, stagnant and unable to move forward with your life? Tired of feeling alone, anxious, stressed or numb? Often times overwhelming experiences in life can create a disconnect between our mind and body. We may think we're ready to move forward but our bodies are stuck and do not feel safe which can prevent us from taking the next step; however, with support and guidance, you are capable of becoming greater attuned to your body and inner resources to make a sustainable change towards fulfilling experiences and relationships.
Sandy Maclean MA Rcc
Counsellor, BSc, MA, RCC
Verified Verified
1 Endorsed
Nelson, BC V1L
I am a Clinical Counsellor (BCACC) working in person and online helping couples and individuals with: relationship issues, trauma, anxiety, depression, addictions, eating disorders and chronic pain. I have been in practice for 16 years with extensive training and experience in: Cognitive Behavioral Therapy, Somatic Experiencing, Emotionally Focused Therapy, EMDR, Mindfulness and Addictions Recovery. I help people resolve problems with thoughts, emotions, reactions and habits. I am launching a relationship course for couples to work through from home (with live support) to turn things around when difficulty starts before therapy.
I am a Clinical Counsellor (BCACC) working in person and online helping couples and individuals with: relationship issues, trauma, anxiety, depression, addictions, eating disorders and chronic pain. I have been in practice for 16 years with extensive training and experience in: Cognitive Behavioral Therapy, Somatic Experiencing, Emotionally Focused Therapy, EMDR, Mindfulness and Addictions Recovery. I help people resolve problems with thoughts, emotions, reactions and habits. I am launching a relationship course for couples to work through from home (with live support) to turn things around when difficulty starts before therapy.
Steve Brewster
Counsellor, MA RCC, MEd
Verified Verified
1 Endorsed
Nelson, BC V1L
My clientele includes men dealing with mid life career challenges, martial stressors, and/or family strife issues. My older clients (and their spouse or partner) often discuss age and health issues. I explore emotional respite especially when clients are caring for a partner with dementia or special needs children. Many clinic based clients are women in mid life and are dealing with issues like stressed marriage/ or negative interactions with their teens and/or pre teen children. I have wide expertise in treatment of Anxiety and Depression as stand alone mood disorders or as collateral to many other problems.
My clientele includes men dealing with mid life career challenges, martial stressors, and/or family strife issues. My older clients (and their spouse or partner) often discuss age and health issues. I explore emotional respite especially when clients are caring for a partner with dementia or special needs children. Many clinic based clients are women in mid life and are dealing with issues like stressed marriage/ or negative interactions with their teens and/or pre teen children. I have wide expertise in treatment of Anxiety and Depression as stand alone mood disorders or as collateral to many other problems.
Carla Duda
Counsellor, MC, RCC, CCP
Verified Verified
Nelson, BC V1L
‘Hearts are not the burdens they carry; but the burdens they carry can drive their extremes' (Richard Schwartz, 2018). There are times when we feel truly burdened: exhausted, confused, immobilized, distressed, anxious, in relationship discord or overwhelmed. As challenging as these experiences can be, we can grow our strength and grow our courage in our willingness to approach them. I work with clients to assist in living with more calm, courage, compassion, meaning, and deep connection.
‘Hearts are not the burdens they carry; but the burdens they carry can drive their extremes' (Richard Schwartz, 2018). There are times when we feel truly burdened: exhausted, confused, immobilized, distressed, anxious, in relationship discord or overwhelmed. As challenging as these experiences can be, we can grow our strength and grow our courage in our willingness to approach them. I work with clients to assist in living with more calm, courage, compassion, meaning, and deep connection.
Sawah Danniels
Counsellor, MA, CCC
Verified Verified
2 Endorsed
Nelson, BC V1L (Online Only)
Do you feel like you don't fit in and/or are watching the world through a window? Does life feel overwhelming and simple errands or hangouts with friends lead you to need a few days to recover? Are you looking to learn more about who you are, what you need to succeed, and how to live within your capacity? You've come to the right place! I work with queer and neurodivergent clients to answer those questions, explore identity, and cultivate relationships that work for you (whether it's a monogamous one or not)!
Do you feel like you don't fit in and/or are watching the world through a window? Does life feel overwhelming and simple errands or hangouts with friends lead you to need a few days to recover? Are you looking to learn more about who you are, what you need to succeed, and how to live within your capacity? You've come to the right place! I work with queer and neurodivergent clients to answer those questions, explore identity, and cultivate relationships that work for you (whether it's a monogamous one or not)!
Malorie Moore
Clinical Social Work/Therapist, RSW, MSW
Verified Verified
Nelson, BC V1L
I am a Registered Social Worker and Certified Career Development Practitioner with over ten years of working in the field of mental health and employment counseling. I am passionate about working with people who are navigating transitions or interested in exploring their potential for change. I specialize in helping people examine and shift behavior patterns, particularly as they relate to substance use and behavioral addictions. I operate from a lens of harm-reduction and anti-oppression, and I recognize that systems, as well as people, need to change.
I am a Registered Social Worker and Certified Career Development Practitioner with over ten years of working in the field of mental health and employment counseling. I am passionate about working with people who are navigating transitions or interested in exploring their potential for change. I specialize in helping people examine and shift behavior patterns, particularly as they relate to substance use and behavioral addictions. I operate from a lens of harm-reduction and anti-oppression, and I recognize that systems, as well as people, need to change.
Axel McGown
Counsellor, RTC
Verified Verified
2 Endorsed
Nelson, BC V1L
Are things feeling like a lot right now? It's tough out there. Whether you're struggling in your relationships, wondering what the heck a boundary is and how to create them, needing ways to cope with a really intense world, or wanting to trace a frustrating pattern and find new ways forward, you deserve support. I work with folks who are feeling stuck or overwhelmed to build resilience and choice. Using a somatic, attachment-based approach, I aim to create a space of care and acceptance for folks to name and feel feelings, map out unhelpful patterns, and practice new ways of navigating life’s challenges.
Are things feeling like a lot right now? It's tough out there. Whether you're struggling in your relationships, wondering what the heck a boundary is and how to create them, needing ways to cope with a really intense world, or wanting to trace a frustrating pattern and find new ways forward, you deserve support. I work with folks who are feeling stuck or overwhelmed to build resilience and choice. Using a somatic, attachment-based approach, I aim to create a space of care and acceptance for folks to name and feel feelings, map out unhelpful patterns, and practice new ways of navigating life’s challenges.
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Sarah Iannone
Counsellor, MC, RCC
Verified Verified
1 Endorsed
Nelson, BC V1L
I believe counselling can be a space where we can get to know our authentic selves, where many parts of ourselves can be explored and we can start to resist the boxes that may be confining us. I view counselling as a collaborative process and recognize each person’s natural ability to gravitate toward change at their own pace. The genuine connection of a counselling relationship in a safe enough and inclusive environment is often at the root of healing.
I believe counselling can be a space where we can get to know our authentic selves, where many parts of ourselves can be explored and we can start to resist the boxes that may be confining us. I view counselling as a collaborative process and recognize each person’s natural ability to gravitate toward change at their own pace. The genuine connection of a counselling relationship in a safe enough and inclusive environment is often at the root of healing.
Yogita Nathalie Bouchard
Counsellor, RTC
Verified Verified
Nelson, BC V1L
Waitlist for new clients
There are times in our lives when we just need someone there. Someone who we know gets us and cares as much as we do. At times it's when it's most difficult to reach out, we feel vulnerable and perhaps alone. We can be dealing with old resurfacing trauma, or behaviors we don't understand why they are happening. Perhaps we have anxiety, depression or grief has come knocked at our door. Relationships are challenging us. We want to be met and have a sense of being seen for who and what we are. We long to be understood or simply to find new ways of being and wonder how to get there. We long for change and the knowing that we are OK.
There are times in our lives when we just need someone there. Someone who we know gets us and cares as much as we do. At times it's when it's most difficult to reach out, we feel vulnerable and perhaps alone. We can be dealing with old resurfacing trauma, or behaviors we don't understand why they are happening. Perhaps we have anxiety, depression or grief has come knocked at our door. Relationships are challenging us. We want to be met and have a sense of being seen for who and what we are. We long to be understood or simply to find new ways of being and wonder how to get there. We long for change and the knowing that we are OK.
Josslyn Gareau Counselling Services
Counsellor, MEd, RCC
Verified Verified
2 Endorsed
Nelson, BC V1L
I am a Registered Clinical Counsellor living and working in Nelson British Columbia. I believe that developing trust and safety is the most important part of the counselling process. I hold a belief that we all have within ourselves the resources to grow and transform, provided we are given an environment of emotional safety that allows for self-exploration and authentic expression.
I am a Registered Clinical Counsellor living and working in Nelson British Columbia. I believe that developing trust and safety is the most important part of the counselling process. I hold a belief that we all have within ourselves the resources to grow and transform, provided we are given an environment of emotional safety that allows for self-exploration and authentic expression.
LA Narayan
Counsellor, MACP, BSW, BA
Verified Verified
1 Endorsed
Nelson, BC V1L
Hello! Thank you for taking the time to read my profile. If you are struggling with something in particular, or simply feeling overwhelmed within life's challenges I would be honored to walk with you in your journey toward finding grounding and strength in your life.
Hello! Thank you for taking the time to read my profile. If you are struggling with something in particular, or simply feeling overwhelmed within life's challenges I would be honored to walk with you in your journey toward finding grounding and strength in your life.
Ally Cannon
Counsellor, MC, RCC
Verified Verified
Nelson, BC V1L
I am accepting new individual clients (adults and youth) in-person in Nelson BC and online to residents anywhere in British Columbia. I support those managing: trauma, life transitions, relationship issues, divorce/custody litigation, sexual assault/abuse, perinatal issues, anxiety, and depression. My approach is an integration of EMDR, mindfulness, narrative and strengths-based modalities tailored to you.
I am accepting new individual clients (adults and youth) in-person in Nelson BC and online to residents anywhere in British Columbia. I support those managing: trauma, life transitions, relationship issues, divorce/custody litigation, sexual assault/abuse, perinatal issues, anxiety, and depression. My approach is an integration of EMDR, mindfulness, narrative and strengths-based modalities tailored to you.
Jordann Kian
Clinical Social Work/Therapist, RSW, MSW, SEP, AHC, RYT
Verified Verified
1 Endorsed
Nelson, BC V1L
I wear many hats and consider myself a forever learner. I am an integrative therapist who uses Ayurveda, yoga, and body-focused psychotherapy techniques to support healing. I am dedicated to these practices as they provide me with the groundedness and centeredness to show up with an open-hearted, embodied, and compassionate presence. I enjoy spending time with my loved ones, cooking using whole foods, being in nature, and creating through artistic endeavours. I would say I am playful, and eccentric, with a good sense of humour. I look forward to connecting with you on your healing journey!
I wear many hats and consider myself a forever learner. I am an integrative therapist who uses Ayurveda, yoga, and body-focused psychotherapy techniques to support healing. I am dedicated to these practices as they provide me with the groundedness and centeredness to show up with an open-hearted, embodied, and compassionate presence. I enjoy spending time with my loved ones, cooking using whole foods, being in nature, and creating through artistic endeavours. I would say I am playful, and eccentric, with a good sense of humour. I look forward to connecting with you on your healing journey!
Christine Rookwood
LCSW, MSW, RSW, RCC
Verified Verified
Nelson, BC V1L
If you are struggling with a particular issue, feeling lost in a relationship; intimate or professional, worrying and lacking the motivation to put ideas/thoughts into action, or just generally feeling stuck, I'm glad you are here. Life is complex and doesn't come with clear and definitive guidelines. No wonder we can feel overwhelmed! Sometimes it can just feel like it too much to manage alone. Working in a therapeutic relationship where you are the focus can help you find ways to learn, grow, and heal.
If you are struggling with a particular issue, feeling lost in a relationship; intimate or professional, worrying and lacking the motivation to put ideas/thoughts into action, or just generally feeling stuck, I'm glad you are here. Life is complex and doesn't come with clear and definitive guidelines. No wonder we can feel overwhelmed! Sometimes it can just feel like it too much to manage alone. Working in a therapeutic relationship where you are the focus can help you find ways to learn, grow, and heal.
Melanie Jones Counselling
Counsellor, RCC, CCC, RCAT, MACP
Verified Verified
Nelson, BC V1L
Are you looking for a counsellor who is open to see what you see? I am here to align with you as we look at how to find the right answers specific to you. Whether you struggle with anxious thoughts, periods of despair, difficulties with your relationships or just feel generally unhappy and restless, or perhaps life has thrown a curve-ball that is out of your control and traumatic to integrate, I believe the wisdom of our bodies can be utilised so that you can find resonant and usable techniques to change your life. I know that inner peace and healing are absolutely attainable and I am excited to walk with you as you find a new path.
Are you looking for a counsellor who is open to see what you see? I am here to align with you as we look at how to find the right answers specific to you. Whether you struggle with anxious thoughts, periods of despair, difficulties with your relationships or just feel generally unhappy and restless, or perhaps life has thrown a curve-ball that is out of your control and traumatic to integrate, I believe the wisdom of our bodies can be utilised so that you can find resonant and usable techniques to change your life. I know that inner peace and healing are absolutely attainable and I am excited to walk with you as you find a new path.
Alyssa Favro
Counsellor, MA, RCC
Verified Verified
Nelson, BC V1L
All the things that make us feel alone, connect us. While we live our lives parallel to one another, now and then, our life intersects with another's, profoundly changing the way we see the world and the way we see ourselves. At our very core, we crave authentic connection over the one thing we all have in common...life, and all that encompasses it: the harsh realities, the moments of joy, grief, fear, confusion, laughter. This is what therapy is to me: two lives intersecting in hopes to awaken a deeper awareness and connection to life, to others, and to yourself. And with this, growth, and change occurs.
All the things that make us feel alone, connect us. While we live our lives parallel to one another, now and then, our life intersects with another's, profoundly changing the way we see the world and the way we see ourselves. At our very core, we crave authentic connection over the one thing we all have in common...life, and all that encompasses it: the harsh realities, the moments of joy, grief, fear, confusion, laughter. This is what therapy is to me: two lives intersecting in hopes to awaken a deeper awareness and connection to life, to others, and to yourself. And with this, growth, and change occurs.
See more therapy options for Nelson
How does your Counsellor compare?
Number of Counsellors in Nelson, BC
100+
Average cost per session
$135
Counsellors in Nelson, BC who prioritize treating:
86% | Anxiety |
83% | Relationship Issues |
79% | Depression |
75% | Self Esteem |
74% | Stress |
72% | Trauma and PTSD |
68% | Life Transitions |
Average years in practice
7 Years
Top 3 insurances accepted
68% | SunLife |
65% | Green Shield Canada |
60% | Pacific Blue Cross |
How Counsellors in Nelson, BC see their clients
83% | In Person and Online | |
17% | Online Only |
Gender breakdown
86% | Female | |
11% | Male | |
3% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Nelson?
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.