Therapists in Kitchener, ON
Megan Prenty
Registered Psychotherapist (Qualifying), MA
Verified Verified
5 Endorsed
Kitchener, ON N2G (Online Only)
Feeling stressed, overwhelmed, or a heightened sense of pressure to maintain your responsibilities, relationships, and friends can take a toll on your mental health. Sometimes, this feels like anxiety and/or depression, which often manifest as fatigue, a lack of motivation, or avoidance. Or maybe you push yourself in the other direction: over-achieving, holding yourself to impossible standards, perfectionism, and a chronically busy schedule. We all have challenging periods in life, but you don't have to navigate them alone.
Feeling stressed, overwhelmed, or a heightened sense of pressure to maintain your responsibilities, relationships, and friends can take a toll on your mental health. Sometimes, this feels like anxiety and/or depression, which often manifest as fatigue, a lack of motivation, or avoidance. Or maybe you push yourself in the other direction: over-achieving, holding yourself to impossible standards, perfectionism, and a chronically busy schedule. We all have challenging periods in life, but you don't have to navigate them alone.
Miguel P Guayasamin
Registered Social Worker, BA, BSW, MSW, RSW
Verified Verified
1 Endorsed
Kitchener, ON N2E
Life is beautiful, in part because of its challenges which can help us to grow and learn more about ourselves. There are times when we can feel overwhelmed and experience increased stress, anxiety, low mood or various other things that have us feeling less like ourselves. Simply put, those are all signs that you have done the best that you can with the skills and supports that you have to navigate this part of your life. My hope in this role is to support each individual to realign with their strengths and the development of the skills needed to thrive during these seasons.
Life is beautiful, in part because of its challenges which can help us to grow and learn more about ourselves. There are times when we can feel overwhelmed and experience increased stress, anxiety, low mood or various other things that have us feeling less like ourselves. Simply put, those are all signs that you have done the best that you can with the skills and supports that you have to navigate this part of your life. My hope in this role is to support each individual to realign with their strengths and the development of the skills needed to thrive during these seasons.
Humaira Amir Counselling Services
Registered Psychotherapist, MA, RP, CCC
Verified Verified
1 Endorsed
Kitchener, ON N2P
Humaira Amir received her Master of Counselling Psychology from the Adler School of Psychology. She has 20-years of counselling experience working with children, teens, adults, couples and families. Humaira is skilled in treating a variety of concerns, including but not limited to anxiety, depression, school refusal, obsessive-compulsive disorder, post-traumatic stress disorder, panic disorder, parenting/co-parenting skills, relationship issues and anger management. She also has experience facilitating group programs for parenting and anger management.
Humaira Amir received her Master of Counselling Psychology from the Adler School of Psychology. She has 20-years of counselling experience working with children, teens, adults, couples and families. Humaira is skilled in treating a variety of concerns, including but not limited to anxiety, depression, school refusal, obsessive-compulsive disorder, post-traumatic stress disorder, panic disorder, parenting/co-parenting skills, relationship issues and anger management. She also has experience facilitating group programs for parenting and anger management.
Jackie Corbett
Registered Social Worker, BA, MSW, RSW
Verified Verified
4 Endorsed
Kitchener, ON N2B
Accepting NEW clients! -If you are reading this you have already taken the scariest step; recognizing that you want some extra help or support. Are you experiencing issues in life and you don't know how to approach them, where to even start, or who to reach out to? Do you have past experiences which are not letting you move on with your life? Are you struggling with depression, anxiety, unhelpful thinking patterns, self-esteem or trauma? Work as a first responder and experience work stress or trauma? Struggle with a personality or mood disorder? Sometimes life gives us more than we can handle alone and we don't know how to cope.
Accepting NEW clients! -If you are reading this you have already taken the scariest step; recognizing that you want some extra help or support. Are you experiencing issues in life and you don't know how to approach them, where to even start, or who to reach out to? Do you have past experiences which are not letting you move on with your life? Are you struggling with depression, anxiety, unhelpful thinking patterns, self-esteem or trauma? Work as a first responder and experience work stress or trauma? Struggle with a personality or mood disorder? Sometimes life gives us more than we can handle alone and we don't know how to cope.
Sanam Rezaei
Registered Social Worker, MSW, RSW
Verified Verified
4 Endorsed
Kitchener, ON N2B (Online Only)
Are you feeling overwhelmed, stuck, or uncertain about the path ahead? I'm here to offer you a safe space where you can explore your thoughts, emotions, and experiences without judgment.
Are you feeling overwhelmed, stuck, or uncertain about the path ahead? I'm here to offer you a safe space where you can explore your thoughts, emotions, and experiences without judgment.
I don't think mental health is something you achieve, but rather something you work your whole life trying to improve and maintain. There are so many reasons why you can't seem to be the best version of yourself - lack of motivation, negative past experiences, fears, and insecurities. And sometimes you just need a space separate from your world to help clarify and better understand yourself and what's standing in your way. My goal is to create an open, trusting, and vulnerable space where you can be your most authentic self - I believe that is the state where insight and change takes place.
I don't think mental health is something you achieve, but rather something you work your whole life trying to improve and maintain. There are so many reasons why you can't seem to be the best version of yourself - lack of motivation, negative past experiences, fears, and insecurities. And sometimes you just need a space separate from your world to help clarify and better understand yourself and what's standing in your way. My goal is to create an open, trusting, and vulnerable space where you can be your most authentic self - I believe that is the state where insight and change takes place.
Isidora (Isi) Nezic
Registered Social Worker, BSc, MSW, RSW
Verified Verified
1 Endorsed
Kitchener, ON N2H
I am so happy that you are here. Starting your healing journey toward who you want to be can be incredibly overwhelming, intimidating, and scary. You don't need to be in a place where you are unhappy and struggling. Maybe you're experiencing a major life transition as a young-adult in post-secondary, navigating anxiety, relationship issues, or struggling in your career. In therapy, as is true in most circumstances, one size does not fit all. You’ll find me using a creative eclectic approach that tailors to your unique strengths and needs. I believe you have the inherent ability to be well and thrive well with the right support.
I am so happy that you are here. Starting your healing journey toward who you want to be can be incredibly overwhelming, intimidating, and scary. You don't need to be in a place where you are unhappy and struggling. Maybe you're experiencing a major life transition as a young-adult in post-secondary, navigating anxiety, relationship issues, or struggling in your career. In therapy, as is true in most circumstances, one size does not fit all. You’ll find me using a creative eclectic approach that tailors to your unique strengths and needs. I believe you have the inherent ability to be well and thrive well with the right support.
Listening Tree Studio & Coaching
HBA, CVRM, ECPC, PCC
Verified Verified
Kitchener, ON N2G (Online Only)
You value your emotional wellness but are still stuck and are struggling with low self-esteem and unworthiness. You may have had the strength to come out of pretty harrowing circumstances yet are feeling exhausted and can’t quite grasp the motivation to keep up the pace. Know that you are not alone. I am an internationally certified Life Coach with over 20 years of experience in crisis response and facilitation. I provide a safe and comfortable place to be authentic so you can find the clarity and new perspective to propel you forward in a life that is your own.
You value your emotional wellness but are still stuck and are struggling with low self-esteem and unworthiness. You may have had the strength to come out of pretty harrowing circumstances yet are feeling exhausted and can’t quite grasp the motivation to keep up the pace. Know that you are not alone. I am an internationally certified Life Coach with over 20 years of experience in crisis response and facilitation. I provide a safe and comfortable place to be authentic so you can find the clarity and new perspective to propel you forward in a life that is your own.
Amit Hochman- Breathing Again Therapy
Registered Social Worker, MSW, RSW
Verified Verified
Kitchener, ON N2G
Do you feel that sometimes life is overwhelming and everything happens at once? Sometimes stressful events from your past keep coming up, or you're adjusting to a new situation like parenthood or loss, and you feel it's hard to breathe. Do you find that sometimes you don’t feel yourself anymore? You can’t enjoy things. You feel lost, angry, scared, or sad all the time and find it hard to focus. Do you have difficulties falling or staying asleep? Or finding that all of this complicates your relationship? I understand you often try to work through things by yourself, but it doesn't seem to work. You are not alone. I am here to help.
Do you feel that sometimes life is overwhelming and everything happens at once? Sometimes stressful events from your past keep coming up, or you're adjusting to a new situation like parenthood or loss, and you feel it's hard to breathe. Do you find that sometimes you don’t feel yourself anymore? You can’t enjoy things. You feel lost, angry, scared, or sad all the time and find it hard to focus. Do you have difficulties falling or staying asleep? Or finding that all of this complicates your relationship? I understand you often try to work through things by yourself, but it doesn't seem to work. You are not alone. I am here to help.
Is it hard to find the motivation to do the things you know you should do? Do you wake up in the morning wondering what your purpose is or start your day with a sense of dread? Is your life not going the way you thought it would? Have you been through a traumatic event and are finding it hard to get back into the groove of things? Do you lack fulfillment in close relationships in your life? If any of these statements resonate with you, I encourage you to reach out so we can find a way for things to feel better. I also have years of experience in the children's mental health sector and can support children/youth ages 10+.
Is it hard to find the motivation to do the things you know you should do? Do you wake up in the morning wondering what your purpose is or start your day with a sense of dread? Is your life not going the way you thought it would? Have you been through a traumatic event and are finding it hard to get back into the groove of things? Do you lack fulfillment in close relationships in your life? If any of these statements resonate with you, I encourage you to reach out so we can find a way for things to feel better. I also have years of experience in the children's mental health sector and can support children/youth ages 10+.
Veronica Giannini
Registered Social Worker, MSW, RSW
Verified Verified
Kitchener, ON N2H (Online Only)
Are you or someone you love between the ages of 12-24 and seeking mental health support? You are not alone. We know it hasn’t been easy these past few years and we see the impact on youth mental health. Early intervention for youth is so critical for better health outcomes later in life. When youth are empowered towards a greater sense of wellness they interact with the world around them in a positive and dynamic way. Providing a safe space where youth can talk openly about their lived experiences as they work towards their mental health goals is transformative in itself.
Are you or someone you love between the ages of 12-24 and seeking mental health support? You are not alone. We know it hasn’t been easy these past few years and we see the impact on youth mental health. Early intervention for youth is so critical for better health outcomes later in life. When youth are empowered towards a greater sense of wellness they interact with the world around them in a positive and dynamic way. Providing a safe space where youth can talk openly about their lived experiences as they work towards their mental health goals is transformative in itself.
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Registered Psychotherapist (Qualifying), RP(Q), BRE, MA
Verified Verified
3 Endorsed
Kitchener, ON N2M
My approach to psychotherapy is founded on the belief that all people carry inherent worth and value. I take a holistic view of clients, people are multidimensional, and every aspect, biological, psychological, social, and spiritual, play a role in subjective well-being. I rely upon the perspective that clients are the experts of their lives, which is invaluable in tailoring my approach specific to you. I believe strongly that no one has a monopoly on normality. The nuanced approach I take for every client is rooted in my belief that every person is unique and deserves an approach tailored specifically to them.
My approach to psychotherapy is founded on the belief that all people carry inherent worth and value. I take a holistic view of clients, people are multidimensional, and every aspect, biological, psychological, social, and spiritual, play a role in subjective well-being. I rely upon the perspective that clients are the experts of their lives, which is invaluable in tailoring my approach specific to you. I believe strongly that no one has a monopoly on normality. The nuanced approach I take for every client is rooted in my belief that every person is unique and deserves an approach tailored specifically to them.
Strength Counselling Services
Counsellor, MEd, RCC, CCC, RSW, RP
Verified Verified
Kitchener, ON N2E (Online Only)
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
We are an online counselling agency so do not provide services in person. Strength Counselling Services has licensed, experienced therapists who use evidence-based practices, prioritize client needs, and maintain ethical standards. We offer culturally sensitive, affordable services in a supportive environment. We offer a comprehensive goals assessment, regularly assess progress, and collaborate with other professionals. We provide transparency in our fees and for thirteen years now have held a positive reputation of trust, and client success. Lastly, ensuring our clients' privacy and confidentiality are of utmost importance to us.
Nicholas McGrath
Registered Social Worker, MSW, RSW, MScA
Verified Verified
1 Endorsed
Kitchener, ON N2H
I believe in honouring the person in front of me, making room for your story, and working collaboratively towards your goals. I work with individuals, couples, and families to manage and transform: relationship challenges, strong emotions, self-doubt, life changes, cultural pressures, identity stressors, depression, anxiety, and more. I value and reflect on the unique perspectives and needs of every person who is courageously reaching out for therapy. I am a level 1 trained Internal Family Systems (IFS) therapist and I create a space for people to accompany and heal the many aspects of their experience that bring them to therapy.
I believe in honouring the person in front of me, making room for your story, and working collaboratively towards your goals. I work with individuals, couples, and families to manage and transform: relationship challenges, strong emotions, self-doubt, life changes, cultural pressures, identity stressors, depression, anxiety, and more. I value and reflect on the unique perspectives and needs of every person who is courageously reaching out for therapy. I am a level 1 trained Internal Family Systems (IFS) therapist and I create a space for people to accompany and heal the many aspects of their experience that bring them to therapy.
Gabriela Elias
Registered Social Worker, BSW, MSW, RSW
Verified Verified
1 Endorsed
Kitchener, ON N2N
*Couples & Trauma Specialist* You may feel like you are having the same argument with your partner. Daily stress piles up and you grow further apart from one another, feeling tension and disconnect. You feel alone in your relationship. You feel frustrated, angry and hopeless, asking yourself what went wrong. You are tired of arguments and long for the love and emotional connection you felt at the beginning of your relationship. Most couples get stuck in a negative cycle and the cycle is the problem. Together we will untangle this stuck pattern and find the emotional connection, love, and peace that you want in your relationship.
*Couples & Trauma Specialist* You may feel like you are having the same argument with your partner. Daily stress piles up and you grow further apart from one another, feeling tension and disconnect. You feel alone in your relationship. You feel frustrated, angry and hopeless, asking yourself what went wrong. You are tired of arguments and long for the love and emotional connection you felt at the beginning of your relationship. Most couples get stuck in a negative cycle and the cycle is the problem. Together we will untangle this stuck pattern and find the emotional connection, love, and peace that you want in your relationship.
Beth Van Lingen
Registered Psychotherapist (Qualifying), MSc
Verified Verified
1 Endorsed
Kitchener, ON N2C
Not accepting new clients
Personally and professionally, I have experienced the power of finding language that describes who we are and of being seen and supported in telling and retelling the stories that shape us. One of the ways we make sense of our experiences is through stories, both that we hold internally and that we share with others. It has been my honour and joy to join people in finding new and old meaning in their stories.
Personally and professionally, I have experienced the power of finding language that describes who we are and of being seen and supported in telling and retelling the stories that shape us. One of the ways we make sense of our experiences is through stories, both that we hold internally and that we share with others. It has been my honour and joy to join people in finding new and old meaning in their stories.
Are you feeling stuck in an older version of yourself that you know is ready to change? Do you live with the feeling that there's a truer version of "you" that's dying to come out? Are you held back by complicated relationships from your past, that seem to keep you in a holding pattern? Are you a couple stuck in a pattern that keeps you apart? Often we hit a place where we know we are ready for a transition, but we're just not sure what to do next. That's when therapy can be the most powerful. It's my greatest privilege to experience real connection with folks who are journeying towards a more meaningful, fulfilled, authentic life.
Are you feeling stuck in an older version of yourself that you know is ready to change? Do you live with the feeling that there's a truer version of "you" that's dying to come out? Are you held back by complicated relationships from your past, that seem to keep you in a holding pattern? Are you a couple stuck in a pattern that keeps you apart? Often we hit a place where we know we are ready for a transition, but we're just not sure what to do next. That's when therapy can be the most powerful. It's my greatest privilege to experience real connection with folks who are journeying towards a more meaningful, fulfilled, authentic life.
Bonnie Taylor Counselling & Consulting Services
Registered Social Worker, MSW , RSW
Verified Verified
1 Endorsed
Kitchener, ON N2H
Reaching out for therapy is a significant step to feeling less stressed, anxious, overwhelmed or isolated. I can support you to develop strategies and skills to increase life satisfaction, feel more positive, hopeful & increase your mental wellness, by offering you the space to discover more about yourself, your strengths, relationships and goals. I take a compassionate and sensitive approach when providing therapy. I will work with you to establish your goals, which may be personal, professional or within your relationships. I can help you to recognize your inner strengths, provide a safe neutral space & customize a treatment plan.
Reaching out for therapy is a significant step to feeling less stressed, anxious, overwhelmed or isolated. I can support you to develop strategies and skills to increase life satisfaction, feel more positive, hopeful & increase your mental wellness, by offering you the space to discover more about yourself, your strengths, relationships and goals. I take a compassionate and sensitive approach when providing therapy. I will work with you to establish your goals, which may be personal, professional or within your relationships. I can help you to recognize your inner strengths, provide a safe neutral space & customize a treatment plan.
My intention for you, as a therapist, is to be with you with compassion and skill to help you through life's difficult times and to help you reach your greater potential. We will work together, in a supportive environment, to increase resilience and wisdom so you can be better able to access, communicate and actualize your inner needs. Most of the clients I see are burdened by anxiety, depression, relationship problems and/or trauma. I have resources and strategies that address these all too common concerns.
My intention for you, as a therapist, is to be with you with compassion and skill to help you through life's difficult times and to help you reach your greater potential. We will work together, in a supportive environment, to increase resilience and wisdom so you can be better able to access, communicate and actualize your inner needs. Most of the clients I see are burdened by anxiety, depression, relationship problems and/or trauma. I have resources and strategies that address these all too common concerns.
When you find yourself struggling, its good to have a compassionate and confidential place to explore your complex feelings and experiences. Anxiety, depression and addiction often are signs of deeper unresolved issues. Together, we explore what is hindering your sense of well being. I offer compassionate guidance to help develop clarity. Using depth techniques and action steps, you can be guided to challenge patterns that don't work for you or your relationships anymore. Whether you are struggling with overwhelm, conflicts, loss or emotional and behavioural patterns, can help you navigate the waters promotes change.
When you find yourself struggling, its good to have a compassionate and confidential place to explore your complex feelings and experiences. Anxiety, depression and addiction often are signs of deeper unresolved issues. Together, we explore what is hindering your sense of well being. I offer compassionate guidance to help develop clarity. Using depth techniques and action steps, you can be guided to challenge patterns that don't work for you or your relationships anymore. Whether you are struggling with overwhelm, conflicts, loss or emotional and behavioural patterns, can help you navigate the waters promotes change.
See more therapy options for Kitchener
How does your Counsellor compare?
Number of Counsellors in Kitchener, ON
600+
Average cost per session
$150
Counsellors in Kitchener, ON who prioritize treating:
93% | Anxiety |
88% | Depression |
82% | Relationship Issues |
81% | Self Esteem |
78% | Stress |
72% | Coping Skills |
70% | Trauma and PTSD |
Average years in practice
9 Years
Top 3 insurances accepted
62% | Manulife |
61% | Green Shield Canada |
59% | SunLife |
How Counsellors in Kitchener, ON see their clients
71% | In Person and Online | |
29% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Kitchener?
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
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.
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.
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.
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.