Therapists in Cobourg, ON

Photo of Brigitte Upshaw, Registered Social Service Worker, BA, RSSW
Brigitte Upshaw
Registered Social Service Worker, BA, RSSW
3 Endorsed
Cobourg, ON K9A
Are you struggling with managing stress and feel that it is impacting your life? Going through a separation and having a hard time managing the changes? Do you often feel anxious or depressed? Have you or a family member been struggling with substance abuse?
Are you struggling with managing stress and feel that it is impacting your life? Going through a separation and having a hard time managing the changes? Do you often feel anxious or depressed? Have you or a family member been struggling with substance abuse?
(705) 535-1973 View (705) 535-1973
Photo of Cheryl White, Registered Psychotherapist, MA, RP
Cheryl White
Registered Psychotherapist, MA, RP
5 Endorsed
Online Only
With over 20 years of clinical experience, I provide a compassionate, collaborative, and safe space where you can explore challenges, gain insight, and build the skills to thrive. Whether you’re an individual seeking personal growth, part of a couple navigating relationship dynamics, or a family wanting to strengthen connections, I am honored to support you.
With over 20 years of clinical experience, I provide a compassionate, collaborative, and safe space where you can explore challenges, gain insight, and build the skills to thrive. Whether you’re an individual seeking personal growth, part of a couple navigating relationship dynamics, or a family wanting to strengthen connections, I am honored to support you.
(647) 696-6661 View (647) 696-6661
Photo of Krista Sickinger - Krista Sickinger ADHD, Autism & Anxiety Therapy, Registered Psychotherapist, MA
Krista Sickinger ADHD, Autism & Anxiety Therapy
Registered Psychotherapist, MA
Cobourg, ON K9A
Everyone can use some help from time to time. Whether you're struggling with anxiety, navigating life with ADHD, or have begun to feel overwhelmed with everything you're juggling. Maybe you're working through grief or life transitions, and aren't sure what your next chapter will look like.
Everyone can use some help from time to time. Whether you're struggling with anxiety, navigating life with ADHD, or have begun to feel overwhelmed with everything you're juggling. Maybe you're working through grief or life transitions, and aren't sure what your next chapter will look like.
(289) 402-3833 View (289) 402-3833
Photo of Lisa O'Grady, Registered Psychotherapist (Qualifying), MA, MEd, RBA
Lisa O'Grady
Registered Psychotherapist (Qualifying), MA, MEd, RBA
Cobourg, ON K9A
I help children and teens explore the thoughts, emotions and situations that may be causing distress and challenging their ability to cope, and to thrive. With children 6-12 years of age, I take a playful approach to ensure an experiential, empowering and engaging therapy experience. We do hard things, together.
I help children and teens explore the thoughts, emotions and situations that may be causing distress and challenging their ability to cope, and to thrive. With children 6-12 years of age, I take a playful approach to ensure an experiential, empowering and engaging therapy experience. We do hard things, together.
(365) 544-3098 View (365) 544-3098
Photo of Lori Glenn - Rhapsody Psychotherapy & Counselling (Lori Glenn), Registered Psychotherapist, RP, MA, BaH
Rhapsody Psychotherapy & Counselling (Lori Glenn)
Registered Psychotherapist, RP, MA, BaH
12 Endorsed
Cobourg, ON K9A
Now accepting new clients both online and in our Cobourg office location. You may feel worn down by trauma, long-term stress, addiction, or years of feeling misunderstood, by systems, relationships, or even yourself. You may feel stuck, unsure who you are anymore, or torn between wanting change and feeling overwhelmed by it. Therapy with me offers a supportive, non-judgmental space to make sense of what you’ve been through and begin moving forward in a way that feels realistic and right for you. Our work is rooted in a solid therapeutic relationship, where trust, collaboration, and honesty create a foundation for meaningful change
Now accepting new clients both online and in our Cobourg office location. You may feel worn down by trauma, long-term stress, addiction, or years of feeling misunderstood, by systems, relationships, or even yourself. You may feel stuck, unsure who you are anymore, or torn between wanting change and feeling overwhelmed by it. Therapy with me offers a supportive, non-judgmental space to make sense of what you’ve been through and begin moving forward in a way that feels realistic and right for you. Our work is rooted in a solid therapeutic relationship, where trust, collaboration, and honesty create a foundation for meaningful change
(705) 996-0506 View (705) 996-0506
Photo of Stephanie Percival - Live Well Counselling-Stephanie Percival, MA, RP, Registered Psychotherapist, BA(Hon), MA, RP
Live Well Counselling-Stephanie Percival, MA, RP
Registered Psychotherapist, BA(Hon), MA, RP
1 Endorsed
Cobourg, ON K9A
I have provided counselling for over 35 years and have supported individuals who have experienced various forms of loss, abuse, violence, victimization, and trauma. I practice from a holistic mind-body therapeutic approach, which integrates both physical & evidenced-based clinical approaches to wellness. I support individuals with calm ease to help them move beyond traumatic and emotionally painful life events. It all begins from a place of emotional safety, compassion, non-judgement, understanding, validation, & respect. Therapy goals are determined collaboratively to find solutions & outcomes that are unique to each person.
I have provided counselling for over 35 years and have supported individuals who have experienced various forms of loss, abuse, violence, victimization, and trauma. I practice from a holistic mind-body therapeutic approach, which integrates both physical & evidenced-based clinical approaches to wellness. I support individuals with calm ease to help them move beyond traumatic and emotionally painful life events. It all begins from a place of emotional safety, compassion, non-judgement, understanding, validation, & respect. Therapy goals are determined collaboratively to find solutions & outcomes that are unique to each person.
(289) 691-0499 View (289) 691-0499
Photo of Rachel Chard, Registered Social Worker, MSW, RSW
Rachel Chard
Registered Social Worker, MSW, RSW
1 Endorsed
Online Only
As a therapist my experience is in supporting adults who are dealing with mental health struggles such as depression, anxiety, OCD, psychosis, trauma, low self-esteem, stress, relationship issues and life changes. I work primarily from a Cognitive Behavioural Therapy (CBT) model, drawing on Dialectical Behavioural Therapy (DBT), Solution Focused Therapy (SFT) and Mindfulness, as appropriate to your goals and needs. I aim to give you the tools that will help you navigate both current and future challenges that may arise in your life. Identifying and working towards values and growth of self-compassion are themes in my approach.
As a therapist my experience is in supporting adults who are dealing with mental health struggles such as depression, anxiety, OCD, psychosis, trauma, low self-esteem, stress, relationship issues and life changes. I work primarily from a Cognitive Behavioural Therapy (CBT) model, drawing on Dialectical Behavioural Therapy (DBT), Solution Focused Therapy (SFT) and Mindfulness, as appropriate to your goals and needs. I aim to give you the tools that will help you navigate both current and future challenges that may arise in your life. Identifying and working towards values and growth of self-compassion are themes in my approach.
(647) 295-4405 View (647) 295-4405
Photo of Sabine Fischer, Registered Psychotherapist, MA, RP, CPCC, CCC
Sabine Fischer
Registered Psychotherapist, MA, RP, CPCC, CCC
Cobourg, ON K9A
You can count on me to treat you with unconditional support, caring and acceptance. My goal is for you to experience therapy in a way that you always feel respected. Clients come to me for depression, anxiety, relationship issues (personal or work-related), grief, anger, trauma, and struggles relating to life transitions. Many of my clients begin to enjoy their lives more again, and they realize that their treatment plan is sensitive to their unique needs. Your mind is adaptable and is able to change and heal. Knowing this can help you to have hope for your future. We can meet in person at my office, or online - your choice.
You can count on me to treat you with unconditional support, caring and acceptance. My goal is for you to experience therapy in a way that you always feel respected. Clients come to me for depression, anxiety, relationship issues (personal or work-related), grief, anger, trauma, and struggles relating to life transitions. Many of my clients begin to enjoy their lives more again, and they realize that their treatment plan is sensitive to their unique needs. Your mind is adaptable and is able to change and heal. Knowing this can help you to have hope for your future. We can meet in person at my office, or online - your choice.
(289) 207-3924 View (289) 207-3924
Photo of Cameron O'Grady, Registered Psychotherapist (Qualifying)
Cameron O'Grady
Registered Psychotherapist (Qualifying)
1 Endorsed
Cobourg, ON K9A
Children and teens who are feeling overwhelmed, stuck, worried, hard on themselves, or shut down may find therapy helpful. I enjoy listening to my clients and helping them practice skills that will allow them to spend more time doing what matters to them. I take the time to understand each client's unique needs, strengths, and interests, so I can offer support that feels right for them.
Children and teens who are feeling overwhelmed, stuck, worried, hard on themselves, or shut down may find therapy helpful. I enjoy listening to my clients and helping them practice skills that will allow them to spend more time doing what matters to them. I take the time to understand each client's unique needs, strengths, and interests, so I can offer support that feels right for them.
(365) 387-9770 View (365) 387-9770
Photo of Ben D. T. Armstrong, Registered Psychotherapist (Qualifying)
Ben D. T. Armstrong
Registered Psychotherapist (Qualifying)
1 Endorsed
Cobourg, ON K9A
Hi, I’m Ben. I am a graduate student in Counselling Psychology completing my practicum. I predominantly work with adolescents and adults who are navigating anxiety, depression, emotional dysregulation, and difficult life transitions. My goal is to help clients explore unhelpful patterns of thinking, build emotional regulation skills, and develop concrete strategies for everyday life while honouring their unique identity and lived experiences.
Hi, I’m Ben. I am a graduate student in Counselling Psychology completing my practicum. I predominantly work with adolescents and adults who are navigating anxiety, depression, emotional dysregulation, and difficult life transitions. My goal is to help clients explore unhelpful patterns of thinking, build emotional regulation skills, and develop concrete strategies for everyday life while honouring their unique identity and lived experiences.
(289) 536-9380 View (289) 536-9380
Photo of Corena Bowen, Registered Social Worker, BA Psyc, OCSWSSW
Corena Bowen
Registered Social Worker, BA Psyc, OCSWSSW
Cobourg, ON K9A
I utilize a person-centred approach to support individuals in navigating anxiety, grief, depression, trauma, and other emotional challenges. My goal is to foster well-being and healing within a safe, comfortable environment. By building a collaborative working relationship, I prioritize the client’s voice and perspectives, recognizing their inherent resources and capacity for change. I also support individuals diagnosed with Adult ADHD.
I utilize a person-centred approach to support individuals in navigating anxiety, grief, depression, trauma, and other emotional challenges. My goal is to foster well-being and healing within a safe, comfortable environment. By building a collaborative working relationship, I prioritize the client’s voice and perspectives, recognizing their inherent resources and capacity for change. I also support individuals diagnosed with Adult ADHD.
(289) 768-5642 View (289) 768-5642
Photo of Korina Wynd, Registered Psychotherapist, BSc, BMus, MA, RP
Korina Wynd
Registered Psychotherapist, BSc, BMus, MA, RP
3 Endorsed
Cobourg, ON K9A
I offer trauma-informed therapy for clients ages 12 years of age and older who need support with anxiety, depression, stress management, and navigating life transitions. I approach therapy from a humanistic, person-centred orientation, which means we will look at not only your mental health struggles but also who you are as a person. Together we will help you to connect more with your innate strength and inner wisdom. I believe your unique experiences and personal perspective on life can be a central part of your healing process. You are the expert on you!
I offer trauma-informed therapy for clients ages 12 years of age and older who need support with anxiety, depression, stress management, and navigating life transitions. I approach therapy from a humanistic, person-centred orientation, which means we will look at not only your mental health struggles but also who you are as a person. Together we will help you to connect more with your innate strength and inner wisdom. I believe your unique experiences and personal perspective on life can be a central part of your healing process. You are the expert on you!
(365) 601-6523 View (365) 601-6523
Photo of Katherine Lennon - Cobourg Counselling, Registered Psychotherapist, RP, CCC, MEd, CRPO
Cobourg Counselling
Registered Psychotherapist, RP, CCC, MEd, CRPO
3 Endorsed
Cobourg, ON K9A
Welcome to an entire team of Therapists! we are here to provide you with a warm and safe environment where you and your loved ones are heard. I personally have been in practice for 20years, and have gained a wealth of lived experience along the way through work transitions, having children, marriage, aging parents, and managing the stress that goes along with it! With you, our team is equipped to tackle a variety of issues including anxiety, depression, sexual orientation, disordered eating, addiction, relationship problems, illness, and grief.
Welcome to an entire team of Therapists! we are here to provide you with a warm and safe environment where you and your loved ones are heard. I personally have been in practice for 20years, and have gained a wealth of lived experience along the way through work transitions, having children, marriage, aging parents, and managing the stress that goes along with it! With you, our team is equipped to tackle a variety of issues including anxiety, depression, sexual orientation, disordered eating, addiction, relationship problems, illness, and grief.
(289) 207-7651 View (289) 207-7651
Photo of Adam Spencer - Adam Spencer Counselling, Registered Psychotherapist, RP
Adam Spencer Counselling
Registered Psychotherapist, RP
Cobourg, ON K9A
Celebrating and grateful for ten years in private practice. "The very purpose of our life is to seek happiness" Dalai Lama. I specialize relational psychotherapy, helping couples and individuals in finding their natural mental balance. I believe there is hope for everyone and that our mental health and well being comes down to balance and being centred. I assist couples to get back on track and also individuals to find their root cause which in turn provides insight and also self-awareness to help heal.
Celebrating and grateful for ten years in private practice. "The very purpose of our life is to seek happiness" Dalai Lama. I specialize relational psychotherapy, helping couples and individuals in finding their natural mental balance. I believe there is hope for everyone and that our mental health and well being comes down to balance and being centred. I assist couples to get back on track and also individuals to find their root cause which in turn provides insight and also self-awareness to help heal.
(844) 395-0380 View (844) 395-0380
Photo of Sabine Fischer - Integra Skills Counselling, Registered Psychotherapist, MA, BA, RP
Integra Skills Counselling
Registered Psychotherapist, MA, BA, RP
Cobourg, ON K9A
If you are struggling now, know that with the right support, you can regain balance in your life, and tap into your own inner strength and wisdom. I'm Sabine Fischer, the founder of Integra Skills Counselling. Integra offers couples, family, child, and individual therapy. People come to us when they want support with trauma, depression, anxiety, men's issues, neurodiversity-related challenges, relationships, grief, eating disorders or addictions. As therapists, we have witnessed that people can change and heal at all stages in life. We are here to support you in regaining hope and motivation for a better life.
If you are struggling now, know that with the right support, you can regain balance in your life, and tap into your own inner strength and wisdom. I'm Sabine Fischer, the founder of Integra Skills Counselling. Integra offers couples, family, child, and individual therapy. People come to us when they want support with trauma, depression, anxiety, men's issues, neurodiversity-related challenges, relationships, grief, eating disorders or addictions. As therapists, we have witnessed that people can change and heal at all stages in life. We are here to support you in regaining hope and motivation for a better life.
(289) 207-5179 View (289) 207-5179
Photo of Miranda Begley, Registered Psychotherapist (Qualifying), BA, BEd, MACP
Miranda Begley
Registered Psychotherapist (Qualifying), BA, BEd, MACP
2 Endorsed
Cobourg, ON K9A
You might not arrive with a clear story, but you know something is not working the way it used to. Maybe you are feeling overwhelmed, burned out, or quietly dissatisfied beneath the surface. Many people I work with function well on the outside while carrying questions, frustrations, or patterns that don’t have much room to be explored. Therapy with me offers a place to slow down and make sense of what’s been showing up.
You might not arrive with a clear story, but you know something is not working the way it used to. Maybe you are feeling overwhelmed, burned out, or quietly dissatisfied beneath the surface. Many people I work with function well on the outside while carrying questions, frustrations, or patterns that don’t have much room to be explored. Therapy with me offers a place to slow down and make sense of what’s been showing up.
(365) 990-2428 View (365) 990-2428
Photo of Jennifer McArdle-Toll, Registered Psychotherapist, MPsy, RP
Jennifer McArdle-Toll
Registered Psychotherapist, MPsy, RP
4 Endorsed
Cobourg, ON K9A
Hi! I'm glad you're here. In my office you will find warmth, safety, compassion, humour, a personal interest in the arts and music, and a love of animals. I feel a strong connection is essential in developing a meaningful therapeutic relationship. I have had the pleasure of working with teens, adults, and families of all orientations. Whether you are managing symptoms of anxiety, depression, (C)PTSD/trauma, ADHD, ASD, OCPD, self-harm, interpersonal conflict, or simply would like a safe, non-judgemental place to land, I invite you to contact me for a free consultation.
Hi! I'm glad you're here. In my office you will find warmth, safety, compassion, humour, a personal interest in the arts and music, and a love of animals. I feel a strong connection is essential in developing a meaningful therapeutic relationship. I have had the pleasure of working with teens, adults, and families of all orientations. Whether you are managing symptoms of anxiety, depression, (C)PTSD/trauma, ADHD, ASD, OCPD, self-harm, interpersonal conflict, or simply would like a safe, non-judgemental place to land, I invite you to contact me for a free consultation.
(289) 273-8519 View (289) 273-8519
Photo of Kody Kearns, Registered Social Worker, BSW
Kody Kearns
Registered Social Worker, BSW
2 Endorsed
Cobourg, ON K9A
I provide a relational, supportive space for children, teens, and families, as well as individual adults. We often see a child’s struggle before we understand it. Whether it’s the restless energy of ADHD, the quiet withdrawal of anxiety, or the complex 'acting out' that follows trauma and adversity, these behaviors are usually a search for safety. It is incredibly difficult to watch your child hurt and feel like you’ve run out of tools to help them.
I provide a relational, supportive space for children, teens, and families, as well as individual adults. We often see a child’s struggle before we understand it. Whether it’s the restless energy of ADHD, the quiet withdrawal of anxiety, or the complex 'acting out' that follows trauma and adversity, these behaviors are usually a search for safety. It is incredibly difficult to watch your child hurt and feel like you’ve run out of tools to help them.
(289) 301-7872 View (289) 301-7872
Photo of Danielle Beaubien, Registered Psychotherapist, BA, MSc
Danielle Beaubien
Registered Psychotherapist, BA, MSc
1 Endorsed
Cobourg, ON K9A
Facing mental health challenges can feel isolating and overwhelming, but you don’t have to go through it alone. I work with individuals navigating anxiety, trauma, stress, life transitions, relationship concerns, depression, and the lasting effects of sexual violence. My background in gender-based, domestic, and sexual violence support has deepened my understanding of how these experiences impact mental health and self-worth. My approach is strengths-based, trauma-informed, and grounded in collaboration as I believe healing happens when we feel safe, seen, and empowered.
Facing mental health challenges can feel isolating and overwhelming, but you don’t have to go through it alone. I work with individuals navigating anxiety, trauma, stress, life transitions, relationship concerns, depression, and the lasting effects of sexual violence. My background in gender-based, domestic, and sexual violence support has deepened my understanding of how these experiences impact mental health and self-worth. My approach is strengths-based, trauma-informed, and grounded in collaboration as I believe healing happens when we feel safe, seen, and empowered.
(289) 906-1711 View (289) 906-1711
Photo of Erin Warder, Registered Psychotherapist, MA, BA, RP
Erin Warder
Registered Psychotherapist, MA, BA, RP
1 Endorsed
Cobourg, ON K9A
My therapeutic process incorporates the importance of the mind-body connection, and self-care into treatment. I use an integrative approach, combining aspects of the Biopsychosocial model, Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy (SFT), Mindfulness, and Client-Centered Therapy to work with individuals, families, and youth. I work collaboratively with clients to explore barriers in their lives, and create goals that allow clients to live more authentic and engaged lives. Ultimately, the aim of the therapeutic journey is to enhance the clients’ self-awareness and relationship with themselves and those around them.
My therapeutic process incorporates the importance of the mind-body connection, and self-care into treatment. I use an integrative approach, combining aspects of the Biopsychosocial model, Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy (SFT), Mindfulness, and Client-Centered Therapy to work with individuals, families, and youth. I work collaboratively with clients to explore barriers in their lives, and create goals that allow clients to live more authentic and engaged lives. Ultimately, the aim of the therapeutic journey is to enhance the clients’ self-awareness and relationship with themselves and those around them.
(289) 928-2506 View (289) 928-2506

See more therapy options for Cobourg

How does your Counsellor compare?

Number of Counsellors in Cobourg, ON

100+

Average cost per session

$165

Counsellors in Cobourg, ON who prioritize treating:

88% Anxiety
88% Social Anxiety
88% Health Anxiety
88% Driving Anxiety
80% Depression
76% Self Esteem
74% Stress

Average years in practice

10 Years

Top 3 insurances accepted

67% Green Shield Canada
67% SunLife
63% Manulife

How Counsellors in Cobourg, ON see their clients

86% In Person and Online
14% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Cobourg?

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.