Therapists in Vancouver, BC
Connor Denoon
Counsellor, MCP, RCC
Verified Verified
3 Endorsed
Vancouver, BC V6B
I am a member of the LGBTQ+ community and a Registered Clinical Counsellor licensed in British Columbia. Working with me you’ll begin to discover your unique sense of self that will help you navigate life's challenges with grounded confidence. I combine evidence-based interventions to help you build a personal 'tool kit' to approach your mental health needs on a regular basis. Overall, my clients notice an increase in psychological resiliency; an increase in confidence and self-direction; and a decreased desire to please others in a way that they lose themselves in the process.
I am a member of the LGBTQ+ community and a Registered Clinical Counsellor licensed in British Columbia. Working with me you’ll begin to discover your unique sense of self that will help you navigate life's challenges with grounded confidence. I combine evidence-based interventions to help you build a personal 'tool kit' to approach your mental health needs on a regular basis. Overall, my clients notice an increase in psychological resiliency; an increase in confidence and self-direction; and a decreased desire to please others in a way that they lose themselves in the process.
April Jiangge Li
Counsellor, RCAT, RCC
Verified Verified
2 Endorsed
Vancouver, BC V5X
Hi I am April and thanks for taking an interest in my practice. I worked as a family and youth counsellor at a Vancouver NPO for 7 years while practicing at a multidisciplinary clinic for over 10 years. I provide in-person service in East Vancouver and online service to people around the world in English/Mandarin/Cantonese. I am a registered art therapist and supervised students at a master program level for 2 school years. I am also trained in hypnotherapy and mindfulness based somatic therapy. My experiences as an immigrant growing up in diverse cultures help me to understand people's unique paths and identities.
Hi I am April and thanks for taking an interest in my practice. I worked as a family and youth counsellor at a Vancouver NPO for 7 years while practicing at a multidisciplinary clinic for over 10 years. I provide in-person service in East Vancouver and online service to people around the world in English/Mandarin/Cantonese. I am a registered art therapist and supervised students at a master program level for 2 school years. I am also trained in hypnotherapy and mindfulness based somatic therapy. My experiences as an immigrant growing up in diverse cultures help me to understand people's unique paths and identities.
Harkamal Sangha
Counsellor, BSc, MA, RCC
Verified Verified
1 Endorsed
Vancouver, BC V6C
Whether it is burnout, anxiety, depression, substance use, trauma, loss, or relationship conflict; regardless of the source of stress, one thing is certain: it is overwhelming your capacity to cope. Loneliness, social isolation, social injuries and injustices can also contribute to the suffering. Despite the overarching influence the problems are having on your life, there is a wise, compassionate presence in you right now trying to reach out for support.
Whether it is burnout, anxiety, depression, substance use, trauma, loss, or relationship conflict; regardless of the source of stress, one thing is certain: it is overwhelming your capacity to cope. Loneliness, social isolation, social injuries and injustices can also contribute to the suffering. Despite the overarching influence the problems are having on your life, there is a wise, compassionate presence in you right now trying to reach out for support.
Amber M Jerome
Registered Psychotherapist, MACP, CCC
Verified Verified
2 Endorsed
Vancouver, BC V5R (Online Only)
I am a licensed counsellor with a Masters in Counselling Psychology and an Undergraduate Degree in Psychology, but at its core, I believe therapy is about healing through connection and focusing on the values that guide us through life. My background has been working with women and families facing domestic violence, homelessness, addiction, parent education, and in complex mental health programs. I currently support men recovering from addictions. I work with presenting problems related to depression, anxiety, self-esteem and self-worth, ADHD, parenting concerns, domestic violence, and the traumas that often underly most of them.
I am a licensed counsellor with a Masters in Counselling Psychology and an Undergraduate Degree in Psychology, but at its core, I believe therapy is about healing through connection and focusing on the values that guide us through life. My background has been working with women and families facing domestic violence, homelessness, addiction, parent education, and in complex mental health programs. I currently support men recovering from addictions. I work with presenting problems related to depression, anxiety, self-esteem and self-worth, ADHD, parenting concerns, domestic violence, and the traumas that often underly most of them.
Ward Murray Counselling
BA Psyc, MA Coun, CCC
Verified Verified
1 Endorsed
Vancouver, BC V5L
We can work together to overcome challenging emotions, patterns, behaviours, thoughts and feelings that you may be experiencing, to create meaningful change for you. My practice is informed by a wealth of experience over ten years of supportive work through addictions centers, verbal and non-verbal care work, marginalized individuals, international family support, and elementary school aged children and their families dealing with intergenerational trauma. I also offer support to families of children with disabilities, and aim to run a group in the near future. Let's have a conversation and find out the best way to help you.
We can work together to overcome challenging emotions, patterns, behaviours, thoughts and feelings that you may be experiencing, to create meaningful change for you. My practice is informed by a wealth of experience over ten years of supportive work through addictions centers, verbal and non-verbal care work, marginalized individuals, international family support, and elementary school aged children and their families dealing with intergenerational trauma. I also offer support to families of children with disabilities, and aim to run a group in the near future. Let's have a conversation and find out the best way to help you.
Amelia Bradaric | Grief And Loss
Counsellor, RTC
Verified Verified
1 Endorsed
Vancouver, BC V6Z (Online Only)
I help my clients in the process of grief, trauma, life transitions and burnout. By integrating modalities such as Mindfulness, DBT, Somatic therapy and Internal Family Systems we are able to look at all aspects of the human experience. We can explore the impact these experiences have in your day-to-day life and the big picture. We will create an individualized and well-balanced approach to therapy by focusing on how you've been impacted, and develop tools and resources to support you in moving forward.
I help my clients in the process of grief, trauma, life transitions and burnout. By integrating modalities such as Mindfulness, DBT, Somatic therapy and Internal Family Systems we are able to look at all aspects of the human experience. We can explore the impact these experiences have in your day-to-day life and the big picture. We will create an individualized and well-balanced approach to therapy by focusing on how you've been impacted, and develop tools and resources to support you in moving forward.
Kalie Brown
Counsellor, MCP, RCC
Verified Verified
1 Endorsed
Vancouver, BC V6B
I offer counselling to self-identifying women, men, and folks who are gender non-conforming. I seek to provide a space of authenticity, safety and groundedness where clients feel safe to explore their inner experiences. I believe each person has the capability to heal and warrants having someone with them on the journey through the exploration and discovery of their authentic self.
I offer counselling to self-identifying women, men, and folks who are gender non-conforming. I seek to provide a space of authenticity, safety and groundedness where clients feel safe to explore their inner experiences. I believe each person has the capability to heal and warrants having someone with them on the journey through the exploration and discovery of their authentic self.
Kristina Teresa Belyea
Counsellor, M Ed, RCC
Verified Verified
Vancouver, BC V5L (Online Only)
I work with folks who feel as though they don't fit into the mold and who have mostly felt alone in their problems. My clients tend to be creative, thoughtful, and have big inner lives, but struggle to show their real selves to the world around them because they've gotten the message that they wouldn’t be welcome - that care and acceptance aren’t a given. Together, we’ll figure out what they need, how to make sense of the wounds that have led them here, and how to care for the parts of themselves that feel rejected by others (and even by themselves.)
I work with folks who feel as though they don't fit into the mold and who have mostly felt alone in their problems. My clients tend to be creative, thoughtful, and have big inner lives, but struggle to show their real selves to the world around them because they've gotten the message that they wouldn’t be welcome - that care and acceptance aren’t a given. Together, we’ll figure out what they need, how to make sense of the wounds that have led them here, and how to care for the parts of themselves that feel rejected by others (and even by themselves.)
Nexus Counselling Services
Counsellor, MA, CCC
Verified Verified
Vancouver, BC V6B
Being in the nexus of something means you are right in the middle of it hence, easy to feel overwhelmed by the multitude of things coming at you. At Nexus, I will work with you within the context of a nonjudgmental, collaborative and healing therapeutic relationship to parse out and clearly see the interwoven links and connections that contribute to how you experience, perceive and interpret life's challenges, difficulties and obstacles. By understanding these connections, we can separate what is important to you and focus on your goal(s) to improve your mental, emotional and spiritual well-being.
Being in the nexus of something means you are right in the middle of it hence, easy to feel overwhelmed by the multitude of things coming at you. At Nexus, I will work with you within the context of a nonjudgmental, collaborative and healing therapeutic relationship to parse out and clearly see the interwoven links and connections that contribute to how you experience, perceive and interpret life's challenges, difficulties and obstacles. By understanding these connections, we can separate what is important to you and focus on your goal(s) to improve your mental, emotional and spiritual well-being.
Lena Savic
Art Therapist, EXAT, OEATA
Verified Verified
2 Endorsed
Vancouver, BC V6J
Do you feel overwhelmed, pressured, worried, or trapped, disconnected, even absent from your own life? Are you feeling lost going through a transition, finding it challenging to see your path and place in the world? I'm here to support you deal with the anxiety and stress, to show you techniques that can help you reconnect to yourself, find your breath and needed insight, and to feel the ground again.
Do you feel overwhelmed, pressured, worried, or trapped, disconnected, even absent from your own life? Are you feeling lost going through a transition, finding it challenging to see your path and place in the world? I'm here to support you deal with the anxiety and stress, to show you techniques that can help you reconnect to yourself, find your breath and needed insight, and to feel the ground again.
Serena Zhang
Counsellor, MC, RCC, CCC
Verified Verified
1 Endorsed
Vancouver, BC V5T
My name is Serena and I am a Registered Clinical Counsellor (RCC #18636) with a Master of Counselling degree from City University of Seattle. In my practice, I draw upon various theoretical approaches like Narrative, Mindfulness, and Solution Focused Therapies, along with my background in biology to ensure therapy is tailored to fit each individual client. I focus on developing safe, supportive, and collaborative relationships that promote empowerment and self-discovery.
My name is Serena and I am a Registered Clinical Counsellor (RCC #18636) with a Master of Counselling degree from City University of Seattle. In my practice, I draw upon various theoretical approaches like Narrative, Mindfulness, and Solution Focused Therapies, along with my background in biology to ensure therapy is tailored to fit each individual client. I focus on developing safe, supportive, and collaborative relationships that promote empowerment and self-discovery.
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Counsellor, RPC
Verified Verified
1 Endorsed
Vancouver, BC V6Z
If you feel alone, depressed/anxious and not ok; I'm here to help. Are you overwhelmed or depressed, out of control and lacking focus on how to get what you want out of life. If you've given so much to those around you and neglected yourself to the point of exhaustion or anger and resentment; I'm here to help. If you are feeling ready to give up on how things have been, now’s the time to talk about it and get support to design a better, brighter future. We will work together to help you become more of who you want to be. Design the life you want to live.
If you feel alone, depressed/anxious and not ok; I'm here to help. Are you overwhelmed or depressed, out of control and lacking focus on how to get what you want out of life. If you've given so much to those around you and neglected yourself to the point of exhaustion or anger and resentment; I'm here to help. If you are feeling ready to give up on how things have been, now’s the time to talk about it and get support to design a better, brighter future. We will work together to help you become more of who you want to be. Design the life you want to live.
Erica Leung
Counsellor, MC, RCC
Verified Verified
2 Endorsed
Vancouver, BC V6B (Online Only)
Welcome! It takes a lot of courage to own your story and reach out, so be proud of yourself for taking the first step. My approach in counselling is warm, genuine, and strengths-based. It is my aim to build a meaningful connection with you and provide you with the coping techniques and skills necessary to cultivate resilience and fulfillment in your life. By listening to your stories, I can help you process your emotions and navigate life's many uncertainties with more clarity and confidence. I embrace clients from all backgrounds and acknowledge the unique challenges faced by individuals from underrepresented communities.
Welcome! It takes a lot of courage to own your story and reach out, so be proud of yourself for taking the first step. My approach in counselling is warm, genuine, and strengths-based. It is my aim to build a meaningful connection with you and provide you with the coping techniques and skills necessary to cultivate resilience and fulfillment in your life. By listening to your stories, I can help you process your emotions and navigate life's many uncertainties with more clarity and confidence. I embrace clients from all backgrounds and acknowledge the unique challenges faced by individuals from underrepresented communities.
Christine Montinola
Counsellor, RCC, MC
Verified Verified
2 Endorsed
Vancouver, BC V5Z (Online Only)
Christine brings several years serving in the mental health field working with children, youth, adults and families. She has worked in non-profit organizations, the Ministry of Children and Family Development, alongside a variety of community professionals supporting those that have experienced complex trauma, have struggled with life transitions, depression, anxiety, relational issues, grief and more. Christine draws from an intersectional, holistic and trauma-informed lens that allows individuals to be seen from the many facets of their lives.
Christine brings several years serving in the mental health field working with children, youth, adults and families. She has worked in non-profit organizations, the Ministry of Children and Family Development, alongside a variety of community professionals supporting those that have experienced complex trauma, have struggled with life transitions, depression, anxiety, relational issues, grief and more. Christine draws from an intersectional, holistic and trauma-informed lens that allows individuals to be seen from the many facets of their lives.
Emma Ellison
Counsellor, MCP, RCC, Doula
Verified Verified
Vancouver, BC V5N
Just as a seed will grow into a plant, and a plant will seek water and grow towards light, there is an intrinsic capacity within all living organisms to heal and to grow, and a natural inclination to move in this direction. My practice is guided by trust in the wisdom of this inner healing intelligence. I am a holistic practitioner working in the realms of transpersonal psychotherapy and birth care, with a focus on human attachment, lifespan development, and spiritual care "from womb to tomb." Birth psychology and work with holotropic states of consciousness are areas of special interest.
Just as a seed will grow into a plant, and a plant will seek water and grow towards light, there is an intrinsic capacity within all living organisms to heal and to grow, and a natural inclination to move in this direction. My practice is guided by trust in the wisdom of this inner healing intelligence. I am a holistic practitioner working in the realms of transpersonal psychotherapy and birth care, with a focus on human attachment, lifespan development, and spiritual care "from womb to tomb." Birth psychology and work with holotropic states of consciousness are areas of special interest.
Leah Dhahan
Counsellor, MA, RCC
Verified Verified
Vancouver, BC V6N (Online Only)
Welcome! Are you struggling to set boundaries and speak your truth in relationships? Are you currently experiencing emotional abuse or seeking support for childhood trauma? Do you find yourself struggling with anger, anxiety, or unpleasant feelings and emotions and wondering where to start? Would you like to develop tools and strategies to build stronger personal boundaries and better relationships with others? I can help…
Welcome! Are you struggling to set boundaries and speak your truth in relationships? Are you currently experiencing emotional abuse or seeking support for childhood trauma? Do you find yourself struggling with anger, anxiety, or unpleasant feelings and emotions and wondering where to start? Would you like to develop tools and strategies to build stronger personal boundaries and better relationships with others? I can help…
Aliza Rothman
Counsellor, MA, RCC
Verified Verified
1 Endorsed
Vancouver, BC V5Y
Life is complicated and we are thrown many curveballs along the way. How can we stay grounded and live the life we desire in the midst of challenges? Reaching out for therapy is vulnerable and a sign that you want something more in your life. Do You want a life filled with ease and joy. In the midst of challenges, how can we stay present and grounded. It’s not easy. Anxiety, depression, overwhelm, disconnection, isolation are the norm these days. Often there are things from our past that are holding us back from living the life we desire. We all have big and small traumas that get stuck in our bodies and brains. EMDR can help.
Life is complicated and we are thrown many curveballs along the way. How can we stay grounded and live the life we desire in the midst of challenges? Reaching out for therapy is vulnerable and a sign that you want something more in your life. Do You want a life filled with ease and joy. In the midst of challenges, how can we stay present and grounded. It’s not easy. Anxiety, depression, overwhelm, disconnection, isolation are the norm these days. Often there are things from our past that are holding us back from living the life we desire. We all have big and small traumas that get stuck in our bodies and brains. EMDR can help.
Sheldon Lewkis
Psychologist, PhD, RPsych, BCN
Verified Verified
Vancouver, BC V6R
I work as a neuropsychologist (BC and WA state licensed) providing neurofeedback (LORETA and LENS), EEG, heart rate variability biofeedback, biophotomodulation, diagnosis, assessment, and other related services. Treatment and assessment are provided directly by me without the use of assistants/technicians. I have over 20 years of experience in the provision of neurofeedback and EEG as well as medical-legal expert witness diagnosis and assessment. Conditions treated include: PTSD, chronic pain, mild/moderate brain injury, depression, learning problems, addiction, anxiety, OCD, ADHD, and accelerated cognitive loss with aging.
I work as a neuropsychologist (BC and WA state licensed) providing neurofeedback (LORETA and LENS), EEG, heart rate variability biofeedback, biophotomodulation, diagnosis, assessment, and other related services. Treatment and assessment are provided directly by me without the use of assistants/technicians. I have over 20 years of experience in the provision of neurofeedback and EEG as well as medical-legal expert witness diagnosis and assessment. Conditions treated include: PTSD, chronic pain, mild/moderate brain injury, depression, learning problems, addiction, anxiety, OCD, ADHD, and accelerated cognitive loss with aging.
Darya Mardani
Counsellor, RPC
Verified Verified
Vancouver, BC V6C
Welcoming new Clients booking for April 1 2024- Sometimes it’s easier to say I’m fine – instead of admitting the truth, even to yourself. The truth might be that you are feeling sad or lonely. The truth might be that you are feeling insecure or hopeless. The truth might be that you are disappointed or hurt, anxious or maybe embarrassed. The truth might be that you are feeling ashamed. The truth might be that you are minimizing, avoiding or ignoring core parts of your identity. Maybe you have inadvertently locked yourself into what you think is socially acceptable?
Welcoming new Clients booking for April 1 2024- Sometimes it’s easier to say I’m fine – instead of admitting the truth, even to yourself. The truth might be that you are feeling sad or lonely. The truth might be that you are feeling insecure or hopeless. The truth might be that you are disappointed or hurt, anxious or maybe embarrassed. The truth might be that you are feeling ashamed. The truth might be that you are minimizing, avoiding or ignoring core parts of your identity. Maybe you have inadvertently locked yourself into what you think is socially acceptable?
Mark Majewski
Counsellor, MC, RCC
Verified Verified
2 Endorsed
Vancouver, BC V5T (Online Only)
Clients tell me I’m calm, curious, and compassionate—a patient, friendly collaborator who helps them find insight, connection, and direction. I'm a good fit with people who sometimes feel a bit “different” or want something a bit different in life. Like most, I am somewhat wounded myself (and relatively comfortable with it), and that helps me connect with people experiencing loneliness, anxiety, depression, feelings of day-to-day boredom and restlessness, and (perhaps especially) existential angst.
Clients tell me I’m calm, curious, and compassionate—a patient, friendly collaborator who helps them find insight, connection, and direction. I'm a good fit with people who sometimes feel a bit “different” or want something a bit different in life. Like most, I am somewhat wounded myself (and relatively comfortable with it), and that helps me connect with people experiencing loneliness, anxiety, depression, feelings of day-to-day boredom and restlessness, and (perhaps especially) existential angst.
See more therapy options for Vancouver
How does your Counsellor compare?
Number of Counsellors in Vancouver, BC
2,000+
Average cost per session
$150
Counsellors in Vancouver, BC who prioritize treating:
91% | Anxiety |
84% | Depression |
80% | Self Esteem |
79% | Relationship Issues |
76% | Stress |
71% | Trauma and PTSD |
70% | Life Transitions |
Average years in practice
8 Years
Top 3 insurances accepted
54% | SunLife |
48% | Pacific Blue Cross |
44% | Green Shield Canada |
How Counsellors in Vancouver, BC see their clients
67% | In Person and Online | |
33% | Online Only |
Gender breakdown
78% | Female | |
20% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counselling
How can I find a therapist in Vancouver?
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.