Therapists in Markham, ON
Tamara's Piano Studio and Music Therapy Services
Registered Psychotherapist, RP ARCT, RMT BMT, MTA NMT
Verified Verified
Markham, ON L3T
Tamara’s Piano Studio and Music Therapy Services (TPSMTS) provides high quality Music Therapy Sessions and Music Lessons to individuals of all ages and abilities. We specialize in working with children and adolescents with neurological disorders and developmental delays. Our team caters to the client's strengths and needs by establishing rapport and developing lasting relationships, and presumes competence at all times. We provide individualized treatment plans and interventions within a highly nurturing, motivating, and encouraging musical environment.
Tamara’s Piano Studio and Music Therapy Services (TPSMTS) provides high quality Music Therapy Sessions and Music Lessons to individuals of all ages and abilities. We specialize in working with children and adolescents with neurological disorders and developmental delays. Our team caters to the client's strengths and needs by establishing rapport and developing lasting relationships, and presumes competence at all times. We provide individualized treatment plans and interventions within a highly nurturing, motivating, and encouraging musical environment.
Jessica Hunt
Registered Psychotherapist (Qualifying), BA, MDiv
Verified Verified
3 Endorsed
Markham, ON L3R
I work with teens, adults, and couples struggling to cope with the stresses of life, the intricate process of addressing trauma, building essential coping skills, and fostering a sense of empowerment. I aim to provide a safe and nurturing space, where clients can openly explore their emotions, experiences, and struggles. Whether you’re a teenager grappling with the complexities of adolescence or an adult carrying the weight of past experiences, I want to meet people where they are at. With a focus on empowerment, I can help clients tap into their inner strengths and resources by working collaboratively with me.
I work with teens, adults, and couples struggling to cope with the stresses of life, the intricate process of addressing trauma, building essential coping skills, and fostering a sense of empowerment. I aim to provide a safe and nurturing space, where clients can openly explore their emotions, experiences, and struggles. Whether you’re a teenager grappling with the complexities of adolescence or an adult carrying the weight of past experiences, I want to meet people where they are at. With a focus on empowerment, I can help clients tap into their inner strengths and resources by working collaboratively with me.
Kyrillos Fakhouri
Registered Psychotherapist (Qualifying), MDiv
Verified Verified
2 Endorsed
Markham, ON L3R
Life is full of stresses that could become overwhelming most of the time. My passion is to help others realize their potential and to achieve it. Valuing the uniqueness in everyone's struggle. Following a client-centered approach to empower you to learn real skills that will help you accomplish your goals. Believing that everyone has the potential to change their struggles to strength, we can work together in sessions to build skills for you to face life with whatever coming your way.
Life is full of stresses that could become overwhelming most of the time. My passion is to help others realize their potential and to achieve it. Valuing the uniqueness in everyone's struggle. Following a client-centered approach to empower you to learn real skills that will help you accomplish your goals. Believing that everyone has the potential to change their struggles to strength, we can work together in sessions to build skills for you to face life with whatever coming your way.
Richard Gomory
Registered Psychotherapist, MA, RP
Verified Verified
2 Endorsed
Markham, ON L3P
I have more than 20 years of experience in counselling individuals, couples, families and youth. Some clients are coping but perhaps in a maladaptive way, so we make a plan together to get you back on track that can instill hope for the future. With non judgemental support, building your skills and problem solving effectively, can lead toward a more meaningful/rewarding direction in your life.
I have more than 20 years of experience in counselling individuals, couples, families and youth. Some clients are coping but perhaps in a maladaptive way, so we make a plan together to get you back on track that can instill hope for the future. With non judgemental support, building your skills and problem solving effectively, can lead toward a more meaningful/rewarding direction in your life.
Ontario Psychotherapy: Trauma and Grief Therapist
Registered Social Worker, MSW, RSW
Verified Verified
Markham, ON L6B (Online Only)
Are you perpetually in fight or flight or shut down mode? Do your emotions feel out of control? Easily triggered? I'm Rachelle and I’m the face behind OPS, an online therapy practice. I specialize in nervous system stabilization. I work with those who have experienced trauma to process its emotional and the physical effects. My practice incorporates a focus on the mind-body connection, which most clients say was the missing piece in previous therapy. The body goes through just as much as the mind; effective therapy involves paying close attention to the body and developing nervous system resiliency.
Are you perpetually in fight or flight or shut down mode? Do your emotions feel out of control? Easily triggered? I'm Rachelle and I’m the face behind OPS, an online therapy practice. I specialize in nervous system stabilization. I work with those who have experienced trauma to process its emotional and the physical effects. My practice incorporates a focus on the mind-body connection, which most clients say was the missing piece in previous therapy. The body goes through just as much as the mind; effective therapy involves paying close attention to the body and developing nervous system resiliency.
Yasmin R Singh
Registered Psychotherapist (Qualifying), MA
Verified Verified
1 Endorsed
Markham, ON L3S (Online Only)
When we care for our mind, we are also caring for our bodies, soul, spirituality, friends and family. Sometimes things can be challenging, but you are not alone. Mental health psychotherapy and counselling sessions are available in person, online, and by phone. Connect now for a session and/or 15 minute free consultation.
When we care for our mind, we are also caring for our bodies, soul, spirituality, friends and family. Sometimes things can be challenging, but you are not alone. Mental health psychotherapy and counselling sessions are available in person, online, and by phone. Connect now for a session and/or 15 minute free consultation.
Positive Minds Psychotherapy Services
Registered Psychotherapist, RP
Verified Verified
Markham, ON L6C
Positive Minds Psychotherapy Services values creating a therapeutic space that is culturally sensitive, non-judgmental, and client-centered. We are a team of dedicated psychotherapists, social workers and masters level interns, who bring a variety of clinical expertise to support our clients with different needs. We strive to always provide clients with a safe and private experience where they are open to sharing their stories with us. At Positive Minds Psychotherapy Services, our therapists are devoted to creating individualized treatment plans that fit your goals and empower you to make meaningful changes for a fulfilling life.
Positive Minds Psychotherapy Services values creating a therapeutic space that is culturally sensitive, non-judgmental, and client-centered. We are a team of dedicated psychotherapists, social workers and masters level interns, who bring a variety of clinical expertise to support our clients with different needs. We strive to always provide clients with a safe and private experience where they are open to sharing their stories with us. At Positive Minds Psychotherapy Services, our therapists are devoted to creating individualized treatment plans that fit your goals and empower you to make meaningful changes for a fulfilling life.
Anujah Posarajah
Registered Psychotherapist, MSc
Verified Verified
Markham, ON L3R
Anujah is a Registered Psychotherapist, who has worked with children, adolescents aged 13 -19 & adults of various ages, and cultures in different settings, including: hospitals, non-profit organizations, private practice, and schools. She holds a Masters in Clinical Psychology and has been practicing for 7 years in the province of Ontario. Over the years Anujah has worked closely with clients struggling with addictions, eating disorders, depression, anxiety, chronic stress, anger management, life transitions, marital counselling, relationship navigation, parental guidance, and childhood trauma.
Anujah is a Registered Psychotherapist, who has worked with children, adolescents aged 13 -19 & adults of various ages, and cultures in different settings, including: hospitals, non-profit organizations, private practice, and schools. She holds a Masters in Clinical Psychology and has been practicing for 7 years in the province of Ontario. Over the years Anujah has worked closely with clients struggling with addictions, eating disorders, depression, anxiety, chronic stress, anger management, life transitions, marital counselling, relationship navigation, parental guidance, and childhood trauma.
Khatereh Zabihi
Counsellor, MA
Verified Verified
2 Endorsed
Markham, ON L3T
Hey there! I'm Khatereh, a couples and counselor with 15+ years of experience. I've helped numerous couples overcome relationship challenges. I hold a Master's degree in counseling and I'm certified in the Gottman couple therapy method. I totally get that every couple is unique, and I love creating personalized plans to achieve your specific goals. My focus is on improving communication, resolving conflicts, and deepening emotional connections. Let's work together to make your relationship stronger and more fulfilling. Whether it's dealing with issues like sex, or infidelity, I'm here to help you both feel more connected.
Hey there! I'm Khatereh, a couples and counselor with 15+ years of experience. I've helped numerous couples overcome relationship challenges. I hold a Master's degree in counseling and I'm certified in the Gottman couple therapy method. I totally get that every couple is unique, and I love creating personalized plans to achieve your specific goals. My focus is on improving communication, resolving conflicts, and deepening emotional connections. Let's work together to make your relationship stronger and more fulfilling. Whether it's dealing with issues like sex, or infidelity, I'm here to help you both feel more connected.
Dr. Sarah Glaser
Psychologist, PhD, CPsych
Verified Verified
2 Endorsed
Markham, ON L3P
I offer psychoeducational/psychological assessments for a variety of concerns (e.g., ADHD, learning disabilities, mental health disorders, ASD). I have received extensive training in DBT and CBT. I use a strength-based approach to treatment that is targeted, collaborative, individualized, flexible, and inclusive. Therapy is a safe space, and I welcome clients with diverse gender identities, sexual orientations, and racial and cultural backgrounds. I have an ongoing curiosity to learn and grow as a clinician and continually strive to refine my knowledge of evidence based treatment modalities to best meet the needs of my clients.
I offer psychoeducational/psychological assessments for a variety of concerns (e.g., ADHD, learning disabilities, mental health disorders, ASD). I have received extensive training in DBT and CBT. I use a strength-based approach to treatment that is targeted, collaborative, individualized, flexible, and inclusive. Therapy is a safe space, and I welcome clients with diverse gender identities, sexual orientations, and racial and cultural backgrounds. I have an ongoing curiosity to learn and grow as a clinician and continually strive to refine my knowledge of evidence based treatment modalities to best meet the needs of my clients.
Karen Rezk
Registered Psychotherapist (Qualifying), RPQ, MDiv, MScA, RN
Verified Verified
4 Endorsed
Markham, ON L6G (Online Only)
Emotional pain and discomfort allow access to the narrative that is being told by your body, mind, and soul. While unique to your own experience, it is what connects us as fellow humans. I am here to explore alongside you the roots of the pain and discomfort as you navigate a journey that may feel isolating at times, confusing at times, or even unbearable at times. In our journey together, I offer new ways of looking at your situation while acknowledging your lived experience and where you are in your walk. Together, we will create strategies that will draw upon your strengths in order to work towards your your fullest potential.
Emotional pain and discomfort allow access to the narrative that is being told by your body, mind, and soul. While unique to your own experience, it is what connects us as fellow humans. I am here to explore alongside you the roots of the pain and discomfort as you navigate a journey that may feel isolating at times, confusing at times, or even unbearable at times. In our journey together, I offer new ways of looking at your situation while acknowledging your lived experience and where you are in your walk. Together, we will create strategies that will draw upon your strengths in order to work towards your your fullest potential.
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Registered Psychotherapist (Qualifying), MEd, PsyDip
Verified Verified
7 Endorsed
Markham, ON L3T (Online Only)
If you're feeling unhappy, anxious, overwhelmed, stuck, or lost, know that you are not alone! I provide a compassionate and supportive space for individuals and couples to process challenging experiences, thoughts, emotions, and responses to uncover patterns, learnings, strengths, skills, and hope. Having done "the work" myself ensures that I can support you safely and effectively; helps me appreciate your vulnerability, effort, and progress; and equips me to share the best of the many approaches, tools, and strategies I've experienced.
If you're feeling unhappy, anxious, overwhelmed, stuck, or lost, know that you are not alone! I provide a compassionate and supportive space for individuals and couples to process challenging experiences, thoughts, emotions, and responses to uncover patterns, learnings, strengths, skills, and hope. Having done "the work" myself ensures that I can support you safely and effectively; helps me appreciate your vulnerability, effort, and progress; and equips me to share the best of the many approaches, tools, and strategies I've experienced.
Kristina Virro | Hypnotherapist
Registered Psychotherapist, HBa, MA, MSc
Verified Verified
Markham, ON L3R
You might be reading this because you feel "stuck" in some capacity or crave for something to be different in your life. Hypnotherapy is a form of psychotherapy that incorporates hypnosis to effectively treat a number of mental health concerns, from anxiety and depression to self esteem issues and insomnia. With my compassionate and professional assistance, you'll be induced into a state of focused attention and relaxation, creating an altered state of awareness that makes it easier to consider healthier beliefs, tap into your inner resources, and facilitate positive changes.
You might be reading this because you feel "stuck" in some capacity or crave for something to be different in your life. Hypnotherapy is a form of psychotherapy that incorporates hypnosis to effectively treat a number of mental health concerns, from anxiety and depression to self esteem issues and insomnia. With my compassionate and professional assistance, you'll be induced into a state of focused attention and relaxation, creating an altered state of awareness that makes it easier to consider healthier beliefs, tap into your inner resources, and facilitate positive changes.
Sharon Xiao-Rong Zong
Registered Psychotherapist, RP, RSW, MSW
Verified Verified
4 Endorsed
Markham, ON L3R
Waitlist for new clients
It’s natural to encounter various forms of difficulties in life, feeling sad, anxious, angry, lonely, stuck, and depressed. Counselling and psychotherapy sessions can help you! These emotions are natural and temporary, I believe all of my clients have their own ability and strengths to gradually overcome and improve. My role as your therapist and your ally is being with you and walk alongside your journey. I am willing to help you to better handle life changes and to make more positive changes. As a member of Hopewoods Psychotherapy, we aim to provide professional mental health services for the Chinese community in Toronto.
It’s natural to encounter various forms of difficulties in life, feeling sad, anxious, angry, lonely, stuck, and depressed. Counselling and psychotherapy sessions can help you! These emotions are natural and temporary, I believe all of my clients have their own ability and strengths to gradually overcome and improve. My role as your therapist and your ally is being with you and walk alongside your journey. I am willing to help you to better handle life changes and to make more positive changes. As a member of Hopewoods Psychotherapy, we aim to provide professional mental health services for the Chinese community in Toronto.
Kamal Soobrian
Registered Psychotherapist (Qualifying), MDiv, CYW
Verified Verified
2 Endorsed
Markham, ON L3R
Not accepting new clients
It takes tremendous courage to share your story with someone else. Hi, my name is Kamal, and I am a trauma-informed therapist with an area of focus in working with children, youth, and young adults. I understand the challenges that young people often face, such as, navigating friendships, school stress, and family dynamics. Every individual's life experiences are unique, and my hope is to allow clients to safely share their story in therapy. I am passionate about helping individuals find inner healing, and I understand that there can be barriers that individuals face to accessing therapy.
It takes tremendous courage to share your story with someone else. Hi, my name is Kamal, and I am a trauma-informed therapist with an area of focus in working with children, youth, and young adults. I understand the challenges that young people often face, such as, navigating friendships, school stress, and family dynamics. Every individual's life experiences are unique, and my hope is to allow clients to safely share their story in therapy. I am passionate about helping individuals find inner healing, and I understand that there can be barriers that individuals face to accessing therapy.
Zabrina Mok
Registered Psychotherapist, RP
Verified Verified
1 Endorsed
Markham, ON L3P (Online Only)
Not accepting new clients
Do you struggle with feeling anxious or disconnected? Do you wonder if life should feel somehow better? Now more than ever, people experience heightened anxiety and feeling more overwhelmed about how they manage relationships, careers and lives. Not taking time for yourself can lead to emotional deprivation. We believe it should not be so hard to live a better life. Our goal is to help you feel better so you can live more authentically with joy and hope.
Do you struggle with feeling anxious or disconnected? Do you wonder if life should feel somehow better? Now more than ever, people experience heightened anxiety and feeling more overwhelmed about how they manage relationships, careers and lives. Not taking time for yourself can lead to emotional deprivation. We believe it should not be so hard to live a better life. Our goal is to help you feel better so you can live more authentically with joy and hope.
Ian Andrew Wine
Registered Social Worker, MSW, RSW
Verified Verified
Markham, ON L3R
With over two decades of experience in mental health and psychotherapy services, I specialize in working with tweens, teens, adults and families across a range of mental health and wellness areas including: Depression, Anxiety, Trauma, Stress Management, School Based Challenges, Parenting, Relationship difficulties, etc.
With over two decades of experience in mental health and psychotherapy services, I specialize in working with tweens, teens, adults and families across a range of mental health and wellness areas including: Depression, Anxiety, Trauma, Stress Management, School Based Challenges, Parenting, Relationship difficulties, etc.
Carina Koletsas Counselling & Associates
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Markham, ON L6B
Hi! I am so glad that you are here. The decision to begin therapy is often the first step towards positive change, improved relationships and feeling better. Are you moving into new roles and responsibilities and finding it difficult to cope? Have you been impacted by something painful and feel you need a place to process this? Do you have a child or teen with anxiety, ADHD, anger, or OCD and want to arm them with skills to crush these issues? Could you use an expert opinion on what you’re going through, or a non-judgemental ear just to listen? If you answered yes to any of the above, therapy together may be a wonderful fit for you!
Hi! I am so glad that you are here. The decision to begin therapy is often the first step towards positive change, improved relationships and feeling better. Are you moving into new roles and responsibilities and finding it difficult to cope? Have you been impacted by something painful and feel you need a place to process this? Do you have a child or teen with anxiety, ADHD, anger, or OCD and want to arm them with skills to crush these issues? Could you use an expert opinion on what you’re going through, or a non-judgemental ear just to listen? If you answered yes to any of the above, therapy together may be a wonderful fit for you!
Jianping Su
Registered Psychotherapist, EdD, RP
Verified Verified
4 Endorsed
Markham, ON L3R (Online Only)
Welcome to Hopewoods. You have made the first step, which also is the hardest step, in seeking help to make a change. Whether you are seeking change for a healthier happier life, or coping with a mental illness, or just for problem solving difficulties that you encountered, you will not be alone on the rest of your journey of making change. I am a registered psychotherapist with more than 20 years experience working with individuals of diverse backgrounds. I am here to support and empower you.
Welcome to Hopewoods. You have made the first step, which also is the hardest step, in seeking help to make a change. Whether you are seeking change for a healthier happier life, or coping with a mental illness, or just for problem solving difficulties that you encountered, you will not be alone on the rest of your journey of making change. I am a registered psychotherapist with more than 20 years experience working with individuals of diverse backgrounds. I am here to support and empower you.
David Brett Robinson
Registered Psychotherapist (Qualifying), MACP
Verified Verified
1 Endorsed
Markham, ON L3R (Online Only)
From a very young age, Brett’s passions have included psychology, philosophy and history. After completing a Master’s of Arts in Profiling and Behavioural Analysis, and in the midst of an business career, Brett decided to fulfill a life long passion and undertake training to become a psychotherapist. The three years of psychotherapy he had undergone in his early 20's had been a life changing experience.
From a very young age, Brett’s passions have included psychology, philosophy and history. After completing a Master’s of Arts in Profiling and Behavioural Analysis, and in the midst of an business career, Brett decided to fulfill a life long passion and undertake training to become a psychotherapist. The three years of psychotherapy he had undergone in his early 20's had been a life changing experience.
See more therapy options for Markham
How does your Counsellor compare?
Number of Counsellors in Markham, ON
400+
Average cost per session
$150
Counsellors in Markham, ON who prioritize treating:
96% | Anxiety |
91% | Depression |
85% | Relationship Issues |
85% | Self Esteem |
80% | Stress |
72% | Coping Skills |
70% | Trauma and PTSD |
Average years in practice
9 Years
Top 3 insurances accepted
79% | SunLife |
75% | Green Shield Canada |
71% | Manulife |
How Counsellors in Markham, ON see their clients
58% | In Person and Online | |
42% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Markham?
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.