Therapists in Ottawa, ON

Photo of Katrina Hutchingame, Registered Psychotherapist in Ottawa, ON
Katrina Hutchingame
Registered Psychotherapist, MA, RP
Verified Verified
8 Endorsed
Ottawa, ON K1N  (Online Only)
I am a trauma therapist who specializes in eating disorders and addictions. I am frequently taken by the amount of pain and suffering in the world, I have learned that through these moments we can find the most growth, strength, and beauty. Often we can get stuck in-between these painful moments and a new way of being, That's often what brings people to therapy. Our work together may be a journey to help you get unstuck or out of the place of crisis and to find a sense of safety. I feel it is a privilege to be able to be a part of someone's journey and be able to walk along beside them.
I am a trauma therapist who specializes in eating disorders and addictions. I am frequently taken by the amount of pain and suffering in the world, I have learned that through these moments we can find the most growth, strength, and beauty. Often we can get stuck in-between these painful moments and a new way of being, That's often what brings people to therapy. Our work together may be a journey to help you get unstuck or out of the place of crisis and to find a sense of safety. I feel it is a privilege to be able to be a part of someone's journey and be able to walk along beside them.
(613) 699-3396 View (613) 699-3396
Photo of Elise Gwyn, Registered Psychotherapist in Ottawa, ON
Elise Gwyn
Registered Psychotherapist, MA, RP
Verified Verified
2 Endorsed
Ottawa, ON K2B
Not accepting new clients
In life’s difficult moments the most powerful thing that we can control is how we treat ourselves. Care, self-awareness, and compassion can help us to move more confidently through life’s challenges, even in very hard times. I provide support and a safe space for people who want to unpack the origins of their patterns, better understand the natural emotions behind them, and explore new ways of relating to themselves and others in order to create positive and sustainable change in their lives.
In life’s difficult moments the most powerful thing that we can control is how we treat ourselves. Care, self-awareness, and compassion can help us to move more confidently through life’s challenges, even in very hard times. I provide support and a safe space for people who want to unpack the origins of their patterns, better understand the natural emotions behind them, and explore new ways of relating to themselves and others in order to create positive and sustainable change in their lives.
(343) 500-6459 View (343) 500-6459
Photo of Andrew Mendes, Registered Psychotherapist in Ottawa, ON
Andrew Mendes
Registered Psychotherapist, MSc , BScH, RP
Verified Verified
3 Endorsed
Ottawa, ON K1G
I have over 20 years in the health and wellness field with a family and personal history that has driven my passion to helping others and the ongoing pursuit to improve my skills in this field. During my career I have been dedicated to support individuals (ages 16+) and couples who are experiencing a range of adversities, such as anxiety, depression, trauma, substance use, anger management, stress, couples issues, grief, displacement, and loss. I am specialized in Substance Use Health and provide support to all individuals who are experiencing diverse range of issues related to substance use (self or others).
I have over 20 years in the health and wellness field with a family and personal history that has driven my passion to helping others and the ongoing pursuit to improve my skills in this field. During my career I have been dedicated to support individuals (ages 16+) and couples who are experiencing a range of adversities, such as anxiety, depression, trauma, substance use, anger management, stress, couples issues, grief, displacement, and loss. I am specialized in Substance Use Health and provide support to all individuals who are experiencing diverse range of issues related to substance use (self or others).
(343) 700-6080 View (343) 700-6080
Photo of Finding Alpha, Registered Psychotherapist in Ottawa, ON
Finding Alpha
Registered Psychotherapist, RP(Q), MBA, DVATI, SEP(L3)
Verified Verified
Ottawa, ON K1S
One day, I looked in the mirror and didn't recognize myself. I've spent the last decade learning to let go of what doesn't fit in my life, what isn't authentic, and rebuilding myself from the ground up, physically, mentally, emotionally, socially, and spiritually, so that life can be lived with purpose and a joy to share with others. During this time, I have learned the fundamentals of how to heal violent trauma and live with autism, the source of tremendous anxiety, depression, and suffering in my life. I'm here to help others who have similarly struggled.
One day, I looked in the mirror and didn't recognize myself. I've spent the last decade learning to let go of what doesn't fit in my life, what isn't authentic, and rebuilding myself from the ground up, physically, mentally, emotionally, socially, and spiritually, so that life can be lived with purpose and a joy to share with others. During this time, I have learned the fundamentals of how to heal violent trauma and live with autism, the source of tremendous anxiety, depression, and suffering in my life. I'm here to help others who have similarly struggled.
(343) 307-0910 View (343) 307-0910
Photo of Kathleen King, Registered Social Worker in Ottawa, ON
Kathleen King
Registered Social Worker, MSW, RSW
Verified Verified
Ottawa, ON K1S  (Online Only)
I am a strong believer that when we change the way we think, we change the way we feel, and we can improve our mental and emotional health and well-being. I am passionate about helping people uncover their resilience, strengthen their self-confidence and self-worth, and become more assertive. You are the expert of your life, and together we will work collaboratively to uncover unhelpful thinking patterns and create new ways of looking at your concerns to create positive change.
I am a strong believer that when we change the way we think, we change the way we feel, and we can improve our mental and emotional health and well-being. I am passionate about helping people uncover their resilience, strengthen their self-confidence and self-worth, and become more assertive. You are the expert of your life, and together we will work collaboratively to uncover unhelpful thinking patterns and create new ways of looking at your concerns to create positive change.
(343) 801-4097 View (343) 801-4097
Photo of Marie-Eve Martel, Psychologist in Ottawa, ON
Marie-Eve Martel
Psychologist, CPsych, PsyD, MA
Verified Verified
6 Endorsed
Ottawa, ON K1G  (Online Only)
Not accepting new clients
I am a bilingual (FR/EN) registered psychologist in Ontario (6475) with a strong compassionate presence and a mindfulness/acceptance-based orientation. I provide evidence-based care to help people develop greater wellbeing and mind-body health. I have experience working with adults with a wide range of difficulties (e.g. anxiety, depression, stress, health issues, interpersonal challenges) in individual and group settings. I have a particular interest in working with young adults after having helped many clients in their 20's/30's adapt to life transitions and build lives that are more meaningful.
I am a bilingual (FR/EN) registered psychologist in Ontario (6475) with a strong compassionate presence and a mindfulness/acceptance-based orientation. I provide evidence-based care to help people develop greater wellbeing and mind-body health. I have experience working with adults with a wide range of difficulties (e.g. anxiety, depression, stress, health issues, interpersonal challenges) in individual and group settings. I have a particular interest in working with young adults after having helped many clients in their 20's/30's adapt to life transitions and build lives that are more meaningful.
(613) 209-7689 View (613) 209-7689
Photo of Lindsay Williams, Registered Psychotherapist (Qualifying) in Ottawa, ON
Lindsay Williams
Registered Psychotherapist (Qualifying), MACP, RPQ
Verified Verified
1 Endorsed
Ottawa, ON K1Y
Fascinated by the power of healing through connection, I believe in the ability of people to transform when they feel truly heard and understood. Using a tailored combination of therapeutic approaches to suit the individual, I strive to provide an inclusive, safe, and inviting space for my clients to enter. I have several years experience working in different areas of mental health through emergency call taking with the Ontario Provincial Police, university guidance counselling, and in most recent years, counselling individuals.
Fascinated by the power of healing through connection, I believe in the ability of people to transform when they feel truly heard and understood. Using a tailored combination of therapeutic approaches to suit the individual, I strive to provide an inclusive, safe, and inviting space for my clients to enter. I have several years experience working in different areas of mental health through emergency call taking with the Ontario Provincial Police, university guidance counselling, and in most recent years, counselling individuals.
(343) 305-5372 View (343) 305-5372
Photo of Stephanie Mathewson, Registered Psychotherapist in Ottawa, ON
Stephanie Mathewson
Registered Psychotherapist, MA, RP
Verified Verified
3 Endorsed
Ottawa, ON K2H  (Online Only)
The tightness in your chest, knots in your stomach and the stories your mind tells you have been getting out of hand lately. Your efforts to control your anxiety haven’t been working the way you’d like, and you’re left feeling like you just want to run away. Fear of making mistakes, saying the wrong thing, hesitating to take on new challenges, and the discomfort of feeling out of place have become too much. Common sense methods like trying to be rational or think positively only make it worse. Anxiety is holding you back from being the person you wish to be.
The tightness in your chest, knots in your stomach and the stories your mind tells you have been getting out of hand lately. Your efforts to control your anxiety haven’t been working the way you’d like, and you’re left feeling like you just want to run away. Fear of making mistakes, saying the wrong thing, hesitating to take on new challenges, and the discomfort of feeling out of place have become too much. Common sense methods like trying to be rational or think positively only make it worse. Anxiety is holding you back from being the person you wish to be.
(437) 747-0879 View (437) 747-0879
Photo of Amal Halim, Drug & Alcohol Counsellor in Ottawa, ON
Amal Halim
Drug & Alcohol Counsellor, CCAC
Verified Verified
1 Endorsed
Ottawa, ON K2J
Working as a Canadian Certified Addiction Counselor, especially when working with indigenous communities, is like navigating a winding river, full of twists and turns. It can be both challenging and rewarding. In my role, I had the privilege of working closely with indigenous communities to promote positive change and progress. I take immense pride in my counseling experience, where I dedicated myself to providing tailored, high-quality counseling services within a culturally sensitive, nurturing, and nonjudgmental framework. I have experience treating a variety of issues by offering counseling services using motivation
Working as a Canadian Certified Addiction Counselor, especially when working with indigenous communities, is like navigating a winding river, full of twists and turns. It can be both challenging and rewarding. In my role, I had the privilege of working closely with indigenous communities to promote positive change and progress. I take immense pride in my counseling experience, where I dedicated myself to providing tailored, high-quality counseling services within a culturally sensitive, nurturing, and nonjudgmental framework. I have experience treating a variety of issues by offering counseling services using motivation
(343) 633-3427 View (343) 633-3427
Photo of Arynne Boyes, Registered Psychotherapist (Qualifying) in Ottawa, ON
Arynne Boyes
Registered Psychotherapist (Qualifying), BSc, MACP
Verified Verified
1 Endorsed
Ottawa, ON K2A  (Online Only)
Healing is a journey, and therapy is but one step. Through my practice I offer clients a warm, empathetic, and compassionate counselling style. I strive to collaborate with my clients in achieving the goals they set in their healing journey. I approach therapy with a non-judgmental attitude, recognizing that everyone has a unique journey that has led them to the present. I aim to empower my clients and assist them in establishing the confidence and resilience needed to reach their therapeutic goals.
Healing is a journey, and therapy is but one step. Through my practice I offer clients a warm, empathetic, and compassionate counselling style. I strive to collaborate with my clients in achieving the goals they set in their healing journey. I approach therapy with a non-judgmental attitude, recognizing that everyone has a unique journey that has led them to the present. I aim to empower my clients and assist them in establishing the confidence and resilience needed to reach their therapeutic goals.
(343) 312-9815 View (343) 312-9815
Photo of Fatène Bader, Registered Psychotherapist (Qualifying) in Ottawa, ON
Fatène Bader
Registered Psychotherapist (Qualifying), MA, RP(Q)
Verified Verified
1 Endorsed
Ottawa, ON K1K
It takes a lot of courage to ask for help. Whether it is to manage symptoms of depression or anxiety, compulsive behaviors (e.g., addictions, eating habits, substance abuse), habits you can’t seem to control (e.g., sleeping habits, procrastination, relationship patterns). Or, you might be going through difficult times, like dealing with grief, with life transitions.
It takes a lot of courage to ask for help. Whether it is to manage symptoms of depression or anxiety, compulsive behaviors (e.g., addictions, eating habits, substance abuse), habits you can’t seem to control (e.g., sleeping habits, procrastination, relationship patterns). Or, you might be going through difficult times, like dealing with grief, with life transitions.
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Photo of Triello Counselling Services, Registered Psychotherapist in Ottawa, ON
Triello Counselling Services
Registered Psychotherapist, RP
Verified Verified
1 Endorsed
Ottawa, ON K1S
Are you feeling overwhelmed, sad or stressed? Perhaps, you are unsure about how you are feeling? Wherever you currently may find yourself, Triello Counselling Services offers counselling and psychotherapy to support your individual needs. We understand that it takes great courage to begin taking steps towards starting therapy, and we are here to walk alongside you on your therapeutic journey. Our initial goal is to create a safe and compassionate environment for you to begin your healing process. We believe all clients are unique, and our priority is to mould our therapeutic approach to suit your individual needs and goals.
Are you feeling overwhelmed, sad or stressed? Perhaps, you are unsure about how you are feeling? Wherever you currently may find yourself, Triello Counselling Services offers counselling and psychotherapy to support your individual needs. We understand that it takes great courage to begin taking steps towards starting therapy, and we are here to walk alongside you on your therapeutic journey. Our initial goal is to create a safe and compassionate environment for you to begin your healing process. We believe all clients are unique, and our priority is to mould our therapeutic approach to suit your individual needs and goals.
(613) 209-4536 View (613) 209-4536
Photo of Aline Maia, Registered Psychotherapist in Ottawa, ON
Aline Maia
Registered Psychotherapist, MA, MEd
Verified Verified
2 Endorsed
Ottawa, ON K2A
Accepting new clients! I am glad you are considering therapy! Whatever you are going through: depression, anxiety, difficult relationships, career changes - my big message to you is that it can get better. I've helped countless people make amazing progress in their lives and I can assure you: life gets better when you take concrete steps to work on yourself. I believe in the power of human connection to transform patters that no longer serve my clients. Therapy is a safe space for self-exploration, humour and concrete steps towards change.
Accepting new clients! I am glad you are considering therapy! Whatever you are going through: depression, anxiety, difficult relationships, career changes - my big message to you is that it can get better. I've helped countless people make amazing progress in their lives and I can assure you: life gets better when you take concrete steps to work on yourself. I believe in the power of human connection to transform patters that no longer serve my clients. Therapy is a safe space for self-exploration, humour and concrete steps towards change.
(343) 307-5982 View (343) 307-5982
Photo of Karinna Nájera - Focus On Change, Registered Psychotherapist in Ottawa, ON
Karinna Nájera - Focus On Change
Registered Psychotherapist, MACP, RP, CHT
Verified Verified
Ottawa, ON K1N
Hello! My name is Karinna Nájera, Psychotherapist, Counsellor and Clinical Hypnotherapist. I have worked in the Mental Health filed since 1996 and practiced Clinical Hypnosis since 2008. I specialize in working with anxiety disorders, stress management, work burnout, relationships, parenting, self esteem, depression, post-partum depression/anxiety and phobias.
Hello! My name is Karinna Nájera, Psychotherapist, Counsellor and Clinical Hypnotherapist. I have worked in the Mental Health filed since 1996 and practiced Clinical Hypnosis since 2008. I specialize in working with anxiety disorders, stress management, work burnout, relationships, parenting, self esteem, depression, post-partum depression/anxiety and phobias.
(613) 800-8558 View (613) 800-8558
Photo of Jamie McCallum, Registered Psychotherapist (Qualifying) in Ottawa, ON
Jamie McCallum
Registered Psychotherapist (Qualifying), MA, BEd, BA
Verified Verified
3 Endorsed
Ottawa, ON K1S
Life can wear us down. Sometimes we’re in pain, sometimes the ones we love are hurting and sometimes we hurt each other. It can be hard to find our way to peace and connection.
Life can wear us down. Sometimes we’re in pain, sometimes the ones we love are hurting and sometimes we hurt each other. It can be hard to find our way to peace and connection.
(343) 306-0873 View (343) 306-0873
Photo of Jay Rao, Registered Psychotherapist in Ottawa, ON
Jay Rao
Registered Psychotherapist, BSc, MSc, RP
Verified Verified
Ottawa, ON K1Z  (Online Only)
Charles Dickens once remarked that “a wonderful fact to reflect upon is that every human is a profound secret and mystery to every other." Despite how unique we all are, we often tend to spend much of our lives suffering, searching for happiness in places we struggle to ever find. Our wounds are the gateways to the most sacred parts of us and when we are open to new possibilities, we find what we had hoped for. It would be my honour to help make those possibilities your present realities.
Charles Dickens once remarked that “a wonderful fact to reflect upon is that every human is a profound secret and mystery to every other." Despite how unique we all are, we often tend to spend much of our lives suffering, searching for happiness in places we struggle to ever find. Our wounds are the gateways to the most sacred parts of us and when we are open to new possibilities, we find what we had hoped for. It would be my honour to help make those possibilities your present realities.
(587) 604-0868 View (587) 604-0868
Photo of Jessica Johnson, Registered Psychotherapist in Ottawa, ON
Jessica Johnson
Registered Psychotherapist, BA, MC, CCC, RP
Verified Verified
1 Endorsed
Ottawa, ON K2C
Waitlist for new clients
As a Registered Psychotherapist and a Canadian Certified Counsellor, I strive to provide non-judgemental and compassionate care to every individual I support. I specialize in anxiety, post-traumatic stress, trauma and/or abuse, depression, relationship issues, substance misuse, emotional dysregulation, stress, and other mental health concerns. In my therapeutic relationships, I foster trust, focus on strengths, and seek collaboration with clients through my adoption of a client-centred and trauma-informed perspective.
As a Registered Psychotherapist and a Canadian Certified Counsellor, I strive to provide non-judgemental and compassionate care to every individual I support. I specialize in anxiety, post-traumatic stress, trauma and/or abuse, depression, relationship issues, substance misuse, emotional dysregulation, stress, and other mental health concerns. In my therapeutic relationships, I foster trust, focus on strengths, and seek collaboration with clients through my adoption of a client-centred and trauma-informed perspective.
(343) 305-1699 View (343) 305-1699
Photo of Centre Stage Counselling, Registered Psychotherapist in Ottawa, ON
Centre Stage Counselling
Registered Psychotherapist, MA, RP
Verified Verified
Ottawa, ON K2P
Not accepting new clients
Feeling stuck? Not sure what choice to make? Afraid of change? Does your child drive you crazy? Do you or a loved one feel sick with anxiety? Unsure of a relationship? Feeling hurt from the past?
Feeling stuck? Not sure what choice to make? Afraid of change? Does your child drive you crazy? Do you or a loved one feel sick with anxiety? Unsure of a relationship? Feeling hurt from the past?
(613) 801-6677 View (613) 801-6677
Photo of Gabrielle Belhumeur, Registered Psychotherapist (Qualifying) in Ottawa, ON
Gabrielle Belhumeur
Registered Psychotherapist (Qualifying), MA
Verified Verified
1 Endorsed
Ottawa, ON K2P
Waitlist for new clients
Will be taking on new clients soon, feel free to reach out. Welcome, I’m so happy you’re here! As a psychotherapist, my passion is helping people navigate life's ups and downs with compassion and understanding. With an approach that is empathic, warm and non-judgmental, I aim to create an environment where my clients can explore their thoughts and feelings at their own pace, and feel heard, understood and supported. I use an integrative approach and draw from modalities including narrative, CBT/DBT, internal family systems (IFS) emotion-focused and somatic techniques. I always tailor my approach to your unique needs and goals.
Will be taking on new clients soon, feel free to reach out. Welcome, I’m so happy you’re here! As a psychotherapist, my passion is helping people navigate life's ups and downs with compassion and understanding. With an approach that is empathic, warm and non-judgmental, I aim to create an environment where my clients can explore their thoughts and feelings at their own pace, and feel heard, understood and supported. I use an integrative approach and draw from modalities including narrative, CBT/DBT, internal family systems (IFS) emotion-focused and somatic techniques. I always tailor my approach to your unique needs and goals.
(819) 272-3155 View (819) 272-3155
Photo of Lillian Rosenblum, Registered Psychotherapist (Qualifying) in Ottawa, ON
Lillian Rosenblum
Registered Psychotherapist (Qualifying), RP, MACP
Verified Verified
1 Endorsed
Ottawa, ON K2S
Trust and authenticity are central to my therapeutic approach. I aim to help clients develop a greater understanding of themselves and their past to assist their healing, growth, and self-awareness. I provide a warm and empathetic environment for clients to come as they are, without judgement, and be empowered.
Trust and authenticity are central to my therapeutic approach. I aim to help clients develop a greater understanding of themselves and their past to assist their healing, growth, and self-awareness. I provide a warm and empathetic environment for clients to come as they are, without judgement, and be empowered.
(613) 831-4547 View (613) 831-4547

See more therapy options for Ottawa

How does your Counsellor compare?

Number of Counsellors in Ottawa, ON

2,000+

Average cost per session

$160

Counsellors in Ottawa, ON who prioritize treating:

94% Anxiety
87% Depression
84% Self Esteem
80% Relationship Issues
80% Stress
73% Coping Skills
70% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

63% SunLife
57% Canada Life | Great-West Life
53% Manulife

How Counsellors in Ottawa, ON see their clients

58% In Person and Online
42% Online Only

Gender breakdown

83% Female
16% Male
1% 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

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.