Counselling in Bar Beach, NSW

Photo of Linda Thomas, PhD, MAPS, Psychologist
Linda Thomas
Psychologist, PhD, MAPS
Verified Verified
Bar Beach, NSW 2300
Dr Linda Thomas is a Clinical Psychologist with over 25 years experience in providing accurate diagnosis and effective care for all psychological concerns and conditions.
Dr Linda Thomas is a Clinical Psychologist with over 25 years experience in providing accurate diagnosis and effective care for all psychological concerns and conditions.
(02) 4058 4603 View (02) 4058 4603
Photo of Mimi Bloom, Psychotherapist
Mimi Bloom
Psychotherapist
Verified Verified
Bar Beach, NSW 2300
I am an experienced and professionally qualified EMDR and couples psychotherapist and relationship therapist. I have experience working with adolescents and adults ranging in age from 13-80 and have worked with client issues including depression, anxiety, interpersonal or relational issues, self-harm, suicide ideation, social anxiety, bereavement, trauma, domestic violence, sexual abuse, and neurodiversity, particularly ADHD. My clients come to me with a range of issues, but all seeking a safe space to explore themselves and break through barriers to achieve personal growth, increased contentment and better relationships.
I am an experienced and professionally qualified EMDR and couples psychotherapist and relationship therapist. I have experience working with adolescents and adults ranging in age from 13-80 and have worked with client issues including depression, anxiety, interpersonal or relational issues, self-harm, suicide ideation, social anxiety, bereavement, trauma, domestic violence, sexual abuse, and neurodiversity, particularly ADHD. My clients come to me with a range of issues, but all seeking a safe space to explore themselves and break through barriers to achieve personal growth, increased contentment and better relationships.
(02) 4058 4694 View (02) 4058 4694
Photo of Nikki Strong, MA, ACA-L3, Counsellor
Nikki Strong
Counsellor, MA, ACA-L3
Verified Verified
1 Endorsed
Bar Beach, NSW 2300  (Online Only)
Need to talk? I’m here to listen. I provide telehealth counselling services Australia-wide. I support my clients to take a moment for themselves and explore what’s important to them. I work with a range of topics including self-care, ADHD support, anxiety, skill building, trauma, managing emotions & creating healthy boundaries. I'm especially passionate about supporting my clients to create lives that work with their neurodivergence rather than against it.
Need to talk? I’m here to listen. I provide telehealth counselling services Australia-wide. I support my clients to take a moment for themselves and explore what’s important to them. I work with a range of topics including self-care, ADHD support, anxiety, skill building, trauma, managing emotions & creating healthy boundaries. I'm especially passionate about supporting my clients to create lives that work with their neurodivergence rather than against it.
(02) 4077 2979 View (02) 4077 2979
Photo of Nicholas Hutchins, MPsych, PsyBA - Clin. Psych, Psychologist
Nicholas Hutchins
Psychologist, MPsych, PsyBA - Clin. Psych
Verified Verified
Bar Beach, NSW 2300
I seek to help people to heal from the pain of their past. In my experience our suffering stems from the attempts we make to ward off emotional and relational pain. The problem is that what protected us in the past is causing our suffering in the present. If we were hurt in relationships, therapy offers an opportunity to have a new kind of healing relationship. I’m optimistic about the possibility for deep and lasting change. I seek to offer you more than strategies; I seek to help people to find deep emotional healing.
I seek to help people to heal from the pain of their past. In my experience our suffering stems from the attempts we make to ward off emotional and relational pain. The problem is that what protected us in the past is causing our suffering in the present. If we were hurt in relationships, therapy offers an opportunity to have a new kind of healing relationship. I’m optimistic about the possibility for deep and lasting change. I seek to offer you more than strategies; I seek to help people to find deep emotional healing.
(02) 4075 9759 View (02) 4075 9759

More Therapists Nearby

Photo of Caitlin Borham - Caitlin Blaxland, PsyBA General, Psychologist
Caitlin Blaxland
Psychologist, PsyBA General
Verified Verified
Kotara, NSW 2289
I have over 10 years of clinical experience working with adolescents (aged 12 years and older) and adults. I have a special interest in the treatment of recurrent anxiety issues and trauma, however, I am experienced and well versed in the treatment of a range of presentations (feel free to check out my website for more information and to learn more about my clinical experience).
I have over 10 years of clinical experience working with adolescents (aged 12 years and older) and adults. I have a special interest in the treatment of recurrent anxiety issues and trauma, however, I am experienced and well versed in the treatment of a range of presentations (feel free to check out my website for more information and to learn more about my clinical experience).
(02) 4071 8216 View (02) 4071 8216
Photo of Joanne Deaker
Joanne Deaker
Verified Verified
Newcastle, NSW 2300  (Online Only)
Do you remember a time when... life felt good, easy and familiar? When struggle, mistrust and that sense of feeling lost in it all weren’t the “norm”? Do those days feel like a distant memory? Hi, I'm Joanne Deaker and I help people like you break free of Good Girl Syndrome so they can unapologetically be themselves and enjoy life like they were meant too. I also specialize in divorce recovery. I use creative (arts therapy) and embodied (somatic) processes to help you get out of your head and into your body so we can go deep, get to the root of your challenges and move them.
Do you remember a time when... life felt good, easy and familiar? When struggle, mistrust and that sense of feeling lost in it all weren’t the “norm”? Do those days feel like a distant memory? Hi, I'm Joanne Deaker and I help people like you break free of Good Girl Syndrome so they can unapologetically be themselves and enjoy life like they were meant too. I also specialize in divorce recovery. I use creative (arts therapy) and embodied (somatic) processes to help you get out of your head and into your body so we can go deep, get to the root of your challenges and move them.
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Photo of Kerrie Thompson, PACFA, Counsellor
Kerrie Thompson
Counsellor, PACFA
Verified Verified
Hamilton, NSW 2303
I provide in person-online or phone counselling for adults and teenagers who have experienced trauma, who experience parenting challenges (shared parenting and post separation abuse) and specialize in navigating complex legal systems such as police processes, criminal court and Family Court. As an approved Workers Compensation/CTP provide, I provide support to people dealing with workplace conflict and burnout.
I provide in person-online or phone counselling for adults and teenagers who have experienced trauma, who experience parenting challenges (shared parenting and post separation abuse) and specialize in navigating complex legal systems such as police processes, criminal court and Family Court. As an approved Workers Compensation/CTP provide, I provide support to people dealing with workplace conflict and burnout.
(02) 4058 3123 View (02) 4058 3123
Photo of Janine Epere, PsychD, ACA-L4, Psychotherapist
Janine Epere
Psychotherapist, PsychD, ACA-L4
Verified Verified
Newcastle, NSW 2300
I am a Hunter Valley based therapist and Clinical Supervisor with over 15 years experience. I offer a wealth of knowledge and in-depth experience of complex trauma, life-controlling issues, addictions and relationships. Co-founder/CEO of a women's rehabilitation program, Destiny Haven, our mission is to see the lives of broken women restored. I have received significant recognition for my achievements, including finalist in Telstra Businesswomen's awards (2017). I use proven approaches offering unique expertise to help you quickly begin to experience relief from life controlling symptoms that hinder your relationships and limit life
I am a Hunter Valley based therapist and Clinical Supervisor with over 15 years experience. I offer a wealth of knowledge and in-depth experience of complex trauma, life-controlling issues, addictions and relationships. Co-founder/CEO of a women's rehabilitation program, Destiny Haven, our mission is to see the lives of broken women restored. I have received significant recognition for my achievements, including finalist in Telstra Businesswomen's awards (2017). I use proven approaches offering unique expertise to help you quickly begin to experience relief from life controlling symptoms that hinder your relationships and limit life
(02) 4058 4578 View (02) 4058 4578
Photo of Dana Bassett, MA, PsyBA - Clin. Psych, Psychologist
Dana Bassett
Psychologist, MA, PsyBA - Clin. Psych
Verified Verified
Newcastle, NSW 2300  (Online Only)
There are many paths we can wander down in our own minds yet we can often feel we are pulled on to negative unhelpful paths with out much say. I provide tele-health sessions to help anyone who is struggling, to find their own path to improving their quality of life. Whether it be depression, anxiety, relationship issues, stress, adjusting to change, addiction, grief, or general undefined discontent, I aim to collabrate with you to create a safe and warm space in which our working relationship provides the support that you need to explore all the unhelpful corners of your mind, and help you find and strengthen helpful paths.
There are many paths we can wander down in our own minds yet we can often feel we are pulled on to negative unhelpful paths with out much say. I provide tele-health sessions to help anyone who is struggling, to find their own path to improving their quality of life. Whether it be depression, anxiety, relationship issues, stress, adjusting to change, addiction, grief, or general undefined discontent, I aim to collabrate with you to create a safe and warm space in which our working relationship provides the support that you need to explore all the unhelpful corners of your mind, and help you find and strengthen helpful paths.
(07) 3555 7561 View (07) 3555 7561
Photo of Louise Kanjee, MA, PACFA, Counsellor
Louise Kanjee
Counsellor, MA, PACFA
Verified Verified
1 Endorsed
Newcastle, NSW 2300
I work with clients who are looking for understanding, empathy and acceptance. I am experienced with working with complex trauma, anxiety, depression, substance abuse and eating disorders. People who are looking to not just talk through their issues but who want to be in a space to work on and transform their inner worlds and the way they approach life find that the way I work alongside them as well as the space I provide resonates with them. Maybe you have tried lots of different therapists and are looking for someone different and who thinks out of the box - if so, I may be the person for you!
I work with clients who are looking for understanding, empathy and acceptance. I am experienced with working with complex trauma, anxiety, depression, substance abuse and eating disorders. People who are looking to not just talk through their issues but who want to be in a space to work on and transform their inner worlds and the way they approach life find that the way I work alongside them as well as the space I provide resonates with them. Maybe you have tried lots of different therapists and are looking for someone different and who thinks out of the box - if so, I may be the person for you!
(02) 4012 4906 View (02) 4012 4906
Photo of Matthew Wade, MA, PsyBA - Clin. Psych, Psychologist
Matthew Wade
Psychologist, MA, PsyBA - Clin. Psych
Verified Verified
Newcastle, NSW 2300  (Online Only)
Matthew is a clinical psychologist who offers therapy via video call for clients age twelve and up. He takes a compassionate, pragmatic, and evidence-based approach to treatment. Matthew specialises in treatment of anxiety, phobia, obsessive-compulsive disorder, trauma, and PTSD. He also has extensive experience working with ADHD, depression, anger, grief, insomnia, persistent pain, addiction, and personality disorder. ​
Matthew is a clinical psychologist who offers therapy via video call for clients age twelve and up. He takes a compassionate, pragmatic, and evidence-based approach to treatment. Matthew specialises in treatment of anxiety, phobia, obsessive-compulsive disorder, trauma, and PTSD. He also has extensive experience working with ADHD, depression, anger, grief, insomnia, persistent pain, addiction, and personality disorder. ​
(02) 9145 9701 View (02) 9145 9701
Photo of Grace York, PsyBA General, Psychologist
Grace York
Psychologist, PsyBA General
Verified Verified
Wickham, NSW 2293
Grace is a friendly and approachable psychologist, she is passionate about helping people better understand themselves to navigate life's challenges and joys. Grace loves to work with individuals from all walks of life and values working on the root cause of challenges whenever possible, rather than focusing solely on symptom management. Grace believes in flexibly tailoring therapy to individual needs and has experience with working with trauma, disability, mood disorders, anxiety disorders, neurodiversity, adjustment difficulties, attachment difficulties, family dynamics, stress, social difficulties, and emotional difficulties.
Grace is a friendly and approachable psychologist, she is passionate about helping people better understand themselves to navigate life's challenges and joys. Grace loves to work with individuals from all walks of life and values working on the root cause of challenges whenever possible, rather than focusing solely on symptom management. Grace believes in flexibly tailoring therapy to individual needs and has experience with working with trauma, disability, mood disorders, anxiety disorders, neurodiversity, adjustment difficulties, attachment difficulties, family dynamics, stress, social difficulties, and emotional difficulties.
(02) 4075 9112 View (02) 4075 9112
Photo of Gerard Ogle, MPsych, PsyBA General, Psychologist
Gerard Ogle
Psychologist, MPsych, PsyBA General
Verified Verified
Newcastle, NSW 2300
Gerard engages with clients in a warm and compassionate, person-centred therapeutic manner.His approach and experience is the bedrock for creating a safe and non-judgmental therapy space for clients from age 10 years old and upwards. Often Gerard's clients present with struggles such as overwhelming levels of stress, relationship challenges, elevated anxiety, depression and self-doubt. These clients generally come to work with Gerard to develop improved coping skills with the view to forging lives that are more manageable and enjoyable, despite the inevitable challenges that life presents.
Gerard engages with clients in a warm and compassionate, person-centred therapeutic manner.His approach and experience is the bedrock for creating a safe and non-judgmental therapy space for clients from age 10 years old and upwards. Often Gerard's clients present with struggles such as overwhelming levels of stress, relationship challenges, elevated anxiety, depression and self-doubt. These clients generally come to work with Gerard to develop improved coping skills with the view to forging lives that are more manageable and enjoyable, despite the inevitable challenges that life presents.
(02) 4005 2921 View (02) 4005 2921
Photo of Amanda Rodd, PsyBA General, Psychologist
Amanda Rodd
Psychologist, PsyBA General
Verified Verified
Kotara, NSW 2289
Amanda is a warm and caring psychologist who enjoys working collaboratively with her clients. She focuses on creating a secure and friendly environment where individuals can feel safe and empowered to cope with life challenges. Amanda has qualifications in both Education and Psychology. She has extensive experience in educational and psychological assessments and interventions for children and adolescents. She has expertise in the diagnosis of Autism, learning disorders, ADHD, intellectual disabilities, and a range of mental health presentations including anxiety and depression. Interventions are tailored to the individual's needs.
Amanda is a warm and caring psychologist who enjoys working collaboratively with her clients. She focuses on creating a secure and friendly environment where individuals can feel safe and empowered to cope with life challenges. Amanda has qualifications in both Education and Psychology. She has extensive experience in educational and psychological assessments and interventions for children and adolescents. She has expertise in the diagnosis of Autism, learning disorders, ADHD, intellectual disabilities, and a range of mental health presentations including anxiety and depression. Interventions are tailored to the individual's needs.
(02) 4082 8723 View (02) 4082 8723
Photo of Luke Nykiel, MPsych, PsyBA General, Psychologist
Luke Nykiel
Psychologist, MPsych, PsyBA General
Verified Verified
Newcastle, NSW 2300
Many of my clients are men, couples, or LGBTQIA+ people. I have an interest in helping people manage anxiety, anger, shame, grief, and other personal struggles.
Many of my clients are men, couples, or LGBTQIA+ people. I have an interest in helping people manage anxiety, anger, shame, grief, and other personal struggles.
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Photo of Natasha Kasselis, PsyBA General, Psychologist
Natasha Kasselis
Psychologist, PsyBA General
Verified Verified
3 Endorsed
Newcastle, NSW 2300
I provide a trauma sensitive and collaborative approach in my work as a holistic psychologist and EMDR therapist. Knowing that everyone is unique, I prioritise deep, responsive listening, adaptive exploration and creating a safe space for you to speak your innermost thoughts and honour all parts of yourself. Most people experience significant improvements in emotional well-being within just a few sessions.
I provide a trauma sensitive and collaborative approach in my work as a holistic psychologist and EMDR therapist. Knowing that everyone is unique, I prioritise deep, responsive listening, adaptive exploration and creating a safe space for you to speak your innermost thoughts and honour all parts of yourself. Most people experience significant improvements in emotional well-being within just a few sessions.
(02) 5604 9619 View (02) 5604 9619
Photo of Kath Doosey, AMHSW, Clinical Social Work/Therapist
Kath Doosey
Clinical Social Work/Therapist, AMHSW
Verified Verified
1 Endorsed
Merewether, NSW 2291
Kath is an Accredited Mental Health Social Worker and Psychotherapist who started Hunter Clinical Services to create a safe and accepting space to access counselling and therapy. Kath works with adults and adolescents, and has extensive experience working survivors of trauma and violence, the adjustment to a sudden event or life change. Kath also provides therapy for depression, anxiety, relationship problems and divorce, chronic and / or neurological illness, and gender-related issues. Kath has a flexible and non-judgemental approach and will work with you through the challenges of life.
Kath is an Accredited Mental Health Social Worker and Psychotherapist who started Hunter Clinical Services to create a safe and accepting space to access counselling and therapy. Kath works with adults and adolescents, and has extensive experience working survivors of trauma and violence, the adjustment to a sudden event or life change. Kath also provides therapy for depression, anxiety, relationship problems and divorce, chronic and / or neurological illness, and gender-related issues. Kath has a flexible and non-judgemental approach and will work with you through the challenges of life.
(02) 4075 9805 View (02) 4075 9805
Photo of Mark Rose - Present Tense Psychology, PsyBA General, Psychologist
Present Tense Psychology
Psychologist, PsyBA General
Verified Verified
Merewether, NSW 2291  (Online Only)
You’re worried & overwhelmed that your life is out of control and off track. You’re experiencing dread, agitation, and frustration as a result of living a life that you would not have chosen. If you’re struggling to cope with the world, now might be the time to connect with a psychologist who can help. Let us work together to develop a plan that can reassure you that things can & will change towards living a fulfilled life, more aligned with your values. Continue reading to learn how booking a therapy session today is the best, yet most difficult, decision you will ever make for your current well-being & your future self.
You’re worried & overwhelmed that your life is out of control and off track. You’re experiencing dread, agitation, and frustration as a result of living a life that you would not have chosen. If you’re struggling to cope with the world, now might be the time to connect with a psychologist who can help. Let us work together to develop a plan that can reassure you that things can & will change towards living a fulfilled life, more aligned with your values. Continue reading to learn how booking a therapy session today is the best, yet most difficult, decision you will ever make for your current well-being & your future self.
(02) 4005 0031 View (02) 4005 0031
Photo of Grahame Smith - Grahame Smith Counselling Services, ACA-L4, Counsellor
Grahame Smith Counselling Services
Counsellor, ACA-L4
Verified Verified
Newcastle, NSW 2300  (Online Only)
Grahame understands that the struggles his clients encounter in life are often not just one difficulty but are made up of many things. The clients he supports have sort assistance because their situations have caused their coping mechanisms to come under great strain and the quality of life they value so much has diminished, effecting how they see themselves and the people around them. Grahame has found the people he has assisted in counselling have tried to manage these difficulties and in doing so have developed their own strategies and coping skills with many being personal strengths, which he is committed to enhancing.
Grahame understands that the struggles his clients encounter in life are often not just one difficulty but are made up of many things. The clients he supports have sort assistance because their situations have caused their coping mechanisms to come under great strain and the quality of life they value so much has diminished, effecting how they see themselves and the people around them. Grahame has found the people he has assisted in counselling have tried to manage these difficulties and in doing so have developed their own strategies and coping skills with many being personal strengths, which he is committed to enhancing.
(02) 5504 1980 View (02) 5504 1980
Photo of Phillip Samuel: Living Free Psychology, PsyBA General, Psychologist
Phillip Samuel: Living Free Psychology
Psychologist, PsyBA General
Verified Verified
1 Endorsed
Newcastle, NSW 2300  (Online Only)
HAVE Availability & NOW accepting NEW Clients! "I believe in choice & empowerment, and value respect, honesty, & integrity". "I love the collaborative process of working through life events. It is a pleasure and privilege to experience the emotional journey with people to reach a place that enables greater satisfaction & life enjoyment" I have many years experience working with anxiety, depression, the impact of trauma & abuse, stress, eating disorders, chronic health, attentional, personality & dissociative disorders.
HAVE Availability & NOW accepting NEW Clients! "I believe in choice & empowerment, and value respect, honesty, & integrity". "I love the collaborative process of working through life events. It is a pleasure and privilege to experience the emotional journey with people to reach a place that enables greater satisfaction & life enjoyment" I have many years experience working with anxiety, depression, the impact of trauma & abuse, stress, eating disorders, chronic health, attentional, personality & dissociative disorders.
0468 887 908 View 0468 887 908

See more therapy options for Bar Beach

How does your Counsellor compare?

Number of Counsellors in Bar Beach, NSW

< 10

Counsellors in Bar Beach, NSW who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Trauma and PTSD
100% Self Esteem
100% Stress
75% Addiction

Average years in practice

5 Years

Gender breakdown

75% Female
25% Male

How Counsellors in Bar Beach, NSW see their clients

75% In Person and Online
25% Online Only
FAQs - About Therapy and Counselling

How can I find a therapist in Bar Beach?

Search for nearby psychologists or counsellors by inputting your city, suburb, postcode, 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 postcode into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

Counsellors and Psychotherapists listed in the directory are members of the main professional associations, mainly the Australian Counselling Association and the Psychotherapy and Counselling Federation of Australia. Psychologists must be registered in the Australian Health Practitioner Regulation Agency (AHPRA). Most Social Workers listed in the directory are members of the Australian Association of Social Workers (AASW).

Providers whose professional membership or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Given that professional memberships are not a statutory requirement for social workers, psychotherapists and counsellors in Australia, certain qualified professionals or organisations may choose not to maintain such memberships despite possessing the necessary qualifications. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counsellor?

Counsellors, psychotherapists and psychologists can all provide counselling or talking therapy and have credentials and experience that enable them to do so in Australia.

Psychologists have earned a 4 year undergraduate degree in psychology and have completed a postgraduate internship or postgraduate degree. Psychotherapists generally have an undergraduate degree in a health related field in addition to 3-4 years of specialist training in psychotherapy and a period of personal psychotherapy. In order to belong to a professional organisation such as the ACA or PACFA, counsellors and psychotherapists are required to have completed a certain level of AQF qualifications and/ or an approved training course as well as clinical and supervision hours. Social Workers registered with the AASW are required to have a Bachelor’s or Master’s degree in Social Work from an accredited institution.

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 Australia could be between $100 and $250. If you have private insurance, your plan may cover some if not all of your sessions. You should contact your insurance provider to determine if they provide coverage for therapy sessions and to determine what, if any, requirements they might have in order for your sessions to be covered, such as a referral from your GP or medical specialist.

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. The Better Access Scheme is a government program offering Medicare rebates for mental health care. To access the program you will need to be assessed and diagnosed by your GP and get a Mental Health Plan. This will allow you to receive up to 10 individual sessions and 10 group sessions a year with practitioners who accept bulk billing, with no out of pocket costs for you.

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 postcode.

Are therapy sessions confidential?

Therapists who are part of a professional organisation such as the ACA, PACFA, or the APS are bound by an ethical framework that requires them to uphold a confidentiality agreement. 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 when a minor is in danger, will a therapist be obligated to break the agreement. These exceptions to the confidentiality agreement are usually discussed during the initial consultation.