Therapists in Maple Ridge, BC

Photo of Sharon Macfarlane, MA, CCC, Counsellor
Sharon Macfarlane
Counsellor, MA, CCC
Verified Verified
1 Endorsed
Maple Ridge, BC V2X
You’re trying hard to keep it all together, but you’re exhausted. Life seems out of your control and every small decision feels too big to handle. You are unsure of who you are or where you belong. It's a battle to get out of bed and face another day. The weight of it all is suffocating and you’re terrified that life can never be different or better.
You’re trying hard to keep it all together, but you’re exhausted. Life seems out of your control and every small decision feels too big to handle. You are unsure of who you are or where you belong. It's a battle to get out of bed and face another day. The weight of it all is suffocating and you’re terrified that life can never be different or better.
(604) 265-6972 View (604) 265-6972
Photo of Sacha Drury, BA , ND, RTC, Counsellor
Sacha Drury
Counsellor, BA , ND, RTC
Verified Verified
7 Endorsed
Maple Ridge, BC V2X
The clients I work with understand that there is a spiritual thread that weaves beneath the surface of their lives, and they are seeking guidance on how to re-connect to this important aspect of who they are. I commonly work with fertility struggles, grief processing, depression, overwhelm, addictions, anxiety, relationship conflict, eating disorders, low self esteem, trust issues, and clients who are simply unhappy with the current state of their life. Ultimately, my clients are searching for balance between the mind, body and spirit aspects of self, which when in alignment, can lead to a heart-centered, joyful, fulfilling life.
The clients I work with understand that there is a spiritual thread that weaves beneath the surface of their lives, and they are seeking guidance on how to re-connect to this important aspect of who they are. I commonly work with fertility struggles, grief processing, depression, overwhelm, addictions, anxiety, relationship conflict, eating disorders, low self esteem, trust issues, and clients who are simply unhappy with the current state of their life. Ultimately, my clients are searching for balance between the mind, body and spirit aspects of self, which when in alignment, can lead to a heart-centered, joyful, fulfilling life.
(873) 700-0668 View (873) 700-0668
Photo of Leanne Atkinson, MC, RCC, Counsellor
Leanne Atkinson
Counsellor, MC, RCC
Verified Verified
Maple Ridge, BC V3Y  (Online Only)
In my practice, I operate from a holistic, person-centered, unique style of therapy by utilizing different modalities based on what would support you the best and help you accomplish your goals at a pace that works well for you. In our sessions together, you can expect a warm and empathetic approach that is goal-oriented and focused on your presenting concerns. I am a positive and supportive therapist who will be with you every step of the way as you work towards recognizing your strengths, core beliefs and values in order to promote the change you desire in your life.
In my practice, I operate from a holistic, person-centered, unique style of therapy by utilizing different modalities based on what would support you the best and help you accomplish your goals at a pace that works well for you. In our sessions together, you can expect a warm and empathetic approach that is goal-oriented and focused on your presenting concerns. I am a positive and supportive therapist who will be with you every step of the way as you work towards recognizing your strengths, core beliefs and values in order to promote the change you desire in your life.
(236) 305-9243 View (236) 305-9243
Photo of Andrea Pastoor, Andrea Pastoor, MAMFT, RCC, Marriage & Family Therapist
Andrea Pastoor
Marriage & Family Therapist, Andrea Pastoor, MAMFT, RCC
Verified Verified
3 Endorsed
Maple Ridge, BC V2X
I am passionate about walking alongside couples as they navigate the challenges of family life. As an international adoptee, I aim to bring a sense of compassion as I work alongside individuals, children and families in a collaborative and client-centered approach where every individual's voice is heard. I aim to come alongside those with neurodiverse backgrounds and provide a safe, accepting, and warm environment to process life together. I work with various individuals who are working through grief, anxiety, depression, trauma, abuse as well as adoption related concerns such as rejection, identity issues and relational issues
I am passionate about walking alongside couples as they navigate the challenges of family life. As an international adoptee, I aim to bring a sense of compassion as I work alongside individuals, children and families in a collaborative and client-centered approach where every individual's voice is heard. I aim to come alongside those with neurodiverse backgrounds and provide a safe, accepting, and warm environment to process life together. I work with various individuals who are working through grief, anxiety, depression, trauma, abuse as well as adoption related concerns such as rejection, identity issues and relational issues
(343) 338-5173 View (343) 338-5173
Photo of Kara Warren, MA, RCC, Counsellor
Kara Warren
Counsellor, MA, RCC
Verified Verified
Maple Ridge, BC V2X
I am a Registered Clinical Counsellor (#10205) with the B.C. Association of Clinical Counsellors. I offer individual and couple's counselling services addressing a diverse array of life challenges. I draw from several modalities including cognitive behavioural, dialectical behavioural, Adlerian, narrative and emotion focused therapies. My counselling style is underpinned by the belief that you, the client, are the expert in your own life. I will work with you in a solution focused, goal oriented way in an effort to understand your goals and hopes for counselling. Together, we will work to meet your goals and make tangible, concrete progress towards them.
I am a Registered Clinical Counsellor (#10205) with the B.C. Association of Clinical Counsellors. I offer individual and couple's counselling services addressing a diverse array of life challenges. I draw from several modalities including cognitive behavioural, dialectical behavioural, Adlerian, narrative and emotion focused therapies. My counselling style is underpinned by the belief that you, the client, are the expert in your own life. I will work with you in a solution focused, goal oriented way in an effort to understand your goals and hopes for counselling. Together, we will work to meet your goals and make tangible, concrete progress towards them.
(604) 803-9925 View (604) 803-9925
Photo of Amy Anzinger - Inner State of Being, RTC, Counsellor
Inner State of Being
Counsellor, RTC
Verified Verified
Maple Ridge, BC V2X  (Online Only)
My notion is based on the idea that when humans awaken to self-realization that we cannot control what happens to us in life, but we can control what we feel and how we will respond; then suffering is only a choice. My counselling style will help clients work towards developing control of their mental afflictions through a series of steps. I believe in building a solid foundational knowledge of the mind-body connection, strengthening self-awareness first, and then building upwards. What matters is my clients' current state of being.
My notion is based on the idea that when humans awaken to self-realization that we cannot control what happens to us in life, but we can control what we feel and how we will respond; then suffering is only a choice. My counselling style will help clients work towards developing control of their mental afflictions through a series of steps. I believe in building a solid foundational knowledge of the mind-body connection, strengthening self-awareness first, and then building upwards. What matters is my clients' current state of being.
(873) 501-2131 View (873) 501-2131
Photo of Vanessa Thomson, MC, RCC, Counsellor
Vanessa Thomson
Counsellor, MC, RCC
Verified Verified
1 Endorsed
Maple Ridge, BC V4R  (Online Only)
Feeling overwhelmed or stressed? I specialize in supporting youth and adults, including high-achievers and neurodivergent individuals, through life's challenges. Let's manage emotions, build coping skills, and craft YOUR meaningful life together. With a decade of experience in psychiatry at BC Children’s Hospital, I offer diverse modalities like person-centered and solution-focused therapy. As a parent of three, I understand balancing multiple needs. Let's connect and navigate this journey with empathy. Reach out today, and let's navigate this journey together!
Feeling overwhelmed or stressed? I specialize in supporting youth and adults, including high-achievers and neurodivergent individuals, through life's challenges. Let's manage emotions, build coping skills, and craft YOUR meaningful life together. With a decade of experience in psychiatry at BC Children’s Hospital, I offer diverse modalities like person-centered and solution-focused therapy. As a parent of three, I understand balancing multiple needs. Let's connect and navigate this journey with empathy. Reach out today, and let's navigate this journey together!
(548) 900-5854 View (548) 900-5854
Photo of Deanna Laity, MA, RCC, Counsellor
Deanna Laity
Counsellor, MA, RCC
Verified Verified
2 Endorsed
Maple Ridge, BC V2X  (Online Only)
Hello, it's great to see you here! Choosing someone to talk to is a brave step and one I respect as we work together. I believe in the unique strengths and wisdom of each individual and that these can be uncovered, refreshed, and built upon through counselling.
Hello, it's great to see you here! Choosing someone to talk to is a brave step and one I respect as we work together. I believe in the unique strengths and wisdom of each individual and that these can be uncovered, refreshed, and built upon through counselling.
(867) 768-0189 View (867) 768-0189
Photo of Steve Pritchard - Metta Emergence Counselling, RTC, MTC, RCS, Counsellor
Metta Emergence Counselling
Counsellor, RTC, MTC, RCS
Verified Verified
4 Endorsed
Maple Ridge, BC V2W  (Online Only)
Do you find yourself stuck in painful patterns that limit you and your life? Do you struggle in your relationships with your partner, family or others? Do you feel anxiety, depression, or other feelings that impact your enjoyment of life, relationships or career? Many areas of our lives can sometimes feel difficult. When we are unable to find ways through these moments, we can be left disappointed, confused, and frustrated.
Do you find yourself stuck in painful patterns that limit you and your life? Do you struggle in your relationships with your partner, family or others? Do you feel anxiety, depression, or other feelings that impact your enjoyment of life, relationships or career? Many areas of our lives can sometimes feel difficult. When we are unable to find ways through these moments, we can be left disappointed, confused, and frustrated.
(778) 765-3865 View (778) 765-3865
Photo of Lori Liz Van Balkom - Lori Liz Counselling, RTC, Counsellor
Lori Liz Counselling
Counsellor, RTC
Verified Verified
1 Endorsed
Maple Ridge, BC V4R  (Online Only)
Are you struggling with a recent or upcoming major change in your life? Transitions in our lives can be stressful and emotionally confusing at times. These changes (such as the start of end of a career, a relationship, or even a health challenge) can bring with them a host of new feelings, emotions, and concerns. In these times we can have an increase in our anxiety or symptoms of low mood, which can make the transition feel even more difficult. Having a caring and unbiased ear to talk to about these challenges can help.
Are you struggling with a recent or upcoming major change in your life? Transitions in our lives can be stressful and emotionally confusing at times. These changes (such as the start of end of a career, a relationship, or even a health challenge) can bring with them a host of new feelings, emotions, and concerns. In these times we can have an increase in our anxiety or symptoms of low mood, which can make the transition feel even more difficult. Having a caring and unbiased ear to talk to about these challenges can help.
(778) 716-8049 View (778) 716-8049
Photo of Farah Haq, MA, RCC, Counsellor
Farah Haq
Counsellor, MA, RCC
Verified Verified
Maple Ridge, BC V2X  (Online Only)
I feel it is a privilege to be a therapist. I love my work. I take a creative and collaborative approach in my practice; researching innovative techniques and information to help you make the changes you desire. Both my hours and my methods are flexible and are tailored to the needs of each individual.
I feel it is a privilege to be a therapist. I love my work. I take a creative and collaborative approach in my practice; researching innovative techniques and information to help you make the changes you desire. Both my hours and my methods are flexible and are tailored to the needs of each individual.
(613) 604-0833 View (613) 604-0833
Photo of Michelle Popielarz, BA, MC, CCC, Counsellor
Michelle Popielarz
Counsellor, BA, MC, CCC
Verified Verified
1 Endorsed
Maple Ridge, BC V2X
My practice is dedicated to supporting children ages 5 to 12 years of age who are experiencing difficulties associated with anxiety-related disorders and general anxious thoughts and feelings. I offer evidence-based practice and intervention using effective treatment modalities, such as Cognitive behavioral therapy (CBT), play therapy, expressive therapy, and mindfulness, to address a number of challenges related to childhood anxiety. I utilize a child-centered approach to build balance and connection through a focus on a child's strengths, problem-solving, coping skills, and play.
My practice is dedicated to supporting children ages 5 to 12 years of age who are experiencing difficulties associated with anxiety-related disorders and general anxious thoughts and feelings. I offer evidence-based practice and intervention using effective treatment modalities, such as Cognitive behavioral therapy (CBT), play therapy, expressive therapy, and mindfulness, to address a number of challenges related to childhood anxiety. I utilize a child-centered approach to build balance and connection through a focus on a child's strengths, problem-solving, coping skills, and play.
(825) 501-0386 View (825) 501-0386
Photo of Diviam Gounden, MA, RCC, Counsellor
Diviam Gounden
Counsellor, MA, RCC
Verified Verified
Maple Ridge, BC V2X
Enlighten Counselling & Psychotherapy was formed to provide counselling services to anyone needing assistance in various aspects of life. These include transitional life experiences, mental health issues like anxiety, depression, trauma, grief, etc., and/or help addressing issues of stress, self-esteem, peer pressure, social isolation etc. The focus is you, the client. Your needs are important. I work collaboratively with you to find ways to overcome your concerns and reach your goals.
Enlighten Counselling & Psychotherapy was formed to provide counselling services to anyone needing assistance in various aspects of life. These include transitional life experiences, mental health issues like anxiety, depression, trauma, grief, etc., and/or help addressing issues of stress, self-esteem, peer pressure, social isolation etc. The focus is you, the client. Your needs are important. I work collaboratively with you to find ways to overcome your concerns and reach your goals.
(604) 409-8486 View (604) 409-8486
Photo of Stephen Quinlan - Happy Healthy Counselling, RSW, Registered Social Worker
Happy Healthy Counselling
Registered Social Worker, RSW
Verified Verified
2 Endorsed
Maple Ridge, BC V4R
I work with people so they can be happier. People want counselling as they want to make a change for the better. I can help you identify what the problem is that you want to change, work out how to make changes that reduce the problem and improve your life. As you make better, healthier, happier choices, you will feel better about yourself and your life. You may be struggling with a relationship, a loved one close to you, or you may be struggling with an addiction. You may be not be happy about your work life balance, or struggling with parts of your past that you are not at peace with. I will help you to like yourself more.
I work with people so they can be happier. People want counselling as they want to make a change for the better. I can help you identify what the problem is that you want to change, work out how to make changes that reduce the problem and improve your life. As you make better, healthier, happier choices, you will feel better about yourself and your life. You may be struggling with a relationship, a loved one close to you, or you may be struggling with an addiction. You may be not be happy about your work life balance, or struggling with parts of your past that you are not at peace with. I will help you to like yourself more.
(604) 265-9286 View (604) 265-9286
Photo of Alexandra Bercea, RPC, Counsellor
Alexandra Bercea
Counsellor, RPC
Verified Verified
Maple Ridge, BC V2W  (Online Only)
As my client you are the focus of my work, and from the moment you sit down with me I want you to feel supported, safe, and welcome. I work with adults experiencing a variety of issues: depression, anxiety, stress, trauma, relationship, couples, sexual addiction, divorce, self-esteem, life transition, personal growth, or simply feeling stuck, out of control, meaningless. My approach to individual therapy combines CBT/ Existential Analysis with concepts including mindfulness, personality, attachment, meaning-making/purpose
As my client you are the focus of my work, and from the moment you sit down with me I want you to feel supported, safe, and welcome. I work with adults experiencing a variety of issues: depression, anxiety, stress, trauma, relationship, couples, sexual addiction, divorce, self-esteem, life transition, personal growth, or simply feeling stuck, out of control, meaningless. My approach to individual therapy combines CBT/ Existential Analysis with concepts including mindfulness, personality, attachment, meaning-making/purpose
(647) 696-5798 View (647) 696-5798
Photo of Marina Kossen, RPC, Counsellor
Marina Kossen
Counsellor, RPC
Verified Verified
2 Endorsed
Maple Ridge, BC V2X
What does addiction recovery look like? Success is measured by you. What do you want your recovery to look like? Let's talk and find a path to your personal vision of recovery.
What does addiction recovery look like? Success is measured by you. What do you want your recovery to look like? Let's talk and find a path to your personal vision of recovery.
(204) 819-0327 View (204) 819-0327
Photo of Ihab Darwiche, MA, CCC, Counsellor
Ihab Darwiche
Counsellor, MA, CCC
Verified Verified
5 Endorsed
Maple Ridge, BC V2X  (Online Only)
As my mentors have helped me in my life, and as they have guided me through difficult points of self-growth and reflection, I have come to learn the value of being there for others to progress through our own difficult times. We need each other. I do believe it is far less problematic to overcome challenges with guidance and direction. Even more so when that guidance is refined through education, experience, and a standardized expectation of practice. I am capable of direct billing for ICBC and CVAP and can be accepted through other insurance agencies (i.e. Sunlife, BlueCross, GreenShield)
As my mentors have helped me in my life, and as they have guided me through difficult points of self-growth and reflection, I have come to learn the value of being there for others to progress through our own difficult times. We need each other. I do believe it is far less problematic to overcome challenges with guidance and direction. Even more so when that guidance is refined through education, experience, and a standardized expectation of practice. I am capable of direct billing for ICBC and CVAP and can be accepted through other insurance agencies (i.e. Sunlife, BlueCross, GreenShield)
(902) 901-5336 View (902) 901-5336
Photo of Jasmine Alexander, MA, RPC, RCC, CCC, CCPCPR, Counsellor
Jasmine Alexander
Counsellor, MA, RPC, RCC, CCC, CCPCPR
Verified Verified
1 Endorsed
Maple Ridge, BC V2X
Are you going through something emotionally painful? Experiencing anxiety, panic, depression? Struggling from addiction? I will work efficiently and effectively with you to find the root of your struggles, and with my highly specialized training, I can help you find *permanent resolution* to the emotional upset you are experiencing. Whether you have been to counselling before, or have never been to counselling, my therapeutic approach can help restore happiness and clarity in your life, regardless of how complex or upsetting your situation may be.
Are you going through something emotionally painful? Experiencing anxiety, panic, depression? Struggling from addiction? I will work efficiently and effectively with you to find the root of your struggles, and with my highly specialized training, I can help you find *permanent resolution* to the emotional upset you are experiencing. Whether you have been to counselling before, or have never been to counselling, my therapeutic approach can help restore happiness and clarity in your life, regardless of how complex or upsetting your situation may be.
(604) 477-7447 View (604) 477-7447
Photo of Tracy Wilkins, MA, CCC, Counsellor
Tracy Wilkins
Counsellor, MA, CCC
Verified Verified
1 Endorsed
Maple Ridge, BC V2X
I am dedicated to guiding youth, adults, couples, and families towards harmony and a better quality of life. Drawing from 23 years of expertise, I have supported numerous individuals and couples through challenging life transitions including divorce, addiction, trauma, suicidal thoughts, self-harm, and anxiety. My specialized focus extends to providing compassionate assistance to families and individuals navigating Autism Spectrum Disorder (ASD). Incorporating proven methods such as EMDR, DBT, and CBT into my therapy approach I create an individualized approach.
I am dedicated to guiding youth, adults, couples, and families towards harmony and a better quality of life. Drawing from 23 years of expertise, I have supported numerous individuals and couples through challenging life transitions including divorce, addiction, trauma, suicidal thoughts, self-harm, and anxiety. My specialized focus extends to providing compassionate assistance to families and individuals navigating Autism Spectrum Disorder (ASD). Incorporating proven methods such as EMDR, DBT, and CBT into my therapy approach I create an individualized approach.
(604) 670-7125 View (604) 670-7125
Photo of Kaitlyn Sandher, RCC, MC, BA, Counsellor
Kaitlyn Sandher
Counsellor, RCC, MC, BA
Verified Verified
2 Endorsed
Maple Ridge, BC V2W  (Online Only)
Immediate openings via telehealth for British Columbia clients- Welcome! I'm so glad you're here. I am a registered therapist who works with women, men, trans and non-binary teens, adults + seniors. In my practice, I focus heavily on my client relationships to ensure you feel safe, comfortable + connected. While I specialize in working with anxiety, depression, trauma + relational challenges, I also find much meaning in helping folks feel empowered + confident in their lives. My hope is to help you live your life in a more meaningful + self-compassionate way. You deserve the time and space to feel seen, heard + safe.
Immediate openings via telehealth for British Columbia clients- Welcome! I'm so glad you're here. I am a registered therapist who works with women, men, trans and non-binary teens, adults + seniors. In my practice, I focus heavily on my client relationships to ensure you feel safe, comfortable + connected. While I specialize in working with anxiety, depression, trauma + relational challenges, I also find much meaning in helping folks feel empowered + confident in their lives. My hope is to help you live your life in a more meaningful + self-compassionate way. You deserve the time and space to feel seen, heard + safe.
(343) 453-1631 View (343) 453-1631
1

See more therapy options for Maple Ridge

How does your Counsellor compare?

Number of Counsellors in Maple Ridge, BC

100+

Average cost per session

$140

Counsellors in Maple Ridge, BC who prioritize treating:

97% Anxiety
90% Depression
84% Self Esteem
79% Trauma and PTSD
75% Relationship Issues
74% Stress
71% Coping Skills

Average years in practice

7 Years

Top 3 insurances accepted

63% Pacific Blue Cross
52% SunLife
48% Green Shield Canada

How Counsellors in Maple Ridge, BC see their clients

78% In Person and Online
22% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counselling

How can I find a therapist in Maple Ridge?

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.