Therapists in 57745

Photo of Michael E. Wheaton, Marriage & Family Therapist, MA, LMFT, QMHP
Michael E. Wheaton
Marriage & Family Therapist, MA, LMFT, QMHP
5 Endorsed
Serves Area
Openings at the new location in Custer starting March 4! I am committed to providing a safe and confidential place where we can explore your challenges together, finding hope for the future. My goal is to help you uncover the places where you may be stuck individually or in relationship with others and then help you explore new paths to a more fulfilling life.
Openings at the new location in Custer starting March 4! I am committed to providing a safe and confidential place where we can explore your challenges together, finding hope for the future. My goal is to help you uncover the places where you may be stuck individually or in relationship with others and then help you explore new paths to a more fulfilling life.
(605) 988-8131 View (605) 988-8131
Photo of Dallas Jerome Caylor - Caylor Counseling LLC, Pre-Licensed Professional
Caylor Counseling LLC
Pre-Licensed Professional
1 Endorsed
Serves Area
My focus is helping individuals during times of distress, frustration, grief, confusion and burn out with the difficulties of life. This affects us all differently! Sometimes we simply can’t see over the walls that we ourselves put up let alone those that life, others or work can construct for us. Sometimes you simply need someone skilled to help navigate around or over those walls. Understanding the opportunity of life and how we truly can take steps to move ourselves to the life we dream and wish for is possible! No matter what the issues are I hope, to be a guide, and if I can’t help, I will help you find who can.
My focus is helping individuals during times of distress, frustration, grief, confusion and burn out with the difficulties of life. This affects us all differently! Sometimes we simply can’t see over the walls that we ourselves put up let alone those that life, others or work can construct for us. Sometimes you simply need someone skilled to help navigate around or over those walls. Understanding the opportunity of life and how we truly can take steps to move ourselves to the life we dream and wish for is possible! No matter what the issues are I hope, to be a guide, and if I can’t help, I will help you find who can.
(605) 453-4250 View (605) 453-4250
Photo of Casey A. Raby - Tree of Life Counseling Services, LLC, Licensed Professional Counselor, MA, LPC, NCC
Tree of Life Counseling Services, LLC
Licensed Professional Counselor, MA, LPC, NCC
Serves Area
Does life feel overwhelming at times? Do life’s storms sometimes feel like more than you can handle? I would be honored to walk with you as you traverse life’s stormiest seasons. I believe counseling is a collaborative partnership between counselor and client, and I am passionate about working with individuals and couples who are struggling with both large and small life issues. I believe in a client-centered, integrative framework in which we work together to identify and build on your strengths while addressing any issues that are causing you difficulty.
Does life feel overwhelming at times? Do life’s storms sometimes feel like more than you can handle? I would be honored to walk with you as you traverse life’s stormiest seasons. I believe counseling is a collaborative partnership between counselor and client, and I am passionate about working with individuals and couples who are struggling with both large and small life issues. I believe in a client-centered, integrative framework in which we work together to identify and build on your strengths while addressing any issues that are causing you difficulty.
(605) 525-6500 View (605) 525-6500
Photo of Nancy Peterson - Black Hills Fireside Counseling LLC, Licensed Professional Counselor, MSEd, LPC-MH, QMHP
Black Hills Fireside Counseling LLC
Licensed Professional Counselor, MSEd, LPC-MH, QMHP
Serves Area
No-one likes to feel that life is out of balance or spinning out of control. It is a sign of strength and determination to seek help. No matter what challenges you are facing, there is help and there is hope. Black Hills Fireside Counseling LLC provides a comfortable and inviting environment in which you can safely share the issues you are facing, helping you towards a good resolution.
No-one likes to feel that life is out of balance or spinning out of control. It is a sign of strength and determination to seek help. No matter what challenges you are facing, there is help and there is hope. Black Hills Fireside Counseling LLC provides a comfortable and inviting environment in which you can safely share the issues you are facing, helping you towards a good resolution.
(605) 250-3577 View (605) 250-3577
Photo of Lauren Kane, Licensed Professional Counselor, MEd, LPC
Lauren Kane
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Online Only
I work with women who feel that people-pleasing, perfectionism, and/or pressure are constant companions. Perhaps you worry that you aren’t doing enough at home for your children, you don’t have enough time to put into your relationships or you can’t meet your own expectations at work. Balancing the roles that you play, while feeling fulfilled and content can be difficult to manage without frustration or burnout. The women I work with often put themselves second to other relationships and priorities and struggle to communicate and maintain boundaries.
I work with women who feel that people-pleasing, perfectionism, and/or pressure are constant companions. Perhaps you worry that you aren’t doing enough at home for your children, you don’t have enough time to put into your relationships or you can’t meet your own expectations at work. Balancing the roles that you play, while feeling fulfilled and content can be difficult to manage without frustration or burnout. The women I work with often put themselves second to other relationships and priorities and struggle to communicate and maintain boundaries.
(605) 600-1758 View (605) 600-1758

More Therapists Nearby

Photo of Loree Siegfried, Clinical Social Work/Therapist, LCSW
Loree Siegfried
Clinical Social Work/Therapist, LCSW
Serves Area
Hello, I am here to help and look forward to working with you. No matter what's happening in your life right now we can figure it out! Let's work together on identifying what's going well, what's not and how life can improve. I am down-to-earth, experienced, easy to talk to, and offer a safe respectful place to heal and explore challenges. Sometimes, seeing a problem from a different perspective is all it takes! Find me here! https://loree-siegfried.clientsecure.me/ Licensed in South Dakota, Colorado, Missouri, Montana, Michigan, and Minnesota.
Hello, I am here to help and look forward to working with you. No matter what's happening in your life right now we can figure it out! Let's work together on identifying what's going well, what's not and how life can improve. I am down-to-earth, experienced, easy to talk to, and offer a safe respectful place to heal and explore challenges. Sometimes, seeing a problem from a different perspective is all it takes! Find me here! https://loree-siegfried.clientsecure.me/ Licensed in South Dakota, Colorado, Missouri, Montana, Michigan, and Minnesota.
(605) 340-1610 View (605) 340-1610
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 Jerry P. Feist, Licensed Professional Counselor, MS, LPC-MH, QMHP
Jerry P. Feist
Licensed Professional Counselor, MS, LPC-MH, QMHP
2 Endorsed
Serves Area
I have over 35 years of experience in the combined fields of counseling and behavioral health. Counseling is offered in a safe and supportive environment, I work with you to help release unwanted patterns/beliefs, unresolved old feelings that blocking personal power. Some of my techniques include Conventional Therapy, CBT, REBT, Solution Focused Therapy and Eye Movement Desensitization & Reprocessing. Whether you are stuck in the past, struggling with life's up & downs, unsure about your future or have experience trauma. We can work together to find resolutions to your symptoms so you can experience a more fulfilling, happier and meaningful life.
I have over 35 years of experience in the combined fields of counseling and behavioral health. Counseling is offered in a safe and supportive environment, I work with you to help release unwanted patterns/beliefs, unresolved old feelings that blocking personal power. Some of my techniques include Conventional Therapy, CBT, REBT, Solution Focused Therapy and Eye Movement Desensitization & Reprocessing. Whether you are stuck in the past, struggling with life's up & downs, unsure about your future or have experience trauma. We can work together to find resolutions to your symptoms so you can experience a more fulfilling, happier and meaningful life.
(605) 937-8099 View (605) 937-8099
Photo of Michelle Soberalski, Clinical Social Work/Therapist, MSW, CSW, QMHP
Michelle Soberalski
Clinical Social Work/Therapist, MSW, CSW, QMHP
1 Endorsed
Rapid City, SD 57702
First, I want to thank you for being here. The first step is, as we say in the therapy world, the hardest, and by giving yourself that ounce of opportunity you unknowingly have already started your healing journey. Whether you are here because of past trauma, current life circumstances, or attempting to navigate the day to day, know you found the space to create the life you want to live. It is my goal to make therapy a little less intimidating, as we know life is hard on its own. Instead, this is a journey to overcome, manage, and most importantly empower yourself to know you are no longer a victim to what you have lived.
First, I want to thank you for being here. The first step is, as we say in the therapy world, the hardest, and by giving yourself that ounce of opportunity you unknowingly have already started your healing journey. Whether you are here because of past trauma, current life circumstances, or attempting to navigate the day to day, know you found the space to create the life you want to live. It is my goal to make therapy a little less intimidating, as we know life is hard on its own. Instead, this is a journey to overcome, manage, and most importantly empower yourself to know you are no longer a victim to what you have lived.
(605) 220-5162 View (605) 220-5162
Photo of Tiffany Broadhurst, Licensed Professional Counselor, MA, LPC, NCC
Tiffany Broadhurst
Licensed Professional Counselor, MA, LPC, NCC
1 Endorsed
Serves Area
Have you ever caught yourself thinking—“I freeze when it’s time to perform.” “My nerves always win.” “I need someone to talk to, but I don’t want to burden anyone.” “I feel sad but can’t explain why.” “I’ll never measure up.” If these thoughts sound familiar, you’re not alone. Struggles with trauma, anxiety, or depression don’t define you—you are worthy of something better, and we can work toward that together.
Have you ever caught yourself thinking—“I freeze when it’s time to perform.” “My nerves always win.” “I need someone to talk to, but I don’t want to burden anyone.” “I feel sad but can’t explain why.” “I’ll never measure up.” If these thoughts sound familiar, you’re not alone. Struggles with trauma, anxiety, or depression don’t define you—you are worthy of something better, and we can work toward that together.
(605) 315-3248 View (605) 315-3248
Photo of Emily Herrera, Pre-Licensed Professional
Emily Herrera
Pre-Licensed Professional
Rapid City, SD 57702
I offer holistic, client-centered therapy in a warm and welcoming space that is unconditionally accepting of who you are and who you want to become. Utilizing mindfulness and wellness theories, we will slow down to identify and strengthen your innate talents and gifts as well as learn new tools to help you thrive. In our relationship we will work together to help you grow and become more confident, framing our conversations in thoughtful reflection, healing and growth. I strive to empower you as we walk towards a life of acceptance, balance, and joy.
I offer holistic, client-centered therapy in a warm and welcoming space that is unconditionally accepting of who you are and who you want to become. Utilizing mindfulness and wellness theories, we will slow down to identify and strengthen your innate talents and gifts as well as learn new tools to help you thrive. In our relationship we will work together to help you grow and become more confident, framing our conversations in thoughtful reflection, healing and growth. I strive to empower you as we walk towards a life of acceptance, balance, and joy.
(605) 525-3196 View (605) 525-3196
Photo of Kris Jeakins, Licensed Professional Counselor, MS, NCC, LPC-MH, QMHP, CCTP-II
Kris Jeakins
Licensed Professional Counselor, MS, NCC, LPC-MH, QMHP, CCTP-II
1 Endorsed
Rapid City, SD 57702
I have provided mental health services for over 14+ years to adults, couples, and 18+ who are struggling with mental health issues. I guide people in their healing of trauma including complex trauma, dissociative issues, depression, anxiety, grief, psychotic spectrum, and personality disorders. I will create a safe space of honesty and empathy. I will guide you to strengthen self-trust and empower yourself to solve issues within all your relationships, inside and outside of therapy. I believe that our minds and bodies are connected through thoughts, emotions, and behaviors.
I have provided mental health services for over 14+ years to adults, couples, and 18+ who are struggling with mental health issues. I guide people in their healing of trauma including complex trauma, dissociative issues, depression, anxiety, grief, psychotic spectrum, and personality disorders. I will create a safe space of honesty and empathy. I will guide you to strengthen self-trust and empower yourself to solve issues within all your relationships, inside and outside of therapy. I believe that our minds and bodies are connected through thoughts, emotions, and behaviors.
(605) 423-7529 View (605) 423-7529
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 Ashley Siebrasse, Licensed Professional Counselor, MS, LPC, NCC
Ashley Siebrasse
Licensed Professional Counselor, MS, LPC, NCC
1 Endorsed
Serves Area
I offer a safe, calming, and reflective space where you can begin to look at your life from a different perspective. Sometimes a shift in perspective is what allows meaningful change to happen, and that’s an important part of my work as a therapist. I believe everyone deserves a space to heal and grow without fear of judgment. My approach is collaborative and grounded in helping you feel fully seen and accepted while also developing practical tools to move forward. Through the therapeutic relationship, we can explore your experiences with curiosity and compassion, free from the biases that often exist in other relationships.
I offer a safe, calming, and reflective space where you can begin to look at your life from a different perspective. Sometimes a shift in perspective is what allows meaningful change to happen, and that’s an important part of my work as a therapist. I believe everyone deserves a space to heal and grow without fear of judgment. My approach is collaborative and grounded in helping you feel fully seen and accepted while also developing practical tools to move forward. Through the therapeutic relationship, we can explore your experiences with curiosity and compassion, free from the biases that often exist in other relationships.
(605) 315-6397 View (605) 315-6397
Photo of Jean M Hoem - Jean M Hoem, LPC-MH, QMHP, Licensed Professional Counselor, MS, LPC-MH, QMHP
Jean M Hoem, LPC-MH, QMHP
Licensed Professional Counselor, MS, LPC-MH, QMHP
Rapid City, SD 57701
I think of therapy as a compassionate collaboration. Clients and I form a partnership in which we work together to not only change behavior, but to understand why we continue to make the same mistakes. We also develop a "roadmap" to avoid future problems by learning to spot "red flags" that may trigger old behaviors. Learning new coping skills and strengthening old ones are an intregal part of this process.
I think of therapy as a compassionate collaboration. Clients and I form a partnership in which we work together to not only change behavior, but to understand why we continue to make the same mistakes. We also develop a "roadmap" to avoid future problems by learning to spot "red flags" that may trigger old behaviors. Learning new coping skills and strengthening old ones are an intregal part of this process.
(605) 309-7083 View (605) 309-7083
Photo of Jennifer Mayforth, Licensed Professional Counselor, LPC
Jennifer Mayforth
Licensed Professional Counselor, LPC
Rapid City, SD 57702
Hi. My name is Jen Mayforth and I am a licensed professional counselor who thinks talking through difficult issues, emotional pain, and complicated decisions can be one of the most helpful steps people can take to get through life. Being human is to struggle and I feel passionate about helping people find ways to get through and move toward a better and more rewarding life.
Hi. My name is Jen Mayforth and I am a licensed professional counselor who thinks talking through difficult issues, emotional pain, and complicated decisions can be one of the most helpful steps people can take to get through life. Being human is to struggle and I feel passionate about helping people find ways to get through and move toward a better and more rewarding life.
(605) 674-3806 View (605) 674-3806
Photo of Cinnamon R Holsclaw, Clinical Social Work/Therapist, LCSW, MA Ed
Cinnamon R Holsclaw
Clinical Social Work/Therapist, LCSW, MA Ed
Serves Area
If you've ever wondered why you do certain things and want to change them or do them better...I can help with that! Together, we can develop the tools you need to get to know yourself and figure out how all the different parts of your personality can work together to create permanent positive change. You want to quit beating yourself up and move forward, and I want to help you do it! You can learn to be more compassionate, be more kind, and relate better with others AND yourself! Therapy is all about learning to be the best version of yourself, which frees you see the best version of others, too.
If you've ever wondered why you do certain things and want to change them or do them better...I can help with that! Together, we can develop the tools you need to get to know yourself and figure out how all the different parts of your personality can work together to create permanent positive change. You want to quit beating yourself up and move forward, and I want to help you do it! You can learn to be more compassionate, be more kind, and relate better with others AND yourself! Therapy is all about learning to be the best version of yourself, which frees you see the best version of others, too.
(435) 334-5259 View (435) 334-5259
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 Emily A Hamling, Licensed Professional Counselor, LPC, -MH SUP, NCC
Emily A Hamling
Licensed Professional Counselor, LPC, -MH SUP, NCC
1 Endorsed
Rapid City, SD 57702
“To build the life you desire and deserve to live”. This is my purpose in the counseling process as we partner to explore life and what it could be. As we partner together on your journey in life, I commit to meeting you were you are at while providing a space that is nonjudgmental, genuine, and balanced in acceptance and change. Dialectical Behavioral Therapy, Motivational Interviewing, and EMDR are my primary treatment modalities while also integrating different techniques based on your individual needs.
“To build the life you desire and deserve to live”. This is my purpose in the counseling process as we partner to explore life and what it could be. As we partner together on your journey in life, I commit to meeting you were you are at while providing a space that is nonjudgmental, genuine, and balanced in acceptance and change. Dialectical Behavioral Therapy, Motivational Interviewing, and EMDR are my primary treatment modalities while also integrating different techniques based on your individual needs.
(605) 574-5418 View (605) 574-5418
Photo of Alyssa Mendel, Licensed Professional Counselor, MA, LPC, QMHP
Alyssa Mendel
Licensed Professional Counselor, MA, LPC, QMHP
Serves Area
We all go through challenges in life and shouldn’t have to face hard times alone. My passion is to come alongside and help you navigate these challenges. As a therapist pursing my certification as a Certified Eating Disorder Specialist, I specialize in working with teens and their families, and adults who struggle with symptoms from eating disorders, such as anorexia-nervosa, bulimia, binge eating disorder, over exercising, body dysmorphia, and disordered eating. I also work with adults and teens who have symptoms of anxiety, obsessive compulsive disorder, depression, and day to day life stressors.
We all go through challenges in life and shouldn’t have to face hard times alone. My passion is to come alongside and help you navigate these challenges. As a therapist pursing my certification as a Certified Eating Disorder Specialist, I specialize in working with teens and their families, and adults who struggle with symptoms from eating disorders, such as anorexia-nervosa, bulimia, binge eating disorder, over exercising, body dysmorphia, and disordered eating. I also work with adults and teens who have symptoms of anxiety, obsessive compulsive disorder, depression, and day to day life stressors.
(605) 468-1876 View (605) 468-1876

How does your Therapist compare?

Number of Therapists in 57745

< 10

Therapists in 57745 who prioritize treating:

100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
80% Relationship Issues
80% Depression
80% Self Esteem

Average years in practice

18 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
50% Aetna
50% Medicaid

How Therapists in 57745 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

60% Female
40% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 57745?

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.