Therapists in 57701

Photo of Melissa Watson Davis, Licensed Professional Counselor, LPC, NCC, QMHP
Melissa Watson Davis
Licensed Professional Counselor, LPC, NCC, QMHP
2 Endorsed
Rapid City, SD 57701
I have an innate desire to help others find relief from psychological distress and look forward to helping pre-marital couples, marriage, family, children, adolescent, and women tell their story, discover growth and healing, and create a life they love. As a previous military spouse, I understand these unique challenges as well. I also have over seven years of experience in early childhood education, have a firm grasp on childhood challenges, and look forward to learning more. Furthermore, I have a passion to empower and encourage women of all ages to explore, discover, heal, and grow into the person they desire.
I have an innate desire to help others find relief from psychological distress and look forward to helping pre-marital couples, marriage, family, children, adolescent, and women tell their story, discover growth and healing, and create a life they love. As a previous military spouse, I understand these unique challenges as well. I also have over seven years of experience in early childhood education, have a firm grasp on childhood challenges, and look forward to learning more. Furthermore, I have a passion to empower and encourage women of all ages to explore, discover, heal, and grow into the person they desire.
(605) 401-2919 View (605) 401-2919
Photo of Amanda Swan, Licensed Professional Counselor, LPCMH, AASECT, QMHP
Amanda Swan
Licensed Professional Counselor, LPCMH, AASECT, QMHP
3 Endorsed
Rapid City, SD 57701
Hello, new clients, Welcome (waves). Let me just say, I am glad you are here! My name is Amanda and I am the owner of Swan Counseling LLC. I work with an amazing pre-licensed clinician, Shelyssa, and together we help clients navigate their mental health needs. Therapy should be a collaborative and comfortable place of exploration. I have a passion for positive sexual health and sex education as well as providing a safe place to explore trauma. I work with young (18+) adults navigating anxiety, depression, sexual trauma, ADHD, autism, and understanding health relationships.
Hello, new clients, Welcome (waves). Let me just say, I am glad you are here! My name is Amanda and I am the owner of Swan Counseling LLC. I work with an amazing pre-licensed clinician, Shelyssa, and together we help clients navigate their mental health needs. Therapy should be a collaborative and comfortable place of exploration. I have a passion for positive sexual health and sex education as well as providing a safe place to explore trauma. I work with young (18+) adults navigating anxiety, depression, sexual trauma, ADHD, autism, and understanding health relationships.
(605) 405-2026 View (605) 405-2026
Photo of Dave Jetson, Licensed Professional Counselor, LCP-MH, LCPC
Dave Jetson
Licensed Professional Counselor, LCP-MH, LCPC
Rapid City, SD 57701
You feel stuck—dissatisfied, anxious, grief or lonely. Life’s challenges, like trauma, infidelity, disrespect, depression, loneliness or grief, have left you overwhelmed and disconnected from your emotional truths. Denying these truths might feel safer, but it only deepens the struggle. You want to feel peace, rebuild trust in yourself and others, and find joy again. By reconnecting with your true emotions, you can uncover meaning, strengthen relationships, and create a life filled with purpose and authenticity. The journey starts with respecting and valuing yourself enough to take that first step.
You feel stuck—dissatisfied, anxious, grief or lonely. Life’s challenges, like trauma, infidelity, disrespect, depression, loneliness or grief, have left you overwhelmed and disconnected from your emotional truths. Denying these truths might feel safer, but it only deepens the struggle. You want to feel peace, rebuild trust in yourself and others, and find joy again. By reconnecting with your true emotions, you can uncover meaning, strengthen relationships, and create a life filled with purpose and authenticity. The journey starts with respecting and valuing yourself enough to take that first step.
(605) 937-7636 View (605) 937-7636
Photo of Stuart Krause, Psychologist, PhD
Stuart Krause
Psychologist, PhD
Rapid City, SD 57701
I can help you with depression, anxiety, feelings of poor self-worth or problems with communication and commitment in personal relationships. You can get off the treadmill of intense and self-defeating interactions with co-workers and intimate partners. I can also help if you have trouble concentrating, staying focused on a task, or being hyperactive and feeling "scattered." If you are a spiritual seeker, I can provide a thoughtful and informed perspective on meaning and direction in life.
I can help you with depression, anxiety, feelings of poor self-worth or problems with communication and commitment in personal relationships. You can get off the treadmill of intense and self-defeating interactions with co-workers and intimate partners. I can also help if you have trouble concentrating, staying focused on a task, or being hyperactive and feeling "scattered." If you are a spiritual seeker, I can provide a thoughtful and informed perspective on meaning and direction in life.
(605) 540-0269 View (605) 540-0269
Photo of Amanda Young, Pre-Licensed Professional, LAC, NCC
Amanda Young
Pre-Licensed Professional, LAC, NCC
1 Endorsed
Rapid City, SD 57701
Accepting new Clients! Neurodiverse, LGBTQIA+, and addiction issues, I've got you covered. I offer a safe and nonjudgmental space to explore life's challenges. Life can be difficult, but you don’t have to face it alone. My goals are to create an open and warm atmosphere to explore your needs. Located in the heart of downtown rapid city, my office provides a convenient and friendly environment.
Accepting new Clients! Neurodiverse, LGBTQIA+, and addiction issues, I've got you covered. I offer a safe and nonjudgmental space to explore life's challenges. Life can be difficult, but you don’t have to face it alone. My goals are to create an open and warm atmosphere to explore your needs. Located in the heart of downtown rapid city, my office provides a convenient and friendly environment.
(605) 864-2651 View (605) 864-2651
Photo of Patrick D Powers - Vision Quest Counseling, Counselor, MA, LPC-MH
Vision Quest Counseling
Counselor, MA, LPC-MH
Rapid City, SD 57701
My ideal client would want an integration of both the psychological and spiritual parts of themselves. The ideal client would have mood disorders as indicated by their thinking and language patterns and these would be noted and worked on in a compassionate and empathic manner. My ideal client would be struggling with making meaning and having purpose in their everyday lives, their work, their marriages, their parenting as they struggle with an up and down emotional life. My ideal client might too be suffering from an addiction and attachment to primary care-givers in their lives and looking for a spiritual answer to their wounds.
My ideal client would want an integration of both the psychological and spiritual parts of themselves. The ideal client would have mood disorders as indicated by their thinking and language patterns and these would be noted and worked on in a compassionate and empathic manner. My ideal client would be struggling with making meaning and having purpose in their everyday lives, their work, their marriages, their parenting as they struggle with an up and down emotional life. My ideal client might too be suffering from an addiction and attachment to primary care-givers in their lives and looking for a spiritual answer to their wounds.
(605) 453-4462 View (605) 453-4462
Photo of Dr. Cassandra Leow, Marriage & Family Therapist, PhD, LIMHP, LMFT, CMFT
Dr. Cassandra Leow
Marriage & Family Therapist, PhD, LIMHP, LMFT, CMFT
5 Endorsed
Rapid City, SD 57701
Mental illness does not discriminate; everyone can struggle with challenges that are unique to them, such as anxiety, depression, relationship issues and many more. It takes a lot of courage to seek therapy; it involves facing our shortcomings and accepting that we need help. It is a journey of self-discovery and growth, and it is an opportunity to learn more about ourselves and grow to be the person we were always made to be. This journey is a vulnerable journey, and therapy can serve as a safe space and supportive environment to help you reach your goals and lead fulfilling lives.
Mental illness does not discriminate; everyone can struggle with challenges that are unique to them, such as anxiety, depression, relationship issues and many more. It takes a lot of courage to seek therapy; it involves facing our shortcomings and accepting that we need help. It is a journey of self-discovery and growth, and it is an opportunity to learn more about ourselves and grow to be the person we were always made to be. This journey is a vulnerable journey, and therapy can serve as a safe space and supportive environment to help you reach your goals and lead fulfilling lives.
(402) 937-1767 View (402) 937-1767
Photo of Adriane M. Cox, Clinical Social Work/Therapist, CSWPIP
Adriane M. Cox
Clinical Social Work/Therapist, CSWPIP
3 Endorsed
Rapid City, SD 57701
Great to meet you! I am Adriane Cox, a Licensed Clinical Social Worker and founder of Cox Mental Health and Wellness. I offer compassionate, client-centered counseling services to individuals facing a range of mental health challenges.
Great to meet you! I am Adriane Cox, a Licensed Clinical Social Worker and founder of Cox Mental Health and Wellness. I offer compassionate, client-centered counseling services to individuals facing a range of mental health challenges.
(605) 307-5073 View (605) 307-5073
Photo of Shelyssa Theel, Pre-Licensed Professional, MS, NCC, LPC
Shelyssa Theel
Pre-Licensed Professional, MS, NCC, LPC
Rapid City, SD 57701
Starting therapy can feel overwhelming, but you don’t have to do it alone. You may be feeling stuck in patterns that no longer serve you, trying to make sense of painful past experiences, or seeking new ways to cope with life stressors. Anxiety or depression may be making it hard to feel like yourself. You might be navigating a major life transition, exploring your identity, or simply longing for a space where you can be understood without judgment. If you can relate, this might be the space for you.
Starting therapy can feel overwhelming, but you don’t have to do it alone. You may be feeling stuck in patterns that no longer serve you, trying to make sense of painful past experiences, or seeking new ways to cope with life stressors. Anxiety or depression may be making it hard to feel like yourself. You might be navigating a major life transition, exploring your identity, or simply longing for a space where you can be understood without judgment. If you can relate, this might be the space for you.
(605) 636-2683 View (605) 636-2683
Photo of Mindy Hedlund, Psychologist, PhD
Mindy Hedlund
Psychologist, PhD
Rapid City, SD 57701
If you have been suffering with feelings of anxiousness, depression, and/or experience negative thoughts that lead to distress, I would like to help . It takes courage to start therapy and share thoughts and feelings that you rarely give words to. The most important aspect of therapeutic work is the therapist client relationship with safety and trust built over time as the foundation. Together we can explore and make sense of what is causing your distress and develop tools to help you feel stronger and more comfortable with yourself and others. My goal is for you to experience more joy and a better quality of life.
If you have been suffering with feelings of anxiousness, depression, and/or experience negative thoughts that lead to distress, I would like to help . It takes courage to start therapy and share thoughts and feelings that you rarely give words to. The most important aspect of therapeutic work is the therapist client relationship with safety and trust built over time as the foundation. Together we can explore and make sense of what is causing your distress and develop tools to help you feel stronger and more comfortable with yourself and others. My goal is for you to experience more joy and a better quality of life.
(605) 863-9489 View (605) 863-9489
Photo of Danielle Finn, Clinical Social Work/Therapist, CSW-PIP
Danielle Finn
Clinical Social Work/Therapist, CSW-PIP
2 Endorsed
Rapid City, SD 57701
I am passionate about assisting children, adolescents, and adults as they navigate family and relationship issues. Whether it is being a single parent, going through a divorce, having parents who are divorcing, the loss of a loved one, or the everyday stressors that come from the different relationships in your life, I am here to provide a safe space for you to share your feelings, navigate the transitions, and find peace along your journey. Book with me now by clicking on my website!
I am passionate about assisting children, adolescents, and adults as they navigate family and relationship issues. Whether it is being a single parent, going through a divorce, having parents who are divorcing, the loss of a loved one, or the everyday stressors that come from the different relationships in your life, I am here to provide a safe space for you to share your feelings, navigate the transitions, and find peace along your journey. Book with me now by clicking on my website!
(605) 808-0365 View (605) 808-0365
Photo of Erika LaHood-Burns, Clinical Social Work/Therapist, CSW-PIP
Erika LaHood-Burns
Clinical Social Work/Therapist, CSW-PIP
Rapid City, SD 57701
I believe in the inherent worth of every individual who steps into my office. I believe in the power of changed thoughts to help propel your actions and lead you to where you'd like to be in life. I believe that healthy relationships- with others and ourselves- are the key to wellbeing.
I believe in the inherent worth of every individual who steps into my office. I believe in the power of changed thoughts to help propel your actions and lead you to where you'd like to be in life. I believe that healthy relationships- with others and ourselves- are the key to wellbeing.
(605) 525-6595 View (605) 525-6595
Photo of Jacob John Folstrom, Licensed Professional Counselor, MS, LPC, QMHP
Jacob John Folstrom
Licensed Professional Counselor, MS, LPC, QMHP
Rapid City, SD 57701
I feel a "calling" to help adults and teens through counseling! I offer clients deep compassion, unconditional acceptance, and understanding. Often we believe the worst about ourselves! We lose sight of our own value, our own beauty, and self worth. We become depressed or constantly anxious, feel lost, maybe even broken on the inside. But, counseling can change that! I provide a safe environment that is consistently supportive, empathetic, and empowering! I will help you see yourself anew, grieve your losses, face your fears, and help you locate your deep self and reconnect to your life's purpose. A natural joy will follow!
I feel a "calling" to help adults and teens through counseling! I offer clients deep compassion, unconditional acceptance, and understanding. Often we believe the worst about ourselves! We lose sight of our own value, our own beauty, and self worth. We become depressed or constantly anxious, feel lost, maybe even broken on the inside. But, counseling can change that! I provide a safe environment that is consistently supportive, empathetic, and empowering! I will help you see yourself anew, grieve your losses, face your fears, and help you locate your deep self and reconnect to your life's purpose. A natural joy will follow!
(605) 786-5155 View (605) 786-5155
Photo of Melissa Smith, Licensed Professional Counselor, LPC-MH, LMHC, MA
Melissa Smith
Licensed Professional Counselor, LPC-MH, LMHC, MA
Rapid City, SD 57701
Offering Telehealth Services in IA and In Person and Telehealth services in SD. Discover Healing and Hope. Are you or a loved one struggling with the weight of past trauma, anxiety, or emotional distress? It's time to take that courageous step towards healing and liberation. Meet Melissa Smith, your trusted partner on the path to recovery and resilience. Melissa partners with clients to create a safe space to process past trauma, discuss life struggles in an open and non-judgmental environment, and to offer hope in the journey of healing.
Offering Telehealth Services in IA and In Person and Telehealth services in SD. Discover Healing and Hope. Are you or a loved one struggling with the weight of past trauma, anxiety, or emotional distress? It's time to take that courageous step towards healing and liberation. Meet Melissa Smith, your trusted partner on the path to recovery and resilience. Melissa partners with clients to create a safe space to process past trauma, discuss life struggles in an open and non-judgmental environment, and to offer hope in the journey of healing.
(605) 674-7663 View (605) 674-7663
Photo of Laura A. Snyder, MA, LMHC, LPC, LPC-MH, NCC
Laura A. Snyder
Verified Verified
3 Endorsed
Rapid City, SD 57701
If you’re a working professional just trying to make it through the week, a mil spouse who’s tired of “blooming where you’re planted,” a first responder running on empty, or a veteran who’s tired of pretending everything’s fine—this space is for you. You’ve probably learned to keep it together for everyone else. But here, you get to take a breath. Alongside therapy, I also offer supervision and consultation for other clinicians seeking grounded, real-world support. Schedule your free consult and we’ll figure it out together.
If you’re a working professional just trying to make it through the week, a mil spouse who’s tired of “blooming where you’re planted,” a first responder running on empty, or a veteran who’s tired of pretending everything’s fine—this space is for you. You’ve probably learned to keep it together for everyone else. But here, you get to take a breath. Alongside therapy, I also offer supervision and consultation for other clinicians seeking grounded, real-world support. Schedule your free consult and we’ll figure it out together.
(253) 559-1894 View (253) 559-1894
Photo of Joshua Charles Harris, Clinical Social Work/Therapist, LCSW, PIP
Joshua Charles Harris
Clinical Social Work/Therapist, LCSW, PIP
1 Endorsed
Rapid City, SD 57701
Are you tired of feeling helpless? I believe everyone is doing the best they can! I help people find their inner strength by focusing on a person's whole experience in order to move past coping and into healing. This allows a person to understand their experiences, take control and plan for a better tomorrow.
Are you tired of feeling helpless? I believe everyone is doing the best they can! I help people find their inner strength by focusing on a person's whole experience in order to move past coping and into healing. This allows a person to understand their experiences, take control and plan for a better tomorrow.
(605) 570-5695 View (605) 570-5695
Photo of Carla Starr, Clinical Social Work/Therapist, CSWPIP
Carla Starr
Clinical Social Work/Therapist, CSWPIP
Rapid City, SD 57701
Anxiety, depression, grief, trauma, stress, and adjustments to changes are some examples of reasons for seeking therapy. If you are looking for a partner in your healing journey, I am here to help you reach your goals towards feeling relief! I am physically located in South Dakota, in the beautiful homelands of the Lakota. I am originally from Western NY and I cherish my connection to my home! I hold licensure in NY, IA, and SD.
Anxiety, depression, grief, trauma, stress, and adjustments to changes are some examples of reasons for seeking therapy. If you are looking for a partner in your healing journey, I am here to help you reach your goals towards feeling relief! I am physically located in South Dakota, in the beautiful homelands of the Lakota. I am originally from Western NY and I cherish my connection to my home! I hold licensure in NY, IA, and SD.
(605) 667-4543 View (605) 667-4543
Photo of Jessica Hubner, Licensed Professional Counselor, MS, LPC
Jessica Hubner
Licensed Professional Counselor, MS, LPC
Rapid City, SD 57701
Do you feel like the challenges you face in life are making you (and your loved ones) out to be crazy, a burden or a problem? I aim to carve out a comfortable healing space for people who are faced with problems that may be tricky to unravel, obstinate to change or that simply need a place to be aired-out and heard. I am interested in meeting people who may struggle to find a good fit with other counselors or people who are new to therapy and looking for a comfortable, personal and respectful relationship.
Do you feel like the challenges you face in life are making you (and your loved ones) out to be crazy, a burden or a problem? I aim to carve out a comfortable healing space for people who are faced with problems that may be tricky to unravel, obstinate to change or that simply need a place to be aired-out and heard. I am interested in meeting people who may struggle to find a good fit with other counselors or people who are new to therapy and looking for a comfortable, personal and respectful relationship.
(605) 646-4409 View (605) 646-4409
Photo of Bryan Satterwhite - Healing Trauma Therapy Services, Clinical Social Work/Therapist, MSW, CSW-PIP, QMHP
Healing Trauma Therapy Services
Clinical Social Work/Therapist, MSW, CSW-PIP, QMHP
1 Endorsed
Rapid City, SD 57701
With so many options out there what does Satterwhite counseling bring that is unique? Bryan Satterwhite and Nora Boesem bring expertise in working with children and adolescents with prenatal alcohol/drug exposure, Fetal Alcohol Spectrum Disorder, Autism, and attachment traumas. They bring years of experience and their own personal journeys with children’s mental health. They can help you to navigate some of the hardest moments as a family. Offering testing for FASD, autism, and functional developmental assessments. We provide individual therapy for all ages including adults who are experiencing suicidality and trauma.
With so many options out there what does Satterwhite counseling bring that is unique? Bryan Satterwhite and Nora Boesem bring expertise in working with children and adolescents with prenatal alcohol/drug exposure, Fetal Alcohol Spectrum Disorder, Autism, and attachment traumas. They bring years of experience and their own personal journeys with children’s mental health. They can help you to navigate some of the hardest moments as a family. Offering testing for FASD, autism, and functional developmental assessments. We provide individual therapy for all ages including adults who are experiencing suicidality and trauma.
(605) 550-8489 View (605) 550-8489
Photo of Katie Schwenk, Clinical Social Work/Therapist, CSW-PIP, LCSW
Katie Schwenk
Clinical Social Work/Therapist, CSW-PIP, LCSW
Rapid City, SD 57701
Are you feeling overwhelmed by stress, anxiety, or challenging emotions? Do relationships and everyday struggles make it hard for you to feel at ease or fully enjoy life? If you're searching for ways to improve both your mental and physical well-being, I’m here to help you discover a path to healing that feels right for you. I believe that true wellness comes from nurturing all aspects of health—mental, emotional, and physical. Together, we’ll explore ways to calm your nervous system, improve sleep, nutrition, and exercise habits, and develop practical strategies for managing stress. Small changes can greatly effect how you feel.
Are you feeling overwhelmed by stress, anxiety, or challenging emotions? Do relationships and everyday struggles make it hard for you to feel at ease or fully enjoy life? If you're searching for ways to improve both your mental and physical well-being, I’m here to help you discover a path to healing that feels right for you. I believe that true wellness comes from nurturing all aspects of health—mental, emotional, and physical. Together, we’ll explore ways to calm your nervous system, improve sleep, nutrition, and exercise habits, and develop practical strategies for managing stress. Small changes can greatly effect how you feel.
(605) 453-5224 View (605) 453-5224

See more therapy options for 57701

How does your Therapist compare?

Number of Therapists in 57701

100+

Average cost per session

$180

Therapists in 57701 who prioritize treating:

90% Anxiety
90% Social Anxiety
90% Health Anxiety
90% Driving Anxiety
89% Depression
78% Trauma and PTSD
78% Complex PTSD

Average years in practice

13 Years

Top 3 insurances accepted

74% BlueCross and BlueShield
69% Wellmark BCBS
56% Sanford Health Plan

How Therapists in 57701 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 57701?

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.