Therapists in V6M

Photo of Jess Lenihan, Registered Social Worker, BSW, MSW, RSW
Jess Lenihan
Registered Social Worker, BSW, MSW, RSW
3 Endorsed
Vancouver, BC V6M
I hope that you bring the awkward, quirky and weird parts of yourself into the work we do together. I often see adults & youth who sometimes feel as though there are social rules they don't understand, people who's politics are apart of their hearts and people going through life transitions (big or small). My practice is strongly informed by Narrative Therapy, an approach that is highly collaborative and helps people to reconnect to their values, strengths and skills in order to navigate problems. My own experiences of almost 20 years of advocacy community/youth work, neurodiversity and parenting also informs my practice.
I hope that you bring the awkward, quirky and weird parts of yourself into the work we do together. I often see adults & youth who sometimes feel as though there are social rules they don't understand, people who's politics are apart of their hearts and people going through life transitions (big or small). My practice is strongly informed by Narrative Therapy, an approach that is highly collaborative and helps people to reconnect to their values, strengths and skills in order to navigate problems. My own experiences of almost 20 years of advocacy community/youth work, neurodiversity and parenting also informs my practice.
(365) 536-0016 View (365) 536-0016
Photo of Dr. Michael Dayan - Dr. Michael Dayan, Family Counsellor, Marriage & Family Therapist, PhD, RCC, CCC
Dr. Michael Dayan, Family Counsellor
Marriage & Family Therapist, PhD, RCC, CCC
1 Endorsed
Vancouver, BC V6M
I am an experienced therapist focusing on burnout, major life transitions, high stakes decision making, family succession, communication, and midlife/existential crises. My PhD is from McGill University and additional degrees are from: Columbia University, City University, and the University of Toronto. I am committed to ongoing learning and have completed additional training and diploma programs to ensure the highest quality of care for my clients. If you are interested in learning more about my practice please visit my website.
I am an experienced therapist focusing on burnout, major life transitions, high stakes decision making, family succession, communication, and midlife/existential crises. My PhD is from McGill University and additional degrees are from: Columbia University, City University, and the University of Toronto. I am committed to ongoing learning and have completed additional training and diploma programs to ensure the highest quality of care for my clients. If you are interested in learning more about my practice please visit my website.
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Photo of Christina C Chen, Counsellor, BEd, M Ed , RCC
Christina C Chen
Counsellor, BEd, M Ed , RCC
Vancouver, BC V6M
Do you feel stuck and unable to move forward in life? Are you struggling to better relationships with significant others? Do you feel anxious and pessimistic about the future? Is your life changing in profound ways that feel daunting and unmanageable? Life’s challenges can overwhelm us and rob us of the balance we need for maintaining personal wellness, positive relationships, and meaningful work. At times we can drown in our negative voices that keep us emotionally stuck and physically depleted. With a witnessing and compassionate therapist, we can transform you journey to one of healing, meaning, and positive connections.
Do you feel stuck and unable to move forward in life? Are you struggling to better relationships with significant others? Do you feel anxious and pessimistic about the future? Is your life changing in profound ways that feel daunting and unmanageable? Life’s challenges can overwhelm us and rob us of the balance we need for maintaining personal wellness, positive relationships, and meaningful work. At times we can drown in our negative voices that keep us emotionally stuck and physically depleted. With a witnessing and compassionate therapist, we can transform you journey to one of healing, meaning, and positive connections.
(604) 999-8828 View (604) 999-8828
Photo of Colleen Marcoux, Counsellor, MC, BA, CCC, RCC
Colleen Marcoux
Counsellor, MC, BA, CCC, RCC
10 Endorsed
Vancouver, BC V6M
You may be feeling disconnected from your partner, stuck in recurring conflict, or unsure how to repair trust after hurt or emotional distance. You might be navigating a major relationship transition such as commitment decisions, premarital preparation, separation, or rebuilding after betrayal. You may notice the same patterns repeating and want help understanding what is happening beneath the surface. Ultimately, you want more emotional closeness, clearer communication, and a relationship that feels secure, respectful, and supportive rather than exhausting, tense, or confusing.
You may be feeling disconnected from your partner, stuck in recurring conflict, or unsure how to repair trust after hurt or emotional distance. You might be navigating a major relationship transition such as commitment decisions, premarital preparation, separation, or rebuilding after betrayal. You may notice the same patterns repeating and want help understanding what is happening beneath the surface. Ultimately, you want more emotional closeness, clearer communication, and a relationship that feels secure, respectful, and supportive rather than exhausting, tense, or confusing.
(236) 837-0372 View (236) 837-0372
Photo of John Segui, Clinical Social Work/Therapist, BSW, MSW, RSW
John Segui
Clinical Social Work/Therapist, BSW, MSW, RSW
Vancouver, BC V6M
I am a gay first-generation Filipino-Canadian, and my lived experience navigating as a queer person of color, along with immigrant expectations, has led me to help others navigate through the same experiences. As an individual counselor, I am deeply passionate about working with queer and racialized individuals through their anxiety, depression, relationship conflicts, sexual and gender identity, cultural expectations, substance use, and suicide. Many of my clients are confirmed or self-identified part of the LGBTQ+ community, first-generation immigrants, and university students.
I am a gay first-generation Filipino-Canadian, and my lived experience navigating as a queer person of color, along with immigrant expectations, has led me to help others navigate through the same experiences. As an individual counselor, I am deeply passionate about working with queer and racialized individuals through their anxiety, depression, relationship conflicts, sexual and gender identity, cultural expectations, substance use, and suicide. Many of my clients are confirmed or self-identified part of the LGBTQ+ community, first-generation immigrants, and university students.
(825) 479-1922 View (825) 479-1922
Photo of Kathleen Blackmore - Kathleen Blackmore Parent & Child Counselling, Registered Social Worker, MSW, RCSW, RSW
Kathleen Blackmore Parent & Child Counselling
Registered Social Worker, MSW, RCSW, RSW
1 Endorsed
Vancouver, BC V6M
I support families (parents and children) when children are feeling anxious, unhappy, angry or struggling with friendship, school or family difficulties. I work with many children with diagnosed or suspected ASD, ADHD and learning disabilities. I help families develop skills in self-awareness, emotional regulation, problem solving and communication so they feel more confident, empowered, connected and resilient in the face of life's challenges.  I also support parents who want to raise secure, confident children in a happy home, but find they are often frustrated, yelling or swinging between permissive and harsh parenting.
I support families (parents and children) when children are feeling anxious, unhappy, angry or struggling with friendship, school or family difficulties. I work with many children with diagnosed or suspected ASD, ADHD and learning disabilities. I help families develop skills in self-awareness, emotional regulation, problem solving and communication so they feel more confident, empowered, connected and resilient in the face of life's challenges.  I also support parents who want to raise secure, confident children in a happy home, but find they are often frustrated, yelling or swinging between permissive and harsh parenting.
(604) 670-8332 View (604) 670-8332
Photo of Irene Nizzero, MA, PCC
Irene Nizzero
Verified Verified
Vancouver, BC V6M
I am a Certified Personal and Executive Coach, who can help you reach untapped potential in any area of your life. I am passionate about, and highly skilled at, helping you improve your career path or work experience, get the most out of your relationships, and improve your overall well-being, on multiple levels. Do you feel like you're overly stressed, or pulled in too many directions? Are you struggling to get recognized for the talents you know you have? My coaching skills can help you turn these challenges into victories.
I am a Certified Personal and Executive Coach, who can help you reach untapped potential in any area of your life. I am passionate about, and highly skilled at, helping you improve your career path or work experience, get the most out of your relationships, and improve your overall well-being, on multiple levels. Do you feel like you're overly stressed, or pulled in too many directions? Are you struggling to get recognized for the talents you know you have? My coaching skills can help you turn these challenges into victories.
(705) 482-0164 View (705) 482-0164
Photo of Sheila Johal, Counsellor, MEd, RCC, CCC
Sheila Johal
Counsellor, MEd, RCC, CCC
1 Endorsed
Vancouver, BC V6M
Developing a trusting and safe relationship is foundational to Sheila’s therapeutic practice. She creates warm and nurturing environment where clients feel understood and respected. Sheila understands that seeking therapy for oneself or a loved one can feel vulnerable. Clients are supported to feel a sense of security and are empowered to be their authentic self while working with Sheila. She has worked in the school system for 25 years. Sheila's continued employment in schools enhances her ability to connect with children and families though a trauma informed lens.
Developing a trusting and safe relationship is foundational to Sheila’s therapeutic practice. She creates warm and nurturing environment where clients feel understood and respected. Sheila understands that seeking therapy for oneself or a loved one can feel vulnerable. Clients are supported to feel a sense of security and are empowered to be their authentic self while working with Sheila. She has worked in the school system for 25 years. Sheila's continued employment in schools enhances her ability to connect with children and families though a trauma informed lens.
(431) 441-2941 View (431) 441-2941
Photo of Haley McInnes, Psychologist, M.Ed, RPsyc
Haley McInnes
Psychologist, M.Ed, RPsyc
1 Endorsed
Vancouver, BC V6M
As a registered psychologist, I provide psychological assessment and counselling. I complete psycho-educational, ADHD, and autism assessments for clients age 6+. I offer counselling for children, preteens, teens, and young adults dealing with anxiety, depression, emotional regulation, stress, and life transitions. I also work with parents seeking guidance around childhood anxiety or challenging behaviours who want practical support to create more ease and connection at home.
As a registered psychologist, I provide psychological assessment and counselling. I complete psycho-educational, ADHD, and autism assessments for clients age 6+. I offer counselling for children, preteens, teens, and young adults dealing with anxiety, depression, emotional regulation, stress, and life transitions. I also work with parents seeking guidance around childhood anxiety or challenging behaviours who want practical support to create more ease and connection at home.
(709) 398-2444 View (709) 398-2444
Photo of Rosemary Laurel Messmer, Counsellor, MA, RCC
Rosemary Laurel Messmer
Counsellor, MA, RCC
Serves Area
Highly Sensitive, empathic, and intuitive folk - Are you looking for someone who is "more than just a counsellor?" I specialize in offering intuitive energy healing, alongside traditional talk therapy.
Highly Sensitive, empathic, and intuitive folk - Are you looking for someone who is "more than just a counsellor?" I specialize in offering intuitive energy healing, alongside traditional talk therapy.
(902) 200-3018 View (902) 200-3018
Photo of Rami Nijjar, Psychologist, PhD
Rami Nijjar
Psychologist, PhD
2 Endorsed
Serves Area
Whether it be conflict, lack of close connections, or traumatic memories of abuse, disruptions in our relationships can lead to depression, anxiety, and a range of addictions, unhealthy eating behaviours, and chronic pain. Effective therapy offers a unique relationship with a non-judgmental, highly-skilled professional who can help you safely explore the reasons for your distress. I believe that everyone has the right and the potential to be happy and act in their own best interest. I am dedicated to helping you uncover obstacles to your own well-being and support you on your journey to better health and improved relationships.
Whether it be conflict, lack of close connections, or traumatic memories of abuse, disruptions in our relationships can lead to depression, anxiety, and a range of addictions, unhealthy eating behaviours, and chronic pain. Effective therapy offers a unique relationship with a non-judgmental, highly-skilled professional who can help you safely explore the reasons for your distress. I believe that everyone has the right and the potential to be happy and act in their own best interest. I am dedicated to helping you uncover obstacles to your own well-being and support you on your journey to better health and improved relationships.
(604) 256-1703 View (604) 256-1703
Photo of Marnie Goldberg, Counsellor, MC, BComm, RCC
Marnie Goldberg
Counsellor, MC, BComm, RCC
1 Endorsed
Serves Area
One of the most exciting aspects of life is that it is always changing, yet this can also be one of our biggest challenges. Life's transitional moments can be difficult as they can cause stress, uncertainty and confusion and can often lead to feelings of grief and loss. It can make us question ourselves and others and may overwhelm us into inaction. The picture of what we had expected our future to look like changes and we are left with a variety of emotions and no plan forward. I believe that having someone to talk to through these tough times is so helpful. I am grateful to be that person for my clients.
One of the most exciting aspects of life is that it is always changing, yet this can also be one of our biggest challenges. Life's transitional moments can be difficult as they can cause stress, uncertainty and confusion and can often lead to feelings of grief and loss. It can make us question ourselves and others and may overwhelm us into inaction. The picture of what we had expected our future to look like changes and we are left with a variety of emotions and no plan forward. I believe that having someone to talk to through these tough times is so helpful. I am grateful to be that person for my clients.
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Photo of Cecilia Yeung, Counsellor, RCC, Nurse
Cecilia Yeung
Counsellor, RCC, Nurse
3 Endorsed
Serves Area
New location: UBC - - Lately, the days feel shorter, the rain won’t stop, and even simple things take extra energy. You keep showing up — for work, for family, for everyone — but inside there’s a quiet part of you that’s tired, maybe even lonely, and wondering when life will start to feel lighter again. If you’ve been feeling anxious, burnt out, or caught between cultures and expectations, you’re not alone. Together, we can slow down, untangle what’s been weighing on you, and help you find calm, clarity, and a stronger sense of self. You deserve support that understands your story. Let’s start there — gently, one step at a time.
New location: UBC - - Lately, the days feel shorter, the rain won’t stop, and even simple things take extra energy. You keep showing up — for work, for family, for everyone — but inside there’s a quiet part of you that’s tired, maybe even lonely, and wondering when life will start to feel lighter again. If you’ve been feeling anxious, burnt out, or caught between cultures and expectations, you’re not alone. Together, we can slow down, untangle what’s been weighing on you, and help you find calm, clarity, and a stronger sense of self. You deserve support that understands your story. Let’s start there — gently, one step at a time.
(778) 807-7039 View (778) 807-7039
Photo of Anna Goren, Counsellor, MC, CPF, RCC, CCC
Anna Goren
Counsellor, MC, CPF, RCC, CCC
6 Endorsed
Serves Area
As unique beings, our challenges visit us in unique ways. Many of us have had experiences, are in situations, or have behaviours which prevent us from thriving. Whether or not you have a name for what you are experiencing, I will meet you with warmth and encouragement. I am equally at home working on challenges such as trauma, all types of anxiety and/or depression, grief, chronic illness, navigating a concussion, as I am with exploring dreams, memories, and life purpose.
As unique beings, our challenges visit us in unique ways. Many of us have had experiences, are in situations, or have behaviours which prevent us from thriving. Whether or not you have a name for what you are experiencing, I will meet you with warmth and encouragement. I am equally at home working on challenges such as trauma, all types of anxiety and/or depression, grief, chronic illness, navigating a concussion, as I am with exploring dreams, memories, and life purpose.
(604) 330-1461 View (604) 330-1461
Photo of Rebecca Rauscher, Counsellor, MEd, RCC, ACS
Rebecca Rauscher
Counsellor, MEd, RCC, ACS
2 Endorsed
Serves Area
I am the Founder and Clinic Director at Boundless Heart Counselling Group in Vancouver. As a Registered Clinical Counsellor (RCC), I love working in private practice. I have had the opportunity to provide personalized mental health support to many clients throughout the last 18 years, first as an Occupational Therapist and then as an RCC. My vision of creating a counselling group with clinicians who are intelligent, wise, heartful, vulnerable and energized came to fruition with the amazing individuals who make up the Boundless Heart Counselling Group team. We have clinicians accepting new referrals! Contact us today!
I am the Founder and Clinic Director at Boundless Heart Counselling Group in Vancouver. As a Registered Clinical Counsellor (RCC), I love working in private practice. I have had the opportunity to provide personalized mental health support to many clients throughout the last 18 years, first as an Occupational Therapist and then as an RCC. My vision of creating a counselling group with clinicians who are intelligent, wise, heartful, vulnerable and energized came to fruition with the amazing individuals who make up the Boundless Heart Counselling Group team. We have clinicians accepting new referrals! Contact us today!
(604) 265-9362 View (604) 265-9362
Photo of Dr. Jesse Elterman, Psychologist, PhD, RPsych
Dr. Jesse Elterman
Psychologist, PhD, RPsych
Serves Area
Mental health problems are fairly common among Canadians, with estimates that 20% of Canadians experience a mental health issue each year. Yet, people often suffer through these issues on their own. Just because you're going through a difficult time now doesn't mean it will always be this way. Speaking with a psychologist can help you move past these issues to get you back on track.
Mental health problems are fairly common among Canadians, with estimates that 20% of Canadians experience a mental health issue each year. Yet, people often suffer through these issues on their own. Just because you're going through a difficult time now doesn't mean it will always be this way. Speaking with a psychologist can help you move past these issues to get you back on track.
(438) 256-5788 View (438) 256-5788
Photo of Paul S James, Psychologist, RPsych
Paul S James
Psychologist, RPsych
Serves Area
Although the adults whom I assist come with a wide range of presenting problems - such as sexual dysfunctions, mental health issues, relationship conflict, and addictions, the underlying problem is that we are all suffering emotionally, longing to feel understood, and to acquire the tools that will relieve our distress.
Although the adults whom I assist come with a wide range of presenting problems - such as sexual dysfunctions, mental health issues, relationship conflict, and addictions, the underlying problem is that we are all suffering emotionally, longing to feel understood, and to acquire the tools that will relieve our distress.
(450) 823-2294 View (450) 823-2294
Photo of John-Michael Parra, Counsellor, MA, RCC
John-Michael Parra
Counsellor, MA, RCC
2 Endorsed
Serves Area
Although it might not always feel that way, you don't have to go it alone. If you are feeling unfocused, on an emotional roller coaster, unmotivated, and disconnected for yourself and others, I can help. Using effective, experiential, and holistic techniques, we will work together to help you find more resilience, emotional stability, focus, and meaning in your life. My trauma-informed counselling and coaching helps you get off the roller coaster, find out who you really are, and what you actually want from life.
Although it might not always feel that way, you don't have to go it alone. If you are feeling unfocused, on an emotional roller coaster, unmotivated, and disconnected for yourself and others, I can help. Using effective, experiential, and holistic techniques, we will work together to help you find more resilience, emotional stability, focus, and meaning in your life. My trauma-informed counselling and coaching helps you get off the roller coaster, find out who you really are, and what you actually want from life.
(604) 670-8354 View (604) 670-8354
Photo of Leifennie Asanuddin Ang - Leifennie | Sonder Therapy Lounge, Counsellor, MC, RCC, CCC
Leifennie | Sonder Therapy Lounge
Counsellor, MC, RCC, CCC
7 Endorsed
Serves Area
There was a time when I felt like I was moving through life slightly underwater, disconnected from myself and weighed down by something I couldn’t name. Over time, I realized my pain wasn’t only personal, but also shaped by the systems around me. We live in a world that often rewards disconnection, numbing, quick fixes, and performance over presence. As bell hooks says, “Rarely, if ever, are any of us healed in isolation. Healing is an act of communion.” I’m here to walk alongside you in your process of unfolding and becoming.
There was a time when I felt like I was moving through life slightly underwater, disconnected from myself and weighed down by something I couldn’t name. Over time, I realized my pain wasn’t only personal, but also shaped by the systems around me. We live in a world that often rewards disconnection, numbing, quick fixes, and performance over presence. As bell hooks says, “Rarely, if ever, are any of us healed in isolation. Healing is an act of communion.” I’m here to walk alongside you in your process of unfolding and becoming.
(506) 405-8990 View (506) 405-8990
Photo of Michelle Ryken, Counsellor, MACP, RCC
Michelle Ryken
Counsellor, MACP, RCC
3 Endorsed
Serves Area
Thank you for being here. Finding the right therapist often feels overwhelming, and I honour your courage in taking this step. Life's challenges can leave us disconnected, perhaps wearing a brave face while struggling inside, caring for everyone except yourself, or feeling so overwhelmed that life seems to race by without you. These experiences are deeply human, and you don't have to face them alone. Together, we'll create a space where your whole story matters. My hope is that through our work, you'll reconnect with the wisdom and resilience already within you.
Thank you for being here. Finding the right therapist often feels overwhelming, and I honour your courage in taking this step. Life's challenges can leave us disconnected, perhaps wearing a brave face while struggling inside, caring for everyone except yourself, or feeling so overwhelmed that life seems to race by without you. These experiences are deeply human, and you don't have to face them alone. Together, we'll create a space where your whole story matters. My hope is that through our work, you'll reconnect with the wisdom and resilience already within you.
(506) 436-4872 View (506) 436-4872

How does your Counsellor compare?

Number of Counsellors in V6M

30+

Average cost per session

$170

Counsellors in V6M who prioritize treating:

90% Anxiety
87% Depression
81% Relationship Issues
77% Stress
74% Self Esteem
68% Trauma and PTSD
65% Grief

Average years in practice

11 Years

Top 3 insurances accepted

60% Pacific Blue Cross
50% Great-West Life
50% Manulife

How Counsellors in V6M see their clients

77% In Person and Online
23% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counselling

How can I find a therapist in V6M?

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.