Therapists in St Marys, ON

Photo of Pamela A. Loughton, Registered Psychotherapist, MA, MDiv, AHPCE, PhD (c), RP
Pamela A. Loughton
Registered Psychotherapist, MA, MDiv, AHPCE, PhD (c), RP
2 Endorsed
St Marys, ON N4X
I'm wondering about what's happening with you and in exchange I will listen, believe and be curious about the story you have come to share with me. At its core, this is what I can offer to you on your journey in a private, confidential and non-judgemental therapeutic relationship. I believe that the human experience is a constantly evolving flow of transitional states that take a variety of forms - significant or managable, expected and unexpected, desired and even feared. As it is with transitions, loss occurs in many forms through our lives and grief is the natural way to adapt to your new reality. I will journey with you.
I'm wondering about what's happening with you and in exchange I will listen, believe and be curious about the story you have come to share with me. At its core, this is what I can offer to you on your journey in a private, confidential and non-judgemental therapeutic relationship. I believe that the human experience is a constantly evolving flow of transitional states that take a variety of forms - significant or managable, expected and unexpected, desired and even feared. As it is with transitions, loss occurs in many forms through our lives and grief is the natural way to adapt to your new reality. I will journey with you.
(226) 240-3231 View (226) 240-3231
Photo of Nichola Taylor, Registered Social Worker, MSW, RSW
Nichola Taylor
Registered Social Worker, MSW, RSW
St Marys, ON N4X
Not accepting new clients
With over 25 years of experience working with individuals and groups, I am passionate and experienced in building strong, nurturing relationships with my clients as we sort through life's challenges together. Particular areas of interest and expertise include stress, anxiety, depression, trauma, women’s issues, relationship issues, life transitions and personal growth. While some clients prefer short-term, highly structured sessions, others prefer a more longstanding, fluid relationship to support them through life's ups and downs. I am open to discussing all options and believe that flexibility and a sense of humour go a long way!
With over 25 years of experience working with individuals and groups, I am passionate and experienced in building strong, nurturing relationships with my clients as we sort through life's challenges together. Particular areas of interest and expertise include stress, anxiety, depression, trauma, women’s issues, relationship issues, life transitions and personal growth. While some clients prefer short-term, highly structured sessions, others prefer a more longstanding, fluid relationship to support them through life's ups and downs. I am open to discussing all options and believe that flexibility and a sense of humour go a long way!
(226) 286-0479 View (226) 286-0479
Photo of Joanna E Miller, Registered Psychotherapist (Qualifying), BA, MDiv, MA
Joanna E Miller
Registered Psychotherapist (Qualifying), BA, MDiv, MA
3 Endorsed
Online Only
As you consider starting or re-starting therapy, let me applaud your courage. I love people and am interested in hearing your story and walking with you through the therapeutic process. I work to create a space where every client experiences a feeling of genuine welcome and care, because we do our best work when we feel safe and seen. I believe that small changes can have a real impact on your life and relationships.
As you consider starting or re-starting therapy, let me applaud your courage. I love people and am interested in hearing your story and walking with you through the therapeutic process. I work to create a space where every client experiences a feeling of genuine welcome and care, because we do our best work when we feel safe and seen. I believe that small changes can have a real impact on your life and relationships.
(548) 708-7618 View (548) 708-7618
Photo of Karen Skinner, Registered Social Worker, MSW, RSW
Karen Skinner
Registered Social Worker, MSW, RSW
1 Endorsed
St Marys, ON N4X
As each one of us are unique individuals, therapy cannot be a “one size fits all” approach. If you allow me to, I will meet you where you are at. I will provide you with a safe and nonjudgmental space to reflect on your experiences and develop strategies to navigate your life with more ease.
As each one of us are unique individuals, therapy cannot be a “one size fits all” approach. If you allow me to, I will meet you where you are at. I will provide you with a safe and nonjudgmental space to reflect on your experiences and develop strategies to navigate your life with more ease.
(226) 241-1073 View (226) 241-1073
Photo of Megan Lennox, Registered Psychotherapist, MA, RP
Megan Lennox
Registered Psychotherapist, MA, RP
St Marys, ON N4X
Waitlist for new clients
I believe every person has the capacity for growth and healing, and that healthy relationships – with self and others - are central to our wellbeing. Feeling safe and supported is so important. I strive to create a caring and compassionate environment for my clients as they navigate emotional, psychological, and relational challenges.
I believe every person has the capacity for growth and healing, and that healthy relationships – with self and others - are central to our wellbeing. Feeling safe and supported is so important. I strive to create a caring and compassionate environment for my clients as they navigate emotional, psychological, and relational challenges.
(226) 270-6688 View (226) 270-6688
Photo of Trevor James Matkovich - Trevor Matkovich Addiction Counselling , Drug & Alcohol Counsellor, CCAC
Trevor Matkovich Addiction Counselling
Drug & Alcohol Counsellor, CCAC
Online Only
As your counselor, I want you to know that you are not alone in this struggle. Every step you take, no matter how small, is a step towards reclaiming your life and rediscovering the strength within you. Together, we can navigate the challenges of addiction and uncover a brighter, healthier future. Your journey matters, and I'm here to support you every step of the way.
As your counselor, I want you to know that you are not alone in this struggle. Every step you take, no matter how small, is a step towards reclaiming your life and rediscovering the strength within you. Together, we can navigate the challenges of addiction and uncover a brighter, healthier future. Your journey matters, and I'm here to support you every step of the way.
(226) 786-0881 View (226) 786-0881
Photo of Jaclyn Turpin - Grief Counselling- Jaclyn Turpin, Registered Social Worker, MSW, RSW
Grief Counselling- Jaclyn Turpin
Registered Social Worker, MSW, RSW
4 Endorsed
St Marys, ON N4X
Are you experiencing a change in your life? Perhaps a diagnosis, caregiving, grief, or agriculture related changes or stressors. Many of the clients I support are experiencing transitions and losses in their lives and feeling stuck and uncertain about their future. I am passionate about working with people: who are grieving, who are going through changes and transitions, who identify as caregivers, who have been given a life altering diagnosis, and who are terminally ill.
Are you experiencing a change in your life? Perhaps a diagnosis, caregiving, grief, or agriculture related changes or stressors. Many of the clients I support are experiencing transitions and losses in their lives and feeling stuck and uncertain about their future. I am passionate about working with people: who are grieving, who are going through changes and transitions, who identify as caregivers, who have been given a life altering diagnosis, and who are terminally ill.
(226) 799-0914 View (226) 799-0914
Photo of Shalyn Dussiaume-Good - Shalyn Dussiaume Counselling, Registered Psychotherapist, MA, RP
Shalyn Dussiaume Counselling
Registered Psychotherapist, MA, RP
4 Endorsed
St Marys, ON N4X
Shalyn Dussiaume-Good is a Registered Psychotherapist and is currently working with a wide variety of clients with varying life issues. Her therapy models include using CBT (Cognitive Behavior Therapy) and DBT (Dialectical Behavior Therapy).
Shalyn Dussiaume-Good is a Registered Psychotherapist and is currently working with a wide variety of clients with varying life issues. Her therapy models include using CBT (Cognitive Behavior Therapy) and DBT (Dialectical Behavior Therapy).
(226) 270-8329 View (226) 270-8329
Photo of Michelle Henderson, Registered Social Worker, MSW, RSW, BA, SSW
Michelle Henderson
Registered Social Worker, MSW, RSW, BA, SSW
1 Endorsed
Serves Area
Waitlist for new clients
Thank you for reaching out, it can be tough searching for a therapist. Whether, you or a loved one are experiencing a stressful life situation, past or present adverse events; therapy is a successful tool to help. Many of us struggle with different challenges depending on our circumstances and relationships. While therapy is not a “quick fix” it offers tools and perspectives that can bring a sense of relief, hope and healing. Clients report feeling heard, understood, less isolated; improved mood, better coping strategies, achieving meaningful change, and enriched relationships.
Thank you for reaching out, it can be tough searching for a therapist. Whether, you or a loved one are experiencing a stressful life situation, past or present adverse events; therapy is a successful tool to help. Many of us struggle with different challenges depending on our circumstances and relationships. While therapy is not a “quick fix” it offers tools and perspectives that can bring a sense of relief, hope and healing. Clients report feeling heard, understood, less isolated; improved mood, better coping strategies, achieving meaningful change, and enriched relationships.
(226) 639-5486 View (226) 639-5486
Photo of Carrie Connelly, Registered Psychotherapist, MA
Carrie Connelly
Registered Psychotherapist, MA
12 Endorsed
Serves Area
Are you feeling angry, irritable, and exhausted? Are you struggling with past traumas and feel stuck and unable to move on? Do you find yourself struggling at work or school? It is so easy to get stuck on the hamster wheel of all the things, expending your precious energy outward, with very little left for yourself. It doesn’t have to be this way. It IS possible to feel happy, fulfilled, and at peace. Together we will unpack your story with curiosity and compassion, finding ways for you to feel how you WANT to feel. It IS possible to live the life you crave so deeply.
Are you feeling angry, irritable, and exhausted? Are you struggling with past traumas and feel stuck and unable to move on? Do you find yourself struggling at work or school? It is so easy to get stuck on the hamster wheel of all the things, expending your precious energy outward, with very little left for yourself. It doesn’t have to be this way. It IS possible to feel happy, fulfilled, and at peace. Together we will unpack your story with curiosity and compassion, finding ways for you to feel how you WANT to feel. It IS possible to live the life you crave so deeply.
(226) 242-9886 View (226) 242-9886
Photo of Jen Jennings, Registered Psychotherapist, RP, MA, CCC
Jen Jennings
Registered Psychotherapist, RP, MA, CCC
1 Endorsed
Online Only
Hello! My name is Jen (they/she). I am a Registered Psychotherapist and have been in private practice since 2016. I help people learn about themselves, gain perspective, and build skills that work for them. I strive to make clients feel safe and supported. I offer a space where clients can process information, try coping strategies, and express themselves. My practice is informed in trauma, consensual non-monogamy, disability justice, and religious trauma. As well as queer, gender, and neurodivergent affirming.
Hello! My name is Jen (they/she). I am a Registered Psychotherapist and have been in private practice since 2016. I help people learn about themselves, gain perspective, and build skills that work for them. I strive to make clients feel safe and supported. I offer a space where clients can process information, try coping strategies, and express themselves. My practice is informed in trauma, consensual non-monogamy, disability justice, and religious trauma. As well as queer, gender, and neurodivergent affirming.
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Photo of Tanielle O'Hearn, Registered Social Worker, MSW, RSW
Tanielle O'Hearn
Registered Social Worker, MSW, RSW
6 Endorsed
Online Only
Waitlist for new clients
Life feels overwhelming—and it has for a while. Maybe you’ve been the dependable one for everyone else, but now you’re starting to wonder what you want. Anxiety, guilt, exhaustion, and self-doubt feel all too familiar. You might be navigating midlife changes, relationship shifts, health concerns, parenting stress, or career burnout—and realizing you can’t keep doing this alone. You want to feel more like yourself again—and finally make choices that reflect what matters to you.
Life feels overwhelming—and it has for a while. Maybe you’ve been the dependable one for everyone else, but now you’re starting to wonder what you want. Anxiety, guilt, exhaustion, and self-doubt feel all too familiar. You might be navigating midlife changes, relationship shifts, health concerns, parenting stress, or career burnout—and realizing you can’t keep doing this alone. You want to feel more like yourself again—and finally make choices that reflect what matters to you.
(226) 366-9948 View (226) 366-9948
Photo of Stephanie Moffit - Stephanie Moffit Psychotherapy, Registered Social Worker, BA, BSW, MSW, RSW
Stephanie Moffit Psychotherapy
Registered Social Worker, BA, BSW, MSW, RSW
Serves Area
At Stephanie Moffit Psychotherapy, we are committed to providing high-quality, evidence-based therapy for individuals of all ages in a compassionate and nurturing environment. Whether you are seeking support for yourself or your child, we work collaboratively to understand your needs and connect you with the care and strategies that best support your goals. Our aim is to help children, adolescents, and adults navigate challenges, build resilience, and move toward more fulfilling lives. We can’t wait to sit with you!
At Stephanie Moffit Psychotherapy, we are committed to providing high-quality, evidence-based therapy for individuals of all ages in a compassionate and nurturing environment. Whether you are seeking support for yourself or your child, we work collaboratively to understand your needs and connect you with the care and strategies that best support your goals. Our aim is to help children, adolescents, and adults navigate challenges, build resilience, and move toward more fulfilling lives. We can’t wait to sit with you!
(226) 270-9375 View (226) 270-9375
Photo of Dan Coburn - Dan Coburn Counselling, Registered Social Worker, MSW, RSW
Dan Coburn Counselling
Registered Social Worker, MSW, RSW
1 Endorsed
Serves Area
I'm here to help you face emotional and relationship challenges so you can overcome what’s holding you back and find ways to move forward. I'm a Registered Social Worker and Psychotherapist (MSW, RSW) who offers counselling and therapy services to couples, families, individuals, men, and parents. Emotionally Focused Therapy (EFT) is a primary therapeutic approach in my counselling practice. EFT is an evidence-based therapy used with couples, families, and individuals.
I'm here to help you face emotional and relationship challenges so you can overcome what’s holding you back and find ways to move forward. I'm a Registered Social Worker and Psychotherapist (MSW, RSW) who offers counselling and therapy services to couples, families, individuals, men, and parents. Emotionally Focused Therapy (EFT) is a primary therapeutic approach in my counselling practice. EFT is an evidence-based therapy used with couples, families, and individuals.
(548) 457-2421 View (548) 457-2421
Photo of Kristen Marcovecchio, Registered Psychotherapist, RP, CYC, PTS
Kristen Marcovecchio
Registered Psychotherapist, RP, CYC, PTS
Serves Area
Imagine feeling like you are living the best version of you. Whether you are seeking healing, purpose, clarity, love, or inner wisdom, I’m honored to be part of that journey. Your physical and emotional health can be significantly impacted by unresolved chronic emotional problems including trauma, depression, anxiety, body image issues, and interpersonal conflict. My passion and expertise are rooted in my belief that we all need to live whole. I believe that for overall wellness, a balanced approach is a must.  By focusing on mental health, exercise, and nutrition, we can work toward you living whole as your authentic healed self.
Imagine feeling like you are living the best version of you. Whether you are seeking healing, purpose, clarity, love, or inner wisdom, I’m honored to be part of that journey. Your physical and emotional health can be significantly impacted by unresolved chronic emotional problems including trauma, depression, anxiety, body image issues, and interpersonal conflict. My passion and expertise are rooted in my belief that we all need to live whole. I believe that for overall wellness, a balanced approach is a must.  By focusing on mental health, exercise, and nutrition, we can work toward you living whole as your authentic healed self.
(226) 270-5735 View (226) 270-5735
Photo of Sara Wilken, Clinical Social Work/Therapist, MSW, RSW, PhD
Sara Wilken
Clinical Social Work/Therapist, MSW, RSW, PhD
Serves Area
I work with people who are looking for a way to better understand themselves and feel less alone, process a traumatic experience or relationship, or finally talk about something that they have been holding inside. I offer in person relational therapy, along with EMDR for processing traumatic experiences. I also specialize in perinatal mental health and work with new parents to adjust to the feelings, changes, and identity shifts that can come with a new baby.
I work with people who are looking for a way to better understand themselves and feel less alone, process a traumatic experience or relationship, or finally talk about something that they have been holding inside. I offer in person relational therapy, along with EMDR for processing traumatic experiences. I also specialize in perinatal mental health and work with new parents to adjust to the feelings, changes, and identity shifts that can come with a new baby.
(548) 761-7227 View (548) 761-7227
Photo of Jackie Benn, Registered Psychotherapist, MSc ENS, MACP
Jackie Benn
Registered Psychotherapist, MSc ENS, MACP
1 Endorsed
Serves Area
Currently accepting new clients for both in-person & virtual. Easy online booking through website. Throughout the course of my career, I have grown and strengthened my appreciation for a holistic treatment approach, understanding that the obstacles to health are often multi-faceted. My goal in therapy is to help individuals get back to living their most valued lives, whatever that may look like. As a therapist, my aim is to support clients who are experiencing any combination of stress, anxiety, depression, life adjustment challenges and/or relationship issues.
Currently accepting new clients for both in-person & virtual. Easy online booking through website. Throughout the course of my career, I have grown and strengthened my appreciation for a holistic treatment approach, understanding that the obstacles to health are often multi-faceted. My goal in therapy is to help individuals get back to living their most valued lives, whatever that may look like. As a therapist, my aim is to support clients who are experiencing any combination of stress, anxiety, depression, life adjustment challenges and/or relationship issues.
(226) 270-7349 View (226) 270-7349
Photo of Sherri Dowsett - Good Therapy, Registered Social Worker, MSFT, RSW, PHEc
Good Therapy
Registered Social Worker, MSFT, RSW, PHEc
Serves Area
Welcome to Good Therapy! At Good Therapy, we provide a range of therapeutic services to address various mental health needs for you and your family. We're here to support you as you explore effective communication strategies, negative thinking and self-sabotaging behaviour, healthier relationships, self-compassion, and overall personal growth and well-being. We approach therapy collaboratively with you, using a range of evidence-based and trauma-informed tools and resources. Good Therapy offers more affordable therapy rates through our supervised master’s level internship program, allowing clients more access to services.
Welcome to Good Therapy! At Good Therapy, we provide a range of therapeutic services to address various mental health needs for you and your family. We're here to support you as you explore effective communication strategies, negative thinking and self-sabotaging behaviour, healthier relationships, self-compassion, and overall personal growth and well-being. We approach therapy collaboratively with you, using a range of evidence-based and trauma-informed tools and resources. Good Therapy offers more affordable therapy rates through our supervised master’s level internship program, allowing clients more access to services.
(226) 605-6429 View (226) 605-6429

More Therapists Nearby

Photo of Tressa M. Kaszowski - TMK Counselling & Psychotherapy Services, Registered Social Worker, BSW(H), MSW, RSW, CHyp
TMK Counselling & Psychotherapy Services
Registered Social Worker, BSW(H), MSW, RSW, CHyp
London, ON N6H
Anxiety? Depression? Overwhelmed? Trauma? I empower individuals & couples to overcome personal issues & stressful life events by providing hope, support & therapeutic guidance using clinically proven interventions. I'm a Psychotherapist/Registered Social Worker with 20 yrs. experience who provides mental health counselling & psychotherapy. Unhealthy relationships, poor coping skills & negative life experiences can contribute to both emotional & physical distress. I offer various therapies tailored specifically to the client. Telephone, online counselling & Life Coaching as well as in-person is available. TMKCounsellingca
Anxiety? Depression? Overwhelmed? Trauma? I empower individuals & couples to overcome personal issues & stressful life events by providing hope, support & therapeutic guidance using clinically proven interventions. I'm a Psychotherapist/Registered Social Worker with 20 yrs. experience who provides mental health counselling & psychotherapy. Unhealthy relationships, poor coping skills & negative life experiences can contribute to both emotional & physical distress. I offer various therapies tailored specifically to the client. Telephone, online counselling & Life Coaching as well as in-person is available. TMKCounsellingca
(226) 406-5131 View (226) 406-5131
Photo of Jennifer Carscadden - Custom Counselling - Jennifer Carscadden, Registered Social Worker, MSW, RSW, RSSW
Custom Counselling - Jennifer Carscadden
Registered Social Worker, MSW, RSW, RSSW
London, ON N6B
Have you been struggling with the same issues for a period of time? Have you tried different things but it just doesn't seem to make a difference? Have you been thinking maybe it's time to get another perspective on some things in your life? As each individual is unique, so is the therapy. Your counselling sessions will consist of a collaborative process of developing mutually defined goals and identifying the process that best serves you. Custom Counselling can provide you with that perspective that can make a difference and help with those issues with which you have been struggling.
Have you been struggling with the same issues for a period of time? Have you tried different things but it just doesn't seem to make a difference? Have you been thinking maybe it's time to get another perspective on some things in your life? As each individual is unique, so is the therapy. Your counselling sessions will consist of a collaborative process of developing mutually defined goals and identifying the process that best serves you. Custom Counselling can provide you with that perspective that can make a difference and help with those issues with which you have been struggling.
(226) 270-6466 View (226) 270-6466

See more therapy options for St Marys

How does your Counsellor compare?

Number of Counsellors in St Marys, ON

10+

Average cost per session

$150

Counsellors in St Marys, ON who prioritize treating:

94% Anxiety
83% Grief
78% Relationship Issues
78% Depression
78% Coping Skills
78% Stress
78% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

67% Green Shield Canada
67% Medavie Blue Cross
50% Blue Cross

How Counsellors in St Marys, ON see their clients

78% In Person and Online
22% Online Only

Gender breakdown

88% Female
6% Male
6% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in St Marys?

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.