Therapists in Kitchener, ON

Photo of Sanam Rezaei, MSW, RSW, Registered Social Worker
Sanam Rezaei
Registered Social Worker, MSW, RSW
Verified Verified
3 Endorsed
Kitchener, ON N2B  (Online Only)
Are you feeling overwhelmed, stuck, or uncertain about the path ahead? I'm here to offer you a safe space where you can explore your thoughts, emotions, and experiences without judgment.
Are you feeling overwhelmed, stuck, or uncertain about the path ahead? I'm here to offer you a safe space where you can explore your thoughts, emotions, and experiences without judgment.
(548) 490-4931 View (548) 490-4931
Photo of Jess Kumordzie-Gyasensir, MSW, Registered Social Worker
Jess Kumordzie-Gyasensir
Registered Social Worker, MSW
Verified Verified
1 Endorsed
Kitchener, ON N2C  (Online Only)
I wholeheartedly believe that one of the bravest things you’ll ever do is making the decision to invest in your well-being. As a mental health therapist, social worker and wellness practitioner with over 10 years of community development experience, I am energized by providing culturally responsive, affirming and accessible support and resources within our co-created therapeutic space. My aim is to help you make meaning of life’s challenges - such as family conflict, workplace stress, racial trauma, life transitions, and chronic pain/illness - and to equip you with meaningful tools to navigate these experiences.
I wholeheartedly believe that one of the bravest things you’ll ever do is making the decision to invest in your well-being. As a mental health therapist, social worker and wellness practitioner with over 10 years of community development experience, I am energized by providing culturally responsive, affirming and accessible support and resources within our co-created therapeutic space. My aim is to help you make meaning of life’s challenges - such as family conflict, workplace stress, racial trauma, life transitions, and chronic pain/illness - and to equip you with meaningful tools to navigate these experiences.
(226) 605-0690 View (226) 605-0690
Photo of Christi-an Slomka, Registered Psychotherapist (Qualifying)
Christi-an Slomka
Registered Psychotherapist (Qualifying)
Verified Verified
1 Endorsed
Kitchener, ON N2H
Are you feeling burnt out, overwhelmed or anxious? Do you struggle to know/honour the true needs of your body, mind and heart? Are boundaries difficult for you? Do you wish for less stress and more balance and deeper rest?
Are you feeling burnt out, overwhelmed or anxious? Do you struggle to know/honour the true needs of your body, mind and heart? Are boundaries difficult for you? Do you wish for less stress and more balance and deeper rest?
(437) 291-7374 View (437) 291-7374
Photo of Jisca Rodriguez, RP (Q), MMT, MTA, Registered Psychotherapist (Qualifying)
Jisca Rodriguez
Registered Psychotherapist (Qualifying), RP (Q), MMT, MTA
Verified Verified
Kitchener, ON N2H
I offer a warm and engaging environment where clients can discover strengths, overcome challenges and work towards goals in a safe creative space. I focus on providing creative mediums like music and play as a compliment or alternative to verbal therapy, aiming to open up many possibilities for communication, expression, and growth. I am a certified music therapist, a qualifying psychotherapist, and have also completed training in child-centred play therapy. Clients do not need to have any previous musical experience or training to engage in music therapy.
I offer a warm and engaging environment where clients can discover strengths, overcome challenges and work towards goals in a safe creative space. I focus on providing creative mediums like music and play as a compliment or alternative to verbal therapy, aiming to open up many possibilities for communication, expression, and growth. I am a certified music therapist, a qualifying psychotherapist, and have also completed training in child-centred play therapy. Clients do not need to have any previous musical experience or training to engage in music therapy.
(548) 490-5940 View (548) 490-5940
Photo of Erin Graham, MSW, RSW, Registered Social Worker
Erin Graham
Registered Social Worker, MSW, RSW
Verified Verified
Kitchener, ON N2A  (Online Only)
Erin has over 15 years of experience working in all areas of the health care system, where she has acquired the skills for helping people get through some of the most difficult times in their lives. Erin has extensive knowledge of the necessary methods, including the Strengths Based Model and Cognitive Behavioural Therapy, which guide her clients on their path to recovery, empowering them to make positive changes in their lives. Erin assists clients in developing coping strategies, personalized and unique to their situation, and walks along side them in their journey to recovery. Erin also offers Walk N Talk therapy.
Erin has over 15 years of experience working in all areas of the health care system, where she has acquired the skills for helping people get through some of the most difficult times in their lives. Erin has extensive knowledge of the necessary methods, including the Strengths Based Model and Cognitive Behavioural Therapy, which guide her clients on their path to recovery, empowering them to make positive changes in their lives. Erin assists clients in developing coping strategies, personalized and unique to their situation, and walks along side them in their journey to recovery. Erin also offers Walk N Talk therapy.
(226) 782-4338 View (226) 782-4338
Photo of Megan Svarich-Knights, MSW, RSW, RDT, Registered Social Worker
Megan Svarich-Knights
Registered Social Worker, MSW, RSW, RDT
Verified Verified
4 Endorsed
Kitchener, ON N2H
Waitlist for new clients
I want to invite you into a therapeutic space where everything is speakable. Nothing is too shameful, too shocking, too terrible or too broken to be witnessed.
I want to invite you into a therapeutic space where everything is speakable. Nothing is too shameful, too shocking, too terrible or too broken to be witnessed.
(548) 483-5765 View (548) 483-5765
Photo of Theresa Will, MA, RP, Registered Psychotherapist
Theresa Will
Registered Psychotherapist, MA, RP
Verified Verified
3 Endorsed
Kitchener, ON N2H
Not accepting new clients
Reaching out for help, especially from a stranger, is incredibly scary and courageous - the first step is often the hardest. I always feel honoured to join my clients on their journey to wellness and I welcome the opportunity to work with you. I am committed to working with you at your pace. My approach is down to earth and collaborative, always. I strive to maintain an emotionally safe and judgment free space so that you may feel respected and heard. I am extensively trained in trauma therapy and have participated in Phases 1, 2, 3, 4 and Masters level of Brainspotting, as well as the specialty Children and Adolescents training.
Reaching out for help, especially from a stranger, is incredibly scary and courageous - the first step is often the hardest. I always feel honoured to join my clients on their journey to wellness and I welcome the opportunity to work with you. I am committed to working with you at your pace. My approach is down to earth and collaborative, always. I strive to maintain an emotionally safe and judgment free space so that you may feel respected and heard. I am extensively trained in trauma therapy and have participated in Phases 1, 2, 3, 4 and Masters level of Brainspotting, as well as the specialty Children and Adolescents training.
(226) 400-8579 View (226) 400-8579
Photo of Beth Murch, MA, Pre-Licensed Professional
Beth Murch
Pre-Licensed Professional, MA
Verified Verified
Kitchener, ON N2M  (Online Only)
Reproductive experiences can be overwhelming and emotional. Pregnancy, birth, postpartum...these are vast major life experiences that deserve to be honoured through community support and therapeutic care. I am here to provide respectful, sensitive psychotherapy to those seeking a therapist with years of firsthand experience of supporting individuals and their families through the challenges of reproductive health care and the perinatal experience. I invite you to participate in dynamic, creative therapy that can improve your journey through these tumultuous times.
Reproductive experiences can be overwhelming and emotional. Pregnancy, birth, postpartum...these are vast major life experiences that deserve to be honoured through community support and therapeutic care. I am here to provide respectful, sensitive psychotherapy to those seeking a therapist with years of firsthand experience of supporting individuals and their families through the challenges of reproductive health care and the perinatal experience. I invite you to participate in dynamic, creative therapy that can improve your journey through these tumultuous times.
(226) 702-0571 View (226) 702-0571
Photo of Rupinder (Rupi) Kaur Jhutti, MA, RP, Registered Psychotherapist
Rupinder (Rupi) Kaur Jhutti
Registered Psychotherapist, MA, RP
Verified Verified
4 Endorsed
Kitchener, ON N2K
Are you a person of colour struggling with stuff coming up from the past that gets in the way of your current relationships at work or at home? If you're feeling misunderstood or lost for words in your relationship, anxious to get things done, or just looking to get to know yourself, let's work together to get to know you, or come up with solutions to unstuck you and develop skills to move forward. I work with individuals to discover and explore new possibilities in their relationships, as well as, developing skills to hone their intuition.
Are you a person of colour struggling with stuff coming up from the past that gets in the way of your current relationships at work or at home? If you're feeling misunderstood or lost for words in your relationship, anxious to get things done, or just looking to get to know yourself, let's work together to get to know you, or come up with solutions to unstuck you and develop skills to move forward. I work with individuals to discover and explore new possibilities in their relationships, as well as, developing skills to hone their intuition.
(647) 360-9853 View (647) 360-9853
Photo of Darion Brenner, MA, RP, CRPO, OAMHP, Registered Psychotherapist
Darion Brenner
Registered Psychotherapist, MA, RP, CRPO, OAMHP
Verified Verified
8 Endorsed
Kitchener, ON N2H
Currently accepting new in-person and virtual clients! Life is a journey that no one should walk alone. Whether you are feeling overwhelmed, emotionally or physically exhausted, hurt, or isolated, I am here to walk with you. I strive to foster a compassionate, warm, and non-judgemental atmosphere for you to explore your current challenges. Together, we will identify your goals, learn your strengths, and develop an individualized treatment plan that feels good to you. There is no ‘one size fits all’ approach to counselling, which is why I use a client-centred, trauma-informed, and strengths-based approach to therapy.
Currently accepting new in-person and virtual clients! Life is a journey that no one should walk alone. Whether you are feeling overwhelmed, emotionally or physically exhausted, hurt, or isolated, I am here to walk with you. I strive to foster a compassionate, warm, and non-judgemental atmosphere for you to explore your current challenges. Together, we will identify your goals, learn your strengths, and develop an individualized treatment plan that feels good to you. There is no ‘one size fits all’ approach to counselling, which is why I use a client-centred, trauma-informed, and strengths-based approach to therapy.
(226) 455-4091 View (226) 455-4091
Photo of Sodaba Surush, MA, RP, Registered Psychotherapist
Sodaba Surush
Registered Psychotherapist, MA, RP
Verified Verified
4 Endorsed
Kitchener, ON N2H
I am a Registered Psychotherapist with the College of Registered Psychotherapists of Ontario. I take a client-centered and compassionate approach to my work and uphold the values of dignity and respect for all. I specialize in working with individuals and couples coping with anxiety, depression, ADHD, trauma, life transitions (including immigration), addictions, and identity related issues. My practice is influenced by evidence-based modalities of Cognitive Behaviour Therapy, Dialectical Behaviour Therapy, Solution Focused Therapy, Gottman Method, and incorporates both mindfulness and meditation practices.
I am a Registered Psychotherapist with the College of Registered Psychotherapists of Ontario. I take a client-centered and compassionate approach to my work and uphold the values of dignity and respect for all. I specialize in working with individuals and couples coping with anxiety, depression, ADHD, trauma, life transitions (including immigration), addictions, and identity related issues. My practice is influenced by evidence-based modalities of Cognitive Behaviour Therapy, Dialectical Behaviour Therapy, Solution Focused Therapy, Gottman Method, and incorporates both mindfulness and meditation practices.
(548) 488-4207 View (548) 488-4207
Photo of Robert E McArthur, RSSW, CCAC, ICADC, Drug & Alcohol Counsellor
Robert E McArthur
Drug & Alcohol Counsellor, RSSW, CCAC, ICADC
Verified Verified
1 Endorsed
Kitchener, ON N2E
Robert grew up in an alcoholic home, and then became a substance abuser himself. In 1988 he embarked on a road to recovery. Since becoming clean and sober, Robert returned to school and with his education and experience, he began working in the addiction profession in 1990. He has experience with in-patient, outpatient, individual & group counselling, as well as lecturing and facilitating workshops. Using his educational background accompanied with his addiction experience, he is helping others on their own road to recovery. He is now an International Certified Alcohol and Drug Counsellor and is a Canadian Certified Addiction Counsellor.
Robert grew up in an alcoholic home, and then became a substance abuser himself. In 1988 he embarked on a road to recovery. Since becoming clean and sober, Robert returned to school and with his education and experience, he began working in the addiction profession in 1990. He has experience with in-patient, outpatient, individual & group counselling, as well as lecturing and facilitating workshops. Using his educational background accompanied with his addiction experience, he is helping others on their own road to recovery. He is now an International Certified Alcohol and Drug Counsellor and is a Canadian Certified Addiction Counsellor.
(519) 635-5622 View (519) 635-5622
Photo of Melody Lippert, MSW, RSW, Registered Social Worker
Melody Lippert
Registered Social Worker, MSW, RSW
Verified Verified
Kitchener, ON N2H
Parenting is hard and all of us make mistakes but knowing how to read our child's emotional cues and how to repair the inevitable ruptures is a game-changer for developing the relationship we want with our kids. If you are just starting out on your parenting journey and simply want to develop a secure attachment/bond with your baby or have been struggling with responding to your child's emotions for years, parent counselling might be the next best step in your relationship with your little(s). Kids' behaviours are always communicating something, and having someone to discuss these behaviours with can be so helpful.
Parenting is hard and all of us make mistakes but knowing how to read our child's emotional cues and how to repair the inevitable ruptures is a game-changer for developing the relationship we want with our kids. If you are just starting out on your parenting journey and simply want to develop a secure attachment/bond with your baby or have been struggling with responding to your child's emotions for years, parent counselling might be the next best step in your relationship with your little(s). Kids' behaviours are always communicating something, and having someone to discuss these behaviours with can be so helpful.
(548) 901-0595 View (548) 901-0595
Photo of Sandra Karlin, RP, Registered Psychotherapist
Sandra Karlin
Registered Psychotherapist, RP
Verified Verified
4 Endorsed
Kitchener, ON N2M
You deserve to feel supported. You deserve to be heard. Whether you are coming to therapy in a moment of crisis, years of stress and pain, or just needing another person to share your more guarded thoughts with- therapy is for you. Whether it's anxiety, trauma, relationship struggles, or anything in between, it's all welcome in my office. Let's talk!
You deserve to feel supported. You deserve to be heard. Whether you are coming to therapy in a moment of crisis, years of stress and pain, or just needing another person to share your more guarded thoughts with- therapy is for you. Whether it's anxiety, trauma, relationship struggles, or anything in between, it's all welcome in my office. Let's talk!
(548) 800-1654 View (548) 800-1654
Photo of Amanda Green, MSW, RSW, Registered Social Worker
Amanda Green
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Kitchener, ON N2A  (Online Only)
Certified in EFT! We want intimacy and emotional connection but feel helpless to attain it. We want to be able to talk about our feelings and needs without getting caught up in the same frustrating arguments that go nowhere. We want so much more than feeling empty inside like roommates, just parents, or good friends who pay the bills together. We desire safety, security, and love. But we have so many doubts and questions: Am I too dependent? Too independent? Codependent? Am I too much or not enough? How can I build more balance within myself and in my relationship? How can I feel seen, heard, and fulfilled without creating conflict?
Certified in EFT! We want intimacy and emotional connection but feel helpless to attain it. We want to be able to talk about our feelings and needs without getting caught up in the same frustrating arguments that go nowhere. We want so much more than feeling empty inside like roommates, just parents, or good friends who pay the bills together. We desire safety, security, and love. But we have so many doubts and questions: Am I too dependent? Too independent? Codependent? Am I too much or not enough? How can I build more balance within myself and in my relationship? How can I feel seen, heard, and fulfilled without creating conflict?
(226) 778-4551 View (226) 778-4551
Photo of undefined - Mary Bethan Counselling, MA, RP(Q), Registered Psychotherapist (Qualifying)
Mary Bethan Counselling
Registered Psychotherapist (Qualifying), MA, RP(Q)
Verified Verified
2 Endorsed
Kitchener, ON N2K  (Online Only)
Welcome to this space! Whatever brought you here, I want you to know you are welcome and supported. I can understand it can be vulnerable to reach out for support and I want to honor your bravery in taking this first step. I view the therapeutic journey, as a client welcoming me to walk alongside them as they walk on the pathway of their life, and I don’t take this invitation lightly. I hold a strong belief in the expertise of clients when it comes to their own lives, and as a therapist, my role is to support and guide you in processing and uncovering what's happening for you, in your internal world.
Welcome to this space! Whatever brought you here, I want you to know you are welcome and supported. I can understand it can be vulnerable to reach out for support and I want to honor your bravery in taking this first step. I view the therapeutic journey, as a client welcoming me to walk alongside them as they walk on the pathway of their life, and I don’t take this invitation lightly. I hold a strong belief in the expertise of clients when it comes to their own lives, and as a therapist, my role is to support and guide you in processing and uncovering what's happening for you, in your internal world.
(226) 457-0732 View (226) 457-0732
Photo of Adrienne Luft, MSW, RSW, Registered Social Worker
Adrienne Luft
Registered Social Worker, MSW, RSW
Verified Verified
2 Endorsed
Kitchener, ON N2H
Are you looking to create positive change in your life? Unsure how to navigate this terrain on your own? Do you want to be fully engaged in your life and relationships? The work we do together will help you cultivate meaning and make these changes. I work from a strengths-based perspective and believe that we all have within us the capacity to heal and thrive, far beyond what we often recognize. Engaging in the counselling process can be tremendously beneficial as we rediscover our own strength and resilience.
Are you looking to create positive change in your life? Unsure how to navigate this terrain on your own? Do you want to be fully engaged in your life and relationships? The work we do together will help you cultivate meaning and make these changes. I work from a strengths-based perspective and believe that we all have within us the capacity to heal and thrive, far beyond what we often recognize. Engaging in the counselling process can be tremendously beneficial as we rediscover our own strength and resilience.
(226) 773-2021 View (226) 773-2021
Photo of Adrienne Hafemann, MSW, RSW, AccFM, Registered Social Worker
Adrienne Hafemann
Registered Social Worker, MSW, RSW, AccFM
Verified Verified
2 Endorsed
Kitchener, ON N2M
Waitlist for new clients
I understand and admire the courage it takes to reach out for support and am committed to respecting your time, effort, and trust. Our work together will be based on transformational approaches that quickly get to the root of the symptoms and concerns you are experiencing so that lasting change becomes possible, both within yourself and in your relationships. I believe our symptoms make perfect sense when they are better understood and, at one time, they served a helpful and protective purpose. Together, we will explore the unconscious learnings and narratives that are holding you back so you can get out from under your history.
I understand and admire the courage it takes to reach out for support and am committed to respecting your time, effort, and trust. Our work together will be based on transformational approaches that quickly get to the root of the symptoms and concerns you are experiencing so that lasting change becomes possible, both within yourself and in your relationships. I believe our symptoms make perfect sense when they are better understood and, at one time, they served a helpful and protective purpose. Together, we will explore the unconscious learnings and narratives that are holding you back so you can get out from under your history.
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Photo of Karen Eade | Ifs, RP, RMFT, CPT, Registered Psychotherapist
Karen Eade | Ifs
Registered Psychotherapist, RP, RMFT, CPT
Verified Verified
1 Endorsed
Kitchener, ON N2G  (Online Only)
Perhaps you have tried all that you can and still feel stressed and caught up in what is happening around you. My support invites you to experience calm in the midst of chaos, helps as you navigate challenges, and is a resource for your healing.
Perhaps you have tried all that you can and still feel stressed and caught up in what is happening around you. My support invites you to experience calm in the midst of chaos, helps as you navigate challenges, and is a resource for your healing.
(548) 457-0482 View (548) 457-0482
Photo of Justin Morris, RSW, MSW, Registered Social Worker
Justin Morris
Registered Social Worker, RSW, MSW
Verified Verified
2 Endorsed
Kitchener, ON N2H  (Online Only)
I have over a decade of experience supporting families and individuals in the Waterloo Region in their personal and collective transformation. I work with difficult emotions that feel like they are taking control, relationship dynamics that are causing stress, problematic patterns in our lives as well as impactful life events. Together we can sort through the good and the bad.
I have over a decade of experience supporting families and individuals in the Waterloo Region in their personal and collective transformation. I work with difficult emotions that feel like they are taking control, relationship dynamics that are causing stress, problematic patterns in our lives as well as impactful life events. Together we can sort through the good and the bad.
(548) 483-6758 View (548) 483-6758

See more therapy options for Kitchener

How does your Counsellor compare?

Number of Counsellors in Kitchener, ON

500+

Average cost per session

$150

Counsellors in Kitchener, ON who prioritize treating:

94% Anxiety
89% Depression
82% Self Esteem
80% Relationship Issues
80% Stress
73% Coping Skills
70% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

59% Green Shield Canada
59% SunLife
59% Manulife

How Counsellors in Kitchener, ON see their clients

71% In Person and Online
29% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Kitchener?

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.