Photo of Oona Tiplady, Psychologist, PhD, RPsych
Oona Tiplady
Psychologist, PhD, RPsych
Verified Verified
1 Endorsed
Victoria, BC V8V
I offer evidence based, compassionate and collaborative psychological treatment for teens, adults and couples. I seek to create a safe, nurturing relationship so that my clients can process, explore, and heal from the challenges that are keeping them stuck.
I offer evidence based, compassionate and collaborative psychological treatment for teens, adults and couples. I seek to create a safe, nurturing relationship so that my clients can process, explore, and heal from the challenges that are keeping them stuck.
(778) 901-6751 View (778) 901-6751
Photo of Heather Duncan, Counsellor, RCC
Heather Duncan
Counsellor, RCC
Verified Verified
3 Endorsed
Online Only
Heather’s experience stems from her work with survivors of abuse and trauma. She has had the honour of walking alongside children, adolescents, adults, and families as they navigate challenges arising from all forms of violence including depression, anxiety, grief, PTSD, OCD, self-injury, attachment trauma, addiction, emotion dysregulation, and other concurrent mental health conditions. She views wellbeing from a systemic and intersectional feminist lens, helping clients make sense of their concerns in a way that reduces self-blame and encourages self-efficacy.
Heather’s experience stems from her work with survivors of abuse and trauma. She has had the honour of walking alongside children, adolescents, adults, and families as they navigate challenges arising from all forms of violence including depression, anxiety, grief, PTSD, OCD, self-injury, attachment trauma, addiction, emotion dysregulation, and other concurrent mental health conditions. She views wellbeing from a systemic and intersectional feminist lens, helping clients make sense of their concerns in a way that reduces self-blame and encourages self-efficacy.
(672) 903-0104 View (672) 903-0104
Photo of Michelle Stassen, Clinical Social Work/Therapist, MSW, RSW
Michelle Stassen
Clinical Social Work/Therapist, MSW, RSW
Verified Verified
Victoria, BC V8V
Waitlist for new clients
Humans are able to survive through incredible suffering and oppression – but it is exhausting to be in survival mode all the time. You have found powerful ways to survive, but perhaps they are now causing you emotional pain and suffering and you are ready to let them go... so you can start being fully present and engaged in your own life. Through connection, compassion, and non-judgment, I can help you understand and find compassion for yourself and your suffering. I will provide safe and accepting support to help you let go of what is no longer serving you and explore new possibilities for yourself and your future.
Humans are able to survive through incredible suffering and oppression – but it is exhausting to be in survival mode all the time. You have found powerful ways to survive, but perhaps they are now causing you emotional pain and suffering and you are ready to let them go... so you can start being fully present and engaged in your own life. Through connection, compassion, and non-judgment, I can help you understand and find compassion for yourself and your suffering. I will provide safe and accepting support to help you let go of what is no longer serving you and explore new possibilities for yourself and your future.
(647) 424-4504 View (647) 424-4504
Photo of Ann Walter, Counsellor, MC, RCC
Ann Walter
Counsellor, MC, RCC
Verified Verified
Victoria, BC V8V
You've been getting along well enough for a while, but lately things have felt harder. Maybe you're coping with past experiences and those are interfering with your present reality. Maybe the state of the world is feeling overwhelming, it's pretty hard not to feel tired and burnt out at this point in human history. You may be finding that your feelings are impacting the way that you show up for yourself, your kids, your family, or your community and you want to start to see a shift. You know there's something missing, but you're having trouble putting your finger on it.
You've been getting along well enough for a while, but lately things have felt harder. Maybe you're coping with past experiences and those are interfering with your present reality. Maybe the state of the world is feeling overwhelming, it's pretty hard not to feel tired and burnt out at this point in human history. You may be finding that your feelings are impacting the way that you show up for yourself, your kids, your family, or your community and you want to start to see a shift. You know there's something missing, but you're having trouble putting your finger on it.
(450) 235-2974 View (450) 235-2974
Photo of Annemarie Gockel, Psychologist, PhD, R Psych
Annemarie Gockel
Psychologist, PhD, R Psych
Verified Verified
Online Only
Not accepting new clients
Are you feeling stressed out, overwhelmed or stuck? Is fear or anxiety getting in the way of achieving your goals? Do you long to feel more present, alive, and connected to yourself or those you care about? I know what that’s like and I can help. I help adults overcome stress, anxiety, or disconnection so that they can do more of what they love and deepen their relationships with the people that matter the most.
Are you feeling stressed out, overwhelmed or stuck? Is fear or anxiety getting in the way of achieving your goals? Do you long to feel more present, alive, and connected to yourself or those you care about? I know what that’s like and I can help. I help adults overcome stress, anxiety, or disconnection so that they can do more of what they love and deepen their relationships with the people that matter the most.
(778) 644-5341 View (778) 644-5341
Photo of Mandy Woelfle, Pre-Licensed Professional, She, They
Mandy Woelfle
Pre-Licensed Professional, She, They
Verified Verified
1 Endorsed
Online Only
Hi! I’m a queer, white settler, originally from Treaty 7 Territory (southern Alberta), and currently residing on the land of the lək̓ʷəŋən-speaking and W̱SÁNEĆ peoples (Victoria). I encourage compassion and respect for the ways that you have been coping. Together, we can create space for you to explore new ways of being authentic to your current beliefs, emotions, and the truths felt deep within your body. I am kink-aware and neurodivergence-affirming and my goal is to help you cultivate trust in your inner wisdom as you navigate gender identity, anxiety and depression, 2Slgbtqia+ experiences, enm, and more.
Hi! I’m a queer, white settler, originally from Treaty 7 Territory (southern Alberta), and currently residing on the land of the lək̓ʷəŋən-speaking and W̱SÁNEĆ peoples (Victoria). I encourage compassion and respect for the ways that you have been coping. Together, we can create space for you to explore new ways of being authentic to your current beliefs, emotions, and the truths felt deep within your body. I am kink-aware and neurodivergence-affirming and my goal is to help you cultivate trust in your inner wisdom as you navigate gender identity, anxiety and depression, 2Slgbtqia+ experiences, enm, and more.
(249) 202-5333 View (249) 202-5333
Photo of Amelia Lowe, Counsellor, MA, RCC
Amelia Lowe
Counsellor, MA, RCC
Verified Verified
13 Endorsed
Victoria, BC V8V
I work with clients who are curious about why they behave the way they do, and want to explore those patterns. In our work, you can expect a relaxed, calm environment - whether online or in-person, where my 6 yo black lab, Ajax, will join us. My goal is to help you feel as comfortable as possible: fidgets are available, eye contact is optional, and we go at your pace. I strive to create a safe space where you can trust me to support you as we dive into deeper and more challenging areas, while also recognizing the intersectional systemic factors that may be impacting you. All communities, bodies, and backgrounds are welcome.
I work with clients who are curious about why they behave the way they do, and want to explore those patterns. In our work, you can expect a relaxed, calm environment - whether online or in-person, where my 6 yo black lab, Ajax, will join us. My goal is to help you feel as comfortable as possible: fidgets are available, eye contact is optional, and we go at your pace. I strive to create a safe space where you can trust me to support you as we dive into deeper and more challenging areas, while also recognizing the intersectional systemic factors that may be impacting you. All communities, bodies, and backgrounds are welcome.
(778) 767-2692 View (778) 767-2692
Photo of Laura Hutcheson, Counsellor, RTC, CT, PCC
Laura Hutcheson
Counsellor, RTC, CT, PCC
Verified Verified
Victoria, BC V8V
I help adults (18+) struggling with stuckness, overwhelm, frustration, sadness, shame, depression, anxiety, anger, self-trust, discernment, relationship issues, resentment, guilt, and more. My approach is trauma-informed and experiential. Together, with a clear focus, we will use current neuroscience to support our work, aim to solve the issue at its root, use mindfulness for self-exploration (versus self-regulation), and protecting safety as we go.
I help adults (18+) struggling with stuckness, overwhelm, frustration, sadness, shame, depression, anxiety, anger, self-trust, discernment, relationship issues, resentment, guilt, and more. My approach is trauma-informed and experiential. Together, with a clear focus, we will use current neuroscience to support our work, aim to solve the issue at its root, use mindfulness for self-exploration (versus self-regulation), and protecting safety as we go.
(867) 888-0742 View (867) 888-0742
Photo of Scott Cameron, Counsellor, RCC, MC, BA
Scott Cameron
Counsellor, RCC, MC, BA
Verified Verified
2 Endorsed
Victoria, BC V8V
Navigating the complexities of relationships, coping with life changes or challenges, and contemplating your future can be daunting. If you find yourself at a crossroads, seeking a meaningful dialogue, I am here to support you on your path to self-discovery. I warmly welcome new clients and commend you for taking this step towards personal well-being. I understand that discussing challenging topics requires a professional and unbiased perspective. As your counsellor, I bring a direct yet compassionate approach, helping you address your concerns efficiently, confidentially, and through evidence-based practices.
Navigating the complexities of relationships, coping with life changes or challenges, and contemplating your future can be daunting. If you find yourself at a crossroads, seeking a meaningful dialogue, I am here to support you on your path to self-discovery. I warmly welcome new clients and commend you for taking this step towards personal well-being. I understand that discussing challenging topics requires a professional and unbiased perspective. As your counsellor, I bring a direct yet compassionate approach, helping you address your concerns efficiently, confidentially, and through evidence-based practices.
(450) 390-6723 View (450) 390-6723
Photo of Sarah Causton, Registered Social Worker, MSW, RSW
Sarah Causton
Registered Social Worker, MSW, RSW
Verified Verified
Victoria, BC V8V
Accepting New Clients. Sometimes we all feel stuck. Our go-to methods of coping aren't working anymore, or we aren't getting what we need from those we usually turn to. Sometimes we need a space to be heard and other times we want someone to help us set some goals and take those first steps. In working with youth, individuals and families I bring curiosity, gentleness, humour and compassion along with knowledge of many therapeutic modalities which allows me to be flexible and tailor our work together to your specific needs.
Accepting New Clients. Sometimes we all feel stuck. Our go-to methods of coping aren't working anymore, or we aren't getting what we need from those we usually turn to. Sometimes we need a space to be heard and other times we want someone to help us set some goals and take those first steps. In working with youth, individuals and families I bring curiosity, gentleness, humour and compassion along with knowledge of many therapeutic modalities which allows me to be flexible and tailor our work together to your specific needs.
(778) 651-9605 View (778) 651-9605
Photo of Lindy Duchesne, Counsellor, MA, RCC, CCC
Lindy Duchesne
Counsellor, MA, RCC, CCC
Verified Verified
2 Endorsed
Victoria, BC V8V
Accepting new clients. Are you experiencing anxiety, and/or depression? Life can be challenging, it can get messy and complicated leaving us feeling vulnerable, confused, and disconnected, our self-esteem suffers and our happiness and well-being become elusive. Life then just becomes one big struggle. With empathy and respect, I work from a trauma-informed, person-centered perspective. This means I recognize that you are the expert on your own experiences and worldview and understand that you just need support and guidance to figure it out.
Accepting new clients. Are you experiencing anxiety, and/or depression? Life can be challenging, it can get messy and complicated leaving us feeling vulnerable, confused, and disconnected, our self-esteem suffers and our happiness and well-being become elusive. Life then just becomes one big struggle. With empathy and respect, I work from a trauma-informed, person-centered perspective. This means I recognize that you are the expert on your own experiences and worldview and understand that you just need support and guidance to figure it out.
(431) 814-7074 View (431) 814-7074
Photo of Maxfield Krauss, Counsellor, MCP, RCC
Maxfield Krauss
Counsellor, MCP, RCC
Verified Verified
Online Only
Hello! I’m Max, I’m a counsellor with a generalist focus who works from an existential lens. Your mental health is important to me, and I want for us to work together to help you experience relief from what’s bothering you and clarity about your life. The way I work is by first teaching coping strategies to help you regulate in the present, then to explore the deeper emotional and existential basis for what brings you to counselling in the first place.
Hello! I’m Max, I’m a counsellor with a generalist focus who works from an existential lens. Your mental health is important to me, and I want for us to work together to help you experience relief from what’s bothering you and clarity about your life. The way I work is by first teaching coping strategies to help you regulate in the present, then to explore the deeper emotional and existential basis for what brings you to counselling in the first place.
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Photo of Dr. Helen Macaulay, Psychologist, PhD, RPsych
Dr. Helen Macaulay
Psychologist, PhD, RPsych
Verified Verified
4 Endorsed
Victoria, BC V8V
I am a Psychologist, registered with the College of Psychologists of British Columbia. I strive to provide a supportive and productive atmosphere in which clients can achieve meaningful growth and change. I believe that it is important to work together in creating a therapeutic relationship that is built on mutual respect, cooperation, and shared goals. Common treatment issues include depression, anxiety, stress, and interpersonal difficulties. My therapeutic approach is tailored to each individual's needs and includes cognitive behavioural therapy (CBT) as well as mindfulness and emotion-focused interventions.
I am a Psychologist, registered with the College of Psychologists of British Columbia. I strive to provide a supportive and productive atmosphere in which clients can achieve meaningful growth and change. I believe that it is important to work together in creating a therapeutic relationship that is built on mutual respect, cooperation, and shared goals. Common treatment issues include depression, anxiety, stress, and interpersonal difficulties. My therapeutic approach is tailored to each individual's needs and includes cognitive behavioural therapy (CBT) as well as mindfulness and emotion-focused interventions.
(672) 761-0128 View (672) 761-0128
Photo of Mele Smallwood, Counsellor, BA, MA, RCC
Mele Smallwood
Counsellor, BA, MA, RCC
Verified Verified
3 Endorsed
Victoria, BC V8V
You’re the one who’s always there for everyone else, but deep down, you’re exhausted. Maybe anxiety, low self-esteem, or unresolved childhood trauma are making it difficult to feel connected, confident, or at ease in your relationships. You struggle with setting boundaries, tend to overthink or people-please, and often feel like you’ve lost touch with who you really are. You're longing to reconnect with yourself, express your needs without guilt, and feel secure in your life and your relationships. You’re not broken. You’re healing, and you deserve support that meets you where you are and supports where you’re going.
You’re the one who’s always there for everyone else, but deep down, you’re exhausted. Maybe anxiety, low self-esteem, or unresolved childhood trauma are making it difficult to feel connected, confident, or at ease in your relationships. You struggle with setting boundaries, tend to overthink or people-please, and often feel like you’ve lost touch with who you really are. You're longing to reconnect with yourself, express your needs without guilt, and feel secure in your life and your relationships. You’re not broken. You’re healing, and you deserve support that meets you where you are and supports where you’re going.
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Photo of Tammy Van Hinte - Conflict Options-Tammy Van Hinte, Counsellor, MA, RCC
Conflict Options-Tammy Van Hinte
Counsellor, MA, RCC
Verified Verified
15 Endorsed
Victoria, BC V8V
Are you looking for ways to increase your relationship satisfaction? My speciality is relationship counselling and coaching. I am trained as a Family Mediator, a Counsellor and a Coach. I work with people to assist them to enhance their relationship skills in order to create more satisfying relationships with both themselves and others. I offer Couples Counselling, Discernment Counselling, and Individual Counselling.
Are you looking for ways to increase your relationship satisfaction? My speciality is relationship counselling and coaching. I am trained as a Family Mediator, a Counsellor and a Coach. I work with people to assist them to enhance their relationship skills in order to create more satisfying relationships with both themselves and others. I offer Couples Counselling, Discernment Counselling, and Individual Counselling.
(855) 808-4730 View (855) 808-4730
Photo of Jason Scriven, Pre-Licensed Professional, MSc, BA
Jason Scriven
Pre-Licensed Professional, MSc, BA
Verified Verified
2 Endorsed
Online Only
If you are scared, tired, alone, or anxious about your future, I have been there myself and I can help you. Divorce, work pressures, anxiety, depression have all been part of my life and I'd love to share what I've learned with you. You can bring your challenges to our sessions without fear of judgement or expectation. Welcome!
If you are scared, tired, alone, or anxious about your future, I have been there myself and I can help you. Divorce, work pressures, anxiety, depression have all been part of my life and I'd love to share what I've learned with you. You can bring your challenges to our sessions without fear of judgement or expectation. Welcome!
(587) 801-4597 View (587) 801-4597
Photo of Xela Rysstad, Counsellor, MA, RCC
Xela Rysstad
Counsellor, MA, RCC
Verified Verified
Online Only
Two Spirit, Queer, and Trans-friendly—Accepting new clients now! As a racialized person and Diversity, Equity and Inclusion (DEI) educator, my aim is to create a culturally safe and trauma-informed space for those navigating the impacts of systemic oppression, racism, and marginalization. I work with individuals, families, and communities who seek healing, resilience, and social justice. Whether you’re dealing with anxiety, depression, trauma, or relationship struggles, I’m here to validate your experiences and support the fostering of self-compassion, healing, and sustained growth.
Two Spirit, Queer, and Trans-friendly—Accepting new clients now! As a racialized person and Diversity, Equity and Inclusion (DEI) educator, my aim is to create a culturally safe and trauma-informed space for those navigating the impacts of systemic oppression, racism, and marginalization. I work with individuals, families, and communities who seek healing, resilience, and social justice. Whether you’re dealing with anxiety, depression, trauma, or relationship struggles, I’m here to validate your experiences and support the fostering of self-compassion, healing, and sustained growth.
(236) 499-3417 View (236) 499-3417
Photo of Linette Read, Counsellor, MEd, RCC
Linette Read
Counsellor, MEd, RCC
Verified Verified
Victoria, BC V8V
I’m a second generation European settler, an explorer of nature, a knitter, and a Registered Clinical Counsellor who has supported youth and adults and their mental health for over a decade. I’m a calm, curious, relaxed person who has been asking the big existential questions of who we are and why we’re here and what to do about that my whole life. I love bringing this curiosity into the counselling space and supporting you to identify how those questions are impacting you. You may be feeling depressed, full of anxiety, working through past and current traumas, or grappling with the difficulties that being alive inevitably brings.
I’m a second generation European settler, an explorer of nature, a knitter, and a Registered Clinical Counsellor who has supported youth and adults and their mental health for over a decade. I’m a calm, curious, relaxed person who has been asking the big existential questions of who we are and why we’re here and what to do about that my whole life. I love bringing this curiosity into the counselling space and supporting you to identify how those questions are impacting you. You may be feeling depressed, full of anxiety, working through past and current traumas, or grappling with the difficulties that being alive inevitably brings.
(306) 517-2453 View (306) 517-2453
Photo of Theresa Gulliver, Counsellor, RCC
Theresa Gulliver
Counsellor, RCC
Verified Verified
2 Endorsed
Victoria, BC V8V
I offer a safe space to show up exactly as you are and support you in who you want to become. Specializing in pregnancy and postpartum counselling, I help untangle and understand anxieties, depression and difficulties with the adjustment to parenthood. Shifting from a place of fear or confusion to a place of truth and understanding, you are left feeling more resourced and empowered in this important life transition.
I offer a safe space to show up exactly as you are and support you in who you want to become. Specializing in pregnancy and postpartum counselling, I help untangle and understand anxieties, depression and difficulties with the adjustment to parenthood. Shifting from a place of fear or confusion to a place of truth and understanding, you are left feeling more resourced and empowered in this important life transition.
(250) 800-2342 View (250) 800-2342
Photo of John Reilly, Clinical Social Work/Therapist, MSW RSW
John Reilly
Clinical Social Work/Therapist, MSW RSW
Verified Verified
Victoria, BC V8V
Do you experience being held back from feeling fully alive or do you feel like your relationships aren’t achieving their fullest potential? Are your experiences living within the complexity of our world today creating difficulties for you or your relationships? I provide individual counselling and therapy for people seeking greater vitality in their lives. I have experience in supporting people recovering from trauma, problematic substance use, anxiety, depression and relationship issues. My skills provide an eclectic palate through which to engage an individual in creative processes of transformation.
Do you experience being held back from feeling fully alive or do you feel like your relationships aren’t achieving their fullest potential? Are your experiences living within the complexity of our world today creating difficulties for you or your relationships? I provide individual counselling and therapy for people seeking greater vitality in their lives. I have experience in supporting people recovering from trauma, problematic substance use, anxiety, depression and relationship issues. My skills provide an eclectic palate through which to engage an individual in creative processes of transformation.
(587) 328-1294 View (587) 328-1294

See more therapy options for V8V

How does your Counsellor compare?

Number of Counsellors in V8V

100+

Average cost per session

$150

Counsellors in V8V who prioritize treating:

92% Anxiety
82% Depression
82% Self Esteem
81% Relationship Issues
69% Trauma and PTSD
69% Stress
65% Grief

Average years in practice

10 Years

Top 3 insurances accepted

52% Pacific Blue Cross
51% SunLife
48% Canada Life | Great-West Life

How Counsellors in V8V see their clients

75% In Person and Online
25% Online Only

Gender breakdown

77% Female
17% Male
6% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in V8V?

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.