Therapists in Head of St Margarets Bay, NS

Photo of Amanda Williams, Registered Counselling Therapist-Candidate, MA, RCT-C, BEd
Amanda Williams
Registered Counselling Therapist-Candidate, MA, RCT-C, BEd
2 Endorsed
Online Only
Do you struggle with anxiety, depression, grief, or a loss of a sense of self, that affects your ability to positively regard who you are and your purpose? Do you feel exhausted, overwhelmed, alone or stressed by life's responsibilities, like responding to emails, transitions either from work to home or school? Do you wonder if your sense of self could be better fostered through your ability to deal with these challenges? Now more than ever, all people, are feeling a heightened sense of anxiousness, fatigue and pressure to make ends meet while maintaining healthy relationships and meeting society's expectations.
Do you struggle with anxiety, depression, grief, or a loss of a sense of self, that affects your ability to positively regard who you are and your purpose? Do you feel exhausted, overwhelmed, alone or stressed by life's responsibilities, like responding to emails, transitions either from work to home or school? Do you wonder if your sense of self could be better fostered through your ability to deal with these challenges? Now more than ever, all people, are feeling a heightened sense of anxiousness, fatigue and pressure to make ends meet while maintaining healthy relationships and meeting society's expectations.
(782) 400-0568 View (782) 400-0568
Photo of Dani Kerr - KerrFitMind Counselling & Fitness - Dani Kerr, Registered Counselling Therapist-Candidate, MEd, PTS
KerrFitMind Counselling & Fitness - Dani Kerr
Registered Counselling Therapist-Candidate, MEd, PTS
4 Endorsed
Waitlist for new clients
Guided by my lived experience as a former NCAA D1 athlete and AuDHD therapist, I work with athletes, neurodivergent folks and those seeking clarity, direction, and purpose. With a future-focused lens, I believe our growth comes from exploring the meaning behind our experiences, how they shape who we are, the ways we connect and how we pursue what matters most to us. In therapy, I work alongside clients in the here-and-now to uncover the how and why beneath their patterns, to make sense of their inner world within the systems they exist within, and to move forward with clarity and confidence.
Guided by my lived experience as a former NCAA D1 athlete and AuDHD therapist, I work with athletes, neurodivergent folks and those seeking clarity, direction, and purpose. With a future-focused lens, I believe our growth comes from exploring the meaning behind our experiences, how they shape who we are, the ways we connect and how we pursue what matters most to us. In therapy, I work alongside clients in the here-and-now to uncover the how and why beneath their patterns, to make sense of their inner world within the systems they exist within, and to move forward with clarity and confidence.
(782) 800-6781 View (782) 800-6781

More Therapists Nearby

Photo of Amiee Wilson - Amiee Wilson Counselling, Counsellor, BIS, MACP, RHN, CCC, RCT
Amiee Wilson Counselling
Counsellor, BIS, MACP, RHN, CCC, RCT
3 Endorsed
Online Only
You may be someone who experiences anxiety alongside a sense of feeling lost or unsure of your place or direction in life. Your body may be part of this story, through digestive concerns, ongoing health challenges, or persistent stress. You’re searching for understanding and meaning, even if you don’t yet have words for it, and you’re looking for support that can gently hold the whole picture.
You may be someone who experiences anxiety alongside a sense of feeling lost or unsure of your place or direction in life. Your body may be part of this story, through digestive concerns, ongoing health challenges, or persistent stress. You’re searching for understanding and meaning, even if you don’t yet have words for it, and you’re looking for support that can gently hold the whole picture.
(902) 903-6390 View (902) 903-6390
Photo of Ayan Ismail, Registered Social Worker, MSW, RSW
Ayan Ismail
Registered Social Worker, MSW, RSW
2 Endorsed
Halifax, NS B3K
Are you ready to take the first step toward healing and a healthier, more balanced life? I work with individuals facing anxiety, low self-esteem, stress, or relationship difficulties, providing a safe, non-judgmental space to explore emotions and heal from past trauma. With personalized, culturally sensitive support and practical tools, I help build emotional resilience and manage life’s challenges. Together, we work toward improving mental health, boosting self-confidence, and cultivating healthier relationships, all while fostering personal growth and balance.
Are you ready to take the first step toward healing and a healthier, more balanced life? I work with individuals facing anxiety, low self-esteem, stress, or relationship difficulties, providing a safe, non-judgmental space to explore emotions and heal from past trauma. With personalized, culturally sensitive support and practical tools, I help build emotional resilience and manage life’s challenges. Together, we work toward improving mental health, boosting self-confidence, and cultivating healthier relationships, all while fostering personal growth and balance.
(782) 800-8368 View (782) 800-8368
Photo of Ashley Bishop Lapierre, Psychologist, MSc, RPsych, PMH-C
Ashley Bishop Lapierre
Psychologist, MSc, RPsych, PMH-C
3 Endorsed
Online Only
Women's Mental Health is my jam! Women receive so many messages about how we "should" be/act/look... We often internalize these unrealistic and patriarchal standards, and can be left feeling like a failure when we inevitably do not measure up. No wonder so many women and moms feel stressed, burnt out, inadequate, and worthless! How do we cope? We beat ourselves up because we believe we are the problem. Many of us develop a strong inner critic and unhelpful habits to cope with the pressure and the sense of failure. I promise you that you are not a failure - society has failed you.
Women's Mental Health is my jam! Women receive so many messages about how we "should" be/act/look... We often internalize these unrealistic and patriarchal standards, and can be left feeling like a failure when we inevitably do not measure up. No wonder so many women and moms feel stressed, burnt out, inadequate, and worthless! How do we cope? We beat ourselves up because we believe we are the problem. Many of us develop a strong inner critic and unhelpful habits to cope with the pressure and the sense of failure. I promise you that you are not a failure - society has failed you.
(587) 840-4075 View (587) 840-4075
Photo of Angela Malcolm - Cole Harbour Chiropractic & Wellness , Registered Social Worker, MA, MSW
Cole Harbour Chiropractic & Wellness
Registered Social Worker, MA, MSW
Cole Harbour, NS B2V
Counselling Therapy with Angela Malcolm or Vivien Marira. Angela has over 15 years of experience working with adolescents, adults, and families providing assessments, crisis counselling, and intervention. Her practice includes parent/child relationships, couples counselling, anxiety, adjustment, trauma, substance abuse and eating disorders. Vivien is a compassionate and insightful therapist who brings over a decade of experience to her work with individuals and families. With a BA in Psychology and a Master’s in Marriage/Family Counselling she has profound understanding of human relationships, emotional development and trauma.
Counselling Therapy with Angela Malcolm or Vivien Marira. Angela has over 15 years of experience working with adolescents, adults, and families providing assessments, crisis counselling, and intervention. Her practice includes parent/child relationships, couples counselling, anxiety, adjustment, trauma, substance abuse and eating disorders. Vivien is a compassionate and insightful therapist who brings over a decade of experience to her work with individuals and families. With a BA in Psychology and a Master’s in Marriage/Family Counselling she has profound understanding of human relationships, emotional development and trauma.
(782) 212-0249 View (782) 212-0249
Photo of Erica Baker-Gagnon - Diverse Roots Therapy, Counsellor, RCT, MSc
Diverse Roots Therapy
Counsellor, RCT, MSc
5 Endorsed
Dartmouth, NS B2Y
We are a group of RCTs (Registered Counselling Therapists), RCT-Cs (Registered Counselling Therapist Candidates), Social Workers and students completing practicum placements, all with a passion to serve the LGBTQIA2S+ community. More info can be found at: diverserootstherapy dot com.
We are a group of RCTs (Registered Counselling Therapists), RCT-Cs (Registered Counselling Therapist Candidates), Social Workers and students completing practicum placements, all with a passion to serve the LGBTQIA2S+ community. More info can be found at: diverserootstherapy dot com.
(902) 901-5692 View (902) 901-5692
Photo of Jo Termeer, Pre-Licensed Professional, B.A
Jo Termeer
Pre-Licensed Professional, B.A
1 Endorsed
Online Only
I provide treatment for a range of concerns including anxiety-related disorders, obsessive-compulsive disorder, depression, insomnia and other sleep-related concerns. I am currently completing my PhD in Clinical Psychology and completed my pre-doctoral residency with the Clinical Health Psychology Residency Program in Winnipeg, Manitoba.
I provide treatment for a range of concerns including anxiety-related disorders, obsessive-compulsive disorder, depression, insomnia and other sleep-related concerns. I am currently completing my PhD in Clinical Psychology and completed my pre-doctoral residency with the Clinical Health Psychology Residency Program in Winnipeg, Manitoba.
(639) 638-3096 View (639) 638-3096
Photo of Jeff MacDonald, Counsellor, RCT, CCC
Jeff MacDonald
Counsellor, RCT, CCC
2 Endorsed
Dartmouth, NS B2Y
Life is filled with struggles and challenges and they can seem difficult to overcome or even meet. Counselling helps people recognise the strengths that they already have to not only address life's challenges, but come out the other side stronger.
Life is filled with struggles and challenges and they can seem difficult to overcome or even meet. Counselling helps people recognise the strengths that they already have to not only address life's challenges, but come out the other side stronger.
(782) 312-0193 View (782) 312-0193
Photo of Katrina Enserink, Clinical Social Work/Therapist, MSW, BSW, RSW
Katrina Enserink
Clinical Social Work/Therapist, MSW, BSW, RSW
Bedford, NS B4B
Many of the individuals I support are experiencing a sense of overwhelm, exhaustion, or disconnection, and often describe feeling "stuck" in certain patterns of thought, emotion, behavior, or relationship. You may be navigating stress, anxiety, trauma, grief, life transitions, relationship challenges, or substance-use concerns. If this resonates, you aren't alone, and working with the right therapist can help. Therapy with me is first and foremost about connection; a space where your experiences are honored, and where growth happens through collaboration.
Many of the individuals I support are experiencing a sense of overwhelm, exhaustion, or disconnection, and often describe feeling "stuck" in certain patterns of thought, emotion, behavior, or relationship. You may be navigating stress, anxiety, trauma, grief, life transitions, relationship challenges, or substance-use concerns. If this resonates, you aren't alone, and working with the right therapist can help. Therapy with me is first and foremost about connection; a space where your experiences are honored, and where growth happens through collaboration.
(782) 608-3175 View (782) 608-3175
Photo of Julia Smith - Insight Mental Health Counselling, Counsellor, MEd, RCT, CCC
Insight Mental Health Counselling
Counsellor, MEd, RCT, CCC
1 Endorsed
Online Only
Hi, we’re Jane Donovan and Jules Smith, therapists at Insight. We work with teens, adults, and couples navigating identity and relationship challenges. As experienced therapists, we create a supportive space where you can explore who you are, improve communication, and build meaningful connections. Whether you're feeling stuck, seeking clarity, or ready for a change, we’re here to help with compassion and care.
Hi, we’re Jane Donovan and Jules Smith, therapists at Insight. We work with teens, adults, and couples navigating identity and relationship challenges. As experienced therapists, we create a supportive space where you can explore who you are, improve communication, and build meaningful connections. Whether you're feeling stuck, seeking clarity, or ready for a change, we’re here to help with compassion and care.
(782) 202-0100 View (782) 202-0100
Photo of Rebecca MacLean, Counsellor, BA, MACP, RCT-C
Rebecca MacLean
Counsellor, BA, MACP, RCT-C
1 Endorsed
Hello! I'm Rebecca and I appreciate your interest in my counselling profile. As a neurodivergent therapist, I work well with early adolescent and young adult clients from ages 9 - 35. However, I welcome anyone outside of that age group as long as I can meet their counselling needs. This can include depression, anxiety, disordered eating, processing past trauma, and navigating social challenges. Some common discussion points may be emotion and behaviour regulation, school and family life, social relationships, self image, and lifestyle wellness.
Hello! I'm Rebecca and I appreciate your interest in my counselling profile. As a neurodivergent therapist, I work well with early adolescent and young adult clients from ages 9 - 35. However, I welcome anyone outside of that age group as long as I can meet their counselling needs. This can include depression, anxiety, disordered eating, processing past trauma, and navigating social challenges. Some common discussion points may be emotion and behaviour regulation, school and family life, social relationships, self image, and lifestyle wellness.
(782) 824-3831 View (782) 824-3831
Photo of Andrea Titterness, Counsellor, BA, MA, PhD, RCT-C
Andrea Titterness
Counsellor, BA, MA, PhD, RCT-C
Dartmouth, NS B2Y
Andrea approaches her work with a compassionate and empathetic mindset, understanding that every individual has unique strengths and sometimes needs a helping hand to navigate life’s challenges. She is dedicated to creating a welcoming, supportive, and collaborative environment where clients can feel safe to engage in open and meaningful discussions.‍ Andrea draws from various modalities including acceptance and commitment therapy (ACT), emotionally focused therapy (EFT), emotionally focused individual therapy (EFIT), internal family systems therapy (IFS), and is in the process of completing EMDR basic training.
Andrea approaches her work with a compassionate and empathetic mindset, understanding that every individual has unique strengths and sometimes needs a helping hand to navigate life’s challenges. She is dedicated to creating a welcoming, supportive, and collaborative environment where clients can feel safe to engage in open and meaningful discussions.‍ Andrea draws from various modalities including acceptance and commitment therapy (ACT), emotionally focused therapy (EFT), emotionally focused individual therapy (EFIT), internal family systems therapy (IFS), and is in the process of completing EMDR basic training.
(782) 222-6423 x125 View (782) 222-6423 x125
Photo of Krystle Annand, Counsellor, BA, MACT, RCT
Krystle Annand
Counsellor, BA, MACT, RCT
2 Endorsed
Bedford, NS B4B
Krystle is a Registered Counselling Therapist. She obtained her Bachelor of Arts degree from Saint Mary’s University and a Masters of Arts in Counselling Psychology degree from Yorkville University. She is passionate about helping people develop self-awareness around recurring issues that make them feel stuck and guiding clients to navigate forward with resolution. She is client centered and eclectic in her approach to counselling clients. Krystle has specialized training with focusing on anxiety and trauma.
Krystle is a Registered Counselling Therapist. She obtained her Bachelor of Arts degree from Saint Mary’s University and a Masters of Arts in Counselling Psychology degree from Yorkville University. She is passionate about helping people develop self-awareness around recurring issues that make them feel stuck and guiding clients to navigate forward with resolution. She is client centered and eclectic in her approach to counselling clients. Krystle has specialized training with focusing on anxiety and trauma.
(782) 825-6856 View (782) 825-6856
Photo of Cameron Upton, Counsellor, BSW, MACP, RCT-C, CCC
Cameron Upton
Counsellor, BSW, MACP, RCT-C, CCC
1 Endorsed
Online Only
My goal is to provide a space where you can show up authentically, exactly as you are, and feel affirmed in that. I believe that building a strong therapeutic relationship is paramount for deepening our work together so if you'd like to show up in pajamas, be cozy! If you'd like to eat during session, snack away. If you'd prefer to walk or move around in session, feel free to do so. If you want to curse during session, I'm all for it! My focus is supporting 2SLGBTQ+ folks and allies (15+) and I strive to provide an accepting space for Neurodiverse, Poly, SW, BIPOC folks (and more).
My goal is to provide a space where you can show up authentically, exactly as you are, and feel affirmed in that. I believe that building a strong therapeutic relationship is paramount for deepening our work together so if you'd like to show up in pajamas, be cozy! If you'd like to eat during session, snack away. If you'd prefer to walk or move around in session, feel free to do so. If you want to curse during session, I'm all for it! My focus is supporting 2SLGBTQ+ folks and allies (15+) and I strive to provide an accepting space for Neurodiverse, Poly, SW, BIPOC folks (and more).
(782) 824-2803 View (782) 824-2803
Photo of Tracy E Reynolds, Counsellor, MACP, MM
Tracy E Reynolds
Counsellor, MACP, MM
2 Endorsed
Bedford, NS B4B
Are you experiencing anxiety and finding it difficult to calm your body and mind? Are trying to navigate your way through traumatic life events? Have you experienced a loss of a loved one, a relationship, a job or are struggling to navigate other losses in your life? Are you are looking for coping strategies to help get you through your day?
Are you experiencing anxiety and finding it difficult to calm your body and mind? Are trying to navigate your way through traumatic life events? Have you experienced a loss of a loved one, a relationship, a job or are struggling to navigate other losses in your life? Are you are looking for coping strategies to help get you through your day?
(782) 222-5359 View (782) 222-5359
Photo of Taylor Armstrong, MA, RCT, CCC
Taylor Armstrong
Verified Verified
6 Endorsed
Bedford, NS B4A
I work with individuals and couples (18+). I help people seeking to understand or change their relationship with substances, which can include reducing their use or exploring sobriety. I also work with couples (all relationship structures) experiencing high conflict, feeling disconnected, stuck or more like roommates. My work with individuals and couples also includes managing perfectionism and self-criticism, anxiety, stress and burnout, navigating complex relationship or family dynamics including coparenting, step-parenting and blended families.
I work with individuals and couples (18+). I help people seeking to understand or change their relationship with substances, which can include reducing their use or exploring sobriety. I also work with couples (all relationship structures) experiencing high conflict, feeling disconnected, stuck or more like roommates. My work with individuals and couples also includes managing perfectionism and self-criticism, anxiety, stress and burnout, navigating complex relationship or family dynamics including coparenting, step-parenting and blended families.
(782) 201-0209 View (782) 201-0209
Photo of Shirley Karseboom - Solutions Psychological Services, Psychologist, PhD
Solutions Psychological Services
Psychologist, PhD
Serves Area
Struggling with issues such as anxiety, depression, trauma, or relationship difficulties? Overwhelmed by stress, uncertainty, or a lack of direction in life? Want to understand yourself better, develop healthier coping strategies, and build resilience in the face of adversity? Seeking support to improve your relationships, whether it's with your partner, family members, or friends? Reach out today to embark on a journey of self-discovery and transformation Your well-being is my priority.
Struggling with issues such as anxiety, depression, trauma, or relationship difficulties? Overwhelmed by stress, uncertainty, or a lack of direction in life? Want to understand yourself better, develop healthier coping strategies, and build resilience in the face of adversity? Seeking support to improve your relationships, whether it's with your partner, family members, or friends? Reach out today to embark on a journey of self-discovery and transformation Your well-being is my priority.
(587) 812-4759 View (587) 812-4759
Photo of Nic Chanway, Counsellor, MEd, RCT-C, CCC
Nic Chanway
Counsellor, MEd, RCT-C, CCC
4 Endorsed
Dartmouth, NS B3A
I am passionate about supporting people who want to create joy in their lives. My practice is rooted in the knowledge that many symptoms are coping mechanisms that helped us to get through past pain. There is another way forward that breaks the patterns of old survival strategies and allows us choice and relief. Whatever it is that you are facing, I can offer a warm and nonjudgmental space for you to process what hurts and move toward healing. Through our work together, we will write a new story that will support you to experience life in the way you hope to.
I am passionate about supporting people who want to create joy in their lives. My practice is rooted in the knowledge that many symptoms are coping mechanisms that helped us to get through past pain. There is another way forward that breaks the patterns of old survival strategies and allows us choice and relief. Whatever it is that you are facing, I can offer a warm and nonjudgmental space for you to process what hurts and move toward healing. Through our work together, we will write a new story that will support you to experience life in the way you hope to.
(782) 400-6422 View (782) 400-6422
Photo of Chris Paul, Registered Counselling Therapist-Candidate, RCT-C
Chris Paul
Registered Counselling Therapist-Candidate, RCT-C
2 Endorsed
Dartmouth, NS B2Y
Have you considered therapy, but been put off because of stigma, or judgement from others, or maybe even from yourself? Well you're not alone. But you don't have to start your mental health journey alone, either! With a client oriented therapist you can begin to understand your mental health needs in a way that centers your experiences, emotions, and goals in a positive and empathetic way. Whether it's depression, anxiety, neurodivergence or just trying to figure yourself out, I am here to help in a way that makes sense to YOU.
Have you considered therapy, but been put off because of stigma, or judgement from others, or maybe even from yourself? Well you're not alone. But you don't have to start your mental health journey alone, either! With a client oriented therapist you can begin to understand your mental health needs in a way that centers your experiences, emotions, and goals in a positive and empathetic way. Whether it's depression, anxiety, neurodivergence or just trying to figure yourself out, I am here to help in a way that makes sense to YOU.
(782) 201-3778 View (782) 201-3778

How does your Counsellor compare?

Number of Counsellors in Head of St Margarets Bay, NS

< 10

Counsellors in Head of St Margarets Bay, NS who prioritize treating:

100% Relationship Issues
100% Anxiety
100% Trauma and PTSD
100% Self Esteem
100% Life Transitions
100% Stress
100% Social Anxiety

Average years in practice

4 Years

Top 3 insurances accepted

50% Blue Cross
50% Manulife
50% TELUS Health

How Counsellors in Head of St Margarets Bay, NS see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Head of St Margarets Bay?

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.