Therapists in Markham, ON

Photo of Melanie Tinianov, Registered Psychotherapist in Markham, ON
Melanie Tinianov
Registered Psychotherapist, RP
Verified Verified
9 Endorsed
Markham, ON L3R
I work with individuals who are struggling with anxiety, depression, addiction, grief/loss, self esteem, relationships and more. I offer a spiritual component to my practice that incorporates the mind, body and spirit of every individual in my care. I offer a calming, safe, non-judgemental, secure environment with both the therapy I practice and the environment I practice within. I love what I do and it shows through in my approach, my interest, my passion and the results that follow in each client. My background as a Life Coach is helpful in moving clients forward.
I work with individuals who are struggling with anxiety, depression, addiction, grief/loss, self esteem, relationships and more. I offer a spiritual component to my practice that incorporates the mind, body and spirit of every individual in my care. I offer a calming, safe, non-judgemental, secure environment with both the therapy I practice and the environment I practice within. I love what I do and it shows through in my approach, my interest, my passion and the results that follow in each client. My background as a Life Coach is helpful in moving clients forward.
(855) 683-2448 View (855) 683-2448
Photo of Kwok Sin Sandra Li, Registered Social Worker in Markham, ON
Kwok Sin Sandra Li
Registered Social Worker, RP, RSW
Verified Verified
1 Endorsed
Markham, ON L3R
Are you going through a tough time? Do you often feel weighed down by feelings of sadness, anxiety, anger, or loneliness? Are you struggling with difficult relationships, life changes, or self-identities? Do you want to have a change but do not know where to start? If you find it difficult to talk to your friends or family, you may come to talk to me. Together, we will work on strategies that allow you to address your difficulties.
Are you going through a tough time? Do you often feel weighed down by feelings of sadness, anxiety, anger, or loneliness? Are you struggling with difficult relationships, life changes, or self-identities? Do you want to have a change but do not know where to start? If you find it difficult to talk to your friends or family, you may come to talk to me. Together, we will work on strategies that allow you to address your difficulties.
(289) 207-4824 View (289) 207-4824
Photo of Allan Rees, Pre-Licensed Professional in Markham, ON
Allan Rees
Pre-Licensed Professional, BA
Verified Verified
Markham, ON L3P  (Online Only)
It’s very common in life to be without support. It is normal to protect ourselves and keep our true thoughts and feelings tucked away when we don’t feel safe. However, problems may arise when these natural impulses are not supported by the environment. It is my hope to help provide individuals a safe and relaxed and supportive environment so that their natural self may find a new way of being in the world in honesty.
It’s very common in life to be without support. It is normal to protect ourselves and keep our true thoughts and feelings tucked away when we don’t feel safe. However, problems may arise when these natural impulses are not supported by the environment. It is my hope to help provide individuals a safe and relaxed and supportive environment so that their natural self may find a new way of being in the world in honesty.
(289) 276-5833 View (289) 276-5833
Photo of Paul D Scuse, Marriage & Family Therapist in Markham, ON
Paul D Scuse
Marriage & Family Therapist, DMin, RP, RMFT
Verified Verified
Markham, ON L3P
At Emmaus Counselling we build healthy relationships through individual, couple and family therapy. Co-therapy with a male and female therapist is available. Four registered therapists are available: Paul Scuse, Elizabeth Scuse, Brian Chung & Graham Lawrence. We try to find the best match between the the client and the therapist.
At Emmaus Counselling we build healthy relationships through individual, couple and family therapy. Co-therapy with a male and female therapist is available. Four registered therapists are available: Paul Scuse, Elizabeth Scuse, Brian Chung & Graham Lawrence. We try to find the best match between the the client and the therapist.
(647) 977-5885 View (647) 977-5885
Photo of Jonathan Ho Cheung Lo, Registered Psychotherapist in Markham, ON
Jonathan Ho Cheung Lo
Registered Psychotherapist, MPsy, RP
Verified Verified
Markham, ON L6C  (Online Only)
Have you felt lost, confused, or misunderstood? Have you felt overly sad, angry, or fearful and not sure why? You are not alone...and I can help. Psychotherapy is a journey to discover the meaning behind your emotional challenges, and I am happy to walk alongside you.
Have you felt lost, confused, or misunderstood? Have you felt overly sad, angry, or fearful and not sure why? You are not alone...and I can help. Psychotherapy is a journey to discover the meaning behind your emotional challenges, and I am happy to walk alongside you.
(289) 207-8011 View (289) 207-8011
Photo of May Li, Registered Social Worker in Markham, ON
May Li
Registered Social Worker, MSW, RP
Verified Verified
Markham, ON L3R
Meeting your searching eyes, my heart feels the pain. I ask myself, what I could offer? As human, we inevitably deal with pain, loss, sadness, anger, anxiety, depression --- I might not be able to feel the deep pain you are experiencing, but I am here, ready to go through it with you and know it will be overcome. I also know when the waves of pain subside, we always find treasures left behind. Life doesn’t mean to survive, but to thrive. Challenges help us to expand our heart, our view, our belief in ourselves, and make us grow. It is often not easy. But you are here, ready to meet it courageously, aren't you?
Meeting your searching eyes, my heart feels the pain. I ask myself, what I could offer? As human, we inevitably deal with pain, loss, sadness, anger, anxiety, depression --- I might not be able to feel the deep pain you are experiencing, but I am here, ready to go through it with you and know it will be overcome. I also know when the waves of pain subside, we always find treasures left behind. Life doesn’t mean to survive, but to thrive. Challenges help us to expand our heart, our view, our belief in ourselves, and make us grow. It is often not easy. But you are here, ready to meet it courageously, aren't you?
(289) 210-7356 View (289) 210-7356
Photo of Atia Counselling Group, Registered Social Worker in Markham, ON
Atia Counselling Group
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Markham, ON L3R
At Atia Counselling Group, we specialize in helping you face challenges in your private and professional life. We can help if you have personal issues such as anxiety, anger, addiction, depression, suicide ideation, PTSD, trauma, and life transitions, to name a few. If you are facing problems with your loved ones: partners, family members, children, or teens - we understand where you are and are ready to help get you unstuck.
At Atia Counselling Group, we specialize in helping you face challenges in your private and professional life. We can help if you have personal issues such as anxiety, anger, addiction, depression, suicide ideation, PTSD, trauma, and life transitions, to name a few. If you are facing problems with your loved ones: partners, family members, children, or teens - we understand where you are and are ready to help get you unstuck.
(289) 301-7861 View (289) 301-7861
Photo of Lisa Marie- (no waitlist), Registered Psychotherapist in Markham, ON
Lisa Marie- (no waitlist)
Registered Psychotherapist, MA, RP
Verified Verified
1 Endorsed
Markham, ON L6C  (Online Only)
As a psychotherapist, my goal is to create a space that is safe, comfortable, and non-judgmental for you to explore any challenges you may be facing. I aim to build a strong therapeutic relationship with my clients, while working collaboratively to help you reach your goals and needs. Together, we can find strategies and tools that can help increase your ability to cope, heal, and grow. Some of my areas of focus include anxiety, depression, self-esteem, trauma, grief, substance use, self-harm, anger, stress management, and relationship issues. Sessions are offered for adolescents (14+), adults, and couples.
As a psychotherapist, my goal is to create a space that is safe, comfortable, and non-judgmental for you to explore any challenges you may be facing. I aim to build a strong therapeutic relationship with my clients, while working collaboratively to help you reach your goals and needs. Together, we can find strategies and tools that can help increase your ability to cope, heal, and grow. Some of my areas of focus include anxiety, depression, self-esteem, trauma, grief, substance use, self-harm, anger, stress management, and relationship issues. Sessions are offered for adolescents (14+), adults, and couples.
(289) 212-6877 View (289) 212-6877
Photo of Stella Lee, Registered Psychotherapist in Markham, ON
Stella Lee
Registered Psychotherapist, MCS-MFC, RP, AAMFT, MHKPCA, HKMFTA
Verified Verified
1 Endorsed
Markham, ON L3R  (Online Only)
Stella helps her clients make sense of overwhelming emotions that are getting in the way of life, navigate difficult relationships, think in ways that are more fruitful, heal and move forward from hurts, and grow in self-awareness and resilience. She has helped clients struggling with depression, anxiety, anger, grief, loss of relationships, low self-esteem, family conflicts, parenting issues, marital/dating issues, work place issues, insomnia, immigration, career transition and Christian faith issues. She has years of experience helping people from various cultures, and is fluent in English and Cantonese.
Stella helps her clients make sense of overwhelming emotions that are getting in the way of life, navigate difficult relationships, think in ways that are more fruitful, heal and move forward from hurts, and grow in self-awareness and resilience. She has helped clients struggling with depression, anxiety, anger, grief, loss of relationships, low self-esteem, family conflicts, parenting issues, marital/dating issues, work place issues, insomnia, immigration, career transition and Christian faith issues. She has years of experience helping people from various cultures, and is fluent in English and Cantonese.
(365) 658-1481 View (365) 658-1481
Photo of Xu Syd Liu, Registered Psychotherapist (Qualifying) in Markham, ON
Xu Syd Liu
Registered Psychotherapist (Qualifying), MEd, MA
Verified Verified
2 Endorsed
Markham, ON L3R
Navigating life’s challenges can be an isolating journey, it may leave us with limited opportunities to truly grasp our emotions or make sense of our experiences. You took the first step to reach out for support, it takes immense courage to seek out support and I commend you for considering this path.
Navigating life’s challenges can be an isolating journey, it may leave us with limited opportunities to truly grasp our emotions or make sense of our experiences. You took the first step to reach out for support, it takes immense courage to seek out support and I commend you for considering this path.
(416) 904-2254 View (416) 904-2254
Photo of David Brett Robinson, Registered Psychotherapist (Qualifying) in Markham, ON
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.
(289) 769-8668 View (289) 769-8668
Photo of Khatereh Zabihi, Counsellor in Markham, ON
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.
(365) 601-4190 View (365) 601-4190
Photo of Carina Koletsas Counselling & Associates, Registered Social Worker in Markham, ON
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!
(365) 601-4744 View (365) 601-4744
Photo of Long Zheng, Registered Social Worker in Markham, ON
Long Zheng
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Markham, ON L3P  (Online Only)
I am a warm psychotherapist who will listen to your concerns, support you emotionally and help you develop the best solution for your problems.
I am a warm psychotherapist who will listen to your concerns, support you emotionally and help you develop the best solution for your problems.
(844) 239-9694 View (844) 239-9694
Photo of Kristina Virro | Hypnotherapist, Registered Psychotherapist in Markham, ON
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.
(289) 278-0725 x4 View (289) 278-0725 x4
Photo of Jessica Hunt, Registered Psychotherapist (Qualifying) in Markham, ON
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.
(289) 805-2203 View (289) 805-2203
Photo of Pamela Baker, Registered Social Worker in Markham, ON
Pamela Baker
Registered Social Worker, MSW
Verified Verified
1 Endorsed
Markham, ON L3R  (Online Only)
I am a registered Social Worker (RSW) with over 20+ years of counselling experience in mental health and addiction. I’ve been helping people in various settings, including group homes, youth homes and corrections, victim services, addiction centres, and community health centres. I have unique expertise in trauma counselling, including the Traumatic Incident Reduction technique, and specialties in addictions, mood disorders and mindfulness-based strategies. I also have a holistic approach to counselling, and I like to explore the mind, body, and spirit using my certification as an Integrative Mental Health Professional.
I am a registered Social Worker (RSW) with over 20+ years of counselling experience in mental health and addiction. I’ve been helping people in various settings, including group homes, youth homes and corrections, victim services, addiction centres, and community health centres. I have unique expertise in trauma counselling, including the Traumatic Incident Reduction technique, and specialties in addictions, mood disorders and mindfulness-based strategies. I also have a holistic approach to counselling, and I like to explore the mind, body, and spirit using my certification as an Integrative Mental Health Professional.
(289) 799-9516 View (289) 799-9516
Photo of Alana Weinberg, Registered Social Worker in Markham, ON
Alana Weinberg
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Markham, ON L3T  (Online Only)
I have training in the treatment of anxiety, depression, trauma, suicidal ideation and self-harm, parent/child conflict, trouble at school, ADHD, parenting and general coping with stress at home and at work. My work is grounded on the principles of attachment, trauma and neurobiology. My approach is a balance of acceptance and change; ensuring to be client-centred while being firm and challenging at the same time. Each client is an individual and I will work with you to tailor a treatment program that meets your needs. Ultimately my goal is to work myself out of a job, meaning your goals have been met and you don’t need me anymore.
I have training in the treatment of anxiety, depression, trauma, suicidal ideation and self-harm, parent/child conflict, trouble at school, ADHD, parenting and general coping with stress at home and at work. My work is grounded on the principles of attachment, trauma and neurobiology. My approach is a balance of acceptance and change; ensuring to be client-centred while being firm and challenging at the same time. Each client is an individual and I will work with you to tailor a treatment program that meets your needs. Ultimately my goal is to work myself out of a job, meaning your goals have been met and you don’t need me anymore.
(289) 301-8204 View (289) 301-8204
Photo of Mun Yee Lee, Registered Social Worker in Markham, ON
Mun Yee Lee
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Markham, ON L3R
Having difficulty understanding what your child needs can be challenging. When you have tried a variety of parenting techniques and are still so worried about how to help a child and why they are experiencing the issues they are, is heart wrenching. It can also be exhausting and defeating when trying to coparent with a narcissist. Understanding how to deal with a toxic ex-partner is exhausting, challenging and frustrating. Together we can work on strategies that will arm you to protect your children in these tough situations so that you are the stable, loving and grounded parent. They love unconditionally, just as you do.
Having difficulty understanding what your child needs can be challenging. When you have tried a variety of parenting techniques and are still so worried about how to help a child and why they are experiencing the issues they are, is heart wrenching. It can also be exhausting and defeating when trying to coparent with a narcissist. Understanding how to deal with a toxic ex-partner is exhausting, challenging and frustrating. Together we can work on strategies that will arm you to protect your children in these tough situations so that you are the stable, loving and grounded parent. They love unconditionally, just as you do.
(289) 806-9092 View (289) 806-9092
Photo of Chelsea Ziwei Zhu, Registered Psychotherapist in Markham, ON
Chelsea Ziwei Zhu
Registered Psychotherapist, M Ed, RP
Verified Verified
3 Endorsed
Markham, ON L3R
As a member of Hopewoods Psychotherapy, we aim to provide professional mental health services for the Chinese community in Toronto. My main client groups are university students, adults, and couples with anxiety, depression, relationship issues, trauma, adjustment issues, and other mental health difficulties. Clients would be supported to break the problem-maintaining cycle, discover their unique strengths and resources, and get empowered to make positive changes.
As a member of Hopewoods Psychotherapy, we aim to provide professional mental health services for the Chinese community in Toronto. My main client groups are university students, adults, and couples with anxiety, depression, relationship issues, trauma, adjustment issues, and other mental health difficulties. Clients would be supported to break the problem-maintaining cycle, discover their unique strengths and resources, and get empowered to make positive changes.
(289) 302-7375 View (289) 302-7375

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

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.