Photo of Suvi Teigen, MSW, RSW, Registered Social Worker
Suvi Teigen
Registered Social Worker, MSW, RSW
Verified Verified
2 Endorsed
Burnaby, BC V5C
As humans, we have all needed other people to share life’s journey with me in all its hope and hurt, awe and agony, wonder and wisdom. If you are in a space of curiosity, feeling like you would benefit from support to explore and deepen your personal and/or professional challenges, change deeply held patterns that aren't working for you, or work through frustrations, anxieties, fears, or grief, I am here to walk alongside you in that journey. I value a practical approach to addressing concerns, and will co-create strategies with you, drawing from your personal wisdom and experience combined with researched best practices.
As humans, we have all needed other people to share life’s journey with me in all its hope and hurt, awe and agony, wonder and wisdom. If you are in a space of curiosity, feeling like you would benefit from support to explore and deepen your personal and/or professional challenges, change deeply held patterns that aren't working for you, or work through frustrations, anxieties, fears, or grief, I am here to walk alongside you in that journey. I value a practical approach to addressing concerns, and will co-create strategies with you, drawing from your personal wisdom and experience combined with researched best practices.
(825) 606-0841 View (825) 606-0841
Photo of Margaret Brennan - Eating Disorder And Body Image Recovery, PhD, Psychologist
Are you tried of struggling with food or body image? Is eating a significant source of stress, anxiety, guilt or shame in your life? Do you rely on food to cope with stress or difficult emotions? Do you feel unable to control yourself around food? Do negative feelings about your body consume your thoughts, dictate how you feel and hold you back? Struggles with eating and body image are more common now than ever. Not addressing these challenges can lead to the situation deteriorating further and taking up even more mental and emotional space in your life. Thankfully it is possible to heal your relationship with food and your body.
Are you tried of struggling with food or body image? Is eating a significant source of stress, anxiety, guilt or shame in your life? Do you rely on food to cope with stress or difficult emotions? Do you feel unable to control yourself around food? Do negative feelings about your body consume your thoughts, dictate how you feel and hold you back? Struggles with eating and body image are more common now than ever. Not addressing these challenges can lead to the situation deteriorating further and taking up even more mental and emotional space in your life. Thankfully it is possible to heal your relationship with food and your body.
(825) 600-5165 View (825) 600-5165
Photo of Kayla Price, BA, MA, RCC, Counsellor
Kayla Price
Counsellor, BA, MA, RCC
Verified Verified
Burnaby, BC V5C
Kayla specializes in working with teens and adults who are struggling with depression or anxiety. This includes individuals who are struggling with figuring out their identity. She is also experienced in helping clients who are recovering from chronic pain or a concussion, including individuals who are impacted by accidents or athletes who have been recovering from injuries. Her background in kinesiology and active rehabilitation has informed her emphasis on the mind-body connection when working with her injured clients. Kayla is also passionate about helping new immigrants who are navigating challenging life transitions.
Kayla specializes in working with teens and adults who are struggling with depression or anxiety. This includes individuals who are struggling with figuring out their identity. She is also experienced in helping clients who are recovering from chronic pain or a concussion, including individuals who are impacted by accidents or athletes who have been recovering from injuries. Her background in kinesiology and active rehabilitation has informed her emphasis on the mind-body connection when working with her injured clients. Kayla is also passionate about helping new immigrants who are navigating challenging life transitions.
(343) 342-2320 View (343) 342-2320
Photo of Michael Mandrusiak, PsyD, RPsych, Psychologist
Michael Mandrusiak
Psychologist, PsyD, RPsych
Verified Verified
Burnaby, BC V5C
Thanks for visiting my profile. Finding the right therapist and reaching out for help can be a challenging but important step in healing and reaching your life goals. I work with many people who are feeling stuck and struggling with the stress of life or career concerns or who may be dealing with relationship issues, anxiety, obsessions and compulsions, depression, loss or trauma. My primary aim is to help people to feel safe and welcome so that I can support them in working toward their goals.
Thanks for visiting my profile. Finding the right therapist and reaching out for help can be a challenging but important step in healing and reaching your life goals. I work with many people who are feeling stuck and struggling with the stress of life or career concerns or who may be dealing with relationship issues, anxiety, obsessions and compulsions, depression, loss or trauma. My primary aim is to help people to feel safe and welcome so that I can support them in working toward their goals.
(450) 700-7972 View (450) 700-7972
Photo of Sandra L MacDonald, MEd, RCC, CCC, Counsellor
Sandra L MacDonald
Counsellor, MEd, RCC, CCC
Verified Verified
Burnaby, BC V5C
I am a good listener who will encourage you to reflect on what works for you, and which strategies you have tried in the past that have both worked well, or were unsuccessful. I will challenge you in good ways while delivering unconditional acceptance of your preferences and coping strategies. I will encourage you to grow, adapt, and face life’s challenges, losses, and life transitions and to move through losses while maintaining or learning healthy ways to grow. I have experience with a vast range of clients from ages 4-76 years and multicultural backgrounds. I am ethical, experienced, confidential, and trustworthy.
I am a good listener who will encourage you to reflect on what works for you, and which strategies you have tried in the past that have both worked well, or were unsuccessful. I will challenge you in good ways while delivering unconditional acceptance of your preferences and coping strategies. I will encourage you to grow, adapt, and face life’s challenges, losses, and life transitions and to move through losses while maintaining or learning healthy ways to grow. I have experience with a vast range of clients from ages 4-76 years and multicultural backgrounds. I am ethical, experienced, confidential, and trustworthy.
(604) 245-8174 View (604) 245-8174
Photo of Amber Lum, MEd, RCC, Counsellor
Amber Lum
Counsellor, MEd, RCC
Verified Verified
1 Endorsed
Burnaby, BC V5C
I welcome diverse clients of all cultures, genders, and sexual orientations. I appreciate that we all come with unique stories and histories, and I think it is important to recognize and celebrate how these shape the way that we experience the world. I feel honoured and privileged to walk alongside my resilient clients in their personal healing journeys. I work with many clients who feel like they are not themselves. My clients often describe "knowing" one thing to be reality but "feeling" like something else is true. Through EMDR, I can help support this integration between mind and body so you can meet your goals.
I welcome diverse clients of all cultures, genders, and sexual orientations. I appreciate that we all come with unique stories and histories, and I think it is important to recognize and celebrate how these shape the way that we experience the world. I feel honoured and privileged to walk alongside my resilient clients in their personal healing journeys. I work with many clients who feel like they are not themselves. My clients often describe "knowing" one thing to be reality but "feeling" like something else is true. Through EMDR, I can help support this integration between mind and body so you can meet your goals.
(249) 492-9850 View (249) 492-9850
Photo of Amanda Sparkes (Psychotherapy For You British Columbia), RCC, CCC, Counsellor
Amanda Sparkes (Psychotherapy For You British Columbia)
Counsellor, RCC, CCC
Verified Verified
1 Endorsed
Burnaby, BC V5C  (Online Only)
My name is Amanda Sparkes, and I am a Registered Clinical Counsellor with the British Columbia Association of Clinical Counsellors. I hold a Master’s Degree in Social Work, whereby my focus was in the area of mental health and addiction treatment, specifically serving and working within northern rural and remote communities and service provisions.My approach to practice specializes in the understanding of ‘culturally respectful social work practice’, anti-oppressive paradigm, and holistic healing through mindful practice. I am experienced in offering counselling services to children, youth, adults, and families focusing on issues
My name is Amanda Sparkes, and I am a Registered Clinical Counsellor with the British Columbia Association of Clinical Counsellors. I hold a Master’s Degree in Social Work, whereby my focus was in the area of mental health and addiction treatment, specifically serving and working within northern rural and remote communities and service provisions.My approach to practice specializes in the understanding of ‘culturally respectful social work practice’, anti-oppressive paradigm, and holistic healing through mindful practice. I am experienced in offering counselling services to children, youth, adults, and families focusing on issues
(778) 601-7794 View (778) 601-7794
Photo of Rosanne Johnson - Rosanne Johnson Couselling, MA, RCC, Counsellor
Rosanne Johnson Couselling
Counsellor, MA, RCC
Verified Verified
Burnaby, BC V5C
As a counsellor I offer therapy to the lesbian, gay, bisexual transgendered and straight community. I understand how important it is to to work with someone who understands the culture and lifestyle. I provide counselling to those struggling with past trauma or emotional pain, anxiety, depression, relationship struggles, problems coming out, or confusion and pain about sexual or gender identity. I use a variety of of proven counselling and therapy techniques to assist those in the LGBT and straight community to create meaningful and rich lives. As a relationship therapist I help people create healthy and fullfiling relationships.
As a counsellor I offer therapy to the lesbian, gay, bisexual transgendered and straight community. I understand how important it is to to work with someone who understands the culture and lifestyle. I provide counselling to those struggling with past trauma or emotional pain, anxiety, depression, relationship struggles, problems coming out, or confusion and pain about sexual or gender identity. I use a variety of of proven counselling and therapy techniques to assist those in the LGBT and straight community to create meaningful and rich lives. As a relationship therapist I help people create healthy and fullfiling relationships.
(855) 726-3232 View (855) 726-3232
Photo of Alia Chan, MCP, RCC, Counsellor
Alia Chan
Counsellor, MCP, RCC
Verified Verified
Burnaby, BC V5C
Alia received her degree in counselling psychology from Adler University and is registered with BCACC. Alia works with individuals who are looking for a new way to take hold of their lives. She acknowledges that counselling can be difficult to start, and she is here to go through those challenges with you. It is her priority to create a space where you feel validated and heard, and her hope for you is that you empower your inner strength so you can live a meaningful life. As a Filipino-Canadian, Alia is also passionate in working and supporting those of the BIPOC community.
Alia received her degree in counselling psychology from Adler University and is registered with BCACC. Alia works with individuals who are looking for a new way to take hold of their lives. She acknowledges that counselling can be difficult to start, and she is here to go through those challenges with you. It is her priority to create a space where you feel validated and heard, and her hope for you is that you empower your inner strength so you can live a meaningful life. As a Filipino-Canadian, Alia is also passionate in working and supporting those of the BIPOC community.
(604) 330-7568 View (604) 330-7568
Photo of Dawn Marie Thibeault, LLB, MA, RCC, Counsellor
Dawn Marie Thibeault
Counsellor, LLB, MA, RCC
Verified Verified
Burnaby, BC V5C
Registered Clinical Counselor (RCC) with a passion for enhancing mental health and promoting survivorship. and has supported a diverse clientele through a variety of challenges, including anxiety, depression, OCD, and addiction, to name a few. Her work extends to supporting individuals across different stages of life, from children and youth to adults and couples, focusing on individualized care tailored to each person's unique experiences and goals. ​
Registered Clinical Counselor (RCC) with a passion for enhancing mental health and promoting survivorship. and has supported a diverse clientele through a variety of challenges, including anxiety, depression, OCD, and addiction, to name a few. Her work extends to supporting individuals across different stages of life, from children and youth to adults and couples, focusing on individualized care tailored to each person's unique experiences and goals. ​
(672) 718-0155 View (672) 718-0155
Photo of Micah Jakobs, Pre-Licensed Professional
Micah Jakobs
Pre-Licensed Professional
Verified Verified
Burnaby, BC V5C
My approach is dynamic and process-oriented, rooted in person-centred therapy. I integrate various modalities, including evidence-based and strength-based approaches, mindfulness, and somatic practices. Together, we'll create a plan based on your concerns to help you reach your goals. We’re not meant to navigate life alone, and therapy offers that space to explore, discover, and work through what’s distressing you.
My approach is dynamic and process-oriented, rooted in person-centred therapy. I integrate various modalities, including evidence-based and strength-based approaches, mindfulness, and somatic practices. Together, we'll create a plan based on your concerns to help you reach your goals. We’re not meant to navigate life alone, and therapy offers that space to explore, discover, and work through what’s distressing you.
(587) 812-4395 View (587) 812-4395
Photo of Joel Todd, RTC, Counsellor
Joel Todd
Counsellor, RTC
Verified Verified
5 Endorsed
Burnaby, BC V5C
Are you like many people, struggling with anxiety, overwhelm, feeling down and not sure how to turn things around? It’s very common to feel all of these things. Life can be incredibly difficult between work, relationships, all our responsibilities and finding and living a purposeful life that feels fulfilling. Can things change for you? Can you turn it around? Absolutely you can. While the way that I work with my families and my adult clients differs in ways, the core of it is the same, I remind you that you are loved, I teach you to love yourself, help you balance self-love and love for others in healthy and empowering ways.
Are you like many people, struggling with anxiety, overwhelm, feeling down and not sure how to turn things around? It’s very common to feel all of these things. Life can be incredibly difficult between work, relationships, all our responsibilities and finding and living a purposeful life that feels fulfilling. Can things change for you? Can you turn it around? Absolutely you can. While the way that I work with my families and my adult clients differs in ways, the core of it is the same, I remind you that you are loved, I teach you to love yourself, help you balance self-love and love for others in healthy and empowering ways.
(236) 326-8846 View (236) 326-8846
Photo of Tara Leana Marshall - Kindred Counselling, MC, RCC, Counsellor
Kindred Counselling
Counsellor, MC, RCC
Verified Verified
Burnaby, BC V5C
We exclusively use EMDR with all of our clients at every age. We are now offering EMDR Intensives which is an accelerated way to do multiple hours of EMDR in a short period of time. We are client-centred, trauma-informed practitioners and our goal in every session is to create a safe, supportive, accepting environment which allows our clients to be themselves. In this authentic and safe space real change can occur. We believe in the life-changing benefits of EMDR for all ages. We respect our client's unique backgrounds and stories and foster a collaborative relationship to better create meaningful therapeutic goals.
We exclusively use EMDR with all of our clients at every age. We are now offering EMDR Intensives which is an accelerated way to do multiple hours of EMDR in a short period of time. We are client-centred, trauma-informed practitioners and our goal in every session is to create a safe, supportive, accepting environment which allows our clients to be themselves. In this authentic and safe space real change can occur. We believe in the life-changing benefits of EMDR for all ages. We respect our client's unique backgrounds and stories and foster a collaborative relationship to better create meaningful therapeutic goals.
(548) 800-4390 View (548) 800-4390
Photo of Jiten Beairsto, MCP, RCC, Counsellor
Jiten Beairsto
Counsellor, MCP, RCC
Verified Verified
Burnaby, BC V5C
Throughout my professional life, it has been my job to listen—first as a musician, and then as a counselling therapist. I know that it can be healing just to have a space to be heard and understood. I may not know right away how to solve the problem you’re struggling with - in fact, I’m quite skeptical of quick fixes - but I do know how to ask helpful questions and offer a fresh perspective.
Throughout my professional life, it has been my job to listen—first as a musician, and then as a counselling therapist. I know that it can be healing just to have a space to be heard and understood. I may not know right away how to solve the problem you’re struggling with - in fact, I’m quite skeptical of quick fixes - but I do know how to ask helpful questions and offer a fresh perspective.
(672) 202-3007 View (672) 202-3007
Photo of Bettina Hansen - Versatility Counselling, MCP, RCC, Counsellor
Versatility Counselling
Counsellor, MCP, RCC
Verified Verified
1 Endorsed
Burnaby, BC V5C  (Online Only)
I am passionate about working with youth and young adults. I like to take a philosophical approach that targets the heart of emotional concerns. I believe that emotional well-being can be achieved through finding purpose and meaning in life. I enjoy helping my clients heal through building intimate connections, collaborating on finding meaningful activities, and addressing emotional challenges that may be holding them back from moving forward with their life.
I am passionate about working with youth and young adults. I like to take a philosophical approach that targets the heart of emotional concerns. I believe that emotional well-being can be achieved through finding purpose and meaning in life. I enjoy helping my clients heal through building intimate connections, collaborating on finding meaningful activities, and addressing emotional challenges that may be holding them back from moving forward with their life.
(604) 670-2865 View (604) 670-2865
Photo of Renu Parmar, MC, RCC, Counsellor
Renu Parmar
Counsellor, MC, RCC
Verified Verified
Burnaby, BC V5C  (Online Only)
I’m an experienced psychotherapist/ registered clinical counsellor with over ten years of experience. I specialize in relationships and trauma - relationships with others, your career, or inner struggles that are keeping you stuck. I use attachment theory, somatic therapy and working with the unconscious mind to explore the following: Relationship issues, couples counselling, struggles with intimacy, dating, and infidelity, abandonment. Dependency issues (food, alcohol, drugs, technology). Being stuck in unhealthy lifestyle, career or relationship. Stress, burnout, and anxiety. Trauma (childhood, sexual, family). Identity issues.
I’m an experienced psychotherapist/ registered clinical counsellor with over ten years of experience. I specialize in relationships and trauma - relationships with others, your career, or inner struggles that are keeping you stuck. I use attachment theory, somatic therapy and working with the unconscious mind to explore the following: Relationship issues, couples counselling, struggles with intimacy, dating, and infidelity, abandonment. Dependency issues (food, alcohol, drugs, technology). Being stuck in unhealthy lifestyle, career or relationship. Stress, burnout, and anxiety. Trauma (childhood, sexual, family). Identity issues.
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Photo of Naushina Kiely - One Oak Counselling Ltd, MA, RCC, Counsellor
One Oak Counselling Ltd
Counsellor, MA, RCC
Verified Verified
Burnaby, BC V5C
No need to wait - our team works hard to get you in quickly and get you started on your journey to being the best version of you - to heal, to grow and to talk about whatever is on your mind - with a skilled and empathetic professional.
No need to wait - our team works hard to get you in quickly and get you started on your journey to being the best version of you - to heal, to grow and to talk about whatever is on your mind - with a skilled and empathetic professional.
(902) 813-4816 View (902) 813-4816
Photo of Lisa Rositano, MEd, RCC, Counsellor
Lisa Rositano
Counsellor, MEd, RCC
Verified Verified
1 Endorsed
Burnaby, BC V5C  (Online Only)
My experience in working in mental health services over the last 17 years - both adults and youth - has allowed me to meet clients with a variety of backgrounds and individual needs. An ideal client is one who is in need of a therapist that is a skilled listener who can help them develop and achieve their goals.
My experience in working in mental health services over the last 17 years - both adults and youth - has allowed me to meet clients with a variety of backgrounds and individual needs. An ideal client is one who is in need of a therapist that is a skilled listener who can help them develop and achieve their goals.
(587) 602-0145 View (587) 602-0145
Photo of Alleah Bowring, Pre-Licensed Professional
Alleah Bowring
Pre-Licensed Professional
Verified Verified
Burnaby, BC V5C
Do you struggle with feelings of inadequacy and often put more energy into your relationships than you do into your own self? Do you struggle with body image, especially within relationships and you worry about what others think of you? Do you often feel stressed, anxious, or overwhelmed that you find yourself procrastinating tasks or turning to easy fixes? I can help you let go of feelings of perfectionism and embrace self-compassion to feel engaged in your day-to-day again.
Do you struggle with feelings of inadequacy and often put more energy into your relationships than you do into your own self? Do you struggle with body image, especially within relationships and you worry about what others think of you? Do you often feel stressed, anxious, or overwhelmed that you find yourself procrastinating tasks or turning to easy fixes? I can help you let go of feelings of perfectionism and embrace self-compassion to feel engaged in your day-to-day again.
(249) 449-0202 View (249) 449-0202
Photo of Lena Orlova, RTC, Counsellor
Lena Orlova
Counsellor, RTC
Verified Verified
8 Endorsed
Burnaby, BC V5C
I am a bicultural therapist and my clients relate to me because they look for someone who appreciates what it's like to be inside of cultural and generational divides. I have over 5 years of experience working with professionals, parents, and students on issues related to trauma, immigration, family dynamics, and unacknowledged grief. Unacknowledged grief is what that doesn't fit our society's expectations: grief of relocating, of surviving disasters, of change. What makes me different from most therapists, is that I am passionate about helping people navigate the "other" relationships: friendships and workplace dynamics.
I am a bicultural therapist and my clients relate to me because they look for someone who appreciates what it's like to be inside of cultural and generational divides. I have over 5 years of experience working with professionals, parents, and students on issues related to trauma, immigration, family dynamics, and unacknowledged grief. Unacknowledged grief is what that doesn't fit our society's expectations: grief of relocating, of surviving disasters, of change. What makes me different from most therapists, is that I am passionate about helping people navigate the "other" relationships: friendships and workplace dynamics.
(778) 400-2161 View (778) 400-2161
1

See more therapy options for V5C

How does your Counsellor compare?

Number of Counsellors in V5C

100+

Average cost per session

$150

Counsellors in V5C who prioritize treating:

94% Anxiety
88% Depression
85% Self Esteem
85% Stress
83% Relationship Issues
78% Trauma and PTSD
68% Grief

Average years in practice

7 Years

Top 3 insurances accepted

63% Pacific Blue Cross
63% SunLife
57% Manulife

How Counsellors in V5C see their clients

84% In Person and Online
16% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in V5C?

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.