Therapists in Ottawa, ON

Photo of Emelie Sattaratn, Registered Psychotherapist (Qualifying), MEd, MACP
Emelie Sattaratn
Registered Psychotherapist (Qualifying), MEd, MACP
9 Endorsed
Ottawa, ON K1S
Waitlist for new clients
I am happy you're here! Therapy is a valuable process that helps you gain insight into yourself and fosters healing and self-discovery. I am a Registered Psychotherapist (Qualifying) with the College of Registered Psychotherapists of Ontario (CRPO) and I offer a supportive environment for clients addressing a variety of issues, including trauma and abuse, childhood trauma, anxiety, interpersonal relationships, eating disorders, couples work and stress/burnout through a trauma-informed lens.
I am happy you're here! Therapy is a valuable process that helps you gain insight into yourself and fosters healing and self-discovery. I am a Registered Psychotherapist (Qualifying) with the College of Registered Psychotherapists of Ontario (CRPO) and I offer a supportive environment for clients addressing a variety of issues, including trauma and abuse, childhood trauma, anxiety, interpersonal relationships, eating disorders, couples work and stress/burnout through a trauma-informed lens.
(343) 801-1943 View (343) 801-1943
Photo of Elise Gwyn, Registered Psychotherapist, MA, RP, PMH-C
Elise Gwyn
Registered Psychotherapist, MA, RP, PMH-C
2 Endorsed
Ottawa, ON K2B
In challenging times, the most powerful thing we can control is how we treat ourselves. Compassion and self-awareness empower us to navigate life’s obstacles with greater confidence. I offer a supportive space for individuals seeking to explore the origins of their patterns, gain a deeper understanding of their underlying emotions, and discover new ways of relating to themselves and others in order to create positive and sustainable change in their lives. My goal is to help you develop effective responses to difficult moments that bring you closer to your goals and values.
In challenging times, the most powerful thing we can control is how we treat ourselves. Compassion and self-awareness empower us to navigate life’s obstacles with greater confidence. I offer a supportive space for individuals seeking to explore the origins of their patterns, gain a deeper understanding of their underlying emotions, and discover new ways of relating to themselves and others in order to create positive and sustainable change in their lives. My goal is to help you develop effective responses to difficult moments that bring you closer to your goals and values.
(343) 340-0740 View (343) 340-0740
Photo of Shahed Tawfeeq - Attachment | Abandonment | Relationships - Shahed, Registered Psychotherapist (Qualifying)
Attachment | Abandonment | Relationships - Shahed
Registered Psychotherapist (Qualifying)
1 Endorsed
Online Only
I’m Shahed, and I help adults who feel stuck in painful relationship cycles they can’t seem to break. Maybe closeness feels overwhelming, or distance leaves you anxious. You might replay old patterns with partners, friends, or family -wondering why the same hurt shows up. If attachment wounds, insecure attachment, trust issues, or fear of rejection are shaping your relationships, we can uncover the “why” and build new, more secure ways of connecting.
I’m Shahed, and I help adults who feel stuck in painful relationship cycles they can’t seem to break. Maybe closeness feels overwhelming, or distance leaves you anxious. You might replay old patterns with partners, friends, or family -wondering why the same hurt shows up. If attachment wounds, insecure attachment, trust issues, or fear of rejection are shaping your relationships, we can uncover the “why” and build new, more secure ways of connecting.
(437) 292-1442 View (437) 292-1442
Photo of Zhongjie Bao, Registered Psychotherapist, PhD, MA
Zhongjie Bao
Registered Psychotherapist, PhD, MA
2 Endorsed
Ottawa, ON K2A
Hi! I am Zhongjie, you can also call me Ben. As a first-gen immigrant from China with lived experience as an international student at both the undergraduate and graduate levels, my ultimate goal is to sit with you, human to human, and better understand what brings you to therapy so that we can work towards your personal and unique goals together. I am a humanist or "common factor" therapist.  This means I focus on building a genuine and trusting relationship with you, so we can mutually create a space where you can explore anything that may be important to you.
Hi! I am Zhongjie, you can also call me Ben. As a first-gen immigrant from China with lived experience as an international student at both the undergraduate and graduate levels, my ultimate goal is to sit with you, human to human, and better understand what brings you to therapy so that we can work towards your personal and unique goals together. I am a humanist or "common factor" therapist.  This means I focus on building a genuine and trusting relationship with you, so we can mutually create a space where you can explore anything that may be important to you.
(226) 270-7200 View (226) 270-7200
Photo of Marlene Rivier - The Counselling Group, Psychologist, MSW RSW, PhD, CCC, RP
The Counselling Group
Psychologist, MSW RSW, PhD, CCC, RP
1 Endorsed
Ottawa, ON K2B
Our Masters/PhD level certified and experienced mental health professionals at The Counselling Group provide psychological assessments as well as a full range of psychotherapy, counselling and support services for children, adolescents, and adults. We offer individual, couple, family & group counselling tailored to support positive, meaningful change and growth in your life. During your free phone consultation, we will carefully match you with one of our 40 counsellors, based on your needs and availability. Our services are offered in English, French, Spanish, Arabic and several other languages.
Our Masters/PhD level certified and experienced mental health professionals at The Counselling Group provide psychological assessments as well as a full range of psychotherapy, counselling and support services for children, adolescents, and adults. We offer individual, couple, family & group counselling tailored to support positive, meaningful change and growth in your life. During your free phone consultation, we will carefully match you with one of our 40 counsellors, based on your needs and availability. Our services are offered in English, French, Spanish, Arabic and several other languages.
(343) 944-4889 View (343) 944-4889
Photo of Patrick J Pretty, Registered Psychotherapist, DCP, RP/PA, CCC
Patrick J Pretty
Registered Psychotherapist, DCP, RP/PA, CCC
Online Only
Accepting New Clients! Therapy services I offer include and are not limited to supporting: • anxiety and depression • emotional management • co-dependency issues • communication • family of origin issues • grief work • men’s issues / challenges • personal and interpersonal growth • self-esteem / self-care • stress management and much more!
Accepting New Clients! Therapy services I offer include and are not limited to supporting: • anxiety and depression • emotional management • co-dependency issues • communication • family of origin issues • grief work • men’s issues / challenges • personal and interpersonal growth • self-esteem / self-care • stress management and much more!
(343) 308-9187 View (343) 308-9187
Photo of Dylan Myllymaki, Registered Social Worker, MSW, RSW
Dylan Myllymaki
Registered Social Worker, MSW, RSW
Ottawa, ON K2P
I provide psychotherapy to youth, adults, and families on a wide range of emotional, behavioural, and relational issues. I offer a unique and personally tailored approach to therapy, focusing on depression, anxiety, life adjustments and transitions, post-traumatic stress and psychological trauma, childhood issues and trauma, grief, family problems, and relational difficulties. I hope to provide you with an open and professional atmosphere with the goal of working through emotional difficulties, facilitating personal growth, forming healthier relationships, and moving on in your life.
I provide psychotherapy to youth, adults, and families on a wide range of emotional, behavioural, and relational issues. I offer a unique and personally tailored approach to therapy, focusing on depression, anxiety, life adjustments and transitions, post-traumatic stress and psychological trauma, childhood issues and trauma, grief, family problems, and relational difficulties. I hope to provide you with an open and professional atmosphere with the goal of working through emotional difficulties, facilitating personal growth, forming healthier relationships, and moving on in your life.
(613) 701-9927 View (613) 701-9927
Photo of Rianne van Berkom, Registered Psychotherapist, MA, RP, CCC
Rianne van Berkom
Registered Psychotherapist, MA, RP, CCC
2 Endorsed
Online Only
Life often presents us with different challenges and sometimes we need some support in working through them. Psychotherapy can be helpful when you are facing challenges such as stress, anxiety, trauma, anger, self-esteem, or even just wanting to get to know yourself better. I believe that it is important to create a safe, supportive, and non-judgmental space where we can work together on addressing your needs and goals.
Life often presents us with different challenges and sometimes we need some support in working through them. Psychotherapy can be helpful when you are facing challenges such as stress, anxiety, trauma, anger, self-esteem, or even just wanting to get to know yourself better. I believe that it is important to create a safe, supportive, and non-judgmental space where we can work together on addressing your needs and goals.
(343) 307-5452 View (343) 307-5452
Photo of Sj Vriend, Registered Psychotherapist, MA, RP, CCC
Sj Vriend
Registered Psychotherapist, MA, RP, CCC
2 Endorsed
Ottawa, ON K2A
At Earthbound Psychotherapy, it is my goal to create a working relationship that feels safe, collaborative, and effective for you. I support individuals seeking a more positive relationship with themselves and others, to cope with stress and change, and to cultivate lives more congruent to their needs and values. I often work with LGBT2SQIA+ adults and those who are exploring their gender, sexuality, or relationship preferences (I am kink/poly-friendly). My approach is informed by clinical experience and also lived experience as a queer and nonbinary person. I approach the challenges you are facing with curiosity and compassion.
At Earthbound Psychotherapy, it is my goal to create a working relationship that feels safe, collaborative, and effective for you. I support individuals seeking a more positive relationship with themselves and others, to cope with stress and change, and to cultivate lives more congruent to their needs and values. I often work with LGBT2SQIA+ adults and those who are exploring their gender, sexuality, or relationship preferences (I am kink/poly-friendly). My approach is informed by clinical experience and also lived experience as a queer and nonbinary person. I approach the challenges you are facing with curiosity and compassion.
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Photo of Hélène Lê, Registered Psychotherapist, MA, RP
Hélène
Registered Psychotherapist, MA, RP
1 Endorsed
Ottawa, ON K1N
Waitlist for new clients
Au-delà des maux, il y a des sensations, des émotions, des images et des mots pour pouvoir décrire les défis auxquels nous faisons face. Je suis une alliée à l’écoute pour t’aider à avancer dans ton cheminement de vie et pour te guider avec douceur pour mieux comprendre ta souffrance qui te pèse depuis un certain temps ou même depuis longtemps.
Au-delà des maux, il y a des sensations, des émotions, des images et des mots pour pouvoir décrire les défis auxquels nous faisons face. Je suis une alliée à l’écoute pour t’aider à avancer dans ton cheminement de vie et pour te guider avec douceur pour mieux comprendre ta souffrance qui te pèse depuis un certain temps ou même depuis longtemps.
(343) 321-0295 View (343) 321-0295
Photo of Lauren McCarley, Registered Psychotherapist, RP, BSc, MA
Lauren McCarley
Registered Psychotherapist, RP, BSc, MA
1 Endorsed
Online Only
If you're struggling with anxiety/panic, depression, obsessive-compulsive disorder (OCD), the pressure to please people, or the exhausting pursuit of perfection, you don't have to face these struggles alone. Discovering the path to your authentic self can feel overwhelming, especially when you constantly battle with low self-esteem and feeling like you are "not enough". I am here to walk alongside you on your journey of self-discovery, where every twist and turn reveals new insights and opportunities for growth. You have already taken the courageous step of seeking help, and that alone is a testament to your strength and resiliency.
If you're struggling with anxiety/panic, depression, obsessive-compulsive disorder (OCD), the pressure to please people, or the exhausting pursuit of perfection, you don't have to face these struggles alone. Discovering the path to your authentic self can feel overwhelming, especially when you constantly battle with low self-esteem and feeling like you are "not enough". I am here to walk alongside you on your journey of self-discovery, where every twist and turn reveals new insights and opportunities for growth. You have already taken the courageous step of seeking help, and that alone is a testament to your strength and resiliency.
(289) 272-5457 View (289) 272-5457
Photo of Ereny Saleh, Registered Psychotherapist, RP, BA, MA
Ereny Saleh
Registered Psychotherapist, RP, BA, MA
4 Endorsed
Online Only
العلاج النفسي و المشوره When we struggle with life’s challenges, it takes courage to seek help. Life surprises us with situations that lead to feelings of stress, loneliness and being overwhelmed. I can walk with you through your journey and navigate these challenges. Working alongside my client as a team will enable you to regain control of your life and achieve a state of tranquillity. Focus: Anxiety, depression, stress, adolescents' behavioural issues, self-harm, life transitions, women's issues, Domestic violence, childhood trauma, Religious trauma, marriage and relational problems, Life Coaching, Refugee integration.
العلاج النفسي و المشوره When we struggle with life’s challenges, it takes courage to seek help. Life surprises us with situations that lead to feelings of stress, loneliness and being overwhelmed. I can walk with you through your journey and navigate these challenges. Working alongside my client as a team will enable you to regain control of your life and achieve a state of tranquillity. Focus: Anxiety, depression, stress, adolescents' behavioural issues, self-harm, life transitions, women's issues, Domestic violence, childhood trauma, Religious trauma, marriage and relational problems, Life Coaching, Refugee integration.
(343) 339-9351 View (343) 339-9351
Photo of Dr. Justin Massey, Psychologist, PsyD, CPsych
Dr. Justin Massey
Psychologist, PsyD, CPsych
2 Endorsed
Ottawa, ON K1Y
Dr. Massey joined the Firestone CBT Clinic to pursue his interest in treating adults and adolescents with anxiety, mood disorders, eating disorders, obsessive-compulsive disorder, and body-focused repetitive behaviors (e.g., trichotillomania and excoriation disorder). Dr. Massey’s approach to therapy is cognitive-behavioral. Believing that the change process should be collaborative, Dr. Massey works with clients to develop mutually agreed upon achievable goals for therapy.
Dr. Massey joined the Firestone CBT Clinic to pursue his interest in treating adults and adolescents with anxiety, mood disorders, eating disorders, obsessive-compulsive disorder, and body-focused repetitive behaviors (e.g., trichotillomania and excoriation disorder). Dr. Massey’s approach to therapy is cognitive-behavioral. Believing that the change process should be collaborative, Dr. Massey works with clients to develop mutually agreed upon achievable goals for therapy.
(613) 704-5782 View (613) 704-5782
Photo of Courtney Leeder, Registered Psychotherapist, MA, RP
Courtney Leeder
Registered Psychotherapist, MA, RP
1 Endorsed
Online Only
I understand that life can be filled with unforeseen obstacles and difficulties and believe that by providing an environment centered around genuineness, empathy, and acceptance, you may feel safe to deepen your experiences and create opportunities for change.
I understand that life can be filled with unforeseen obstacles and difficulties and believe that by providing an environment centered around genuineness, empathy, and acceptance, you may feel safe to deepen your experiences and create opportunities for change.
(343) 453-1712 View (343) 453-1712
Photo of Robert Vincent Piro, Registered Psychotherapist, M Ed, CCC, RP
Robert Vincent Piro
Registered Psychotherapist, M Ed, CCC, RP
5 Endorsed
Ottawa, ON K1P
Real change, healing, and growth happens from the inside out. This is a process of mutual empowerment that occurs through our genuine relationships, as we bring parts of ourselves and hidden parts of our experience into the light of a compassionate awareness. In psychotherapy we can create an authentic space of acceptance to explore life's troubles with compassion, curiosity, and courage. Together we may discover, become, heal, and grow. Whatever brings you to psychotherapy, it is with respect and gratitude that I commit to walk beside you on this path. "A journey of a thousand miles begins where one is and taking a single step."
Real change, healing, and growth happens from the inside out. This is a process of mutual empowerment that occurs through our genuine relationships, as we bring parts of ourselves and hidden parts of our experience into the light of a compassionate awareness. In psychotherapy we can create an authentic space of acceptance to explore life's troubles with compassion, curiosity, and courage. Together we may discover, become, heal, and grow. Whatever brings you to psychotherapy, it is with respect and gratitude that I commit to walk beside you on this path. "A journey of a thousand miles begins where one is and taking a single step."
(343) 307-9442 View (343) 307-9442
Photo of Robyn Green, Registered Social Worker, MSW, RSW
Robyn Green
Registered Social Worker, MSW, RSW
Online Only
I have observed and experienced how using external expectations to define one’s body and personhood can be harmful to one’s self-esteem. This led me to consider the profound personal and structural impacts of anti-fat bias and diet culture on an individual's everyday life. In light of these reflections, I am interested in exploring the stories that we tell about our bodies and consider the possibilities of generating affirming stories supported by client autonomy and consent. I work with clients to examine if expectations to look, act and heal in “normal” ways may be at times incompatible with their values, experiences or goals.
I have observed and experienced how using external expectations to define one’s body and personhood can be harmful to one’s self-esteem. This led me to consider the profound personal and structural impacts of anti-fat bias and diet culture on an individual's everyday life. In light of these reflections, I am interested in exploring the stories that we tell about our bodies and consider the possibilities of generating affirming stories supported by client autonomy and consent. I work with clients to examine if expectations to look, act and heal in “normal” ways may be at times incompatible with their values, experiences or goals.
(613) 690-6271 View (613) 690-6271
Photo of Lauren Shaps, Registered Social Worker, MSW, RSW
Lauren Shaps
Registered Social Worker, MSW, RSW
3 Endorsed
Ottawa, ON K2B
We all go through challenging times in our lives. Many of us decide to seek counselling when we feel stuck, unsure how to move forward in a relationship with a spouse, child, sibling, or parent; or a colleague or co-worker. At these times, we can be anxious, depressed, angry, easily irritated, or simply depleted. Intense feelings or responses are often a sign that something important needs to be addressed.
We all go through challenging times in our lives. Many of us decide to seek counselling when we feel stuck, unsure how to move forward in a relationship with a spouse, child, sibling, or parent; or a colleague or co-worker. At these times, we can be anxious, depressed, angry, easily irritated, or simply depleted. Intense feelings or responses are often a sign that something important needs to be addressed.
(613) 902-0799 View (613) 902-0799
Photo of Aimée Kazadi Ouoguep, Registered Psychotherapist (Qualifying), MA, RP(Q)
Aimée Kazadi Ouoguep
Registered Psychotherapist (Qualifying), MA, RP(Q)
1 Endorsed
Ottawa, ON K2C
I believe in the inner strength of every human being to become the main actor of his improvement and healing. My job is to help you uncover your potentials for your growth and unleash your inner capacities to make the transformational changes you are yearning for. After meeting with you, we will work together hand to hand in a co-creative collaboration and assess how best to meet your need as individual, couple, or family.
I believe in the inner strength of every human being to become the main actor of his improvement and healing. My job is to help you uncover your potentials for your growth and unleash your inner capacities to make the transformational changes you are yearning for. After meeting with you, we will work together hand to hand in a co-creative collaboration and assess how best to meet your need as individual, couple, or family.
(343) 309-9513 View (343) 309-9513
Photo of Gabriel Marin, Registered Social Worker, PhD, RSW, MA
Gabriel Marin
Registered Social Worker, PhD, RSW, MA
Online Only
Do you feel overwhelmed, stressed, or depressed—struggling at work or facing ongoing conflict with a partner or family member? Do you feel stuck between who you are and who you want to become? I offer confidential, client-centered counselling focused on understanding how past experiences shape identity and emotional patterns. I support individuals and families facing conflict, anger, parenting challenges, social anxiety, and work-related stress, including those adjusting to life in a new country.
Do you feel overwhelmed, stressed, or depressed—struggling at work or facing ongoing conflict with a partner or family member? Do you feel stuck between who you are and who you want to become? I offer confidential, client-centered counselling focused on understanding how past experiences shape identity and emotional patterns. I support individuals and families facing conflict, anger, parenting challenges, social anxiety, and work-related stress, including those adjusting to life in a new country.
(613) 707-7723 View (613) 707-7723
Photo of Chloe Conklin, Registered Psychotherapist (Qualifying), BEd, MACP
Chloe Conklin
Registered Psychotherapist (Qualifying), BEd, MACP
1 Endorsed
Ottawa, ON K2P
Now accepting new clients! Feeling overwhelmed, stuck, or unsure of what's next? Social anxiety, ADHD, and stress from school, friendships, or life transitions can leave you overthinking, doubting yourself, or struggling to keep up. Over time, these challenges can affect your mood, confidence, and relationships. I work with young people to address these struggles, build focus and self-trust, and grow toward the life they imagine for themselves.
Now accepting new clients! Feeling overwhelmed, stuck, or unsure of what's next? Social anxiety, ADHD, and stress from school, friendships, or life transitions can leave you overthinking, doubting yourself, or struggling to keep up. Over time, these challenges can affect your mood, confidence, and relationships. I work with young people to address these struggles, build focus and self-trust, and grow toward the life they imagine for themselves.
(343) 804-4071 View (343) 804-4071

See more therapy options for Ottawa

How does your Counsellor compare?

Number of Counsellors in Ottawa, ON

3.000+

Average cost per session

$169

Counsellors in Ottawa, ON who prioritize treating:

94% Anxiety
87% Depression
82% Self Esteem
80% Relationship Issues
80% Stress
70% Trauma and PTSD
65% Grief

Average years in practice

7 Years

Top 3 insurances accepted

73% SunLife
73% Canada Life | Great-West Life
69% Manulife

How Counsellors in Ottawa, ON see their clients

56% In Person and Online
44% Online Only

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Ottawa?

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.