Therapists in St George, NB

Photo of Jenna Sorensen - Calm Tides Counselling - Jenna Sorensen, Registered Social Worker, BSC, BSW, MSW, RSW
Calm Tides Counselling - Jenna Sorensen
Registered Social Worker, BSC, BSW, MSW, RSW
St George, NB E5C
Hi, I'm Jenna, the owner/operator of Calm Tides Counselling, located in St George, NB. I provide in person and online therapy for individuals (18+) in the Charlotte County and surrounding areas that is collaborative, empathetic, respectful and safe. I come to the field with over ten years of experience in social work practice working with complex family dynamics, child welfare, gender based violence, parenting challenges and substance use. I offer a client centered approach and work with individuals struggling with the effects of trauma, anxiety, chronic stress and burnout. I am currently accepting new clients.
Hi, I'm Jenna, the owner/operator of Calm Tides Counselling, located in St George, NB. I provide in person and online therapy for individuals (18+) in the Charlotte County and surrounding areas that is collaborative, empathetic, respectful and safe. I come to the field with over ten years of experience in social work practice working with complex family dynamics, child welfare, gender based violence, parenting challenges and substance use. I offer a client centered approach and work with individuals struggling with the effects of trauma, anxiety, chronic stress and burnout. I am currently accepting new clients.
(506) 526-3326 View (506) 526-3326
Photo of Julie Parks MacDougall, Counsellor, BSc, MACP, CCC, LCT
Julie Parks MacDougall
Counsellor, BSc, MACP, CCC, LCT
1 Endorsed
St George, NB E5C
Not accepting new clients
I'm a dedicated counsellor based in St. George, NB, offering compassionate support to individuals navigating life's challenges. If you are experiencing overwhelm, anxiety, depression, or trauma, I look forward to helping you find a positive path forward.
I'm a dedicated counsellor based in St. George, NB, offering compassionate support to individuals navigating life's challenges. If you are experiencing overwhelm, anxiety, depression, or trauma, I look forward to helping you find a positive path forward.
(506) 516-1107 View (506) 516-1107

More Therapists Nearby

Photo of Kate McLellan, Counsellor, BSc, MEd, EdD, LCT-S
Kate McLellan
Counsellor, BSc, MEd, EdD, LCT-S
Serves Area
Are you someone who is anxious or depressed, has relationship issues, has been in conflict or trauma. Then I think I can help you out. My practice focuses on your emotions, thinking patterns and physical sensations. I use a combination of Mindfulness and Cognitive Behaviour Therapy strategies to help you. Would you like to feel more balanced and compassionate toward yourself and others. I will help you look at these and develop strategies that will help you move through and cope with difficult feelings.
Are you someone who is anxious or depressed, has relationship issues, has been in conflict or trauma. Then I think I can help you out. My practice focuses on your emotions, thinking patterns and physical sensations. I use a combination of Mindfulness and Cognitive Behaviour Therapy strategies to help you. Would you like to feel more balanced and compassionate toward yourself and others. I will help you look at these and develop strategies that will help you move through and cope with difficult feelings.
(506) 701-6594 View (506) 701-6594
Photo of Derica Buchanan, Counsellor, BA, MACP, LCT-C
Derica Buchanan
Counsellor, BA, MACP, LCT-C
Serves Area
During my sessions, I aim to create a secure place where I can help each of my clients by showing compassion, kindness, and acceptance. When working with my clients, I take a collaborative approach to ensure that I am meeting my clients where they are. I am passionate about assisting people with their day-to-day struggles. My overall objective is to collaborate and have meaningful interactions with each of my clients. In our sessions, we will work together to create goals and explore and enhance skills, while considering your interests and what is important to you.
During my sessions, I aim to create a secure place where I can help each of my clients by showing compassion, kindness, and acceptance. When working with my clients, I take a collaborative approach to ensure that I am meeting my clients where they are. I am passionate about assisting people with their day-to-day struggles. My overall objective is to collaborate and have meaningful interactions with each of my clients. In our sessions, we will work together to create goals and explore and enhance skills, while considering your interests and what is important to you.
(506) 315-6046 View (506) 315-6046
Photo of Emma Brideau, Registered Social Worker, BSW, MSW, RSW
Emma Brideau
Registered Social Worker, BSW, MSW, RSW
2 Endorsed
Serves Area
Not accepting new clients
My practice aims to work with children, youth and teens (7 and up) struggling with certain aspects of their life. I work primarily with depression, anxiety, grief, emotional regulation, trauma and self-esteem.
My practice aims to work with children, youth and teens (7 and up) struggling with certain aspects of their life. I work primarily with depression, anxiety, grief, emotional regulation, trauma and self-esteem.
(506) 405-0366 View (506) 405-0366
Photo of Robin Mackie, Registered Social Worker, MSW
Robin Mackie
Registered Social Worker, MSW
1 Endorsed
Serves Area
With the belief that genuine connection with your therapist is an essential ingredient in counselling, I prioritize creating a safe space filled with respect, trust, and understanding without judgement. I value authenticity and welcome you to show up exactly as you are. I strongly believe that people are experts of their own life, so our work together is collaborative and flexible to fit your needs.
With the belief that genuine connection with your therapist is an essential ingredient in counselling, I prioritize creating a safe space filled with respect, trust, and understanding without judgement. I value authenticity and welcome you to show up exactly as you are. I strongly believe that people are experts of their own life, so our work together is collaborative and flexible to fit your needs.
(506) 315-9237 View (506) 315-9237
Photo of Claire Smith, Counsellor, BEd, MEd, CCC, LCT-C
Claire Smith
Counsellor, BEd, MEd, CCC, LCT-C
Serves Area
My counselling practice offers a welcoming space for clients to feel safe discussing life's challenges. With a background in Education, I practice person-centered therapy that focuses on connecting with clients to support them where they are at while encouraging them to grow. I have experience working with children and youth as well as adults. I work primarily with change and life transitions, anxiety, self-harm, school avoidance, relationships and depression.
My counselling practice offers a welcoming space for clients to feel safe discussing life's challenges. With a background in Education, I practice person-centered therapy that focuses on connecting with clients to support them where they are at while encouraging them to grow. I have experience working with children and youth as well as adults. I work primarily with change and life transitions, anxiety, self-harm, school avoidance, relationships and depression.
(506) 977-2991 View (506) 977-2991
Photo of Timothy G Baxter, Counsellor, MSc, LCPC, LCT-C, CST
Timothy G Baxter
Counsellor, MSc, LCPC, LCT-C, CST
Crocker Hill, NB E3L
I’m Timothy Baxter, a person-centred counsellor who helps individuals and couples navigate life challenges and strengthen emotional wellbeing. I work with anxiety, depression, trauma, anger, life transitions, relationship concerns, and intimacy issues, offering care that is collaborative, practical, and tailored to each client. I hold a Master of Science in Counselling and am licensed in New Brunswick as a Licensed Counselling Therapist Candidate and in Maine as a Licensed Clinical Professional Counselor. I am also trained in EMDR and have advanced training in sex therapy through the Sexual Health Alliance.
I’m Timothy Baxter, a person-centred counsellor who helps individuals and couples navigate life challenges and strengthen emotional wellbeing. I work with anxiety, depression, trauma, anger, life transitions, relationship concerns, and intimacy issues, offering care that is collaborative, practical, and tailored to each client. I hold a Master of Science in Counselling and am licensed in New Brunswick as a Licensed Counselling Therapist Candidate and in Maine as a Licensed Clinical Professional Counselor. I am also trained in EMDR and have advanced training in sex therapy through the Sexual Health Alliance.
(506) 526-4619 View (506) 526-4619
Photo of Brittany Rickett, Counsellor, BEd, MA, LCT-C, CCC
Brittany Rickett
Counsellor, BEd, MA, LCT-C, CCC
3 Endorsed
St Stephen, NB E3L
Are you feeling stretched thin—holding everything together on the outside, but overwhelmed or exhausted underneath? You don’t have to figure it out alone. I’m Brittany Rickett, a Licensed Counselling Therapist, Certified Supervisor and Director at 3 Rivers Counselling. I offer collaborative, evidence-based therapy grounded in EMDR, ACT, IFS, and Polyvagal-informed approaches to help you understand your nervous system, shift patterns that feel stuck, and build practical ways to move forward. I also offer clinical supervision (individual and group) for therapists seeking a supportive, thoughtful space for growth.
Are you feeling stretched thin—holding everything together on the outside, but overwhelmed or exhausted underneath? You don’t have to figure it out alone. I’m Brittany Rickett, a Licensed Counselling Therapist, Certified Supervisor and Director at 3 Rivers Counselling. I offer collaborative, evidence-based therapy grounded in EMDR, ACT, IFS, and Polyvagal-informed approaches to help you understand your nervous system, shift patterns that feel stuck, and build practical ways to move forward. I also offer clinical supervision (individual and group) for therapists seeking a supportive, thoughtful space for growth.
(506) 503-5912 View (506) 503-5912
Photo of Nigel Bone - Port City Counselling Services Inc., Registered Psychotherapist, BA, MDiv, LCT, RP
Port City Counselling Services Inc.
Registered Psychotherapist, BA, MDiv, LCT, RP
Serves Area
Port City Counselling Services is a multi-disciplinary team of independent therapists and clinicians providing mental health services in Saint John/Menaquesk, New Brunswick. Working within a client-centered approach, we offer and provide licensed counselling therapy, nutrition counselling, education, and advocacy. Come as you are and together we will find an approach that works for you.
Port City Counselling Services is a multi-disciplinary team of independent therapists and clinicians providing mental health services in Saint John/Menaquesk, New Brunswick. Working within a client-centered approach, we offer and provide licensed counselling therapy, nutrition counselling, education, and advocacy. Come as you are and together we will find an approach that works for you.
(506) 710-5566 View (506) 710-5566
Photo of Julie Ann Willsie, Registered Psychotherapist, BSc, MACP
Julie Ann Willsie
Registered Psychotherapist, BSc, MACP
1 Endorsed
Online Only
Do you have symptoms of anxiety, depression, low self-esteem and/or difficulty managing your emotions? Are you struggling day to day with general life issues and lack of motivation, drive, and ambition? If so, we can work together to identify the issues that are bothering you, set goals and make a plan to achieve them. I am an eclectic therapist, meaning I use tools from many different therapies and theories. I like to take the approach of looking forward to make changes in life, although at some point in therapy, when you are ready, it is often useful to work through past issues at your pace. I look forward to meeting you!
Do you have symptoms of anxiety, depression, low self-esteem and/or difficulty managing your emotions? Are you struggling day to day with general life issues and lack of motivation, drive, and ambition? If so, we can work together to identify the issues that are bothering you, set goals and make a plan to achieve them. I am an eclectic therapist, meaning I use tools from many different therapies and theories. I like to take the approach of looking forward to make changes in life, although at some point in therapy, when you are ready, it is often useful to work through past issues at your pace. I look forward to meeting you!
(226) 799-5080 View (226) 799-5080
Photo of Emma McQuade, Counsellor, MACP, RCT-C
Emma McQuade
Counsellor, MACP, RCT-C
1 Endorsed
Online Only
Are you feeling overwhelmed by anxiety or stuck in cycles of worry or panic? Maybe your mind is constantly “on,” scanning for what could go wrong, leaving your body tense, restless, or exhausted. You might find yourself overthinking, avoiding certain situations, or feeling hijacked by sudden waves of panic that seem to come out of nowhere. Anxiety can make your world feel smaller — but it doesn’t have to stay that way.
Are you feeling overwhelmed by anxiety or stuck in cycles of worry or panic? Maybe your mind is constantly “on,” scanning for what could go wrong, leaving your body tense, restless, or exhausted. You might find yourself overthinking, avoiding certain situations, or feeling hijacked by sudden waves of panic that seem to come out of nowhere. Anxiety can make your world feel smaller — but it doesn’t have to stay that way.
(782) 801-7969 View (782) 801-7969
Photo of Lyvia Graham - Lyvia Graham - Holistic Approach, Pre-Licensed Professional, BASoc, MA
Lyvia Graham - Holistic Approach
Pre-Licensed Professional, BASoc, MA
5 Endorsed
St Stephen, NB E3L
There are moments in life when something just feels off; anxiety hums beneath the surface, relationships strain, self-doubt settles in, or grief makes everything heavy. Navigating your emotions often means grappling with external influences that shape them. Symptoms can signal deeper issues needing attention, compassion, and understanding. As a therapist, I offer a grounded, collaborative space where your experience is met with care and curiosity. My work integrates clinical insights with a sociocultural lens, recognizing that personal history, family dynamics, and cultural expectations shape your inner world.
There are moments in life when something just feels off; anxiety hums beneath the surface, relationships strain, self-doubt settles in, or grief makes everything heavy. Navigating your emotions often means grappling with external influences that shape them. Symptoms can signal deeper issues needing attention, compassion, and understanding. As a therapist, I offer a grounded, collaborative space where your experience is met with care and curiosity. My work integrates clinical insights with a sociocultural lens, recognizing that personal history, family dynamics, and cultural expectations shape your inner world.
(506) 718-7388 View (506) 718-7388
Photo of Erin Claire Walsh, Counsellor, LTC-C
Erin Claire Walsh
Counsellor, LTC-C
2 Endorsed
St Stephen, NB E3L
My passion lies in working with adolescents and adults, offering strengths-based therapeutic modalities, which help empower my clients through the discovery of their innate strength and resilience. I believe a collaborative therapeutic relationship is essential for successful outcomes.
My passion lies in working with adolescents and adults, offering strengths-based therapeutic modalities, which help empower my clients through the discovery of their innate strength and resilience. I believe a collaborative therapeutic relationship is essential for successful outcomes.
(506) 713-2930 View (506) 713-2930
Photo of Gillian Dobson, Counsellor, BA, MEd, CCC, LCT-C
Gillian Dobson
Counsellor, BA, MEd, CCC, LCT-C
Serves Area
I am a Licensed Counselling Therapist-Candidate (LCT-C) who has completed the Master of Education in Counselling program from the University of New Brunswick (UNB), with a research focus on Autism Spectrum Disorder (ASD) and employment. I also hold an undergraduate degree in Arts, majoring in Psychology and have completed the Applied Behaviour Analysis Certificate (ABA-C) program at UNB.
I am a Licensed Counselling Therapist-Candidate (LCT-C) who has completed the Master of Education in Counselling program from the University of New Brunswick (UNB), with a research focus on Autism Spectrum Disorder (ASD) and employment. I also hold an undergraduate degree in Arts, majoring in Psychology and have completed the Applied Behaviour Analysis Certificate (ABA-C) program at UNB.
(506) 702-2125 View (506) 702-2125
Photo of Lori McIsaac Bewsher - Rising Tides Counselling Services, Registered Social Worker, MSW, RSW
Rising Tides Counselling Services
Registered Social Worker, MSW, RSW
Serves Area
We understand how overwhelming it can feel to rebuild after trauma, anxiety, grief, or recurring life stress. Whether you're new to therapy or have been in counselling before, our team works collaboratively - not just for you, but with you. Our counselling centre is home to a diverse team of trauma-specialized therapists who bring deep experience, warmth, and a shared belief that you absolutely can heal. If you’re ready to move toward a version of yourself that feels stronger, calmer, and more connected, we're here to support you.
We understand how overwhelming it can feel to rebuild after trauma, anxiety, grief, or recurring life stress. Whether you're new to therapy or have been in counselling before, our team works collaboratively - not just for you, but with you. Our counselling centre is home to a diverse team of trauma-specialized therapists who bring deep experience, warmth, and a shared belief that you absolutely can heal. If you’re ready to move toward a version of yourself that feels stronger, calmer, and more connected, we're here to support you.
(506) 503-5767 View (506) 503-5767
Photo of Caleigh Dunfield, Counsellor, LCT, CCC, CCS
Caleigh Dunfield
Counsellor, LCT, CCC, CCS
1 Endorsed
Online Only
Let’s be real – life’s path is anything but linear, and sometimes the twists, turns, and unexpected detours add up, leaving us feeling lost, anxious, and overwhelmed. Sound familiar? You’ve made it this far - I invite you to take the next step towards healing, growth, and self-discovery. I’m Caleigh, an experienced counsellor with a warm, sensitive, and curious approach. I offer down-to-earth support in sessions and will work collaboratively with you to identify challenges and barriers, set meaningful therapeutic goals, and leverage your unique gifts to rise above self-doubt and pursue a life of connection, fulfillment and purpose.
Let’s be real – life’s path is anything but linear, and sometimes the twists, turns, and unexpected detours add up, leaving us feeling lost, anxious, and overwhelmed. Sound familiar? You’ve made it this far - I invite you to take the next step towards healing, growth, and self-discovery. I’m Caleigh, an experienced counsellor with a warm, sensitive, and curious approach. I offer down-to-earth support in sessions and will work collaboratively with you to identify challenges and barriers, set meaningful therapeutic goals, and leverage your unique gifts to rise above self-doubt and pursue a life of connection, fulfillment and purpose.
(506) 406-8264 View (506) 406-8264
Photo of Elly Reda, Registered Psychotherapist, MEd, MACP
Elly Reda
Registered Psychotherapist, MEd, MACP
1 Endorsed
Online Only
Is anxiety, depression, self-esteem issues, or overwhelming stress taking a toll on your daily life? Or maybe you’re navigating the challenges that come with neurodiversity, like ADHD, autism, or learning differences? It can be tough to manage these things alone, but the good news is that things can get better. Therapy is a place where you can find the support you need to tackle these challenges and start feeling more in control of your life. I’m here to help you find strategies that truly work for you. My goal is to create a warm and welcoming space where you can freely explore what’s going on beneath the surface.
Is anxiety, depression, self-esteem issues, or overwhelming stress taking a toll on your daily life? Or maybe you’re navigating the challenges that come with neurodiversity, like ADHD, autism, or learning differences? It can be tough to manage these things alone, but the good news is that things can get better. Therapy is a place where you can find the support you need to tackle these challenges and start feeling more in control of your life. I’m here to help you find strategies that truly work for you. My goal is to create a warm and welcoming space where you can freely explore what’s going on beneath the surface.
(506) 308-3267 View (506) 308-3267
Photo of Brittany Rickett - 3 Rivers Counselling - Individuals & Couples, MA, CCC, LCT
3 Rivers Counselling - Individuals & Couples
Verified Verified
2 Endorsed
St Stephen, NB E3L
Are you tired of repeating the same patterns, struggling to show up everyday in the way that you most want? We invite you to start your journey here and feel truly heard. Welcome to 3 Rivers Counselling where we are passionate supporters of individuals navigating the unique challenges of ADHD and trauma, and life's messiness. At 3 Rivers we believe that relationships are the foundation of successful therapy and we will meet you with warmth and welcome. We are trained in somatics, polyvagal theory, IFS, ACT and EMDR and we play close attention to the role of the nervous system in our commitment to holistic and collaborative care.
Are you tired of repeating the same patterns, struggling to show up everyday in the way that you most want? We invite you to start your journey here and feel truly heard. Welcome to 3 Rivers Counselling where we are passionate supporters of individuals navigating the unique challenges of ADHD and trauma, and life's messiness. At 3 Rivers we believe that relationships are the foundation of successful therapy and we will meet you with warmth and welcome. We are trained in somatics, polyvagal theory, IFS, ACT and EMDR and we play close attention to the role of the nervous system in our commitment to holistic and collaborative care.
(506) 497-0308 View (506) 497-0308

Online Therapists

Photo of Angela Merzetti, Counsellor, LCT-C, MACP
Angela Merzetti
Counsellor, LCT-C, MACP
1 Endorsed
Online Only
If you're a mother in search of support because you're feeling overwhelmed, burnt out, overstimulated, angry, or like you're purely just surviving - you are most certainly not alone. A safe space to talk about these unique challenges of motherhood with someone who understands can be so validating and healing. I'm Ang - I'm a therapist and a mother of toddler twins and a 9 year old. I drink way too much coffee, I have a potty mouth, I have ADHD, and I am in the trenches of motherhood right along with you. It truly takes a village, and I'd be honoured to be a part of yours.
If you're a mother in search of support because you're feeling overwhelmed, burnt out, overstimulated, angry, or like you're purely just surviving - you are most certainly not alone. A safe space to talk about these unique challenges of motherhood with someone who understands can be so validating and healing. I'm Ang - I'm a therapist and a mother of toddler twins and a 9 year old. I drink way too much coffee, I have a potty mouth, I have ADHD, and I am in the trenches of motherhood right along with you. It truly takes a village, and I'd be honoured to be a part of yours.
(506) 906-4318 View (506) 906-4318

How does your Counsellor compare?

Number of Counsellors in St George, NB

< 10

Counsellors in St George, NB who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Stress
50% Relationship Issues
50% Infertility
50% Grief

Average years in practice

13 Years

Gender breakdown

100% Female

How Counsellors in St George, NB see their clients

100% In Person and Online
FAQs - About Therapy and Counselling

How can I find a therapist in St George?

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.