Therapists in Hamilton, ON
Kerri-Ann Fitzgerald
Clinical Social Work/Therapist, MSW, RSW, RYT
Verified Verified
Hamilton, ON L8P
I appreciate and respect the courage it takes to reach out for support. We are all uniquely impacted by stress at certain points in our lifetimes, and your decision to connect with support is a positive step in caring for yourself. With over 20 years of social work practice, I am passionate and experienced in building strong, supportive relationships with my clients as we work together to navigate a variety of life challenges. Your session will be facilitated in a welcoming and nonjudgmental space from the perspective that everyone is capable of personal growth.
I appreciate and respect the courage it takes to reach out for support. We are all uniquely impacted by stress at certain points in our lifetimes, and your decision to connect with support is a positive step in caring for yourself. With over 20 years of social work practice, I am passionate and experienced in building strong, supportive relationships with my clients as we work together to navigate a variety of life challenges. Your session will be facilitated in a welcoming and nonjudgmental space from the perspective that everyone is capable of personal growth.
Kathleen McLean
Registered Social Worker, BA, BSW, RSW
Verified Verified
1 Endorsed
Hamilton, ON L8N (Online Only)
On the inside you’re unravelling. Overwhelmed and exhausted, stuck in the same day to day survival mode and feeling like you’ve lost yourself. Maybe you’re not quite sure when or how it happened, but somewhere along the line, life happened, and you no longer know who you are, your relationship with your partner doesn’t feel as close as it once did, or maybe your parenting isn’t what you imagined it would be. Where did your pleasure and purpose in life go? You built a beautiful life, but it’s harder than you imagined, and you feel like you’re failing.
On the inside you’re unravelling. Overwhelmed and exhausted, stuck in the same day to day survival mode and feeling like you’ve lost yourself. Maybe you’re not quite sure when or how it happened, but somewhere along the line, life happened, and you no longer know who you are, your relationship with your partner doesn’t feel as close as it once did, or maybe your parenting isn’t what you imagined it would be. Where did your pleasure and purpose in life go? You built a beautiful life, but it’s harder than you imagined, and you feel like you’re failing.
Christine Brum Tollis
Registered Psychotherapist, RP, CRPO, PMH-C
Verified Verified
Hamilton, ON L8W (Online Only)
Embarking on a journey towards healing and self-discovery is a profound act of courage, especially when it means opening up to someone new. Recognizing the bravery it takes to make that first step, I am deeply honored to accompany my clients on their path to wellness and would be privileged to support you on yours. My commitment is to walk alongside you at your own pace, ensuring our journey together is grounded in understanding, collaboration, and respect. With a down-to-earth approach, I prioritize creating a space that is emotionally safe and free from judgment, allowing you to feel both respected and truly heard.
Embarking on a journey towards healing and self-discovery is a profound act of courage, especially when it means opening up to someone new. Recognizing the bravery it takes to make that first step, I am deeply honored to accompany my clients on their path to wellness and would be privileged to support you on yours. My commitment is to walk alongside you at your own pace, ensuring our journey together is grounded in understanding, collaboration, and respect. With a down-to-earth approach, I prioritize creating a space that is emotionally safe and free from judgment, allowing you to feel both respected and truly heard.
Lindsay Miedema
Registered Social Worker, BA, BSW, MSW
Verified Verified
1 Endorsed
Hamilton, ON L8V
Waitlist for new clients
It's a big step to start looking into therapy. As a therapist, it is very important that all my clients feel safe... safe to truly be themselves in session, safe to say what is on their mind without judgement, and to feel seen and heard. My practice is formed from a non-diet, body inclusive, fat positive, neurodivergent-affirming lens. I offer support for: Disordered eating and healing relationships with food. Feeding differences and sensory needs (ARFID). Trauma, using trauma eye movement therapy: Accelerated Resolution Therapy, as well as Generalized Anxiety Disorder.
It's a big step to start looking into therapy. As a therapist, it is very important that all my clients feel safe... safe to truly be themselves in session, safe to say what is on their mind without judgement, and to feel seen and heard. My practice is formed from a non-diet, body inclusive, fat positive, neurodivergent-affirming lens. I offer support for: Disordered eating and healing relationships with food. Feeding differences and sensory needs (ARFID). Trauma, using trauma eye movement therapy: Accelerated Resolution Therapy, as well as Generalized Anxiety Disorder.
Bauer Counselling & Consultation
Registered Social Worker, BSW, RSW, MSW
Verified Verified
Hamilton, ON L8W (Online Only)
As a social worker, my goal is to provide support to individuals to overcome a variety of challenges through the use of evidence-based practice and clinical experience. Whether you are experiencing a life transition, recent loss, feeling down, relationship or general concerns, I am here to help. As each individual and their presenting concerns are unique, we will work together to tailor an approach that works best for your needs. While therapy may include serious matters, I believe therapy should also be engaging and enjoyable. My role is to support you to promote meaningful change to feel your best and live the life you envision.
As a social worker, my goal is to provide support to individuals to overcome a variety of challenges through the use of evidence-based practice and clinical experience. Whether you are experiencing a life transition, recent loss, feeling down, relationship or general concerns, I am here to help. As each individual and their presenting concerns are unique, we will work together to tailor an approach that works best for your needs. While therapy may include serious matters, I believe therapy should also be engaging and enjoyable. My role is to support you to promote meaningful change to feel your best and live the life you envision.
Shareen Kaur Rikhraj
Registered Psychotherapist (Qualifying), RP(Q), MSc, BSc
Verified Verified
4 Endorsed
Hamilton, ON L8H
Registered Psychotherapist (Qualifying) accepting new clients in person and virtually with sliding scale. Proudly supporting BIPOC and 2SLGBTQ+ folks with their mental health. As an immigrant and member of the Queer community, I want to be there for others who struggle to have their unique experiences understood. So if you’re racialized or have experienced racial trauma, are a first or second generation immigrant, are Queer, and/or need support with changes that are affecting your mental health: Welcome. This is a space for you to be safe, seen and fiercely supported.
Registered Psychotherapist (Qualifying) accepting new clients in person and virtually with sliding scale. Proudly supporting BIPOC and 2SLGBTQ+ folks with their mental health. As an immigrant and member of the Queer community, I want to be there for others who struggle to have their unique experiences understood. So if you’re racialized or have experienced racial trauma, are a first or second generation immigrant, are Queer, and/or need support with changes that are affecting your mental health: Welcome. This is a space for you to be safe, seen and fiercely supported.
Khadija Hammuda
Registered Social Worker, BSW, MSW, RSW
Verified Verified
Hamilton, ON L8E (Online Only)
As an individual and family counsellor/therapist, I work alongside youth and adult clients to explore mental health challenges, life transitions, neurodivergence, couple and family relationships, and alleviating the impact of oppressive social structures on mental wellbeing. I have a particular interest in supporting folks who are seeking a deeper understanding of the impact of their environment and their intersecting identities and experiences on their wellbeing and sense of self. I offer therapy in English and Arabic for individuals and families in British Columbia and Ontario.
As an individual and family counsellor/therapist, I work alongside youth and adult clients to explore mental health challenges, life transitions, neurodivergence, couple and family relationships, and alleviating the impact of oppressive social structures on mental wellbeing. I have a particular interest in supporting folks who are seeking a deeper understanding of the impact of their environment and their intersecting identities and experiences on their wellbeing and sense of self. I offer therapy in English and Arabic for individuals and families in British Columbia and Ontario.
Portia Zaffaroni
Registered Psychotherapist (Qualifying), CEC
Verified Verified
1 Endorsed
Hamilton, ON L8S (Online Only)
Are you feeling overwhelmed and anxious about the challenges you’re facing? I'm dedicated to helping individuals like you improve well-being and find meaning in life. Your journey is unique, which means I will customise my approach to suit your experiences and strengths. Using a holistic approach, we will find techniques and solutions that take into account all the moving parts in your life. Together, we will set goals and work collaboratively to bring you positive changes, ultimately leading to greater fulfillment in life.
Are you feeling overwhelmed and anxious about the challenges you’re facing? I'm dedicated to helping individuals like you improve well-being and find meaning in life. Your journey is unique, which means I will customise my approach to suit your experiences and strengths. Using a holistic approach, we will find techniques and solutions that take into account all the moving parts in your life. Together, we will set goals and work collaboratively to bring you positive changes, ultimately leading to greater fulfillment in life.
Mareas Therapeutic Services Inc
CYC, RP, BSW, MSW
Verified Verified
Hamilton, ON L0R
Mareas was established as a specialized service provider to meet the needs of individuals, children and families experiencing challenges in the areas of emotional regulation, anxiety, attachment, interfering behaviours. Mareas recognizes that from time to time, everyone including all families need support. Programs and treatment plans are designed with a holistic approach with the client as the focus. Mareas is committed to providing nurturing and dedicated support to individuals, children, youth and families during difficult periods of time to help them get back on course.
Mareas was established as a specialized service provider to meet the needs of individuals, children and families experiencing challenges in the areas of emotional regulation, anxiety, attachment, interfering behaviours. Mareas recognizes that from time to time, everyone including all families need support. Programs and treatment plans are designed with a holistic approach with the client as the focus. Mareas is committed to providing nurturing and dedicated support to individuals, children, youth and families during difficult periods of time to help them get back on course.
Dr. Christina Harrington
Registered Social Worker, MSW, PhD, RSW
Verified Verified
Hamilton, ON L8T
I am an experienced and empathetic social worker offering you professional guidance toward personal well-being. I have experience in helping individuals and families with a broad range of health and mental health concerns; specializing in trauma, grief and loss. I work collaboratively with my clients and draw from a range of therapeutic techniques. This allows me to tailor treatment to your unique needs and goals. For PTSD- I am trained in and offer evidence-based protocols such as, Accelerated Resolution Therapy (ART) and Prolonged Exposure (PE).
I am an experienced and empathetic social worker offering you professional guidance toward personal well-being. I have experience in helping individuals and families with a broad range of health and mental health concerns; specializing in trauma, grief and loss. I work collaboratively with my clients and draw from a range of therapeutic techniques. This allows me to tailor treatment to your unique needs and goals. For PTSD- I am trained in and offer evidence-based protocols such as, Accelerated Resolution Therapy (ART) and Prolonged Exposure (PE).
Savinna Frederiksen
Registered Social Worker, CYW, BA/BSW, MSW, RSW
Verified Verified
1 Endorsed
Hamilton, ON L8S
I am a Registered Social Worker with the OCSWSSW. I have 20 years plus experience working in the area of mental health and addiction working with individuals, couples and families with an extensive range of difficulties from depression, anxiety, emotional dysregulation, trauma to couples/family conflict. I currently hold a faculty appointment as an Assistant Clinical Professor (PT) at McMaster University. I am trained in Attachment-based Theory, Cognitive Behaviour Therapy, Dialectical Behaviour Therapy, Narrative Therapy, Mindfulness Based Cognitive Therapy, Acceptance and Commitment Therapy and Cognitive Processing Therapy.
I am a Registered Social Worker with the OCSWSSW. I have 20 years plus experience working in the area of mental health and addiction working with individuals, couples and families with an extensive range of difficulties from depression, anxiety, emotional dysregulation, trauma to couples/family conflict. I currently hold a faculty appointment as an Assistant Clinical Professor (PT) at McMaster University. I am trained in Attachment-based Theory, Cognitive Behaviour Therapy, Dialectical Behaviour Therapy, Narrative Therapy, Mindfulness Based Cognitive Therapy, Acceptance and Commitment Therapy and Cognitive Processing Therapy.
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Registered Social Worker
Verified Verified
Hamilton, ON L8N
Fiona is a Registered Social Worker who is passionate about helping people navigate their past while being mindful of the present, so they can obtain the future they desire. She has experience working with young parents and their children and is currently working in domestic violence with individuals who have used abusive behaviour. Fiona works from a restorative lens and believes that helping one individual heal can strengthen families, intimate-partner relationships, neighbourhoods, and society.
Fiona is a Registered Social Worker who is passionate about helping people navigate their past while being mindful of the present, so they can obtain the future they desire. She has experience working with young parents and their children and is currently working in domestic violence with individuals who have used abusive behaviour. Fiona works from a restorative lens and believes that helping one individual heal can strengthen families, intimate-partner relationships, neighbourhoods, and society.
Samantha Dyment
Registered Psychotherapist (Qualifying), RSSW, BA
Verified Verified
Hamilton, ON L9H
Do you want to be successful and feel like you have it “all together” but deep down are struggling to feel confident in who you are and cope with the challenging experiences that have occurred in your life? Are you goal-oriented but still struggle with overthinking, feeling overwhelmed by your responsibilities, and how it all impacts how you feel about yourself? If you are tired of feeling bogged down by your current life circumstance and want to revitalize your perspective approach to cultivating the social and personal life you want, I want to help you get there!
Do you want to be successful and feel like you have it “all together” but deep down are struggling to feel confident in who you are and cope with the challenging experiences that have occurred in your life? Are you goal-oriented but still struggle with overthinking, feeling overwhelmed by your responsibilities, and how it all impacts how you feel about yourself? If you are tired of feeling bogged down by your current life circumstance and want to revitalize your perspective approach to cultivating the social and personal life you want, I want to help you get there!
Rachel Hammerton
Registered Psychotherapist, MA(Ed) , RP, CCC
Verified Verified
Hamilton, ON L8R
Hi there, and welcome to my profile! You may be here because you feel stuck and lonely. Maybe you’d like to learn how to love yourself, but you’re not sure of where to start. You may feel anxious all the time but can’t seem to figure out why or what to do about it. You and your partner may be fighting a lot and you long to feel connected to each other again, but don’t know how. I hear you and your frustrations, and I’m here to help! I work with people who are ready for a change in their lives and who are looking to find the voice they need to face depression, anxiety, relationship issues, childhood abuse, and low self-esteem.
Hi there, and welcome to my profile! You may be here because you feel stuck and lonely. Maybe you’d like to learn how to love yourself, but you’re not sure of where to start. You may feel anxious all the time but can’t seem to figure out why or what to do about it. You and your partner may be fighting a lot and you long to feel connected to each other again, but don’t know how. I hear you and your frustrations, and I’m here to help! I work with people who are ready for a change in their lives and who are looking to find the voice they need to face depression, anxiety, relationship issues, childhood abuse, and low self-esteem.
Leah Smith
Pre-Licensed Professional, RP(q), MACP
Verified Verified
Hamilton, ON L9C
Do you feel stuck or lost, and wondering how you got here? Perhaps you are stressed, anxious, and burned out and want to feel like yourself again. Maybe you find yourself at a crossroads and want to explore new possibilities in your relationships or career. Most of all you want to live a life that has meaning and purpose, and you want to remember what it is like to feel vibrant and at peace. You want to find your true self.
Do you feel stuck or lost, and wondering how you got here? Perhaps you are stressed, anxious, and burned out and want to feel like yourself again. Maybe you find yourself at a crossroads and want to explore new possibilities in your relationships or career. Most of all you want to live a life that has meaning and purpose, and you want to remember what it is like to feel vibrant and at peace. You want to find your true self.
Amelia Rana
Registered Psychotherapist, MDiv
Verified Verified
1 Endorsed
Hamilton, ON L8R
In challenging seasons, we all need support in cultivating healing and hope. I have been practicing compassionate psychotherapy with individuals and families for over 10 years. Clients looking for support in mental health challenges, relationship or parenting struggles, as well as pursuing personal growth are welcome.
In challenging seasons, we all need support in cultivating healing and hope. I have been practicing compassionate psychotherapy with individuals and families for over 10 years. Clients looking for support in mental health challenges, relationship or parenting struggles, as well as pursuing personal growth are welcome.
Joanna Aleksandra Gut
Registered Social Worker, BSW, MSW
Verified Verified
Hamilton, ON L9B
I am resourceful, energetic, and solutions-focused social worker offering hands-on experience in helping people with Mental Health and Addiction Issue. I focus on therapeutic intervention based on strength based model and 12 step recovery model. I focus on strategy development providing the best possible treatment outcomes. I am savvy synergist with a rich history in helping people achieve their dreams. I am dedicated and excellent in relationship building. Drive with clients to attain their goals. Thought the years i helped many people to become proud of themselves and their daily success.
I am resourceful, energetic, and solutions-focused social worker offering hands-on experience in helping people with Mental Health and Addiction Issue. I focus on therapeutic intervention based on strength based model and 12 step recovery model. I focus on strategy development providing the best possible treatment outcomes. I am savvy synergist with a rich history in helping people achieve their dreams. I am dedicated and excellent in relationship building. Drive with clients to attain their goals. Thought the years i helped many people to become proud of themselves and their daily success.
Deborah Black
Registered Psychotherapist (Qualifying)
Verified Verified
1 Endorsed
Hamilton, ON L8N
I strive to be the person that listens and supports you through exploring the many layers that make our circumstances unique. I offer a welcoming and nonjudgmental environment that supports clients in feeling secure when examining their thoughts and emotions. I have a strong background in working with diverse populations in addition to persons grappling with anxiety, depression, trauma, relational challenges, and developmental disabilities. I believe in a holistic approach to therapy, which incorporates the mental, physical, and spiritual aspects to promote overall well-being. I offer individual and couples sessions to youth (13-17)
I strive to be the person that listens and supports you through exploring the many layers that make our circumstances unique. I offer a welcoming and nonjudgmental environment that supports clients in feeling secure when examining their thoughts and emotions. I have a strong background in working with diverse populations in addition to persons grappling with anxiety, depression, trauma, relational challenges, and developmental disabilities. I believe in a holistic approach to therapy, which incorporates the mental, physical, and spiritual aspects to promote overall well-being. I offer individual and couples sessions to youth (13-17)
Ashley Vickerd
Registered Psychotherapist, RP(Q)
Verified Verified
2 Endorsed
Hamilton, ON L8P
I work with individuals to address their concerns and guide them through some of life’s most challenging matters. Life can often present us with unexpected challenges and adversities which require us to initiate change. I can help you explore and navigate a wide range of concerns such trauma, grief, anxiety, depression, relationships, eating and body image concerns and more.
I work with individuals to address their concerns and guide them through some of life’s most challenging matters. Life can often present us with unexpected challenges and adversities which require us to initiate change. I can help you explore and navigate a wide range of concerns such trauma, grief, anxiety, depression, relationships, eating and body image concerns and more.
Samantha Taggart
Pre-Licensed Professional, MPsy
Verified Verified
2 Endorsed
Hamilton, ON L0R
I'm a clinical therapist providing supervised psychological services to adults and adolescents, including assessment, therapy, and parenting support. I have specialized training in trauma-informed, somatic, and emotion-focused treatment methods. My clinical practice is focused on supporting people with trauma, eating disorders, mood and anxiety disorders, and interpersonal and relational issues. I have training and experience working with individuals and families with eating disorders, first responders, and those impacted by adverse childhood experiences.
I'm a clinical therapist providing supervised psychological services to adults and adolescents, including assessment, therapy, and parenting support. I have specialized training in trauma-informed, somatic, and emotion-focused treatment methods. My clinical practice is focused on supporting people with trauma, eating disorders, mood and anxiety disorders, and interpersonal and relational issues. I have training and experience working with individuals and families with eating disorders, first responders, and those impacted by adverse childhood experiences.
See more therapy options for Hamilton
How does your Counsellor compare?
Number of Counsellors in Hamilton, ON
1,000+
Average cost per session
$150
Counsellors in Hamilton, ON who prioritize treating:
92% | Anxiety |
85% | Depression |
80% | Self Esteem |
80% | Stress |
78% | Relationship Issues |
72% | Coping Skills |
70% | Trauma and PTSD |
Average years in practice
10 Years
Top 3 insurances accepted
70% | Green Shield Canada |
65% | SunLife |
59% | Canada Life | Great-West Life |
How Counsellors in Hamilton, ON see their clients
61% | In Person and Online | |
39% | Online Only |
Gender breakdown
82% | Female | |
16% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Hamilton?
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.