Therapists in 04072

Photo of Adam Dubay, Counselor, MA, LCPC
Adam Dubay
Counselor, MA, LCPC
1 Endorsed
Saco, ME 04072
Waitlist for new clients
A journey of 1000 miles starts with a single step and sometimes the biggest step is asking for help. My name is Adam Dubay. I am a Licensed Clinical Professional Counselor. I have been in the mental health field for more than 20 years and in private practice for over 15 years. I have extensive professional training and experience in trauma treatment, and employ a wide variety of therapeutic techniques to help clients heal from the traumatic events that have occurred, reintegrate the mind-body connection, gain access to their inner resources and become better skilled at self-care.
A journey of 1000 miles starts with a single step and sometimes the biggest step is asking for help. My name is Adam Dubay. I am a Licensed Clinical Professional Counselor. I have been in the mental health field for more than 20 years and in private practice for over 15 years. I have extensive professional training and experience in trauma treatment, and employ a wide variety of therapeutic techniques to help clients heal from the traumatic events that have occurred, reintegrate the mind-body connection, gain access to their inner resources and become better skilled at self-care.
(207) 618-9016 View (207) 618-9016
Photo of Jaana Lehtinen, Psychologist, PhD
Jaana Lehtinen
Psychologist, PhD
Saco, ME 04072
Dr. Jaana's goal in therapy is to provide a supportive, non-judgmental environment where clients feel comfortable expressing themselves freely. She takes a holistic and integrative approach, tailoring evidence-based treatments to meet the unique needs of each client.
Dr. Jaana's goal in therapy is to provide a supportive, non-judgmental environment where clients feel comfortable expressing themselves freely. She takes a holistic and integrative approach, tailoring evidence-based treatments to meet the unique needs of each client.
(207) 614-7589 View (207) 614-7589
Photo of Michael Ivy, Clinical Social Work/Therapist, LCSW, SAP
Michael Ivy
Clinical Social Work/Therapist, LCSW, SAP
Saco, ME 04072
My ideal client feels overwhelmed by anxiety, depression, ADHD, the lingering effects of trauma or just stuck in life. They're seeking clarity, emotional balance, and a way to break free from negative thought patterns that keep them stuck. They want more than just coping mechanisms—they're looking to transform their life, to rediscover purpose and joy. Together, we’ll work to uncover what truly drives them, heal emotional wounds, and create a path toward their highest and best self.
My ideal client feels overwhelmed by anxiety, depression, ADHD, the lingering effects of trauma or just stuck in life. They're seeking clarity, emotional balance, and a way to break free from negative thought patterns that keep them stuck. They want more than just coping mechanisms—they're looking to transform their life, to rediscover purpose and joy. Together, we’ll work to uncover what truly drives them, heal emotional wounds, and create a path toward their highest and best self.
(855) 612-1630 View (855) 612-1630
Photo of Barbara S Erkson Saco Falls Counseling Center, Counselor, MA, LCPC, LADC
Barbara S Erkson Saco Falls Counseling Center
Counselor, MA, LCPC, LADC
Saco, ME 04072
Are you looking for ways to manage depression, anxiety, trauma, relationship issues, or grief/loss? Is your substance use unmanageable and causing problems? Counseling is a way to develop the skills to effectively manage the sometimes bumpy path of life's journey. Working from a holistic, strengths-based approach, I encourage and support client's to draw upon their inherent wisdom, by working through challenging transitions. As an Integrative Psychotherapist and Licensed Alcohol and Drug Counselor I draw upon a variety of therapeutic orientations to meet the unique needs of each individual.
Are you looking for ways to manage depression, anxiety, trauma, relationship issues, or grief/loss? Is your substance use unmanageable and causing problems? Counseling is a way to develop the skills to effectively manage the sometimes bumpy path of life's journey. Working from a holistic, strengths-based approach, I encourage and support client's to draw upon their inherent wisdom, by working through challenging transitions. As an Integrative Psychotherapist and Licensed Alcohol and Drug Counselor I draw upon a variety of therapeutic orientations to meet the unique needs of each individual.
(207) 613-0397 View (207) 613-0397
Photo of Michelle Ann Houser, Counselor, LCPC, LADC
Michelle Ann Houser
Counselor, LCPC, LADC
1 Endorsed
Online Only
I am a licensed clinical professional counselor as well as a licensed drug and alcohol counselor. My specialty is rehabilitative counseling for individuals diagnosed with psychiatric and/or physical disabilities and I have been working in this field since 2008. I have been privileged to work in such settings as crisis stabilization units, residential rehabs, transitional programs for people who are homeless, and career counseling centers. I have experience working with individuals with physical disabilities, mental health diagnoses, and substance use disorders.
I am a licensed clinical professional counselor as well as a licensed drug and alcohol counselor. My specialty is rehabilitative counseling for individuals diagnosed with psychiatric and/or physical disabilities and I have been working in this field since 2008. I have been privileged to work in such settings as crisis stabilization units, residential rehabs, transitional programs for people who are homeless, and career counseling centers. I have experience working with individuals with physical disabilities, mental health diagnoses, and substance use disorders.
(207) 218-0109 View (207) 218-0109
Patrick McGrath-Conwell
Counselor, MA, LCPC
Saco, ME 04072
Waitlist for new clients
I have had the opportunity to work for 40years with Individual adults and adolescents, couples, families, and groups. The issues of trauma, loss, life changes, depression and anxiety are so much a part of all of our lives. Levels of stress complicate conversations, disconnect relationships, decrease self care, and interfere with our happiness. Finding balance is what this therapy can offer. Imagine sitting and talking with no judgement, confronting your own past and finding a new present. Working together we will undo old messages which have run your emotions and influenced your behaviors and create new ones you choose to live by.
I have had the opportunity to work for 40years with Individual adults and adolescents, couples, families, and groups. The issues of trauma, loss, life changes, depression and anxiety are so much a part of all of our lives. Levels of stress complicate conversations, disconnect relationships, decrease self care, and interfere with our happiness. Finding balance is what this therapy can offer. Imagine sitting and talking with no judgement, confronting your own past and finding a new present. Working together we will undo old messages which have run your emotions and influenced your behaviors and create new ones you choose to live by.
(207) 805-7356 View (207) 805-7356
Photo of Oliver James, Counselor, LCPC
Oliver James
Counselor, LCPC
Saco, ME 04072
Immediate openings available. The things we find difficult in life come in many different guises. They can be challenging to navigate alone. Relationship issues, death of a loved one, depression and anxiety can become part of anyone's life at any time. If you are finding life challenging right now you may feel you would like support and this is where therapy can help.
Immediate openings available. The things we find difficult in life come in many different guises. They can be challenging to navigate alone. Relationship issues, death of a loved one, depression and anxiety can become part of anyone's life at any time. If you are finding life challenging right now you may feel you would like support and this is where therapy can help.
(207) 679-0904 View (207) 679-0904
Photo of Julia L Orr, Clinical Social Work/Therapist, LCSW, LADC
Julia L Orr
Clinical Social Work/Therapist, LCSW, LADC
Online Only
With over twenty years of experience in mental health and addiction, I am dedicated to supporting individuals on their paths to healing from trauma and challenging belief systems that cause emotional suffering. I specialize in using EMDR to help clients process their traumas, enabling them to embrace life with greater freedom and joy. I am particularly committed to assisting women who have experienced an abortion, providing perspective and compassionate support to those struggling to move forward. My goal is to accompany you on your journey to healing, offering guidance and understanding every step of the way
With over twenty years of experience in mental health and addiction, I am dedicated to supporting individuals on their paths to healing from trauma and challenging belief systems that cause emotional suffering. I specialize in using EMDR to help clients process their traumas, enabling them to embrace life with greater freedom and joy. I am particularly committed to assisting women who have experienced an abortion, providing perspective and compassionate support to those struggling to move forward. My goal is to accompany you on your journey to healing, offering guidance and understanding every step of the way
(207) 808-7302 View (207) 808-7302
Photo of Erica Velarde, Clinical Social Work/Therapist, LCSW, CCS
Erica Velarde
Clinical Social Work/Therapist, LCSW, CCS
Online Only
I am available to provide supervision to conditionally licensed counselors. Offering individual counseling for those dealing with anxiety, depression, or recurring patterns linked to past experiences or trauma. Clients facing relationship challenges, such as communication issues, trust struggles, or difficulties setting healthy boundaries. Those seeking both understanding and practical tools for real, lasting change. In our work together, we’ll explore the deeper emotional patterns influencing your behavior and relationships, helping you gain insight and develop healthier ways of thinking and connecting with others.
I am available to provide supervision to conditionally licensed counselors. Offering individual counseling for those dealing with anxiety, depression, or recurring patterns linked to past experiences or trauma. Clients facing relationship challenges, such as communication issues, trust struggles, or difficulties setting healthy boundaries. Those seeking both understanding and practical tools for real, lasting change. In our work together, we’ll explore the deeper emotional patterns influencing your behavior and relationships, helping you gain insight and develop healthier ways of thinking and connecting with others.
(207) 656-6282 View (207) 656-6282
Photo of Katherine LaCasse, Clinical Social Work/Therapist, LCSW
Katherine LaCasse
Clinical Social Work/Therapist, LCSW
Saco, ME 04072
My life experiences both professionally and personally have shown me how prevalent trauma is in our world today. While we are navigating different or in some cases very similar storms, I believe that each of us travel in our own boat. Some of us are traveling in Yachts with more amenities than we can even imagine, while others are negotiating the turbulence of the seas, in what feels like a life raft. The continuum of vessels is vast and I consider it my job to help you upgrade yours by accessing/implementing positive coping strategies, facilitating insight, collaboratively setting goals, and creating more meaningful relationships.
My life experiences both professionally and personally have shown me how prevalent trauma is in our world today. While we are navigating different or in some cases very similar storms, I believe that each of us travel in our own boat. Some of us are traveling in Yachts with more amenities than we can even imagine, while others are negotiating the turbulence of the seas, in what feels like a life raft. The continuum of vessels is vast and I consider it my job to help you upgrade yours by accessing/implementing positive coping strategies, facilitating insight, collaboratively setting goals, and creating more meaningful relationships.
(207) 605-5762 View (207) 605-5762
Photo of Riley Petit, Clinical Social Work/Therapist, LMSW-cc
Riley Petit
Clinical Social Work/Therapist, LMSW-cc
1 Endorsed
Saco, ME 04072
Not accepting new clients
Riley brings a client centered approach to therapy and works along clients to develop their goals. Riley believes in the power of relationship in the therapeutic process and aims to prioritize this. Riley brings strengths based and trauma informed perspectives into therapy. Riley has experience working with an array of diagnoses and adults impacted by grief, substance use, anxiety, and trauma. Riley currently works with adults and is accepting self-pay and Maine Care. Please reach out to Riley directly for more information at (207)-370-2033.
Riley brings a client centered approach to therapy and works along clients to develop their goals. Riley believes in the power of relationship in the therapeutic process and aims to prioritize this. Riley brings strengths based and trauma informed perspectives into therapy. Riley has experience working with an array of diagnoses and adults impacted by grief, substance use, anxiety, and trauma. Riley currently works with adults and is accepting self-pay and Maine Care. Please reach out to Riley directly for more information at (207)-370-2033.
(207) 223-3224 View (207) 223-3224
Photo of Janice Black, Clinical Social Work/Therapist, LCSW
Janice Black
Clinical Social Work/Therapist, LCSW
Saco, ME 04072
I strive to support adults as they encounter difficulties and questions about life transitions i.e. divorce, retirement, health concerns, aging, empty nesting or dying. Anxiety, depression and grief can be normal reactions to these transitions and can distract from healthy living. Healing and growth can happen using relationship, thoughtful introspection, understanding, respect and even humor. I love the Buddhist quote, 'pain is inevitable but suffering is optional'. Often what we do to ourselves in our minds is worse than the actual event. Let's talk!
I strive to support adults as they encounter difficulties and questions about life transitions i.e. divorce, retirement, health concerns, aging, empty nesting or dying. Anxiety, depression and grief can be normal reactions to these transitions and can distract from healthy living. Healing and growth can happen using relationship, thoughtful introspection, understanding, respect and even humor. I love the Buddhist quote, 'pain is inevitable but suffering is optional'. Often what we do to ourselves in our minds is worse than the actual event. Let's talk!
(207) 679-0827 View (207) 679-0827
Photo of Scott Kenneth Morse, Clinical Social Work/Therapist, LCSW
Scott Kenneth Morse
Clinical Social Work/Therapist, LCSW
Saco, ME 04072
Not accepting new clients
Life can be overwhelming-leaving little time or energy for peaceful introspection. I use a warm acceptance and humor to help clients face challenging dilemmas. Without understanding the motivation behind our impulses, we can lose our way, sometimes getting stuck for years, and developing maladaptive emotional coping difficulties. I help people recognize and overcome their self-limiting belief systems, generating greater self knowledge, confidence and having the ability to tolerate the emotional strains of contemporary living. I have over 20 years of work experience in the trauma field- working with both survivors and perpetrators of abuse.
Life can be overwhelming-leaving little time or energy for peaceful introspection. I use a warm acceptance and humor to help clients face challenging dilemmas. Without understanding the motivation behind our impulses, we can lose our way, sometimes getting stuck for years, and developing maladaptive emotional coping difficulties. I help people recognize and overcome their self-limiting belief systems, generating greater self knowledge, confidence and having the ability to tolerate the emotional strains of contemporary living. I have over 20 years of work experience in the trauma field- working with both survivors and perpetrators of abuse.
(207) 329-4941 View (207) 329-4941
Photo of Susan Wiley, Licensed Master Social Worker, LCSW
Susan Wiley
Licensed Master Social Worker, LCSW
Saco, ME 04072
Waitlist for new clients
The therapeutic process starts when you find a clinician you connect with, and I recognize how difficult and stressful that may be for you. My primary focus is to create a safe, inclusive, and non-judgmental space where you can feel genuinely heard, understood, and supported. I aim to build a strong therapeutic alliance with you, exploring your concerns, identifying your strengths, and developing effective strategies for positive change.
The therapeutic process starts when you find a clinician you connect with, and I recognize how difficult and stressful that may be for you. My primary focus is to create a safe, inclusive, and non-judgmental space where you can feel genuinely heard, understood, and supported. I aim to build a strong therapeutic alliance with you, exploring your concerns, identifying your strengths, and developing effective strategies for positive change.
(207) 401-4913 View (207) 401-4913
Photo of Maegan A Lapierre (Lambert-Irish), Counselor, MS, LCPC, LADC, NCC, CCTP
Maegan A Lapierre (Lambert-Irish)
Counselor, MS, LCPC, LADC, NCC, CCTP
Online Only
Currently Accepting New Self-Pay Clients and MaineCare Clients! Telehealth Only. Are you having a problem with alcohol? Cannot stop using drugs? Struggling with a negative attitude? Have racing thoughts? Worry about everything? Just plain feeling down in the dumps, hopeless even? Maybe it is time to make a change. Maybe it is time to stop bottling up and stuffing those negative emotions. Maybe it is time to stop avoiding all your problems and letting them build up. It is time to take control of your life.
Currently Accepting New Self-Pay Clients and MaineCare Clients! Telehealth Only. Are you having a problem with alcohol? Cannot stop using drugs? Struggling with a negative attitude? Have racing thoughts? Worry about everything? Just plain feeling down in the dumps, hopeless even? Maybe it is time to make a change. Maybe it is time to stop bottling up and stuffing those negative emotions. Maybe it is time to stop avoiding all your problems and letting them build up. It is time to take control of your life.
(207) 613-2045 View (207) 613-2045
Photo of Troi Boulanger, Clinical Social Work/Therapist, LCSW
Troi Boulanger
Clinical Social Work/Therapist, LCSW
Saco, ME 04072
Welcome. Life can present challenges that we need help navigating and this can be especially true when we experience trauma, depression, anxiety, grief, disconnection from ourselves, our purpose, our loved ones or a general stuckness. My work is to help you identify what needs attention and healing so you can change unhelpful patterns of thinking, feeling, and behaving that hold you back. I believe this process can lead you to clearer, more loving understanding of yourself that allows you to shift in profound, sometime surprising ways. I'd be honored to guide you in this, so if it feels right please reach out and let's connect.
Welcome. Life can present challenges that we need help navigating and this can be especially true when we experience trauma, depression, anxiety, grief, disconnection from ourselves, our purpose, our loved ones or a general stuckness. My work is to help you identify what needs attention and healing so you can change unhelpful patterns of thinking, feeling, and behaving that hold you back. I believe this process can lead you to clearer, more loving understanding of yourself that allows you to shift in profound, sometime surprising ways. I'd be honored to guide you in this, so if it feels right please reach out and let's connect.
(207) 672-1123 View (207) 672-1123
Photo of Kayla Paris, Counselor, LCPC
Kayla Paris
Counselor, LCPC
Online Only
My approach is rooted in the belief that all individuals have the ability to overcome adversity and develop greater resiliency. I will meet you where you are at and support you in getting where you want to be. We will work together as a team but you are always in control of your experience. My role is to safely guide you in addressing and resolving issues to be able to move forward in your life and achieve self-healing.
My approach is rooted in the belief that all individuals have the ability to overcome adversity and develop greater resiliency. I will meet you where you are at and support you in getting where you want to be. We will work together as a team but you are always in control of your experience. My role is to safely guide you in addressing and resolving issues to be able to move forward in your life and achieve self-healing.
(207) 387-7393 View (207) 387-7393
Photo of Christopher Johnson - Sound Mind Psychology LLC, Psychologist, PsyD
Sound Mind Psychology LLC
Psychologist, PsyD
Saco, ME 04072
Not accepting new clients
Hello, my name is Dr. Christopher Johnson. Sound Mind Psychology LLC is my private practice & I enjoy working with individuals dealing with a variety of issues. I have found that many of my clients seek meaning and purpose in their lives, deeper connection to others, or answers to difficult life questions. Over time, these issues can lead to stress, anxiety, depression or other forms of mental health struggle. When this happens, daily tasks can seem pointless and exhausting. I value meeting people in these situations so that together we can explore goals and solutions for the future. Please email me at drcmjohnson32@smpsychology.com
Hello, my name is Dr. Christopher Johnson. Sound Mind Psychology LLC is my private practice & I enjoy working with individuals dealing with a variety of issues. I have found that many of my clients seek meaning and purpose in their lives, deeper connection to others, or answers to difficult life questions. Over time, these issues can lead to stress, anxiety, depression or other forms of mental health struggle. When this happens, daily tasks can seem pointless and exhausting. I value meeting people in these situations so that together we can explore goals and solutions for the future. Please email me at drcmjohnson32@smpsychology.com
(207) 742-8718 View (207) 742-8718
Photo of Phillip Reppond, Clinical Social Work/Therapist, LCSW
Phillip Reppond
Clinical Social Work/Therapist, LCSW
1 Endorsed
Saco, ME 04072
I have worked in this field for over 30 years in hospital, residential, day treatment, outpatient and home settings. My experience is primarily with young adults and with families who have children with special needs whether neurotypical or behavioral. I have worked with a lot of adolescents and pre-teens who are having difficulty adjusting to the demands of individuation and separation. It is important to regard everyone's life situation as unique and to support the process of personal awareness and growth.
I have worked in this field for over 30 years in hospital, residential, day treatment, outpatient and home settings. My experience is primarily with young adults and with families who have children with special needs whether neurotypical or behavioral. I have worked with a lot of adolescents and pre-teens who are having difficulty adjusting to the demands of individuation and separation. It is important to regard everyone's life situation as unique and to support the process of personal awareness and growth.
(207) 656-1465 View (207) 656-1465
Photo of Karen Lemoine, Clinical Social Work/Therapist, LCSW
Karen Lemoine
Clinical Social Work/Therapist, LCSW
Saco, ME 04072
Waitlist for new clients
Counseling is a collaborative effort, and I see my job as being a supportive guide in this undertaking, providing a safe, comfortable and trusting environment for honest discussion. I offer counseling for adolescents and adults of all ages, bringing 28 years of experience to my clinical practice. Believing we all want the best for our children and ourselves, wherever we are in the life span. Helping facilitate happy and productive lives is at the core of my practice. There are proven tools and techniques that can improve personal outlooks with positive results.
Counseling is a collaborative effort, and I see my job as being a supportive guide in this undertaking, providing a safe, comfortable and trusting environment for honest discussion. I offer counseling for adolescents and adults of all ages, bringing 28 years of experience to my clinical practice. Believing we all want the best for our children and ourselves, wherever we are in the life span. Helping facilitate happy and productive lives is at the core of my practice. There are proven tools and techniques that can improve personal outlooks with positive results.
(207) 391-3212 View (207) 391-3212

See more therapy options for 04072

How does your Therapist compare?

Number of Therapists in 04072

100+

Average cost per session

$135

Therapists in 04072 who prioritize treating:

94% Anxiety
85% Depression
80% Self Esteem
79% Coping Skills
76% Stress
75% Trauma and PTSD
73% Relationship Issues

Average years in practice

14 Years

Top 3 insurances accepted

69% Anthem
66% Aetna
66% UnitedHealthcare UHC | UBH

How Therapists in 04072 see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 04072?

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.