Therapists in Middleton, NS

Photo of Lisa Lynn Smith, Counsellor, MACP, RCT-C
Lisa Lynn Smith
Counsellor, MACP, RCT-C
Middleton, NS B0S
Lisa values a client centred and strength based approach to therapy. She strives to provide a safe and supportive environment for clients.
Lisa values a client centred and strength based approach to therapy. She strives to provide a safe and supportive environment for clients.
(902) 893-3991 x401 View (902) 893-3991 x401
Photo of Jenn Smith - Jenn Smith Counselling, Counsellor, MA, RCT, CCC
Jenn Smith Counselling
Counsellor, MA, RCT, CCC
2 Endorsed
Serves Area
I offer support to women experiencing symptoms from trauma/PTSD, depression, anxiety, grief and loss. If you are finding times of transition (marriage/divorce/empty nest/peri-menopause/menopause) challenging or you are feeling stuck, lonely or unfulfilled, then I welcome the chance to listen and support you in moving forward. Together, we can look at issues and choose the tools/techniques that will cause healthy change and balance.
I offer support to women experiencing symptoms from trauma/PTSD, depression, anxiety, grief and loss. If you are finding times of transition (marriage/divorce/empty nest/peri-menopause/menopause) challenging or you are feeling stuck, lonely or unfulfilled, then I welcome the chance to listen and support you in moving forward. Together, we can look at issues and choose the tools/techniques that will cause healthy change and balance.
(902) 907-5430 View (902) 907-5430
Photo of Nigel Tinker, Counsellor, MEd, RCT, CCC
Nigel Tinker
Counsellor, MEd, RCT, CCC
3 Endorsed
Serves Area
You struggle with difficult thoughts, memories, feelings, sensations, and urges that can negatively impact your relationships, work, school, and overall well-being. Whether you're feeling anxious, low, stressed, uncertain, disconnected, or simply not yourself, you don't have to navigate life's challenges alone. Regardless of your situation or the difficulties you face, as a collaborative, trauma-informed, and strengths-oriented therapist, my focus is helping you struggle less difficulties and challenges, so you can focus on being the person you truly want to be.
You struggle with difficult thoughts, memories, feelings, sensations, and urges that can negatively impact your relationships, work, school, and overall well-being. Whether you're feeling anxious, low, stressed, uncertain, disconnected, or simply not yourself, you don't have to navigate life's challenges alone. Regardless of your situation or the difficulties you face, as a collaborative, trauma-informed, and strengths-oriented therapist, my focus is helping you struggle less difficulties and challenges, so you can focus on being the person you truly want to be.
(902) 909-2691 View (902) 909-2691

More Therapists Nearby

Photo of Cheryl Oxford, Psychologist, MSc, R#1132, RYT
Cheryl Oxford
Psychologist, MSc, R#1132, RYT
Serves Area
At Deep Dive Trauma & Recovery, Registered Clinical Psychologist Cheryl Oxford provides trauma recovery & psychological services to adult clients 19 years or older. She works collaboratively with clients to increase self-awareness, explore & process the roots of their concerns, & achieve greater wellness. Her integrative approach combines evidence-based techniques with complementary practices that support mental, emotional, social, spiritual, and physical health.
At Deep Dive Trauma & Recovery, Registered Clinical Psychologist Cheryl Oxford provides trauma recovery & psychological services to adult clients 19 years or older. She works collaboratively with clients to increase self-awareness, explore & process the roots of their concerns, & achieve greater wellness. Her integrative approach combines evidence-based techniques with complementary practices that support mental, emotional, social, spiritual, and physical health.
(866) 859-3170 View (866) 859-3170
Photo of Kimberly Anne Nelson - Hope and Strength From Within Counselling Services, MEd, CCC, RCT-C, RYT
Hi, my name is Kim Nelson. Have you noticed how life presents challenges in a multitude of ways? You may be dealing with anxiety, depression, post-pandemic issues, grief, or a critical illness diagnosis. If you would like to delve into the art of self-discovery: getting to know yourself well, let's connect. I offer therapeutic modalities to suit your specific needs: EMDR, CBT, compassion, solution-focused, mindfulness or yoga. I would welcome the opportunity to journey through any difficulties you a experiencing with the goal of moving forward in a positive way.
Hi, my name is Kim Nelson. Have you noticed how life presents challenges in a multitude of ways? You may be dealing with anxiety, depression, post-pandemic issues, grief, or a critical illness diagnosis. If you would like to delve into the art of self-discovery: getting to know yourself well, let's connect. I offer therapeutic modalities to suit your specific needs: EMDR, CBT, compassion, solution-focused, mindfulness or yoga. I would welcome the opportunity to journey through any difficulties you a experiencing with the goal of moving forward in a positive way.
(902) 201-2732 View (902) 201-2732
Photo of Jaime Lee Elizabeth Lightle - Annapolis Art Therapy, Counsellor, BA, DTATI, RCT-C
Annapolis Art Therapy
Counsellor, BA, DTATI, RCT-C
My practice is devoted to trauma recovery using a holistic, evidence-based methodology that supports comprehensive healing. The focus is on addressing the root causes of trauma, rather than solely managing symptoms. Art Therapy engages the non-verbal regions of the brain associated with sensory experiences and emotional processing. Creative expression in this context allows for the exploration and retrieval of previously inaccessible memories and emotions, fostering conscious awareness and insight—key elements in the trajectory of healing. I offer a collaborative and supportive environment for both adults and children.
My practice is devoted to trauma recovery using a holistic, evidence-based methodology that supports comprehensive healing. The focus is on addressing the root causes of trauma, rather than solely managing symptoms. Art Therapy engages the non-verbal regions of the brain associated with sensory experiences and emotional processing. Creative expression in this context allows for the exploration and retrieval of previously inaccessible memories and emotions, fostering conscious awareness and insight—key elements in the trajectory of healing. I offer a collaborative and supportive environment for both adults and children.
(782) 821-3674 View (782) 821-3674
Photo of Dan Kevin Diggins, Counsellor, MEd, RCT
Dan Kevin Diggins
Counsellor, MEd, RCT
2 Endorsed
Online Only
I work with individuals of all ages who are dealing with uncomfortable thoughts and emotions or personal conflict and are ready to feel better and live a more meaningful life. Seeking out the right counsellor is an important step, requiring courage and trust. I honour your willingness to embrace vulnerability and honesty and I will ensure that you find the support and solutions you are seeking.
I work with individuals of all ages who are dealing with uncomfortable thoughts and emotions or personal conflict and are ready to feel better and live a more meaningful life. Seeking out the right counsellor is an important step, requiring courage and trust. I honour your willingness to embrace vulnerability and honesty and I will ensure that you find the support and solutions you are seeking.
(782) 825-5135 View (782) 825-5135
Photo of Miranda Purcell, Registered Counselling Therapist-Candidate, MA, RCT-C
Miranda Purcell
Registered Counselling Therapist-Candidate, MA, RCT-C
Serves Area
I aim to help my clients lighten the burdens that they are carrying, whether those be family, work, or relationship oriented. I want my clients to know that they are not left alone to navigate difficult journeys and moments in their lives, support is helpful and so often needed. I want to help you identify and create personal goals and work with you to reach those goals.
I aim to help my clients lighten the burdens that they are carrying, whether those be family, work, or relationship oriented. I want my clients to know that they are not left alone to navigate difficult journeys and moments in their lives, support is helpful and so often needed. I want to help you identify and create personal goals and work with you to reach those goals.
(902) 472-3272 View (902) 472-3272
Photo of Melissa Fowler - True North Psychological Services, Counsellor, RCT-C
True North Psychological Services
Counsellor, RCT-C
1 Endorsed
Kingston, NS B0P
For the past 18 years, Melissa has been an RCMP spouse, a role that has deeply shaped her understanding of service, sacrifice, and the invisible toll that high-stress positions can take on individuals and families. Their postings took her family across the country, allowing her to build resilience through constant change while gaining a deep appreciation for the diverse experiences, communities, and challenges people face. Melissa strives to offer a space that feels grounded, compassionate, and safe- where you don’t have to explain or justify the weight that you carry.
For the past 18 years, Melissa has been an RCMP spouse, a role that has deeply shaped her understanding of service, sacrifice, and the invisible toll that high-stress positions can take on individuals and families. Their postings took her family across the country, allowing her to build resilience through constant change while gaining a deep appreciation for the diverse experiences, communities, and challenges people face. Melissa strives to offer a space that feels grounded, compassionate, and safe- where you don’t have to explain or justify the weight that you carry.
(782) 608-3163 View (782) 608-3163
Photo of Victoria Flemming, Counsellor, RCT
Victoria Flemming
Counsellor, RCT
2 Endorsed
Online Only
Welcome! I am a Registered Counselling Therapist providing support based on the belief that wellness includes connection between mind and body. I’d love to work with you if you’re finding that anxiety, stress, depression, grief, relationship issues, communication, life changes, and lack of motivation are getting in the way of you living your life. I lean on evidence-based approaches such as Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT) with innovative techniques like mindfulness-based skills and Polyvagal theory but will always tailor my approach to what my clients need.
Welcome! I am a Registered Counselling Therapist providing support based on the belief that wellness includes connection between mind and body. I’d love to work with you if you’re finding that anxiety, stress, depression, grief, relationship issues, communication, life changes, and lack of motivation are getting in the way of you living your life. I lean on evidence-based approaches such as Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT) with innovative techniques like mindfulness-based skills and Polyvagal theory but will always tailor my approach to what my clients need.
(902) 906-9884 View (902) 906-9884
Photo of April Pater, Counsellor, MA, RCT, RP
April Pater
Counsellor, MA, RCT, RP
1 Endorsed
Serves Area
Are you feeling overwhelmed by your emotions or struggling with your relationships? Do you find yourself stuck in unhelpful patterns of behaviour or feeling unsure who you really are? I work alongside clients struggling with intense emotions, an unsure sense of self, relationship issues, and life dissatisfaction. I offer a warm and compassionate space for my clients to share their experiences and learn to make meaningful and lasting changes. My approach is to help clients build the skills needed to manage their life effectively and with integrity, so that they feel they are living a life worth living.
Are you feeling overwhelmed by your emotions or struggling with your relationships? Do you find yourself stuck in unhelpful patterns of behaviour or feeling unsure who you really are? I work alongside clients struggling with intense emotions, an unsure sense of self, relationship issues, and life dissatisfaction. I offer a warm and compassionate space for my clients to share their experiences and learn to make meaningful and lasting changes. My approach is to help clients build the skills needed to manage their life effectively and with integrity, so that they feel they are living a life worth living.
(902) 801-9432 View (902) 801-9432
Photo of Dr. Laura Scallion, Psychologist, PhD, RPsych
Dr. Laura Scallion
Psychologist, PhD, RPsych
Serves Area
Dr. Scallion works with adults (19+) with a range of mental health difficulties including insomnia, anxiety disorders, stress, relationship difficulties, PTSD, and low mood/depression.
Dr. Scallion works with adults (19+) with a range of mental health difficulties including insomnia, anxiety disorders, stress, relationship difficulties, PTSD, and low mood/depression.
(782) 222-1832 View (782) 222-1832
Photo of Jenny Thibault, Registered Social Worker, MSW, RSW, CCAC
Jenny Thibault
Registered Social Worker, MSW, RSW, CCAC
1 Endorsed
Online Only
Feeling seen and heard are important when facing concerns of substance use, worry, anxiety, low motivation or feeling weighed down. Maybe you have a loved one with these struggles and want to build skills to help them. Recovery from mental health concerns looks different for everyone, and however it looks to you, is what I want to help you achieve. I use evidence based interventions and care pathways to guide treatment and achieve desired outcomes.
Feeling seen and heard are important when facing concerns of substance use, worry, anxiety, low motivation or feeling weighed down. Maybe you have a loved one with these struggles and want to build skills to help them. Recovery from mental health concerns looks different for everyone, and however it looks to you, is what I want to help you achieve. I use evidence based interventions and care pathways to guide treatment and achieve desired outcomes.
(782) 822-5165 View (782) 822-5165
Photo of Tanya Moss, Clinical Social Work/Therapist, RSW, MSW, BSW
Tanya Moss
Clinical Social Work/Therapist, RSW, MSW, BSW
1 Endorsed
Berwick, NS B0P
Not accepting new clients
I am a Registered Social Worker with the Nova Scotia College of Social Workers, based in the beautiful Annapolis Valley. I specialize in supporting youth and adults who are navigating symptoms of anxiety, depression, and PTSD. In our sessions, you’ll find a safe and supportive space to explore your life circumstances and emotions openly and without judgment. My approach is collaborative and strengths-based — together, we’ll develop practical strategies and coping tools tailored to your unique needs. My goal is to help you build resilience, foster self-understanding, and move toward healing at your own pace.
I am a Registered Social Worker with the Nova Scotia College of Social Workers, based in the beautiful Annapolis Valley. I specialize in supporting youth and adults who are navigating symptoms of anxiety, depression, and PTSD. In our sessions, you’ll find a safe and supportive space to explore your life circumstances and emotions openly and without judgment. My approach is collaborative and strengths-based — together, we’ll develop practical strategies and coping tools tailored to your unique needs. My goal is to help you build resilience, foster self-understanding, and move toward healing at your own pace.
(782) 800-6901 View (782) 800-6901
Photo of Kate Pinsent, Registered Counselling Therapist-Candidate, RCT-C, CD
Kate Pinsent
Registered Counselling Therapist-Candidate, RCT-C, CD
1 Endorsed
Online Only
On the outside, it seems like you’ve got it all under control. But inside, the noise never stops, you’re exhausted, and your day to day life and relationships are suffering. My work is focused on helping individuals heal from trauma and deal with the pressures of always being strong and in control. For many people I support, especially those with military backgrounds, strength was expected. Emotions were shoved aside. Stress was a daily reality. And now it’s catching up with you. If you’re craving a way to feel like yourself again, therapy with me can be an opportunity to work through these challenges and feel more settled in life.
On the outside, it seems like you’ve got it all under control. But inside, the noise never stops, you’re exhausted, and your day to day life and relationships are suffering. My work is focused on helping individuals heal from trauma and deal with the pressures of always being strong and in control. For many people I support, especially those with military backgrounds, strength was expected. Emotions were shoved aside. Stress was a daily reality. And now it’s catching up with you. If you’re craving a way to feel like yourself again, therapy with me can be an opportunity to work through these challenges and feel more settled in life.
(782) 401-0649 View (782) 401-0649
Photo of Myra Meier - Myra Meier @ Psychotherapy ForYou, Registered Social Worker, MSW, RSW
Myra Meier @ Psychotherapy ForYou
Registered Social Worker, MSW, RSW
1 Endorsed
Serves Area
My practice is concentrated around a client-centred approach, always bearing in mind the philosophy of ‘unconditional positive regard’ that should be afforded every person. Working together with my clients we will identify challenges, make goals and work towards recognizing and removing obstacles. My aspiration as a therapist is to create a safe environment in which work can be collaborative, address the impacts of trauma, stress, anxiety, depression and/or grief and make the changes necessary to live the healthy and fulfilling life that my clients want. Some of my specialized training and experience includes CBT, Narrative Therapy
My practice is concentrated around a client-centred approach, always bearing in mind the philosophy of ‘unconditional positive regard’ that should be afforded every person. Working together with my clients we will identify challenges, make goals and work towards recognizing and removing obstacles. My aspiration as a therapist is to create a safe environment in which work can be collaborative, address the impacts of trauma, stress, anxiety, depression and/or grief and make the changes necessary to live the healthy and fulfilling life that my clients want. Some of my specialized training and experience includes CBT, Narrative Therapy
(782) 208-7783 View (782) 208-7783
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.
(782) 608-1733 View (782) 608-1733
Photo of Amy Rubin, Counsellor, MA, RCT
Amy Rubin
Counsellor, MA, RCT
1 Endorsed
Life can be a lot, and we don’t get to skip over the rough parts. It might be an especially stressful time, or old issues and patterns might be holding us back. Sometimes it’s from moving through systems that cause harm. And sometimes we just get tired, and need someone in our corner. It can help to talk to someone who's not directly involved for support, insight, and a safe place to unpack it all. The longer I do this, the more I feel “mental health” isn’t quite the right term… it’s often physical, or spiritual, or cultural. The good news is we can start wherever you are. We can talk, move, go outside, or just feel what’s there.
Life can be a lot, and we don’t get to skip over the rough parts. It might be an especially stressful time, or old issues and patterns might be holding us back. Sometimes it’s from moving through systems that cause harm. And sometimes we just get tired, and need someone in our corner. It can help to talk to someone who's not directly involved for support, insight, and a safe place to unpack it all. The longer I do this, the more I feel “mental health” isn’t quite the right term… it’s often physical, or spiritual, or cultural. The good news is we can start wherever you are. We can talk, move, go outside, or just feel what’s there.
(902) 907-3006 View (902) 907-3006
Photo of Kim Therriault, Counsellor, MA, RCT-C
Kim Therriault
Counsellor, MA, RCT-C
Serves Area
As a therapist, I aim to create a warm and safe landing space for my clients that is full of unconditional acceptance. A place where old wounds, both big and small, can be brought into the light, and our authentic selves can come out from hiding. My work is collaborative and holistic, integrating body, mind and spirit, and I welcome all parts of you, even (especially!) the angry, broken parts. I like to go deep so we can address the root causes of your struggles. I’m an endlessly curious person who is deeply committed to my own growth, and I know how vulnerable it can feel to sit on the other side of the chair as a client.
As a therapist, I aim to create a warm and safe landing space for my clients that is full of unconditional acceptance. A place where old wounds, both big and small, can be brought into the light, and our authentic selves can come out from hiding. My work is collaborative and holistic, integrating body, mind and spirit, and I welcome all parts of you, even (especially!) the angry, broken parts. I like to go deep so we can address the root causes of your struggles. I’m an endlessly curious person who is deeply committed to my own growth, and I know how vulnerable it can feel to sit on the other side of the chair as a client.
View
Photo of Leanne Cameron, Counsellor, MEd, RCT, CCC
Leanne Cameron
Counsellor, MEd, RCT, CCC
4 Endorsed
Online Only
Life can be challenging. Sometimes we need help to improve the quality of daily experiences & relationships. Anxiety, depression, PTSD, addiction (sex, gambling & substances), anger, grief, complicated relationships, personality disorders and self-esteem all influence our lives. As a clinical supervisor for two addiction facilities, I have experience with complex mental health issues. I assist clients in identifying codependency traits, narcissists in their relationships and how emotional dis-regulation contributes to complications. Having overcome my own challenges aids in an authentic connection with my clients. Compassion and humour are tools I use while I assist clients in reclaiming identity
Life can be challenging. Sometimes we need help to improve the quality of daily experiences & relationships. Anxiety, depression, PTSD, addiction (sex, gambling & substances), anger, grief, complicated relationships, personality disorders and self-esteem all influence our lives. As a clinical supervisor for two addiction facilities, I have experience with complex mental health issues. I assist clients in identifying codependency traits, narcissists in their relationships and how emotional dis-regulation contributes to complications. Having overcome my own challenges aids in an authentic connection with my clients. Compassion and humour are tools I use while I assist clients in reclaiming identity
(902) 701-9448 View (902) 701-9448

How does your Counsellor compare?

Number of Counsellors in Middleton, NS

< 10

Counsellors in Middleton, NS who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Family Conflict
100% Stress
67% ADHD

Average years in practice

8 Years

Top 3 insurances accepted

100% Blue Cross
100% Manulife
100% Canada Life | Great-West Life

How Counsellors in Middleton, NS see their clients

100% In Person and Online

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Middleton?

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.