Psychologists and Therapists in Sandton

Photo of Ashleigh Raine-Botha - Raine Counselling, Registered Counsellor, BSocSci Hons, HPCSA - Counsellor
Raine Counselling
Registered Counsellor, BSocSci Hons, HPCSA - Counsellor
Sandton 2191
The Integrated counselling approach that I adopt is tailored to the personal needs and characteristics of each individual client. Understanding the client’s specific area of disruption within their systemic context, offers a holistic view that helps to foster the development of an appropriate intervention plan. Developing a collaborative working relationship with my clients is the key that unlocks a positive transformation process.
The Integrated counselling approach that I adopt is tailored to the personal needs and characteristics of each individual client. Understanding the client’s specific area of disruption within their systemic context, offers a holistic view that helps to foster the development of an appropriate intervention plan. Developing a collaborative working relationship with my clients is the key that unlocks a positive transformation process.
087 250 0049 x40 View 087 250 0049 x40
Photo of Sumarie Engelbrecht, Registered Counsellor, BSocSci Hons
Sumarie Engelbrecht
Registered Counsellor, BSocSci Hons
2 Endorsed
Sandton 2191
Embrace empowerment on your journey to healing. Unwavering support for navigating life’s complexities and traumas. Feeling stuck and indecisive in life? Struggling to express your emotions freely? Overwhelmed by life's challenges? You do not have to face these challenges alone. Find your safe space paired with action-based counselling that creates a real-life impact.
Embrace empowerment on your journey to healing. Unwavering support for navigating life’s complexities and traumas. Feeling stuck and indecisive in life? Struggling to express your emotions freely? Overwhelmed by life's challenges? You do not have to face these challenges alone. Find your safe space paired with action-based counselling that creates a real-life impact.
087 250 3069 x26 View 087 250 3069 x26
Photo of Sharlene Sema Raston, General Counsellor, BSocSci Hons, HPCSA - Psychometrist
Sharlene Sema Raston
General Counsellor, BSocSci Hons, HPCSA - Psychometrist
Online Only
Please Be Aware that I offer online sessions only! Can you relate to any of the following? Anxiety, confusion, loss of direction, depression, excessive thinking, relationship problems, addictions, procrastination, spiritual struggles, traumas or do you simply need someone to speak to that you can trust, feel at ease and help you structure your thoughts in a safe and warm environment? Are you tired of living each day and that it simply feels like another day and that everything remains the same? Would you like to become your own therapist and welcome change, in order to truly enjoy the adventure of life?
Please Be Aware that I offer online sessions only! Can you relate to any of the following? Anxiety, confusion, loss of direction, depression, excessive thinking, relationship problems, addictions, procrastination, spiritual struggles, traumas or do you simply need someone to speak to that you can trust, feel at ease and help you structure your thoughts in a safe and warm environment? Are you tired of living each day and that it simply feels like another day and that everything remains the same? Would you like to become your own therapist and welcome change, in order to truly enjoy the adventure of life?
087 250 0719 x19 View 087 250 0719 x19
Photo of Beverly Slater, Psychologist, PhD, HPCSA - Clin. Psych.
Beverly Slater
Psychologist, PhD, HPCSA - Clin. Psych.
Sandton 2191
Reaching out for therapy can feel like a difficult step, particularly if you are already feeling overwhelmed or unsure about where to begin. Many people hesitate for a long time before contacting a therapist, often wondering whether their difficulties are “serious enough” or whether therapy will truly help. These uncertainties are very common and completely understandable.
Reaching out for therapy can feel like a difficult step, particularly if you are already feeling overwhelmed or unsure about where to begin. Many people hesitate for a long time before contacting a therapist, often wondering whether their difficulties are “serious enough” or whether therapy will truly help. These uncertainties are very common and completely understandable.
087 813 4099 x59 View 087 813 4099 x59
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 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 Helen Stewart, Psychologist, MPsych, HPCSA - Ed. Psych.
Helen Stewart
Psychologist, MPsych, HPCSA - Ed. Psych.
2 Endorsed
Sandton 2146
I am an Educational Psychologist working with children, preteens, teenagers, and young adults. I offer play therapy and individual psychotherapy, providing a safe and supportive space for clients to explore emotions, build resilience, and develop coping skills. I support clients facing a range of emotional, social, and learning challenges, including anxiety, low self-esteem, social difficulties, learning barriers, and neurodiversity-related needs such as ADHD or autism spectrum disorder.
I am an Educational Psychologist working with children, preteens, teenagers, and young adults. I offer play therapy and individual psychotherapy, providing a safe and supportive space for clients to explore emotions, build resilience, and develop coping skills. I support clients facing a range of emotional, social, and learning challenges, including anxiety, low self-esteem, social difficulties, learning barriers, and neurodiversity-related needs such as ADHD or autism spectrum disorder.
087 250 2837 x15 View 087 250 2837 x15
Photo of Magriet Bonnet, Psychologist, MA, HPCSA - Ind. Psych.
Magriet Bonnet
Psychologist, MA, HPCSA - Ind. Psych.
Sandton 2191
For me, this isn’t just work - it’s something I deeply care about. When you sit with me, I want you to feel safe, heard, and supported. Together, we can gently explore what matters most to you - whether it’s in your life, your work, or the place where the two meet. My role is simply to walk alongside you as you find the direction that feels right for you.
For me, this isn’t just work - it’s something I deeply care about. When you sit with me, I want you to feel safe, heard, and supported. Together, we can gently explore what matters most to you - whether it’s in your life, your work, or the place where the two meet. My role is simply to walk alongside you as you find the direction that feels right for you.
087 250 0914 x68 View 087 250 0914 x68
Photo of Yamkela Kwandiwe Giyose - Art2Think Counselling, General Counsellor, BSocSci Hons
Art2Think Counselling
General Counsellor, BSocSci Hons
Sandton 2196
As a young professional, you are likely navigating an intense mix of career ambition, corporate identity, family expectations, and the daily pressures of city life. It is easy to look like you have it all together on the outside while feeling completely overwhelmed on the inside. I offer a modern, supportive, and culturally grounded space specifically for young adults and corporate/creative professionals who need to unpack the weight they carry. I combine practical coping tools for stress and anxiety with creative modalities like art-based counselling and mindfulness.
As a young professional, you are likely navigating an intense mix of career ambition, corporate identity, family expectations, and the daily pressures of city life. It is easy to look like you have it all together on the outside while feeling completely overwhelmed on the inside. I offer a modern, supportive, and culturally grounded space specifically for young adults and corporate/creative professionals who need to unpack the weight they carry. I combine practical coping tools for stress and anxiety with creative modalities like art-based counselling and mindfulness.
087 250 3069 x17 View 087 250 3069 x17
Photo of Brittany Leigh-Ann Lindsay, General Counsellor, BSocSci Hons, ASCHP Specialist Wellness Counsellor
Brittany Leigh-Ann Lindsay
General Counsellor, BSocSci Hons, ASCHP Specialist Wellness Counsellor
Online Only
My ideal client feels caught between who they are and who they hope to become. They may be navigating anxiety, stress, self-doubt, emotional difficulties, grief, a traumatic past or relationship, or the sense that they are doing life “right,” yet still not feeling grounded. They want a supportive space to step into courage & confidence, build capacity to navigate & overcome life's boulders, make decisions and take action! Understanding that healing is not an overall destination, but a process that encourages & celebrates your individuality & differences. My clients feel seen, heard, understood, and empowered to take control of life!
My ideal client feels caught between who they are and who they hope to become. They may be navigating anxiety, stress, self-doubt, emotional difficulties, grief, a traumatic past or relationship, or the sense that they are doing life “right,” yet still not feeling grounded. They want a supportive space to step into courage & confidence, build capacity to navigate & overcome life's boulders, make decisions and take action! Understanding that healing is not an overall destination, but a process that encourages & celebrates your individuality & differences. My clients feel seen, heard, understood, and empowered to take control of life!
087 250 2837 x83 View 087 250 2837 x83
Photo of Chelsea Bate - Chelsea Bate Intervention, Social Worker, SACSSP
Chelsea Bate Intervention
Social Worker, SACSSP
1 Endorsed
Sandton 2196
New limited Saturday sessions available until September. Is your teenager struggling with anxiety, low self-esteem, school pressure, friendships, or emotional challenges? Are you a student or young adult feeling overwhelmed, stuck, unmotivated, or uncertain about your next steps? I provide specialised therapeutic support for teens and young adults, helping them navigate life's challenges, build resilience, and develop practical strategies for coping and growth. For convenience, I work out of two office spaces. One in Randburg, close to the Sandotn Clinic on Bram Fischer Drive, and another in Illovo at Illovo Square.
New limited Saturday sessions available until September. Is your teenager struggling with anxiety, low self-esteem, school pressure, friendships, or emotional challenges? Are you a student or young adult feeling overwhelmed, stuck, unmotivated, or uncertain about your next steps? I provide specialised therapeutic support for teens and young adults, helping them navigate life's challenges, build resilience, and develop practical strategies for coping and growth. For convenience, I work out of two office spaces. One in Randburg, close to the Sandotn Clinic on Bram Fischer Drive, and another in Illovo at Illovo Square.
087 250 0442 x78 View 087 250 0442 x78
Photo of Andrew Ilsley, Psychologist, MA, HPCSA - Clin. Psych.
Andrew Ilsley
Psychologist, MA, HPCSA - Clin. Psych.
Sandton 2191
As a Clinical Psychologist, I work with adolescents, adults, couples, and families who may be feeling overwhelmed, stuck, disconnected, or exhausted from carrying life's challenges on their own. Together, we explore not only current concerns such as anxiety, stress, burnout, relationship difficulties, life transitions, low mood, and challenges with self-worth, but also the patterns, relationships, and experiences that may be shaping them. Through a collaborative and supportive process, we develop insight, strengthen coping, and create meaningful change that feels sustainable and aligned with what matters most to you.
As a Clinical Psychologist, I work with adolescents, adults, couples, and families who may be feeling overwhelmed, stuck, disconnected, or exhausted from carrying life's challenges on their own. Together, we explore not only current concerns such as anxiety, stress, burnout, relationship difficulties, life transitions, low mood, and challenges with self-worth, but also the patterns, relationships, and experiences that may be shaping them. Through a collaborative and supportive process, we develop insight, strengthen coping, and create meaningful change that feels sustainable and aligned with what matters most to you.
087 250 0609 x67 View 087 250 0609 x67
Photo of Martin Beukes, Registered Counsellor, HPCSA - Counsellor
Martin Beukes
Registered Counsellor, HPCSA - Counsellor
1 Endorsed
Sandton 2196
An ideal client is someone that realizes they want to change and that they need help to do it. Someone that wants to build on their resilience, who is willing to work toward achieving their own goals. Everyone has different needs in therapy and require individual solutions.
An ideal client is someone that realizes they want to change and that they need help to do it. Someone that wants to build on their resilience, who is willing to work toward achieving their own goals. Everyone has different needs in therapy and require individual solutions.
087 250 0049 x53 View 087 250 0049 x53
Photo of Marilise Nel, Psychologist, MA, HPCSA - Couns. Psych.
Marilise Nel
Psychologist, MA, HPCSA - Couns. Psych.
Sandton 2196
Life can bring many challenges that are hard to deal with alone. By seeing a psychologist, you can express your concerns freely in a confidential setting and make sense of your thoughts. Through this process, you can attain a sense of ease and well-being in the relationship with yourself and others. I work with corporate clients online, adults and teens. I offer Psychotherapy and counselling to assist with loss, depression, uncertainty and life challenges.
Life can bring many challenges that are hard to deal with alone. By seeing a psychologist, you can express your concerns freely in a confidential setting and make sense of your thoughts. Through this process, you can attain a sense of ease and well-being in the relationship with yourself and others. I work with corporate clients online, adults and teens. I offer Psychotherapy and counselling to assist with loss, depression, uncertainty and life challenges.
087 250 2389 x70 View 087 250 2389 x70
Photo of Roxanne Goodchild - Roxanne Goodchild Specialist Wellness Counsellor, General Counsellor
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 Chris Glover, Psychologist, MA, HPCSA - Clin. Psych.
Chris Glover
Psychologist, MA, HPCSA - Clin. Psych.
1 Endorsed
Online Only
Welcome, my name is Chris. I am passionate about providing a safe, affirming and empathetic space for people to process their most painful difficulties, learn more about themselves, nurture healthy relationships and live more fulfilling lives. I have a special interest in working with adults and couples struggling to process past traumas, navigate a crisis or break free of destructive patterns. However, I am honoured to work with people going through various emotional and life difficulties. I hope to develop a strong therapeutic relationship as we navigate your healing journey together.
Welcome, my name is Chris. I am passionate about providing a safe, affirming and empathetic space for people to process their most painful difficulties, learn more about themselves, nurture healthy relationships and live more fulfilling lives. I have a special interest in working with adults and couples struggling to process past traumas, navigate a crisis or break free of destructive patterns. However, I am honoured to work with people going through various emotional and life difficulties. I hope to develop a strong therapeutic relationship as we navigate your healing journey together.
087 250 2962 x35 View 087 250 2962 x35
Photo of Itumeleng Tumi Shiburi - Connected Minds Couseling and Wellness Services, General Counsellor, BSocSci Hons, ASCHP Specialist Wellness Counsellor
Connected Minds Couseling and Wellness Services
General Counsellor, BSocSci Hons, ASCHP Specialist Wellness Counsellor
Online Only
My ideal client is someone who feels stuck in patterns that no longer serve them, whether in their relationships, self-image, or stress management. They may struggle with low self-esteem, boundary-setting, or navigating complex relationship dynamics like infidelity or non-monogamy. What they truly want is to feel seen, heard, and empowered to make changes. Their goal is to foster healthier relationships, deepen self-awareness, and live with greater confidence and authenticity.
My ideal client is someone who feels stuck in patterns that no longer serve them, whether in their relationships, self-image, or stress management. They may struggle with low self-esteem, boundary-setting, or navigating complex relationship dynamics like infidelity or non-monogamy. What they truly want is to feel seen, heard, and empowered to make changes. Their goal is to foster healthier relationships, deepen self-awareness, and live with greater confidence and authenticity.
087 250 3069 x93 View 087 250 3069 x93
Photo of Karen Zimelka, General Counsellor, MSc, ASCHP Specialist Wellness Counsellor
Karen Zimelka
General Counsellor, MSc, ASCHP Specialist Wellness Counsellor
Sandton 2196
I am a trauma-informed Specialist Wellness Counsellor helping adults and couples rewrite their relational stories, reclaim inner-child healing and cultivate purpose. Do you find yourself constantly reacting to old wounds, caught in familiar patterns with yourself and others, and longing for something more meaningful? Maybe relational conflict keeps resurfacing, or you sense a deeper inner-child pain beneath your everyday struggles. If you’ve reached a point where you’re ready for real healing and transformation, I am here to walk this path with you.
I am a trauma-informed Specialist Wellness Counsellor helping adults and couples rewrite their relational stories, reclaim inner-child healing and cultivate purpose. Do you find yourself constantly reacting to old wounds, caught in familiar patterns with yourself and others, and longing for something more meaningful? Maybe relational conflict keeps resurfacing, or you sense a deeper inner-child pain beneath your everyday struggles. If you’ve reached a point where you’re ready for real healing and transformation, I am here to walk this path with you.
087 250 0409 x99 View 087 250 0409 x99
Photo of Dr. Hmrithi Jairam, Psychologist, PhD, HPCSA - Clin. Psych.
Dr. Hmrithi Jairam
Psychologist, PhD, HPCSA - Clin. Psych.
Sandton 2191
Dr Hmrithi Jairam is our resident Clinical Psychologist at Elevate Mental Health. We are a private psychotherapy practice that is committed to elevating the importance of good mental health. Dr Jairam works with adults and couples and she believes that through effective communication, the conversation around mental health can become one of acceptance, openness, and respect.
Dr Hmrithi Jairam is our resident Clinical Psychologist at Elevate Mental Health. We are a private psychotherapy practice that is committed to elevating the importance of good mental health. Dr Jairam works with adults and couples and she believes that through effective communication, the conversation around mental health can become one of acceptance, openness, and respect.
087 250 0160 x18 View 087 250 0160 x18
Photo of Duduzile Maphanga, Psychometrist, BSocSci Hons, HPCSA - Psychometrist
Duduzile Maphanga
Psychometrist, BSocSci Hons, HPCSA - Psychometrist
Sandton 2196
Feeling stressed, anxious, depressed, angry, low energy/exhaustion/chronic fatigue etc., could be signs that you may need psychological support. We provide a safe, supportive, space to help you navigate various aspects of life such as: •Stress, Anger, Depression, Anxiety: We help you develop self-awareness, resilience etc •Relationship & Family: Couples, Interpersonal Conflict, Parenting, Separation •Workplace: Disciplinary, Retrenchment, Conflict with Co-Workers/Management, Career Change, Career Mobility, Poor Performance, Burnout •Child/Teen/Adolescent: ADHD, Career Counselling, Subject Choice guidance & Scholastic support
Feeling stressed, anxious, depressed, angry, low energy/exhaustion/chronic fatigue etc., could be signs that you may need psychological support. We provide a safe, supportive, space to help you navigate various aspects of life such as: •Stress, Anger, Depression, Anxiety: We help you develop self-awareness, resilience etc •Relationship & Family: Couples, Interpersonal Conflict, Parenting, Separation •Workplace: Disciplinary, Retrenchment, Conflict with Co-Workers/Management, Career Change, Career Mobility, Poor Performance, Burnout •Child/Teen/Adolescent: ADHD, Career Counselling, Subject Choice guidance & Scholastic support
087 250 2042 x27 View 087 250 2042 x27

How does your Counsellor compare?

Number of Psychologists and Therapists in Sandton

200+

Average cost per session

R1000

Psychologists and Therapists in Sandton who prioritize treating:

86% Anxiety
77% Relationship Issues
75% Self Esteem
72% Depression
72% Stress
69% Marriage Counselling
66% Grief

Average years in practice

7 Years

Top 3 insurances accepted

98% Discovery Health
93% Bonitas
88% Momentum

How Psychologists and Therapists in Sandton see their clients

80% In Person and Online
20% Online Only

Gender breakdown

80% Female
19% 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.