Therapists in M3A

Photo of Jennifer Page, Registered Psychotherapist, RP, OATR
Jennifer Page
Registered Psychotherapist, RP, OATR
2 Endorsed
Online Only
Together, in our sessions, we will discover creative and accessible ways to work towards the changes that you wish to make in the name of positive mental health. I have had the honor of supporting children, adults and seniors discover how the 'drawing out' of their story can heal. Whether you’re a child or a child-at-heart, I look forward to walking with you to support your journey.
Together, in our sessions, we will discover creative and accessible ways to work towards the changes that you wish to make in the name of positive mental health. I have had the honor of supporting children, adults and seniors discover how the 'drawing out' of their story can heal. Whether you’re a child or a child-at-heart, I look forward to walking with you to support your journey.
(289) 207-6432 View (289) 207-6432
Photo of Halla Fahmi, Registered Social Worker, MSW, RSW, MSc
Halla Fahmi
Registered Social Worker, MSW, RSW, MSc
North York, ON M3A
Hi, my name is Halla! I am a psychotherapist, social worker and mother. My goal is to support children, parents and adults with emotional and interpersonal difficulties. With over 15 years of expertise in child and adolescent mental health and brain injuries, I have worked in diverse settings such as hospitals, private practices, and children community centers across the Greater Toronto Area. As a psychometrist, my experience informs my clinical ability to serve clients with different developmental needs empowering them to thrive and reach their full potential.
Hi, my name is Halla! I am a psychotherapist, social worker and mother. My goal is to support children, parents and adults with emotional and interpersonal difficulties. With over 15 years of expertise in child and adolescent mental health and brain injuries, I have worked in diverse settings such as hospitals, private practices, and children community centers across the Greater Toronto Area. As a psychometrist, my experience informs my clinical ability to serve clients with different developmental needs empowering them to thrive and reach their full potential.
(289) 301-8845 View (289) 301-8845
Photo of Sarah Khedr, Pre-Licensed Professional
Sarah Khedr
Pre-Licensed Professional
4 Endorsed
Online Only
You don’t have to navigate this alone. If you're struggling with anxiety, ADHD, low self-worth, or feeling disconnected from yourself or others, I’m here to help. I work with individuals who are ready to feel more empowered, emotionally regulated, and aligned with their values.
You don’t have to navigate this alone. If you're struggling with anxiety, ADHD, low self-worth, or feeling disconnected from yourself or others, I’m here to help. I work with individuals who are ready to feel more empowered, emotionally regulated, and aligned with their values.
(289) 768-5723 View (289) 768-5723
Photo of Masha Gruntovskaya, Registered Psychotherapist (Qualifying), MEd, DTATI
Masha Gruntovskaya
Registered Psychotherapist (Qualifying), MEd, DTATI
Online Only
My practice is client-led, gentle, and catered to individual needs. My goal is to assist in overcoming anxieties and stresses through a shift in perspective. Sessions are catered towards clients' understanding of established emotional and behavioral patterns, embracing their experiences, noticing their strengths, and appreciating their uniqueness. Trained in Educational Psychology, Art Therapy and Compassionate Inquiry (Gabor Mate) I focus my practice on assisting my clients in gaining awareness and autonomy through compassion for the self.
My practice is client-led, gentle, and catered to individual needs. My goal is to assist in overcoming anxieties and stresses through a shift in perspective. Sessions are catered towards clients' understanding of established emotional and behavioral patterns, embracing their experiences, noticing their strengths, and appreciating their uniqueness. Trained in Educational Psychology, Art Therapy and Compassionate Inquiry (Gabor Mate) I focus my practice on assisting my clients in gaining awareness and autonomy through compassion for the self.
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Photo of Divya Radhakrishnan, Registered Psychotherapist, MA
Divya Radhakrishnan
Registered Psychotherapist, MA
5 Endorsed
Online Only
Have you’ve been carrying this weight alone, reading self help articles and books, watching videos, trying apps, confiding in friends? You’ve done your best on your own. Now let’s do this together. I invite you to a free 30-minute session to see if we’re a good fit. You don’t have to have it all figured out just be willing to take the next step. This could be the safe space you’ve been looking for. I've been passionately working with adults and children since last 13 years. Sessions are available in English and hindi.
Have you’ve been carrying this weight alone, reading self help articles and books, watching videos, trying apps, confiding in friends? You’ve done your best on your own. Now let’s do this together. I invite you to a free 30-minute session to see if we’re a good fit. You don’t have to have it all figured out just be willing to take the next step. This could be the safe space you’ve been looking for. I've been passionately working with adults and children since last 13 years. Sessions are available in English and hindi.
(647) 251-8201 View (647) 251-8201
Photo of Mariya Sytnyk, Registered Social Worker, MSW, RSW
Mariya Sytnyk
Registered Social Worker, MSW, RSW
1 Endorsed
Online Only
Do you feel like life is chaos and you’re all alone? Like none of your relationships are working out and that there’s always a crisis to address? Maybe you’ve been told you’re too much or too sensitive and that you need to get over things that have happened to you in the past. Whether you have been diagnosed with BPD, CPTSD, PTSD, or are struggling with feeling chronically suicidal, managing you addiction, or feel emotionally out of control, HopeStart Therapy is dedicated to validating and supporting individuals to address these experiences, figure out what’s going on, and find practical skills to grow into living the life you want.
Do you feel like life is chaos and you’re all alone? Like none of your relationships are working out and that there’s always a crisis to address? Maybe you’ve been told you’re too much or too sensitive and that you need to get over things that have happened to you in the past. Whether you have been diagnosed with BPD, CPTSD, PTSD, or are struggling with feeling chronically suicidal, managing you addiction, or feel emotionally out of control, HopeStart Therapy is dedicated to validating and supporting individuals to address these experiences, figure out what’s going on, and find practical skills to grow into living the life you want.
(365) 657-5918 View (365) 657-5918
Photo of Wendy Mae Kirk, Registered Psychotherapist, MDiv, RP, CIT, RLT
Wendy Mae Kirk
Registered Psychotherapist, MDiv, RP, CIT, RLT
3 Endorsed
North York, ON M3A
I am a Sex Therapist, Registered Psychotherapist, Certified Imago Therapist and Relational Life Therapist. I have been working with clients of various ages since 1996, providing support, direction, helping them make good decisions for their lives, as well as helping them heal from painful experiences in the past. I design a personalized, bespoke program of therapy, tailored to each person's individual needs. I work with clients that want to move forward into a healthier way of living, relating and becoming the best that they can be. I have personal experience with spoon therapy. For more information, please visit my website.
I am a Sex Therapist, Registered Psychotherapist, Certified Imago Therapist and Relational Life Therapist. I have been working with clients of various ages since 1996, providing support, direction, helping them make good decisions for their lives, as well as helping them heal from painful experiences in the past. I design a personalized, bespoke program of therapy, tailored to each person's individual needs. I work with clients that want to move forward into a healthier way of living, relating and becoming the best that they can be. I have personal experience with spoon therapy. For more information, please visit my website.
(647) 931-9528 View (647) 931-9528
Photo of Katie Watson MacDonell, Psychologist, PhD, CPsych
Katie Watson MacDonell
Psychologist, PhD, CPsych
North York, ON M3A
I strive to support and to empower my clients and their families. I work with children, teens, and theirs families dealing with a variety of mental health concerns. I also frequently assist parents who are struggling to support their children with such concerns. I offer parents and guardians support through the Positive Parenting Program (Triple-P) framework and as of January 2025, I will also be offering SPACE - Supporting Parenting for Anxious Childhood Emotions.
I strive to support and to empower my clients and their families. I work with children, teens, and theirs families dealing with a variety of mental health concerns. I also frequently assist parents who are struggling to support their children with such concerns. I offer parents and guardians support through the Positive Parenting Program (Triple-P) framework and as of January 2025, I will also be offering SPACE - Supporting Parenting for Anxious Childhood Emotions.
(365) 659-5122 View (365) 659-5122
Photo of Lidia Damian, Registered Psychotherapist, RP
Lidia Damian
Registered Psychotherapist, RP
7 Endorsed
North York, ON M3A
I am meeting each person exactly where they are in their journey with integrity, compassion, kindness, active listening and unconditional positive regard. We will work together to enable you to recognize and identify patterns of behavior or emotional pain that can pose problems in managing difficult situations and relating effectively to others. Will also create a personalized plan to support you in getting from where you are to where you want to be, in embracing your unique qualities and strengths that you have, in addressing any challenges you are currently facing in your daily life.
I am meeting each person exactly where they are in their journey with integrity, compassion, kindness, active listening and unconditional positive regard. We will work together to enable you to recognize and identify patterns of behavior or emotional pain that can pose problems in managing difficult situations and relating effectively to others. Will also create a personalized plan to support you in getting from where you are to where you want to be, in embracing your unique qualities and strengths that you have, in addressing any challenges you are currently facing in your daily life.
(365) 601-6797 View (365) 601-6797
Photo of Mena Kamel, Registered Social Worker, MSW
Mena Kamel
Registered Social Worker, MSW
2 Endorsed
Online Only
You might be facing grief, chronic illness, or a major life transition like a transplant, and I’m here to meet you where you are right now. My role is to step into your story, offering support as you navigate this difficult chapter. With my experience working in an Intensive Care Unit, I understand the emotional toll that critical health issues can take. I know you’re looking for more than just coping strategies—you need to feel heard, understood, and empowered. Together, we’ll rewrite your narrative, helping you heal, regain control, and move toward a future filled with hope.
You might be facing grief, chronic illness, or a major life transition like a transplant, and I’m here to meet you where you are right now. My role is to step into your story, offering support as you navigate this difficult chapter. With my experience working in an Intensive Care Unit, I understand the emotional toll that critical health issues can take. I know you’re looking for more than just coping strategies—you need to feel heard, understood, and empowered. Together, we’ll rewrite your narrative, helping you heal, regain control, and move toward a future filled with hope.
(289) 367-5704 View (289) 367-5704
Photo of Eliza Badalyan, Registered Psychotherapist, MPsych, RP
Eliza Badalyan
Registered Psychotherapist, MPsych, RP
Online Only
Hello, I am a trained and licensed professional with 20 years of experience working with people experiencing challenges with depression, stress, burnout, trauma or a family situation, the death of a loved one, the loss of a job, social anxiety, or fears. As a Registered Psychotherapist in private practice in Toronto, Ontario, I work online via videoconference only in French, Armenian, and Russian with adults and adolescents. I am now accepting new patients interested in more intensive online therapy. If you're curious about exploring yourself more deeply, I’m offering a reduced fee for those committed to 3 sessions a week.
Hello, I am a trained and licensed professional with 20 years of experience working with people experiencing challenges with depression, stress, burnout, trauma or a family situation, the death of a loved one, the loss of a job, social anxiety, or fears. As a Registered Psychotherapist in private practice in Toronto, Ontario, I work online via videoconference only in French, Armenian, and Russian with adults and adolescents. I am now accepting new patients interested in more intensive online therapy. If you're curious about exploring yourself more deeply, I’m offering a reduced fee for those committed to 3 sessions a week.
(289) 210-7029 View (289) 210-7029
Photo of Shagoon Sharma - Shagoon Sharma| Low Cost EFT Individual & Couples , Registered Psychotherapist (Qualifying), MA
Shagoon Sharma| Low Cost EFT Individual & Couples
Registered Psychotherapist (Qualifying), MA
1 Endorsed
North York, ON M3A
You might be feeling overwhelmed, disconnected from your partner, or unsure how to untangle the layers of cultural expectations, family pressures, and unspoken hurts sitting between you. Maybe you find yourself stuck in the same arguments, feeling unseen, unheard, or misunderstood — and it’s exhausting. I get how heavy that can feel. I’m Shagoon, a Therapist Intern (Qualifying) working under supervision at Michelle Liu Therapy, a practice passionate about holding space for BIPOC, interracial, and intercultural couples and individuals. My goal is to create a soft, judgment-free space where you can show up as your full self
You might be feeling overwhelmed, disconnected from your partner, or unsure how to untangle the layers of cultural expectations, family pressures, and unspoken hurts sitting between you. Maybe you find yourself stuck in the same arguments, feeling unseen, unheard, or misunderstood — and it’s exhausting. I get how heavy that can feel. I’m Shagoon, a Therapist Intern (Qualifying) working under supervision at Michelle Liu Therapy, a practice passionate about holding space for BIPOC, interracial, and intercultural couples and individuals. My goal is to create a soft, judgment-free space where you can show up as your full self
(365) 513-8258 View (365) 513-8258
Photo of Karen Stewart, Registered Psychotherapist, MACP , BA
Karen Stewart
Registered Psychotherapist, MACP , BA
1 Endorsed
North York, ON M3A
Years ago whilst dealing with some health issues that affected me both mentally and physically a mentor/counsellor told me to “change my thoughts, in order to change my world. Because my present circumstances at the time did not determine were I go, but where I started." Hence, I do understand how mental and physical struggles can impact one's life and that admitting to those struggles and asking for help is never easy. I am here to walk alongside you on the journey to healing and restoration.
Years ago whilst dealing with some health issues that affected me both mentally and physically a mentor/counsellor told me to “change my thoughts, in order to change my world. Because my present circumstances at the time did not determine were I go, but where I started." Hence, I do understand how mental and physical struggles can impact one's life and that admitting to those struggles and asking for help is never easy. I am here to walk alongside you on the journey to healing and restoration.
(437) 747-6178 View (437) 747-6178
Photo of Melissa Walker, Registered Social Worker, MSW, RSW
Melissa Walker
Registered Social Worker, MSW, RSW
2 Endorsed
Online Only
Do you struggle with intrusive thoughts, images, impulses or urges that cause you anxiety? Are you confined to a personal prison due to your compulsions? You’re not alone. Obsessive compulsive disorder can be incredibly debilitating, but there is hope. You can take back control of your life, and I can help you get there.
Do you struggle with intrusive thoughts, images, impulses or urges that cause you anxiety? Are you confined to a personal prison due to your compulsions? You’re not alone. Obsessive compulsive disorder can be incredibly debilitating, but there is hope. You can take back control of your life, and I can help you get there.
(249) 209-0263 View (249) 209-0263
Photo of Showaita Manchanda, Registered Social Worker, MSW, RSW
Showaita Manchanda
Registered Social Worker, MSW, RSW
North York, ON M3A
My background includes years of experience in hospital mental health care and medical consulting. I have worked with individuals on various topics and helping them overcome challenges and rediscover their strengths. I focus on creating a safe and non-judgmental space. I speak English, Punjabi, Hindi and Urdu.
My background includes years of experience in hospital mental health care and medical consulting. I have worked with individuals on various topics and helping them overcome challenges and rediscover their strengths. I focus on creating a safe and non-judgmental space. I speak English, Punjabi, Hindi and Urdu.
(289) 277-0902 View (289) 277-0902
Photo of Ava Pouyandeh, Registered Psychotherapist (Qualifying), MA
Ava Pouyandeh
Registered Psychotherapist (Qualifying), MA
3 Endorsed
Online Only
Whether you're navigating life's complexities, healing from past wounds, or striving for personal growth, you deserve a therapeutic space where you feel seen, heard, and valued. Together, we’ll explore your experiences and how they shape your well-being through a trauma-informed, anti-oppressive approach grounded in empathy and respect. Using a holistic and intersectional framework, each session is tailored to your unique needs and acknowledges the diverse factors influencing your journey. We’ll embrace your strengths and cultivate greater insight, resilience, and self-compassion.
Whether you're navigating life's complexities, healing from past wounds, or striving for personal growth, you deserve a therapeutic space where you feel seen, heard, and valued. Together, we’ll explore your experiences and how they shape your well-being through a trauma-informed, anti-oppressive approach grounded in empathy and respect. Using a holistic and intersectional framework, each session is tailored to your unique needs and acknowledges the diverse factors influencing your journey. We’ll embrace your strengths and cultivate greater insight, resilience, and self-compassion.
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Photo of Jenifer McCarthy, Registered Psychotherapist (Qualifying), MEd
Jenifer McCarthy
Registered Psychotherapist (Qualifying), MEd
7 Endorsed
North York, ON M3A
Not accepting new clients
I specialize in helping clients who feel stuck or overwhelmed find ways of developing a sense of control in their lives. I work with a variety of issues- anxiety, life transitions, professional issues, relationships. Some clients want to address self-esteem, perfectionism, health issues, past traumas, or addiction. I offer online and in-person psychotherapy services in Toronto to help navigate emotional difficulties, foster self-discovery, and support well-being. I offer therapy to teens, emerging adults, and people at all life stages. I welcome clients from all walks of life from an anti-oppression and trauma informed stance.
I specialize in helping clients who feel stuck or overwhelmed find ways of developing a sense of control in their lives. I work with a variety of issues- anxiety, life transitions, professional issues, relationships. Some clients want to address self-esteem, perfectionism, health issues, past traumas, or addiction. I offer online and in-person psychotherapy services in Toronto to help navigate emotional difficulties, foster self-discovery, and support well-being. I offer therapy to teens, emerging adults, and people at all life stages. I welcome clients from all walks of life from an anti-oppression and trauma informed stance.
(365) 799-8934 View (365) 799-8934
Photo of Marc Phoenix Sommerville, Registered Psychotherapist (Qualifying), OCT
Marc Phoenix Sommerville
Registered Psychotherapist (Qualifying), OCT
3 Endorsed
Online Only
Are you facing one of life's many challenges? Relationship struggles, depression, anxiety, family conflicts, career stress, identity questions, or life transitions? You might be dealing with anxiety that won't quiet down, grief that feels overwhelming, or patterns you want to change. From young adults to seniors, couples to individuals, families to professionals - you come from all walks of life, bringing unique cultural perspectives and life experiences. You're looking for a space to be heard, understood, and supported in your journey toward healing and growth.
Are you facing one of life's many challenges? Relationship struggles, depression, anxiety, family conflicts, career stress, identity questions, or life transitions? You might be dealing with anxiety that won't quiet down, grief that feels overwhelming, or patterns you want to change. From young adults to seniors, couples to individuals, families to professionals - you come from all walks of life, bringing unique cultural perspectives and life experiences. You're looking for a space to be heard, understood, and supported in your journey toward healing and growth.
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Photo of Bryce Murphy, Registered Social Worker, RSW, BSW, MSW
Bryce Murphy
Registered Social Worker, RSW, BSW, MSW
Online Only
My ideal client may face challenges such as anxiety, depression, trauma, emotional regulation, or complex family dynamics. They need a safe, empathetic space to feel understood and supported, with a collaborative therapeutic relationship that empowers them to explore emotions, develop coping skills, and identify patterns. Their goals include reducing anxiety or depression, healing from trauma, improving emotional regulation, fostering healthier relationships, and building resilience. They value practical tools and strategies to navigate life effectively, striving for empowerment, and personal growth in a supportive environment.
My ideal client may face challenges such as anxiety, depression, trauma, emotional regulation, or complex family dynamics. They need a safe, empathetic space to feel understood and supported, with a collaborative therapeutic relationship that empowers them to explore emotions, develop coping skills, and identify patterns. Their goals include reducing anxiety or depression, healing from trauma, improving emotional regulation, fostering healthier relationships, and building resilience. They value practical tools and strategies to navigate life effectively, striving for empowerment, and personal growth in a supportive environment.
(365) 601-4260 View (365) 601-4260
Photo of Nafilia Sachedina, Registered Social Worker, MSW, RSW
Nafilia Sachedina
Registered Social Worker, MSW, RSW
1 Endorsed
Online Only
Waitlist for new clients
I have a profound respect for the therapeutic process. I acknowledge that every human being has a story, some parts painful, and other parts hopeful. I hope to draw on that hope with you, help you discover your existing resilience, strength, and ability to cope through the hard times and discomfort. I use a tailored approach for all people, because each individual is unique and deserves to be seen as such. Your feelings are valid and I can help you tap into them in a safe space where you will be heard and not judged.
I have a profound respect for the therapeutic process. I acknowledge that every human being has a story, some parts painful, and other parts hopeful. I hope to draw on that hope with you, help you discover your existing resilience, strength, and ability to cope through the hard times and discomfort. I use a tailored approach for all people, because each individual is unique and deserves to be seen as such. Your feelings are valid and I can help you tap into them in a safe space where you will be heard and not judged.
(647) 696-8325 View (647) 696-8325

How does your Counsellor compare?

Number of Counsellors in M3A

30+

Average cost per session

$160

Counsellors in M3A who prioritize treating:

94% Anxiety
92% Self Esteem
89% Depression
86% Relationship Issues
83% Stress
78% Coping Skills
78% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

75% SunLife
67% Green Shield Canada
67% Blue Cross

How Counsellors in M3A see their clients

53% Online Only
47% In Person and Online

Gender breakdown

85% Female
12% Male
3% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in M3A?

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.