Therapists in L8W

Photo of Carey Campbell, Registered Psychotherapist, RP, MA
Carey Campbell
Registered Psychotherapist, RP, MA
3 Endorsed
Hamilton, ON L8W
You walk through life feeling empty and lacking purpose and meaning. You dabble in negative coping mechanisms to find momentary relief. As a psychotherapist, I am passionate about helping individuals and couples reclaim their lives. Tough childhood experiences, mood disorders, and self-sabotaging behaviors can all be overcome. Over my 15 years of practice, I have specialized in working through these challenging life experiences and have accompanied my clients to find joy, fulfillment, and meaning in their journey.
You walk through life feeling empty and lacking purpose and meaning. You dabble in negative coping mechanisms to find momentary relief. As a psychotherapist, I am passionate about helping individuals and couples reclaim their lives. Tough childhood experiences, mood disorders, and self-sabotaging behaviors can all be overcome. Over my 15 years of practice, I have specialized in working through these challenging life experiences and have accompanied my clients to find joy, fulfillment, and meaning in their journey.
(365) 800-6575 View (365) 800-6575
Photo of Ruth Virgo, Registered Social Worker, M, S, W
Ruth Virgo
Registered Social Worker, M, S, W
Hamilton, ON L8W
Hi! Do you often feel overwhelmed with feelings of anxiety? Or “do you find it difficult to develop friendships and maintain positive relations?” “Do you experience sadness and loneliness?” “If so, come talk with me!” I am excited to work collaboratively with you on your journey to identify solutions to anxiety, depression, self-esteem/self-confidence, relationship issues, and emotional dysfunction concerns; to develop coping strategies to build resilience to loss, grief, trauma, burnout, and daily activities. I will help you find meaning and purpose to live authentically. Please visit me at website: winroseoasiscounselling.com
Hi! Do you often feel overwhelmed with feelings of anxiety? Or “do you find it difficult to develop friendships and maintain positive relations?” “Do you experience sadness and loneliness?” “If so, come talk with me!” I am excited to work collaboratively with you on your journey to identify solutions to anxiety, depression, self-esteem/self-confidence, relationship issues, and emotional dysfunction concerns; to develop coping strategies to build resilience to loss, grief, trauma, burnout, and daily activities. I will help you find meaning and purpose to live authentically. Please visit me at website: winroseoasiscounselling.com
(289) 210-7410 View (289) 210-7410
Photo of Sarah Ricker, Registered Psychotherapist (Qualifying)
Sarah Ricker
Registered Psychotherapist (Qualifying)
Hamilton, ON L8W
You want to learn how to show yourself compassion and kindness. You want to grow to become a better and healthier version of yourself, learning from the past, remaining in the present, and preparing for the future.
You want to learn how to show yourself compassion and kindness. You want to grow to become a better and healthier version of yourself, learning from the past, remaining in the present, and preparing for the future.
(365) 602-8440 View (365) 602-8440
Photo of Caroline Henson, Registered Social Worker, MSW, RSW
Caroline Henson
Registered Social Worker, MSW, RSW
Hamilton, ON L8W
Does your mind feel crowded with thoughts of worry and self-doubt? Do you find yourself putting others first in order to keep the peace? Or do you find yourself in a cycle of unhealthy friendships or romantic partners? If so, then I am the therapist for you! By using approaches grounded in empathy, respect, and collaboration, my hope is to empower you with the strength and resilience you already have while also building your toolkit full of coping skills.
Does your mind feel crowded with thoughts of worry and self-doubt? Do you find yourself putting others first in order to keep the peace? Or do you find yourself in a cycle of unhealthy friendships or romantic partners? If so, then I am the therapist for you! By using approaches grounded in empathy, respect, and collaboration, my hope is to empower you with the strength and resilience you already have while also building your toolkit full of coping skills.
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Photo of Gena Filip - Talk With Gena, Registered Psychotherapist, MA, BHSc, RP
Talk With Gena
Registered Psychotherapist, MA, BHSc, RP
3 Endorsed
Hamilton, ON L8W
With over 20 years of experience bridging physical and psychological care, I offer an integrative approach to psychotherapy. My background as a Registered Massage Therapist & Neurofunctional Acupuncturist provides a strong understanding of anatomy and physiology, which I incorporate to support clients navigating life transitions and change. I specialize in relationships, with others and with oneself, and believe healing happens when we understand both what has happened to us and what’s happening within us. Emotions live in the body and mind, shaping how we experience life. Together, we build resilience, clarity, & meaningful change.
With over 20 years of experience bridging physical and psychological care, I offer an integrative approach to psychotherapy. My background as a Registered Massage Therapist & Neurofunctional Acupuncturist provides a strong understanding of anatomy and physiology, which I incorporate to support clients navigating life transitions and change. I specialize in relationships, with others and with oneself, and believe healing happens when we understand both what has happened to us and what’s happening within us. Emotions live in the body and mind, shaping how we experience life. Together, we build resilience, clarity, & meaningful change.
(905) 962-2220 View (905) 962-2220
Photo of Chantal Gray - Chantal Gray- Winrose Oasis Counselling Services, Registered Social Worker, MSW, RSW
Chantal Gray- Winrose Oasis Counselling Services
Registered Social Worker, MSW, RSW
1 Endorsed
Hamilton, ON L8W
Are you facing the challenges of setting boundaries, dealing with work-related or school stress, navigating anxiety, or coping with trauma and grief that impact your daily life? You don't have to face these struggles alone. I'm here to support you at any stage of your life journey. I bring a holistic and culturally responsive approach to therapy, tailored to meet the unique needs of children, youth, adults, and families. My practice is firmly rooted in the belief that everyone possesses inherent strengths that can be harnessed for healing and growth.
Are you facing the challenges of setting boundaries, dealing with work-related or school stress, navigating anxiety, or coping with trauma and grief that impact your daily life? You don't have to face these struggles alone. I'm here to support you at any stage of your life journey. I bring a holistic and culturally responsive approach to therapy, tailored to meet the unique needs of children, youth, adults, and families. My practice is firmly rooted in the belief that everyone possesses inherent strengths that can be harnessed for healing and growth.
(289) 206-8683 View (289) 206-8683
Photo of Kristen Parente - Kristen Parente - Couples & Chronic Illness, Registered Psychotherapist (Qualifying), BA, BEEd, MACP, CACFT
Kristen Parente - Couples & Chronic Illness
Registered Psychotherapist (Qualifying), BA, BEEd, MACP, CACFT
2 Endorsed
Hamilton, ON L8W
You love each other, but it’s getting harder to stay connected. Maybe you're dealing with resentment that no one talks about, miscommunications that turn into arguments, or silence that feels heavier than words. Add the complexity of chronic illness & it can feel like you're in survival mode. Managing symptoms, appointments, & emotions while your relationship quietly starts to fade into the background. You’re not just navigating daily stress. You’re trying to maintain intimacy, balance caregiving roles, and figure out how to be a partner when one or both of you feel depleted. Maybe you’re grieving the relationship you used to have.
You love each other, but it’s getting harder to stay connected. Maybe you're dealing with resentment that no one talks about, miscommunications that turn into arguments, or silence that feels heavier than words. Add the complexity of chronic illness & it can feel like you're in survival mode. Managing symptoms, appointments, & emotions while your relationship quietly starts to fade into the background. You’re not just navigating daily stress. You’re trying to maintain intimacy, balance caregiving roles, and figure out how to be a partner when one or both of you feel depleted. Maybe you’re grieving the relationship you used to have.
(289) 639-0537 View (289) 639-0537
Photo of Rachel Wilson, Registered Social Worker, MSW, RSW
Rachel Wilson
Registered Social Worker, MSW, RSW
1 Endorsed
Hamilton, ON L8W
With the ups and downs of life sometimes we fall off-track and need a bit of help getting back up. Whether we get stuck in a funk, experience the pain of loss, or life transitions just seem too much. I’m here to meet you where you are and together cultivate a safe space where you can feel seen and heard.
With the ups and downs of life sometimes we fall off-track and need a bit of help getting back up. Whether we get stuck in a funk, experience the pain of loss, or life transitions just seem too much. I’m here to meet you where you are and together cultivate a safe space where you can feel seen and heard.
(365) 536-1001 View (365) 536-1001
Photo of Ashley Montreuil, Registered Psychotherapist, MC, RP
Ashley Montreuil
Registered Psychotherapist, MC, RP
Hamilton, ON L8W
I provide a safe place for clients to share their most vulnerable thoughts, feelings, and experiences. I help you figure out what is keeping you stuck and work with you toward the goals that you believe will make your life more fulfilling. I do this by helping you challenge thoughts and beliefs that leave you feeling sad or anxious, helping you understand and share your emotions with others, and by aiding you in changing behaviours you no longer find useful. I use a combination of Emotionally Focused Therapy and Cognitive Behavioural Therapy.
I provide a safe place for clients to share their most vulnerable thoughts, feelings, and experiences. I help you figure out what is keeping you stuck and work with you toward the goals that you believe will make your life more fulfilling. I do this by helping you challenge thoughts and beliefs that leave you feeling sad or anxious, helping you understand and share your emotions with others, and by aiding you in changing behaviours you no longer find useful. I use a combination of Emotionally Focused Therapy and Cognitive Behavioural Therapy.
(365) 601-6417 View (365) 601-6417
Photo of Andrea T Kay, Registered Psychotherapist (Qualifying), MACP(Q)
Andrea T Kay
Registered Psychotherapist (Qualifying), MACP(Q)
2 Endorsed
Hamilton, ON L8W
Are you feeling overwhelmed balancing responsibilities, staying focused, or managing intense emotions? As a Registered Psychotherapist (Qualifying) working under supervision, I offer integrative, holistic therapy for ADHD, mood and anxiety concerns, grief, loss, life transitions, and psychedelic integration. My work blends evidence-based approaches with mindfulness, somatic awareness, and depth-oriented reflection to help you build emotional regulation, self-understanding, and meaningful change
Are you feeling overwhelmed balancing responsibilities, staying focused, or managing intense emotions? As a Registered Psychotherapist (Qualifying) working under supervision, I offer integrative, holistic therapy for ADHD, mood and anxiety concerns, grief, loss, life transitions, and psychedelic integration. My work blends evidence-based approaches with mindfulness, somatic awareness, and depth-oriented reflection to help you build emotional regulation, self-understanding, and meaningful change
(365) 398-6497 View (365) 398-6497
Photo of Sarah Moore, Registered Psychotherapist, BA, MA, RP
Sarah Moore
Registered Psychotherapist, BA, MA, RP
2 Endorsed
Hamilton, ON L8W
You're the one who holds it all together, until you can't anymore. Maybe you've lost touch with who you are because so much of your energy goes into managing others' emotions, staying 'strong', or keeping the peace. You might feel emotionally blocked, burnt out, or constantly at war with yourself. You're not broken, you've adapted. But you're ready to explore what's underneath it all, make space for your own needs, and feel like yourself again ... even if you don't fully know who that is yet.
You're the one who holds it all together, until you can't anymore. Maybe you've lost touch with who you are because so much of your energy goes into managing others' emotions, staying 'strong', or keeping the peace. You might feel emotionally blocked, burnt out, or constantly at war with yourself. You're not broken, you've adapted. But you're ready to explore what's underneath it all, make space for your own needs, and feel like yourself again ... even if you don't fully know who that is yet.
(365) 607-5813 View (365) 607-5813
Photo of Sophia Fernandes, Registered Social Worker, BSW, MSW, RSW
Sophia Fernandes
Registered Social Worker, BSW, MSW, RSW
Hamilton, ON L8W
My approach to counselling is strengths based, person centred and collaborative. I help clients to optimize strengths, build resilience and cultivate growth.
My approach to counselling is strengths based, person centred and collaborative. I help clients to optimize strengths, build resilience and cultivate growth.
(289) 440-7890 View (289) 440-7890
Photo of Rachel Hammerton, Registered Psychotherapist, MA(Ed) , RP, CCC
Rachel Hammerton
Registered Psychotherapist, MA(Ed) , RP, CCC
2 Endorsed
Serves Area
Hi there, and welcome to my profile! You may be here because you feel stuck and lonely. Maybe you’d like to learn how to love yourself, but you’re not sure of where to start. You may feel anxious all the time but can’t seem to figure out why or what to do about it. You and your partner may be fighting a lot and you long to feel connected to each other again, but don’t know how. I hear you and your frustrations, and I’m here to help! I work with people who are ready for a change in their lives and who are looking to find the voice they need to face depression, anxiety, relationship issues, childhood abuse, and low self-esteem.
Hi there, and welcome to my profile! You may be here because you feel stuck and lonely. Maybe you’d like to learn how to love yourself, but you’re not sure of where to start. You may feel anxious all the time but can’t seem to figure out why or what to do about it. You and your partner may be fighting a lot and you long to feel connected to each other again, but don’t know how. I hear you and your frustrations, and I’m here to help! I work with people who are ready for a change in their lives and who are looking to find the voice they need to face depression, anxiety, relationship issues, childhood abuse, and low self-esteem.
(289) 272-7352 View (289) 272-7352
Photo of Anuja Pandey, Registered Psychotherapist, RP
Anuja Pandey
Registered Psychotherapist, RP
Serves Area
As you browse these listings, know that you are engaging in an act of courage & self-compassion. Though a part of you may be unsure, there is at least one part that brought you here. Perhaps it considers the possibility that you can be deeply heard & known; that you can trust & be trusted. The part knows it’s worth a try. In our work together we will use a somatic, trauma-informed approach to discover the unconscious roots of your emotional suffering, guided also by attachment-theory. Expect that we will laugh, we will cry, all of it.
As you browse these listings, know that you are engaging in an act of courage & self-compassion. Though a part of you may be unsure, there is at least one part that brought you here. Perhaps it considers the possibility that you can be deeply heard & known; that you can trust & be trusted. The part knows it’s worth a try. In our work together we will use a somatic, trauma-informed approach to discover the unconscious roots of your emotional suffering, guided also by attachment-theory. Expect that we will laugh, we will cry, all of it.
(289) 512-2661 View (289) 512-2661
Photo of Natalie John-Carson - Natalie J Carson Therapy , Registered Social Worker, MSW, RSW
Natalie J Carson Therapy
Registered Social Worker, MSW, RSW
Serves Area
Hello! My name is Natalie John- Carson MSW, RSW. I am a registered social worker with 18 years experience working with children, adults and families. I have specialized training working with adolescents who are diagnosed with eating disorders. In addition to this, I also work adults and youth who struggle with generalized/social anxiety and mood based disorders using CBT and DBT skills. I am passionate about working with families and individuals to empower and educate in order to best support them with their mental health needs.
Hello! My name is Natalie John- Carson MSW, RSW. I am a registered social worker with 18 years experience working with children, adults and families. I have specialized training working with adolescents who are diagnosed with eating disorders. In addition to this, I also work adults and youth who struggle with generalized/social anxiety and mood based disorders using CBT and DBT skills. I am passionate about working with families and individuals to empower and educate in order to best support them with their mental health needs.
(289) 302-7168 View (289) 302-7168
Photo of Lauryn Bruzzese - Bruzzese Psychotherapy, Registered Psychotherapist, BA Hons, RP
Bruzzese Psychotherapy
Registered Psychotherapist, BA Hons, RP
1 Endorsed
Serves Area
As a Registered Psychotherapist, I'm dedicated to supporting you through life's challenges and helping you find clarity and resilience. I take a strength-based, solution-focused approach, combined with evidence-based therapies such as Cognitive-Behavioural Therapy (CBT) and Cognitive Processing Therapy (CPT) for PTSD.
As a Registered Psychotherapist, I'm dedicated to supporting you through life's challenges and helping you find clarity and resilience. I take a strength-based, solution-focused approach, combined with evidence-based therapies such as Cognitive-Behavioural Therapy (CBT) and Cognitive Processing Therapy (CPT) for PTSD.
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Photo of Tianna Downey, Registered Psychotherapist (Qualifying), MDiv
Tianna Downey
Registered Psychotherapist (Qualifying), MDiv
1 Endorsed
Serves Area
Are fear, stress, or unhelpful thoughts pulling you away from the life you want to create? Do you long to feel truly heard, understood, and connected in your relationships? Life’s deepest hurts and uncertainties can be difficult to navigate. I want you to know—you don’t have to face it alone. I offer a calm, non-judgmental space where children, adolescents and adults can explore challenges like anxiety, depression, low self-esteem, grief, relationship stress, life transitions, and pressures from school or work.
Are fear, stress, or unhelpful thoughts pulling you away from the life you want to create? Do you long to feel truly heard, understood, and connected in your relationships? Life’s deepest hurts and uncertainties can be difficult to navigate. I want you to know—you don’t have to face it alone. I offer a calm, non-judgmental space where children, adolescents and adults can explore challenges like anxiety, depression, low self-esteem, grief, relationship stress, life transitions, and pressures from school or work.
(365) 300-1709 View (365) 300-1709
Photo of Rachel Hammerton - Ray of Hope Therapy, Registered Psychotherapist, MA(Ed) , RP, CCC
Ray of Hope Therapy
Registered Psychotherapist, MA(Ed) , RP, CCC
1 Endorsed
Serves Area
Hi there, and welcome to Ray of Hope Therapy! You may be here because you want to learn how to love yourself, but aren't sure where to start. You may be feeling stuck in your life or like you're in a rut. You may be questioning why you can't "just get over" the hard experiences in your life. You and your partner might be fighting a lot and you want to feel connected again, but don't know how. We are here for you and understand the frustrations. We work with individuals and couples who are ready for a change in their lives and to find their voice to face depression, anxiety, relationship issues, childhood abuse, and low self-esteem.
Hi there, and welcome to Ray of Hope Therapy! You may be here because you want to learn how to love yourself, but aren't sure where to start. You may be feeling stuck in your life or like you're in a rut. You may be questioning why you can't "just get over" the hard experiences in your life. You and your partner might be fighting a lot and you want to feel connected again, but don't know how. We are here for you and understand the frustrations. We work with individuals and couples who are ready for a change in their lives and to find their voice to face depression, anxiety, relationship issues, childhood abuse, and low self-esteem.
(289) 536-0752 View (289) 536-0752
Photo of Gerry Lapenta, Registered Psychotherapist, MDiv, MTh, RP
Gerry Lapenta
Registered Psychotherapist, MDiv, MTh, RP
Serves Area
As a psychotherapist, I seek to provide you with a life transforming experience to help you deal with the difficult issues in your life, such as relationship troubles, depression, anxiety, low self esteem, or grief. I offer you an authentic human relational encounter that fosters growth, support and change. Life growth and transformation can be a beautiful experience, and it is my goal to help you experience what others have previously experienced with me. Finding happiness in life does not need to be out of reach, or seem impossible for you.
As a psychotherapist, I seek to provide you with a life transforming experience to help you deal with the difficult issues in your life, such as relationship troubles, depression, anxiety, low self esteem, or grief. I offer you an authentic human relational encounter that fosters growth, support and change. Life growth and transformation can be a beautiful experience, and it is my goal to help you experience what others have previously experienced with me. Finding happiness in life does not need to be out of reach, or seem impossible for you.
(289) 272-8543 View (289) 272-8543
Photo of Novlette Alexander - NMA Therapy, Registered Social Worker, BA, BSW, MSW, RSW
NMA Therapy
Registered Social Worker, BA, BSW, MSW, RSW
5 Endorsed
Serves Area
Accepting New Clients! Hi! My name is Novlette. I understand that the decision to seek help can be a difficult one. I believe there is strength in knowing when to reach out for support. My goal is to provide a warm and gentle approach so you feel safe and secure during a session. I am a Registered Social Worker with the Ontario College of Social Workers and Social Service Workers. I have over 25 years experience working with mental health, families, adults, crisis intervention, mediation, cultural identity & oppression. I am client centered, utilize a systemic, strength based, trauma informed & culturally sensitive approach.
Accepting New Clients! Hi! My name is Novlette. I understand that the decision to seek help can be a difficult one. I believe there is strength in knowing when to reach out for support. My goal is to provide a warm and gentle approach so you feel safe and secure during a session. I am a Registered Social Worker with the Ontario College of Social Workers and Social Service Workers. I have over 25 years experience working with mental health, families, adults, crisis intervention, mediation, cultural identity & oppression. I am client centered, utilize a systemic, strength based, trauma informed & culturally sensitive approach.
(289) 207-7859 View (289) 207-7859

How does your Counsellor compare?

Number of Counsellors in L8W

30+

Average cost per session

$150

Counsellors in L8W who prioritize treating:

94% Depression
94% Anxiety
87% Stress
84% Self Esteem
77% Relationship Issues
68% Grief
65% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

100% Manulife
88% SunLife
88% Medavie Blue Cross

How Counsellors in L8W see their clients

68% In Person and Online
32% Online Only

Gender breakdown

93% Female
4% Male
3% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in L8W?

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.