Therapists in 10941

Photo of Holland Troeger, Counselor, LMHC
Holland Troeger
Counselor, LMHC
1 Endorsed
Middletown, NY 10941
Life happens! And when it does, we can feel an endless range of emotions. Anxiety, depression, sadness, anger, happiness and the list goes on. While all of these feelings are normal and healthy, it can be overwhelming to experience them. That’s where I come in!
Life happens! And when it does, we can feel an endless range of emotions. Anxiety, depression, sadness, anger, happiness and the list goes on. While all of these feelings are normal and healthy, it can be overwhelming to experience them. That’s where I come in!
(845) 385-2872 View (845) 385-2872
Photo of Ashley Velazquez, Counselor, LMHC
Ashley Velazquez
Counselor, LMHC
1 Endorsed
Middletown, NY 10941
I believe therapy is for everyone, and my goal is to create a space where you feel comfortable, understood, and supported. I work with adolescents and adults ages 12–65, using an individualized approach that honors your unique experiences, strengths, and goals. I strive to be nonjudgmental, collaborative, and compassionate, so you can show up as you are.
I believe therapy is for everyone, and my goal is to create a space where you feel comfortable, understood, and supported. I work with adolescents and adults ages 12–65, using an individualized approach that honors your unique experiences, strengths, and goals. I strive to be nonjudgmental, collaborative, and compassionate, so you can show up as you are.
(845) 390-2539 View (845) 390-2539
Photo of Jessica M Willis, Clinical Social Work/Therapist, LMSW
Jessica M Willis
Clinical Social Work/Therapist, LMSW
Middletown, NY 10941
Beginning therapy can feel uncertain, and it is normal to feel nervous about reaching out. Many people come in feeling overwhelmed or unsure where to begin. Some are navigating anxiety, depression, trauma, or major life transitions. What most people want is a space where they feel comfortable, supported, and understood, and a place where talking feels natural and not pressured.
Beginning therapy can feel uncertain, and it is normal to feel nervous about reaching out. Many people come in feeling overwhelmed or unsure where to begin. Some are navigating anxiety, depression, trauma, or major life transitions. What most people want is a space where they feel comfortable, supported, and understood, and a place where talking feels natural and not pressured.
(845) 630-1468 View (845) 630-1468
Photo of Sara Pitcher, Counselor, LMHC, MS, NTP
Sara Pitcher
Counselor, LMHC, MS, NTP
1 Endorsed
Middletown, NY 10941
Working together on a therapeutic journey will guide you to regain a sense of empowerment and identity. My experience as a counselor has led me to understand the importance of developing a nonjudgemental and secure relationship together. Providing this space allows for growth and progress on the journey to overall wellness. My approach involves exploring mental blocks or guards that hinder you from experiencing your innate strengths. Together we will work on emotional processing, finding strength based evidence, and developing positive coping skills based on your individual needs.
Working together on a therapeutic journey will guide you to regain a sense of empowerment and identity. My experience as a counselor has led me to understand the importance of developing a nonjudgemental and secure relationship together. Providing this space allows for growth and progress on the journey to overall wellness. My approach involves exploring mental blocks or guards that hinder you from experiencing your innate strengths. Together we will work on emotional processing, finding strength based evidence, and developing positive coping skills based on your individual needs.
(845) 208-0116 View (845) 208-0116
Photo of Dr. Izetta Briggs-Bolling, Clinical Social Work/Therapist, DSW, LCSW, LMHC, CASAC-G, SAP
Dr. Izetta Briggs-Bolling
Clinical Social Work/Therapist, DSW, LCSW, LMHC, CASAC-G, SAP
1 Endorsed
Middletown, NY 10941
Many of my clients are professionals that value their privacy and struggle with balancing the demands of life which may include alcohol, substance and mental health related concerns. My ideal clients are individuals and families that do not believe change is possible. My work is grounded in strength-based, harm reduction treatment modalities that address the needs of people from all backgrounds and lifestyles. The goal is to foster supportive, non judgmental atmospheres of trust and honesty to explore problematic relationships and other challenging life concerns to promote healthy lifestyle changes for themselves and their families.
Many of my clients are professionals that value their privacy and struggle with balancing the demands of life which may include alcohol, substance and mental health related concerns. My ideal clients are individuals and families that do not believe change is possible. My work is grounded in strength-based, harm reduction treatment modalities that address the needs of people from all backgrounds and lifestyles. The goal is to foster supportive, non judgmental atmospheres of trust and honesty to explore problematic relationships and other challenging life concerns to promote healthy lifestyle changes for themselves and their families.
(845) 478-8284 View (845) 478-8284
Photo of Victoria DiRubba, Counselor, LMHC, CCATP
Victoria DiRubba
Counselor, LMHC, CCATP
1 Endorsed
Middletown, NY 10941
I believe that pursing therapy is a direct message to yourself that you deserve support, in the best and worst of times. It is a privilege to be welcomed into your world and to provide you with the necessary support, guidance, and collaborative efforts. My education and training have allowed me to indulge in opportunities where I was able to work with many different populations and utilize new modalities.
I believe that pursing therapy is a direct message to yourself that you deserve support, in the best and worst of times. It is a privilege to be welcomed into your world and to provide you with the necessary support, guidance, and collaborative efforts. My education and training have allowed me to indulge in opportunities where I was able to work with many different populations and utilize new modalities.
(845) 443-7858 View (845) 443-7858
Photo of Giuliana Battista, Counselor, LMHC
Giuliana Battista
Counselor, LMHC
1 Endorsed
Middletown, NY 10941
Therapy isn’t about changing who you are—it’s about helping you navigate life with more clarity, confidence, and self-compassion. My goal is to create a space where you feel truly understood. I believe therapy doesn’t have to be rigid or formal—it can be a place where you feel comfortable being yourself. I use humor to build genuine connections and encourage authenticity, making the process feel approachable and empowering. I work with individuals struggling with anxiety, depression, self-esteem, family and relationship conflicts, life transitions, ADHD, and OCD, among other concerns.
Therapy isn’t about changing who you are—it’s about helping you navigate life with more clarity, confidence, and self-compassion. My goal is to create a space where you feel truly understood. I believe therapy doesn’t have to be rigid or formal—it can be a place where you feel comfortable being yourself. I use humor to build genuine connections and encourage authenticity, making the process feel approachable and empowering. I work with individuals struggling with anxiety, depression, self-esteem, family and relationship conflicts, life transitions, ADHD, and OCD, among other concerns.
(845) 310-0492 View (845) 310-0492
Photo of Brianna Edwards, Clinical Social Work/Therapist, LCSW, RYT-200
Brianna Edwards
Clinical Social Work/Therapist, LCSW, RYT-200
1 Endorsed
Middletown, NY 10941
I believe everyone deserves a space to feel heard, understood, and supported. Whether you're struggling with anxiety, feeling stuck in patterns that no longer serve you, seeking greater self-awareness or need support through life transitions, I’m here to help you navigate these experiences with empathy and evidence-based tools. My goal is to empower you to make meaningful changes and feel more in control of your life. I specialize in working with individuals dealing with trauma, self-esteem challenges, chronic stress, and anxiety. I am also a certified yoga teacher which allows me to offer a holistic approach to mental wellness.
I believe everyone deserves a space to feel heard, understood, and supported. Whether you're struggling with anxiety, feeling stuck in patterns that no longer serve you, seeking greater self-awareness or need support through life transitions, I’m here to help you navigate these experiences with empathy and evidence-based tools. My goal is to empower you to make meaningful changes and feel more in control of your life. I specialize in working with individuals dealing with trauma, self-esteem challenges, chronic stress, and anxiety. I am also a certified yoga teacher which allows me to offer a holistic approach to mental wellness.
(845) 237-5964 View (845) 237-5964
Photo of Emma Meisel, LCAT-LP
Emma Meisel
Verified Verified
1 Endorsed
Middletown, NY 10941
Are you feeling stuck? Do you struggle to change patterns of behavior you are unhappy with? It is possible to experience personal growth regardless of how unmotivated or out of control you may feel right now. Whether you are a child, teen or an adult navigating anxiety, trauma, stress, attention difficulties or life transitions, therapy can provide a supportive space to better understand what you are going through and begin making meaningful changes.
Are you feeling stuck? Do you struggle to change patterns of behavior you are unhappy with? It is possible to experience personal growth regardless of how unmotivated or out of control you may feel right now. Whether you are a child, teen or an adult navigating anxiety, trauma, stress, attention difficulties or life transitions, therapy can provide a supportive space to better understand what you are going through and begin making meaningful changes.
(929) 930-3524 x1 View (929) 930-3524 x1
Photo of Lara Demberg Voloto, Counselor, LMHC, E-RYT
Lara Demberg Voloto
Counselor, LMHC, E-RYT
1 Endorsed
Middletown, NY 10941
As a therapist, my mission is to deepen the conversations we have with ourselves, creating opportunities for growth. By deepening our relationships with Self, we can gain better perspective on our choices — how we got to this moment, as well as how to move forward. Through a therapeutic, strength-based partnership in a welcoming, supportive, and judgment-free environment, we will explore your potential and move toward a place of authenticity and contentment. I specialize in adults and adolescents who struggle with trauma, anxiety, depression, shame, eating disorders, body-image, parenting, marital problems and attachment issues.
As a therapist, my mission is to deepen the conversations we have with ourselves, creating opportunities for growth. By deepening our relationships with Self, we can gain better perspective on our choices — how we got to this moment, as well as how to move forward. Through a therapeutic, strength-based partnership in a welcoming, supportive, and judgment-free environment, we will explore your potential and move toward a place of authenticity and contentment. I specialize in adults and adolescents who struggle with trauma, anxiety, depression, shame, eating disorders, body-image, parenting, marital problems and attachment issues.
(845) 593-4734 View (845) 593-4734
Photo of Christie Malitz, Clinical Social Work/Therapist, LCSW
Christie Malitz
Clinical Social Work/Therapist, LCSW
1 Endorsed
Middletown, NY 10941
Becoming a clinical therapist has been an eye-opening journey of just how common the struggle truly is for everybody. Most people feel incredibly misunderstood or a lack of fulfillment in their everyday lives. No, you’re not “crazy”, you’re a human in a world where mental health has been vastly growing and it’s time we catch everybody up! My skills involve creating a gentle space for clients to freely express themselves and gain direction in their lives. I offer an eclectic approach to therapeutic modalities depending on the independent client's needs.
Becoming a clinical therapist has been an eye-opening journey of just how common the struggle truly is for everybody. Most people feel incredibly misunderstood or a lack of fulfillment in their everyday lives. No, you’re not “crazy”, you’re a human in a world where mental health has been vastly growing and it’s time we catch everybody up! My skills involve creating a gentle space for clients to freely express themselves and gain direction in their lives. I offer an eclectic approach to therapeutic modalities depending on the independent client's needs.
(845) 614-8110 View (845) 614-8110
Photo of Alexandra Velez, Counselor, LMHC
Alexandra Velez
Counselor, LMHC
1 Endorsed
Middletown, NY 10941
Depression, overwhelming stress, racing thoughts, painful memories, relationship struggles, existential questions — whatever keeps you up at night or keeps you in bed all day — it’s human, and sometimes it’s hard to be human. Turning toward our pain and taking a step toward healing takes tremendous courage. My approach to therapy is to honor that courage and walk alongside you with compassion and curiosity. My role is to shine a light on your next step. I’ve had the privilege of helping many individuals, couples, and families resolve conflict, rediscover joy, and find meaning in the midst of loss.
Depression, overwhelming stress, racing thoughts, painful memories, relationship struggles, existential questions — whatever keeps you up at night or keeps you in bed all day — it’s human, and sometimes it’s hard to be human. Turning toward our pain and taking a step toward healing takes tremendous courage. My approach to therapy is to honor that courage and walk alongside you with compassion and curiosity. My role is to shine a light on your next step. I’ve had the privilege of helping many individuals, couples, and families resolve conflict, rediscover joy, and find meaning in the midst of loss.
(845) 442-5656 View (845) 442-5656
Photo of Erica Schneider, Clinical Social Work/Therapist, LCSW
Erica Schneider
Clinical Social Work/Therapist, LCSW
1 Endorsed
Middletown, NY 10941
People decide to begin therapy for a variety of reasons. Many have had painful or traumatic experiences that they are unable to move past. Some feel stuck in unhelpful thought patterns or behaviors, or struggle to find fulfillment in relationships or at work. Others may feel burdened with excessive worry, or with feelings of low self worth and inadequacy. I believe that recovery involves healing of the mind and body, and I am trained in several modalities, including CBT (Cognitive Behavioral Therapy), DBT (Dialectical Behavior Therapy), Cognitive Processing Therapy (CPT), eating disorder treatment, and suicide prevention.
People decide to begin therapy for a variety of reasons. Many have had painful or traumatic experiences that they are unable to move past. Some feel stuck in unhelpful thought patterns or behaviors, or struggle to find fulfillment in relationships or at work. Others may feel burdened with excessive worry, or with feelings of low self worth and inadequacy. I believe that recovery involves healing of the mind and body, and I am trained in several modalities, including CBT (Cognitive Behavioral Therapy), DBT (Dialectical Behavior Therapy), Cognitive Processing Therapy (CPT), eating disorder treatment, and suicide prevention.
(845) 316-0895 View (845) 316-0895
Photo of Jennifer Cardine, Counselor, LMHC
Jennifer Cardine
Counselor, LMHC
1 Endorsed
Middletown, NY 10941
I believe it is a privilege to enter your world and share your experience. In therapy, I believe in asking good questions and standing beside you as you choose healing, wellness, and meaningfulness. I use an eclectic mix of techniques from Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Family Systems Therapy, Trust-Based Relational Intervention, and Integrative Medicine, based specifically on your needs and goals.
I believe it is a privilege to enter your world and share your experience. In therapy, I believe in asking good questions and standing beside you as you choose healing, wellness, and meaningfulness. I use an eclectic mix of techniques from Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Family Systems Therapy, Trust-Based Relational Intervention, and Integrative Medicine, based specifically on your needs and goals.
(845) 218-7204 View (845) 218-7204
Photo of Melissa Quinn, Counselor, LMHC, CDBT
Melissa Quinn
Counselor, LMHC, CDBT
1 Endorsed
Middletown, NY 10941
There are times in our lives when we feel lost, stuck, unhappy, or powerless. Sometimes we are unsure how we feel, or why we feel this way. Other times we are unsure or confused by what to do about it. Making the decision to start therapy can be an intimidating experience, and I truly appreciate the opportunity to partner with you in creating a safe, empathetic and comfortable environment in which to assist you with gaining a deeper understanding of yourself, as well as the skills and understanding needed to face life’s challenges with a sense of competence, confidence, and self-compassion.
There are times in our lives when we feel lost, stuck, unhappy, or powerless. Sometimes we are unsure how we feel, or why we feel this way. Other times we are unsure or confused by what to do about it. Making the decision to start therapy can be an intimidating experience, and I truly appreciate the opportunity to partner with you in creating a safe, empathetic and comfortable environment in which to assist you with gaining a deeper understanding of yourself, as well as the skills and understanding needed to face life’s challenges with a sense of competence, confidence, and self-compassion.
(845) 378-3147 View (845) 378-3147
Photo of Katherine Harvey, Clinical Social Work/Therapist, LCSW
Katherine Harvey
Clinical Social Work/Therapist, LCSW
1 Endorsed
Middletown, NY 10941
Engaging in the therapeutic process can add great value to your life, including a deeper understanding of yourself and having the space to identify areas for growth. It is a unique space for you, separate from your everyday life; a calming place to enter, to breathe, and take time to identify your thoughts and feelings in such a busy and fast-paced world. I aim to provide highly individualized treatment in a non-judgmental and empowering way.
Engaging in the therapeutic process can add great value to your life, including a deeper understanding of yourself and having the space to identify areas for growth. It is a unique space for you, separate from your everyday life; a calming place to enter, to breathe, and take time to identify your thoughts and feelings in such a busy and fast-paced world. I aim to provide highly individualized treatment in a non-judgmental and empowering way.
(845) 444-3685 View (845) 444-3685
Photo of Jessica C. Sullivan, Clinical Social Work/Therapist, LCSW-R
Jessica C. Sullivan
Clinical Social Work/Therapist, LCSW-R
8 Endorsed
Middletown, NY 10941
Therapy is a partnership on your journey to find balance and peace. Together, we'll experience a close and meaningful therapeutic relationship, which is the ultimate foundation for successful therapy. Through my years of practice, I've worked intently to create a safe, peaceful and comfortable space for clients to connect with themselves on a deeper level. My approach is strengths-based, nonjudgmental and tailored to your specific needs. Each session, you will learn techniques to help you tackle the daily challenges of life and I'll be there to support you each step of the way.
Therapy is a partnership on your journey to find balance and peace. Together, we'll experience a close and meaningful therapeutic relationship, which is the ultimate foundation for successful therapy. Through my years of practice, I've worked intently to create a safe, peaceful and comfortable space for clients to connect with themselves on a deeper level. My approach is strengths-based, nonjudgmental and tailored to your specific needs. Each session, you will learn techniques to help you tackle the daily challenges of life and I'll be there to support you each step of the way.
(845) 867-2641 View (845) 867-2641
Photo of Nicole Tondreau, Counselor, LMHC, C-DBT
Nicole Tondreau
Counselor, LMHC, C-DBT
1 Endorsed
Middletown, NY 10941
Taking the first step towards therapy can feel uncomfortable, and that’s okay. My goal is to help you feel supported while you work through the discomfort of creating a life that feels more meaningful, peaceful, and fulfilling. I work with teens and adults who are navigating anxiety, OCD, and trauma, along with the many challenges that come with being human. I strive to create a space that feels safe, compassionate, and collaborative. I believe that lasting change occurs when we feel seen and understood. I value authenticity, connection, and meeting you where you are.
Taking the first step towards therapy can feel uncomfortable, and that’s okay. My goal is to help you feel supported while you work through the discomfort of creating a life that feels more meaningful, peaceful, and fulfilling. I work with teens and adults who are navigating anxiety, OCD, and trauma, along with the many challenges that come with being human. I strive to create a space that feels safe, compassionate, and collaborative. I believe that lasting change occurs when we feel seen and understood. I value authenticity, connection, and meeting you where you are.
(845) 599-8201 View (845) 599-8201
Photo of Sandra E Johnson - Sandra Johnson Counseling Services, Clinical Social Work/Therapist, LCSW-R, LMFT, CASAC
Sandra Johnson Counseling Services
Clinical Social Work/Therapist, LCSW-R, LMFT, CASAC
Serves Area
As a seasoned psychotherapist, my mission has always been to create a safe, supportive space where you can explore your thoughts, feelings and experiences without judgment. Life presents each of us with unique challenges – whether it’s navigating loss, addictions, relationships, anxiety, trauma, or simply feeling stuck or disconnected. I believe in the strength and resilience that lives within each person, even when it feels out of reach. You don’t have to go through it alone. Together, we can work to restore hope, deepen self understanding, and move toward a life that feels more balanced, empowered, and authentic.
As a seasoned psychotherapist, my mission has always been to create a safe, supportive space where you can explore your thoughts, feelings and experiences without judgment. Life presents each of us with unique challenges – whether it’s navigating loss, addictions, relationships, anxiety, trauma, or simply feeling stuck or disconnected. I believe in the strength and resilience that lives within each person, even when it feels out of reach. You don’t have to go through it alone. Together, we can work to restore hope, deepen self understanding, and move toward a life that feels more balanced, empowered, and authentic.
(845) 456-9602 View (845) 456-9602
Photo of Deja Harford, Counselor, LMHC
Deja Harford
Counselor, LMHC
3 Endorsed
Serves Area
I am a licensed mental health counselor and have advanced Certification in Family Counseling with over 15 years of experience. I have dedicated myself to truly understanding the unique challenges individuals and families face. Throughout my journey in this field, I've gathered a diverse range of skills and insights, allowing me to genuinely support clients as they navigate through relationship struggles and life's various stressors. I aim to provide personalized and collaborative treatment, tailored to enhance your overall quality of life. I'm here to empower and support you on your journey.
I am a licensed mental health counselor and have advanced Certification in Family Counseling with over 15 years of experience. I have dedicated myself to truly understanding the unique challenges individuals and families face. Throughout my journey in this field, I've gathered a diverse range of skills and insights, allowing me to genuinely support clients as they navigate through relationship struggles and life's various stressors. I aim to provide personalized and collaborative treatment, tailored to enhance your overall quality of life. I'm here to empower and support you on your journey.
(347) 389-7512 View (347) 389-7512

See more therapy options for 10941

How does your Therapist compare?

Number of Therapists in 10941

30+

Average cost per session

$145

Therapists in 10941 who prioritize treating:

95% Anxiety
90% Depression
79% Trauma and PTSD
79% Self Esteem
77% Relationship Issues
69% Stress
54% Grief

Average years in practice

13 Years

Top 3 insurances accepted

90% Aetna
90% Cigna and Evernorth
80% Carelon Behavioral Health

How Therapists in 10941 see their clients

59% In Person and Online
41% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 10941?

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.