Photo of Daisy (Shiyi) Dai, Counsellor, RTC
Daisy (Shiyi) Dai
Counsellor, RTC
Online Only
Are you struggling with anxiety, depression, or emotional and personal challenges? As a Registered Therapeutic Counsellor with ACCT - Association of Cooperative Counselling Therapists of Canada, I am here to help.
Are you struggling with anxiety, depression, or emotional and personal challenges? As a Registered Therapeutic Counsellor with ACCT - Association of Cooperative Counselling Therapists of Canada, I am here to help.
(647) 694-1148 View (647) 694-1148
Photo of Vaishnavi Swaminathan, Counsellor, MA, RCC
Vaishnavi Swaminathan
Counsellor, MA, RCC
Online Only
Do you feel weighed down by anxiety or the constant pressure to be "enough"? Perhaps you're navigating cultural complexities, or feel like you don't quite fit in. Maybe you're a parent seeking support for your neurodivergent child. You're not alone. My clients often grapple with self-doubt, relationship struggles, and the desire to break free from old patterns. You crave peace, a deep connection with yourself or wish to heal from past wounds, build strong relationships, and feel confident navigating life's transitions. You're at the right place if you wish to feel heard, validated and supported and build lasting resilience!
Do you feel weighed down by anxiety or the constant pressure to be "enough"? Perhaps you're navigating cultural complexities, or feel like you don't quite fit in. Maybe you're a parent seeking support for your neurodivergent child. You're not alone. My clients often grapple with self-doubt, relationship struggles, and the desire to break free from old patterns. You crave peace, a deep connection with yourself or wish to heal from past wounds, build strong relationships, and feel confident navigating life's transitions. You're at the right place if you wish to feel heard, validated and supported and build lasting resilience!
(778) 924-8527 View (778) 924-8527
Photo of April Jiangge Li, Counsellor, RCAT, RCC
April Jiangge Li
Counsellor, RCAT, RCC
2 Endorsed
Vancouver, BC V5X
Hi I am April and thanks for taking an interest in my practice. I worked as a family and youth counsellor at a Vancouver NPO for 7 years while practicing at a multidisciplinary clinic for over 10 years. I provide in-person service in East Vancouver and online service to people around the world in English/Mandarin/Cantonese. I am a registered art therapist and supervised students at a master program level for 2 school years. I am also trained in hypnotherapy and mindfulness based somatic therapy. My experiences as an immigrant growing up in diverse cultures help me to understand people's unique paths and identities.
Hi I am April and thanks for taking an interest in my practice. I worked as a family and youth counsellor at a Vancouver NPO for 7 years while practicing at a multidisciplinary clinic for over 10 years. I provide in-person service in East Vancouver and online service to people around the world in English/Mandarin/Cantonese. I am a registered art therapist and supervised students at a master program level for 2 school years. I am also trained in hypnotherapy and mindfulness based somatic therapy. My experiences as an immigrant growing up in diverse cultures help me to understand people's unique paths and identities.
(249) 503-8486 View (249) 503-8486
Photo of Tracy Joy, Counsellor, MBA, MaNLP, RPC, MPCC, CCPCPR
Tracy Joy
Counsellor, MBA, MaNLP, RPC, MPCC, CCPCPR
Vancouver, BC V5X
Most of my clients haven't found relief through their therapy or medication experience, but gain a good idea of what is not working. They have the tools but can't seem to put it all together. They tend to have a feeling they can't resolve or get relief from no matter. They do not want medications to resolve their PTSD, Complex PTSD, anxiety, depression, stress, or self-esteem issues. They may have considered suicide or used other control behaviors to help them self-regulate their emotions. They typically have experienced childhood trauma through verbal, sexual, neglect and/or physical abuse that has invaded their adult lives.
Most of my clients haven't found relief through their therapy or medication experience, but gain a good idea of what is not working. They have the tools but can't seem to put it all together. They tend to have a feeling they can't resolve or get relief from no matter. They do not want medications to resolve their PTSD, Complex PTSD, anxiety, depression, stress, or self-esteem issues. They may have considered suicide or used other control behaviors to help them self-regulate their emotions. They typically have experienced childhood trauma through verbal, sexual, neglect and/or physical abuse that has invaded their adult lives.
(866) 270-1950 View (866) 270-1950
Photo of Tiffany Yu-Wen Yao, Counsellor, RCC, CCC, RCAT
Tiffany Yu-Wen Yao
Counsellor, RCC, CCC, RCAT
2 Endorsed
Online Only
Do you struggle with self-blame, fear of judgment, or saying no? Are you taking on too much responsibility or feeling unproductive? Many of my clients like you feel pressured to meet high expectations and avoid mistakes—not just from perfectionism, but from a fear of letting others down. They may internalize criticism and ruminate on perceived faults or 'failures,' which fuels a cycle of anxiety and self-doubt. For some, this stems from past experiences where expressing needs wasn’t encouraged, or they were told they were 'wrong' for how they felt. You may feel unseen, or not enough, which can drain energy and block self-care.
Do you struggle with self-blame, fear of judgment, or saying no? Are you taking on too much responsibility or feeling unproductive? Many of my clients like you feel pressured to meet high expectations and avoid mistakes—not just from perfectionism, but from a fear of letting others down. They may internalize criticism and ruminate on perceived faults or 'failures,' which fuels a cycle of anxiety and self-doubt. For some, this stems from past experiences where expressing needs wasn’t encouraged, or they were told they were 'wrong' for how they felt. You may feel unseen, or not enough, which can drain energy and block self-care.
(581) 803-5010 View (581) 803-5010
Photo of Vanessa Chow, Counsellor, MA, MCP, RCC
Vanessa Chow
Counsellor, MA, MCP, RCC
1 Endorsed
Online Only
In the course of our lives, we inevitably encounter challenging periods and we do our best to navigate with the resources that we have. When the pain and distress become too difficult to cope, having a safe space and a trusted therapist to talk to can help. Allow me the privilege of relieving some of the burden, thereby fostering space necessary for personal growth and a hopeful future.
In the course of our lives, we inevitably encounter challenging periods and we do our best to navigate with the resources that we have. When the pain and distress become too difficult to cope, having a safe space and a trusted therapist to talk to can help. Allow me the privilege of relieving some of the burden, thereby fostering space necessary for personal growth and a hopeful future.
(431) 304-6575 View (431) 304-6575
Photo of Heather Jorissen, Counsellor, MA, RCC
Heather Jorissen
Counsellor, MA, RCC
Online Only
Not accepting new clients
I practice counselling from a client-centred holistic perspective. Compassion and curiosity are at the forefront of my approach while supporting the strengths of my clients and their innate healing intelligence. Our therapeutic work will be held in a relational/attachment lens that is trauma informed and engaged with the regulation of the nervous system. As a Registered Clinical Counsellor (RCC,) I hold a Masters in Counselling Psychology, and my practice is also informed by Emotion Focused Therapy, Process Work, Compassionate Inquiry, Internal Family Systems, Somatic Therapy, nature-based healing, and nutrition.
I practice counselling from a client-centred holistic perspective. Compassion and curiosity are at the forefront of my approach while supporting the strengths of my clients and their innate healing intelligence. Our therapeutic work will be held in a relational/attachment lens that is trauma informed and engaged with the regulation of the nervous system. As a Registered Clinical Counsellor (RCC,) I hold a Masters in Counselling Psychology, and my practice is also informed by Emotion Focused Therapy, Process Work, Compassionate Inquiry, Internal Family Systems, Somatic Therapy, nature-based healing, and nutrition.
(343) 313-0945 View (343) 313-0945
Photo of Aman Grewal, Counsellor, MC, RCC
Aman Grewal
Counsellor, MC, RCC
1 Endorsed
Online Only
Women fulfill multiple roles including being daughters, professionals, partners, and caretakers; they also face competing expectations for these roles. This leads them striving to be their best for others, often at the expense of being their best for themselves. This creates stress, frustration, anxiety, and depression. My goal is to help you navigate these challenges so that you can tune into yourself to gain clarity on your goals including decreasing worrisome thoughts, feeling more engaged in day-to-day activities, and improving your relationships.
Women fulfill multiple roles including being daughters, professionals, partners, and caretakers; they also face competing expectations for these roles. This leads them striving to be their best for others, often at the expense of being their best for themselves. This creates stress, frustration, anxiety, and depression. My goal is to help you navigate these challenges so that you can tune into yourself to gain clarity on your goals including decreasing worrisome thoughts, feeling more engaged in day-to-day activities, and improving your relationships.
(579) 794-0771 View (579) 794-0771
Photo of Sheri Graham, Counsellor, BA, MA, CCC
Sheri Graham
Counsellor, BA, MA, CCC
1 Endorsed
Serves Area
What if you could improve the quality of your life and your relationships by changing the way you think, feel and behave? I work with adults who struggle with anxiety, self esteem, stress, and anger issues, to do just that. I help individuals become aware of the thought patterns that keep them stuck and prevent them from living their life to the fullest. I show people how their thoughts, emotions and behaviours are linked and provide the necessary skills to change negative habits that have become normal over time.
What if you could improve the quality of your life and your relationships by changing the way you think, feel and behave? I work with adults who struggle with anxiety, self esteem, stress, and anger issues, to do just that. I help individuals become aware of the thought patterns that keep them stuck and prevent them from living their life to the fullest. I show people how their thoughts, emotions and behaviours are linked and provide the necessary skills to change negative habits that have become normal over time.
(825) 305-5006 View (825) 305-5006
Photo of Apekchha Sapkota, Counsellor, MCP, RCC
Apekchha Sapkota
Counsellor, MCP, RCC
2 Endorsed
Serves Area
Hello! My name is Apekchha, Apek for short (pronounced uh-peck). I am a Registered Clinical Counsellor (RCC) and I am eager to support you in your counselling journey! I like to take a holistic, inclusive, and collaborative approach to counselling. It is important for me to create a safe and comfortable environment for clients, while allowing for deep and meaningful conversations and reflections to occur in the therapy room. I am passionate about social justice, aim to create a non-judgmental space for individuals, and understand the intersections that exist between the environment and self.
Hello! My name is Apekchha, Apek for short (pronounced uh-peck). I am a Registered Clinical Counsellor (RCC) and I am eager to support you in your counselling journey! I like to take a holistic, inclusive, and collaborative approach to counselling. It is important for me to create a safe and comfortable environment for clients, while allowing for deep and meaningful conversations and reflections to occur in the therapy room. I am passionate about social justice, aim to create a non-judgmental space for individuals, and understand the intersections that exist between the environment and self.
(873) 301-0188 View (873) 301-0188
Photo of Nan Park - ArtPark Counselling / Nan Park, Counsellor, MA
ArtPark Counselling / Nan Park
Counsellor, MA
Serves Area
I am a Registered Clinical Counsellor (RCC). I have over a decade of experience working with clients from various cultural and socioeconomic backgrounds. I am also a trained Art Therapist who completed Art Therapy training at the Vancouver Art Therapy Institute (VATI). As a bilingual person, I understand the challenges and limitations of language especially for expressing emotions. I utilize a creative approach to facilitate my clients’ ability to express and heal in a safe and non-judgmental environment. I also have trainings in evidence-based approaches, including CBT, MI and DBT.
I am a Registered Clinical Counsellor (RCC). I have over a decade of experience working with clients from various cultural and socioeconomic backgrounds. I am also a trained Art Therapist who completed Art Therapy training at the Vancouver Art Therapy Institute (VATI). As a bilingual person, I understand the challenges and limitations of language especially for expressing emotions. I utilize a creative approach to facilitate my clients’ ability to express and heal in a safe and non-judgmental environment. I also have trainings in evidence-based approaches, including CBT, MI and DBT.
(902) 813-4665 View (902) 813-4665
Photo of Kathleen Blackmore - Kathleen Blackmore Counselling, Registered Social Worker, MSW, RCSW, RSW
Kathleen Blackmore Counselling
Registered Social Worker, MSW, RCSW, RSW
1 Endorsed
Online Only
I specialize in counselling parents and children who feel anxious, overwhelmed or disempowered. I also support parents when their child or teen is struggling with emotional dysregulation, social difficulties, low self-esteem, sibling rivalry, school attendance or other challenges such as ASD or ADHD. I help parents develop self-awareness, emotional regulation and communication skills so they feel more confident in supporting their children and more connected in their family relationships. 
I specialize in counselling parents and children who feel anxious, overwhelmed or disempowered. I also support parents when their child or teen is struggling with emotional dysregulation, social difficulties, low self-esteem, sibling rivalry, school attendance or other challenges such as ASD or ADHD. I help parents develop self-awareness, emotional regulation and communication skills so they feel more confident in supporting their children and more connected in their family relationships. 
(604) 670-8332 View (604) 670-8332
Photo of Jenna Matthews, Counsellor, RTC
Jenna Matthews
Counsellor, RTC
2 Endorsed
Serves Area
Our sessions will be a compassionate sanctuary for self-discovery and growth, where we'll explore your emotions, thought patterns, and coping mechanisms to help you move forward with confidence and self-assurance. I specialize in, but am not limited to supporting those healing from an emotionally abusive relationships, and I'm here to provide you with support and guidance to come out of survival mode and back into your authentic, vibrant self. Breaking free from trauma is a courageous step and you don't have to do it alone. Together, we'll navigate the path to emotional recovery and personal empowerment.
Our sessions will be a compassionate sanctuary for self-discovery and growth, where we'll explore your emotions, thought patterns, and coping mechanisms to help you move forward with confidence and self-assurance. I specialize in, but am not limited to supporting those healing from an emotionally abusive relationships, and I'm here to provide you with support and guidance to come out of survival mode and back into your authentic, vibrant self. Breaking free from trauma is a courageous step and you don't have to do it alone. Together, we'll navigate the path to emotional recovery and personal empowerment.
View
Photo of Ella Scaglione, Counsellor, RTC
Ella Scaglione
Counsellor, RTC
4 Endorsed
Online Only
Currently taking clients / Are you feeling weighed down by stress, anxiety, trauma, or shame? Do you long to reconnect with parts of yourself that feel buried beneath painful experiences, difficult relationships, traumatic events, or unwanted conditioning? Are you caught in a string of unfulfilling groundhog days, yearning to break through and rediscover your zest for life? Do you wake up each morning knowing you need to make a change but feel unsure where to begin? If so, you’ve come to the right place.
Currently taking clients / Are you feeling weighed down by stress, anxiety, trauma, or shame? Do you long to reconnect with parts of yourself that feel buried beneath painful experiences, difficult relationships, traumatic events, or unwanted conditioning? Are you caught in a string of unfulfilling groundhog days, yearning to break through and rediscover your zest for life? Do you wake up each morning knowing you need to make a change but feel unsure where to begin? If so, you’ve come to the right place.
View
Photo of Kelvin Chung, Counsellor, MCP, RCC
Kelvin Chung
Counsellor, MCP, RCC
3 Endorsed
Serves Area
You don’t need fixing. You need space, clarity, and support to meet yourself differently. Many of my clients feel stuck between two worlds: they want emotional healing, but they also need practical tools. Some ask, “What’s the first step?” Others just want someone to truly understand them—without judgment or quick fixes. Whether you’re recovering from a car accident, adjusting to life in a new country, or facing a deep sense of shame, anger, or emotional disconnection, I will meet you with compassion and clarity.
You don’t need fixing. You need space, clarity, and support to meet yourself differently. Many of my clients feel stuck between two worlds: they want emotional healing, but they also need practical tools. Some ask, “What’s the first step?” Others just want someone to truly understand them—without judgment or quick fixes. Whether you’re recovering from a car accident, adjusting to life in a new country, or facing a deep sense of shame, anger, or emotional disconnection, I will meet you with compassion and clarity.
(226) 894-2891 View (226) 894-2891
Photo of Samantha Hers, Counsellor, RCC
Samantha Hers
Counsellor, RCC
2 Endorsed
Online Only
As a counsellor I am passionate about supporting young people, adults, and couples on their journey. My hope is for you to feel safe and connected in our relationship so you can share honestly, and freely. Through that process we will notice and uncover your strengths, lean on your supports so that you can move forward with a greater sense of security, confidence, and self-assurance.
As a counsellor I am passionate about supporting young people, adults, and couples on their journey. My hope is for you to feel safe and connected in our relationship so you can share honestly, and freely. Through that process we will notice and uncover your strengths, lean on your supports so that you can move forward with a greater sense of security, confidence, and self-assurance.
(365) 800-6918 View (365) 800-6918

More Therapists Nearby

Photo of Parisa Pourang, Counsellor, MA, RCC
Parisa Pourang
Counsellor, MA, RCC
1 Endorsed
I'm a Registered Clinical Counselor with 15+ years' expertise, providing therapeutic support to individuals, youth, couples, and families. My focus goes beyond symptom treatment; I help individuals achieve personal therapeutic goals. With specialized training, I excel in assisting couples and families in crises. Leading impactful group therapy sessions and conducting workshops, I foster positive changes, guiding clients towards an optimistic lifestyle. Over years of practice, I've honed skills in creating connections, helping clients navigate challenges, and promoting higher well-being.
I'm a Registered Clinical Counselor with 15+ years' expertise, providing therapeutic support to individuals, youth, couples, and families. My focus goes beyond symptom treatment; I help individuals achieve personal therapeutic goals. With specialized training, I excel in assisting couples and families in crises. Leading impactful group therapy sessions and conducting workshops, I foster positive changes, guiding clients towards an optimistic lifestyle. Over years of practice, I've honed skills in creating connections, helping clients navigate challenges, and promoting higher well-being.
(249) 802-8492 View (249) 802-8492
Photo of Debra Winter, Counsellor, MCP, RCC
Debra Winter
Counsellor, MCP, RCC
Vancouver, BC V5N
Welcome to my practice. I am based in Vancouver and work with individuals, couples, and families experiencing anxiety, depression, relationship issues, and parenting challenges. In collaboration with clients, I aim to foster an increasing awareness of what has happened till now to bring you to this point; to normalize feelings and experiences, especially those relating to trauma; and to facilitate a connection to your inner knowing. I believe that in the uncomfortable parts of life, the challenges and the chaos, we can learn to maintain healthy connections within ourselves and with our loved ones and community.
Welcome to my practice. I am based in Vancouver and work with individuals, couples, and families experiencing anxiety, depression, relationship issues, and parenting challenges. In collaboration with clients, I aim to foster an increasing awareness of what has happened till now to bring you to this point; to normalize feelings and experiences, especially those relating to trauma; and to facilitate a connection to your inner knowing. I believe that in the uncomfortable parts of life, the challenges and the chaos, we can learn to maintain healthy connections within ourselves and with our loved ones and community.
(289) 768-9215 View (289) 768-9215
Photo of Christine Alevizakis, Counsellor, MACP, RCC, CCC, RP-Q
Christine Alevizakis
Counsellor, MACP, RCC, CCC, RP-Q
1 Endorsed
Serves Area
We all need help at some point in our lives. When we notice that anxiety, depression, relationship conflicts or unhelpful patterns of behaviour are interfering with who we are and how we want to live, it may be time to reach out for support.
We all need help at some point in our lives. When we notice that anxiety, depression, relationship conflicts or unhelpful patterns of behaviour are interfering with who we are and how we want to live, it may be time to reach out for support.
(579) 380-9047 View (579) 380-9047
Photo of Alex Leslie, Clinical Social Work/Therapist, RCSW, MSW, RCC
Alex Leslie
Clinical Social Work/Therapist, RCSW, MSW, RCC
Vancouver, BC V6J
Do you wonder if you’re the only one around who experiences the world with the intensity you do? Depending on how stressed you are, it may feel like you’re on alert or like you’re living in a soundproof glass box, cut off from others. You may have a hard time focusing on conversations with co-workers and family. You might have been told you’re "oversensitive" or have "no filter.". You may be feeling frustrated with yourself for not being able to get things together and just move forward, but the pandemic has made everything harder, and it feels like there are always too many moving parts. You want for a space to talk this through.
Do you wonder if you’re the only one around who experiences the world with the intensity you do? Depending on how stressed you are, it may feel like you’re on alert or like you’re living in a soundproof glass box, cut off from others. You may have a hard time focusing on conversations with co-workers and family. You might have been told you’re "oversensitive" or have "no filter.". You may be feeling frustrated with yourself for not being able to get things together and just move forward, but the pandemic has made everything harder, and it feels like there are always too many moving parts. You want for a space to talk this through.
(587) 853-6559 View (587) 853-6559

How does your Counsellor compare?

Number of Counsellors in V5X

10+

Average cost per session

$150

Counsellors in V5X who prioritize treating:

100% Anxiety
88% Relationship Issues
88% Trauma and PTSD
88% Life Transitions
81% Depression
81% Grief
81% Self Esteem

Average years in practice

3 Years

Top 3 insurances accepted

80% Pacific Blue Cross
80% SunLife
70% Green Shield Canada

How Counsellors in V5X see their clients

56% Online Only
44% In Person and Online

Gender breakdown

94% Female
6% Male
FAQs - About Therapy and Counselling

How can I find a therapist in V5X?

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.