Photo of Deborah Coan, Licensed Professional Counselor Associate in 78665, TX
Deborah Coan
Licensed Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Round Rock, TX 78665
Life can be such a challenge at times and things can start to feel overwhelming, especially in today's world. I know how hard it can be to reach out for help, and that it can feel difficult to find the right "fit" for a counselor. This is why I am passionate about providing a "person-first approach" to counseling and strive to offer each client both a welcoming and professional, environment to process, grow, and learn. I have a variety of personal, professional, and educational experiences and tools to bring to our work together with the sole purpose of helping you feel safe, heard, and ultimately feel better & more capable overall.
Life can be such a challenge at times and things can start to feel overwhelming, especially in today's world. I know how hard it can be to reach out for help, and that it can feel difficult to find the right "fit" for a counselor. This is why I am passionate about providing a "person-first approach" to counseling and strive to offer each client both a welcoming and professional, environment to process, grow, and learn. I have a variety of personal, professional, and educational experiences and tools to bring to our work together with the sole purpose of helping you feel safe, heard, and ultimately feel better & more capable overall.
(512) 546-6160 View (512) 546-6160
Photo of Oliver Papa-Garcia, Licensed Professional Counselor Associate in 78665, TX
Oliver Papa-Garcia
Licensed Professional Counselor Associate, LPC-A
Verified Verified
4 Endorsed
Round Rock, TX 78665
Are you worried that your mental health is starting to impact your family and/or work? I’m here to help. My name is Oliver, and I specialize in helping individuals to let go of what’s holding them back and make real changes that create positive change for generations to come.
Are you worried that your mental health is starting to impact your family and/or work? I’m here to help. My name is Oliver, and I specialize in helping individuals to let go of what’s holding them back and make real changes that create positive change for generations to come.
(737) 206-8915 View (737) 206-8915
Photo of Karen Burk, Licensed Professional Counselor in 78665, TX
Karen Burk
Licensed Professional Counselor, MS, LPC, CCTP
Verified Verified
7 Endorsed
Round Rock, TX 78665  (Online Only)
Are anxiety, anger, or depression controlling your life? Are old, painful experiences causing you to react in ways that don't feel good or that push people away? Do you find yourself stuffing your emotions until you blow up? I was a Registered Nurse for 25 years before I became a therapist, so I understand how unhealed trauma can impact physical health, self-worth, and relationships. I can help you learn to nurture yourself without feeling guilty, find relief from emotional pain, and create healthier relationships with yourself and others. Learn how to stop just surviving and start thriving. Call me today to get started!
Are anxiety, anger, or depression controlling your life? Are old, painful experiences causing you to react in ways that don't feel good or that push people away? Do you find yourself stuffing your emotions until you blow up? I was a Registered Nurse for 25 years before I became a therapist, so I understand how unhealed trauma can impact physical health, self-worth, and relationships. I can help you learn to nurture yourself without feeling guilty, find relief from emotional pain, and create healthier relationships with yourself and others. Learn how to stop just surviving and start thriving. Call me today to get started!
(512) 766-2875 View (512) 766-2875
Photo of Yvonne Emil Elizondo, Licensed Professional Counselor in 78665, TX
Yvonne Emil Elizondo
Licensed Professional Counselor, ThD, MEd, MS, LPC
Verified Verified
Round Rock, TX 78665
Healing Happens Here! My GOAL is to help you find emotional wellness & happiness! Life stressors can result in anxiety, depression, sadness leaving us overwhelmed, doubtful & using unhealthy habits & coping skills to survive. Life stressors & past trauma can be challenging; but remember, you are not alone! Given a SAFE space, appropriate coping skills & guidance which encourage self-exploration & life management you will feel better & learn to live a healthier life. Working together we can create an individualized therapeutic plan specific to your needs based on your goals, personal tendencies, beliefs & lifestyle.
Healing Happens Here! My GOAL is to help you find emotional wellness & happiness! Life stressors can result in anxiety, depression, sadness leaving us overwhelmed, doubtful & using unhealthy habits & coping skills to survive. Life stressors & past trauma can be challenging; but remember, you are not alone! Given a SAFE space, appropriate coping skills & guidance which encourage self-exploration & life management you will feel better & learn to live a healthier life. Working together we can create an individualized therapeutic plan specific to your needs based on your goals, personal tendencies, beliefs & lifestyle.
(737) 377-5126 View (737) 377-5126
Photo of Dr. Brandy Mounts, Licensed Professional Counselor in 78665, TX
Dr. Brandy Mounts
Licensed Professional Counselor, PhD, LPC
Verified Verified
Round Rock, TX 78665
I am currently supervising Master's level student counseling interns for a very low fee, in order to provide access to those who are struggling to find or afford mental health services. We use multiple methods and techniques in order to tailor therapy to the individual needs of the client. When serving children and families, my priority is helping families communicate and work together in a healthy manner. We enjoy working with adolescents & teens and their parents. Women's issues are important to us as well. Finding balance in relationships, work, spirituality, and self-care is a challenge for many women.
I am currently supervising Master's level student counseling interns for a very low fee, in order to provide access to those who are struggling to find or afford mental health services. We use multiple methods and techniques in order to tailor therapy to the individual needs of the client. When serving children and families, my priority is helping families communicate and work together in a healthy manner. We enjoy working with adolescents & teens and their parents. Women's issues are important to us as well. Finding balance in relationships, work, spirituality, and self-care is a challenge for many women.
(512) 643-9771 View (512) 643-9771
Photo of Cherlyn Walker, Counselor in 78665, TX
Cherlyn Walker
Counselor, LPC, CATP
Verified Verified
Round Rock, TX 78665
Waitlist for new clients
I see in-person clients at Baylor Scott & White in Round Rock. Please call 512-509-3403 to schedule. My private practice is full to capacity. I have worked with adults, adolescents, and children and have specialized training in trauma and crisis, domestic violence, child abuse/maltreatment, and sexual assault/interpersonal violence, among others. My experience also includes career counseling and academic advising. Additionally, I have considerable clinical experience treating mood disorders, ADHD, learning difficulties, behavioral problems, family conflict, and other concerns.
I see in-person clients at Baylor Scott & White in Round Rock. Please call 512-509-3403 to schedule. My private practice is full to capacity. I have worked with adults, adolescents, and children and have specialized training in trauma and crisis, domestic violence, child abuse/maltreatment, and sexual assault/interpersonal violence, among others. My experience also includes career counseling and academic advising. Additionally, I have considerable clinical experience treating mood disorders, ADHD, learning difficulties, behavioral problems, family conflict, and other concerns.
(512) 856-9908 View (512) 856-9908
Photo of Presley Black, Licensed Professional Counselor Associate in 78665, TX
Presley Black
Licensed Professional Counselor Associate, LPC-A
Verified Verified
3 Endorsed
Round Rock, TX 78665
Are you tired of hating your body & feeling like you keep screwing up? I’m here to help. My name is Presley, and I specialize in helping individuals to let go of what’s holding them back. My clients are motivated to save their relationships. They realize if they don’t do something, they might just lose the people close to them.
Are you tired of hating your body & feeling like you keep screwing up? I’m here to help. My name is Presley, and I specialize in helping individuals to let go of what’s holding them back. My clients are motivated to save their relationships. They realize if they don’t do something, they might just lose the people close to them.
(737) 345-4474 View (737) 345-4474
Photo of Jeffrey Baker, Licensed Professional Counselor Associate in 78665, TX
Jeffrey Baker
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Round Rock, TX 78665  (Online Only)
My approach to counseling is rooted in psychoanalytic, person-centerd, and feminist theories with a core of understanding change begins with awareness. I creates a safe and non-judgemental space where gentleness, humor, and creativity are important parts of the process. Every person is different, and I approach every client with that in mind. We work to understand your needs and goals, and how I can help you get there. It's all about you, and what I can do to help.
My approach to counseling is rooted in psychoanalytic, person-centerd, and feminist theories with a core of understanding change begins with awareness. I creates a safe and non-judgemental space where gentleness, humor, and creativity are important parts of the process. Every person is different, and I approach every client with that in mind. We work to understand your needs and goals, and how I can help you get there. It's all about you, and what I can do to help.
(737) 258-2307 View (737) 258-2307
Photo of Teresa Franz, Clinical Social Work/Therapist in 78665, TX
Teresa Franz
Clinical Social Work/Therapist, LCSW, MSSW
Verified Verified
Round Rock, TX 78665  (Online Only)
I get it! On the outside, you seem fine. You’re balancing everything life throws at you...but there are times when you’re overwhelmed. You feel like whatever you do, it doesn’t seem to be “enough." It doesn't have to be this way. I help people struggling with anxiety, people pleasing, perfectionism, and indecision learn healthy patterns of coping and boundaries so they feel confident, joyful, and ready to enjoy life again. Often talk therapy consists of clients venting to their therapists week after week, and gets you nowhere. Instead I offer clear guidance to help you understand yourself and change old patterns into healthy living.
I get it! On the outside, you seem fine. You’re balancing everything life throws at you...but there are times when you’re overwhelmed. You feel like whatever you do, it doesn’t seem to be “enough." It doesn't have to be this way. I help people struggling with anxiety, people pleasing, perfectionism, and indecision learn healthy patterns of coping and boundaries so they feel confident, joyful, and ready to enjoy life again. Often talk therapy consists of clients venting to their therapists week after week, and gets you nowhere. Instead I offer clear guidance to help you understand yourself and change old patterns into healthy living.
(833) 578-0733 View (833) 578-0733
Photo of Samantha Pena, Marriage & Family Therapist in 78665, TX
Samantha Pena
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Round Rock, TX 78665
My passion and drive come from my experience of growing up in a blended family. Learning how to grow and embrace my new meaning of family and how to communicate through conflict. Now, as a Licensed Marriage and Family Therapist, I have experience with a wide variety of clientele and the circumstances they face. I work with individuals, couples, and families. I take a collaborative approach with my clients to identify issues and then work towards their therapeutic goals. I take a nonjudgmental stance and strive to provide a safe space for clients to feel comfortable in sharing their experiences.
My passion and drive come from my experience of growing up in a blended family. Learning how to grow and embrace my new meaning of family and how to communicate through conflict. Now, as a Licensed Marriage and Family Therapist, I have experience with a wide variety of clientele and the circumstances they face. I work with individuals, couples, and families. I take a collaborative approach with my clients to identify issues and then work towards their therapeutic goals. I take a nonjudgmental stance and strive to provide a safe space for clients to feel comfortable in sharing their experiences.
(512) 543-2761 View (512) 543-2761
Photo of Theresa Libios, Licensed Professional Counselor in 78665, TX
Theresa Libios
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Round Rock, TX 78665
I will support you as you work to increase your self-esteem, heal wounds, and find your voice while enriching your personal and professional relationships. I am ready to support you on your journey of personal growth, faith, and wellness!
I will support you as you work to increase your self-esteem, heal wounds, and find your voice while enriching your personal and professional relationships. I am ready to support you on your journey of personal growth, faith, and wellness!
(737) 637-5291 View (737) 637-5291
Photo of Olanrewaju “Waju” (Suleiman) Long, Licensed Professional Counselor in 78665, TX
Olanrewaju “Waju” (Suleiman) Long
Licensed Professional Counselor, MHR, LPC
Verified Verified
Round Rock, TX 78665
Hi! I'm Waju. I'm a Licensed Professional Counselor who loves working with young adults. I know life these days is not easy at times; trying to balance family, friendships, home life, and more. Many of today’s generation struggle to do those things while living with symptoms of anxiety, depression, stress or trauma. My goal is to help you and your family overcome these difficult times by connecting and walking along side you in your journey toward growth and change.
Hi! I'm Waju. I'm a Licensed Professional Counselor who loves working with young adults. I know life these days is not easy at times; trying to balance family, friendships, home life, and more. Many of today’s generation struggle to do those things while living with symptoms of anxiety, depression, stress or trauma. My goal is to help you and your family overcome these difficult times by connecting and walking along side you in your journey toward growth and change.
(512) 337-9347 View (512) 337-9347
Photo of Chuck Powers, Marriage & Family Therapist in 78665, TX
Chuck Powers
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Round Rock, TX 78665
My heart breaks every time I see couples who are stuck and running out of hope. "What's going on?" "The world says we're supposed to be okay being alone, but I feel miserable and alone." "What happened to us?" "How did we get here?" "We were never supposed to be those ‘other couples’." Relationships can become painful and unsettling. And so disappointing. The good news is relationship injuries can be repaired. And, you can have the hopes and dreams you’ve long since dismissed as a pleasant fantasy.
My heart breaks every time I see couples who are stuck and running out of hope. "What's going on?" "The world says we're supposed to be okay being alone, but I feel miserable and alone." "What happened to us?" "How did we get here?" "We were never supposed to be those ‘other couples’." Relationships can become painful and unsettling. And so disappointing. The good news is relationship injuries can be repaired. And, you can have the hopes and dreams you’ve long since dismissed as a pleasant fantasy.
(512) 522-6115 View (512) 522-6115
Photo of Mary Gillock, Licensed Professional Counselor in 78665, TX
Mary Gillock
Licensed Professional Counselor, MA, LPC-A, LMFT-A
Verified Verified
Round Rock, TX 78665
Mary works with individuals and couples to address attachment and emotional enmeshment, performance anxiety, moral injury and religious trauma, personality dynamics, and systems that cause people to feel stuck in life and relationships. Using an eclectic, psychodynamic approach to postmodern and constructivist theories, clients can expect to find meaning in problem solving and strengthen interpersonal relationships outside of therapy. In doing so, Mary integrates humor and everyday language in evidence-based therapies to educate clients along the way.
Mary works with individuals and couples to address attachment and emotional enmeshment, performance anxiety, moral injury and religious trauma, personality dynamics, and systems that cause people to feel stuck in life and relationships. Using an eclectic, psychodynamic approach to postmodern and constructivist theories, clients can expect to find meaning in problem solving and strengthen interpersonal relationships outside of therapy. In doing so, Mary integrates humor and everyday language in evidence-based therapies to educate clients along the way.
(737) 637-5137 View (737) 637-5137
Photo of Christine Lambrigger, Marriage & Family Therapist in 78665, TX
Christine Lambrigger
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Round Rock, TX 78665
Do you wish that someone would listen to, understand, and see the real you? My priority is to create a safe space where you feel heard, valued, and encouraged to proceed at your own pace as we explore how past and present experiences may affect how you think, behave, and feel. In our work together, I will act as a guide walking alongside you on your journey of personal growth. I will help you identify and use your strengths to build resilience, work with you to clarify your goals, teach you skills, help you navigate difficult emotions, and consistently provide support and encouragement.
Do you wish that someone would listen to, understand, and see the real you? My priority is to create a safe space where you feel heard, valued, and encouraged to proceed at your own pace as we explore how past and present experiences may affect how you think, behave, and feel. In our work together, I will act as a guide walking alongside you on your journey of personal growth. I will help you identify and use your strengths to build resilience, work with you to clarify your goals, teach you skills, help you navigate difficult emotions, and consistently provide support and encouragement.
(737) 345-4369 View (737) 345-4369
Photo of New Life Counseling Center in 78665, TX
New Life Counseling Center
PhD, LPC-S
Verified Verified
Round Rock, TX 78665
We have therapists (Licensed, Associates and Graduate Students Interns) who specialize in different age groups (teens, young adults, middle age, and elderly), constellations (individual therapy, couples therapy, family therapy), and targets (pastors & missionaries, EMDR, affair recovery, blended families, veterans, grief & loss, etc.). If a client requests to incorporate Christian spirituality into counseling, our therapists are well trained to do so. However, we are incredibly respectful of our clients’ faith beliefs, including those who profess faith and those who do not.
We have therapists (Licensed, Associates and Graduate Students Interns) who specialize in different age groups (teens, young adults, middle age, and elderly), constellations (individual therapy, couples therapy, family therapy), and targets (pastors & missionaries, EMDR, affair recovery, blended families, veterans, grief & loss, etc.). If a client requests to incorporate Christian spirituality into counseling, our therapists are well trained to do so. However, we are incredibly respectful of our clients’ faith beliefs, including those who profess faith and those who do not.
(512) 402-6457 x312 View (512) 402-6457 x312
Catherine L Teague
Pastoral Counselor, BA
Verified Verified
Round Rock, TX 78665
Whether you are starting out or have lots of marriage experience or find yourself in crisis, there is a path to create the relationship you truly desire. After 28 years as a wife and as a Licenced Pastoral Counselor, my clients will tell that their renewed faith in a life together has been greatly enhanced. You can visit my website: www.christiancounselingworks.com to discover their results. Families and individuals looking for a better way to their desired goals can also be found on that site. Please visit!
Whether you are starting out or have lots of marriage experience or find yourself in crisis, there is a path to create the relationship you truly desire. After 28 years as a wife and as a Licenced Pastoral Counselor, my clients will tell that their renewed faith in a life together has been greatly enhanced. You can visit my website: www.christiancounselingworks.com to discover their results. Families and individuals looking for a better way to their desired goals can also be found on that site. Please visit!
(512) 909-3922 View (512) 909-3922
Photo of Rachael Longoria, Licensed Professional Counselor in 78665, TX
Rachael Longoria
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Round Rock, TX 78665
Waitlist for new clients
In facing change, we may be forced to grow. I am here to help you grow AND hold a safe space for you to do so. I strive to provide direction as you navigate, understand, and explore who you are and who you aspire to be. An important component in this work is being kind to ourselves. We cannot facilitate change without first implementing self-compassion.
In facing change, we may be forced to grow. I am here to help you grow AND hold a safe space for you to do so. I strive to provide direction as you navigate, understand, and explore who you are and who you aspire to be. An important component in this work is being kind to ourselves. We cannot facilitate change without first implementing self-compassion.
(512) 675-7997 View (512) 675-7997
Photo of Amy Space Lpc-Supervisor, Licensed Professional Counselor in 78665, TX
Amy Space Lpc-Supervisor
Licensed Professional Counselor
Verified Verified
Round Rock, TX 78665
I believe that our personalities are influenced by environment, life events, and inheritances. These pieces are part of our core value system and often times cause tension in our lives. If it is your goal to experience positivity and self-advancement, I am here to respectfully support and provide individuals this opportunity. I offer a non-judgmental, therapeutic environment aimed towards working through anxieties, depression, resentments, self-esteem, co-occurring issues, addictions, trauma, and life events that impact us and influence our daily lives.
I believe that our personalities are influenced by environment, life events, and inheritances. These pieces are part of our core value system and often times cause tension in our lives. If it is your goal to experience positivity and self-advancement, I am here to respectfully support and provide individuals this opportunity. I offer a non-judgmental, therapeutic environment aimed towards working through anxieties, depression, resentments, self-esteem, co-occurring issues, addictions, trauma, and life events that impact us and influence our daily lives.
(888) 863-5633 View (888) 863-5633
Photo of Mandi Salazar, Licensed Professional Counselor in 78665, TX
Mandi Salazar
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Round Rock, TX 78665
In the past five years, I’ve dedicated my time to working with individuals struggling with trauma, intergenerational trauma, abuse, depression, anxiety, and career changes. I received my Bachelor of Arts degree in Psychology in 2014 and a Master of Education degree in Clinical and Mental Health Counseling from Texas Tech University in 2017. Working with my clients entails tailoring therapy modalities to meet the needs of each individual client. I utilize a holistic approach to therapy with a combination of Cognitive Behavioral Therapy, Solution Focused Therapy, Bibliotherapy, mindfulness and grounding.
In the past five years, I’ve dedicated my time to working with individuals struggling with trauma, intergenerational trauma, abuse, depression, anxiety, and career changes. I received my Bachelor of Arts degree in Psychology in 2014 and a Master of Education degree in Clinical and Mental Health Counseling from Texas Tech University in 2017. Working with my clients entails tailoring therapy modalities to meet the needs of each individual client. I utilize a holistic approach to therapy with a combination of Cognitive Behavioral Therapy, Solution Focused Therapy, Bibliotherapy, mindfulness and grounding.
(512) 746-7384 View (512) 746-7384

How does your Therapist compare?

Number of Therapists in 78665

100+

Average cost per session

$150

Therapists in 78665 who prioritize treating:

93% Anxiety
89% Depression
72% Self Esteem
71% Relationship Issues
69% Stress
68% Trauma and PTSD
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

81% Aetna
78% UnitedHealthcare UHC | UBH
72% BlueCross and BlueShield

How Therapists in 78665 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 78665?

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.