Photo of Allison Baumann - Live Mindfully Therapy, LCSW, MA, PPS, Clinical Social Work/Therapist
Live Mindfully Therapy
Clinical Social Work/Therapist, LCSW, MA, PPS
Verified Verified
Hello & thanks for being here. I'm Allison, an LCSW and psychotherapist with over a decade of experience providing trauma informed care. I often see individuals struggling with life transitions, many feeling overwhelmed and disconnected. Therapy is a helpful and courageous act to process the areas where we feel stuck in our lives. Together we look at the patterns that keep us from living the life we want. With gentle support and understanding, I empower clients by finding healthy ways to cope with their stress and get to the root of their struggles.
Hello & thanks for being here. I'm Allison, an LCSW and psychotherapist with over a decade of experience providing trauma informed care. I often see individuals struggling with life transitions, many feeling overwhelmed and disconnected. Therapy is a helpful and courageous act to process the areas where we feel stuck in our lives. Together we look at the patterns that keep us from living the life we want. With gentle support and understanding, I empower clients by finding healthy ways to cope with their stress and get to the root of their struggles.
(650) 285-5914 View (650) 285-5914
Photo of Kelly Michael Kilcoyne, MA, LMFT, Marriage & Family Therapist
Kelly Michael Kilcoyne
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Within each human being is a Soul, a self-evident energetic force, the Gift of Life, with a natural propensity for flourishing and for suffering. Counseling is guidance through courageous and honest evaluation of life experiences. Life is hard, and determining which actions, habits, skills and strategies are effective in dealing with adversity is essential for developing mental fitness and establishing contentment. Integrating suffering into overall thriving, not merely coping, means ongoing adjustment to life's challenges as in divorce, loss of loved ones, financial hardship, unemployment, and returning from military deployment.
Within each human being is a Soul, a self-evident energetic force, the Gift of Life, with a natural propensity for flourishing and for suffering. Counseling is guidance through courageous and honest evaluation of life experiences. Life is hard, and determining which actions, habits, skills and strategies are effective in dealing with adversity is essential for developing mental fitness and establishing contentment. Integrating suffering into overall thriving, not merely coping, means ongoing adjustment to life's challenges as in divorce, loss of loved ones, financial hardship, unemployment, and returning from military deployment.
(650) 490-4412 View (650) 490-4412
Photo of Jane Kinsley, MS, LMFT, SEP, Marriage & Family Therapist
Jane Kinsley
Marriage & Family Therapist, MS, LMFT, SEP
Verified Verified
1 Endorsed
Whether you are struggling with a difficult relationship or life has brought you down an unwanted path, I help people to get in touch with their own inner ability to bounce back from challenges through self-awareness and finding blocks to your personal happiness. To me, the most important aspect of therapy is the personal bond we will develop together which will help you with all aspects of your life. I have experience working with children, teens, parents, and families, as well as individuals.
Whether you are struggling with a difficult relationship or life has brought you down an unwanted path, I help people to get in touch with their own inner ability to bounce back from challenges through self-awareness and finding blocks to your personal happiness. To me, the most important aspect of therapy is the personal bond we will develop together which will help you with all aspects of your life. I have experience working with children, teens, parents, and families, as well as individuals.
(650) 466-7786 View (650) 466-7786
Photo of Beth Myers, LMFT, LPCC, SEP, Marriage & Family Therapist
Beth Myers
Marriage & Family Therapist, LMFT, LPCC, SEP
Verified Verified
3 Endorsed
We have all experienced difficult transitions in our lives which create feelings of anxiety, fear, loneliness, anger or sadness. Developing new ways of coping, or new ways of looking at values and beliefs, can help us transcend these feelings and create new opportunities for peace and meaning in our lives. I am compassionate and nonjudgmental, with an informal and interactive style. I am interested in your spiritual framework as it may pertain to values and beliefs which are helpful or harmful, and I often use humor as a means to maintain safety and balance in our work together.
We have all experienced difficult transitions in our lives which create feelings of anxiety, fear, loneliness, anger or sadness. Developing new ways of coping, or new ways of looking at values and beliefs, can help us transcend these feelings and create new opportunities for peace and meaning in our lives. I am compassionate and nonjudgmental, with an informal and interactive style. I am interested in your spiritual framework as it may pertain to values and beliefs which are helpful or harmful, and I often use humor as a means to maintain safety and balance in our work together.
(650) 924-9197 View (650) 924-9197
Photo of Cheryl Parker - Dr. Cheryl Parker, PsyD, Psychologist
Dr. Cheryl Parker
Psychologist, PsyD
Verified Verified
I take a grounded relational approach to therapy with people who are motivated to address underlying reasons for their struggles. The presenting concern for many regards relationships. In fact, symptoms of anxiety and depression are usually rooted in relationships with primary attachment figures. Hidden wounds may manifest as life-long beliefs that you are damaged, overly sensitive, unhealthy, and have poor judgement. On the one hand you may be quite accomplished, socially and professionally, but deep inside you may suspect that you are irrevocably broken, eternally confused, and unlovable.
I take a grounded relational approach to therapy with people who are motivated to address underlying reasons for their struggles. The presenting concern for many regards relationships. In fact, symptoms of anxiety and depression are usually rooted in relationships with primary attachment figures. Hidden wounds may manifest as life-long beliefs that you are damaged, overly sensitive, unhealthy, and have poor judgement. On the one hand you may be quite accomplished, socially and professionally, but deep inside you may suspect that you are irrevocably broken, eternally confused, and unlovable.
(415) 723-4455 View (415) 723-4455
Photo of Angela Reiner, Coach, PCC, MSPOD, RYT200
Angela Reiner
Coach, PCC, MSPOD, RYT200
Verified Verified
Rather than fixating on the problem, I help clients discover positive pathways rooted in their strengths to help them move forward. I offer 1:1, relationship, and group coaching to help clients discover a deeper sense of meaning, purpose, and enjoyment in life. Using positive psychology coined, "the science of happiness" we prioritize what is life-giving to you. We go beyond fixing what already exists, sparking inspiration to design the wholehearted life that you aspire to live. With a compassionate approach, I empower clients to get unstuck, remove potential barriers, and navigate new approaches for a more vibrant future.
Rather than fixating on the problem, I help clients discover positive pathways rooted in their strengths to help them move forward. I offer 1:1, relationship, and group coaching to help clients discover a deeper sense of meaning, purpose, and enjoyment in life. Using positive psychology coined, "the science of happiness" we prioritize what is life-giving to you. We go beyond fixing what already exists, sparking inspiration to design the wholehearted life that you aspire to live. With a compassionate approach, I empower clients to get unstuck, remove potential barriers, and navigate new approaches for a more vibrant future.
(415) 704-0610 View (415) 704-0610
Photo of Heather Springs - Heather Springs Therapy, LCSW, Clinical Social Work/Therapist
Heather Springs Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Everyone needs support from time to time in navigating through life. Therapy is a great way to meet this need. We all go through life’s ups and downs and experience adversity, challenges and set-backs, which is what helps connect us as human beings. If you are struggling with major life changes, with your career, relationships or parenting, I’m here to help. My goal is to identify behavioral patterns and triggers that contribute to stress in your life. Once identified, together we can provide you the tools to navigate and cope through current and future challenges.
Everyone needs support from time to time in navigating through life. Therapy is a great way to meet this need. We all go through life’s ups and downs and experience adversity, challenges and set-backs, which is what helps connect us as human beings. If you are struggling with major life changes, with your career, relationships or parenting, I’m here to help. My goal is to identify behavioral patterns and triggers that contribute to stress in your life. Once identified, together we can provide you the tools to navigate and cope through current and future challenges.
(650) 418-2007 View (650) 418-2007
Photo of Michelle Stupar - Michelle Stupar-Integrative Mind Body Solutions, CHT, BScPsy
Helping to uncover the root cause of distress by uncovering negative patterns and addressing painful mental states such as avoidance, isolation, people-pleasing, low self-esteem, confusion, worry, stress, and anxiety while working together to come up with a customized plan to manage the situation to feel more in control and live a happier more fulfilling life. Our approach is direct, positive & uplifting using a customized therapeutic approach in a supportive and accepting manner. We believe that through education along with a focused therapeutic approach yields the most successful results and I am there every step of the way.
Helping to uncover the root cause of distress by uncovering negative patterns and addressing painful mental states such as avoidance, isolation, people-pleasing, low self-esteem, confusion, worry, stress, and anxiety while working together to come up with a customized plan to manage the situation to feel more in control and live a happier more fulfilling life. Our approach is direct, positive & uplifting using a customized therapeutic approach in a supportive and accepting manner. We believe that through education along with a focused therapeutic approach yields the most successful results and I am there every step of the way.
(415) 787-4912 View (415) 787-4912
Photo of Siobhan O'Connor, MA, LMFT, Marriage & Family Therapist
Siobhan O'Connor
Marriage & Family Therapist, MA, LMFT
Verified Verified
I am a collaborator helping you get the quality of life you deserve. Together, we will work towards the changes you are hoping to make in your life. We'll look at the barriers, the "what's getting in the way" of what you'd like your daily life to be like. My belief about doing therapy with people is that you are the expert in your life. My job is to help you find a stronger connection to your preferred self, and help you untangle from the habits that get in the way of you being more comfortable in your own skin.
I am a collaborator helping you get the quality of life you deserve. Together, we will work towards the changes you are hoping to make in your life. We'll look at the barriers, the "what's getting in the way" of what you'd like your daily life to be like. My belief about doing therapy with people is that you are the expert in your life. My job is to help you find a stronger connection to your preferred self, and help you untangle from the habits that get in the way of you being more comfortable in your own skin.
(408) 769-5795 View (408) 769-5795
Photo of Charlotte McCall - Charlotte McCall LCSW, LCSW, Clinical Social Work/Therapist
Charlotte McCall LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Have you worked hard to reach your life and career goals, yet still feel unsatisfied? Despite many accomplishments, do you often feel not good enough? Would you like your relationships to feel closer and more fulfilling? Have you tried various techniques to create change but continue to feel something is fundamentally missing? Thanks to cutting edge breakthroughs in neuroscience, and deeper insights regarding the impact of trauma, we now have a better understanding than ever before into the realm of human emotional and psychological well-being.
Have you worked hard to reach your life and career goals, yet still feel unsatisfied? Despite many accomplishments, do you often feel not good enough? Would you like your relationships to feel closer and more fulfilling? Have you tried various techniques to create change but continue to feel something is fundamentally missing? Thanks to cutting edge breakthroughs in neuroscience, and deeper insights regarding the impact of trauma, we now have a better understanding than ever before into the realm of human emotional and psychological well-being.
(650) 209-7995 View (650) 209-7995
Photo of Jerry Charles Bakka - Dr. Jerry Bakka, Clinical Psychologist, PhD, Psychologist
Dr. Jerry Bakka, Clinical Psychologist
Psychologist, PhD
Verified Verified
**Please see DrJerryBakka.com for more information. Therapy is a collaboration with my clients to ensure a safe, non-judgmental place to explore feelings, cognitions, patterns, and options. My psychodynamic and CBT perspectives look at current difficulties through exploration of past and present experiences. I work with people brand new to therapy but have also been the psychologist to many therapists. Vast experience allows me to draw upon 30 years of work in hospitals and private practice. To begin, I help clients articulate expectations for therapy so that together we can create a positive, productive therapeutic relationship.
**Please see DrJerryBakka.com for more information. Therapy is a collaboration with my clients to ensure a safe, non-judgmental place to explore feelings, cognitions, patterns, and options. My psychodynamic and CBT perspectives look at current difficulties through exploration of past and present experiences. I work with people brand new to therapy but have also been the psychologist to many therapists. Vast experience allows me to draw upon 30 years of work in hospitals and private practice. To begin, I help clients articulate expectations for therapy so that together we can create a positive, productive therapeutic relationship.
(415) 413-0577 View (415) 413-0577
Photo of Bonnie Ring, Psychologist
Bonnie Ring
Psychologist
Verified Verified
As a caring & experienced psychotherapist, I listen carefully & respond honestly in person or by phone, FaceTime, zoom, Skype. Parental neglect or abuse leaves us with low self esteem, unresolved hurts & insufficient coping skills. Self criticism leads to painful and negative beliefs that cause depression and anxiety. We begin with the formative events in your life & your current issues. By drawing on family systems & psychodynamic principles, I use the latest interpersonal, cognitive & behavioral techniques with an informal and collaborative therapeutic approach that leads you toward greater self understanding & positive steps.
As a caring & experienced psychotherapist, I listen carefully & respond honestly in person or by phone, FaceTime, zoom, Skype. Parental neglect or abuse leaves us with low self esteem, unresolved hurts & insufficient coping skills. Self criticism leads to painful and negative beliefs that cause depression and anxiety. We begin with the formative events in your life & your current issues. By drawing on family systems & psychodynamic principles, I use the latest interpersonal, cognitive & behavioral techniques with an informal and collaborative therapeutic approach that leads you toward greater self understanding & positive steps.
(510) 831-2547 View (510) 831-2547
Photo of Alexandra Cowden Hindash, PhD, Psychologist
Alexandra Cowden Hindash
Psychologist, PhD
Verified Verified
Online Only
With over 10 years of experience providing psychotherapy, I am fully aware that there is no "one size fits all" healing journey. Whether you are looking for support during a difficult life transition, have been struggling with depression, anxiety, or trauma for some time, or are beginning the parenthood journey, I will work with you to provide skills and support you building your best life. I work best with clients who are looking to process their experiences, build a greater connection between their mind, body, and self, and who are looking to break habits that no longer serve them and their life goals.
With over 10 years of experience providing psychotherapy, I am fully aware that there is no "one size fits all" healing journey. Whether you are looking for support during a difficult life transition, have been struggling with depression, anxiety, or trauma for some time, or are beginning the parenthood journey, I will work with you to provide skills and support you building your best life. I work best with clients who are looking to process their experiences, build a greater connection between their mind, body, and self, and who are looking to break habits that no longer serve them and their life goals.
(650) 582-3054 View (650) 582-3054
Photo of Sarah Rubin - Sarah Rubin, MA, LMFT, MA, LMFT, Marriage & Family Therapist
Sarah Rubin, MA, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
I believe that we ALL have the ability to heal. When you ask for help, often the biggest and quickest changes occur. With over 20 years of experience serving adults, couples and teens, I offer the highest caliber of therapy, wellness/life coaching, equine assisted therapy and art therapy. Using scientifically proven methods and out of the box modalities, I help people thrive, develop healthy sytems at home, and get people unstuck. You will see change, you will feel better. I invite you to your FREE 30 min consultation, email me at : srubinmft@gmail.com
I believe that we ALL have the ability to heal. When you ask for help, often the biggest and quickest changes occur. With over 20 years of experience serving adults, couples and teens, I offer the highest caliber of therapy, wellness/life coaching, equine assisted therapy and art therapy. Using scientifically proven methods and out of the box modalities, I help people thrive, develop healthy sytems at home, and get people unstuck. You will see change, you will feel better. I invite you to your FREE 30 min consultation, email me at : srubinmft@gmail.com
(650) 741-5052 View (650) 741-5052
Photo of Anna-Maria Munoz, LCSW, Clinical Social Work/Therapist
Anna-Maria Munoz
Clinical Social Work/Therapist, LCSW
Verified Verified
Whether you are experiencing an acute personal crisis or seeking more general self examination, therapy can be an excellent way to obtain clarity and relief. Together we will explore the personal factors contributing to your distress, develop a better understanding of healthy and unhealthy patterns of dealing with your problems, and learn adaptive ways to cope. My goal is to help you increase your skills and enable you to successfully manage your current and future challenges.
Whether you are experiencing an acute personal crisis or seeking more general self examination, therapy can be an excellent way to obtain clarity and relief. Together we will explore the personal factors contributing to your distress, develop a better understanding of healthy and unhealthy patterns of dealing with your problems, and learn adaptive ways to cope. My goal is to help you increase your skills and enable you to successfully manage your current and future challenges.
(650) 666-0882 View (650) 666-0882
Photo of Sarah Burdge, PhD, Psychologist
Sarah Burdge
Psychologist, PhD
Verified Verified
My ideal client is anyone who is willing and interested to understand themselves more fully. S/he will see therapy as a potentially long term process leading towards a more fulfilling and full life. S/he will be open to including spiritual inquiry at various points of the therapy as appropriate.
My ideal client is anyone who is willing and interested to understand themselves more fully. S/he will see therapy as a potentially long term process leading towards a more fulfilling and full life. S/he will be open to including spiritual inquiry at various points of the therapy as appropriate.
(650) 274-8004 View (650) 274-8004
Photo of Cristina Giaquinto - BluOcean, LCSW, Clinical Social Work/Therapist
BluOcean
Clinical Social Work/Therapist, LCSW
Verified Verified
My approach helps people find their own way via self reflection, self care and self compassion. I have over 12 years of experience working with adults and youth dealing with depression, anxiety, trauma, grief, eating disorders, BPD. The modalities used include trauma informed CBT, EMDR Eye Movement Desensitization Reprocessing, CBT and DBT. In my practice, I create a safe and trusting environment, providing people with the emotional support needed to overcome challenging times and make positive adjustments to be and feel your best.
My approach helps people find their own way via self reflection, self care and self compassion. I have over 12 years of experience working with adults and youth dealing with depression, anxiety, trauma, grief, eating disorders, BPD. The modalities used include trauma informed CBT, EMDR Eye Movement Desensitization Reprocessing, CBT and DBT. In my practice, I create a safe and trusting environment, providing people with the emotional support needed to overcome challenging times and make positive adjustments to be and feel your best.
(650) 414-3250 View (650) 414-3250
Photo of Allyce Bess, MFT, Marriage & Family Therapist
Allyce Bess
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
Online Only
Growing up does not have to be unnecessarily painful or lonely. I help children, adolescents and young adults navigate developmental transitions with creativity and purpose. I also provide parents with education, skills and support to augment treatment. Young people often need guidance to explore their feelings, discover their unique strengths, and find meaning in their lives as they transition into adulthood. Challenges like family conflict, school problems, sexual confusion, depression, identity development, substance abuse, anxiety and stress can be greatly alleviated through the attentive support of a caring, unbiased professional.
Growing up does not have to be unnecessarily painful or lonely. I help children, adolescents and young adults navigate developmental transitions with creativity and purpose. I also provide parents with education, skills and support to augment treatment. Young people often need guidance to explore their feelings, discover their unique strengths, and find meaning in their lives as they transition into adulthood. Challenges like family conflict, school problems, sexual confusion, depression, identity development, substance abuse, anxiety and stress can be greatly alleviated through the attentive support of a caring, unbiased professional.
(650) 458-4372 View (650) 458-4372
Photo of Elida Bernadette Oettel - Embracing Transition, LCSW, MPA, Clinical Social Work/Therapist
Embracing Transition
Clinical Social Work/Therapist, LCSW, MPA
Verified Verified
I welcome you to my practice of Embracing Transition. I support you during your difficult situation to see the possibilities when you cannot. I have worked successfully with adults and families for over 30 years focusing on parenting, co-parenting, divorce, and grief. My experience includes working with severe mental health conditions for 25 years. Since 2015 I have worked with individuals with chronic medical conditions.
I welcome you to my practice of Embracing Transition. I support you during your difficult situation to see the possibilities when you cannot. I have worked successfully with adults and families for over 30 years focusing on parenting, co-parenting, divorce, and grief. My experience includes working with severe mental health conditions for 25 years. Since 2015 I have worked with individuals with chronic medical conditions.
(650) 275-5959 View (650) 275-5959
Photo of Meg Henry, MA, LMFT, Marriage & Family Therapist
Meg Henry
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Online Only
We've all seen the stereotypical therapists on TV, but that's not what you'll find with me. I am a down-to-earth person, which is reflected in my approach as a therapist. Compassion, warmth, and believe it or not, humor is what you will experience in our work together. You first must feel comfortable with your therapist for the experience to be successful.
We've all seen the stereotypical therapists on TV, but that's not what you'll find with me. I am a down-to-earth person, which is reflected in my approach as a therapist. Compassion, warmth, and believe it or not, humor is what you will experience in our work together. You first must feel comfortable with your therapist for the experience to be successful.
(650) 898-6041 View (650) 898-6041
1

How does your Therapist compare?

Number of Therapists in 94019

40+

Average cost per session

$200

Therapists in 94019 who prioritize treating:

91% Anxiety
79% Depression
77% Relationship Issues
72% Trauma and PTSD
63% Life Transitions
60% Grief
60% Coping Skills

Average years in practice

19 Years

Top 3 insurances accepted

54% Other
38% Aetna
38% Cigna and Evernorth

How Therapists in 94019 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 94019?

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.