Therapists in Ottawa, ON

Photo of Ana Delage, Registered Psychotherapist in Ottawa, ON
Ana Delage
Registered Psychotherapist, MEd, RP, CCC
Verified Verified
2 Endorsed
Ottawa, ON K2A
Waitlist for new clients
I am a Registered Psychotherapist offering psychotherapy and counselling services in private practice for individuals (18 and older) in the Ottawa region. I support individuals in the following areas of trauma, anxiety, stress management, grief and loss, low mood and depression, assertiveness training, relationship difficulties, challenging life transitions, and acculturation and immigration concerns. I also provide supervision to therapists who are registered, or working towards registration, with the College of Registered Psychotherapists of Ontario.
I am a Registered Psychotherapist offering psychotherapy and counselling services in private practice for individuals (18 and older) in the Ottawa region. I support individuals in the following areas of trauma, anxiety, stress management, grief and loss, low mood and depression, assertiveness training, relationship difficulties, challenging life transitions, and acculturation and immigration concerns. I also provide supervision to therapists who are registered, or working towards registration, with the College of Registered Psychotherapists of Ontario.
(613) 704-4359 View (613) 704-4359
Photo of Doro Yip, Registered Psychotherapist (Qualifying) in Ottawa, ON
Doro Yip
Registered Psychotherapist (Qualifying), MEd
Verified Verified
1 Endorsed
Ottawa, ON K2P
The stories that we hold about ourselves and others, and the stories the world says about us, all shape who we are and what we do. I focus on helping clients make sense of these stories, which is informed by narrative and social justice principles, and my own lived experience as a racialized queer first-generation immigrant. Some common clinical issues I treat include anxiety, depression, trauma, relationship issues, identity exploration, and stress management. I also specialize in supporting individuals with sexuality and gender identity concerns and BIPOC mental health.
The stories that we hold about ourselves and others, and the stories the world says about us, all shape who we are and what we do. I focus on helping clients make sense of these stories, which is informed by narrative and social justice principles, and my own lived experience as a racialized queer first-generation immigrant. Some common clinical issues I treat include anxiety, depression, trauma, relationship issues, identity exploration, and stress management. I also specialize in supporting individuals with sexuality and gender identity concerns and BIPOC mental health.
(343) 801-1449 View (343) 801-1449
Photo of Shannon Kate LaBelle, Registered Psychotherapist (Qualifying) in Ottawa, ON
Shannon Kate LaBelle
Registered Psychotherapist (Qualifying), MA
Verified Verified
1 Endorsed
Ottawa, ON K1G
My current practice is focused on substance use disorder, depression, anxiety, trauma, and major life transitions. I offer an empathic and connective presence and engage each client with unconditional high regard while focusing on evidence-based approaches to healing.
My current practice is focused on substance use disorder, depression, anxiety, trauma, and major life transitions. I offer an empathic and connective presence and engage each client with unconditional high regard while focusing on evidence-based approaches to healing.
(613) 447-8733 View (613) 447-8733
Photo of Regine Titus, Registered Psychotherapist (Qualifying) in Ottawa, ON
Regine Titus
Registered Psychotherapist (Qualifying), MEd
Verified Verified
1 Endorsed
Ottawa, ON K1K  (Online Only)
Welcome! You are likely visiting my page because you are currently experiencing difficulties in your life or because you want to improve your current situation. If you’re feeling stuck, overwhelmed, burned out or depressed and you are feeling like your emotions are taking over your life, you are at the right place. I can help you navigate difficult situations in your personal life. Often times therapy or coaching can offer a rich and transformative opportunity to deepen your self-knowledge and acceptance of who you are.
Welcome! You are likely visiting my page because you are currently experiencing difficulties in your life or because you want to improve your current situation. If you’re feeling stuck, overwhelmed, burned out or depressed and you are feeling like your emotions are taking over your life, you are at the right place. I can help you navigate difficult situations in your personal life. Often times therapy or coaching can offer a rich and transformative opportunity to deepen your self-knowledge and acceptance of who you are.
(343) 312-5356 View (343) 312-5356
Photo of Kelly Blanchfield, Registered Psychotherapist (Qualifying) in Ottawa, ON
Kelly Blanchfield
Registered Psychotherapist (Qualifying), MA, RPQ
Verified Verified
1 Endorsed
Ottawa, ON K1Z
Waitlist for new clients
Hello! I am a psychotherapist, specializing with children and youth, and I am taking new clients! I have experience with many concerns such as anxiety, depression, mood and self esteem. I also focus on children and youth who are neurodivergent and may be diagnosed with Autism or ADHD. I can offer both in person and online sessions. If you have any questions, feel free to reach out! I would be happy to set up a consultation.
Hello! I am a psychotherapist, specializing with children and youth, and I am taking new clients! I have experience with many concerns such as anxiety, depression, mood and self esteem. I also focus on children and youth who are neurodivergent and may be diagnosed with Autism or ADHD. I can offer both in person and online sessions. If you have any questions, feel free to reach out! I would be happy to set up a consultation.
(343) 342-1257 View (343) 342-1257
Photo of Alina Meloyan, Counsellor in Ottawa, ON
Alina Meloyan
Counsellor, MA, CCPA, OAMHP
Verified Verified
Ottawa, ON K2C
What you can get here: EMPATHY: to understand what you are going through. CONTEXT: Why are you stuck there? GUIDANCe: How to go forward from here. My approach is supportive and nonjudgmental. I use my life and work experience to help families, couples and individuals from diverse, multicultural backgrounds find the best version of themselves and overcome the challenges preventing them from living an abundant life. For more information, please visit alinameloyan.com.
What you can get here: EMPATHY: to understand what you are going through. CONTEXT: Why are you stuck there? GUIDANCe: How to go forward from here. My approach is supportive and nonjudgmental. I use my life and work experience to help families, couples and individuals from diverse, multicultural backgrounds find the best version of themselves and overcome the challenges preventing them from living an abundant life. For more information, please visit alinameloyan.com.
(819) 449-8507 View (819) 449-8507
Photo of Brittany Fletcher, Registered Psychotherapist (Qualifying) in Ottawa, ON
Brittany Fletcher
Registered Psychotherapist (Qualifying), MA
Verified Verified
3 Endorsed
Ottawa, ON K1B  (Online Only)
As a Registered Psychotherapist-Qualifying I collaborate with my clients in a non-judgmental therapeutic relationship built on trust and empathy. Through a culturally sensitive approach, I will support you in developing and working towards your goals and ensuring you feel heard regardless of your sexuality, ethnicity, gender, values, or beliefs. My approach is tailored to each individual, allowing you to have autonomy in the goals we establish and the strategies we utilize.
As a Registered Psychotherapist-Qualifying I collaborate with my clients in a non-judgmental therapeutic relationship built on trust and empathy. Through a culturally sensitive approach, I will support you in developing and working towards your goals and ensuring you feel heard regardless of your sexuality, ethnicity, gender, values, or beliefs. My approach is tailored to each individual, allowing you to have autonomy in the goals we establish and the strategies we utilize.
(343) 309-9772 View (343) 309-9772
Photo of Endi Kodila, Registered Psychotherapist (Qualifying) in Ottawa, ON
Endi Kodila
Registered Psychotherapist (Qualifying), MA
Verified Verified
Ottawa, ON K1N
Compassion, kindness and mindfulness is the heart of my practice. I am passionate about client empowerment and being non-judgmental. My approach is based on the needs of my clients, meaning that although I have a systemic and Emotional focused therapy foundation, I use psychodynamic approach and cognitive behavioral, or solution focused strategies as required. Fundamentally, I believe that people are capable of change and that in order to change we need a better understanding of ourselves and others.
Compassion, kindness and mindfulness is the heart of my practice. I am passionate about client empowerment and being non-judgmental. My approach is based on the needs of my clients, meaning that although I have a systemic and Emotional focused therapy foundation, I use psychodynamic approach and cognitive behavioral, or solution focused strategies as required. Fundamentally, I believe that people are capable of change and that in order to change we need a better understanding of ourselves and others.
(343) 305-1993 View (343) 305-1993
Photo of Caitlin S Kemmett (On LEAVE), Registered Psychotherapist (Qualifying) in Ottawa, ON
Caitlin S Kemmett (On LEAVE)
Registered Psychotherapist (Qualifying), MA
Verified Verified
1 Endorsed
Ottawa, ON K2P
Not accepting new clients
Hi, thanks for stopping by! I am a Registered Therapist (Qualifying) passionate about working with you through empathy and compassion to spark change. My therapeutic experiences focus on your unique challenges, qualities, and abilities, incorporating self-compassion and understanding thoughts, emotions, and experiences. I'm here to help you navigate life's challenges, providing a safe and supportive space for self-discovery and growth. I work collaboratively with a variety of ages and life stages.
Hi, thanks for stopping by! I am a Registered Therapist (Qualifying) passionate about working with you through empathy and compassion to spark change. My therapeutic experiences focus on your unique challenges, qualities, and abilities, incorporating self-compassion and understanding thoughts, emotions, and experiences. I'm here to help you navigate life's challenges, providing a safe and supportive space for self-discovery and growth. I work collaboratively with a variety of ages and life stages.
(343) 453-1770 View (343) 453-1770
Photo of Husainat Bakare, Registered Psychotherapist in Ottawa, ON
Husainat Bakare
Registered Psychotherapist, MA, CCC, RP
Verified Verified
3 Endorsed
Ottawa, ON K0A  (Online Only)
I aim to help clients process and deal with their experiences, heal, make appropriate and meaningful changes for their future, and become the best versions of themselves through therapy. I am focused on providing therapy through an anti-oppressive, intersectional, culturally sensitive, and informed lens to all persons inclusive of BIPOC, minority, and immigrant communities.
I aim to help clients process and deal with their experiences, heal, make appropriate and meaningful changes for their future, and become the best versions of themselves through therapy. I am focused on providing therapy through an anti-oppressive, intersectional, culturally sensitive, and informed lens to all persons inclusive of BIPOC, minority, and immigrant communities.
(343) 309-9679 View (343) 309-9679
Photo of Laura Mayne, Registered Psychotherapist in Ottawa, ON
Laura Mayne
Registered Psychotherapist, BA, MC
Verified Verified
1 Endorsed
Ottawa, ON K1S  (Online Only)
Relationships can be a source of your greatest joys and your biggest challenges. And struggles within your relationships, whether it’s with your partner, a family member or in the workplace, can impact your enjoyment of your daily life. With over 30 years of experience, I have worked with couples and individuals in transforming their relationships from a source of pain and conflict to one of strength and growth. I bring my lived experience as a married lesbian and mother to a young adult to my practice. With Heartswell Counselling, I offer you a safe, inclusive space to explore your feelings and enhance your heart’s well-being.
Relationships can be a source of your greatest joys and your biggest challenges. And struggles within your relationships, whether it’s with your partner, a family member or in the workplace, can impact your enjoyment of your daily life. With over 30 years of experience, I have worked with couples and individuals in transforming their relationships from a source of pain and conflict to one of strength and growth. I bring my lived experience as a married lesbian and mother to a young adult to my practice. With Heartswell Counselling, I offer you a safe, inclusive space to explore your feelings and enhance your heart’s well-being.
(343) 800-0084 View (343) 800-0084
Photo of Symone De Bellotte, Registered Psychotherapist (Qualifying) in Ottawa, ON
Symone De Bellotte
Registered Psychotherapist (Qualifying), MA, MACP
Verified Verified
Ottawa, ON K1H  (Online Only)
I applaud you for embarking on the first step towards self-discovery and growth! As a compassionate and dedicated provider, my goal is to assist you in navigating life's challenges with resilience and empowerment. Whether you're facing difficult life transitions, struggling with anxiety or depression, or simply seeking greater clarity and fulfillment, I am here to support you in navigating the journey.
I applaud you for embarking on the first step towards self-discovery and growth! As a compassionate and dedicated provider, my goal is to assist you in navigating life's challenges with resilience and empowerment. Whether you're facing difficult life transitions, struggling with anxiety or depression, or simply seeking greater clarity and fulfillment, I am here to support you in navigating the journey.
(343) 308-2534 View (343) 308-2534
Photo of Mae McCarthy, Registered Psychotherapist (Qualifying) in Ottawa, ON
Mae McCarthy
Registered Psychotherapist (Qualifying), BSc, MA
Verified Verified
Ottawa, ON K2A
As your therapist, I want you to feel comfortable coming to session as you are. Every part of you is accepted here, even the parts that are in pain, the parts that are sad, and the parts you haven't spoken to in a while. All of you is welcome. This judgement-free space is yours to come as your authentic self, as we work to create the changes in your life that you want to see.
As your therapist, I want you to feel comfortable coming to session as you are. Every part of you is accepted here, even the parts that are in pain, the parts that are sad, and the parts you haven't spoken to in a while. All of you is welcome. This judgement-free space is yours to come as your authentic self, as we work to create the changes in your life that you want to see.
(343) 803-7465 View (343) 803-7465
Photo of Suzanne MacLean, Registered Psychotherapist in Ottawa, ON
Suzanne MacLean
Registered Psychotherapist, MEd, CCC, RP
Verified Verified
Ottawa, ON K1S  (Online Only)
My goal is to empower my clients by offering support, insight and guidance towards positive change. I aim to inspire my clients to embark on a journey to reach their full potential by tapping into each person's positive and creative coping resources as well as their innate understanding of what they need to heal and grow. I strive to provide a judgement-free, safe and collaborative environment that is tailored to each individual.
My goal is to empower my clients by offering support, insight and guidance towards positive change. I aim to inspire my clients to embark on a journey to reach their full potential by tapping into each person's positive and creative coping resources as well as their innate understanding of what they need to heal and grow. I strive to provide a judgement-free, safe and collaborative environment that is tailored to each individual.
View
Photo of Hannah Taylor-Johnson, Registered Psychotherapist (Qualifying) in Ottawa, ON
Hannah Taylor-Johnson
Registered Psychotherapist (Qualifying), BSc, DCiiat, AT, RP
Verified Verified
5 Endorsed
Ottawa, ON K1Z  (Online Only)
Not accepting new clients
Are you unsure if you’re getting parenting, life, work, balance, and regulation right? Are you tired of worrying whether your child is going to be ok? Are you uncertain what to do with the big feelings or the big feelers in your life? Have you hit a wall trying to figure it out alone? I specialize in the treatment of children and adults struggling with ‘getting it right’ and understanding themselves in a sea of misinformation and misleading online spaces. I offer support for neurodivergence, grief, loss, race-based trauma, immigration, and intergenerational challenges through education, attunement, and therapeutic rapport.
Are you unsure if you’re getting parenting, life, work, balance, and regulation right? Are you tired of worrying whether your child is going to be ok? Are you uncertain what to do with the big feelings or the big feelers in your life? Have you hit a wall trying to figure it out alone? I specialize in the treatment of children and adults struggling with ‘getting it right’ and understanding themselves in a sea of misinformation and misleading online spaces. I offer support for neurodivergence, grief, loss, race-based trauma, immigration, and intergenerational challenges through education, attunement, and therapeutic rapport.
(343) 453-2633 View (343) 453-2633
Photo of Patricia Reilly-King, Registered Psychotherapist in Ottawa, ON
Patricia Reilly-King
Registered Psychotherapist, MEd, MA, SEP, RP
Verified Verified
4 Endorsed
Ottawa, ON K1S
Not accepting new clients
My primary goal as a therapist is to develop a safe, collaborative working relationship with my clients. Whether you come to therapy to address relationship issues, anxiety, grief or trauma, I'll work with you to develop a treatment plan that meets your unique goals. I do this work because I believe that by exploring our issues we can develop tools to cope with life and embrace who we are. I'm committed to honouring the diversity of our human experience. Trauma-trained, I work with clients from all walks of life including Queer and BIPOC folks and I approach this work with cultural humility. I'm a registered provider with NIHB.
My primary goal as a therapist is to develop a safe, collaborative working relationship with my clients. Whether you come to therapy to address relationship issues, anxiety, grief or trauma, I'll work with you to develop a treatment plan that meets your unique goals. I do this work because I believe that by exploring our issues we can develop tools to cope with life and embrace who we are. I'm committed to honouring the diversity of our human experience. Trauma-trained, I work with clients from all walks of life including Queer and BIPOC folks and I approach this work with cultural humility. I'm a registered provider with NIHB.
(343) 307-6577 View (343) 307-6577
Photo of Erin Albanese, Registered Psychotherapist (Qualifying) in Ottawa, ON
Erin Albanese
Registered Psychotherapist (Qualifying), MA, RCC, RP(Q)
Verified Verified
1 Endorsed
Ottawa, ON K1Y
Welcoming NEW clients! Do you find yourself trapped in the same argument you've had countless times before? Does it feel like you and a loved one speak different languages? Have you lost the "spark" in your romantic relationship? Are you struggling with family dynamics, past hurt, or breaking a destructive cycle? The good news is that you are not alone. Every healthy and honest relationship encounters conflict. The challenging part is how we navigate it. Our approach can 'make-or-break' our relationships, and sometimes ourselves, in the process.
Welcoming NEW clients! Do you find yourself trapped in the same argument you've had countless times before? Does it feel like you and a loved one speak different languages? Have you lost the "spark" in your romantic relationship? Are you struggling with family dynamics, past hurt, or breaking a destructive cycle? The good news is that you are not alone. Every healthy and honest relationship encounters conflict. The challenging part is how we navigate it. Our approach can 'make-or-break' our relationships, and sometimes ourselves, in the process.
(343) 633-2425 View (343) 633-2425
Photo of Matt Temple, Registered Psychotherapist in Ottawa, ON
Matt Temple
Registered Psychotherapist, MA, CCC
Verified Verified
3 Endorsed
Ottawa, ON K1Y
I believe that everyone experiences life in his or her own unique way. Whatever your situation, my goal is to listen and understand your needs while exploring new ways of living. I aim to create an environment that is safe in order to work with you to explore your past and create freedom to become the person you were meant to be. I am comfortable and trained in working with individuals, couples, and families.
I believe that everyone experiences life in his or her own unique way. Whatever your situation, my goal is to listen and understand your needs while exploring new ways of living. I aim to create an environment that is safe in order to work with you to explore your past and create freedom to become the person you were meant to be. I am comfortable and trained in working with individuals, couples, and families.
(855) 976-4253 View (855) 976-4253
Photo of Val Albrecht, Registered Psychotherapist (Qualifying) in Ottawa, ON
Val Albrecht
Registered Psychotherapist (Qualifying), MACP, BHSc, RM
Verified Verified
2 Endorsed
Ottawa, ON K2G
Working through life’s challenges can sometimes be overwhelming, leaving us feeling befuddled and in emotional chaos. This can make even the simplest tasks seem monumental. I work with adults from all walks of life on issues such as anxiety, depression, grief, parenting concerns, relationships issues, birth trauma, and major life-changes. I can help you get from stuck to thriving. I work using a humanistic approach including psychodynamic methods and attachment theory, experiential, narrative, solution-focused and Gestalt techniques.
Working through life’s challenges can sometimes be overwhelming, leaving us feeling befuddled and in emotional chaos. This can make even the simplest tasks seem monumental. I work with adults from all walks of life on issues such as anxiety, depression, grief, parenting concerns, relationships issues, birth trauma, and major life-changes. I can help you get from stuck to thriving. I work using a humanistic approach including psychodynamic methods and attachment theory, experiential, narrative, solution-focused and Gestalt techniques.
(343) 341-0855 View (343) 341-0855
Photo of Elisabeth Foreman, Registered Psychotherapist in Ottawa, ON
Elisabeth Foreman
Registered Psychotherapist, MEd
Verified Verified
9 Endorsed
Ottawa, ON K1S
Not accepting new clients
I will provide empathic listening while helping you explore your feelings and concerns at a pace that is right for you. Speaking to a therapist often makes us feel vulnerable. It is important for me that you feel safe and heard in our sessions so that we can build a therapeutic relationship that promotes growth. Together we can establish goals, unpack your strengths, and develop greater self-compassion with the aim of fostering positive change.
I will provide empathic listening while helping you explore your feelings and concerns at a pace that is right for you. Speaking to a therapist often makes us feel vulnerable. It is important for me that you feel safe and heard in our sessions so that we can build a therapeutic relationship that promotes growth. Together we can establish goals, unpack your strengths, and develop greater self-compassion with the aim of fostering positive change.
(873) 300-2725 View (873) 300-2725

See more therapy options for Ottawa

How does your Counsellor compare?

Number of Counsellors in Ottawa, ON

2,000+

Average cost per session

$159

Counsellors in Ottawa, ON who prioritize treating:

94% Anxiety
87% Depression
84% Self Esteem
81% Stress
80% Relationship Issues
73% Coping Skills
70% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

63% SunLife
56% Canada Life | Great-West Life
53% Manulife

How Counsellors in Ottawa, ON see their clients

57% In Person and Online
43% Online Only

Gender breakdown

83% Female
16% Male
1% 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.