Therapists in Lachine, QC

Photo of Paula Lorimer, Psychologist in Lachine, QC
Paula Lorimer
Psychologist, MA, OPQ, CPA
Verified Verified
1 Endorsed
Lachine, QC H8S
Not accepting new clients
My goal is to help you grow and evolve, to achieve success and overall health & wellness. I am a licensed psychologist and the clinical director of Evolution Psychology Center located in Lachine, Montreal, Quebec. I work collaboratively and focus on you as an individual. I use a whole person approach (mind/body/emotions) along with effective, common sense approaches to resolve your difficulties and help improve your well-being and life. I also apply a multidisciplinary approach to your care by working, consulting, and collaborating with other health professionals. Your health and well-being is the priority.
My goal is to help you grow and evolve, to achieve success and overall health & wellness. I am a licensed psychologist and the clinical director of Evolution Psychology Center located in Lachine, Montreal, Quebec. I work collaboratively and focus on you as an individual. I use a whole person approach (mind/body/emotions) along with effective, common sense approaches to resolve your difficulties and help improve your well-being and life. I also apply a multidisciplinary approach to your care by working, consulting, and collaborating with other health professionals. Your health and well-being is the priority.
(514) 612-0112 View (514) 612-0112
Photo of Jess Phillips Attachment Coach in Lachine, QC
Jess Phillips Attachment Coach
MA, CCPA, CCF
Verified Verified
Lachine, QC H8S  (Online Only)
Hi, I’m Jess. I’m a master’s level clinician and anxious attachment coach who has rebuilt her life after getting sober seventeen years ago and battled through her own struggles with an anxious attachment style, imposter syndrome, and low self-worth. I have now made it my mission to help hundreds of people do the same and completely transform their lives and their relationships by getting to the root cause of their issues. I’m here to help you gain the skills needed to reclaim your authority; understand the psychology behind attachment theory; and to help you put an end to self-sabotaging behaviour, and toxic relationships for good.
Hi, I’m Jess. I’m a master’s level clinician and anxious attachment coach who has rebuilt her life after getting sober seventeen years ago and battled through her own struggles with an anxious attachment style, imposter syndrome, and low self-worth. I have now made it my mission to help hundreds of people do the same and completely transform their lives and their relationships by getting to the root cause of their issues. I’m here to help you gain the skills needed to reclaim your authority; understand the psychology behind attachment theory; and to help you put an end to self-sabotaging behaviour, and toxic relationships for good.
(438) 230-9496 View (438) 230-9496
Photo of Ginette Labarre in Lachine, QC
Ginette Labarre
MA
Verified Verified
Lachine, QC H8S  (Online Only)
Demander de l’aide lorsque l'on vit une situation douloureuse peut-être un difficile. Pour plusieurs de mes clients, demander de l'aide était un échec de plus. Ils ont rapidement constaté qu'être accompagné par un professionnel leur était bénéfique pour faire face à l'anxiété, la dépression, un échec amoureux, des abus de toutes sortes, pour améliorer leur estime personnelle et leur relation avec les autres ou prendre des décisions importantes. J'accueille chacun de mes clients avec respect et compassion dans un environnement le plus chaleureux et sécuritaire possible.
Demander de l’aide lorsque l'on vit une situation douloureuse peut-être un difficile. Pour plusieurs de mes clients, demander de l'aide était un échec de plus. Ils ont rapidement constaté qu'être accompagné par un professionnel leur était bénéfique pour faire face à l'anxiété, la dépression, un échec amoureux, des abus de toutes sortes, pour améliorer leur estime personnelle et leur relation avec les autres ou prendre des décisions importantes. J'accueille chacun de mes clients avec respect et compassion dans un environnement le plus chaleureux et sécuritaire possible.
(438) 601-5681 View (438) 601-5681
Photo of Arielle Ben-Zaken, Registered Social Worker in Lachine, QC
Arielle Ben-Zaken
Registered Social Worker, MSW, PSW
Verified Verified
Lachine, QC H8S  (Online Only)
Seeking support is often a challenging endeavour. For many, it can be scary to speak about their struggles and reflect on past experiences that have impacted them today. I strive to create a therapeutic alliance that allows for feelings of safety and openness, so that you feel able to share your story. I offer virtual counselling sessions, providing a convenient and accessible way to support you on your journey to emotional well-being.
Seeking support is often a challenging endeavour. For many, it can be scary to speak about their struggles and reflect on past experiences that have impacted them today. I strive to create a therapeutic alliance that allows for feelings of safety and openness, so that you feel able to share your story. I offer virtual counselling sessions, providing a convenient and accessible way to support you on your journey to emotional well-being.
(438) 834-8903 View (438) 834-8903
Photo of Mélanie Lemay, Art Therapist in Lachine, QC
Mélanie Lemay
Art Therapist, MA, ATPQ
Verified Verified
1 Endorsed
Lachine, QC H8S
Mélanie Lemay holds a master’s degree in art therapy from the Université du Québec en Abitibi- Témiscamingue, where her research focused on the intersection between trauma, resilience and the power of transformation through artistic expression. She is a certified art therapist with the Association des art-thérapeutes du Québec (AATQ), and actively participates in the advancement of the profession through her involvement on the Board of Directors. Her expertise encompasses a wide range of therapeutic modalities, including mindfulness-based art therapy, trauma-informed practices and expressive arts-guided interventions.
Mélanie Lemay holds a master’s degree in art therapy from the Université du Québec en Abitibi- Témiscamingue, where her research focused on the intersection between trauma, resilience and the power of transformation through artistic expression. She is a certified art therapist with the Association des art-thérapeutes du Québec (AATQ), and actively participates in the advancement of the profession through her involvement on the Board of Directors. Her expertise encompasses a wide range of therapeutic modalities, including mindfulness-based art therapy, trauma-informed practices and expressive arts-guided interventions.
(438) 298-5807 View (438) 298-5807
Photo of Patrick Tanyi, Registered Social Worker in Lachine, QC
Patrick Tanyi
Registered Social Worker, MSc , MSW
Verified Verified
Lachine, QC H8S
I am an experienced bilingual Mental Health Counsellor/Psychotherapist. My goal is to assist/accompany clients going through mental health related challenges to be able to find solutions to fix their problems using a non-judgmental approach.
I am an experienced bilingual Mental Health Counsellor/Psychotherapist. My goal is to assist/accompany clients going through mental health related challenges to be able to find solutions to fix their problems using a non-judgmental approach.
(450) 235-6248 View (450) 235-6248

More Therapists Nearby

Photo of Adrienne Durst, Marriage & Family Therapist in Lachine, QC
Adrienne Durst
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
Montréal, QC H4V
Not accepting new clients
I provide support and guidance to girls and women to fully and authentically come into themselves. I understand the complexities of the daily experince of being female in our society and how difficult it is for women to be strong, caring and assertive in our society. I take a women-centered approach to mental health and do not label behaviors and emotions as disordered but to understand these as responses in the context of your life. I strive to help my clients understand that we have to face our discomfort first before we can let it go. This takes great courage and vulnerability on your part.
I provide support and guidance to girls and women to fully and authentically come into themselves. I understand the complexities of the daily experince of being female in our society and how difficult it is for women to be strong, caring and assertive in our society. I take a women-centered approach to mental health and do not label behaviors and emotions as disordered but to understand these as responses in the context of your life. I strive to help my clients understand that we have to face our discomfort first before we can let it go. This takes great courage and vulnerability on your part.
(514) 418-0540 View (514) 418-0540
Photo of Dana Schnitzer, Registered Psychotherapist in Lachine, QC
Dana Schnitzer
Registered Psychotherapist, MA
Verified Verified
2 Endorsed
Côte Saint-Luc, QC H4W
I am a licensed psychotherapist with over 20 years of experience. I specialize in the treatment of depression, anxiety, trauma, personality disorders, and A.D.H.D. I use a caring, non-judgmental approach to help my clients feel and understand the meaning of their emotions and behavior. I offer clients an opportunity to explore their inner world, understand their difficulties clearly, deepen self-awareness and to make sense of their experiences. I work together with my clients to remove barriers to growth and help them achieve their potential and have deeper more meaningful connections with others as well as with themselves.
I am a licensed psychotherapist with over 20 years of experience. I specialize in the treatment of depression, anxiety, trauma, personality disorders, and A.D.H.D. I use a caring, non-judgmental approach to help my clients feel and understand the meaning of their emotions and behavior. I offer clients an opportunity to explore their inner world, understand their difficulties clearly, deepen self-awareness and to make sense of their experiences. I work together with my clients to remove barriers to growth and help them achieve their potential and have deeper more meaningful connections with others as well as with themselves.
(514) 700-2591 View (514) 700-2591
Photo of Marg Barkman, Psychologist in Lachine, QC
Marg Barkman
Psychologist, MEd, RMFT
Verified Verified
Montréal-Ouest, QC H4X  (Online Only)
Not accepting new clients
I have been practising as a psychologist and specializing in couple and family therapy since 1995. What I find most fulfilling in my practice is helping individuals and couples create more safety and connection in their relationships by gaining a deeper understanding of themselves and how they relate to one another. Because one approach does not work with all couples, I have made it a point to be well versed in a variety of different approaches and techniques in order to tailor my work to the couple's specific needs.
I have been practising as a psychologist and specializing in couple and family therapy since 1995. What I find most fulfilling in my practice is helping individuals and couples create more safety and connection in their relationships by gaining a deeper understanding of themselves and how they relate to one another. Because one approach does not work with all couples, I have made it a point to be well versed in a variety of different approaches and techniques in order to tailor my work to the couple's specific needs.
(438) 601-3493 View (438) 601-3493
Photo of Carly Berlin, Registered Social Worker in Lachine, QC
Carly Berlin
Registered Social Worker, MSW, ts
Verified Verified
Côte Saint-Luc, QC H4W  (Online Only)
Throughout the last decade, I have heard stories of pain, sadness, shame, vulnerability, and fear; within those stories there is also resilience, strength, and the ability to overcome that which feels overwhelming. I am a seasoned social worker with experience in various community settings, and different age groups including children, adolescents, and families. I also have experience working in the public healthcare system; in this role I counsel and guide individuals and families coping with chronic illnesses such as cancer, aging and loss of autonomy, end of life, grief, and loss.
Throughout the last decade, I have heard stories of pain, sadness, shame, vulnerability, and fear; within those stories there is also resilience, strength, and the ability to overcome that which feels overwhelming. I am a seasoned social worker with experience in various community settings, and different age groups including children, adolescents, and families. I also have experience working in the public healthcare system; in this role I counsel and guide individuals and families coping with chronic illnesses such as cancer, aging and loss of autonomy, end of life, grief, and loss.
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Photo of Janet Steinberg, Registered Social Worker in Lachine, QC
Janet Steinberg
Registered Social Worker, MSW, PSW
Verified Verified
Côte Saint-Luc, QC H4V
I am a licensed psychotherapist with a masters degree in Social work from Mcgill University, with over 20 years experience working in the health field. I completed a post graduate certificate in Couple and Family therapy at the JGH dept of Psychiatry. I use an empathetic approach to ensure the therapeutic alliance is built on trust and safety. Together we will find solutions that will assist you to move forward.
I am a licensed psychotherapist with a masters degree in Social work from Mcgill University, with over 20 years experience working in the health field. I completed a post graduate certificate in Couple and Family therapy at the JGH dept of Psychiatry. I use an empathetic approach to ensure the therapeutic alliance is built on trust and safety. Together we will find solutions that will assist you to move forward.
(438) 796-3520 View (438) 796-3520
Photo of Jorgia Sugleris, Counsellor in Lachine, QC
Jorgia Sugleris
Counsellor, CCC, MEd
Verified Verified
Montréal-Ouest, QC H4X
As a Cognitive Behavioral Therapist, I collaborate with clients to develop personalized treatment plans that address their unique challenges and goals. Whether you're facing anxiety, depression, relationship difficulties, or other life transitions, I provide a safe and non-judgmental space to explore your thoughts and feelings. Together, we'll develop practical skills and strategies to manage symptoms, improve relationships, and enhance well-being.
As a Cognitive Behavioral Therapist, I collaborate with clients to develop personalized treatment plans that address their unique challenges and goals. Whether you're facing anxiety, depression, relationship difficulties, or other life transitions, I provide a safe and non-judgmental space to explore your thoughts and feelings. Together, we'll develop practical skills and strategies to manage symptoms, improve relationships, and enhance well-being.
(438) 794-9744 View (438) 794-9744
Photo of Melissa Simard, Psychologist in Lachine, QC
Melissa Simard
Psychologist, MA, PhD
Verified Verified
Montréal, QC H4B
Not accepting new clients
Have you noticed changes in your mood? Are you struggling with anxiety or feeling overwhelmed? Are you facing an important challenge? Having difficulties managing stress, school, or work? Do you have questions about everyday parenting challenges or are struggling? I believe that self-understanding, progress, and change flourishes best within an open, collaborative, and safe non-judgmental space. I will work alongside you to identify your needs, what changes you want to work towards, and in developing new ways of addressing life's difficulties and unhook from difficult internal experiences.
Have you noticed changes in your mood? Are you struggling with anxiety or feeling overwhelmed? Are you facing an important challenge? Having difficulties managing stress, school, or work? Do you have questions about everyday parenting challenges or are struggling? I believe that self-understanding, progress, and change flourishes best within an open, collaborative, and safe non-judgmental space. I will work alongside you to identify your needs, what changes you want to work towards, and in developing new ways of addressing life's difficulties and unhook from difficult internal experiences.
(438) 500-5348 View (438) 500-5348
Photo of Lovpreet Grewal, Registered Psychotherapist (Qualifying) in Lachine, QC
Lovpreet Grewal
Registered Psychotherapist (Qualifying), MA
Verified Verified
Lasalle, QC H8N  (Online Only)
When we're going through tough times or dealing with a lot at once, we might find ourselves having a hard time navigating daily tasks or constantly questioning ourselves. Sometimes, we feel overwhelmed with our thoughts and emotions and feel like we're either losing control or feeling stuck in life. I want you to know that you're not alone and you indeed have the strength and intuition to heal, learn, and grow from these life experiences.
When we're going through tough times or dealing with a lot at once, we might find ourselves having a hard time navigating daily tasks or constantly questioning ourselves. Sometimes, we feel overwhelmed with our thoughts and emotions and feel like we're either losing control or feeling stuck in life. I want you to know that you're not alone and you indeed have the strength and intuition to heal, learn, and grow from these life experiences.
(343) 313-0787 View (343) 313-0787
Photo of Dr. Mark Vail, Psychologist in Lachine, QC
Dr. Mark Vail
Psychologist, PsyD, OPQ
Verified Verified
2 Endorsed
Montréal-Ouest, QC H4B
Waitlist for new clients
Does it feel risky to have certain emotions, especially towards people you care about? Does frustration often lead to tears, self-criticism, or self-doubt? When triggered by someone in your life, do you experience anxiety? Do conflicts in relationships result in headaches, stomach issues, tension, or other forms of bodily distress? Or cause you to feel down or depressed? If any of these questions resonate with you, you're not alone. Over decades of practice, I've seen time and again that clients come to psychotherapy having suffered enough and possessing incredible potential for change. Change is possible, and therapy can help.
Does it feel risky to have certain emotions, especially towards people you care about? Does frustration often lead to tears, self-criticism, or self-doubt? When triggered by someone in your life, do you experience anxiety? Do conflicts in relationships result in headaches, stomach issues, tension, or other forms of bodily distress? Or cause you to feel down or depressed? If any of these questions resonate with you, you're not alone. Over decades of practice, I've seen time and again that clients come to psychotherapy having suffered enough and possessing incredible potential for change. Change is possible, and therapy can help.
(438) 701-2520 View (438) 701-2520
Photo of Dr. Veissière Behavioural Consulting in Lachine, QC
Dr. Veissière Behavioural Consulting
PhD, MA, BSc
Verified Verified
Montréal, QC H3X
Not accepting new clients
Dr Veissière is an anthropologist, behavioural scientist, author, and educator. He has done extensive work with academia, the media, government, non-profit organizations, companies, families, and individuals to help clients identify creative solution to complex problems from evolutionary, behavioural, cultural, and contemplative perspectives. He understands life's biggest challenges as a search for meaning, purpose, belonging, sacrifice, ritual, and transcendance. His work cuts across science, philosophy, religion, and mental health to help leverage the strengths and resilience of individuals in their social context.
Dr Veissière is an anthropologist, behavioural scientist, author, and educator. He has done extensive work with academia, the media, government, non-profit organizations, companies, families, and individuals to help clients identify creative solution to complex problems from evolutionary, behavioural, cultural, and contemplative perspectives. He understands life's biggest challenges as a search for meaning, purpose, belonging, sacrifice, ritual, and transcendance. His work cuts across science, philosophy, religion, and mental health to help leverage the strengths and resilience of individuals in their social context.
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Photo of Jennifer Schaeff Counselling Services, Counsellor in Lachine, QC
Jennifer Schaeff Counselling Services
Counsellor, MEd, MA, CCC
Verified Verified
Montréal, QC H3X
You are seeking support and assistance as you work through your issues. You understand that having someone who understands much of the inner workings of your head and heart and who can offer an objective perspective can be a valuable and comforting ally in your growth and recovery.
You are seeking support and assistance as you work through your issues. You understand that having someone who understands much of the inner workings of your head and heart and who can offer an objective perspective can be a valuable and comforting ally in your growth and recovery.
(855) 572-9516 View (855) 572-9516
Photo of Natalie Goerner, Registered Social Worker in Lachine, QC
Natalie Goerner
Registered Social Worker, MSW, PsT
Verified Verified
4 Endorsed
Montréal, QC H4B
I work with clients who are motivated to explore their life's challenges and together, we build a strong alliance in order to try different approaches and strategies in our sessions.
I work with clients who are motivated to explore their life's challenges and together, we build a strong alliance in order to try different approaches and strategies in our sessions.
(450) 497-7916 View (450) 497-7916
Photo of Elena Orincakova, Psychologist in Lachine, QC
Elena Orincakova
Psychologist
Verified Verified
Montréal-Ouest, QC H4B
Everyone at some point in their lives will experience events that lead to troubling thoughts, feelings and even pain. Whether it’s having relationship problems, going through large life changes, a stressful work environment or not letting your past go, it may simply be too much to make sense of it all. Know that you’re not alone and that the first step in helping yourself is recognizing your problems and seeking help. If you are at that point, I can help you. I offer you a safe space where you can share, explore and revisit difficult moments in your life so that you can finally tackle your problems head on.
Everyone at some point in their lives will experience events that lead to troubling thoughts, feelings and even pain. Whether it’s having relationship problems, going through large life changes, a stressful work environment or not letting your past go, it may simply be too much to make sense of it all. Know that you’re not alone and that the first step in helping yourself is recognizing your problems and seeking help. If you are at that point, I can help you. I offer you a safe space where you can share, explore and revisit difficult moments in your life so that you can finally tackle your problems head on.
(438) 701-2827 View (438) 701-2827
Photo of Deborah Ann Herman, Registered Psychotherapist in Lachine, QC
Deborah Ann Herman
Registered Psychotherapist, MA, CT, RP
Verified Verified
Montréal-Ouest, QC H4B  (Online Only)
Not accepting new clients
ON-LINE/Virtual Sessions. I've been a psychotherapist and Trauma Specialist for at least 30 years and have worked for various companies & organizations. In my private practise, I enjoy working with clients who are open and willing to make positive changes in their lives. Whether you feel anxious, stuck, depressed or unhappy in some area of your life, my initial goal is to help you gain a feeling of safety. I encourage clients to tell me their story to help them see things from a fresh perspective, improve self-awareness and provide practical solutions & treatments i.e EMDR, IFS(Internal Family Systems) and more...
ON-LINE/Virtual Sessions. I've been a psychotherapist and Trauma Specialist for at least 30 years and have worked for various companies & organizations. In my private practise, I enjoy working with clients who are open and willing to make positive changes in their lives. Whether you feel anxious, stuck, depressed or unhappy in some area of your life, my initial goal is to help you gain a feeling of safety. I encourage clients to tell me their story to help them see things from a fresh perspective, improve self-awareness and provide practical solutions & treatments i.e EMDR, IFS(Internal Family Systems) and more...
(438) 700-8730 View (438) 700-8730

See more therapy options for Lachine

How does your Counsellor compare?

Number of Counsellors in Lachine, QC

< 10

Counsellors in Lachine, QC who prioritize treating:

100% Depression
100% Anxiety
83% Relationship Issues
83% Family Conflict
83% Self Esteem
67% Anger Management
67% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

67% Optima
67% Blue Cross
67% Veterans Affairs Canada

How Counsellors in Lachine, QC see their clients

50% In Person and Online
50% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Lachine?

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.