Therapists in 21047

Photo of Monica J Smith, MA, BCC, CAC, CAPP
Monica J Smith
Verified Verified
Fallston, MD 21047
I work with individuals and couples stuck in painful, repeating patterns—addiction, intimacy struggles, betrayal, emotional shutdown, or chronic disconnection. Many are outwardly capable and functional, yet feel reactive, distant, or dissatisfied where it matters most. Others have done significant healing work but sense there is more depth, freedom, and integrity available. They want real change—not quick fixes—and are ready to take responsibility for how they show up in their lives and relationships.
I work with individuals and couples stuck in painful, repeating patterns—addiction, intimacy struggles, betrayal, emotional shutdown, or chronic disconnection. Many are outwardly capable and functional, yet feel reactive, distant, or dissatisfied where it matters most. Others have done significant healing work but sense there is more depth, freedom, and integrity available. They want real change—not quick fixes—and are ready to take responsibility for how they show up in their lives and relationships.
(443) 951-3368 View (443) 951-3368
Photo of Anne Marie Porretti, Licensed Clinical Professional Counselor, LCPC
Anne Marie Porretti
Licensed Clinical Professional Counselor, LCPC
Fallston, MD 21047
Everyone experiences challenges at times and if you are looking for support to help you meet your goals I can help you. I specialize in helping adults and children struggling with anxiety, depression ADHD body dysphoria, mood swings and many other struggles. I use multiple therapeutic approaches to help my clients reduce their challenges. I am trauma informed and a solution focused therapist. I help clients to implement effective coping strategies and teach techniques to improve their lives. I build strong therapeutic alliances with my clients, supporting them in all aspects of their life.
Everyone experiences challenges at times and if you are looking for support to help you meet your goals I can help you. I specialize in helping adults and children struggling with anxiety, depression ADHD body dysphoria, mood swings and many other struggles. I use multiple therapeutic approaches to help my clients reduce their challenges. I am trauma informed and a solution focused therapist. I help clients to implement effective coping strategies and teach techniques to improve their lives. I build strong therapeutic alliances with my clients, supporting them in all aspects of their life.
(443) 981-2367 View (443) 981-2367
Photo of Danielle Spitelle, Clinical Social Work/Therapist, LCSW-C
Danielle Spitelle
Clinical Social Work/Therapist, LCSW-C
Fallston, MD 21047
Everyone experiences various challenges they encounter throughout their life. My goal is to help individuals overcome these obstacles and challenges through providing a safe environment where clients can feel safe to express their feelings, emotions, and process through challenging life events. I strive to provide my clients with a therapeutic bonding relationship where they can feel safe to express their feelings. I love to help people recognize their self-worth, goals, and potential in life.
Everyone experiences various challenges they encounter throughout their life. My goal is to help individuals overcome these obstacles and challenges through providing a safe environment where clients can feel safe to express their feelings, emotions, and process through challenging life events. I strive to provide my clients with a therapeutic bonding relationship where they can feel safe to express their feelings. I love to help people recognize their self-worth, goals, and potential in life.
(443) 981-2524 View (443) 981-2524
Photo of Shelby J John - Wholistic Living, Clinical Social Work/Therapist, LCSW
Wholistic Living
Clinical Social Work/Therapist, LCSW
1 Endorsed
Fallston, MD 21047
At Wholistic Living Therapy, we believe healing does not have to take forever. If you are struggling with anxiety, trauma, addiction, or patterns that feel impossible to break, our team helps you heal from the inside out so you can feel better faster. We Help: adults struggling with anxiety, depression, trauma, and addiction. Children (10+) and teens learning to manage big emotions. Clients seeking accelerated healing through EMDR intensives. Anyone ready for real, lasting change. Wholistic Living Therapy combines evidenec based clinical expertise with compassion and lived experience.
At Wholistic Living Therapy, we believe healing does not have to take forever. If you are struggling with anxiety, trauma, addiction, or patterns that feel impossible to break, our team helps you heal from the inside out so you can feel better faster. We Help: adults struggling with anxiety, depression, trauma, and addiction. Children (10+) and teens learning to manage big emotions. Clients seeking accelerated healing through EMDR intensives. Anyone ready for real, lasting change. Wholistic Living Therapy combines evidenec based clinical expertise with compassion and lived experience.
(443) 543-8825 View (443) 543-8825
Photo of Shelby Jane John, Clinical Social Work/Therapist, LCSW-C
Shelby Jane John
Clinical Social Work/Therapist, LCSW-C
Fallston, MD 21047
If you are struggling with anxiety, trauma, or addiction, you have probably tried traditional talk therapy. You can explain your patterns and name your triggers. But understanding your pain and actually healing from it are two different things. You are ready for something that works at the root level. I understand, because I have been there. On July 1, 2002, I began my own recovery journey from addiction. Through EMDR therapy, 12-step work, and spiritual growth, I experienced a transformation that changed my life. That experience drives my passion for helping others find the same freedom from anxiety, depression, and trauma.
If you are struggling with anxiety, trauma, or addiction, you have probably tried traditional talk therapy. You can explain your patterns and name your triggers. But understanding your pain and actually healing from it are two different things. You are ready for something that works at the root level. I understand, because I have been there. On July 1, 2002, I began my own recovery journey from addiction. Through EMDR therapy, 12-step work, and spiritual growth, I experienced a transformation that changed my life. That experience drives my passion for helping others find the same freedom from anxiety, depression, and trauma.
(443) 247-0543 View (443) 247-0543
Photo of Peter Hall, Clinical Social Work/Therapist, LCSW-C
Peter Hall
Clinical Social Work/Therapist, LCSW-C
2 Endorsed
Fallston, MD 21047
We all get to a point where the suffering becomes more than we can handle, and we all have to find ways to cope with it. My goal is to help relieve people of suffering caused by maladaptive patterns of feeling, thinking and behaving that they have been conditioned to repeat over time. I do this by building a relationship with them, then allowing that relationship to be the template for healthy interactions in life and a realistic perception of themselves and their situation.
We all get to a point where the suffering becomes more than we can handle, and we all have to find ways to cope with it. My goal is to help relieve people of suffering caused by maladaptive patterns of feeling, thinking and behaving that they have been conditioned to repeat over time. I do this by building a relationship with them, then allowing that relationship to be the template for healthy interactions in life and a realistic perception of themselves and their situation.
(240) 557-8805 View (240) 557-8805
Photo of Valerie Reynolds, Clinical Social Work/Therapist, LCSW
Valerie Reynolds
Clinical Social Work/Therapist, LCSW
3 Endorsed
Fallston, MD 21047
Life can leave us holding pain we never asked for. Maybe your child is struggling with emotions they cannot explain. Maybe you are a teen feeling the weight of expectations and disconnection. Or maybe you are an adult who has done everything right but still feels anxious, stuck, or disconnected from yourself. Even when we try to move forward, the past can still affect us in ways we don't expect. As a trauma-informed EMDR therapist, I offer a safe space for kids (10+), teens, and adults to begin healing at their own pace. I tailor every session to the person in front of me because healing is never one-size-fits-all.
Life can leave us holding pain we never asked for. Maybe your child is struggling with emotions they cannot explain. Maybe you are a teen feeling the weight of expectations and disconnection. Or maybe you are an adult who has done everything right but still feels anxious, stuck, or disconnected from yourself. Even when we try to move forward, the past can still affect us in ways we don't expect. As a trauma-informed EMDR therapist, I offer a safe space for kids (10+), teens, and adults to begin healing at their own pace. I tailor every session to the person in front of me because healing is never one-size-fits-all.
(410) 883-5985 View (410) 883-5985
Photo of Victoria L. Little, Licensed Clinical Professional Counselor, MS, LCPC-C, BCN
Victoria L. Little
Licensed Clinical Professional Counselor, MS, LCPC-C, BCN
Fallston, MD 21047
Finding good care these days is almost impossible or so it feels that way! Traditional treatment approaches offer little relief; there is poor collaboration between practitioners who treat you and visits with psychiatrists and other MD's are as short as 15 minutes on average with the practitioners often having no clue what your medical records or needs are. If you find the care you have received falls short, and are sick of being on psychiatric drug cocktails with little relief, as well as creating a chemical lobotomy & brain damage from the use of these medications, then you should make a change for the better and give me a call.
Finding good care these days is almost impossible or so it feels that way! Traditional treatment approaches offer little relief; there is poor collaboration between practitioners who treat you and visits with psychiatrists and other MD's are as short as 15 minutes on average with the practitioners often having no clue what your medical records or needs are. If you find the care you have received falls short, and are sick of being on psychiatric drug cocktails with little relief, as well as creating a chemical lobotomy & brain damage from the use of these medications, then you should make a change for the better and give me a call.
(410) 387-9823 View (410) 387-9823
Photo of Jessica Lynn Lefler, Clinical Social Work/Therapist, LCSW-C
Jessica Lynn Lefler
Clinical Social Work/Therapist, LCSW-C
Fallston, MD 21047
Specializing in adolescent and young adult life transitions, collaborative family therapy, gender dysphoria, OCD, ADHD, anxiety and depression. Solution focused treatment utilizing Cognitive Behavioral Therapy and other eclectic approaches. I believe wellness is rooted in vulnerability, connection, acceptance and movement. It's more than just therapy. Insurance accepted via Superbill only.
Specializing in adolescent and young adult life transitions, collaborative family therapy, gender dysphoria, OCD, ADHD, anxiety and depression. Solution focused treatment utilizing Cognitive Behavioral Therapy and other eclectic approaches. I believe wellness is rooted in vulnerability, connection, acceptance and movement. It's more than just therapy. Insurance accepted via Superbill only.
(443) 233-0188 View (443) 233-0188
Photo of Cordia Elizabeth Grandea, Licensed Clinical Professional Counselor, MS, LCPC
Cordia Elizabeth Grandea
Licensed Clinical Professional Counselor, MS, LCPC
1 Endorsed
Serves Area
As a therapist, I try to help clients navigate through difficult times. Whether it is a current challenge, or a past hurt, I provide encouragement and guidance to assist clients in their healing. I am trained in EMDR, Ketamine Assisted Psychotherapy, and qualified to provide supervision to graduate practitioners. While I may use many different techniques in therapy, my focus is on treating each person in an individualized manner. Entering therapy is hard for any person, so I try to make it as painless as possible. Our first session will involve goal setting and figuring out what the client wants to achieve.
As a therapist, I try to help clients navigate through difficult times. Whether it is a current challenge, or a past hurt, I provide encouragement and guidance to assist clients in their healing. I am trained in EMDR, Ketamine Assisted Psychotherapy, and qualified to provide supervision to graduate practitioners. While I may use many different techniques in therapy, my focus is on treating each person in an individualized manner. Entering therapy is hard for any person, so I try to make it as painless as possible. Our first session will involve goal setting and figuring out what the client wants to achieve.
(443) 483-4206 View (443) 483-4206
Photo of Alana O'Neill, Licensed Clinical Professional Counselor, LCPC, CAC-AD, SAP
Alana O'Neill
Licensed Clinical Professional Counselor, LCPC, CAC-AD, SAP
2 Endorsed
Serves Area
Welcome to a therapeutic space where the focus is not on what's "wrong" with you, but rather on celebrating your journey towards emotional health & wellness. I am a dedicated and compassionate therapist committed to fostering acceptance, self-discovery, and emotional well-being. In my practice, I believe in embracing the concept of mental health as an integral part of our overall wellness. Just as we prioritize our physical health through primary care services, I advocate for the recognition and celebration of strategies that promote emotional health. It's about exploring the depths of self-discovery, resiliency and healing.
Welcome to a therapeutic space where the focus is not on what's "wrong" with you, but rather on celebrating your journey towards emotional health & wellness. I am a dedicated and compassionate therapist committed to fostering acceptance, self-discovery, and emotional well-being. In my practice, I believe in embracing the concept of mental health as an integral part of our overall wellness. Just as we prioritize our physical health through primary care services, I advocate for the recognition and celebration of strategies that promote emotional health. It's about exploring the depths of self-discovery, resiliency and healing.
(410) 261-4073 View (410) 261-4073
Photo of Stephanie M James, Counselor, LCPC, NCC
Stephanie M James
Counselor, LCPC, NCC
Serves Area
As a counselor, I work to provide interventions which not only alleviate immediate symptoms such as sadness, grief or anxiety, but also to facilitate greater self-understanding. I believe that counseling is an investment that can enhance your quality of life by helping you to develop a "tool box" of strategies to deal with challenges, improve self-esteem, find ways to get your needs met and develop skills to create healthier relationships.
As a counselor, I work to provide interventions which not only alleviate immediate symptoms such as sadness, grief or anxiety, but also to facilitate greater self-understanding. I believe that counseling is an investment that can enhance your quality of life by helping you to develop a "tool box" of strategies to deal with challenges, improve self-esteem, find ways to get your needs met and develop skills to create healthier relationships.
(410) 936-6581 View (410) 936-6581
Photo of Emily Fadgen, Art Therapist, MA, ATR-BC, LCPAT
Emily Fadgen
Art Therapist, MA, ATR-BC, LCPAT
2 Endorsed
Serves Area
Starting therapy is a meaningful and brave step toward growth and change. It’s not always easy, but you won’t have to navigate it alone. I’m here to walk alongside you—offering support, encouragement, and a space where you can show up just as you are. Whether we talk things through, explore through art, or use other creative, mindful practices, I’ll meet you with compassion and curiosity. I strive to create a space that feels safe, grounded, and judgment-free—where your voice and your experience matter.
Starting therapy is a meaningful and brave step toward growth and change. It’s not always easy, but you won’t have to navigate it alone. I’m here to walk alongside you—offering support, encouragement, and a space where you can show up just as you are. Whether we talk things through, explore through art, or use other creative, mindful practices, I’ll meet you with compassion and curiosity. I strive to create a space that feels safe, grounded, and judgment-free—where your voice and your experience matter.
(443) 232-0964 View (443) 232-0964
Photo of Ana Rogers, Licensed Clinical Professional Counselor, LCPC, NCC
Ana Rogers
Licensed Clinical Professional Counselor, LCPC, NCC
Serves Area
Are you a couple seeking to strengthen your bond, rebuild trust, and renew commitment? You deserve a space where you feel valued and safe to be vulnerable with yourself and in your relationships. We’ll work collaboratively to enhance communication, unravel unhelpful patterns, and rediscover the connection that you long for. Alongside couples and family therapy, I offer support to motivated individuals and young minds 10+ looking to grow, heal, and feel better prepared to cope with life’s challenges. I especially love working with teens, young adults, first responders, veterans, and those living with chronic illness.
Are you a couple seeking to strengthen your bond, rebuild trust, and renew commitment? You deserve a space where you feel valued and safe to be vulnerable with yourself and in your relationships. We’ll work collaboratively to enhance communication, unravel unhelpful patterns, and rediscover the connection that you long for. Alongside couples and family therapy, I offer support to motivated individuals and young minds 10+ looking to grow, heal, and feel better prepared to cope with life’s challenges. I especially love working with teens, young adults, first responders, veterans, and those living with chronic illness.
(410) 376-5341 View (410) 376-5341
Photo of Jennifer Biglen, Clinical Social Work/Therapist, LCSW-C
Jennifer Biglen
Clinical Social Work/Therapist, LCSW-C
3 Endorsed
Serves Area
Hello! Looking for a therapist can be a daunting process, and searching for one means that you’re one step closer to working with the therapist who is right for you. I feel honored that I may be an option as a therapist who can support you. Therapy can be helpful for navigating the ups and downs of life, and processing internal thoughts in an unbiased atmosphere. It’s normal to have emotions, and to explore them without judgement. I have experience working with clients of all ages, and understand how challenges can impact each person differently depending on their own experiences and circumstances.
Hello! Looking for a therapist can be a daunting process, and searching for one means that you’re one step closer to working with the therapist who is right for you. I feel honored that I may be an option as a therapist who can support you. Therapy can be helpful for navigating the ups and downs of life, and processing internal thoughts in an unbiased atmosphere. It’s normal to have emotions, and to explore them without judgement. I have experience working with clients of all ages, and understand how challenges can impact each person differently depending on their own experiences and circumstances.
(410) 973-7086 View (410) 973-7086
Photo of Amber Conklin, Licensed Clinical Professional Counselor, LCPC
Amber Conklin
Licensed Clinical Professional Counselor, LCPC
1 Endorsed
Serves Area
I am a recent LCPC graduate from William James College in the Clinical Mental Health Counseling program. I utilize an integrative approach that uses strengths-based techniques and Cognitive behavioral techniques. My clinical interests and experience include anxiety, trauma, LGBTQ Issues, interpersonal issues, depression, and social justice issues.
I am a recent LCPC graduate from William James College in the Clinical Mental Health Counseling program. I utilize an integrative approach that uses strengths-based techniques and Cognitive behavioral techniques. My clinical interests and experience include anxiety, trauma, LGBTQ Issues, interpersonal issues, depression, and social justice issues.
(410) 469-8993 View (410) 469-8993
Photo of Mary Ann Lopus, Counselor, LCPC, NCC
Mary Ann Lopus
Counselor, LCPC, NCC
Serves Area
Finding the right therapist can be challenging, whether you’re starting for the first time or seeking a new approach. I believe therapy is like solving a puzzle—together, we’ll explore and make sense of the pieces of your life. Whether you're focusing on specific areas or the bigger picture, I provide a safe, compassionate space to help you navigate life’s challenges. I offer a supportive partnership, listening without judgment, and working toward meaningful change. I look forward to meeting you.
Finding the right therapist can be challenging, whether you’re starting for the first time or seeking a new approach. I believe therapy is like solving a puzzle—together, we’ll explore and make sense of the pieces of your life. Whether you're focusing on specific areas or the bigger picture, I provide a safe, compassionate space to help you navigate life’s challenges. I offer a supportive partnership, listening without judgment, and working toward meaningful change. I look forward to meeting you.
(443) 903-2747 View (443) 903-2747
Photo of Kate Zuraitis, Counselor, LGPC
Kate Zuraitis
Counselor, LGPC
Serves Area
Do you feel overwhelmed, stuck, or has it become difficult to manage your emotions? You are not alone. Life has become very difficult these days and we all need extra support and resources to help us through these tough times. Together as a team we can work on the change that you want to see in yourself.
Do you feel overwhelmed, stuck, or has it become difficult to manage your emotions? You are not alone. Life has become very difficult these days and we all need extra support and resources to help us through these tough times. Together as a team we can work on the change that you want to see in yourself.
(410) 425-7083 View (410) 425-7083
Photo of Jenna M Ferri, Licensed Clinical Professional Counselor, LCPC
Jenna M Ferri
Licensed Clinical Professional Counselor, LCPC
Serves Area
I have immediate availability for NEW clients! / Are you tired of feeling as though you are being walked all over in your relationships, but don’t know how to step outside of your people-pleasing tendencies? Do you struggle with chronic feelings of shame and self-doubt? Are you frequently questioning yourself and your decisions in relationships? Navigating the complexities of narcissistic and antagonistic relationships can leave you feeling drained, confused, and even questioning your own sense of self. If you’ve been caught in the cycle of toxic dynamics, I’m here to offer you the support, clarity, and healing you deserve.
I have immediate availability for NEW clients! / Are you tired of feeling as though you are being walked all over in your relationships, but don’t know how to step outside of your people-pleasing tendencies? Do you struggle with chronic feelings of shame and self-doubt? Are you frequently questioning yourself and your decisions in relationships? Navigating the complexities of narcissistic and antagonistic relationships can leave you feeling drained, confused, and even questioning your own sense of self. If you’ve been caught in the cycle of toxic dynamics, I’m here to offer you the support, clarity, and healing you deserve.
(443) 363-5269 View (443) 363-5269
Photo of Kristy Crump, Counselor, LCPC, NCC
Kristy Crump
Counselor, LCPC, NCC
4 Endorsed
Serves Area
My ideal client is someone who is looking to help change and/or cope with his/her problems/issues. I have worked with a wide variety of issues and treatment modalities. I find that working with anxiety and mood disorders such as depression and bipolar, are best suited to my abilities. I also enjoy teaching others how to raise his/her self-esteem and how to have a more positive outlook on life. Lastly, I really enjoy helping others discover their full potential and teach them how to use that to better themselves.
My ideal client is someone who is looking to help change and/or cope with his/her problems/issues. I have worked with a wide variety of issues and treatment modalities. I find that working with anxiety and mood disorders such as depression and bipolar, are best suited to my abilities. I also enjoy teaching others how to raise his/her self-esteem and how to have a more positive outlook on life. Lastly, I really enjoy helping others discover their full potential and teach them how to use that to better themselves.
(443) 205-1016 View (443) 205-1016

See more therapy options for 21047

How does your Therapist compare?

Number of Therapists in 21047

40+

Average cost per session

$150

Therapists in 21047 who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
90% Depression
78% Relationship Issues
78% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
85% CareFirst
79% Cigna and Evernorth

How Therapists in 21047 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

85% Female
13% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 21047?

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.