Photo of Lisa K. Sexton, MS, LMHC, Counselor
Lisa K. Sexton
Counselor, MS, LMHC
Verified Verified
Online Only
Many adults feel grief, sadness, guilt, anger and worry. Major events such as diagnosis of chronic illness, divorce, trauma, grief, can contribute to loss of energy and diminished hope for positive change. Even without such dramatic occurrences, depression and anxiety often co-exist. Therapy is a form of self-care, and an opportunity to raise self-awareness that can lead to change. It can provide active listening and non-judgmental regard. Insight into core values can bring clarity, energy and movement toward goals. Mood can improve, decisions can be made with greater confidence, and a feeling of hope can be restored.
Many adults feel grief, sadness, guilt, anger and worry. Major events such as diagnosis of chronic illness, divorce, trauma, grief, can contribute to loss of energy and diminished hope for positive change. Even without such dramatic occurrences, depression and anxiety often co-exist. Therapy is a form of self-care, and an opportunity to raise self-awareness that can lead to change. It can provide active listening and non-judgmental regard. Insight into core values can bring clarity, energy and movement toward goals. Mood can improve, decisions can be made with greater confidence, and a feeling of hope can be restored.
(574) 607-4362 View (574) 607-4362
Photo of Audrey Goddard, LMHC, Counselor
Audrey Goddard
Counselor, LMHC
Verified Verified
Online Only
Thank you for taking this step on your mental wellbeing journey. My goal is to meet you where you are, in order to help you get where you want to go.
Thank you for taking this step on your mental wellbeing journey. My goal is to meet you where you are, in order to help you get where you want to go.
(574) 626-9831 View (574) 626-9831
Photo of Kecia Blakely, MSPSY, LCMHC, Counselor
Kecia Blakely
Counselor, MSPSY, LCMHC
Verified Verified
Online Only
Thank you for visiting my site . I am truly humbled that you took the first step to putting you first.. I want you to know that this is absolutely a no judgement zone and I hope that you take the time to understand that it is ok to get the help that you need. Believe me we have all been in a place where we needed someone to talk to.  I am here to help you.
Thank you for visiting my site . I am truly humbled that you took the first step to putting you first.. I want you to know that this is absolutely a no judgement zone and I hope that you take the time to understand that it is ok to get the help that you need. Believe me we have all been in a place where we needed someone to talk to.  I am here to help you.
(574) 564-6542 View (574) 564-6542
Photo of Lisa A Levin - Myh Library / Begin To Wake Therapy, LCSW, BCD, CAS, CECP, Clinical Social Work/Therapist
Myh Library / Begin To Wake Therapy
Clinical Social Work/Therapist, LCSW, BCD, CAS, CECP
Verified Verified
South Bend, IN 46614
You are the expert on you, & I have the know-how, so as a team, you & I will get you to achieve your goals & more life satisfaction. Do you have trauma from childhood, the military, racism/discrimination, natural disaster, DV, sexual assault, etc. to overcome? Do you struggle with alcohol, meth, pills, cocaine, etc. or maybe video games, love/relationships, porn, etc.? Identity problems? Are you a yes-person that's sick of being walked on? Do you need to learn to control depression, anxiety, bipolar, OCD, or personality stuff? How about self-esteem problems? Whatever it is, we got this! Please visit www.myhlibrary.com for more info.
You are the expert on you, & I have the know-how, so as a team, you & I will get you to achieve your goals & more life satisfaction. Do you have trauma from childhood, the military, racism/discrimination, natural disaster, DV, sexual assault, etc. to overcome? Do you struggle with alcohol, meth, pills, cocaine, etc. or maybe video games, love/relationships, porn, etc.? Identity problems? Are you a yes-person that's sick of being walked on? Do you need to learn to control depression, anxiety, bipolar, OCD, or personality stuff? How about self-esteem problems? Whatever it is, we got this! Please visit www.myhlibrary.com for more info.
(574) 900-2192 View (574) 900-2192
Photo of Felecia Howell, Life, Coach, MSW, LLMSW, Clinical Social Work/Therapist
Felecia Howell
Clinical Social Work/Therapist, Life, Coach, MSW, LLMSW
Verified Verified
1 Endorsed
South Bend, IN 46614
Are you having a difficult time coping, with personal, family & relationship issues overwhelmed with the stress of life? Or just feel stuck? Together we can address and identify your needs while building confidence to help you grow. Humbly Changing, strive to remove the stigma of Mental/Behavior health while providing personal tools to help one navigate through life challenges. Life is a journey, let us walk together, evolve, and transform your self-worth. Remember " There is no Perfection in life, only Purpose for all."
Are you having a difficult time coping, with personal, family & relationship issues overwhelmed with the stress of life? Or just feel stuck? Together we can address and identify your needs while building confidence to help you grow. Humbly Changing, strive to remove the stigma of Mental/Behavior health while providing personal tools to help one navigate through life challenges. Life is a journey, let us walk together, evolve, and transform your self-worth. Remember " There is no Perfection in life, only Purpose for all."
(574) 475-8097 View (574) 475-8097
Photo of Lisa A Levin, LCSW, BCD, CAS, CECP, Clinical Social Work/Therapist
Lisa A Levin
Clinical Social Work/Therapist, LCSW, BCD, CAS, CECP
Verified Verified
South Bend, IN 46614
You are the expert on you. Let's take what you know & mix it up with my knowledge & experience (which includes 20+ yrs after the masters, plus life itself & working overseas, working with people of different races, orientations, religions, abilities, etc. Veterans & active military? Also check!). My passion is helping people live a less painful existence. Reduce suffering. Make your life path easier. I know what pain feels like, & if I can reduce yours then that's what I want to do! Give me a shot. If after the first two sessions, you don't think I can help you, then you don't pay for that 2nd session. That's fair, right?
You are the expert on you. Let's take what you know & mix it up with my knowledge & experience (which includes 20+ yrs after the masters, plus life itself & working overseas, working with people of different races, orientations, religions, abilities, etc. Veterans & active military? Also check!). My passion is helping people live a less painful existence. Reduce suffering. Make your life path easier. I know what pain feels like, & if I can reduce yours then that's what I want to do! Give me a shot. If after the first two sessions, you don't think I can help you, then you don't pay for that 2nd session. That's fair, right?
(574) 498-7979 View (574) 498-7979
Photo of Katherine Guy, LMHC, LAC, MS, Counselor
Katherine Guy
Counselor, LMHC, LAC, MS
Verified Verified
Online Only
You have choices, and sometimes all the choices suck. They just do. I help you find your way through the choices. I believe you matter, and your feelings matter. You don't matter more than anyone else, but you certainly don't matter less! I work hard to understand what you're experiencing. I have a direct style of communicating, so you will know what I believe. While counseling isn't inherently fast, I won't waste your time. You can read more about my style at www.KatherineGuy.com.
You have choices, and sometimes all the choices suck. They just do. I help you find your way through the choices. I believe you matter, and your feelings matter. You don't matter more than anyone else, but you certainly don't matter less! I work hard to understand what you're experiencing. I have a direct style of communicating, so you will know what I believe. While counseling isn't inherently fast, I won't waste your time. You can read more about my style at www.KatherineGuy.com.
(574) 914-2087 View (574) 914-2087
Photo of Elise Walter, MSEd, LMHCA, Clinical Social Work/Therapist
Elise Walter
Clinical Social Work/Therapist, MSEd, LMHCA
Verified Verified
1 Endorsed
Serves Area
My approach to counseling is unique to you, the client. Every person's needs, stories, and personality are different and those factors should be taken into account when building a relationship with a counselor and establishing a treatment plan. You are the expert in your own life and have invited me to sit with you and help hold certain parts. While the work comes from you, it is my pleasure to create a space where you can be yourself and begin to heal. I understand that the healing process can be complicated, so I also encourage collaboration with other providers who serve you.
My approach to counseling is unique to you, the client. Every person's needs, stories, and personality are different and those factors should be taken into account when building a relationship with a counselor and establishing a treatment plan. You are the expert in your own life and have invited me to sit with you and help hold certain parts. While the work comes from you, it is my pleasure to create a space where you can be yourself and begin to heal. I understand that the healing process can be complicated, so I also encourage collaboration with other providers who serve you.
(574) 701-3314 View (574) 701-3314
Photo of Jessica Jackson - Strung Together Therapy L.L.C., LMSW, LCSW, Clinical Social Work/Therapist
Strung Together Therapy L.L.C.
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
Online Only
This is the first step on a journey of self discovery and change for a better tomorrow. Let me take this journey with you by walking beside you, and meeting you right where you are. A journey of a lifetime has countless steps, it is what we do with those steps in this moment that matter. The past is behind us, the future in front of us, and this precious moment all around us. Working together you and I will embrace this moment by engaging in mindfulness, meditation, and by starting with the most important piece-you!
This is the first step on a journey of self discovery and change for a better tomorrow. Let me take this journey with you by walking beside you, and meeting you right where you are. A journey of a lifetime has countless steps, it is what we do with those steps in this moment that matter. The past is behind us, the future in front of us, and this precious moment all around us. Working together you and I will embrace this moment by engaging in mindfulness, meditation, and by starting with the most important piece-you!
(269) 390-3442 View (269) 390-3442
Photo of Paige Bemiller, MA, LMHC
Paige Bemiller
Licensed Mental Health Counselor, MA, LMHC
Verified Verified
Serves Area
My ideal client is someone who wants to actively pursue new paths to find their true, healthy self. Ideally, ready to do the work. I am here to challenge cognitive distortions. I will be a partner in brainstorming issues and goals. Hard work from the client and support from an intuitive counselor will clear the path to the answers within.
My ideal client is someone who wants to actively pursue new paths to find their true, healthy self. Ideally, ready to do the work. I am here to challenge cognitive distortions. I will be a partner in brainstorming issues and goals. Hard work from the client and support from an intuitive counselor will clear the path to the answers within.
(574) 505-4886 View (574) 505-4886
Photo of Teri Wilder, MS, LMHC, Counselor
Teri Wilder
Counselor, MS, LMHC
Verified Verified
Serves Area
A client who desires to accept partnership and engage in being open to change is the most ideal client. I prefer to work with adults and older adolescents struggling with addictions, anxiety, depression, self-esteem, and trauma. I have a vast amount of experience working in the field of trauma. Due to my experience working in community mental health, I also work well with those with intense mental health and substance abuse treatment needs. I have worked both inpatient and outpatient experiences, resulting in my flexibility to help stabilize in a crisis and to work with individuals at any level.
A client who desires to accept partnership and engage in being open to change is the most ideal client. I prefer to work with adults and older adolescents struggling with addictions, anxiety, depression, self-esteem, and trauma. I have a vast amount of experience working in the field of trauma. Due to my experience working in community mental health, I also work well with those with intense mental health and substance abuse treatment needs. I have worked both inpatient and outpatient experiences, resulting in my flexibility to help stabilize in a crisis and to work with individuals at any level.
(463) 224-6768 View (463) 224-6768
Photo of Jonna S Buller, MSW, LCSW, Clinical Social Work/Therapist
Jonna S Buller
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
It can be difficult to manage “all the things” and making time for oneself can be easily sacrificed. While it is understandable, it can be considered an act of resistance to set aside place for your whole self and healing. One hour, a place for you to show up, to rediscover the self, parts changed and altered over time; explore the “stuff” in your soul. Therapists, couples, and women are specialties of mine. If you are seeking couples counseling, it can be difficult to grow into your full, whole selves together, but it is also worth the hard work to show up as your whole self, and honor your partner’s whole self.
It can be difficult to manage “all the things” and making time for oneself can be easily sacrificed. While it is understandable, it can be considered an act of resistance to set aside place for your whole self and healing. One hour, a place for you to show up, to rediscover the self, parts changed and altered over time; explore the “stuff” in your soul. Therapists, couples, and women are specialties of mine. If you are seeking couples counseling, it can be difficult to grow into your full, whole selves together, but it is also worth the hard work to show up as your whole self, and honor your partner’s whole self.
(574) 652-5340 View (574) 652-5340
Photo of Kevin E. Ness, MSW, LCSW, Clinical Social Work/Therapist
Kevin E. Ness
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Serves Area
I have 25+ years of experience working with individuals, families and couples from 12 years old on up though the lifespan. I partner with them guide them on their journey to overcome significant difficulties, trauma and abuse from the past, including sexual, physical and emotional abuse and neglect. I firmly believe that identity (who you are) and behavior (what you do) are two distinct things. Your behavior does not determine your identity. I help my clients to examine core beliefs that are contributing to their current struggles, to help them to decide which ones are true and helpful or not, to bring about true and lasting change.
I have 25+ years of experience working with individuals, families and couples from 12 years old on up though the lifespan. I partner with them guide them on their journey to overcome significant difficulties, trauma and abuse from the past, including sexual, physical and emotional abuse and neglect. I firmly believe that identity (who you are) and behavior (what you do) are two distinct things. Your behavior does not determine your identity. I help my clients to examine core beliefs that are contributing to their current struggles, to help them to decide which ones are true and helpful or not, to bring about true and lasting change.
(574) 498-2113 View (574) 498-2113
Photo of Ciera Jackson - Healing H.E.R. 365, MSW, LCSW, Clinical Social Work/Therapist
Healing H.E.R. 365
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Online Only
Hello! My name is Ciera Jackson. I have been in social services over 15 years. I have a passion for serving people who desire wholeness, compassionate accountability, and growth. Narcissistic abuse, kinship care, and pastoral care are issues close to my heart. It's my niche. I counsel a wide range of people with the goal of dealing with heartbreak, emotional wounds, and rejection. I believe when those issues are addressed people can see themselves with clear lenses. Additionally, they can fully operate in their purpose and build future generations that are whole, heard, and understood.
Hello! My name is Ciera Jackson. I have been in social services over 15 years. I have a passion for serving people who desire wholeness, compassionate accountability, and growth. Narcissistic abuse, kinship care, and pastoral care are issues close to my heart. It's my niche. I counsel a wide range of people with the goal of dealing with heartbreak, emotional wounds, and rejection. I believe when those issues are addressed people can see themselves with clear lenses. Additionally, they can fully operate in their purpose and build future generations that are whole, heard, and understood.
(317) 548-8851 View (317) 548-8851
Photo of Angela Gutierrez, BS, MSW, LCSW, Clinical Social Work/Therapist
Angela Gutierrez
Clinical Social Work/Therapist, BS, MSW, LCSW
Verified Verified
1 Endorsed
Online Only
I am a seasoned, certified trauma specialist as well as specializing in ADHD and autism. You are not alone and can heal from trauma. I use a multitude of techniques (mind and body) that are unique to each individual’s needs. This is a journey we travel together. Healing will take place with compassionate care and individualized treatment plans. Repeating your trauma alone will not promote healing. This is your journey; respected time. I will focus on you reaching your goals, healing and feeling your best. No cancellation fees and an affordable rate; offering expert services to those who desire privacy. I wish you the absolute best.
I am a seasoned, certified trauma specialist as well as specializing in ADHD and autism. You are not alone and can heal from trauma. I use a multitude of techniques (mind and body) that are unique to each individual’s needs. This is a journey we travel together. Healing will take place with compassionate care and individualized treatment plans. Repeating your trauma alone will not promote healing. This is your journey; respected time. I will focus on you reaching your goals, healing and feeling your best. No cancellation fees and an affordable rate; offering expert services to those who desire privacy. I wish you the absolute best.
(219) 258-8473 View (219) 258-8473
Warren W Sibilla Jr
Psychologist, PhD
Verified Verified
Serves Area
I have been in practice for 30 years and having earned the Diplomate in Psychoanalysis, I have received the highest level of professional training available in psychotherapy. In addition to providing psychotherapy to children, adolescents, adults, and families, I also teach graduate school, supervise graduate students, and provide expert consultation to the local court systems and Officers of the Court. I also provide outreach services to the community in the form of workshops, contemplative retreats, and various online courses in psychology.
I have been in practice for 30 years and having earned the Diplomate in Psychoanalysis, I have received the highest level of professional training available in psychotherapy. In addition to providing psychotherapy to children, adolescents, adults, and families, I also teach graduate school, supervise graduate students, and provide expert consultation to the local court systems and Officers of the Court. I also provide outreach services to the community in the form of workshops, contemplative retreats, and various online courses in psychology.
(574) 350-2415 View (574) 350-2415
Photo of Brittany Sperka, MSW, LCSW, Clinical Social Work/Therapist
Brittany Sperka
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Serves Area
I appreciate someone with an open heart and a willingness to explore their inner self. I value individuals who are ready to engage and connect in meaningful conversations. I know it can be hard to take the first step for help, and look for someone who is committed to their own growth and willing to collaborate in their goals. Trust, honesty, and a desire to change create a supportive connecting environment where healing and transformation can take place.
I appreciate someone with an open heart and a willingness to explore their inner self. I value individuals who are ready to engage and connect in meaningful conversations. I know it can be hard to take the first step for help, and look for someone who is committed to their own growth and willing to collaborate in their goals. Trust, honesty, and a desire to change create a supportive connecting environment where healing and transformation can take place.
(463) 224-6768 View (463) 224-6768
Photo of Mignonette Daniels, MSW, LSW, Clinical Social Work/Therapist
Mignonette Daniels
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Serves Area
The ideal client is anyone brave enough to put themselves first and ask for help. The ideal client is receptive to the therapeutic process and is direct, open, and vulnerable. They also understand that the therapeutic process takes time, and one does not get there overnight. The ideal client is patient with themselves and can give themselves grace and permission to grow. The client will have the goal of personal self-development and is ready to do the work. The ideal client does not expect me to "fix" them but understands that a clinician is a form of support on their journey and that we will accomplish any goals together.
The ideal client is anyone brave enough to put themselves first and ask for help. The ideal client is receptive to the therapeutic process and is direct, open, and vulnerable. They also understand that the therapeutic process takes time, and one does not get there overnight. The ideal client is patient with themselves and can give themselves grace and permission to grow. The client will have the goal of personal self-development and is ready to do the work. The ideal client does not expect me to "fix" them but understands that a clinician is a form of support on their journey and that we will accomplish any goals together.
(574) 406-2744 View (574) 406-2744
Photo of Victoria Fox, LMHC, Counselor
Victoria Fox
Counselor, LMHC
Verified Verified
Serves Area
My ideal client is someone who feels stuck concerning their relationships, emotions, work, finances, health, or purpose. They are looking for an identity outside of parent or worker. They are feeling depressed and hopeless lately. They are the type that is generally anxious, worried, or on edge. Their goal may be to change their life, but they are not sure how. They may have tried a ton of different self-help, spiritual, or healing modalities on their own but had moments where they have started to think it's never going to happen for them. They need to break free of nonproductive cycles and poor choices to change their lives.
My ideal client is someone who feels stuck concerning their relationships, emotions, work, finances, health, or purpose. They are looking for an identity outside of parent or worker. They are feeling depressed and hopeless lately. They are the type that is generally anxious, worried, or on edge. Their goal may be to change their life, but they are not sure how. They may have tried a ton of different self-help, spiritual, or healing modalities on their own but had moments where they have started to think it's never going to happen for them. They need to break free of nonproductive cycles and poor choices to change their lives.
(574) 626-1513 View (574) 626-1513
Photo of Autumn M Vendramin - Life Strategies, LLC, BCBA, LMHC, Counselor
Life Strategies, LLC
Counselor, BCBA, LMHC
Verified Verified
Serves Area
At Life Strategies, we understand that the happiness and well-being of your child and family are extremely important to you, and we are passionate about assisting you in the growth process. We provide autism ABA Therapy & offer more traditional office counseling services for children, couples, & adults. Our ABA team has extensive experience in providing both in-home and in-center ABA, one of the most effective treatment options for children with autism. Through years of experience, in a caring and supportive environment, we help families and children make lasting gains.
At Life Strategies, we understand that the happiness and well-being of your child and family are extremely important to you, and we are passionate about assisting you in the growth process. We provide autism ABA Therapy & offer more traditional office counseling services for children, couples, & adults. Our ABA team has extensive experience in providing both in-home and in-center ABA, one of the most effective treatment options for children with autism. Through years of experience, in a caring and supportive environment, we help families and children make lasting gains.
(219) 228-8715 View (219) 228-8715
1

How does your Therapist compare?

Number of Therapists in 46614

20+

Average cost per session

$125

Therapists in 46614 who prioritize treating:

96% Anxiety
92% Depression
81% Relationship Issues
81% Trauma and PTSD
77% Coping Skills
77% Self Esteem
73% Family Conflict

Average years in practice

8 Years

Top 3 insurances accepted

83% Aetna
78% BlueCross and BlueShield
78% Anthem

How Therapists in 46614 see their clients

66% In Person and Online
34% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 46614?

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.