Photo of Terri M Ulschmid, MA, LPCC, Licensed Professional Counselor
Terri M Ulschmid
Licensed Professional Counselor, MA, LPCC
Verified Verified
Centerville, MN 55038
Do you feel like you are in a pattern that appears to be repeating? Are you continuing to tell stories, and some can be painful to hold I work with people who experience stress and anxiety, grief and depression. We will do this by naming patterns and I will teach you how to regulate your emotions, learn how to communicate with others by standing up for yourself, and tolerate your emotions through difficult life events and stressful situations without making them worse.
Do you feel like you are in a pattern that appears to be repeating? Are you continuing to tell stories, and some can be painful to hold I work with people who experience stress and anxiety, grief and depression. We will do this by naming patterns and I will teach you how to regulate your emotions, learn how to communicate with others by standing up for yourself, and tolerate your emotions through difficult life events and stressful situations without making them worse.
(651) 538-1303 View (651) 538-1303
Photo of Danielle Carlson, MA, LMFT, Marriage & Family Therapist
Danielle Carlson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Hugo, MN 55038
Waitlist for new clients
I have extensive experience helping clients with depression, anxiety, motivation, self-esteem, confidence, relationship issues, family conflicts as well as exploring gender and sexuality. I work to create an open and safe environment where clients can share their thoughts and feelings without fear of judgment. As a therapist, my goal is to work collaboratively with you to find solutions that work for you and help you discover your true potential in life.
I have extensive experience helping clients with depression, anxiety, motivation, self-esteem, confidence, relationship issues, family conflicts as well as exploring gender and sexuality. I work to create an open and safe environment where clients can share their thoughts and feelings without fear of judgment. As a therapist, my goal is to work collaboratively with you to find solutions that work for you and help you discover your true potential in life.
(651) 800-7523 View (651) 800-7523
Photo of Katie Fisher, MA, LMFT, Marriage & Family Therapist
Katie Fisher
Marriage & Family Therapist, MA, LMFT
Verified Verified
Centerville, MN 55038
I have several years of experience working with adolescents and their families. I enjoy guiding clients to explore their family values, communication, behavior patterns, emotions and changing needs of individual family members. I am Brain Spotting (Level 1) certified and integrate Somatic Experiencing into my sessions.
I have several years of experience working with adolescents and their families. I enjoy guiding clients to explore their family values, communication, behavior patterns, emotions and changing needs of individual family members. I am Brain Spotting (Level 1) certified and integrate Somatic Experiencing into my sessions.
(763) 878-6827 View (763) 878-6827
Photo of Christin Oien, LMFT, Marriage & Family Therapist
Christin Oien
Marriage & Family Therapist, LMFT
Verified Verified
Centerville, MN 55038
Christin received her Master of Arts in Marriage and Family Therapy from Bethel Seminary and is a Licensed Marriage and Family Therapist through the state of Minnesota. She has 10+ years of working with students and families in various contexts including church, mentorships and CTSS skills. Christin uses a holistic approach to make connections between past and present experiences, while offering a variety of strategies to deal with current symptoms. Christin enjoys helping her clients learn about their own mental health and find healthy coping strategies they can feel confident using.
Christin received her Master of Arts in Marriage and Family Therapy from Bethel Seminary and is a Licensed Marriage and Family Therapist through the state of Minnesota. She has 10+ years of working with students and families in various contexts including church, mentorships and CTSS skills. Christin uses a holistic approach to make connections between past and present experiences, while offering a variety of strategies to deal with current symptoms. Christin enjoys helping her clients learn about their own mental health and find healthy coping strategies they can feel confident using.
(651) 390-1253 View (651) 390-1253
Photo of Heidi Spetzman, MA, MFT, Pre-Licensed Professional
Heidi Spetzman
Pre-Licensed Professional, MA, MFT
Verified Verified
Centerville, MN 55038
Heidi received her master’s degree for Family Therapy at St. Mary’s University. She received her Bachelor of Arts Degree in Psychology Criminal Justice from University of Northwestern. She is working towards licensure through the state of Minnesota as a marriage and family therapist. Heidi has been a Clinical trainee for two years and is seeking licensure in 2023. She enjoys working with individuals, couples, and adolescents and has experience in working with individuals with developmental/ physical challenges. She utilizes a collaborative and Narrative approach when treating clients.
Heidi received her master’s degree for Family Therapy at St. Mary’s University. She received her Bachelor of Arts Degree in Psychology Criminal Justice from University of Northwestern. She is working towards licensure through the state of Minnesota as a marriage and family therapist. Heidi has been a Clinical trainee for two years and is seeking licensure in 2023. She enjoys working with individuals, couples, and adolescents and has experience in working with individuals with developmental/ physical challenges. She utilizes a collaborative and Narrative approach when treating clients.
(651) 390-1639 View (651) 390-1639
Photo of Adam Palowski, MS, LPCC, Counselor
Adam Palowski
Counselor, MS, LPCC
Verified Verified
1 Endorsed
Lino Lakes, MN 55038  (Online Only)
Your family's story is unique, and your voices deserve to be heard. If you're seeking a therapist who not only listens but also deeply understands, let's connect. Reach out through a call or email, and together, let's explore the path to healing and growth that best fits your family's narrative. Working with a skilled therapist (who is also a father) can offer you and your family hope.
Your family's story is unique, and your voices deserve to be heard. If you're seeking a therapist who not only listens but also deeply understands, let's connect. Reach out through a call or email, and together, let's explore the path to healing and growth that best fits your family's narrative. Working with a skilled therapist (who is also a father) can offer you and your family hope.
(651) 349-4916 View (651) 349-4916
Photo of Cimena Gordon, LICSW, Clinical Social Work/Therapist
Cimena Gordon
Clinical Social Work/Therapist, LICSW
Verified Verified
Hugo, MN 55038
We often find ourselves feeling lost or not connected to who we strive to be. We feel voiceless and dismissed as though no one cares to listen to our pain. I want to build a safe and consistent relationship with you to find a renewed sense of self. In this space, I want to empower you to embrace your authentic self in the full circle of creation, nurturing, connecting and transforming. As we weave in the principles of mindful living together, I want to help you find the answers that have been inside of you all along as you begin to trust yourself and let go of whatever is holding you back.
We often find ourselves feeling lost or not connected to who we strive to be. We feel voiceless and dismissed as though no one cares to listen to our pain. I want to build a safe and consistent relationship with you to find a renewed sense of self. In this space, I want to empower you to embrace your authentic self in the full circle of creation, nurturing, connecting and transforming. As we weave in the principles of mindful living together, I want to help you find the answers that have been inside of you all along as you begin to trust yourself and let go of whatever is holding you back.
(651) 376-3470 View (651) 376-3470
Photo of Deanna L Towns, PhD, LPCS-NC, LPCC-MN, NCC, Licensed Professional Counselor
Deanna L Towns
Licensed Professional Counselor, PhD, LPCS-NC, LPCC-MN, NCC
Verified Verified
Hugo, MN 55038
Not accepting new clients
As a therapist, it is my goal to compassionately connect with clients and hear their stories. I will help clients identify personal strengths, define desired changes, and create an individualized plan to move toward health and wholeness. My clientele include families, couples, adults, adolescents, and children. I address trauma, sexual and emotional abuse, eating disorders, self-harm, anxiety, depression, grief and loss, communication issues, forgiveness, shame, cross-cultural stress & adjustment, ministry stress, and premarital counseling (using Prepare/Enrich).
As a therapist, it is my goal to compassionately connect with clients and hear their stories. I will help clients identify personal strengths, define desired changes, and create an individualized plan to move toward health and wholeness. My clientele include families, couples, adults, adolescents, and children. I address trauma, sexual and emotional abuse, eating disorders, self-harm, anxiety, depression, grief and loss, communication issues, forgiveness, shame, cross-cultural stress & adjustment, ministry stress, and premarital counseling (using Prepare/Enrich).
(919) 648-1218 View (919) 648-1218
Photo of Veronica L. Senkyr, MA, LMFT, Marriage & Family Therapist
Veronica L. Senkyr
Marriage & Family Therapist, MA, LMFT
Verified Verified
Hugo, MN 55038  (Online Only)
I am currently only providing online therapy through Thera-Link a HIPPA compliant platform. As a strength based systemic family therapist, I believe in looking at the whole person not just the "issues or labels" clients are struggling with when they seek out therapy. My approach explores the emotional, physical, behavioral, relational, cultural and spiritual aspects of clients lives that interfere and/or enhance quality of life.
I am currently only providing online therapy through Thera-Link a HIPPA compliant platform. As a strength based systemic family therapist, I believe in looking at the whole person not just the "issues or labels" clients are struggling with when they seek out therapy. My approach explores the emotional, physical, behavioral, relational, cultural and spiritual aspects of clients lives that interfere and/or enhance quality of life.
(651) 760-7201 View (651) 760-7201
Photo of Katie Fisher, LMFT, Marriage & Family Therapist
Katie Fisher
Marriage & Family Therapist, LMFT
Verified Verified
Centerville, MN 55038
Katie Fisher is a Licensed Marriage and Family Therapist in Minnesota who has been practicing since 2018. She has a Masters in Clinical Counseling with a Concentration in Marriage and Family Therapy from the University of St. Thomas. Katie enjoys helping people recognize patterns and values in their lives. She believes that by helping people align their behavior with their values they tend to feel better about the life they are living. Katie boasts a rich history of working with middle school students, high school students, adults, and parents. Her approach is client centered and solution focused.
Katie Fisher is a Licensed Marriage and Family Therapist in Minnesota who has been practicing since 2018. She has a Masters in Clinical Counseling with a Concentration in Marriage and Family Therapy from the University of St. Thomas. Katie enjoys helping people recognize patterns and values in their lives. She believes that by helping people align their behavior with their values they tend to feel better about the life they are living. Katie boasts a rich history of working with middle school students, high school students, adults, and parents. Her approach is client centered and solution focused.
(651) 409-5765 View (651) 409-5765
Photo of Adam Retterath, MA, LMFT, Marriage & Family Therapist
Adam Retterath
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Hugo, MN 55038
Not accepting new clients
While I like working with all types of clients, I particularly enjoy working with couples as well as individuals struggling with anger. If you are an angry person yourself or you have an angry teen that needs someone to talk to (that isn't their parent), I'm ready to listen and help. For couple's therapy, I follow the Gottman theory rather closely. Issues I can help with are broad, but cover general intimacy, infidelity, communication struggles, and so on.
While I like working with all types of clients, I particularly enjoy working with couples as well as individuals struggling with anger. If you are an angry person yourself or you have an angry teen that needs someone to talk to (that isn't their parent), I'm ready to listen and help. For couple's therapy, I follow the Gottman theory rather closely. Issues I can help with are broad, but cover general intimacy, infidelity, communication struggles, and so on.
(651) 376-2275 View (651) 376-2275
Photo of Steven Clark, Pre-Licensed Professional
Steven Clark
Pre-Licensed Professional
Verified Verified
Centerville, MN 55038
Steven completed his Master of Arts in Marriage and Family Therapy from Adler Graduate School and is pursuing licensure through the state of Minnesota as a Licensed Marriage and Family Therapist. Steven enjoys working with individuals and families, and has extensive experience working with child/adolescent populations. Steven takes a holistic approach to therapy and works with clients on a variety of issues.
Steven completed his Master of Arts in Marriage and Family Therapy from Adler Graduate School and is pursuing licensure through the state of Minnesota as a Licensed Marriage and Family Therapist. Steven enjoys working with individuals and families, and has extensive experience working with child/adolescent populations. Steven takes a holistic approach to therapy and works with clients on a variety of issues.
(651) 615-2029 View (651) 615-2029
Photo of Meghan Swenson, LMFT, Marriage & Family Therapist
Meghan Swenson
Marriage & Family Therapist, LMFT
Verified Verified
Centerville, MN 55038
Meghan completed her Master of Arts Degree in Marriage and Family Therapy at St. Mary's University, and has been licensed through the state of Minnesota as a marriage and family therapist since 2011. She has also been working as a Registered Play Therapist since 2011. Meghan also completed a graduate certificate at the University of Minnesota in Infant and Early Childhood Mental Health. Meghan is also trained in Parent Child Interaction Therapy (PCIT) and Child Parent Psychotherapy (CPP), both are evidence based therapies for children age 3-6 with behavioral concerns (PCIT) and birth-three with traumatic exposure (CPP).
Meghan completed her Master of Arts Degree in Marriage and Family Therapy at St. Mary's University, and has been licensed through the state of Minnesota as a marriage and family therapist since 2011. She has also been working as a Registered Play Therapist since 2011. Meghan also completed a graduate certificate at the University of Minnesota in Infant and Early Childhood Mental Health. Meghan is also trained in Parent Child Interaction Therapy (PCIT) and Child Parent Psychotherapy (CPP), both are evidence based therapies for children age 3-6 with behavioral concerns (PCIT) and birth-three with traumatic exposure (CPP).
(651) 401-7961 View (651) 401-7961
Photo of Brittany Bennett, Pre-Licensed Professional
Brittany Bennett
Pre-Licensed Professional
Verified Verified
Centerville, MN 55038
Brittany completed her Masters of Arts in Counseling and Psychology at Bethel University. She also received her Child and Adolescent certificate from Bethel University. She is working towards her license through the state of Minnesota as a Licensed Professional Clinical Counselor. She has experience in community based family and individual skills and therapy along with providing intensive foster care treatment. She also received additional training in Trauma Focused Cognitive Behavioral Therapy (TF-CBT) and has extensive experience in working with individuals and families that are affected by trauma.
Brittany completed her Masters of Arts in Counseling and Psychology at Bethel University. She also received her Child and Adolescent certificate from Bethel University. She is working towards her license through the state of Minnesota as a Licensed Professional Clinical Counselor. She has experience in community based family and individual skills and therapy along with providing intensive foster care treatment. She also received additional training in Trauma Focused Cognitive Behavioral Therapy (TF-CBT) and has extensive experience in working with individuals and families that are affected by trauma.
(651) 427-3332 View (651) 427-3332
Photo of Kim A Lundholm-Eades, MS, LMFT, SEP, Marriage & Family Therapist
Kim A Lundholm-Eades
Marriage & Family Therapist, MS, LMFT, SEP
Verified Verified
1 Endorsed
Centerville, MN 55038
I have over 30 years working in mental health and addiction. I work with individuals, couples, families, adolescents dealing with addiction, grief/loss, depression, anxiety, communication, boundaries, parenting, crisis intervention, trauma, relationship issues, women's issues, LGBLTQ+, work life issues and life transitions. I am strength based in my approach and strive to assist people to empower themselves and to have the courage to change the things they can. I have completed the three year intensive training in Somatic Experiencing (SE) qualifying me as a Somatic Experiencing Practitioner.
I have over 30 years working in mental health and addiction. I work with individuals, couples, families, adolescents dealing with addiction, grief/loss, depression, anxiety, communication, boundaries, parenting, crisis intervention, trauma, relationship issues, women's issues, LGBLTQ+, work life issues and life transitions. I am strength based in my approach and strive to assist people to empower themselves and to have the courage to change the things they can. I have completed the three year intensive training in Somatic Experiencing (SE) qualifying me as a Somatic Experiencing Practitioner.
(651) 400-8548 View (651) 400-8548
Photo of Torrie Crider, MA, LPCC
Torrie Crider
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
Centerville, MN 55038
Not accepting new clients
I enjoy working with all stressors, disorders and issues no matter how big or small. I don't have an ideal client because I really enjoy working with people of all walks of life. I want to help you establish goals and together we will achieve them. I specialize in children, adolescents and early childhood. I work with telehealth (video sessions).
I enjoy working with all stressors, disorders and issues no matter how big or small. I don't have an ideal client because I really enjoy working with people of all walks of life. I want to help you establish goals and together we will achieve them. I specialize in children, adolescents and early childhood. I work with telehealth (video sessions).
(651) 419-4907 View (651) 419-4907
Photo of Kasey Reichow, Pre-Licensed Professional
Kasey Reichow
Pre-Licensed Professional
Verified Verified
Centerville, MN 55038
Kasey Reichow is a student at Bethel Seminary working toward her Master's degree in Marriage and Family Therapy. She specializes in couple and family work. Kasey works with clients between the ages of 6-65 utilizing Person Centered, Cognitive Behavioral Therapy, Emotionally Focused Therapy, and Existential Therapy in her approach. In her free time, Kasey enjoys spending time with her family and friends, recreational dancing, and puzzling. She also loves being outdoors and a good coffee.
Kasey Reichow is a student at Bethel Seminary working toward her Master's degree in Marriage and Family Therapy. She specializes in couple and family work. Kasey works with clients between the ages of 6-65 utilizing Person Centered, Cognitive Behavioral Therapy, Emotionally Focused Therapy, and Existential Therapy in her approach. In her free time, Kasey enjoys spending time with her family and friends, recreational dancing, and puzzling. She also loves being outdoors and a good coffee.
(651) 867-4303 View (651) 867-4303
Photo of Eliana Grung, Pre-Licensed Professional
Eliana Grung
Pre-Licensed Professional
Verified Verified
Centerville, MN 55038
Eliana graduated from Bethel University with a Master's Degree in Counseling Psychology. She is working towards her license through the state of Minnesota as a Licensed Professional Clinical Counselor as well as attaining her certificate in Child and Adolescent Counseling. Eliana enjoys working with individuals, families and children and adolescents from a broad range of cultural backgrounds. She has experience working with very young children (ages 0-5) as well as children and adolescents with ADHD, ODD, anxiety, depression and trauma. Eliana utilizes a holistic approach to therapy that is person-centered and strengths-based.
Eliana graduated from Bethel University with a Master's Degree in Counseling Psychology. She is working towards her license through the state of Minnesota as a Licensed Professional Clinical Counselor as well as attaining her certificate in Child and Adolescent Counseling. Eliana enjoys working with individuals, families and children and adolescents from a broad range of cultural backgrounds. She has experience working with very young children (ages 0-5) as well as children and adolescents with ADHD, ODD, anxiety, depression and trauma. Eliana utilizes a holistic approach to therapy that is person-centered and strengths-based.
(651) 564-8080 View (651) 564-8080
Photo of Christina Owens, LPCC, Counselor
Christina Owens
Counselor, LPCC
Verified Verified
Centerville, MN 55038
Christina Owens is a Licensed Alcohol and Drug and Licensed Professional Counselor who has been practicing since 2018. She graduated from the University of Minnesota with a Master's degree in Integrated Behavioral Health. Christina utilizes a holistic approach to therapy that is strengths-based, person-centered and draws from various aspects of several evidence-based therapies (Cognitive Behavioral, Dialectical Behavior, Acceptance and Commitment, Exposure and Solution Focused) to meet each individual client's needs and goals.
Christina Owens is a Licensed Alcohol and Drug and Licensed Professional Counselor who has been practicing since 2018. She graduated from the University of Minnesota with a Master's degree in Integrated Behavioral Health. Christina utilizes a holistic approach to therapy that is strengths-based, person-centered and draws from various aspects of several evidence-based therapies (Cognitive Behavioral, Dialectical Behavior, Acceptance and Commitment, Exposure and Solution Focused) to meet each individual client's needs and goals.
(651) 571-9974 View (651) 571-9974
Photo of Debra Ann Nelson - Beyond the Brain Therapies, MA, LMFT, Marriage & Family Therapist
Beyond the Brain Therapies
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Hugo, MN 55038
Hello. If you are looking for someone to support you through a difficult time, you will receive compassion, healing and wisdom from me. I specialize in helping people heal from depression, anxiety, injury, divorce, trauma and abuse. If you are interested in regaining or reaching new levels of accomplishment, I can also help. I believe we need one another to maximize our potential. We have a cutting edge collaborative team of professionals committed to assisting you with positive mind-body-spirit connection. Offering Consulting, Counseling, Biofeedback, & Mediation. We are here to help maximize your potential!
Hello. If you are looking for someone to support you through a difficult time, you will receive compassion, healing and wisdom from me. I specialize in helping people heal from depression, anxiety, injury, divorce, trauma and abuse. If you are interested in regaining or reaching new levels of accomplishment, I can also help. I believe we need one another to maximize our potential. We have a cutting edge collaborative team of professionals committed to assisting you with positive mind-body-spirit connection. Offering Consulting, Counseling, Biofeedback, & Mediation. We are here to help maximize your potential!
(651) 401-8622 View (651) 401-8622
1

How does your Therapist compare?

Number of Therapists in 55038

30+

Average cost per session

$150

Therapists in 55038 who prioritize treating:

100% Anxiety
97% Depression
88% Trauma and PTSD
76% Grief
67% Relationship Issues
64% Self Esteem
64% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

97% BlueCross and BlueShield
90% UCare
87% UnitedHealthcare UHC | UBH

How Therapists in 55038 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 55038?

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.