Therapists in 77056

Photo of Loris Simon Salum, Licensed Professional Counselor, MS, LPC, NCC, CCST-AC
Loris Simon Salum
Licensed Professional Counselor, MS, LPC, NCC, CCST-AC
4 Endorsed
Houston, TX 77056
When no one is judging—not even you—what stirs inside you? What longs to be lived? Therapy invites us into that second, often hidden reality, the one behind the labels. Words like “depression” or “anxiety” might describe your pain, but they don’t capture your full humanity. You carry a story, not a diagnosis. In our work, we listen to that inner world with care, until meaning, self-trust, and a renewed sense of aliveness begin to take root.
When no one is judging—not even you—what stirs inside you? What longs to be lived? Therapy invites us into that second, often hidden reality, the one behind the labels. Words like “depression” or “anxiety” might describe your pain, but they don’t capture your full humanity. You carry a story, not a diagnosis. In our work, we listen to that inner world with care, until meaning, self-trust, and a renewed sense of aliveness begin to take root.
(713) 538-1647 View (713) 538-1647
Photo of Ashlie Brown, Licensed Professional Counselor, MEd, LPC, SEP, CH
Ashlie Brown
Licensed Professional Counselor, MEd, LPC, SEP, CH
1 Endorsed
Houston, TX 77056
Are you trying your hardest to pull your life together, but the more you try, the more you feel lost, hopeless, and overwhelmed? It can seem like this merry-go-round of misery and frustration is never-ending, but a life of fulfillment and balance IS possible. You may not believe that right now, but I've seen it first-hand. And if you find a therapist you truly connect with and trust, you can actually begin to break apart what's been dragging you down so you can focus on what's most important to you in your life. Using CBT, EMDR, Somatic Experiencing, & hypnotherapy, I can help you clear the way so the REAL you can shine through.
Are you trying your hardest to pull your life together, but the more you try, the more you feel lost, hopeless, and overwhelmed? It can seem like this merry-go-round of misery and frustration is never-ending, but a life of fulfillment and balance IS possible. You may not believe that right now, but I've seen it first-hand. And if you find a therapist you truly connect with and trust, you can actually begin to break apart what's been dragging you down so you can focus on what's most important to you in your life. Using CBT, EMDR, Somatic Experiencing, & hypnotherapy, I can help you clear the way so the REAL you can shine through.
(713) 766-5617 View (713) 766-5617
Photo of Shunta Antwi, Licensed Professional Counselor, MA, LPC
Shunta Antwi
Licensed Professional Counselor, MA, LPC
Houston, TX 77056
You’re a capable, strong woman, but inside you feel overwhelmed, anxious, emotionally drained, or stuck in patterns you can’t seem to break. You may be navigating depression, life transitions, relationship stress, or spiritual questions. You want peace in your mind, confidence in your decisions, healthier boundaries, and emotional stability. You’re ready to stop surviving and start living with clarity, balance, and a deeper sense of purpose.
You’re a capable, strong woman, but inside you feel overwhelmed, anxious, emotionally drained, or stuck in patterns you can’t seem to break. You may be navigating depression, life transitions, relationship stress, or spiritual questions. You want peace in your mind, confidence in your decisions, healthier boundaries, and emotional stability. You’re ready to stop surviving and start living with clarity, balance, and a deeper sense of purpose.
(346) 515-4278 View (346) 515-4278
Photo of Dr. Leann V Smith, Psychologist, PhD, LP
Dr. Leann V Smith
Psychologist, PhD, LP
Houston, TX 77056
Come with confusion and leave with clarity. I believe in the transformative power of self-awareness and position myself as a compassionate guide on your wellness journey. Clients who are high-performers and/or over-thinkers appreciate the transparency that comes with working with me. You've been walking with the weight of painful experiences, unrecognized mental health struggles, ongoing life stressors, or superwoman/man syndrome. I want to help you name those barriers, give yourself empathy, and strategize around overcoming them! You'll walk away with deeper understanding and coping strategies for long-term wellness maintenance.
Come with confusion and leave with clarity. I believe in the transformative power of self-awareness and position myself as a compassionate guide on your wellness journey. Clients who are high-performers and/or over-thinkers appreciate the transparency that comes with working with me. You've been walking with the weight of painful experiences, unrecognized mental health struggles, ongoing life stressors, or superwoman/man syndrome. I want to help you name those barriers, give yourself empathy, and strategize around overcoming them! You'll walk away with deeper understanding and coping strategies for long-term wellness maintenance.
(346) 660-2582 View (346) 660-2582
Photo of Carol A. Vaughan, Clinical Social Work/Therapist, LCSW, CGP, FAGPA
Carol A. Vaughan
Clinical Social Work/Therapist, LCSW, CGP, FAGPA
Houston, TX 77056
Have you exhausted all that you know to do to change your ways of relating, to change your partner or to help yourself feel better? Do you find yourself irritable and frustrated, sad a lot or not sleeping well? Are you snapping at your children, co workers, friends or spouse? I specialize in helping individuals experiencing emotional difficulties or difficulties in their relationships look at ways they may be damaging their own self esteem or engaging in destructive patterns in their relationships that keep them from getting their emotional needs met.
Have you exhausted all that you know to do to change your ways of relating, to change your partner or to help yourself feel better? Do you find yourself irritable and frustrated, sad a lot or not sleeping well? Are you snapping at your children, co workers, friends or spouse? I specialize in helping individuals experiencing emotional difficulties or difficulties in their relationships look at ways they may be damaging their own self esteem or engaging in destructive patterns in their relationships that keep them from getting their emotional needs met.
(713) 533-8971 View (713) 533-8971
Photo of Nursel Coskuner, Pre-Licensed Professional, MA
Nursel Coskuner
Pre-Licensed Professional, MA
3 Endorsed
Houston, TX 77056
My ideal client is someone who is open-minded and willing to reach into themself to rediscover this actualization tendency. I appreciate a client who is open to self-exploration, personal growth, and collaboration in the therapeutic process. I love working with people who may be struggling with their identities, relationships, and attachments. Dealing with such issues can feel hopeless and isolating to many people, especially those who do not receive adequate support and validation.
My ideal client is someone who is open-minded and willing to reach into themself to rediscover this actualization tendency. I appreciate a client who is open to self-exploration, personal growth, and collaboration in the therapeutic process. I love working with people who may be struggling with their identities, relationships, and attachments. Dealing with such issues can feel hopeless and isolating to many people, especially those who do not receive adequate support and validation.
(346) 746-7145 View (346) 746-7145
Photo of Sage Laborde, Licensed Professional Counselor Associate, LPC - A, CBT, DBT, Somatic, EMDR
Sage Laborde
Licensed Professional Counselor Associate, LPC - A, CBT, DBT, Somatic, EMDR
Houston, TX 77056
Are you struggling with the weight of trauma, chronic anxiety, grief, loss, or the challenges of toxic family dynamics or chronic illness? Perhaps you're seeking a way to break free from dependencies and navigate a path toward healing and growth. I'm here to support you, acknowledging the unique difficulties you face and the incredible strength you possess.
Are you struggling with the weight of trauma, chronic anxiety, grief, loss, or the challenges of toxic family dynamics or chronic illness? Perhaps you're seeking a way to break free from dependencies and navigate a path toward healing and growth. I'm here to support you, acknowledging the unique difficulties you face and the incredible strength you possess.
(346) 523-1702 View (346) 523-1702
Photo of Michelle Jones, Licensed Professional Counselor
Michelle Jones
Licensed Professional Counselor
Houston, TX 77056
Are you ready to finally see real change in your life? I specialize in helping people who are struggling with anxiety, depression, trauma, and relationship challenges to heal from the root of their pain and start living with more peace, clarity, and confidence. My approach is outcome-focused. I believe therapy should help you see and feel progress.
Are you ready to finally see real change in your life? I specialize in helping people who are struggling with anxiety, depression, trauma, and relationship challenges to heal from the root of their pain and start living with more peace, clarity, and confidence. My approach is outcome-focused. I believe therapy should help you see and feel progress.
(832) 990-1633 View (832) 990-1633
Photo of Felicia Smith, Licensed Professional Counselor, MA, LPC, -S
Felicia Smith
Licensed Professional Counselor, MA, LPC, -S
Houston, TX 77056
As a Texas Licensed Professional Counselor Supervisor, my highest priority is to support you in achieving your therapy goals. With over a decade of experience, I have had the privilege of guiding individuals through many of life’s most challenging and meaningful transitions. Throughout my career, I have worked with a diverse range of clients—children, adolescents, young adults, LGBTQ+ and non-binary individuals, couples at all stages (dating, pre-marital, and married), families, groups, veterans, and seniors. Regardless of your background or life circumstance, my mission remains the same: to provide compassionate, effective care.
As a Texas Licensed Professional Counselor Supervisor, my highest priority is to support you in achieving your therapy goals. With over a decade of experience, I have had the privilege of guiding individuals through many of life’s most challenging and meaningful transitions. Throughout my career, I have worked with a diverse range of clients—children, adolescents, young adults, LGBTQ+ and non-binary individuals, couples at all stages (dating, pre-marital, and married), families, groups, veterans, and seniors. Regardless of your background or life circumstance, my mission remains the same: to provide compassionate, effective care.
(281) 519-2316 View (281) 519-2316
Photo of Marilyn Wade, Licensed Professional Counselor Associate, LPC - A, ACT, Somatic, EMDR
Marilyn Wade
Licensed Professional Counselor Associate, LPC - A, ACT, Somatic, EMDR
Houston, TX 77056
I specialize in supporting busy professionals, entrepreneurs, and caregivers in managing and overcoming burnout, compassion fatigue, and anxiety. Are you an entrepreneur, overwhelmed by the demands of business and family? Together, we will navigate the emotional exhaustion and trauma that accompanied burnout, helping you find balance and well-being. My approach is empathetic and tailored to meet your unique needs, providing the tools and support to help you heal and thrive.
I specialize in supporting busy professionals, entrepreneurs, and caregivers in managing and overcoming burnout, compassion fatigue, and anxiety. Are you an entrepreneur, overwhelmed by the demands of business and family? Together, we will navigate the emotional exhaustion and trauma that accompanied burnout, helping you find balance and well-being. My approach is empathetic and tailored to meet your unique needs, providing the tools and support to help you heal and thrive.
(346) 556-1800 View (346) 556-1800
Photo of Maham Sultan, Licensed Professional Counselor Associate, LPC-A
Maham Sultan
Licensed Professional Counselor Associate, LPC-A
2 Endorsed
Houston, TX 77056
Struggling to find your footing? Ready to shake things up and unlock your full potential? As your therapist, I'll be your partner in this journey! Together, we'll dive into what's holding you back, discover your strengths, and build a roadmap to your best life. No more waiting—let's turn those struggles into triumphs and start building the future you deserve. Your transformation is just a conversation away! Let's get to work on your needs and goals!
Struggling to find your footing? Ready to shake things up and unlock your full potential? As your therapist, I'll be your partner in this journey! Together, we'll dive into what's holding you back, discover your strengths, and build a roadmap to your best life. No more waiting—let's turn those struggles into triumphs and start building the future you deserve. Your transformation is just a conversation away! Let's get to work on your needs and goals!
(281) 916-4657 View (281) 916-4657
Photo of Dr. Manahil Riaz - Riaz Counseling, Licensed Professional Counselor, LPC-S, EdD
Riaz Counseling
Licensed Professional Counselor, LPC-S, EdD
2 Endorsed
Houston, TX 77056
Hi there! I'm Dr. Manahil Riaz, LPC-Supervisor and the owner of Riaz Counseling. While my insurance slots are currently full, I am accepting new clients who prefer to pay out-of-pocket. I also have a network of skilled therapists who offer both online and in-person sessions. My therapists accept insurance and are actively working under my supervision to provide the highest level of care.
Hi there! I'm Dr. Manahil Riaz, LPC-Supervisor and the owner of Riaz Counseling. While my insurance slots are currently full, I am accepting new clients who prefer to pay out-of-pocket. I also have a network of skilled therapists who offer both online and in-person sessions. My therapists accept insurance and are actively working under my supervision to provide the highest level of care.
(832) 219-7850 View (832) 219-7850
Photo of Dr. Stephen Morris - Stephen (Morris) Inspiring Minds (MPS), Counselor, PhD, LPCS
Stephen (Morris) Inspiring Minds (MPS)
Counselor, PhD, LPCS
Houston, TX 77056
Hello, I am Dr. Stephen Morris, welcome to my practice! I am an experienced licensed psychotherapist with over 20 years of experience. I can work with you to develop a plan that will address your current issues in any of the following areas: depression, anxiety, stress management, trauma, infidelity, relationships, weight loss, and lack of motivation. I am a University of Texas alumni (1990) with over 200 (5star) reviews on my website from other satisfied clients. Contact my office for a complimentary session. Financing is also available if needed. Call for details.
Hello, I am Dr. Stephen Morris, welcome to my practice! I am an experienced licensed psychotherapist with over 20 years of experience. I can work with you to develop a plan that will address your current issues in any of the following areas: depression, anxiety, stress management, trauma, infidelity, relationships, weight loss, and lack of motivation. I am a University of Texas alumni (1990) with over 200 (5star) reviews on my website from other satisfied clients. Contact my office for a complimentary session. Financing is also available if needed. Call for details.
(713) 597-4616 View (713) 597-4616
Photo of Brittney Dotson - Pure Hope Counseling , Licensed Professional Counselor, LPC
Pure Hope Counseling
Licensed Professional Counselor, LPC
1 Endorsed
Houston, TX 77056
Life can feel overwhelming, exhausting, and sometimes impossible—but you don’t have to face it alone. Pure Hope Counseling is here for individuals, couples, and families ready to take back control, rebuild confidence, and find real, lasting hope. In our compassionate, judgment-free space, you’ll be seen, heard, and truly understood. Together, we’ll tackle life’s challenges head-on, build resilience, and equip you with the tools to move forward—one powerful, hopeful step at a time.
Life can feel overwhelming, exhausting, and sometimes impossible—but you don’t have to face it alone. Pure Hope Counseling is here for individuals, couples, and families ready to take back control, rebuild confidence, and find real, lasting hope. In our compassionate, judgment-free space, you’ll be seen, heard, and truly understood. Together, we’ll tackle life’s challenges head-on, build resilience, and equip you with the tools to move forward—one powerful, hopeful step at a time.
(281) 853-9135 View (281) 853-9135
Photo of Ayman Zamzam, Licensed Professional Counselor Associate, LPC-A
Ayman Zamzam
Licensed Professional Counselor Associate, LPC-A
2 Endorsed
Houston, TX 77056
I specialize in helping individuals, couples, and families navigate challenges such as relationship conflict, depression, anxiety, and trauma. My role in the counseling relationship is to provide you with a safe and open space to share your experiences and explore your thoughts and emotions, so that we can work together on creating a set of skills and resources to foster meaningful growth and resilience.
I specialize in helping individuals, couples, and families navigate challenges such as relationship conflict, depression, anxiety, and trauma. My role in the counseling relationship is to provide you with a safe and open space to share your experiences and explore your thoughts and emotions, so that we can work together on creating a set of skills and resources to foster meaningful growth and resilience.
(346) 300-4221 View (346) 300-4221
Photo of Wen Wang, Licensed Professional Counselor, MA, LPC, RPT
Wen Wang
Licensed Professional Counselor, MA, LPC, RPT
6 Endorsed
Houston, TX 77056
Are you feeling overwhelmed when your child starts throwing fits and melting down? Are you feeling frustrated that you have tried several ways to help your child, but it's still not working? Is your child struggling with anxiety, ADHD, trauma, or other emotional and behavioral problems? My goal is to help your child learn how to control themselves and to help you with strategies to support your child and family.
Are you feeling overwhelmed when your child starts throwing fits and melting down? Are you feeling frustrated that you have tried several ways to help your child, but it's still not working? Is your child struggling with anxiety, ADHD, trauma, or other emotional and behavioral problems? My goal is to help your child learn how to control themselves and to help you with strategies to support your child and family.
(281) 864-3403 View (281) 864-3403
Photo of Karina Brisack, LPC Associate
Karina Brisack
LPC Associate
3 Endorsed
Houston, TX 77056
I’m Karina, an LPC-Associate supervised by Dr. Manahil Riaz, LPC-S! Most clients come to me troubled by unfulfilling relationships, overthinking or intellectualizing, trouble knowing what they want or need, and/or identity conflicts and changes. I especially like to work with queer clients or those who have experienced complex trauma or religious trauma and deconstruction. I help clients gain clarity on their values and needs, get unstuck from unhelpful patterns, and create a life filled with genuine meaning and connection.
I’m Karina, an LPC-Associate supervised by Dr. Manahil Riaz, LPC-S! Most clients come to me troubled by unfulfilling relationships, overthinking or intellectualizing, trouble knowing what they want or need, and/or identity conflicts and changes. I especially like to work with queer clients or those who have experienced complex trauma or religious trauma and deconstruction. I help clients gain clarity on their values and needs, get unstuck from unhelpful patterns, and create a life filled with genuine meaning and connection.
(346) 570-0372 View (346) 570-0372
Photo of Princess Agbobock, Marriage & Family Therapist Associate, LMFT-A
Princess Agbobock
Marriage & Family Therapist Associate, LMFT-A
1 Endorsed
Houston, TX 77056
You're exhausted from holding everyone together while you're falling apart inside. The smile is fake. The "I'm fine" is a lie. And the shame of admitting how hard this really is keeps you suffering in silence. Maybe you're a Black woman tired of being the strong one. A couple barely hanging on after betrayal destroyed everything. Or a man told real men don't break—so you carry it alone. You're done just surviving. You want real peace. Actual healing. A relationship that feels safe again. I create space where you can finally stop pretending. Where messy and honest is welcome. Where we build real wholeness.
You're exhausted from holding everyone together while you're falling apart inside. The smile is fake. The "I'm fine" is a lie. And the shame of admitting how hard this really is keeps you suffering in silence. Maybe you're a Black woman tired of being the strong one. A couple barely hanging on after betrayal destroyed everything. Or a man told real men don't break—so you carry it alone. You're done just surviving. You want real peace. Actual healing. A relationship that feels safe again. I create space where you can finally stop pretending. Where messy and honest is welcome. Where we build real wholeness.
(281) 936-0895 View (281) 936-0895
Photo of Roma Williams - Unload It Therapy, Marriage & Family Therapist, LMFT-S
Unload It Therapy
Marriage & Family Therapist, LMFT-S
Houston, TX 77056
Are you feeling overshadowed by the challenges in your relationships? Or grappling with personal traumas that seem insurmountable? Maybe you are navigating through loss, issues with self esteem, or feelings of stress and burn out. Whatever you may be dealing with, we offer a safe haven for healing and growth. With a compassionate approach and evidence-based techniques, we are committed to guiding you through your journey, respecting your unique narrative and empowering you to rediscover harmony and joy in your relationships and within yourself. Your courage, paired with our support, paves the way for profound transformations.
Are you feeling overshadowed by the challenges in your relationships? Or grappling with personal traumas that seem insurmountable? Maybe you are navigating through loss, issues with self esteem, or feelings of stress and burn out. Whatever you may be dealing with, we offer a safe haven for healing and growth. With a compassionate approach and evidence-based techniques, we are committed to guiding you through your journey, respecting your unique narrative and empowering you to rediscover harmony and joy in your relationships and within yourself. Your courage, paired with our support, paves the way for profound transformations.
(346) 268-5346 View (346) 268-5346
Photo of Jennifer Gregory, Marriage & Family Therapist, MA, LMFT-S, CST-S
Jennifer Gregory
Marriage & Family Therapist, MA, LMFT-S, CST-S
2 Endorsed
Houston, TX 77056
Are you and your partner feeling “like roommates”? Are you fighting all the time? Never fighting, but not really talking either? Talking, but getting no where? Or just feeling disconnected from one another? I can help! Whether you’re dealing with communication problems, desire concerns, infidelity, infertility, feeling unappreciated or just going through the motions; I’ve helped hundreds of individuals and couples just like you. You are not alone! Give me a call if you’re tired of the way it’s been and you’re motivated to have a healthier relationship, with yourself and/or your partner.
Are you and your partner feeling “like roommates”? Are you fighting all the time? Never fighting, but not really talking either? Talking, but getting no where? Or just feeling disconnected from one another? I can help! Whether you’re dealing with communication problems, desire concerns, infidelity, infertility, feeling unappreciated or just going through the motions; I’ve helped hundreds of individuals and couples just like you. You are not alone! Give me a call if you’re tired of the way it’s been and you’re motivated to have a healthier relationship, with yourself and/or your partner.
(832) 789-3981 View (832) 789-3981

See more therapy options for 77056

How does your Therapist compare?

Number of Therapists in 77056

200+

Average cost per session

$150

Therapists in 77056 who prioritize treating:

91% Anxiety
85% Depression
75% Relationship Issues
68% Self Esteem
68% Stress
62% Trauma and PTSD
55% Family Conflict

Average years in practice

9 Years

Top 3 insurances accepted

87% Aetna
77% Cigna and Evernorth
66% BlueCross and BlueShield

How Therapists in 77056 see their clients

57% In Person and Online
43% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 77056?

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.