Therapists in Picton, ON
Gwen Shandroski
Registered Psychotherapist, MSc
Verified Verified
1 Endorsed
Picton, ON K0K
I am seeing clients in Picton and online and occasionally in Toronto. I graduated in 1996 from two schools whose training requires therapists to do their own work before treating others. My approach is relational psychotherapy and is a very effective method brought to Toronto in the 1970's. I am pleased to offer it in PEC beginning 2021. I have been working individually with adults, children and youth for 30 years in Toronto before relocating to Picton. I help clients with communicating their feelings in difficult relationships and with understanding themselves. Along with talking, I use art to help clients express themselves.
I am seeing clients in Picton and online and occasionally in Toronto. I graduated in 1996 from two schools whose training requires therapists to do their own work before treating others. My approach is relational psychotherapy and is a very effective method brought to Toronto in the 1970's. I am pleased to offer it in PEC beginning 2021. I have been working individually with adults, children and youth for 30 years in Toronto before relocating to Picton. I help clients with communicating their feelings in difficult relationships and with understanding themselves. Along with talking, I use art to help clients express themselves.
Prince Edward County Counselling and Psychotherapy
Registered Social Worker, RSW, RP, OCT, CCC
Verified Verified
Picton, ON K0K
Clinicians accepting new patients: As a community-minded organization, we sincerely believe that emotional healing and personal growth are within your reach. Through a trauma-informed, anti-oppressive lens, we offer individual therapy for issues related to anxiety and depression, gender and sexuality, Post-Traumatic Stress Disorder (PTSD), self-esteem / self-confidence, and sexual trauma. If you live in Prince Edward County / Quinte region, identify within the LGBTQQ2S+ community, or simply seek positive change, get in touch with us today by visiting us at www.peccp.ca
Clinicians accepting new patients: As a community-minded organization, we sincerely believe that emotional healing and personal growth are within your reach. Through a trauma-informed, anti-oppressive lens, we offer individual therapy for issues related to anxiety and depression, gender and sexuality, Post-Traumatic Stress Disorder (PTSD), self-esteem / self-confidence, and sexual trauma. If you live in Prince Edward County / Quinte region, identify within the LGBTQQ2S+ community, or simply seek positive change, get in touch with us today by visiting us at www.peccp.ca
Jennifer Marie Ego
Registered Psychotherapist (Qualifying)
Verified Verified
2 Endorsed
Picton, ON K0K
Hello! I'm Jennifer (she/her), and I aim to cultivate a space where you feel authentically seen, genuinely supported, accepted, and safe. My approach is collaborative and empowering— centring you as the expert of your unique lived experiences. I draw on various modalities, including Emotion Focussed Therapy, Acceptance and Commitment Therapy, Dialectical Behavioural Therapy, Narrative Therapy, and Psychodynamic Therapy to support clients as they process their experiences, share their stories, and explore their identities, relationships, spirituality, and values.
Hello! I'm Jennifer (she/her), and I aim to cultivate a space where you feel authentically seen, genuinely supported, accepted, and safe. My approach is collaborative and empowering— centring you as the expert of your unique lived experiences. I draw on various modalities, including Emotion Focussed Therapy, Acceptance and Commitment Therapy, Dialectical Behavioural Therapy, Narrative Therapy, and Psychodynamic Therapy to support clients as they process their experiences, share their stories, and explore their identities, relationships, spirituality, and values.
Marian B. Moon
Registered Psychotherapist, OCT, MACP, BEd, BAH
Verified Verified
4 Endorsed
Picton, ON K0K (Online Only)
Not accepting new clients
After completing Bachelor of Arts (Hons.) and Bachelor of Education degrees at Queen's University I embarked on a career as a secondary school teacher at Prince Edward Collegiate Institute where I taught for 30 years. In preparation for a transition to a new career, in 2020 I completed a Master of Arts in Counselling Psychology with Yorkville University.
After completing Bachelor of Arts (Hons.) and Bachelor of Education degrees at Queen's University I embarked on a career as a secondary school teacher at Prince Edward Collegiate Institute where I taught for 30 years. In preparation for a transition to a new career, in 2020 I completed a Master of Arts in Counselling Psychology with Yorkville University.
Marjorie Lewis
Registered Psychotherapist, RP
Verified Verified
Picton, ON K0K
I work with the challenges of adult life.
I work with the challenges of adult life.
Mindful Footsteps Counselling
Registered Social Worker, BA, BSW, MSW, RSW
Verified Verified
Picton, ON K0K (Online Only)
Hi there! Thanks for taking the first step in your healing journey! I enjoy working with female-identifying adults, mothers and youth hoping to increase life satisfaction, build better coping skills and navigate life a little easier. My promise to you is to work with you to develop an individualized therapy plan that is going to work for your life and your goals!
Hi there! Thanks for taking the first step in your healing journey! I enjoy working with female-identifying adults, mothers and youth hoping to increase life satisfaction, build better coping skills and navigate life a little easier. My promise to you is to work with you to develop an individualized therapy plan that is going to work for your life and your goals!
Erin Orsztynova, RP
Registered Psychotherapist, RP
Verified Verified
Picton, ON K0K
Hi! A bit about me: I work predominantly with individuals who suffer from the effects of abuse and trauma and are ready to take steps on their therapeutic journey. I work with those who suffer from anxiety, low self-esteem or lack of sense of self, complex trauma, eating disorders, chronic relationship issues, sexual abuse, adult children of alcoholics, and BPD. If you do not identify with any of these words, that's okay too - I welcome any clients who is open to this work, and offer a free consultation or a first full session at a reduced rate to see if my personality and approach will be right for you.
Hi! A bit about me: I work predominantly with individuals who suffer from the effects of abuse and trauma and are ready to take steps on their therapeutic journey. I work with those who suffer from anxiety, low self-esteem or lack of sense of self, complex trauma, eating disorders, chronic relationship issues, sexual abuse, adult children of alcoholics, and BPD. If you do not identify with any of these words, that's okay too - I welcome any clients who is open to this work, and offer a free consultation or a first full session at a reduced rate to see if my personality and approach will be right for you.
Matt Harris
Registered Psychotherapist, SSW, BRE, MDiv
Verified Verified
2 Endorsed
Picton, ON K0K
As a counsellor, I hope to provide a space to be a supportive and encouraging presence as you navigate the inevitable struggles of life. I aspire to do this in a kind, non-judgmental way where you can feel safe enough to be honest, transparent and also challenged to pursue your goals. Therapy should be a place where healing can happen and you can find hope and transformation.
As a counsellor, I hope to provide a space to be a supportive and encouraging presence as you navigate the inevitable struggles of life. I aspire to do this in a kind, non-judgmental way where you can feel safe enough to be honest, transparent and also challenged to pursue your goals. Therapy should be a place where healing can happen and you can find hope and transformation.
The Dot Canada
Registered Psychotherapist, RP, MSW, MA
Verified Verified
Picton, ON K0K (Online Only)
If you've been powering through, staying strong and carrying on, but now you're barely getting by and you're tired of feeling like you're not really living your life, it might be time for outside support. The benefit of therapy is that it's a time where you get to focus on yourself, to look at your life, and to get an outside perspective on how it could be different. You don't have to just endure, with the right support, you can heal from the past, and move forward towards a better future.
If you've been powering through, staying strong and carrying on, but now you're barely getting by and you're tired of feeling like you're not really living your life, it might be time for outside support. The benefit of therapy is that it's a time where you get to focus on yourself, to look at your life, and to get an outside perspective on how it could be different. You don't have to just endure, with the right support, you can heal from the past, and move forward towards a better future.
Church Wellesley Counselling and Psychotherapy
Registered Social Worker, RSW, RP, CCC, OCT
Verified Verified
Picton, ON K0K
Clinicians accepting new patients: As a community-minded organization, we sincerely believe that emotional healing and personal growth are within your reach. Through a trauma-informed, anti-oppressive lens, we offer individual therapy for issues related to anxiety and depression, gender and sexuality, Post-Traumatic Stress Disorder (PTSD), self-esteem / self-confidence, and sexual trauma. If you live in downtown Toronto, identify within the LGBTQQ2S+ community, or simply seek positive change, get in touch with us today by visiting us at www.cwcp.ca
Clinicians accepting new patients: As a community-minded organization, we sincerely believe that emotional healing and personal growth are within your reach. Through a trauma-informed, anti-oppressive lens, we offer individual therapy for issues related to anxiety and depression, gender and sexuality, Post-Traumatic Stress Disorder (PTSD), self-esteem / self-confidence, and sexual trauma. If you live in downtown Toronto, identify within the LGBTQQ2S+ community, or simply seek positive change, get in touch with us today by visiting us at www.cwcp.ca
Rock of Peace Counselling
Registered Psychotherapist, MDiv, RP, RMFT
Verified Verified
4 Endorsed
Picton, ON K0K
What if your or your partner’s anger is actually a desire for a deeper connection? It’s a paradox that angry reactions push our partners/family/friends away when what we need is closeness. Hurt or fear could be behind anger. Or perhaps underlying depression, anxiety or trauma. Anger could be expressed harshly, silently or many ways in between; either way it builds walls. Whatever stands in the way of better connections can be uprooted and healed. Negative emotions and walls of anger don’t have to remain. You can overcome them and build the relationships you have longed for.
What if your or your partner’s anger is actually a desire for a deeper connection? It’s a paradox that angry reactions push our partners/family/friends away when what we need is closeness. Hurt or fear could be behind anger. Or perhaps underlying depression, anxiety or trauma. Anger could be expressed harshly, silently or many ways in between; either way it builds walls. Whatever stands in the way of better connections can be uprooted and healed. Negative emotions and walls of anger don’t have to remain. You can overcome them and build the relationships you have longed for.
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SoulScape Services: Psychotherapy and Wellness Hub
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Dr. Lin & Associates
Anita Brown - Counselling and Therapy
Registered Psychotherapist, RP, CH
Verified Verified
2 Endorsed
Picton, ON K0K
I am a Registered Psychotherapist and Certified Hypnotherapist providing short and long-term Counselling/Psychotherapy services; practicing in child, youth and adult Mental Health and Hypnosis. I provide In-Office and Online, private/encrypted Telehealth Psychotherapy. For people requiring a Mental Health diagnosis, medication or treatment recommendations, I can help to arrange Online Consultations with a Psychiatrist (in my office; typically within 2 months of the referral). *NOTE: I am also available for Equine Assisted Psychotherapy at the Charmed Horse Assisted Wellness Centre (www.charmedhawc.com - Enterprise, ON).
I am a Registered Psychotherapist and Certified Hypnotherapist providing short and long-term Counselling/Psychotherapy services; practicing in child, youth and adult Mental Health and Hypnosis. I provide In-Office and Online, private/encrypted Telehealth Psychotherapy. For people requiring a Mental Health diagnosis, medication or treatment recommendations, I can help to arrange Online Consultations with a Psychiatrist (in my office; typically within 2 months of the referral). *NOTE: I am also available for Equine Assisted Psychotherapy at the Charmed Horse Assisted Wellness Centre (www.charmedhawc.com - Enterprise, ON).
Charles Tapp Psychotherapy
Registered Psychotherapist, MA, RP
Verified Verified
3 Endorsed
Picton, ON K0K
You may be considering reaching out for help after trying to deal with things on your own, but this can be very difficult. My approach is person-centered in dealing with issues as I walk alongside you in your journey to recovery. Every person’s journey is unique, and therefore therapy for your recovery and goals is tailored to reflect your needs and desired outcomes. In my experience, an array of treatment modalities and therapeutic approaches can be effective, including using harm reduction strategies, motivational interviewing, relapse prevention, stages of change, cognitive behavioural therapy, and coping skills development.
You may be considering reaching out for help after trying to deal with things on your own, but this can be very difficult. My approach is person-centered in dealing with issues as I walk alongside you in your journey to recovery. Every person’s journey is unique, and therefore therapy for your recovery and goals is tailored to reflect your needs and desired outcomes. In my experience, an array of treatment modalities and therapeutic approaches can be effective, including using harm reduction strategies, motivational interviewing, relapse prevention, stages of change, cognitive behavioural therapy, and coping skills development.
Ineke Guadagnin
Registered Psychotherapist, RP, BA Ed, MACP
Verified Verified
2 Endorsed
Picton, ON K0K
I’m here for you. I know, life doesn't always work out as we had hoped. As a trauma-sensitive therapist, I provide a safe space to listen to concerns, make sense of feelings, and discover barriers to your progress. My focus is to help you explore, grow, and thrive as you become aware of your inner strength. My style is gentle, authentic, and attentive as I collaborate with you to engage your resiliency and move forward to where you want to be in your life. If you are struggling in a relationship, are grieving a loss, or have tried everything to find stability with anxiety or after a trauma, I encourage you to give me a call.
I’m here for you. I know, life doesn't always work out as we had hoped. As a trauma-sensitive therapist, I provide a safe space to listen to concerns, make sense of feelings, and discover barriers to your progress. My focus is to help you explore, grow, and thrive as you become aware of your inner strength. My style is gentle, authentic, and attentive as I collaborate with you to engage your resiliency and move forward to where you want to be in your life. If you are struggling in a relationship, are grieving a loss, or have tried everything to find stability with anxiety or after a trauma, I encourage you to give me a call.
SoulScape Services: Psychotherapy & Wellness Hub
Registered Psychotherapist, BA, MA, RP
Verified Verified
1 Endorsed
Picton, ON K0K
Life is nothing short of amazing. It's amazing how much we can go through and live to tell about it. It's amazing how fast kids grow up and time flies, how angry a co-worker can make you, how much compassion we can seem to have for others when we struggle to offer any to ourselves. It's amazing how much we put on our plates when all we need is to rest. It's amazing how much we can long for understanding and connection and how much opportunity can be missed right in front of our eyes. It's amazing how short life is. It's also amazing how much we can learn in the time we have, and how little steps can amount to such massive change.
Life is nothing short of amazing. It's amazing how much we can go through and live to tell about it. It's amazing how fast kids grow up and time flies, how angry a co-worker can make you, how much compassion we can seem to have for others when we struggle to offer any to ourselves. It's amazing how much we put on our plates when all we need is to rest. It's amazing how much we can long for understanding and connection and how much opportunity can be missed right in front of our eyes. It's amazing how short life is. It's also amazing how much we can learn in the time we have, and how little steps can amount to such massive change.
SoulScape Services: Psychotherapy and Wellness Hub
Registered Psychotherapist, MA, BAHon, RP
Verified Verified
Picton, ON K0K
Life is nothing short of amazing. It's amazing how much we can go through and live to tell about it. It's amazing how fast kids grow up and time flies, how angry a co-worker can make you, how much compassion we can seem to have for others when we struggle to offer any to ourselves. It's amazing how much we put on our plates when all we need is to rest. It's amazing how much we can long for understanding and connection and how much opportunity can be missed right in front of our eyes. It's amazing how short life is. It's also amazing how much we can learn in the time we have, and how little steps can amount to such massive change.
Life is nothing short of amazing. It's amazing how much we can go through and live to tell about it. It's amazing how fast kids grow up and time flies, how angry a co-worker can make you, how much compassion we can seem to have for others when we struggle to offer any to ourselves. It's amazing how much we put on our plates when all we need is to rest. It's amazing how much we can long for understanding and connection and how much opportunity can be missed right in front of our eyes. It's amazing how short life is. It's also amazing how much we can learn in the time we have, and how little steps can amount to such massive change.
Diane M Cassidy
Registered Psychotherapist, RN, BA, MA, RP
Verified Verified
Picton, ON K0K (Online Only)
Namaste! I provide individual, relationship and marriage counselling, in a nonjudgmental, relaxed environment. Over the last 35 years I have worked with individuals and couples guiding, teaching and helping them by using an eclectic approach, and a variety of different types of modalities depending on the particular needs of my clients. I also provide family mediation and relationship counselling for couples who have split. I am a sex therapist, working with all couples and individuals. I specialize in many areas, as I believe all issues are connected, so to treat problems in isolation is unrealistic and can be short lived.
Namaste! I provide individual, relationship and marriage counselling, in a nonjudgmental, relaxed environment. Over the last 35 years I have worked with individuals and couples guiding, teaching and helping them by using an eclectic approach, and a variety of different types of modalities depending on the particular needs of my clients. I also provide family mediation and relationship counselling for couples who have split. I am a sex therapist, working with all couples and individuals. I specialize in many areas, as I believe all issues are connected, so to treat problems in isolation is unrealistic and can be short lived.
The Relationship Centre
Registered Social Worker, MSW, RSW
Verified Verified
Picton, ON K0K
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. Don't let this continue to be your story. Working with the right therapist can help. Let us help you!
Do you struggle with feeling disconnected from yourself and others? Do you put your needs at the bottom of the list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. Don't let this continue to be your story. Working with the right therapist can help. Let us help you!
Valérie Blower
Registered Social Service Worker, RSSW
Verified Verified
1 Endorsed
Picton, ON K0K
Be You. Be yourself again. Be at peace with your yourself. Remember that person you used to be? That happy cheerful person is still within you. Let's work together and get your life back. We all deal differently with life struggles, feeling overwhelmed, isolated and alone. I offer safe space, empathy in a non-judgemental environment. We all have a different story, I will help you get to that next chapter.
Be You. Be yourself again. Be at peace with your yourself. Remember that person you used to be? That happy cheerful person is still within you. Let's work together and get your life back. We all deal differently with life struggles, feeling overwhelmed, isolated and alone. I offer safe space, empathy in a non-judgemental environment. We all have a different story, I will help you get to that next chapter.
Jenna MacKay
Registered Social Worker, MA, MSW, RSW
Verified Verified
Picton, ON K0K (Online Only)
Hi! I support adults looking to improve their quality of life or understand themselves better. I work with issues such as anxiety, trauma (including medical trauma), sexuality (including sexual difficulties/anxieties, ED, decline in desire), and coping with and adapting to acquired disabilities, chronic illness and chronic pain. There is no one-size-fits-all approach. In general, I am trauma-informed and work from a client-centred, anti-oppressive and strengths-based perspective. If you are looking to increasing your understanding of specific issues or make change, I can guide and support you in the process.
Hi! I support adults looking to improve their quality of life or understand themselves better. I work with issues such as anxiety, trauma (including medical trauma), sexuality (including sexual difficulties/anxieties, ED, decline in desire), and coping with and adapting to acquired disabilities, chronic illness and chronic pain. There is no one-size-fits-all approach. In general, I am trauma-informed and work from a client-centred, anti-oppressive and strengths-based perspective. If you are looking to increasing your understanding of specific issues or make change, I can guide and support you in the process.
See more therapy options for Picton
How does your Counsellor compare?
Number of Counsellors in Picton, ON
20+
Average cost per session
$142
Counsellors in Picton, ON who prioritize treating:
96% | Anxiety |
83% | Stress |
79% | Depression |
79% | Self Esteem |
75% | Trauma and PTSD |
71% | Coping Skills |
67% | Relationship Issues |
Average years in practice
10 Years
Top 3 insurances accepted
75% | Green Shield Canada |
58% | Blue Cross |
58% | Manulife |
How Counsellors in Picton, ON see their clients
80% | In Person and Online | |
20% | Online Only |
Gender breakdown
87% | Female | |
13% | Male |
FAQs - About Therapy and Counselling
How can I find a therapist in Picton?
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
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.
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.
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.
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.