Therapists in Hamilton, ON

Photo of Ruth Virgo, Registered Social Worker in Hamilton, ON
Ruth Virgo
Registered Social Worker, M, S, W
Verified Verified
Hamilton, ON L8W
Hi! Do you often feel overwhelmed with feelings of anxiety? Or “do you find it difficult to develop friendships and maintain positive relations?” “Do you experience sadness and loneliness?” “If so, come talk with me!” I am excited to work collaboratively with you on your journey to identify solutions to anxiety, depression, self-esteem/self-confidence, relationship issues, and emotional dysfunction concerns; to develop coping strategies to build resilience to loss, grief, trauma, burnout, and daily activities. I will help you find meaning and purpose to live authentically. Please visit me at website: winroseoasiscounselling.com
Hi! Do you often feel overwhelmed with feelings of anxiety? Or “do you find it difficult to develop friendships and maintain positive relations?” “Do you experience sadness and loneliness?” “If so, come talk with me!” I am excited to work collaboratively with you on your journey to identify solutions to anxiety, depression, self-esteem/self-confidence, relationship issues, and emotional dysfunction concerns; to develop coping strategies to build resilience to loss, grief, trauma, burnout, and daily activities. I will help you find meaning and purpose to live authentically. Please visit me at website: winroseoasiscounselling.com
(289) 210-7410 View (289) 210-7410
Photo of Pam Santon, Marriage & Family Therapist in Hamilton, ON
Pam Santon
Marriage & Family Therapist, MSW, RSW, RMFT
Verified Verified
Hamilton, ON L8S
Waitlist for new clients
I have worked with individuals, couples and families in private practice since 1983. Couples and families are a primary focus of mine including those struggling with issues of life transitions, mental health, sexuality, sexual compulsive disorders, substance and process addictions, as well as emotional and physical affairs. I am trained in systemic models of interventions that allow for a dual focus on the needs of the individual as well as those of the relationship. I am an Approved Supervisor with AAMFT which affords me the privilege of supervising psychotherapists and clinicians in the community interested in systemic models.
I have worked with individuals, couples and families in private practice since 1983. Couples and families are a primary focus of mine including those struggling with issues of life transitions, mental health, sexuality, sexual compulsive disorders, substance and process addictions, as well as emotional and physical affairs. I am trained in systemic models of interventions that allow for a dual focus on the needs of the individual as well as those of the relationship. I am an Approved Supervisor with AAMFT which affords me the privilege of supervising psychotherapists and clinicians in the community interested in systemic models.
(888) 372-0165 View (888) 372-0165
Photo of Rob Pepper- Perfectionism & Borderline Personality, Registered Psychotherapist in Hamilton, ON
Rob Pepper- Perfectionism & Borderline Personality
Registered Psychotherapist, BEd, MACP
Verified Verified
2 Endorsed
Hamilton, ON L8P  (Online Only)
Do you feel stuck and disconnected from yourself, other people, and the outside world? Are you in a cycle of distancing yourself from your own life, and suffering from nightmares and bad dreams? I specialize in helping people work through perfectionist tendencies, manage anxiety, and help people with Borderline Personality Disorder. The work I do with clients is a 'deep-dive' into longstanding patterns to help resolve unnecessary suffering for a better life to be lived. The approaches are either family-based, or in the everyday stories that you endure.
Do you feel stuck and disconnected from yourself, other people, and the outside world? Are you in a cycle of distancing yourself from your own life, and suffering from nightmares and bad dreams? I specialize in helping people work through perfectionist tendencies, manage anxiety, and help people with Borderline Personality Disorder. The work I do with clients is a 'deep-dive' into longstanding patterns to help resolve unnecessary suffering for a better life to be lived. The approaches are either family-based, or in the everyday stories that you endure.
(587) 816-6490 View (587) 816-6490
Photo of Sean Sydor, Registered Psychotherapist in Hamilton, ON
Sean Sydor
Registered Psychotherapist, RP
Verified Verified
Hamilton, ON L8S
My goal every day is to offer a supportive, practical approach to therapy. Throughout my career, I’ve tended to work primarily with people who have mood or anxiety difficulties. Some are undergoing or have undergone significant life transitions such as grief from loss. Others come to me for guidance around work-related stress or burnout. And others wish to examine the patterns and practices around their substance use.
My goal every day is to offer a supportive, practical approach to therapy. Throughout my career, I’ve tended to work primarily with people who have mood or anxiety difficulties. Some are undergoing or have undergone significant life transitions such as grief from loss. Others come to me for guidance around work-related stress or burnout. And others wish to examine the patterns and practices around their substance use.
(289) 207-6463 View (289) 207-6463
Photo of Carlin Palme, Registered Psychotherapist in Hamilton, ON
Carlin Palme
Registered Psychotherapist, MEd, RP
Verified Verified
Hamilton, ON L8R
Are you quick to anger and can’t understand why? Tired of constantly hurting your loved ones? For men, anger is the most socially accepted emotion to express, but when you feel out of control and it’s too big or out of place, it comes with consequences, both external and internal. However, this anger is trying to tell you something, to alert you to important needs being ignored, shamed or suppressed. Many of us have learned to approach relationships in a way that leads to resentment, jealousy, hatred, fear or shame. Through greater access you can shift old patterns and evolve into a more genuine fulfilled version of yourself.
Are you quick to anger and can’t understand why? Tired of constantly hurting your loved ones? For men, anger is the most socially accepted emotion to express, but when you feel out of control and it’s too big or out of place, it comes with consequences, both external and internal. However, this anger is trying to tell you something, to alert you to important needs being ignored, shamed or suppressed. Many of us have learned to approach relationships in a way that leads to resentment, jealousy, hatred, fear or shame. Through greater access you can shift old patterns and evolve into a more genuine fulfilled version of yourself.
(365) 653-5428 View (365) 653-5428
Photo of Nikka Collison, Registered Psychotherapist (Qualifying) in Hamilton, ON
Nikka Collison
Registered Psychotherapist (Qualifying)
Verified Verified
Hamilton, ON L9H
Anxiety impacts us in a variety of ways and limits our ability to believe in our own capabilities. You’re someone who wants to work towards self-betterment but still find yourself lacking time, energy, or motivation. Feeling like you can’t sleep, socialize, or face your anxieties, and struggle to feel confident. You may even find it difficult to remember what life was like or could be like without anxiety. However, you’re ready to make a change. You’re ready to establish better routines. You’re ready to face your anxieties head-on with confidence! Most of all, you’re ready to reconnect with yourself and the people you love.
Anxiety impacts us in a variety of ways and limits our ability to believe in our own capabilities. You’re someone who wants to work towards self-betterment but still find yourself lacking time, energy, or motivation. Feeling like you can’t sleep, socialize, or face your anxieties, and struggle to feel confident. You may even find it difficult to remember what life was like or could be like without anxiety. However, you’re ready to make a change. You’re ready to establish better routines. You’re ready to face your anxieties head-on with confidence! Most of all, you’re ready to reconnect with yourself and the people you love.
(289) 277-6679 View (289) 277-6679
Photo of Alison James, Registered Psychotherapist in Hamilton, ON
Alison James
Registered Psychotherapist, BAH, MA, RP
Verified Verified
Hamilton, ON L8R
Not accepting new clients
Do you feel like you’ve gotten too far away from who you really are, or who you want to be? Together, we will bring awareness to where you have been, where you are now, and where you want to go. While insight is essential, true transformation comes not just from being aware of how the past has influenced the present, but by processing through the mental, physical, emotional, and neurological remnants of those previous experiences and embodying new ways of being. Therapy can help you gain the clarity, confidence, and courage you need to change your life.
Do you feel like you’ve gotten too far away from who you really are, or who you want to be? Together, we will bring awareness to where you have been, where you are now, and where you want to go. While insight is essential, true transformation comes not just from being aware of how the past has influenced the present, but by processing through the mental, physical, emotional, and neurological remnants of those previous experiences and embodying new ways of being. Therapy can help you gain the clarity, confidence, and courage you need to change your life.
(647) 699-5530 View (647) 699-5530
Photo of Alyssa DeAngelis, Registered Social Worker in Hamilton, ON
Alyssa DeAngelis
Registered Social Worker, MSW, RSW
Verified Verified
Hamilton, ON L9C
Not accepting new clients
Are you struggling with emotions like anger, sadness, anxiety, or shame? Are you leaning on coping strategies that can sometimes make things worse, like self-harm, substance use, disordered eating, or overspending? Or are you experiencing problems with important relationships in your life? I would be honoured to hold space for you to talk through any or all of these issues.
Are you struggling with emotions like anger, sadness, anxiety, or shame? Are you leaning on coping strategies that can sometimes make things worse, like self-harm, substance use, disordered eating, or overspending? Or are you experiencing problems with important relationships in your life? I would be honoured to hold space for you to talk through any or all of these issues.
(365) 800-5648 View (365) 800-5648
Photo of Tampa Allen, Registered Psychotherapist in Hamilton, ON
Tampa Allen
Registered Psychotherapist, MDiv, RP
Verified Verified
Hamilton, ON L9B  (Online Only)
Life can be very difficult at times and present us with challenges such as anxiety, depression, anger, loneliness, isolation, relationship issues, fear, trauma, grief, low self esteem and more. These can be very difficult and seem very out of control at times and become overwhelming. My hope is to offer you a safe space to share your life challenges, to come alongside of you in these challenges, to offer you a fresh perspective, offer understanding, and together, establish strategies to move forward in your journey that work best for you.
Life can be very difficult at times and present us with challenges such as anxiety, depression, anger, loneliness, isolation, relationship issues, fear, trauma, grief, low self esteem and more. These can be very difficult and seem very out of control at times and become overwhelming. My hope is to offer you a safe space to share your life challenges, to come alongside of you in these challenges, to offer you a fresh perspective, offer understanding, and together, establish strategies to move forward in your journey that work best for you.
(289) 312-8227 View (289) 312-8227
Photo of The Zen Social Worker, Registered Social Worker in Hamilton, ON
The Zen Social Worker
Registered Social Worker, BA, MSW, RSW
Verified Verified
Hamilton, ON L8V
Your needs are at the forefront of our therapeutic journey. Whether you are grappling with stress, anxiety, relationship issues, or personal transitions, you seek a space where you can express yourself openly and without judgment. Together, we will work towards building a trusting and supportive therapeutic relationship. We are here to help you explore new perspectives, develop coping mechanisms, and achieve the goals that matter most to you.
Your needs are at the forefront of our therapeutic journey. Whether you are grappling with stress, anxiety, relationship issues, or personal transitions, you seek a space where you can express yourself openly and without judgment. Together, we will work towards building a trusting and supportive therapeutic relationship. We are here to help you explore new perspectives, develop coping mechanisms, and achieve the goals that matter most to you.
(289) 274-9530 View (289) 274-9530
Photo of Sonya Sethi-Rankin, Registered Psychotherapist in Hamilton, ON
Sonya Sethi-Rankin
Registered Psychotherapist, RP
Verified Verified
6 Endorsed
Hamilton, ON L8R
Relationships, mental health or life in general can feel unmanageable. Many individuals I work with are seeking clarity, or feeling overwhelmed trying to work through difficult situations where they feel blocked or unable to move forward. I work together with my clients, to make sense of what is occurring in their life and experience changes they have been hoping for.
Relationships, mental health or life in general can feel unmanageable. Many individuals I work with are seeking clarity, or feeling overwhelmed trying to work through difficult situations where they feel blocked or unable to move forward. I work together with my clients, to make sense of what is occurring in their life and experience changes they have been hoping for.
(289) 768-8551 View (289) 768-8551
Photo of Shannon Knutson - Trauma Therapist, Occupational Therapist in Hamilton, ON
Shannon Knutson - Trauma Therapist
Occupational Therapist, MSc OT, MA
Verified Verified
1 Endorsed
Hamilton, ON L8R
Perhaps you're here because you're interested in beginning a new conversation with yourself. There may be questions, and you may not know what to ask. What do you need and value? What do you desire most? Are you making choices in line with the life you want to be living? Maybe you have a diagnosis you want to learn more about and learn how to live with? Participating in therapy is not about getting advice, rather, helping you find your own answers by connecting to yourself, exploring who you are, and tapping into your potential.
Perhaps you're here because you're interested in beginning a new conversation with yourself. There may be questions, and you may not know what to ask. What do you need and value? What do you desire most? Are you making choices in line with the life you want to be living? Maybe you have a diagnosis you want to learn more about and learn how to live with? Participating in therapy is not about getting advice, rather, helping you find your own answers by connecting to yourself, exploring who you are, and tapping into your potential.
(365) 650-7178 View (365) 650-7178
Photo of Samantha Pascoal, Registered Psychotherapist (Qualifying) in Hamilton, ON
Samantha Pascoal
Registered Psychotherapist (Qualifying), BA
Verified Verified
1 Endorsed
Hamilton, ON L9H
Unexpected change can flip the future upside down and leave us feeling stuck. You may be unsure what to do after going through something traumatic or triggering. You may feel stuck in an old pattern. You may feel there is no way forward in a relationship, despite your constant efforts. You may be disheartened about how a decision has panned out. And yet, you know something needs to change. You’re ready to discover new possibilities and choices. You want to start taking action & create results that last. Most of all, you want to feel like you again – or even better than before. I’ve been there, and I can help.
Unexpected change can flip the future upside down and leave us feeling stuck. You may be unsure what to do after going through something traumatic or triggering. You may feel stuck in an old pattern. You may feel there is no way forward in a relationship, despite your constant efforts. You may be disheartened about how a decision has panned out. And yet, you know something needs to change. You’re ready to discover new possibilities and choices. You want to start taking action & create results that last. Most of all, you want to feel like you again – or even better than before. I’ve been there, and I can help.
(289) 272-8442 View (289) 272-8442
Photo of Amrit Ahluwalia, Registered Social Worker in Hamilton, ON
Amrit Ahluwalia
Registered Social Worker, MSW, RSW
Verified Verified
Hamilton, ON L9K
I am a Registered Social Worker and Psychotherapist, working with young people and adults, of diverse backgrounds, to develop healthy relationships with themselves and others. I am a firm believer that our environment and relationships play a large role in shaping our mental health, and well being. I strive to offer a safe, and supportive, environment for you to understand your thoughts, feelings, and actions - helping you move forward and live your life the way you want.
I am a Registered Social Worker and Psychotherapist, working with young people and adults, of diverse backgrounds, to develop healthy relationships with themselves and others. I am a firm believer that our environment and relationships play a large role in shaping our mental health, and well being. I strive to offer a safe, and supportive, environment for you to understand your thoughts, feelings, and actions - helping you move forward and live your life the way you want.
(289) 903-0882 View (289) 903-0882
Photo of Juliette Tilbury, Registered Social Worker in Hamilton, ON
Juliette Tilbury
Registered Social Worker, MSW, RSW
Verified Verified
Hamilton, ON L9C
I am a Registered Social Worker in private practice with children, adolescents, and adults of all ages. I support clients experiencing challenges with life transitions, mental health, relationships, parenting, trauma, substance and behavioural addictions, suicidality and self-harm behaviours, emotion dysregulation, and neurodiversity.
I am a Registered Social Worker in private practice with children, adolescents, and adults of all ages. I support clients experiencing challenges with life transitions, mental health, relationships, parenting, trauma, substance and behavioural addictions, suicidality and self-harm behaviours, emotion dysregulation, and neurodiversity.
(289) 206-6889 View (289) 206-6889
Photo of Grace Ann Steen, Registered Psychotherapist in Hamilton, ON
Grace Ann Steen
Registered Psychotherapist, HonBA, MA, RP
Verified Verified
1 Endorsed
Hamilton, ON L0R  (Online Only)
I believe in the healing power of relationships. I believe the most powerful relationship between client and therapist is based on honesty, openness and a willingness to grow - on both sides. For your convenience evening and weekend appointments are available from a secure and easy to use on-line platform.
I believe in the healing power of relationships. I believe the most powerful relationship between client and therapist is based on honesty, openness and a willingness to grow - on both sides. For your convenience evening and weekend appointments are available from a secure and easy to use on-line platform.
(289) 207-7946 View (289) 207-7946
Photo of Pauline O'Brien, Registered Psychotherapist in Hamilton, ON
Pauline O'Brien
Registered Psychotherapist, EdD, CCC-S , RP
Verified Verified
3 Endorsed
Hamilton, ON L8P
Feeling exhausted? Stuck? You are tired of having to do it all alone. For years you have been struggling. The house, the job, the career, the family. They said we should and could have it all. You have accomplished so much but feel so empty. You have thought about asking for help for years but have been too afraid to face yourself, face your trauma. I'm here and it's time.
Feeling exhausted? Stuck? You are tired of having to do it all alone. For years you have been struggling. The house, the job, the career, the family. They said we should and could have it all. You have accomplished so much but feel so empty. You have thought about asking for help for years but have been too afraid to face yourself, face your trauma. I'm here and it's time.
(289) 271-1944 View (289) 271-1944
Photo of Dr. Monica Hinton Therapist Clinical Supervisor, Registered Social Worker in Hamilton, ON
Dr. Monica Hinton Therapist Clinical Supervisor
Registered Social Worker, PhD, MSW, RCSW
Verified Verified
1 Endorsed
Hamilton, ON L8P  (Online Only)
Life can be complicated. Maybe you notice your day is filled with racing thoughts, worry or feeling down. Certain spots and times of the year may spark overwhelming feelings or memories and social situations feel like too much. You might find yourself repeating actions that you feel compelled to do, even if it doesn’t seem to make sense. If you have lost interest in things you used to enjoy, and have pushed people out of your life, even when you didn't want to, you've already taken the first step towards change and I am here to support you along your journey.
Life can be complicated. Maybe you notice your day is filled with racing thoughts, worry or feeling down. Certain spots and times of the year may spark overwhelming feelings or memories and social situations feel like too much. You might find yourself repeating actions that you feel compelled to do, even if it doesn’t seem to make sense. If you have lost interest in things you used to enjoy, and have pushed people out of your life, even when you didn't want to, you've already taken the first step towards change and I am here to support you along your journey.
(343) 308-4413 View (343) 308-4413
Photo of Tess MacIsaac, Registered Social Worker in Hamilton, ON
Tess MacIsaac
Registered Social Worker, MSW, SSW, RSW
Verified Verified
Hamilton, ON L8H
Waitlist for new clients
Are you someone who's looking for support with gender or sexuality? Are you a survivor of family violence? I have spent the last 10 years working with these communities in various social work, advocacy and activist settings. So often, the daily stressors we face are the result of oppression — e.g. capitalism, cisheteropatriarchy, racism, ableism and colonialism. I am committed to co-creating a space where these areas can be explored. I incorporate the principles of mindfulness during our time together, and I treat our therapeutic relationship as a collaborative, joint effort.
Are you someone who's looking for support with gender or sexuality? Are you a survivor of family violence? I have spent the last 10 years working with these communities in various social work, advocacy and activist settings. So often, the daily stressors we face are the result of oppression — e.g. capitalism, cisheteropatriarchy, racism, ableism and colonialism. I am committed to co-creating a space where these areas can be explored. I incorporate the principles of mindfulness during our time together, and I treat our therapeutic relationship as a collaborative, joint effort.
(289) 275-1320 View (289) 275-1320
Photo of Maryam. Rostami., Registered Social Worker in Hamilton, ON
Maryam. Rostami.
Registered Social Worker, RSW, MSW, Psych
Verified Verified
1 Endorsed
Hamilton, ON L8V
If you are feeling overwhelmed, lost, Stuck, and alone and trying to leave the past or old patterns, but it just keeps coming back, and If you are struggling to cope with challenges and and you tried lots of therapy and modality and are still struggling, this may be helpful for you. I am a clinical social worker and believe that therapy is a gradual journey that brings growth, held within the safety container of the therapist and client. I treat depression, general and social anxiety, panic disorder and OCD and I am specialized in treating Trauma, loss, abuse, sexual assault, and C-PTSD symptoms.
If you are feeling overwhelmed, lost, Stuck, and alone and trying to leave the past or old patterns, but it just keeps coming back, and If you are struggling to cope with challenges and and you tried lots of therapy and modality and are still struggling, this may be helpful for you. I am a clinical social worker and believe that therapy is a gradual journey that brings growth, held within the safety container of the therapist and client. I treat depression, general and social anxiety, panic disorder and OCD and I am specialized in treating Trauma, loss, abuse, sexual assault, and C-PTSD symptoms.
(289) 422-0731 View (289) 422-0731

See more therapy options for Hamilton

How does your Counsellor compare?

Number of Counsellors in Hamilton, ON

1,000+

Average cost per session

$150

Counsellors in Hamilton, ON who prioritize treating:

93% Anxiety
85% Depression
81% Self Esteem
79% Stress
78% Relationship Issues
73% Coping Skills
70% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

69% Green Shield Canada
65% SunLife
60% Manulife

How Counsellors in Hamilton, ON see their clients

60% In Person and Online
40% Online Only

Gender breakdown

83% Female
15% Male
2% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Hamilton?

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.