Therapists in 15904

Photo of Angie Richard - Croyle-Nielsen Therapeutic Associates, Inc., LCSW, LSW, LPC
Our staff is a collection of talented and dedicated individually licensed professional clinicians (LPCs, LCSWs, and LSWs), who combine a love of their craft with a true desire to help others make real improvements to their quality of life. That passion shows in everything we do! We are a people-centered organization and we prioritize our clients, our integrity and excellence in treatment above all other things. Our aim is to be a force for good in the lives of our clients, in our communities and to put quality over quantity every time! "Serving others is our calling and the reason we are in business. We believe that our clients deserve the best service and the highest quality mental health therapy." - Amy M. Nielsen, President
Our staff is a collection of talented and dedicated individually licensed professional clinicians (LPCs, LCSWs, and LSWs), who combine a love of their craft with a true desire to help others make real improvements to their quality of life. That passion shows in everything we do! We are a people-centered organization and we prioritize our clients, our integrity and excellence in treatment above all other things. Our aim is to be a force for good in the lives of our clients, in our communities and to put quality over quantity every time! "Serving others is our calling and the reason we are in business. We believe that our clients deserve the best service and the highest quality mental health therapy." - Amy M. Nielsen, President
(814) 425-5011 View (814) 425-5011
Photo of Jennifer Drager - Jennifer Drager, LPC-Agency has no waiting list!, Licensed Professional Counselor, LPC
Jennifer Drager, LPC-Agency has no waiting list!
Licensed Professional Counselor, LPC
Johnstown, PA 15904
I am a Licensed Professional Counselor who has experience in the child welfare system. I have been working in the counseling field for over 10 years, and I have been license eligible since 2019. I have worked with families and individuals on a variety of different concerns. I am a certified Safe Care parenting coach, and a Certified Family Trauma Professional. I have recently been working towards a a Trauma Focused CBT certification. I have experience working with families and improving communication concerns between parents and children.
I am a Licensed Professional Counselor who has experience in the child welfare system. I have been working in the counseling field for over 10 years, and I have been license eligible since 2019. I have worked with families and individuals on a variety of different concerns. I am a certified Safe Care parenting coach, and a Certified Family Trauma Professional. I have recently been working towards a a Trauma Focused CBT certification. I have experience working with families and improving communication concerns between parents and children.
(484) 616-2087 View (484) 616-2087
Photo of Amber Varner, Licensed Professional Counselor, LPC
Amber Varner
Licensed Professional Counselor, LPC
Johnstown, PA 15904
I work with people facing stress, anxiety, depression, substance use, and major life transitions. I provide a safe space to explore emotions, build coping skills, and create meaningful change. My goal is to help you feel more grounded, confident, and intentional in your daily life—so you can move toward the balance and peace you’re looking for.
I work with people facing stress, anxiety, depression, substance use, and major life transitions. I provide a safe space to explore emotions, build coping skills, and create meaningful change. My goal is to help you feel more grounded, confident, and intentional in your daily life—so you can move toward the balance and peace you’re looking for.
(814) 297-3037 View (814) 297-3037
Photo of Hannah Richards - Hannah Richards,PMHNP-Agency has no waiting list!, PMHNP
My philosophy centers on empowerment and understanding. Seeking mental health care can be intimidating and nerve wracking therefore, my goal is to provide a safe and welcoming environment where we can work together to achieve your goals. I embrace a patient-centered approach while integrating biological and psychosocial factors to help individuals navigate their mental health journey all while feeling understood and supported.
My philosophy centers on empowerment and understanding. Seeking mental health care can be intimidating and nerve wracking therefore, my goal is to provide a safe and welcoming environment where we can work together to achieve your goals. I embrace a patient-centered approach while integrating biological and psychosocial factors to help individuals navigate their mental health journey all while feeling understood and supported.
(814) 747-6439 View (814) 747-6439
Photo of Maureen V Conway, Clinical Social Work/Therapist, MSW, LCSW
Maureen V Conway
Clinical Social Work/Therapist, MSW, LCSW
Johnstown, PA 15904
As a licensed clinical social worker with 20 years experience in therapeutic treatment for individuals, families and couples, I want to assure you of my complete attentiveness to your situation as we work toward your optimal well being. You will find my compassionate personality and relaxed environment to be a healthy therapeutic experience for you, your spouse and your family as together realistic and attainable goals are set. You will discover that your well being is my priority, and a vibrant, positive outlook on life is available to you.
As a licensed clinical social worker with 20 years experience in therapeutic treatment for individuals, families and couples, I want to assure you of my complete attentiveness to your situation as we work toward your optimal well being. You will find my compassionate personality and relaxed environment to be a healthy therapeutic experience for you, your spouse and your family as together realistic and attainable goals are set. You will discover that your well being is my priority, and a vibrant, positive outlook on life is available to you.
(814) 240-0446 View (814) 240-0446
Photo of Lauren Rose - Lauren Rose, LSW- Agency has no waiting list!, Clinical Social Work/Therapist, LSW
Lauren Rose, LSW- Agency has no waiting list!
Clinical Social Work/Therapist, LSW
Johnstown, PA 15904
Licensed Social Worker (LSW) with experience providing compassionate, client-centered care to individuals across the lifespan, including children, adolescents, adults, and older adults. Clinical background includes work in mental health and psychiatric settings, residential and inpatient treatment, crisis intervention, partial hospitalization programs, hospice care, counseling and case management.
Licensed Social Worker (LSW) with experience providing compassionate, client-centered care to individuals across the lifespan, including children, adolescents, adults, and older adults. Clinical background includes work in mental health and psychiatric settings, residential and inpatient treatment, crisis intervention, partial hospitalization programs, hospice care, counseling and case management.
(814) 328-8952 View (814) 328-8952
Photo of Ellen E Stewart - Trauma Specialist: EMDR Certified, Attachment, IFS, Licensed Professional Counselor, EMDR-C, MT-BC, LPC, NBCC, CATP
Trauma Specialist: EMDR Certified, Attachment, IFS
Licensed Professional Counselor, EMDR-C, MT-BC, LPC, NBCC, CATP
1 Endorsed
Johnstown, PA 15904
Accepting new clients! Ellen E. Stewart, LPC. Choosing the right counselor can be very difficult. Feeling weighed down, frustrated, and not able to move past difficult memories can make a person feel chained to the past. It is important that your concerns are heard, validated, and that your pain is relieved by healing the wounds. Unlike talk therapy, memories can be resolved without talking about them. EMDR and IFS are two evidenced based ways to permanently heal people who have trauma. I am offering EMDR intensive therapy where memories can be resolved as quickly as possible. Couples and co-parenting work are also options.
Accepting new clients! Ellen E. Stewart, LPC. Choosing the right counselor can be very difficult. Feeling weighed down, frustrated, and not able to move past difficult memories can make a person feel chained to the past. It is important that your concerns are heard, validated, and that your pain is relieved by healing the wounds. Unlike talk therapy, memories can be resolved without talking about them. EMDR and IFS are two evidenced based ways to permanently heal people who have trauma. I am offering EMDR intensive therapy where memories can be resolved as quickly as possible. Couples and co-parenting work are also options.
(814) 259-6509 View (814) 259-6509
Photo of Richard Hoffman - Christian Counseling Associates of Western PA, Counselor, PhD
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
(724) 320-1918 View (724) 320-1918
Photo of Adam Kleinman-Immediate Availability, Clinical Social Work/Therapist, LCSW
Adam Kleinman-Immediate Availability
Clinical Social Work/Therapist, LCSW
2 Endorsed
Johnstown, PA 15904
Accepting New Clients! Experience top-rated care from the best clinical staff in the your area. We hold the highest standards for our staff and administrative team. It is clear from the first phone call that your can put your trust in us. Whether it's depression, anxiety, or trauma, our family-owned practice is committed to guiding you towards your goals. Feel the difference that personalized, high-quality therapy can make. You matter to us and your mental health is our top priority. We care and it shows.
Accepting New Clients! Experience top-rated care from the best clinical staff in the your area. We hold the highest standards for our staff and administrative team. It is clear from the first phone call that your can put your trust in us. Whether it's depression, anxiety, or trauma, our family-owned practice is committed to guiding you towards your goals. Feel the difference that personalized, high-quality therapy can make. You matter to us and your mental health is our top priority. We care and it shows.
(814) 258-1500 View (814) 258-1500
Photo of Gregory E Reynolds - SWiTCH Mental Health Services, Licensed Professional Counselor, MA, LPC, NCC, LBSC, CPSS
SWiTCH Mental Health Services
Licensed Professional Counselor, MA, LPC, NCC, LBSC, CPSS
Johnstown, PA 15904
Welcome to SWiTCH Mental Health Services. SWiTCH was created to provide our clients with outstanding innovative, Inclusive, and individualized care. SWiTCH strives to give others the tools to make changes in the position, focus, or directive of their lives. We are proud to offer a professional staff of highly trained and licensed therapists. Our Providers have many years of experience in their fields including specializing in the treatment of depression, PTSD, stress, anxiety, grief and loss, trauma, and mood issues. In addition to telehealth, we also offer in-office visits at our Johnstown location.
Welcome to SWiTCH Mental Health Services. SWiTCH was created to provide our clients with outstanding innovative, Inclusive, and individualized care. SWiTCH strives to give others the tools to make changes in the position, focus, or directive of their lives. We are proud to offer a professional staff of highly trained and licensed therapists. Our Providers have many years of experience in their fields including specializing in the treatment of depression, PTSD, stress, anxiety, grief and loss, trauma, and mood issues. In addition to telehealth, we also offer in-office visits at our Johnstown location.
(814) 247-2875 View (814) 247-2875
Photo of Dawn Murphy - Dawn Murphy, LCSW- Agency has no waiting list!, Clinical Social Work/Therapist, LCSW
Dawn Murphy, LCSW- Agency has no waiting list!
Clinical Social Work/Therapist, LCSW
Johnstown, PA 15904
Dr. Dawn Murphy is a Doctor of Behavioral Health and Licensed Clinical Social Worker. She has 40 years of experience in treating substance use disorder and other behavioral health conditions. Her clinical work includes: integrated primary care and behavioral health, clinical supervision, program management and development, faith-based counseling, veteran mental health and trauma, chronic pain and multiple settings such as Inpatient, hospital-based, residential, VA and FQHC clinics.
Dr. Dawn Murphy is a Doctor of Behavioral Health and Licensed Clinical Social Worker. She has 40 years of experience in treating substance use disorder and other behavioral health conditions. Her clinical work includes: integrated primary care and behavioral health, clinical supervision, program management and development, faith-based counseling, veteran mental health and trauma, chronic pain and multiple settings such as Inpatient, hospital-based, residential, VA and FQHC clinics.
(814) 228-5282 View (814) 228-5282
Photo of Derik S Berkebile - Derik S. Berkebile, Outpatient Counseling Svcs, Clinical Social Work/Therapist, LCSW, CMH, C-DBT
Derik S. Berkebile, Outpatient Counseling Svcs
Clinical Social Work/Therapist, LCSW, CMH, C-DBT
Johnstown, PA 15904
I have over 25 years experience as a social worker and also have several years experience as a professor in Social Work. My experience is diverse as I've worked with adolescents, mentally challenged, drug and alcohol, geriatrics, grief and bereavement, marital counseling, and have helped clients with various mental health diagnoses. I pride myself in not just talking with the client but working jointly to find meaningful, measurable goals during therapy allowing for clients to see proof of progress throughout the course of treatment. I have worked as a therapist for agencies and now independently for a combined 20 years.
I have over 25 years experience as a social worker and also have several years experience as a professor in Social Work. My experience is diverse as I've worked with adolescents, mentally challenged, drug and alcohol, geriatrics, grief and bereavement, marital counseling, and have helped clients with various mental health diagnoses. I pride myself in not just talking with the client but working jointly to find meaningful, measurable goals during therapy allowing for clients to see proof of progress throughout the course of treatment. I have worked as a therapist for agencies and now independently for a combined 20 years.
(814) 352-4111 View (814) 352-4111
Photo of Christen Robl, Licensed Professional Counselor, PhD, ATR-BC, LPC
Christen Robl
Licensed Professional Counselor, PhD, ATR-BC, LPC
1 Endorsed
Serves Area
I believe therapy is a place where you can finally exhale, a space to lay down what you’ve been carrying and listen for the quieter truths beneath the noise of daily life. As a Licensed Professional Counselor and Board Certified Art Therapist, I support people moving through uncertainty, change, and the deep work of identity and meaning-making. I often meet clients where they feel overwhelmed, stuck, or disconnected from themselves. I work with them to collaboratively build support, insight, and a path forward that feels authentic and sustainable.
I believe therapy is a place where you can finally exhale, a space to lay down what you’ve been carrying and listen for the quieter truths beneath the noise of daily life. As a Licensed Professional Counselor and Board Certified Art Therapist, I support people moving through uncertainty, change, and the deep work of identity and meaning-making. I often meet clients where they feel overwhelmed, stuck, or disconnected from themselves. I work with them to collaboratively build support, insight, and a path forward that feels authentic and sustainable.
(412) 912-2759 View (412) 912-2759
Photo of Nico Charles Massucci, Counselor, MS, LPC, NCC
Nico Charles Massucci
Counselor, MS, LPC, NCC
Serves Area
My ideal client is someone looking to form a trusting bond and discuss the intricacies of their lives. I believe that when we feel comfortable, we can put our shame to the side, at which point then we can make progress. As a counselor, I have been trained to accept and consider all perspectives as valid. I hope to help clients move forward by exploring how their path protected them or made sense at one point, while assisting them in giving themselves permission to change directions. This can be achieved by reflecting underlying thoughts and emotions alone, while at other points more targeted techniques may be needed.
My ideal client is someone looking to form a trusting bond and discuss the intricacies of their lives. I believe that when we feel comfortable, we can put our shame to the side, at which point then we can make progress. As a counselor, I have been trained to accept and consider all perspectives as valid. I hope to help clients move forward by exploring how their path protected them or made sense at one point, while assisting them in giving themselves permission to change directions. This can be achieved by reflecting underlying thoughts and emotions alone, while at other points more targeted techniques may be needed.
(412) 324-3432 View (412) 324-3432
Photo of Melissa R Eckroth, Licensed Professional Counselor, MS, LPC, NCC, BC-TMH
Melissa R Eckroth
Licensed Professional Counselor, MS, LPC, NCC, BC-TMH
Serves Area
Are you looking for a safe and confidential connection during these times of uncertainty to talk about the current issues you are experiencing? Or maybe you are feeling helpless after a sudden major life change that wasn't part of your plan. Feelings of grief, anxiety and depression can become overwhelming. Sharing your thoughts and feelings without judgment can help you to overcome your challenges, increase the quality of your life and help start you on a new path. Ethical and competent care is available in the safety of your home using video telehealth and is my priority as we establish our counseling relationship.
Are you looking for a safe and confidential connection during these times of uncertainty to talk about the current issues you are experiencing? Or maybe you are feeling helpless after a sudden major life change that wasn't part of your plan. Feelings of grief, anxiety and depression can become overwhelming. Sharing your thoughts and feelings without judgment can help you to overcome your challenges, increase the quality of your life and help start you on a new path. Ethical and competent care is available in the safety of your home using video telehealth and is my priority as we establish our counseling relationship.
(814) 250-3504 View (814) 250-3504
Photo of Julia Dello - Assurance Counseling Services, Licensed Professional Counselor, NCC, LPC
Assurance Counseling Services
Licensed Professional Counselor, NCC, LPC
Serves Area
Welcome to Assurance Counseling Services. We are a dedicated team of Licensed Professional Counselors that are focused on providing exemplary therapy to our clients. Assurance therapists are experienced and able to support the issues that clients face. We are committed to our clients and place them as a top priority. We have a passion for helping people and empowering them to make positive change. We hold ourselves to a professional standard that challenges us to grow and learn and to offer therapeutic interventions which best meet the needs of those we serve.
Welcome to Assurance Counseling Services. We are a dedicated team of Licensed Professional Counselors that are focused on providing exemplary therapy to our clients. Assurance therapists are experienced and able to support the issues that clients face. We are committed to our clients and place them as a top priority. We have a passion for helping people and empowering them to make positive change. We hold ourselves to a professional standard that challenges us to grow and learn and to offer therapeutic interventions which best meet the needs of those we serve.
(814) 619-3164 View (814) 619-3164
Photo of Amber Dawn Varner - Amber Dawn Horizons Counseling & Wellness, LLC, Licensed Professional Counselor, LPC
Amber Dawn Horizons Counseling & Wellness, LLC
Licensed Professional Counselor, LPC
1 Endorsed
Johnstown, PA 15904
Waitlist for new clients
When life feels heavy, it’s common to look for a way to numb the pain. You might reach for alcohol, substances, or other cycles that feel helpful at first but cause harm later. This could look like harming your own body, binge eating, isolating from everyone, or spending money you don't have just to feel a spark. These habits often create new problems that make your original stress feel even worse. I am here to help you move past those cycles. Together, we will find healthy ways to handle your emotions.
When life feels heavy, it’s common to look for a way to numb the pain. You might reach for alcohol, substances, or other cycles that feel helpful at first but cause harm later. This could look like harming your own body, binge eating, isolating from everyone, or spending money you don't have just to feel a spark. These habits often create new problems that make your original stress feel even worse. I am here to help you move past those cycles. Together, we will find healthy ways to handle your emotions.
(814) 554-1356 View (814) 554-1356
Photo of Felicia Williams, Clinical Social Work/Therapist, LCSW
Felicia Williams
Clinical Social Work/Therapist, LCSW
Online Only
Has anyone suggested that you talk to someone about what you’re dealing with? Are you thinking it might be a good idea to get an outside perspective on things you’re going through? Maybe you’re not sure about this whole “therapy” thing but, part of you wonders if it could help. Do you usually have a handle on things but lately you’re overwhelmed, irritable, and feel like something needs to change? Or, do you just need someone to talk to? Therapy can give you the opportunity to explore what you’re feeling, reflect, learn and grow in a safe, compassionate, and psychologically supportive environment.
Has anyone suggested that you talk to someone about what you’re dealing with? Are you thinking it might be a good idea to get an outside perspective on things you’re going through? Maybe you’re not sure about this whole “therapy” thing but, part of you wonders if it could help. Do you usually have a handle on things but lately you’re overwhelmed, irritable, and feel like something needs to change? Or, do you just need someone to talk to? Therapy can give you the opportunity to explore what you’re feeling, reflect, learn and grow in a safe, compassionate, and psychologically supportive environment.
(814) 334-3536 View (814) 334-3536
Photo of Skye Bennett - Skye Bennett, LSW-Agency has no waiting list!, Clinical Social Work/Therapist, LSW
Skye Bennett, LSW-Agency has no waiting list!
Clinical Social Work/Therapist, LSW
Online Only
With a Master's Degree in social work from Marywood University, I am dedicated to providing individualized support through a practical, patient-centered approach.
With a Master's Degree in social work from Marywood University, I am dedicated to providing individualized support through a practical, patient-centered approach.
(814) 559-3703 View (814) 559-3703
Photo of Jeanne Foster, Licensed Professional Counselor, LPC
Jeanne Foster
Licensed Professional Counselor, LPC
Online Only
Hi! My name is Jeanne Foster and I am a Licensed Professional Counselor. Most people call me Jeana (pronounced like Gina). I approach therapy as a collaborative relationship where people can learn to change their thoughts and behaviors and improve themselves and their lives. I also believe that people can and do heal from mental illness and love being a part of this process.
Hi! My name is Jeanne Foster and I am a Licensed Professional Counselor. Most people call me Jeana (pronounced like Gina). I approach therapy as a collaborative relationship where people can learn to change their thoughts and behaviors and improve themselves and their lives. I also believe that people can and do heal from mental illness and love being a part of this process.
(717) 964-4800 View (717) 964-4800

See more therapy options for 15904

How does your Therapist compare?

Number of Therapists in 15904

20+

Average cost per session

$125

Therapists in 15904 who prioritize treating:

92% Depression
92% Anxiety
92% Social Anxiety
92% Health Anxiety
92% Driving Anxiety
72% Trauma and PTSD
72% Complex PTSD

Average years in practice

13 Years

Top 3 insurances accepted

91% Aetna
91% Highmark
83% Cigna and Evernorth

How Therapists in 15904 see their clients

68% In Person and Online
32% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 15904?

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.