Photo of Marie-Rose Tannous, PhD,  MA, Registered Psychotherapist
Marie-Rose Tannous
Registered Psychotherapist, PhD, MA
Verified Verified
1 Endorsed
Ottawa, ON K1T
I am currently providing video and/or in person therapy services to new and current clients. Do you think you are struggling with anxiety, depression, low self-esteem, burnout, grief, recurrent thoughts, traumatic past, marital issues, family conflicts, spiritual questions? Those powerful emotional remind you that you are human. They may be a good opportunity to learn more about yourself, and to treat yourself kindly along the way.
I am currently providing video and/or in person therapy services to new and current clients. Do you think you are struggling with anxiety, depression, low self-esteem, burnout, grief, recurrent thoughts, traumatic past, marital issues, family conflicts, spiritual questions? Those powerful emotional remind you that you are human. They may be a good opportunity to learn more about yourself, and to treat yourself kindly along the way.
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Photo of Lesley-Ann Sparkes, MA, Registered Psychotherapist
Lesley-Ann Sparkes
Registered Psychotherapist, MA
Verified Verified
2 Endorsed
Online Only
Not accepting new clients
In clinical practice, I utilize a biopsychosocial approach that considers a client’s past, worldview, and perception of self. This allows for the holistic assessment of presenting issues, as well as individual client needs. My preferred therapeutic orientations to work with are cognitive behavioural therapy, exposure and response prevention, emotionally focused therapy, psychodynamic therapy, and acceptance and commitment therapy.
In clinical practice, I utilize a biopsychosocial approach that considers a client’s past, worldview, and perception of self. This allows for the holistic assessment of presenting issues, as well as individual client needs. My preferred therapeutic orientations to work with are cognitive behavioural therapy, exposure and response prevention, emotionally focused therapy, psychodynamic therapy, and acceptance and commitment therapy.
(343) 309-9905 View (343) 309-9905
Photo of Leif-Erik Aune, Registered Psychotherapist (Qualifying)
Leif-Erik Aune
Registered Psychotherapist (Qualifying)
Verified Verified
Online Only
If you are experiencing a mental health challenge, then psychotherapy is one of the best choices to help you gain autonomy and improve your quality of life. My clients often suffer with psychological discomfort and decide that “enough is enough”. They often seek to understand themselves, overcome troubling thoughts and feelings, have healthier relationships with family members, loved ones, or colleagues. Whether you are trying to better relate to yourself or others, I work with adults from all walks of life and I am committed to understanding and appreciating your experiences.
If you are experiencing a mental health challenge, then psychotherapy is one of the best choices to help you gain autonomy and improve your quality of life. My clients often suffer with psychological discomfort and decide that “enough is enough”. They often seek to understand themselves, overcome troubling thoughts and feelings, have healthier relationships with family members, loved ones, or colleagues. Whether you are trying to better relate to yourself or others, I work with adults from all walks of life and I am committed to understanding and appreciating your experiences.
(343) 307-9670 View (343) 307-9670
Photo of Manvir Hans, MA, MSc, RP, CCC, Registered Psychotherapist
Manvir Hans
Registered Psychotherapist, MA, MSc, RP, CCC
Verified Verified
3 Endorsed
Ottawa, ON K1T
Accepting new clients for December, 2024. "You can't stop the waves, but you can learn to surf." - Dr. Jon Kabat Zinn Come speak to me about the waves you have experienced or are experiencing in your life that hold you from learning to surf. I have been practicing psychotherapy since 2012 in a variety of settings. I provide a framework that allows you to articulate your struggle as you ride the waves of your life within a safe and non-judgmental space.
Accepting new clients for December, 2024. "You can't stop the waves, but you can learn to surf." - Dr. Jon Kabat Zinn Come speak to me about the waves you have experienced or are experiencing in your life that hold you from learning to surf. I have been practicing psychotherapy since 2012 in a variety of settings. I provide a framework that allows you to articulate your struggle as you ride the waves of your life within a safe and non-judgmental space.
(343) 338-5089 View (343) 338-5089
Photo of Sean O'Keeffe, RSW, MSW, Registered Social Worker
Sean O'Keeffe
Registered Social Worker, RSW, MSW
Verified Verified
Online Only
At one time or another, the cliché that sometimes you just need a little help applies to us all. Unsure where to seek support? I would be happy to connect with you and help get you started on the path to better mental and emotional wellness. My focus is in supporting people with mental health issues within our diverse community. I offer psychotherapy services to adults and adolescents struggling with severe and persistent mental illness (Bipolar Disorder, Anxiety and Depression to name a few), substance use disorders, emotional dysregulation, domestic abuse, and involved with the criminal justice system.
At one time or another, the cliché that sometimes you just need a little help applies to us all. Unsure where to seek support? I would be happy to connect with you and help get you started on the path to better mental and emotional wellness. My focus is in supporting people with mental health issues within our diverse community. I offer psychotherapy services to adults and adolescents struggling with severe and persistent mental illness (Bipolar Disorder, Anxiety and Depression to name a few), substance use disorders, emotional dysregulation, domestic abuse, and involved with the criminal justice system.
(343) 308-2078 View (343) 308-2078
Photo of Saeid Kianpour, PhD, RP, Registered Psychotherapist
Saeid Kianpour
Registered Psychotherapist, PhD, RP
Verified Verified
2 Endorsed
Online Only
Clients seek me out for my extensive experience as an individual, couple’s, and family psychotherapist. While I work with a diverse range of individuals, my passion lies in empowering men and their families to lead fulfilling, connected, and meaningful lives.
Clients seek me out for my extensive experience as an individual, couple’s, and family psychotherapist. While I work with a diverse range of individuals, my passion lies in empowering men and their families to lead fulfilling, connected, and meaningful lives.
(613) 701-9846 x410 View (613) 701-9846 x410
Photo of Zara Arshad, MSc, RP, PMH-C, Registered Psychotherapist
Zara Arshad
Registered Psychotherapist, MSc, RP, PMH-C
Verified Verified
Online Only
As your therapist, I create a safe, comfortable, and non-judgemental environment where I allow you to express who you are – the good and the bad. During this vulnerable process, I offer gentle support in reaching your therapeutic goals, by helping you make sense of the issues you are facing, gain insight into your thoughts, beliefs, and emotions, facilitate and enhance communication, connect with your inner resilience, implement changes, develop compassion towards yourself and others, and renew connections with people in your life.
As your therapist, I create a safe, comfortable, and non-judgemental environment where I allow you to express who you are – the good and the bad. During this vulnerable process, I offer gentle support in reaching your therapeutic goals, by helping you make sense of the issues you are facing, gain insight into your thoughts, beliefs, and emotions, facilitate and enhance communication, connect with your inner resilience, implement changes, develop compassion towards yourself and others, and renew connections with people in your life.
(613) 604-0452 View (613) 604-0452
Photo of Helen Tweddle, MSW RSW, Registered Social Worker
Helen Tweddle
Registered Social Worker, MSW RSW
Verified Verified
Online Only
Taking the first step towards reaching out to a therapist can feel very overwhelming, so congratulations for taking that step today! The reasons for connecting with a therapist are varied and unique to the individual, as such my practice is to work to fully understand the concerns you are navigating, as you see them. In unpacking the concerns and the subsequent impact, we can work together to explore different ways of responding to the issues you're facing, be it a change of circumstance, or a change in how you feel about the circumstance. Together we can work towards creating a life that is more rich and meaningful on your terms.
Taking the first step towards reaching out to a therapist can feel very overwhelming, so congratulations for taking that step today! The reasons for connecting with a therapist are varied and unique to the individual, as such my practice is to work to fully understand the concerns you are navigating, as you see them. In unpacking the concerns and the subsequent impact, we can work together to explore different ways of responding to the issues you're facing, be it a change of circumstance, or a change in how you feel about the circumstance. Together we can work towards creating a life that is more rich and meaningful on your terms.
(437) 747-6902 View (437) 747-6902
Photo of Amy James, MDiv, RP, Registered Psychotherapist
Amy James
Registered Psychotherapist, MDiv, RP
Verified Verified
Online Only
Waitlist for new clients
Perhaps you’re wondering what counselling is all about? Or can I really get the help I need? Maybe you’re even trying to decide, will it be worth it? It’s okay to be uncertain, have questions, and even not know where to begin. Counselling is a collaborative process where you can share: • Whatever is on your mind...how did I get to this point? I don’t even recognize myself! • What' happening in your life...what did I do wrong? It wasn’t supposed to be like this! • Consider future goals...where did the time go? This job was placeholder. • Reconcile past events...when will it stop? I can't let go!
Perhaps you’re wondering what counselling is all about? Or can I really get the help I need? Maybe you’re even trying to decide, will it be worth it? It’s okay to be uncertain, have questions, and even not know where to begin. Counselling is a collaborative process where you can share: • Whatever is on your mind...how did I get to this point? I don’t even recognize myself! • What' happening in your life...what did I do wrong? It wasn’t supposed to be like this! • Consider future goals...where did the time go? This job was placeholder. • Reconcile past events...when will it stop? I can't let go!
(343) 429-6185 View (343) 429-6185
Photo of Alexander Osei-Owusu, MA, Registered Psychotherapist (Qualifying)
Alexander Osei-Owusu
Registered Psychotherapist (Qualifying), MA
Verified Verified
2 Endorsed
Online Only
I am currently accepting new clients from $130 to $150/session. I offer virtual sessions and am also offering a free consultation to see if we are a good fit. I am a genuinely empathetic and dedicated therapist who specializes in the mental and emotional health of racialized communities and has expertise working with Black African Diaspora youth, and men. My goal in therapy is to create a warm, safe and non-judgmental space for your mental health and growth. I provide unconditional support to my clients as they chart a path to wellness.
I am currently accepting new clients from $130 to $150/session. I offer virtual sessions and am also offering a free consultation to see if we are a good fit. I am a genuinely empathetic and dedicated therapist who specializes in the mental and emotional health of racialized communities and has expertise working with Black African Diaspora youth, and men. My goal in therapy is to create a warm, safe and non-judgmental space for your mental health and growth. I provide unconditional support to my clients as they chart a path to wellness.
(343) 321-1588 View (343) 321-1588
Photo of Laura Anastasia Hnatiw - Laura Anastasia Hnatiw: ADHD Counselling, MA, RSW, SSW, Registered Social Worker
Laura Anastasia Hnatiw: ADHD Counselling
Registered Social Worker, MA, RSW, SSW
Verified Verified
Online Only
Are you feeling overwhelmed by ADHD, anxiety, or life's challenges? As a counsellor specializing in ADHD and mental health, I work with clients who seek clarity, focus, and balance in their lives. My ideal client is someone ready to take the next step in understanding their struggles and developing practical, personalized strategies for growth. Together, we will explore your unique strengths, work with your ADHD to address your concerns and create achievable goals that align with your values. Let’s work together to help you thrive.
Are you feeling overwhelmed by ADHD, anxiety, or life's challenges? As a counsellor specializing in ADHD and mental health, I work with clients who seek clarity, focus, and balance in their lives. My ideal client is someone ready to take the next step in understanding their struggles and developing practical, personalized strategies for growth. Together, we will explore your unique strengths, work with your ADHD to address your concerns and create achievable goals that align with your values. Let’s work together to help you thrive.
(343) 803-6403 View (343) 803-6403
Photo of Bahara Hamidi, BA, MA, CCPA, Registered Psychotherapist
Bahara Hamidi
Registered Psychotherapist, BA, MA, CCPA
Verified Verified
4 Endorsed
Online Only
My goal is to support clients on their journey toward emotional well-being and self-discovery. I believe in the power of collaboration and prioritize creating a safe, non-judgmental, and authentic therapeutic relationship. My practice is trauma-informed and culturally sensitive. I bring valuable experience from my work at The Royal Ottawa Hospital and Jewish Family Services. Additionally, I have over four years of experience as a Diversity and Inclusion Analyst for the Government of Canada, advocating for equity groups and driving policy changes to enhance well-being and foster inclusion.
My goal is to support clients on their journey toward emotional well-being and self-discovery. I believe in the power of collaboration and prioritize creating a safe, non-judgmental, and authentic therapeutic relationship. My practice is trauma-informed and culturally sensitive. I bring valuable experience from my work at The Royal Ottawa Hospital and Jewish Family Services. Additionally, I have over four years of experience as a Diversity and Inclusion Analyst for the Government of Canada, advocating for equity groups and driving policy changes to enhance well-being and foster inclusion.
(343) 321-2001 View (343) 321-2001
Photo of Catherine G, MEd, BA, Registered Psychotherapist
Catherine G
Registered Psychotherapist, MEd, BA
Verified Verified
1 Endorsed
Ottawa, ON K1T
We are accepting new clients! I'm glad to see you are considering your mental health needs. I want you to know that when you reach out, we officially become a team - I’ll be on your side. You will be greeted by a warm, understanding and authentic psychotherapist that will make you feel comfortable. I know therapy can seem scary and in session there may be tears but there may also be laughs, as we will explore a wide range of emotions together. I will offer a judgment-free environment where you will feel safe to share your difficult experiences as we develop a connection and explore your mental health needs together.
We are accepting new clients! I'm glad to see you are considering your mental health needs. I want you to know that when you reach out, we officially become a team - I’ll be on your side. You will be greeted by a warm, understanding and authentic psychotherapist that will make you feel comfortable. I know therapy can seem scary and in session there may be tears but there may also be laughs, as we will explore a wide range of emotions together. I will offer a judgment-free environment where you will feel safe to share your difficult experiences as we develop a connection and explore your mental health needs together.
(343) 304-5557 View (343) 304-5557
Photo of Zainab Santur, RSW, MSW, BSW, Registered Social Worker
Zainab Santur
Registered Social Worker, RSW, MSW, BSW
Verified Verified
Online Only
It has been tough, and getting support can be overwhelming. This is a big step to take, and I would be honoured to support you as you identify your needs and achieve your goals. I provide therapy to adults, seniors and couples in a safe and judgement-free space.
It has been tough, and getting support can be overwhelming. This is a big step to take, and I would be honoured to support you as you identify your needs and achieve your goals. I provide therapy to adults, seniors and couples in a safe and judgement-free space.
(343) 307-0850 View (343) 307-0850
Photo of Yasmin Hollis, MA, RP, Registered Psychotherapist
Yasmin Hollis
Registered Psychotherapist, MA, RP
Verified Verified
1 Endorsed
Ottawa, ON K1T
Currently Accepting New Clients for In Person and Virtual Sessions. We all have moments when we feel like we're not good enough. It can happen at work, school, in our relationships, or when we look at ourselves in the mirror. Comparing ourselves to others is natural, but sometimes that feeling becomes overwhelming and stops us from doing what we want. No matter it's origin, feeling less than can make us feel anxious, sad, alone, or disconnected. At EvenMind Psychotherapy I am here to help you navigate feelings of unworthiness and the accompanied difficult emotions from a kind, empathetic and non-judgmental place.
Currently Accepting New Clients for In Person and Virtual Sessions. We all have moments when we feel like we're not good enough. It can happen at work, school, in our relationships, or when we look at ourselves in the mirror. Comparing ourselves to others is natural, but sometimes that feeling becomes overwhelming and stops us from doing what we want. No matter it's origin, feeling less than can make us feel anxious, sad, alone, or disconnected. At EvenMind Psychotherapy I am here to help you navigate feelings of unworthiness and the accompanied difficult emotions from a kind, empathetic and non-judgmental place.
(343) 338-9281 View (343) 338-9281
Photo of Kristina Pearson - Kristina Pearson, MA, Registered Psychotherapist
Kristina Pearson
Registered Psychotherapist, MA
Verified Verified
1 Endorsed
Ottawa, ON K1T
Are you struggling with anxiety, self-esteem or life transitions? Are traumatic events or difficult relationships from your past affecting your present? Do you feel lost and disconnected from your true self, or your partner? If so, therapy might be a suitable option for you. Therapy can help clear your head, lead you to better understand your emotions and move towards a better quality of life. Therapy can also help you reconnect with what matters most to inspire you to live the life you want to live.
Are you struggling with anxiety, self-esteem or life transitions? Are traumatic events or difficult relationships from your past affecting your present? Do you feel lost and disconnected from your true self, or your partner? If so, therapy might be a suitable option for you. Therapy can help clear your head, lead you to better understand your emotions and move towards a better quality of life. Therapy can also help you reconnect with what matters most to inspire you to live the life you want to live.
(343) 304-6303 View (343) 304-6303
Photo of Lorrain Tyrany - Lorrain Tyrany • LT Counselling & Psychotherapy, M(Ed), RP, Registered Psychotherapist
Lorrain Tyrany • LT Counselling & Psychotherapy
Registered Psychotherapist, M(Ed), RP
Verified Verified
Ottawa, ON K1T
I truly believe that the key to a prosperous community lies in the well-being of each and every member of that community. As a therapist, my goal is to provide you with a comfortable and empathetic environment, built on trust and transparency. I use a collaborative therapeutic approach, and I work with you to develop an action plan; integrating evidence-based practices that suit your needs. I have several years of experience in mentoring youth and young adults, and I have experience providing therapy to teenagers and adults from diverse ethnic and cultural backgrounds.
I truly believe that the key to a prosperous community lies in the well-being of each and every member of that community. As a therapist, my goal is to provide you with a comfortable and empathetic environment, built on trust and transparency. I use a collaborative therapeutic approach, and I work with you to develop an action plan; integrating evidence-based practices that suit your needs. I have several years of experience in mentoring youth and young adults, and I have experience providing therapy to teenagers and adults from diverse ethnic and cultural backgrounds.
(343) 453-1863 View (343) 453-1863
Photo of James Warren Raynard - Congruent Living Therapy, MA, RP, Registered Psychotherapist
Congruent Living Therapy
Registered Psychotherapist, MA, RP
Verified Verified
2 Endorsed
Online Only
Living in a world that demands perfection is not easy. It can be extremely difficult and unforgiving to us human beings. When we experience negative emotions there is something deeper that is lurking beneath the surface. I am a humanistic therapist who puts the client's needs first. Even if the client is unsure of what they need, this will be part of the journey to discover. I do not adhere to a "one-size-fits-all" approach to therapy as every individual is unique and deserves to be heard for who they are.
Living in a world that demands perfection is not easy. It can be extremely difficult and unforgiving to us human beings. When we experience negative emotions there is something deeper that is lurking beneath the surface. I am a humanistic therapist who puts the client's needs first. Even if the client is unsure of what they need, this will be part of the journey to discover. I do not adhere to a "one-size-fits-all" approach to therapy as every individual is unique and deserves to be heard for who they are.
(613) 693-0216 View (613) 693-0216
Photo of Catherine Brunet, MEd, RP, Registered Psychotherapist
Catherine Brunet
Registered Psychotherapist, MEd, RP
Verified Verified
Ottawa, ON K1T
Throughout life, we come to face challenges that we struggle to understand and cope with. I seek to help individuals achieve their innate potential and help them navigate their hardships, moving towards growth and healing. I believe that with a trusting therapeutic alliance, clients can explore moving to a place of acceptance and of well-being.
Throughout life, we come to face challenges that we struggle to understand and cope with. I seek to help individuals achieve their innate potential and help them navigate their hardships, moving towards growth and healing. I believe that with a trusting therapeutic alliance, clients can explore moving to a place of acceptance and of well-being.
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Photo of Jessica Lapensée, MEd, CCC, Registered Psychotherapist
Jessica Lapensée
Registered Psychotherapist, MEd, CCC
Verified Verified
Online Only
Life can be really hectic and move at an alarming rate until we find ourselves asking “why does everything feel so heavy?” I value the courage it takes to reach out and take this first step for yourself. You being here, taking this initiative, is an act worth recognizing. My goal is to walk alongside you, and meet you where you are in your journey. Collaboratively, we can explore your inner experiences and challenging areas in your life contributing to your distress. I work from a place of compassion and deep empathy to create a safe non-judgemental space to help you identify your inner strengths to move you closer to your goals.
Life can be really hectic and move at an alarming rate until we find ourselves asking “why does everything feel so heavy?” I value the courage it takes to reach out and take this first step for yourself. You being here, taking this initiative, is an act worth recognizing. My goal is to walk alongside you, and meet you where you are in your journey. Collaboratively, we can explore your inner experiences and challenging areas in your life contributing to your distress. I work from a place of compassion and deep empathy to create a safe non-judgemental space to help you identify your inner strengths to move you closer to your goals.
(343) 307-6443 View (343) 307-6443
1

See more therapy options for K1T

How does your Counsellor compare?

Number of Counsellors in K1T

30+

Average cost per session

$165

Counsellors in K1T who prioritize treating:

100% Anxiety
92% Relationship Issues
92% Depression
89% Stress
82% Self Esteem
71% Coping Skills
68% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

73% SunLife
73% Canada Life | Great-West Life
64% Manulife

How Counsellors in K1T see their clients

57% Online Only
43% In Person and Online

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counselling

How can I find a therapist in K1T?

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.