Therapists in Bedford, NS

Photo of Chelsea da Estrela, Psychologist in Bedford, NS
Chelsea da Estrela
Psychologist, PhD
Verified
Bedford, NS B4B
Currently accepting new clients. I am a registered clinical psychologist who is passionate about working with youth from school-aged to emerging adulthood. I specialize in supporting young people in learning to navigate big feelings, life stressors, relationships, and coping with change. I also have experience working with caregivers in finding strategies to support their loved ones struggling with mental health challenges.
Currently accepting new clients. I am a registered clinical psychologist who is passionate about working with youth from school-aged to emerging adulthood. I specialize in supporting young people in learning to navigate big feelings, life stressors, relationships, and coping with change. I also have experience working with caregivers in finding strategies to support their loved ones struggling with mental health challenges.
(782) 222-9005 View (782) 222-9005
Photo of Dr. Valerie Grant, Psychologist in Bedford, NS
Dr. Valerie Grant
Psychologist, PhD, RPsych
Verified
1 Endorsed
Bedford, NS B4A
Stressed? Anxious? The strategies you've always used to cope haven't been working as well as they did before. It's time to make changes, but where to begin? You're ready to find a warm, supportive professional who can help you get back to living the life you want.
Stressed? Anxious? The strategies you've always used to cope haven't been working as well as they did before. It's time to make changes, but where to begin? You're ready to find a warm, supportive professional who can help you get back to living the life you want.
(902) 702-2847 View (902) 702-2847
Photo of Kathrine Lincoln, Psychologist in Bedford, NS
Kathrine Lincoln
Psychologist, MSc , R Psyc
Verified
Bedford, NS B4A
I am a registered clinical psychologist with extensive experience working with adults ages 19 years and older. I have had the privilege of working in many different settings, including hospital, community mental health, school, university and private practice. My goal is to ensure a safe, compassionate, and collaborative therapeutic relationship. I believe that such a relationship facilitates healing and meaningful growth, as clients explore ways to cope and deal with life's challenges.The process of therapy fosters a safe environment that allows individuals to have the courage to be vulnerable and make changes.
I am a registered clinical psychologist with extensive experience working with adults ages 19 years and older. I have had the privilege of working in many different settings, including hospital, community mental health, school, university and private practice. My goal is to ensure a safe, compassionate, and collaborative therapeutic relationship. I believe that such a relationship facilitates healing and meaningful growth, as clients explore ways to cope and deal with life's challenges.The process of therapy fosters a safe environment that allows individuals to have the courage to be vulnerable and make changes.
(902) 906-2742 View (902) 906-2742
Photo of Karen Johnston, Registered Counselling Therapist in Bedford, NS
Karen Johnston
Registered Counselling Therapist , MEd, MEdPsyc, RCT, CCC, CCS
Verified
3 Endorsed
Bedford, NS B4B
I am a Clinical Supervisor and Registered Counselling Therapist. I love to help people, that’s what moves and motivates me. I have thirty-five years experience as a Teacher, Vice-Principal, Principal and Counsellor in Nova Scotia’s school system and over twenty years as a Counselling Therapist in a thriving private practice. I provide therapy to adults, couples, families, adolescents and children within an open, confidential, BIPOC and LGBTQIA2S+ positive environment. I use solution-focused and cognitive behavioural therapy (CBT) techniques to implement effective strategies designed to work for you and/or your family.
I am a Clinical Supervisor and Registered Counselling Therapist. I love to help people, that’s what moves and motivates me. I have thirty-five years experience as a Teacher, Vice-Principal, Principal and Counsellor in Nova Scotia’s school system and over twenty years as a Counselling Therapist in a thriving private practice. I provide therapy to adults, couples, families, adolescents and children within an open, confidential, BIPOC and LGBTQIA2S+ positive environment. I use solution-focused and cognitive behavioural therapy (CBT) techniques to implement effective strategies designed to work for you and/or your family.
(782) 400-6431 View (782) 400-6431
Photo of Mike Buckley, Counsellor in Bedford, NS
Mike Buckley
Counsellor, PhD, Psych, MA, RCT
Verified
5 Endorsed
Bedford, NS B4A
Dr Mike's extensive clinical experience has allowed him the honour of supporting/guiding his clients with empathy & compassion for over 40 yrs. His commitment, insight & warmth extends outside his practice as his authenticity and caring nature help his clients to feel connected and understood. Dr Mike is committed to building a trusted therapeutic relationship that enhances personal growth while identifying underlying issues causing distress or discomfort in your life. Connect with Dr Mike today to begin your journey to wholeness and authenticity. "Life Happens...And Dr Mike Can Help!"
Dr Mike's extensive clinical experience has allowed him the honour of supporting/guiding his clients with empathy & compassion for over 40 yrs. His commitment, insight & warmth extends outside his practice as his authenticity and caring nature help his clients to feel connected and understood. Dr Mike is committed to building a trusted therapeutic relationship that enhances personal growth while identifying underlying issues causing distress or discomfort in your life. Connect with Dr Mike today to begin your journey to wholeness and authenticity. "Life Happens...And Dr Mike Can Help!"
(902) 346-2158 View (902) 346-2158
Photo of Brittany Lynn Parsons, Registered Counselling Therapist Candidate in Bedford, NS
Brittany Lynn Parsons
Registered Counselling Therapist Candidate, MA, BA, CYC-P
Verified
6 Endorsed
Bedford, NS B4A
Currently accepting new clients in person and remotely! Welcome! You, the client, are the expert of your life. Taking the first step of reaching out for support is a courageous act! You deserve to feel your best and be celebrated in your efforts along the way. You may be eager to begin your therapeutic journey or hesitant - both feelings are okay. I work with children, youth, families and adults. I specialize in trauma, attachment, adverse childhood experiences, grief/loss and life transitions, etc.
Currently accepting new clients in person and remotely! Welcome! You, the client, are the expert of your life. Taking the first step of reaching out for support is a courageous act! You deserve to feel your best and be celebrated in your efforts along the way. You may be eager to begin your therapeutic journey or hesitant - both feelings are okay. I work with children, youth, families and adults. I specialize in trauma, attachment, adverse childhood experiences, grief/loss and life transitions, etc.
(902) 403-1599 View (902) 403-1599
Photo of Elizabeth Anne Clarke, Counsellor in Bedford, NS
Elizabeth Anne Clarke
Counsellor, MACP, CCC, RCT
Verified
2 Endorsed
Bedford, NS B4A
From time to time, we all face challenges that can be overwhelming. Sometimes these challenges are situational, but they can also be the result of our lived experience(s) over time. Often they manifest as anxiety, depression, suicidal ideation, and self harm. These manifestations can lead to further challenges such as job loss, family conflict, isolation, and addiction. Although we may flounder or experience failure, we can develop the strategies needed to live a flourishing life. Integrative therapeutic approaches including Cognitive Behavior Therapy, Positive Psychotherapy, and Solution Focused Therapy teach us how to live well.
From time to time, we all face challenges that can be overwhelming. Sometimes these challenges are situational, but they can also be the result of our lived experience(s) over time. Often they manifest as anxiety, depression, suicidal ideation, and self harm. These manifestations can lead to further challenges such as job loss, family conflict, isolation, and addiction. Although we may flounder or experience failure, we can develop the strategies needed to live a flourishing life. Integrative therapeutic approaches including Cognitive Behavior Therapy, Positive Psychotherapy, and Solution Focused Therapy teach us how to live well.
(902) 906-5230 View (902) 906-5230
Photo of Marlene Johns, Counsellor in Bedford, NS
Marlene Johns
Counsellor, MEd , RCT, CCC
Verified
1 Endorsed
Bedford, NS B4A
Marlene Johns is a Registered Counselling Therapist who works with adults, young clients (children/adolescents), and families experiencing difficulty with issues related to anxiety, depression, traumatic stress, self-esteem, low self-confidence, anger, aggression, social anxiety, fears, grief and loss, separation/divorce, adoption/stepfamily issues, major life transitions, and family conflicts which may be preventing them from living a happier and healthier life.
Marlene Johns is a Registered Counselling Therapist who works with adults, young clients (children/adolescents), and families experiencing difficulty with issues related to anxiety, depression, traumatic stress, self-esteem, low self-confidence, anger, aggression, social anxiety, fears, grief and loss, separation/divorce, adoption/stepfamily issues, major life transitions, and family conflicts which may be preventing them from living a happier and healthier life.
(902) 499-2107 View (902) 499-2107
Photo of Craig McDonald Counselling, Counsellor in Bedford, NS
Craig McDonald Counselling
Counsellor, MBA, MEd, RCT
Verified
1 Endorsed
Bedford, NS B4A
My ideal client is someone who has taken that courageous first step and admitted they need help. They may be struggling with addiction, stress, anxiety, depression or even just the pressures of everyday life, seeking better work-life balance. They are seeking a compassionate, empathetic listener, someone who can work with them to improve their life and help them learn new skills to lead a more enriched and fulfilling life.
My ideal client is someone who has taken that courageous first step and admitted they need help. They may be struggling with addiction, stress, anxiety, depression or even just the pressures of everyday life, seeking better work-life balance. They are seeking a compassionate, empathetic listener, someone who can work with them to improve their life and help them learn new skills to lead a more enriched and fulfilling life.
(782) 222-0475 View (782) 222-0475
Photo of Lois Ells, Registered Social Worker in Bedford, NS
Lois Ells
Registered Social Worker, MSW, RSW
Verified
Bedford, NS B4A  (Online Only)
It’s as if you’re walking around with an invisible tide of emotions inside of you that the rest of the world is unable to see. And in your worst moments these big emotions and what if’s threaten to overwhelm you. It seems no matter how hard you try to live in the now and free yourself from these deep feelings and negative self-judgements, they can be like a wall, preventing you from fully being present and real, even when you want to be. As much as you try to remain calm, when poked, these raw spots spark emotions of sadness, grief, defensiveness, or insecurity.
It’s as if you’re walking around with an invisible tide of emotions inside of you that the rest of the world is unable to see. And in your worst moments these big emotions and what if’s threaten to overwhelm you. It seems no matter how hard you try to live in the now and free yourself from these deep feelings and negative self-judgements, they can be like a wall, preventing you from fully being present and real, even when you want to be. As much as you try to remain calm, when poked, these raw spots spark emotions of sadness, grief, defensiveness, or insecurity.
(782) 821-3717 View (782) 821-3717
Photo of Perrier Wellness Associates Inc, Psychologist in Bedford, NS
Perrier Wellness Associates Inc
Psychologist, PhD
Verified
Bedford, NS B4A
We are team of psychologists, counsellors, and consultants who work collaboratively with clients to improve overall wellbeing in a respectful and nonjudgmental atmosphere. Our team has training and experience with assessing, diagnosing, and treating PTSD, depression, anxiety, phobias, OCD, ADHD, and insomnia, as well as problematic substance use, gambling, and sexual behaviours. We provide counselling related to stress, anger, grief, shame, guilt, and self-esteem. We work with couples to address problems with communication, intimacy, attachment, and infidelity. We provide holistic nutritional services and will work with you to improve your mental and physical wellbeing through nutrition and lifestyle changes.
We are team of psychologists, counsellors, and consultants who work collaboratively with clients to improve overall wellbeing in a respectful and nonjudgmental atmosphere. Our team has training and experience with assessing, diagnosing, and treating PTSD, depression, anxiety, phobias, OCD, ADHD, and insomnia, as well as problematic substance use, gambling, and sexual behaviours. We provide counselling related to stress, anger, grief, shame, guilt, and self-esteem. We work with couples to address problems with communication, intimacy, attachment, and infidelity. We provide holistic nutritional services and will work with you to improve your mental and physical wellbeing through nutrition and lifestyle changes.
(782) 201-1326 View (782) 201-1326
Photo of Rory Boutilier, Counsellor in Bedford, NS
Rory Boutilier
Counsellor, RCT, RPC
Verified
Bedford, NS B4B
Many of the people I see are struggling with depression, anxiety, self-injury, thoughts of suicide, family stress, and life changes (such as changing careers, graduating university, or entering the workforce). I am also interested in working with men's issues, and helping people who have never attended therapy. Counselling is available for professionals as well, such as physicians, veterinarians, and dentists.
Many of the people I see are struggling with depression, anxiety, self-injury, thoughts of suicide, family stress, and life changes (such as changing careers, graduating university, or entering the workforce). I am also interested in working with men's issues, and helping people who have never attended therapy. Counselling is available for professionals as well, such as physicians, veterinarians, and dentists.
(902) 701-6782 View (902) 701-6782
Photo of Luci Belknap, Psychologist in Bedford, NS
Luci Belknap
Psychologist, MA
Verified
Bedford, NS B4A
I am a Psychologist (Candidate Register) who works individually with adults (18+) who are experiencing posttraumatic stress, anxiety, depression, low self-esteem, and relational issues. I specialize in LGBTQIA2+ health, and work from an anti-oppression framework to provide the best care possible for folks belonging to marginalized groups. I am seeing clients both in person and over video or phone, and will continue to update here as the situation changes.
I am a Psychologist (Candidate Register) who works individually with adults (18+) who are experiencing posttraumatic stress, anxiety, depression, low self-esteem, and relational issues. I specialize in LGBTQIA2+ health, and work from an anti-oppression framework to provide the best care possible for folks belonging to marginalized groups. I am seeing clients both in person and over video or phone, and will continue to update here as the situation changes.
(902) 832-5190 View (902) 832-5190
Photo of Stephanie Moreau, Counsellor in Bedford, NS
Stephanie Moreau
Counsellor, MEd, RCT-C
Verified
Bedford, NS B4A
I am a Registered counselling therapist with over 15 years of experience working with youth and young adults. Therapy is a process of insight building, growth, and self-discovery. My goal is to empower my clients to develop a better understanding of their feelings, behaviours and actions in order to make positive changes in their lives. I aim to create a safe, non judgmental and supportive environment that feels comfortable and collaborative. I work with my clients to help them come up with new ways of thinking about life’s challenges to develop new skills that build resiliency. I look forward to working with you!
I am a Registered counselling therapist with over 15 years of experience working with youth and young adults. Therapy is a process of insight building, growth, and self-discovery. My goal is to empower my clients to develop a better understanding of their feelings, behaviours and actions in order to make positive changes in their lives. I aim to create a safe, non judgmental and supportive environment that feels comfortable and collaborative. I work with my clients to help them come up with new ways of thinking about life’s challenges to develop new skills that build resiliency. I look forward to working with you!
(782) 822-5265 View (782) 822-5265
Photo of Judith Hutchison, Counsellor in Bedford, NS
Judith Hutchison
Counsellor, MEd, RCT-C
Verified
Bedford, NS B4B
Hi! My name is Judith Hutchison and my primary goal, as a counsellor, is to provide support, guidance and assistance to people seeking help with various personal, social, and emotional challenges. My aim is to create a safe and supportive environment where clients can express their concerns, explore their thoughts and feelings, and develop effective coping strategies to improve their overall well-being. I understand the importance of communication, emotional support, and building trust with clients to help them work through life’s challenges and reach their potential.
Hi! My name is Judith Hutchison and my primary goal, as a counsellor, is to provide support, guidance and assistance to people seeking help with various personal, social, and emotional challenges. My aim is to create a safe and supportive environment where clients can express their concerns, explore their thoughts and feelings, and develop effective coping strategies to improve their overall well-being. I understand the importance of communication, emotional support, and building trust with clients to help them work through life’s challenges and reach their potential.
(782) 822-2335 View (782) 822-2335
Photo of Deborah Hubble Smith, Counsellor in Bedford, NS
Deborah Hubble Smith
Counsellor, MC, RCT-C
Verified
2 Endorsed
Bedford, NS B4A
You’re exhausted and grumpy. You thought having a kid would make your family complete, but now all you and your partner talk about are diapers and schedules, and who is (or isn’t) taking care of the kids. It’s hard to hold onto the joy everyone tells us our kids should bring. You worry that things will never get better, and that you and your partner will just grow further and further apart. Even worse, you’re starting to resent your partner, your kid, and everyone else that makes it look so easy to have the perfect little family. It’s so lonely feeling like the only one who is struggling with life and family these days.
You’re exhausted and grumpy. You thought having a kid would make your family complete, but now all you and your partner talk about are diapers and schedules, and who is (or isn’t) taking care of the kids. It’s hard to hold onto the joy everyone tells us our kids should bring. You worry that things will never get better, and that you and your partner will just grow further and further apart. Even worse, you’re starting to resent your partner, your kid, and everyone else that makes it look so easy to have the perfect little family. It’s so lonely feeling like the only one who is struggling with life and family these days.
(902) 200-6266 View (902) 200-6266
Photo of Lori Johnston, Registered Psychotherapist in Bedford, NS
Lori Johnston
Registered Psychotherapist
Verified
1 Endorsed
Bedford, NS B4A  (Online Only)
I am a Registered Psychotherapist specializing in relational, embodied, and trauma-sensitive approaches to growth, transformation, and healing. In addition to “everyday” therapeutic issues that I work with, the following are my areas of specialty: relationship issues, sexual desire & intimacy, women’s issues, low self-esteem, disconnection from intuition & inner guidance, body image, disordered eating, grief & loss, codependency, avoidance issues, addictions (including sex & love, drug & alcohol, shopping, food, etc.), trauma including relational trauma (abandonment, neglect, enmeshment, abuse), depression, and attachment injuries.
I am a Registered Psychotherapist specializing in relational, embodied, and trauma-sensitive approaches to growth, transformation, and healing. In addition to “everyday” therapeutic issues that I work with, the following are my areas of specialty: relationship issues, sexual desire & intimacy, women’s issues, low self-esteem, disconnection from intuition & inner guidance, body image, disordered eating, grief & loss, codependency, avoidance issues, addictions (including sex & love, drug & alcohol, shopping, food, etc.), trauma including relational trauma (abandonment, neglect, enmeshment, abuse), depression, and attachment injuries.
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Photo of Lindsay Victor, Psychologist in Bedford, NS
Lindsay Victor
Psychologist, MA
Verified
1 Endorsed
Bedford, NS B4A
I am a Registered Psychologist and value the innate healing ability we carry inside. I believe my responsibility is to listen deeply and honour the resources and strengths of each person while creating an environment that feels open, warm and non-judgemental. Reaching out for help can be challenging. I have great respect for your journey as you take steps towards making changes in your life.
I am a Registered Psychologist and value the innate healing ability we carry inside. I believe my responsibility is to listen deeply and honour the resources and strengths of each person while creating an environment that feels open, warm and non-judgemental. Reaching out for help can be challenging. I have great respect for your journey as you take steps towards making changes in your life.
(782) 222-0565 View (782) 222-0565
Photo of Julie Wershler, Psychologist in Bedford, NS
Julie Wershler
Psychologist, PhD, RPsych
Verified
Bedford, NS B4B
I work with adolescents, young adults, and their families to provide support to address areas of challenge. I collaborate with clients to find the approach that best fits with their needs and goals. This may include addressing unhelpful thinking patterns, developing strategies to cope with intense emotions, improving relationships with family or peers, or problem-solving barriers getting in the way of valued activities.
I work with adolescents, young adults, and their families to provide support to address areas of challenge. I collaborate with clients to find the approach that best fits with their needs and goals. This may include addressing unhelpful thinking patterns, developing strategies to cope with intense emotions, improving relationships with family or peers, or problem-solving barriers getting in the way of valued activities.
(782) 400-6017 View (782) 400-6017
Photo of Deirdre Kazi, Counsellor in Bedford, NS
Deirdre Kazi
Counsellor, MEd, MACP, RCT
Verified
1 Endorsed
Bedford, NS B4A  (Online Only)
Deirdre can help you explore and understand your personal patterns. Learn how your past influences your present. Deirdre uses IFS and EMDR to challenge influential memories and heal inter-generational trauma in a safe, confidential environment. Consistent or recurring negative thoughts, overwhelming feelings, impulsive behaviours, pain, dizziness, loss of short-term memory and self-harm are just a few symptoms that therapy can help with.
Deirdre can help you explore and understand your personal patterns. Learn how your past influences your present. Deirdre uses IFS and EMDR to challenge influential memories and heal inter-generational trauma in a safe, confidential environment. Consistent or recurring negative thoughts, overwhelming feelings, impulsive behaviours, pain, dizziness, loss of short-term memory and self-harm are just a few symptoms that therapy can help with.
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See more therapy options for Bedford

How does your Counsellor compare?

Number of Counsellors in Bedford, NS

100+

Average cost per session

$160

Counsellors in Bedford, NS who prioritize treating:

88% Anxiety
80% Relationship Issues
80% Depression
79% Stress
76% Coping Skills
75% Self Esteem
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

68% Blue Cross
68% Medavie Blue Cross
48% Green Shield Canada

How Counsellors in Bedford, NS see their clients

82% In Person and Online
18% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary

FAQs - About Therapy and Counselling

How can I find a therapist in Bedford?

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.