Therapists in 64158

Photo of Kelli Murphy-Small, Licensed Professional Counselor
Kelli Murphy-Small
Licensed Professional Counselor
Kansas City, MO 64158
Hello, I'm Kelli. I am a Licensed Professional Counselor (LPC) from Missouri, and I have been providing mental health services for the past 30 years. My journey began in the public school system as a school counselor, where I later became a supervisor of school counselors and concurrently taught at the university level to assist college students in becoming counselors. During my time as a school counselor, I completed the requirements for my LPC, which proved invaluable in both school settings and private practice. For the past 15 years, I have enjoyed working as a private practice and agency counselor,
Hello, I'm Kelli. I am a Licensed Professional Counselor (LPC) from Missouri, and I have been providing mental health services for the past 30 years. My journey began in the public school system as a school counselor, where I later became a supervisor of school counselors and concurrently taught at the university level to assist college students in becoming counselors. During my time as a school counselor, I completed the requirements for my LPC, which proved invaluable in both school settings and private practice. For the past 15 years, I have enjoyed working as a private practice and agency counselor,
(816) 597-4865 View (816) 597-4865
Photo of Jennifer Lustman, Clinical Social Work/Therapist
Jennifer Lustman
Clinical Social Work/Therapist
Kansas City, MO 64158
Hello, I'm Jennifer. The human experience presents everyone with challenges. When we are facing difficult life transitions and emotions that thwart our efforts to live our best, we can feel overwhelmed. The opportunity provided in pursuing therapy is that you don't have to take this journey alone and use guesswork to come up with solutions. Working together, we can address the challenges you face. I will provide you with understanding and support, offering you a new perspective on your issues and specific tools to assist you on this journey.
Hello, I'm Jennifer. The human experience presents everyone with challenges. When we are facing difficult life transitions and emotions that thwart our efforts to live our best, we can feel overwhelmed. The opportunity provided in pursuing therapy is that you don't have to take this journey alone and use guesswork to come up with solutions. Working together, we can address the challenges you face. I will provide you with understanding and support, offering you a new perspective on your issues and specific tools to assist you on this journey.
(816) 688-3496 View (816) 688-3496
Photo of Andrew L Dixon, Clinical Social Work/Therapist, LCSW, LSCSW
Andrew L Dixon
Clinical Social Work/Therapist, LCSW, LSCSW
Serves Area
I strive to ensure that you feel comfortable and seen. Let's be honest, going to therapy can be awkward and scary. My goal is to help ease your anxiety, fear or doubt and make you feel comfortable. Healing is a process and that starts once you start therapy. Using evidence-based techniques such as CBT, Family Systems Theory, and Solution-Focused therapy we can start to unravel, understand and heal from the complexities of our past, which will bring us courage and confidence for our future.
I strive to ensure that you feel comfortable and seen. Let's be honest, going to therapy can be awkward and scary. My goal is to help ease your anxiety, fear or doubt and make you feel comfortable. Healing is a process and that starts once you start therapy. Using evidence-based techniques such as CBT, Family Systems Theory, and Solution-Focused therapy we can start to unravel, understand and heal from the complexities of our past, which will bring us courage and confidence for our future.
(816) 237-0173 View (816) 237-0173
Photo of Kyra Hawthorne, Provisional Licensed Professional Counselor, MA, PLPC, LPC, NCC
Kyra Hawthorne
Provisional Licensed Professional Counselor, MA, PLPC, LPC, NCC
6 Endorsed
Serves Area
You don’t have to carry it all alone. So many people walk through life feeling unseen in their pain - navigating anxiety, grief, trauma, or transitions without a place to fully exhale. My hope is to offer you a space where your emotions are met with care, your story is honored, and you’re reminded that healing doesn’t have to happen in isolation.
You don’t have to carry it all alone. So many people walk through life feeling unseen in their pain - navigating anxiety, grief, trauma, or transitions without a place to fully exhale. My hope is to offer you a space where your emotions are met with care, your story is honored, and you’re reminded that healing doesn’t have to happen in isolation.
(816) 441-7108 View (816) 441-7108
Photo of J. Joseph Fanska, Licensed Professional Counselor, MA, LPC, LCPC, C-DBT, CYMHS
J. Joseph Fanska
Licensed Professional Counselor, MA, LPC, LCPC, C-DBT, CYMHS
6 Endorsed
Serves Area
Welcome! I am a licensed mental health professional, serving as an LPC in Missouri and an LCPC in Kansas. I hold a Master’s degree in Counseling from the University of Missouri and certification in Dialectical Behavior Therapy (DBT). My clinical background includes extensive work in private practice, acute inpatient psychiatry, and adolescent intensive outpatient programming (IOP). As an Eagle Scout and former Big Brothers of KC mentor, I am deeply committed to my specialty and passion: supporting teens and young adults. I offer in-office services and look forward to partnering with you on your therapeutic journey toward wellness.
Welcome! I am a licensed mental health professional, serving as an LPC in Missouri and an LCPC in Kansas. I hold a Master’s degree in Counseling from the University of Missouri and certification in Dialectical Behavior Therapy (DBT). My clinical background includes extensive work in private practice, acute inpatient psychiatry, and adolescent intensive outpatient programming (IOP). As an Eagle Scout and former Big Brothers of KC mentor, I am deeply committed to my specialty and passion: supporting teens and young adults. I offer in-office services and look forward to partnering with you on your therapeutic journey toward wellness.
(816) 239-3418 View (816) 239-3418
Photo of Lori Streu, Licensed Professional Counselor, EdS, LPC
Lori Streu
Licensed Professional Counselor, EdS, LPC
1 Endorsed
Serves Area
Living with anxiety, depression, or relationship issues can be isolating and overwhelming. Sometimes it can even be difficult to know where to begin to make your life feel better. I help people figure out how to take action in their lives so that they can create a life of joy, purpose, and meaningful connections. I provide a compassionate, calm, and confidential space to help teens, adults, and families develop a plan that allows for growth and healing. The time to start feeling better is now!
Living with anxiety, depression, or relationship issues can be isolating and overwhelming. Sometimes it can even be difficult to know where to begin to make your life feel better. I help people figure out how to take action in their lives so that they can create a life of joy, purpose, and meaningful connections. I provide a compassionate, calm, and confidential space to help teens, adults, and families develop a plan that allows for growth and healing. The time to start feeling better is now!
(816) 209-1873 View (816) 209-1873
Photo of Jill Robinson, Clinical Social Work/Therapist, DSW, LCSW, CAAPT-S, RPT-S™, CAS
Jill Robinson
Clinical Social Work/Therapist, DSW, LCSW, CAAPT-S, RPT-S™, CAS
4 Endorsed
Serves Area
Hi! My name is Jill and I am a licensed clinical social worker in Missouri and Kansas, and a Registered Play Therapist-Supervisor (RPT-S). I am also a Certified AutPlay Therapy Provider, a Certified Autism Specialist (CAS), an EMDR certified therapist, and a Certified Animal Assisted Play Therapist-Supervisor (CAAPT-S). I am passionate about helping individuals meet their goals and enhance their well-being. I work with children, adolescents, and adults. I also provide play therapy supervision for individuals working towards their RPT credential.
Hi! My name is Jill and I am a licensed clinical social worker in Missouri and Kansas, and a Registered Play Therapist-Supervisor (RPT-S). I am also a Certified AutPlay Therapy Provider, a Certified Autism Specialist (CAS), an EMDR certified therapist, and a Certified Animal Assisted Play Therapist-Supervisor (CAAPT-S). I am passionate about helping individuals meet their goals and enhance their well-being. I work with children, adolescents, and adults. I also provide play therapy supervision for individuals working towards their RPT credential.
(816) 407-8759 View (816) 407-8759
Photo of Michele Keller, Licensed Professional Counselor
Michele Keller
Licensed Professional Counselor
1 Endorsed
Online Only
I am a Licensed Professional Counselor with over 15 years of experience practicing in Missouri and Oklahoma. With a background in the travel industry and a wide range of cultural experiences, I bring a unique perspective that fosters openness and understanding.
I am a Licensed Professional Counselor with over 15 years of experience practicing in Missouri and Oklahoma. With a background in the travel industry and a wide range of cultural experiences, I bring a unique perspective that fosters openness and understanding.
(816) 451-1231 View (816) 451-1231
Photo of Adrian Kelly, Clinical Social Work/Therapist
Adrian Kelly
Clinical Social Work/Therapist
Online Only
Hello, I'm Adrian. Life shouldn’t be about surviving; it should be about enjoying every moment you were given. I want to help you feel like you again, and I believe therapy can help you accomplish this. Therapy with me is a collaborative process where we work together to improve the overall quality of your life. We'll identify the root causes of your anxiety, depression, and other factors that may impede your ability to enjoy life to the fullest. Beyond identifying root causes, we'll incorporate elements of Client-Centered Therapy, CBT, DB
Hello, I'm Adrian. Life shouldn’t be about surviving; it should be about enjoying every moment you were given. I want to help you feel like you again, and I believe therapy can help you accomplish this. Therapy with me is a collaborative process where we work together to improve the overall quality of your life. We'll identify the root causes of your anxiety, depression, and other factors that may impede your ability to enjoy life to the fullest. Beyond identifying root causes, we'll incorporate elements of Client-Centered Therapy, CBT, DB
(816) 451-4229 View (816) 451-4229

More Therapists Nearby

Photo of Al Sarno, Licensed Professional Counselor, PhD, LPC
Al Sarno
Licensed Professional Counselor, PhD, LPC
Serves Area
I am deeply committed to helping individuals discover meaning and purpose in their lives. With more than four decades of experience as a counselor, I specialize in guiding clients through recovery from addictions, anxiety disorders, and PTSD. As an Associate Professor in the Online Department of Community Care and Counseling within the School of Behavioral Sciences at Liberty University, I facilitate courses designed to help students and clients rediscover their zest for life and cultivate lasting emotional well-being. In my private practice, I work extensively with couples, equipping them with practical tools and proven techniques
I am deeply committed to helping individuals discover meaning and purpose in their lives. With more than four decades of experience as a counselor, I specialize in guiding clients through recovery from addictions, anxiety disorders, and PTSD. As an Associate Professor in the Online Department of Community Care and Counseling within the School of Behavioral Sciences at Liberty University, I facilitate courses designed to help students and clients rediscover their zest for life and cultivate lasting emotional well-being. In my private practice, I work extensively with couples, equipping them with practical tools and proven techniques
(434) 201-3979 View (434) 201-3979
Photo of Paula Coyote Schaaf, Licensed Professional Counselor, MA, LPC, LCPC, NBCC
Paula Coyote Schaaf
Licensed Professional Counselor, MA, LPC, LCPC, NBCC
Kansas City, MO 64112
Here comes summer! Are anxiety, trauma, or depression weighing you down and causing you to feel overwhelmed? I’d love to hear your story and help you move into a time that feels lighter and more peaceful. If you’re LGBTQ+, or from an underserved background and NEED to be heard and understood, I’m with you. With 20+ yrs supporting teens and adults, I specialize in ADHD, autism, anxiety, depression, and PTSD, providing affirming care that respects race/ethnicity, sexual orientation, and gender expression. I use Polyvagal and Somatic theory to get you in touch with your brain.
Here comes summer! Are anxiety, trauma, or depression weighing you down and causing you to feel overwhelmed? I’d love to hear your story and help you move into a time that feels lighter and more peaceful. If you’re LGBTQ+, or from an underserved background and NEED to be heard and understood, I’m with you. With 20+ yrs supporting teens and adults, I specialize in ADHD, autism, anxiety, depression, and PTSD, providing affirming care that respects race/ethnicity, sexual orientation, and gender expression. I use Polyvagal and Somatic theory to get you in touch with your brain.
(816) 227-6682 View (816) 227-6682
Photo of Morgan Martens, Pre-Licensed Professional, MS, CIT
Morgan Martens
Pre-Licensed Professional, MS, CIT
3 Endorsed
Lees Summit, MO 64086
Everyone needs someone to talk to. Even when you have supportive friends or family, it can help to have a space that’s completely your own — where you can process, heal, and grow without judgment. That’s where I come in. As a therapist, my focus is on building a genuine, consistent connection with you. I bring the training and expertise to help guide you through challenges like anxiety, depression, trauma, and major life changes — but just as importantly, I bring warmth, humor, and authenticity to our sessions. My goal is to help you feel seen, supported, and empowered to create real, lasting change in your life.
Everyone needs someone to talk to. Even when you have supportive friends or family, it can help to have a space that’s completely your own — where you can process, heal, and grow without judgment. That’s where I come in. As a therapist, my focus is on building a genuine, consistent connection with you. I bring the training and expertise to help guide you through challenges like anxiety, depression, trauma, and major life changes — but just as importantly, I bring warmth, humor, and authenticity to our sessions. My goal is to help you feel seen, supported, and empowered to create real, lasting change in your life.
(816) 624-3015 View (816) 624-3015
Photo of Mike Porter, Marriage & Family Therapist, MA, LMFT
Mike Porter
Marriage & Family Therapist, MA, LMFT
Kansas City, MO 64116
We all have times where we just feel a little (or a lot) overwhelmed, even though most of us pretend we don’t (myself included). Or times when we think, “Nothing I’m doing is working with my kid (or husband, wife, sister, bestie, aunt, grandma, well…you get the idea)!” We delude ourselves into thinking everyone else has it all figured out. They don’t. And, it’s okay that you don’t. Whether you’re feeling overwhelmed, at a loss for how to help your loved one, or just unsure of the next steps in your relationship, therapy can help.
We all have times where we just feel a little (or a lot) overwhelmed, even though most of us pretend we don’t (myself included). Or times when we think, “Nothing I’m doing is working with my kid (or husband, wife, sister, bestie, aunt, grandma, well…you get the idea)!” We delude ourselves into thinking everyone else has it all figured out. They don’t. And, it’s okay that you don’t. Whether you’re feeling overwhelmed, at a loss for how to help your loved one, or just unsure of the next steps in your relationship, therapy can help.
(816) 370-6599 View (816) 370-6599
Photo of Mallory McNeal, Pre-Licensed Professional, BSN-RN, MSFT, P-LMFT
Mallory McNeal
Pre-Licensed Professional, BSN-RN, MSFT, P-LMFT
4 Endorsed
Kansas City, MO 64111
Finding a therapist who is the right fit for you can be hard, especially when you may already be struggling with anxiety, depression, loneliness, or navigating a lifequake event. As human beings, we're wired for connection and deeply long to be included, seen, and welcomed into relationships as the truest version of ourselves. In my practice, I actively acknowledge the power dynamics involved in the role of the therapist and remain curious and humble around those dynamics in order to build a trust-filled and secure relationship to connect with each of my clients. You can count on me to be a welcoming and affirming presence for you.
Finding a therapist who is the right fit for you can be hard, especially when you may already be struggling with anxiety, depression, loneliness, or navigating a lifequake event. As human beings, we're wired for connection and deeply long to be included, seen, and welcomed into relationships as the truest version of ourselves. In my practice, I actively acknowledge the power dynamics involved in the role of the therapist and remain curious and humble around those dynamics in order to build a trust-filled and secure relationship to connect with each of my clients. You can count on me to be a welcoming and affirming presence for you.
(816) 451-5088 View (816) 451-5088
Photo of Stacy Tucker, LMSW
Stacy Tucker
Verified Verified
2 Endorsed
Blue Springs, MO 64015
Life is difficult. There are times when it is especially challenging, and you need someone to walk alongside you. I'm here to offer compassionate support and guidance. I specialize in helping women, especially those in perimenopause and menopause, find renewed purpose and well-being. Whether you're facing life changes, grief, anxiety, depression, or difficulties managing intense emotions, I provide a safe and supportive space for you to explore your experiences and develop effective coping strategies.
Life is difficult. There are times when it is especially challenging, and you need someone to walk alongside you. I'm here to offer compassionate support and guidance. I specialize in helping women, especially those in perimenopause and menopause, find renewed purpose and well-being. Whether you're facing life changes, grief, anxiety, depression, or difficulties managing intense emotions, I provide a safe and supportive space for you to explore your experiences and develop effective coping strategies.
(816) 670-2636 View (816) 670-2636
Photo of Barbara L Mason-Palmer, Licensed Professional Counselor, MA, LPC
Barbara L Mason-Palmer
Licensed Professional Counselor, MA, LPC
Gladstone, MO 64118
I'm Barbara L. Mason-Palmer; I've treated clients of all different ages and backgrounds ranging from 6 to older adults. My areas of expertise include Anxiety, Depression, Teen Issues, ADHD, Grief and Loss, Marriage or relationship issues and Family concerns. More commonly my focus in treatment involves that of Cognitive Behavioral, Psycho-Educational, and Psychoanalytic Therapy.
I'm Barbara L. Mason-Palmer; I've treated clients of all different ages and backgrounds ranging from 6 to older adults. My areas of expertise include Anxiety, Depression, Teen Issues, ADHD, Grief and Loss, Marriage or relationship issues and Family concerns. More commonly my focus in treatment involves that of Cognitive Behavioral, Psycho-Educational, and Psychoanalytic Therapy.
(816) 659-1348 View (816) 659-1348
Photo of Maureen Maguire, Licensed Professional Counselor, MA, LPC
Maureen Maguire
Licensed Professional Counselor, MA, LPC
2 Endorsed
Kansas City, MO 64113
I work with clients who are working towards growth and healing, especially in the realms of wounding in relationships and traumatic events. Through training in attachment theory, I see the therapeutic relationship as a unique kind of relationship. Secure and safe relationships are crucial to thriving as human beings, and the solid foundation of a therapeutic relationship will allow you to explore parts of yourself that may have been off limits before. This can facilitate new understandings of your history, freedom from old pain, and an internal sense of security.
I work with clients who are working towards growth and healing, especially in the realms of wounding in relationships and traumatic events. Through training in attachment theory, I see the therapeutic relationship as a unique kind of relationship. Secure and safe relationships are crucial to thriving as human beings, and the solid foundation of a therapeutic relationship will allow you to explore parts of yourself that may have been off limits before. This can facilitate new understandings of your history, freedom from old pain, and an internal sense of security.
(816) 675-4822 View (816) 675-4822
Photo of Hailey Moore, Marriage & Family Therapist, MS, LCMFT, LMFT
Hailey Moore
Marriage & Family Therapist, MS, LCMFT, LMFT
3 Endorsed
Serves Area
When things are "off" in our families, it's hard to focus on anything else. You’ve read parenting books, confided in peers, sought out Google answers, but your efforts don’t seem to pay off. The truth is, there's no one right way to handle family distress, but you shouldn't have to navigate this alone. I believe we can put our strengths together and work as a team to find solutions and strategies to ease your family's struggle and empower you to be the parent you want to be.
When things are "off" in our families, it's hard to focus on anything else. You’ve read parenting books, confided in peers, sought out Google answers, but your efforts don’t seem to pay off. The truth is, there's no one right way to handle family distress, but you shouldn't have to navigate this alone. I believe we can put our strengths together and work as a team to find solutions and strategies to ease your family's struggle and empower you to be the parent you want to be.
(913) 404-2492 View (913) 404-2492
Photo of Lindsay Diederich, Licensed Professional Counselor, MA, LPC
Lindsay Diederich
Licensed Professional Counselor, MA, LPC
2 Endorsed
Kansas City, MO 64118
Everyone needs a safe place to process the difficult experiences in life. Maybe you are struggling to handle them or wish you could live without the burdens that continue to weigh you down. You are looking for answers, desperately wanting to overcome the struggles that affect you daily. Whether you are seeking support for your individual needs or with your relationships, I aim to create a space for you to connect deeply with yourself and discover your internal capacity to heal, grow, and be your true, authentic self.
Everyone needs a safe place to process the difficult experiences in life. Maybe you are struggling to handle them or wish you could live without the burdens that continue to weigh you down. You are looking for answers, desperately wanting to overcome the struggles that affect you daily. Whether you are seeking support for your individual needs or with your relationships, I aim to create a space for you to connect deeply with yourself and discover your internal capacity to heal, grow, and be your true, authentic self.
(816) 653-3749 View (816) 653-3749
Photo of Rainy Cadenhead - Rainy Marie, Pre-Licensed Professional
Rainy Marie
Pre-Licensed Professional
2 Endorsed
Kansas City, MO 64111
Yes, talking to someone will help. And if you don’t have anyone in your intimate circle, there are gifted professionals who can listen and provide a sacred, confidential space for you. There’s a path to living a lighter, happier, and more liberated life in your near future.
Yes, talking to someone will help. And if you don’t have anyone in your intimate circle, there are gifted professionals who can listen and provide a sacred, confidential space for you. There’s a path to living a lighter, happier, and more liberated life in your near future.
(816) 542-2725 View (816) 542-2725

How does your Therapist compare?

Number of Therapists in 64158

< 10

Therapists in 64158 who prioritize treating:

100% Depression
100% Anxiety
100% Stress
89% Trauma and PTSD
89% Family Conflict
78% Grief
56% Child

Average years in practice

11 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
86% UnitedHealthcare UHC | UBH

How Therapists in 64158 see their clients

78% In Person and Online
22% Online Only

Gender breakdown

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

How can I find a therapist in 64158?

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.