Photo of Jarrett Clayman, LMHC, Counselor
Jarrett Clayman
Counselor, LMHC
Verified Verified
Framingham, MA 01702
The relationship we have with ourselves sets the bar for all our other relationships, and through our relationships with others, we can heal ourselves if we know how. Together, we’ll develop and use strategies that consider both your strengths and challenges so that you have a real chance of changing the patterns that are no longer serving you. My goal is to walk beside you, and as you point us in a direction, I’ll support you by shining a light on your path. It can feel too hard to take steps when you can’t see what’s ahead- but once you see the terrain clearly, it’s much easier to move through- especially with a trained guide.
The relationship we have with ourselves sets the bar for all our other relationships, and through our relationships with others, we can heal ourselves if we know how. Together, we’ll develop and use strategies that consider both your strengths and challenges so that you have a real chance of changing the patterns that are no longer serving you. My goal is to walk beside you, and as you point us in a direction, I’ll support you by shining a light on your path. It can feel too hard to take steps when you can’t see what’s ahead- but once you see the terrain clearly, it’s much easier to move through- especially with a trained guide.
(508) 719-6747 View (508) 719-6747
Photo of Susan Fagin, MEd, LMHC, Counselor
Susan Fagin
Counselor, MEd, LMHC
Verified Verified
Framingham, MA 01702
Relational issues are my focus. We are related to our birth families, our marriage or divorce families, our mates, children, peers, coworkers, and to our addictions and habits. My work connects the dots and helps one to see the where and why of the problem and to learn how to address it in a loving, healthy and healing way. Whether the conflict is between partners, parent and child, siblings or addictions, the goal is to mend the relationship and create positive self esteem. I surface the real issue through insightful and penetrating questions to illuminate the path to clarity and resolution.
Relational issues are my focus. We are related to our birth families, our marriage or divorce families, our mates, children, peers, coworkers, and to our addictions and habits. My work connects the dots and helps one to see the where and why of the problem and to learn how to address it in a loving, healthy and healing way. Whether the conflict is between partners, parent and child, siblings or addictions, the goal is to mend the relationship and create positive self esteem. I surface the real issue through insightful and penetrating questions to illuminate the path to clarity and resolution.
(978) 558-4899 View (978) 558-4899
Photo of Prisca Hefti, LICSW, Clinical Social Work/Therapist
Prisca Hefti
Clinical Social Work/Therapist, LICSW
Verified Verified
Framingham, MA 01702  (Online Only)
I am a provider who enjoys working with individuals and family units who want to see change in their lives. My clients are the ones who struggle with emotional control/regulation and negative thoughts and wish to learn effective ways to gain control over and in their lives. They are the people who are open to thinking outside the box and tapping into their imaginative/creative side to effect change. Many of my clients struggle with interpersonal conflicts and communication barriers and are seeking to be able to develop coping tools to help improve communication and feel more empowered.
I am a provider who enjoys working with individuals and family units who want to see change in their lives. My clients are the ones who struggle with emotional control/regulation and negative thoughts and wish to learn effective ways to gain control over and in their lives. They are the people who are open to thinking outside the box and tapping into their imaginative/creative side to effect change. Many of my clients struggle with interpersonal conflicts and communication barriers and are seeking to be able to develop coping tools to help improve communication and feel more empowered.
(508) 338-9433 View (508) 338-9433
Photo of Andreia Souza Lucena, Licensed Psychoanalyst
Andreia Souza Lucena
Licensed Psychoanalyst
Verified Verified
Framingham, MA 01702
If you have been trying to balance your life and are not succeeding, asking for help can change the course of your story. I am a psychoanalyst, my job is to take an active role in the therapeutic relationship between patient and provider to challenge clients to evolve. I offer a safe, inclusive and non-judgmental environment; all while providing individual care for adults
If you have been trying to balance your life and are not succeeding, asking for help can change the course of your story. I am a psychoanalyst, my job is to take an active role in the therapeutic relationship between patient and provider to challenge clients to evolve. I offer a safe, inclusive and non-judgmental environment; all while providing individual care for adults
(508) 719-6515 View (508) 719-6515
Photo of Lynn Condon, MS, BCBA, LABA
Lynn Condon
MS, BCBA, LABA
Verified Verified
3 Endorsed
Framingham, MA 01702  (Online Only)
Not accepting new clients
As a Board Certified Behavior Analyst (BCBA) and Licensed Behavior Analyst (LABA), I specialize in fostering the well-being of neurodivergent and/or disabled adolescents and young adults. With a dedication to empowering my clients, I bring a compassionate, client-centered approach to my practice, focusing on nurturing determined and independent lives by building essential skills through the identification of strengths.
As a Board Certified Behavior Analyst (BCBA) and Licensed Behavior Analyst (LABA), I specialize in fostering the well-being of neurodivergent and/or disabled adolescents and young adults. With a dedication to empowering my clients, I bring a compassionate, client-centered approach to my practice, focusing on nurturing determined and independent lives by building essential skills through the identification of strengths.
View
Photo of Joy Gilman, MA
Joy Gilman
MA
Verified Verified
Framingham, MA 01702
I am mother-of-two, polyamorous, queer, sex-positive, private-practice psychotherapist. I specialize in working with neurodivergent and/or queer teens and emerging adults and with people who identify as LGBTQIA+, consensually non-monogamous/polyamorous, or kinky. Together, we work on issues of exploring identity; communication; vulnerability; boundary setting; jealousy; navigating relationships with friends, family, and colleagues; family dynamics; and more. I also work with many people who experience chronic pain. Many of my clients struggle with depression, general anxiety, social anxiety, ADHD, or feelings of low self-worth.
I am mother-of-two, polyamorous, queer, sex-positive, private-practice psychotherapist. I specialize in working with neurodivergent and/or queer teens and emerging adults and with people who identify as LGBTQIA+, consensually non-monogamous/polyamorous, or kinky. Together, we work on issues of exploring identity; communication; vulnerability; boundary setting; jealousy; navigating relationships with friends, family, and colleagues; family dynamics; and more. I also work with many people who experience chronic pain. Many of my clients struggle with depression, general anxiety, social anxiety, ADHD, or feelings of low self-worth.
(508) 205-0756 View (508) 205-0756
Photo of Erin Bell, MEd, LMHC, Counselor
Erin Bell
Counselor, MEd, LMHC
Verified Verified
Framingham, MA 01702
Erin is a Licensed Mental Health Counselor (LMHC) and has been working as a psychotherapist for over a decade. She has and a broad range of experience in a variety of settings. She provides individual psychotherapy for people managing issues related to depression, anxiety, trauma, ADHD, self-esteem, grief and loss, sexuality, relationships, stress, significant life events/transitions, self-harming, adolescent-focused issues and/or general life struggles. Erin's approach is client-centered and relational, drawing on one's strengths to help encourage healing and change.
Erin is a Licensed Mental Health Counselor (LMHC) and has been working as a psychotherapist for over a decade. She has and a broad range of experience in a variety of settings. She provides individual psychotherapy for people managing issues related to depression, anxiety, trauma, ADHD, self-esteem, grief and loss, sexuality, relationships, stress, significant life events/transitions, self-harming, adolescent-focused issues and/or general life struggles. Erin's approach is client-centered and relational, drawing on one's strengths to help encourage healing and change.
(508) 403-9484 View (508) 403-9484
Photo of Anindita Chatterjeebhaumik - Boston Evening Therapy  Associates , LICSW, LCSW, Clinical Social Work/Therapist
Boston Evening Therapy Associates
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Framingham, MA 01702  (Online Only)
Waitlist for new clients
Engaging my clients in a warm, mutually respectful and comforting way by building a trusting relationship between the therapist & the client is crucial to me. My approach is client –centric, empathetic, holistic and non-judgmental. I use a relational framework as well as down to earth psychotherapy techniques tailored to each client. Having counseled people since 1999, I have been trained in various techniques over the past decade & have the flexibility to choose the best therapeutic techniques. I frequently use CBT (Trauma Focused CBT), DBT, Interpersonal & Mindfulness Based Stress Reduction, Feminist Theory to assist clients.
Engaging my clients in a warm, mutually respectful and comforting way by building a trusting relationship between the therapist & the client is crucial to me. My approach is client –centric, empathetic, holistic and non-judgmental. I use a relational framework as well as down to earth psychotherapy techniques tailored to each client. Having counseled people since 1999, I have been trained in various techniques over the past decade & have the flexibility to choose the best therapeutic techniques. I frequently use CBT (Trauma Focused CBT), DBT, Interpersonal & Mindfulness Based Stress Reduction, Feminist Theory to assist clients.
(508) 300-9986 View (508) 300-9986
Photo of Esther Merritt, MA, LMHC, Counselor
Esther Merritt
Counselor, MA, LMHC
Verified Verified
Framingham, MA 01702
Are you a high achiever but under value yourself? Work hard and have objective success but feel something is missing, or that it's still not enough? Do you feel aspects of your life need improvement, direction, guidance, change, or growth? Is the old tried and true approach you take, not working anymore?  Come improve your mood, reduce anxiety, strengthen self-esteem, manage stress, work through academic/social/professional challenges, process grief, improve relationships and communication, strengthen parenting techniques, and have smoother life transitions. Therapy's success is equal to the work you put into it, come do the work!
Are you a high achiever but under value yourself? Work hard and have objective success but feel something is missing, or that it's still not enough? Do you feel aspects of your life need improvement, direction, guidance, change, or growth? Is the old tried and true approach you take, not working anymore?  Come improve your mood, reduce anxiety, strengthen self-esteem, manage stress, work through academic/social/professional challenges, process grief, improve relationships and communication, strengthen parenting techniques, and have smoother life transitions. Therapy's success is equal to the work you put into it, come do the work!
(508) 812-4066 View (508) 812-4066
Photo of Shanell Fan, MA, Pre-Licensed Professional
Shanell Fan
Pre-Licensed Professional, MA
Verified Verified
Framingham, MA 01702
We all could use a space to voice what we’re going through without having to worry about criticism or judgment. Whether you’re interested in focusing on personal growth or are feeling overwhelmed by the stressors of life, therapy can be a useful tool for many to reflect, develop insight, and feel empowered to move forward toward their goals. I take a person-centered approach that focuses on identifying the client’s goals, working with one’s strengths, and exploring one's thought patterns without judgment. If there's something on your mind or life feels particularly challenging right now - you don't have to worry about it alone!
We all could use a space to voice what we’re going through without having to worry about criticism or judgment. Whether you’re interested in focusing on personal growth or are feeling overwhelmed by the stressors of life, therapy can be a useful tool for many to reflect, develop insight, and feel empowered to move forward toward their goals. I take a person-centered approach that focuses on identifying the client’s goals, working with one’s strengths, and exploring one's thought patterns without judgment. If there's something on your mind or life feels particularly challenging right now - you don't have to worry about it alone!
(508) 709-7452 View (508) 709-7452
Photo of Robyn Rogers, LMHC
Robyn Rogers
LMHC
Verified Verified
Framingham, MA 01702  (Online Only)
I have 25 years of experience working with high-risk women, children, and families in a variety of settings including outpatient, inpatient, and public schools. Experience working with trauma, anxiety, depression, and developmental disabilities.
I have 25 years of experience working with high-risk women, children, and families in a variety of settings including outpatient, inpatient, and public schools. Experience working with trauma, anxiety, depression, and developmental disabilities.
(401) 425-3917 View (401) 425-3917
Photo of Alden Bucci, LMHC, NCC, Counselor
Alden Bucci
Counselor, LMHC, NCC
Verified Verified
Framingham, MA 01702
As a Licensed Mental Health Counselor, it is my privilege to serve clients who may be struggling in their daily life and may need a supportive listener and guide to help them along their way to self-actualization. I believe that the capacity for change and self-improvement lies within the client, and I will walk alongside them in their journey as they confront challenges within themselves, their relationships, and the world around them. It is my hope that through our work, my client will feel supported enough to take leaps and jumps towards self-fulfillment and healthy coping.
As a Licensed Mental Health Counselor, it is my privilege to serve clients who may be struggling in their daily life and may need a supportive listener and guide to help them along their way to self-actualization. I believe that the capacity for change and self-improvement lies within the client, and I will walk alongside them in their journey as they confront challenges within themselves, their relationships, and the world around them. It is my hope that through our work, my client will feel supported enough to take leaps and jumps towards self-fulfillment and healthy coping.
(508) 501-5548 View (508) 501-5548
Photo of Nathalie Paquette, MSW, LICSW, Clinical Social Work/Therapist
Nathalie Paquette
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Framingham, MA 01702  (Online Only)
Not accepting new clients
Transparency, humor, and compassion are all parts of my therapeutic style, and collaborating with clients during times of struggle, contemplation or transition is what I enjoy most. I am a white, heterosexual, cisgender therapist based in the Framingham area, and I am committed to acknowledging the ways that systemic oppression impacts individuals and groups, and to having open and honest conversations with my clients as well as supporting their healing.
Transparency, humor, and compassion are all parts of my therapeutic style, and collaborating with clients during times of struggle, contemplation or transition is what I enjoy most. I am a white, heterosexual, cisgender therapist based in the Framingham area, and I am committed to acknowledging the ways that systemic oppression impacts individuals and groups, and to having open and honest conversations with my clients as well as supporting their healing.
(508) 938-8801 View (508) 938-8801
Photo of Malka Alpert Young - JFS Elder Care Solutions Allies in Aging, LICSW, CCM, Clinical Social Work/Therapist
JFS Elder Care Solutions Allies in Aging
Clinical Social Work/Therapist, LICSW, CCM
Verified Verified
Framingham, MA 01702
Are you caring for an aging parent? Do you or your loved one have a new diagnosis of Alzheimer's Disease or other dementia? Are you feeling overwhelmed, and you don't know where to turn? You aren't sure what you need to do or how to plan for an unexpected future? We have been helping older adults and their families for over 30 years. You can either come to our office at JFS of Metrowest or I (or a member of the Allies in Aging care management team) will come to your home. Malka Young will walk you through your options during an initial free phone consultation.
Are you caring for an aging parent? Do you or your loved one have a new diagnosis of Alzheimer's Disease or other dementia? Are you feeling overwhelmed, and you don't know where to turn? You aren't sure what you need to do or how to plan for an unexpected future? We have been helping older adults and their families for over 30 years. You can either come to our office at JFS of Metrowest or I (or a member of the Allies in Aging care management team) will come to your home. Malka Young will walk you through your options during an initial free phone consultation.
(508) 231-5729 View (508) 231-5729
Photo of Mary (Mimi) Young Sa, PsyD, MSCP, ABMP, Psychologist
Mary (Mimi) Young Sa
Psychologist, PsyD, MSCP, ABMP
Verified Verified
Framingham, MA 01702
Working with clients from ethnic minority groups is my passion; especially Brazilians, Latinos and Native Americans. Having experienced being an immigrant myself while living in Brazil, I am very aware of the unique difficulties facing newly arrived immigrants. Individuals needing assistance with school difficulties, parenting concerns, family conflict, marital discord, or functionally impairing mental health symptoms are my ideal client.
Working with clients from ethnic minority groups is my passion; especially Brazilians, Latinos and Native Americans. Having experienced being an immigrant myself while living in Brazil, I am very aware of the unique difficulties facing newly arrived immigrants. Individuals needing assistance with school difficulties, parenting concerns, family conflict, marital discord, or functionally impairing mental health symptoms are my ideal client.
(508) 504-1132 View (508) 504-1132
Photo of Jonathan Schulman, MA, LMHC, Counselor
Jonathan Schulman
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Framingham, MA 01702  (Online Only)
Untangling the complexities of relationships, work, family, and day-to-day life can be daunting on your own. From the patterns learned throughout your life to the stresses of today, much of what is no longer effective in your life is within your reach to change. Letting go of old ways can be difficult. Let's collaborate to build on your strengths to promote the best in you while safely and responsibly shifting away from what's no longer working.
Untangling the complexities of relationships, work, family, and day-to-day life can be daunting on your own. From the patterns learned throughout your life to the stresses of today, much of what is no longer effective in your life is within your reach to change. Letting go of old ways can be difficult. Let's collaborate to build on your strengths to promote the best in you while safely and responsibly shifting away from what's no longer working.
(617) 749-2670 View (617) 749-2670
Photo of Adam Richard Freilich - Lynnwood Counseling Services , LADC II, IC/RC-A, NCIP, Drug & Alcohol Counselor
Lynnwood Counseling Services
Drug & Alcohol Counselor, LADC II, IC/RC-A, NCIP
Verified Verified
1 Endorsed
Framingham, MA 01702
My ideal client is an individual dealing with substance abuse and various addiction issues, feeling overwhelmed by their consequences. They seek clarity and a well-defined path to recovery, aiming to rebuild their lives, strengthen relationships, and regain a sense of control and normalcy. Their aim extends beyond just achieving sobriety to leading a fulfilling, purposeful life free from the constraints of addiction. They wish to explore the underlying causes of their addiction, develop effective coping strategies, and foster personal growth.
My ideal client is an individual dealing with substance abuse and various addiction issues, feeling overwhelmed by their consequences. They seek clarity and a well-defined path to recovery, aiming to rebuild their lives, strengthen relationships, and regain a sense of control and normalcy. Their aim extends beyond just achieving sobriety to leading a fulfilling, purposeful life free from the constraints of addiction. They wish to explore the underlying causes of their addiction, develop effective coping strategies, and foster personal growth.
(508) 625-9821 View (508) 625-9821
Photo of Gerald 'gerry' Lewis, PhD, Psychologist
Gerald 'gerry' Lewis
Psychologist, PhD
Verified Verified
Framingham, MA 01702  (Online Only)
I am an interactive therapist, practicing for more than 30 years. My preference is to work with couples helping them understand how "old" dynamics, patterns and behaviors impact their current relationship. And, then to coach them to make positive changes. I have worked quite a bit with couples who have experienced infidelity. I also enjoy working with individuals struggling with anxiety, depression or other concerns helping them with coping strategies. Further, I have had a lot of experience working with healthcare professionals and first responders.
I am an interactive therapist, practicing for more than 30 years. My preference is to work with couples helping them understand how "old" dynamics, patterns and behaviors impact their current relationship. And, then to coach them to make positive changes. I have worked quite a bit with couples who have experienced infidelity. I also enjoy working with individuals struggling with anxiety, depression or other concerns helping them with coping strategies. Further, I have had a lot of experience working with healthcare professionals and first responders.
View
Photo of Dr. Aaron Rezendes, PsyD, Psychologist
Dr. Aaron Rezendes
Psychologist, PsyD
Verified Verified
Framingham, MA 01702  (Online Only)
Not accepting new clients
Connecting with the versions of ourselves we want to be is challenging: anxiety, depression, gender dysphoria, stress, relationship issues, and myriad internal and external/systemic factors make it difficult to “show up” in the ways we would like. My goal as a clinician is to help you get in touch with and connect to the version of yourself most aligned with your values, while you learn how to effectively and consistently navigate the challenges along the way.
Connecting with the versions of ourselves we want to be is challenging: anxiety, depression, gender dysphoria, stress, relationship issues, and myriad internal and external/systemic factors make it difficult to “show up” in the ways we would like. My goal as a clinician is to help you get in touch with and connect to the version of yourself most aligned with your values, while you learn how to effectively and consistently navigate the challenges along the way.
(508) 794-8175 View (508) 794-8175
Photo of Leah Toso, LMHC, Counselor
Leah Toso
Counselor, LMHC
Verified Verified
Framingham, MA 01702
I have been working as psychotherapist since 2017 with clients from all age groups, various background and different cultures. Brazilian, living in the US from the past 25 years and have plenty of knowledge of what challenges immigrants face here, including difficulties adjusting to the culture and thriving the system. I have experience with a variety of diagnoses including anxiety, ADHD, depression, panic disorder and OCD. Holding a Master’s Degree in Mental Health Counseling from Cambridge College, Boston, MA and a Bachelor’s Degree in Psychology from Framingham State University.
I have been working as psychotherapist since 2017 with clients from all age groups, various background and different cultures. Brazilian, living in the US from the past 25 years and have plenty of knowledge of what challenges immigrants face here, including difficulties adjusting to the culture and thriving the system. I have experience with a variety of diagnoses including anxiety, ADHD, depression, panic disorder and OCD. Holding a Master’s Degree in Mental Health Counseling from Cambridge College, Boston, MA and a Bachelor’s Degree in Psychology from Framingham State University.
(508) 290-4571 View (508) 290-4571
1

How does your Therapist compare?

Number of Therapists in 01702

60+

Average cost per session

$150

Therapists in 01702 who prioritize treating:

90% Anxiety
84% Depression
76% Relationship Issues
70% Stress
64% Coping Skills
64% Self Esteem
58% Grief

Average years in practice

10 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
64% Optum
62% UnitedHealthcare UHC | UBH

How Therapists in 01702 see their clients

50% Online Only
50% In Person and Online

Gender breakdown

71% Female
28% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 01702?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip 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 zip code into the search bar.

Learn more about how to find a therapist

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

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

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

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

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, a therapy session in the United States could cost between $100 and $200 or more. 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.

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 zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.