Therapists in 33180

View cities in 33180
Photo of Muriel Medina, Clinical Social Work/Therapist in 33180, FL
Muriel Medina
Clinical Social Work/Therapist, LCSW
Verified
Aventura, FL 33180  (Online Only)
Currently, you may feel emotionally stuck due to sadness, irritability, relationship-issues, anger, financial-loss, unresolved-trauma, loss of a loved one and/or anxiety. This may lead you into a whirl-wind of emotional instability within your mind that feels chaotic and uncontrollable. But know that you are not alone and there is hope. Hence, I will provide you with treatment focused on using evidence-based practices. I will engage you in creating a treatment plan that works for you! I will assist you in identifying your interest of focus (personal issues) and empower you to process and reach your goals in therapy.
Currently, you may feel emotionally stuck due to sadness, irritability, relationship-issues, anger, financial-loss, unresolved-trauma, loss of a loved one and/or anxiety. This may lead you into a whirl-wind of emotional instability within your mind that feels chaotic and uncontrollable. But know that you are not alone and there is hope. Hence, I will provide you with treatment focused on using evidence-based practices. I will engage you in creating a treatment plan that works for you! I will assist you in identifying your interest of focus (personal issues) and empower you to process and reach your goals in therapy.
(786) 756-7463 View (786) 756-7463
Photo of Bundle Therapy, Clinical Social Work/Therapist in 33180, FL
Bundle Therapy
Clinical Social Work/Therapist, LCSW
Verified
Aventura, FL 33180
Since the start of the Covid-19 pandemic, billions of lives have been affected in ways that the world has never experienced before, at Bundle Therapy, we provide the kindness, the understanding and the human touch that enlightens souls to cope and accomplish self appreciation during these difficult times. If you suffer from severe stress levels, anxiety, depression, trauma or just working on specific behavioral goals, being hit by a global pandemic will not make your life any easier. Bundle Therapy will help you identify the root cause of your concerns and explore treatment options and therapeutic techniques tailored to your needs.
Since the start of the Covid-19 pandemic, billions of lives have been affected in ways that the world has never experienced before, at Bundle Therapy, we provide the kindness, the understanding and the human touch that enlightens souls to cope and accomplish self appreciation during these difficult times. If you suffer from severe stress levels, anxiety, depression, trauma or just working on specific behavioral goals, being hit by a global pandemic will not make your life any easier. Bundle Therapy will help you identify the root cause of your concerns and explore treatment options and therapeutic techniques tailored to your needs.
(305) 424-2166 View (305) 424-2166
Photo of Michael Frank Perez, Counselor in 33180, FL
Michael Frank Perez
Counselor, LMHC, CIRS, AAS CCW
Verified
Aventura, FL 33180
I work with those who are seeking support and understanding, while overcoming the adversities that we often encounter during our lives. Regardless of how difficult these obstacles can be, it is important to remember that there is a way to grow through the unpleasant situations we go through. We often times cannot avoid these things but often times the best kind of self-growth often comes through getting our hands dirty so to speak. It may not always be the easier path but it is certainly more often than not the most rewarding path.
I work with those who are seeking support and understanding, while overcoming the adversities that we often encounter during our lives. Regardless of how difficult these obstacles can be, it is important to remember that there is a way to grow through the unpleasant situations we go through. We often times cannot avoid these things but often times the best kind of self-growth often comes through getting our hands dirty so to speak. It may not always be the easier path but it is certainly more often than not the most rewarding path.
(954) 951-9533 View (954) 951-9533
Photo of Mental Health & Art Therapy LLC, Art Therapist in 33180, FL
Mental Health & Art Therapy LLC
Art Therapist, MA, LMHC, ATR
Verified
1 Endorsed
Aventura, FL 33180
I received a dual master's in Mental Health Counseling and Art Therapy at Lesley University in Cambridge, Massachusetts. I am currently pursuing a Ph.D. in Applied Clinical Psychophysiology at the College of Integrative Medicine and Health Sciences at Saybrook University. My practice integrates cognitive-behavioral approaches with art therapy, neuroscience, and mindfulness. Treatment plans are tailored to meet the client's individual needs.
I received a dual master's in Mental Health Counseling and Art Therapy at Lesley University in Cambridge, Massachusetts. I am currently pursuing a Ph.D. in Applied Clinical Psychophysiology at the College of Integrative Medicine and Health Sciences at Saybrook University. My practice integrates cognitive-behavioral approaches with art therapy, neuroscience, and mindfulness. Treatment plans are tailored to meet the client's individual needs.
(786) 420-6686 View (786) 420-6686
Photo of Randy Lipman Stern, Clinical Social Work/Therapist in 33180, FL
Randy Lipman Stern
Clinical Social Work/Therapist, LCSW
Verified
Aventura, FL 33180  (Online Only)
I work with adults presenting with a diversity of problems. I can help you acquire the coping skills necessary to manage the stresses of daily life. I specialize in supporting and empowering individuals who experience self-doubt, anxiety, depression, difficulty in life transitions, relationships, eating disorders, and low self-esteem. I am an active listener and participant, and provide a safe environment to promote a positive therapeutic relationship. Working with issues such as stress, anxiety, relationship issues, self-esteem, depression, family conflicts, infertility, trauma, & anger management.
I work with adults presenting with a diversity of problems. I can help you acquire the coping skills necessary to manage the stresses of daily life. I specialize in supporting and empowering individuals who experience self-doubt, anxiety, depression, difficulty in life transitions, relationships, eating disorders, and low self-esteem. I am an active listener and participant, and provide a safe environment to promote a positive therapeutic relationship. Working with issues such as stress, anxiety, relationship issues, self-esteem, depression, family conflicts, infertility, trauma, & anger management.
(954) 419-5908 View (954) 419-5908
Photo of Daniela Biaggini Counseling and Psychotherapy, Counselor in 33180, FL
Daniela Biaggini Counseling and Psychotherapy
Counselor, LMHC, MFT, CCTP, QS
Verified
Aventura, FL 33180
I frequently hear clients ask "how come I ended up feeling like this, in the same situation again?" Unless we make ourselves aware of what are our hidden motivations, we will not get rid of maladaptive patterns that control our lives. Therapy is the exploration through which you get to know yourself better, you get to accept your personal history and the current situation that you are living in; allowing you to bring out the best in yourself, improve the quality of your relationships and further your personal growth
I frequently hear clients ask "how come I ended up feeling like this, in the same situation again?" Unless we make ourselves aware of what are our hidden motivations, we will not get rid of maladaptive patterns that control our lives. Therapy is the exploration through which you get to know yourself better, you get to accept your personal history and the current situation that you are living in; allowing you to bring out the best in yourself, improve the quality of your relationships and further your personal growth
(954) 686-1542 View (954) 686-1542
Photo of Lotus Counseling, Counselor in 33180, FL
Lotus Counseling
Counselor, MS, LMHC
Verified
Aventura, FL 33180
Are you struggling with relationship issues? Do you want to make changes in your life, but are unable to? You can overcome depression, anxiety and learn how to manage anger--if these are issues concerning you. Find out what's stopping you from being able to experience a satisfying, fulfilled and joyful life. As psychologists and psychotherapists with extensive training, we take a comprehensive and integrative approach that will be specifically geared to your own unique needs. Please log on to my website www.lotuscounseling.com for more information.
Are you struggling with relationship issues? Do you want to make changes in your life, but are unable to? You can overcome depression, anxiety and learn how to manage anger--if these are issues concerning you. Find out what's stopping you from being able to experience a satisfying, fulfilled and joyful life. As psychologists and psychotherapists with extensive training, we take a comprehensive and integrative approach that will be specifically geared to your own unique needs. Please log on to my website www.lotuscounseling.com for more information.
(786) 563-4810 View (786) 563-4810
Photo of Bluma (Ekshtut) Sapir, Psychologist in 33180, FL
Bluma (Ekshtut) Sapir
Psychologist, PsyD
Verified
Aventura, FL 33180
Tabula Raza is dead! I know its intense, but its true. We all need a good fit with our mental health professional, because who they are affects how they see the world, interpret our struggles, guide our journey and help us heal our pain. I have 20+ years of experience working with individuals and pairs. My expertise is helping each person find the parts that are yearning to be seen, heard and understood, and then figure out what's holding you back, understanding why it has had such a hold, and learning how to restore your sense of self-trust.
Tabula Raza is dead! I know its intense, but its true. We all need a good fit with our mental health professional, because who they are affects how they see the world, interpret our struggles, guide our journey and help us heal our pain. I have 20+ years of experience working with individuals and pairs. My expertise is helping each person find the parts that are yearning to be seen, heard and understood, and then figure out what's holding you back, understanding why it has had such a hold, and learning how to restore your sense of self-trust.
(954) 833-4786 View (954) 833-4786
Photo of Mendel Toron, Clinical Social Work/Therapist in 33180, FL
Mendel Toron
Clinical Social Work/Therapist, LCSW, CCTP, EMDR
Verified
1 Endorsed
Aventura, FL 33180
Healing from trauma requires a specialized, attuned, and integrative process. The emotional wounds of the past are hidden and often appear as anxiety, relational challenges, disconnection, and more. At its core, trauma disconnects us from ourself and makes us feel that who and what we are is "not enough." This leaves us feeling empty and seeking replacements to fill that void. By addressing our trauma, we integrate this healing at the deeper emotional, body, and spiritual levels. With a safe, supportive space, we can tap into our internal wisdom and bring about this transformational work.
Healing from trauma requires a specialized, attuned, and integrative process. The emotional wounds of the past are hidden and often appear as anxiety, relational challenges, disconnection, and more. At its core, trauma disconnects us from ourself and makes us feel that who and what we are is "not enough." This leaves us feeling empty and seeking replacements to fill that void. By addressing our trauma, we integrate this healing at the deeper emotional, body, and spiritual levels. With a safe, supportive space, we can tap into our internal wisdom and bring about this transformational work.
(954) 466-4443 View (954) 466-4443
Photo of Miriam Klein, Clinical Social Work/Therapist in 33180, FL
Miriam Klein
Clinical Social Work/Therapist, LCSW
Verified
Aventura, FL 33180
Do you constantly feel overwhelmed in your life? For a woman who’s struggling with setting boundaries, daily commitments can often feel like too much. Your nervous system may be stuck in "fight or flight mode", and it can affect your self-esteem and your relationships, making your life too difficult to manage. This can happen for multiple reasons, one of them might be a childhood trauma. Despite that you can learn how to trust yourself again.
Do you constantly feel overwhelmed in your life? For a woman who’s struggling with setting boundaries, daily commitments can often feel like too much. Your nervous system may be stuck in "fight or flight mode", and it can affect your self-esteem and your relationships, making your life too difficult to manage. This can happen for multiple reasons, one of them might be a childhood trauma. Despite that you can learn how to trust yourself again.
(305) 676-7289 View (305) 676-7289
Photo of Katrice Anderson, Counselor in 33180, FL
Katrice Anderson
Counselor, LMHC
Verified
Aventura, FL 33180
Katrice Anderson is a Licensed Mental Health Counselor in Florida who has been practicing since 2015. She has an Undergraduate Degree in Psychology from Florida International University and a Masters in Mental Health from Nova Southeastern University. Katrice believes that every client is a unique individual with the power to change. She utilizes an eclectic approach to therapy and feels that each treatment modality should be tailored to fit the needs of that one client. Her approach is to help her clients find their strengths that are within that may not be noticeable in their current state.
Katrice Anderson is a Licensed Mental Health Counselor in Florida who has been practicing since 2015. She has an Undergraduate Degree in Psychology from Florida International University and a Masters in Mental Health from Nova Southeastern University. Katrice believes that every client is a unique individual with the power to change. She utilizes an eclectic approach to therapy and feels that each treatment modality should be tailored to fit the needs of that one client. Her approach is to help her clients find their strengths that are within that may not be noticeable in their current state.
(786) 933-9824 View (786) 933-9824
Photo of Lisa Fuller, Psychologist in 33180, FL
Lisa Fuller
Psychologist, PsyD
Verified
Miami, FL 33180
I am very proud of the relationships I have formed with my clients. My focus is to empathize, support, and teach the tools to most effectively manage life's stressors. I strive to help each of my clients reach their own personal goals and have a realistic view of both themselves and others in the process. The hardest part is beginning to make different choices and choose those that increase our odds for success. That is where I hope to provide the most support.
I am very proud of the relationships I have formed with my clients. My focus is to empathize, support, and teach the tools to most effectively manage life's stressors. I strive to help each of my clients reach their own personal goals and have a realistic view of both themselves and others in the process. The hardest part is beginning to make different choices and choose those that increase our odds for success. That is where I hope to provide the most support.
(786) 574-6257 View (786) 574-6257
Photo of Anna Levashova in 33180, FL
Anna Levashova
MA, LCSW
Aventura, FL 33180
Why do you think people turn to psychologists? Because they want to change their lives. People want changes. If you feel the need for change, I can help you with this, because I studied at the Department of Neuro and Patho Psychology and I know how the cognitive functions of the brain work and how the unconscious is formed, which stores hidden files that prevent a person from development and adaptation. Step by step the road will be mastered by the walking. Let’s go.
Why do you think people turn to psychologists? Because they want to change their lives. People want changes. If you feel the need for change, I can help you with this, because I studied at the Department of Neuro and Patho Psychology and I know how the cognitive functions of the brain work and how the unconscious is formed, which stores hidden files that prevent a person from development and adaptation. Step by step the road will be mastered by the walking. Let’s go.
(305) 745-7913 View (305) 745-7913
Photo of Lina Osorio, Counselor in 33180, FL
Lina Osorio
Counselor, LMHC
Verified
Aventura, FL 33180  (Online Only)
As a Licensed Mental Health Counselor, I believe support, genuineness and respect is a key part of the process. Getting clarity about your feelings, taking the time to understand and learn ways to express them is something you deserve.
As a Licensed Mental Health Counselor, I believe support, genuineness and respect is a key part of the process. Getting clarity about your feelings, taking the time to understand and learn ways to express them is something you deserve.
(954) 504-9135 View (954) 504-9135
Photo of Korin Yashar, Counselor in 33180, FL
Korin Yashar
Counselor, LMHC, RDN
Verified
Aventura, FL 33180
It's been years since your feelings and view of life have got you down and spiritless. You start to believe that being happy is not in your destiny. Time has passed, but your heart and mind still live in the past, feeding off of negative mental patterns that prevent you from realizing your power and potential to see the change you imagine can be. You want your life choices and relationships to be a reflection of your true energy spark, not the dictates of others. You want to feel loved & accepted even if others, including YOU, don’t know how. I want to empower your state of mind by teaching you how to arouse self-love.
It's been years since your feelings and view of life have got you down and spiritless. You start to believe that being happy is not in your destiny. Time has passed, but your heart and mind still live in the past, feeding off of negative mental patterns that prevent you from realizing your power and potential to see the change you imagine can be. You want your life choices and relationships to be a reflection of your true energy spark, not the dictates of others. You want to feel loved & accepted even if others, including YOU, don’t know how. I want to empower your state of mind by teaching you how to arouse self-love.
(954) 758-8184 View (954) 758-8184
Photo of Gilda Schaffer Psyd, Counselor in 33180, FL
Gilda Schaffer Psyd
Counselor, PsyD, LCPC, LMHC, BCC, BC-TMH
Verified
Aventura, FL 33180
I am a seasoned clinician with over 23 years of experience providing services to adolescents, adults and couples. Providing a warm, nurturing atmosphere where the person can feel safe and understood, I help my clients explore and understand how past/current issues are impacting and "coming in the way" of being able to fully enjoy life and set future attainable goals. We will address how certain emotions affect our way of thinking, performing and our capacity to feel "free". Since the mind and body are deeply and strongly connected, I consider the relationship between presenting issues, family history, current relationships and ongoing sources of stress.
I am a seasoned clinician with over 23 years of experience providing services to adolescents, adults and couples. Providing a warm, nurturing atmosphere where the person can feel safe and understood, I help my clients explore and understand how past/current issues are impacting and "coming in the way" of being able to fully enjoy life and set future attainable goals. We will address how certain emotions affect our way of thinking, performing and our capacity to feel "free". Since the mind and body are deeply and strongly connected, I consider the relationship between presenting issues, family history, current relationships and ongoing sources of stress.
(786) 886-1919 View (786) 886-1919
Photo of Jackie Drozdow, Clinical Social Work/Therapist in 33180, FL
Jackie Drozdow
Clinical Social Work/Therapist, LCSW
Verified
Miami, FL 33180  (Online Only)
I help college and post college grads feel more confident in themselves as they navigate these big life transitions! Is your anxiety and stress holding you back? Are you struggling with how to manage your stress in a healthy way? Do you want to feel more confident in your body? Are you having difficulty adjusting to a new schedule? Not sure how to feel less anxious when meeting new people? Do you constantly overthink about work, school, dating, and how you look? Are you putting yourself down daily? Are you second guessing yourself and feeling frozen in making decisions? Do you want to feel more secure in yourself?
I help college and post college grads feel more confident in themselves as they navigate these big life transitions! Is your anxiety and stress holding you back? Are you struggling with how to manage your stress in a healthy way? Do you want to feel more confident in your body? Are you having difficulty adjusting to a new schedule? Not sure how to feel less anxious when meeting new people? Do you constantly overthink about work, school, dating, and how you look? Are you putting yourself down daily? Are you second guessing yourself and feeling frozen in making decisions? Do you want to feel more secure in yourself?
(954) 287-1655 View (954) 287-1655
Photo of Alison H Friedman, Psychologist in 33180, FL
Alison H Friedman
Psychologist, PhD, NCSP
Verified
Miami, FL 33180
I'm a Florida Licensed Psychologist with over 20 years experience working with children and adolescents. I completed some of my training at a pediatric neuropsychology testing practice in Brooklyn, New York and at Charter Schools in Miami. I'm currently working in a private practice conducting gifted testing, psychological, and psycho-educational assessments for autism spectrum disorders, intellectual disabilities, specific learning disorders, attention-deficit hyperactivity disorders, behavioral concerns, executive functioning difficulties, and co-occurring psychiatric conditions.
I'm a Florida Licensed Psychologist with over 20 years experience working with children and adolescents. I completed some of my training at a pediatric neuropsychology testing practice in Brooklyn, New York and at Charter Schools in Miami. I'm currently working in a private practice conducting gifted testing, psychological, and psycho-educational assessments for autism spectrum disorders, intellectual disabilities, specific learning disorders, attention-deficit hyperactivity disorders, behavioral concerns, executive functioning difficulties, and co-occurring psychiatric conditions.
(954) 603-8402 View (954) 603-8402
Photo of Dr. Marcela Kitaigorodsky, Psychologist in 33180, FL
Dr. Marcela Kitaigorodsky
Psychologist, PsyD
Verified
1 Endorsed
Aventura, FL 33180
The decision to engage in psychotherapy is an important step towards reaching your full potential. Learning healthier ways to manage life stressors is key to preventing mental health issues,improving overall happiness and well-being and even reducing risks of developing life-threatening diseases. Are you currently struggling with constant worry, interpersonal conflict, work-life balance issues, constant negativism, or have difficulty adjusting to a recent diagnosis or health condition? If you have tried to manage the ongoing stress on your own but feel that is the time to receive professional help, I am here to help you.
The decision to engage in psychotherapy is an important step towards reaching your full potential. Learning healthier ways to manage life stressors is key to preventing mental health issues,improving overall happiness and well-being and even reducing risks of developing life-threatening diseases. Are you currently struggling with constant worry, interpersonal conflict, work-life balance issues, constant negativism, or have difficulty adjusting to a recent diagnosis or health condition? If you have tried to manage the ongoing stress on your own but feel that is the time to receive professional help, I am here to help you.
(786) 209-3334 View (786) 209-3334
Photo of Tatiana Vazquez De Miguel, Counselor in 33180, FL
Tatiana Vazquez De Miguel
Counselor, LMHC, LMFT, MS, MBA
Verified
Aventura, FL 33180  (Online Only)
I am a Licensed Mental Health Counselor and Licensed Marriage and Family Therapist with over 15 years of professional experience providing psychotherapy services. I work with adults, adolescents, children and couples. I provide my clients with a unique approach helping them to identify and achieve specific therapy goals in confidential, empathetic and trusting atmosphere. I speak English, Russian and Spanish.
I am a Licensed Mental Health Counselor and Licensed Marriage and Family Therapist with over 15 years of professional experience providing psychotherapy services. I work with adults, adolescents, children and couples. I provide my clients with a unique approach helping them to identify and achieve specific therapy goals in confidential, empathetic and trusting atmosphere. I speak English, Russian and Spanish.
(786) 319-9033 View (786) 319-9033

See more therapy options for 33180

How does your Therapist compare?

Number of Therapists in 33180

200+

Average cost per session

$150

Therapists in 33180 who prioritize treating:

95% Anxiety
88% Depression
86% Self Esteem
83% Relationship Issues
74% Coping Skills
70% Family Conflict
68% Stress

Average years in practice

14 Years

Top 3 insurances accepted

75% Aetna
71% UnitedHealthcare UHC | UBH
65% Cigna and Evernorth

How Therapists in 33180 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

86% Female
14% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 33180?

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.