Therapists in Ottawa, ON

Photo of Melissa Veerasammy, Registered Psychotherapist (Qualifying) in Ottawa, ON
Melissa Veerasammy
Registered Psychotherapist (Qualifying), MA
Verified Verified
1 Endorsed
Ottawa, ON K1Y
I'm here to support you on your journey towards a healthier and happier life. I specialize in helping individuals navigate various challenges, such as ADHD, anxiety, depression, burnout, racial trauma, grief and loss, and building healthier relationships. If you've been struggling with any of these issues, please know that you're not alone, and seeking help is a courageous step toward positive change. Together, we can work towards improving your well-being, building resilience, and fostering healthier connections in your life. Let's embark on this journey together, so you can achieve the peace and fulfillment you deserve.
I'm here to support you on your journey towards a healthier and happier life. I specialize in helping individuals navigate various challenges, such as ADHD, anxiety, depression, burnout, racial trauma, grief and loss, and building healthier relationships. If you've been struggling with any of these issues, please know that you're not alone, and seeking help is a courageous step toward positive change. Together, we can work towards improving your well-being, building resilience, and fostering healthier connections in your life. Let's embark on this journey together, so you can achieve the peace and fulfillment you deserve.
(343) 321-0471 View (343) 321-0471
Photo of Leily Shafaee Millward, Registered Psychotherapist (Qualifying) in Ottawa, ON
Leily Shafaee Millward
Registered Psychotherapist (Qualifying), MA
Verified Verified
Ottawa, ON K2H
Life is full of surprises, and not all of them are pleasant. Sometimes, these twists and turns throw us off balance and leave us feeling lost. That's where therapy comes in. My goal is to provide you with a safe, compassionate and non-judgemental space that is built on trust and transparency and is a place where you can untangle your thoughts, feelings and concerns. I will walk alongside you, providing support as you navigate your journey and reach your goals because I believe that, together, we can turn any challenge into a chance for growth.
Life is full of surprises, and not all of them are pleasant. Sometimes, these twists and turns throw us off balance and leave us feeling lost. That's where therapy comes in. My goal is to provide you with a safe, compassionate and non-judgemental space that is built on trust and transparency and is a place where you can untangle your thoughts, feelings and concerns. I will walk alongside you, providing support as you navigate your journey and reach your goals because I believe that, together, we can turn any challenge into a chance for growth.
(343) 801-3512 View (343) 801-3512
Photo of Rachel Slater, Registered Psychotherapist (Qualifying) in Ottawa, ON
Rachel Slater
Registered Psychotherapist (Qualifying)
Verified Verified
1 Endorsed
Ottawa, ON K2C
I am a Registered Psychotherapist (Qualifying) working as a therapist under supervision at CMAP Health. I strongly believe therapy can be transformative in helping grow awareness towards our lived experiences so that we can nurture a space of growth and positive change. For me, this starts by establishing a warm and respectful space where one feels seen and empowered to foster the change they wish to see in their lives. My goal is to help you achieve your desired outcome.
I am a Registered Psychotherapist (Qualifying) working as a therapist under supervision at CMAP Health. I strongly believe therapy can be transformative in helping grow awareness towards our lived experiences so that we can nurture a space of growth and positive change. For me, this starts by establishing a warm and respectful space where one feels seen and empowered to foster the change they wish to see in their lives. My goal is to help you achieve your desired outcome.
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Photo of Celina Basto, Registered Social Worker in Ottawa, ON
Celina Basto
Registered Social Worker, RSW, MSW
Verified Verified
1 Endorsed
Ottawa, ON K2E
Celina extends you a warm invitation to embark on a transformative journey toward resilience and empowerment. At the core of Celina’s therapeutic approach is a profound belief in the inherent resilience within everyone. This conviction forms the foundation of her commitment to facilitating an exploration toward new ways of being, recovery and healing.
Celina extends you a warm invitation to embark on a transformative journey toward resilience and empowerment. At the core of Celina’s therapeutic approach is a profound belief in the inherent resilience within everyone. This conviction forms the foundation of her commitment to facilitating an exploration toward new ways of being, recovery and healing.
(343) 342-1012 View (343) 342-1012
Photo of Sophie Liljedahl, Psychologist in Ottawa, ON
Sophie Liljedahl
Psychologist, PhD
Verified Verified
Ottawa, ON K1V  (Online Only)
Waitlist for new clients
I treat issues that are principally related to difficulties with emotion regulation. When an individual is persistently distressed it becomes increasingly challenging for that person to be present for life in the current moment. This is especially the case when one comes to rely upon escape strategies in order to cope, such as behaviours that have addictive potential. When we are not able to be mindfully present, all aspects of our lives suffer.
I treat issues that are principally related to difficulties with emotion regulation. When an individual is persistently distressed it becomes increasingly challenging for that person to be present for life in the current moment. This is especially the case when one comes to rely upon escape strategies in order to cope, such as behaviours that have addictive potential. When we are not able to be mindfully present, all aspects of our lives suffer.
(343) 308-5418 View (343) 308-5418
Photo of Sarah Richardson, Registered Psychotherapist (Qualifying) in Ottawa, ON
Sarah Richardson
Registered Psychotherapist (Qualifying), MA
Verified Verified
Ottawa, ON K1S
Beginning therapy is a courageous step in your healing journey. Your mental wellness and your connection to self is essential and deserves time and space. I recognize the healing process as unique to each individual and I intend to meet each client where they are, to learn about their needs and goals, and how I can best support them. My hope is to offer a safe therapeutic space that is grounded in empathy, non-judgement, and curiosity to support each client’s capacity to authentically explore and process their experiences. I am committed to maintaining a trusting relationship built upon mutual respect, transparency, and integrity.
Beginning therapy is a courageous step in your healing journey. Your mental wellness and your connection to self is essential and deserves time and space. I recognize the healing process as unique to each individual and I intend to meet each client where they are, to learn about their needs and goals, and how I can best support them. My hope is to offer a safe therapeutic space that is grounded in empathy, non-judgement, and curiosity to support each client’s capacity to authentically explore and process their experiences. I am committed to maintaining a trusting relationship built upon mutual respect, transparency, and integrity.
(343) 633-1910 View (343) 633-1910
Photo of Dayna Myles - Holistic Psychotherapy, Registered Psychotherapist (Qualifying) in Ottawa, ON
Dayna Myles - Holistic Psychotherapy
Registered Psychotherapist (Qualifying), RP(Q)
Verified Verified
1 Endorsed
Ottawa, ON K2J  (Online Only)
My areas of specialization include: Grief / Bereavement, Critical Illness (patients and caregivers), Neurodiversity (AD(H)D, Autism Spectrum Disorder, Intellectual Disability), and Psychedelic Preparation and Integration. I work from a holistic and spiritually-informed perspective. I am very passionate about supporting clients through loss and grief, and draw from my own past experiences as both a caregiver and patient undergoing critical illness. I also work with the following: Depression, Anxiety, Eating Disorders, Childhood Trauma Recovery, and clients wanting to explore their Spiritual and Self-Development.
My areas of specialization include: Grief / Bereavement, Critical Illness (patients and caregivers), Neurodiversity (AD(H)D, Autism Spectrum Disorder, Intellectual Disability), and Psychedelic Preparation and Integration. I work from a holistic and spiritually-informed perspective. I am very passionate about supporting clients through loss and grief, and draw from my own past experiences as both a caregiver and patient undergoing critical illness. I also work with the following: Depression, Anxiety, Eating Disorders, Childhood Trauma Recovery, and clients wanting to explore their Spiritual and Self-Development.
(343) 300-0232 View (343) 300-0232
Photo of Annika Heywood, Registered Social Worker in Ottawa, ON
Annika Heywood
Registered Social Worker, RSW
Verified Verified
1 Endorsed
Ottawa, ON K2P
Presently accepting virtual clients. It is my hope to provide a compassionate presence through life challenges and support exploration of your internal wisdom and skills in order to create meaningful change. I provide a client-centered, collaborative approach to counselling.
Presently accepting virtual clients. It is my hope to provide a compassionate presence through life challenges and support exploration of your internal wisdom and skills in order to create meaningful change. I provide a client-centered, collaborative approach to counselling.
(343) 308-5449 View (343) 308-5449
Photo of Laura England, Registered Psychotherapist in Ottawa, ON
Laura England
Registered Psychotherapist, MEd, CCC
Verified Verified
Ottawa, ON K2P
I am a Registered Psychotherapist focusing on the treatment of low self-esteem, depression and anxiety, major life transitions including entering into parenthood, individuals struggling to find meaning and purpose in their life, grief and loss, relationship issues, shame and vulnerability and concerns related to identity formation and sexual orientation.
I am a Registered Psychotherapist focusing on the treatment of low self-esteem, depression and anxiety, major life transitions including entering into parenthood, individuals struggling to find meaning and purpose in their life, grief and loss, relationship issues, shame and vulnerability and concerns related to identity formation and sexual orientation.
(855) 561-5955 View (855) 561-5955
Photo of Rana Karam, Psychologist in Ottawa, ON
Rana Karam
Psychologist, Psy D
Verified Verified
2 Endorsed
Ottawa, ON K2P
Not accepting new clients
We can all benefit from psychotherapy at some point in our life whether to learn to effectively cope with challenging times or to better understand ourselves in order to unlock our full potential. Taking the first step in seeking therapy can be intimidating, I can help you by providing a safe, compassionate and confidential space for personal expression and growth, and building with you a strong therapeutic relationship based on trust. During the first sessions, we will work collaboratively to better understand your struggles, identify your strengths, and determine therapeutic strategies and goals tailored to your needs.
We can all benefit from psychotherapy at some point in our life whether to learn to effectively cope with challenging times or to better understand ourselves in order to unlock our full potential. Taking the first step in seeking therapy can be intimidating, I can help you by providing a safe, compassionate and confidential space for personal expression and growth, and building with you a strong therapeutic relationship based on trust. During the first sessions, we will work collaboratively to better understand your struggles, identify your strengths, and determine therapeutic strategies and goals tailored to your needs.
(613) 276-3775 View (613) 276-3775
Photo of Weijo Patricia Yu, Registered Psychotherapist (Qualifying) in Ottawa, ON
Weijo Patricia Yu
Registered Psychotherapist (Qualifying), BSc, MACP, RP(Q)
Verified Verified
4 Endorsed
Ottawa, ON K2P
Waitlist for new clients
Life's transitions and emotional pains can be profoundly challenging to navigate. If you're currently in the midst of such a journey, please know that you're not alone. I'm here to extend a hand of support, offering a safe haven where your experiences are met with understanding, empathy, and respect. My commitment to creating a non-judgmental, compassionate, and culturally sensitive environment means that you can freely explore your thoughts and feelings, finding solace and growth on your unique path towards healing.
Life's transitions and emotional pains can be profoundly challenging to navigate. If you're currently in the midst of such a journey, please know that you're not alone. I'm here to extend a hand of support, offering a safe haven where your experiences are met with understanding, empathy, and respect. My commitment to creating a non-judgmental, compassionate, and culturally sensitive environment means that you can freely explore your thoughts and feelings, finding solace and growth on your unique path towards healing.
(343) 500-6452 View (343) 500-6452
Photo of Nick Delroy, Registered Psychotherapist in Ottawa, ON
Nick Delroy
Registered Psychotherapist
Verified Verified
Ottawa, ON K2H  (Online Only)
Substance use, trauma and mental health issues can put a significant dent in someone's quality of life. From simply being uncomfortable with how much you are using, or how it is affecting your life, to wishing you could shut your brain or your memories off; to being suicidal or at risk of overdose. You don't need to do this alone. Talking to someone who has seen and helped others with these things can be immensely relieving. If your teenager is going through these problems, it is also relieving to know they are talking to someone about them. Trying to parent a teenager while they are going through this chaos can be challenging.
Substance use, trauma and mental health issues can put a significant dent in someone's quality of life. From simply being uncomfortable with how much you are using, or how it is affecting your life, to wishing you could shut your brain or your memories off; to being suicidal or at risk of overdose. You don't need to do this alone. Talking to someone who has seen and helped others with these things can be immensely relieving. If your teenager is going through these problems, it is also relieving to know they are talking to someone about them. Trying to parent a teenager while they are going through this chaos can be challenging.
(844) 812-8763 View (844) 812-8763
Photo of Kristie Brassard, Registered Social Worker in Ottawa, ON
Kristie Brassard
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Ottawa, ON K2P  (Online Only)
Hi, it’s nice to virtually meet you! I’m Kristie, a clinical director, a registered social worker, and a psychotherapist with over 17+ years of experience in the field. I work from a client-centered, trauma-informed, and anti-oppressive lens and do my best to greet my clients with authenticity, compassion, and from time-to-time a little humour. I support folks who are overwhelmed with emotions, feeling unsatisfied with various aspects of their lives, and with folks who are wanting to explore and navigate shifts in sexuality, gender and in their relationships. I help clients heal from the past and engage in personal growth.
Hi, it’s nice to virtually meet you! I’m Kristie, a clinical director, a registered social worker, and a psychotherapist with over 17+ years of experience in the field. I work from a client-centered, trauma-informed, and anti-oppressive lens and do my best to greet my clients with authenticity, compassion, and from time-to-time a little humour. I support folks who are overwhelmed with emotions, feeling unsatisfied with various aspects of their lives, and with folks who are wanting to explore and navigate shifts in sexuality, gender and in their relationships. I help clients heal from the past and engage in personal growth.
(844) 612-6505 View (844) 612-6505
Photo of Kevin Slater, Registered Psychotherapist in Ottawa, ON
Kevin Slater
Registered Psychotherapist, MA
Verified Verified
1 Endorsed
Ottawa, ON K1S
We often believe that we are alone in our suffering, that no one has experienced or could understand what we are going through, or conversely, that the suffering of others is much greater than our own, that ours does not deserve attention. Fear of judgment and vulnerability can keep us from reaching out when we need it most. That is why I believe there is power in creating space to explore obstacles that hinder us from thriving. Whether you are making sense of your past, navigating issues in the present, or planning for your future, it would be my privilege to walk alongside you on your journey of healing.
We often believe that we are alone in our suffering, that no one has experienced or could understand what we are going through, or conversely, that the suffering of others is much greater than our own, that ours does not deserve attention. Fear of judgment and vulnerability can keep us from reaching out when we need it most. That is why I believe there is power in creating space to explore obstacles that hinder us from thriving. Whether you are making sense of your past, navigating issues in the present, or planning for your future, it would be my privilege to walk alongside you on your journey of healing.
(613) 702-2637 View (613) 702-2637
Photo of Tessa Bourdon, Registered Psychotherapist (Qualifying) in Ottawa, ON
Tessa Bourdon
Registered Psychotherapist (Qualifying)
Verified Verified
Ottawa, ON K1J  (Online Only)
°°Accepting New Clients°° Navigating mental health can be overwhelming. I'm here to provide a safe, non-judgmental space for you to express yourself, explore, and grow. My approach is empathetic, inclusive, collaborative, and focused on helping you achieve your goals. I take a psychodynamic approach using therapeutic tools drawn from attachment theory, EFT, CBT, and mindfulness. Whether it's anxiety, depression, relationship challenges or other issues you're facing, I'm here to listen and help you with goal setting, tackling challenges, and developing coping strategies. Let's begin your journey toward resiliency and health together.
°°Accepting New Clients°° Navigating mental health can be overwhelming. I'm here to provide a safe, non-judgmental space for you to express yourself, explore, and grow. My approach is empathetic, inclusive, collaborative, and focused on helping you achieve your goals. I take a psychodynamic approach using therapeutic tools drawn from attachment theory, EFT, CBT, and mindfulness. Whether it's anxiety, depression, relationship challenges or other issues you're facing, I'm here to listen and help you with goal setting, tackling challenges, and developing coping strategies. Let's begin your journey toward resiliency and health together.
(343) 321-0207 View (343) 321-0207
Photo of Mindy Alexander - Discovery Art Therapy, Registered Psychotherapist in Ottawa, ON
Mindy Alexander - Discovery Art Therapy
Registered Psychotherapist, MEd, DTATI, RP
Verified Verified
Ottawa, ON K1Y  (Online Only)
Are you looking to focus on yourself and rediscover who you are after a big life change such as children leaving the home? Are you interested in tapping into your creativity? We can use visual art materials for growth and self-discovery. Not sure if you're comfortable with art supplies just yet? That's okay too! We can chat about how to create a space that would be most comfortable for you.
Are you looking to focus on yourself and rediscover who you are after a big life change such as children leaving the home? Are you interested in tapping into your creativity? We can use visual art materials for growth and self-discovery. Not sure if you're comfortable with art supplies just yet? That's okay too! We can chat about how to create a space that would be most comfortable for you.
(343) 305-1143 View (343) 305-1143
Photo of Charlotte MacKenzie, Registered Psychotherapist in Ottawa, ON
Charlotte MacKenzie
Registered Psychotherapist, MEd
Verified Verified
1 Endorsed
Ottawa, ON K1S
Currently accepting adult clients. In individual therapy, I work with adults and adolescents experiencing a wide range of issues including depression, anxiety and burnout as well as self-esteem difficulties. I aim to create a nonjudgmental, empathic, shame-free therapeutic space where you may feel safe to express yourself fully and to explore challenging thoughts, emotions, behaviours and relationships. I am comfortable working with individuals from all socio-cultural backgrounds (i.e. race, gender, ethnicity, sexual orientation).
Currently accepting adult clients. In individual therapy, I work with adults and adolescents experiencing a wide range of issues including depression, anxiety and burnout as well as self-esteem difficulties. I aim to create a nonjudgmental, empathic, shame-free therapeutic space where you may feel safe to express yourself fully and to explore challenging thoughts, emotions, behaviours and relationships. I am comfortable working with individuals from all socio-cultural backgrounds (i.e. race, gender, ethnicity, sexual orientation).
(613) 801-8626 View (613) 801-8626
Photo of Silvana Nue, Registered Psychotherapist (Qualifying) in Ottawa, ON
Silvana Nue
Registered Psychotherapist (Qualifying), MA
Verified Verified
3 Endorsed
Ottawa, ON K2E  (Online Only)
Sometimes we reach a point in life where we feel like we can no longer handle everything, and trying to make sense of all our thoughts and feelings can seem like an impossible task. Whether you’re struggling with feelings of anxiety, depression, re-emerging trauma, going through a life transition, interpersonal difficulties, or just wanting to better understand yourself, therapy can be a place where together we can start to untangle it all.
Sometimes we reach a point in life where we feel like we can no longer handle everything, and trying to make sense of all our thoughts and feelings can seem like an impossible task. Whether you’re struggling with feelings of anxiety, depression, re-emerging trauma, going through a life transition, interpersonal difficulties, or just wanting to better understand yourself, therapy can be a place where together we can start to untangle it all.
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Photo of Nathalie Kabedi Ndala, Registered Psychotherapist (Qualifying) in Ottawa, ON
Nathalie Kabedi Ndala
Registered Psychotherapist (Qualifying), MA
Verified Verified
Ottawa, ON K1Z  (Online Only)
I recognize that dealing with individual problems is not a systematic process and that it can lead to certain difficulties, but healing from a past or present malaise is a bit like writing a book: you have to write a few drafts at each stage before you're satisfied with your work. I look forward to meeting you and accompanying you on your healing journey.
I recognize that dealing with individual problems is not a systematic process and that it can lead to certain difficulties, but healing from a past or present malaise is a bit like writing a book: you have to write a few drafts at each stage before you're satisfied with your work. I look forward to meeting you and accompanying you on your healing journey.
(343) 341-4951 View (343) 341-4951
Photo of Husainat Bakare- Blissful Balance Counselling, Registered Psychotherapist in Ottawa, ON
Husainat Bakare- Blissful Balance Counselling
Registered Psychotherapist, MA, RP, CCC
Verified Verified
1 Endorsed
Ottawa, ON K2P  (Online Only)
Currently accepting new clients! Life is a journey of numerous experiences. When we encounter obstacles, transitions, and adversity time and time again, life can begin to feel like too much to handle.
Currently accepting new clients! Life is a journey of numerous experiences. When we encounter obstacles, transitions, and adversity time and time again, life can begin to feel like too much to handle.
(343) 453-1710 View (343) 453-1710

See more therapy options for Ottawa

How does your Counsellor compare?

Number of Counsellors in Ottawa, ON

2,000+

Average cost per session

$159

Counsellors in Ottawa, ON who prioritize treating:

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

Average years in practice

8 Years

Top 3 insurances accepted

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

How Counsellors in Ottawa, ON see their clients

57% In Person and Online
43% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Ottawa?

Search for nearby therapists or counsellors by inputting your city, postal code, or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or postal code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Most Counsellors and Psychotherapists listed in the directory are certified by one of the main professional associations, mainly the Canadian Counselling and Psychotherapy Association (CCPA), and will have a Certified Canadian Counsellor (CCC) designation with their name. Social Workers listed in the directory must be registered members of the college specific to their province. To be listed in the directory, Psychologists must be registered with the psychological college specific to their province or territory.

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given the considerable variation in professional regulation and prerequisites across Canadian provinces, some providers may possess significant professional qualifications without necessarily holding professional memberships or being obliged to acquire them. As a result, they may be selectively included without the "Verified" seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Psychologists, counsellors, psychotherapists and social workers can all provide counselling or talking therapy and have credentials and supervised, practical experience that enable them to do so in Canada.

Psychologists have a master's and/or doctoral degree and have passed both written and oral exams. Psychologists are able to complete mental health assessments and provide diagnostic information to clients as well as provide counselling therapy or psychotherapy. Counsellors and psychotherapists are expected to have a master's or doctoral degree in counselling psychology, social work, or a related mental health discipline and certification by a professional association, such as the Canadian Counselling and Psychotherapy Association. Registered Social Workers possess a Bachelor's or Master's degree in Social Work and where possible must be licensed or certified by the provincial government and/or regulatory college.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, the cost of a therapy session in Canada could be between $100 and $200. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

If you are struggling to access therapy due to budget constraints, you could also consider public funded mental health services. Some types of outpatient mental health services are covered by Medicare, provided these are performed by a licensed mental health professional in the provinces or territory you reside in and who accepts the assignment.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your postal code.

Are therapy sessions confidential?

Professionals licensed by regulatory colleges and those certified by associations such as the Canadian Counselling and Psychotherapy Association are obligated to uphold client confidentiality unless there is a legal reason that requires them to disclose information. Confidentiality is a crucial part of the therapeutic relationship and only under specific circumstances, such as when there is the potential or known harm to the client or others, or a court order, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.