Therapists in Gays River, NS

Photo of Nora-Jane Smith, Counsellor, MA, RCT-C
Nora-Jane Smith
Counsellor, MA, RCT-C
6 Endorsed
Gays River, NS B0N
As a therapist I help my clients with trauma and PTSD, anxiety, depression, BPD, burnout, intimacy, and relational issues. I proudly offer neurodivergent and LGBTQIA2s+ informed care; I am kink-aware, sex and body positive, and welcoming of all persons. We move at your pace, in a way that works best for you. I focus on ensuring you feel comfortable, safe, respected, and understood first and foremost. I’ve worked at length with those who have experienced DV, IPV, sexual assault/ trafficking, addictions, and resource instability. I am well versed in first responder culture and trauma that can arise from working in these roles.
As a therapist I help my clients with trauma and PTSD, anxiety, depression, BPD, burnout, intimacy, and relational issues. I proudly offer neurodivergent and LGBTQIA2s+ informed care; I am kink-aware, sex and body positive, and welcoming of all persons. We move at your pace, in a way that works best for you. I focus on ensuring you feel comfortable, safe, respected, and understood first and foremost. I’ve worked at length with those who have experienced DV, IPV, sexual assault/ trafficking, addictions, and resource instability. I am well versed in first responder culture and trauma that can arise from working in these roles.
(782) 828-5546 View (782) 828-5546

More Therapists Nearby

Photo of Tyler Tattrie, Registered Counselling Therapist-Candidate, MACP, RCT-C
Tyler Tattrie
Registered Counselling Therapist-Candidate, MACP, RCT-C
Dartmouth, NS B2Y
Hey there! I’m Tyler, a queer and neurodivergent therapist working in Dartmouth, Nova Scotia. I believe therapy should be a space where we can openly talk about your lived experiences, so I strive to offer support that is judgement-free, trauma-informed, and rooted in an anti-oppressive framework. Given that no two people are the same, I believe in exploring the unique strengths you can bring into therapy, and discovering the ways we can put those to good use.
Hey there! I’m Tyler, a queer and neurodivergent therapist working in Dartmouth, Nova Scotia. I believe therapy should be a space where we can openly talk about your lived experiences, so I strive to offer support that is judgement-free, trauma-informed, and rooted in an anti-oppressive framework. Given that no two people are the same, I believe in exploring the unique strengths you can bring into therapy, and discovering the ways we can put those to good use.
(782) 208-0475 View (782) 208-0475
Photo of Starr Lawlor, Counsellor, RCT-C, CCC, MA
Starr Lawlor
Counsellor, RCT-C, CCC, MA
1 Endorsed
Dartmouth, NS B3A
Now accepting new clients! Whether you’re dealing with anxiety, depression, relationship challenges, or a major life shift, therapy can offer a focused space to slow things down, make sense of what’s happening, and decide how you want to move forward. You don’t have to figure it out alone.
Now accepting new clients! Whether you’re dealing with anxiety, depression, relationship challenges, or a major life shift, therapy can offer a focused space to slow things down, make sense of what’s happening, and decide how you want to move forward. You don’t have to figure it out alone.
(782) 801-9419 View (782) 801-9419
Photo of Jodi Moore, Registered Social Worker, RSW, MSW, BSW
Jodi Moore
Registered Social Worker, RSW, MSW, BSW
3 Endorsed
Waitlist for new clients
Asking for help isn't easy, so if you've made it this far, it's taken courage and I'm proud of you. Life is filled with struggles that can impact us all, and I take pride in creating a safe space to help better manage lifes stressors. If you are struggling with low mood, lack of motivation, high anxiety, difficult stress, relationship challenges, addictions or how to process past traumas in an effective way, finding a therapist you can connect with is an important first step. I work alongside people appreciating you are the expert of your own life, while also working to provide support and encouragement to help you reach your goals.
Asking for help isn't easy, so if you've made it this far, it's taken courage and I'm proud of you. Life is filled with struggles that can impact us all, and I take pride in creating a safe space to help better manage lifes stressors. If you are struggling with low mood, lack of motivation, high anxiety, difficult stress, relationship challenges, addictions or how to process past traumas in an effective way, finding a therapist you can connect with is an important first step. I work alongside people appreciating you are the expert of your own life, while also working to provide support and encouragement to help you reach your goals.
(782) 825-6558 View (782) 825-6558
Photo of Indarachapa Pinnaduwa-Hewage - Chapa Pinnaduwa, Registered Counselling Therapist-Candidate, BA, MACP, RCT-C
Chapa Pinnaduwa
Registered Counselling Therapist-Candidate, BA, MACP, RCT-C
Serves Area
Whether you're facing a specific challenge or feeling that something isn't quite right, I'm here to help. My approach to therapy is relational and collaborative. I work from a culturally affirming, trauma-informed lens that honours your communities and strengths, while also staying attentive to the broader systems and experiences that shape how you move through the world. Together we can slow down, make sense of whats beneath the surface, and work on strengthening your capacity to cope and heal.
Whether you're facing a specific challenge or feeling that something isn't quite right, I'm here to help. My approach to therapy is relational and collaborative. I work from a culturally affirming, trauma-informed lens that honours your communities and strengths, while also staying attentive to the broader systems and experiences that shape how you move through the world. Together we can slow down, make sense of whats beneath the surface, and work on strengthening your capacity to cope and heal.
(902) 710-7574 View (902) 710-7574
Photo of Maria Cain, Counsellor, MEd, RCT-C, CCC
Maria Cain
Counsellor, MEd, RCT-C, CCC
6 Endorsed
Dartmouth, NS B3A
I support people through the challenging phases of their lives using a trauma-informed, culturally-responsive, collaborative, action-oriented approach that is informed by my career in the non-profit sector. Life can feel overwhelming and I have a deep understanding of the uncertainty and complexities of life. I love working with each client to discover the best way forward based on their unique needs and circumstances. It takes courage to ask for support whether you’re dealing with anxiety, stress, grief, depression, chronic pain, anger, irritability, or low self-esteem.
I support people through the challenging phases of their lives using a trauma-informed, culturally-responsive, collaborative, action-oriented approach that is informed by my career in the non-profit sector. Life can feel overwhelming and I have a deep understanding of the uncertainty and complexities of life. I love working with each client to discover the best way forward based on their unique needs and circumstances. It takes courage to ask for support whether you’re dealing with anxiety, stress, grief, depression, chronic pain, anger, irritability, or low self-esteem.
(782) 222-4978 View (782) 222-4978
Photo of Tarah Wright, Pre-Licensed Professional, BES, MES, PhD
Tarah Wright
Pre-Licensed Professional, BES, MES, PhD
1 Endorsed
Dartmouth, NS B2Y
I work with youth and adults experiencing anxiety, depression, grief and life transitions. I have expertise in ecological anxiety and and feelings related to climate change and global uncertainty. Many clients come to therapy seeking support to better understand themselves, manage difficult emotions, and reconnect with meaning, balance, and hope.
I work with youth and adults experiencing anxiety, depression, grief and life transitions. I have expertise in ecological anxiety and and feelings related to climate change and global uncertainty. Many clients come to therapy seeking support to better understand themselves, manage difficult emotions, and reconnect with meaning, balance, and hope.
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Photo of Michelle Labine, Counsellor, PhD, RP, RCT
Michelle Labine
Counsellor, PhD, RP, RCT
36 Endorsed
Online Only
Many of the couples I work with have built successful lives on the outside, yet privately feel exhausted, disconnected, overwhelmed, or stuck in recurring patterns that leave them feeling misunderstood. You may be navigating the demands of a career, leadership role, caregiving responsibilities, a long-term relationship, or a significant life transition while struggling to maintain the connection you both want. I have a particular interest in working with neurodivergent relationships where one or both partners identify as autistic, ADHD, or otherwise neurodivergent.
Many of the couples I work with have built successful lives on the outside, yet privately feel exhausted, disconnected, overwhelmed, or stuck in recurring patterns that leave them feeling misunderstood. You may be navigating the demands of a career, leadership role, caregiving responsibilities, a long-term relationship, or a significant life transition while struggling to maintain the connection you both want. I have a particular interest in working with neurodivergent relationships where one or both partners identify as autistic, ADHD, or otherwise neurodivergent.
(249) 209-1102 View (249) 209-1102
Photo of April MacLeod, Registered Counselling Therapist-Candidate, MACP, 2025, RCT-C
April MacLeod
Registered Counselling Therapist-Candidate, MACP, 2025, RCT-C
2 Endorsed
Bedford, NS B4A
It's common to feel overwhelmed by life's challenges, but you do not have to navigate them alone. Maybe you're feeling lost, stuck in old patterns, or simply not as happy as you could be. I offer a collaborative space where you can bring your whole self, without pressure to be anything but who you are. My approach is IFS-informed and compassion-focused, allowing us to gently work with the different parts of you and how they influence your life today.
It's common to feel overwhelmed by life's challenges, but you do not have to navigate them alone. Maybe you're feeling lost, stuck in old patterns, or simply not as happy as you could be. I offer a collaborative space where you can bring your whole self, without pressure to be anything but who you are. My approach is IFS-informed and compassion-focused, allowing us to gently work with the different parts of you and how they influence your life today.
(782) 825-5224 View (782) 825-5224
Photo of Sarah Keating, Counsellor, RCT-C, AT
Sarah Keating
Counsellor, RCT-C, AT
2 Endorsed
Serves Area
Are you feeling disconnected from yourself, your relationships, or your purpose? Maybe you’ve experienced a loss, are navigating a transition, or are curious about how past experiences may be shaping your life today. My compassionate, person-centred approach blends Art Therapy, Talk Therapy and Somatics to support the complex, and sometimes conflicting, emotions that come with being human. Rooted in a background in Neuroscience, my approach recognizes the powerful connection between the brain and body. I deeply believe in your innate capacity to heal and grow, and always honour that you are the expert in your own life.
Are you feeling disconnected from yourself, your relationships, or your purpose? Maybe you’ve experienced a loss, are navigating a transition, or are curious about how past experiences may be shaping your life today. My compassionate, person-centred approach blends Art Therapy, Talk Therapy and Somatics to support the complex, and sometimes conflicting, emotions that come with being human. Rooted in a background in Neuroscience, my approach recognizes the powerful connection between the brain and body. I deeply believe in your innate capacity to heal and grow, and always honour that you are the expert in your own life.
(782) 830-5576 View (782) 830-5576
Photo of Ivonne Lachapelle - Couples Counselling & Therapy Halifax, Counsellor, CCC
Do you sense your relationship needs renewal or feel anxious about its future? Whether you are struggling with communication, healing from infidelity, or feeling a deep disconnect, this can change. With 10 years experience, I use the Gottman Method. You will learn skills to use right away to improve communication and rediscover intimacy. Clients often share they leave sessions feeling clearer and more hopeful. You don't have to remain uncertain. There is a clear way forward. With the right skills, your relationship can thrive.
Do you sense your relationship needs renewal or feel anxious about its future? Whether you are struggling with communication, healing from infidelity, or feeling a deep disconnect, this can change. With 10 years experience, I use the Gottman Method. You will learn skills to use right away to improve communication and rediscover intimacy. Clients often share they leave sessions feeling clearer and more hopeful. You don't have to remain uncertain. There is a clear way forward. With the right skills, your relationship can thrive.
(902) 608-9353 View (902) 608-9353
Photo of Danielle Comeau, Counsellor, MA, RCT, CCC
Danielle Comeau
Counsellor, MA, RCT, CCC
4 Endorsed
Halifax, NS B3K
Have you been to therapy before and not had the results you were hoping for? You may have insight into some areas of your troubles, but that insight alone hasn’t been enough. I offer therapy that focuses on internal emotional processes, not how you can change your thinking, but how something can feel different in the moment. Therapy will feel like a corrective emotional experience, where we can work together to notice how your unconscious processes are shaping your experiences in the here and now. I will help you experience emotions safely, regulate your anxiety, and turn against your ways of coping that are keeping you stuck.
Have you been to therapy before and not had the results you were hoping for? You may have insight into some areas of your troubles, but that insight alone hasn’t been enough. I offer therapy that focuses on internal emotional processes, not how you can change your thinking, but how something can feel different in the moment. Therapy will feel like a corrective emotional experience, where we can work together to notice how your unconscious processes are shaping your experiences in the here and now. I will help you experience emotions safely, regulate your anxiety, and turn against your ways of coping that are keeping you stuck.
(782) 800-0941 View (782) 800-0941
Photo of Elizabeth Ann Nadalini - Therapy by the Sea, Counsellor
Therapy by the Sea
Counsellor
1 Endorsed
Halifax, NS B3M
I am a seasoned counselling Professional with 15 plus years clinical experience and offer an eclectic approach in my wellness practice. I am registered with NSCCT, a certified Psychotherapist with CCPA and Masters level trained in Counselling.
I am a seasoned counselling Professional with 15 plus years clinical experience and offer an eclectic approach in my wellness practice. I am registered with NSCCT, a certified Psychotherapist with CCPA and Masters level trained in Counselling.
(902) 201-9405 View (902) 201-9405
Photo of Irene Gunn, Registered Social Worker, MMT, RSW, MSW, MDiv, MTS
Irene Gunn
Registered Social Worker, MMT, RSW, MSW, MDiv, MTS
3 Endorsed
Truro, NS B2N
Are you struggling with racing thoughts, constant worry & fear about what's next in these stressful and uncertain times? Are you struggling with grief over the loss of loved ones and feeling alone and unable to move forward? Are you looking to build energy, manage you sleep, and get past feelings of doom and gloom? Are you finding your relationship with your intimate partner feeling uncertain & filled with conflicts? Getting the motivation to make change can be difficult yet you know that carrying on with such unhappiness is not the way to a meaningful life. I understand life's stressors & I applaud your courage to reach out.
Are you struggling with racing thoughts, constant worry & fear about what's next in these stressful and uncertain times? Are you struggling with grief over the loss of loved ones and feeling alone and unable to move forward? Are you looking to build energy, manage you sleep, and get past feelings of doom and gloom? Are you finding your relationship with your intimate partner feeling uncertain & filled with conflicts? Getting the motivation to make change can be difficult yet you know that carrying on with such unhappiness is not the way to a meaningful life. I understand life's stressors & I applaud your courage to reach out.
(902) 201-8706 View (902) 201-8706
Photo of Michael Coleman, Registered Counselling Therapist-Candidate, RCT-C, MACP
Michael Coleman
Registered Counselling Therapist-Candidate, RCT-C, MACP
7 Endorsed
Bedford, NS B4B
From the outside, your life looks successful. You've built a career, grown a business, led a team, and become someone others rely on. You solve problems, make difficult decisions, and carry responsibilities that few people fully understand. Lately, though, work may be taking more out of you than it used to. You're working longer hours, feeling more exhausted, less patient, and less present with the people you care about. You may feel disconnected, stuck, or as though you've lost touch with yourself somewhere along the way. Success looks good on paper, but it no longer feels the way you expected it would.
From the outside, your life looks successful. You've built a career, grown a business, led a team, and become someone others rely on. You solve problems, make difficult decisions, and carry responsibilities that few people fully understand. Lately, though, work may be taking more out of you than it used to. You're working longer hours, feeling more exhausted, less patient, and less present with the people you care about. You may feel disconnected, stuck, or as though you've lost touch with yourself somewhere along the way. Success looks good on paper, but it no longer feels the way you expected it would.
(782) 223-4921 View (782) 223-4921
Photo of Regina Raymakers, Counsellor, MEd, RCT-C, CCC
Regina Raymakers
Counsellor, MEd, RCT-C, CCC
2 Endorsed
Bedford, NS B4B
My goal is to provide people with a safe, welcoming and non-judgmental environment. I want to encourage people to have autonomy over their lives and the decisions they make. I feel that my personality allows me to easily and quickly, form strong therapeutic relationships. I am energetic, creative and flexible, making it easy to work with younger children as well as adults.
My goal is to provide people with a safe, welcoming and non-judgmental environment. I want to encourage people to have autonomy over their lives and the decisions they make. I feel that my personality allows me to easily and quickly, form strong therapeutic relationships. I am energetic, creative and flexible, making it easy to work with younger children as well as adults.
(782) 824-0258 View (782) 824-0258
Photo of Marlene Johns, Counsellor, MEd , RCT, CCC
Marlene Johns
Counsellor, MEd , RCT, CCC
1 Endorsed
Bedford, NS B4A
Marlene Johns is a Registered Counselling Therapist who works with adults, young clients (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 (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 Karen Johnston, Registered Counselling Therapist, MEdPsyc, RCT, CCC, CCS, PRO-EFW
Karen Johnston
Registered Counselling Therapist, MEdPsyc, RCT, CCC, CCS, PRO-EFW
5 Endorsed
Bedford, NS B4B
Are you seeking a supportive and compassionate space to explore personal challenges, emotional concerns, or mental health needs? Perhaps you are looking to strengthen personal relationships, improve family communication, enhance couple dynamics, or elevate your equestrian performance. Karen brings a wealth of expertise and a well-rounded, informed perspective to her practice. She is a PRO-Equine Facilitated Wellness Therapist and a Licensed Equestrian Canada coach. Her extensive professional background includes roles as a Teacher, Vice-Principal, Principal, School Counsellor, Registered Counselling Therapist, and Clinical Supervisor
Are you seeking a supportive and compassionate space to explore personal challenges, emotional concerns, or mental health needs? Perhaps you are looking to strengthen personal relationships, improve family communication, enhance couple dynamics, or elevate your equestrian performance. Karen brings a wealth of expertise and a well-rounded, informed perspective to her practice. She is a PRO-Equine Facilitated Wellness Therapist and a Licensed Equestrian Canada coach. Her extensive professional background includes roles as a Teacher, Vice-Principal, Principal, School Counsellor, Registered Counselling Therapist, and Clinical Supervisor
(782) 400-6431 View (782) 400-6431
Photo of Kevin Alexander Fraser - Alexander Wellness Consulting, Registered Social Worker, MSW, RSW
Alexander Wellness Consulting
Registered Social Worker, MSW, RSW
Serves Area
Currently Accepting New Clients. Specializing in Couples, Addiction and Anxiety. I bring to my practice a welcoming and friendly personal style that puts clients at ease allowing them to communicate their needs and goals within a safe non-judgmental atmosphere. I worked in many clinical health care settings before venturing into private practice, which has brought into my work a well- breadth of clinical experience, including a wide array of therapeutic approaches, that I have successfully integrated while working with with hundreds of clients over the past 26 plus years.
Currently Accepting New Clients. Specializing in Couples, Addiction and Anxiety. I bring to my practice a welcoming and friendly personal style that puts clients at ease allowing them to communicate their needs and goals within a safe non-judgmental atmosphere. I worked in many clinical health care settings before venturing into private practice, which has brought into my work a well- breadth of clinical experience, including a wide array of therapeutic approaches, that I have successfully integrated while working with with hundreds of clients over the past 26 plus years.
(604) 260-2041 View (604) 260-2041
Photo of Savannah Champagne, Counsellor, MA, RCT
Savannah Champagne
Counsellor, MA, RCT
1 Endorsed
Dartmouth, NS B3B
Everyone’s journey to overall wellness will be unique. My goal is always to provide a warm, safe, supportive space for my clients, so you feel comfortable navigating your own journey of growth and self-discovery. I support teens, adults, and couples, who struggle with a range of issues including anxiety, depression, addiction, trauma, and more. I aim to provide judgment-free support while we navigate your unique journey together.
Everyone’s journey to overall wellness will be unique. My goal is always to provide a warm, safe, supportive space for my clients, so you feel comfortable navigating your own journey of growth and self-discovery. I support teens, adults, and couples, who struggle with a range of issues including anxiety, depression, addiction, trauma, and more. I aim to provide judgment-free support while we navigate your unique journey together.
(782) 820-4080 View (782) 820-4080

How does your Counsellor compare?

Number of Counsellors in Gays River, NS

< 10

Counsellors in Gays River, NS who prioritize treating:

100% ADHD
100% Depression
100% Anxiety
100% Sex Therapy
100% Trauma and PTSD
100% Substance Use
100% Anger Management

Top 3 insurances accepted

100% TELUS Health
100% Medavie Blue Cross
100% Desjardins

How Counsellors in Gays River, NS see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Gays River?

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.