Therapists in V5M

Photo of George Paul Gunther, Counsellor, CCC
George Paul Gunther
Counsellor, CCC
1 Endorsed
Vancouver, BC V5M
I am flexible to a variety of client needs. I use a holistic approach when working with clients and focus in on their specific goals to optimize positive outcomes.
I am flexible to a variety of client needs. I use a holistic approach when working with clients and focus in on their specific goals to optimize positive outcomes.
(289) 536-1627 View (289) 536-1627
Photo of Gabriela Gutierrez - Westcoast Wellness Centre, Counsellor, MC
Westcoast Wellness Centre
Counsellor, MC
Vancouver, BC V5M
If you or your child are feeling anxious, overwhelmed, or struggling to cope with big emotions, you’re not alone — support can make a meaningful difference. At Westcoast Wellness Centre, we provide trauma-informed counselling for children, teens, and families, with a special focus on anxiety and support for neurodiverse children, including ADHD and autism. Our team offers a warm, understanding space where you and your child can feel safe, supported, and understood.
If you or your child are feeling anxious, overwhelmed, or struggling to cope with big emotions, you’re not alone — support can make a meaningful difference. At Westcoast Wellness Centre, we provide trauma-informed counselling for children, teens, and families, with a special focus on anxiety and support for neurodiverse children, including ADHD and autism. Our team offers a warm, understanding space where you and your child can feel safe, supported, and understood.
(506) 560-1814 View (506) 560-1814
Photo of Korrenne Jensen, Registered Psychotherapist, MACP, BA
Korrenne Jensen
Registered Psychotherapist, MACP, BA
4 Endorsed
Vancouver, BC V5M
Clinical Director of Afterglow Psychotherapy, Korrenne Jensen is a Registered Psychotherapist & offers CRPO Supervisor with a Master of Arts in Counselling Psychology from Yorkville University. Additionally, holds Honours Bachelor of Arts with emphasis on Psychology, Social Work & Sociology. Korrenne has had a variety of life experiences that has taken her around the world working with individuals from different cultures, orientations & demographics. The mind cannot ease stories that our bodies believe. Using therapies that take a bottom up approach helps us connect with our bodies about subjects that our brains cannot rationalize.
Clinical Director of Afterglow Psychotherapy, Korrenne Jensen is a Registered Psychotherapist & offers CRPO Supervisor with a Master of Arts in Counselling Psychology from Yorkville University. Additionally, holds Honours Bachelor of Arts with emphasis on Psychology, Social Work & Sociology. Korrenne has had a variety of life experiences that has taken her around the world working with individuals from different cultures, orientations & demographics. The mind cannot ease stories that our bodies believe. Using therapies that take a bottom up approach helps us connect with our bodies about subjects that our brains cannot rationalize.
(548) 490-2549 View (548) 490-2549
Photo of Meaghan Frenks, Counsellor, BA, BEd, MC, RCC
Meaghan Frenks
Counsellor, BA, BEd, MC, RCC
2 Endorsed
Vancouver, BC V5M
I work with children, teens, adults, and families navigating anxiety, neurodivergence, emotional regulation, and life transitions. I meet individuals where they are emotionally, socially, and developmentally and walk alongside them as they build insight, coping skills, and resilience. I use developmentally responsive approaches, including creative and expressive therapies, to support identity exploration, emotional regulation, and confidence.
I work with children, teens, adults, and families navigating anxiety, neurodivergence, emotional regulation, and life transitions. I meet individuals where they are emotionally, socially, and developmentally and walk alongside them as they build insight, coping skills, and resilience. I use developmentally responsive approaches, including creative and expressive therapies, to support identity exploration, emotional regulation, and confidence.
(587) 609-5889 View (587) 609-5889
Photo of Sam van Ginkel, Counsellor, MA, RCC
Sam van Ginkel
Counsellor, MA, RCC
3 Endorsed
Serves Area
Fighting this anxiety feels like being at war with your own mind—and losing. Obsessive loops, incessant worry, trying to do things just right so you won’t feel this way. It’s exhausting. People try to reassure you, maybe you’ve even tried therapy, but the comfort and validation offer temporary relief at best. You realize what you’ve been doing isn’t working, and you want a therapist who is going to actually help you make a change, not just listen and offer comforting words.
Fighting this anxiety feels like being at war with your own mind—and losing. Obsessive loops, incessant worry, trying to do things just right so you won’t feel this way. It’s exhausting. People try to reassure you, maybe you’ve even tried therapy, but the comfort and validation offer temporary relief at best. You realize what you’ve been doing isn’t working, and you want a therapist who is going to actually help you make a change, not just listen and offer comforting words.
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Photo of Cris Bude, Counsellor, MCP, RCC
Cris Bude
Counsellor, MCP, RCC
1 Endorsed
Serves Area
Welcome, I’m glad you’re here. Reaching out for support can be challenging, and I want to honour the courage it takes to take this first step. As a Registered Clinical Counsellor working with both adults and youth, I strive to create a warm and inviting space where your struggles, hopes, fears, and longings are met with compassion and understanding. Together, we can make sense of your lived experiences. By recognizing the strengths you already possess and identifying patterns that no longer serve you, you can navigate life’s challenges and foster personal growth with greater clarity, confidence, and authenticity.
Welcome, I’m glad you’re here. Reaching out for support can be challenging, and I want to honour the courage it takes to take this first step. As a Registered Clinical Counsellor working with both adults and youth, I strive to create a warm and inviting space where your struggles, hopes, fears, and longings are met with compassion and understanding. Together, we can make sense of your lived experiences. By recognizing the strengths you already possess and identifying patterns that no longer serve you, you can navigate life’s challenges and foster personal growth with greater clarity, confidence, and authenticity.
(249) 523-4012 View (249) 523-4012
Photo of Becca Shears, Counsellor, MA, RCC
Becca Shears
Counsellor, MA, RCC
4 Endorsed
Serves Area
When people talk about the challenges they’re facing, I often find myself saying: “There’s counselling for that.” Because there is! For more than 30 years, I’ve worked in psychology and mental health, supporting individuals and couples through trauma, relationship struggles, anxiety, sexual concerns, burnout, and major life transitions. Over time, I’ve come to believe something deeply: Most of us are incredibly resilient. But sometimes we shouldn’t have to do it alone. Here on Hornby Island, and working with clients throughout British Columbia, I offer counselling that is grounded, experienced, and deeply relational.
When people talk about the challenges they’re facing, I often find myself saying: “There’s counselling for that.” Because there is! For more than 30 years, I’ve worked in psychology and mental health, supporting individuals and couples through trauma, relationship struggles, anxiety, sexual concerns, burnout, and major life transitions. Over time, I’ve come to believe something deeply: Most of us are incredibly resilient. But sometimes we shouldn’t have to do it alone. Here on Hornby Island, and working with clients throughout British Columbia, I offer counselling that is grounded, experienced, and deeply relational.
(778) 763-1374 View (778) 763-1374
Photo of Vanya Laporte, Counsellor, MA, RCC
Vanya Laporte
Counsellor, MA, RCC
3 Endorsed
Serves Area
I honour the unique qualities of each individual and help them explore their innate resources for well-being. Committed to a never-ending path of learning and possibility, I am in awe of inner wisdom the capacity to heal and grow. Whether you are healing from a trauma, anxious about this stage in your life, or adapting to a changing world, we can work together to help you cultivate a more meaningful life and develop skills to navigate challenges. As an RCC and supervisor, I support adults, couples, and other therapists in healing patterns that get in the way of connection. We aren't suppose to do this alone!
I honour the unique qualities of each individual and help them explore their innate resources for well-being. Committed to a never-ending path of learning and possibility, I am in awe of inner wisdom the capacity to heal and grow. Whether you are healing from a trauma, anxious about this stage in your life, or adapting to a changing world, we can work together to help you cultivate a more meaningful life and develop skills to navigate challenges. As an RCC and supervisor, I support adults, couples, and other therapists in healing patterns that get in the way of connection. We aren't suppose to do this alone!
(226) 400-2001 View (226) 400-2001
Photo of Genevieve (Evi) Koehl, Counsellor, BSc, RN, MC, RCC
Genevieve (Evi) Koehl
Counsellor, BSc, RN, MC, RCC
9 Endorsed
Serves Area
We all have periods of feeling lost, alone, confused or overwhelmed. If that's how you're feeling, you don't need to go through this alone or know where to begin. We will figure that out together. I offer a warm, down-to-earth and non-judgemental approach to therapy. My clients tend to want more balance amid busy schedules, and are ready to tackle issues with self-esteem, panic, ADHD, eating and body image issues and resolve interpersonal conflicts. In session, we will get to know what's inside, and find workable strategies for your day to day life.
We all have periods of feeling lost, alone, confused or overwhelmed. If that's how you're feeling, you don't need to go through this alone or know where to begin. We will figure that out together. I offer a warm, down-to-earth and non-judgemental approach to therapy. My clients tend to want more balance amid busy schedules, and are ready to tackle issues with self-esteem, panic, ADHD, eating and body image issues and resolve interpersonal conflicts. In session, we will get to know what's inside, and find workable strategies for your day to day life.
(431) 244-2262 View (431) 244-2262
Photo of Morgan Jensen, Counsellor, MCP, RCC
Morgan Jensen
Counsellor, MCP, RCC
3 Endorsed
Serves Area
Hi, I’m Morgan. I’m a Registered Clinical Counsellor (RCC) working with teens and young adults, including university and post-secondary students who are trying to navigate a stage of life that can feel both full of possibility and overwhelming. Many of the people I work with are managing anxiety, low mood, ADHD, relationship stress, burnout, or the pressure to figure it all out. Some are high-achieving and exhausted. Some feel behind. Many are questioning who they are, what they want, or whether they’re enough.
Hi, I’m Morgan. I’m a Registered Clinical Counsellor (RCC) working with teens and young adults, including university and post-secondary students who are trying to navigate a stage of life that can feel both full of possibility and overwhelming. Many of the people I work with are managing anxiety, low mood, ADHD, relationship stress, burnout, or the pressure to figure it all out. Some are high-achieving and exhausted. Some feel behind. Many are questioning who they are, what they want, or whether they’re enough.
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Photo of Bea Mackay, Psychologist, PhD
Bea Mackay
Psychologist, PhD
Serves Area
For over 30 years I have enjoyed working with individuals, couples and families. I believe in using methods that are grounded in theory and research. My goal is to help people help themselves. I view people as resourceful. My role is to facilitate them in accessing and expressing their thoughts and feelings. Self-awareness enables people to access their own resources, allowing them to live the life they want to live. I see myself as a resource for people who want confidential help to deal with personal issues and I strive hard to deliver effective productive service in a timely manner.
For over 30 years I have enjoyed working with individuals, couples and families. I believe in using methods that are grounded in theory and research. My goal is to help people help themselves. I view people as resourceful. My role is to facilitate them in accessing and expressing their thoughts and feelings. Self-awareness enables people to access their own resources, allowing them to live the life they want to live. I see myself as a resource for people who want confidential help to deal with personal issues and I strive hard to deliver effective productive service in a timely manner.
(581) 481-0923 View (581) 481-0923
Photo of Merel Scheepens, Counsellor, MA, RCC, LMHCA
Merel Scheepens
Counsellor, MA, RCC, LMHCA
Serves Area
If you want to find your own life back, I would love to be your guide. I specialize in PTSD, Complex Trauma, anxiety, and life transitions. Are you tired of having your fears or trauma triggers run your life? I am trustworthy. I work with the newest trauma therapy modalities. Are you a professional or caregiver who would like to improve your quality of life and reduce the effects of vicarious trauma? I am certified in level 2 of Complex Trauma Certification Training (CCPT-2). I aim to be culturally informed, strength-based, and collaborative.
If you want to find your own life back, I would love to be your guide. I specialize in PTSD, Complex Trauma, anxiety, and life transitions. Are you tired of having your fears or trauma triggers run your life? I am trustworthy. I work with the newest trauma therapy modalities. Are you a professional or caregiver who would like to improve your quality of life and reduce the effects of vicarious trauma? I am certified in level 2 of Complex Trauma Certification Training (CCPT-2). I aim to be culturally informed, strength-based, and collaborative.
(226) 400-4847 View (226) 400-4847
Photo of Emma Louise Thompson (Uk) (Dr), Counsellor, RGN, RMN, UKPSYCH, MA, ACS
Emma Louise Thompson (Uk) (Dr)
Counsellor, RGN, RMN, UKPSYCH, MA, ACS
Serves Area
“That’s the other thing I learned that day, that the truth, however shocking or uncomfortable, in the end, leads to liberation and dignity.” ― Ricky Gervais. I am a UK, trained Clinical Psychologist/Psychotherapist. Psychotherapy requires being actively involved, honest and open to change one's thoughts, feelings, and behaviour. Change will sometimes be easy and swift, but more often, it will be slow and even frustrating. There is no guarantee that psychotherapy will yield positive or intended results. I will be with you, my patient, all the way.
“That’s the other thing I learned that day, that the truth, however shocking or uncomfortable, in the end, leads to liberation and dignity.” ― Ricky Gervais. I am a UK, trained Clinical Psychologist/Psychotherapist. Psychotherapy requires being actively involved, honest and open to change one's thoughts, feelings, and behaviour. Change will sometimes be easy and swift, but more often, it will be slow and even frustrating. There is no guarantee that psychotherapy will yield positive or intended results. I will be with you, my patient, all the way.
(778) 766-4102 View (778) 766-4102
Photo of Sara Honar, Pre-Licensed Professional
Sara Honar
Pre-Licensed Professional
Serves Area
I like to collaborate with clients navigating concerns around life transitions, self-confidence, self-esteem, depression, anxiety and their body image. I value deep listening, emotional exploration, and the process of building personal insight; guiding clients to connect more fully with themselves and others. Therapy is not just about addressing problems; rather, it is also about rediscovering personal strengths and reconnecting with a sense of possibility and self-belief. As a counselling intern, I use my combined educational background in psychology and sociology to understand an individual's inner world.
I like to collaborate with clients navigating concerns around life transitions, self-confidence, self-esteem, depression, anxiety and their body image. I value deep listening, emotional exploration, and the process of building personal insight; guiding clients to connect more fully with themselves and others. Therapy is not just about addressing problems; rather, it is also about rediscovering personal strengths and reconnecting with a sense of possibility and self-belief. As a counselling intern, I use my combined educational background in psychology and sociology to understand an individual's inner world.
(782) 202-9667 View (782) 202-9667
Photo of Yulande Oosthuyzen, Counsellor, DPC, BACM, BTh, MACS, RPC
Yulande Oosthuyzen
Counsellor, DPC, BACM, BTh, MACS, RPC
1 Endorsed
Serves Area
As a counselling therapist who is qualified to work with people from all walks of life, I understand cross cultural challenges and integration into a new culture with the resultant stressors. The church world also can have its own challenges for Christian families, as can the special needs community. And then there is the HOW to integrate one's faith into modern living, and remain true to one self. No matter your difficulties, I am here to walk alongside you and enable new perspectives through personal growth, as well as provide mental health care as needed.
As a counselling therapist who is qualified to work with people from all walks of life, I understand cross cultural challenges and integration into a new culture with the resultant stressors. The church world also can have its own challenges for Christian families, as can the special needs community. And then there is the HOW to integrate one's faith into modern living, and remain true to one self. No matter your difficulties, I am here to walk alongside you and enable new perspectives through personal growth, as well as provide mental health care as needed.
(778) 720-6355 View (778) 720-6355
Photo of Angela Hamre, Counsellor, BA, MACP
Angela Hamre
Counsellor, BA, MACP
Serves Area
I am a compassionate clinical counsellor specializing in complex and relational trauma, substance abuse, attachment and interpersonal struggles, chronic stress, anxiety, as well grief and loss. I have spent many years working with adults and youth of diverse backgrounds and identities, providing support through various life challenges and difficulties with care, patience, and respect. My therapeutic approach is client-centered and grounded in evidence-based practices, including Cognitive Behavioural Therapy, Dialectical Behaviour Therapy, Mindfulness Therapy, and Solution Focussed Therapy.
I am a compassionate clinical counsellor specializing in complex and relational trauma, substance abuse, attachment and interpersonal struggles, chronic stress, anxiety, as well grief and loss. I have spent many years working with adults and youth of diverse backgrounds and identities, providing support through various life challenges and difficulties with care, patience, and respect. My therapeutic approach is client-centered and grounded in evidence-based practices, including Cognitive Behavioural Therapy, Dialectical Behaviour Therapy, Mindfulness Therapy, and Solution Focussed Therapy.
(236) 301-3220 View (236) 301-3220
Photo of Keith Norris, Counsellor, RTC, RCC
Keith Norris
Counsellor, RTC, RCC
2 Endorsed
Serves Area
My clients want relief from emotional pain and guidance on their journey toward self-improvement. They may have tried self-help strategies, or perhaps even other therapists, but they’re still looking for something deeper and more effective. They want to work with someone who has life experience that truly understands them, someone who can see past surface-level issues and help uncover the deeper, root causes of their struggles. They are motivated by a desire to live authentically, experience healthier relationships, and break free from negative cycles that have held them back in the past.
My clients want relief from emotional pain and guidance on their journey toward self-improvement. They may have tried self-help strategies, or perhaps even other therapists, but they’re still looking for something deeper and more effective. They want to work with someone who has life experience that truly understands them, someone who can see past surface-level issues and help uncover the deeper, root causes of their struggles. They are motivated by a desire to live authentically, experience healthier relationships, and break free from negative cycles that have held them back in the past.
(778) 767-3994 View (778) 767-3994
Photo of Quinn Cashion, Counsellor, RTC, MEdL
Quinn Cashion
Counsellor, RTC, MEdL
Serves Area
Are you struggling with feelings of stress, anxiety, and don’t know how to best move forward in your life? Then let me show you how to tap into your natural resource of health and well-being to override these feelings that are keeping you stuck. In your first few sessions, you will begin to see how to move towards a greater sense of confidence and clarity. Your journey begins with an initial 90-minute session. We’ll take a deep dive into the challenges you’re facing through a holistic view of your lifestyle to uncover the psychological blocks that are keeping you from creating meaningful change.
Are you struggling with feelings of stress, anxiety, and don’t know how to best move forward in your life? Then let me show you how to tap into your natural resource of health and well-being to override these feelings that are keeping you stuck. In your first few sessions, you will begin to see how to move towards a greater sense of confidence and clarity. Your journey begins with an initial 90-minute session. We’ll take a deep dive into the challenges you’re facing through a holistic view of your lifestyle to uncover the psychological blocks that are keeping you from creating meaningful change.
(778) 488-9548 View (778) 488-9548
Photo of Athina Pilarinos, Counsellor, MCP, RCC
Athina Pilarinos
Counsellor, MCP, RCC
2 Endorsed
Serves Area
My ideal clients are thoughtful, self-aware individuals who feel stuck despite their best efforts to move forward. They may be navigating anxiety, burnout, relationship challenges, or major life transitions, and often come in feeling overwhelmed, disconnected, or unsure of themselves. Many are used to “holding it all together” on the outside while struggling internally. What brings them here is a desire for something deeper than quick fixes—they want clarity, relief, and a more meaningful connection to themselves and others.
My ideal clients are thoughtful, self-aware individuals who feel stuck despite their best efforts to move forward. They may be navigating anxiety, burnout, relationship challenges, or major life transitions, and often come in feeling overwhelmed, disconnected, or unsure of themselves. Many are used to “holding it all together” on the outside while struggling internally. What brings them here is a desire for something deeper than quick fixes—they want clarity, relief, and a more meaningful connection to themselves and others.
(778) 760-4244 View (778) 760-4244
Photo of Maggi Ho - Forward & Up, Registered Therapeutic Counsellor, RTC
Forward & Up
Registered Therapeutic Counsellor, RTC
Serves Area
Sometimes life feels like it is moving around you, without you. You might be keeping up on the outside while feeling behind on the inside. Counselling can help you slow things down, get clear, and start living the life you want. At Forward & Up Counselling, Maggi supports individuals who want to feel more grounded, improve their relationships, and move forward with greater self-acceptance and worth.
Sometimes life feels like it is moving around you, without you. You might be keeping up on the outside while feeling behind on the inside. Counselling can help you slow things down, get clear, and start living the life you want. At Forward & Up Counselling, Maggi supports individuals who want to feel more grounded, improve their relationships, and move forward with greater self-acceptance and worth.
(579) 794-0732 View (579) 794-0732

See more therapy options for V5M

How does your Counsellor compare?

Number of Counsellors in V5M

70+

Average cost per session

$160

Counsellors in V5M who prioritize treating:

96% Anxiety
82% Depression
76% Self Esteem
75% Relationship Issues
75% Trauma and PTSD
75% Stress
66% Grief

Average years in practice

9 Years

Top 3 insurances accepted

78% SunLife
75% Pacific Blue Cross
61% Green Shield Canada

How Counsellors in V5M see their clients

64% In Person and Online
36% Online Only

Gender breakdown

82% Female
15% Male
3% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in V5M?

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.