Therapists in Ottawa, ON
Welcome, I’m Dr. Tripti Jaiswal, a compassionate clinical psychologist with a deep commitment to supporting individuals in navigating life's challenges with resilience and clarity. I hold a Ph.D. from Panjab University, India, with specialized expertise in both clinical and positive psychology. I am honored to work under the supervision of Dr. Kimberly Sogge, a seasoned psychologist whose guidance enhances my practice as I serve adults seeking personal and professional growth, mental well-being, and inner peace. In our sessions, you'll find a safe & non judgemental space to address stress, trauma, and emotional well-being.
Welcome, I’m Dr. Tripti Jaiswal, a compassionate clinical psychologist with a deep commitment to supporting individuals in navigating life's challenges with resilience and clarity. I hold a Ph.D. from Panjab University, India, with specialized expertise in both clinical and positive psychology. I am honored to work under the supervision of Dr. Kimberly Sogge, a seasoned psychologist whose guidance enhances my practice as I serve adults seeking personal and professional growth, mental well-being, and inner peace. In our sessions, you'll find a safe & non judgemental space to address stress, trauma, and emotional well-being.
Weijo Patricia Yu
Registered Psychotherapist, BSc, MACP, RP
Verified Verified
5 Endorsed
Ottawa, ON K2P (Online Only)
Life's transitions and emotional pains can be profoundly challenging to navigate. If you're currently in the midst of such a journey, please know that you're not alone. I'm here to extend a hand of support, offering a safe haven where your experiences are met with understanding, empathy, and respect. My commitment to creating a non-judgmental, compassionate, and culturally sensitive environment means that you can freely explore your thoughts and feelings, finding solace and growth on your unique path towards healing.
Life's transitions and emotional pains can be profoundly challenging to navigate. If you're currently in the midst of such a journey, please know that you're not alone. I'm here to extend a hand of support, offering a safe haven where your experiences are met with understanding, empathy, and respect. My commitment to creating a non-judgmental, compassionate, and culturally sensitive environment means that you can freely explore your thoughts and feelings, finding solace and growth on your unique path towards healing.
The Wren Centre: Therapy for All Ages
Registered Psychotherapist, MA, RP
Verified Verified
Ottawa, ON K0A
Seeing a therapist is a great way to find clarity, strength, and even a new path toward a more peaceful life. At the Wren Centre, we offer therapy for children, families, and adults. We're here to support you, your child, or your entire family, every step of the way. We offer a compassionate, safe space for expressing, exploring and tuning in to the inner voice we all have.
Seeing a therapist is a great way to find clarity, strength, and even a new path toward a more peaceful life. At the Wren Centre, we offer therapy for children, families, and adults. We're here to support you, your child, or your entire family, every step of the way. We offer a compassionate, safe space for expressing, exploring and tuning in to the inner voice we all have.
I work with adults in clinical and health psychology in both English and French. I treat a variety of psychological issues, on their own or in combination, including depression, anxiety, eating disorders, obsessive-compulsive disorder, personality disorders and trauma. I work with clients with chronic pain or other health problems. I also help clients with relationship issues, work stress, identity issues, existential concerns, LGBTQ concerns, grief, self-esteem, and self-acceptance.
I work with adults in clinical and health psychology in both English and French. I treat a variety of psychological issues, on their own or in combination, including depression, anxiety, eating disorders, obsessive-compulsive disorder, personality disorders and trauma. I work with clients with chronic pain or other health problems. I also help clients with relationship issues, work stress, identity issues, existential concerns, LGBTQ concerns, grief, self-esteem, and self-acceptance.
Marnie Potter
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
Ottawa, ON K1R (Online Only)
I know what it's like to need support and not be sure how to access it. It can be overwhelming to reach out for help, to meet someone new and find the words to express what you are feeling. Currently many of my clients are struggling with exhaustion, anxiety, and burnout. Many are navigating difficult situations in school, work or with family/friends. Currently working at Act Learning Centre (actlearningcentre.ca) and on the External Provider List for National Defense. Approved Supervisor for Yorkville Masters of Counselling Program.
I know what it's like to need support and not be sure how to access it. It can be overwhelming to reach out for help, to meet someone new and find the words to express what you are feeling. Currently many of my clients are struggling with exhaustion, anxiety, and burnout. Many are navigating difficult situations in school, work or with family/friends. Currently working at Act Learning Centre (actlearningcentre.ca) and on the External Provider List for National Defense. Approved Supervisor for Yorkville Masters of Counselling Program.
Elias Papadolias
Registered Psychotherapist (Qualifying), RP(Q), MACP(C)
Verified Verified
1 Endorsed
Ottawa, ON K1R
If you are struggling with depression, anxiety, trauma, self-esteem issues, meaninglessness, social media addiction, grief, life transitions, relationship challenges, or LGBTQ+ matters and feel ready to move forward, please reach out. In our work, we will create an environment to honestly explore your concerns and work toward meaningful progress. My approach is supportive, yet focused on action to help you address the root of your challenges and take real steps toward the changes that matter most to you.
If you are struggling with depression, anxiety, trauma, self-esteem issues, meaninglessness, social media addiction, grief, life transitions, relationship challenges, or LGBTQ+ matters and feel ready to move forward, please reach out. In our work, we will create an environment to honestly explore your concerns and work toward meaningful progress. My approach is supportive, yet focused on action to help you address the root of your challenges and take real steps toward the changes that matter most to you.
Kamala Pilgrim
Psychologist, PhD, CPsych, CYT
Verified Verified
6 Endorsed
Ottawa, ON K1G (Online Only)
I am a Ph.D. registered, clinical psychologist offering treatment for anxiety, trauma and stress-related disorders, depression, burn-out, life transitions, interpersonal/relational challenges, and low self-esteem. I am trained in empirically-validated approaches: Contemplative and Mindfulness-aimed, Somatically-oriented, Cognitive Behavioural and Acceptance and Commitment-based, Compassion-focused, Eye Movement Desensitization and Reprocessing, and Prolonged Exposure therapies. As a certified Yoga teacher and student, I integrate mind-body awareness and related conceptualizations and exercises, as deemed appropriate.
I am a Ph.D. registered, clinical psychologist offering treatment for anxiety, trauma and stress-related disorders, depression, burn-out, life transitions, interpersonal/relational challenges, and low self-esteem. I am trained in empirically-validated approaches: Contemplative and Mindfulness-aimed, Somatically-oriented, Cognitive Behavioural and Acceptance and Commitment-based, Compassion-focused, Eye Movement Desensitization and Reprocessing, and Prolonged Exposure therapies. As a certified Yoga teacher and student, I integrate mind-body awareness and related conceptualizations and exercises, as deemed appropriate.
My philosophy is Existential, meaning that we are free and therefore responsible for our choices, We are the authors of our lives, and we design the pathways we follow. My basic premise is that we are not victims of circumstance because, to a large extent, we are what we choose to be. Life is a cycle of transitions and experiences, presenting opportunities and challenges. Often the most important life lessons comes from our suffering. My aim is to assist people to develop their meaning and purpose, by encouraging them to explore options, in order to achieve a more meaningful existence.
My philosophy is Existential, meaning that we are free and therefore responsible for our choices, We are the authors of our lives, and we design the pathways we follow. My basic premise is that we are not victims of circumstance because, to a large extent, we are what we choose to be. Life is a cycle of transitions and experiences, presenting opportunities and challenges. Often the most important life lessons comes from our suffering. My aim is to assist people to develop their meaning and purpose, by encouraging them to explore options, in order to achieve a more meaningful existence.
Amanda Rocheleau - Compassion Fatigue And Burnout Specialist
Registered Social Worker, BSW, MSW, RSW
Verified Verified
5 Endorsed
Ottawa, ON K1Y (Online Only)
Are you a helping professional on the verge of burnout? Is your ability to care or respond to others with compassion slowly disappearing? Are you feeling overwhelmed with stress or chronically exhausted? You may benefit from speaking to a professional who specializes in treating burnout, compassion fatigue & secondary traumatic stress disorder. I am committed to supporting helping professionals discover sustainable solutions to managing the stresses of providing care to others so that they can strive to be the awesome, compassionate helpers that they are meant to be.
Are you a helping professional on the verge of burnout? Is your ability to care or respond to others with compassion slowly disappearing? Are you feeling overwhelmed with stress or chronically exhausted? You may benefit from speaking to a professional who specializes in treating burnout, compassion fatigue & secondary traumatic stress disorder. I am committed to supporting helping professionals discover sustainable solutions to managing the stresses of providing care to others so that they can strive to be the awesome, compassionate helpers that they are meant to be.
Sandie Morency
Registered Psychotherapist (Qualifying), BSc, MEd, CCC
Verified Verified
Ottawa, ON K1P (Online Only)
Are you in need of someone to talk to? I get that. You might have been thinking about it for a while, reaching out to a therapist. I'm glad you're feeling ready to explore why lately you've been feeling the way you have. And hopefully, I can be a companion to you in your healing journey. As a Certified Canadian Counsellor with over ten years of experience, I’ve supported individuals through challenges such as depression, anxiety, grief, self-esteem issues, procrastination, lack of motivation, work stress, relationship difficulties, and life transitions.
Are you in need of someone to talk to? I get that. You might have been thinking about it for a while, reaching out to a therapist. I'm glad you're feeling ready to explore why lately you've been feeling the way you have. And hopefully, I can be a companion to you in your healing journey. As a Certified Canadian Counsellor with over ten years of experience, I’ve supported individuals through challenges such as depression, anxiety, grief, self-esteem issues, procrastination, lack of motivation, work stress, relationship difficulties, and life transitions.
My training and experience have included a range of symptom severity levels, from psychiatric hospital inpatients to high functioning individuals experiencing more common difficulties. Some of my clients are experiencing difficulties with work, school, or relationships. Others have diagnosed psychological impairments. Regardless of the specific challenges faced, all of my clients are seeking to live healthier, more satisfying lives. The greatest satisfaction I find in my work is in providing services that genuinely help people achieve desired improvements.
My training and experience have included a range of symptom severity levels, from psychiatric hospital inpatients to high functioning individuals experiencing more common difficulties. Some of my clients are experiencing difficulties with work, school, or relationships. Others have diagnosed psychological impairments. Regardless of the specific challenges faced, all of my clients are seeking to live healthier, more satisfying lives. The greatest satisfaction I find in my work is in providing services that genuinely help people achieve desired improvements.
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I am a Registered Psychotherapist focusing on the treatment of low self-esteem, depression and anxiety, major life transitions including entering into parenthood, individuals struggling to find meaning and purpose in their life, grief and loss, relationship issues, shame and vulnerability and concerns related to identity formation and sexual orientation.
I am a Registered Psychotherapist focusing on the treatment of low self-esteem, depression and anxiety, major life transitions including entering into parenthood, individuals struggling to find meaning and purpose in their life, grief and loss, relationship issues, shame and vulnerability and concerns related to identity formation and sexual orientation.
Aidan Parchelo
Registered Psychotherapist, MACP, ASD-IP
Verified Verified
2 Endorsed
Ottawa, ON K2P
Not accepting new clients
At the end of the day, therapy is about being listened to, being heard. There may be difficult experiences in your life that you are carrying alone right now. I can assure you, it doesn’t have to be that way. My job as therapist is to make it easy to sit with and explore the difficult stuff. I do this by removing many of the barriers that ever made it hard: by listening attentively without judgement, meeting you wherever you’re at, and showing up with patience, curiosity, and compassion. In this, I support clients to build new habits and change their relationship with themselves and others for the better.
At the end of the day, therapy is about being listened to, being heard. There may be difficult experiences in your life that you are carrying alone right now. I can assure you, it doesn’t have to be that way. My job as therapist is to make it easy to sit with and explore the difficult stuff. I do this by removing many of the barriers that ever made it hard: by listening attentively without judgement, meeting you wherever you’re at, and showing up with patience, curiosity, and compassion. In this, I support clients to build new habits and change their relationship with themselves and others for the better.
Gabriele-Anne Guimond
Registered Social Worker, BSW, MSW, RSW
Verified Verified
Ottawa, ON K1C (Online Only)
Everyone experiences challenges at one point in their lives or can feel overwhelmed by an ongoing issue, and we all have our own lessons to learn. Seeking help and support is often the first steps towards feeling better and recovery; however, it can be hard to know how to start or where to turn to. It can be strangely intimate to be open about mental health struggles, but having even one person to talk to can be an enormous relief. I provide a safe, warm, and inclusive environment helping people overcome such challenges and work towards a resolution and personal growth.
Everyone experiences challenges at one point in their lives or can feel overwhelmed by an ongoing issue, and we all have our own lessons to learn. Seeking help and support is often the first steps towards feeling better and recovery; however, it can be hard to know how to start or where to turn to. It can be strangely intimate to be open about mental health struggles, but having even one person to talk to can be an enormous relief. I provide a safe, warm, and inclusive environment helping people overcome such challenges and work towards a resolution and personal growth.
Marie-France Mbuyi-T.
Psychologist, OPQ, MA, RP, (Quali)
Verified Verified
1 Endorsed
Ottawa, ON K1K
Vous cherchez à bâtir une vie satisfaisante pleine de confiance et une bonne connaissance de soi ? Vous vous avez l’impression de travailler fort mais pour un maigre résultat ? Vous sentez sans espoir et l’équilibre de vie semble être loin de votre portée ? La psychothérapie pourrait être ce prochain pas dont vous avez besoin pour aider à remettre la pendule à l’heure. Il n’y a rien de mal à contacter une personne qui est en mesure de vous écouter et de vous aider à passer au travers cette période difficile. Faire face aux défis de la vie peu importe leurs causes, n’est pas toujours évident et peut être épuisant.
Vous cherchez à bâtir une vie satisfaisante pleine de confiance et une bonne connaissance de soi ? Vous vous avez l’impression de travailler fort mais pour un maigre résultat ? Vous sentez sans espoir et l’équilibre de vie semble être loin de votre portée ? La psychothérapie pourrait être ce prochain pas dont vous avez besoin pour aider à remettre la pendule à l’heure. Il n’y a rien de mal à contacter une personne qui est en mesure de vous écouter et de vous aider à passer au travers cette période difficile. Faire face aux défis de la vie peu importe leurs causes, n’est pas toujours évident et peut être épuisant.
JMN Counselling, Therapy & Coaching
Registered Social Worker, BSc, MSW, RSW
Verified Verified
Ottawa, ON K1K
Mes services sont aussi offerts en Français. Are you dealing with a situation that is impacting your physical, emotional, mental or spiritual well being ? If that is the case, you are at the right place. It takes courage to acknowledge the need for support, and you have already made an important first step. I have experience working with individuals from different backgrounds, cultures and ages who are dealing with issues such as anxiety, stress, burnout, life transition, loss, organization, motivation, self esteem, conflicts, identity, communication, etc. I can work with children, adolescents, adults, couples and families.
Mes services sont aussi offerts en Français. Are you dealing with a situation that is impacting your physical, emotional, mental or spiritual well being ? If that is the case, you are at the right place. It takes courage to acknowledge the need for support, and you have already made an important first step. I have experience working with individuals from different backgrounds, cultures and ages who are dealing with issues such as anxiety, stress, burnout, life transition, loss, organization, motivation, self esteem, conflicts, identity, communication, etc. I can work with children, adolescents, adults, couples and families.
Life can be challenging, filled with obstacles and uncertainties that can take a toll on our well-being. I offer a welcoming space where you can feel safe sharing your story, thoughts, and feelings. I want you to know that I am here to provide the support you need in a way that is meaningful to you, within a compassionate space where you can explore, heal, and ultimately thrive. I work with those 16 years and older, who are navigating a variety of challenges including, but not limited to, the impacts of abuse, sexual trauma, military trauma, depression, anxiety, shame, relationship issues, self-esteem, grief, and loss.
Life can be challenging, filled with obstacles and uncertainties that can take a toll on our well-being. I offer a welcoming space where you can feel safe sharing your story, thoughts, and feelings. I want you to know that I am here to provide the support you need in a way that is meaningful to you, within a compassionate space where you can explore, heal, and ultimately thrive. I work with those 16 years and older, who are navigating a variety of challenges including, but not limited to, the impacts of abuse, sexual trauma, military trauma, depression, anxiety, shame, relationship issues, self-esteem, grief, and loss.
Keylan Musto
Registered Psychotherapist, MEd, RP
Verified Verified
1 Endorsed
Ottawa, ON K2M (Online Only)
I am a Registered Psychotherapist with a passion for working with neurodivergent folks. As someone who only came to understand my own neurodivergency in my late 20s, I am all too familiar with the often-unique trials and tribulations that can arise throughout the lives of neurodivergent people (in addition to the often exceptional capabilities that can be a huge advantage in many facets of life!). I typically work with those struggling with general and social anxiety, depression, screen addiction, task avoidance, acquired brain injury, and/or self-advocacy.
I am a Registered Psychotherapist with a passion for working with neurodivergent folks. As someone who only came to understand my own neurodivergency in my late 20s, I am all too familiar with the often-unique trials and tribulations that can arise throughout the lives of neurodivergent people (in addition to the often exceptional capabilities that can be a huge advantage in many facets of life!). I typically work with those struggling with general and social anxiety, depression, screen addiction, task avoidance, acquired brain injury, and/or self-advocacy.
When we are no longer able to change a situation, we are challenged to change - V. Frankl. Are you wondering "why", "what next", or "what for"?" Are you looking for a change, or has a change been handed to you? You have the courage to ask these questions, to look at who you are, and to think about what's next for you. You may feel alone, or unable to answer these questions. I can offer you an opportunity to explore your strengths and challenges, and, in doing so, discover opportunities and resources that will help you move forward. Challenging the meaning of life is the truest expression of the state of being human - V. Frankl.
When we are no longer able to change a situation, we are challenged to change - V. Frankl. Are you wondering "why", "what next", or "what for"?" Are you looking for a change, or has a change been handed to you? You have the courage to ask these questions, to look at who you are, and to think about what's next for you. You may feel alone, or unable to answer these questions. I can offer you an opportunity to explore your strengths and challenges, and, in doing so, discover opportunities and resources that will help you move forward. Challenging the meaning of life is the truest expression of the state of being human - V. Frankl.
To deepen your self-understanding we can discuss your experiences and interpret what your thoughts, emotions, and bodily sensations mean. In doing so we can give your unconscious self voice and gain insight into what rules or beliefs you have come to live by. We can also explore more practical information and strategies. Like, how our minds and bodies react to stress and skills for regulating thoughts and emotions. My approach pulls from many therapeutic modalities and utilizes techniques supported by research and experience.
To deepen your self-understanding we can discuss your experiences and interpret what your thoughts, emotions, and bodily sensations mean. In doing so we can give your unconscious self voice and gain insight into what rules or beliefs you have come to live by. We can also explore more practical information and strategies. Like, how our minds and bodies react to stress and skills for regulating thoughts and emotions. My approach pulls from many therapeutic modalities and utilizes techniques supported by research and experience.
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Nearby Searches for Ottawa
See More CounsellorsHow does your Counsellor compare?
Number of Counsellors in Ottawa, ON
2,000+
Average cost per session
$160
Counsellors in Ottawa, ON who prioritize treating:
93% | Anxiety |
86% | Depression |
83% | Self Esteem |
80% | Stress |
79% | Relationship Issues |
70% | Coping Skills |
69% | Trauma and PTSD |
Average years in practice
7 Years
Top 3 insurances accepted
62% | SunLife |
60% | Canada Life | Great-West Life |
57% | Manulife |
How Counsellors in Ottawa, ON see their clients
58% | In Person and Online | |
42% | Online Only |
Gender breakdown
82% | Female | |
16% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Ottawa?
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.