Therapists in 94121

Photo of Kaia Anderson-Buckley, CCHT
Kaia Anderson-Buckley
Verified Verified
San Francisco, CA 94121
Anxiety is a universal and painful experience. Its causes are legion: abandonment, fear of failure (or success), transitions, traumas, aging and death. Supporting you in transforming your anxiety into positive growth will be our goal. Transpersonal hypnotherapy is invaluable in addressing grief, death and dying. In dealing with loss, we will create connections through hypnosis to address what remains incomplete. As my essential paradigm is empowerment, I serve as your guide, facilitating experiences in a grounded, safe way with your full participation. Hypnotherapy, free of the constraints of adult language patterns, offers a primary road to healing your deepest self.
Anxiety is a universal and painful experience. Its causes are legion: abandonment, fear of failure (or success), transitions, traumas, aging and death. Supporting you in transforming your anxiety into positive growth will be our goal. Transpersonal hypnotherapy is invaluable in addressing grief, death and dying. In dealing with loss, we will create connections through hypnosis to address what remains incomplete. As my essential paradigm is empowerment, I serve as your guide, facilitating experiences in a grounded, safe way with your full participation. Hypnotherapy, free of the constraints of adult language patterns, offers a primary road to healing your deepest self.
(628) 333-2287 View (628) 333-2287
Photo of Megan Kossar, Clinical Social Work/Therapist, MS, LCSW
Megan Kossar
Clinical Social Work/Therapist, MS, LCSW
1 Endorsed
San Francisco, CA 94121
As a skilled psychotherapist, I understand the challenges and concerns that can arise when seeking therapy. That's why I accept insurance to make the process more accessible and affordable for those in need. Whether you're new to therapy or have sought help in the past, my goal is to empower you with the tools and insights necessary to manage life's difficulties and achieve healthy, meaningful relationships. With over 27 years of experience, I have worked extensively with clients facing anxiety, trauma, depression, substance abuse, and chronic illness ,
As a skilled psychotherapist, I understand the challenges and concerns that can arise when seeking therapy. That's why I accept insurance to make the process more accessible and affordable for those in need. Whether you're new to therapy or have sought help in the past, my goal is to empower you with the tools and insights necessary to manage life's difficulties and achieve healthy, meaningful relationships. With over 27 years of experience, I have worked extensively with clients facing anxiety, trauma, depression, substance abuse, and chronic illness ,
(628) 266-4342 View (628) 266-4342
Photo of Tracy Siemer, Clinical Social Work/Therapist, LISW-S
Tracy Siemer
Clinical Social Work/Therapist, LISW-S
San Francisco, CA 94121
I have experience helping clients with addictions, LGBTQ-related issues, trauma and abuse, depression, and anxiety. My work focuses on creating affirming spaces where clients can explore their identities and challenges without judgment.
I have experience helping clients with addictions, LGBTQ-related issues, trauma and abuse, depression, and anxiety. My work focuses on creating affirming spaces where clients can explore their identities and challenges without judgment.
(628) 214-2218 View (628) 214-2218
Photo of Lonny Ivan Meyer, Marriage & Family Therapist Associate, AMFT, MA
Lonny Ivan Meyer
Marriage & Family Therapist Associate, AMFT, MA
8 Endorsed
San Francisco, CA 94121
I support individuals and couples navigating anxiety, depression, relational challenges, trauma, life transitions, grief, or existential contemplations, offering therapy that is relational, compassionate and depth oriented. I work with people from all walks of life, including those in the LGBTQ+ community and across diverse identities. My role is to walk alongside you as you reclaim clarity, resilience, and authenticity. I work psychodynamically and relationally, helping you step back from repetitive patterns and unconscious narratives, and draw from somatic awareness, Gestalt, existential inquiry, and transpersonal perspectives.
I support individuals and couples navigating anxiety, depression, relational challenges, trauma, life transitions, grief, or existential contemplations, offering therapy that is relational, compassionate and depth oriented. I work with people from all walks of life, including those in the LGBTQ+ community and across diverse identities. My role is to walk alongside you as you reclaim clarity, resilience, and authenticity. I work psychodynamically and relationally, helping you step back from repetitive patterns and unconscious narratives, and draw from somatic awareness, Gestalt, existential inquiry, and transpersonal perspectives.
(415) 573-3132 View (415) 573-3132
Photo of Carolyn Jasculca, Marriage & Family Therapist, LMFT, MA, MPA
Carolyn Jasculca
Marriage & Family Therapist, LMFT, MA, MPA
1 Endorsed
San Francisco, CA 94121
Carolyn is driven by a vision to create a kinder humanity—one nervous system at a time. She believes therapy provides a space to explore safety in an uncertain world by fostering awareness of the connection between the heart, intuition, and the nervous system. Carolyn understands that while the nervous system doesn’t lie- judgments, perceptions, and assumptions can leave individuals feeling stuck, misunderstood, or exhausted.
Carolyn is driven by a vision to create a kinder humanity—one nervous system at a time. She believes therapy provides a space to explore safety in an uncertain world by fostering awareness of the connection between the heart, intuition, and the nervous system. Carolyn understands that while the nervous system doesn’t lie- judgments, perceptions, and assumptions can leave individuals feeling stuck, misunderstood, or exhausted.
(415) 840-5214 View (415) 840-5214
Photo of Julie B Robbins, Clinical Social Work/Therapist, LCSW
Julie B Robbins
Clinical Social Work/Therapist, LCSW
San Francisco, CA 94121
After over 35 years of clinical practice I realize that getting into therapy takes great strength, endurance, and commitment. I am always willing to offer clients a safe environment with my own strength and commitment to do the work that needs to be done. My work with children has helped me work more effectively with adults. I am currently conducting sessions both in person and on a Hippa approved video therapy network.
After over 35 years of clinical practice I realize that getting into therapy takes great strength, endurance, and commitment. I am always willing to offer clients a safe environment with my own strength and commitment to do the work that needs to be done. My work with children has helped me work more effectively with adults. I am currently conducting sessions both in person and on a Hippa approved video therapy network.
(415) 802-0532 View (415) 802-0532
Photo of Candace Kavanagh, Marriage & Family Therapist, LMFT
Candace Kavanagh
Marriage & Family Therapist, LMFT
1 Endorsed
San Francisco, CA 94121
I love working with teens, families, couples and adults from 18 to 25. I specialize working LGBTQIA+ persons exploring identity and connection to their community. I have experience working with anxiety, depression, difficulty with motivation and doom scrolling.
I love working with teens, families, couples and adults from 18 to 25. I specialize working LGBTQIA+ persons exploring identity and connection to their community. I have experience working with anxiety, depression, difficulty with motivation and doom scrolling.
(415) 234-5098 View (415) 234-5098
Photo of Johanna Hill, Marriage & Family Therapist, LMFT
Johanna Hill
Marriage & Family Therapist, LMFT
San Francisco, CA 94121
Pain is part of what makes us human; the way we move through pain is how we grow. Our work together can strengthen resilience and equanimity when confronting the challenges that life inevitably brings. I work collaboratively and compassionately with my clients to help them develop a nurturing and dynamic sense of self, community, and the world, fostering stronger connection to the people and resources that can support them outside of therapy.
Pain is part of what makes us human; the way we move through pain is how we grow. Our work together can strengthen resilience and equanimity when confronting the challenges that life inevitably brings. I work collaboratively and compassionately with my clients to help them develop a nurturing and dynamic sense of self, community, and the world, fostering stronger connection to the people and resources that can support them outside of therapy.
(628) 345-5211 View (628) 345-5211
Photo of Dr. Sean Robertson, MA, PsyD
Dr. Sean Robertson
Verified Verified
San Francisco, CA 94121
Start seeing challenges as opportunities to get your needs met and improve your relationship! I’m Dr. Sean Robertson, Couples Counselor and Intimacy Coach. I know relationships can be hard, even though they’re also one of the most fulfilling parts of our lives. In my couples counseling I create an empathic space for learning and deep connection, while also being diligent about ensuring that clients implement the tools I teach. My methods are based in behavioral psychology, Gottman Method, and attachment psychology.
Start seeing challenges as opportunities to get your needs met and improve your relationship! I’m Dr. Sean Robertson, Couples Counselor and Intimacy Coach. I know relationships can be hard, even though they’re also one of the most fulfilling parts of our lives. In my couples counseling I create an empathic space for learning and deep connection, while also being diligent about ensuring that clients implement the tools I teach. My methods are based in behavioral psychology, Gottman Method, and attachment psychology.
(415) 873-8050 View (415) 873-8050
Photo of Brandon Coleman, Psychological Associate, PsyD
Brandon Coleman
Psychological Associate, PsyD
1 Endorsed
San Francisco, CA 94121
Are you feeling stuck by worry or self doubt? Too anxious or depressed to find a clear path forward? Your goal may be to regain a sense of control or peace of mind. My goal is to remind you of your resilience and capacity for change and growth. I welcome those suffering from the unique challenges of ADHD, particularly those grappling with executive dysfunction and poor self-actualization, as we work together to develop effective strategies for daily functioning and goal completion. As a queer therapist, I celebrate the intersectionality we all have as we walk through life. Come as you are and lets get started.
Are you feeling stuck by worry or self doubt? Too anxious or depressed to find a clear path forward? Your goal may be to regain a sense of control or peace of mind. My goal is to remind you of your resilience and capacity for change and growth. I welcome those suffering from the unique challenges of ADHD, particularly those grappling with executive dysfunction and poor self-actualization, as we work together to develop effective strategies for daily functioning and goal completion. As a queer therapist, I celebrate the intersectionality we all have as we walk through life. Come as you are and lets get started.
(628) 285-0407 View (628) 285-0407
Photo of Yvonne Giovana Perez-Sallaberry, Marriage & Family Therapist, LMFT
Yvonne Giovana Perez-Sallaberry
Marriage & Family Therapist, LMFT
San Francisco, CA 94121
I'm Yvonne, a bilingual (English/Spanish) psychotherapist who helps individuals and couples navigate life's challenges with confidence and clarity. I specialize in life transitions, chronic pain, trauma, anxiety, perinatal mental health, and relationship challenges — supporting clients to manage stress, build resilience, and thrive. My approach weaves CBT, trauma-informed care, and strengths-based practices with genuine human connection. Together, we'll explore your strengths, overcome obstacles, and create practical strategies for lasting, meaningful change.
I'm Yvonne, a bilingual (English/Spanish) psychotherapist who helps individuals and couples navigate life's challenges with confidence and clarity. I specialize in life transitions, chronic pain, trauma, anxiety, perinatal mental health, and relationship challenges — supporting clients to manage stress, build resilience, and thrive. My approach weaves CBT, trauma-informed care, and strengths-based practices with genuine human connection. Together, we'll explore your strengths, overcome obstacles, and create practical strategies for lasting, meaningful change.
(628) 238-5740 View (628) 238-5740
Photo of Brenda Hidalgo, Marriage & Family Therapist Associate, AMFT
Brenda Hidalgo
Marriage & Family Therapist Associate, AMFT
San Francisco, CA 94121
Hi, you! Congrats on taking steps to make changes in your life- it takes a lot of courage to do so. Every one experiences their own unique journeys throughout their life, which may come with various challenges and growth. Some of these challenges may look like feeling stuck, being bought back to previous life experiences, or finding yourself returning to similar destructive patterns. At some point we have to stop and ask ourselves- do I want to continue feeling this way, or is it time to change something?
Hi, you! Congrats on taking steps to make changes in your life- it takes a lot of courage to do so. Every one experiences their own unique journeys throughout their life, which may come with various challenges and growth. Some of these challenges may look like feeling stuck, being bought back to previous life experiences, or finding yourself returning to similar destructive patterns. At some point we have to stop and ask ourselves- do I want to continue feeling this way, or is it time to change something?
(650) 297-2628 View (650) 297-2628
Photo of Claire Palmquist, Marriage & Family Therapist Associate, MA, AMFT, APCC
Claire Palmquist
Marriage & Family Therapist Associate, MA, AMFT, APCC
2 Endorsed
San Francisco, CA 94121
I believe that we all have deep sources of wisdom and healing within ourselves; my goal as your therapist is to help you access those resources within yourself in order to build the life that feels most true for you. I know how difficult it can be to locate barriers to growth- or even to know what kind of growth we're looking for. I feel passionate about meeting you right where you are on your healing journey. I am trained in somatic therapy, expressive art therapy, and drama therapy and believe these are powerful avenues to both locate what change we want to see in our lives and to begin cultivating that change.
I believe that we all have deep sources of wisdom and healing within ourselves; my goal as your therapist is to help you access those resources within yourself in order to build the life that feels most true for you. I know how difficult it can be to locate barriers to growth- or even to know what kind of growth we're looking for. I feel passionate about meeting you right where you are on your healing journey. I am trained in somatic therapy, expressive art therapy, and drama therapy and believe these are powerful avenues to both locate what change we want to see in our lives and to begin cultivating that change.
(628) 277-8098 View (628) 277-8098
Photo of Aimee Evnin-Bingham, Marriage & Family Therapist, LMFT, MA, CST
Aimee Evnin-Bingham
Marriage & Family Therapist, LMFT, MA, CST
5 Endorsed
San Francisco, CA 94121
Are you feeling stuck with anxiety, self-doubt, or disconnection from yourself and others? Do intimacy struggles, sex therapy concerns, or questions about your worth and boundaries leave you feeling isolated? These challenges can feel overwhelming, but there is hope for deeper connection and healing. Together, we can explore and shift patterns that hold you back, building resilience and renewed confidence. Taking the first step toward greater connection and joy can open the door to lasting change.
Are you feeling stuck with anxiety, self-doubt, or disconnection from yourself and others? Do intimacy struggles, sex therapy concerns, or questions about your worth and boundaries leave you feeling isolated? These challenges can feel overwhelming, but there is hope for deeper connection and healing. Together, we can explore and shift patterns that hold you back, building resilience and renewed confidence. Taking the first step toward greater connection and joy can open the door to lasting change.
(415) 326-1882 View (415) 326-1882
Photo of Taylor Wikel, Marriage & Family Therapist, LMFT
Taylor Wikel
Marriage & Family Therapist, LMFT
1 Endorsed
San Francisco, CA 94121
Feeling Lost? Wondering, “Where do I go from here?” My clients are individuals navigating life after toxic relationships, major transitions, or motherhood who feel overwhelmed, disconnected, and stuck in patterns like people-pleasing, overthinking, and self-doubt. They often say, “I don’t feel like myself” or “I keep ending up in the same situations.” We use a trauma-informed, DBT-based approach to help you regulate emotions, set boundaries, rebuild self-trust, and break unhealthy cycles—so you can feel grounded, confident, and like yourself again.
Feeling Lost? Wondering, “Where do I go from here?” My clients are individuals navigating life after toxic relationships, major transitions, or motherhood who feel overwhelmed, disconnected, and stuck in patterns like people-pleasing, overthinking, and self-doubt. They often say, “I don’t feel like myself” or “I keep ending up in the same situations.” We use a trauma-informed, DBT-based approach to help you regulate emotions, set boundaries, rebuild self-trust, and break unhealthy cycles—so you can feel grounded, confident, and like yourself again.
(951) 386-2317 View (951) 386-2317
Photo of Sarah Weller, Marriage & Family Therapist, MA, LMFT
Sarah Weller
Marriage & Family Therapist, MA, LMFT
1 Endorsed
San Francisco, CA 94121
I am a licensed psychotherapist serving individuals and couples in breathtaking San Francisco. I specialize in working with those impacted by trauma and navigating life transitions. Through a blend of evidence-based techniques, warmth and humor, I strive to create a safe space where clients can explore their thoughts, feelings, and experiences without judgment. When you work with me, we will work together to explore and uncover meaning to your whole human experience so that we can move past stuck narratives and find meaningful, lasting change.
I am a licensed psychotherapist serving individuals and couples in breathtaking San Francisco. I specialize in working with those impacted by trauma and navigating life transitions. Through a blend of evidence-based techniques, warmth and humor, I strive to create a safe space where clients can explore their thoughts, feelings, and experiences without judgment. When you work with me, we will work together to explore and uncover meaning to your whole human experience so that we can move past stuck narratives and find meaningful, lasting change.
(415) 612-6218 View (415) 612-6218
Photo of Diana Gutierrez - Diana Gutierrez — Parent Coaching & Tantrums, Clinical Social Work/Therapist, LCSW
Diana Gutierrez — Parent Coaching & Tantrums
Clinical Social Work/Therapist, LCSW
2 Endorsed
San Francisco, CA 94121
Are you struggling with daily tantrums, aggression, defiance, or emotional outbursts from your preschooler? If your child has been sent home from preschool, you're receiving frequent calls from daycare, or every transition turns into a battle, you're not alone. I help parents of children ages 2–7 understand why these behaviors happen and learn practical, evidence-based strategies that create calmer days and a stronger parent-child relationship. I specialize in Parent-Child Interaction Therapy (PCIT), one of the most effective, evidence-based treatments for young children with challenging behaviors.
Are you struggling with daily tantrums, aggression, defiance, or emotional outbursts from your preschooler? If your child has been sent home from preschool, you're receiving frequent calls from daycare, or every transition turns into a battle, you're not alone. I help parents of children ages 2–7 understand why these behaviors happen and learn practical, evidence-based strategies that create calmer days and a stronger parent-child relationship. I specialize in Parent-Child Interaction Therapy (PCIT), one of the most effective, evidence-based treatments for young children with challenging behaviors.
(818) 477-1080 View (818) 477-1080
Photo of Dr. Denise Renye, Psychologist, MEd, MA, PsyD, C-IAYT, CST
Dr. Denise Renye
Psychologist, MEd, MA, PsyD, C-IAYT, CST
39 Endorsed
San Francisco, CA 94121
Are you longing to feel fully seen, connected, and satisfied in your sexual and relational life? You may struggle with intimacy, sexual concerns, or communicating your needs and desires. As an Aasect Certified Sex Therapist, IAYT Certified Yoga Therapist, and CPTR Certified Psychedelic Integrationist, I provide a safe, nonjudgmental space to explore your desires, clarify your needs, and build confidence. Together we create deeper pleasure, richer connection, and a more empowered, joyful life.
Are you longing to feel fully seen, connected, and satisfied in your sexual and relational life? You may struggle with intimacy, sexual concerns, or communicating your needs and desires. As an Aasect Certified Sex Therapist, IAYT Certified Yoga Therapist, and CPTR Certified Psychedelic Integrationist, I provide a safe, nonjudgmental space to explore your desires, clarify your needs, and build confidence. Together we create deeper pleasure, richer connection, and a more empowered, joyful life.
(628) 600-1755 View (628) 600-1755
Photo of Lisa Roth, Psychologist, PsyD
Lisa Roth
Psychologist, PsyD
Serves Area
Talking to someone who truly listens can be life-changing. You may have clear ideas about what is troubling you or a general sense that things could be better. I work well with people who are motivated to to deepen self-understanding. My approach is collaborative, exploring new ways of thinking while attending to underlying feelings. Working together, you can gain more freedom in your life and have more satisfaction in areas of self-esteem, relationships, work and play.
Talking to someone who truly listens can be life-changing. You may have clear ideas about what is troubling you or a general sense that things could be better. I work well with people who are motivated to to deepen self-understanding. My approach is collaborative, exploring new ways of thinking while attending to underlying feelings. Working together, you can gain more freedom in your life and have more satisfaction in areas of self-esteem, relationships, work and play.
(415) 346-1234 View (415) 346-1234
Photo of Adam Brown, Marriage & Family Therapist, LMFT
Adam Brown
Marriage & Family Therapist, LMFT
2 Endorsed
Serves Area
I specialize in diabetes, chronic illness and health, anxiety, trauma and PTSD, stress, grief, burnout, perfectionism, ADHD, and more. I'm passionate about therapy that is creative, experiential, and goes beyond words and insight. I believe I'm doing my job when I help folks Slow Down, connect to what is deeply important to them, and learn skills for handling difficulties. I'm often a good fit for those who have tried many things already and are looking for something different. I love working in-person and offer Nature Therapy to those who enjoy being outside - e.g., we can do sessions in the forest or on the beach!
I specialize in diabetes, chronic illness and health, anxiety, trauma and PTSD, stress, grief, burnout, perfectionism, ADHD, and more. I'm passionate about therapy that is creative, experiential, and goes beyond words and insight. I believe I'm doing my job when I help folks Slow Down, connect to what is deeply important to them, and learn skills for handling difficulties. I'm often a good fit for those who have tried many things already and are looking for something different. I love working in-person and offer Nature Therapy to those who enjoy being outside - e.g., we can do sessions in the forest or on the beach!
(415) 300-2343 View (415) 300-2343

See more therapy options for 94121

How does your Therapist compare?

Number of Therapists in 94121

100+

Average cost per session

$200

Therapists in 94121 who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
83% Depression
73% Relationship Issues
73% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

92% Aetna
71% Cigna and Evernorth
71% Anthem

How Therapists in 94121 see their clients

58% Online Only
42% In Person and Online

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 94121?

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.