Photo of Sarah Casper, LCSW, Clinical Social Work/Therapist
Sarah Casper
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
I am a Christian therapist that specializes in working with women (18+) that have experienced trauma (Physical Abuse, Emotional Abuse, Verbal Abuse, Sexual Abuse, and Sexual Assault) in their past, anxiety, overthinking, perfectionism, low self-worth, unresolved emotional wounds, stress and overwhelm, somatic symptoms, activated nervous system, struggles to self-love, or experiences triggers within the context of relationships. My goal is to come along side you in your healing, reduce/eliminate triggers, increase self-worth and love, reduce anxiety symptoms, and create serenity in the mind, body, and spirit.
I am a Christian therapist that specializes in working with women (18+) that have experienced trauma (Physical Abuse, Emotional Abuse, Verbal Abuse, Sexual Abuse, and Sexual Assault) in their past, anxiety, overthinking, perfectionism, low self-worth, unresolved emotional wounds, stress and overwhelm, somatic symptoms, activated nervous system, struggles to self-love, or experiences triggers within the context of relationships. My goal is to come along side you in your healing, reduce/eliminate triggers, increase self-worth and love, reduce anxiety symptoms, and create serenity in the mind, body, and spirit.
(262) 218-4455 View (262) 218-4455
Photo of Curtis Tindall - Red Willow Therapy, LLC , LPC, Licensed Professional Counselor
Red Willow Therapy, LLC
Licensed Professional Counselor, LPC
Verified Verified
Serves Area
Immediate openings, no wait list schedule same week. My appointments are either via the office or via video. If you struggle and have difficulty getting out of the problem, I am here to help you seek solutions. Experiencing issues with addiction, anger, or anxiety is dulling your hope and getting in the way of meeting your needs. Unhappy or dissatisfied with your job, life choices, or family situation and want to be in a better place? Acceptance, courage, and wisdom is a recipe that works, and we can work together to get there.
Immediate openings, no wait list schedule same week. My appointments are either via the office or via video. If you struggle and have difficulty getting out of the problem, I am here to help you seek solutions. Experiencing issues with addiction, anger, or anxiety is dulling your hope and getting in the way of meeting your needs. Unhappy or dissatisfied with your job, life choices, or family situation and want to be in a better place? Acceptance, courage, and wisdom is a recipe that works, and we can work together to get there.
(608) 200-2787 View (608) 200-2787

More Therapists Nearby

Photo of James Jozwiak, LICSW, Clinical Social Work/Therapist
James Jozwiak
Clinical Social Work/Therapist, LICSW
Verified Verified
Appleton, WI 54913
I enjoy working with individuals ages 14 through adulthood to address a variety of life’s issues such as anxiety, depression, bipolar disorder, PTSD, acute trauma, chronic trauma and complex trauma as well as issues such as perfectionism, guilt and shame, building assertiveness, setting boundaries, and deconstructing inaccurate core beliefs. I have a particular interest in working with individuals who have experienced one or more forms of trauma and assisting them with reducing the negative impacts of trauma-related symptoms on their daily life.
I enjoy working with individuals ages 14 through adulthood to address a variety of life’s issues such as anxiety, depression, bipolar disorder, PTSD, acute trauma, chronic trauma and complex trauma as well as issues such as perfectionism, guilt and shame, building assertiveness, setting boundaries, and deconstructing inaccurate core beliefs. I have a particular interest in working with individuals who have experienced one or more forms of trauma and assisting them with reducing the negative impacts of trauma-related symptoms on their daily life.
(920) 667-0663 View (920) 667-0663
Julie Ann Paleen Aronow
Marriage & Family Therapist, LMFT, MS
Verified Verified
1 Endorsed
Serves Area
No matter who you are, or what you’re facing, you deserve a life worth living. I am here to help you break through the pain, anxiety, depression, and roadblocks holding you back from the life, and the relationships, you want and deserve. Are you living with unspoken pain from past trauma? Struggling with family or relationship conflicts that are never resolved? At the pinnacle of your career, yet drowning in workplace stress leading to anxiety, depression or substance use? Experiencing pandemic-related stress bubbling to the surface? If so, let’s talk.
No matter who you are, or what you’re facing, you deserve a life worth living. I am here to help you break through the pain, anxiety, depression, and roadblocks holding you back from the life, and the relationships, you want and deserve. Are you living with unspoken pain from past trauma? Struggling with family or relationship conflicts that are never resolved? At the pinnacle of your career, yet drowning in workplace stress leading to anxiety, depression or substance use? Experiencing pandemic-related stress bubbling to the surface? If so, let’s talk.
(608) 802-7546 View (608) 802-7546
Photo of Karen Rucks, Licensed Professional Counselor
Karen Rucks
Licensed Professional Counselor
Verified Verified
Appleton, WI 54914
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(920) 310-8023 View (920) 310-8023
Photo of Stephanie Sayles, Clinical Social Work/Therapist
Stephanie Sayles
Clinical Social Work/Therapist
Verified Verified
Online Only
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(920) 526-1406 View (920) 526-1406
Photo of Bethany Pankratz, LPC, NCC, Counselor
Bethany Pankratz
Counselor, LPC, NCC
Verified Verified
Online Only
NOTE: (I work exclusively with adult females). Trauma is part of life. The lasting pain of sexual or physical abuse is obvious, but the subtlety of an emotionally neglectful or spiritually abusive upbringing often has similar outcomes of self-blaming and deep shame. It's by no mistake that my practice is called Likewise; I've struggled through the healing process, and I still get stuck. But I do the work because I value my option to thrive, and am keenly aware that my decision to do so affects those connected to me. Whether you're seeking help for others' sake or your own (or both) I'd be honored to come alongside and support you.
NOTE: (I work exclusively with adult females). Trauma is part of life. The lasting pain of sexual or physical abuse is obvious, but the subtlety of an emotionally neglectful or spiritually abusive upbringing often has similar outcomes of self-blaming and deep shame. It's by no mistake that my practice is called Likewise; I've struggled through the healing process, and I still get stuck. But I do the work because I value my option to thrive, and am keenly aware that my decision to do so affects those connected to me. Whether you're seeking help for others' sake or your own (or both) I'd be honored to come alongside and support you.
(920) 354-8496 View (920) 354-8496
Photo of Stacie Koskinen, MA, LPC, IMH-E®, Licensed Professional Counselor
Stacie Koskinen
Licensed Professional Counselor, MA, LPC, IMH-E®
Verified Verified
4 Endorsed
Green Bay, WI 54301
Are you or your child having a hard time with intense emotions and behaviors that feel out of control? Are you open to exploring the "why" beneath these issues? Do you want to find ways to improve your ability to cope with distress and have more time and energy for enjoying moments of your life?
Are you or your child having a hard time with intense emotions and behaviors that feel out of control? Are you open to exploring the "why" beneath these issues? Do you want to find ways to improve your ability to cope with distress and have more time and energy for enjoying moments of your life?
(920) 280-6692 View (920) 280-6692
Photo of Carey A Molinski, MA, LPC, Licensed Professional Counselor
Carey A Molinski
Licensed Professional Counselor, MA, LPC
Verified Verified
Menasha, WI 54952
I have a rich history of providing psychotherapy services with diverse populations. I am direct yet relatable, skilled yet casual. I have experience in crisis intervention and trauma and am trained in EMDR and TF-CBT. I have helped many clients with eclectic concerns such as depression, anxiety, self-harm, suicidal ideation, oppositional behaviors, conduct disorders, Autism Spectrum, schizophrenia and other psychoses, and relationship concerns. Viewing each therapeutic relationship as a partnership, I diligently work to meet clients where they’re at, without judgment, helping them heal and achieve individual goals.
I have a rich history of providing psychotherapy services with diverse populations. I am direct yet relatable, skilled yet casual. I have experience in crisis intervention and trauma and am trained in EMDR and TF-CBT. I have helped many clients with eclectic concerns such as depression, anxiety, self-harm, suicidal ideation, oppositional behaviors, conduct disorders, Autism Spectrum, schizophrenia and other psychoses, and relationship concerns. Viewing each therapeutic relationship as a partnership, I diligently work to meet clients where they’re at, without judgment, helping them heal and achieve individual goals.
(920) 477-0938 View (920) 477-0938
Photo of Chad Lorge, MSE, LPC, Licensed Professional Counselor
Chad Lorge
Licensed Professional Counselor, MSE, LPC
Verified Verified
1 Endorsed
Appleton, WI 54911
I enjoy helping people identify what they desire from their life and relationships. It can be difficult to understand what we actually want which often leads to stress and other anxious/ depressive symptoms. When stress goes on too long, it's easy to lose motivation and fall into unhelpful thinking/lifestyle habits and patterns that don't match your deeper values. Through talking together, I feel confident we will come to better understand and manage the stress and challenges you're experiencing, as well as identify what might be preventing you from moving closer toward what you hope for.
I enjoy helping people identify what they desire from their life and relationships. It can be difficult to understand what we actually want which often leads to stress and other anxious/ depressive symptoms. When stress goes on too long, it's easy to lose motivation and fall into unhelpful thinking/lifestyle habits and patterns that don't match your deeper values. Through talking together, I feel confident we will come to better understand and manage the stress and challenges you're experiencing, as well as identify what might be preventing you from moving closer toward what you hope for.
(920) 515-0800 View (920) 515-0800
Photo of Dr. Teralyn Sell, PhD, MS, NCC, LPC, Licensed Professional Counselor
Dr. Teralyn Sell
Licensed Professional Counselor, PhD, MS, NCC, LPC
Verified Verified
4 Endorsed
Online Only
These days everyone seems like they have it all together. Meanwhile, after work you crash and burn dreaming of your big ideas with zero oomph and tons of anxiety. You are tired, can’t sleep well, are gaining weight and sex (what is that?). You lost your mojo and I’m here to help you get it back. Remember when you were a complete badass? You know what I’m talking about! You made juggling it all seem effortless. Your motto was ‘you only live once’. But not anymore. he truth is, you are not alone. The rates of anxiety & depression are through the roof! Lack of energy is met with prescription medication that doesn't work.
These days everyone seems like they have it all together. Meanwhile, after work you crash and burn dreaming of your big ideas with zero oomph and tons of anxiety. You are tired, can’t sleep well, are gaining weight and sex (what is that?). You lost your mojo and I’m here to help you get it back. Remember when you were a complete badass? You know what I’m talking about! You made juggling it all seem effortless. Your motto was ‘you only live once’. But not anymore. he truth is, you are not alone. The rates of anxiety & depression are through the roof! Lack of energy is met with prescription medication that doesn't work.
(920) 659-0926 View (920) 659-0926
Marissa Sauer
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Appleton, WI 54914
My name is Marissa, and I look forward to working with you. I believe that building a strong therapeutic alliance will be essential to the growth process. When we are struggling in life, feeling stuck, hurt, confused, or alone we all deserve a safe space to talk with someone who will not judge us but instead walk alongside us to foster change and growth. I view therapy as a collaborative process and that you will get out of therapy what you put into therapy.
My name is Marissa, and I look forward to working with you. I believe that building a strong therapeutic alliance will be essential to the growth process. When we are struggling in life, feeling stuck, hurt, confused, or alone we all deserve a safe space to talk with someone who will not judge us but instead walk alongside us to foster change and growth. I view therapy as a collaborative process and that you will get out of therapy what you put into therapy.
(920) 282-8268 View (920) 282-8268
Photo of Jennifer DiCostanzo, LCSW, CADC, CODP I, Clinical Social Work/Therapist
Jennifer DiCostanzo
Clinical Social Work/Therapist, LCSW, CADC, CODP I
Verified Verified
3 Endorsed
Serves Area
As a therapist, I want to ensure that I provide a safe space that allows my clients to express themselves and feel comfortable. I believe in meeting my clients where they are at and letting the client guide the journey as their own experts. My style of therapy is to provide empathy and compassion combined with humor and honesty in order to help my clients achieve their goals. Whether you are affected by trauma, struggling with an addiction or are just feeling "stuck", I want to use my skills to help you move forward with your journey and live your best life possible.
As a therapist, I want to ensure that I provide a safe space that allows my clients to express themselves and feel comfortable. I believe in meeting my clients where they are at and letting the client guide the journey as their own experts. My style of therapy is to provide empathy and compassion combined with humor and honesty in order to help my clients achieve their goals. Whether you are affected by trauma, struggling with an addiction or are just feeling "stuck", I want to use my skills to help you move forward with your journey and live your best life possible.
(630) 318-2027 View (630) 318-2027
Photo of Deb Sampson, LPC-IT, LMT, ERYT, Counselor
Deb Sampson
Counselor, LPC-IT, LMT, ERYT
Verified Verified
Menasha, WI 54952
Join me on a holistic journey toward self-discovery and healing. You may question: “What season of life am I in?”, “How am I handling the transition?”, “How does anxiety or depression show up for me?”, “Is it my body? Is it my mind? Or both?” When we understand our own unique challenges, even though overwhelming, we are able to navigate them easier. With a deep understanding of the mind-body connection, my approach is rooted in empathy, active listening, and evidence-based interventions tailored to your unique needs to promote well-being by exploring the intersection of mental and physical experiences.
Join me on a holistic journey toward self-discovery and healing. You may question: “What season of life am I in?”, “How am I handling the transition?”, “How does anxiety or depression show up for me?”, “Is it my body? Is it my mind? Or both?” When we understand our own unique challenges, even though overwhelming, we are able to navigate them easier. With a deep understanding of the mind-body connection, my approach is rooted in empathy, active listening, and evidence-based interventions tailored to your unique needs to promote well-being by exploring the intersection of mental and physical experiences.
(920) 245-8054 View (920) 245-8054
Photo of Dr. Carey Lynn Sorenson - Be. // Child and Adolescent Mental Health, PhD, Psychologist
Be. // Child and Adolescent Mental Health
Psychologist, PhD
Verified Verified
Appleton, WI 54915
I will engage your child or adolescent in services that are fit to their unique individual mental health needs. Addressing therapy through a person-centered approach allows our therapeutic journey to focus on the strengths that your child brings to session. We will use those strengths to enhance the areas of growth and change. I firmly believe that therapy is a joint relational effort, that together we can help you identify significant areas of your story that need special attention and together we can begin the process of integrating those experiences in to your life, allowing the soul to BE.
I will engage your child or adolescent in services that are fit to their unique individual mental health needs. Addressing therapy through a person-centered approach allows our therapeutic journey to focus on the strengths that your child brings to session. We will use those strengths to enhance the areas of growth and change. I firmly believe that therapy is a joint relational effort, that together we can help you identify significant areas of your story that need special attention and together we can begin the process of integrating those experiences in to your life, allowing the soul to BE.
(920) 645-0918 View (920) 645-0918
Photo of Lisa Cavil, LPC, Licensed Professional Counselor
Lisa Cavil
Licensed Professional Counselor, LPC
Verified Verified
Green Bay, WI 54304
Waitlist for new clients
In life, we are constantly facing changes and transitions, and sometimes we need extra support or guidance to adjust. Anxiety, depression, grief/loss, relationship issues, identity issues, illness, work, and/or trauma can make the stress of everyday life more difficult to manage on your own. Sometimes we feel stuck and want help with the next step. You are likely tired of feeling the way you do and are thinking it's time to make a change. Maybe that thing from your past keeps finding ways to sabotage you. Let me help you so you can move forward with effective skills to manage the difficulties that come your way.
In life, we are constantly facing changes and transitions, and sometimes we need extra support or guidance to adjust. Anxiety, depression, grief/loss, relationship issues, identity issues, illness, work, and/or trauma can make the stress of everyday life more difficult to manage on your own. Sometimes we feel stuck and want help with the next step. You are likely tired of feeling the way you do and are thinking it's time to make a change. Maybe that thing from your past keeps finding ways to sabotage you. Let me help you so you can move forward with effective skills to manage the difficulties that come your way.
(920) 332-5446 View (920) 332-5446
Photo of Cherie Lindberg, PhD, LPC, NCC, Coach
Cherie Lindberg
PhD, LPC, NCC, Coach
Verified Verified
5 Endorsed
Online Only
Cherie Lindberg, LLC is a coaching practice offering education, relationship and performance enhancement services for adults and couples. Our approach is distinct and transformative, offering clients an unparallel experience that fosters joyful living and empowers profound personal change. Cherie Lindberg, owner of the coaching practice also consults with professionals on gaining clarity on their core values, aligning them and achieving desired results. Our approach includes Brainspotting, Parts work and Safe Conversations.
Cherie Lindberg, LLC is a coaching practice offering education, relationship and performance enhancement services for adults and couples. Our approach is distinct and transformative, offering clients an unparallel experience that fosters joyful living and empowers profound personal change. Cherie Lindberg, owner of the coaching practice also consults with professionals on gaining clarity on their core values, aligning them and achieving desired results. Our approach includes Brainspotting, Parts work and Safe Conversations.
(920) 250-8071 View (920) 250-8071
Photo of Gina M Greatens, MS, LMFT, Marriage & Family Therapist
Gina M Greatens
Marriage & Family Therapist, MS, LMFT
Verified Verified
Online Only
I work with individuals, couples, families, and children addressing everything from everyday stress to chronic anxiety & depression. Many clients simply want an objective and trusted listener. I offer a comfortable and private setting for you to settle in and talk about your concerns. Maybe you're contemplating a change and not sure about your path; a new job, starting, ending, or recharging a relationship, confronting someone or resolving old hurts. The thought of change is usually more overwhelming than the actual act of change; anticipation often far worse than participation.
I work with individuals, couples, families, and children addressing everything from everyday stress to chronic anxiety & depression. Many clients simply want an objective and trusted listener. I offer a comfortable and private setting for you to settle in and talk about your concerns. Maybe you're contemplating a change and not sure about your path; a new job, starting, ending, or recharging a relationship, confronting someone or resolving old hurts. The thought of change is usually more overwhelming than the actual act of change; anticipation often far worse than participation.
(920) 455-8370 View (920) 455-8370
Photo of Nicole Eul, LMHC, LPC, Counselor
Nicole Eul
Counselor, LMHC, LPC
Verified Verified
Online Only
Waitlist for new clients
I am in the business of helping clients build a sense of hope and resilience for people who tend to be neurodivergent and are looking for a safe space that promotes both honesty and authenticity. I am somewhat irreverent and use sarcasm and humor to connect and build rapport. My clients have a history of trauma, anxiety, dissociation, and personality disorder and are looking for a unique, therapeutic approach.
I am in the business of helping clients build a sense of hope and resilience for people who tend to be neurodivergent and are looking for a safe space that promotes both honesty and authenticity. I am somewhat irreverent and use sarcasm and humor to connect and build rapport. My clients have a history of trauma, anxiety, dissociation, and personality disorder and are looking for a unique, therapeutic approach.
View
Photo of Hollie Smet, LPC, Licensed Professional Counselor
Hollie Smet
Licensed Professional Counselor, LPC
Verified Verified
Green Bay, WI 54304
I enjoy working with all different age ranges and diagnosis. My client age range is 5 and up. Some of the main diagnosis I have worked with but not limited to, are depression, anxiety, and trauma related disorders. My passion is brainspotting and helping people reach that deep trauma.
I enjoy working with all different age ranges and diagnosis. My client age range is 5 and up. Some of the main diagnosis I have worked with but not limited to, are depression, anxiety, and trauma related disorders. My passion is brainspotting and helping people reach that deep trauma.
(920) 956-9730 View (920) 956-9730

See more therapy options for 54308

How does your Therapist compare?

Number of Therapists in 54308

< 10

Therapists in 54308 who prioritize treating:

100% Relationship Issues
100% Anxiety
100% Trauma and PTSD
100% Coping Skills
100% Self Esteem
100% Stress
50% Addiction

Average years in practice

8 Years

Top 3 insurances accepted

100% Aetna
100% The Alliance
100% BlueCross and BlueShield

How Therapists in 54308 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 54308?

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.