Therapists in London, ON

Photo of Andre Stam, Registered Psychotherapist in London, ON
Andre Stam
Registered Psychotherapist, MACP, RP , OCT, CCC, BEd
Verified Verified
1 Endorsed
London, ON N6B
Are you at a loss? Can't seem to think straight? Is everything coming at you too fast? Are you at the point where you just want to throw in the towel? Do you feel stuck, as if no matter what you do nothing works? Have you lost sight of what you once enjoyed? You are not alone, just know that things can work out, but sometimes you need a nudge to get you started. Sometimes you need someone to listen, to hear what you have to say without fear of judgement.
Are you at a loss? Can't seem to think straight? Is everything coming at you too fast? Are you at the point where you just want to throw in the towel? Do you feel stuck, as if no matter what you do nothing works? Have you lost sight of what you once enjoyed? You are not alone, just know that things can work out, but sometimes you need a nudge to get you started. Sometimes you need someone to listen, to hear what you have to say without fear of judgement.
(226) 546-1733 View (226) 546-1733
Photo of Kate Reid, Registered Social Worker in London, ON
Kate Reid
Registered Social Worker, MSW, RSW, CYW
Verified Verified
2 Endorsed
London, ON N6A
Are you waking up exhausted? You start your day tired. Maybe you’re feeling trapped by the mental load you carry and don't see any relief insight. Your important relationships are suffering and you’re either avoiding or snapping at everyone, making you even more stressed out and unhappy. It’s not unusual to feel like you’ve lost your way- whether at school, work, with your partner, at work or even in parenting. Now more than ever many people are finding themselves overwhelmed by the pressures and responsibilities of their day-to-day lives and just wanting to reconnect with their true selves.
Are you waking up exhausted? You start your day tired. Maybe you’re feeling trapped by the mental load you carry and don't see any relief insight. Your important relationships are suffering and you’re either avoiding or snapping at everyone, making you even more stressed out and unhappy. It’s not unusual to feel like you’ve lost your way- whether at school, work, with your partner, at work or even in parenting. Now more than ever many people are finding themselves overwhelmed by the pressures and responsibilities of their day-to-day lives and just wanting to reconnect with their true selves.
(226) 640-4941 View (226) 640-4941
Photo of Amelia Holden, Registered Social Worker in London, ON
Amelia Holden
Registered Social Worker, MSW, BSW
Verified Verified
1 Endorsed
London, ON N6C
Waitlist for new clients
Amelia has been a Registered Social Worker for 23 years working with individuals, couples, and families who may have experienced intergenerational trauma, mental health diagnosis such as anxiety, depression, borderline personality disorder, or relationship ruptures causing stress and conflict within their daily lives. By giving them the knowledge and skills of how to accept the things they cannot change and to change the things they can control will assist them in building a life worth living.
Amelia has been a Registered Social Worker for 23 years working with individuals, couples, and families who may have experienced intergenerational trauma, mental health diagnosis such as anxiety, depression, borderline personality disorder, or relationship ruptures causing stress and conflict within their daily lives. By giving them the knowledge and skills of how to accept the things they cannot change and to change the things they can control will assist them in building a life worth living.
(226) 773-0810 View (226) 773-0810
Photo of Larissa Webb, Registered Social Worker in London, ON
Larissa Webb
Registered Social Worker, MSW, RSW
Verified Verified
London, ON N5Y
I provide counselling to individual adults and teens facing a variety of challenges including anxiety and stress, depression, grief and loss, relationship issues, and chronic illness and pain. I am calm, compassionate and experienced. I’ve worked in the field for 20 years and provide confidential services in a caring and supportive environment.
I provide counselling to individual adults and teens facing a variety of challenges including anxiety and stress, depression, grief and loss, relationship issues, and chronic illness and pain. I am calm, compassionate and experienced. I’ve worked in the field for 20 years and provide confidential services in a caring and supportive environment.
(226) 782-4521 View (226) 782-4521
Photo of Inner Flux Counselling Services - Phe Wong, Registered Psychotherapist in London, ON
Inner Flux Counselling Services - Phe Wong
Registered Psychotherapist, MACP, RP
Verified Verified
3 Endorsed
London, ON N6L  (Online Only)
Waitlist for new clients
Be You! Hello, I'm Phe (fee), a Queer, Chinese-Canadian Psychotherapist here to advocate alongside of you. You can count on me to provide a safe, accepting, and affirming space. Together, we can work on exploration and formation of: sexual identity, gender identity, ethnic/racial identity. I'm here to help when it comes to: LGBTQ2SA+ issues, questioning identity, minority stress, racial trauma, "coming out", confidence and self-esteem, trauma, shame and guilt, anxiety, depression, gender dysphoria, body dysmorphia, and pre/post transition support.
Be You! Hello, I'm Phe (fee), a Queer, Chinese-Canadian Psychotherapist here to advocate alongside of you. You can count on me to provide a safe, accepting, and affirming space. Together, we can work on exploration and formation of: sexual identity, gender identity, ethnic/racial identity. I'm here to help when it comes to: LGBTQ2SA+ issues, questioning identity, minority stress, racial trauma, "coming out", confidence and self-esteem, trauma, shame and guilt, anxiety, depression, gender dysphoria, body dysmorphia, and pre/post transition support.
(226) 243-6972 View (226) 243-6972
Photo of Michelle Kelln, Registered Social Worker in London, ON
Michelle Kelln
Registered Social Worker, MSW, RSW
Verified Verified
London, ON N6H
Does life feel more difficult right now? Maybe you are ready to make a change and focus on your mental health, but you are unsure what to do. It is okay to want some support. You are the expert in your own life, but some times we need a helper to get us through life's most difficult and painful times.
Does life feel more difficult right now? Maybe you are ready to make a change and focus on your mental health, but you are unsure what to do. It is okay to want some support. You are the expert in your own life, but some times we need a helper to get us through life's most difficult and painful times.
(226) 926-2127 View (226) 926-2127
Photo of Laura Nugent, Registered Social Worker in London, ON
Laura Nugent
Registered Social Worker, BSW, MSW, RSW
Verified Verified
1 Endorsed
London, ON N6B
Not accepting new clients
I am a person-centered, trauma-informed therapist who specializes in youth mental health. I work collaboratively with my clients to develop goals that are important to them. I am skilled in a variety of modalities and utilize Solution Focused Brief Therapy, Narrative Therapy, Cognitive Behavioural Therapy (CBT), and concepts/strategies from Dialectical Behavioural Therapy (DBT).
I am a person-centered, trauma-informed therapist who specializes in youth mental health. I work collaboratively with my clients to develop goals that are important to them. I am skilled in a variety of modalities and utilize Solution Focused Brief Therapy, Narrative Therapy, Cognitive Behavioural Therapy (CBT), and concepts/strategies from Dialectical Behavioural Therapy (DBT).
(226) 796-5653 View (226) 796-5653
Photo of Spencer Talbot, Registered Psychotherapist (Qualifying) in London, ON
Spencer Talbot
Registered Psychotherapist (Qualifying), MS, MA
Verified Verified
1 Endorsed
London, ON N6B  (Online Only)
Every individual has the capacity to make the changes that they want to see within themselves. Whether this is to grow as a person or overcome particular adversities, we can work together to explore the various changes that you want to see in your life. Change can mean many things. It can mean developing specific skills and abilities for unique tasks or it can mean looking internally to better understand yourself. In our time together, we will work as an alliance to explore these various areas and develop new perspectives that can be used within your life.
Every individual has the capacity to make the changes that they want to see within themselves. Whether this is to grow as a person or overcome particular adversities, we can work together to explore the various changes that you want to see in your life. Change can mean many things. It can mean developing specific skills and abilities for unique tasks or it can mean looking internally to better understand yourself. In our time together, we will work as an alliance to explore these various areas and develop new perspectives that can be used within your life.
(226) 271-1076 View (226) 271-1076
Photo of Cheryl Wituik - Mourning Breaks Grief Counselling, Registered Social Worker in London, ON
Cheryl Wituik - Mourning Breaks Grief Counselling
Registered Social Worker, BA, RSW
Verified Verified
2 Endorsed
London, ON N6G
Loss is a universal experience, and yet, for many of us, we soon discover that we are very alone within our grief. Friends and family may not understand; for many reasons, they may not be able to hold space for all that we carry. Mourning Breaks is a place for you to feel, and express all that you feel, without judgment or expectation; a place to safely explore the meaning and impact of your losses with a trusted, trauma-informed, knowledgeable, and empathetic professional who is sensitive to the many nuances, complexities and unique features that exist within your grief.
Loss is a universal experience, and yet, for many of us, we soon discover that we are very alone within our grief. Friends and family may not understand; for many reasons, they may not be able to hold space for all that we carry. Mourning Breaks is a place for you to feel, and express all that you feel, without judgment or expectation; a place to safely explore the meaning and impact of your losses with a trusted, trauma-informed, knowledgeable, and empathetic professional who is sensitive to the many nuances, complexities and unique features that exist within your grief.
(548) 490-6853 View (548) 490-6853
Photo of Madeline Wilson, Registered Social Worker in London, ON
Madeline Wilson
Registered Social Worker, MSW, BSW, RSW
Verified Verified
2 Endorsed
London, ON N6P
Accepting new clients in person and online, I also offer direct billing for GreenShield! I know that you are feeling overwhelmed, stressed, and worried that you will always feel this way. You may feel burnt out with day-to-day tasks, your work, relationships or parenting. You feel lost about what your next steps are and how to move forward. You want to have confidence in making decisions, be able to stop your racing mind and feel better. You want to wake up, feel ready for your day, and feel connected with your family and friends.
Accepting new clients in person and online, I also offer direct billing for GreenShield! I know that you are feeling overwhelmed, stressed, and worried that you will always feel this way. You may feel burnt out with day-to-day tasks, your work, relationships or parenting. You feel lost about what your next steps are and how to move forward. You want to have confidence in making decisions, be able to stop your racing mind and feel better. You want to wake up, feel ready for your day, and feel connected with your family and friends.
(226) 887-2862 View (226) 887-2862
Photo of Mindful Feedback, Registered Psychotherapist in London, ON
Mindful Feedback
Registered Psychotherapist, RP, BCN, CCC, PhD
Verified Verified
London, ON N6B
Waitlist for new clients
I work with clients who wish to use neurofeedback or biofeedback, together with psychotherapy, to learn to better self-regulate and improve quality of life. The brain affects all aspects of physical and mental functioning. Neurofeedback is used as a tool to address underlying neuropsychological functions including problems with memory, concentration, focus, clarity of thought, hyperactivity, sleep disturbances, anxiety, sadness, pain, anger, stress, and fatigue.
I work with clients who wish to use neurofeedback or biofeedback, together with psychotherapy, to learn to better self-regulate and improve quality of life. The brain affects all aspects of physical and mental functioning. Neurofeedback is used as a tool to address underlying neuropsychological functions including problems with memory, concentration, focus, clarity of thought, hyperactivity, sleep disturbances, anxiety, sadness, pain, anger, stress, and fatigue.
(226) 270-3655 View (226) 270-3655
Photo of Terri Atwood, Registered Psychotherapist (Qualifying) in London, ON
Terri Atwood
Registered Psychotherapist (Qualifying), MA
Verified Verified
London, ON N6C
Have you noticed or been told that you overreact in, or withdraw from, emotional situations? Do you struggle with anxiety, depression and/or negative self-talk? Is it hard for you to trust others, to set healthy boundaries, or to be kind to yourself? Have you had childhood experiences that you can’t overcome? Do you have conflictual or unstable relationships? If so, you are probably having trouble managing/ regulating your emotions. Unmanaged emotions can lead to behaviours or actions that damage relationships, foster insecurity and reduce motivation and self-esteem, to name a few.
Have you noticed or been told that you overreact in, or withdraw from, emotional situations? Do you struggle with anxiety, depression and/or negative self-talk? Is it hard for you to trust others, to set healthy boundaries, or to be kind to yourself? Have you had childhood experiences that you can’t overcome? Do you have conflictual or unstable relationships? If so, you are probably having trouble managing/ regulating your emotions. Unmanaged emotions can lead to behaviours or actions that damage relationships, foster insecurity and reduce motivation and self-esteem, to name a few.
(226) 741-0142 View (226) 741-0142
Photo of Ontario Trauma Therapy - Natalie McLachlan, Registered Social Worker in London, ON
Ontario Trauma Therapy - Natalie McLachlan
Registered Social Worker, BA, MSW, RSW
Verified Verified
London, ON N6B
Negative events or stressful experiences can interfere with how you are feeling about yourself and your relationships with others. When your mood feels up and down and you are under deep stress, it is hard to see a way out. When your past troubles you and impacts your present (and you fear the future) it can be devastating. You want to feel better, lighter, and like you've moved "past your past". You want a full life that feels easier than the one you're living. You want to be a better parent, partner, friend and family member. I completely understand, and I can help.
Negative events or stressful experiences can interfere with how you are feeling about yourself and your relationships with others. When your mood feels up and down and you are under deep stress, it is hard to see a way out. When your past troubles you and impacts your present (and you fear the future) it can be devastating. You want to feel better, lighter, and like you've moved "past your past". You want a full life that feels easier than the one you're living. You want to be a better parent, partner, friend and family member. I completely understand, and I can help.
(226) 455-3172 View (226) 455-3172
Photo of Dorit Osher, Registered Social Worker in London, ON
Dorit Osher
Registered Social Worker, MSW, RSW, MA
Verified Verified
London, ON N5Y
As a psychotherapist, with a somatic and psychodynamic orientation, I seek to support people in finding greater freedom, creativity, compassion, empowerment and aliveness in their lives. I believe the antidote to emotional struggles is finding a sense of vitality. Listening, identifying and staying with one's emotional world is the key to self awareness. As a psychotherapist my greatest task is to listen with compassion, for people to speak their deeper truths and to help them find an alternative pathways in living a life that expresses their authenticity and how to contribute with meaning in the world.
As a psychotherapist, with a somatic and psychodynamic orientation, I seek to support people in finding greater freedom, creativity, compassion, empowerment and aliveness in their lives. I believe the antidote to emotional struggles is finding a sense of vitality. Listening, identifying and staying with one's emotional world is the key to self awareness. As a psychotherapist my greatest task is to listen with compassion, for people to speak their deeper truths and to help them find an alternative pathways in living a life that expresses their authenticity and how to contribute with meaning in the world.
(226) 400-7267 View (226) 400-7267
Photo of Lambeth Psychology, Psychologist in London, ON
Lambeth Psychology
Psychologist, PhD, CPsych
Verified Verified
London, ON N6P
I am Dr. Devita Singh, the owner of Lambeth Psychology. We are a growing practice of Clinical Psychologists, aimed at helping you achieve meaningful change in your life. We provide individualized assessment and therapy for a wide range of psychological concerns, for adults, adolescents, and children, as well as parenting guidance. Each person as a unique story. This means that the best psychological approach is one that is constructed specifically for you. Whether you are choosing to start with a formal assessment, or with therapy, our approach is individualized to meet your specific needs and integrate your goals.
I am Dr. Devita Singh, the owner of Lambeth Psychology. We are a growing practice of Clinical Psychologists, aimed at helping you achieve meaningful change in your life. We provide individualized assessment and therapy for a wide range of psychological concerns, for adults, adolescents, and children, as well as parenting guidance. Each person as a unique story. This means that the best psychological approach is one that is constructed specifically for you. Whether you are choosing to start with a formal assessment, or with therapy, our approach is individualized to meet your specific needs and integrate your goals.
(226) 909-2076 View (226) 909-2076
Photo of Tracy Crick-Butler, Registered Social Worker in London, ON
Tracy Crick-Butler
Registered Social Worker, MSW, RSW, DMin
Verified Verified
London, ON N6K
Sometimes life hurts and we are uncertain how to move forward. Trauma, grief, life transitions, difficult relationships, and past experiences often leave us searching for healing and hope. We don’t want to do this work alone, and yet we don’t always know where to turn. In the therapeutic relationship you will be heard and seen. In my practice I use a holistic, person-centred approach where together we will build a respectful relationship that allows you to gain new skills, acquire knowledge that helps bring about change, and work toward your personal goals.
Sometimes life hurts and we are uncertain how to move forward. Trauma, grief, life transitions, difficult relationships, and past experiences often leave us searching for healing and hope. We don’t want to do this work alone, and yet we don’t always know where to turn. In the therapeutic relationship you will be heard and seen. In my practice I use a holistic, person-centred approach where together we will build a respectful relationship that allows you to gain new skills, acquire knowledge that helps bring about change, and work toward your personal goals.
(519) 860-0757 View (519) 860-0757
Photo of Carrier Counselling & Consulting, Registered Social Worker in London, ON
Carrier Counselling & Consulting
Registered Social Worker, RSW
Verified Verified
London, ON N6C
Life can be challenging and the pressure of managing life stressors can often feel overwhelming. So whether you are juggling life stressors, managing anxiety or depression, or navigating the impact of trauma I am here to help you through your journey. My priority is to create a safe, non-judgemental and trusting space. I believe that people are experts in their own lives, that with a client-centred and collaborative approach, I help you move forward on your journey of healing and growth. I am accepting new clients, either in person or virtually.
Life can be challenging and the pressure of managing life stressors can often feel overwhelming. So whether you are juggling life stressors, managing anxiety or depression, or navigating the impact of trauma I am here to help you through your journey. My priority is to create a safe, non-judgemental and trusting space. I believe that people are experts in their own lives, that with a client-centred and collaborative approach, I help you move forward on your journey of healing and growth. I am accepting new clients, either in person or virtually.
(226) 240-1428 View (226) 240-1428
Photo of Rey T. Singh, Registered Social Worker in London, ON
Rey T. Singh
Registered Social Worker, MSW, RCS, CHyp, RSW
Verified Verified
London, ON N6K
Thank you for reviewing my profile. I am currently accepting clients who are facing the challenges of mental health diagnoses and substance misuse. I provide evidence-based, specialized approaches to supporting people experiencing complex PTSD, anxiety, depression and other integrative challenges. If your goals include working with an experienced therapist to grow, expand, and gain the skills necessary to achieve your wellness, I will provide you effective support. My services are geared to assist the general public, as well as First Nations, and culturally diverse communities seeking support for healing, recovery and wellness.
Thank you for reviewing my profile. I am currently accepting clients who are facing the challenges of mental health diagnoses and substance misuse. I provide evidence-based, specialized approaches to supporting people experiencing complex PTSD, anxiety, depression and other integrative challenges. If your goals include working with an experienced therapist to grow, expand, and gain the skills necessary to achieve your wellness, I will provide you effective support. My services are geared to assist the general public, as well as First Nations, and culturally diverse communities seeking support for healing, recovery and wellness.
(855) 339-1666 View (855) 339-1666
Photo of Ase(A-Shay) Counseling Services, Registered Social Worker in London, ON
Ase(A-Shay) Counseling Services
Registered Social Worker, MSW, RSW
Verified Verified
London, ON N6H
It's imperative that individuals realize that they possess the skills and belief that they can manifest the life that they want. We all struggle in reaching our goals, yet it is possible to make small steps with understanding the various parts of ourselves which help, support or tend to block us from achieving our ideal self. Visit us and allow us the opportunity to work with all of you in helping you move forward to a more balanced self.
It's imperative that individuals realize that they possess the skills and belief that they can manifest the life that they want. We all struggle in reaching our goals, yet it is possible to make small steps with understanding the various parts of ourselves which help, support or tend to block us from achieving our ideal self. Visit us and allow us the opportunity to work with all of you in helping you move forward to a more balanced self.
(226) 407-6593 View (226) 407-6593
Photo of Natalie Woods, Registered Psychotherapist in London, ON
Natalie Woods
Registered Psychotherapist, MACP, RP
Verified Verified
London, ON N6C
Welcoming new clients. People I meet are struggling with life stressors and difficulties such as chronic health conditions, caregiver burden, anxiety, depression and difficulty coping with and finding a way through life transitions, grief and losses. I help people learn to make new choices that lead to greater hope and optimism and a more meaningful and vibrant life.
Welcoming new clients. People I meet are struggling with life stressors and difficulties such as chronic health conditions, caregiver burden, anxiety, depression and difficulty coping with and finding a way through life transitions, grief and losses. I help people learn to make new choices that lead to greater hope and optimism and a more meaningful and vibrant life.
(226) 639-5384 View (226) 639-5384

See more therapy options 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

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Most Counsellors and Psychotherapists listed in the directory are certified by one of the main professional associations, mainly the Canadian Counselling and Psychotherapy Association (CCPA), and will have a Certified Canadian Counsellor (CCC) designation with their name. Social Workers listed in the directory must be registered members of the college specific to their province. To be listed in the directory, Psychologists must be registered with the psychological college specific to their province or territory.

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given the considerable variation in professional regulation and prerequisites across Canadian provinces, some providers may possess significant professional qualifications without necessarily holding professional memberships or being obliged to acquire them. As a result, they may be selectively included without the "Verified" seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Psychologists, counsellors, psychotherapists and social workers can all provide counselling or talking therapy and have credentials and supervised, practical experience that enable them to do so in Canada.

Psychologists have a master's and/or doctoral degree and have passed both written and oral exams. Psychologists are able to complete mental health assessments and provide diagnostic information to clients as well as provide counselling therapy or psychotherapy. Counsellors and psychotherapists are expected to have a master's or doctoral degree in counselling psychology, social work, or a related mental health discipline and certification by a professional association, such as the Canadian Counselling and Psychotherapy Association. Registered Social Workers possess a Bachelor's or Master's degree in Social Work and where possible must be licensed or certified by the provincial government and/or regulatory college.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, the cost of a therapy session in Canada could be between $100 and $200. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. Some types of outpatient mental health services are covered by Medicare, provided these are performed by a licensed mental health professional in the provinces or territory you reside in and who accepts the assignment.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postal code.

Are therapy sessions confidential?

Professionals licensed by regulatory colleges and those certified by associations such as the Canadian Counselling and Psychotherapy Association are obligated to uphold client confidentiality unless there is a legal reason that requires them to disclose information. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there is the potential or known harm to the client or others, or a court order, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.