Therapists in 12179

Photo of Carla Billey, Clinical Social Work/Therapist, MSW, LMSW, LCSW
Carla Billey
Clinical Social Work/Therapist, MSW, LMSW, LCSW
1 Endorsed
Serves Area
Your privacy, comfort and growth are key. The ideal client seeks help and is willing to commit to the healing process. I understand importance of mental/emotional stability. My focus for treatment is to expand every clients possibilities, strength and confidence. Online scheduling and therapy sessions are offered. My professional experience, since 2010, includes experience as an outpatient clinic therapist, psychotherapist and social worker. I have a significant amount of experience working with people from a wide variety of racial, ethnic, and socioeconomic backgrounds.
Your privacy, comfort and growth are key. The ideal client seeks help and is willing to commit to the healing process. I understand importance of mental/emotional stability. My focus for treatment is to expand every clients possibilities, strength and confidence. Online scheduling and therapy sessions are offered. My professional experience, since 2010, includes experience as an outpatient clinic therapist, psychotherapist and social worker. I have a significant amount of experience working with people from a wide variety of racial, ethnic, and socioeconomic backgrounds.
(518) 314-8018 View (518) 314-8018
Photo of James Foley - Sugar Daddy/ "Seeking Arrangements" Treatment , Clinical Social Work/Therapist, LCSW-R, SOTS
Sugar Daddy/ "Seeking Arrangements" Treatment
Clinical Social Work/Therapist, LCSW-R, SOTS
Serves Area
I'm James Foley LCSW., my clinical skill is helping you stop Seeking Arrangements, Secret Benefits, SugarDaddyMeet, WhatsYourPrice, infidelity, prostitution use, to have you correct self deceptive thinking that enables Sex addiction / infidelity, and put an end to these destructive actions for good. I have thirty years of clinical experience exclusively in sexual misbehaviors and use all that superior experience/insight/ skills/ knowledge to help preserve the life you love from behaviors that in the end will with certainty, leave you isolated, broke, and feeling foolish of how much you traded these illusionary experiences for
I'm James Foley LCSW., my clinical skill is helping you stop Seeking Arrangements, Secret Benefits, SugarDaddyMeet, WhatsYourPrice, infidelity, prostitution use, to have you correct self deceptive thinking that enables Sex addiction / infidelity, and put an end to these destructive actions for good. I have thirty years of clinical experience exclusively in sexual misbehaviors and use all that superior experience/insight/ skills/ knowledge to help preserve the life you love from behaviors that in the end will with certainty, leave you isolated, broke, and feeling foolish of how much you traded these illusionary experiences for
(646) 718-0509 View (646) 718-0509
Photo of Wendy Camille Bruno - Sound Mind Mental Health Counseling PLLC, Counselor, LMHC
Sound Mind Mental Health Counseling PLLC
Counselor, LMHC
Serves Area
I am a Licensed Mental Health Counselor (LMHC) with over 15 years experience servicing adolescents, adults and families. My experience includes treatments for depression, anxiety, relational issues, anger management, substance abuse, women's issues, sexual and domestic violence as well as parenting issues.
I am a Licensed Mental Health Counselor (LMHC) with over 15 years experience servicing adolescents, adults and families. My experience includes treatments for depression, anxiety, relational issues, anger management, substance abuse, women's issues, sexual and domestic violence as well as parenting issues.
(518) 750-6762 View (518) 750-6762
Photo of Samuel Adam, Counselor, LMHC-D
Samuel Adam
Counselor, LMHC-D
Serves Area
Holding the conviction that as human beings we develop across the lifespan—emotionally, mentally, spiritually and so on—where some may see illness or pathology, I might see a pivotal moment, an opportunity disguised as a crisis, or a stuck-point seeking a breakthrough. Consequently, my view is very holistic—maintaining that the body-mind-spirit is a complex, interwoven field of energy. If you believe that wellness, fulfillment and contentment is the result of finding balance in the emotional, occupational, physical, social, intellectual, and spiritual domains of life, we would probably be a good fit to work together.
Holding the conviction that as human beings we develop across the lifespan—emotionally, mentally, spiritually and so on—where some may see illness or pathology, I might see a pivotal moment, an opportunity disguised as a crisis, or a stuck-point seeking a breakthrough. Consequently, my view is very holistic—maintaining that the body-mind-spirit is a complex, interwoven field of energy. If you believe that wellness, fulfillment and contentment is the result of finding balance in the emotional, occupational, physical, social, intellectual, and spiritual domains of life, we would probably be a good fit to work together.
(518) 363-6554 View (518) 363-6554
Photo of Ben Goitz, Counselor, LMHC
Ben Goitz
Counselor, LMHC
Serves Area
Waitlist for new clients
Hi, I'm Ben. I'm a licensed mental health counselor in Delmar. What continues to amaze me as a therapist is how resilient people are. I've worked with people going through traumatic experiences and I've seen them go on to live meaningful, fulfilling lives. I strongly believe people can overcome the immense obstacles life throws their way.
Hi, I'm Ben. I'm a licensed mental health counselor in Delmar. What continues to amaze me as a therapist is how resilient people are. I've worked with people going through traumatic experiences and I've seen them go on to live meaningful, fulfilling lives. I strongly believe people can overcome the immense obstacles life throws their way.
(518) 241-5455 View (518) 241-5455
Photo of Jenn A Hamilton, Clinical Social Work/Therapist, LCSW, KMOG
Jenn A Hamilton
Clinical Social Work/Therapist, LCSW, KMOG
Serves Area
Waitlist for new clients
Becoming happy with the people closest to you can be the most challenging part of life. You might know what’s causing unhappiness in your relationships but just can't figure out how to change it. The same conflicts repeat themselves over and over, and despite your best efforts to avoid it, you still catch yourself yelling, arguing, or walking away defeated. We're not always able to resolve things when we want to with the people we love, but the good news is that when we recognize this as a temporary circumstance of our life, we can start to heal some of that pain. We're wired to improve our relationships and to feel good in them.
Becoming happy with the people closest to you can be the most challenging part of life. You might know what’s causing unhappiness in your relationships but just can't figure out how to change it. The same conflicts repeat themselves over and over, and despite your best efforts to avoid it, you still catch yourself yelling, arguing, or walking away defeated. We're not always able to resolve things when we want to with the people we love, but the good news is that when we recognize this as a temporary circumstance of our life, we can start to heal some of that pain. We're wired to improve our relationships and to feel good in them.
(518) 282-0586 View (518) 282-0586
Photo of Rachel Robles, LMHC
Rachel Robles
Verified Verified
Online Only
Welcome! I’m glad you’re here. Whether you’re feeling overwhelmed by anxiety, stuck in patterns that no longer serve you, or simply unsure of your next step - there’s support here for you. Many of my clients come in carrying the weight of stress, trauma, or self-doubt, and together, we work to lighten that load.
Welcome! I’m glad you’re here. Whether you’re feeling overwhelmed by anxiety, stuck in patterns that no longer serve you, or simply unsure of your next step - there’s support here for you. Many of my clients come in carrying the weight of stress, trauma, or self-doubt, and together, we work to lighten that load.
(646) 466-7964 View (646) 466-7964
Photo of Jeanne M Borromeo - New Day Intervention Strategies, LLC, Clinical Social Work/Therapist, LCSW-R, CAMSII
New Day Intervention Strategies, LLC
Clinical Social Work/Therapist, LCSW-R, CAMSII
1 Endorsed
Online Only
New Day Intervention Strategies, LLC is committed to providing anger management treatment, individual counseling and education services that utilize simple, effective strategies to overcome barriers to healing and further promote successful outcomes for children and families.
New Day Intervention Strategies, LLC is committed to providing anger management treatment, individual counseling and education services that utilize simple, effective strategies to overcome barriers to healing and further promote successful outcomes for children and families.
(518) 412-3061 View (518) 412-3061

More Therapists Nearby

Photo of Lisa Drzymala, Licensed Master Social Worker, LMSW
Lisa Drzymala
Licensed Master Social Worker, LMSW
Albany, NY 12207
You’re exhausted. You are a sensitive, unique soul, and you’re tired of spinning your wheels. You put a lot of pressure on yourself. You’ve struggled with a disability. Thinking about it, alone, makes you feel overwhelmed. You’re scared that when you finally take the leap and reach out to someone for help, nothing will change. They won’t get you, see the real you. You’re not even sure you can open up enough for real change, but you know you want to tr, with someone smart and sincere to help you make sense of things.
You’re exhausted. You are a sensitive, unique soul, and you’re tired of spinning your wheels. You put a lot of pressure on yourself. You’ve struggled with a disability. Thinking about it, alone, makes you feel overwhelmed. You’re scared that when you finally take the leap and reach out to someone for help, nothing will change. They won’t get you, see the real you. You’re not even sure you can open up enough for real change, but you know you want to tr, with someone smart and sincere to help you make sense of things.
(518) 532-3041 View (518) 532-3041
Photo of Laurel Burns, Counselor, EdS, LMHC
Laurel Burns
Counselor, EdS, LMHC
Schenectady, NY 12309
Change is hard, whether you are trying to stop anxious thoughts, be a better parent, let go of eating disorder behavior, or save your marriage. If you wish to bring change into your life, and have been unable to do it on your own, I can help. I am an expert in the science of change and hold a certificate in the field of Positive Psychology. I am a strength based therapist. Collaboratively and creatively we can discover the tools to enable you to move from a painful state to comfort and resilience, where you can flourish and become the best version of yourself.
Change is hard, whether you are trying to stop anxious thoughts, be a better parent, let go of eating disorder behavior, or save your marriage. If you wish to bring change into your life, and have been unable to do it on your own, I can help. I am an expert in the science of change and hold a certificate in the field of Positive Psychology. I am a strength based therapist. Collaboratively and creatively we can discover the tools to enable you to move from a painful state to comfort and resilience, where you can flourish and become the best version of yourself.
(518) 864-4056 View (518) 864-4056
Photo of Tom Murphy, Counselor, PhD, LMHC
Tom Murphy
Counselor, PhD, LMHC
Albany, NY 12203
I am a Licensed Mental Health Counselor who specializes in the treatment of trauma. I define trauma as an unhealed wound that continues to affect daily living. People who experience trauma often develop adaptive strategies to cope, but those strategies tend to become problematic as time goes by. It is important to remember that no child is responsible for their own abuse. Any assault on a person is the responsibility of the person who is committing violence. Trauma is not weakness, but an opportunity to become strong at the broken places.
I am a Licensed Mental Health Counselor who specializes in the treatment of trauma. I define trauma as an unhealed wound that continues to affect daily living. People who experience trauma often develop adaptive strategies to cope, but those strategies tend to become problematic as time goes by. It is important to remember that no child is responsible for their own abuse. Any assault on a person is the responsibility of the person who is committing violence. Trauma is not weakness, but an opportunity to become strong at the broken places.
(518) 375-3082 View (518) 375-3082
Photo of Katie Martinez, Counselor, LMHC
Katie Martinez
Counselor, LMHC
1 Endorsed
Latham, NY 12110
If you are someone who feels they have been ready to make changes in their life but need assistance with how to do so, Katie is the person to meet with. She has experience with a range of therapy modalities but feels it’s best to use the modality that best fits you. Katie also believes that you are the expert of your life and have the ability to make the changes you desire. She feels that you and her are a team working towards one common goal, to better your life.
If you are someone who feels they have been ready to make changes in their life but need assistance with how to do so, Katie is the person to meet with. She has experience with a range of therapy modalities but feels it’s best to use the modality that best fits you. Katie also believes that you are the expert of your life and have the ability to make the changes you desire. She feels that you and her are a team working towards one common goal, to better your life.
(518) 519-8127 View (518) 519-8127
Photo of Vincent Quinnan, LMSW, CASAC
Vincent Quinnan
Verified Verified
Ballston Spa, NY 12020
I partner collaboratively and holistically with clients to resolve burdens and tangled threads of trauma; providing truly clear air to effectively resource your strengths and springboard to your goals. My practice is informed by my creative spirit as a poet and musician; specializing in supporting artists, performers, and first responders: imparting my experience as a career EMT to effectively support the unique challenges of working in the healthcare field. We're a team, and I exceed at helping you resource to navigate life more freely; and ferociously advocate on your behalf when called upon. Let's collaborate!
I partner collaboratively and holistically with clients to resolve burdens and tangled threads of trauma; providing truly clear air to effectively resource your strengths and springboard to your goals. My practice is informed by my creative spirit as a poet and musician; specializing in supporting artists, performers, and first responders: imparting my experience as a career EMT to effectively support the unique challenges of working in the healthcare field. We're a team, and I exceed at helping you resource to navigate life more freely; and ferociously advocate on your behalf when called upon. Let's collaborate!
(332) 237-3289 View (332) 237-3289
Photo of Lisa M Woolfe, Clinical Social Work/Therapist, MA, LCSWR
Lisa M Woolfe
Clinical Social Work/Therapist, MA, LCSWR
1 Endorsed
Saratoga Springs, NY 12866
We all wear many hats in this world, whether it be parent, daughter/son, partner, friend or boss and I can teach you how to do it all and not be burnt out: how to live your life qualitatively, not quantitatively. Together I can help you learn how to be a choice maker and creator of your life-teaching you how to enjoy your whole life. I work with all ages and have 33 years experience as a psychotherapist. My style is conversational, collaborative and direct. I particularly love to help families &/or couples have those hard conversations that they are not talking about.
We all wear many hats in this world, whether it be parent, daughter/son, partner, friend or boss and I can teach you how to do it all and not be burnt out: how to live your life qualitatively, not quantitatively. Together I can help you learn how to be a choice maker and creator of your life-teaching you how to enjoy your whole life. I work with all ages and have 33 years experience as a psychotherapist. My style is conversational, collaborative and direct. I particularly love to help families &/or couples have those hard conversations that they are not talking about.
(518) 605-8197 View (518) 605-8197
Photo of Ricky Greenwald - Trauma Institute & Child Trauma Institute, Psychologist
Do you want to transform your life? Do you find that you just can’t let go of your thoughts, feelings, or behaviors? Wouldn’t you like to just put it all behind you and move on to living a happier and fuller life? We work with adults, children, and adolescents who are struggling with anxiety, depression, anger, grief and loss, PTSD, trauma, behavioral challenges, stress, and much more. We have the clinical expertise to help you heal from trauma. Trauma can be caused by bullying, all forms of discrimination, relationship issues, betrayal, divorce, death, illness, childhood abuse, domestic violence, sexual assault, military combat, violent crime, motor vehicle accident, LGBTQ struggles, and so much more. We can help you figure out what would be the best path towards healing.
Do you want to transform your life? Do you find that you just can’t let go of your thoughts, feelings, or behaviors? Wouldn’t you like to just put it all behind you and move on to living a happier and fuller life? We work with adults, children, and adolescents who are struggling with anxiety, depression, anger, grief and loss, PTSD, trauma, behavioral challenges, stress, and much more. We have the clinical expertise to help you heal from trauma. Trauma can be caused by bullying, all forms of discrimination, relationship issues, betrayal, divorce, death, illness, childhood abuse, domestic violence, sexual assault, military combat, violent crime, motor vehicle accident, LGBTQ struggles, and so much more. We can help you figure out what would be the best path towards healing.
(413) 994-0033 View (413) 994-0033
Photo of Risa Levenson, Psychologist, PhD, CH
Risa Levenson
Psychologist, PhD, CH
Ballston Lake, NY 12019
Welcome. Live! Love! Dream! Enjoy life! My name is Risa Levenson, Ph.D, CH. and I am a Licensed Clinical Health Psychologist, Hypnotist, and energy worker. I have been a Psychologist for over 25 years and enjoy using cognitive-behavioral techniques, hypnosis and energy healing to assist my clients in achieving their goals/dreams. I truly enjoy assisting my clients acomplish their goals and achieve what they want out of life. I believe positive words create positive outcomes. We all need to be nicer to self and treat self as you would a best friends.
Welcome. Live! Love! Dream! Enjoy life! My name is Risa Levenson, Ph.D, CH. and I am a Licensed Clinical Health Psychologist, Hypnotist, and energy worker. I have been a Psychologist for over 25 years and enjoy using cognitive-behavioral techniques, hypnosis and energy healing to assist my clients in achieving their goals/dreams. I truly enjoy assisting my clients acomplish their goals and achieve what they want out of life. I believe positive words create positive outcomes. We all need to be nicer to self and treat self as you would a best friends.
(518) 662-7699 View (518) 662-7699
Photo of Taylor Bouton, LMSW
Taylor Bouton
Verified Verified
Clifton Park, NY 12065
If it’s felt hard to reach out—especially to someone you don’t yet know—I deeply understand. I’m Taylor Bouton (she/her), and I honor that trust and take it seriously. As a proud queer therapist and LMSW trained at the University at Albany, my goal is to meet you exactly where you’re at in your journey, offering warmth, flexibility, and unwavering support. You come in with your strengths and your struggles—whether you’re navigating eating disorders, body dysmorphia, trauma, anxiety, depression, bipolar disorder, or PTSD. My approach is rooted in collaboration and adaptation to your needs.
If it’s felt hard to reach out—especially to someone you don’t yet know—I deeply understand. I’m Taylor Bouton (she/her), and I honor that trust and take it seriously. As a proud queer therapist and LMSW trained at the University at Albany, my goal is to meet you exactly where you’re at in your journey, offering warmth, flexibility, and unwavering support. You come in with your strengths and your struggles—whether you’re navigating eating disorders, body dysmorphia, trauma, anxiety, depression, bipolar disorder, or PTSD. My approach is rooted in collaboration and adaptation to your needs.
(518) 684-5912 View (518) 684-5912
Photo of Susan Bates, Counselor, LMHC
Susan Bates
Counselor, LMHC
Saratoga Springs, NY 12866
I am specialized in working with anxiety, self esteem, and relational issues. I am especially adept at working with those with people pleasing and perfectionist responses. Through our sessions I will facilitate an environment where you can feel comfortable to process difficult emotions, and be real. We will work together to create goals that help relieve symptoms and take control back of your life. My priority is meeting you where you are at, honoring the human in you and letting you show up in your most authentic form while holding space for all parts of who you are without judgement. I offer in person and virtual sessions .
I am specialized in working with anxiety, self esteem, and relational issues. I am especially adept at working with those with people pleasing and perfectionist responses. Through our sessions I will facilitate an environment where you can feel comfortable to process difficult emotions, and be real. We will work together to create goals that help relieve symptoms and take control back of your life. My priority is meeting you where you are at, honoring the human in you and letting you show up in your most authentic form while holding space for all parts of who you are without judgement. I offer in person and virtual sessions .
(518) 217-8461 View (518) 217-8461
Photo of Elly Barhydt, Clinical Social Work/Therapist, LCSW -R
Elly Barhydt
Clinical Social Work/Therapist, LCSW -R
Latham, NY 12110
I am a NYS Licensed Clinical Social Worker (LCSW-R) with over 18 years of experience working with children, adolescents and adults with a wide range of issues, such as anxiety, depression, stress, anger, self-esteem, lack of motivation, interpersonal relationships, cultural and life transitions, family conflicts, parenting, ADHD and school struggles.
I am a NYS Licensed Clinical Social Worker (LCSW-R) with over 18 years of experience working with children, adolescents and adults with a wide range of issues, such as anxiety, depression, stress, anger, self-esteem, lack of motivation, interpersonal relationships, cultural and life transitions, family conflicts, parenting, ADHD and school struggles.
(518) 975-3185 View (518) 975-3185
Photo of Veronica Cole, Counselor, LMHC
Veronica Cole
Counselor, LMHC
1 Endorsed
Serves Area
Holistic Anxiety Healing for Brave, Whole-Hearted Souls. Everyone can and deserves to live the life of their greatest dreams. Yes, this is possible…even if you’ve suffered for decades with anxiety, PTSD, depression, burnout or unresolved grief, I have worked with numerous clients who have suffered trauma of all sorts. From members of the U.S. military with combat related trauma to mothers grieving the loss of their infant children. No one is “too far gone” to benefit from holistic anxiety healing. I work with brave, whole-hearted souls who want to see healing on all levels - body, mind and spirit so they become their best self.
Holistic Anxiety Healing for Brave, Whole-Hearted Souls. Everyone can and deserves to live the life of their greatest dreams. Yes, this is possible…even if you’ve suffered for decades with anxiety, PTSD, depression, burnout or unresolved grief, I have worked with numerous clients who have suffered trauma of all sorts. From members of the U.S. military with combat related trauma to mothers grieving the loss of their infant children. No one is “too far gone” to benefit from holistic anxiety healing. I work with brave, whole-hearted souls who want to see healing on all levels - body, mind and spirit so they become their best self.
(518) 759-7207 View (518) 759-7207

See more therapy options for 12179

How does your Therapist compare?

Number of Therapists in 12179

< 10

Therapists in 12179 who prioritize treating:

88% Depression
88% Anxiety
88% Trauma and PTSD
75% Stress
63% Anger Management
50% Relationship Issues
50% Grief

Average years in practice

12 Years

Top 3 insurances accepted

100% Aetna
57% Anthem
57% Empire Blue Cross Blue Shield

How Therapists in 12179 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

57% Female
43% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 12179?

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.