Therapists in Vancouver, BC

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Photo of Stephanie Gilson, Counsellor in Vancouver, BC
Stephanie Gilson
Counsellor, RTC , CCTP
Verified Verified
1 Endorsed
Vancouver, BC V5L
Are you struggling with self-esteem, codependency, setting healthy boundaries, body shame, general anxiety, sexpressing (sexual expression), medical trauma, bullying, and or toxic relationships. Together we can work through these challenges getting you unstuck from the cycle that you feel in. I can help you find your voice, learn to listen to your body and emotions, what your boundaries look like, and help you to create healthier relationships, finding calmness and joy. Pain is inevitable, suffering is optional.
Are you struggling with self-esteem, codependency, setting healthy boundaries, body shame, general anxiety, sexpressing (sexual expression), medical trauma, bullying, and or toxic relationships. Together we can work through these challenges getting you unstuck from the cycle that you feel in. I can help you find your voice, learn to listen to your body and emotions, what your boundaries look like, and help you to create healthier relationships, finding calmness and joy. Pain is inevitable, suffering is optional.
(778) 767-0960 View (778) 767-0960
Photo of Nina Sekhon Sharma, Counsellor in Vancouver, BC
Nina Sekhon Sharma
Counsellor, MA, RCC
Verified Verified
1 Endorsed
Vancouver, BC V5T
Every person at some moment in their life reaches a roadblock where they are unsure what to do or who to turn to. Every day may feel like a struggle. Whether it be conflict in your relationship, feeling overwhelmed with life demands or just feeling anxious or stuck, counselling is a safe space that can allow you to address your most private and vulnerable emotions and thoughts. I have over 15 years of counselling experience and I am passionate in helping individuals and couples find their path to a more peaceful future. Together we will discuss your concerns, work toward healing, and find realistic solutions.
Every person at some moment in their life reaches a roadblock where they are unsure what to do or who to turn to. Every day may feel like a struggle. Whether it be conflict in your relationship, feeling overwhelmed with life demands or just feeling anxious or stuck, counselling is a safe space that can allow you to address your most private and vulnerable emotions and thoughts. I have over 15 years of counselling experience and I am passionate in helping individuals and couples find their path to a more peaceful future. Together we will discuss your concerns, work toward healing, and find realistic solutions.
(867) 794-2327 View (867) 794-2327
Photo of Hilary Ison, Registered Social Worker in Vancouver, BC
Hilary Ison
Registered Social Worker, RSW
Verified Verified
1 Endorsed
Vancouver, BC V5L  (Online Only)
You are likely seeking therapy feeling a strange mixture of despair and hope. You might be struggling with patterns of behaviour, past traumas, or painful emotions; but you also believe that change is possible. Together we can establish safety, look underneath your presenting symptoms, and harness your inherent capacity to heal. I aim to be a compassionate partner in your journey. I am also a fierce advocate for the self inside you that longs to be emerge and thrive.
You are likely seeking therapy feeling a strange mixture of despair and hope. You might be struggling with patterns of behaviour, past traumas, or painful emotions; but you also believe that change is possible. Together we can establish safety, look underneath your presenting symptoms, and harness your inherent capacity to heal. I aim to be a compassionate partner in your journey. I am also a fierce advocate for the self inside you that longs to be emerge and thrive.
(709) 700-3442 View (709) 700-3442
Photo of Ana Atem, Counsellor in Vancouver, BC
Ana Atem
Counsellor, RTC, RPC-C, MSc, BSc
Verified Verified
Vancouver, BC V5V  (Online Only)
Hi there! My name is Ana, I'm a Registered Counsellor, and my life's purpose is to help people heal and grow. Do you struggle with anxiety, grief, a challenging relationship, low self-worth, that affects your day-to-day life and relationships? Do you feel overwhelmed, frustrated, angry or flooded with emotions, by just getting through the day, and feeling stuck on autopilot? Do you hope that your life, relationships with others and yourself could be better? Now more than ever, people are feeling anxious and uncertain about not knowing who they are, overcoming a breakup, working through a loss, or finding their place in life.
Hi there! My name is Ana, I'm a Registered Counsellor, and my life's purpose is to help people heal and grow. Do you struggle with anxiety, grief, a challenging relationship, low self-worth, that affects your day-to-day life and relationships? Do you feel overwhelmed, frustrated, angry or flooded with emotions, by just getting through the day, and feeling stuck on autopilot? Do you hope that your life, relationships with others and yourself could be better? Now more than ever, people are feeling anxious and uncertain about not knowing who they are, overcoming a breakup, working through a loss, or finding their place in life.
(587) 404-2636 View (587) 404-2636
Photo of Tammam El-Khodor, Counsellor in Vancouver, BC
Tammam El-Khodor
Counsellor, Reg OT, MRSc, MEd, RCC, CCC
Verified Verified
3 Endorsed
Vancouver, BC V6J
I work with individuals and couples who seek to improve their mental health and relationships. I work with individuals, who experienced trauma, struggling with anxiety, and/ or seeking meaning to life events. My unique life experience exposed me to different cultures and ways of living, which included the Middle East, Europe, and North America. I believe that relationships, mental health, and behaviors are better understood when body, mind, and context are examined simultaneously. I work with my clients to navigate through their experiences, including their spirituality, to create helpful meanings in their lives.
I work with individuals and couples who seek to improve their mental health and relationships. I work with individuals, who experienced trauma, struggling with anxiety, and/ or seeking meaning to life events. My unique life experience exposed me to different cultures and ways of living, which included the Middle East, Europe, and North America. I believe that relationships, mental health, and behaviors are better understood when body, mind, and context are examined simultaneously. I work with my clients to navigate through their experiences, including their spirituality, to create helpful meanings in their lives.
(778) 403-5273 View (778) 403-5273
Photo of Monique Wong, Counsellor in Vancouver, BC
Monique Wong
Counsellor, RCC, CCC
Verified Verified
1 Endorsed
Vancouver, BC V6B  (Online Only)
Having a family member struggling with mental health issue has first inspired me to go into counselling. I have also been through counselling at different points in my life, which helps me gain a better understanding of the counselling process and its benefits as a client.
Having a family member struggling with mental health issue has first inspired me to go into counselling. I have also been through counselling at different points in my life, which helps me gain a better understanding of the counselling process and its benefits as a client.
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Photo of Cristina Dann Arvidson, Counsellor in Vancouver, BC
Cristina Dann Arvidson
Counsellor, MA, RCC
Verified Verified
2 Endorsed
Vancouver, BC V5L
I work with adults, children, youth and families seeking healing and positive change as they navigate the ups and down of life. Together we cultivate deep respect for each person’s unique experiences while nurturing the connections, within ourselves and to others, that enliven us.
I work with adults, children, youth and families seeking healing and positive change as they navigate the ups and down of life. Together we cultivate deep respect for each person’s unique experiences while nurturing the connections, within ourselves and to others, that enliven us.
(587) 801-1633 View (587) 801-1633
Photo of Celia (Xiaojun) Du, Counsellor in Vancouver, BC
Celia (Xiaojun) Du
Counsellor, MC
Verified Verified
5 Endorsed
Vancouver, BC V5Z
We all have lots of yarns (stories). They are often tangled, either with someone else’s yarns or with our past and present. If you feel like it is time to untangle the yarns, I am here for you. I can assist you to sort out the past, live in the present and plan for the future, one stitch at a time. You are the best expert on your own experience, a person-centred approach is the foundation at Yarns. You and I work together, we will find the most suitable treatment for the presenting issues and nourish your personal growth.
We all have lots of yarns (stories). They are often tangled, either with someone else’s yarns or with our past and present. If you feel like it is time to untangle the yarns, I am here for you. I can assist you to sort out the past, live in the present and plan for the future, one stitch at a time. You are the best expert on your own experience, a person-centred approach is the foundation at Yarns. You and I work together, we will find the most suitable treatment for the presenting issues and nourish your personal growth.
(579) 795-1984 View (579) 795-1984
Photo of April Jiangge Li, Counsellor in Vancouver, BC
April Jiangge Li
Counsellor, RCAT, RCC
Verified Verified
2 Endorsed
Vancouver, BC V5X
Hi I am April and thanks for taking an interest in my practice. I worked as a family and youth counsellor at a Vancouver NPO for 7 years while practicing at a multidisciplinary clinic for over 10 years. I provide in-person service in East Vancouver and online service to people around the world in English/Mandarin/Cantonese. I am a registered art therapist and supervised students at a master program level for 2 school years. I am also trained in hypnotherapy and mindfulness based somatic therapy. My experiences as an immigrant growing up in diverse cultures help me to understand people's unique paths and identities.
Hi I am April and thanks for taking an interest in my practice. I worked as a family and youth counsellor at a Vancouver NPO for 7 years while practicing at a multidisciplinary clinic for over 10 years. I provide in-person service in East Vancouver and online service to people around the world in English/Mandarin/Cantonese. I am a registered art therapist and supervised students at a master program level for 2 school years. I am also trained in hypnotherapy and mindfulness based somatic therapy. My experiences as an immigrant growing up in diverse cultures help me to understand people's unique paths and identities.
(249) 503-8486 View (249) 503-8486
Photo of Joanne MacKinnon, Psychologist in Vancouver, BC
Joanne MacKinnon
Psychologist, PhD, RPsych
Verified Verified
Vancouver, BC V5L
HOLISTIC, EXPERIENTIAL and EFFECTIVE PSYCHOTHERAPY I have the privilege of witnessing my clients heal from difficult and emotionally painful experiences, release ineffective and self-defeating behaviours and beliefs, and develop adaptive self-images and ways of being in the world. For more information on My Approach and Who I See please click on the link to the left that says "website," or go to http://drjoannemackinnon.com
HOLISTIC, EXPERIENTIAL and EFFECTIVE PSYCHOTHERAPY I have the privilege of witnessing my clients heal from difficult and emotionally painful experiences, release ineffective and self-defeating behaviours and beliefs, and develop adaptive self-images and ways of being in the world. For more information on My Approach and Who I See please click on the link to the left that says "website," or go to http://drjoannemackinnon.com
(604) 800-2726 View (604) 800-2726
Photo of Robyn Kozak, Counsellor in Vancouver, BC
Robyn Kozak
Counsellor, MEd, RCC
Verified Verified
3 Endorsed
Vancouver, BC V5L
Whether it is struggles with pregnancy, postpartum, parenting, relationships, anxiety, mood, or past trauma, I support individuals with identifying what they want to be different in their life and co-creating a plan for our work together. As a counsellor, it is a privilege to support clients in their journeys to find more joy, feel less overwhelmed by difficult emotions, improve relationships, and feel more compassion for themselves. I work collaboratively with clients to explore their values and how to foster these into a meaningful life.
Whether it is struggles with pregnancy, postpartum, parenting, relationships, anxiety, mood, or past trauma, I support individuals with identifying what they want to be different in their life and co-creating a plan for our work together. As a counsellor, it is a privilege to support clients in their journeys to find more joy, feel less overwhelmed by difficult emotions, improve relationships, and feel more compassion for themselves. I work collaboratively with clients to explore their values and how to foster these into a meaningful life.
(506) 496-0803 View (506) 496-0803
Photo of Jason Winters, Psychologist in Vancouver, BC
Jason Winters
Psychologist, PhD, MA
Verified Verified
Vancouver, BC V6H
I understand how problems with sex and sexuality can have an immense negative impact on your quality of life, including your relationships, your mental health, and the way that you see yourself. But these problems are not insurmountable; treatment can be very effective. I'm a registered psychologist, and specialize in treating sexual problems and disorders. My treatment methods (CBT and ACT) are based on extensive research and clinical evidence demonstrating their effectiveness. Most importantly, my clients tell me that I put them at ease, quickly earn their trust, and make it comfortable to talk about their most intimate problems.
I understand how problems with sex and sexuality can have an immense negative impact on your quality of life, including your relationships, your mental health, and the way that you see yourself. But these problems are not insurmountable; treatment can be very effective. I'm a registered psychologist, and specialize in treating sexual problems and disorders. My treatment methods (CBT and ACT) are based on extensive research and clinical evidence demonstrating their effectiveness. Most importantly, my clients tell me that I put them at ease, quickly earn their trust, and make it comfortable to talk about their most intimate problems.
(855) 463-1593 View (855) 463-1593
Photo of Julie Kang, Counsellor in Vancouver, BC
Julie Kang
Counsellor, MA, RCC, EMDR, Bipoc
Verified Verified
Vancouver, BC V6B
I am a Registered Clinical Counsellor (RCC - 18450) with the British Columbia Association of Clinical Counsellors (BCACC). I completed my Master of Arts (MA) in Family Life Education from Fuller Theological Seminary in Pasadena, California. Since 2005 I have had the privilege of doing pastoral counselling for youth and college students and clinical counselling with individuals of multi-ethnic backgrounds and ages. I work with high risk youth since 2015. I primarily use EMDR, CBT and EFT therapy
I am a Registered Clinical Counsellor (RCC - 18450) with the British Columbia Association of Clinical Counsellors (BCACC). I completed my Master of Arts (MA) in Family Life Education from Fuller Theological Seminary in Pasadena, California. Since 2005 I have had the privilege of doing pastoral counselling for youth and college students and clinical counselling with individuals of multi-ethnic backgrounds and ages. I work with high risk youth since 2015. I primarily use EMDR, CBT and EFT therapy
(506) 705-2986 View (506) 705-2986
Photo of Red Pill Spiritual Psychology, Counsellor in Vancouver, BC
Red Pill Spiritual Psychology
Counsellor, RTC
Verified Verified
Vancouver, BC V5M  (Online Only)
My purpose and my passion is to help you fully remember who and what you truly are! The beautiful, perfect soul you are, prior to all the programming and conditioning that's had you believing that you're just "not good enough". This "not good enough" nonsense, is nothing more than an indoctrinated/brainwashed belief. It is at the root cause of all pain and trauma. It underlies all of humanity's suffering. It is indeed, the real pandemic on this planet. It has infected entirely all of us. It is the greatest, most ridiculous most asinine lie that has ever been sold to humanity! My job and my joy is to help you heal from this insanity.
My purpose and my passion is to help you fully remember who and what you truly are! The beautiful, perfect soul you are, prior to all the programming and conditioning that's had you believing that you're just "not good enough". This "not good enough" nonsense, is nothing more than an indoctrinated/brainwashed belief. It is at the root cause of all pain and trauma. It underlies all of humanity's suffering. It is indeed, the real pandemic on this planet. It has infected entirely all of us. It is the greatest, most ridiculous most asinine lie that has ever been sold to humanity! My job and my joy is to help you heal from this insanity.
(450) 235-4283 View (450) 235-4283
Photo of Fernanda Selayzin Souza, Counsellor in Vancouver, BC
Fernanda Selayzin Souza
Counsellor, MEd, MCP, RCC
Verified Verified
1 Endorsed
Vancouver, BC V6Z
Challenging events? Life changes? Overwhelmed? Stressed? Needing balance? Struggling with anxiety, relationships, depression, grief, decisions, performance? Looking forward to getting to where you want to be, to achieving your dreams, to fulfilling your potential, or to simply getting back to "normal" again after an overwhelmingly difficult loss or event? Or maybe even for the first time...Being on top of your game or moving on after challenging events or hurtful experiences is not easy. But there are ways through and I can help.
Challenging events? Life changes? Overwhelmed? Stressed? Needing balance? Struggling with anxiety, relationships, depression, grief, decisions, performance? Looking forward to getting to where you want to be, to achieving your dreams, to fulfilling your potential, or to simply getting back to "normal" again after an overwhelmingly difficult loss or event? Or maybe even for the first time...Being on top of your game or moving on after challenging events or hurtful experiences is not easy. But there are ways through and I can help.
(778) 227-2818 View (778) 227-2818
Photo of Krista Sao, Counsellor in Vancouver, BC
Krista Sao
Counsellor, BSc, MACP, RCC
Verified Verified
2 Endorsed
Vancouver, BC V6K
I'm based in Vancouver and primarily work with adults. I work with individuals dealing with anxiety, depression, emotional regulation, life transitions, and personal development. Life will have several peaks and valleys, and I'm here to help you develop new skills that will make challenging times more manageable. My focus is to help individuals embrace their vulnerability, heal, and become aware of their inner strength. I achieve this by listening to your concerns free of judgement and customizing a treatment plan most suitable for your current needs.
I'm based in Vancouver and primarily work with adults. I work with individuals dealing with anxiety, depression, emotional regulation, life transitions, and personal development. Life will have several peaks and valleys, and I'm here to help you develop new skills that will make challenging times more manageable. My focus is to help individuals embrace their vulnerability, heal, and become aware of their inner strength. I achieve this by listening to your concerns free of judgement and customizing a treatment plan most suitable for your current needs.
(431) 815-9936 View (431) 815-9936
Photo of Jesse Frender, Counsellor in Vancouver, BC
Jesse Frender
Counsellor, MA, RCC
Verified Verified
Vancouver, BC V6B
I work with clients to navigate difficult life transitions, heal from traumatic events, and improve the relationships with the people they love.
I work with clients to navigate difficult life transitions, heal from traumatic events, and improve the relationships with the people they love.
(778) 771-3938 View (778) 771-3938
Photo of Heidi Hanazawa Root, Counsellor in Vancouver, BC
Heidi Hanazawa Root
Counsellor, MSc, RCC
Verified Verified
Vancouver, BC V5L  (Online Only)
Are you struggling with your mental health? Are issues related to depression, anxiety, trauma, grief, or addictive behavior causing you to feel stuck in patterns of thinking and doing that may no longer be serving you? Are you in search of a respectful, affirming, and empathic space for you to safely explore your emotions, beliefs, experiences, relationships, and the issues that are presenting challenges in your life?
Are you struggling with your mental health? Are issues related to depression, anxiety, trauma, grief, or addictive behavior causing you to feel stuck in patterns of thinking and doing that may no longer be serving you? Are you in search of a respectful, affirming, and empathic space for you to safely explore your emotions, beliefs, experiences, relationships, and the issues that are presenting challenges in your life?
(587) 912-2196 View (587) 912-2196
Photo of The Vancouver Centre for Loss & Bereavement, Counsellor in Vancouver, BC
The Vancouver Centre for Loss & Bereavement
Counsellor, PhD, MA, RCC, CRT, BCOMM
Verified Verified
Vancouver, BC V6B  (Online Only)
Dr. Cheryl Bucar Having experienced personal and work related loss, I have learned that recovery from the trauma of loss and change is a process. In many situations such as a death or divorce the individual is able to label the loss and associated feelings as grief. Often in an organizational context, individuals do not think that the work related change as loss which can trigger profound feelings of grief. Understanding organizational loss in this context, normalizing the feelings that go with this type of change allows the integration of this knowing into my group and individual counselling work.
Dr. Cheryl Bucar Having experienced personal and work related loss, I have learned that recovery from the trauma of loss and change is a process. In many situations such as a death or divorce the individual is able to label the loss and associated feelings as grief. Often in an organizational context, individuals do not think that the work related change as loss which can trigger profound feelings of grief. Understanding organizational loss in this context, normalizing the feelings that go with this type of change allows the integration of this knowing into my group and individual counselling work.
(866) 206-7896 View (866) 206-7896
Photo of Sam Rumak, Psychologist in Vancouver, BC
Sam Rumak
Psychologist, PhD
Verified Verified
Vancouver, BC V6B  (Online Only)
Are you struggling with depression, anxiety, or other mental health issues? I am here to help you. I primarily offer therapy via videoconference or telephone to adults living in British Columbia. I have experience and enjoy working with individuals from diverse backgrounds and those with complex presentations. I am skilled at helping individuals manage depression, bipolar, generalized anxiety, social anxiety, panic disorder, obsessive, compulsive disorder, skin picking or hair pulling, psychosis, work stress and anxiety related to life changes.
Are you struggling with depression, anxiety, or other mental health issues? I am here to help you. I primarily offer therapy via videoconference or telephone to adults living in British Columbia. I have experience and enjoy working with individuals from diverse backgrounds and those with complex presentations. I am skilled at helping individuals manage depression, bipolar, generalized anxiety, social anxiety, panic disorder, obsessive, compulsive disorder, skin picking or hair pulling, psychosis, work stress and anxiety related to life changes.
(236) 349-1076 View (236) 349-1076

See more therapy options for Vancouver

How does your Counsellor compare?

Number of Counsellors in Vancouver, BC

2,000+

Average cost per session

$150

Counsellors in Vancouver, BC who prioritize treating:

92% Anxiety
84% Depression
80% Self Esteem
79% Relationship Issues
77% Stress
71% Trauma and PTSD
70% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

54% SunLife
48% Pacific Blue Cross
44% Green Shield Canada

How Counsellors in Vancouver, BC see their clients

67% In Person and Online
33% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Vancouver?

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.