Photo of Howard Wong, Counsellor in V7T, BC
Howard Wong
Counsellor, PsyD, RCC, CCC
Verified Verified
1 Endorsed
West Vancouver, BC V7T  (Online Only)
My expertise lies in psychotherapy/counseling for adults, teenagers, children (> 9 years old), and couples with depressive and anxiety disorders, PTSD, grief, substance use, life transitions, self-esteem, parenting and couple relationships, as well as workplace/academic stress. Sessions can be conducted in English, Cantonese and Mandarin
My expertise lies in psychotherapy/counseling for adults, teenagers, children (> 9 years old), and couples with depressive and anxiety disorders, PTSD, grief, substance use, life transitions, self-esteem, parenting and couple relationships, as well as workplace/academic stress. Sessions can be conducted in English, Cantonese and Mandarin
(672) 800-1681 View (672) 800-1681
Photo of Gabriela Gutierrez, Counsellor in V7T, BC
Gabriela Gutierrez
Counsellor, MCP, RCC
Verified Verified
West Vancouver, BC V7T  (Online Only)
Waitlist for new clients
Hi, I’m Gabriela and I’m so happy you are looking for support. I specialize in addressing issues of trauma, anxiety, and parenting challenges and have specific training in these areas to support you to lighten the heavy loads you no longer want to hold on to. If you have suffered a traumatic experience, gone through a series of challenging situations, struggled with managing your own thoughts, or are just feeling overwhelmed, you don't need to go through this alone. By searching for a counsellor, you are already taking an important step in improving your mental health and I can support you in continuing that journey.
Hi, I’m Gabriela and I’m so happy you are looking for support. I specialize in addressing issues of trauma, anxiety, and parenting challenges and have specific training in these areas to support you to lighten the heavy loads you no longer want to hold on to. If you have suffered a traumatic experience, gone through a series of challenging situations, struggled with managing your own thoughts, or are just feeling overwhelmed, you don't need to go through this alone. By searching for a counsellor, you are already taking an important step in improving your mental health and I can support you in continuing that journey.
(431) 341-2872 View (431) 341-2872
Photo of Miki Querner, Counsellor in V7T, BC
Miki Querner
Counsellor, RTC
Verified Verified
1 Endorsed
West Vancouver, BC V7T  (Online Only)
In the whirlwind of life's challenges, it can often feel as though our thoughts and emotions are overwhelming us. If you find yourself in this situation, disconnected from both yourself and those around you, questioning whether life could offer more fulfillment, please know that you are not alone.
In the whirlwind of life's challenges, it can often feel as though our thoughts and emotions are overwhelming us. If you find yourself in this situation, disconnected from both yourself and those around you, questioning whether life could offer more fulfillment, please know that you are not alone.
(604) 359-6176 View (604) 359-6176
Photo of Deb Chmelauskas Occupational Therapist BetterBrains, Occupational Therapist in V7T, BC
Deb Chmelauskas Occupational Therapist BetterBrains
Occupational Therapist, BSc OT, BSc Bio, CDP
Verified Verified
My area of expertise is cognitive health for seniors who are experiencing age-related memory changes, mild cognitive impairment, or dementia. I am an occupational therapist who supports individuals and their families to help them cope with the challenges of memory loss. For persons with age related changes or mild cognitive impairment, we can work together to develop self-management strategies including: cognitive skills, memory and organizational skills, stress management, sleep solutions, and personalized brain health programs.
My area of expertise is cognitive health for seniors who are experiencing age-related memory changes, mild cognitive impairment, or dementia. I am an occupational therapist who supports individuals and their families to help them cope with the challenges of memory loss. For persons with age related changes or mild cognitive impairment, we can work together to develop self-management strategies including: cognitive skills, memory and organizational skills, stress management, sleep solutions, and personalized brain health programs.
(778) 771-3525 View (778) 771-3525
Photo of Paulette Tomasson, Counsellor in V7T, BC
Paulette Tomasson
Counsellor, RN, RCC, MA
Verified Verified
West Vancouver, BC V7T  (Online Only)
Paulette is Registered Nurse and a registered Clinical Counsellor in province of British Columbia and a Certified Sex Addiction Therapist with IITAP International Institute of Trauma and Addiction Therapists in the US. She is an internationally known and recognized expert in both treatment and education in the field of specialized addictions and dependencies. Paulette was featured on the O.com Cybersex Addiction; a documentary aired on the Passionate Eye on CBC, February 2005 and is frequently called upon for expert opinion in the local and national media.
Paulette is Registered Nurse and a registered Clinical Counsellor in province of British Columbia and a Certified Sex Addiction Therapist with IITAP International Institute of Trauma and Addiction Therapists in the US. She is an internationally known and recognized expert in both treatment and education in the field of specialized addictions and dependencies. Paulette was featured on the O.com Cybersex Addiction; a documentary aired on the Passionate Eye on CBC, February 2005 and is frequently called upon for expert opinion in the local and national media.
(778) 906-8610 View (778) 906-8610
Photo of Dr. Bayanzadeh Counselling Services, Registered Social Worker in V7T, BC
Dr. Bayanzadeh Counselling Services
Registered Social Worker, PhD, RCC, RSW, CCC
Verified Verified
West Vancouver, BC V7T  (Online Only)
I have had the privilege of knowing and working with a great number of individuals and families with varying levels of life challenges including: relationships issues, all types of emotional disturbances and alcohol & substance use problems. I trust that my accumulated repertoire of psychological methods and techniques along with my sincere desire to help will ensure effective and satisfactory services for my clients.
I have had the privilege of knowing and working with a great number of individuals and families with varying levels of life challenges including: relationships issues, all types of emotional disturbances and alcohol & substance use problems. I trust that my accumulated repertoire of psychological methods and techniques along with my sincere desire to help will ensure effective and satisfactory services for my clients.
(587) 801-5148 View (587) 801-5148
Photo of Kathy Merabian, Counsellor in V7T, BC
Kathy Merabian
Counsellor, MA, RCC, CPF
Verified Verified
Choosing the right counsellor for yourself or your child is not easy, yet a trusting and comfortable relationship with your counsellor is fundamental to success. I make it my priority to establish an open, honest and warm relationship with my clients. Next, I use effective and concrete interventions to address the specific goals my clients present to me. Together we come up with a plan which we follow for the duration of our work together. If you are motivated and want to make concrete changes in your life, I may be the right fit for you.
Choosing the right counsellor for yourself or your child is not easy, yet a trusting and comfortable relationship with your counsellor is fundamental to success. I make it my priority to establish an open, honest and warm relationship with my clients. Next, I use effective and concrete interventions to address the specific goals my clients present to me. Together we come up with a plan which we follow for the duration of our work together. If you are motivated and want to make concrete changes in your life, I may be the right fit for you.
(604) 265-9289 View (604) 265-9289
Photo of Imogen McIntyre, Clinical Social Work/Therapist in V7T, BC
Imogen McIntyre
Clinical Social Work/Therapist, MSW, RCSW
Verified Verified
2 Endorsed
I specialize in counselling for the LGBTQ+ community, neurodivergent people, and those with BPD - often self-identified oddballs, weirdos, and outsiders with big feelings. I love working with highly sensitive people; those who have been told they are "too much" and experience the world with intensity. Many of my clients struggle with feeling empty, numb, and disconnected one minute, and in excruciating emotional pain the next, as if they're on a rollercoaster that they can't get off and no one around them understands. It can be incredibly isolating, leaving them feeling disconnected from community and struggling in relationships.
I specialize in counselling for the LGBTQ+ community, neurodivergent people, and those with BPD - often self-identified oddballs, weirdos, and outsiders with big feelings. I love working with highly sensitive people; those who have been told they are "too much" and experience the world with intensity. Many of my clients struggle with feeling empty, numb, and disconnected one minute, and in excruciating emotional pain the next, as if they're on a rollercoaster that they can't get off and no one around them understands. It can be incredibly isolating, leaving them feeling disconnected from community and struggling in relationships.
(647) 951-0928 View (647) 951-0928
Photo of Courtney Sung, Counsellor in V7T, BC
Courtney Sung
Counsellor, MC
Verified Verified
1 Endorsed
Is your child struggling with challenges such as anxiety, peer conflict or emotion regulation? With over 12 years of experience in working with teens and kids, I am absolutely passionate about creating a comfortable and safe bond with my clients, using leading-edge interventions to help clients feel better, perform better and have more meaningful relationships with friends and family.
Is your child struggling with challenges such as anxiety, peer conflict or emotion regulation? With over 12 years of experience in working with teens and kids, I am absolutely passionate about creating a comfortable and safe bond with my clients, using leading-edge interventions to help clients feel better, perform better and have more meaningful relationships with friends and family.
(782) 800-5767 View (782) 800-5767
Photo of Noemie Bessette, Counsellor in V7T, BC
Noemie Bessette
Counsellor, RTC
Verified Verified
1 Endorsed
West Vancouver, BC V7T  (Online Only)
Hello! I'm Noemie. I am certified and registered as a Therapeutic Counsellor and have previously completed several coaching curriculums, certified as an Executive Coach through Royal Roads University. I support my clients through various life stages, navigating a better understanding of themselves, the life they want to create for themselves, as well as who they want to be in this life. As a mother of two, having navigated complicated relationship dynamics and coming from 20 years corporate career, I'm versatile counsellor, supporting my clients anywhere they hope for growth and moving towards the vision of their dream.
Hello! I'm Noemie. I am certified and registered as a Therapeutic Counsellor and have previously completed several coaching curriculums, certified as an Executive Coach through Royal Roads University. I support my clients through various life stages, navigating a better understanding of themselves, the life they want to create for themselves, as well as who they want to be in this life. As a mother of two, having navigated complicated relationship dynamics and coming from 20 years corporate career, I'm versatile counsellor, supporting my clients anywhere they hope for growth and moving towards the vision of their dream.
(587) 402-9580 View (587) 402-9580
Photo of Jo-Anne Weiler, Marriage & Family Therapist in V7T, BC
Jo-Anne Weiler
Marriage & Family Therapist, MA, (Psych), RMFT, RCC, CPCC
Verified Verified
What I hear most in my practise is that people want more meaning in their lives, in their work and in their loving relationships. According to current trends, anxiety and depression is on the rise. According to the Canadian Mood Disorders report 2008, 1 in 5 Canadians will have a mental illness over their lifetime. We may have become too focused on the results and lost sight of the process. The better we feel about ourselves because we are practising great lifestyle habits and relating meaningfully, soulfully, the more in the 'zone' we feel day to day.
What I hear most in my practise is that people want more meaning in their lives, in their work and in their loving relationships. According to current trends, anxiety and depression is on the rise. According to the Canadian Mood Disorders report 2008, 1 in 5 Canadians will have a mental illness over their lifetime. We may have become too focused on the results and lost sight of the process. The better we feel about ourselves because we are practising great lifestyle habits and relating meaningfully, soulfully, the more in the 'zone' we feel day to day.
(604) 925-1907 View (604) 925-1907
Photo of David Denis, Registered Psychotherapist in V7T, BC
David Denis
Registered Psychotherapist, RP
Verified Verified
Therapy requires a strong trusting relationship between therapist and client, in a space that is safe and receptive to honest thoughts and feelings. Trust also builds over time, as the therapy brings more peace, happiness, and clarity to your life. I bring my full presence and compassion to first understanding your experience and then applying my expertise to helping you. I understand that some people seek out a therapist to address a specific mental health concern while others are looking for more general support to improve their lives and happiness. In all cases the relationship between client and therapist is critical.
Therapy requires a strong trusting relationship between therapist and client, in a space that is safe and receptive to honest thoughts and feelings. Trust also builds over time, as the therapy brings more peace, happiness, and clarity to your life. I bring my full presence and compassion to first understanding your experience and then applying my expertise to helping you. I understand that some people seek out a therapist to address a specific mental health concern while others are looking for more general support to improve their lives and happiness. In all cases the relationship between client and therapist is critical.
(587) 418-3244 View (587) 418-3244
Photo of Mark F Morissette, Marriage & Family Therapist in V7T, BC
Mark F Morissette
Marriage & Family Therapist, MSW, PhD, RSW
Verified Verified
Let me ask you: Are you struggling with an important relationship in your life? To do with your family, your partner, your child, your work? Are you troubled by the emotions you’re experiencing? Feeling a profound sense of frustration, confusion, or desperation? Worried about the toll these issues are beginning to take? Think you've exhausted all your options for how to effectively manage? Do you wonder if there's quality professional help available? Help that recognizes & acknowledges what's important to you? If so, then look no further. Call now. We'll schedule a time.
Let me ask you: Are you struggling with an important relationship in your life? To do with your family, your partner, your child, your work? Are you troubled by the emotions you’re experiencing? Feeling a profound sense of frustration, confusion, or desperation? Worried about the toll these issues are beginning to take? Think you've exhausted all your options for how to effectively manage? Do you wonder if there's quality professional help available? Help that recognizes & acknowledges what's important to you? If so, then look no further. Call now. We'll schedule a time.
(604) 210-1832 View (604) 210-1832
Photo of The Modern Therapy Clinic, Counsellor in V7T, BC
The Modern Therapy Clinic
Counsellor, MA, CCC
Verified Verified
West Vancouver, BC V7T  (Online Only)
- Currently accepting clients - At The Modern Therapy Clinic, we are registered with the Canadian Counselling and Psychotherapy Association and hold a Master’s Degree in Counselling Psychology; we provide quality mental health care. We want to warmly welcome you and we appreciate how much courage it must have taken to take this step. With every session, we endeavour to bring kindness, warmth, and unique insight towards your concerns. With an emphasis on compassion, we sincerely want you to feel heard and cared for. We want you to feel well again.
- Currently accepting clients - At The Modern Therapy Clinic, we are registered with the Canadian Counselling and Psychotherapy Association and hold a Master’s Degree in Counselling Psychology; we provide quality mental health care. We want to warmly welcome you and we appreciate how much courage it must have taken to take this step. With every session, we endeavour to bring kindness, warmth, and unique insight towards your concerns. With an emphasis on compassion, we sincerely want you to feel heard and cared for. We want you to feel well again.
(506) 405-0440 View (506) 405-0440
Photo of Steven Keeler, Counsellor in V7T, BC
Steven Keeler
Counsellor, CCC, LMFT, LCPC, RCC
Verified Verified
Most of us are yearning for more out of life and our relationships. We yearn for more freedom, more choice, more love, more adventure, more willingness to risk, more contribution, more peace, more belonging. Clients say that as a result of seeing me for therapy, they experience themselves as having a renewed sense of purpose, direction, more freedom, peace, energy, vitality and a stronger connection to their own life force. I am unique from others in my field because I have devoted my life to learning how to help my clients actually transform what is holding them back rather than just talking about it.
Most of us are yearning for more out of life and our relationships. We yearn for more freedom, more choice, more love, more adventure, more willingness to risk, more contribution, more peace, more belonging. Clients say that as a result of seeing me for therapy, they experience themselves as having a renewed sense of purpose, direction, more freedom, peace, energy, vitality and a stronger connection to their own life force. I am unique from others in my field because I have devoted my life to learning how to help my clients actually transform what is holding them back rather than just talking about it.
(866) 530-2864 View (866) 530-2864
Photo of ARC: Anxiety Relief Centre, Counsellor in V7T, BC
ARC: Anxiety Relief Centre
Counsellor, MCP, RCC
Verified Verified
1 Endorsed
Welcome! My name is Kelsey and I am a Registered Clinical Counsellor (RCC) with a Masters of Counselling Psychology (MCP) from Adler University. I have a passion for helping empower clients to uncover their best selves. This passion has led to clinical opportunities that have allowed me to walk alongside men, women, and youth struggling with a variety of life challenges. I have been honoured to be able to support persons dealing with issues such as anxiety, depression, stress, relationship difficulties, abuse and addiction.
Welcome! My name is Kelsey and I am a Registered Clinical Counsellor (RCC) with a Masters of Counselling Psychology (MCP) from Adler University. I have a passion for helping empower clients to uncover their best selves. This passion has led to clinical opportunities that have allowed me to walk alongside men, women, and youth struggling with a variety of life challenges. I have been honoured to be able to support persons dealing with issues such as anxiety, depression, stress, relationship difficulties, abuse and addiction.
(855) 910-8524 View (855) 910-8524
Photo of Jeanie Olivia McKenzie, Counsellor in V7T, BC
Jeanie Olivia McKenzie
Counsellor, MA, RCC
Verified Verified
1 Endorsed
I am married and a mother of four with personal experience confronting the issues that couples and single parents face in parenting children through youth,adolescence and early adulthood. I have a deep understanding of the complex challenges parents and children must deal with in today's changing world. I also work with families that have been affected by the disease of alcohol and drug addiction. I educate,, give support in recovery and help families adjust to the many changes in family life after a loved one decides to make clean and sober decisions for a new start in life.
I am married and a mother of four with personal experience confronting the issues that couples and single parents face in parenting children through youth,adolescence and early adulthood. I have a deep understanding of the complex challenges parents and children must deal with in today's changing world. I also work with families that have been affected by the disease of alcohol and drug addiction. I educate,, give support in recovery and help families adjust to the many changes in family life after a loved one decides to make clean and sober decisions for a new start in life.
(604) 265-5426 View (604) 265-5426
Photo of Nelson Sacristan, Counsellor in V7T, BC
Nelson Sacristan
Counsellor, MA, CSAT, CASAC, LMHC, CMAT
Verified Verified
West Vancouver, BC V7T  (Online Only)
Thank you for taking the time to check out this profile. I have been working in the addiction field for over 25 years. I am a Certified Sex Addictions Therapist, Certified Multiple Addictions Therapist and a Rainbow Advocate through the International Institute for Trauma and Addiction Professionals. I also have a Master's Degree in Counseling Psychology. I have worked extensively with families and partners of people with addictions. I truly enjoy helping people understand addiction, its dynamics, and its impact on self and others. I walk alongside my clients in recovery, and that is extremely rewarding.
Thank you for taking the time to check out this profile. I have been working in the addiction field for over 25 years. I am a Certified Sex Addictions Therapist, Certified Multiple Addictions Therapist and a Rainbow Advocate through the International Institute for Trauma and Addiction Professionals. I also have a Master's Degree in Counseling Psychology. I have worked extensively with families and partners of people with addictions. I truly enjoy helping people understand addiction, its dynamics, and its impact on self and others. I walk alongside my clients in recovery, and that is extremely rewarding.
(778) 764-1954 View (778) 764-1954
Photo of Parm Laniado, Counsellor in V7T, BC
Parm Laniado
Counsellor, MEd, RCC
Verified Verified
Based in North Vancouver with over 20 years of individual, couple, and family counselling experience. My focus is on couples therapy and premarital counselling. I am Punjabi-speaking and fluent with the added pressures and challenges of cross-cultural family dynamics. I have specialized marriage and couples therapy training including: Emotionally Focused Couples Therapy, Gottman Method Couples Therapy, The Gottman Seven Principles Program Educator, and Bringing Baby Home Educator.
Based in North Vancouver with over 20 years of individual, couple, and family counselling experience. My focus is on couples therapy and premarital counselling. I am Punjabi-speaking and fluent with the added pressures and challenges of cross-cultural family dynamics. I have specialized marriage and couples therapy training including: Emotionally Focused Couples Therapy, Gottman Method Couples Therapy, The Gottman Seven Principles Program Educator, and Bringing Baby Home Educator.
(855) 739-6887 View (855) 739-6887
Photo of Karina O'Brien, Psychologist in V7T, BC
Karina O'Brien
Psychologist, PhD, RPsych
Verified Verified
West Vancouver, BC V7T  (Online Only)
I'm a Registered Psychologist who works with people facing stress/anxiety, panic, life transitions, obsessive-compulsive disorder, depression, and related concerns. I work with teens and adults. I do not use a "one size fits all" approach, but will tailor the approach to you after getting to know you during our first meetings. I typically use evidence-based and skills-based therapies such as cognitive-behavioral therapy (CBT), and incorporate other approaches if appropriate.
I'm a Registered Psychologist who works with people facing stress/anxiety, panic, life transitions, obsessive-compulsive disorder, depression, and related concerns. I work with teens and adults. I do not use a "one size fits all" approach, but will tailor the approach to you after getting to know you during our first meetings. I typically use evidence-based and skills-based therapies such as cognitive-behavioral therapy (CBT), and incorporate other approaches if appropriate.
(431) 441-2726 View (431) 441-2726

See more therapy options for V7T

How does your Counsellor compare?

Number of Counsellors in V7T

40+

Average cost per session

$150

Counsellors in V7T who prioritize treating:

92% Anxiety
82% Depression
76% Relationship Issues
71% Trauma and PTSD
71% Self Esteem
67% Life Transitions
63% Family Conflict

Average years in practice

18 Years

Top 3 insurances accepted

62% SunLife
57% Pacific Blue Cross
48% Other

How Counsellors in V7T see their clients

74% In Person and Online
26% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in V7T?

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.