Photo of Sarah Jarvis, Licensed Professional Counselor in 65809, MO
Sarah Jarvis
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Springfield, MO 65809
Sometimes what we KNOW is true does not FEEL true. Your days may involve fighting intrusive thoughts, wrestling with anxiety, or trying to act okay when you feel anything but “fine.” Your mind may feel like the problem right now, but it is a beautifully unique and complex part of you that is capable of wellness. While stress can be minimized, it will never be completely eliminated from our lives. However, our brains can learn to adapt and find safety even in the midst of life's storms. Whether you have trauma symptoms, anxiety, or OCD you can move beyond just surviving. You are capable of thriving.
Sometimes what we KNOW is true does not FEEL true. Your days may involve fighting intrusive thoughts, wrestling with anxiety, or trying to act okay when you feel anything but “fine.” Your mind may feel like the problem right now, but it is a beautifully unique and complex part of you that is capable of wellness. While stress can be minimized, it will never be completely eliminated from our lives. However, our brains can learn to adapt and find safety even in the midst of life's storms. Whether you have trauma symptoms, anxiety, or OCD you can move beyond just surviving. You are capable of thriving.
(417) 216-6430 View (417) 216-6430
Photo of Andrea Frey Metzger, Licensed Professional Counselor in 65809, MO
Andrea Frey Metzger
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Springfield, MO 65809  (Online Only)
Whether you are struggling in your relationship, dealing with loneliness from the multiple issues we've dealt with the past year (pandemic, grief, trauma), or simply needing to process some things with someone objectively, I believe the therapeutic relationship can be a platform for deep transformation and continued growth.
Whether you are struggling in your relationship, dealing with loneliness from the multiple issues we've dealt with the past year (pandemic, grief, trauma), or simply needing to process some things with someone objectively, I believe the therapeutic relationship can be a platform for deep transformation and continued growth.
(417) 212-5297 View (417) 212-5297
Photo of Jillian Nisely, Clinical Social Work/Therapist in 65809, MO
Jillian Nisely
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Springfield, MO 65809
Does someone acting “off” ignite your anxiety? Exploring your ADHD? Or an adoptee navigating complex feelings? Deal with all 3? I’m here to help guide your quest to heal. Attachment issues leave you cautious & uneasy with others. Your mind struggles to stop the spiral of fears it creates. You’ve learned to mask to seem “fine” to others-but now see how much it affected you. As a fellow adoptee & ADHDer, I too know the confusion & hurt these wounds bring. Ready to leave the guilt behind & finally embrace the full you? Here you’ll learn skills to confidently handle what life throws at you & take time to heal the hurt in a healthy way.
Does someone acting “off” ignite your anxiety? Exploring your ADHD? Or an adoptee navigating complex feelings? Deal with all 3? I’m here to help guide your quest to heal. Attachment issues leave you cautious & uneasy with others. Your mind struggles to stop the spiral of fears it creates. You’ve learned to mask to seem “fine” to others-but now see how much it affected you. As a fellow adoptee & ADHDer, I too know the confusion & hurt these wounds bring. Ready to leave the guilt behind & finally embrace the full you? Here you’ll learn skills to confidently handle what life throws at you & take time to heal the hurt in a healthy way.
(417) 216-6303 View (417) 216-6303
Photo of Keeley Casteel, Clinical Social Work/Therapist in 65809, MO
Keeley Casteel
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Springfield, MO 65809  (Online Only)
There is no universal blueprint for getting through life without a scratch. Life gets hard and sometimes it can feel like your entire world is spinning out of control. As your fellow human, I too, know feelings of pain, suffering, and disconnection. The heartache and confusion that often comes with broken relationships, addiction, and life transitions. The sense of emptiness, and lack of identity and direction that ebbs and flows as we move through our existence. None of us are exempt, but I’m here to tell you that you are not alone and that there is hope.
There is no universal blueprint for getting through life without a scratch. Life gets hard and sometimes it can feel like your entire world is spinning out of control. As your fellow human, I too, know feelings of pain, suffering, and disconnection. The heartache and confusion that often comes with broken relationships, addiction, and life transitions. The sense of emptiness, and lack of identity and direction that ebbs and flows as we move through our existence. None of us are exempt, but I’m here to tell you that you are not alone and that there is hope.
(417) 387-2083 View (417) 387-2083
Photo of Lotter Christian Counseling LLC, Licensed Professional Counselor in 65809, MO
Lotter Christian Counseling LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Springfield, MO 65809
My name is Shaun Lotter and I have been helping people since 2000. I am first and foremost a follower of Jesus Christ in my personal and professional life who believes the Bible is God’s word to all people. With this foundation, I utilize attachment-based, emotion-focused counseling to help individuals and couples heal and regain hope. I specialize in marriage counseling, infidelity recovery, sexual addictions, and trauma. I am a licensed professional counselor in the State of Missouri and a licensed minister.
My name is Shaun Lotter and I have been helping people since 2000. I am first and foremost a follower of Jesus Christ in my personal and professional life who believes the Bible is God’s word to all people. With this foundation, I utilize attachment-based, emotion-focused counseling to help individuals and couples heal and regain hope. I specialize in marriage counseling, infidelity recovery, sexual addictions, and trauma. I am a licensed professional counselor in the State of Missouri and a licensed minister.
(417) 545-3692 View (417) 545-3692
Photo of Stephen F Benintendi, Licensed Professional Counselor in 65809, MO
Stephen F Benintendi
Licensed Professional Counselor, MA, LPC, SRT, EMDR
Verified Verified
Springfield, MO 65809  (Online Only)
I changed my career late in life because I wanted to walk with people through life's challenges. I enjoy helping people navigate a broken relationship, addiction, trauma, depression and anxiety. Married 45 years, I enjoy seeing a couple build something new and wonderful in their relationship. I know it can happen, it happened to me.
I changed my career late in life because I wanted to walk with people through life's challenges. I enjoy helping people navigate a broken relationship, addiction, trauma, depression and anxiety. Married 45 years, I enjoy seeing a couple build something new and wonderful in their relationship. I know it can happen, it happened to me.
(417) 612-9508 View (417) 612-9508
Photo of Tonya McMillen Boone, Clinical Social Work/Therapist in 65809, MO
Tonya McMillen Boone
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Springfield, MO 65809
Waitlist for new clients
Life is full of transitions. Changes in employment, relationship status, becoming a parent, the illness or death of a loved one, relocating or developing a health condition are some of the most challenging life transitions. Without adequate emotional support and healthy coping skills, the extra stress can lead to more serious physical or mental health problems. Depression, anxiety, insomnia, and relationship conflicts can appear or worsen as a result of not having knowledge of how to effectively cope with life changes. I educate and support my clients as we work to eliminate negative symptoms and develop a brighter future.
Life is full of transitions. Changes in employment, relationship status, becoming a parent, the illness or death of a loved one, relocating or developing a health condition are some of the most challenging life transitions. Without adequate emotional support and healthy coping skills, the extra stress can lead to more serious physical or mental health problems. Depression, anxiety, insomnia, and relationship conflicts can appear or worsen as a result of not having knowledge of how to effectively cope with life changes. I educate and support my clients as we work to eliminate negative symptoms and develop a brighter future.
(417) 708-7858 View (417) 708-7858
Photo of Jacquelynne Kell, Licensed Professional Counselor in 65809, MO
Jacquelynne Kell
Licensed Professional Counselor, MA, LPC
Verified Verified
Springfield, MO 65809
My goal is to support you by providing a safe space in which you feel heard. I offer services centered around you. This means that your therapeutic goals will be kept at the forefront. I believe in treating the whole person, both mind and body to support bringing you back to a sense of the whole. If you find that it is challenging for you to meet in person, I also provide online therapy services. We can meet over video chat from the comfort of your own safe place. We can work together to meet your therapeutic needs.
My goal is to support you by providing a safe space in which you feel heard. I offer services centered around you. This means that your therapeutic goals will be kept at the forefront. I believe in treating the whole person, both mind and body to support bringing you back to a sense of the whole. If you find that it is challenging for you to meet in person, I also provide online therapy services. We can meet over video chat from the comfort of your own safe place. We can work together to meet your therapeutic needs.
(417) 409-2093 View (417) 409-2093
Photo of Douglas A Gragson, Licensed Professional Counselor in 65809, MO
Douglas A Gragson
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Springfield, MO 65809
I am a Licensed Professional Counselor providing individual, couples and group counseling with adolescents and adults incorporating an eclectic approach to therapy. I have been fortunate during my years to work with families experiencing difficulties, angry teenagers and adults struggling to meet their full potential, couples trying to grow their relationship and individuals struggling with alcohol and substance abuse and I feel grateful to see the process of growth and change that can occur. I invite you to come along and will commit to providing a place where you will be heard and supported unconditionally through this process.
I am a Licensed Professional Counselor providing individual, couples and group counseling with adolescents and adults incorporating an eclectic approach to therapy. I have been fortunate during my years to work with families experiencing difficulties, angry teenagers and adults struggling to meet their full potential, couples trying to grow their relationship and individuals struggling with alcohol and substance abuse and I feel grateful to see the process of growth and change that can occur. I invite you to come along and will commit to providing a place where you will be heard and supported unconditionally through this process.
(417) 988-3716 View (417) 988-3716
Photo of Beyond Healing Center, Licensed Professional Counselor in 65809, MO
Beyond Healing Center
Licensed Professional Counselor, LPC, PLPC, LCSW
Verified Verified
5 Endorsed
Springfield, MO 65809
Beyond Healing Center is a therapy group committed to helping people find safety in connection through embodied healing practices. We practice an interdisciplinary health care approach that invites healers from various disciplines to join together under a shared language and conceptualization approach where interventions can be thoughtfully co-discovered and contextualized in the therapeutic journey. Our team is constantly growing which brings rich new disciplines to the treatment setting including psychotherapy, movement and yoga, massage, art, and physical wellness.
Beyond Healing Center is a therapy group committed to helping people find safety in connection through embodied healing practices. We practice an interdisciplinary health care approach that invites healers from various disciplines to join together under a shared language and conceptualization approach where interventions can be thoughtfully co-discovered and contextualized in the therapeutic journey. Our team is constantly growing which brings rich new disciplines to the treatment setting including psychotherapy, movement and yoga, massage, art, and physical wellness.
(417) 765-0556 View (417) 765-0556
Photo of Dala Hemeyer, Clinical Social Work/Therapist in 65809, MO
Dala Hemeyer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Springfield, MO 65809  (Online Only)
Does your life feel like a performance? Like you're constantly striving to "do it all and have it all" all while making it look effortless? If people knew how you felt, they'd find you stressed, worried, burned out, overwhelmed, irritable, disconnected, or depressed. Has the grind of life left your feeling defeated and disappointment but you life with the pressure that “the show must go on?" I say: “Eff. That!”. When you work with me we prioritize purpose, meaning, and intentional living . I believe you can HAVE it all without DOING it all.
Does your life feel like a performance? Like you're constantly striving to "do it all and have it all" all while making it look effortless? If people knew how you felt, they'd find you stressed, worried, burned out, overwhelmed, irritable, disconnected, or depressed. Has the grind of life left your feeling defeated and disappointment but you life with the pressure that “the show must go on?" I say: “Eff. That!”. When you work with me we prioritize purpose, meaning, and intentional living . I believe you can HAVE it all without DOING it all.
(573) 345-2485 View (573) 345-2485
Photo of Shaelyn Misiak in 65809, MO
Shaelyn Misiak
MS, PLPC
Verified Verified
Springfield, MO 65809
Waitlist for new clients
Are you looking for care that goes beyond a surface level coping skill or quick fix, but rather care that will give rise to deep and lasting transformation? If so, I can help. Are you hoping not just to learn how to stop fighting and communicate better with your partner, but to also feel deeply seen, known, and connected in your relationship? If so, I can help. Are you looking for a therapist that sees you as more than just another client, but rather cares to get to know you for the unique and unrepeatable person you are? I can help with that too.
Are you looking for care that goes beyond a surface level coping skill or quick fix, but rather care that will give rise to deep and lasting transformation? If so, I can help. Are you hoping not just to learn how to stop fighting and communicate better with your partner, but to also feel deeply seen, known, and connected in your relationship? If so, I can help. Are you looking for a therapist that sees you as more than just another client, but rather cares to get to know you for the unique and unrepeatable person you are? I can help with that too.
(417) 764-5864 View (417) 764-5864
Photo of Mikayla Wichern, Clinical Social Work/Therapist in 65809, MO
Mikayla Wichern
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Springfield, MO 65809  (Online Only)
It's starting to feel like your day-to-day challenges are taking over your life, and you're looking for a way to make sense of the chaos. It's starting to feel like there's no end in sight. You're seeking some kind of relief from constant anxiety, a break from overwhelming thoughts, and a path to regain control. Your goal is to find balance, rediscover normalcy, and confidently move forward. You desire effective strategies tailored to your personal experience and a therapist who genuinely understands – someone committed to walking this journey with you, offering both understanding and practical, supportive steps.
It's starting to feel like your day-to-day challenges are taking over your life, and you're looking for a way to make sense of the chaos. It's starting to feel like there's no end in sight. You're seeking some kind of relief from constant anxiety, a break from overwhelming thoughts, and a path to regain control. Your goal is to find balance, rediscover normalcy, and confidently move forward. You desire effective strategies tailored to your personal experience and a therapist who genuinely understands – someone committed to walking this journey with you, offering both understanding and practical, supportive steps.
(573) 490-3460 View (573) 490-3460
Photo of Shelby Benz, Licensed Professional Counselor in 65809, MO
Shelby Benz
Licensed Professional Counselor, MS, PLPC
Verified Verified
3 Endorsed
Springfield, MO 65809
Not accepting new clients
Welcome. I think we all strive to find safety, wholeness and connection. Many of us feel alone or misunderstood in our struggles or have had experiences that tell us connection isn’t safe. Life can be discouraging and overwhelming. I hope to provide a space that is non-judgmental where you are able to tell your story and feel seen and heard. Within this therapeutic relationship the healing process may begin to take place.
Welcome. I think we all strive to find safety, wholeness and connection. Many of us feel alone or misunderstood in our struggles or have had experiences that tell us connection isn’t safe. Life can be discouraging and overwhelming. I hope to provide a space that is non-judgmental where you are able to tell your story and feel seen and heard. Within this therapeutic relationship the healing process may begin to take place.
(417) 457-2474 View (417) 457-2474
Photo of Associates In Caring, Licensed Professional Counselor in 65809, MO
Associates In Caring
Licensed Professional Counselor, LPC
Verified Verified
Springfield, MO 65809
It is about relationships. Either with oneself, ones family member, or ones partner. My goal is to help you expand and strengthen your emotional world. To help you feel seen and heard in your relationships. I will help you to learn to manage the distressing emotions arising during conflicts with a loved one. With those seeking couples counseling we will work on avoiding defensiveness, criticism, contempt, and stonewalling. I will help you build an atmosphere of admiration and appreciation providing you with the tools to be able to reestablish the friendship and fondness that once drew you together.
It is about relationships. Either with oneself, ones family member, or ones partner. My goal is to help you expand and strengthen your emotional world. To help you feel seen and heard in your relationships. I will help you to learn to manage the distressing emotions arising during conflicts with a loved one. With those seeking couples counseling we will work on avoiding defensiveness, criticism, contempt, and stonewalling. I will help you build an atmosphere of admiration and appreciation providing you with the tools to be able to reestablish the friendship and fondness that once drew you together.
(417) 727-0842 View (417) 727-0842
Photo of Lindsey J. Dillion, Licensed Professional Counselor in 65809, MO
Lindsey J. Dillion
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
3 Endorsed
Springfield, MO 65809
Life is hard. Have you ever felt that the demands of the day are too heavy? I understand that journey personally. You have to keep up. You have to keep going, but the dread... The fake smile. The held back tears. It feels like an eternity of wondering when you'll feel the light again. "It's hopeless. I am not meant to have a good life. I don't deserve it anyway." You need to feel better but do not know how. I have walked this journey. I have walked this path, and through my own healing and experience, I don't believe anyone should suffer alone. I am here to give an empathetic ear to help and come along beside you on your journey.
Life is hard. Have you ever felt that the demands of the day are too heavy? I understand that journey personally. You have to keep up. You have to keep going, but the dread... The fake smile. The held back tears. It feels like an eternity of wondering when you'll feel the light again. "It's hopeless. I am not meant to have a good life. I don't deserve it anyway." You need to feel better but do not know how. I have walked this journey. I have walked this path, and through my own healing and experience, I don't believe anyone should suffer alone. I am here to give an empathetic ear to help and come along beside you on your journey.
(417) 289-6842 View (417) 289-6842
Photo of Thomas Ryan Todd, Pre-Licensed Professional in 65809, MO
Thomas Ryan Todd
Pre-Licensed Professional, MS, PLPC, NCC
Verified Verified
1 Endorsed
Springfield, MO 65809
Counseling is not about "fixing" yourself, rather it is about using the past to help guide the present to a fulfilling future. Using a holistic approach to ensure individualized therapy, we will walk through thoughts, opportunities, mistakes, and achievements to better understand why you are experiencing life in the way that you are. Therapy is a unique time to fully dive into your own personal well-being.
Counseling is not about "fixing" yourself, rather it is about using the past to help guide the present to a fulfilling future. Using a holistic approach to ensure individualized therapy, we will walk through thoughts, opportunities, mistakes, and achievements to better understand why you are experiencing life in the way that you are. Therapy is a unique time to fully dive into your own personal well-being.
(417) 796-4735 View (417) 796-4735
Photo of Emily Arth, Clinical Social Work/Therapist in 65809, MO
Emily Arth
Clinical Social Work/Therapist, MSW, LCSW, CDWF, RTTP, CHyp
Verified Verified
2 Endorsed
Springfield, MO 65809  (Online Only)
Stuck in cycles of people-pleasing, perfectionism, and over functioning? Do you desire to step beyond past trauma? Ready to break up with those old cycles that keep holding you back from a life of greater joy and authenticity? If these questions pull on your heartstrings, you’ve found me for a reason. I’ve been helping people overcome relational trauma since 2011, as I facilitate proven, world-class methods to deliver the powerful life change you seek. I work adeptly with those recovering from mother and father wounds, relationship trauma, as well as sexual abuse.
Stuck in cycles of people-pleasing, perfectionism, and over functioning? Do you desire to step beyond past trauma? Ready to break up with those old cycles that keep holding you back from a life of greater joy and authenticity? If these questions pull on your heartstrings, you’ve found me for a reason. I’ve been helping people overcome relational trauma since 2011, as I facilitate proven, world-class methods to deliver the powerful life change you seek. I work adeptly with those recovering from mother and father wounds, relationship trauma, as well as sexual abuse.
(573) 229-0579 View (573) 229-0579
Photo of Emily Ballew, Licensed Professional Counselor in 65809, MO
Emily Ballew
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Springfield, MO 65809  (Online Only)
Do you find yourself stuck in patterns of people-pleasing, addictive or self-destructive behaviors, or negative thought loops? Struggle with feeling hopeless, worthless, furious, anxious, or just numb? Do you ever wonder WHY you feel the way that you feel? Together we can explore how your past informs your present, how your nervous system has been primed to react, and the messages that operate beneath the surface. I seek to help my clients feel deeply understood and worthy, but don't take myself too seriously and am well-acquainted with the funny side of life.
Do you find yourself stuck in patterns of people-pleasing, addictive or self-destructive behaviors, or negative thought loops? Struggle with feeling hopeless, worthless, furious, anxious, or just numb? Do you ever wonder WHY you feel the way that you feel? Together we can explore how your past informs your present, how your nervous system has been primed to react, and the messages that operate beneath the surface. I seek to help my clients feel deeply understood and worthy, but don't take myself too seriously and am well-acquainted with the funny side of life.
(217) 834-1555 View (217) 834-1555

See more therapy options for 65809

How does your Therapist compare?

Number of Therapists in 65809

10+

Average cost per session

$120

Therapists in 65809 who prioritize treating:

95% Anxiety
84% Trauma and PTSD
84% Self Esteem
74% Relationship Issues
74% Depression
68% Stress
63% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

67% Aetna
67% Cigna and Evernorth
50% UnitedHealthcare UHC | UBH

How Therapists in 65809 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

73% Female
27% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 65809?

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.