Therapists in 48035

Photo of Ashley Ziolkowski, Clinical Social Work/Therapist, LMSW
Ashley Ziolkowski
Clinical Social Work/Therapist, LMSW
3 Endorsed
Clinton Township, MI 48035
Do you find yourself overwhelmed by feelings of sadness, anxiety, anger, or guilt? Do you wish you felt more empowered to set boundaries and say “no” in relationships? Are you stuck in unhelpful patterns or burdened by the past? As a therapist, I am passionate about creating a safe environment to explore these feelings, build an awareness of what's holding you back and work towards having a more fulfilling life. It is my passion to help children and adolescents develop healthy ways to manage and understand emotions, increase self-esteem, and create positive relationships in life.
Do you find yourself overwhelmed by feelings of sadness, anxiety, anger, or guilt? Do you wish you felt more empowered to set boundaries and say “no” in relationships? Are you stuck in unhelpful patterns or burdened by the past? As a therapist, I am passionate about creating a safe environment to explore these feelings, build an awareness of what's holding you back and work towards having a more fulfilling life. It is my passion to help children and adolescents develop healthy ways to manage and understand emotions, increase self-esteem, and create positive relationships in life.
(586) 238-3280 View (586) 238-3280
Photo of Tiffany Jeffers, Licensed Professional Counselor, MA, LPC
Tiffany Jeffers
Licensed Professional Counselor, MA, LPC
Clinton Township, MI 48035
I want to create a space that allows my client(s) to facilitate their own goals and values. I have an integrative approach to the counseling process with no judgement and a safe space to provide comfortability to my client(s). I like to meet my client(s) where they are at, while my client(s) guide me through their journey.
I want to create a space that allows my client(s) to facilitate their own goals and values. I have an integrative approach to the counseling process with no judgement and a safe space to provide comfortability to my client(s). I like to meet my client(s) where they are at, while my client(s) guide me through their journey.
(586) 800-3552 View (586) 800-3552
Photo of Alisha Mikkelson, Clinical Social Work/Therapist
Alisha Mikkelson
Clinical Social Work/Therapist
Clinton Township, MI 48035
Currently accepting new clients. Hello, I am so happy that you are here and are taking the step to start your therapy journey. I am a fully licensed clinical social worker that mainly focuses on people who are struggling with depression, anxiety and/or trauma. Focusing on the root of your struggle, and figuring out together what works best for your life style is very important to me. I will always meet my clients where they are at and help guide them towards their goals. I look forward to meet you and working together.
Currently accepting new clients. Hello, I am so happy that you are here and are taking the step to start your therapy journey. I am a fully licensed clinical social worker that mainly focuses on people who are struggling with depression, anxiety and/or trauma. Focusing on the root of your struggle, and figuring out together what works best for your life style is very important to me. I will always meet my clients where they are at and help guide them towards their goals. I look forward to meet you and working together.
(586) 371-5365 View (586) 371-5365
Photo of Jennifer Harmon, Clinical Social Work/Therapist, LMSW, CTP-C, CATP
Jennifer Harmon
Clinical Social Work/Therapist, LMSW, CTP-C, CATP
Clinton Township, MI 48035
I believe that all people have an internal strength that they can use to help them work towards their goals. Together we will figure out what that is and build from there, to help you achieve success and personal harmony.
I believe that all people have an internal strength that they can use to help them work towards their goals. Together we will figure out what that is and build from there, to help you achieve success and personal harmony.
(586) 488-4277 View (586) 488-4277
Photo of Tori L Fiore, Pre-Licensed Professional
Tori L Fiore
Pre-Licensed Professional
Clinton Township, MI 48035
My ideal client is someone seeking support while navigating life’s challenges. They want a safe, open space to talk freely about what they’re going through. Their goals may include personal growth, building healthier relationships, setting boundaries, and improving stress management and resilience. I value working collaboratively to uncover their strengths and help them create a more balanced, fulfilling life.
My ideal client is someone seeking support while navigating life’s challenges. They want a safe, open space to talk freely about what they’re going through. Their goals may include personal growth, building healthier relationships, setting boundaries, and improving stress management and resilience. I value working collaboratively to uncover their strengths and help them create a more balanced, fulfilling life.
(586) 327-7098 View (586) 327-7098
Photo of Lynn Fonacier, Clinical Social Work/Therapist, LMSW, CTRP-C, SSW
Lynn Fonacier
Clinical Social Work/Therapist, LMSW, CTRP-C, SSW
1 Endorsed
Clinton Township, MI 48035
Having a genuine trusting therapeutic relationship, in a safe non-judgmental environment, is the foundation I hope to build with my clients. When you’re feeling anxious or depressed sometimes one of the hardest things to do is reach out for help. Being comfortable enough to share your thoughts and feelings can ultimately move you forward in your journey toward healing. I have worked with individuals, couple and families of diverse backgrounds, sexual orientations and abilities. I have also addressed mental health, social, emotional, and behavior challenges with both neurotypical and neurodivergent individuals.
Having a genuine trusting therapeutic relationship, in a safe non-judgmental environment, is the foundation I hope to build with my clients. When you’re feeling anxious or depressed sometimes one of the hardest things to do is reach out for help. Being comfortable enough to share your thoughts and feelings can ultimately move you forward in your journey toward healing. I have worked with individuals, couple and families of diverse backgrounds, sexual orientations and abilities. I have also addressed mental health, social, emotional, and behavior challenges with both neurotypical and neurodivergent individuals.
(586) 701-7419 View (586) 701-7419
Photo of Tyler Spencer, Clinical Social Work/Therapist, LMSW
Tyler Spencer
Clinical Social Work/Therapist, LMSW
7 Endorsed
Clinton Township, MI 48035
Accepting new clients! Opening up and allowing yourself to be completely vulnerable is an emotional and trying task. Let’s do it together! I'm here to work through those struggles with you, by making sure you feel seen, heard, and prioritized. Therapy is a safe place where we will focus on you and your priorities. If you are unsure of how to proceed, I will meet you where you are and we can work together to create and achieve goals that are best suited for you. Whether you’re a college student, someone looking to start a new chapter in their life or even a fellow therapist, come on in and get cozy. It’s time to focus on you now.
Accepting new clients! Opening up and allowing yourself to be completely vulnerable is an emotional and trying task. Let’s do it together! I'm here to work through those struggles with you, by making sure you feel seen, heard, and prioritized. Therapy is a safe place where we will focus on you and your priorities. If you are unsure of how to proceed, I will meet you where you are and we can work together to create and achieve goals that are best suited for you. Whether you’re a college student, someone looking to start a new chapter in their life or even a fellow therapist, come on in and get cozy. It’s time to focus on you now.
(586) 701-7920 View (586) 701-7920
Photo of Jenni Ochylski, Licensed Professional Counselor, MA, LLC, SCL
Jenni Ochylski
Licensed Professional Counselor, MA, LLC, SCL
2 Endorsed
Clinton Township, MI 48035
My goal is to provide a supportive atmosphere to help assist in navigating and enhancing your ability to overcome problems, strengthen your relationships, build confidence, and develop a healthy sense of self. Therapy is not a one size fits all and I believe treatment should be individualized based on the client. The therapy approaches that I frequently use include Person-Centered, Cognitive Behavioral Therapy, Mindfulness, and Strength Based.
My goal is to provide a supportive atmosphere to help assist in navigating and enhancing your ability to overcome problems, strengthen your relationships, build confidence, and develop a healthy sense of self. Therapy is not a one size fits all and I believe treatment should be individualized based on the client. The therapy approaches that I frequently use include Person-Centered, Cognitive Behavioral Therapy, Mindfulness, and Strength Based.
(248) 609-4861 View (248) 609-4861
Photo of Jen Johnson, Clinical Social Work/Therapist, LCSW
Jen Johnson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Clinton Township, MI 48035
Not accepting new clients
Hi! I'm Jen! I've acquired 12 years thus far in licensed social work, with over 10 years as a school social worker. I enjoy focusing on encouragement within parent/child relationships and promote independence, when working with teens. I work best with trauma, grief/loss, PTSD, LGBTQ+ families, teens, motherhood/women’s issues, veterans, seniors/retirees, and substance abuse recovery. Interventions utilized may be: talk therapy, skill-based practice, DBT-skills, mindfulness, problem-solution interventions, trauma-informed care, somatic-connections with emotion regulation, person-centered planning, and identity exploration.
Hi! I'm Jen! I've acquired 12 years thus far in licensed social work, with over 10 years as a school social worker. I enjoy focusing on encouragement within parent/child relationships and promote independence, when working with teens. I work best with trauma, grief/loss, PTSD, LGBTQ+ families, teens, motherhood/women’s issues, veterans, seniors/retirees, and substance abuse recovery. Interventions utilized may be: talk therapy, skill-based practice, DBT-skills, mindfulness, problem-solution interventions, trauma-informed care, somatic-connections with emotion regulation, person-centered planning, and identity exploration.
(586) 600-8625 View (586) 600-8625
Photo of Alisa M Means-Looney, Clinical Social Work/Therapist, LLMSW
Alisa M Means-Looney
Clinical Social Work/Therapist, LLMSW
Clinton Township, MI 48035
Hello! Accepting NEW clients! Evening & weekend appointments available! Are the winter blues creeping in? Are you currently feeling stuck, depressed, anxious, or overwhelmed? Do you constantly have running thoughts and worry about life? Are you a teen struggling to navigate emerging adulthood? Are you struggling in your relationships and not sure how to process those feelings? You’re looking for a comfortable, safe, caring place to share and work through these feelings and you have come to the right place! Here you will find a safe, nonjudgemental place to share and work through those difficult and scary feelings! Call me today!
Hello! Accepting NEW clients! Evening & weekend appointments available! Are the winter blues creeping in? Are you currently feeling stuck, depressed, anxious, or overwhelmed? Do you constantly have running thoughts and worry about life? Are you a teen struggling to navigate emerging adulthood? Are you struggling in your relationships and not sure how to process those feelings? You’re looking for a comfortable, safe, caring place to share and work through these feelings and you have come to the right place! Here you will find a safe, nonjudgemental place to share and work through those difficult and scary feelings! Call me today!
(586) 701-9346 View (586) 701-9346
Photo of Veronica H Lopiccolo, Licensed Professional Counselor, MA, LPC, NCC, ACS
Veronica H Lopiccolo
Licensed Professional Counselor, MA, LPC, NCC, ACS
12 Endorsed
Clinton Township, MI 48035
I would be honored to walk alongside of you to help you to discern where your pain, joys, and struggles are rooted. I find great joy in helping clients to release the chains in their lives that are holding them back from their greatest potential. Let's explore what your strengths, challenges, and growing edges are together. Please allow me to help you to believe the truth that hope and healing can happen for you. Together, we can change the next chapter of your life! It is never too late.
I would be honored to walk alongside of you to help you to discern where your pain, joys, and struggles are rooted. I find great joy in helping clients to release the chains in their lives that are holding them back from their greatest potential. Let's explore what your strengths, challenges, and growing edges are together. Please allow me to help you to believe the truth that hope and healing can happen for you. Together, we can change the next chapter of your life! It is never too late.
(586) 623-6255 View (586) 623-6255
Photo of Mary Vang, Licensed Professional Counselor, MA, LPC, NCC
Mary Vang
Licensed Professional Counselor, MA, LPC, NCC
2 Endorsed
Clinton Township, MI 48035
Mary has experience in both inpatient and outpatient treatment with children, adolescents and adults. Her experience has prepared her to work with individuals with a range of mental illnesses. She has experience in the mental health field that promote the therapeutic environment and recovery of clients. Mary utilizes several theoretical approaches and believes in the healing and growth that comes from God and His Word. The general goal of counseling is to create a therapeutic environment to promote the client's potential to finding resolutions, healing, and growth.
Mary has experience in both inpatient and outpatient treatment with children, adolescents and adults. Her experience has prepared her to work with individuals with a range of mental illnesses. She has experience in the mental health field that promote the therapeutic environment and recovery of clients. Mary utilizes several theoretical approaches and believes in the healing and growth that comes from God and His Word. The general goal of counseling is to create a therapeutic environment to promote the client's potential to finding resolutions, healing, and growth.
(586) 684-4708 View (586) 684-4708
Photo of Amanda Lilley - Therapy Alliance of Michigan, Inc , Clinical Social Work/Therapist, LMSW
Therapy Alliance of Michigan, Inc
Clinical Social Work/Therapist, LMSW
1 Endorsed
Clinton Township, MI 48035
Hello! Immediate openings for NEW clients and now offer EMDR at our Warren location! Immediate appointments available! We can schedule most appointments within the same week, and try to schedule all new appointments within 24-48 hours. You are struggling with anxiety, depression, or worry about everyday life. You're having trouble completing daily tasks, feeling fatigued, and worn out. Maybe you have survived a trauma or abusive relationship and need help focusing on healing. You want to feel happier and more in control. Maybe your child is struggling with stress, anxiety, etc. You are not alone and we have a therapist who can help.
Hello! Immediate openings for NEW clients and now offer EMDR at our Warren location! Immediate appointments available! We can schedule most appointments within the same week, and try to schedule all new appointments within 24-48 hours. You are struggling with anxiety, depression, or worry about everyday life. You're having trouble completing daily tasks, feeling fatigued, and worn out. Maybe you have survived a trauma or abusive relationship and need help focusing on healing. You want to feel happier and more in control. Maybe your child is struggling with stress, anxiety, etc. You are not alone and we have a therapist who can help.
(586) 701-9412 View (586) 701-9412
Photo of Dr. Linda Ann Schoonover, Clinical Social Work/Therapist, LMSW
Dr. Linda Ann Schoonover
Clinical Social Work/Therapist, LMSW
Clinton Township, MI 48035
I have a passion for helping blending health, wellness, social work, sexuality, spirituality and psychology to foster hope and faith. I provide assistance needed in navigating through life effectively including help dealing with anxiety, depression, suicidal thoughts, life transitions, weight loss, emotional issues, and spiritual or personal growth. Through the counseling process, the focus is to learn effective choices that help achieve your desired goals. I believe wholeheartedly that God has complete mental & emotional wholeness available to every person & would love to be part of your journey in finding that wholeness.
I have a passion for helping blending health, wellness, social work, sexuality, spirituality and psychology to foster hope and faith. I provide assistance needed in navigating through life effectively including help dealing with anxiety, depression, suicidal thoughts, life transitions, weight loss, emotional issues, and spiritual or personal growth. Through the counseling process, the focus is to learn effective choices that help achieve your desired goals. I believe wholeheartedly that God has complete mental & emotional wholeness available to every person & would love to be part of your journey in finding that wholeness.
(586) 271-0864 View (586) 271-0864
Photo of Ashley Brummett, Counselor, MA, LLC
Ashley Brummett
Counselor, MA, LLC
2 Endorsed
Clinton Township, MI 48035
I believe that clients are the true experts of their own lives & my role is to learn from you & guide you through life’s transitions & challenges. My clients would describe me as genuine, compassionate, insightful & encouraging. My goal is to meet you where you are while also challenging you when necessary to foster healing & growth. As a Mental Health Counseling intern, I have gained valuable experience in areas such as depression, anxiety, pelvic pain, life transitions & relationship issues. My education, combined with my personal journey with these struggles, informs my practice & enables me to connect authentically with clients.
I believe that clients are the true experts of their own lives & my role is to learn from you & guide you through life’s transitions & challenges. My clients would describe me as genuine, compassionate, insightful & encouraging. My goal is to meet you where you are while also challenging you when necessary to foster healing & growth. As a Mental Health Counseling intern, I have gained valuable experience in areas such as depression, anxiety, pelvic pain, life transitions & relationship issues. My education, combined with my personal journey with these struggles, informs my practice & enables me to connect authentically with clients.
(586) 213-5505 View (586) 213-5505
Photo of Tait Sapienza, Pre-Licensed Professional
Tait Sapienza
Pre-Licensed Professional
2 Endorsed
Clinton Township, MI 48035
My ideal client is someone navigating life’s challenges, such as anxiety, depression, trauma, grief, or substance use. They may feel overwhelmed, stuck, or disconnected, longing for a space where they can explore their feelings and work toward positive change. Their goals might include building resilience, improving self-esteem, fostering healthier relationships, or discovering a sense of purpose. They seek support and guidance in uncovering their strengths and creating a more authentic and fulfilling life.
My ideal client is someone navigating life’s challenges, such as anxiety, depression, trauma, grief, or substance use. They may feel overwhelmed, stuck, or disconnected, longing for a space where they can explore their feelings and work toward positive change. Their goals might include building resilience, improving self-esteem, fostering healthier relationships, or discovering a sense of purpose. They seek support and guidance in uncovering their strengths and creating a more authentic and fulfilling life.
(586) 301-6353 View (586) 301-6353
Photo of Ashley Petrella, Counselor, MS, LLC, NCC
Ashley Petrella
Counselor, MS, LLC, NCC
4 Endorsed
Clinton Township, MI 48035
As an interactive and integrative therapist, I customize your treatment plan to fit your unique needs. I'm here to listen to your concerns and provide support, but I also believe in the power of challenge. Together, we'll explore new perspectives, experiment with different behaviors, and venture into ideas that may push you outside your comfort zone. In my therapy sessions, I strive to create a warm and welcoming space where vulnerability is embraced. I firmly believe that relationships are at the heart of a fulfilling life; they shape our experiences and help us navigate the ups and downs.
As an interactive and integrative therapist, I customize your treatment plan to fit your unique needs. I'm here to listen to your concerns and provide support, but I also believe in the power of challenge. Together, we'll explore new perspectives, experiment with different behaviors, and venture into ideas that may push you outside your comfort zone. In my therapy sessions, I strive to create a warm and welcoming space where vulnerability is embraced. I firmly believe that relationships are at the heart of a fulfilling life; they shape our experiences and help us navigate the ups and downs.
(586) 301-7908 View (586) 301-7908
Photo of Karen Gibson, Counselor, MA, LPC, LBSW
Karen Gibson
Counselor, MA, LPC, LBSW
Online Only
Feeling the Weight of Expectations? You may appear confident and accomplished to your friends, family, and coworkers, but inside, you’re battling feelings of inadequacy and self-doubt. You’ve dedicated so much energy to managing your life and meeting the needs of others that you’ve neglected your own well-being. It’s no surprise that you're feeling exhausted and overwhelmed.
Feeling the Weight of Expectations? You may appear confident and accomplished to your friends, family, and coworkers, but inside, you’re battling feelings of inadequacy and self-doubt. You’ve dedicated so much energy to managing your life and meeting the needs of others that you’ve neglected your own well-being. It’s no surprise that you're feeling exhausted and overwhelmed.
(586) 554-2027 View (586) 554-2027
Photo of Tais Guerra-Walendowsky, Counselor, LLPC, ATR-P
Tais Guerra-Walendowsky
Counselor, LLPC, ATR-P
2 Endorsed
Clinton Township, MI 48035
Waitlist for new clients
Therapy for me is a process where we work together to find ways for you to feel comfortable in your own skin and live your life in the best way you can. We will work together to tailor your treatment utilizing evidence-based interventions, which can include art therapy, dream analysis, active imagination, guided imagery, word association, cognitive behavioral therapy, Internal Family System (IFS), and mindfulness, among others. I can also provide therapy in Brazilian Portuguese.
Therapy for me is a process where we work together to find ways for you to feel comfortable in your own skin and live your life in the best way you can. We will work together to tailor your treatment utilizing evidence-based interventions, which can include art therapy, dream analysis, active imagination, guided imagery, word association, cognitive behavioral therapy, Internal Family System (IFS), and mindfulness, among others. I can also provide therapy in Brazilian Portuguese.
(313) 489-0801 View (313) 489-0801
Photo of Sarah Calihan, Clinical Social Work/Therapist, LMSW
Sarah Calihan
Clinical Social Work/Therapist, LMSW
4 Endorsed
Clinton Township, MI 48035
Hi, there! I'm an energetic therapist who works with children, adolescents, adults (40 and under), and parents seeking skill building. I graduated with my Master of Social Work degree in 2017 from Wayne State University and have close to 10 years of experience working in crisis-based settings. I bring a wealth of knowledge and expertise to my clinical practice. I work well with anxiety, depression, ADHD, anger management, and PTSD.
Hi, there! I'm an energetic therapist who works with children, adolescents, adults (40 and under), and parents seeking skill building. I graduated with my Master of Social Work degree in 2017 from Wayne State University and have close to 10 years of experience working in crisis-based settings. I bring a wealth of knowledge and expertise to my clinical practice. I work well with anxiety, depression, ADHD, anger management, and PTSD.
(586) 371-5395 View (586) 371-5395

See more therapy options for 48035

How does your Therapist compare?

Number of Therapists in 48035

80+

Average cost per session

$150

Therapists in 48035 who prioritize treating:

93% Depression
93% Anxiety
74% Grief
73% Relationship Issues
73% Coping Skills
71% Trauma and PTSD
71% Self Esteem

Average years in practice

9 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
83% Blue Care Network
76% Aetna

How Therapists in 48035 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 48035?

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.