Therapists in Fredericton, NB

Photo of Sarah Enright, Registered Social Worker in Fredericton, NB
Sarah Enright
Registered Social Worker, RSW, MACP-IP
Verified Verified
1 Endorsed
Fredericton, NB E3A
Hi! My name is Sarah Enright, and I am a licensed social worker providing counselling at Prism Counselling. I am passionate about counselling and the opportunity to walk alongside you and your counselling journey. I believe that therapy can be a powerful tool in maintaining overall wellness. I practice from an anti-oppressive, trauma informed, humanistic approach, routed in compassion, non-judgment, and autonomy. My practice draws from therapeutic approaches of CBT, DBT, Motivational Interviewing and Emotion Focussed approaches. I believe in a holistic understanding of life’s challenges, including the mind, body, and environment.
Hi! My name is Sarah Enright, and I am a licensed social worker providing counselling at Prism Counselling. I am passionate about counselling and the opportunity to walk alongside you and your counselling journey. I believe that therapy can be a powerful tool in maintaining overall wellness. I practice from an anti-oppressive, trauma informed, humanistic approach, routed in compassion, non-judgment, and autonomy. My practice draws from therapeutic approaches of CBT, DBT, Motivational Interviewing and Emotion Focussed approaches. I believe in a holistic understanding of life’s challenges, including the mind, body, and environment.
(506) 804-2972 View (506) 804-2972
Photo of Lindsey A. Budovitch Counselling, Counsellor in Fredericton, NB
Lindsey A. Budovitch Counselling
Counsellor, MA, CCC, LCT-C
Verified Verified
2 Endorsed
Fredericton, NB E3A
Lindsey is a Master’s of Arts in Counselling Psychology graduate from Yorkville University in Fredericton, New Brunswick. Lindsey is a Licensed Counselling Therapist - Candidate with the College of Counselling Therapists of New Brunswick. Lindsey works with adults and teenagers (grade 9 and above) who are dealing with grief & loss, anxiety, depression, relationship issues, self-esteem, coping skills, spirituality, major life transitions, stress and burnout.
Lindsey is a Master’s of Arts in Counselling Psychology graduate from Yorkville University in Fredericton, New Brunswick. Lindsey is a Licensed Counselling Therapist - Candidate with the College of Counselling Therapists of New Brunswick. Lindsey works with adults and teenagers (grade 9 and above) who are dealing with grief & loss, anxiety, depression, relationship issues, self-esteem, coping skills, spirituality, major life transitions, stress and burnout.
(506) 714-0454 View (506) 714-0454
Photo of Wendy's Place RWS Guidance, Registered Social Worker in Fredericton, NB
Wendy's Place RWS Guidance
Registered Social Worker, BSW, RSW, MEd
Verified Verified
Fredericton, NB E3B
I belief that a person is the expert of their own life, but sometimes may lose their way. That's where I can help you muddle through the feeling of being overwhelmed, depressed, anxious, angry, hopeless, or whatever feelings you are having, and help you find your balance in life. I believe that you are not your diagnosis, but knowing about your diagnosis will help you
I belief that a person is the expert of their own life, but sometimes may lose their way. That's where I can help you muddle through the feeling of being overwhelmed, depressed, anxious, angry, hopeless, or whatever feelings you are having, and help you find your balance in life. I believe that you are not your diagnosis, but knowing about your diagnosis will help you
(506) 703-5725 View (506) 703-5725
Photo of Jocelyn Anderson, Registered Social Worker in Fredericton, NB
Jocelyn Anderson
Registered Social Worker, MSW, RSW
Verified Verified
Fredericton, NB E3B
Not accepting new clients
Hi there! I'm Jocelyn (they/she). I provide counselling therapy to adults and adolescents with various concerns, with a particular focus on trauma, grief and loss, anxiety, and 2SLGBTQ+ identities. I strongly believe that everyone is the expert of their own experience. My goal as a therapist is to guide clients towards their own inner strength and to provide them the opportunity to move through their life with a greater sense of self-compassion, ease, and joy.
Hi there! I'm Jocelyn (they/she). I provide counselling therapy to adults and adolescents with various concerns, with a particular focus on trauma, grief and loss, anxiety, and 2SLGBTQ+ identities. I strongly believe that everyone is the expert of their own experience. My goal as a therapist is to guide clients towards their own inner strength and to provide them the opportunity to move through their life with a greater sense of self-compassion, ease, and joy.
(506) 404-1671 View (506) 404-1671
Photo of Brooke Smallman, Clinical Social Work/Therapist in Fredericton, NB
Brooke Smallman
Clinical Social Work/Therapist, BA, BSW, MSW, RSW
Verified Verified
1 Endorsed
Fredericton, NB E3B  (Online Only)
My approach is to provide my clients with a safe and confidential space to meet their individual needs. Some of my therapeutic interests include anxiety and depression regulation, life transitions, relationship issues, grief and loss, emotional dysregulation, self-esteem, and stress. I care deeply about giving my clients a space to be seen and heard.
My approach is to provide my clients with a safe and confidential space to meet their individual needs. Some of my therapeutic interests include anxiety and depression regulation, life transitions, relationship issues, grief and loss, emotional dysregulation, self-esteem, and stress. I care deeply about giving my clients a space to be seen and heard.
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Photo of Tara Woodley, Counsellor in Fredericton, NB
Tara Woodley
Counsellor, LCT-C, BA, MA
Verified Verified
1 Endorsed
Fredericton, NB E3A
Not accepting new clients
Welcome! I work as a licensed therapist at Prism Counselling, providing services to individuals, couples, families and children. I take a person-centred approach, acknowledging that you are the expert of your own life and that no two people or problems are the same.
Welcome! I work as a licensed therapist at Prism Counselling, providing services to individuals, couples, families and children. I take a person-centred approach, acknowledging that you are the expert of your own life and that no two people or problems are the same.
(506) 306-2783 View (506) 306-2783
Photo of Jami Steeves Counselling Services, Counsellor in Fredericton, NB
Jami Steeves Counselling Services
Counsellor, MA, CCC, LCT
Verified Verified
1 Endorsed
Fredericton, NB E3B
Sometimes it feels like we are doing everything we can to hold it all together and yet it's not getting any better. You are definitely not alone! I grew up in a small town but moved to Fredericton 12 years ago to acquire my BA in Psychology & Sociology, and my Masters in Counselling Psychology. I am a Canadian Certified Counsellor (CCC) in addition to a Licensed Counselling Therapist (LCT). When I'm not fuelling my soul with sports, friends/family and some yummy food at a local restaurant, I am in the office doing my dream job of supporting children, youth and adults as they find ways to feel their best.
Sometimes it feels like we are doing everything we can to hold it all together and yet it's not getting any better. You are definitely not alone! I grew up in a small town but moved to Fredericton 12 years ago to acquire my BA in Psychology & Sociology, and my Masters in Counselling Psychology. I am a Canadian Certified Counsellor (CCC) in addition to a Licensed Counselling Therapist (LCT). When I'm not fuelling my soul with sports, friends/family and some yummy food at a local restaurant, I am in the office doing my dream job of supporting children, youth and adults as they find ways to feel their best.
(506) 713-2986 View (506) 713-2986
Photo of Tammy Oliver, Counsellor in Fredericton, NB
Tammy Oliver
Counsellor, RNBN, MEd, LCT , CCC
Verified Verified
Fredericton, NB E3A
*Please note: I'm often in session with clients, therefore the best way to reach me is via email. I help adults, teens, and professional helpers build inner strength, confidence, and hope when they are feeling weighed down by stress, anxiety, and depression. My clients feel stuck due to life struggles such as: work, school, relationships, ongoing stress, and loss. They also struggle with finding confidence, peace, and joy within themselves. Sometimes life throws us a curve-ball and we can find ourselves struggling to cope wondering, "How did I get here?" I know life can be tough sometimes and I know how to help.
*Please note: I'm often in session with clients, therefore the best way to reach me is via email. I help adults, teens, and professional helpers build inner strength, confidence, and hope when they are feeling weighed down by stress, anxiety, and depression. My clients feel stuck due to life struggles such as: work, school, relationships, ongoing stress, and loss. They also struggle with finding confidence, peace, and joy within themselves. Sometimes life throws us a curve-ball and we can find ourselves struggling to cope wondering, "How did I get here?" I know life can be tough sometimes and I know how to help.
(506) 502-2502 View (506) 502-2502
Photo of Shaunacey Murray, Counsellor in Fredericton, NB
Shaunacey Murray
Counsellor, MEd, LCT-C, CCC
Verified Verified
1 Endorsed
Fredericton, NB E3B
Hello, my name is Shaunacey (she/her) and I am a Licensed Counselling Therapist Candidate (LCT-C) and a Canadian Certified Counsellor (CCC). I work with individuals ages 16 and older with a variety of concerns including anxiety, depression, grief, stress, anger, and relationship issues.
Hello, my name is Shaunacey (she/her) and I am a Licensed Counselling Therapist Candidate (LCT-C) and a Canadian Certified Counsellor (CCC). I work with individuals ages 16 and older with a variety of concerns including anxiety, depression, grief, stress, anger, and relationship issues.
(506) 497-8330 x223 View (506) 497-8330 x223
Kate Tingley Counselling
Counsellor, MA MEd, CCC, LCT
Verified Verified
Fredericton, NB E3B
I provide a safe place for people seeking compassionate and caring counselling. I work hard to facilitate people to improve the quality of their lives. My goal is to assist those who may be struggling at the moment and who would like to consider a different way.
I provide a safe place for people seeking compassionate and caring counselling. I work hard to facilitate people to improve the quality of their lives. My goal is to assist those who may be struggling at the moment and who would like to consider a different way.
(506) 712-0884 View (506) 712-0884
Photo of Caroline Price, Registered Social Worker in Fredericton, NB
Caroline Price
Registered Social Worker, RSW, BSW, MSW
Verified Verified
1 Endorsed
Fredericton, NB E3B
My name is Caroline, I've been a social worker since 2010 and have been offering therapy services to school-age children and youth since 2018. My office is located at Comfort Counselling & Wellness for in person session, and I also offer services online. Most of my experience has been working on various mental health struggles such as anxiety, depression, OCD, ADHD, adjustment disorders, grief and loss, emotional distress, and self-harming. I also enjoy working with families on communication, parenting, sleep hygiene, and challenges related to transitions such as separation, divorce, blended families, and military relocations.
My name is Caroline, I've been a social worker since 2010 and have been offering therapy services to school-age children and youth since 2018. My office is located at Comfort Counselling & Wellness for in person session, and I also offer services online. Most of my experience has been working on various mental health struggles such as anxiety, depression, OCD, ADHD, adjustment disorders, grief and loss, emotional distress, and self-harming. I also enjoy working with families on communication, parenting, sleep hygiene, and challenges related to transitions such as separation, divorce, blended families, and military relocations.
(506) 710-2320 View (506) 710-2320
Photo of Alysha Brodie, Counsellor in Fredericton, NB
Alysha Brodie
Counsellor, MA, LCT-C, CCC
Verified Verified
Fredericton, NB E3B
Hi, I'm Alysha and I offer confidential mental health counselling and support to people of all ages in the Fredericton area. Seeking help can be scary and I am proud of you for taking the first step and finding my website. I believe that great change can come from a strong therapeutic alliance and my goal is to create an environment in which you feel comfortable and safe to allow us to build trust and connection.
Hi, I'm Alysha and I offer confidential mental health counselling and support to people of all ages in the Fredericton area. Seeking help can be scary and I am proud of you for taking the first step and finding my website. I believe that great change can come from a strong therapeutic alliance and my goal is to create an environment in which you feel comfortable and safe to allow us to build trust and connection.
(506) 712-5350 View (506) 712-5350
Photo of Karina LeBlanc, Counsellor in Fredericton, NB
Karina LeBlanc
Counsellor, MEd, LCT-C, CCC
Verified Verified
1 Endorsed
Fredericton, NB E3B
Waitlist for new clients
I currently have a waitlist of 1-2 months. Feel free to send me a message to get on my waitlist. My approach is to provide my clients with a safe space to explore their concerns, helping them tell their stories. By building on your strengths, together we will find a pathway to ease your suffering and bring about changes that are meaningful to you. Each client is unique, as is my approach, meeting the client where they are in the moment.
I currently have a waitlist of 1-2 months. Feel free to send me a message to get on my waitlist. My approach is to provide my clients with a safe space to explore their concerns, helping them tell their stories. By building on your strengths, together we will find a pathway to ease your suffering and bring about changes that are meaningful to you. Each client is unique, as is my approach, meeting the client where they are in the moment.
(506) 404-3191 View (506) 404-3191
Photo of Stephanie Coady, Counsellor in Fredericton, NB
Stephanie Coady
Counsellor, MEd, LCT-C, CCC
Verified Verified
1 Endorsed
Fredericton, NB E3A
Waitlist for new clients
Hi! I’m Stephanie Coady, a Licensed Counselling Therapist-Candidate (LCT-C) and a Canadian Certified Counsellor (CCC). I am passionate about supporting you in your journey and helping you live an intentional life. My therapy office is a confidential, safe, relaxing environment in a non-judgemental and trauma-informed space.
Hi! I’m Stephanie Coady, a Licensed Counselling Therapist-Candidate (LCT-C) and a Canadian Certified Counsellor (CCC). I am passionate about supporting you in your journey and helping you live an intentional life. My therapy office is a confidential, safe, relaxing environment in a non-judgemental and trauma-informed space.
(506) 404-2622 View (506) 404-2622
Photo of Sunflower Counselling and Wellness, Registered Social Worker in Fredericton, NB
Sunflower Counselling and Wellness
Registered Social Worker, BSW, MSW, RSW
Verified Verified
Fredericton, NB E3B
I offer diversity, intercultural, anti-oppressive, anti-racist, intergenerational trauma awareness & responsiveness. I strive towards providing a supportive and safe experience for my clients. I appreciate holistic wellness inspiring an approach that encourages a more self-aware and engaged life supporting the wellness of the whole person.
I offer diversity, intercultural, anti-oppressive, anti-racist, intergenerational trauma awareness & responsiveness. I strive towards providing a supportive and safe experience for my clients. I appreciate holistic wellness inspiring an approach that encourages a more self-aware and engaged life supporting the wellness of the whole person.
(506) 307-5925 View (506) 307-5925
Photo of Stacey MacLean, Counsellor in Fredericton, NB
Stacey MacLean
Counsellor, MA, LCT
Verified Verified
1 Endorsed
Fredericton, NB E3A
Waitlist for new clients
Life can prove to be challenging and sometimes feel like there's no way out to manage all the negative feelings and symptoms. If you need support in finding a way out, you've come to the right place. I have 10+ years of experience and training (DBT, ART, ACT, etc) working in trauma (PTSD, C-PTSD, sexual trauma, intergenerational trauma, childhood trauma, et al..) and use a trauma-informed, mind/body approach that helps you understand your trauma, and see light at the end of that tunnel. This journey is not easy, but it can be the most worthwhile thing you've ever done. You can do this, and you don't have to do it alone!
Life can prove to be challenging and sometimes feel like there's no way out to manage all the negative feelings and symptoms. If you need support in finding a way out, you've come to the right place. I have 10+ years of experience and training (DBT, ART, ACT, etc) working in trauma (PTSD, C-PTSD, sexual trauma, intergenerational trauma, childhood trauma, et al..) and use a trauma-informed, mind/body approach that helps you understand your trauma, and see light at the end of that tunnel. This journey is not easy, but it can be the most worthwhile thing you've ever done. You can do this, and you don't have to do it alone!
(506) 499-8961 View (506) 499-8961
Photo of Craig Shaw, Clinical Social Work/Therapist in Fredericton, NB
Craig Shaw
Clinical Social Work/Therapist, BSW, MSW, RSW
Verified Verified
Fredericton, NB E3B
Hello! My name is Craig- I am a Registered Social Worker (RSW) in Fredericton, New Brunswick. I have a Bachelor and Master of Social Work (BSW; MSW) degrees from Dalhousie University. I have worked in the social services and mental health fields since 2015 and have been a Social Worker since 2018. Currently, I have a part-time private practice where I provide short-term counselling to folks experiencing a variety of issues from anxiety, relationship/interpersonal issues, depression, and PTSD/traumatic stress symptoms. I am also a trained transgender healthcare provider that meets the WPATH standards.
Hello! My name is Craig- I am a Registered Social Worker (RSW) in Fredericton, New Brunswick. I have a Bachelor and Master of Social Work (BSW; MSW) degrees from Dalhousie University. I have worked in the social services and mental health fields since 2015 and have been a Social Worker since 2018. Currently, I have a part-time private practice where I provide short-term counselling to folks experiencing a variety of issues from anxiety, relationship/interpersonal issues, depression, and PTSD/traumatic stress symptoms. I am also a trained transgender healthcare provider that meets the WPATH standards.
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Photo of ADHD Elle Mularz - From Seed to Sequoia, Registered Psychotherapist (Qualifying) in Fredericton, NB
ADHD Elle Mularz - From Seed to Sequoia
Registered Psychotherapist (Qualifying), MA, LCT-C
Verified Verified
2 Endorsed
Fredericton, NB E3A  (Online Only)
Hello, I’m Elle! Whether you have been formally diagnosed, self-identify or suspect neurodivergence; I hear you - it is tough being you right now! Are your relationships suffering because you have a hard time keeping up and often leave your loved ones on read? Is your home drifting further into chaos because you have a hard time keeping up with and initiating tasks? Have your grades started to slip because you're missing deadlines and post-secondary is less forgiving? Maybe even all of the above? Whether your concerns are specific to neurodivergence, or beyond; I might be the right fit to come alongside you in this season.
Hello, I’m Elle! Whether you have been formally diagnosed, self-identify or suspect neurodivergence; I hear you - it is tough being you right now! Are your relationships suffering because you have a hard time keeping up and often leave your loved ones on read? Is your home drifting further into chaos because you have a hard time keeping up with and initiating tasks? Have your grades started to slip because you're missing deadlines and post-secondary is less forgiving? Maybe even all of the above? Whether your concerns are specific to neurodivergence, or beyond; I might be the right fit to come alongside you in this season.
(506) 306-0831 View (506) 306-0831
Photo of Ryan Bell, Counsellor in Fredericton, NB
Ryan Bell
Counsellor, BA, MACP, LCT-C
Verified Verified
Fredericton, NB E3A  (Online Only)
Hello! I'm Ryan, a licensed counselling therapist (candidate) and I offer counselling to adolescents and adults anywhere in New Brunswick through virtual counselling. No matter what problems you are experiencing I want to make sure I provide a safe and open space for you, free of judgement and rooted in empathy and respect. Together, I want to build a strong therapeutic alliance and work towards your goals or simply provide you a place to discuss your problems and worries. I hope to empower you with skills and techniques to navigate through your problems and provide you a safe place to discuss the troubles in your life.
Hello! I'm Ryan, a licensed counselling therapist (candidate) and I offer counselling to adolescents and adults anywhere in New Brunswick through virtual counselling. No matter what problems you are experiencing I want to make sure I provide a safe and open space for you, free of judgement and rooted in empathy and respect. Together, I want to build a strong therapeutic alliance and work towards your goals or simply provide you a place to discuss your problems and worries. I hope to empower you with skills and techniques to navigate through your problems and provide you a safe place to discuss the troubles in your life.
(506) 701-2120 View (506) 701-2120
Photo of Kim Rickard Consulting, Registered Social Worker in Fredericton, NB
Kim Rickard Consulting
Registered Social Worker, BA, BSW, RSW
Verified Verified
Fredericton, NB E3A
35 years experience: I am interested in helping clients ages 16 and up, including older adults, by working together. My approach is to listen to your concerns, and work together to find solutions. Working to provide support in a confidential, supportive atmosphere is my goal. I have experience with clients in Special Care Homes , First Nations, Extra Mural Program , Nursing Homes and hospitals . My service is mobile, meaning I will gladly meet with you at your convenience in the community or my home office.
35 years experience: I am interested in helping clients ages 16 and up, including older adults, by working together. My approach is to listen to your concerns, and work together to find solutions. Working to provide support in a confidential, supportive atmosphere is my goal. I have experience with clients in Special Care Homes , First Nations, Extra Mural Program , Nursing Homes and hospitals . My service is mobile, meaning I will gladly meet with you at your convenience in the community or my home office.
(506) 560-3549 View (506) 560-3549

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How does your Counsellor compare?

Number of Counsellors in Fredericton, NB

100+

Average cost per session

$150

Counsellors in Fredericton, NB who prioritize treating:

91% Anxiety
81% Stress
79% Depression
73% Self Esteem
71% Relationship Issues
68% Coping Skills
64% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

69% Medavie Blue Cross
67% Blue Cross
64% SunLife

How Counsellors in Fredericton, NB see their clients

85% In Person and Online
15% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counselling

How can I find a therapist in Fredericton?

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.