Photo of Chari Tomczak, DKATI, RTC, RP(Q), Registered Psychotherapist (Qualifying)
Chari Tomczak
Registered Psychotherapist (Qualifying), DKATI, RTC, RP(Q)
Verified Verified
5 Endorsed
Life can come with a turbulence that at times feels unbearable. Waves of grief, anger, sorrow, disappointment and so much more knocking us to our knees. Often times, we need someone who can compassionately sit with us, while we find our way back to the surface of these hard times. I can sit with you. I believe that we hold all we need within to find the way through these times, and as such building confidence and resilience to better equip ourselves with tools for the next time things feel like a storm. I have had to learn myself, how to be with all the emotions that come with being a human being. Learning to sit with what is.
Life can come with a turbulence that at times feels unbearable. Waves of grief, anger, sorrow, disappointment and so much more knocking us to our knees. Often times, we need someone who can compassionately sit with us, while we find our way back to the surface of these hard times. I can sit with you. I believe that we hold all we need within to find the way through these times, and as such building confidence and resilience to better equip ourselves with tools for the next time things feel like a storm. I have had to learn myself, how to be with all the emotions that come with being a human being. Learning to sit with what is.
(587) 840-9872 View (587) 840-9872
Photo of Suzie Bisson, PhD, RPsych, EMDR Th, Psychologist
Suzie Bisson
Psychologist, PhD, RPsych, EMDR Th
Verified Verified
Everyone should offer themselves at least one priceless gift per year. A priceless gift is one that fosters our quality of life. Neutralizing the impact of negative past experiences or current stress, getting to know ourselves better, becoming more resilient, improving our experience of life, exploring new life directions and addressing challenging life transitions are all great examples of priceless gifts we can offer ourselves. Our mental health impacts all aspects of our life, the quality of our relationships, and how we experience the world. So, are you ready to give yourself the priceless gift of improved mental health?
Everyone should offer themselves at least one priceless gift per year. A priceless gift is one that fosters our quality of life. Neutralizing the impact of negative past experiences or current stress, getting to know ourselves better, becoming more resilient, improving our experience of life, exploring new life directions and addressing challenging life transitions are all great examples of priceless gifts we can offer ourselves. Our mental health impacts all aspects of our life, the quality of our relationships, and how we experience the world. So, are you ready to give yourself the priceless gift of improved mental health?
(587) 849-4629 View (587) 849-4629
Photo of Carla Turnquist-Heintz, MSc, PSYD-CA, Registered Provisional Psychologist
Carla Turnquist-Heintz
Registered Provisional Psychologist, MSc, PSYD-CA
Verified Verified
Sundre, AB T0M
24-hour appointment guarantee. In-home consultations available (as appropriate). Referrals to psychiatrist available. Chances are good if you're reading this profile, you're looking for some professional help. Whether it be individual counselling to help you through a major depressive episode, family therapy to defuse tension and endless fighting, or a consultation about your anxious toddler, depressed adolescent or teenager's self-harming behaviour, Carla's 25 years of experience and down-to-earth approach to therapy will have you comfortable in minutes and moving forward in a solution focused direction that YOU want to go..
24-hour appointment guarantee. In-home consultations available (as appropriate). Referrals to psychiatrist available. Chances are good if you're reading this profile, you're looking for some professional help. Whether it be individual counselling to help you through a major depressive episode, family therapy to defuse tension and endless fighting, or a consultation about your anxious toddler, depressed adolescent or teenager's self-harming behaviour, Carla's 25 years of experience and down-to-earth approach to therapy will have you comfortable in minutes and moving forward in a solution focused direction that YOU want to go..
(403) 348-5160 View (403) 348-5160
Photo of Chris Pawluk - Pawluk Child and Adult Psychology, MEd, DipPsy, Psychologist
Pawluk Child and Adult Psychology
Psychologist, MEd, DipPsy
Verified Verified
Carstairs, AB T0M
My ideal client is a child or youth with significant anxiety issues. They need a better understanding of what is going on in their heads and in their bodies. They want to feel less distress, and to be able to do the things that their anxiety is preventing them from doing. I'm not accepting new clients right now.
My ideal client is a child or youth with significant anxiety issues. They need a better understanding of what is going on in their heads and in their bodies. They want to feel less distress, and to be able to do the things that their anxiety is preventing them from doing. I'm not accepting new clients right now.
(587) 207-8978 View (587) 207-8978
Photo of Sara Kreklewich, BScOT, Occupational Therapist
Sara Kreklewich
Occupational Therapist, BScOT
Verified Verified
1 Endorsed
Online Only
I am a registered Occupational Therapist with over fifteen years experience. I am passionate about the area of mental health and recovery. I believe in empowering you to achieve your goals and work with you to develop strategies that best meet your needs. I have worked in hospital and community mental health settings and have diverse skills, training and experience. I have experience providing disordered eating consultation to individuals, family members and other health care professionals. I also have experience supporting individuals with their unique sensory processing needs.
I am a registered Occupational Therapist with over fifteen years experience. I am passionate about the area of mental health and recovery. I believe in empowering you to achieve your goals and work with you to develop strategies that best meet your needs. I have worked in hospital and community mental health settings and have diverse skills, training and experience. I have experience providing disordered eating consultation to individuals, family members and other health care professionals. I also have experience supporting individuals with their unique sensory processing needs.
(825) 807-5929 View (825) 807-5929
Photo of Kelsie Moore, MACP, BA, Psychologist
Kelsie Moore
Psychologist, MACP, BA
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
What is the major cause of illness? Stress! I help people regulate emotions and manage stress so that they can take control of their life! Allowing your emotions to run the show leads to restlessness, irritability, guilt, and overthinking. I help people create goals and learn strategies to reduce stress, and manage difficult emotions and life circumstances. Do you want to be able to live up to your full potential and thrive rather than just simply surviving? My job is to do just that! Why not start with a free 15 min consults to see if we are a good fit?
What is the major cause of illness? Stress! I help people regulate emotions and manage stress so that they can take control of their life! Allowing your emotions to run the show leads to restlessness, irritability, guilt, and overthinking. I help people create goals and learn strategies to reduce stress, and manage difficult emotions and life circumstances. Do you want to be able to live up to your full potential and thrive rather than just simply surviving? My job is to do just that! Why not start with a free 15 min consults to see if we are a good fit?
(587) 850-0876 View (587) 850-0876
Photo of Woody Rae Forrieter - Core Essence Counselling, RTC, Counsellor
Core Essence Counselling
Counsellor, RTC
Verified Verified
1 Endorsed
Didsbury, AB T0M
Feeling disconnected? It’s not like you haven’t tried, right? I get that. There have been times in my past when, despite trying my hardest to communicate or get along or fit in, it seemed like my best wasn’t good enough, and important others didn’t understand or accept me. That hurts. The freedom to be ourselves in genuine accord with others, especially people who are significant in our lives, is something most of us have wanted since we were kids.
Feeling disconnected? It’s not like you haven’t tried, right? I get that. There have been times in my past when, despite trying my hardest to communicate or get along or fit in, it seemed like my best wasn’t good enough, and important others didn’t understand or accept me. That hurts. The freedom to be ourselves in genuine accord with others, especially people who are significant in our lives, is something most of us have wanted since we were kids.
(587) 857-0411 View (587) 857-0411
Photo of Nicole Rambadhan (Psychotherapy For You), MSW, RSW, Registered Social Worker
Nicole Rambadhan (Psychotherapy For You)
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Online Only
Welcome! I am glad you are here. My name is Nicole Rambadhan-Registered Social Worker (RSW) with over 8 years of clinical experience and training in child protection, mental health, and health care. I am dual licensed to practice in Alberta and Nunavut. I am a member of the Alberta College of Social Worker (ACSW) and the Association of Social Workers in Northern Canada (ASWNC). Driven by an unwavering commitment to make a positive impact on people's lives I have pursued a Master of Social Work (MSW) from Dalhousie University. During my academic journey, I developed a deep understanding of human behaviour and evidence-based therapies
Welcome! I am glad you are here. My name is Nicole Rambadhan-Registered Social Worker (RSW) with over 8 years of clinical experience and training in child protection, mental health, and health care. I am dual licensed to practice in Alberta and Nunavut. I am a member of the Alberta College of Social Worker (ACSW) and the Association of Social Workers in Northern Canada (ASWNC). Driven by an unwavering commitment to make a positive impact on people's lives I have pursued a Master of Social Work (MSW) from Dalhousie University. During my academic journey, I developed a deep understanding of human behaviour and evidence-based therapies
(587) 816-6422 View (587) 816-6422
Photo of Tina Larkin, MSW, RSW, Registered Social Worker
Tina Larkin
Registered Social Worker, MSW, RSW
Verified Verified
4 Endorsed
Delburne, AB T0M
Sometimes life can give you challenges that seem impossible. You may feel overwhelmed by stress, responsibilities, or expectations. Past trauma may prevent you from being your true self. Maybe you want something to be different, but don't know what. My goal is to provide a space where you can explore what is not working and forge a path to what will work. I bring my life experience to better understand yours. Change is hard, but not impossible. Together we will find the sticky points and develop a plan to get unstuck.
Sometimes life can give you challenges that seem impossible. You may feel overwhelmed by stress, responsibilities, or expectations. Past trauma may prevent you from being your true self. Maybe you want something to be different, but don't know what. My goal is to provide a space where you can explore what is not working and forge a path to what will work. I bring my life experience to better understand yours. Change is hard, but not impossible. Together we will find the sticky points and develop a plan to get unstuck.
(587) 507-8921 View (587) 507-8921
Photo of Micaela Olson, RPN, Psychiatric Nurse
Micaela Olson
Psychiatric Nurse, RPN
Verified Verified
Are you feeling overwhelmed, helpless, lost? The toughest part is starting, and you have already done that by recognizing your pain. Imagine why you want to experience changes? What will life look like when you succeed? How will you feel? I can help you get back to a life that you love!
Are you feeling overwhelmed, helpless, lost? The toughest part is starting, and you have already done that by recognizing your pain. Imagine why you want to experience changes? What will life look like when you succeed? How will you feel? I can help you get back to a life that you love!
(825) 250-3834 View (825) 250-3834
Photo of Ricki-Lee Gillespie, MA, Psychologist
Ricki-Lee Gillespie
Psychologist, MA
Verified Verified
2 Endorsed
Eckville, AB T0M
Hello there, wonderful humans! Welcome to a space where understanding minds is not just a profession, but a passion. I’m your friendly neighborhood psychologist, specializing primarily in assessments, but also welcoming therapy clients with open arms and an open heart
Hello there, wonderful humans! Welcome to a space where understanding minds is not just a profession, but a passion. I’m your friendly neighborhood psychologist, specializing primarily in assessments, but also welcoming therapy clients with open arms and an open heart
(825) 254-9333 View (825) 254-9333
Photo of Michelle Neaves - Heart, Mind and Soul Counselling., BA Hons, RPC, MPCC, FEEL, EAL
Heart, Mind and Soul Counselling.
BA Hons, RPC, MPCC, FEEL, EAL
Verified Verified
Online Only
My ideal client is struggling with mental health struggles such as: anxiety, depression, trauma, PTSD, or self-sabotaging behaviours. They feel stuck, low, and fed up, often battling limiting beliefs. Their relationship might be fraught with conflict, leaving them unhappy and frustrated. They seek to regain a sense of self, purpose, and joy, and are eager to set and achieve meaningful life goals but find themselves hindered by their own barriers. I offer online talk therapy and in-person equine psychotherapy. Please visit www.hmandscounselling.com for comprehensive services and compassionate support.
My ideal client is struggling with mental health struggles such as: anxiety, depression, trauma, PTSD, or self-sabotaging behaviours. They feel stuck, low, and fed up, often battling limiting beliefs. Their relationship might be fraught with conflict, leaving them unhappy and frustrated. They seek to regain a sense of self, purpose, and joy, and are eager to set and achieve meaningful life goals but find themselves hindered by their own barriers. I offer online talk therapy and in-person equine psychotherapy. Please visit www.hmandscounselling.com for comprehensive services and compassionate support.
(587) 854-3736 View (587) 854-3736
Photo of Jayne Batten, MSc, CT, RPC, MPCC, BACP
Jayne Batten
MSc, CT, RPC, MPCC, BACP
Verified Verified
Beiseker, AB T0M
Therapy helps us to examine our past experience, reveal themes within our behaviours and understand what motivates us. Therapy also helps us to examine past trauma. Within the safety of therapy we can focus on how our thoughts and behaviours, as well as the systems we exist within, contribute to our struggles, and gain insight on how we might learn new ways to react to the world around us. The focus of my work is to help my clients learn to trust themselves and realise their potential. The therapeutic process helps to identify and understand long held beliefs and assumptions that get in the way of our health, happiness and wellbeing
Therapy helps us to examine our past experience, reveal themes within our behaviours and understand what motivates us. Therapy also helps us to examine past trauma. Within the safety of therapy we can focus on how our thoughts and behaviours, as well as the systems we exist within, contribute to our struggles, and gain insight on how we might learn new ways to react to the world around us. The focus of my work is to help my clients learn to trust themselves and realise their potential. The therapeutic process helps to identify and understand long held beliefs and assumptions that get in the way of our health, happiness and wellbeing
(587) 705-4799 View (587) 705-4799
Photo of Elizabeth Grace Surridge - Elizabeth Grace Counselling, BEd, MACP, Counsellor
Elizabeth Grace Counselling
Counsellor, BEd, MACP
Verified Verified
Online Only
My work, for 34 years, has been with all ages and stages in life as a life coach, mediator and counsellor: young children, youth in high school and post-secondary, adults as individuals, couples and parents. Since I have a teaching background, I invite those of you who are feeling the burden of working in education to reach out to me; I know burnout. I specialize in warm acceptance, humour and compassion using mindfulness, Internal Family Systems, Emotionally Focussed, trauma-informed and somatic approaches. When you bring your concerns, I use an engaged and direct approach to help you to clarify and work through your challenges.
My work, for 34 years, has been with all ages and stages in life as a life coach, mediator and counsellor: young children, youth in high school and post-secondary, adults as individuals, couples and parents. Since I have a teaching background, I invite those of you who are feeling the burden of working in education to reach out to me; I know burnout. I specialize in warm acceptance, humour and compassion using mindfulness, Internal Family Systems, Emotionally Focussed, trauma-informed and somatic approaches. When you bring your concerns, I use an engaged and direct approach to help you to clarify and work through your challenges.
(587) 815-9592 View (587) 815-9592
Photo of Dani Goddard, MSW, RSW, Registered Social Worker
Dani Goddard
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Sundre, AB T0M
Hi! I am glad you are taking the step to seek help. It can feel scary and uncomfortable, but I am here to guide and support you. My name is Dani Goddard, and I specialize in supporting individuals as they navigate grief and trauma, often addressing related issues such as anxiety, depression, feelings of overwhelm, secondary losses and life transitions.
Hi! I am glad you are taking the step to seek help. It can feel scary and uncomfortable, but I am here to guide and support you. My name is Dani Goddard, and I specialize in supporting individuals as they navigate grief and trauma, often addressing related issues such as anxiety, depression, feelings of overwhelm, secondary losses and life transitions.
(403) 426-0122 View (403) 426-0122
Photo of Timothy (Tj) Mackenzie, MA, CCC, Counsellor
Timothy (Tj) Mackenzie
Counsellor, MA, CCC
Verified Verified
Hi, my name is TJ. I am dedicated to creating an atmosphere of safety and trust where my clients feel heard, validated, and understood. I believe that by creating an authentic therapeutic connection, marked by compassion and empathy, people can move towards the change they desire. I have a deep passion for helping people cultivate awareness of the thoughts and feeling that may be driving their behaviours, as well as compassionately journeying along side those who carry the burden of guilt and shame.
Hi, my name is TJ. I am dedicated to creating an atmosphere of safety and trust where my clients feel heard, validated, and understood. I believe that by creating an authentic therapeutic connection, marked by compassion and empathy, people can move towards the change they desire. I have a deep passion for helping people cultivate awareness of the thoughts and feeling that may be driving their behaviours, as well as compassionately journeying along side those who carry the burden of guilt and shame.
(825) 462-0507 View (825) 462-0507
Photo of Deborah Flowers, MACP, CCC, Counsellor
Deborah Flowers
Counsellor, MACP, CCC
Verified Verified
Welcome here! My practice is based on the belief that the brain has the ability and knows what it needs to heal. I employ EMDR and other techniques to help clients work through traumatic experiences, negative belief systems, and other barriers that keep triggers and their automatic emotional and/or physical responses active and impeding quality of life. No one is too 'broken' or 'damaged' to experience healing and feel better. I work with children and adults, and my main focus is trauma (childhood, abuse, work, relational, complex, etc) and PTSD, though I have experience helping clients with grief and loss, mood disorders, and more.
Welcome here! My practice is based on the belief that the brain has the ability and knows what it needs to heal. I employ EMDR and other techniques to help clients work through traumatic experiences, negative belief systems, and other barriers that keep triggers and their automatic emotional and/or physical responses active and impeding quality of life. No one is too 'broken' or 'damaged' to experience healing and feel better. I work with children and adults, and my main focus is trauma (childhood, abuse, work, relational, complex, etc) and PTSD, though I have experience helping clients with grief and loss, mood disorders, and more.
(587) 602-0143 View (587) 602-0143
Photo of Jacob Sombrutzki, MACP, RCC, Counsellor
Jacob Sombrutzki
Counsellor, MACP, RCC
Verified Verified
1 Endorsed
Online Only
Are you struggling with daily life, goals, or your relationship with yourself or others? Do fear, anxiety, low self-worth, setting boundaries, or anger hold you back? I offer a collaborative, non-judgmental approach focused on helping you rediscover your self-worth and innate ability to navigate life's challenges. With a background in addiction treatment and a diverse upbringing, I integrate Eastern philosophy and spirituality into my practice. I presently exclusively offer online sessions while working closely with a dedicated team at Strength Counselling Services.
Are you struggling with daily life, goals, or your relationship with yourself or others? Do fear, anxiety, low self-worth, setting boundaries, or anger hold you back? I offer a collaborative, non-judgmental approach focused on helping you rediscover your self-worth and innate ability to navigate life's challenges. With a background in addiction treatment and a diverse upbringing, I integrate Eastern philosophy and spirituality into my practice. I presently exclusively offer online sessions while working closely with a dedicated team at Strength Counselling Services.
(587) 848-3186 View (587) 848-3186
Photo of Ashley Rietmann, MC, RPsych, Psychologist
Ashley Rietmann
Psychologist, MC, RPsych
Verified Verified
2 Endorsed
Delburne, AB T0M
I believe every person deserves a safe space to process emotions, explore interpersonal struggles, and navigate life's ups and downs. With the right support, growth and change can feel a little less daunting. My approach focuses on helping individuals, couples, and families navigate challenges through exploring the roots of problems, fostering acceptance, and uncovering unique strengths and values to help cultivate a more meaningful life.
I believe every person deserves a safe space to process emotions, explore interpersonal struggles, and navigate life's ups and downs. With the right support, growth and change can feel a little less daunting. My approach focuses on helping individuals, couples, and families navigate challenges through exploring the roots of problems, fostering acceptance, and uncovering unique strengths and values to help cultivate a more meaningful life.
(587) 417-2904 View (587) 417-2904
Photo of Bernie John Moen, MSW, RSW, Registered Social Worker
Bernie John Moen
Registered Social Worker, MSW, RSW
Verified Verified
Everyone has their own story, and I am always ready and willing to listen to each individual. I will listen first, and then help you to explore and reflect on your past and current situation as you begin to move forward in your life. I am committed to providing a safe, non-judgemental and hopeful environment for you to share your story, and to begin working toward helping you to achieve your goals. I will support you in finding a new path of hope and well-being. I would be honoured and happy to work with you.
Everyone has their own story, and I am always ready and willing to listen to each individual. I will listen first, and then help you to explore and reflect on your past and current situation as you begin to move forward in your life. I am committed to providing a safe, non-judgemental and hopeful environment for you to share your story, and to begin working toward helping you to achieve your goals. I will support you in finding a new path of hope and well-being. I would be honoured and happy to work with you.
(587) 803-4635 View (587) 803-4635
1

See more therapy options for T0M

How does your Counsellor compare?

Number of Counsellors in T0M

50+

Average cost per session

$200

Counsellors in T0M who prioritize treating:

98% Anxiety
93% Depression
93% Stress
90% Self Esteem
83% Trauma and PTSD
83% Coping Skills
75% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

89% Alberta Blue Cross
79% Canada Life | Great-West Life
76% Medavie Blue Cross

How Counsellors in T0M see their clients

87% In Person and Online
13% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counselling

How can I find a therapist in T0M?

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.