Photo of Evan McManamy, Clinical Social Work/Therapist in 02909, RI
Evan McManamy
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Providence, RI 02909  (Online Only)
Evan L McManamy LCSW (he-they) is a clinical social worker in a telehealth practice in Rhode Island. Evan holds advanced graduate training in traumatic stress; he helps his clients develop strategies for working with embodied experiences of trauma and anxiety. Evan's approach is strengths-based and collaborative: he works with each client to find evidence-based tools that fit their unique strengths. Evan meets his clients where they are and uses mindfulness techniques to invite them into a deeper level of internal awareness.
Evan L McManamy LCSW (he-they) is a clinical social worker in a telehealth practice in Rhode Island. Evan holds advanced graduate training in traumatic stress; he helps his clients develop strategies for working with embodied experiences of trauma and anxiety. Evan's approach is strengths-based and collaborative: he works with each client to find evidence-based tools that fit their unique strengths. Evan meets his clients where they are and uses mindfulness techniques to invite them into a deeper level of internal awareness.
(401) 298-9717 View (401) 298-9717
Photo of Mona Barbera, Psychologist in 02909, RI
Mona Barbera
Psychologist, PhD
Verified Verified
Providence, RI 02909
I have 24 years experience using and teaching the Internal Family Systems (IFS) model. It helps you get obstacles out of the way so solutions and connection can emerge, and works powerfully and gently to uncover your innate wisdom. I am the author of the award-winning IFS relationship book, "Bring Yourself to Love: How Couples Can Turn Disconnection into Intimacy," and many book chapters and articles. I see both couples and individuals in Providence and Newport, RI. I do not take any insurance.
I have 24 years experience using and teaching the Internal Family Systems (IFS) model. It helps you get obstacles out of the way so solutions and connection can emerge, and works powerfully and gently to uncover your innate wisdom. I am the author of the award-winning IFS relationship book, "Bring Yourself to Love: How Couples Can Turn Disconnection into Intimacy," and many book chapters and articles. I see both couples and individuals in Providence and Newport, RI. I do not take any insurance.
(617) 446-3274 View (617) 446-3274
Photo of Victoria Sokolowski, Clinical Social Work/Therapist in 02909, RI
Victoria Sokolowski
Clinical Social Work/Therapist, LICSW
Verified Verified
Providence, RI 02909
Not accepting new clients
I am a Licensed Independent Clinical Social Worker practicing in Providence, Rhode Island. I specialize in in anxiety, depression, life transitions, and LGBTQIA+ issues. I take an integrative perspective, emphasizing nutrition, physical activity and exercise as sources for overall well-being and growth. My practice is open to individual adults and couples, as well as clients for group therapy. I enjoy helping clients find their voice and cultivate assertiveness in their relationships.
I am a Licensed Independent Clinical Social Worker practicing in Providence, Rhode Island. I specialize in in anxiety, depression, life transitions, and LGBTQIA+ issues. I take an integrative perspective, emphasizing nutrition, physical activity and exercise as sources for overall well-being and growth. My practice is open to individual adults and couples, as well as clients for group therapy. I enjoy helping clients find their voice and cultivate assertiveness in their relationships.
(401) 246-8780 View (401) 246-8780
Photo of Melissa Rocheleau, Clinical Social Work/Therapist in 02909, RI
Melissa Rocheleau
Clinical Social Work/Therapist, LICSW
Verified Verified
Providence, RI 02909
I provide trauma-informed and social-justice oriented therapy to adolescents and adults of all genders. I firmly believe that we are all doing the best that we can with what we have, and my goal is to help increase your (or your child’s) capacities for self-reliance, emotional intelligence, and autonomy in the face of historical and social factors that feel like they are getting in the way. I have experience working with people across the age range as they navigate significant behavioral, relational, and academic challenges; major transitions; issues related to gender and sexuality; PTSD; ADHD; Anxiety; and Depression.
I provide trauma-informed and social-justice oriented therapy to adolescents and adults of all genders. I firmly believe that we are all doing the best that we can with what we have, and my goal is to help increase your (or your child’s) capacities for self-reliance, emotional intelligence, and autonomy in the face of historical and social factors that feel like they are getting in the way. I have experience working with people across the age range as they navigate significant behavioral, relational, and academic challenges; major transitions; issues related to gender and sexuality; PTSD; ADHD; Anxiety; and Depression.
(401) 251-0916 View (401) 251-0916
Photo of Mason Adams, Drug & Alcohol Counselor in 02909, RI
Mason Adams
Drug & Alcohol Counselor, LCDP, CADC
Verified Verified
Providence, RI 02909  (Online Only)
The path to overcoming addiction and mental health challenges can feel lonely, but it doesn't have to be. You're not alone in seeking understanding, healing, and a more fulfilling life. I offer a compassionate hand to guide you through these complexities, empowering you to rewrite your narrative toward a life of wellness and personal growth.
The path to overcoming addiction and mental health challenges can feel lonely, but it doesn't have to be. You're not alone in seeking understanding, healing, and a more fulfilling life. I offer a compassionate hand to guide you through these complexities, empowering you to rewrite your narrative toward a life of wellness and personal growth.
(401) 203-3234 View (401) 203-3234
Photo of Peter Murphy, Counselor in 02909, RI
Peter Murphy
Counselor, LMHC, LCDP
Verified Verified
Providence, RI 02909  (Online Only)
Waitlist for new clients
***Telehealth Only*** Welcome and thank you for considering me to be your therapist. I am a licensed mental health and substance abuse counselor with over ten years of experience working with those seeking to allow themselves the time and space to heal. My goal is to bring you closer to understanding how your mental well-being relates to your overall health and how even small changes in self-awareness can foster significant growth and wellness. I honor and encourage a collaborative relationship and aim to maintain a safe, non-judgemental space of openness for us to work together to meet your needs.
***Telehealth Only*** Welcome and thank you for considering me to be your therapist. I am a licensed mental health and substance abuse counselor with over ten years of experience working with those seeking to allow themselves the time and space to heal. My goal is to bring you closer to understanding how your mental well-being relates to your overall health and how even small changes in self-awareness can foster significant growth and wellness. I honor and encourage a collaborative relationship and aim to maintain a safe, non-judgemental space of openness for us to work together to meet your needs.
(401) 208-2216 View (401) 208-2216
Photo of Jenny Joyal, Clinical Social Work/Therapist in 02909, RI
Jenny Joyal
Clinical Social Work/Therapist, LICSW
Verified Verified
Providence, RI 02909  (Online Only)
As we move through life, we develop patterns of thinking, feeling, relating, and processing to help us get by. Sometimes, these patterns serve us well. Other times, they can get in our way. In our work together, we will creatively and thoughtfully develop a space to learn about you - your experiences, your relationships, your thoughts and feelings and behaviors. Together, we will work to identify and untangle these patterns, trace their origins, deepen your insight and develop new goals. Through this process, many find a greater sense of fulfillment and clarity in navigating their personal and professional lives.
As we move through life, we develop patterns of thinking, feeling, relating, and processing to help us get by. Sometimes, these patterns serve us well. Other times, they can get in our way. In our work together, we will creatively and thoughtfully develop a space to learn about you - your experiences, your relationships, your thoughts and feelings and behaviors. Together, we will work to identify and untangle these patterns, trace their origins, deepen your insight and develop new goals. Through this process, many find a greater sense of fulfillment and clarity in navigating their personal and professional lives.
(401) 205-8466 View (401) 205-8466
Photo of Kim Crawford, Clinical Social Work/Therapist in 02909, RI
Kim Crawford
Clinical Social Work/Therapist, LICSW
Verified Verified
Providence, RI 02909
Not accepting new clients
My approach to therapy is client-centered and strengths-based. Living any full life brings multiple experiences of loss, grief and adjustments. I seek to provide a supportive environment to meet and process your life challenges. In a psychotherapeutic setting, clients will be supported in exploring and processing long standing thought and behavior patterns and make choices to develop healthier patterns.
My approach to therapy is client-centered and strengths-based. Living any full life brings multiple experiences of loss, grief and adjustments. I seek to provide a supportive environment to meet and process your life challenges. In a psychotherapeutic setting, clients will be supported in exploring and processing long standing thought and behavior patterns and make choices to develop healthier patterns.
(401) 466-4571 View (401) 466-4571
Photo of EMDR Intensives with Neeka Stanley, Clinical Social Work/Therapist in 02909, RI
EMDR Intensives with Neeka Stanley
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Providence, RI 02909
Do you want to make a big change in your life? EMDR Therapy intensives give you the opportunity to spend several hours a day, for 1-10 days in close proximity, with one therapist, focusing on your healing. We have all gone through hard things in life and often have internalized negative messages and memories from those times. These can block us from living the lives we really want. EMDR is a therapeutic approach that can heal those stuck memories and free up your energy for growth and new ways of living.
Do you want to make a big change in your life? EMDR Therapy intensives give you the opportunity to spend several hours a day, for 1-10 days in close proximity, with one therapist, focusing on your healing. We have all gone through hard things in life and often have internalized negative messages and memories from those times. These can block us from living the lives we really want. EMDR is a therapeutic approach that can heal those stuck memories and free up your energy for growth and new ways of living.
(401) 519-7236 View (401) 519-7236
Photo of Elliot M Ruggles, Clinical Social Work/Therapist in 02909, RI
Elliot M Ruggles
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
1 Endorsed
Providence, RI 02909  (Online Only)
I am a clinical social worker with advanced training in human sexuality. I assist clients in gaining insights about gender, sexuality and/or relationships. For example, I can help in healing from sexual harm, improve sexual functioning, address out-of-control sexual behavior, and help explore challenges related to sexuality and ability. I can help you live authentically within intimate relationships (inclusive of non-monogamy), and explore the development of sexual attraction and gender identity over the life course. I help many people heal from sexual harm and live more authentic lives from a holistic perspective.
I am a clinical social worker with advanced training in human sexuality. I assist clients in gaining insights about gender, sexuality and/or relationships. For example, I can help in healing from sexual harm, improve sexual functioning, address out-of-control sexual behavior, and help explore challenges related to sexuality and ability. I can help you live authentically within intimate relationships (inclusive of non-monogamy), and explore the development of sexual attraction and gender identity over the life course. I help many people heal from sexual harm and live more authentic lives from a holistic perspective.
(401) 340-3488 View (401) 340-3488
Photo of Priyanka Subash, Clinical Social Work/Therapist in 02909, RI
Priyanka Subash
Clinical Social Work/Therapist, LICSW
Verified Verified
Providence, RI 02909  (Online Only)
Waitlist for new clients
I am not accepting new clients at this time. My therapeutic style is centered around compassion and collaboration. I truly believe each individual has inner strength and resilience, but sometimes it can be difficult to access these on our own.  Together, you and I will explore issues, learn skills and challenge thoughts that hinder you from being your confident and whole self. I believe in a creative approach while offering constructive, real life solutions you can use outside of the office.
I am not accepting new clients at this time. My therapeutic style is centered around compassion and collaboration. I truly believe each individual has inner strength and resilience, but sometimes it can be difficult to access these on our own.  Together, you and I will explore issues, learn skills and challenge thoughts that hinder you from being your confident and whole self. I believe in a creative approach while offering constructive, real life solutions you can use outside of the office.
(857) 320-3603 View (857) 320-3603
Photo of Jeffrey D Hughes, Psychologist in 02909, RI
Jeffrey D Hughes
Psychologist, PsyD
Verified Verified
Providence, RI 02909
Not accepting new clients
Cannot take new appointments. Individual psychotherapy only. I combine development of coping strategies with deepening an understanding of one's self to help clients improve their overall quality of life. Discovering emotions, attitudes, and behavioral patterns of which a person was previously unaware can be a difficult undertaking, but the end reward is the freedom to truly make decisions for one's self.
Cannot take new appointments. Individual psychotherapy only. I combine development of coping strategies with deepening an understanding of one's self to help clients improve their overall quality of life. Discovering emotions, attitudes, and behavioral patterns of which a person was previously unaware can be a difficult undertaking, but the end reward is the freedom to truly make decisions for one's self.
(401) 354-1969 View (401) 354-1969
Photo of bewellandwhole, LLC, Licensed Professional Counselor in 02909, RI
bewellandwhole, LLC
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Providence, RI 02909  (Online Only)
I only offer online services. Please know your relationship dysfunction will not scare me! ( I promise.) To me, you are BRAVE to seek out help. Question? Are you struggling? Now take a long deep breath....("no, for real....take a deep breath.") Invest into your best asset.......YOU! This is considered self care because you are trying to take better care of yourself.
I only offer online services. Please know your relationship dysfunction will not scare me! ( I promise.) To me, you are BRAVE to seek out help. Question? Are you struggling? Now take a long deep breath....("no, for real....take a deep breath.") Invest into your best asset.......YOU! This is considered self care because you are trying to take better care of yourself.
(401) 561-2582 View (401) 561-2582
Photo of Christina Stang, Clinical Social Work/Therapist in 02909, RI
Christina Stang
Clinical Social Work/Therapist, LICSW
Verified Verified
Providence, RI 02909  (Online Only)
I am a clinical social worker who specializes in perinatal mental health. Whether you are pregnant, the partner of someone who is, or postpartum, I am here to support you in your experience. In addition to treating perinatal issues, I focus on grief and loss, obsessive compulsive disorders, and treating trauma. I enjoy working with LGBTQ populations, particularly with teens, and issues around family planning and relationships. Depending on what we see as your areas of need, I am happy to work on a short or longer term basis. I am currently conducting all appointments via Zoom or phone only.
I am a clinical social worker who specializes in perinatal mental health. Whether you are pregnant, the partner of someone who is, or postpartum, I am here to support you in your experience. In addition to treating perinatal issues, I focus on grief and loss, obsessive compulsive disorders, and treating trauma. I enjoy working with LGBTQ populations, particularly with teens, and issues around family planning and relationships. Depending on what we see as your areas of need, I am happy to work on a short or longer term basis. I am currently conducting all appointments via Zoom or phone only.
(401) 340-2853 View (401) 340-2853
Photo of Helena Danielle Marshall One Step At A Time Counseling, Clinical Social Work/Therapist in 02909, RI
Helena Danielle Marshall One Step At A Time Counseling
Clinical Social Work/Therapist, LICSW, CADC, CGAC
Verified Verified
Providence, RI 02909  (Online Only)
Helping individuals heal and recover "One Step at a Time." We meet individuals where they are. We have a laid back, nonjudgmental and caring collaborative approach in working with each individual to identify and achieve their goals. Helping individual heal and recover "One Step at a Time." Serving individuals with mental health and substance use challenges. We have experience serving diverse populations and working in a multitude of settings which include inpatient, outpatient, residential and community setting.
Helping individuals heal and recover "One Step at a Time." We meet individuals where they are. We have a laid back, nonjudgmental and caring collaborative approach in working with each individual to identify and achieve their goals. Helping individual heal and recover "One Step at a Time." Serving individuals with mental health and substance use challenges. We have experience serving diverse populations and working in a multitude of settings which include inpatient, outpatient, residential and community setting.
(401) 388-6352 View (401) 388-6352
Photo of Alexandra Bosworth in 02909, RI
Alexandra Bosworth
MS, BCBA, LABA
Verified Verified
1 Endorsed
Providence, RI 02909
As your support system, I am here to offer you a compassionate and trauma-informed approach to ABA therapy, tailored for your unique needs as an autistic child or adult. My focus is on helping pre-teens and teenagers, collaboratively with you to identify goals that align with your values. My primary objective is to help you develop essential social, community, executive functioning, and daily living skills while providing a nurturing and affirming environment. Together, we will take on new challenges, at your own pace. I will be with you every step of the way, providing support and guidance, so that you feel confident and empowered.
As your support system, I am here to offer you a compassionate and trauma-informed approach to ABA therapy, tailored for your unique needs as an autistic child or adult. My focus is on helping pre-teens and teenagers, collaboratively with you to identify goals that align with your values. My primary objective is to help you develop essential social, community, executive functioning, and daily living skills while providing a nurturing and affirming environment. Together, we will take on new challenges, at your own pace. I will be with you every step of the way, providing support and guidance, so that you feel confident and empowered.
(401) 498-7031 View (401) 498-7031
Photo of Laura Sobik Kavanagh, Psychologist in 02909, RI
Laura Sobik Kavanagh
Psychologist, PhD, LLC
Verified Verified
Providence, RI 02909
Over my career, I have worked with many folks who are in process of evaluating their lives, relationships, and values. This may be in conjunction with a mood disorder, questioning their relationship with substances, or seeking an understanding of the intersection of their identity, life events, and socio-political context. My hope is that we both bring our authentic selves into the room, acknowledging the inherent and invisible differences and privilege we each hold. You do not have to feel entirely ready for change to reach out for help. We all deserve support, exactly as we are.
Over my career, I have worked with many folks who are in process of evaluating their lives, relationships, and values. This may be in conjunction with a mood disorder, questioning their relationship with substances, or seeking an understanding of the intersection of their identity, life events, and socio-political context. My hope is that we both bring our authentic selves into the room, acknowledging the inherent and invisible differences and privilege we each hold. You do not have to feel entirely ready for change to reach out for help. We all deserve support, exactly as we are.
(401) 320-4821 View (401) 320-4821
Photo of Megan Sanderson, Clinical Social Work/Therapist in 02909, RI
Megan Sanderson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Providence, RI 02909
Waitlist for new clients
I believe in a holistic, strength based individual model. I strive to provide a culturally informed, social justice and empowerment oriented approach. Using this affirming therapeutic relationship, we can build goals and strategies that fit who you are as an individual. We can together use this foundation to better understand how you experience life and transform this self discovery into change. I work from a strength focused, collaborative approach, combining insight about the self with concrete strategies that help you build skills to combat your issues.
I believe in a holistic, strength based individual model. I strive to provide a culturally informed, social justice and empowerment oriented approach. Using this affirming therapeutic relationship, we can build goals and strategies that fit who you are as an individual. We can together use this foundation to better understand how you experience life and transform this self discovery into change. I work from a strength focused, collaborative approach, combining insight about the self with concrete strategies that help you build skills to combat your issues.
(401) 285-1931 View (401) 285-1931
Photo of Nettle & Ash in 02909, RI
Nettle & Ash
BCBA, LABA
Verified Verified
1 Endorsed
Providence, RI 02909
Nettle & Ash's ACT-based (Acceptance and Commitment Therapy) program offers specialized, affirmative, compassionate, and culturally responsive coaching and therapy for teens and adults. Our practitioners have been supporting families and individuals with a broad range of challenges for two decades, and have particular interest/expertise in Autism, ADHD, anxiety, depression, and LGBTQIA+. We also specialize in supporting the family as a whole. Our ideal clients' goals include a commitment towards psychological flexibility through values-based work to create a stronger sense of self.
Nettle & Ash's ACT-based (Acceptance and Commitment Therapy) program offers specialized, affirmative, compassionate, and culturally responsive coaching and therapy for teens and adults. Our practitioners have been supporting families and individuals with a broad range of challenges for two decades, and have particular interest/expertise in Autism, ADHD, anxiety, depression, and LGBTQIA+. We also specialize in supporting the family as a whole. Our ideal clients' goals include a commitment towards psychological flexibility through values-based work to create a stronger sense of self.
(401) 281-8006 View (401) 281-8006
Photo of Tony Sager, Counselor in 02909, RI
Tony Sager
Counselor, MHC, LPCC, MA
Verified Verified
1 Endorsed
Providence, RI 02909
Are you are challenged with states of depression, anxiety, a lack of direction, relationship or spiritual issues? If you are, we can work together to help you meet and transform those challenges so you can have the life you wish to. Regardless of the nature of your challenges, I can help you access your innate wisdom and capacities to transform your experiences and not be overtaken by difficulties and their effects. It is my great wish and purpose to help each person access their innate wisdom and cultivate awareness and skills to meet their experience.
Are you are challenged with states of depression, anxiety, a lack of direction, relationship or spiritual issues? If you are, we can work together to help you meet and transform those challenges so you can have the life you wish to. Regardless of the nature of your challenges, I can help you access your innate wisdom and capacities to transform your experiences and not be overtaken by difficulties and their effects. It is my great wish and purpose to help each person access their innate wisdom and cultivate awareness and skills to meet their experience.
(401) 227-3002 View (401) 227-3002

How does your Therapist compare?

Number of Therapists in 02909

50+

Average cost per session

$150

Therapists in 02909 who prioritize treating:

95% Anxiety
81% Depression
74% Relationship Issues
69% Coping Skills
69% Self Esteem
60% Trauma and PTSD
59% Stress

Average years in practice

10 Years

Top 3 insurances accepted

70% BlueCross and BlueShield
63% UnitedHealthcare UHC | UBH
54% Optum

How Therapists in 02909 see their clients

66% In Person and Online
34% Online Only

Gender breakdown

70% Female
20% Male
10% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 02909?

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.