Photo of Saman Khan, RCC, Counsellor
Saman Khan
Counsellor, RCC
Verified Verified
I'm a passionate and dedicated clinical counselor with a decade of experience in helping clients overcome life's challenges and find their path to personal growth and well-being. As a Farsi-speaking Iranian immigrant, I have the privilege of living and working on unceded Coast Salish territory. I bring a rich and diverse background to my practice, having worked alongside diverse clients in post-secondary, hospital, and community settings.
I'm a passionate and dedicated clinical counselor with a decade of experience in helping clients overcome life's challenges and find their path to personal growth and well-being. As a Farsi-speaking Iranian immigrant, I have the privilege of living and working on unceded Coast Salish territory. I bring a rich and diverse background to my practice, having worked alongside diverse clients in post-secondary, hospital, and community settings.
(506) 308-1778 View (506) 308-1778
Photo of Deema Hannoud, MA, RCC, Counsellor
Deema Hannoud
Counsellor, MA, RCC
Verified Verified
I'm a Registered Clinical Counsellor specializing in relationships, anxiety, and bi-cultural identities. Whether you're recovering from past traumas, feeling lost, depressed, anxious, overwhelmed by perfectionism, or in an unfulfilled relationship, I believe full recovery is possible and will help you create a more enriching and integrated life. Within relationships I support my clients improve communication and listening skills, release resentment and bitterness, build a foundation of understanding, foster connection and reignite intimacy and embody a shift from individual to relational coping.
I'm a Registered Clinical Counsellor specializing in relationships, anxiety, and bi-cultural identities. Whether you're recovering from past traumas, feeling lost, depressed, anxious, overwhelmed by perfectionism, or in an unfulfilled relationship, I believe full recovery is possible and will help you create a more enriching and integrated life. Within relationships I support my clients improve communication and listening skills, release resentment and bitterness, build a foundation of understanding, foster connection and reignite intimacy and embody a shift from individual to relational coping.
(506) 497-5169 View (506) 497-5169
Photo of Hayley Booker, MA CP, BACYC, CYCP, Counsellor
Hayley Booker
Counsellor, MA CP, BACYC, CYCP
Verified Verified
As a clinical therapist, I believe in the importance of building a strong and trusting therapeutic relationship. Within my practice, I strive to cultivate a safe and non-judgmental atmosphere where any thoughts, emotions, and experiences are welcome. Recognizing that every individual is unique, I offer a holistic and integrative approach, adapting and tailoring my approach to fit each client’s needs. My intention is to work collaboratively with each client to foster positive change and promote healing. I feel honoured and grateful to walk alongside you throughout your journey.
As a clinical therapist, I believe in the importance of building a strong and trusting therapeutic relationship. Within my practice, I strive to cultivate a safe and non-judgmental atmosphere where any thoughts, emotions, and experiences are welcome. Recognizing that every individual is unique, I offer a holistic and integrative approach, adapting and tailoring my approach to fit each client’s needs. My intention is to work collaboratively with each client to foster positive change and promote healing. I feel honoured and grateful to walk alongside you throughout your journey.
(604) 259-4023 View (604) 259-4023
Photo of Dominic Brennan, Coach, MA, MSc, RCC, CEC, Counsellor
Dominic Brennan
Counsellor, Coach, MA, MSc, RCC, CEC
Verified Verified
1 Endorsed
Not accepting new clients
I support adult men and women navigate through issues of anxiety, anger management, burnout, stress, work and personal relationship issues, and professional challenges from career moves to senior executive situations. Having a Certified Registered Clinical Counsellor (RCC) and Certified Executive Coach (CEC) with my experienced background in mental health and business, can guide you towards your desired outcomes, where you can expect a supportive and empowering counselling and coaching experience that is tailored to your individual needs and goals.
I support adult men and women navigate through issues of anxiety, anger management, burnout, stress, work and personal relationship issues, and professional challenges from career moves to senior executive situations. Having a Certified Registered Clinical Counsellor (RCC) and Certified Executive Coach (CEC) with my experienced background in mental health and business, can guide you towards your desired outcomes, where you can expect a supportive and empowering counselling and coaching experience that is tailored to your individual needs and goals.
(289) 768-8073 View (289) 768-8073
Photo of Jenni Clark, PhD, DClnPsy, RPsych, Psychologist
Jenni Clark
Psychologist, PhD, DClnPsy, RPsych
Verified Verified
2 Endorsed
I am a UK qualified clinical psychologist, who relocated to beautiful North Vancouver with my family in 2014. I have almost 20 years of clinical experience supporting youth (14+) and adults of all ages with a wide variety of presenting concerns (such as anxiety or depression) particularly in the context of life transitions, including long-term physical health conditions. My clinical practice is evidence-based and collaborative at its core; my goal as a therapist is support you to create and develop a life of meaning and value. Together, we will co-create a therapeutic approach that makes sense to you.
I am a UK qualified clinical psychologist, who relocated to beautiful North Vancouver with my family in 2014. I have almost 20 years of clinical experience supporting youth (14+) and adults of all ages with a wide variety of presenting concerns (such as anxiety or depression) particularly in the context of life transitions, including long-term physical health conditions. My clinical practice is evidence-based and collaborative at its core; my goal as a therapist is support you to create and develop a life of meaning and value. Together, we will co-create a therapeutic approach that makes sense to you.
(867) 292-0757 View (867) 292-0757
Photo of Brandy Mackintosh, MCP, RCC, Counsellor
Brandy Mackintosh
Counsellor, MCP, RCC
Verified Verified
I am a Registered Clinical Counsellor offering counselling sessions both in-person and virtually. I work in the field of healing because I believe that it is always possible, and I believe deeply in the power of relationships to facilitate that healing. The connection that we build in our work together is of the utmost importance to me, and I strive to create a space where you can feel safe enough to share your truth and feel accepted for exactly who you are.
I am a Registered Clinical Counsellor offering counselling sessions both in-person and virtually. I work in the field of healing because I believe that it is always possible, and I believe deeply in the power of relationships to facilitate that healing. The connection that we build in our work together is of the utmost importance to me, and I strive to create a space where you can feel safe enough to share your truth and feel accepted for exactly who you are.
(825) 305-5960 View (825) 305-5960
Photo of Somatic Therapy: Mia Logie, PhD, MSc, RTC, Counsellor
Somatic Therapy: Mia Logie
Counsellor, PhD, MSc, RTC
Verified Verified
1 Endorsed
Do you want to feel better about yourself and your life? Are your frustrated with how you show up in relationships, work, life balance? Have you tried other therapy before, and you are still here, looking for a life that you love? Knowing something will make little difference when our bodies are convinced otherwise. This is why I primarily work somatically. When you have a new experience of yourself, in your body, in a way you may not have known was possible before, this will lead to lasting impact on how you function in this world.
Do you want to feel better about yourself and your life? Are your frustrated with how you show up in relationships, work, life balance? Have you tried other therapy before, and you are still here, looking for a life that you love? Knowing something will make little difference when our bodies are convinced otherwise. This is why I primarily work somatically. When you have a new experience of yourself, in your body, in a way you may not have known was possible before, this will lead to lasting impact on how you function in this world.
(306) 802-3351 View (306) 802-3351
Photo of Amara Hinde, MCP, RCC, Counsellor
Amara Hinde
Counsellor, MCP, RCC
Verified Verified
1 Endorsed
I am passionate about working with clients that struggle with anxiety, grief, and life transitions. These experiences often invoke a feeling of being stuck; not knowing how to move forward. This leads to feeling overwhelmed and alone. I use a warm, gentle and strength-based approach. I believe that clients are the experts on their own life. I help them to process blocked emotions and provide tools to help them thrive. I believe that every human being strives for and has the capacity to fulfill their own potential. My purpose is to help my clients feel understood and empowered to achieve their mental health goals.
I am passionate about working with clients that struggle with anxiety, grief, and life transitions. These experiences often invoke a feeling of being stuck; not knowing how to move forward. This leads to feeling overwhelmed and alone. I use a warm, gentle and strength-based approach. I believe that clients are the experts on their own life. I help them to process blocked emotions and provide tools to help them thrive. I believe that every human being strives for and has the capacity to fulfill their own potential. My purpose is to help my clients feel understood and empowered to achieve their mental health goals.
(825) 254-7217 View (825) 254-7217
Photo of Trevor C Warren, RCC, MA, CRS, Counsellor
Trevor C Warren
Counsellor, RCC, MA, CRS
Verified Verified
With over 30 years of direct counselling experience as a Relationship & Sexual Intimacy therapist Trevor has helped over 1,000 couples reclaim the lost connection in their partnerships and has earned the reputation of “Relationship Expert” in Vancouver’s lower mainland. With Trevor’s support via 90-minute counselling sessions or his unique 3-Day/18hr Couples Immersions he can help you resolve a number of common relationship challenges including a breakdown in communication, feeling distant from your partner, inability to resolve ongoing conflict, feeling sexually unfulfilled, or even dealing with the devastating impact of an affair.
With over 30 years of direct counselling experience as a Relationship & Sexual Intimacy therapist Trevor has helped over 1,000 couples reclaim the lost connection in their partnerships and has earned the reputation of “Relationship Expert” in Vancouver’s lower mainland. With Trevor’s support via 90-minute counselling sessions or his unique 3-Day/18hr Couples Immersions he can help you resolve a number of common relationship challenges including a breakdown in communication, feeling distant from your partner, inability to resolve ongoing conflict, feeling sexually unfulfilled, or even dealing with the devastating impact of an affair.
(778) 906-8602 View (778) 906-8602
Photo of Gabriela Ionita - Nova Mental Health, PhD, Psychologist
Nova Mental Health
Psychologist, PhD
Verified Verified
8 Endorsed
At Nova Mental Health, we focus on creating a warm, collaborative, and engaging atmosphere while incorporating the latest research evidence and best-practice guidelines to help children, teens, adults and couples move through challenges. Our aim is to provide you with new tools and strategies that can help you reach your goals. We are a team of psychologists, counsellors and social workers offering online (video conferencing) and some in-person therapy. You can read more about each of our areas of practice on our website.
At Nova Mental Health, we focus on creating a warm, collaborative, and engaging atmosphere while incorporating the latest research evidence and best-practice guidelines to help children, teens, adults and couples move through challenges. Our aim is to provide you with new tools and strategies that can help you reach your goals. We are a team of psychologists, counsellors and social workers offering online (video conferencing) and some in-person therapy. You can read more about each of our areas of practice on our website.
(778) 760-3841 View (778) 760-3841
Photo of Vanessa Rouzier - My Life Counselling, MSc, Counsellor
My Life Counselling
Counsellor, MSc
Verified Verified
Specialized in treating anxiety, eating disorders -binge eating, bulimia, obesity-, adult ADHD, intense emotions, relationship issues & childhood trauma. Offering counselling in French and English.
Specialized in treating anxiety, eating disorders -binge eating, bulimia, obesity-, adult ADHD, intense emotions, relationship issues & childhood trauma. Offering counselling in French and English.
(548) 490-7421 View (548) 490-7421
Photo of Alicia Woods, RCC, MA, Counsellor
Alicia Woods
Counsellor, RCC, MA
Verified Verified
2 Endorsed
Life can be overwhelming. And you don't have to go through this alone. Seeking support is one of the most courageous things you can do, and I am so proud of you for starting your search. My office is a space where you can show up exactly as you are and know that your identity will be celebrated and affirmed, your boundaries will be respected and your humanity will be seen, felt and held. Co-creating a safe space where you can openly explore thoughts emotions and experiences is how we will begin. Providing creative, personalized care that is unique to who you are, and where you are at is always my priority.
Life can be overwhelming. And you don't have to go through this alone. Seeking support is one of the most courageous things you can do, and I am so proud of you for starting your search. My office is a space where you can show up exactly as you are and know that your identity will be celebrated and affirmed, your boundaries will be respected and your humanity will be seen, felt and held. Co-creating a safe space where you can openly explore thoughts emotions and experiences is how we will begin. Providing creative, personalized care that is unique to who you are, and where you are at is always my priority.
(604) 332-0347 View (604) 332-0347
Photo of Kevin Rose, BA, RTC, Counsellor
Kevin Rose
Counsellor, BA, RTC
Verified Verified
6 Endorsed
North Vancouver, BC V7M  (Online Only)
Are you a couple or individual struggling with anxiety, depression, trauma or relationship difficulties? Caught in a negative cycle of worry or panic? We all seek love and to belong, and have experienced ruptures there. Understanding the story under your story will help you rediscover your vital inner resourcefulness. I will join with you to build much needed systems of support. Experiencing painful emotions can feel scary, but we'll do it together: it's my privilege to walk with you through this territory to help you rediscover the richness and creativity that lies within you. And have some fun in the process!
Are you a couple or individual struggling with anxiety, depression, trauma or relationship difficulties? Caught in a negative cycle of worry or panic? We all seek love and to belong, and have experienced ruptures there. Understanding the story under your story will help you rediscover your vital inner resourcefulness. I will join with you to build much needed systems of support. Experiencing painful emotions can feel scary, but we'll do it together: it's my privilege to walk with you through this territory to help you rediscover the richness and creativity that lies within you. And have some fun in the process!
(778) 771-1718 View (778) 771-1718
Photo of Dorota Hedzelek, PhD, RCC, CCC, Counsellor
Dorota Hedzelek
Counsellor, PhD, RCC, CCC
Verified Verified
Recovery from pain is possible. Let's start together from understanding YOUR pain and creating a path to wellness that is unique for YOU. I am fascinated by the brain and body connection and the immense possibilities that arise when we open ourselves to learning and understanding how various psychoneurobiological mechanisms work, how our environments and circumstances have shaped us and continue to do so, and how we can harness the power of that understanding towards change. Studies indicate that many chronic pain conditions are often not the result of structural causes, but of psychoneurobiological processes that can be reversed.
Recovery from pain is possible. Let's start together from understanding YOUR pain and creating a path to wellness that is unique for YOU. I am fascinated by the brain and body connection and the immense possibilities that arise when we open ourselves to learning and understanding how various psychoneurobiological mechanisms work, how our environments and circumstances have shaped us and continue to do so, and how we can harness the power of that understanding towards change. Studies indicate that many chronic pain conditions are often not the result of structural causes, but of psychoneurobiological processes that can be reversed.
(236) 302-2823 View (236) 302-2823
Photo of Allison Cordner, MA, RCC, RTC, TRA, Counsellor
Allison Cordner
Counsellor, MA, RCC, RTC, TRA
Verified Verified
12 Endorsed
North Vancouver, BC V7M  (Online Only)
We are a team of clinicians that are trained to work with students, individuals, couples and families. That excel at helping you expand your emotional tolerance, reactions & communication skills. Too many of us suffer in silence with anxiety, low self-esteem, unprocessed trauma and anger. You are not alone and we are here to encourage you to let those experiences be felt in a safe & non-judgmental environment. We know how hard it can be for most people to do therapy & our goal is to make it engaging, insightful & rewarding. To be vulnerable means not having our deepest feelings and secrets shot down. We use an integrative approach.
We are a team of clinicians that are trained to work with students, individuals, couples and families. That excel at helping you expand your emotional tolerance, reactions & communication skills. Too many of us suffer in silence with anxiety, low self-esteem, unprocessed trauma and anger. You are not alone and we are here to encourage you to let those experiences be felt in a safe & non-judgmental environment. We know how hard it can be for most people to do therapy & our goal is to make it engaging, insightful & rewarding. To be vulnerable means not having our deepest feelings and secrets shot down. We use an integrative approach.
(514) 612-2875 View (514) 612-2875
Photo of Liselotte Carlsen, RN
Liselotte Carlsen
RN
Verified Verified
2 Endorsed
If you are experiencing Anxiety, Depression, PTSD, Low Self Esteem or Relationship Problems, I can help you. I have over 25 years experience in working with psychotherapy and counselling. Being an RN, a Certified Gestalt Therapist and having a Certificate in Counselling Science, I also have extensive training in CBT (Cognitive Behavioural Therapy) as well as trauma focused treatment.
If you are experiencing Anxiety, Depression, PTSD, Low Self Esteem or Relationship Problems, I can help you. I have over 25 years experience in working with psychotherapy and counselling. Being an RN, a Certified Gestalt Therapist and having a Certificate in Counselling Science, I also have extensive training in CBT (Cognitive Behavioural Therapy) as well as trauma focused treatment.
(778) 765-3253 View (778) 765-3253
Photo of Fahimeh Mianji, PhD, Psychologist
Fahimeh Mianji
Psychologist, PhD
Verified Verified
Dr. Fahimeh Mianji, is a registered psychologist (CPBC 2773) in British Columbia. She received her first doctoral degree in Psychology, and earned her second PhD in Social and Transcultural Psychiatry from McGill University. Currently, she is a last year candidate in the Canadian Psychoanalytic Society. She believes in person-centred, culturally informed, and gender-affirming care and offers clinical services in English and Persian (Farsi). She is one of the consultants of DSM-5TR, the Cross-Cutting Culture Group.
Dr. Fahimeh Mianji, is a registered psychologist (CPBC 2773) in British Columbia. She received her first doctoral degree in Psychology, and earned her second PhD in Social and Transcultural Psychiatry from McGill University. Currently, she is a last year candidate in the Canadian Psychoanalytic Society. She believes in person-centred, culturally informed, and gender-affirming care and offers clinical services in English and Persian (Farsi). She is one of the consultants of DSM-5TR, the Cross-Cutting Culture Group.
(587) 803-4793 View (587) 803-4793
Photo of Quinn Cashion, RTC, MEdL, Counsellor
Quinn Cashion
Counsellor, RTC, MEdL
Verified Verified
1 Endorsed
Are you struggling with feelings of stress, anxiety, and don’t know how to best move forward in your life? Then let me show you how to tap into your natural resource of health and well-being to override these feelings that are keeping you stuck. With a deep dive approach to your first 4 hours in session, you will begin to see how to move towards a greater sense of confidence and well-being. I specialize in working with clients who have experienced trauma, divorce, or have feelings of overwhelm or self-doubt. Let me show you how to regain the resilience you are looking for to improve the quality of your life.
Are you struggling with feelings of stress, anxiety, and don’t know how to best move forward in your life? Then let me show you how to tap into your natural resource of health and well-being to override these feelings that are keeping you stuck. With a deep dive approach to your first 4 hours in session, you will begin to see how to move towards a greater sense of confidence and well-being. I specialize in working with clients who have experienced trauma, divorce, or have feelings of overwhelm or self-doubt. Let me show you how to regain the resilience you are looking for to improve the quality of your life.
(778) 488-9548 View (778) 488-9548
Azadeh Rezazadeh
Counsellor, MA, RCC
Verified Verified
2 Endorsed
North Vancouver, BC V7M  (Online Only)
I believe that life is for living and that despite the challenges and stressors, we all need, want and deserve to be happy, lead fulfilling and productive lives and have loving relationships. Working from the premise that the therapeutic relationship between a counsellor and a client is a collaborative one, with trust, empathy & non-judgement at the forefront, I see my role as a facilitator to help you reach your desired goals and realize your full potential.
I believe that life is for living and that despite the challenges and stressors, we all need, want and deserve to be happy, lead fulfilling and productive lives and have loving relationships. Working from the premise that the therapeutic relationship between a counsellor and a client is a collaborative one, with trust, empathy & non-judgement at the forefront, I see my role as a facilitator to help you reach your desired goals and realize your full potential.
(506) 526-0194 View (506) 526-0194
Photo of Teresa Renee Berkholtz, MA, RCC, Counsellor
Teresa Renee Berkholtz
Counsellor, MA, RCC
Verified Verified
As a Registered Clinical Counsellor and EMDR specialist, Teresa's purpose is to guide you towards a deeper sense of safety, connection, and belonging within yourself, your relationships, and your community. Teresa's expertise lies in supporting clients facing challenges such as ADD, ADHD, autism, grief, trauma, anxiety, stress, perfectionism, depression, and addiction. Teresa is a certified provider for Crime Victim Assistance Program (CVAP).
As a Registered Clinical Counsellor and EMDR specialist, Teresa's purpose is to guide you towards a deeper sense of safety, connection, and belonging within yourself, your relationships, and your community. Teresa's expertise lies in supporting clients facing challenges such as ADD, ADHD, autism, grief, trauma, anxiety, stress, perfectionism, depression, and addiction. Teresa is a certified provider for Crime Victim Assistance Program (CVAP).
(365) 363-3940 View (365) 363-3940

See more therapy options for V7M

How does your Counsellor compare?

Number of Counsellors in V7M

100+

Average cost per session

$150

Counsellors in V7M who prioritize treating:

92% Anxiety
86% Depression
81% Self Esteem
79% Stress
75% Relationship Issues
65% Grief
65% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

58% SunLife
45% Green Shield Canada
40% Pacific Blue Cross

How Counsellors in V7M see their clients

79% In Person and Online
21% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in V7M?

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.