Photo of Leigh Karos, PhD, CPsych, Psychologist
Leigh Karos
Psychologist, PhD, CPsych
Verified Verified
Ottawa, ON K1N
I have been providing psychological assessment and therapy services since 1997. In private practice, I work with individuals (adults, adolescents, children), couples and families experiencing a wide range of concerns. Special areas of interest include depression, anxiety, trauma, interpersonal difficulties, parenting, family conflict, separation and divorce. I also am experienced in working with individuals facing issues related to self, identity, and sexuality as well as unique challenges confronted by LGBTTIQQ2S individuals and their families.
I have been providing psychological assessment and therapy services since 1997. In private practice, I work with individuals (adults, adolescents, children), couples and families experiencing a wide range of concerns. Special areas of interest include depression, anxiety, trauma, interpersonal difficulties, parenting, family conflict, separation and divorce. I also am experienced in working with individuals facing issues related to self, identity, and sexuality as well as unique challenges confronted by LGBTTIQQ2S individuals and their families.
(613) 402-2484 View (613) 402-2484
Photo of Jessica Bastonnais - Jessica Bastonnais, Therapie Sanare Therapy, MSW, RSW, MSS, TS, Registered Social Worker
Jessica Bastonnais, Therapie Sanare Therapy
Registered Social Worker, MSW, RSW, MSS, TS
Verified Verified
Ottawa, ON K1N  (Online Only)
I specialize in therapy for men! I also work with women and people, regardless of their gender identification, sexual orientation, their ethnic and cultural background! :) Do you feel trapped? Nobody understands you? You have tried everything but nothing works? You've said it, shouted it, screamed it but no one heard you? It is difficult or impossible to say no without feeling guilty? You have been told that crying is for the weak? You've been told that something is wrong with you? I can help you work through all of this and help you become yourself again! I also offer ADHD coaching and couple's therapy (for Ontario's residents)
I specialize in therapy for men! I also work with women and people, regardless of their gender identification, sexual orientation, their ethnic and cultural background! :) Do you feel trapped? Nobody understands you? You have tried everything but nothing works? You've said it, shouted it, screamed it but no one heard you? It is difficult or impossible to say no without feeling guilty? You have been told that crying is for the weak? You've been told that something is wrong with you? I can help you work through all of this and help you become yourself again! I also offer ADHD coaching and couple's therapy (for Ontario's residents)
(343) 321-0618 View (343) 321-0618
Photo of Cheryl Elizabeth O'Neill, MA, Registered Psychotherapist
Cheryl Elizabeth O'Neill
Registered Psychotherapist, MA
Verified Verified
6 Endorsed
Ottawa, ON K1N
Do you constantly worry or obsess? I have a passion for helping clients overcome symptoms of Obsessive-Compulsive Disorder (OCD), anxiety disorders, and representations of trauma. I continually ensure that I am coming from a knowledgeable place when working with clients, not only by practicing evidence-based therapeutic interventions, but also by recognizing the complexities and nuance of commonly misunderstood mental health issues. I believe that psychotherapy is most effective when the client feels supported and the work is collaborative.
Do you constantly worry or obsess? I have a passion for helping clients overcome symptoms of Obsessive-Compulsive Disorder (OCD), anxiety disorders, and representations of trauma. I continually ensure that I am coming from a knowledgeable place when working with clients, not only by practicing evidence-based therapeutic interventions, but also by recognizing the complexities and nuance of commonly misunderstood mental health issues. I believe that psychotherapy is most effective when the client feels supported and the work is collaborative.
(343) 321-0372 View (343) 321-0372
Photo of Mélissa Lafrance, MÉd, RP, CCC, Registered Psychotherapist
Mélissa Lafrance
Registered Psychotherapist, MÉd, RP, CCC
Verified Verified
1 Endorsed
Ottawa, ON K1N  (Online Only)
I specialize in mental health support for post-secondary students, including those in college, university, medical school, graduate studies, fellowships & recent graduates. As a psychotherapist with over 14 years of experince working at the University of Ottawa in both mental health & career counselling, I am passionate about assisting you in prioritizing your mental health and overall well-being. My aim is to establish a safe and supportive space where you can freely explore your thoughts and emotions without fear of judgment. Together, we can develop the necessary tools to help you thrive both personally and professionally.
I specialize in mental health support for post-secondary students, including those in college, university, medical school, graduate studies, fellowships & recent graduates. As a psychotherapist with over 14 years of experince working at the University of Ottawa in both mental health & career counselling, I am passionate about assisting you in prioritizing your mental health and overall well-being. My aim is to establish a safe and supportive space where you can freely explore your thoughts and emotions without fear of judgment. Together, we can develop the necessary tools to help you thrive both personally and professionally.
(343) 305-5693 View (343) 305-5693
Photo of Jun Qi, MEd, CPsych, RPsych, Psychologist
Jun Qi
Psychologist, MEd, CPsych, RPsych
Verified Verified
Ottawa, ON K1N  (Online Only)
I appreciate that seeking help can be intimidating. Many people feel that they suffer alone. People do not realize how common it is to suffer from mental health-related issues. In North America, one in five adults suffer from distress, such as depression, anxiety, and interpersonal problems. Psychotherapy is extremely effective at treating a wide variety of psychological issues. I provide evidence-based, individualized, and collaborative treatment to ensure the quality of care. My approach to psychotherapy incorporates cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and emotion-focused therapy (EFT).
I appreciate that seeking help can be intimidating. Many people feel that they suffer alone. People do not realize how common it is to suffer from mental health-related issues. In North America, one in five adults suffer from distress, such as depression, anxiety, and interpersonal problems. Psychotherapy is extremely effective at treating a wide variety of psychological issues. I provide evidence-based, individualized, and collaborative treatment to ensure the quality of care. My approach to psychotherapy incorporates cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and emotion-focused therapy (EFT).
(226) 350-7286 View (226) 350-7286
Photo of Michèle Berthiaume, RN (EC), Psychiatric Nurse Practitioner
Michèle Berthiaume
Psychiatric Nurse Practitioner, RN (EC)
Verified Verified
1 Endorsed
Ottawa, ON K1N
I am a Nurse Practitioner with over a decade of diverse nursing experience, specializing in mental health care. Licensed in both Ontario and Quebec, I am dedicated to providing comprehensive services in both French and English, catering to the diverse needs of my patients.
I am a Nurse Practitioner with over a decade of diverse nursing experience, specializing in mental health care. Licensed in both Ontario and Quebec, I am dedicated to providing comprehensive services in both French and English, catering to the diverse needs of my patients.
(343) 803-5771 x1 View (343) 803-5771 x1
Photo of Melanie Le Voguer, M Ed, RP, CCC, Registered Psychotherapist
Melanie Le Voguer
Registered Psychotherapist, M Ed, RP, CCC
Verified Verified
Ottawa, ON K1N
Hello there! Do you find yourself feeling tired, uninspired, disconnected from others, often feeling worried about anything or everything? Or perhaps you notice yourself turning to substance use to manage tough feelings? If you recognize yourself as living any of these experiences, you aren’t alone, and you definitely don’t have to go through it alone.
Hello there! Do you find yourself feeling tired, uninspired, disconnected from others, often feeling worried about anything or everything? Or perhaps you notice yourself turning to substance use to manage tough feelings? If you recognize yourself as living any of these experiences, you aren’t alone, and you definitely don’t have to go through it alone.
(343) 313-0638 View (343) 313-0638
Photo of Shaza Mohammed, Registered Psychotherapist
Shaza Mohammed
Registered Psychotherapist
Verified Verified
Ottawa, ON K1N
Every story finds its beginning amidst the ongoing narrative of life, where our realities are shaped by our diverse experiences. Our upbringing, relationships, work, and education not only shape who we are but also influence the individuals we evolve into. Central to our understanding are the memories and moments of our childhood, serving as the foundation upon which our realities are built and providing us with the lens through which we perceive the world. Furthermore, our cultural background, early attachments, and environment contribute to refining and fortifying this lens, nurturing resilience, or fostering vulnerability.
Every story finds its beginning amidst the ongoing narrative of life, where our realities are shaped by our diverse experiences. Our upbringing, relationships, work, and education not only shape who we are but also influence the individuals we evolve into. Central to our understanding are the memories and moments of our childhood, serving as the foundation upon which our realities are built and providing us with the lens through which we perceive the world. Furthermore, our cultural background, early attachments, and environment contribute to refining and fortifying this lens, nurturing resilience, or fostering vulnerability.
(289) 207-7614 View (289) 207-7614
Photo of Ken Raymond, BA, MA, RP, Registered Psychotherapist
Ken Raymond
Registered Psychotherapist, BA, MA, RP
Verified Verified
7 Endorsed
Ottawa, ON K1N
IN-PERSON and ONLINE sessions are now available in Ontario and Western Quebec. Your decision to start therapy is essential for personal understanding, healing, and growth. Whether you are struggling with anxiety, depression, chronic pain, trauma, addictions, sexual abuse (current or past), or are overwhelmed by events, I can help. My first objective is to provide a warm, safe, non-judgmental environment for your therapeutic experience. My second objective is to provide you with the most up-to-date, evidence-based therapeutic approaches that get actual results in the least amount of time.
IN-PERSON and ONLINE sessions are now available in Ontario and Western Quebec. Your decision to start therapy is essential for personal understanding, healing, and growth. Whether you are struggling with anxiety, depression, chronic pain, trauma, addictions, sexual abuse (current or past), or are overwhelmed by events, I can help. My first objective is to provide a warm, safe, non-judgmental environment for your therapeutic experience. My second objective is to provide you with the most up-to-date, evidence-based therapeutic approaches that get actual results in the least amount of time.
(343) 313-1407 View (343) 313-1407
Photo of Lana Litvinov, MACP, Registered Psychotherapist (Qualifying)
Lana Litvinov
Registered Psychotherapist (Qualifying), MACP
Verified Verified
4 Endorsed
Ottawa, ON K1N
Getting the right help at the right time may change your life. My practice mission is to provide compassionate, evidence-based psychotherapy and counselling that would empower you to achieve lasting results. I specialize in providing confidential and safe space for you to be heard, take inventory, explore your options, acquire helpful tools, find solace, and recuperate.
Getting the right help at the right time may change your life. My practice mission is to provide compassionate, evidence-based psychotherapy and counselling that would empower you to achieve lasting results. I specialize in providing confidential and safe space for you to be heard, take inventory, explore your options, acquire helpful tools, find solace, and recuperate.
(343) 500-6275 View (343) 500-6275
Photo of Kaytlin Preiss, MA, RP, Registered Psychotherapist
Kaytlin Preiss
Registered Psychotherapist, MA, RP
Verified Verified
Ottawa, ON K1N
I take a holistic and collaborative approach when providing psychotherapy to individuals, couples, and families. I believe that it can be difficult to manage and cope with life’s hardships such as anxiety, stress, depression, life transitions, and challenges within our interpersonal relationships. I enjoy working from both an attachment-informed and trauma-informed perspective to help my clients process difficult emotions. I value the uniqueness of each person and tailor therapeutic approaches to best fit individual needs.
I take a holistic and collaborative approach when providing psychotherapy to individuals, couples, and families. I believe that it can be difficult to manage and cope with life’s hardships such as anxiety, stress, depression, life transitions, and challenges within our interpersonal relationships. I enjoy working from both an attachment-informed and trauma-informed perspective to help my clients process difficult emotions. I value the uniqueness of each person and tailor therapeutic approaches to best fit individual needs.
(343) 307-0184 View (343) 307-0184
Photo of Joanna Gil, MA, Registered Psychotherapist
Joanna Gil
Registered Psychotherapist, MA
Verified Verified
Ottawa, ON K1N
I work with issues of stress, anxiety, depression, childhood trauma, shame, loss, grief, self-esteem, relationship difficulties, intimacy and effective communication. As a psychotherapist I recognize and respect the healing power of a trusting therapeutic relationship, and offer not only a caring but also an enquiring atmosphere, so as to promote and provide an emotionally safe space for inner exploration of difficult feelings, experiences and challenges.
I work with issues of stress, anxiety, depression, childhood trauma, shame, loss, grief, self-esteem, relationship difficulties, intimacy and effective communication. As a psychotherapist I recognize and respect the healing power of a trusting therapeutic relationship, and offer not only a caring but also an enquiring atmosphere, so as to promote and provide an emotionally safe space for inner exploration of difficult feelings, experiences and challenges.
(613) 914-7700 View (613) 914-7700
Photo of Benjamin F Armstrong, Psychologist
Benjamin F Armstrong
Psychologist
Verified Verified
Ottawa, ON K1N  (Online Only)
Change starts with the relationship that we form in the therapy and then continues by building useful skills in and outside of our sessions. In practice this means that I fit best with clients who are interested in (1) understanding more about their thoughts and emotions while also (2) taking clear steps to improve their mental and physical well-being. My job as the therapist is to provide a warm and caring environment to support the client in this process.
Change starts with the relationship that we form in the therapy and then continues by building useful skills in and outside of our sessions. In practice this means that I fit best with clients who are interested in (1) understanding more about their thoughts and emotions while also (2) taking clear steps to improve their mental and physical well-being. My job as the therapist is to provide a warm and caring environment to support the client in this process.
View
Photo of Erica Campbell, Registered Psychotherapist (Qualifying)
Erica Campbell
Registered Psychotherapist (Qualifying)
Verified Verified
2 Endorsed
Ottawa, ON K1N
Are you having intrusive, anxious, or OCD-related thoughts and compulsions? Is it interfering with your day-to-day life? I offer anxiety and OCD treatment to adults, children, and youth in person and online. I have a passion for helping those who are struggling to thrive in life find the skills to cope and grow. I also have experience in the social work field, from providing youth programming and working with children, to guiding women in domestic abuse shelters and supporting dual-diagnosis adults with varying disabilities.
Are you having intrusive, anxious, or OCD-related thoughts and compulsions? Is it interfering with your day-to-day life? I offer anxiety and OCD treatment to adults, children, and youth in person and online. I have a passion for helping those who are struggling to thrive in life find the skills to cope and grow. I also have experience in the social work field, from providing youth programming and working with children, to guiding women in domestic abuse shelters and supporting dual-diagnosis adults with varying disabilities.
(343) 313-0758 View (343) 313-0758
Photo of Mariusz M Zadrag, MA, PhD, Registered Psychotherapist
Mariusz M Zadrag
Registered Psychotherapist, MA, PhD
Verified Verified
Ottawa, ON K1N
Not accepting new clients
xxxxxxxxxxxx I'm not accepting new clients at this time xxxxxxxxxxxx As an existential therapist, I aim to help clients face themselves rather than "fix" themselves - to draw out and respond to their distress and suffering, not merely focus on short-term interventions. I work with individuals and couples to identify their psychological strengths, engage their personal meanings, develop effective communication skills, strengthen the bonds of healthy interdependency, and improve the expression of deeper intimacy.
xxxxxxxxxxxx I'm not accepting new clients at this time xxxxxxxxxxxx As an existential therapist, I aim to help clients face themselves rather than "fix" themselves - to draw out and respond to their distress and suffering, not merely focus on short-term interventions. I work with individuals and couples to identify their psychological strengths, engage their personal meanings, develop effective communication skills, strengthen the bonds of healthy interdependency, and improve the expression of deeper intimacy.
(613) 914-7703 View (613) 914-7703
Photo of Lucie Brandt, MA, CCC, RP, Registered Psychotherapist
Lucie Brandt
Registered Psychotherapist, MA, CCC, RP
Verified Verified
Ottawa, ON K1N
Welcome to Lucie Brandt Psychotherapy Services. Since I began my practice in 2010, my areas of focus have included: work stress, depression, anxiety, burnout, single & multiple incident traumas, accidents on work sites, childhood trauma, sexual abuse, medical trauma, serious or terminal illness, fertility stress, pregnancy loss, physical & emotional violence, cultural and systemic traumas. I work with grief, including the impacts of a sudden death, the death of a child, suicide, or homicide. I work with people who have been in war and conflict zones, military clients and war veterans. I work with friends & survivors of MMIWG and
Welcome to Lucie Brandt Psychotherapy Services. Since I began my practice in 2010, my areas of focus have included: work stress, depression, anxiety, burnout, single & multiple incident traumas, accidents on work sites, childhood trauma, sexual abuse, medical trauma, serious or terminal illness, fertility stress, pregnancy loss, physical & emotional violence, cultural and systemic traumas. I work with grief, including the impacts of a sudden death, the death of a child, suicide, or homicide. I work with people who have been in war and conflict zones, military clients and war veterans. I work with friends & survivors of MMIWG and
(343) 306-4485 View (343) 306-4485
Photo of Bernadette Ingungu, MA, CCC, Registered Psychotherapist (Qualifying)
Bernadette Ingungu
Registered Psychotherapist (Qualifying), MA, CCC
Verified Verified
1 Endorsed
Ottawa, ON K1N  (Online Only)
When you are going through a difficult time, you may experience a roller coaster of many different emotions. You may feel overwhelmed, hopeless, lost, judged, discouraged, unhappy, stressed out and anxious. Moments like this, you may need to reach out for someone to talk to. Someone who can work with you in a safe environment while providing empathetic and non-judgmental service.
When you are going through a difficult time, you may experience a roller coaster of many different emotions. You may feel overwhelmed, hopeless, lost, judged, discouraged, unhappy, stressed out and anxious. Moments like this, you may need to reach out for someone to talk to. Someone who can work with you in a safe environment while providing empathetic and non-judgmental service.
(343) 308-2264 View (343) 308-2264
Photo of Geneviève Allard, MSW, RSW, MA, Registered Social Worker
Geneviève Allard
Registered Social Worker, MSW, RSW, MA
Verified Verified
1 Endorsed
Ottawa, ON K1N
Not accepting new clients
Bonjour! I have been a registered social worker for over 15 years and I am offering individual psychotherapy services for people dealing with a variety of issues such as anxiety, depression, childhood trauma, interpersonal problems and life transition challenges.
Bonjour! I have been a registered social worker for over 15 years and I am offering individual psychotherapy services for people dealing with a variety of issues such as anxiety, depression, childhood trauma, interpersonal problems and life transition challenges.
(343) 307-6571 View (343) 307-6571
Photo of Denis Loranger, MA , RP, Registered Psychotherapist
Denis Loranger
Registered Psychotherapist, MA , RP
Verified Verified
Ottawa, ON K1N  (Online Only)
Yes, I am accepting new clients - French/English - My name is Denis and I love helping people who want to improve their lives that are dealing with a difficult life transition, mental, emotional, cognitive struggles such as anxiety or depression. When your painful experiences and wounds are left unattended, they are likely to contaminate your life and relationships. I propose to work collaboratively with you to develop treatment goals for healing and personal growth. I also work with couples, to help them identify reactive patterns and improve communication, intimacy, and satisfaction in their relationship.
Yes, I am accepting new clients - French/English - My name is Denis and I love helping people who want to improve their lives that are dealing with a difficult life transition, mental, emotional, cognitive struggles such as anxiety or depression. When your painful experiences and wounds are left unattended, they are likely to contaminate your life and relationships. I propose to work collaboratively with you to develop treatment goals for healing and personal growth. I also work with couples, to help them identify reactive patterns and improve communication, intimacy, and satisfaction in their relationship.
(343) 500-4862 View (343) 500-4862
Photo of Victoria Kuczynski, MSc, MA, RP(Q), Registered Psychotherapist (Qualifying)
Victoria Kuczynski
Registered Psychotherapist (Qualifying), MSc, MA, RP(Q)
Verified Verified
Ottawa, ON K1N
Do you you often feel intense emotions of anger, fear, urges to self-harm or suicidal ideations? Does it happen you feel abandoned, rejected or even criticized in relationships? I can help you achieve whatever solutions and life changes you have set for yourself, while gaining self-awareness and better emotional control. Therapy can be a scary, intimidating process; I hope you take the time (and a deep breath!) to call me and see how I can help!
Do you you often feel intense emotions of anger, fear, urges to self-harm or suicidal ideations? Does it happen you feel abandoned, rejected or even criticized in relationships? I can help you achieve whatever solutions and life changes you have set for yourself, while gaining self-awareness and better emotional control. Therapy can be a scary, intimidating process; I hope you take the time (and a deep breath!) to call me and see how I can help!
(343) 308-1854 View (343) 308-1854

See more therapy options for K1N

How does your Counsellor compare?

Number of Counsellors in K1N

100+

Average cost per session

$160

Counsellors in K1N who prioritize treating:

94% Anxiety
83% Depression
81% Self Esteem
79% Relationship Issues
74% Stress
67% Coping Skills
67% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

65% Canada Life | Great-West Life
60% Green Shield Canada
60% SunLife

How Counsellors in K1N see their clients

56% In Person and Online
44% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in K1N?

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.