Therapists in 02817

Photo of Caterina Czerepica, Clinical Social Work/Therapist, LICSW
Caterina Czerepica
Clinical Social Work/Therapist, LICSW
Serves Area
Caterina Czerepica is a Licensed Independent Clinical Social Worker in Rhode Island who has been practicing since 2016. Caterina utilizes a strengthsbased approach in therapy to empower patients, promote positivity, and increase awareness of resiliency. She uses a combination of evidencebased treatments including Cognitive Behavioral Therapy (CBT) and FamilyBased Treatment (FBT) to treat eating disorders, anxiety disorders, and depression. During therapy, patients will learn a variety of strategies and coping skills that will help them to navigate challenges.
Caterina Czerepica is a Licensed Independent Clinical Social Worker in Rhode Island who has been practicing since 2016. Caterina utilizes a strengthsbased approach in therapy to empower patients, promote positivity, and increase awareness of resiliency. She uses a combination of evidencebased treatments including Cognitive Behavioral Therapy (CBT) and FamilyBased Treatment (FBT) to treat eating disorders, anxiety disorders, and depression. During therapy, patients will learn a variety of strategies and coping skills that will help them to navigate challenges.
(401) 200-3379 View (401) 200-3379
Photo of Elizabeth Crowell, Clinical Social Work/Therapist, MSW, LICSW
Elizabeth Crowell
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
Elizabeth Crowell is a Licensed Independent Clinical Social Worker in Rhode Island who has been practicing since 2021. She attended Rhode Island College for her Bachelors and Masters and is excited to begin her doctoral studies this Fall at the University of Pennsylvania in Clinical Social Work. Elizabeth offers a client centered approach. She recognizes where the client is at in their healing journey and meets them where they are ready. Along the way, Elizabeth recognizes and highlights clients’ strengths and finds a way to incorporate those strengths into their treatment.
Elizabeth Crowell is a Licensed Independent Clinical Social Worker in Rhode Island who has been practicing since 2021. She attended Rhode Island College for her Bachelors and Masters and is excited to begin her doctoral studies this Fall at the University of Pennsylvania in Clinical Social Work. Elizabeth offers a client centered approach. She recognizes where the client is at in their healing journey and meets them where they are ready. Along the way, Elizabeth recognizes and highlights clients’ strengths and finds a way to incorporate those strengths into their treatment.
(401) 266-3769 View (401) 266-3769
Photo of Keith Stauch, Counselor, LMHC
Keith Stauch
Counselor, LMHC
Serves Area
Keith Stauch at LifeStance Health helps adults and older adults throughout Rhode Island navigate emotional challenges, life transitions, and mental health concerns with a compassionate and practical approach to care. With more than a decade of clinical experience, he works collaboratively with clients to create a supportive environment where they can openly explore thoughts, emotions, and personal goals without fear of judgment. Keith provides individual therapy tailored to each person’s unique experiences, helping clients develop healthier coping strategies and greater emotional resilience.
Keith Stauch at LifeStance Health helps adults and older adults throughout Rhode Island navigate emotional challenges, life transitions, and mental health concerns with a compassionate and practical approach to care. With more than a decade of clinical experience, he works collaboratively with clients to create a supportive environment where they can openly explore thoughts, emotions, and personal goals without fear of judgment. Keith provides individual therapy tailored to each person’s unique experiences, helping clients develop healthier coping strategies and greater emotional resilience.
(401) 395-6238 View (401) 395-6238
Photo of Dr. Mary Onungwe, Counselor, PhD, LMHC, LCDCS
Dr. Mary Onungwe
Counselor, PhD, LMHC, LCDCS
Serves Area
Mary Onungwe, PhD, LMHC graduated from North Dakota State University in 2015. Areas of specialization include mental health, substance use disorders and career guidance. Integrated approach to counseling practices are utilized in navigating sessions with clients and their families. Hobbies include traveling, walking and fellowshipping with friends/family members.Mary Onungwe, PhD, LMHC graduated from North Dakota State University in 2015. Areas of specialization include mental health, substance use disorders and career guidance. Integrated approach to counseling practices are utilized in navigating sessions with clients and their
Mary Onungwe, PhD, LMHC graduated from North Dakota State University in 2015. Areas of specialization include mental health, substance use disorders and career guidance. Integrated approach to counseling practices are utilized in navigating sessions with clients and their families. Hobbies include traveling, walking and fellowshipping with friends/family members.Mary Onungwe, PhD, LMHC graduated from North Dakota State University in 2015. Areas of specialization include mental health, substance use disorders and career guidance. Integrated approach to counseling practices are utilized in navigating sessions with clients and their
(401) 812-2549 View (401) 812-2549
Jacqueline Kikuchi
Psychologist, PhD
Serves Area
Jacqueline Kikuchi is a Clinical Psychologist who has been practicing for over 30 years. She graduated from URI with a Ph.D. in Clinical Psychology. She worked for the RI Rape Crisis Center (now DayOne) for 16-years and the VA for nearly 20-years. Jacqui approach to therapy is to work with the client by providing education, support, guidance, consistency and understanding. She specializes in treating: • PTSD and trauma including child abuse, domestic violence, medical trauma, sexual abuse, dating violence, emotional abuse, natural disasters and war trauma.
Jacqueline Kikuchi is a Clinical Psychologist who has been practicing for over 30 years. She graduated from URI with a Ph.D. in Clinical Psychology. She worked for the RI Rape Crisis Center (now DayOne) for 16-years and the VA for nearly 20-years. Jacqui approach to therapy is to work with the client by providing education, support, guidance, consistency and understanding. She specializes in treating: • PTSD and trauma including child abuse, domestic violence, medical trauma, sexual abuse, dating violence, emotional abuse, natural disasters and war trauma.
(401) 382-3677 View (401) 382-3677
Photo of Joshua Czerepica, Counselor, MA, LMHC
Joshua Czerepica
Counselor, MA, LMHC
Serves Area
Josh Czerepica is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2020. Josh believes very strongly in the power of being truly heard and listened to. For this reason, he puts vigorous emphasis on fostering an authentic relationship and considers this to be the primary catalyst to healing in therapy. Josh takes a person-centered and strengths-based approach in helping people break negative cycles and create positive change in their lives.
Josh Czerepica is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2020. Josh believes very strongly in the power of being truly heard and listened to. For this reason, he puts vigorous emphasis on fostering an authentic relationship and considers this to be the primary catalyst to healing in therapy. Josh takes a person-centered and strengths-based approach in helping people break negative cycles and create positive change in their lives.
(401) 535-6109 View (401) 535-6109
Photo of Hannah Reddy, Marriage & Family Therapist, MS, LMFT
Hannah Reddy
Marriage & Family Therapist, MS, LMFT
Serves Area
Hannah Kane is a Licensed Marriage and Family Therapist in Rhode Island who has been practicing since 2021. Hannah received her BA in Psychology from Framingham State University in 2019. She graduated with her MS in Marriage and Family Therapy from The University of Rhode Island in 2021. Hannah has experience conducting therapy sessions with children, adolescents, families, and individual adults. She works with clients to cope with mental illnesses, process life transitions, and to improve family as well as other interpersonal relationships.
Hannah Kane is a Licensed Marriage and Family Therapist in Rhode Island who has been practicing since 2021. Hannah received her BA in Psychology from Framingham State University in 2019. She graduated with her MS in Marriage and Family Therapy from The University of Rhode Island in 2021. Hannah has experience conducting therapy sessions with children, adolescents, families, and individual adults. She works with clients to cope with mental illnesses, process life transitions, and to improve family as well as other interpersonal relationships.
(401) 388-6602 View (401) 388-6602
Photo of Kimberly Rossi, Clinical Social Work/Therapist, MSW, LCSW
Kimberly Rossi
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Serves Area
Kim Rossi is a Licensed Clinical Social Worker in Rhode Island. Kim helps clients by being calm, collected, and caring. Outside of work, Kim enjoys working out, spending time with family and friends, and reading.
Kim Rossi is a Licensed Clinical Social Worker in Rhode Island. Kim helps clients by being calm, collected, and caring. Outside of work, Kim enjoys working out, spending time with family and friends, and reading.
(401) 208-2898 View (401) 208-2898
Photo of Rebecca Pearlson, Psychologist, PsyD
Rebecca Pearlson
Psychologist, PsyD
Serves Area
Rebecca Pearlson helps adults across Rhode Island navigate life’s challenges with compassion, insight, and evidence-based strategies. Through individual therapy at LifeStance Health, she supports clients managing anxiety, depression, trauma, and complex identity or relationship concerns, creating a safe and affirming space to explore emotions, develop coping skills, and build resilience. Her approach blends warmth with clinical expertise to guide clients toward meaningful and lasting change.Rebecca Pearlson helps adults across Rhode Island navigate life’s challenges with compassion, insight, and evidence-based strategies. Through in
Rebecca Pearlson helps adults across Rhode Island navigate life’s challenges with compassion, insight, and evidence-based strategies. Through individual therapy at LifeStance Health, she supports clients managing anxiety, depression, trauma, and complex identity or relationship concerns, creating a safe and affirming space to explore emotions, develop coping skills, and build resilience. Her approach blends warmth with clinical expertise to guide clients toward meaningful and lasting change.Rebecca Pearlson helps adults across Rhode Island navigate life’s challenges with compassion, insight, and evidence-based strategies. Through in
(401) 386-5572 View (401) 386-5572
Photo of Kristen Bierwirth, Psychologist, LP, PhD
Kristen Bierwirth
Psychologist, LP, PhD
Serves Area
Dr. Kristen P. Bierwirth is a Psychologist practicing since 2002 in New York, New Jersey and Rhode Island. She earned her BA in Psychology from Boston College and PhD from Fordham University with specializations in urban and preschool psychology. She has served as an adjunct professor and co-authored articles related to cultural diversity, creativity, cartoon violence and moral development. Dr. Bierwirth’s practice interests include early intervention, school-based services, consultation and parent advocacy.
Dr. Kristen P. Bierwirth is a Psychologist practicing since 2002 in New York, New Jersey and Rhode Island. She earned her BA in Psychology from Boston College and PhD from Fordham University with specializations in urban and preschool psychology. She has served as an adjunct professor and co-authored articles related to cultural diversity, creativity, cartoon violence and moral development. Dr. Bierwirth’s practice interests include early intervention, school-based services, consultation and parent advocacy.
(401) 485-4686 View (401) 485-4686
Photo of Sara Foley, Counselor, MS, LMHC
Sara Foley
Counselor, MS, LMHC
Serves Area
Using evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and Acceptance & Commitment Therapy (ACT), Sara helps clients build effective coping skills challenge negative thought patterns, and foster greater emotional well-being. Her specialties include but are not limited to: Adjustment Disorders, Anxiety Disorders, Bereavement, Bipolar Disorders, Depression Disorders, Mood Disorders, and Post Traumatic Stress Disorder (PTSD). Outside of her clinical work, Sara enjoys walking, strength training, and reading, which help her maintain balance and perspective in her life.
Using evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and Acceptance & Commitment Therapy (ACT), Sara helps clients build effective coping skills challenge negative thought patterns, and foster greater emotional well-being. Her specialties include but are not limited to: Adjustment Disorders, Anxiety Disorders, Bereavement, Bipolar Disorders, Depression Disorders, Mood Disorders, and Post Traumatic Stress Disorder (PTSD). Outside of her clinical work, Sara enjoys walking, strength training, and reading, which help her maintain balance and perspective in her life.
(401) 329-3723 View (401) 329-3723
Photo of Kristen Bierwirth, Pre-Licensed Professional, PhD
Kristen Bierwirth
Pre-Licensed Professional, PhD
Serves Area
Dr. Kristen P. Bierwirth is a nationally certified School Psychologist practicing since 2002 and earned her PhD from Fordham University in 2006. Dr. Bierwirth offers comprehensive psychological testing focused on the identification of learning and behavioral/emotional problems and provides consultation with school districts for special education/504 Plan classification. Outside of work, Dr. Bierwirth enjoys spending time with her husband, twins, and dog, traveling the country and the world, swimming, running/hiking, and yoga.
Dr. Kristen P. Bierwirth is a nationally certified School Psychologist practicing since 2002 and earned her PhD from Fordham University in 2006. Dr. Bierwirth offers comprehensive psychological testing focused on the identification of learning and behavioral/emotional problems and provides consultation with school districts for special education/504 Plan classification. Outside of work, Dr. Bierwirth enjoys spending time with her husband, twins, and dog, traveling the country and the world, swimming, running/hiking, and yoga.
(401) 498-7905 View (401) 498-7905
Photo of Nathan Capalbo, Pre-Licensed Professional, PsyD
Nathan Capalbo
Pre-Licensed Professional, PsyD
Serves Area
Dr. Capalbo's first goal upon meeting new clients is to build a strong therapeutic relationship by creating a safe, non-judgmental environment. He has experience working with school-age children, young adults and adults. His area of specialty is focused around topics related to anxiety, depression, adjustment, identity development and a wide variety of challenges faced by college students. Additionally, he has experience working with children experiencing bullying, parental separation and abuse.
Dr. Capalbo's first goal upon meeting new clients is to build a strong therapeutic relationship by creating a safe, non-judgmental environment. He has experience working with school-age children, young adults and adults. His area of specialty is focused around topics related to anxiety, depression, adjustment, identity development and a wide variety of challenges faced by college students. Additionally, he has experience working with children experiencing bullying, parental separation and abuse.
(401) 373-3951 View (401) 373-3951
Photo of Crystal Felipe, Psychologist, PhD
Crystal Felipe
Psychologist, PhD
Serves Area
Dr. Crystal Dussault-Felipe is a Licensed Psychologist and a Nationally Certified School Psychologist who has been practicing since 2012. She graduated from the School Psychology program at the University of Rhode Island with a Doctorate Degree in Psychology. Dr. Dussault-Felipe completed her pre-doctoral training providing counseling and assessment support in various school systems and with youth in juvenile corrections She completed her post-doctoral training providing counseling and assessment support in private practice. She has co-authored two research articles in the Journal of Attention Disorders.
Dr. Crystal Dussault-Felipe is a Licensed Psychologist and a Nationally Certified School Psychologist who has been practicing since 2012. She graduated from the School Psychology program at the University of Rhode Island with a Doctorate Degree in Psychology. Dr. Dussault-Felipe completed her pre-doctoral training providing counseling and assessment support in various school systems and with youth in juvenile corrections She completed her post-doctoral training providing counseling and assessment support in private practice. She has co-authored two research articles in the Journal of Attention Disorders.
(401) 661-1097 View (401) 661-1097
Photo of Caterina Czerepica - LifeStance Health, Clinical Social Work/Therapist, LICSW
LifeStance Health
Clinical Social Work/Therapist, LICSW
Serves Area
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(401) 560-6508 View (401) 560-6508
Photo of Jessica Costigan, Counselor, MA, LMHC
Jessica Costigan
Counselor, MA, LMHC
Serves Area
Jessica Costigan is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2015. Jessica recognizes that every client is in a different place in life, therefore she likes to meet a client where they are at and help give them the tools they need to get where they want to be. Life is not easy but having the support and guidance of a trained professional can make all the difference Jessica has experience in many different areas as well as being a good listener; she thinks this helps her support her clients in identifying what their challenges are and establishing a clear path to work through them.
Jessica Costigan is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2015. Jessica recognizes that every client is in a different place in life, therefore she likes to meet a client where they are at and help give them the tools they need to get where they want to be. Life is not easy but having the support and guidance of a trained professional can make all the difference Jessica has experience in many different areas as well as being a good listener; she thinks this helps her support her clients in identifying what their challenges are and establishing a clear path to work through them.
(401) 496-9012 View (401) 496-9012
Photo of Tara Gyra, Clinical Social Work/Therapist, LICSW
Tara Gyra
Clinical Social Work/Therapist, LICSW
Serves Area
Tara Gyra is a Licensed Clinical Social Worker in Rhode Island who has been practicing since 2023. Tara offers collaborative, client-centered, empathetic, and trauma-recovery focused therapy with an emphasis on human empowerment and quality of life. She aims to help clients heal inner wounds and uncover their purpose while leading with compassion and genuine positive regard. The hope is for clients to unlock self-love and feel limitless in the preferred futures that they can create for themselves. Outside of work, Tara enjoys martial arts, scuba diving and reading.
Tara Gyra is a Licensed Clinical Social Worker in Rhode Island who has been practicing since 2023. Tara offers collaborative, client-centered, empathetic, and trauma-recovery focused therapy with an emphasis on human empowerment and quality of life. She aims to help clients heal inner wounds and uncover their purpose while leading with compassion and genuine positive regard. The hope is for clients to unlock self-love and feel limitless in the preferred futures that they can create for themselves. Outside of work, Tara enjoys martial arts, scuba diving and reading.
(401) 389-3951 View (401) 389-3951
Photo of Heather Wilder, Psychologist, PsyD
Heather Wilder
Psychologist, PsyD
West Greenwich, RI 02817
Not accepting new clients
Moments of life transition can shake our foundation. There are times when the ways you have understood yourself begin to shift, leaving you searching for solid ground. Transition can bring new questions about identity and purpose, as well as a deeper awareness of how earlier life experiences continue to shape you. For many people, it is also a time when unresolved trauma or major life events requiring our attention in new ways. Therapy offers a space for both stability and thoughtful inquiry to explore how past experiences, identity, and lived experience shape the ways you feel and connect with others.
Moments of life transition can shake our foundation. There are times when the ways you have understood yourself begin to shift, leaving you searching for solid ground. Transition can bring new questions about identity and purpose, as well as a deeper awareness of how earlier life experiences continue to shape you. For many people, it is also a time when unresolved trauma or major life events requiring our attention in new ways. Therapy offers a space for both stability and thoughtful inquiry to explore how past experiences, identity, and lived experience shape the ways you feel and connect with others.
(401) 308-4092 View (401) 308-4092
Photo of Jami Wilder, Psychologist, PsyD
Jami Wilder
Psychologist, PsyD
West Greenwich, RI 02817
Not accepting new clients
Currently not accepting clients. - You might be someone who’s spent years holding everything together, taking care of everyone. Often, that didn’t just happen by chance. It came from earlier experiences that taught you to adapt quickly and put your own needs on the back burner. At some point, though, things start to shift. Burnout creeps in. You may also be noticing how much your past is still shaping your present. The ways in which you’ve coped don’t seem to work like they used to. You may have new health concerns. You might find yourself asking questions about who you are and what you want. This may be the time to focus on you.
Currently not accepting clients. - You might be someone who’s spent years holding everything together, taking care of everyone. Often, that didn’t just happen by chance. It came from earlier experiences that taught you to adapt quickly and put your own needs on the back burner. At some point, though, things start to shift. Burnout creeps in. You may also be noticing how much your past is still shaping your present. The ways in which you’ve coped don’t seem to work like they used to. You may have new health concerns. You might find yourself asking questions about who you are and what you want. This may be the time to focus on you.
(401) 592-3332 View (401) 592-3332
Photo of Sheila Cardente-Capece, Clinical Social Work/Therapist, LICSW
Sheila Cardente-Capece
Clinical Social Work/Therapist, LICSW
1 Endorsed
Serves Area
Not accepting new clients
How Can I Help? Are you a victim of crime or abuse? Are you a parent, family member, or friend of an addict or victim? Have you lost a loved one to disease, suicide, or homicide? Maybe the joy you once felt slipped away and you are not sure why? Please email me at: Howcanihelp.ri@gmail.com or TEXT 401-250-8655.
How Can I Help? Are you a victim of crime or abuse? Are you a parent, family member, or friend of an addict or victim? Have you lost a loved one to disease, suicide, or homicide? Maybe the joy you once felt slipped away and you are not sure why? Please email me at: Howcanihelp.ri@gmail.com or TEXT 401-250-8655.
(401) 491-3115 View (401) 491-3115

See more therapy options for 02817

How does your Therapist compare?

Number of Therapists in 02817

20+

Average cost per session

$200

Therapists in 02817 who prioritize treating:

95% Anxiety
95% Social Anxiety
95% Health Anxiety
95% Driving Anxiety
90% Depression
67% Life Transitions
62% Grief

Average years in practice

18 Years

Top 3 insurances accepted

100% Aetna
90% BlueCross and BlueShield
90% Optum

How Therapists in 02817 see their clients

95% In Person and Online
5% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 02817?

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.