Therapists in 34958

Photo of Stephanie Sammons, Licensed Mental Health Counselor, MA, LMHC, MCAP
Stephanie Sammons
Licensed Mental Health Counselor, MA, LMHC, MCAP
1 Endorsed
Serves Area
Hi, I’m Stephanie! I am a counselor and the founder of Rise Counseling Treasure Coast. I love helping others rise above life’s challenges, and I believe it is possible for you to live a fulfilling life. I am not just a professional counselor…I’m a human being! And I believe that each person is unique and important. My promise to anyone I counsel is that I will treat you like a person, not just a client.
Hi, I’m Stephanie! I am a counselor and the founder of Rise Counseling Treasure Coast. I love helping others rise above life’s challenges, and I believe it is possible for you to live a fulfilling life. I am not just a professional counselor…I’m a human being! And I believe that each person is unique and important. My promise to anyone I counsel is that I will treat you like a person, not just a client.
(772) 218-7320 View (772) 218-7320
Photo of Timothy Mayer, Counselor, LMHC, QS
Timothy Mayer
Counselor, LMHC, QS
5 Endorsed
Serves Area
Timothy Mayer graduated from The University of Pittsburgh then earned his master’s degree in counseling psychology from Lesley University in Cambridge, Massachusetts. He has worked full time in the substance misuse and mental health field for over twenty years as a hands-on field professional, therapist, and clinical director. He was appointed by the Governor of Florida to serve on the Florida Statewide Advocacy Council. He specializes in Substance Misuse issues, and the treatment of interpersonal difficulties using Acceptance and Commitment Therapy and other Third Wave Treatments.
Timothy Mayer graduated from The University of Pittsburgh then earned his master’s degree in counseling psychology from Lesley University in Cambridge, Massachusetts. He has worked full time in the substance misuse and mental health field for over twenty years as a hands-on field professional, therapist, and clinical director. He was appointed by the Governor of Florida to serve on the Florida Statewide Advocacy Council. He specializes in Substance Misuse issues, and the treatment of interpersonal difficulties using Acceptance and Commitment Therapy and other Third Wave Treatments.
(772) 222-3444 View (772) 222-3444
Photo of Amanda Allison - Sea Glass Healing , Clinical Social Work/Therapist, MSW, LCSW, LISW-S
Sea Glass Healing
Clinical Social Work/Therapist, MSW, LCSW, LISW-S
1 Endorsed
Serves Area
At Sea Glass Healing we believe healing happens when you feel safe, understood, and supported. Our group of experienced therapists provides compassionate, evidence-based care for individuals, couples, and families in Stuart and across Florida. Whether you are navigating trauma, anxiety, depression, relationship challenges, or personal growth, our team is here to guide you toward resilience and lasting change.
At Sea Glass Healing we believe healing happens when you feel safe, understood, and supported. Our group of experienced therapists provides compassionate, evidence-based care for individuals, couples, and families in Stuart and across Florida. Whether you are navigating trauma, anxiety, depression, relationship challenges, or personal growth, our team is here to guide you toward resilience and lasting change.
(772) 480-3588 View (772) 480-3588
Counseling for the Healing Mind
Pre-Licensed Professional, LCSW
Serves Area
Counseling for the Healing Mind provides compassionate, patient and whole person healing. It allows safe space environment to provide support and resources for self-awareness and empowerment along with healthy coping skills from children to elders. Whether you're looking for Psychoanalysis for individuals, couples Therapy, Trauma Therapy, Behavioral, Cognitive, Humanistic, or Integrative, Counseling for the healing Mind is here to provide the support and guidance you need to achieve your goals. If you are seeking a safe space for therapeutic resources for yourself or a loved one.
Counseling for the Healing Mind provides compassionate, patient and whole person healing. It allows safe space environment to provide support and resources for self-awareness and empowerment along with healthy coping skills from children to elders. Whether you're looking for Psychoanalysis for individuals, couples Therapy, Trauma Therapy, Behavioral, Cognitive, Humanistic, or Integrative, Counseling for the healing Mind is here to provide the support and guidance you need to achieve your goals. If you are seeking a safe space for therapeutic resources for yourself or a loved one.
(561) 770-1651 View (561) 770-1651
Photo of Justine Sommers, Counselor, LMHC
Justine Sommers
Counselor, LMHC
1 Endorsed
Serves Area
Waitlist for new clients
Is your child facing a distressing life challenge, struggling with low mood or anxiety, behaving uncharacteristically, or trying to recover from a stressful event? If you are a parent concerned that your child is encountering these difficulties, please know that hope and restorative healing are available. I uphold the belief that every child grows in their own unique way. Therapy offers children an opportunity to freely express themselves while learning new ways to cope emotionally and socially.
Is your child facing a distressing life challenge, struggling with low mood or anxiety, behaving uncharacteristically, or trying to recover from a stressful event? If you are a parent concerned that your child is encountering these difficulties, please know that hope and restorative healing are available. I uphold the belief that every child grows in their own unique way. Therapy offers children an opportunity to freely express themselves while learning new ways to cope emotionally and socially.
(772) 210-3661 View (772) 210-3661
Photo of Tricia Bent, Counselor, LMHC, BC-TMH, MBA
Tricia Bent
Counselor, LMHC, BC-TMH, MBA
2 Endorsed
Serves Area
Not accepting new clients
**Offering TeleMental Health/Online Counseling**. Today's environment can be both physically and mentally demanding. Do you want to decrease your feelings of anxiety? Do you want to increase your overall sense of self-worth and confidence? Do you want to regain control of your life? If you are ready to commit to yourself, let's work together towards accomplishing your aspirations!
**Offering TeleMental Health/Online Counseling**. Today's environment can be both physically and mentally demanding. Do you want to decrease your feelings of anxiety? Do you want to increase your overall sense of self-worth and confidence? Do you want to regain control of your life? If you are ready to commit to yourself, let's work together towards accomplishing your aspirations!
(772) 252-6726 View (772) 252-6726

More Therapists Nearby

Photo of Brent Jeremy, Clinical Social Work/Therapist, LCSW
Brent Jeremy
Clinical Social Work/Therapist, LCSW
Vero Beach, FL 32963
I have been a Licensed Clinical Social Worker since 1995, but have worked in the mental health field for over 37 years in the Treasure Coast area. I have been particularly drawn to patients with chronic psychiatric illnesses including chronic Schizophrenia, Bipolar Disorder, Mood Disorders, PTSD and complex trauma, as well as chronic pain issues. I have worked with combat veterans with PTSD for nearly 30 years. I am also certified in EMDR.
I have been a Licensed Clinical Social Worker since 1995, but have worked in the mental health field for over 37 years in the Treasure Coast area. I have been particularly drawn to patients with chronic psychiatric illnesses including chronic Schizophrenia, Bipolar Disorder, Mood Disorders, PTSD and complex trauma, as well as chronic pain issues. I have worked with combat veterans with PTSD for nearly 30 years. I am also certified in EMDR.
(772) 277-7547 View (772) 277-7547
Photo of Kristin E. Lewis, Counselor, LMHC, MS
Kristin E. Lewis
Counselor, LMHC, MS
Jensen Beach, FL 34957
Are you tired of hearing that you need to “let that go”? Does your anxiety, panic, or sadness get in the way of what you really want your life to be like? Maybe there’s been some dramatic changes in your life that you feel are too overwhelming to cope with and so you’ve stopped coping and feel a little stuck. Sometimes we need an alternative way of thinking or a little tweak in the way our minds have been making us feel.
Are you tired of hearing that you need to “let that go”? Does your anxiety, panic, or sadness get in the way of what you really want your life to be like? Maybe there’s been some dramatic changes in your life that you feel are too overwhelming to cope with and so you’ve stopped coping and feel a little stuck. Sometimes we need an alternative way of thinking or a little tweak in the way our minds have been making us feel.
(772) 291-5737 View (772) 291-5737
Photo of Jaimee Perez, Psychologist, PhD
Jaimee Perez
Psychologist, PhD
1 Endorsed
Serves Area
As a licensed psychologist, I am most passionate about helping each person, from the youngest to the most mature, overcome whatever obstacles are preventing him/her from living a fulfilled life. Each client is unique; therefore, my approach is tailored to the client's particular need. Whether you are a parent needing help with your preschooler who is acting out, an adolescent struggling with depression or anxiety, or an adult who wants to stop reenacting unhealthy relationship patterns learned from early life experiences, I am here to help you learn tools that will help you overcome any challenge to your mental health.
As a licensed psychologist, I am most passionate about helping each person, from the youngest to the most mature, overcome whatever obstacles are preventing him/her from living a fulfilled life. Each client is unique; therefore, my approach is tailored to the client's particular need. Whether you are a parent needing help with your preschooler who is acting out, an adolescent struggling with depression or anxiety, or an adult who wants to stop reenacting unhealthy relationship patterns learned from early life experiences, I am here to help you learn tools that will help you overcome any challenge to your mental health.
(561) 532-1078 View (561) 532-1078
Photo of Janae Johnson, Clinical Social Work/Therapist, LCSW, QS, MA
Janae Johnson
Clinical Social Work/Therapist, LCSW, QS, MA
1 Endorsed
Port Saint Lucie, FL 34952
Carrying the weight of trauma, stress, or anxiety can feel overwhelming—but you don’t have to carry it alone. I'm here to walk with you on your journey toward healing, growth, and emotional restoration.
Carrying the weight of trauma, stress, or anxiety can feel overwhelming—but you don’t have to carry it alone. I'm here to walk with you on your journey toward healing, growth, and emotional restoration.
(772) 732-4342 View (772) 732-4342
Photo of Paula H Hamill, Counselor, MS, LMHC
Paula H Hamill
Counselor, MS, LMHC
2 Endorsed
Stuart, FL 34994
Sweating, mind racing, lack of energy and motivation, overwhelming thoughts... this may be more days than you care to admit. You are hurting, exhausted and at the point where it is time to make some changes, but... the question of "how" remains. It's a difficult step to seek out help when experiencing painful times or issues, but step one is now done since you searched for a Therapist. Let's take control away from anxiety, stress, panic, fears, intrusive thoughts or painful memories.
Sweating, mind racing, lack of energy and motivation, overwhelming thoughts... this may be more days than you care to admit. You are hurting, exhausted and at the point where it is time to make some changes, but... the question of "how" remains. It's a difficult step to seek out help when experiencing painful times or issues, but step one is now done since you searched for a Therapist. Let's take control away from anxiety, stress, panic, fears, intrusive thoughts or painful memories.
(772) 675-4293 View (772) 675-4293
Photo of Ruth Leah Marcellino, Clinical Social Work/Therapist, LCSW
Ruth Leah Marcellino
Clinical Social Work/Therapist, LCSW
1 Endorsed
Individual in-person and telehealth therapeutic services assisting clients dealing with work, life transition, adjustment and relationship issues, and mental health conditions including Anxiety and Depression, focusing on achievement of personal goals. Assessment, diagnosis, treatment planning, management and prevention of mental health conditions and other emotional disturbances. Specializes in interventions including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Interpersonal Processing, Solution Focused and Crisis Intervention. Conducts substance abuse evaluations utilizing screening instruments and tools.
Individual in-person and telehealth therapeutic services assisting clients dealing with work, life transition, adjustment and relationship issues, and mental health conditions including Anxiety and Depression, focusing on achievement of personal goals. Assessment, diagnosis, treatment planning, management and prevention of mental health conditions and other emotional disturbances. Specializes in interventions including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Interpersonal Processing, Solution Focused and Crisis Intervention. Conducts substance abuse evaluations utilizing screening instruments and tools.
(561) 778-8453 View (561) 778-8453
Photo of Kimberleigh Stickney - Stickney Counseling , Counselor
Stickney Counseling
Counselor
Serves Area
Our ideal client is someone who is motivated to improve their mental health and well-being. They recognize the value of therapy and actively engage in the therapeutic process. Their issues, needs, and goals revolve around finding effective coping strategies, enhancing self-awareness, fostering personal growth, and improving relationships. They desire support, validation, and guidance from a therapist who can provide empathy, understanding, and a safe space for their healing journey. Through therapy, they aim to regain control, find meaning, and develop the necessary tools to navigate life's challenges with confidence and resilience.
Our ideal client is someone who is motivated to improve their mental health and well-being. They recognize the value of therapy and actively engage in the therapeutic process. Their issues, needs, and goals revolve around finding effective coping strategies, enhancing self-awareness, fostering personal growth, and improving relationships. They desire support, validation, and guidance from a therapist who can provide empathy, understanding, and a safe space for their healing journey. Through therapy, they aim to regain control, find meaning, and develop the necessary tools to navigate life's challenges with confidence and resilience.
(561) 816-3047 View (561) 816-3047
Photo of Dr. Paulina Martinez, Clinical Social Work/Therapist, PhD, LCSW
Dr. Paulina Martinez
Clinical Social Work/Therapist, PhD, LCSW
Serves Area
I am a doctor psychotherapist. I love what I do and my commitment is to your full wellbeing. I’ve been in private practice for many years and a faculty member at FAU teaching clinical/psychotherapy for 20 years. My approach integrates the blending of western cutting edge evidence-based therapies along with contemplative eastern mindfulness based modalities. I also utilize alpha wave technology in the treatment of insomnia, depression, and anxiety. I work with people from all diverse backgrounds, sexual and gender identities. When we meet you’ll likely meet my doggie Oliver who will greet you at my office In person or on screen!
I am a doctor psychotherapist. I love what I do and my commitment is to your full wellbeing. I’ve been in private practice for many years and a faculty member at FAU teaching clinical/psychotherapy for 20 years. My approach integrates the blending of western cutting edge evidence-based therapies along with contemplative eastern mindfulness based modalities. I also utilize alpha wave technology in the treatment of insomnia, depression, and anxiety. I work with people from all diverse backgrounds, sexual and gender identities. When we meet you’ll likely meet my doggie Oliver who will greet you at my office In person or on screen!
(954) 635-5408 View (954) 635-5408
Photo of Nancy M Smith, Marriage & Family Therapist, PhD, LMFT, LCSW
Nancy M Smith
Marriage & Family Therapist, PhD, LMFT, LCSW
1 Endorsed
How is your day or life going? Satisfying or sad? Compassionate, caring and affordable help is here. Whether you're alone, in a relationship or with your family, I will help you find new directions and purpose. You can face the problems that sometimes make life seem unbearable and find solutions to difficult problems. Whether you're dealing with relationship problems, addictions, career decisions, pre-or post-divorce issues, grief, health problems, parenting struggles or other life adjustments, you will find new solutions. I work with children, teens, adults and seniors in a safe, honest and confidential setting or come to your home
How is your day or life going? Satisfying or sad? Compassionate, caring and affordable help is here. Whether you're alone, in a relationship or with your family, I will help you find new directions and purpose. You can face the problems that sometimes make life seem unbearable and find solutions to difficult problems. Whether you're dealing with relationship problems, addictions, career decisions, pre-or post-divorce issues, grief, health problems, parenting struggles or other life adjustments, you will find new solutions. I work with children, teens, adults and seniors in a safe, honest and confidential setting or come to your home
(561) 829-5040 View (561) 829-5040
Photo of Paige (Bradley) Bradley Eppley - Bradley Eppley @ The Center of Love , Counselor, MA, LMHC
Bradley Eppley @ The Center of Love
Counselor, MA, LMHC
1 Endorsed
Serves Area
I love helping people heal, develop and create healthier relationships. My passion is to facilitate transformational change that results in greater inner peace, healthy self love and joy in life and relationships. As a Licensed Mental Health Counselor I enjoy helping clients address underlying causes to symptoms like depression and anxiety. I am certified to do Neurotransmitter testing through Neuro Science and I work Holistically with an emphasis on Integrative and Functional care that focuses on the whole Being and helping clients to function optimally beyond just symptom relief.
I love helping people heal, develop and create healthier relationships. My passion is to facilitate transformational change that results in greater inner peace, healthy self love and joy in life and relationships. As a Licensed Mental Health Counselor I enjoy helping clients address underlying causes to symptoms like depression and anxiety. I am certified to do Neurotransmitter testing through Neuro Science and I work Holistically with an emphasis on Integrative and Functional care that focuses on the whole Being and helping clients to function optimally beyond just symptom relief.
(941) 203-3416 View (941) 203-3416
Photo of Jutta Morris, Counselor, LMHC
Jutta Morris
Counselor, LMHC
Jupiter, FL 33477
A positive outcome in therapy depends on the quality of the relationship formed between client and therapist. Client-therapist fit is the single most important predictor of therapeutic success. To complicate matters, therapists are trained and practice various models of psychotherapy according to the paradigm they were schooled.I am trained in the psychoanalytic tradition, a school of psychology steeped in history that has stood the test of time. The psychoanalytic interpretation of the client's life history allows the client to gain valuable insight into previously unconscious conflicts with immediate relief.
A positive outcome in therapy depends on the quality of the relationship formed between client and therapist. Client-therapist fit is the single most important predictor of therapeutic success. To complicate matters, therapists are trained and practice various models of psychotherapy according to the paradigm they were schooled.I am trained in the psychoanalytic tradition, a school of psychology steeped in history that has stood the test of time. The psychoanalytic interpretation of the client's life history allows the client to gain valuable insight into previously unconscious conflicts with immediate relief.
(561) 287-6928 View (561) 287-6928
Photo of Carol A Lawyer, CADC, CCDP, CIP
Carol A Lawyer
Verified Verified
Vero Beach, FL 32967
Over the years I have dedicated my practice to specializing in working with individuals/ families who struggle with Substance Abuse and Mental Health. I have practiced in the field of Addictions for over 30 years. My commitment in the field of Addictions sets a precedent in helping individuals move from crisis to opportunity. Immediacy is essential in saving a life. Time is of the essence when working with addictions. My goal is to provide essential crisis counseling and consulting services.
Over the years I have dedicated my practice to specializing in working with individuals/ families who struggle with Substance Abuse and Mental Health. I have practiced in the field of Addictions for over 30 years. My commitment in the field of Addictions sets a precedent in helping individuals move from crisis to opportunity. Immediacy is essential in saving a life. Time is of the essence when working with addictions. My goal is to provide essential crisis counseling and consulting services.
(772) 837-6867 View (772) 837-6867
Photo of Shawndre M Leydon - A Better Tomorrow Counseling LLC, Counselor, MA, LMHC, LPC, QS, KAP
A Better Tomorrow Counseling LLC
Counselor, MA, LMHC, LPC, QS, KAP
3 Endorsed
Port Saint Lucie, FL 34952
So many of us live stressful, anxiety provoking, hectic lives that it can be difficult to understand why our body and emotions react the way that they do. Whether it is past or present trauma, depression, anxiety, family issues, relationship problems, etc., we deserve to find a way to get help and live our best life. Utilizing eclectic methods such as CBT, DBT, motivational interviewing and a humanistic approach with clients, I have been a witness to many client’s successful transformations and growth in therapy.
So many of us live stressful, anxiety provoking, hectic lives that it can be difficult to understand why our body and emotions react the way that they do. Whether it is past or present trauma, depression, anxiety, family issues, relationship problems, etc., we deserve to find a way to get help and live our best life. Utilizing eclectic methods such as CBT, DBT, motivational interviewing and a humanistic approach with clients, I have been a witness to many client’s successful transformations and growth in therapy.
(772) 353-2485 View (772) 353-2485
Photo of Tabitha Giaquinto, Clinical Social Work/Therapist, LCSW, CTP
Tabitha Giaquinto
Clinical Social Work/Therapist, LCSW, CTP
1 Endorsed
Stuart, FL 34996
Hi there! My name is Tabitha Giaquinto, my pronouns are she/her/hers, and I am a Licensed Clinical Social Worker in Florida, Delaware & North Carolina. I know finding a good match in a therapist can be difficult, especially if the idea of being vulnerable with someone brings a sense of discomfort. In my work with clients, I strive to provide unconditional positive support, a safe & inclusive environment for all, and individualized care for everyone I work with. I understand what it’s like to be on the couch of a therapist’s office and not know where to start, which gifts me the ability to understand & empathize with the uncertainty.
Hi there! My name is Tabitha Giaquinto, my pronouns are she/her/hers, and I am a Licensed Clinical Social Worker in Florida, Delaware & North Carolina. I know finding a good match in a therapist can be difficult, especially if the idea of being vulnerable with someone brings a sense of discomfort. In my work with clients, I strive to provide unconditional positive support, a safe & inclusive environment for all, and individualized care for everyone I work with. I understand what it’s like to be on the couch of a therapist’s office and not know where to start, which gifts me the ability to understand & empathize with the uncertainty.
(772) 247-5189 View (772) 247-5189

How does your Therapist compare?

Number of Therapists in 34958

< 10

Therapists in 34958 who prioritize treating:

100% Anxiety
83% Depression
83% Trauma and PTSD
83% Coping Skills
83% Self Esteem
83% Stress
67% Relationship Issues

Average years in practice

18 Years

Top 3 insurances accepted

100% Cigna and Evernorth
83% Aetna
83% Optum

How Therapists in 34958 see their clients

100% In Person and Online

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 34958?

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.