Therapists in 48176

Photo of Jen McCulloch, Clinical Social Work/Therapist in 48176, MI
Jen McCulloch
Clinical Social Work/Therapist, LMSW
Verified
1 Endorsed
Saline, MI 48176
Waitlist for new clients
I provide caring support to clients with emotional, behavioral, academic and professional needs. Some of the areas I support include: Depression, Anxiety, Autism, Learning Disabilities, Attention Deficit Hyperactivity Disorder, Healthy Aging, and Self-Esteem Difficulties. I provide Psychotherapy along with Executive Function interventions. My approach includes a strength-based model to support clients in creating and meeting the goals they establish for their own growth. I am enthusiastic about helping individuals to find their strengths and to be their personal best.
I provide caring support to clients with emotional, behavioral, academic and professional needs. Some of the areas I support include: Depression, Anxiety, Autism, Learning Disabilities, Attention Deficit Hyperactivity Disorder, Healthy Aging, and Self-Esteem Difficulties. I provide Psychotherapy along with Executive Function interventions. My approach includes a strength-based model to support clients in creating and meeting the goals they establish for their own growth. I am enthusiastic about helping individuals to find their strengths and to be their personal best.
(734) 823-7955 View (734) 823-7955
Photo of Yana Gatermann, Clinical Social Work/Therapist in 48176, MI
Yana Gatermann
Clinical Social Work/Therapist, LMSW
Verified
Saline, MI 48176  (Online Only)
I have openings on Tuesdays and Wednesdays. Do you think you might be experiencing some anxiety or depression? Do you cope with chronic pain? Are you looking for support around parenting, women's issues, and/or grief? Sometimes, "life transitions" (ie: marriage, divorce, career change, adolescence to young adulthood, parenthood to grandparenthood, etc) throw some surprises at us. I can help you with these issues and other concerns you have.
I have openings on Tuesdays and Wednesdays. Do you think you might be experiencing some anxiety or depression? Do you cope with chronic pain? Are you looking for support around parenting, women's issues, and/or grief? Sometimes, "life transitions" (ie: marriage, divorce, career change, adolescence to young adulthood, parenthood to grandparenthood, etc) throw some surprises at us. I can help you with these issues and other concerns you have.
(734) 472-2751 View (734) 472-2751
Photo of Rise Wellness Collaborative, Limited Licensed Psychologist in 48176, MI
Rise Wellness Collaborative
Limited Licensed Psychologist, MS, LLP, PMH-C
Verified
1 Endorsed
Saline, MI 48176
Early childhood is a dynamic and transitional time that can feel simultaneously joyous and chaotic (for both the child and the parent!). Children sometimes experience a myriad of big feelings that feel difficult to cope with - here at Rise, we aim to provide support, skills, and resources to help you and your child navigate the challenges. We have three new-to-us therapists who are accepting new clients in January. We recognize the shortage of mental health professionals for young children and parents and are so happy to fill the gap!
Early childhood is a dynamic and transitional time that can feel simultaneously joyous and chaotic (for both the child and the parent!). Children sometimes experience a myriad of big feelings that feel difficult to cope with - here at Rise, we aim to provide support, skills, and resources to help you and your child navigate the challenges. We have three new-to-us therapists who are accepting new clients in January. We recognize the shortage of mental health professionals for young children and parents and are so happy to fill the gap!
(734) 228-7784 View (734) 228-7784
Photo of Janni Firestone in 48176, MI
Janni Firestone
MA, GC-C
Saline, MI 48176  (Online Only)
It means so much to me to work with people who are struggling to cope with grief, loss, life change, and all the complications that come along with those. If you have experienced loss—not necessarily the death of a loved one, but any significant loss (relationship, job, pregnancy, health, sense of self, religion, etc)—I would love to work with you as you navigate life in light of that loss. Together, we can create practical tools for growth and healing that help you move from pain to peace as you figure out this new season of life.
It means so much to me to work with people who are struggling to cope with grief, loss, life change, and all the complications that come along with those. If you have experienced loss—not necessarily the death of a loved one, but any significant loss (relationship, job, pregnancy, health, sense of self, religion, etc)—I would love to work with you as you navigate life in light of that loss. Together, we can create practical tools for growth and healing that help you move from pain to peace as you figure out this new season of life.
(734) 530-3596 View (734) 530-3596
Photo of Truc Nguyen, Limited Licensed Psychologist in 48176, MI
Truc Nguyen
Limited Licensed Psychologist, MS, LLP
Verified
1 Endorsed
Saline, MI 48176
Waitlist for new clients
I am passionate about helping individuals who struggle with a wide range of concerns, such as anxiety, social anxiety, depression, relationship/interpersonal conflicts, adjustment-related stress, family conflict/concerns, multicultural issues, behavioral difficulties, ADHD and executive functioning coaching, as well as other general life challenges.
I am passionate about helping individuals who struggle with a wide range of concerns, such as anxiety, social anxiety, depression, relationship/interpersonal conflicts, adjustment-related stress, family conflict/concerns, multicultural issues, behavioral difficulties, ADHD and executive functioning coaching, as well as other general life challenges.
(734) 999-3327 View (734) 999-3327
Photo of Sarah Lossing, Clinical Social Work/Therapist in 48176, MI
Sarah Lossing
Clinical Social Work/Therapist, MSW, PMH-C
Verified
1 Endorsed
Saline, MI 48176  (Online Only)
Not accepting new clients
Are you dealing with depression, anxiety or stress? Life is full of change and transitions and can easily cause us to feel overwhelmed, anxious or depressed. Being unable to understand or control our thoughts and feelings often leads to difficult or challenging experiences that can be hard to navigate. Therapy is a way to honor these experiences and hold space for self-reflection and understanding. Finding the right therapist can be overwhelming, especially if you are already feeling emotionally drained. My approach is to help you identify your goals and meet you with compassion and empathy.
Are you dealing with depression, anxiety or stress? Life is full of change and transitions and can easily cause us to feel overwhelmed, anxious or depressed. Being unable to understand or control our thoughts and feelings often leads to difficult or challenging experiences that can be hard to navigate. Therapy is a way to honor these experiences and hold space for self-reflection and understanding. Finding the right therapist can be overwhelming, especially if you are already feeling emotionally drained. My approach is to help you identify your goals and meet you with compassion and empathy.
(734) 259-7432 View (734) 259-7432
Photo of Kristyn Driver, Clinical Social Work/Therapist in 48176, MI
Kristyn Driver
Clinical Social Work/Therapist, LMSW, IMH-E
Verified
Saline, MI 48176
Becoming a parent can often feel like it isn’t all that you’ve dreamed, and this can feel isolating, worried that you are the only one experiencing hard times with your child. I can offer support if you are struggling with prenatal adjustment, new or heightened anxiety or depression or are experiencing difficulties connecting with your baby. I can help you manage overwhelming thoughts, or work through past trauma to be more present. If you have a young child who has struggles getting through the day or have concerns about their emotional development and you aren’t sure what else to do, I am here to help you figure out what is next.
Becoming a parent can often feel like it isn’t all that you’ve dreamed, and this can feel isolating, worried that you are the only one experiencing hard times with your child. I can offer support if you are struggling with prenatal adjustment, new or heightened anxiety or depression or are experiencing difficulties connecting with your baby. I can help you manage overwhelming thoughts, or work through past trauma to be more present. If you have a young child who has struggles getting through the day or have concerns about their emotional development and you aren’t sure what else to do, I am here to help you figure out what is next.
(734) 977-0824 View (734) 977-0824
Photo of Andrew Cheff, Psychologist in 48176, MI
Andrew Cheff
Psychologist, PsyD
Verified
Saline, MI 48176
Do you struggle with aspects of your life, you wish could be different? Perhaps it's the way you feel or a certain behavior you find problematic. Maybe your concern involves your relationships with others or thoughts about yourself. I can help you change that. I believe that much of life is about balance. When our lives become out of balance we often feel hurt, stressed, angry, overwhelmed, or misunderstood. I have a strong interest in helping you achieve (or restore) the balance and peace you seek in your life, and I know that together we can achieve that goal.
Do you struggle with aspects of your life, you wish could be different? Perhaps it's the way you feel or a certain behavior you find problematic. Maybe your concern involves your relationships with others or thoughts about yourself. I can help you change that. I believe that much of life is about balance. When our lives become out of balance we often feel hurt, stressed, angry, overwhelmed, or misunderstood. I have a strong interest in helping you achieve (or restore) the balance and peace you seek in your life, and I know that together we can achieve that goal.
(734) 396-8355 View (734) 396-8355
Photo of Emily Anderson, Clinical Social Work/Therapist in 48176, MI
Emily Anderson
Clinical Social Work/Therapist, LLMSW
Verified
4 Endorsed
Saline, MI 48176
Welcome. As a clinician, it is an honor to walk beside you in your journey. I specialize in postpartum mood disorders (such as anxiety or depression), birth trauma, and recovering from spiritual abuse (such as leaving high demand religions or cults). I am specifically trained in EMDR for trauma reprocessing and healing.
Welcome. As a clinician, it is an honor to walk beside you in your journey. I specialize in postpartum mood disorders (such as anxiety or depression), birth trauma, and recovering from spiritual abuse (such as leaving high demand religions or cults). I am specifically trained in EMDR for trauma reprocessing and healing.
(734) 201-0332 View (734) 201-0332
Photo of Karen Bowersox, Psychologist in 48176, MI
Karen Bowersox
Psychologist, PhD, LP
Verified
Saline, MI 48176  (Online Only)
As of 9/5/23 my practice is OPEN for new clients who are available M-F, 9am-3pm, for telehealth appointments only. Sometimes life throws us unexpected curve balls that are difficult to manage. Other times, we may find ourselves struggling to manage day to day life even without any major life changes. Therapy can be an important tool for helping us manage both unexpected events as well as the stresses of daily life.
As of 9/5/23 my practice is OPEN for new clients who are available M-F, 9am-3pm, for telehealth appointments only. Sometimes life throws us unexpected curve balls that are difficult to manage. Other times, we may find ourselves struggling to manage day to day life even without any major life changes. Therapy can be an important tool for helping us manage both unexpected events as well as the stresses of daily life.
(734) 212-8163 View (734) 212-8163
Photo of Jennifer Simms-Coffey, Clinical Social Work/Therapist in 48176, MI
Jennifer Simms-Coffey
Clinical Social Work/Therapist, MA, LMSW
Verified
1 Endorsed
Saline, MI 48176  (Online Only)
Life isn't always a linear process. Whether you are experiencing anxiety, stress, or going through life transitions, finding a place to talk openly about what you are going through is a first step to finding relief. I can help by working with you to reduce symptoms you are experiencing by talking through what is going on, exploring the utilization of coping skills, and working on addressing negative thinking patterns.
Life isn't always a linear process. Whether you are experiencing anxiety, stress, or going through life transitions, finding a place to talk openly about what you are going through is a first step to finding relief. I can help by working with you to reduce symptoms you are experiencing by talking through what is going on, exploring the utilization of coping skills, and working on addressing negative thinking patterns.
(734) 470-3500 View (734) 470-3500
Photo of Holly Sayer, Licensed Professional Counselor in 48176, MI
Holly Sayer
Licensed Professional Counselor, MA, LPC, LMHC
Verified
Saline, MI 48176  (Online Only)
Hi, my name is Holly. I have worked in the mental health field for over 20 years. I have a wide range of experience with mental health issues. I am a continual learner. I want to be the best therapist I can be for you so you can feel better quickly! I know what it feels like to struggle with anxiety and depression. I wanted relief fast. Through the help of therapy, I found my way out and I hope you'll trust me enough to help you find your way out. I EXCLUSIVELY offer ONLINE counseling.
Hi, my name is Holly. I have worked in the mental health field for over 20 years. I have a wide range of experience with mental health issues. I am a continual learner. I want to be the best therapist I can be for you so you can feel better quickly! I know what it feels like to struggle with anxiety and depression. I wanted relief fast. Through the help of therapy, I found my way out and I hope you'll trust me enough to help you find your way out. I EXCLUSIVELY offer ONLINE counseling.
(734) 890-5537 View (734) 890-5537
Photo of Allen S Finkel, Clinical Social Work/Therapist in 48176, MI
Allen S Finkel
Clinical Social Work/Therapist, MSW, LMSW, CPT
Verified
Saline, MI 48176
Gaining control over body weight brings on new possibilities, yet can also bring on a new set of unexpected realities. People who knew us as overweight may distance themselves or show signs of disapproval. We may not believe in our ability to have a fulfilling career, be a good parent or romantic partner. We progress toward our goals and feel good at first, yet we may return to former habits, and run up against a set of obsolete internal beliefs about what we capable of doing. This limits us. We want to live fully, yet these thoughts keep us from achieving our goals.
Gaining control over body weight brings on new possibilities, yet can also bring on a new set of unexpected realities. People who knew us as overweight may distance themselves or show signs of disapproval. We may not believe in our ability to have a fulfilling career, be a good parent or romantic partner. We progress toward our goals and feel good at first, yet we may return to former habits, and run up against a set of obsolete internal beliefs about what we capable of doing. This limits us. We want to live fully, yet these thoughts keep us from achieving our goals.
(804) 829-0972 View (804) 829-0972
Photo of Jen Burke, Clinical Social Work/Therapist in 48176, MI
Jen Burke
Clinical Social Work/Therapist, JD, LMSW, IMH-E
Verified
1 Endorsed
Saline, MI 48176
In my practice, I welcome individuals at various stages of life who are seeking support and guidance in their journey toward mental health and well-being. Whether it is a child and their family managing anxiety, attachment concerns, or trauma, or a new parent looking to strengthen their bond with their children or navigate perinatal mental health challenges, I seek to offer a space that offers the empathy and empowerment needed for healing and growth.
In my practice, I welcome individuals at various stages of life who are seeking support and guidance in their journey toward mental health and well-being. Whether it is a child and their family managing anxiety, attachment concerns, or trauma, or a new parent looking to strengthen their bond with their children or navigate perinatal mental health challenges, I seek to offer a space that offers the empathy and empowerment needed for healing and growth.
(734) 547-6455 View (734) 547-6455
Photo of Becky Mesman Elite Counseling, Licensed Professional Counselor in 48176, MI
Becky Mesman Elite Counseling
Licensed Professional Counselor, MA, LPC
Verified
Saline, MI 48176
Elite Counseling is accepting new clients In Person and Virtual starting 1/1/2024! Do you need a change in your life? Is something holding you back from reaching your potential? Let us help you! We specialize in Individual, Couples and Family Counseling. We treat clients of all ages struggling with Anxiety, Depression, OCD, Marital/Premarital Struggles, Divorce Recovery, Injury Recovery, Burnout (Work, Relationships, Sports), Trauma, Grief/Loss, Anger Management, Stress, and Life Transitions.
Elite Counseling is accepting new clients In Person and Virtual starting 1/1/2024! Do you need a change in your life? Is something holding you back from reaching your potential? Let us help you! We specialize in Individual, Couples and Family Counseling. We treat clients of all ages struggling with Anxiety, Depression, OCD, Marital/Premarital Struggles, Divorce Recovery, Injury Recovery, Burnout (Work, Relationships, Sports), Trauma, Grief/Loss, Anger Management, Stress, and Life Transitions.
(248) 955-2565 View (248) 955-2565
Photo of Krista Gravatt, Clinical Social Work/Therapist in 48176, MI
Krista Gravatt
Clinical Social Work/Therapist, LMSW
Verified
3 Endorsed
Saline, MI 48176  (Online Only)
Not accepting new clients
Not accepting new clients at this time. Waitlist currently closed as of August 2023. Telehealth-based only. Are you tired of the anxiety and discomfort you feel? Are you having repetitive intrusive thoughts that move you away from being mindfully present? Are you highly motivated for change and looking for some guidance to get you to a better quality of life? My name is Krista Gravatt and I am an Anxiety and OCD specialist treating adults 18 and up. I love working with college students and young professionals!
Not accepting new clients at this time. Waitlist currently closed as of August 2023. Telehealth-based only. Are you tired of the anxiety and discomfort you feel? Are you having repetitive intrusive thoughts that move you away from being mindfully present? Are you highly motivated for change and looking for some guidance to get you to a better quality of life? My name is Krista Gravatt and I am an Anxiety and OCD specialist treating adults 18 and up. I love working with college students and young professionals!
(734) 887-1228 View (734) 887-1228
Photo of Amy Lawson, Clinical Social Work/Therapist in 48176, MI
Amy Lawson
Clinical Social Work/Therapist, LMSW, PhD, CAADC, PMH-C
Verified
Saline, MI 48176
I have over fifteen years experience working with adolescent and adults with a wide range of mental health and substance abuse disorders. I use an empathic, strengths based approach to address issues such as anxiety, depression, bipolar disorder and relationship and career changes. I have worked with a variety of clients with co-occuring mental health and substance abuse disorders. I enjoy working with clients through life transitions, such as college, graduate school, career changes, parenting, and mid-life issues. I tend to utilize person centered therapy techniques, CBT, and ACT techniques.
I have over fifteen years experience working with adolescent and adults with a wide range of mental health and substance abuse disorders. I use an empathic, strengths based approach to address issues such as anxiety, depression, bipolar disorder and relationship and career changes. I have worked with a variety of clients with co-occuring mental health and substance abuse disorders. I enjoy working with clients through life transitions, such as college, graduate school, career changes, parenting, and mid-life issues. I tend to utilize person centered therapy techniques, CBT, and ACT techniques.
(734) 221-0158 View (734) 221-0158
Photo of Pietruck Therapy Services PLLC, Clinical Social Work/Therapist in 48176, MI
Pietruck Therapy Services PLLC
Clinical Social Work/Therapist, MSW, LMSW
Verified
3 Endorsed
Saline, MI 48176
Pietruck Therapy Services (PTS) is a private group practice. PTS hopes to build mutual respect, trust and create a safe space with all clients. PTS has a commitment to providing culturally responsive services and strives to provide the upmost ethical practices. We are enthusiastic about working with children and families who are or have experienced trauma. We are very passionate about the work we do with children, adolescents, young adults and adults experiencing depression, anxiety, life adjustments, ADHD and those who identify as LGBTQIA+. We also have training and experience working with individuals who are on the ASD spectrum.
Pietruck Therapy Services (PTS) is a private group practice. PTS hopes to build mutual respect, trust and create a safe space with all clients. PTS has a commitment to providing culturally responsive services and strives to provide the upmost ethical practices. We are enthusiastic about working with children and families who are or have experienced trauma. We are very passionate about the work we do with children, adolescents, young adults and adults experiencing depression, anxiety, life adjustments, ADHD and those who identify as LGBTQIA+. We also have training and experience working with individuals who are on the ASD spectrum.
(734) 436-3311 View (734) 436-3311
Photo of Nicole E Buller, Clinical Social Work/Therapist in 48176, MI
Nicole E Buller
Clinical Social Work/Therapist, MSW, LMSW
Verified
2 Endorsed
Saline, MI 48176
As a clinical social worker and therapist, I strive to create an environment of emotional safety in which we can identify and explore the internal conflicts and patterns of maladaptive behavior that leave you feeling distressed or dissatisfied. Through confidential consultation, we will first ensure there is a good fit between your concerns and my expertise. Then we will begin an individualized treatment that optimizes the conditions needed to support your recovery and personal growth.
As a clinical social worker and therapist, I strive to create an environment of emotional safety in which we can identify and explore the internal conflicts and patterns of maladaptive behavior that leave you feeling distressed or dissatisfied. Through confidential consultation, we will first ensure there is a good fit between your concerns and my expertise. Then we will begin an individualized treatment that optimizes the conditions needed to support your recovery and personal growth.
(734) 636-2932 View (734) 636-2932
Photo of Alex Barends, Psychologist in 48176, MI
Alex Barends
Psychologist, PhD
Verified
Saline, MI 48176
Not accepting new clients
Perhaps there is no more healing, sustaining and enriching experience in life than one given by the opportunity to understand oneself and others. Psychotherapy is uniquely suited to provide this experience. It's a place where difficulties can be explored both safely and meaningfully. One's problems might emerge during a personal crisis; or perhaps, one's problems have become clear only over time. In either case, a successful psychotherapy can bring vitality, better connections to others and success in achieving one's life goals.
Perhaps there is no more healing, sustaining and enriching experience in life than one given by the opportunity to understand oneself and others. Psychotherapy is uniquely suited to provide this experience. It's a place where difficulties can be explored both safely and meaningfully. One's problems might emerge during a personal crisis; or perhaps, one's problems have become clear only over time. In either case, a successful psychotherapy can bring vitality, better connections to others and success in achieving one's life goals.
(734) 363-8944 View (734) 363-8944

See more therapy options for 48176

How does your Therapist compare?

Number of Therapists in 48176

100+

Average cost per session

$150

Therapists in 48176 who prioritize treating:

91% Depression
91% Anxiety
81% Relationship Issues
76% Self Esteem
73% Grief
70% Trauma and PTSD
65% Coping Skills

Average years in practice

17 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
52% Blue Care Network
31% Blue Cross

How Therapists in 48176 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 48176?

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.