Therapists in 01850

Photo of Alton Dadekian Eckel, Licensed Mental Health Counselor, LMHC
Alton Dadekian Eckel
Licensed Mental Health Counselor, LMHC
Lowell, MA 01850
Hi there! My name is Alton and I am a Licensed Mental Health Clinician offering telehealth counseling services. My style is humorous, friendly, energetic, engaging, and solution-focused. I specialize in individual therapy with a concentration in Anxiety and Depressive Disorders, PTSD, OCD, eating disorders, career counseling, sports psychology, and ADHD. I primarily utilize CBT, IFS, and ACT in my treatment approaches. I offer a sliding fee scale and potential for submission to insurance for reimbursement.
Hi there! My name is Alton and I am a Licensed Mental Health Clinician offering telehealth counseling services. My style is humorous, friendly, energetic, engaging, and solution-focused. I specialize in individual therapy with a concentration in Anxiety and Depressive Disorders, PTSD, OCD, eating disorders, career counseling, sports psychology, and ADHD. I primarily utilize CBT, IFS, and ACT in my treatment approaches. I offer a sliding fee scale and potential for submission to insurance for reimbursement.
(857) 688-0891 View (857) 688-0891
Photo of Mary W Bulger, Pre-Licensed Professional, MA
Mary W Bulger
Pre-Licensed Professional, MA
1 Endorsed
Serves Area
Hi! Thanks for taking a look at my page. My approach to counseling is rooted in trauma-informed and client-directed principles. With a Master's in Mental Health Counseling from Lesley University, Cambridge, Massachusetts, and a background as a retired teacher, I specialize in the unique social and emotional challenges of children, tweens, and teens. I also have extensive experience working with young adults, families, couples, and individuals in later life. My goal is to create a therapeutic space that is responsive to your specific needs, utilizing a blend of therapeutic techniques to support your journey.
Hi! Thanks for taking a look at my page. My approach to counseling is rooted in trauma-informed and client-directed principles. With a Master's in Mental Health Counseling from Lesley University, Cambridge, Massachusetts, and a background as a retired teacher, I specialize in the unique social and emotional challenges of children, tweens, and teens. I also have extensive experience working with young adults, families, couples, and individuals in later life. My goal is to create a therapeutic space that is responsive to your specific needs, utilizing a blend of therapeutic techniques to support your journey.
(978) 951-5937 View (978) 951-5937
Photo of Kaylea Robillard, Pre-Licensed Professional, MS
Kaylea Robillard
Pre-Licensed Professional, MS
1 Endorsed
Serves Area
Hi! I'm here to provide a safe space for preteens, teens, and adults as they navigate life's challenges. I strive to help my clients navigate through their difficulties, helping them to heal and collaboratively work with them to build important life skills, as well as resiliency and positivity within themselves.I believe that all individuals are capable of growth and my goal is to help each client overcome the emotional, mental and physical barriers they may be faced with in pursuing this.I aim to approach my work with an empathic heart, providing a safe and nonjudgmental space for clients to feel respected, accepted and supported.
Hi! I'm here to provide a safe space for preteens, teens, and adults as they navigate life's challenges. I strive to help my clients navigate through their difficulties, helping them to heal and collaboratively work with them to build important life skills, as well as resiliency and positivity within themselves.I believe that all individuals are capable of growth and my goal is to help each client overcome the emotional, mental and physical barriers they may be faced with in pursuing this.I aim to approach my work with an empathic heart, providing a safe and nonjudgmental space for clients to feel respected, accepted and supported.
(978) 389-9053 View (978) 389-9053
Photo of Jillian Bizzotto-Brown, Counselor, MA, LMHC
Jillian Bizzotto-Brown
Counselor, MA, LMHC
Serves Area
I am a Licensed Mental Health Counselor in Massachusetts and New Hampshire with extensive experience working with adults. My approach with clients is collaborative, compassionate, and nonjudgmental. I utilize solution focused, cognitive behavioral, and psychodynamic techniques to assist clients in identifying patterns of thinking that interfere with their ability to achieve healthy goals.
I am a Licensed Mental Health Counselor in Massachusetts and New Hampshire with extensive experience working with adults. My approach with clients is collaborative, compassionate, and nonjudgmental. I utilize solution focused, cognitive behavioral, and psychodynamic techniques to assist clients in identifying patterns of thinking that interfere with their ability to achieve healthy goals.
(978) 705-4120 View (978) 705-4120
Photo of Amanda Lowell Cassidy, Licensed Mental Health Counselor, LMHC
Amanda Lowell Cassidy
Licensed Mental Health Counselor, LMHC
Serves Area
If you are feeling ovewhelmed, stressed, unmotivated, anxious or just feel down, I can help! I am accepting new clients and would be honored to accompany you towards a healtherier you. I offer teleheatlh and in person sessions.
If you are feeling ovewhelmed, stressed, unmotivated, anxious or just feel down, I can help! I am accepting new clients and would be honored to accompany you towards a healtherier you. I offer teleheatlh and in person sessions.
(978) 953-4561 View (978) 953-4561
Photo of Lisa Falvey, Licensed Professional Counselor, LMHC
Lisa Falvey
Licensed Professional Counselor, LMHC
Serves Area
It's hard to get through the day when you feel sad, isolated, and anxious. It's even harder when you regularly beat yourself up. And if you are hard on yourself, opening up to a stranger about your own perceived shortcomings can trigger feelings of shame or guilt. If you're reading this, it's probably because you're ready to stop being your own worst enemy and to find some peace and self-compassion. If you've struggled with low self-esteem, pervasive anxiety, OCD, or PTSD and you've hesitated to start the process of healing, I'm ready to help you build a new outlook on your life.
It's hard to get through the day when you feel sad, isolated, and anxious. It's even harder when you regularly beat yourself up. And if you are hard on yourself, opening up to a stranger about your own perceived shortcomings can trigger feelings of shame or guilt. If you're reading this, it's probably because you're ready to stop being your own worst enemy and to find some peace and self-compassion. If you've struggled with low self-esteem, pervasive anxiety, OCD, or PTSD and you've hesitated to start the process of healing, I'm ready to help you build a new outlook on your life.
(857) 341-8750 View (857) 341-8750
Photo of Al Clancy, Counselor, LMHC
Al Clancy
Counselor, LMHC
Serves Area
I'm Al, a non-binary, licensed mental health counselor with a passion for serving the queer community. I particularly enjoy helping folx experiment with exploring gender identity and various forms of gender expression. I also enjoy working with neurodivergent folx, especially those on the spectrum. I also have 10.5 years of experience working with Veterans, whom I have a particular affinity for. Sessions with me are very conversational, using a number of different modalities to help us work together to find creative solutions.
I'm Al, a non-binary, licensed mental health counselor with a passion for serving the queer community. I particularly enjoy helping folx experiment with exploring gender identity and various forms of gender expression. I also enjoy working with neurodivergent folx, especially those on the spectrum. I also have 10.5 years of experience working with Veterans, whom I have a particular affinity for. Sessions with me are very conversational, using a number of different modalities to help us work together to find creative solutions.
(857) 856-8071 View (857) 856-8071
Photo of Holly Hammershoy, Counselor, LMHC
Holly Hammershoy
Counselor, LMHC
Serves Area
Unsure of how to move past old experiences and focus on something new? I can help you learn from the past and look forward to the future. For almost 25 years I have had the privilege of helping people explore new ways of looking at challenges and choices and aiding them learning new ways to manage all the wonderful and tough experiences life gives them. I work with depressive disorders, anxiety, grief/loss (including pet loss), stress, and ADD/ADHD; children, adolescents and adults, including members of the LGBTQ+ community
Unsure of how to move past old experiences and focus on something new? I can help you learn from the past and look forward to the future. For almost 25 years I have had the privilege of helping people explore new ways of looking at challenges and choices and aiding them learning new ways to manage all the wonderful and tough experiences life gives them. I work with depressive disorders, anxiety, grief/loss (including pet loss), stress, and ADD/ADHD; children, adolescents and adults, including members of the LGBTQ+ community
(978) 233-4045 View (978) 233-4045
Photo of Michelle Calabro, Counselor, LMHC
Michelle Calabro
Counselor, LMHC
1 Endorsed
Serves Area
Accepting new clients! Current availability: Mondays 12PM, 1PM and 4PM in person or online. If you’ve been struggling, you're not alone - and you don't have to go through it by yourself. My name is Michelle and I am a Licensed Mental Health Counselor. I’ve been practicing therapy for 6 years and have had the privilege of supporting individuals through a wide range of life challenges. While my primary focus is working with individuals who struggle with anxiety, depression and trauma, I have experience with a variety of concerns.
Accepting new clients! Current availability: Mondays 12PM, 1PM and 4PM in person or online. If you’ve been struggling, you're not alone - and you don't have to go through it by yourself. My name is Michelle and I am a Licensed Mental Health Counselor. I’ve been practicing therapy for 6 years and have had the privilege of supporting individuals through a wide range of life challenges. While my primary focus is working with individuals who struggle with anxiety, depression and trauma, I have experience with a variety of concerns.
(978) 494-5934 View (978) 494-5934
Photo of Ciara Mendes, Counselor, LMHC
Ciara Mendes
Counselor, LMHC
Online Only
My goal is to offer a healing place for adult clients to gain the confidence and tools that they need to feel empowered, transform suffering, reduce problematic symptoms and develop self-awareness and mindfulness.
My goal is to offer a healing place for adult clients to gain the confidence and tools that they need to feel empowered, transform suffering, reduce problematic symptoms and develop self-awareness and mindfulness.
View
Photo of Katherine Carter, Counselor, LMHC, MA
Katherine Carter
Counselor, LMHC, MA
1 Endorsed
Serves Area
Email is the best way to reach me and I currently only have morning and early afternoon availability Mon-Thu. I am a licensed therapist specializing in couples and individual counseling, dedicated to helping clients improve communication, rebuild intimacy, and enhance self-esteem. My work focuses on empowering individuals and couples to navigate relationship challenges, body image concerns, and the emotional impact of chronic health conditions. I combine empathy with proven therapeutic techniques to create lasting, positive change.
Email is the best way to reach me and I currently only have morning and early afternoon availability Mon-Thu. I am a licensed therapist specializing in couples and individual counseling, dedicated to helping clients improve communication, rebuild intimacy, and enhance self-esteem. My work focuses on empowering individuals and couples to navigate relationship challenges, body image concerns, and the emotional impact of chronic health conditions. I combine empathy with proven therapeutic techniques to create lasting, positive change.
(617) 762-5806 View (617) 762-5806
Photo of Janice Merion-Billings, Clinical Social Work/Therapist, LICSW, PLLC
Janice Merion-Billings
Clinical Social Work/Therapist, LICSW, PLLC
1 Endorsed
Serves Area
With over 30+ years of experience as a Licensed Independent Clinical Social Worker I have worked with a diverse range of individuals, couples and families in a variety of settings. I have a B.A. from Boston University and a MSW degree from Simmons University. Starting with a trauma-informed lens, I have expertise treating clients with issues related to depression, loss and grief, anxiety, complex trauma, LGBTQ, issues, OCD, eating issues, ADHD, parenting and relationship challenges, adolescent development and life transitions. I recognize that therapy can seem daunting but is often a path to the change you are seeking.
With over 30+ years of experience as a Licensed Independent Clinical Social Worker I have worked with a diverse range of individuals, couples and families in a variety of settings. I have a B.A. from Boston University and a MSW degree from Simmons University. Starting with a trauma-informed lens, I have expertise treating clients with issues related to depression, loss and grief, anxiety, complex trauma, LGBTQ, issues, OCD, eating issues, ADHD, parenting and relationship challenges, adolescent development and life transitions. I recognize that therapy can seem daunting but is often a path to the change you are seeking.
(978) 510-3714 View (978) 510-3714
Photo of Lillian Kelmelis, Counselor, LMHC, MA
Lillian Kelmelis
Counselor, LMHC, MA
1 Endorsed
Serves Area
I believe that the journey to growth and healing is a very personal one. My aim is to guide you to your goals with a therapeutic plan that works best for you. I strive to create a safe and comfortable environment for clients to work on a variety of issues such as anxiety, depression, life changes, improving communication, and more. I am ready to help and lend a listening ear. I work with pre-teens, adolescents, emerging adults, and adults from all backgrounds. I offer individual therapy as well as parent guidance and coaching. I am currently accepting new clients and am contracted with BCBS, Aetna, and Cigna!
I believe that the journey to growth and healing is a very personal one. My aim is to guide you to your goals with a therapeutic plan that works best for you. I strive to create a safe and comfortable environment for clients to work on a variety of issues such as anxiety, depression, life changes, improving communication, and more. I am ready to help and lend a listening ear. I work with pre-teens, adolescents, emerging adults, and adults from all backgrounds. I offer individual therapy as well as parent guidance and coaching. I am currently accepting new clients and am contracted with BCBS, Aetna, and Cigna!
(603) 605-1151 View (603) 605-1151
Photo of Gregory Curtis - New Inspiration Teen Counseling, Clinical Social Work/Therapist, LICSW, CCBT, MSW
New Inspiration Teen Counseling
Clinical Social Work/Therapist, LICSW, CCBT, MSW
Serves Area
We're the therapists for "kids who don't like therapy." These days - especially - teens are too often suffering and struggling in their homes and in our schools. And everyone could use some help: kids, parents, and the caring professionals in our schools. Throughout the state, our therapists and life coaches serve as "part of the team," helping teens to feel better, and do better. Together, we'll explore and better understand what's been happening, how to change patterns, and how to get better results!
We're the therapists for "kids who don't like therapy." These days - especially - teens are too often suffering and struggling in their homes and in our schools. And everyone could use some help: kids, parents, and the caring professionals in our schools. Throughout the state, our therapists and life coaches serve as "part of the team," helping teens to feel better, and do better. Together, we'll explore and better understand what's been happening, how to change patterns, and how to get better results!
(339) 331-1084 View (339) 331-1084
Photo of Kedar Thomas, Clinical Social Work/Therapist, LICSW
Kedar Thomas
Clinical Social Work/Therapist, LICSW
Serves Area
I am a Licensed Independent Clinical Social Worker with over 15 years of experience in the mental health field. After receiving my Masters in Social Work from Boston College - with a concentration on Children, Youth, and Families - I have worked with a wide array of clients of all ages and backgrounds. During my career, I have worked in community support services, schools ranging from elementary to college, in-home therapy, and community mental health services. For the past five years I have focused on providing in-person and telehealth therapy.
I am a Licensed Independent Clinical Social Worker with over 15 years of experience in the mental health field. After receiving my Masters in Social Work from Boston College - with a concentration on Children, Youth, and Families - I have worked with a wide array of clients of all ages and backgrounds. During my career, I have worked in community support services, schools ranging from elementary to college, in-home therapy, and community mental health services. For the past five years I have focused on providing in-person and telehealth therapy.
(508) 206-8960 View (508) 206-8960
Photo of Katherine Williams, Licensed Certified Social Worker, LICSW
Katherine Williams
Licensed Certified Social Worker, LICSW
Online Only
Deciding to explore therapy services can often be a challenging decision. My approach is to create a safe and supportive space for individuals to engage in reflection, learning, growth, healing and empowerment. I meet individuals where they are at in the therapeutic process and together work towards their goals.
Deciding to explore therapy services can often be a challenging decision. My approach is to create a safe and supportive space for individuals to engage in reflection, learning, growth, healing and empowerment. I meet individuals where they are at in the therapeutic process and together work towards their goals.
(413) 296-8459 View (413) 296-8459
Photo of B Wright - Oflong Mental Health Services LLC, Clinical Social Work/Therapist, MSW, LICSW
Oflong Mental Health Services LLC
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Serves Area
Feeling uncertain, emotionally drained, or stuck—but ready for change? You’re not alone. Our ideal clients are those who have been struggling with anxiety, depression, trauma, or low self-esteem—often for years—and now seek not just relief, but a deeper sense of self-worth, confidence, and purpose. Therapy is a safe, supportive space to explore these challenges, feel understood, and develop tools to heal and grow. If you’re ready to feel whole again, regain your confidence, and rebuild meaningful connections, we’re here to walk alongside you every step of the way. Now accepting EAP clients. Reach out today to get started.
Feeling uncertain, emotionally drained, or stuck—but ready for change? You’re not alone. Our ideal clients are those who have been struggling with anxiety, depression, trauma, or low self-esteem—often for years—and now seek not just relief, but a deeper sense of self-worth, confidence, and purpose. Therapy is a safe, supportive space to explore these challenges, feel understood, and develop tools to heal and grow. If you’re ready to feel whole again, regain your confidence, and rebuild meaningful connections, we’re here to walk alongside you every step of the way. Now accepting EAP clients. Reach out today to get started.
(508) 501-7966 View (508) 501-7966
Photo of Dr. Claudia P. Osorio - Forensic, Immigration & Psychological Evaluations, Psychologist, PsyD
Forensic, Immigration & Psychological Evaluations
Psychologist, PsyD
1 Endorsed
Serves Area
Providing Answers on Your Journey! At Dr. Claudia P. Osorio Psychological Services, we offer comprehensive psychological, forensic, and immigration evaluations for adults and adolescents. Dr. Osorio and her team of licensed psychologists and mental health counselors specialize in Immigration Evaluations, including Hardship Waivers, Cancellation of Removal, Asylum, Violence Against Women Act (VAWA), U Visa, T Visa, Medical Certification for Disability Exceptions (N-648), Matter of M-A-M, and Adam Walsh Act Waivers. Evaluations are offered in over 30 states, including MA, CT, NH, VT, RI, ME, CA, FL, VA, NJ, NY, PA, MD, MI, MN, ND, NE.
Providing Answers on Your Journey! At Dr. Claudia P. Osorio Psychological Services, we offer comprehensive psychological, forensic, and immigration evaluations for adults and adolescents. Dr. Osorio and her team of licensed psychologists and mental health counselors specialize in Immigration Evaluations, including Hardship Waivers, Cancellation of Removal, Asylum, Violence Against Women Act (VAWA), U Visa, T Visa, Medical Certification for Disability Exceptions (N-648), Matter of M-A-M, and Adam Walsh Act Waivers. Evaluations are offered in over 30 states, including MA, CT, NH, VT, RI, ME, CA, FL, VA, NJ, NY, PA, MD, MI, MN, ND, NE.
(617) 752-2526 View (617) 752-2526
Photo of Catherine C. Brodeur, Psychologist, PsyD, MSCP, CCH
Catherine C. Brodeur
Psychologist, PsyD, MSCP, CCH
Serves Area
As a newly certified clinical hypnotherapist, I am excited by the progress my clients have made in reducing symptoms of anxiety, phobias, sleep problems, and physical discomfort when combining hypnosis with cognitive behavioral therapy. My therapeutic approach combines cognitive behavioral therapy and family systems interventions, and since my certification, hypnosis.
As a newly certified clinical hypnotherapist, I am excited by the progress my clients have made in reducing symptoms of anxiety, phobias, sleep problems, and physical discomfort when combining hypnosis with cognitive behavioral therapy. My therapeutic approach combines cognitive behavioral therapy and family systems interventions, and since my certification, hypnosis.
(978) 643-2951 View (978) 643-2951
Photo of Michael Stokes - MisterHealth-Counseling for Men & Couples, Licensed Mental Health Counselor, EdD, LMHC, LPC
MisterHealth-Counseling for Men & Couples
Licensed Mental Health Counselor, EdD, LMHC, LPC
Serves Area
MisterHealth Counseling specializes in men’s mental health, offering therapy for men who are struggling with anxiety, depression, stress, relationship issues, and sexual health concerns. Men deserve a place where they can talk openly about real-life struggles — without judgment, shame, or feeling misunderstood. At MisterHealth Counseling, we focus on evidence-based counseling for men dealing with emotional, relational, & sexual challenges. Many men come to us because they feel overwhelmed, disconnected, burnt out, or stuck in patterns that aren’t working anymore. Whether your struggle is anxiety, depression, anger, etc. we can help!
MisterHealth Counseling specializes in men’s mental health, offering therapy for men who are struggling with anxiety, depression, stress, relationship issues, and sexual health concerns. Men deserve a place where they can talk openly about real-life struggles — without judgment, shame, or feeling misunderstood. At MisterHealth Counseling, we focus on evidence-based counseling for men dealing with emotional, relational, & sexual challenges. Many men come to us because they feel overwhelmed, disconnected, burnt out, or stuck in patterns that aren’t working anymore. Whether your struggle is anxiety, depression, anger, etc. we can help!
(339) 218-3815 View (339) 218-3815

See more therapy options for 01850

How does your Therapist compare?

Number of Therapists in 01850

70+

Average cost per session

$150

Therapists in 01850 who prioritize treating:

96% Anxiety
96% Social Anxiety
96% Health Anxiety
96% Driving Anxiety
91% Depression
79% Self Esteem
76% Stress

Average years in practice

11 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
81% Harvard Pilgrim
76% UnitedHealthcare UHC | UBH

How Therapists in 01850 see their clients

64% Online Only
36% In Person and Online

Gender breakdown

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

How can I find a therapist in 01850?

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.