Therapists in Puslinch, ON

Photo of Merle Fast, Registered Social Worker, MSW, RSW
Merle Fast
Registered Social Worker, MSW, RSW
Puslinch, ON N0B
I am an Equine Facilitated Therapist with a trauma informed approach. I am non-judgemental and utilize mindfulness in my practice. Equine Facilitated Wellness is designed for youth (age 12+) and adults who struggle with mental health disorders and who may have participated in talk therapy but found they needed a different way to sort through their issues. I help clients who struggle with depression, anxiety, and life transitions, as well as those who just want to feel better and happier. Sometimes, horses reveal what you’re feeling even before you are aware of it.
I am an Equine Facilitated Therapist with a trauma informed approach. I am non-judgemental and utilize mindfulness in my practice. Equine Facilitated Wellness is designed for youth (age 12+) and adults who struggle with mental health disorders and who may have participated in talk therapy but found they needed a different way to sort through their issues. I help clients who struggle with depression, anxiety, and life transitions, as well as those who just want to feel better and happier. Sometimes, horses reveal what you’re feeling even before you are aware of it.
(226) 212-7949 View (226) 212-7949
Photo of Jacob Zolotenko, Registered Psychotherapist, MACP, RP
Jacob Zolotenko
Registered Psychotherapist, MACP, RP
1 Endorsed
Online Only
Hey there! I’m Jacob, a Registered Psychotherapist, and part of the team at Five Star Relationships. I work from a client-focused perspective, tailoring my approach based on your unique goals and needs. We’ll work together from our first session to figure out what you’re hoping to gain from therapy and how we can work together to get you there. I always strive to understand your unique background and life experience, and I like to ask questions and practice an open, accepting approach to help better understand where you’re coming from.
Hey there! I’m Jacob, a Registered Psychotherapist, and part of the team at Five Star Relationships. I work from a client-focused perspective, tailoring my approach based on your unique goals and needs. We’ll work together from our first session to figure out what you’re hoping to gain from therapy and how we can work together to get you there. I always strive to understand your unique background and life experience, and I like to ask questions and practice an open, accepting approach to help better understand where you’re coming from.
(548) 325-9385 View (548) 325-9385
Photo of Kirsten Kunau, Registered Psychotherapist (Qualifying), MACP
Kirsten Kunau
Registered Psychotherapist (Qualifying), MACP
1 Endorsed
Online Only
Life can be so difficult to navigate when you’re struggling! When we’re not feeling our best, even the smallest tasks or interactions in life, work, parenting or relationships can feel daunting, heavy and hard. Anxiety, anger, burnout, unmanaged ADHD or OCD and low self-confidence can feel as though they’re keeping you from living the life you want to live. You know you want to feel more calm, content, comfortable and confident as you manage decisions, interactions and relationships, but you’re not sure how to get there. The good news is that you’re in the right place, taking the first step, right now.
Life can be so difficult to navigate when you’re struggling! When we’re not feeling our best, even the smallest tasks or interactions in life, work, parenting or relationships can feel daunting, heavy and hard. Anxiety, anger, burnout, unmanaged ADHD or OCD and low self-confidence can feel as though they’re keeping you from living the life you want to live. You know you want to feel more calm, content, comfortable and confident as you manage decisions, interactions and relationships, but you’re not sure how to get there. The good news is that you’re in the right place, taking the first step, right now.
(289) 217-2949 View (289) 217-2949
Photo of Brittany Madigan, Registered Social Worker, MSW, RSW
Brittany Madigan
Registered Social Worker, MSW, RSW
Puslinch, ON N0B
I support youth (12+) and adults through a range of struggles including trauma, attachment wounds, anxiety, depression, grief, and self worth. As a woman with both Mohawk and settler ancestry, I support you holistically and balance your emotional, mental, physical, and spiritual parts.
I support youth (12+) and adults through a range of struggles including trauma, attachment wounds, anxiety, depression, grief, and self worth. As a woman with both Mohawk and settler ancestry, I support you holistically and balance your emotional, mental, physical, and spiritual parts.
(289) 274-5163 View (289) 274-5163
Photo of Rashida Odumoye, Registered Psychotherapist, MA, BSc
Rashida Odumoye
Registered Psychotherapist, MA, BSc
Puslinch, ON N0B
Central to my practice is the creation of a safe, nonjudgmental space where clients feel empowered to explore their thoughts, emotions, and experiences freely. I believes in the power of collaboration and actively engage with my clients to co-create goals and strategies for positive change.
Central to my practice is the creation of a safe, nonjudgmental space where clients feel empowered to explore their thoughts, emotions, and experiences freely. I believes in the power of collaboration and actively engage with my clients to co-create goals and strategies for positive change.
(548) 554-5269 View (548) 554-5269
Photo of Muhammad Baig, Registered Psychotherapist (Qualifying)
Muhammad Baig
Registered Psychotherapist (Qualifying)
2 Endorsed
Serves Area
Pornography addiction. Anger management. Time management. Difficulties with your relationships be it with a spouse, a child, or a parent. These are all concerns that we can tackle. There are very few Muslim male therapists out there that have both training in Western psychology and Islamic psychology. Before being able to solve a problem, we need to first address where the problem is coming from. If you're able to do some of this before starting counselling, you'll be giving yourself a head start. Ask yourself, what am I doing right, and what can be improved.
Pornography addiction. Anger management. Time management. Difficulties with your relationships be it with a spouse, a child, or a parent. These are all concerns that we can tackle. There are very few Muslim male therapists out there that have both training in Western psychology and Islamic psychology. Before being able to solve a problem, we need to first address where the problem is coming from. If you're able to do some of this before starting counselling, you'll be giving yourself a head start. Ask yourself, what am I doing right, and what can be improved.
(226) 401-9493 View (226) 401-9493
Photo of Eleni Kapetanios, Registered Psychotherapist, MACP
Eleni Kapetanios
Registered Psychotherapist, MACP
3 Endorsed
Serves Area
Do you find yourself constantly putting other people's needs before your own? Struggling with boundaries, self-doubt, anxiety, or relationships that leave you feeling unseen, exhausted, or not quite good enough? Many of the people I work with grew up learning to keep the peace, care for others, and ignore their own needs. As adults, this can show up as people-pleasing, fear of conflict, difficulty trusting themselves, hyper-independence, relationship struggles, and feeling responsible for everyone else's emotions.
Do you find yourself constantly putting other people's needs before your own? Struggling with boundaries, self-doubt, anxiety, or relationships that leave you feeling unseen, exhausted, or not quite good enough? Many of the people I work with grew up learning to keep the peace, care for others, and ignore their own needs. As adults, this can show up as people-pleasing, fear of conflict, difficulty trusting themselves, hyper-independence, relationship struggles, and feeling responsible for everyone else's emotions.
(226) 241-2881 View (226) 241-2881
Photo of Graham Watt, Registered Psychotherapist, MACP, RP
Graham Watt
Registered Psychotherapist, MACP, RP
2 Endorsed
Serves Area
I help adults who want to be confident and enjoy life but are feeling stuck and are experiencing anxiety, stress, depression or work and career challenges. I also help couples who want to feel closer and more connected but are having challenges in that regard. My areas of care include trauma, anxiety, panic attacks, shame, anger, grief, communication and vocational direction. My clinical focus uses an attachment-based, trauma informed approach in counselling. I am trained in the integration of different models of counselling. I work with individuals, couples and families.
I help adults who want to be confident and enjoy life but are feeling stuck and are experiencing anxiety, stress, depression or work and career challenges. I also help couples who want to feel closer and more connected but are having challenges in that regard. My areas of care include trauma, anxiety, panic attacks, shame, anger, grief, communication and vocational direction. My clinical focus uses an attachment-based, trauma informed approach in counselling. I am trained in the integration of different models of counselling. I work with individuals, couples and families.
(548) 490-8971 View (548) 490-8971
Photo of Simon Peter K Smith - Cogent Psychological Services for Men, Psychologist, CPsych
Cogent Psychological Services for Men
Psychologist, CPsych
Serves Area
One million Canadian men suffer from major depressive disorder each year. Three of every four completed suicides in Canada are by men. The prevalence of alcohol use disorder is twice as high in men with another mental health diagnosis than in the general population. One third of Canadian men worry that talking about mental health at work could put their job at risk. Men are just as likely as women to have mental health issues yet are far less likely to utilize traditional mental health services. Men are more likely to believe that mental health services are difficult to access, ineffective and invasive. At Cogent, Ontario’s new mental health clinic focussed solely on supporting men, we’re changing that.
One million Canadian men suffer from major depressive disorder each year. Three of every four completed suicides in Canada are by men. The prevalence of alcohol use disorder is twice as high in men with another mental health diagnosis than in the general population. One third of Canadian men worry that talking about mental health at work could put their job at risk. Men are just as likely as women to have mental health issues yet are far less likely to utilize traditional mental health services. Men are more likely to believe that mental health services are difficult to access, ineffective and invasive. At Cogent, Ontario’s new mental health clinic focussed solely on supporting men, we’re changing that.
(226) 546-0374 View (226) 546-0374
Photo of Brianna Stewart, Registered Psychotherapist, MA, RP
Brianna Stewart
Registered Psychotherapist, MA, RP
Serves Area
Welcome to Therapy Heals! Specializing in working with teenagers, adolescents, and adults, I am eager to support you in your wellness journey. I am well-versed in guiding individuals through a spectrum of mental health challenges, including depression, anxiety, grief, trauma, interpersonal challenges, life transitions, and more. My approach is rooted in empathy, with a genuine commitment to understanding the unique needs of each client.
Welcome to Therapy Heals! Specializing in working with teenagers, adolescents, and adults, I am eager to support you in your wellness journey. I am well-versed in guiding individuals through a spectrum of mental health challenges, including depression, anxiety, grief, trauma, interpersonal challenges, life transitions, and more. My approach is rooted in empathy, with a genuine commitment to understanding the unique needs of each client.
(888) 340-4325 View (888) 340-4325
Photo of Lisa Kellerman, Registered Social Worker, MSW, RSW, BA
Lisa Kellerman
Registered Social Worker, MSW, RSW, BA
Serves Area
I am a Registered Social Worker with the Ontario College of Social Workers and Social Service Workers (OCSWSSW) and the Ontario Association of Social Workers (OASW). I hold Masters of Social Work Degree from Wilfred Laurier University, a Bachelors of Social Work degree from McMaster University, a Bachelors Degree in Psychology from the University of Waterloo as well as a diploma of Child and Youth Work from Niagara College. In addition, I have completed trainings and courses in Dialectical Behavioural Therapy, Acceptance and Commitment Therapy, Motivational Interviewing and is continuing education in Clinical Behavioural Sciences.
I am a Registered Social Worker with the Ontario College of Social Workers and Social Service Workers (OCSWSSW) and the Ontario Association of Social Workers (OASW). I hold Masters of Social Work Degree from Wilfred Laurier University, a Bachelors of Social Work degree from McMaster University, a Bachelors Degree in Psychology from the University of Waterloo as well as a diploma of Child and Youth Work from Niagara College. In addition, I have completed trainings and courses in Dialectical Behavioural Therapy, Acceptance and Commitment Therapy, Motivational Interviewing and is continuing education in Clinical Behavioural Sciences.
(548) 708-5412 View (548) 708-5412

More Therapists Nearby

Photo of Filomena Doroslovac - Filomena Doroslovac with Vitality Counselling, Registered Social Worker, MSW, RSW
Filomena Doroslovac with Vitality Counselling
Registered Social Worker, MSW, RSW
1 Endorsed
Kitchener, ON N2B
Hello! My name is Filomena, a Registered Social Worker with 23+ years of experience. I have immediate availability and work with children 11+ and adults struggling with anxiety, depression, stress, relationship challenges, life transitions and more who want to develop healthier ways of coping. As a parent myself I understand how overwhelming it can be when our child is struggling. I’ve worked with many parents across multiple settings helping them better understand their child’s behaviour problems so they can respond with greater understanding, patience, and confidence at home.
Hello! My name is Filomena, a Registered Social Worker with 23+ years of experience. I have immediate availability and work with children 11+ and adults struggling with anxiety, depression, stress, relationship challenges, life transitions and more who want to develop healthier ways of coping. As a parent myself I understand how overwhelming it can be when our child is struggling. I’ve worked with many parents across multiple settings helping them better understand their child’s behaviour problems so they can respond with greater understanding, patience, and confidence at home.
(226) 507-0844 View (226) 507-0844
Photo of Chels Davies-Kneis, Registered Social Worker, RSW
Chels Davies-Kneis
Registered Social Worker, RSW
Cambridge, ON N1R
Chels Davies-Kneis is a therapist who works with youth and adults (16+), couples, 2SLGBTQ+ folks, and neurodivergent clients. If you are feeling stuck in the effects of trauma or PTSD, navigating dissociation, exploring identity, or living with complex emotional experiences such as borderline personality disorder, Chels offers a grounded and affirming space where you do not have to carry things alone. Chels’ approach is collaborative, person-centred, and trauma-informed.
Chels Davies-Kneis is a therapist who works with youth and adults (16+), couples, 2SLGBTQ+ folks, and neurodivergent clients. If you are feeling stuck in the effects of trauma or PTSD, navigating dissociation, exploring identity, or living with complex emotional experiences such as borderline personality disorder, Chels offers a grounded and affirming space where you do not have to carry things alone. Chels’ approach is collaborative, person-centred, and trauma-informed.
(226) 406-0940 View (226) 406-0940
Photo of Wendy Shippam - One Step Beyond, Registered Psychotherapist
One Step Beyond
Registered Psychotherapist
Milton, ON L9T
My ideal clients are thoughtful, capable adults who find themselves feeling stuck in patterns they can’t quite shift. Many are high-functioning in their daily lives but internally feel overwhelmed, disconnected, or uncertain about their direction. They are often people who have spent years adapting to the needs of others—within relationships, families, or work—and are beginning to recognize the cost of that pattern. Clients typically come to my practice because something no longer feels sustainable. This may show up as anxiety, emotional exhaustion, difficulty setting boundaries, or a growing sense that they have lost touch with
My ideal clients are thoughtful, capable adults who find themselves feeling stuck in patterns they can’t quite shift. Many are high-functioning in their daily lives but internally feel overwhelmed, disconnected, or uncertain about their direction. They are often people who have spent years adapting to the needs of others—within relationships, families, or work—and are beginning to recognize the cost of that pattern. Clients typically come to my practice because something no longer feels sustainable. This may show up as anxiety, emotional exhaustion, difficulty setting boundaries, or a growing sense that they have lost touch with
(365) 796-3285 View (365) 796-3285
Photo of Nick Law, Registered Psychotherapist, RP
Nick Law
Registered Psychotherapist, RP
1 Endorsed
Guelph, ON N1G
Still today, there can be a great deal of negative stigma associated with mental health struggles and that can make it difficult for people to seek therapy or know where to start. I was inspired by a close friend years ago to seek therapy even though I was so reluctant. I chose counselling as a profession because I want to provide the same safe, non-judgmental relationship for my clients that helped me to break down that stigma in my own therapy experience. The clients I work with are ready to do explore and do the work to gain a better understanding of their struggles and move forward with better tools for managing them.
Still today, there can be a great deal of negative stigma associated with mental health struggles and that can make it difficult for people to seek therapy or know where to start. I was inspired by a close friend years ago to seek therapy even though I was so reluctant. I chose counselling as a profession because I want to provide the same safe, non-judgmental relationship for my clients that helped me to break down that stigma in my own therapy experience. The clients I work with are ready to do explore and do the work to gain a better understanding of their struggles and move forward with better tools for managing them.
(548) 761-8025 View (548) 761-8025
Photo of Calysta Park, Registered Psychotherapist (Qualifying), MACP, RP (Q)
Calysta Park
Registered Psychotherapist (Qualifying), MACP, RP (Q)
1 Endorsed
Online Only
Therapy can feel intimidating, especially when you are already feeling anxious, overwhelmed, disconnected, or unsure where to begin. I work with students, emerging adults, and 2SLGBTQ+ individuals who are navigating anxiety, identity exploration, self-worth, relationship stress, academic pressure, family dynamics, and major life transitions.
Therapy can feel intimidating, especially when you are already feeling anxious, overwhelmed, disconnected, or unsure where to begin. I work with students, emerging adults, and 2SLGBTQ+ individuals who are navigating anxiety, identity exploration, self-worth, relationship stress, academic pressure, family dynamics, and major life transitions.
(548) 490-5863 View (548) 490-5863
Photo of Kevin Stafford - Maplewoods Centre, Registered Psychotherapist
Maplewoods Centre
Registered Psychotherapist
Guelph, ON N1G
Struggling with stress, relationships, parenting, school, and/or life's challenges? At the Maplewoods Centre, we offer caring and supportive therapy for children, teens, adults, and families. We specialize in psychotherapy and psychological services. Whether you're looking for help with everyday challenges or deeper healing, we're here for you. We proudly welcome and affirm people of all identities and family structures, and we celebrate the unique cultural backgrounds and experiences of everyone we work with. In-person or online across Ontario, we’re here to help you and your loved ones heal, grow, and thrive - together.
Struggling with stress, relationships, parenting, school, and/or life's challenges? At the Maplewoods Centre, we offer caring and supportive therapy for children, teens, adults, and families. We specialize in psychotherapy and psychological services. Whether you're looking for help with everyday challenges or deeper healing, we're here for you. We proudly welcome and affirm people of all identities and family structures, and we celebrate the unique cultural backgrounds and experiences of everyone we work with. In-person or online across Ontario, we’re here to help you and your loved ones heal, grow, and thrive - together.
(519) 824-4120 x52020 View (519) 824-4120 x52020
Photo of Kellie Sybersma, Registered Psychotherapist, RP
Kellie Sybersma
Registered Psychotherapist, RP
8 Endorsed
Online Only
Are you tired of spending your days overwhelmed with thoughts about food, exercise or your body? Do you feel uncomfortable in your physical form? When did you start feeling like you, or your body, weren't good enough? Do you struggle with an eating disorder, disordered eating, poor body image, or an obsession with numbers? I work with clients to heal their relationship with food, exercise, and/or their body.
Are you tired of spending your days overwhelmed with thoughts about food, exercise or your body? Do you feel uncomfortable in your physical form? When did you start feeling like you, or your body, weren't good enough? Do you struggle with an eating disorder, disordered eating, poor body image, or an obsession with numbers? I work with clients to heal their relationship with food, exercise, and/or their body.
(226) 243-1539 View (226) 243-1539
Photo of Susan Hanna, Registered Social Worker, MSW, RSW
Susan Hanna
Registered Social Worker, MSW, RSW
1 Endorsed
Online Only
In my private practice I offer therapy to people who need more than what they can access through short term services. I have worked in mental health and employee assistance programs (EAP), and enjoy doing longer term therapy. Primarily, I work with adults who are struggling with mental health issues, including depression, anxiety, grief, trauma, couples with relationship concerns, and people who have life changes they are working through. In my practice, I take an anti-oppression, culturally informed stance to peoples' issues and experiences. I am committed to ongoing professional development.
In my private practice I offer therapy to people who need more than what they can access through short term services. I have worked in mental health and employee assistance programs (EAP), and enjoy doing longer term therapy. Primarily, I work with adults who are struggling with mental health issues, including depression, anxiety, grief, trauma, couples with relationship concerns, and people who have life changes they are working through. In my practice, I take an anti-oppression, culturally informed stance to peoples' issues and experiences. I am committed to ongoing professional development.
(226) 796-5650 View (226) 796-5650
Photo of Kat Giles, Registered Social Worker, MSW, RSW
Kat Giles
Registered Social Worker, MSW, RSW
2 Endorsed
Waterloo, ON N2V
Depression, anxiety, and stressful circumstances no longer have to control your life and steal your joy. I support individuals, children, youth, and families to restore hope in a safe and compassionate space where you can share, reflect, grow, and journey towards fullness. We can work together to navigate current situations and past experiences so that you can be more connected to what is happening in you, and in those you care about.
Depression, anxiety, and stressful circumstances no longer have to control your life and steal your joy. I support individuals, children, youth, and families to restore hope in a safe and compassionate space where you can share, reflect, grow, and journey towards fullness. We can work together to navigate current situations and past experiences so that you can be more connected to what is happening in you, and in those you care about.
(226) 640-0935 View (226) 640-0935

How does your Counsellor compare?

Number of Counsellors in Puslinch, ON

10+

Average cost per session

$170

Counsellors in Puslinch, ON who prioritize treating:

100% Depression
100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
82% Relationship Issues
82% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

100% Green Shield Canada
100% Manulife
100% SunLife

How Counsellors in Puslinch, ON see their clients

82% In Person and Online
18% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Puslinch?

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.