Therapists in Montréal, QC
Sherel Griffiths Therapy & Mediation Services
Registered Psychotherapist, MSW, LCSW, CFT, AFM, MSc
Verified Verified
1 Endorsed
Montréal, QC H4B (Online Only)
Waitlist for new clients
Maneuvering through the different stages of "Life Journey" can be fulfilling as well as filled with periods of high stress, and emotional imbalance. Through the guiding principles of dignity, diversity, and self-determination, individual therapy brings growth by focusing on your strengths and resilience. Couple therapy can be beneficial to couples who are looking to strengthen their emotional connection in all stages of their relationship. Through the process of couple therapy, I vow to help you understand and become unstuck from the repetitive cycle of miscommunication, stepping on each other's toes, and triggering unhealed wounds.
Maneuvering through the different stages of "Life Journey" can be fulfilling as well as filled with periods of high stress, and emotional imbalance. Through the guiding principles of dignity, diversity, and self-determination, individual therapy brings growth by focusing on your strengths and resilience. Couple therapy can be beneficial to couples who are looking to strengthen their emotional connection in all stages of their relationship. Through the process of couple therapy, I vow to help you understand and become unstuck from the repetitive cycle of miscommunication, stepping on each other's toes, and triggering unhealed wounds.
Jennifer Berbrier
Marriage & Family Therapist, MA, MFT, ATPQ
Verified Verified
Montréal, QC H4A
As a therapist in private practice for over 20 years, I offer a genuinely respectful, safe and non-judgmental space for you to gain a deeper sense of self and strengthen your relationships. Couple issues, such as poor communication, come in many shapes and sizes. As an experienced couple therapist I work hard to help you identify negative patterns that can hijack your relationship. My goal is to help you learn skills to manage, solve, and move on from the distress, ultimately regaining a loving respectful bond.
As a therapist in private practice for over 20 years, I offer a genuinely respectful, safe and non-judgmental space for you to gain a deeper sense of self and strengthen your relationships. Couple issues, such as poor communication, come in many shapes and sizes. As an experienced couple therapist I work hard to help you identify negative patterns that can hijack your relationship. My goal is to help you learn skills to manage, solve, and move on from the distress, ultimately regaining a loving respectful bond.
Carmen Oprea
Art Therapist, MA, MFA, ATR-BC, RCAT, ATPQ
Verified Verified
Montréal, QC H4A
I am an art therapist with post-graduate training in sandplay therapy and cognitive-behavioural therapy. My academic training includes a master in Art Therapy from Concordia University and a master in Fine Arts from Europe. Offering individual and group art therapy sessions for children and adults of all ages, I combine a person-centred orientation with extensive clinical skills in accompanying my clients when dealing with traumatic events, depression, anxiety, dysfunctional patterns, life transitions, work-related stress, and relationship difficulties.
I am an art therapist with post-graduate training in sandplay therapy and cognitive-behavioural therapy. My academic training includes a master in Art Therapy from Concordia University and a master in Fine Arts from Europe. Offering individual and group art therapy sessions for children and adults of all ages, I combine a person-centred orientation with extensive clinical skills in accompanying my clients when dealing with traumatic events, depression, anxiety, dysfunctional patterns, life transitions, work-related stress, and relationship difficulties.
Malaïka Bittar-Piekutowski
Registered Psychotherapist, MSc, Pséd
Verified Verified
1 Endorsed
Montréal, QC H4A (Online Only)
Not accepting new clients
Do you feel stuck in your life? Are anxiety or depression showing up more than you'd like? You've come to the right place. I work both with individuals and couples, helping them to move out of their emotional or relational challenges. I believe therapy is an opportunity to know yourself more deeply, identify your triggers and build on your strengths to achieve your mental health goals. Together we will look into different layers of your experience and find ways to bring ease into your life. I very much look forward to witnessing and supporting your journey towards healing.
Do you feel stuck in your life? Are anxiety or depression showing up more than you'd like? You've come to the right place. I work both with individuals and couples, helping them to move out of their emotional or relational challenges. I believe therapy is an opportunity to know yourself more deeply, identify your triggers and build on your strengths to achieve your mental health goals. Together we will look into different layers of your experience and find ways to bring ease into your life. I very much look forward to witnessing and supporting your journey towards healing.
Pierre Khoury
Registered Psychotherapist, MA
Verified Verified
Montréal, QC H2L (Online Only)
I'm a licensed psychotherapist and teacher of psychology at University. I teach the following courses: interpersonal relationship, interviewing techniques, intervention models, and personality psychlogy. I am a member of OCCOQ (L'ordre des conseillers et conseillères d'orientation). I offer an hybrid approach between humanistic and cognitive behavioral models. I believe in adapting to whatever works best for YOU, as a unique individual, while prirotizing action and concreteness. You will find me to be non-judgemental, culturally sensitive, creative and especially interactive in my style of intervention.
I'm a licensed psychotherapist and teacher of psychology at University. I teach the following courses: interpersonal relationship, interviewing techniques, intervention models, and personality psychlogy. I am a member of OCCOQ (L'ordre des conseillers et conseillères d'orientation). I offer an hybrid approach between humanistic and cognitive behavioral models. I believe in adapting to whatever works best for YOU, as a unique individual, while prirotizing action and concreteness. You will find me to be non-judgemental, culturally sensitive, creative and especially interactive in my style of intervention.
Ira Polak Veronneau
Art Therapist, MA, ATPQ, CATA
Verified Verified
1 Endorsed
Montréal, QC H2G
Hello, radiant soul! I am an Art Therapist with a Social Work background. I specialize in trauma and I work with children, adults and families to help them recognize and affirm their resilience and resources. I aim to offer a safe haven for self-discovery and transformation through creative arts. I see humans as the artists of their lives, who use a unique pallet to distinguish and define them. I am a guest on their inner journey, helping them to navigate their emotions, memories, and identities that shape their whole person. My role is to support my clients to find creative paths to heal, repair and develop better coping skills.
Hello, radiant soul! I am an Art Therapist with a Social Work background. I specialize in trauma and I work with children, adults and families to help them recognize and affirm their resilience and resources. I aim to offer a safe haven for self-discovery and transformation through creative arts. I see humans as the artists of their lives, who use a unique pallet to distinguish and define them. I am a guest on their inner journey, helping them to navigate their emotions, memories, and identities that shape their whole person. My role is to support my clients to find creative paths to heal, repair and develop better coping skills.
Speakeasy Counselling Allison Cordner & Associates
Licensed Professional Counsellor, MA, RCC, RTC, SEP, TRA
Verified Verified
Montréal, QC H3J (Online Only)
We are a team of clinicians that are trained to work with students, individuals, couples and families. That excel at helping you expand your emotional tolerance, reactions & communication skills. Too many of us suffer in silence with anxiety, low self-esteem, unprocessed trauma and anger. You are not alone and we are here to encourage you to let those experiences be felt in a safe & non-judgmental environment. We know how hard it can be for most people to do therapy & our goal is to make it engaging, insightful & rewarding. To be vulnerable means not having our deepest feelings and secrets shot down. We use an integrative approach.
We are a team of clinicians that are trained to work with students, individuals, couples and families. That excel at helping you expand your emotional tolerance, reactions & communication skills. Too many of us suffer in silence with anxiety, low self-esteem, unprocessed trauma and anger. You are not alone and we are here to encourage you to let those experiences be felt in a safe & non-judgmental environment. We know how hard it can be for most people to do therapy & our goal is to make it engaging, insightful & rewarding. To be vulnerable means not having our deepest feelings and secrets shot down. We use an integrative approach.
Loris Peternelli
Psychologist, PhD, OPQ
Verified Verified
Montréal, QC H3H
Do you want to take back control of your life? Together we can work at understanding and dealing with emotions, thoughts, and behaviours that affect your life and relationships. Setting priorities, goals, limits, and managing change are important factors for healthy and balanced living. Listening to core issues that have impacted your life is part of the process, but in addition we can collaboratively explore practical strategies and tools to help you cope. Therapy should also focus on your strengths, helping you achieve personal growth and greater life satisfaction. .
Do you want to take back control of your life? Together we can work at understanding and dealing with emotions, thoughts, and behaviours that affect your life and relationships. Setting priorities, goals, limits, and managing change are important factors for healthy and balanced living. Listening to core issues that have impacted your life is part of the process, but in addition we can collaboratively explore practical strategies and tools to help you cope. Therapy should also focus on your strengths, helping you achieve personal growth and greater life satisfaction. .
Sandra Bouabjian
Psychologist, MA, OPQ
Verified Verified
Montréal, QC H3W (Online Only)
Are you ready to re-engage with yourself and others? I will work with you to bring clarity to your past and present feelings, thoughts and behaviours. By helping you become aware of your fears and patterns that make you struggle, i will guide you towards the change you desire. Together we will tailor the work we do to suit your goals. You will surprise yourself looking inwards taking care of the little child, discovering your inner potentials and building your self-esteem at your own pace. You will find your quality of life and relationships improve.
Are you ready to re-engage with yourself and others? I will work with you to bring clarity to your past and present feelings, thoughts and behaviours. By helping you become aware of your fears and patterns that make you struggle, i will guide you towards the change you desire. Together we will tailor the work we do to suit your goals. You will surprise yourself looking inwards taking care of the little child, discovering your inner potentials and building your self-esteem at your own pace. You will find your quality of life and relationships improve.
Bahaa Musa
Pre-Licensed Professional, MACP
Verified Verified
Montréal, QC H4A
I am currently accepting new clients virtually on Mondays. Struggling with anxiety/stress and needing some new ways to cope? I hope to have my clients leave the sessions feeling confidently better equipped to face their everyday struggles. I welcome individuals, couples and families in a bilingual FR/ENG environment. By fostering a compassionate and non judgemental setting, I aim to provide you with a comfortable safe space to help you explore what is troubling you and work collaboratively towards your goals and healing. Solutions are as unique as you are, and we will work side by side to customize the best one for your needs.
I am currently accepting new clients virtually on Mondays. Struggling with anxiety/stress and needing some new ways to cope? I hope to have my clients leave the sessions feeling confidently better equipped to face their everyday struggles. I welcome individuals, couples and families in a bilingual FR/ENG environment. By fostering a compassionate and non judgemental setting, I aim to provide you with a comfortable safe space to help you explore what is troubling you and work collaboratively towards your goals and healing. Solutions are as unique as you are, and we will work side by side to customize the best one for your needs.
Kayla Lipson
Registered Social Worker, BA, MSW
Verified Verified
Montréal, QC H3Y (Online Only)
Feeling overwhelmed, anxious or unmotivated? Struggling to get control of these emotions and taking the active steps towards change? I have experience working with children, teenagers and adults struggling with feelings of anxiety and depression. I welcome clients experiencing challenges with self-esteem, ADHD, parenting, pre/postpartum, relationship issues, career burnout or questioning, life transitions and people-pleasing tendencies.I work to provide a safe, non judgmental space for clients to explore their thoughts and experiences, while empowering them to connect with their inner resilience in order to make significant changes.
Feeling overwhelmed, anxious or unmotivated? Struggling to get control of these emotions and taking the active steps towards change? I have experience working with children, teenagers and adults struggling with feelings of anxiety and depression. I welcome clients experiencing challenges with self-esteem, ADHD, parenting, pre/postpartum, relationship issues, career burnout or questioning, life transitions and people-pleasing tendencies.I work to provide a safe, non judgmental space for clients to explore their thoughts and experiences, while empowering them to connect with their inner resilience in order to make significant changes.
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MD
Verified Verified
2 Endorsed
Montréal, QC H2X (Online Only)
Are you tired of the emotional struggle of “getting your life together” & Social Media telling you what to do about your habits when the only thing that you want is someone to understand all of what you are going through and help you to be back at peace? - Let me tell you my story, if it resonates and feel that I can be of help, I'm here! - I'm a former medical doctor with lived experience of childhood trauma. Before starting to process my trauma I dealt with Depression and Anxiety. In my search for help, I came across Mindfulness, it changed my life. Helped me to enjoy life, and to not be afraid of the symptoms
Are you tired of the emotional struggle of “getting your life together” & Social Media telling you what to do about your habits when the only thing that you want is someone to understand all of what you are going through and help you to be back at peace? - Let me tell you my story, if it resonates and feel that I can be of help, I'm here! - I'm a former medical doctor with lived experience of childhood trauma. Before starting to process my trauma I dealt with Depression and Anxiety. In my search for help, I came across Mindfulness, it changed my life. Helped me to enjoy life, and to not be afraid of the symptoms
Valerie Millette
Psychologist, PhD, PsyD
Verified Verified
Montréal, QC H2J (Online Only)
Waitlist for new clients
I find it rewarding to accompany people who struggle because they feel different, who have difficulties understanding certain aspects of their identity, or who are going through important life transitions. Maybe you want to revisit a stubborn impression that something is wrong with you. You may have experienced losses and have a hard time finding your footing again. You may be tired of trying to fit into a world that doesn’t really seem designed for you. And, when you pay more attention to your needs, you may encounter guilt, shame, or a realization that you are not sure what your needs are anymore.
I find it rewarding to accompany people who struggle because they feel different, who have difficulties understanding certain aspects of their identity, or who are going through important life transitions. Maybe you want to revisit a stubborn impression that something is wrong with you. You may have experienced losses and have a hard time finding your footing again. You may be tired of trying to fit into a world that doesn’t really seem designed for you. And, when you pay more attention to your needs, you may encounter guilt, shame, or a realization that you are not sure what your needs are anymore.
Sally A Butterworth
Psychologist, MA
Verified Verified
Montréal, QC H3G
The poem, The Imaginary Career (by Rainer Maria Rilke), illustrates exquisitely our human condition. To quote: "At first a childhood, limitless and free" only to become "Defiance- The child bent becomes the bender". To live in that ".. vast, cold empty space, alone" is a very painful place to find oneself. I am here to join with that person in the "empty space" so that they can understand themselves and heal.
The poem, The Imaginary Career (by Rainer Maria Rilke), illustrates exquisitely our human condition. To quote: "At first a childhood, limitless and free" only to become "Defiance- The child bent becomes the bender". To live in that ".. vast, cold empty space, alone" is a very painful place to find oneself. I am here to join with that person in the "empty space" so that they can understand themselves and heal.
Lindsay Chipman
Counsellor, MA
Verified Verified
1 Endorsed
Montréal, QC H2V
I am a licensed psychotherapist who is highly specialized in the treatment of anxiety and depression. I provide a personalized approach to an emotion focused therapy that helps patients better understand the mechanisms preventing them from realizing their potential, achieving greater intimacy in their relationships, and developing a better relationship with themselves. I offer a non-judgmental and openly honest relationship with clients, collaboratively understanding what issues they face, working together to confront these struggles, and to realize each individual's capacity to make meaningful change.
I am a licensed psychotherapist who is highly specialized in the treatment of anxiety and depression. I provide a personalized approach to an emotion focused therapy that helps patients better understand the mechanisms preventing them from realizing their potential, achieving greater intimacy in their relationships, and developing a better relationship with themselves. I offer a non-judgmental and openly honest relationship with clients, collaboratively understanding what issues they face, working together to confront these struggles, and to realize each individual's capacity to make meaningful change.
Denis Adams
Psychologist, PhD, OPQ
Verified Verified
Montréal, QC H2L
As a licensed psychologist and certified Jungian psychoanalyst, I have had extensive experience with different problematics. Reasons for consulting may be various, but it always leads us to confront an unacknowledged part of ourselves, in a word, our own unconscious shadow. Please check personal web site for more details: www.jung-montreal.com
As a licensed psychologist and certified Jungian psychoanalyst, I have had extensive experience with different problematics. Reasons for consulting may be various, but it always leads us to confront an unacknowledged part of ourselves, in a word, our own unconscious shadow. Please check personal web site for more details: www.jung-montreal.com
Marie-Pierre Fontaine-Paquet
Psychologist, PsyD
Verified Verified
3 Endorsed
Montréal, QC H2K
Not accepting new clients
Many of us face times in our lives when we need support to get through difficult periods. I see psychotherapy as a safe space to explore yourself, gain self-insight and understanding, and develop tools and resources to face the ups and downs of life. Since 2011, I have had the chance to work with adults with various needs and challenges. I have supported clients to work through relationship difficulties, repetitive patterns that were no longer serving them, anxiety, depression, painful emotions related to present or past events (including traumas), self-esteem issues, grief and loss, and adjustment to chronic illness.
Many of us face times in our lives when we need support to get through difficult periods. I see psychotherapy as a safe space to explore yourself, gain self-insight and understanding, and develop tools and resources to face the ups and downs of life. Since 2011, I have had the chance to work with adults with various needs and challenges. I have supported clients to work through relationship difficulties, repetitive patterns that were no longer serving them, anxiety, depression, painful emotions related to present or past events (including traumas), self-esteem issues, grief and loss, and adjustment to chronic illness.
Beverly Bonner
Registered Social Worker, MSW
Verified Verified
Montréal, QC H4A
Offering a safe, respectful and caring environment to take on life's challenges: including anxiety, depression, life crisis, developmental and transitional crisis, grief, conflicts in personal or work relationships; parenting, pregnancy and post-natal concerns. With a firm belief in a person's inner wisdom, I work with clients to clearly identify their values and strengths towards reducing anguish and increasing hope. Using an eclectic approach suitable to client personality and individual circumstances, counselling is done in a collaborative, holistic context.
Offering a safe, respectful and caring environment to take on life's challenges: including anxiety, depression, life crisis, developmental and transitional crisis, grief, conflicts in personal or work relationships; parenting, pregnancy and post-natal concerns. With a firm belief in a person's inner wisdom, I work with clients to clearly identify their values and strengths towards reducing anguish and increasing hope. Using an eclectic approach suitable to client personality and individual circumstances, counselling is done in a collaborative, holistic context.
Eric Morris
Psychologist, PhD, OPQ
Verified Verified
5 Endorsed
Montréal, QC H4A
Not accepting new clients
Do you suffer from substance abuse problems, binge eating, trauma, low self-esteem, borderline personality, high anxiety or depression? I have had a lot of success helping people with these issues.
Do you suffer from substance abuse problems, binge eating, trauma, low self-esteem, borderline personality, high anxiety or depression? I have had a lot of success helping people with these issues.
Emily Martin
Art Therapist, MA
Verified Verified
2 Endorsed
Montréal, QC H2E
I offer in-person art therapy to older children (11+), youth and adults. I aim to meet my clients where they are at by holding a client-centered approach to therapy and making space for curiosity and compassion. I enjoy working collaboratively with my clients to identify their motivation for change, sense of self, and resiliency. It is always my goal to give care to your knowledge, desires, character strengths and connections. The client-therapist relationship remains one of mutuality and partnership.
I offer in-person art therapy to older children (11+), youth and adults. I aim to meet my clients where they are at by holding a client-centered approach to therapy and making space for curiosity and compassion. I enjoy working collaboratively with my clients to identify their motivation for change, sense of self, and resiliency. It is always my goal to give care to your knowledge, desires, character strengths and connections. The client-therapist relationship remains one of mutuality and partnership.
See more therapy options for Montréal
How does your Counsellor compare?
Number of Counsellors in Montréal, QC
500+
Average cost per session
$150
Counsellors in Montréal, QC who prioritize treating:
92% | Anxiety |
83% | Relationship Issues |
83% | Self Esteem |
82% | Depression |
73% | Stress |
63% | Life Transitions |
62% | Coping Skills |
Average years in practice
11 Years
Top 3 insurances accepted
56% | SunLife |
43% | Other |
43% | Canada Life | Great-West Life |
How Counsellors in Montréal, QC see their clients
62% | In Person and Online | |
38% | Online Only |
Gender breakdown
79% | Female | |
19% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Montréal?
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.