Therapists in Sandton

Photo of Louise Bolton, Psychologist, MSc, HPCSA - Clin. Psych.
Louise Bolton
Psychologist, MSc, HPCSA - Clin. Psych.
Sandton 2191
I support adolescents, adults, and couples by using integrative, personalized, and evidence-based methods. My approach incorporates behavioral therapies like CBT, DBT, REBT, and ACT, with a strong focus on setting and achieving goals. The aim is to help you heal, recover, and overcome whatever challenges you face, while equipping you with the skills needed to navigate life effectively. Therapy is designed to be a temporary process, not a long-term commitment.
I support adolescents, adults, and couples by using integrative, personalized, and evidence-based methods. My approach incorporates behavioral therapies like CBT, DBT, REBT, and ACT, with a strong focus on setting and achieving goals. The aim is to help you heal, recover, and overcome whatever challenges you face, while equipping you with the skills needed to navigate life effectively. Therapy is designed to be a temporary process, not a long-term commitment.
087 250 2219 x73 View 087 250 2219 x73
Photo of Kavishka Moodley, Psychologist, MA, HPCSA - Couns. Psych.
Kavishka Moodley
Psychologist, MA, HPCSA - Couns. Psych.
1 Endorsed
Online Only
As your counselling psychologist, I am equipped with treating various mental health concerns. I am kind and warm and endeavor to be understanding of your experience. I have wealth of experience ranging from private practice, tertiary institutions & corporate. I have expertise in treating adults and have a special interest in couples therapy. Understanding that the environment is important, I do know that committing to a therapy session may come with uncertainty. However, I would love to ease that anxiety by answering any questions you may have. Your psychological well-being and functioning is of utmost importance to me.
As your counselling psychologist, I am equipped with treating various mental health concerns. I am kind and warm and endeavor to be understanding of your experience. I have wealth of experience ranging from private practice, tertiary institutions & corporate. I have expertise in treating adults and have a special interest in couples therapy. Understanding that the environment is important, I do know that committing to a therapy session may come with uncertainty. However, I would love to ease that anxiety by answering any questions you may have. Your psychological well-being and functioning is of utmost importance to me.
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Photo of Fran Webster, Psychologist, MA, HPCSA - Couns. Psych.
Fran Webster
Psychologist, MA, HPCSA - Couns. Psych.
Sandton 2191
I work with children from two years, adolescents and adults that are experiencing behavioural, emotional, academic and career-related problems due to difficulties with adjustment. Having had much exposure and experience with different types of trauma, I am passionate about working with all spheres of trauma, particularly with children. Career assessment and subject choice for scholars is an area I enjoy assisting with. Having worked with many individuals that develop psychological issues from studying subjects that they are not passionate about, or being in a career that does not promote self-actualisation.
I work with children from two years, adolescents and adults that are experiencing behavioural, emotional, academic and career-related problems due to difficulties with adjustment. Having had much exposure and experience with different types of trauma, I am passionate about working with all spheres of trauma, particularly with children. Career assessment and subject choice for scholars is an area I enjoy assisting with. Having worked with many individuals that develop psychological issues from studying subjects that they are not passionate about, or being in a career that does not promote self-actualisation.
087 250 0160 x35 View 087 250 0160 x35
Photo of Patrizia Favini - PKS Counselling Therapist - Patrizia, General Counsellor, BSocSci Hons, ASCHP Wellness Counsellor
PKS Counselling Therapist - Patrizia
General Counsellor, BSocSci Hons, ASCHP Wellness Counsellor
Sandton 2192
Life can be tough, and sometimes it’s hard to see a clear path forward. The habits and patterns we’ve carried since childhood can feel impossible to break, making it seem like we’re stuck in the same cycles with the same outcomes. If you’re feeling weighed down or wondering when things will change, know that finding a counselor who truly understands your unique needs can make all the difference. I’m here to support you on this journey with attentive listening and guidance shaped around your experiences.
Life can be tough, and sometimes it’s hard to see a clear path forward. The habits and patterns we’ve carried since childhood can feel impossible to break, making it seem like we’re stuck in the same cycles with the same outcomes. If you’re feeling weighed down or wondering when things will change, know that finding a counselor who truly understands your unique needs can make all the difference. I’m here to support you on this journey with attentive listening and guidance shaped around your experiences.
071 688 0443 View 071 688 0443
Photo of Lynett Olivier, General Counsellor, MSc
Lynett Olivier
General Counsellor, MSc
6 Endorsed
Sandton 2191
As Sexologist and somatic trauma release (TRE) specialist, I have extensive experience in human development, fulfilment and trauma release. We work through individual concerns, struggles, pain, hurt and strive to create life you desire (sexual or otherwise). Sexual health therapy focusses on erectile function, sexual pain disorders, low libido, trauma, communication, conflict, recurring unhealthy cycles, sexual desires/arousal, infidelity, addictions, loss of connection, alternative relationship styles, sexual identity and other. Our development is our greatest achievement.
As Sexologist and somatic trauma release (TRE) specialist, I have extensive experience in human development, fulfilment and trauma release. We work through individual concerns, struggles, pain, hurt and strive to create life you desire (sexual or otherwise). Sexual health therapy focusses on erectile function, sexual pain disorders, low libido, trauma, communication, conflict, recurring unhealthy cycles, sexual desires/arousal, infidelity, addictions, loss of connection, alternative relationship styles, sexual identity and other. Our development is our greatest achievement.
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Photo of Roxanne Goodchild - Roxanne Goodchild Specialist Wellness Counsellor, General Counsellor
Roxanne Goodchild Specialist Wellness Counsellor
General Counsellor
Online Only
You are unique, with your own strengths and weaknesses. With the right perspective and tools, you can overcome great challenges. There is much to be gained by working through our challenges- a fuller, more authentic and abundant life. But admitting that you're facing troubles, that you need assistance or that you do not feel fulfilled is the first step. Reach out if you need a safe space & an empathetic ear to work through difficulties, and to discover the hope that lies beyond what you have experienced. "Everything can be taken from a man but one thing: the last of the human freedoms—to choose one’s attitude in given circumstances"
You are unique, with your own strengths and weaknesses. With the right perspective and tools, you can overcome great challenges. There is much to be gained by working through our challenges- a fuller, more authentic and abundant life. But admitting that you're facing troubles, that you need assistance or that you do not feel fulfilled is the first step. Reach out if you need a safe space & an empathetic ear to work through difficulties, and to discover the hope that lies beyond what you have experienced. "Everything can be taken from a man but one thing: the last of the human freedoms—to choose one’s attitude in given circumstances"
087 250 2748 x43 View 087 250 2748 x43
Photo of Sherlinka Naidoo, Psychologist, MA, HPCSA - Couns. Psych.
Sherlinka Naidoo
Psychologist, MA, HPCSA - Couns. Psych.
Sandton 2191
I am registered with the HCPSA as a counselling psychologist and primarily work with young professionals, adults, and adolescents
I am registered with the HCPSA as a counselling psychologist and primarily work with young professionals, adults, and adolescents
087 250 2464 x20 View 087 250 2464 x20
Photo of Felleng Yende, Social Worker, PhD
Felleng Yende
Social Worker, PhD
Sandton 2191
Have you lost someone you love in your life because of an illness, or sudden death? Are you feeling shocked. frustrated, worrying, regret, blaming yourself or any other related grieving feelings? Do you need a career breakthrough? Do you feel frustrated at work and stuck in your career? Please contact me for a therapy / counselling session.
Have you lost someone you love in your life because of an illness, or sudden death? Are you feeling shocked. frustrated, worrying, regret, blaming yourself or any other related grieving feelings? Do you need a career breakthrough? Do you feel frustrated at work and stuck in your career? Please contact me for a therapy / counselling session.
087 250 2837 x19 View 087 250 2837 x19
Photo of Itumeleng Phillips, Registered Counsellor, BSocSci Hons, HPCSA - Counsellor
Itumeleng Phillips
Registered Counsellor, BSocSci Hons, HPCSA - Counsellor
1 Endorsed
Sandton 2196
Life doesn’t always go according to plan and sometimes, even the strongest among us need support to find our way back to balance. As a Registered Counsellor, I help individuals and couples navigate life’s transitions, loss, stress, and the emotional weight of trying to “hold it all together.” My goal is to create a space where you feel seen, heard, and equipped with tools to move forward with clarity and confidence.
Life doesn’t always go according to plan and sometimes, even the strongest among us need support to find our way back to balance. As a Registered Counsellor, I help individuals and couples navigate life’s transitions, loss, stress, and the emotional weight of trying to “hold it all together.” My goal is to create a space where you feel seen, heard, and equipped with tools to move forward with clarity and confidence.
087 250 0062 x39 View 087 250 0062 x39
Photo of Calvin Pienaar, Psychologist, MA, HPCSA - Clin. Psych.
Calvin Pienaar
Psychologist, MA, HPCSA - Clin. Psych.
Sandton 2191
Calvin uses an eclectic approach to therapy, integrating techniques to best suit individual needs. Specifically, his interest in Depth Psychology enables an exploration of the unconscious aspects of the psyche, uncovering deeper insights and facilitating profound personal transformation. Calvin has a special interest in Forensic Psychology, having gained experience with forensic evaluations, psychological and risk assessment and psychotherapy. Calvin aims to create a safe and supportive environment where individuals can explore their feelings, gain insights and develop the tools needed for personal growth.
Calvin uses an eclectic approach to therapy, integrating techniques to best suit individual needs. Specifically, his interest in Depth Psychology enables an exploration of the unconscious aspects of the psyche, uncovering deeper insights and facilitating profound personal transformation. Calvin has a special interest in Forensic Psychology, having gained experience with forensic evaluations, psychological and risk assessment and psychotherapy. Calvin aims to create a safe and supportive environment where individuals can explore their feelings, gain insights and develop the tools needed for personal growth.
087 250 0062 x31 View 087 250 0062 x31
Photo of Zukiswa Mgaqweni, General Counsellor
Zukiswa Mgaqweni
General Counsellor
Sandton 2191
Are you looking for a professional and compassionate counsellor? I understand that seeking help is a courageous step, and I am here to support you on your journey towards healing and personal growth. My approach to counselling is grounded in empathy, active listening, and a deep commitment to understanding your unique experiences. I am equipped with a strong academic background, up-to-date training, and a passion for helping others navigate life's challenges. I believe in creating a safe and non-judgmental space where you can freely explore your thoughts, feelings, and concerns.
Are you looking for a professional and compassionate counsellor? I understand that seeking help is a courageous step, and I am here to support you on your journey towards healing and personal growth. My approach to counselling is grounded in empathy, active listening, and a deep commitment to understanding your unique experiences. I am equipped with a strong academic background, up-to-date training, and a passion for helping others navigate life's challenges. I believe in creating a safe and non-judgmental space where you can freely explore your thoughts, feelings, and concerns.
087 250 0412 x31 View 087 250 0412 x31
Photo of Ace Chiheya, Psychologist, MA, HPCSA - Couns. Psych.
Ace Chiheya
Psychologist, MA, HPCSA - Couns. Psych.
Sandton 2196
Ace is black African male therapist practicing in Sandton, Johannesburg. He is a caring, diverse and reliable professional whose strength lies in his ability to conduct therapy with clients of different ages and in different languages that include English, Zulu, Xhosa, Ndebele, Swati, Sotho, Tswana, Pedi, Shona, and others.
Ace is black African male therapist practicing in Sandton, Johannesburg. He is a caring, diverse and reliable professional whose strength lies in his ability to conduct therapy with clients of different ages and in different languages that include English, Zulu, Xhosa, Ndebele, Swati, Sotho, Tswana, Pedi, Shona, and others.
087 250 0592 x92 View 087 250 0592 x92
Photo of Marina Genis, Psychologist, MA, HPCSA - Clin. Psych.
Marina Genis
Psychologist, MA, HPCSA - Clin. Psych.
Online Only
The journey of processing difficulties and learning about oneself is a path which not many people dare to travel, despite the immense rewards such a journey offers. Bringing one’s innermost fears, difficulties and traumatic experiences to the therapy room is not easy. Being cognizant of this, building a trusting relationship with my client and creating a safe space to work in, is of utmost importance to me. As a therapist, this quote by Terence really resonates with me: “I am human; let nothing human be alien to me.”
The journey of processing difficulties and learning about oneself is a path which not many people dare to travel, despite the immense rewards such a journey offers. Bringing one’s innermost fears, difficulties and traumatic experiences to the therapy room is not easy. Being cognizant of this, building a trusting relationship with my client and creating a safe space to work in, is of utmost importance to me. As a therapist, this quote by Terence really resonates with me: “I am human; let nothing human be alien to me.”
087 250 0162 x59 View 087 250 0162 x59
Photo of Aimee Dube Langkilde, Psychologist, MA, HPCSA - Couns. Psych.
Aimee Dube Langkilde
Psychologist, MA, HPCSA - Couns. Psych.
2 Endorsed
Sandton 2191
Aimee is a registered Counselling Psychologist with the HPCSA. She completed her Bachelor's degree at Monash University first in Public health and double majored in Psychology and Child and Youth Care Work. Aimee completed her Honors degree at the South African College of Applied Psychology and her Master’s degree in Counselling Psychology at the University of the Witwatersrand. Aimee understands that starting therapy can be a daunting experience and believes in using a gentle and boundaries approach with her patients. She works from a psychodynamic perspective which involves changing problematic behaviors, thoughts, and feelings
Aimee is a registered Counselling Psychologist with the HPCSA. She completed her Bachelor's degree at Monash University first in Public health and double majored in Psychology and Child and Youth Care Work. Aimee completed her Honors degree at the South African College of Applied Psychology and her Master’s degree in Counselling Psychology at the University of the Witwatersrand. Aimee understands that starting therapy can be a daunting experience and believes in using a gentle and boundaries approach with her patients. She works from a psychodynamic perspective which involves changing problematic behaviors, thoughts, and feelings
087 250 2293 x34 View 087 250 2293 x34
Photo of Christopher Roy Kemp - Chris Kemp Psychology, Psychologist, MPsych, HPCSA - Clin. Psych.
Chris Kemp Psychology
Psychologist, MPsych, HPCSA - Clin. Psych.
1 Endorsed
Sandton 2191
Asking for support can take a lot of courage and vulnerability. Whether you're looking for support in a particularly difficult time or to better understand yourself and the way you interact with others and the world around you, I aim to create a comfortable space where we can collaboratively make sense of what your needs are and how to meet those needs. There is no criteria for engaging in therapy - if you feel it may benefit you, I encourage you to take a risk and reach out.
Asking for support can take a lot of courage and vulnerability. Whether you're looking for support in a particularly difficult time or to better understand yourself and the way you interact with others and the world around you, I aim to create a comfortable space where we can collaboratively make sense of what your needs are and how to meet those needs. There is no criteria for engaging in therapy - if you feel it may benefit you, I encourage you to take a risk and reach out.
087 250 2293 x27 View 087 250 2293 x27
Photo of Marjaanah Motala, General Counsellor, MSc, ASCHP Wellness Counsellor
Marjaanah Motala
General Counsellor, MSc, ASCHP Wellness Counsellor
1 Endorsed
Online Only
Welcome to my virtual practice :) As a woman, I understand how full, complex, and messy life can be, and that there’s no one-size-fits-all approach to healing. That’s why I work best with women who are ready to invest in their mental health, show up for themselves, and take meaningful steps toward lasting change. Healing isn’t always easy—it takes strength, vulnerability, and commitment. Together, we’ll work through guided sessions, exercises, and personalized resources to support your unique journey, leading to a healthier and happier you.
Welcome to my virtual practice :) As a woman, I understand how full, complex, and messy life can be, and that there’s no one-size-fits-all approach to healing. That’s why I work best with women who are ready to invest in their mental health, show up for themselves, and take meaningful steps toward lasting change. Healing isn’t always easy—it takes strength, vulnerability, and commitment. Together, we’ll work through guided sessions, exercises, and personalized resources to support your unique journey, leading to a healthier and happier you.
087 250 0160 x70 View 087 250 0160 x70
Photo of Zinzisa Zinzi Deliwe-Juju - TM Counselling Fourways, Registered Counsellor
TM Counselling Fourways
Registered Counsellor
2 Endorsed
Sandton 2191
As a Registered Counsellor, wife, mother, sister, daughter, aunt and member of a blended family, I understand the complexities of life's challenges. Whether you're grappling with grief, trauma, self-esteem concerns, or relationship issues, I am here to support you.
As a Registered Counsellor, wife, mother, sister, daughter, aunt and member of a blended family, I understand the complexities of life's challenges. Whether you're grappling with grief, trauma, self-esteem concerns, or relationship issues, I am here to support you.
087 250 2042 x56 View 087 250 2042 x56
Photo of Danielle Necrusha Govender, General Counsellor, ASCHP Specialist Wellness Counsellor
Danielle Necrusha Govender
General Counsellor, ASCHP Specialist Wellness Counsellor
1 Endorsed
Online Only
I believe most people seek emotional clarity, hope, respect, and meaningful connection and change, that they are seeking a space to pause, reflect, and re-regulate, where counselling feels safe, genuine, affirming, practical, and grounded—support that honours their pace, complexity, and capacity to heal. You may be an overwhelmed professional, young adult, or a couple feeling unheard, anxious, struggling with communication or stuck in unhealthy patterns, with the goal to regulate your nervous system, find reconnection, develop healthy new patterns, and deeper emotional awareness.
I believe most people seek emotional clarity, hope, respect, and meaningful connection and change, that they are seeking a space to pause, reflect, and re-regulate, where counselling feels safe, genuine, affirming, practical, and grounded—support that honours their pace, complexity, and capacity to heal. You may be an overwhelmed professional, young adult, or a couple feeling unheard, anxious, struggling with communication or stuck in unhealthy patterns, with the goal to regulate your nervous system, find reconnection, develop healthy new patterns, and deeper emotional awareness.
087 250 2962 x83 View 087 250 2962 x83
Photo of Dr. N Malatji-Angoma, Psychologist, PhD, HPCSA - Couns. Psych.
Dr. N Malatji-Angoma
Psychologist, PhD, HPCSA - Couns. Psych.
Sandton 2196
Upcoming Event: Festive Season Proof your Relationship - Join Dr Malatji-Angoma for a 2hr relationship Masterclass on 16/12/2025 in Fourways (R550pp). Rebuild your relationship & break patterns holding it back. Seats are limited. You will receive a report on your attachment style & relationship health status! I have 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). WHATSapp 0722439698 for an appointment.
Upcoming Event: Festive Season Proof your Relationship - Join Dr Malatji-Angoma for a 2hr relationship Masterclass on 16/12/2025 in Fourways (R550pp). Rebuild your relationship & break patterns holding it back. Seats are limited. You will receive a report on your attachment style & relationship health status! I have 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). WHATSapp 0722439698 for an appointment.
087 250 2962 x75 View 087 250 2962 x75
Photo of Angelo Vincent Deboni, Registered Counsellor
Angelo Vincent Deboni
Registered Counsellor
1 Endorsed
Online Only
Therapy has become very clinical in the pathological world we live in. I focus on ways to make ethical, values-based choices that help you build a life of purp & meaning. I use an Existentialist approach (Humanistic) and my methods generally follow Acceptance & Commitment Therapy guidelines. I have a unique perspective on many issues resulting from my experience in life with personal challenges: raised in poverty, suffering male-anorexia, failed early-life relationships and 20 yrs. as an entrepreneur. This lived experience helps me be an effective counsellor, mental health speaker and provide ethical services as a life-coach.
Therapy has become very clinical in the pathological world we live in. I focus on ways to make ethical, values-based choices that help you build a life of purp & meaning. I use an Existentialist approach (Humanistic) and my methods generally follow Acceptance & Commitment Therapy guidelines. I have a unique perspective on many issues resulting from my experience in life with personal challenges: raised in poverty, suffering male-anorexia, failed early-life relationships and 20 yrs. as an entrepreneur. This lived experience helps me be an effective counsellor, mental health speaker and provide ethical services as a life-coach.
087 250 2148 x76 View 087 250 2148 x76

How does your Counsellor compare?

Number of Counsellors in Sandton

100+

Average cost per session

R1000

Counsellors in Sandton who prioritize treating:

83% Anxiety
76% Relationship Issues
72% Self Esteem
70% Stress
69% Depression
65% Grief
63% Trauma and PTSD

Average years in practice

7 Years

Top 3 insurances accepted

94% Discovery Health
91% Bonitas
89% Momentum

How Counsellors in Sandton see their clients

83% In Person and Online
17% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Sandton?

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.