Psychologists and Therapists in Marshalltown

Photo of Ayanda Mabhoza, Registered Counsellor
Ayanda Mabhoza
Registered Counsellor
1 Endorsed
Ideal clients: Individuals, couples, and families facing challenges such as anxiety, depression, trauma, relationship difficulties, or life stressors. What brings them in: Emotional distress, life transitions, unresolved experiences, or a need for support and clarity. How we help: We provide a supportive, compassionate, and client-centred environment where individuals feel heard and understood. We use evidence-based approaches to build coping skills, strengthen resilience, and support lasting well-being.
Ideal clients: Individuals, couples, and families facing challenges such as anxiety, depression, trauma, relationship difficulties, or life stressors. What brings them in: Emotional distress, life transitions, unresolved experiences, or a need for support and clarity. How we help: We provide a supportive, compassionate, and client-centred environment where individuals feel heard and understood. We use evidence-based approaches to build coping skills, strengthen resilience, and support lasting well-being.
087 813 4099 x50 View 087 813 4099 x50

More Therapists Nearby

Photo of Brenny Pheladi Maruma, Psychologist, MA, HPCSA - Couns. Psych.
Brenny Pheladi Maruma
Psychologist, MA, HPCSA - Couns. Psych.
Edenburg 2128
I am a dedicated counselling psychologist; registered with the HPCSA, with passion for promoting mental health. I am devoted to helping my clients as they navigate their social, vocational, and personal challenges. I aim to empower them to be their true self and to reach their goals by confronting and overcoming these challenges that they may lead more meaningful and fulfilling lives.
I am a dedicated counselling psychologist; registered with the HPCSA, with passion for promoting mental health. I am devoted to helping my clients as they navigate their social, vocational, and personal challenges. I aim to empower them to be their true self and to reach their goals by confronting and overcoming these challenges that they may lead more meaningful and fulfilling lives.
087 250 0513 x28 View 087 250 0513 x28
Photo of Madeleine Swart - Zehira-Kedesh Trauma and Addiction Counselling, General Counsellor, ASCHP Specialist Wellness Counsellor
Zehira-Kedesh Trauma and Addiction Counselling
General Counsellor, ASCHP Specialist Wellness Counsellor
Serves Area
Zehira-Kedesh assists clients with sex addiction, betrayal trauma, marriage counselling, sexual assault (including rape), domestic violence, general trauma and more. Zehira-Kedesh is a trauma and addiction counselling centre founded in 2019 with the aim of providing counselling that promotes holistic well-being in body, mind, and spirit. It provides general and pastoral (Christian) counselling to the public. With two offices and a well-established online therapy practice, it assists people from diverse backgrounds, ages and beliefs. The Zehira-Kedesh counselor is the only dual IITAP qualified CSAT and CPTT in South Africa.
Zehira-Kedesh assists clients with sex addiction, betrayal trauma, marriage counselling, sexual assault (including rape), domestic violence, general trauma and more. Zehira-Kedesh is a trauma and addiction counselling centre founded in 2019 with the aim of providing counselling that promotes holistic well-being in body, mind, and spirit. It provides general and pastoral (Christian) counselling to the public. With two offices and a well-established online therapy practice, it assists people from diverse backgrounds, ages and beliefs. The Zehira-Kedesh counselor is the only dual IITAP qualified CSAT and CPTT in South Africa.
087 250 0719 x15 View 087 250 0719 x15
Photo of Eileen Thayser, Psychologist, MA, HPCSA - Clin. Psych.
Eileen Thayser
Psychologist, MA, HPCSA - Clin. Psych.
Online Only
I've been a psychologist for 24 years, after a long business career. I'm committed to fostering a trusting relationship where individuals feel safe to open up and share their true selves. Together, we create a space where people discover inner qualities, strengths, and resilience, make sense of challenging situations and often painful pasts, and build a future where they maintain a strong sense of well-being. My experience shows that clients seek an open, honest, practical and future-focused therapist. I’m also a trained and experienced coach and can blend therapy and coaching.
I've been a psychologist for 24 years, after a long business career. I'm committed to fostering a trusting relationship where individuals feel safe to open up and share their true selves. Together, we create a space where people discover inner qualities, strengths, and resilience, make sense of challenging situations and often painful pasts, and build a future where they maintain a strong sense of well-being. My experience shows that clients seek an open, honest, practical and future-focused therapist. I’m also a trained and experienced coach and can blend therapy and coaching.
087 250 0782 x26 View 087 250 0782 x26
Photo of Megan Vries, Psychologist, MPsych, HPCSA - Clin. Psych.
Megan Vries
Psychologist, MPsych, HPCSA - Clin. Psych.
Randburg 2194
My name is Megan Vries. I am a clinical psychologist, based in Craighall Park, providing therapy to adults and adolescents. There are constant demands placed on adults, including family responsibility, navigating interpersonal relationships, and work demands. Similarly, Adolescence and young adulthood is a challenging period as young people are experiencing cognitive, social, emotional and interpersonal changes. Adolescents may be under significantly more pressure than when they were younger, in that more is expected from them academically and socially.
My name is Megan Vries. I am a clinical psychologist, based in Craighall Park, providing therapy to adults and adolescents. There are constant demands placed on adults, including family responsibility, navigating interpersonal relationships, and work demands. Similarly, Adolescence and young adulthood is a challenging period as young people are experiencing cognitive, social, emotional and interpersonal changes. Adolescents may be under significantly more pressure than when they were younger, in that more is expected from them academically and socially.
087 250 2837 x25 View 087 250 2837 x25
Photo of Bridget Unathi Matomela, Social Worker, SACSSP
Bridget Unathi Matomela
Social Worker, SACSSP
Germiston 1401
We are committed to providing compassionate, client-centered support tailored to your unique needs. With a focus on mental health, wellness, and personal growth, our goal is to empower individuals, families, and communities to navigate life’s challenges and achieve lasting positive change. Whether you are seeking therapy, guidance, or crisis intervention, we offer a safe, confidential space where healing and growth are prioritized.
We are committed to providing compassionate, client-centered support tailored to your unique needs. With a focus on mental health, wellness, and personal growth, our goal is to empower individuals, families, and communities to navigate life’s challenges and achieve lasting positive change. Whether you are seeking therapy, guidance, or crisis intervention, we offer a safe, confidential space where healing and growth are prioritized.
087 250 0160 x14 View 087 250 0160 x14
Photo of Shaney van der Bank, Registered Counsellor, BSocSci Hons, HPCSA - Counsellor
Shaney van der Bank
Registered Counsellor, BSocSci Hons, HPCSA - Counsellor
1 Endorsed
Pretoria 0081
Consider my counseling services for a compassionate, evidence-based approach tailored to your needs. With experience in trauma, life changes, and personal development, I offer a safe and supportive space for growth. Located in Sandton and Pretoria East, my practice provides flexible options to fit your schedule. I’m here to help you navigate challenges, develop coping skills, and work towards a balanced, fulfilling life.
Consider my counseling services for a compassionate, evidence-based approach tailored to your needs. With experience in trauma, life changes, and personal development, I offer a safe and supportive space for growth. Located in Sandton and Pretoria East, my practice provides flexible options to fit your schedule. I’m here to help you navigate challenges, develop coping skills, and work towards a balanced, fulfilling life.
087 250 0513 x44 View 087 250 0513 x44
Photo of Dori-Anne Nicollette Erasmus, Social Worker, SACSSP
Dori-Anne Nicollette Erasmus
Social Worker, SACSSP
Serves Area
On the outside, you look like you’re managing it all. Inside, you’re exhausted. Work stress follows you home. You feel disconnected from yourself, from your partner, from the life you thought you were building. I work with high-performing professionals who appear capable on the outside but feel exhausted, overwhelmed, and emotional drained. Many of my clients are successful in their careers yet struggle with chronic stress, people-pleasing, and difficulty switching off, this often affects relationships. When you’re ready to feel more grounded, empowered, and connected, I invite you to reach out for a consultation.
On the outside, you look like you’re managing it all. Inside, you’re exhausted. Work stress follows you home. You feel disconnected from yourself, from your partner, from the life you thought you were building. I work with high-performing professionals who appear capable on the outside but feel exhausted, overwhelmed, and emotional drained. Many of my clients are successful in their careers yet struggle with chronic stress, people-pleasing, and difficulty switching off, this often affects relationships. When you’re ready to feel more grounded, empowered, and connected, I invite you to reach out for a consultation.
087 250 0409 x86 View 087 250 0409 x86
Photo of Emma Lomberg, Psychologist, MSocSci, HPCSA - Couns. Psych.
Emma Lomberg
Psychologist, MSocSci, HPCSA - Couns. Psych.
Sandton 2191
I am an English-speaking Counselling psychologist. I offer in-person and online therapy and assessment services for children, adolescents, adults and couples. I work from an integrative approach in which I use a variety of therapy approaches to best meet your individual needs. I aim to ensure that you feel safe and heard.
I am an English-speaking Counselling psychologist. I offer in-person and online therapy and assessment services for children, adolescents, adults and couples. I work from an integrative approach in which I use a variety of therapy approaches to best meet your individual needs. I aim to ensure that you feel safe and heard.
087 250 0049 x95 View 087 250 0049 x95
Photo of Siphesihle Mwelase, Psychologist, MA, HPCSA - Clin. Psych.
Siphesihle Mwelase
Psychologist, MA, HPCSA - Clin. Psych.
Life's challenges can be daunting, especially when it seems like those around us struggle to provide the support we need. Embarking on therapy reflects a courageous and vulnerable decision. It may stem from various losses, a shift from your usual self, or a desire for a deeper self-understanding. Therapy serves as a supportive space to navigate these experiences, discover new ways of being, and overcome life's challenges. The objective of therapy, in alignment with the client's goals, is to fundamentally address how individuals relate to themselves and the world. We support the pursuit of the client's desired quality of life.
Life's challenges can be daunting, especially when it seems like those around us struggle to provide the support we need. Embarking on therapy reflects a courageous and vulnerable decision. It may stem from various losses, a shift from your usual self, or a desire for a deeper self-understanding. Therapy serves as a supportive space to navigate these experiences, discover new ways of being, and overcome life's challenges. The objective of therapy, in alignment with the client's goals, is to fundamentally address how individuals relate to themselves and the world. We support the pursuit of the client's desired quality of life.
087 250 0616 x47 View 087 250 0616 x47
Photo of Petru Malan - Petru Malan Wellness Counselling and PBI, General Counsellor, ASCHP Wellness Counsellor
Petru Malan Wellness Counselling and PBI
General Counsellor, ASCHP Wellness Counsellor
3 Endorsed
Centurion 0157
I offer a safe, supportive space for individuals and families seeking guidance, connection, and emotional support. Whether you feel overwhelmed, angry, confused, disconnected, or simply need someone to listen, you are welcome here. I work with young children, adolescents, and young adults, supporting emotional regulation, wellbeing, and healthy relationships. Children under 12 are seen in person, with sessions focusing on sand play therapy, nervous system support, and emotional regulation.. Parental consent is required for online counselling ages 12–18. Teen and adult sessions can be provided online from the get go.
I offer a safe, supportive space for individuals and families seeking guidance, connection, and emotional support. Whether you feel overwhelmed, angry, confused, disconnected, or simply need someone to listen, you are welcome here. I work with young children, adolescents, and young adults, supporting emotional regulation, wellbeing, and healthy relationships. Children under 12 are seen in person, with sessions focusing on sand play therapy, nervous system support, and emotional regulation.. Parental consent is required for online counselling ages 12–18. Teen and adult sessions can be provided online from the get go.
087 250 2219 x92 View 087 250 2219 x92
Photo of Khavisile Candice Masonto - Candice Masonto Counselling, Registered Counsellor, BSocSci Hons, HPCSA - Counsellor
Candice Masonto Counselling
Registered Counsellor, BSocSci Hons, HPCSA - Counsellor
Serves Area
Through counselling, my goal is to help clients feel heard, supported, and empowered as they work towards healing, personal growth, and emotional wellbeing. I strive to create a compassionate and collaborative space where clients can explore their experiences, gain insight, and build the resilience needed to move forward in a healthier and more fulfilling way.
Through counselling, my goal is to help clients feel heard, supported, and empowered as they work towards healing, personal growth, and emotional wellbeing. I strive to create a compassionate and collaborative space where clients can explore their experiences, gain insight, and build the resilience needed to move forward in a healthier and more fulfilling way.
087 250 0162 x83 View 087 250 0162 x83
Photo of Monique Anne Botha, Psychologist, MSc, HPCSA - Clin. Psych.
Monique Anne Botha
Psychologist, MSc, HPCSA - Clin. Psych.
1 Endorsed
Centurion 0157
Hello and welcome to my practice. My name is Monique Botha. I am a clinical psychologist, who finds meaning in walking with humans as they navigate life. The humans who come to my practice are often carrying a great deal, even if it does not always show on the surface. Many arrive feeling overwhelmed, misunderstood, or disconnected from themselves, their bodies, or their relationships. They are not looking only for symptom relief; they are seeking understanding, safety, and a space where they can make sense of their inner word. Should you wish to start your own journey of healing, know that you don’t need to to do it alone. <3
Hello and welcome to my practice. My name is Monique Botha. I am a clinical psychologist, who finds meaning in walking with humans as they navigate life. The humans who come to my practice are often carrying a great deal, even if it does not always show on the surface. Many arrive feeling overwhelmed, misunderstood, or disconnected from themselves, their bodies, or their relationships. They are not looking only for symptom relief; they are seeking understanding, safety, and a space where they can make sense of their inner word. Should you wish to start your own journey of healing, know that you don’t need to to do it alone. <3
087 250 0616 x21 View 087 250 0616 x21
Photo of Boitumelo Patricia Mautla, General Counsellor, BSocSci Hons, ASCHP Specialist Wellness Counsellor
Boitumelo Patricia Mautla
General Counsellor, BSocSci Hons, ASCHP Specialist Wellness Counsellor
1 Endorsed
Serves Area
I am a Specialist Wellness Counsellor and Life Coach with experience working with individuals and couples. My approach integrates both psychological and Christian counselling approaches. My services include: • Counselling for young adults affected by ACE's (Adverse Childhood Experiences) that continue to influence personal and professional relationships • Counselling and support for parents of teenagers and adult children • Counselling for life stresses, such as life transitions and loss of loved ones (Bereavement/Grief counselling) • Christian-based Premarital and post-marital counselling
I am a Specialist Wellness Counsellor and Life Coach with experience working with individuals and couples. My approach integrates both psychological and Christian counselling approaches. My services include: • Counselling for young adults affected by ACE's (Adverse Childhood Experiences) that continue to influence personal and professional relationships • Counselling and support for parents of teenagers and adult children • Counselling for life stresses, such as life transitions and loss of loved ones (Bereavement/Grief counselling) • Christian-based Premarital and post-marital counselling
087 250 3069 x76 View 087 250 3069 x76
Photo of Tshikani Machethe - Machethe Consulting, Registered Counsellor
Machethe Consulting
Registered Counsellor
2 Endorsed
Pretoria 0002
Individual, couple and family counselling.
Individual, couple and family counselling.
087 250 0616 x99 View 087 250 0616 x99
Photo of Dr. N Malatji-Angoma, Psychologist, PhD, HPCSA - Couns. Psych.
Dr. N Malatji-Angoma
Psychologist, PhD, HPCSA - Couns. Psych.
Sandton 2196
I have over 20 years experience working with individuals and couples. DEPRESSion, anxiety, TRAUMA, self ESTEEM, performance, grief, divorce and addiction issues, STRESS (these make it difficult to live a high quality life and affect relationships, career etc if not treated). I am relationship expert and enjoy working with couples to break unhealthy habits, holding relationships back. EMDR, TRE and BWRT trained Psychologist. WhatsApp 0722439698 for an appointment.
I have over 20 years experience working with individuals and couples. DEPRESSion, anxiety, TRAUMA, self ESTEEM, performance, grief, divorce and addiction issues, STRESS (these make it difficult to live a high quality life and affect relationships, career etc if not treated). I am relationship expert and enjoy working with couples to break unhealthy habits, holding relationships back. EMDR, TRE and BWRT trained Psychologist. WhatsApp 0722439698 for an appointment.
087 250 2962 x75 View 087 250 2962 x75
Photo of Lesang Chris Maiketso, General Counsellor, ASCHP Specialist Wellness Counsellor
Lesang Chris Maiketso
General Counsellor, ASCHP Specialist Wellness Counsellor
All of us have a history. We all have a story to tell. And I provide a space to dwell on your history and find a pleasant way to tell it through transformative storytelling. Your experience is full of rich encounters and needs me to pay attention to. Exploring and unpacking past experiences is not a simple task. To achieve the best counselling outcome, I believe in a collaborative effort between the counsellor and the client. In my presence, you will feel a deeper sense of being understood. I believe it is by being understood and listened to that you’ll reach your true self.
All of us have a history. We all have a story to tell. And I provide a space to dwell on your history and find a pleasant way to tell it through transformative storytelling. Your experience is full of rich encounters and needs me to pay attention to. Exploring and unpacking past experiences is not a simple task. To achieve the best counselling outcome, I believe in a collaborative effort between the counsellor and the client. In my presence, you will feel a deeper sense of being understood. I believe it is by being understood and listened to that you’ll reach your true self.
087 250 2293 x76 View 087 250 2293 x76
Zaiboonnisha Mayet
Psychologist, MA, HPCSA - Clin. Psych.
We are all guided by stories. Some stories we tell ourselves, some we have inherited, and some quietly shape our daily lives. Together, we can uncover these loud and silent stories, creating a space where reflection leads to meaningful action and change. Every journey is unique and I welcome the opportunity to explore yours with empathy, curiosity, and commitment. "How can I be substantial if I do not cast a shadow? I must have a dark side also if I am to be whole." – Carl Jung
We are all guided by stories. Some stories we tell ourselves, some we have inherited, and some quietly shape our daily lives. Together, we can uncover these loud and silent stories, creating a space where reflection leads to meaningful action and change. Every journey is unique and I welcome the opportunity to explore yours with empathy, curiosity, and commitment. "How can I be substantial if I do not cast a shadow? I must have a dark side also if I am to be whole." – Carl Jung
087 250 2042 x87 View 087 250 2042 x87
Photo of Lindiwe Tsakani Shayi - Wellness with Lindz, Social Worker, SACSSP
Wellness with Lindz
Social Worker, SACSSP
2 Endorsed
Randburg 2188
Life can be overwhelming, the problems and challenges you face might make you feel helpless and hopeless. Wellness with Lindz is there to support you, to empower you to become your own agent of change, but importantly, to reclaim control of your life. I am not here to fix, rather to work together with you to find solutions to your problems. My services are not only related to people who experience challenges or problems in life, phase of life adjustments, how to handle good/ positive things in your life forms part of my service provision. How can I help?
Life can be overwhelming, the problems and challenges you face might make you feel helpless and hopeless. Wellness with Lindz is there to support you, to empower you to become your own agent of change, but importantly, to reclaim control of your life. I am not here to fix, rather to work together with you to find solutions to your problems. My services are not only related to people who experience challenges or problems in life, phase of life adjustments, how to handle good/ positive things in your life forms part of my service provision. How can I help?
087 250 0719 x61 View 087 250 0719 x61
Photo of Mary-Anne Wright, Psychologist, MA, HPCSA - Clin. Psych.
Mary-Anne Wright
Psychologist, MA, HPCSA - Clin. Psych.
1 Endorsed
Sandton 2191
We all need someone to talk to, a kind-heart and a listening ear can make the world of difference in a time of need. I offer a truly non-judgmental space where we can process, laugh, and cry together, while equipping you with the needed skills to face life's challenges. I am passionate about working with adults, teens, and children. I utilise a multi-modal approach mainly drawing on my training in systems therapy, narrative therapy, psychodynamic therapy, person-centered therapy, CBT, and somatic therapies. I draw on my creative background to tailor therapies to meet the unique needs of each individual client.
We all need someone to talk to, a kind-heart and a listening ear can make the world of difference in a time of need. I offer a truly non-judgmental space where we can process, laugh, and cry together, while equipping you with the needed skills to face life's challenges. I am passionate about working with adults, teens, and children. I utilise a multi-modal approach mainly drawing on my training in systems therapy, narrative therapy, psychodynamic therapy, person-centered therapy, CBT, and somatic therapies. I draw on my creative background to tailor therapies to meet the unique needs of each individual client.
087 250 2148 x40 View 087 250 2148 x40

How does your Counsellor compare?

Number of Psychologists and Therapists in Marshalltown

< 10

Psychologists and Therapists in Marshalltown who prioritize treating:

100% Domestic Abuse
100% Eating Disorders
100% Depression
100% Addiction
100% Anxiety
100% Grief
100% Parenting

Average years in practice

10 Years

Top 3 insurances accepted

100% Momentum
100% Bonitas
100% GEMS

How Psychologists and Therapists in Marshalltown see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counselling

How can I find a therapist in Marshalltown?

Search for nearby psychologists or counsellors by inputting your city, postcode, 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 postcode into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Psychologists listed in the directory are registered with the Health Professions Council of South Africa (HPCSA). The majority of General Counsellors featured in the directory align themselves with reputable professional bodies, particularly the Association for Supportive Counsellors and Holistic Practitioners. All Registered Counsellors listed must be registered with the Health Professions Council of South Africa (HPCSA). Social Workers listed in the directory must be registered with the South African Council for Social Service Professionals.

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for general counsellors in South Africa, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Psychologists, counsellors and social workers can all provide counselling or talking therapy and have credentials and supervised, practical experience that enable them to do so in South Africa.

Psychologists have five years training in psychology, have completed an internship over 12 months, and have completed the National Examination of the Professional Board for Psychology. They must be registered with Health Professions Council of South Africa (HPCSA). Registered Counsellors must have at least four years of study at a university or college, such as the Bachelor of Psychology and have completed the National Examination of the Professional Board for Psychology. General counsellors, such as Supportive Counsellors, Holistic Counsellors, and Wellness Counsellors, registered with the ASCHP must possess at least an NQF Level 4 qualification. Social Workers must possess a Bachelor of Social Work and must have completed an approved internship in the social service sector.

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 South Africa could be between R600 and R1,500. If you have private insurance, your plan may cover some if not all of your sessions. You should contact your insurance provider to determine if they provide coverage for therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.

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.

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 postcode.

Are therapy sessions confidential?

Therapists who are registered with the HPCSA and professional organisations such as PsySSA or the ASCHP are bound by an ethical framework that requires them to uphold a confidentiality agreement. 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 as required by law, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.