Photo of Dora Ann Cisneros, LCSW, Clinical Social Work/Therapist
Dora Ann Cisneros
Clinical Social Work/Therapist, LCSW
Verified Verified
Houston, TX 77274
As a Licensed Clinical Social Worker, Dora Ann Cisneros earned her Master of Social Work from the University of Houston. She completed an internship at The University of Texas M.D. Anderson Cancer Center and TIRR Memorial Hermann Rehab Hospital. She enjoys working with adults and geriatric patients. Her special areas of therapeutic focus include issues related to anxiety and depression, coping with life transitions, chronic pain management, loss and grief, chronic illness, and disabilities. She evaluates the individual as a whole, recognizing the uniqueness of each individual and their life experiences.
As a Licensed Clinical Social Worker, Dora Ann Cisneros earned her Master of Social Work from the University of Houston. She completed an internship at The University of Texas M.D. Anderson Cancer Center and TIRR Memorial Hermann Rehab Hospital. She enjoys working with adults and geriatric patients. Her special areas of therapeutic focus include issues related to anxiety and depression, coping with life transitions, chronic pain management, loss and grief, chronic illness, and disabilities. She evaluates the individual as a whole, recognizing the uniqueness of each individual and their life experiences.
(832) 632-4250 View (832) 632-4250

More Therapists Nearby

Photo of Dawnea Cherie Smith - Reach For Peace Counseling,  LLC, Dawnea, Smith, LPC, Licensed Professional Counselor
Reach For Peace Counseling, LLC
Licensed Professional Counselor, Dawnea, Smith, LPC
Verified Verified
1 Endorsed
Houston, TX 77084
Are you or your child struggling with depression, anxiety, or low self-esteem? Do you find it difficult to maintain healthy relationships? Could you benefit from learning healthy boundary-setting, and appropriate coping skills? I can help!
Are you or your child struggling with depression, anxiety, or low self-esteem? Do you find it difficult to maintain healthy relationships? Could you benefit from learning healthy boundary-setting, and appropriate coping skills? I can help!
(940) 283-6153 View (940) 283-6153
Photo of Elisabeth C Box, LMFT , Marriage & Family Therapist
Elisabeth C Box
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Are you struggling with sadness or anxiety? Navigating life's ups and downs is difficult for everyone and, often, it is nice to have an unbiased ear to talk to or get objective advice from. Elisabeth especially enjoys helping people who are struggling with anxiety and depression because they are common ailments that respond well to therapy. Elisabeth uses evidenced-based practices which have been clinically proven to reduce or eliminate the physical discomfort of anxiety, soothe the emotional impact of depression and heal traumatic wounds. We can transform our stumbling blocks into stepping stones, one day at a time!
Are you struggling with sadness or anxiety? Navigating life's ups and downs is difficult for everyone and, often, it is nice to have an unbiased ear to talk to or get objective advice from. Elisabeth especially enjoys helping people who are struggling with anxiety and depression because they are common ailments that respond well to therapy. Elisabeth uses evidenced-based practices which have been clinically proven to reduce or eliminate the physical discomfort of anxiety, soothe the emotional impact of depression and heal traumatic wounds. We can transform our stumbling blocks into stepping stones, one day at a time!
(805) 874-6787 View (805) 874-6787
Photo of Cheril Thompson, PhD, Licensed Professional Counselor
Cheril Thompson
Licensed Professional Counselor, PhD
Verified Verified
Online Only
Hello, I’m Dr. Cheril Thompson, and I’ve been honored to support individuals, couples, families, and children on their healing journeys for over 18 years. My work focuses on providing trauma-informed care, with a special emphasis on helping those dealing with PTSD and other trauma-related conditions. I’ve had the privilege of working closely with veterans, helping them navigate the complex challenges of trauma recovery. As a clinical psychologist and licensed professional counselor, I bring a unique blend of expertise to my practice. I offer convenient teletherapy services, providing a safe, confidential space.
Hello, I’m Dr. Cheril Thompson, and I’ve been honored to support individuals, couples, families, and children on their healing journeys for over 18 years. My work focuses on providing trauma-informed care, with a special emphasis on helping those dealing with PTSD and other trauma-related conditions. I’ve had the privilege of working closely with veterans, helping them navigate the complex challenges of trauma recovery. As a clinical psychologist and licensed professional counselor, I bring a unique blend of expertise to my practice. I offer convenient teletherapy services, providing a safe, confidential space.
(469) 678-8956 View (469) 678-8956
Photo of Simone Cannon, MEd, LPC, NBC-HWC, CCTP, Licensed Professional Counselor
Simone Cannon
Licensed Professional Counselor, MEd, LPC, NBC-HWC, CCTP
Verified Verified
Katy, TX 77450
Are you or your teen struggling with feelings of anxiety, insecurity or overwhelm? Can you be critical of yourself, or unable to keep from lashing out at others? Is an unresolved trauma impacting your current relationship with yourself or others? Know that you are not alone and that I am here to help you build resiliency and heal the relationship with yourself and those around you. I offer individual therapy for teens, and adults using evidence-based therapies tailored to your individual needs, I will assist you in developing effective coping strategies, building resilience, and fostering positive change.
Are you or your teen struggling with feelings of anxiety, insecurity or overwhelm? Can you be critical of yourself, or unable to keep from lashing out at others? Is an unresolved trauma impacting your current relationship with yourself or others? Know that you are not alone and that I am here to help you build resiliency and heal the relationship with yourself and those around you. I offer individual therapy for teens, and adults using evidence-based therapies tailored to your individual needs, I will assist you in developing effective coping strategies, building resilience, and fostering positive change.
(281) 946-2648 View (281) 946-2648
Photo of Romy Nuñes, LCSW, Clinical Social Work/Therapist
Romy Nuñes
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello! I am Romy and I am a bilingual Licensed Clinical Social Worker (LCSW) and Therapist with over 10 years of experience working with adolescents and adults. I founded Sana Sana Counseling, PLLC to provide support to communities of color. I obtained my Master’s in Social Work from Baylor University with a concentration in Immigration Policy. I help clients work through their uncomfortable life challenges to help them achieve their personal goals and overall growth. My approach is to work alongside you to help you through complex trauma, depression, anxiety, negative thoughts, or other life hardships that are impacting you.
Hello! I am Romy and I am a bilingual Licensed Clinical Social Worker (LCSW) and Therapist with over 10 years of experience working with adolescents and adults. I founded Sana Sana Counseling, PLLC to provide support to communities of color. I obtained my Master’s in Social Work from Baylor University with a concentration in Immigration Policy. I help clients work through their uncomfortable life challenges to help them achieve their personal goals and overall growth. My approach is to work alongside you to help you through complex trauma, depression, anxiety, negative thoughts, or other life hardships that are impacting you.
(512) 359-9754 View (512) 359-9754
Photo of Lisa LaSalle, LPC , Licensed Professional Counselor
Lisa LaSalle
Licensed Professional Counselor, LPC
Verified Verified
Houston, TX 77099
My name is Lisa LaSalle, and I am a licensed professional counselor in the state of Texas. I work from a client-centered, trauma-informed approach utilizing primarily CBT, DBT, and workbooks as an adjunct. My specific areas of focus include trauma, depression, anxiety, PTSD, OCD, body image, anger management, domestic violence, and sexual assault. I approach to therapy is Client centered and I utilize a trauma-informed approach utilizing primarily CBT and DBT.
My name is Lisa LaSalle, and I am a licensed professional counselor in the state of Texas. I work from a client-centered, trauma-informed approach utilizing primarily CBT, DBT, and workbooks as an adjunct. My specific areas of focus include trauma, depression, anxiety, PTSD, OCD, body image, anger management, domestic violence, and sexual assault. I approach to therapy is Client centered and I utilize a trauma-informed approach utilizing primarily CBT and DBT.
(346) 598-5800 View (346) 598-5800
Photo of Dr. Jonathan Wilson, PhD, LMFT, Marriage & Family Therapist
Dr. Jonathan Wilson
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Online Only
You’re feeling like a f'king failure— overwhelmed by anxiety and stress. Your relationship is on the rocks, you’re turning to booze, porn, or affairs to cope, and it’s all spiraling out of control. Guilt and shame are eating you alive, and it feels like you’re suffocating. Balancing work, life, and relationships seems impossible. Therapy isn’t just for women—real men need help, too. I’m here to guide you through this shitstorm and help you find balance and peace.
You’re feeling like a f'king failure— overwhelmed by anxiety and stress. Your relationship is on the rocks, you’re turning to booze, porn, or affairs to cope, and it’s all spiraling out of control. Guilt and shame are eating you alive, and it feels like you’re suffocating. Balancing work, life, and relationships seems impossible. Therapy isn’t just for women—real men need help, too. I’m here to guide you through this shitstorm and help you find balance and peace.
(617) 766-1038 View (617) 766-1038
Photo of Ruben de Rus, LPC, Licensed Professional Counselor
Ruben de Rus
Licensed Professional Counselor, LPC
Verified Verified
Online Only
As a therapist who holds a Christian worldview, I believe in walking alongside individuals to navigate life's challenges with greater resilience and self-awareness. My approach is centered on creating a safe and supportive space where clients can explore their emotions, develop coping mechanisms, and cultivate positive change.
As a therapist who holds a Christian worldview, I believe in walking alongside individuals to navigate life's challenges with greater resilience and self-awareness. My approach is centered on creating a safe and supportive space where clients can explore their emotions, develop coping mechanisms, and cultivate positive change.
(361) 314-2086 View (361) 314-2086
Photo of Kim Copeland, PhD, Psychologist
Kim Copeland
Psychologist, PhD
Verified Verified
Bellaire, TX 77401
I work primarily with adults who are having trouble negotiating difficult life stages. I treat both short-term, acute problems and more pervasive, long-standing problems. My years of training, first in CBT, and later in psychodynamic and psychoanalytic approaches allow me to use both in my practice. The client and I decide on treatment approaches based on his or her strengths and preferences.
I work primarily with adults who are having trouble negotiating difficult life stages. I treat both short-term, acute problems and more pervasive, long-standing problems. My years of training, first in CBT, and later in psychodynamic and psychoanalytic approaches allow me to use both in my practice. The client and I decide on treatment approaches based on his or her strengths and preferences.
(713) 338-9260 View (713) 338-9260
Photo of Jodi Diane Sheffield, LPC, Licensed Professional Counselor
Jodi Diane Sheffield
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Sugar Land, TX 77478
Hope, Healing and Wholeness can be found when our relationships with ourselves and others are Healthy. The therapeutic relationship between client and counselor can create a space for clients to safely explore his or her relationship with self and with others. My primary goal is to create this space for individual adults and couples to heal at their own pace. I utilize the treatment modalities of Emotionally Focused Therapy (EFT), Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) to help clients explore how their thoughts, behaviors and feelings are connected in their relationship with self and with others.
Hope, Healing and Wholeness can be found when our relationships with ourselves and others are Healthy. The therapeutic relationship between client and counselor can create a space for clients to safely explore his or her relationship with self and with others. My primary goal is to create this space for individual adults and couples to heal at their own pace. I utilize the treatment modalities of Emotionally Focused Therapy (EFT), Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) to help clients explore how their thoughts, behaviors and feelings are connected in their relationship with self and with others.
(346) 248-2771 View (346) 248-2771
Photo of Pamela Thuem, LCSW, Clinical Social Work/Therapist
Pamela Thuem
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Welcome to a journey of self-discovery and healing! I believe that the mind, body, and spirit must work together for us to become our best and most beautiful selves. Sometimes life’s journey can feel like one obstacle after another. We will challenge self-defeating beliefs, unhealthy addictions, and self-defeating patterns of behavior. Depression, anxiety, trauma, etc have a way of interfering with day-to-day living and blocking us from peace and happiness. But there is HOPE. Mindfully we will explore your truth and address things that are weighing you down, draining you, and keeping you stuck.
Welcome to a journey of self-discovery and healing! I believe that the mind, body, and spirit must work together for us to become our best and most beautiful selves. Sometimes life’s journey can feel like one obstacle after another. We will challenge self-defeating beliefs, unhealthy addictions, and self-defeating patterns of behavior. Depression, anxiety, trauma, etc have a way of interfering with day-to-day living and blocking us from peace and happiness. But there is HOPE. Mindfully we will explore your truth and address things that are weighing you down, draining you, and keeping you stuck.
(346) 229-0255 View (346) 229-0255
Photo of Claudia Zarate - District Counseling, MA, LPC-A
District Counseling
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Houston, TX 77055
Hello, I am Claudia Zarate, an LPC Associate under the guidance of James L. Mena, M.A., LPC-S. I'm a proud United States Air Force veteran with 21 years of service and a Master of Arts in Clinical Mental Health Counseling from Houston Christian University. I understand the stigmas and difficulties surrounding mental health, especially for veterans and others seeking help. It's my mission to break down these barriers and provide a safe, nurturing environment for my clients. I was inspired to pursue counseling after I went through the counseling process. It was a life-changing experience for me and I want to do the same for others.
Hello, I am Claudia Zarate, an LPC Associate under the guidance of James L. Mena, M.A., LPC-S. I'm a proud United States Air Force veteran with 21 years of service and a Master of Arts in Clinical Mental Health Counseling from Houston Christian University. I understand the stigmas and difficulties surrounding mental health, especially for veterans and others seeking help. It's my mission to break down these barriers and provide a safe, nurturing environment for my clients. I was inspired to pursue counseling after I went through the counseling process. It was a life-changing experience for me and I want to do the same for others.
(832) 934-9239 View (832) 934-9239
Photo of Jennifer A Burns, NCC, CCTP, Licensed Professional Counselor
Jennifer A Burns
Licensed Professional Counselor, NCC, CCTP
Verified Verified
1 Endorsed
Online Only
My clients are female and have experienced traumatic sexual abuse, incest, and/or domestic violence.
My clients are female and have experienced traumatic sexual abuse, incest, and/or domestic violence.
(346) 615-5355 View (346) 615-5355
Photo of Kyle MacDonald, LPC, NCC, MEd, Licensed Professional Counselor
Kyle MacDonald
Licensed Professional Counselor, LPC, NCC, MEd
Verified Verified
1 Endorsed
Online Only
If you find yourself on this site – you are likely looking for help. There is no problem too small or too large that counseling can’t help. Your life may feel disrupted from a new change or feel weighted by the same chronic feelings. You may feel objectively everything ‘should’ feel fine, and yet struggle to feel fulfillment. You may find yourself in a cycle of control trying to fix things on your own, only for more problems to come up. I would love to help you find what you are looking for and more! I practice telehealth only and can cover across Mississippi, Tennessee and Texas!
If you find yourself on this site – you are likely looking for help. There is no problem too small or too large that counseling can’t help. Your life may feel disrupted from a new change or feel weighted by the same chronic feelings. You may feel objectively everything ‘should’ feel fine, and yet struggle to feel fulfillment. You may find yourself in a cycle of control trying to fix things on your own, only for more problems to come up. I would love to help you find what you are looking for and more! I practice telehealth only and can cover across Mississippi, Tennessee and Texas!
(281) 399-4767 View (281) 399-4767
Photo of Leigh Ann Hoover, LCSW, Clinical Social Work/Therapist
Leigh Ann Hoover
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I primarily treat clients who are experiencing high levels of stress, people experiencing trauma, and anyone dealing with anxiety or depression. I try to help clients achieve a sense of work/life balance and a sense of fulfillment in their lives and relationships. I am also offering VA nexus letters for Veterans who are in the process of or considering a VA claim for one or more mental health concerns.
I primarily treat clients who are experiencing high levels of stress, people experiencing trauma, and anyone dealing with anxiety or depression. I try to help clients achieve a sense of work/life balance and a sense of fulfillment in their lives and relationships. I am also offering VA nexus letters for Veterans who are in the process of or considering a VA claim for one or more mental health concerns.
(415) 941-0425 View (415) 941-0425
Photo of Kim Johnson, LCSW, Clinical Social Work/Therapist
Kim Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My name is Ann Kimbrough Johnson (otherwise known as Kim) and I am a licensed clinical social worker with over 24 years of experience working with adolescents, adults, families and individuals of diverse backgrounds. My treatment approach utilizes my diverse skill set and is based on a thorough assessment of my client’s goals and related needs. This individualized approach enables me to understand and meet my clients where they are and get them to where they need/want to be. I graduated with my Masters’ Degree in Social Work at the University of Houston, Texas.
My name is Ann Kimbrough Johnson (otherwise known as Kim) and I am a licensed clinical social worker with over 24 years of experience working with adolescents, adults, families and individuals of diverse backgrounds. My treatment approach utilizes my diverse skill set and is based on a thorough assessment of my client’s goals and related needs. This individualized approach enables me to understand and meet my clients where they are and get them to where they need/want to be. I graduated with my Masters’ Degree in Social Work at the University of Houston, Texas.
(346) 706-7025 View (346) 706-7025
Photo of Gary L Russell, LPC, LCDC, EMDR, Counselor
Gary L Russell
Counselor, LPC, LCDC, EMDR
Verified Verified
3 Endorsed
Houston, TX 77079
I focus on adult individuals and couples. I help each client avoid distorted, destructive thinking, discover their authentic reality, and navigate challenges effectively. Credentials: Licensed Professional Counselor (LPC), Licensed Chemical Dependency Counselor (LCDC), Certified Sex Addiction Therapist Candidate (CSAT Candidate), EMDR trained, Gottman Method Couples Therapy Level 1 trained.
I focus on adult individuals and couples. I help each client avoid distorted, destructive thinking, discover their authentic reality, and navigate challenges effectively. Credentials: Licensed Professional Counselor (LPC), Licensed Chemical Dependency Counselor (LCDC), Certified Sex Addiction Therapist Candidate (CSAT Candidate), EMDR trained, Gottman Method Couples Therapy Level 1 trained.
(281) 688-1295 View (281) 688-1295
Photo of Peggy Wright - wRight Insight, LPC, Licensed Professional Counselor
wRight Insight
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Are you looking for a seasoned, well-rounded therapist? Peggy Wright is a Licensed Professional Counselor and Board Approved Supervisor in the State of Texas. Licensed since 2001, Peggy has extensive experience in the field of domestic violence, sexual assault, trauma, mood disorders, anxiety disorders, and relationship issues having worked with victims, abusers, child witnesses, and countless others striving for emotional wellbeing. In addition to being a counselor, Peggy is also Board Certified in Neurofeedback.
Are you looking for a seasoned, well-rounded therapist? Peggy Wright is a Licensed Professional Counselor and Board Approved Supervisor in the State of Texas. Licensed since 2001, Peggy has extensive experience in the field of domestic violence, sexual assault, trauma, mood disorders, anxiety disorders, and relationship issues having worked with victims, abusers, child witnesses, and countless others striving for emotional wellbeing. In addition to being a counselor, Peggy is also Board Certified in Neurofeedback.
(469) 746-5772 View (469) 746-5772
Photo of Patricia Shaw, LCSW, Clinical Social Work/Therapist
Patricia Shaw
Clinical Social Work/Therapist, LCSW
Verified Verified
La Porte, TX 77571
I am Dr. Patricia Shaw, a licensed therapist. I have over 28 years experience teaching, supervising, and practicing evidenced-based approaches for those experiencing issues with addiction, trauma. depression, relationships, and a wide variety of other life challenges. I am licensed in Texas with over 28 years of professional work experience. I typically work with clients experiencing challenges with stress and anxiety, sexual identity, coping with addictions, marital and relationship issues, & trauma and abuse.
I am Dr. Patricia Shaw, a licensed therapist. I have over 28 years experience teaching, supervising, and practicing evidenced-based approaches for those experiencing issues with addiction, trauma. depression, relationships, and a wide variety of other life challenges. I am licensed in Texas with over 28 years of professional work experience. I typically work with clients experiencing challenges with stress and anxiety, sexual identity, coping with addictions, marital and relationship issues, & trauma and abuse.
(281) 524-4391 View (281) 524-4391

How does your Therapist compare?

Number of Therapists in 77274

< 10

Therapists in 77274 who prioritize treating:

100% Depression
100% Anxiety
100% Chronic Pain
100% Grief
100% Career Counseling
100% Self Esteem
100% Codependency

Top 3 insurances accepted

100% Aetna
100% BHS | Behavioral Health Systems
100% BlueCross and BlueShield

How Therapists in 77274 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 77274?

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.