Therapists in 01923

Robin Dunlea
Clinical Social Work/Therapist, LICSW
1 Endorsed
Danvers, MA 01923
Over 30 years of experience. Specialize in the area of trauma. I Provide services including EMDR, Brainspotting, and Cognitive Behavioral Therapy. Other areas of treatment include anxiety, OCD, and mood disorders. I work with ages 3 and up. I accept most major insurances.
Over 30 years of experience. Specialize in the area of trauma. I Provide services including EMDR, Brainspotting, and Cognitive Behavioral Therapy. Other areas of treatment include anxiety, OCD, and mood disorders. I work with ages 3 and up. I accept most major insurances.
(978) 724-8320 View (978) 724-8320
Photo of Hannah Watkins, Psychologist, LP
Hannah Watkins
Psychologist, LP
Danvers, MA 01923
Hannah Watkins, PhD helps adults gain clarity, emotional balance, and practical skills to manage life’s challenges through evidence-based psychotherapy. She provides individual therapy for adults across Massachusetts, supporting people who feel overwhelmed by anxiety, stuck in unhelpful patterns, or struggling to focus, regulate emotions, or feel at ease in their daily lives. Her approach blends compassion with clinical precision, creating a thoughtful and collaborative space where patients can work toward meaningful, sustainable change. Dr. Watkins practices at LifeStance Health and treats adults ages 18 through 64.Hannah Watkins,
Hannah Watkins, PhD helps adults gain clarity, emotional balance, and practical skills to manage life’s challenges through evidence-based psychotherapy. She provides individual therapy for adults across Massachusetts, supporting people who feel overwhelmed by anxiety, stuck in unhelpful patterns, or struggling to focus, regulate emotions, or feel at ease in their daily lives. Her approach blends compassion with clinical precision, creating a thoughtful and collaborative space where patients can work toward meaningful, sustainable change. Dr. Watkins practices at LifeStance Health and treats adults ages 18 through 64.Hannah Watkins,
(351) 213-7691 View (351) 213-7691
Photo of Wynne Levine, Clinical Social Work/Therapist, MSW, LCSW
Wynne Levine
Clinical Social Work/Therapist, MSW, LCSW
Danvers, MA 01923
Wynne Levine, LCSW, provides compassionate and evidence-based therapy to adults in Massachusetts, helping them navigate challenges related to anxiety, depression, trauma, and major life transitions. With a holistic approach, Wynne tailors therapy to each client’s unique needs, guiding them toward emotional resilience, self-awareness, and meaningful personal growth. She fosters a supportive environment where individuals can explore their emotions, develop coping skills, and gain insight into patterns that may be holding them back.Wynne Levine, LCSW, provides compassionate and evidence-based therapy to adults in Massachusetts, helping
Wynne Levine, LCSW, provides compassionate and evidence-based therapy to adults in Massachusetts, helping them navigate challenges related to anxiety, depression, trauma, and major life transitions. With a holistic approach, Wynne tailors therapy to each client’s unique needs, guiding them toward emotional resilience, self-awareness, and meaningful personal growth. She fosters a supportive environment where individuals can explore their emotions, develop coping skills, and gain insight into patterns that may be holding them back.Wynne Levine, LCSW, provides compassionate and evidence-based therapy to adults in Massachusetts, helping
(351) 247-8509 View (351) 247-8509
Photo of Alma Kobacic, Clinical Social Work/Therapist, LICSW
Alma Kobacic
Clinical Social Work/Therapist, LICSW
Danvers, MA 01923
Life is full of ups and downs and can be overwhelming for many of us. Finding the right therapist to help you with whatever it is that you may be struggling with, whether its anxiety, low self-esteem, life transitions, grief, depression or trauma is vital. With that being said, my ultimate goal is to meet you where you’re at, then help you get to where you’d like to go. If you are looking to heal, to feel content in the way you view yourself, then I am here to listen, to support you and help you on your journey in managing whatever obstacles that may be standing in your way.
Life is full of ups and downs and can be overwhelming for many of us. Finding the right therapist to help you with whatever it is that you may be struggling with, whether its anxiety, low self-esteem, life transitions, grief, depression or trauma is vital. With that being said, my ultimate goal is to meet you where you’re at, then help you get to where you’d like to go. If you are looking to heal, to feel content in the way you view yourself, then I am here to listen, to support you and help you on your journey in managing whatever obstacles that may be standing in your way.
(351) 529-7260 View (351) 529-7260
Photo of Shelley A Stahl, Clinical Social Work/Therapist, MSW
Shelley A Stahl
Clinical Social Work/Therapist, MSW
Danvers, MA 01923
My practice as a life coach focuses on helping individuals identify and achieve personal goals, make life decisions, enhance personal growth, and improve overall well-being. I create a safe, collaborative environment for navigating the rough seas of life. I work with individuals looking for guidance and consultation around relationship difficulties with partners, children and other family members. In my work clients are at the helm and I am the compassionate navigator. I assist people learning communication skills and self-care skills such as meditation.
My practice as a life coach focuses on helping individuals identify and achieve personal goals, make life decisions, enhance personal growth, and improve overall well-being. I create a safe, collaborative environment for navigating the rough seas of life. I work with individuals looking for guidance and consultation around relationship difficulties with partners, children and other family members. In my work clients are at the helm and I am the compassionate navigator. I assist people learning communication skills and self-care skills such as meditation.
(781) 417-5124 View (781) 417-5124
Photo of Matthew G. Doyle, Clinical Social Work/Therapist, MSW, LICSW
Matthew G. Doyle
Clinical Social Work/Therapist, MSW, LICSW
Danvers, MA 01923
I am the Founding Director/Owner of Castle Hill Counseling & Consulting, Inc., bringing over 25 years of experience in the mental health and education fields; working with individual children, adolescents, adults, and families directly, and in a diverse range of program start-up, community, and organizational leadership roles. Matthew provides extensive training on home-based intervention, family therapy, attachment, trauma-informed intervention, and school avoidance/anxiety In addition to teaching in a local MSW Program, Matthew was featured in the Boston Globe in 2017 and interviewed on National Public Radio in 2017 and 2021.
I am the Founding Director/Owner of Castle Hill Counseling & Consulting, Inc., bringing over 25 years of experience in the mental health and education fields; working with individual children, adolescents, adults, and families directly, and in a diverse range of program start-up, community, and organizational leadership roles. Matthew provides extensive training on home-based intervention, family therapy, attachment, trauma-informed intervention, and school avoidance/anxiety In addition to teaching in a local MSW Program, Matthew was featured in the Boston Globe in 2017 and interviewed on National Public Radio in 2017 and 2021.
(978) 578-9616 View (978) 578-9616
Photo of Ellen Buffa, Clinical Social Work/Therapist, LICSW
Ellen Buffa
Clinical Social Work/Therapist, LICSW
Danvers, MA 01923
Are you feeling overwhelmed by sadness or anxiety? Both? They often go hand in hand. Maybe difficult life transitions are making you feel stuck or confused? No doubt about it, life can be tough at times. If you are interested in making change or gaining insight, let's talk about how even small changes, little tweaks of a habit, can lead to greater wellbeing.
Are you feeling overwhelmed by sadness or anxiety? Both? They often go hand in hand. Maybe difficult life transitions are making you feel stuck or confused? No doubt about it, life can be tough at times. If you are interested in making change or gaining insight, let's talk about how even small changes, little tweaks of a habit, can lead to greater wellbeing.
(617) 996-8047 View (617) 996-8047
Photo of Timothy J. Hynick, Psychologist, PsyD
Timothy J. Hynick
Psychologist, PsyD
Danvers, MA 01923
I've treated children, adolescents and adults with a range of emotional and relationship difficulties for over 25 years. My work with children and adolescents focuses on resolving anxiety and depressive disorders, learning disabilities, school problems, relationship issues and trauma histories. I also treat child and adult clients with medical or disabling conditions such as chronic fatigue syndrome and physical disabilities.
I've treated children, adolescents and adults with a range of emotional and relationship difficulties for over 25 years. My work with children and adolescents focuses on resolving anxiety and depressive disorders, learning disabilities, school problems, relationship issues and trauma histories. I also treat child and adult clients with medical or disabling conditions such as chronic fatigue syndrome and physical disabilities.
(978) 631-2687 x15 View (978) 631-2687 x15
Photo of Danielle Wegrzyn, Clinical Social Work/Therapist, LICSW
Danielle Wegrzyn
Clinical Social Work/Therapist, LICSW
1 Endorsed
Danvers, MA 01923
I am an LICSW with decades of experience working with a variety of ages and demographics in the social work field. My main areas of focus include maternal mental health, young adults, life transitions, and the complimentary integration of faith and mental health.
I am an LICSW with decades of experience working with a variety of ages and demographics in the social work field. My main areas of focus include maternal mental health, young adults, life transitions, and the complimentary integration of faith and mental health.
(978) 644-5871 x1037 View (978) 644-5871 x1037
Photo of Jon Elkin, Pre-Licensed Professional, LMFT
Jon Elkin
Pre-Licensed Professional, LMFT
Danvers, MA 01923
Castle Hill Counseling specializes in individual therapy with children, adolescents, and adults; providing expertise in family therapy and parent coaching. Castle Hill practices mind-body integration, and for families, we offer creative alternatives to promote engagement and comfort. We value providing support in environments that are most comfortable and convenient; including our offices in Danvers & Rowley, your home, in schools, and virtually. we are frequently invited to facilitate professional development and community workshops throughout New England.
Castle Hill Counseling specializes in individual therapy with children, adolescents, and adults; providing expertise in family therapy and parent coaching. Castle Hill practices mind-body integration, and for families, we offer creative alternatives to promote engagement and comfort. We value providing support in environments that are most comfortable and convenient; including our offices in Danvers & Rowley, your home, in schools, and virtually. we are frequently invited to facilitate professional development and community workshops throughout New England.
(351) 333-1255 View (351) 333-1255
Photo of Colleen Sweeney, Counselor, MS, LMHC
Colleen Sweeney
Counselor, MS, LMHC
Danvers, MA 01923
Colleen provides a client-centered and strength-based holistic approach to treating adults of all ages. Colleen engages in trauma-informed care and utilizes evidence-based treatments such as CBT and mindfulness as well as a solution-focused approach. Colleen supports patients through challenging life transitions and periods of adjustment/stress management. Colleen specializes in anxiety, depression, ADHD, PTSD, and grief.
Colleen provides a client-centered and strength-based holistic approach to treating adults of all ages. Colleen engages in trauma-informed care and utilizes evidence-based treatments such as CBT and mindfulness as well as a solution-focused approach. Colleen supports patients through challenging life transitions and periods of adjustment/stress management. Colleen specializes in anxiety, depression, ADHD, PTSD, and grief.
(978) 450-8463 View (978) 450-8463
Photo of Alia Albeer, Counselor, LMHC
Alia Albeer
Counselor, LMHC
1 Endorsed
Danvers, MA 01923
I hear you. I see you. And I understand. Have you had times when you have sat in pain and confusion, felt stuck in repetitive, self-destructive patterns, felt fearful and overwhelmed and not been able to see a clear way out? Connection, insight and support help. The therapeutic alliance between a therapist and their client is a sacred space based on trust and connection and has the power to change a “survivor” into a “thriver.” I welcome the opportunity to work together to explore the thoughts, core beliefs, and behaviors that might be keeping you feeling trapped, treading water and existing rather than in living fully.
I hear you. I see you. And I understand. Have you had times when you have sat in pain and confusion, felt stuck in repetitive, self-destructive patterns, felt fearful and overwhelmed and not been able to see a clear way out? Connection, insight and support help. The therapeutic alliance between a therapist and their client is a sacred space based on trust and connection and has the power to change a “survivor” into a “thriver.” I welcome the opportunity to work together to explore the thoughts, core beliefs, and behaviors that might be keeping you feeling trapped, treading water and existing rather than in living fully.
(781) 546-4372 View (781) 546-4372
Photo of Dr. Meredith Edelstein, PhD, LEP, NCSP
Dr. Meredith Edelstein
Verified Verified
1 Endorsed
Danvers, MA 01923
I have some availability for counseling clients, using a relationship-based, neurodiversity affirming approach. I am scheduling 6 weeks out for comprehensive evaluations. I have strong skills in assessing attention deficits and learning disabilities. My clients appreciate my ability to integrate strong assessment practices utilizing a variety of testing tools alongside engaging with a child's personal interests, building a strong relationship, and encouraging positive confidence. I strive to involve caregivers in the evaluation process and support families from the initial referral all the way through findings and recommendations.
I have some availability for counseling clients, using a relationship-based, neurodiversity affirming approach. I am scheduling 6 weeks out for comprehensive evaluations. I have strong skills in assessing attention deficits and learning disabilities. My clients appreciate my ability to integrate strong assessment practices utilizing a variety of testing tools alongside engaging with a child's personal interests, building a strong relationship, and encouraging positive confidence. I strive to involve caregivers in the evaluation process and support families from the initial referral all the way through findings and recommendations.
(978) 473-8243 View (978) 473-8243
Photo of Donna Bequette, Counselor, LMHC
Donna Bequette
Counselor, LMHC
Danvers, MA 01923
Hi, I am Donna Bequette. In a warm and connected relationship the potential for healing begins. My skills-based approach to counseling promotes growth and well-being through collaboration, active listening, and effective interventions. My experience includes working with survivors of trauma along with many other issues...including but not limited to stress, depression, anxiety and loss. I also work with couples to resolve communication issues and loss of connection. In a holistic approach; we process on all levels; cognitive, emotional, somatic, social and if desired, a spiritual focus...combined, this can create lasting change.
Hi, I am Donna Bequette. In a warm and connected relationship the potential for healing begins. My skills-based approach to counseling promotes growth and well-being through collaboration, active listening, and effective interventions. My experience includes working with survivors of trauma along with many other issues...including but not limited to stress, depression, anxiety and loss. I also work with couples to resolve communication issues and loss of connection. In a holistic approach; we process on all levels; cognitive, emotional, somatic, social and if desired, a spiritual focus...combined, this can create lasting change.
(351) 444-9858 View (351) 444-9858
Photo of Robin Broady, Clinical Social Work/Therapist, LICSW
Robin Broady
Clinical Social Work/Therapist, LICSW
Danvers, MA 01923
Do you feel stuck, not listened to or stressed by life and life's changes? I am greatly rewarded by helping people work through the stresses and problems in their lives. I am patient, understanding and creative.I especially enjoy helping people resolve conflicts within their family or personal life. I welcome clients seeking to deal with family pressures, relationship issues, transitional challenges and the need to develop control of their lives. My goal is to establish a sense of empowerment in my clients.
Do you feel stuck, not listened to or stressed by life and life's changes? I am greatly rewarded by helping people work through the stresses and problems in their lives. I am patient, understanding and creative.I especially enjoy helping people resolve conflicts within their family or personal life. I welcome clients seeking to deal with family pressures, relationship issues, transitional challenges and the need to develop control of their lives. My goal is to establish a sense of empowerment in my clients.
(781) 399-0181 View (781) 399-0181
Photo of Alicia Elnagger, Clinical Social Work/Therapist, MSW, LCSW
Alicia Elnagger
Clinical Social Work/Therapist, MSW, LCSW
Danvers, MA 01923
Alicia Elnagger, LCSW, provides compassionate and individualized therapy to clients across Massachusetts, supporting children, adolescents, and adults as they navigate life’s challenges. With extensive experience in outpatient therapy, early intervention, and crisis intervention, she takes a flexible and client-centered approach to care. Alicia specializes in helping individuals facing anxiety, depression, trauma, and postpartum challenges, offering a safe and supportive space where clients feel understood and empowered.Alicia Elnagger, LCSW, provides compassionate and individualized therapy to clients across Massachusetts, supporti
Alicia Elnagger, LCSW, provides compassionate and individualized therapy to clients across Massachusetts, supporting children, adolescents, and adults as they navigate life’s challenges. With extensive experience in outpatient therapy, early intervention, and crisis intervention, she takes a flexible and client-centered approach to care. Alicia specializes in helping individuals facing anxiety, depression, trauma, and postpartum challenges, offering a safe and supportive space where clients feel understood and empowered.Alicia Elnagger, LCSW, provides compassionate and individualized therapy to clients across Massachusetts, supporti
(351) 247-3719 View (351) 247-3719
Photo of Whitney Mam - Northeast Health Services - Danvers, Licensed Mental Health Counselor, LMHC
Northeast Health Services - Danvers
Licensed Mental Health Counselor, LMHC
Danvers, MA 01923
Northeast Health Services is an outpatient mental health care provider dedicated to serving Massachusetts and the local area of Danvers. At our Danvers clinic we provide a broad array of services including psychotherapy, group therapy, child & adolescent therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
Northeast Health Services is an outpatient mental health care provider dedicated to serving Massachusetts and the local area of Danvers. At our Danvers clinic we provide a broad array of services including psychotherapy, group therapy, child & adolescent therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
(978) 643-5692 View (978) 643-5692
Photo of Dr. Kristin MacGregor, Psychologist, PhD, LP
Dr. Kristin MacGregor
Psychologist, PhD, LP
Danvers, MA 01923
Dr. MacGregor earned her PhD in Clinical Psychology from Syracuse University and completed both her predoctoral internship and postdoctoral residency within the VA healthcare system, experiences that shaped her dedication to integrated, team-based models of care. Clinically, Dr. MacGregor specializes in reproductive psychology, with a particular passion for supporting individuals and couples navigating infertility. In addition, she has expertise in the behavioral and emotional aspects of living with diabetes.
Dr. MacGregor earned her PhD in Clinical Psychology from Syracuse University and completed both her predoctoral internship and postdoctoral residency within the VA healthcare system, experiences that shaped her dedication to integrated, team-based models of care. Clinically, Dr. MacGregor specializes in reproductive psychology, with a particular passion for supporting individuals and couples navigating infertility. In addition, she has expertise in the behavioral and emotional aspects of living with diabetes.
(351) 247-7544 View (351) 247-7544
Photo of Alison Chimentao da Silva, Pre-Licensed Professional, MA
Alison Chimentao da Silva
Pre-Licensed Professional, MA
Danvers, MA 01923
As a counselor, here’s what my ideal client might look like: 1. Stress and Anxiety: Experiencing overwhelming feelings of stress and anxiety from work, relationships, or life changes. 2. Self-Esteem:Struggling with low self-esteem and confidence, leading to negative self-perception and behavior. 3. Trauma and Grief: Dealing with the aftermath of traumatic events or the loss of loved ones. 4. Relationship Challenges: Facing difficulties in romantic or familial relationships, including communication issues and conflicts.
As a counselor, here’s what my ideal client might look like: 1. Stress and Anxiety: Experiencing overwhelming feelings of stress and anxiety from work, relationships, or life changes. 2. Self-Esteem:Struggling with low self-esteem and confidence, leading to negative self-perception and behavior. 3. Trauma and Grief: Dealing with the aftermath of traumatic events or the loss of loved ones. 4. Relationship Challenges: Facing difficulties in romantic or familial relationships, including communication issues and conflicts.
(351) 900-7901 View (351) 900-7901
Photo of Gina M Malvarosa, Counselor, LMHC, LADC1
Gina M Malvarosa
Counselor, LMHC, LADC1
Danvers, MA 01923
My services are tailored to individuals struggling with a variety of mental health disorders (depression, anxiety, panic, mood disorder) and substance abuse issues. I work with all populations and provide home based therapy and outreach-- to the elderly-- and those diagnosed with complicated medical issues. My services are geared toward assessing one's baseline and identifying specific strengths, coping, limitations, vulnerabilities and grounding skills. I also incorporate the spiritual element of healing--which fosters personal growth for recovery.
My services are tailored to individuals struggling with a variety of mental health disorders (depression, anxiety, panic, mood disorder) and substance abuse issues. I work with all populations and provide home based therapy and outreach-- to the elderly-- and those diagnosed with complicated medical issues. My services are geared toward assessing one's baseline and identifying specific strengths, coping, limitations, vulnerabilities and grounding skills. I also incorporate the spiritual element of healing--which fosters personal growth for recovery.
(617) 849-9790 View (617) 849-9790

See more therapy options for 01923

How does your Therapist compare?

Number of Therapists in 01923

200+

Average cost per session

$150

Therapists in 01923 who prioritize treating:

94% Anxiety
89% Depression
79% Relationship Issues
72% Self Esteem
69% Trauma and PTSD
62% Stress
57% Grief

Average years in practice

16 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
72% Harvard Pilgrim
68% UnitedHealthcare UHC | UBH

How Therapists in 01923 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 01923?

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.