Photo of Garrison Cox, Marriage & Family Therapist Associate in 97205, OR
Garrison Cox
Marriage & Family Therapist Associate, MA
Verified Verified
3 Endorsed
Portland, OR 97205
Welcome. You’re here because something within you feels stuck. Maybe it feels like the pieces are in the air and have yet to land. You might be coping with painful emotions that don’t seem to resolve, no matter how much time you spend thinking your way through them. You might want the best for yourself and your close relationships, but struggle to unburden yourself from irritation, anxiety, or depression. I’ve been there too. I believe wholeheartedly that every person has their own path toward transformation and healing, and it is my role to help you walk that path and clear the branches and thorns from the way.
Welcome. You’re here because something within you feels stuck. Maybe it feels like the pieces are in the air and have yet to land. You might be coping with painful emotions that don’t seem to resolve, no matter how much time you spend thinking your way through them. You might want the best for yourself and your close relationships, but struggle to unburden yourself from irritation, anxiety, or depression. I’ve been there too. I believe wholeheartedly that every person has their own path toward transformation and healing, and it is my role to help you walk that path and clear the branches and thorns from the way.
(971) 414-3105 View (971) 414-3105
Photo of Lauren Summer, Licensed Professional Counselor in 97205, OR
Lauren Summer
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97205
Everyone has a different path in therapy. No matter what issues you are struggling with, it is possible to find peace and achieve a more meaningful life. Some of the things I enjoy working with include: childhood trauma, attachment issues, OCD, PTSD, men's issues, LGBTQIA+ issues, divorce, parenting, grief and loss, life transitions, depression, and anxiety.
Everyone has a different path in therapy. No matter what issues you are struggling with, it is possible to find peace and achieve a more meaningful life. Some of the things I enjoy working with include: childhood trauma, attachment issues, OCD, PTSD, men's issues, LGBTQIA+ issues, divorce, parenting, grief and loss, life transitions, depression, and anxiety.
(971) 256-8351 View (971) 256-8351
Photo of Annie Dolle @ Arrival Counseling, Clinical Social Work/Therapist in 97205, OR
Annie Dolle @ Arrival Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97205  (Online Only)
Join with me and allow connection, safety, and curiosity to unearth your fullest self. Become a compassionate observer of your own experience as your nervous system aligns in relationship. Tired of contracting and reacting? Together we can find ways to experience and respond to life as it comes. What have you experienced? What strategies have you employed to cope? What have you come to believe about yourself and others? Lets take a look at your goals and concerns and move towards a functional and connected you. There are reasons for your current pain, and It is possible to feel better.
Join with me and allow connection, safety, and curiosity to unearth your fullest self. Become a compassionate observer of your own experience as your nervous system aligns in relationship. Tired of contracting and reacting? Together we can find ways to experience and respond to life as it comes. What have you experienced? What strategies have you employed to cope? What have you come to believe about yourself and others? Lets take a look at your goals and concerns and move towards a functional and connected you. There are reasons for your current pain, and It is possible to feel better.
(503) 563-7407 View (503) 563-7407
Photo of Norma Schell, PhD, MA, OIM, LPC,, Licensed Professional Counselor in 97205, OR
Norma Schell, PhD, MA, OIM, LPC,
Licensed Professional Counselor, PhD, MA, OIM, LPC
Verified Verified
1 Endorsed
Portland, OR 97205  (Online Only)
Everyday life stresses, and all nature of traumas can overwhelm. Greater understanding & additional tools diminish overload. Relief of painful emotions & experiences leads to greater peace, love, joy & purpose. Feelings, emotions, dreams, images, daydreams, & physical symptoms are expressions of our whole self & contain powerful healing messages. Their meaning unlocks underlying causes to reduce ailments and discomfort. We are dynamic beings oriented toward healing and wholeness. Exploration & understanding are keys to unlocking one's powerful healing process. Never forget: you are loved, appreciated and unique in this world.
Everyday life stresses, and all nature of traumas can overwhelm. Greater understanding & additional tools diminish overload. Relief of painful emotions & experiences leads to greater peace, love, joy & purpose. Feelings, emotions, dreams, images, daydreams, & physical symptoms are expressions of our whole self & contain powerful healing messages. Their meaning unlocks underlying causes to reduce ailments and discomfort. We are dynamic beings oriented toward healing and wholeness. Exploration & understanding are keys to unlocking one's powerful healing process. Never forget: you are loved, appreciated and unique in this world.
(503) 406-6363 View (503) 406-6363
Photo of Mark Owens, Clinical Social Work/Therapist in 97205, OR
Mark Owens
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Portland, OR 97205
Waitlist for new clients
Confidence, connection, and clarity. Good therapy makes these qualities more available to you. With respectful attention, I offer help to meet personal challenges, strengthen relationships, and stand your ground. I aim to understand your concerns with sophistication and insight. I believe that vitality, purpose, and enjoyment can be a regular part of life.
Confidence, connection, and clarity. Good therapy makes these qualities more available to you. With respectful attention, I offer help to meet personal challenges, strengthen relationships, and stand your ground. I aim to understand your concerns with sophistication and insight. I believe that vitality, purpose, and enjoyment can be a regular part of life.
(503) 985-6917 View (503) 985-6917
Photo of Katharine M. Doel, Clinical Social Work/Therapist in 97205, OR
Katharine M. Doel
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Portland, OR 97205
Not accepting new clients
Do you seek a place where you can feel safe enough to express worrying emotions, thoughts, and experiences that you may not typically reveal? Are you finding it difficult to resolve and manage these issues on your own? I offer a secure space for working through a range of issues and symptoms. My style is collaborative and curious. I listen carefully and we work together to explore and make sense of what you are experiencing. This deeper awareness can result in an inner freedom, improved relationships, and more satisfying ways of living.
Do you seek a place where you can feel safe enough to express worrying emotions, thoughts, and experiences that you may not typically reveal? Are you finding it difficult to resolve and manage these issues on your own? I offer a secure space for working through a range of issues and symptoms. My style is collaborative and curious. I listen carefully and we work together to explore and make sense of what you are experiencing. This deeper awareness can result in an inner freedom, improved relationships, and more satisfying ways of living.
(503) 967-8117 View (503) 967-8117
Photo of Lisa A Dickman, Clinical Social Work/Therapist in 97205, OR
Lisa A Dickman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97205  (Online Only)
Hello, I'm Lisa, a Licensed Clinical Social Worker (LCSW) with over 20+ of years experience across various mental health settings. My specializations lie in working with individuals who are at a point of readiness for self-discovery and personal growth. I am deeply passionate about assisting others in overcoming the challenges that hinder their lives.
Hello, I'm Lisa, a Licensed Clinical Social Worker (LCSW) with over 20+ of years experience across various mental health settings. My specializations lie in working with individuals who are at a point of readiness for self-discovery and personal growth. I am deeply passionate about assisting others in overcoming the challenges that hinder their lives.
(385) 462-8798 View (385) 462-8798
Photo of Halle Smith, Marriage & Family Therapist Associate in 97205, OR
Halle Smith
Marriage & Family Therapist Associate, MA
Verified Verified
Portland, OR 97205
Beginning therapy can often feel like a daunting process. It is a courageous choice that requires vulnerability and curiosity. Great job on taking the first step! I utilize warmth, compassion, curiosity, and a holistic lens to create a safe, authentic therapeutic space. I prioritize the therapeutic relationship and see my role as a collaborator helping to co-author the stories of our lives. I support clients in creating more self-compassion and allowing space to navigate and overcome life's challenges, transitions, and stressors.
Beginning therapy can often feel like a daunting process. It is a courageous choice that requires vulnerability and curiosity. Great job on taking the first step! I utilize warmth, compassion, curiosity, and a holistic lens to create a safe, authentic therapeutic space. I prioritize the therapeutic relationship and see my role as a collaborator helping to co-author the stories of our lives. I support clients in creating more self-compassion and allowing space to navigate and overcome life's challenges, transitions, and stressors.
(971) 232-3277 View (971) 232-3277
Photo of Susan Richmond, Clinical Social Work/Therapist in 97205, OR
Susan Richmond
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97205  (Online Only)
Welcome and thank you for including me in your search! Taking the brave step to learn more about who you are is a great gift to yourself. If you are experiencing anxious and/or depressed feelings due to issues regarding work, relationships, life transitions, social pressures, sexual identity, grief, illness, trauma, or abuse, we can address and work through these challenges together.
Welcome and thank you for including me in your search! Taking the brave step to learn more about who you are is a great gift to yourself. If you are experiencing anxious and/or depressed feelings due to issues regarding work, relationships, life transitions, social pressures, sexual identity, grief, illness, trauma, or abuse, we can address and work through these challenges together.
(503) 683-7027 View (503) 683-7027
Photo of IFS Telehealth Collective, Clinical Social Work/Therapist in 97205, OR
IFS Telehealth Collective
Clinical Social Work/Therapist, LMFT, LCSW
Verified Verified
1 Endorsed
Portland, OR 97205  (Online Only)
We are experienced IFS Therapists providing quality online therapy to our clients in CA, FL, MA, MI, NY and OR. We trust the inherent wisdom inside all people to be accessible and essential for the well-being of the world. We’re committed to creating a therapeutic environment that empowers clients to transform and reclaim parts of themselves from a place of compassion and curiosity, allowing them to live meaningful and healthy lives. We are committed to delivering exceptional Internal Family Systems telehealth services to our clients by providing expert IFS consultation.
We are experienced IFS Therapists providing quality online therapy to our clients in CA, FL, MA, MI, NY and OR. We trust the inherent wisdom inside all people to be accessible and essential for the well-being of the world. We’re committed to creating a therapeutic environment that empowers clients to transform and reclaim parts of themselves from a place of compassion and curiosity, allowing them to live meaningful and healthy lives. We are committed to delivering exceptional Internal Family Systems telehealth services to our clients by providing expert IFS consultation.
(718) 841-0136 View (718) 841-0136
Photo of Barbara Eggenberger, Marriage & Family Therapist in 97205, OR
Barbara Eggenberger
Marriage & Family Therapist, MFT
Verified Verified
Portland, OR 97205  (Online Only)
I am a licensed Marriage Family Therapist serving clients via zoom in California and Oregon. If you struggle with chronic issues and have tried other therapists and are still struggling, I may be the therapist for you. I am a specialist in accessing early trauma and clearing it through the use of brain-based therapies such as EMDR and Brainspotting. I am certified in Brainspotting and Systemic Family Constellations and trained in EMDR I/II. I combine these three methods plus my natural empathic abilities to access blockages and clear them. You will feel immediately better!
I am a licensed Marriage Family Therapist serving clients via zoom in California and Oregon. If you struggle with chronic issues and have tried other therapists and are still struggling, I may be the therapist for you. I am a specialist in accessing early trauma and clearing it through the use of brain-based therapies such as EMDR and Brainspotting. I am certified in Brainspotting and Systemic Family Constellations and trained in EMDR I/II. I combine these three methods plus my natural empathic abilities to access blockages and clear them. You will feel immediately better!
(916) 571-9297 View (916) 571-9297
Photo of Kate A Donchi, Marriage & Family Therapist in 97205, OR
Kate A Donchi
Marriage & Family Therapist, MS, LMFT
Verified Verified
Portland, OR 97205
I offer psychotherapy for individuals. I am a licensed marriage and family therapist practicing in Northwest Portland, Oregon. I have over twenty years of experience providing psychodynamic psychotherapy to children, adults and families. Often people first come to therapy because of a life crisis or with relationship struggles or conflicts. Changes will come through our developing a relationship in which patterns and experiences can be examined and worked through. These changes can lead to a more satisfying, fulfilling and joyful life.
I offer psychotherapy for individuals. I am a licensed marriage and family therapist practicing in Northwest Portland, Oregon. I have over twenty years of experience providing psychodynamic psychotherapy to children, adults and families. Often people first come to therapy because of a life crisis or with relationship struggles or conflicts. Changes will come through our developing a relationship in which patterns and experiences can be examined and worked through. These changes can lead to a more satisfying, fulfilling and joyful life.
(503) 410-7799 View (503) 410-7799
Photo of Christopher Lee Creaturo, Licensed Professional Counselor in 97205, OR
Christopher Lee Creaturo
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97205  (Online Only)
I work with clients to offer serious relief from the effects of trauma, depression and anxiety on their lives. Tools like EMDR and Internal Family Systems, as well the creation of a judgement-free space to talk can bring hope to the stuck parts of our worlds, and finally allow us to be present in our own lives again. Finding relief can feel like taking a first deep breath after being underwater for a long time, and that's an outcome worth fighting together for. Please email to learn more and find our if we make a good therapy team.
I work with clients to offer serious relief from the effects of trauma, depression and anxiety on their lives. Tools like EMDR and Internal Family Systems, as well the creation of a judgement-free space to talk can bring hope to the stuck parts of our worlds, and finally allow us to be present in our own lives again. Finding relief can feel like taking a first deep breath after being underwater for a long time, and that's an outcome worth fighting together for. Please email to learn more and find our if we make a good therapy team.
(458) 217-6034 View (458) 217-6034
Photo of Jr Fisher, Psychological Associate in 97205, OR
Jr Fisher
Psychological Associate, PsyD
Verified Verified
Portland, OR 97205
My style is warm, direct and collaborative. I aim to identify patterns of thinking, feeling, and relating that limit one’s ability to pursue their goals. These patterns are often the legacy of successful coping at an earlier stage of life, but no longer serve one’s best interest. Exploring the underlying forces can open space to make new choices, grow, and alleviate suffering.
My style is warm, direct and collaborative. I aim to identify patterns of thinking, feeling, and relating that limit one’s ability to pursue their goals. These patterns are often the legacy of successful coping at an earlier stage of life, but no longer serve one’s best interest. Exploring the underlying forces can open space to make new choices, grow, and alleviate suffering.
(971) 315-4973 View (971) 315-4973
Photo of Neil Panchmatia, Licensed Professional Counselor in 97205, OR
Neil Panchmatia
Licensed Professional Counselor, MS, NCC
Verified Verified
Portland, OR 97205
Are you feeling stuck in your life, and seeking transformation to help you heal, thrive and live a more fulfilling life? I specialize in working with individuals struggling with obstacles to fuller living: be it experiencing anxiety/panic or depression, living with trauma, body image issues/eating disorders, or experiencing marginalization due to one's identities or background. I offer an inclusive and affirming approach in working with clients from all walks of life. A life lived more richly and authentically is possible, and I'm here to support you with this journey of self-exploration, self-care and growth.
Are you feeling stuck in your life, and seeking transformation to help you heal, thrive and live a more fulfilling life? I specialize in working with individuals struggling with obstacles to fuller living: be it experiencing anxiety/panic or depression, living with trauma, body image issues/eating disorders, or experiencing marginalization due to one's identities or background. I offer an inclusive and affirming approach in working with clients from all walks of life. A life lived more richly and authentically is possible, and I'm here to support you with this journey of self-exploration, self-care and growth.
(503) 809-0222 View (503) 809-0222
Photo of Sarah A Baird, Psychologist in 97205, OR
Sarah A Baird
Psychologist, PsyD
Verified Verified
Portland, OR 97205
I believe that developing a deeper understanding about our current and historical experiences within the context of a supportive, secure therapeutic relationship can lead to the development of more meaningful and satisfying lives and relationships. I provide psychoanalytic psychotherapy and psychoanalysis, where the focus is not just on alleviating symptoms, but on understanding and working through beliefs, feelings, fears, and patterns that operate out of awareness and impact current difficulties. I also provide supervision and consultation for licensees and licensed mental health professionals.
I believe that developing a deeper understanding about our current and historical experiences within the context of a supportive, secure therapeutic relationship can lead to the development of more meaningful and satisfying lives and relationships. I provide psychoanalytic psychotherapy and psychoanalysis, where the focus is not just on alleviating symptoms, but on understanding and working through beliefs, feelings, fears, and patterns that operate out of awareness and impact current difficulties. I also provide supervision and consultation for licensees and licensed mental health professionals.
(503) 766-5710 View (503) 766-5710
Photo of Teagan Martel, Clinical Social Work/Therapist in 97205, OR
Teagan Martel
Clinical Social Work/Therapist, LICSW
Verified Verified
Portland, OR 97205
Not accepting new clients
I believe in a therapeutic practice that puts you first. I use a variety of therapeutic modalities because I believe the treatment approach should be as diverse as the clients I work with.
I believe in a therapeutic practice that puts you first. I use a variety of therapeutic modalities because I believe the treatment approach should be as diverse as the clients I work with.
(503) 483-8458 View (503) 483-8458
Photo of Jill S. Waldman, Psychologist in 97205, OR
Jill S. Waldman
Psychologist, PsyD
Verified Verified
Portland, OR 97205
Not accepting new clients
I am a licensed Clinical Psychologist who specializes in working with children, tweens, teens, and young adults. In order to provide the most effective, personalized treatment for my clients, I use a supportive and collaborative approach. Using Cognitive Behavioral, Family Systems, and Behavioral therapeutic interventions, I provide evidenced based therapy to treat a variety of disorders including, anxiety spectrum disorders, depression, obsessive compulsive disorder, ADHD, adjustment disorders, and problems related to academic and family stress. Due to my extensive training in medical hospitals, I have experience treating individuals who have sustained traumatic brain injuries (TBI), concussions, and/or who have complex medical diagnoses as well.
I am a licensed Clinical Psychologist who specializes in working with children, tweens, teens, and young adults. In order to provide the most effective, personalized treatment for my clients, I use a supportive and collaborative approach. Using Cognitive Behavioral, Family Systems, and Behavioral therapeutic interventions, I provide evidenced based therapy to treat a variety of disorders including, anxiety spectrum disorders, depression, obsessive compulsive disorder, ADHD, adjustment disorders, and problems related to academic and family stress. Due to my extensive training in medical hospitals, I have experience treating individuals who have sustained traumatic brain injuries (TBI), concussions, and/or who have complex medical diagnoses as well.
(971) 205-6236 View (971) 205-6236
Photo of Eden Baron-Williams, Marriage & Family Therapist Associate in 97205, OR
Eden Baron-Williams
Marriage & Family Therapist Associate
Verified Verified
5 Endorsed
Portland, OR 97205
Waitlist for new clients
You came here because you have a desire to deepen your relationship with yourself and others, you feel stuck in patterns you hope to change, are processing trauma, or are looking to reclaim lost parts of yourself. You have come to the right place. Working with adults with childhood trauma/complex trauma, couples/relational systems, chronic pain/illness, and queer/trans/non-binary individuals and relationships, I create spaces for care and collaboration. I hope to assist you in building a bridge to yourself that unlocks your inner wisdom and weaves together the vast embroidery of stories, sensations, and emotions in your life.
You came here because you have a desire to deepen your relationship with yourself and others, you feel stuck in patterns you hope to change, are processing trauma, or are looking to reclaim lost parts of yourself. You have come to the right place. Working with adults with childhood trauma/complex trauma, couples/relational systems, chronic pain/illness, and queer/trans/non-binary individuals and relationships, I create spaces for care and collaboration. I hope to assist you in building a bridge to yourself that unlocks your inner wisdom and weaves together the vast embroidery of stories, sensations, and emotions in your life.
(971) 365-4866 View (971) 365-4866
Photo of Nic Sutherland, Marriage & Family Therapist Associate in 97205, OR
Nic Sutherland
Marriage & Family Therapist Associate, MA
Verified Verified
4 Endorsed
Portland, OR 97205
I support my clients in finding authenticity, agency, and connection in the face of the inevitable changes life has to offer. If you find yourself processing pain from past relationships, feeling disconnected, or fighting in the kitchen, I would love to meet you there. My goal is to build a safe relationship with you, in which we can explore the complexity of your life; the mundane, the magic, the painful.
I support my clients in finding authenticity, agency, and connection in the face of the inevitable changes life has to offer. If you find yourself processing pain from past relationships, feeling disconnected, or fighting in the kitchen, I would love to meet you there. My goal is to build a safe relationship with you, in which we can explore the complexity of your life; the mundane, the magic, the painful.
(971) 274-5960 View (971) 274-5960

How does your Therapist compare?

Number of Therapists in 97205

200+

Average cost per session

$160

Therapists in 97205 who prioritize treating:

92% Anxiety
88% Depression
86% Relationship Issues
79% Self Esteem
73% Trauma and PTSD
69% Stress
67% Grief

Average years in practice

11 Years

Top 3 insurances accepted

52% PacificSource
50% Aetna
40% BlueCross and BlueShield

How Therapists in 97205 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

73% Female
25% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 97205?

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.