Therapists in 98903

Photo of Marianne McDowell, MHCA
Marianne McDowell
Verified Verified
Online Only
We all have our struggles and only you know what they are and how they are impacting you. Suddenly either you have noticed those struggles getting in the way of life or even maybe a support person has noticed. Now you are reaching out and that is not always the easy part. Although it may seem overwhelming to begin at least you have taken the fist step! Together we can talk about the issues work on a plan and strategies that feels comfortable for you. It isn't always easy but it's those baby steps that will get you through.
We all have our struggles and only you know what they are and how they are impacting you. Suddenly either you have noticed those struggles getting in the way of life or even maybe a support person has noticed. Now you are reaching out and that is not always the easy part. Although it may seem overwhelming to begin at least you have taken the fist step! Together we can talk about the issues work on a plan and strategies that feels comfortable for you. It isn't always easy but it's those baby steps that will get you through.
(360) 300-5857 View (360) 300-5857
Photo of Jeff Blair - Blair Counseling LLC, Counselor, MS, LMHC
Blair Counseling LLC
Counselor, MS, LMHC
Serves Area
Everyone has problems. Pretending to be fine when you're not is exhausting. When you meet with me, you don't have to keep up any pretenses. You can take your mask off. We can get into what is really underneath your suffering. If you're like most human beings, there's probably a lot of fear and shame related to trauma and troubled relationships. Chances are you are struggling with an addiction of some form or another. The path to greater mental and emotional health can often feel like a steep mountain trail that never ends. It can help to have an experienced guide to help you along the way!
Everyone has problems. Pretending to be fine when you're not is exhausting. When you meet with me, you don't have to keep up any pretenses. You can take your mask off. We can get into what is really underneath your suffering. If you're like most human beings, there's probably a lot of fear and shame related to trauma and troubled relationships. Chances are you are struggling with an addiction of some form or another. The path to greater mental and emotional health can often feel like a steep mountain trail that never ends. It can help to have an experienced guide to help you along the way!
(509) 956-4233 View (509) 956-4233
Photo of Agustin Reyes Lopez, Marriage & Family Therapist Associate, MA, LMFTA
Agustin Reyes Lopez
Marriage & Family Therapist Associate, MA, LMFTA
1 Endorsed
Serves Area
La salud mental al igual que la salud física, es esencial para un funcionamiento adecuado en la vida diaria. ¿Vive con síntomas depresivos, ansiedad, tiene dificultades con su pareja, familia, trabajo o le cuesta controlar su enojo? ¿Le gustaría analizar su situación desde un punto de vista neutral y descubrir las herramientas que posee? La terapia psicológica es la medicina de la mente y el alma, es un paso hacia la reconstrucción de un pasado turbulento y esperanza para un mejor presente.
La salud mental al igual que la salud física, es esencial para un funcionamiento adecuado en la vida diaria. ¿Vive con síntomas depresivos, ansiedad, tiene dificultades con su pareja, familia, trabajo o le cuesta controlar su enojo? ¿Le gustaría analizar su situación desde un punto de vista neutral y descubrir las herramientas que posee? La terapia psicológica es la medicina de la mente y el alma, es un paso hacia la reconstrucción de un pasado turbulento y esperanza para un mejor presente.
(509) 646-7559 View (509) 646-7559
Photo of Erin Reyes, Counselor, MA, LMHC
Erin Reyes
Counselor, MA, LMHC
1 Endorsed
Serves Area
Hopelessness. Brokenness. Exhaustion. These are a few words that describe what it feels like to be anxious or depressed. Sometimes it feels like life will never be good again; that the darkness will never lift. But there is hope. I know so because I have been there. Through therapy I was able to uncover detrimental patterns, behaviors, and thoughts that led to chronic worry, stress, and feelings of emptiness. Now here I stand, twenty years later, helping others to do the same - how to love themselves, uncover hidden truths, explore the not-so-pretty messes of life.
Hopelessness. Brokenness. Exhaustion. These are a few words that describe what it feels like to be anxious or depressed. Sometimes it feels like life will never be good again; that the darkness will never lift. But there is hope. I know so because I have been there. Through therapy I was able to uncover detrimental patterns, behaviors, and thoughts that led to chronic worry, stress, and feelings of emptiness. Now here I stand, twenty years later, helping others to do the same - how to love themselves, uncover hidden truths, explore the not-so-pretty messes of life.
(509) 940-0041 View (509) 940-0041
Photo of Kristal Mata, Counselor, MS, LMHC
Kristal Mata
Counselor, MS, LMHC
Serves Area
I believe a strong therapeutic relationship can help clients feel safe and at ease in order to explore issues they feel they need assistance with. As a Licensed Mental Health Counselor, I believe in the power of honesty, openness, and building genuine connections. I aim to create an environment where you can talk freely about whatever’s on your mind, without fear of judgment. My approach is straightforward and compassionate—I’m here to listen, understand, and guide you at a pace that feels comfortable for you.
I believe a strong therapeutic relationship can help clients feel safe and at ease in order to explore issues they feel they need assistance with. As a Licensed Mental Health Counselor, I believe in the power of honesty, openness, and building genuine connections. I aim to create an environment where you can talk freely about whatever’s on your mind, without fear of judgment. My approach is straightforward and compassionate—I’m here to listen, understand, and guide you at a pace that feels comfortable for you.
(509) 236-8582 View (509) 236-8582
Photo of Tahni Higashiyama, Clinical Social Work/Therapist, MSW, LICSW, CFRC
Tahni Higashiyama
Clinical Social Work/Therapist, MSW, LICSW, CFRC
1 Endorsed
Serves Area
I have been in private practice since 2009, providing individual and family counseling for adolescents and adults. My counseling style is strength based and focused on finding solutions to more effectively manage life's challenges. I utilize a variety of treatment models to best meet your needs, including cognitive-behavioral therapy, dialectical behavior therapy, solution-focused therapy, prolonged exposure, trauma recovery and mindfulness practices. I look forward to working with you, to address your concerns and assist you in realizing your goals, for an improved quality of life.
I have been in private practice since 2009, providing individual and family counseling for adolescents and adults. My counseling style is strength based and focused on finding solutions to more effectively manage life's challenges. I utilize a variety of treatment models to best meet your needs, including cognitive-behavioral therapy, dialectical behavior therapy, solution-focused therapy, prolonged exposure, trauma recovery and mindfulness practices. I look forward to working with you, to address your concerns and assist you in realizing your goals, for an improved quality of life.
(509) 774-5407 View (509) 774-5407
Photo of Sarah Weibling, Marriage & Family Therapist Associate, LMFTA
Sarah Weibling
Marriage & Family Therapist Associate, LMFTA
1 Endorsed
Yakima, WA 98903
Waitlist for new clients
Hello, my name is Sarah Weibling. As a Marriage and Family Therapist Associate I am passionate about helping people find resilience through life's challenges. Are you struggling to resolve conflict with your partner or family members? Do you feel overwhelmed with managing the stresses of life? We all experience challenging times in our lives and relationships. I love helping people build stronger and more resilient relationships with their loved ones and overcome life's challenges by working together to improve communication and emotional regulation.
Hello, my name is Sarah Weibling. As a Marriage and Family Therapist Associate I am passionate about helping people find resilience through life's challenges. Are you struggling to resolve conflict with your partner or family members? Do you feel overwhelmed with managing the stresses of life? We all experience challenging times in our lives and relationships. I love helping people build stronger and more resilient relationships with their loved ones and overcome life's challenges by working together to improve communication and emotional regulation.
(509) 631-8286 View (509) 631-8286
Photo of Meradith Cramer, Counselor, MS, LMHC
Meradith Cramer
Counselor, MS, LMHC
Yakima, WA 98903
Waitlist for new clients
Life is about finding perspective. Often we face difficult challenges, life events, or situations that can threaten our ability to find balance, create meaning, and facilitate growth. When we are unable to find perspective, our mental wellbeing can suffer. Failure to tackle difficult experiences can cause us to feel stuck, paralyzed, and even defeated. With counseling, we can change our outlook to meet those challenges in pursuit of mental wellness. The human spirit is resilient if provided the right amount of guidance, compassion, and space to nurture its’ adaptive abilities.
Life is about finding perspective. Often we face difficult challenges, life events, or situations that can threaten our ability to find balance, create meaning, and facilitate growth. When we are unable to find perspective, our mental wellbeing can suffer. Failure to tackle difficult experiences can cause us to feel stuck, paralyzed, and even defeated. With counseling, we can change our outlook to meet those challenges in pursuit of mental wellness. The human spirit is resilient if provided the right amount of guidance, compassion, and space to nurture its’ adaptive abilities.
(509) 204-8126 View (509) 204-8126
Photo of Guadalupe Huitron-Lilly, Clinical Social Work/Therapist, MSW, MPH, LICSW
Guadalupe Huitron-Lilly
Clinical Social Work/Therapist, MSW, MPH, LICSW
1 Endorsed
Serves Area
Waitlist for new clients
Navigating the intricate twists and turns of our lives can often leave us feeling overwhelmed, searching for support and understanding in a seemingly chaotic world. It takes immense courage to reach out for help during these moments of vulnerability. While society may sometimes paint seeking help as a weakness, in reality, it's a profound display of strength and self-awareness. I approach therapy with a deep respect for your unique story, identity, and the cultural context that shapes your worldview.
Navigating the intricate twists and turns of our lives can often leave us feeling overwhelmed, searching for support and understanding in a seemingly chaotic world. It takes immense courage to reach out for help during these moments of vulnerability. While society may sometimes paint seeking help as a weakness, in reality, it's a profound display of strength and self-awareness. I approach therapy with a deep respect for your unique story, identity, and the cultural context that shapes your worldview.
(509) 223-2625 View (509) 223-2625
Photo of Sara Routt, Clinical Social Work/Therapist, LICSW, CH
Sara Routt
Clinical Social Work/Therapist, LICSW, CH
1 Endorsed
Serves Area
Waitlist for new clients
In my years of working with people—whether due to stress, loss, relationship or workplace conflict, managing depression and anxiety—the common denominator has always been people’s desire to improve themselves and the important relationships that support and sustain them. For some, it’s recognizing the need to build a stronger support system. It’s been a privilege to work with clients as they explore the important changes within their power to make.
In my years of working with people—whether due to stress, loss, relationship or workplace conflict, managing depression and anxiety—the common denominator has always been people’s desire to improve themselves and the important relationships that support and sustain them. For some, it’s recognizing the need to build a stronger support system. It’s been a privilege to work with clients as they explore the important changes within their power to make.
(509) 632-3289 View (509) 632-3289
Photo of Pamela D Russell, Clinical Social Work/Therapist, LICSW
Pamela D Russell
Clinical Social Work/Therapist, LICSW
Serves Area
Waitlist for new clients
Hi. I specialize in assisting adults who are struggling to manage high levels of stress. I have many years of experience working with adults in all stages of life and provide therapy for individuals struggling with Anxiety, Depression, ADHD, Mood disorders, Chronic pain and Trauma. I am able to take Aetna, Premera, Regence and Cigna and United Healthcare and other insurances for in person visits. Please reach out via email if your insurance is not on my list. I can take almost all insurances via telehealth through MTG. You deserve to feel better!
Hi. I specialize in assisting adults who are struggling to manage high levels of stress. I have many years of experience working with adults in all stages of life and provide therapy for individuals struggling with Anxiety, Depression, ADHD, Mood disorders, Chronic pain and Trauma. I am able to take Aetna, Premera, Regence and Cigna and United Healthcare and other insurances for in person visits. Please reach out via email if your insurance is not on my list. I can take almost all insurances via telehealth through MTG. You deserve to feel better!
(509) 260-2753 View (509) 260-2753
Photo of Jonathan Douglas, Counselor, MS, LMHC, NCC
Jonathan Douglas
Counselor, MS, LMHC, NCC
6 Endorsed
Online Only
Waitlist for new clients
I am honored by your consideration. My name is Jonathan Douglas, I am passionate about helping individuals address life challenges that are oftentimes as a result of unresolved issues stemming from grief and loss, trauma, abuse, societal issues and artifacts from the individuals family of origin. I view seeking help and support as a strength. It is difficult to be vulnerable and explore the challenges that persist, however through that effort we can work to find peace. I aim to offer a unique perspective given my life experiences that I would hope you as a potential client can find of benefit.
I am honored by your consideration. My name is Jonathan Douglas, I am passionate about helping individuals address life challenges that are oftentimes as a result of unresolved issues stemming from grief and loss, trauma, abuse, societal issues and artifacts from the individuals family of origin. I view seeking help and support as a strength. It is difficult to be vulnerable and explore the challenges that persist, however through that effort we can work to find peace. I aim to offer a unique perspective given my life experiences that I would hope you as a potential client can find of benefit.
(425) 448-4671 View (425) 448-4671
Photo of Ellen Bovarnick, Clinical Social Work/Therapist, MBA, MSW, MHP, LICSW
Ellen Bovarnick
Clinical Social Work/Therapist, MBA, MSW, MHP, LICSW
Online Only
As a therapist, I focus on supporting clients in navigating the unique challenges in their lives. I draw on my training and 20+ years of experience in many treatment techniques including family systems, psychodynamic, gestalt, transactional analysis, EFT, mindfulness, bereavement and cognitive behavioral therapies in my work. I tailor my work to the client's needs while building on their existing skill sets and supporting their innate strengths.
As a therapist, I focus on supporting clients in navigating the unique challenges in their lives. I draw on my training and 20+ years of experience in many treatment techniques including family systems, psychodynamic, gestalt, transactional analysis, EFT, mindfulness, bereavement and cognitive behavioral therapies in my work. I tailor my work to the client's needs while building on their existing skill sets and supporting their innate strengths.
(206) 800-7423 View (206) 800-7423
Photo of Parmis Brazil, Marriage & Family Therapist, MA, LMFT
Parmis Brazil
Marriage & Family Therapist, MA, LMFT
3 Endorsed
Online Only
Yes, I am accepting New Clients! I work with adult individuals, couples and neurospicy individuals. For some, taking the first step towards therapy may be a scary and uncomfortable step. I strive to create a safe and supportive space for you to start your journey. I aim to build a strong therapeutic alliance with you to build trust, respect, compassion, and transparency. I help with relationship distress (communication issues), conflict, stress, anxiety, depression, infidelity, betrayal, ADHD, AudADHD, and/or other life struggles, life-changing events (divorce, grief, loss, career change, menopause & life transitions.
Yes, I am accepting New Clients! I work with adult individuals, couples and neurospicy individuals. For some, taking the first step towards therapy may be a scary and uncomfortable step. I strive to create a safe and supportive space for you to start your journey. I aim to build a strong therapeutic alliance with you to build trust, respect, compassion, and transparency. I help with relationship distress (communication issues), conflict, stress, anxiety, depression, infidelity, betrayal, ADHD, AudADHD, and/or other life struggles, life-changing events (divorce, grief, loss, career change, menopause & life transitions.
(360) 837-6511 View (360) 837-6511
Photo of Lulu Rivera, Mental Health Counselor, LMHC, EMMHS, NCC
Lulu Rivera
Mental Health Counselor, LMHC, EMMHS, NCC
Online Only
Are you ready to create change in your life? Feeling motivated by significant life events, major life changes, lacking goals/motivation in life or simply wanting to know/understand/love self? Taking the first step in seeking professional support is usually the hardest step. The counseling environment I strive to facilitate is a safe, non-judging and open to support the areas of life you choose to focus on. I provide support and a wealth of psycho-education as you process and articulate your struggles. I help you keep a steady focus on hope, creating change and embracing the positive possibilities for your life. Y Hablo Espanol!
Are you ready to create change in your life? Feeling motivated by significant life events, major life changes, lacking goals/motivation in life or simply wanting to know/understand/love self? Taking the first step in seeking professional support is usually the hardest step. The counseling environment I strive to facilitate is a safe, non-judging and open to support the areas of life you choose to focus on. I provide support and a wealth of psycho-education as you process and articulate your struggles. I help you keep a steady focus on hope, creating change and embracing the positive possibilities for your life. Y Hablo Espanol!
(206) 210-3779 View (206) 210-3779
Photo of Raetta Plaster Daws, Clinical Social Work/Therapist, LICSW
Raetta Plaster Daws
Clinical Social Work/Therapist, LICSW
Online Only
Hello! Are you looking for a therapist who understands children, adolescents and their families? If you need a professional who listens to you, assesses needs and possible illnesses, develops a plan to partner with you and your family to face and resolve the challenges, I may be the therapist for you.
Hello! Are you looking for a therapist who understands children, adolescents and their families? If you need a professional who listens to you, assesses needs and possible illnesses, develops a plan to partner with you and your family to face and resolve the challenges, I may be the therapist for you.
(206) 593-4045 View (206) 593-4045
Photo of Suzanne Lynette Rodriguez, Clinical Social Work/Therapist, MSW, LICSW
Suzanne Lynette Rodriguez
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
Not accepting new clients
Since 2003, I’ve worked primarily in primary care clinics throughout the Yakima Valley, providing counseling to teens, adults, seniors, active-duty military, and veterans. My goal is simple: to help every individual build a healthier mind and body—starting wherever they are. Let’s work toward a healthier you.
Since 2003, I’ve worked primarily in primary care clinics throughout the Yakima Valley, providing counseling to teens, adults, seniors, active-duty military, and veterans. My goal is simple: to help every individual build a healthier mind and body—starting wherever they are. Let’s work toward a healthier you.
(509) 587-4579 View (509) 587-4579
Photo of Starla D Stone - Paraclete Christian Counseling Services LLC, Clinical Social Work/Therapist, LICSW, MSW
Paraclete Christian Counseling Services LLC
Clinical Social Work/Therapist, LICSW, MSW
Online Only
I began my career in 1979 with a spiritual gift for serving others. Obtaining an MSW in 2007, my graduate internship launched a church-based ministry offering Christian counseling. Currently a LICSW I use evidence/research-based techniques, including cognitive-behavioral, solution-focused and narrative therapy to strengthen client and family systems. I have proven competent in my clinical practice and am ready to assist clients in realizing their resilience in moving forward towards a positive future.
I began my career in 1979 with a spiritual gift for serving others. Obtaining an MSW in 2007, my graduate internship launched a church-based ministry offering Christian counseling. Currently a LICSW I use evidence/research-based techniques, including cognitive-behavioral, solution-focused and narrative therapy to strengthen client and family systems. I have proven competent in my clinical practice and am ready to assist clients in realizing their resilience in moving forward towards a positive future.
(509) 571-2434 View (509) 571-2434

More Therapists Nearby

Photo of Jessica Farmer, Pre-Licensed Professional
Jessica Farmer
Pre-Licensed Professional
1 Endorsed
Yakima, WA 98908
Are you looking for someone who can help you with your life's difficulties? I specialize in helping people are struggling with anxiety, depression, relationship problems and other emotional/social issues. I will offer you a place where healing can occur, along with providing research-supported treatment interventions. I work under the supervision of Derek Hatfield, Ph.D. as I complete my training towards Washington State licensure. I look forward to meeting with you as we work together in helping you with your struggles.
Are you looking for someone who can help you with your life's difficulties? I specialize in helping people are struggling with anxiety, depression, relationship problems and other emotional/social issues. I will offer you a place where healing can occur, along with providing research-supported treatment interventions. I work under the supervision of Derek Hatfield, Ph.D. as I complete my training towards Washington State licensure. I look forward to meeting with you as we work together in helping you with your struggles.
(509) 646-7843 View (509) 646-7843
Photo of Tina Marie Roberts, Clinical Social Work/Therapist, MSW, LICSW
Tina Marie Roberts
Clinical Social Work/Therapist, MSW, LICSW
2 Endorsed
Zillah, WA 98953
If you've been stuck and want to break the cycle of emotional pain, therapy is an excellent choice. My passion is to help trauma and grief survivors, as well as other therapists move forward and find hope again. Trauma, Grief, compassion fatigue and burnout show up in relationship issues, depression, anxiety and disordered eating. Sometimes they lead to questioning your worth. If you're feeling lost, hurt and emotionally overwhelmed and if you're looking to heal so you can move forward into a brighter future, I'd love to come along side of you on your journey.
If you've been stuck and want to break the cycle of emotional pain, therapy is an excellent choice. My passion is to help trauma and grief survivors, as well as other therapists move forward and find hope again. Trauma, Grief, compassion fatigue and burnout show up in relationship issues, depression, anxiety and disordered eating. Sometimes they lead to questioning your worth. If you're feeling lost, hurt and emotionally overwhelmed and if you're looking to heal so you can move forward into a brighter future, I'd love to come along side of you on your journey.
(509) 260-2768 View (509) 260-2768

See more therapy options for 98903

How does your Therapist compare?

Number of Therapists in 98903

10+

Average cost per session

$150

Therapists in 98903 who prioritize treating:

94% Relationship Issues
94% Anxiety
89% Depression
78% Trauma and PTSD
78% Self Esteem
72% Stress
67% Family Conflict

Average years in practice

12 Years

Top 3 insurances accepted

94% Premera Blue Cross
88% Regence
81% Aetna

How Therapists in 98903 see their clients

61% In Person and Online
39% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 98903?

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.