Therapists in 89135

Laura Fisher
Licensed Professional Clinical Counselor, LPCC
Las Vegas, NV 89135
Hello! My name is Laura and I am an experienced clinical counselor and I have worked with children, adolescents, young adults and their families for 10 years. I enjoy helping clients navigate issues of depression, anxiety, low self esteem, challenges with school, help with relationships and support them in reaching their goals. I work with grief and loss, identity and life transitions. I have worked with acute issues as well including self harm, suicide, and trauma. I use a culturally sensitive lens and focus on attachment, family systems, mindfulness and cognitive behavior therapy to increase positive coping skills.
Hello! My name is Laura and I am an experienced clinical counselor and I have worked with children, adolescents, young adults and their families for 10 years. I enjoy helping clients navigate issues of depression, anxiety, low self esteem, challenges with school, help with relationships and support them in reaching their goals. I work with grief and loss, identity and life transitions. I have worked with acute issues as well including self harm, suicide, and trauma. I use a culturally sensitive lens and focus on attachment, family systems, mindfulness and cognitive behavior therapy to increase positive coping skills.
(702) 996-8483 View (702) 996-8483
Photo of Esther Aykarethu, Counselor, CPC-I
Esther Aykarethu
Counselor, CPC-I
3 Endorsed
Las Vegas, NV 89135
Do you find yourself saying “You’re just going thru a phase, it’ll get better”? or, If you only tried harder, you could help yourself? I’m here to tell you that you do not have to be stuck in your hurt or settle for feeling “okay” all the time. You don’t have to do life alone. By uncovering what lies behind the pain we can begin our journey in restoring healing and experience peace. As a wife and working mother of two, I understand the pressures that come with the “juggling act” of finding a balance whilst having an identity of your own. I have a passion for helping mothers find their balance and empowerment .
Do you find yourself saying “You’re just going thru a phase, it’ll get better”? or, If you only tried harder, you could help yourself? I’m here to tell you that you do not have to be stuck in your hurt or settle for feeling “okay” all the time. You don’t have to do life alone. By uncovering what lies behind the pain we can begin our journey in restoring healing and experience peace. As a wife and working mother of two, I understand the pressures that come with the “juggling act” of finding a balance whilst having an identity of your own. I have a passion for helping mothers find their balance and empowerment .
(702) 500-1219 View (702) 500-1219
Photo of Karrison Armand Rimon, Marriage & Family Therapist Intern, MS, MFT-I
Karrison Armand Rimon
Marriage & Family Therapist Intern, MS, MFT-I
4 Endorsed
Las Vegas, NV 89135
I enjoy working with individuals, couples, children and families. I have helped people work through depression and anxiety, grief and loss, infidelity and betrayal, life transitions, trauma and communication. It is my goal to help empower and assist those that seek change in their lives.
I enjoy working with individuals, couples, children and families. I have helped people work through depression and anxiety, grief and loss, infidelity and betrayal, life transitions, trauma and communication. It is my goal to help empower and assist those that seek change in their lives.
(725) 213-9025 View (725) 213-9025
Photo of Sheryl Goldstein, Marriage & Family Therapist Intern, MFT, Intern
Sheryl Goldstein
Marriage & Family Therapist Intern, MFT, Intern
3 Endorsed
Las Vegas, NV 89135
I am currently accepting new clients. Our struggles are complex and challenging. My commitment is to create the path which enables you to live a life you want and deserve. I want to listen and understand your life story. Psychotherapy offers numerous options which require exploration to address your particular situation.
I am currently accepting new clients. Our struggles are complex and challenging. My commitment is to create the path which enables you to live a life you want and deserve. I want to listen and understand your life story. Psychotherapy offers numerous options which require exploration to address your particular situation.
(702) 479-5336 View (702) 479-5336
Photo of Dr. Juan Garcia, Psychologist, PhD
Dr. Juan Garcia
Psychologist, PhD
Las Vegas, NV 89135
With a Ph.D. credential, Dr. Garcia proudly provides a comprehensive counseling service that is sparse for this area. Dr. Garcia's training background is joined with a personable and compassionate demeanor that helps to serve the local community, which is ranked 44th in the country for Ph.D.-trained Psychotherapists (i.e., "Psychologists") per capita. Counseling services include Pre-Marital, Marriage, Couples, Individual, Family, Crisis, Sex Therapy, & Group Counseling.
With a Ph.D. credential, Dr. Garcia proudly provides a comprehensive counseling service that is sparse for this area. Dr. Garcia's training background is joined with a personable and compassionate demeanor that helps to serve the local community, which is ranked 44th in the country for Ph.D.-trained Psychotherapists (i.e., "Psychologists") per capita. Counseling services include Pre-Marital, Marriage, Couples, Individual, Family, Crisis, Sex Therapy, & Group Counseling.
(702) 291-8364 View (702) 291-8364
Photo of Shelley Sargent, Marriage & Family Therapist, LMFT, LCDC
Shelley Sargent
Marriage & Family Therapist, LMFT, LCDC
Las Vegas, NV 89135
Hi! I’m so excited that you’ve decided to seek some support. I have almost 15 years of experience working with clients in private practice, schools, military bases, in and out patient treatment centers. My approach to counseling is to partner with you to determine what’s working and what’s not. I then support you as you decide what changes you’d like to make and together we’ll create the steps to make those changes.
Hi! I’m so excited that you’ve decided to seek some support. I have almost 15 years of experience working with clients in private practice, schools, military bases, in and out patient treatment centers. My approach to counseling is to partner with you to determine what’s working and what’s not. I then support you as you decide what changes you’d like to make and together we’ll create the steps to make those changes.
(702) 819-6458 View (702) 819-6458
Photo of Elizabeth Nevarez, LPC Intern, CPC-I, MS
Elizabeth Nevarez
LPC Intern, CPC-I, MS
1 Endorsed
Las Vegas, NV 89135
You might look like you have it together on the outside, but inside you feel overwhelmed, burnt out, or stuck in your own thoughts. Maybe you’re constantly overthinking, feeling anxious, unmotivated, or not like yourself anymore. Others come in dealing with depression, relationship stress, or big life changes and don’t know where to start. I offer a supportive, culturally aware space where you don’t have to carry everything alone, especially for those navigating cultural identity, Latino/a experiences, or LGBTQ+ identities. Together, we’ll work through what’s weighing on you and build healthier patterns
You might look like you have it together on the outside, but inside you feel overwhelmed, burnt out, or stuck in your own thoughts. Maybe you’re constantly overthinking, feeling anxious, unmotivated, or not like yourself anymore. Others come in dealing with depression, relationship stress, or big life changes and don’t know where to start. I offer a supportive, culturally aware space where you don’t have to carry everything alone, especially for those navigating cultural identity, Latino/a experiences, or LGBTQ+ identities. Together, we’ll work through what’s weighing on you and build healthier patterns
(702) 842-9394 View (702) 842-9394
Photo of Jenna Clifford, Clinical Social Work/Therapist, LCSW
Jenna Clifford
Clinical Social Work/Therapist, LCSW
Las Vegas, NV 89135
As a therapist, my approach is open and supportive. I strive to help each of my clients to identify their personal goals for therapy and guide them through the process of achieving those goals. I draw on over 10 years of experience working with individuals, couples and families, ranging from children to the elderly, across a variety of challenges. Areas of focus include mood-related issues, relationships, stress management, grief/loss and adjustment to life changes. I also have significant experience working with individuals diagnosed with a neurodegenerative illness, such as Alzheimer's disease, and their families.
As a therapist, my approach is open and supportive. I strive to help each of my clients to identify their personal goals for therapy and guide them through the process of achieving those goals. I draw on over 10 years of experience working with individuals, couples and families, ranging from children to the elderly, across a variety of challenges. Areas of focus include mood-related issues, relationships, stress management, grief/loss and adjustment to life changes. I also have significant experience working with individuals diagnosed with a neurodegenerative illness, such as Alzheimer's disease, and their families.
(702) 847-8784 View (702) 847-8784
Photo of Jennifer Gayan, Clinical Social Work/Therapist, LCSW
Jennifer Gayan
Clinical Social Work/Therapist, LCSW
Las Vegas, NV 89135
I have a kind, positive and open approach in supporting clients to reach their goals. My style is designed to address the whole picture and fit your unique circumstances.
I have a kind, positive and open approach in supporting clients to reach their goals. My style is designed to address the whole picture and fit your unique circumstances.
(702) 830-9315 View (702) 830-9315
Photo of Christina Vasseur, Clinical Social Work/Therapist, LCSW
Christina Vasseur
Clinical Social Work/Therapist, LCSW
1 Endorsed
Las Vegas, NV 89135
I primarily work with males and clients, in NV and WA, navigating life transitions, relationship struggles, and trauma. Experience working with anxiety, negative thought patterns, and the impacts of trauma or ADHD on daily life. Assists in gaining clarity, confidence, and tools to improve emotional resilience. Provides a compassionate space where you can explore challenges, gain insights, and build strategies to foster growth, healing, and self-acceptance. Using IFS therapy, coaching, journaling, guidance, reflective exercises, or practical intervention. I aim to empower/strengthen client's self-esteem and achieve meaningful change.
I primarily work with males and clients, in NV and WA, navigating life transitions, relationship struggles, and trauma. Experience working with anxiety, negative thought patterns, and the impacts of trauma or ADHD on daily life. Assists in gaining clarity, confidence, and tools to improve emotional resilience. Provides a compassionate space where you can explore challenges, gain insights, and build strategies to foster growth, healing, and self-acceptance. Using IFS therapy, coaching, journaling, guidance, reflective exercises, or practical intervention. I aim to empower/strengthen client's self-esteem and achieve meaningful change.
(725) 527-7674 View (725) 527-7674
Photo of Dr. Marielle Leo, Marriage & Family Therapist, PhD, LMFT
Dr. Marielle Leo
Marriage & Family Therapist, PhD, LMFT
2 Endorsed
Las Vegas, NV 89135
When wounds go unhealed, they can continue to shape how you feel, relate, and move through the world long after the original experiences have passed. I am passionate about helping individuals and families explore their strengths, heal relationships, and develop their own solutions to a variety of complex issues. Healing happens in the presence of safety and connection. Together, its essential to build a foundation of trust and safety that allows you to turn toward the parts of yourself that need care and compassion. My approach to treatment is systemic and biopsychosocial as I place a strong emphasis on the mind-body connection.
When wounds go unhealed, they can continue to shape how you feel, relate, and move through the world long after the original experiences have passed. I am passionate about helping individuals and families explore their strengths, heal relationships, and develop their own solutions to a variety of complex issues. Healing happens in the presence of safety and connection. Together, its essential to build a foundation of trust and safety that allows you to turn toward the parts of yourself that need care and compassion. My approach to treatment is systemic and biopsychosocial as I place a strong emphasis on the mind-body connection.
(702) 766-3770 View (702) 766-3770
Photo of Alana Van Zanten, Marriage & Family Therapist, MA, LAADC-S, ACRPS
Alana Van Zanten
Marriage & Family Therapist, MA, LAADC-S, ACRPS
Las Vegas, NV 89135
Therapist for high-functioning adults who want to change course early- before things fall apart. Life may look “fine” on the outside, but internally you’re questioning how you’re coping and where it’s leading. You’re functioning-working, parenting, showing up—but you don’t want to wait for a crisis to take yourself seriously. I work with thoughtful, high-functioning adults who want clarity and agency early, and support that feels grounded and intentional.
Therapist for high-functioning adults who want to change course early- before things fall apart. Life may look “fine” on the outside, but internally you’re questioning how you’re coping and where it’s leading. You’re functioning-working, parenting, showing up—but you don’t want to wait for a crisis to take yourself seriously. I work with thoughtful, high-functioning adults who want clarity and agency early, and support that feels grounded and intentional.
(775) 599-5760 View (775) 599-5760
Photo of Dr. Mary Lou Ancheta - Immigration Psychological Evaluations- Dr. Ancheta, Psychologist, PsyD
Immigration Psychological Evaluations- Dr. Ancheta
Psychologist, PsyD
2 Endorsed
Las Vegas, NV 89135
I provide immigration psychological evaluations for hardship waivers (I-601/I-601A), VAWA, asylum, U-Visa and T-Visa petitions, cancellation of removal, and N-648 disability waivers. Reports are clinically rigorous, culturally responsive, and clearly written to align with attorney strategy and USCIS documentation standards.
I provide immigration psychological evaluations for hardship waivers (I-601/I-601A), VAWA, asylum, U-Visa and T-Visa petitions, cancellation of removal, and N-648 disability waivers. Reports are clinically rigorous, culturally responsive, and clearly written to align with attorney strategy and USCIS documentation standards.
(725) 543-2384 View (725) 543-2384
Photo of Dean Leav - Psychological Testing & Evaluations - Dr. Dean, Psychologist, PsyD, QME, Author
Psychological Testing & Evaluations - Dr. Dean
Psychologist, PsyD, QME, Author
Las Vegas, NV 89135
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
I’m Dr. Dean Leav. I've been featured on ABC, NBC, KCAL, and other programs as an expert psychologist. I conduct ADHD / autism / learning disability evaluations, legal / forensic evaluations for court, risk assessment (violence / sexual), cognitive / neuropsychological evaluations, diagnostic psychological evaluations, immigration evaluations, adoption evaluations, parenting / bonding assessments, drug & alcohol evaluations, fitness for duty evaluations, workers' compensation (QME/AME) evaluations, and other types of psychological evaluations / assessments.
(865) 205-9019 View (865) 205-9019
Photo of Dr. Dana Gionta, Psychologist, PhD
Dr. Dana Gionta
Psychologist, PhD
2 Endorsed
Las Vegas, NV 89135
Perhaps you feel overwhelmed and depleted from being pulled in many directions. You want to say no but find yourself saying yes instead, fearing that family and friends will get angry or be disappointed if you say no. You worry it may jeopardize your relationships if you do. Each time you think about setting a boundary, you feel anxious, or guilty, and sometimes even selfish for considering it. You want to live your own life. However, prioritizing yourself and honoring your own needs seems almost impossible. At times, you feel stuck, unable to know what you want, or focus on your life goals and dreams because you have little energy
Perhaps you feel overwhelmed and depleted from being pulled in many directions. You want to say no but find yourself saying yes instead, fearing that family and friends will get angry or be disappointed if you say no. You worry it may jeopardize your relationships if you do. Each time you think about setting a boundary, you feel anxious, or guilty, and sometimes even selfish for considering it. You want to live your own life. However, prioritizing yourself and honoring your own needs seems almost impossible. At times, you feel stuck, unable to know what you want, or focus on your life goals and dreams because you have little energy
(702) 744-9403 View (702) 744-9403
Photo of Alisa Anne Jones, Clinical Social Work/Therapist, LCSW
Alisa Anne Jones
Clinical Social Work/Therapist, LCSW
Las Vegas, NV 89135
I help people understand and resolve painful emotions such as anger, hurt, guilt, grief, regret, and self-doubt. These emotions are usually triggered by challenging relationship dynamics with people close to us or by tough life situations. If you are hurting or stuck, I can help you get off the emotional roller coaster, cut through the noise, discern what's what, and heal the root cause of the pain. This will free you up to enjoy your life, not just "cope". It's been said that the last thing a human being will give up is their suffering. Are you ready to give up... in a good way? If so, let's talk.
I help people understand and resolve painful emotions such as anger, hurt, guilt, grief, regret, and self-doubt. These emotions are usually triggered by challenging relationship dynamics with people close to us or by tough life situations. If you are hurting or stuck, I can help you get off the emotional roller coaster, cut through the noise, discern what's what, and heal the root cause of the pain. This will free you up to enjoy your life, not just "cope". It's been said that the last thing a human being will give up is their suffering. Are you ready to give up... in a good way? If so, let's talk.
(702) 381-6672 View (702) 381-6672
Photo of Amanda Tufano (Flores), Marriage & Family Therapist, MS, LMFT, CADC-I
Amanda Tufano (Flores)
Marriage & Family Therapist, MS, LMFT, CADC-I
5 Endorsed
Las Vegas, NV 89135
Are you ready to stop surviving and start creating the life you want? If you’re struggling with anxiety, trauma, or low self-esteem, you may feel overwhelmed, stuck, or unsure how to move forward. Therapy can help you understand these patterns, heal from painful experiences, and build healthier ways of coping. My approach to therapy is compassionate, supportive, and honest. I create a safe and nonjudgmental space while also gently challenging clients to move beyond old patterns so they can experience meaningful growth and lasting change.
Are you ready to stop surviving and start creating the life you want? If you’re struggling with anxiety, trauma, or low self-esteem, you may feel overwhelmed, stuck, or unsure how to move forward. Therapy can help you understand these patterns, heal from painful experiences, and build healthier ways of coping. My approach to therapy is compassionate, supportive, and honest. I create a safe and nonjudgmental space while also gently challenging clients to move beyond old patterns so they can experience meaningful growth and lasting change.
(702) 664-8525 View (702) 664-8525
Photo of Kasey Michelle Hopkins, Clinical Social Work/Therapist, LCSW, MSW
Kasey Michelle Hopkins
Clinical Social Work/Therapist, LCSW, MSW
3 Endorsed
Las Vegas, NV 89135
My approach is straightforward and honest- sometimes gentle, sometimes direct. Any assertiveness comes from a place of care and respect, with the goal of supporting your healing and helping you move toward where you want to be. I want our time together to feel purposeful and productive, while still being a space where you can breathe, reflect, and feel understood. My hope is that you leave each session with fresh ideas, deeper clarity, and tools that help you move toward your goals.
My approach is straightforward and honest- sometimes gentle, sometimes direct. Any assertiveness comes from a place of care and respect, with the goal of supporting your healing and helping you move toward where you want to be. I want our time together to feel purposeful and productive, while still being a space where you can breathe, reflect, and feel understood. My hope is that you leave each session with fresh ideas, deeper clarity, and tools that help you move toward your goals.
(530) 795-8684 View (530) 795-8684
Photo of Jaclyn Costello, Rev, MFA
Jaclyn Costello
Verified Verified
Serves Area
Hello! I’m glad you’re here. My practice offers integrative guidance rooted in existential inquiry, psychological grounding, meditation & mindfulness-based therapies, and ceremonial engagement. This work is best suited for individuals and couples drawn to depth-oriented, contemplative support—particularly those with a commitment to awareness and self-responsibility, navigating periods of discernment, reorientation, or inner refinement—rather than traditional psychotherapy. I encourage you to visit my website to learn more about the nature of my work and whether it aligns with you.
Hello! I’m glad you’re here. My practice offers integrative guidance rooted in existential inquiry, psychological grounding, meditation & mindfulness-based therapies, and ceremonial engagement. This work is best suited for individuals and couples drawn to depth-oriented, contemplative support—particularly those with a commitment to awareness and self-responsibility, navigating periods of discernment, reorientation, or inner refinement—rather than traditional psychotherapy. I encourage you to visit my website to learn more about the nature of my work and whether it aligns with you.
(702) 619-6219 View (702) 619-6219
Photo of Hannah Kalambakal, Marriage & Family Therapist Intern
Hannah Kalambakal
Marriage & Family Therapist Intern
7 Endorsed
Serves Area
Are you the one who checks out when things get tense? Maybe you go quiet, get defensive, or throw yourself into work, porn, sex, or scrolling. Anything to not deal with what’s coming up. You tell yourself you’ll handle it later, but later turns into the same fight, the same shutdown, & the same regret. You hate that you keep doing it, but in the moment it feels easier than staying in it. You look like you have it together. People rely on you. But your relationships don’t feel how you want them to. I work with people who are tired of repeating the cycle and ready to figure out what’s really driving it so they can show up differently.
Are you the one who checks out when things get tense? Maybe you go quiet, get defensive, or throw yourself into work, porn, sex, or scrolling. Anything to not deal with what’s coming up. You tell yourself you’ll handle it later, but later turns into the same fight, the same shutdown, & the same regret. You hate that you keep doing it, but in the moment it feels easier than staying in it. You look like you have it together. People rely on you. But your relationships don’t feel how you want them to. I work with people who are tired of repeating the cycle and ready to figure out what’s really driving it so they can show up differently.
(725) 550-5110 View (725) 550-5110

See more therapy options for 89135

How does your Therapist compare?

Number of Therapists in 89135

100+

Average cost per session

$150

Therapists in 89135 who prioritize treating:

96% Anxiety
85% Depression
83% Relationship Issues
77% Self Esteem
73% Stress
71% Trauma and PTSD
63% Marriage Counseling

Average years in practice

12 Years

Top 3 insurances accepted

83% Aetna
59% Cigna and Evernorth
55% UnitedHealthcare UHC | UBH

How Therapists in 89135 see their clients

68% In Person and Online
32% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 89135?

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.