Therapists in Tacoma, WA

View neighborhoods in Tacoma
Photo of Laurel Madson-Lawson Losninger Counseling, Counselor in Tacoma, WA
Laurel Madson-Lawson Losninger Counseling
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98406
I work as a Couples (Family) and Individual counselor, serving their needs to improve connections and communication; to regain trust, compassion, and empathy. I work with Eating Disorders as well, with training from Residential Treatment facilities and managing a milieu for Outpatient Recovery. I am an artist who incorporates art therapy into sessions, as well as, EMDR. I would love to help you, or you and your partner in your recovery journey!
I work as a Couples (Family) and Individual counselor, serving their needs to improve connections and communication; to regain trust, compassion, and empathy. I work with Eating Disorders as well, with training from Residential Treatment facilities and managing a milieu for Outpatient Recovery. I am an artist who incorporates art therapy into sessions, as well as, EMDR. I would love to help you, or you and your partner in your recovery journey!
(253) 650-0166 View (253) 650-0166
Photo of Christie Seligman, Counselor in Tacoma, WA
Christie Seligman
Counselor, MS, LMHC
Verified Verified
4 Endorsed
Tacoma, WA 98406
Not accepting new clients
**I am unable to take new clients at this time** I believe in the inner capacity of all humans to grow and heal in mind, body, and spirit from trauma or challenges faced in life. Due to our interconnected nature, this healing capacity is deepened and broadened through the assistance and support of others. I seek to hold a safe space through the therapeutic relationship to allow for the development of greater understanding and appreciation of self. Through this process, people begin to make meaningful changes and courageously act in ways that reflect their values and wholeness.
**I am unable to take new clients at this time** I believe in the inner capacity of all humans to grow and heal in mind, body, and spirit from trauma or challenges faced in life. Due to our interconnected nature, this healing capacity is deepened and broadened through the assistance and support of others. I seek to hold a safe space through the therapeutic relationship to allow for the development of greater understanding and appreciation of self. Through this process, people begin to make meaningful changes and courageously act in ways that reflect their values and wholeness.
(206) 429-6299 View (206) 429-6299
Photo of Shellie Gravitt, Marriage & Family Therapist in Tacoma, WA
Shellie Gravitt
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Tacoma, WA 98402
I am Certified in Emotionally Focused Therapy (EFT) for couples and in Internal Family Systems (IFS). EFT allows couples to move away from painful interactions and towards connection. It is incredibly effective in helping couples understand triggers and emotional distress. Suffering in your partnership can be incredibly isolating and painful. I will help you identify and understand your and your partner's most important needs and longings. Please don't wait to get help, if your relationship is in distress reach out as soon as possible. Your relationship can be the safe haven you've always longed for.
I am Certified in Emotionally Focused Therapy (EFT) for couples and in Internal Family Systems (IFS). EFT allows couples to move away from painful interactions and towards connection. It is incredibly effective in helping couples understand triggers and emotional distress. Suffering in your partnership can be incredibly isolating and painful. I will help you identify and understand your and your partner's most important needs and longings. Please don't wait to get help, if your relationship is in distress reach out as soon as possible. Your relationship can be the safe haven you've always longed for.
(206) 966-6673 View (206) 966-6673
Photo of Chelsey Webb, Counselor in Tacoma, WA
Chelsey Webb
Counselor, LMHC, NCC
Verified Verified
Tacoma, WA 98402
Not accepting new clients
I enjoy working throughout the lifespan, kids, teens and adults. I work with a wide variety of individuals and presentations. I am a neurodivergence affirming, nervous system nerd. I like to support individuals who seek to understand the experiences of their mind and body more fully. I employ compassionate inquiry, radical tenderness and creativity. I love working with the LGBTQ+ community, ADHD'ers, Autistic folks, and others under the neurodiversity umbrella. Future clients may have goals in understanding anxiety, growing in skills of emotional regulation, interpersonal effectiveness, mindfulness and distress tolerance.
I enjoy working throughout the lifespan, kids, teens and adults. I work with a wide variety of individuals and presentations. I am a neurodivergence affirming, nervous system nerd. I like to support individuals who seek to understand the experiences of their mind and body more fully. I employ compassionate inquiry, radical tenderness and creativity. I love working with the LGBTQ+ community, ADHD'ers, Autistic folks, and others under the neurodiversity umbrella. Future clients may have goals in understanding anxiety, growing in skills of emotional regulation, interpersonal effectiveness, mindfulness and distress tolerance.
(253) 338-5812 View (253) 338-5812
Photo of Tara Hollander, Clinical Social Work/Therapist in Tacoma, WA
Tara Hollander
Clinical Social Work/Therapist, MSW, ACSW, LICSW
Verified Verified
2 Endorsed
Tacoma, WA 98407
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
(253) 336-8720 View (253) 336-8720
Photo of Alexandra Emery, Psychologist in Tacoma, WA
Alexandra Emery
Psychologist, PhD
Verified Verified
3 Endorsed
Tacoma, WA 98402  (Online Only)
From the outside it seems like you have it all together, so why aren't you content? Maybe it's work, your relationships, or something else you can't quite put your finger on. Maybe you're struggling with feelings of sadness, unfulfillment, or pain. Maybe you find it difficult to relax, be present, and are constantly looking forward to when you'll finally be happy. Whatever it is, it doesn't feel good, and it definitely doesn't have to be this way. In therapy, I will work to build a collaborative relationship where we can explore these feelings together, and help you to tap into a life that holds more meaning, ease, and fulfilment.
From the outside it seems like you have it all together, so why aren't you content? Maybe it's work, your relationships, or something else you can't quite put your finger on. Maybe you're struggling with feelings of sadness, unfulfillment, or pain. Maybe you find it difficult to relax, be present, and are constantly looking forward to when you'll finally be happy. Whatever it is, it doesn't feel good, and it definitely doesn't have to be this way. In therapy, I will work to build a collaborative relationship where we can explore these feelings together, and help you to tap into a life that holds more meaning, ease, and fulfilment.
(253) 262-0647 View (253) 262-0647
Photo of Counseling by George PLLC, Counselor in Tacoma, WA
Counseling by George PLLC
Counselor, MS, LMHC, LPC, MHP
Verified Verified
Tacoma, WA 98402  (Online Only)
I provide counseling services mostly by telehealth and have offices in Washington and Georgia for divorce mediation. I focus on working with people who want to change their behavior to get better results, to get more of what they want and less of what they don't want. That usually involves changing thinking, dispensing with irrational beliefs, and learning how to let others know what your needs are. You will find me person-centered and non-confrontational. You want to have better consequences in your life, and my job is to help you find them. I also work with couples and families who want to learn how to listen.
I provide counseling services mostly by telehealth and have offices in Washington and Georgia for divorce mediation. I focus on working with people who want to change their behavior to get better results, to get more of what they want and less of what they don't want. That usually involves changing thinking, dispensing with irrational beliefs, and learning how to let others know what your needs are. You will find me person-centered and non-confrontational. You want to have better consequences in your life, and my job is to help you find them. I also work with couples and families who want to learn how to listen.
(509) 955-7167 View (509) 955-7167
Photo of Lonnie Renteria Counseling, PLLC, Counselor in Tacoma, WA
Lonnie Renteria Counseling, PLLC
Counselor, MA, LMHC, CCTP, CTMH
Verified Verified
Tacoma, WA 98402  (Online Only)
Waitlist for new clients
I provide a safe, supportive space for couples and individuals. We negotiate together how to optimize your experience of living life, your relationships, your work, and we continue to build on that. I believe that we all have the capacity to heal and build the life that we want to live.
I provide a safe, supportive space for couples and individuals. We negotiate together how to optimize your experience of living life, your relationships, your work, and we continue to build on that. I believe that we all have the capacity to heal and build the life that we want to live.
(206) 258-6420 View (206) 258-6420
Photo of Maggie Montgomery, Marriage & Family Therapist in Tacoma, WA
Maggie Montgomery
Marriage & Family Therapist, MA, LMFT, CST
Verified Verified
3 Endorsed
Tacoma, WA 98402  (Online Only)
Now accepting telehealth clients in both Washington state and Utah! I work with individuals, and partnerships to assist with meeting personal and collective goals. It is my intention to support and collaborate to find the best way to address your needs around this process. I work to foster respect for each client and their unique belief and value systems. I work with clients of all ethnicities, gender identities, relationship dynamics, sexual orientations, and religious/spiritual backgrounds. I have experience with and a passion for working with folks impacted by cult groups.
Now accepting telehealth clients in both Washington state and Utah! I work with individuals, and partnerships to assist with meeting personal and collective goals. It is my intention to support and collaborate to find the best way to address your needs around this process. I work to foster respect for each client and their unique belief and value systems. I work with clients of all ethnicities, gender identities, relationship dynamics, sexual orientations, and religious/spiritual backgrounds. I have experience with and a passion for working with folks impacted by cult groups.
(253) 999-7107 View (253) 999-7107
Photo of Eric Cuestas-Thompson, LICSW, Clinical Social Work/Therapist in Tacoma, WA
Eric Cuestas-Thompson, LICSW
Clinical Social Work/Therapist, LICSW, LCSW, LISAC
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
I am a Licensed Independent Clinical Social Worker in private practice partnering with Mindful Therapy Group. I specialize in EMDR (Eye Movement Desensitization and Reprocessing) in the treatment of PTSD, anxiety, depression and addictions, including sexual compulsivity. My focus is working with adolescents and their families, couples, and men going through difficult transitions. I believe that you should have the quality of life that you want and deserve and I can help you identify and remove the obstacles that are preventing you from having a fulfilling and satisfying life.
I am a Licensed Independent Clinical Social Worker in private practice partnering with Mindful Therapy Group. I specialize in EMDR (Eye Movement Desensitization and Reprocessing) in the treatment of PTSD, anxiety, depression and addictions, including sexual compulsivity. My focus is working with adolescents and their families, couples, and men going through difficult transitions. I believe that you should have the quality of life that you want and deserve and I can help you identify and remove the obstacles that are preventing you from having a fulfilling and satisfying life.
(253) 348-2242 View (253) 348-2242
Photo of Tacoma Counseling PLLC, Counselor in Tacoma, WA
Tacoma Counseling PLLC
Counselor, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98403
Now accepting new clients. Full time hours Mon - Fri. And by appointment, morning, evening, weekend hours. Helping you determine where you are feeling stuck with some part of your health and wellness. Ready to partner with you to help you get unstuck. I’ll hold your concerns with deep compassion. I’ll listen actively. I’ll work with you to address what’s most important to you. I will meet you where you are with dignity and respect, to connect with you. Then, we work together to tailor recovery and wellness work that best fits your needs, leaning into the work. Through hope and transformation, you can heal, grow, and thrive.
Now accepting new clients. Full time hours Mon - Fri. And by appointment, morning, evening, weekend hours. Helping you determine where you are feeling stuck with some part of your health and wellness. Ready to partner with you to help you get unstuck. I’ll hold your concerns with deep compassion. I’ll listen actively. I’ll work with you to address what’s most important to you. I will meet you where you are with dignity and respect, to connect with you. Then, we work together to tailor recovery and wellness work that best fits your needs, leaning into the work. Through hope and transformation, you can heal, grow, and thrive.
(253) 329-5873 View (253) 329-5873
Photo of Jenny Koning, Clinical Social Work/Therapist in Tacoma, WA
Jenny Koning
Clinical Social Work/Therapist, LCSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Hi, I'm glad you are here! My practice focuses primarily on women with a speciality in working with mothers, pre and postpartum.
Hi, I'm glad you are here! My practice focuses primarily on women with a speciality in working with mothers, pre and postpartum.
(360) 583-4087 View (360) 583-4087
Photo of Michael Grant Moen, Mental Health Counselor in Tacoma, WA
Michael Grant Moen
Mental Health Counselor, MA, LMHC
Verified Verified
2 Endorsed
Tacoma, WA 98422  (Online Only)
Waitlist for new clients
I use several therapeutic approaches including CBT, DBT, SFT Narrative therapy to support individual clients, and families. I work with youth 10 or older, couples, parents, and adults seeking professional counseling.
I use several therapeutic approaches including CBT, DBT, SFT Narrative therapy to support individual clients, and families. I work with youth 10 or older, couples, parents, and adults seeking professional counseling.
(253) 242-2989 View (253) 242-2989
Photo of Ashely Hill, Clinical Social Work/Therapist in Tacoma, WA
Ashely Hill
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
Not accepting new clients
Are you often overwhelmed with feelings of hopelessness, low self-esteem, indecisiveness, frustration? Or maybe you feel unfulfilled in your daily routine, your work, or your relationships. The world is a challenging place to navigate right now, and you don’t have to do it alone. With mental health awareness at the forefront of the national conversation, therapy is becoming less and less taboo to seek out. I hope to join you on your journey of healing and embracing your authentic self.
Are you often overwhelmed with feelings of hopelessness, low self-esteem, indecisiveness, frustration? Or maybe you feel unfulfilled in your daily routine, your work, or your relationships. The world is a challenging place to navigate right now, and you don’t have to do it alone. With mental health awareness at the forefront of the national conversation, therapy is becoming less and less taboo to seek out. I hope to join you on your journey of healing and embracing your authentic self.
(253) 215-6535 View (253) 215-6535
Photo of Abbey Ganz, Counselor in Tacoma, WA
Abbey Ganz
Counselor, MS, LMHCA
Verified Verified
10 Endorsed
Tacoma, WA 98407  (Online Only)
Waitlist for new clients
Hi, I'm Abbey! I am so glad you are here! My goal is to empower you to show up as you are and leave each session feeling valued, heard and trusted. I am here to help you process and bring clarity and growth to the areas you would like to work on. I build a welcoming and safe environment for you in order to provide the best care possible. Each and every one of us have varied life experiences which means my style is not one-size-fits-all. I spend time getting to know you in order to come up with goals together that are individualized to your needs, including varying therapy techniques that are the right fit for you.
Hi, I'm Abbey! I am so glad you are here! My goal is to empower you to show up as you are and leave each session feeling valued, heard and trusted. I am here to help you process and bring clarity and growth to the areas you would like to work on. I build a welcoming and safe environment for you in order to provide the best care possible. Each and every one of us have varied life experiences which means my style is not one-size-fits-all. I spend time getting to know you in order to come up with goals together that are individualized to your needs, including varying therapy techniques that are the right fit for you.
(253) 993-1878 View (253) 993-1878
Photo of Brittany Tillman, Counselor in Tacoma, WA
Brittany Tillman
Counselor, LMHCA
Verified Verified
Tacoma, WA 98446
Welcome! I am so glad you are here. My primary focus as a licensed mental health counselor associate is on anxiety-related disorders, and I have worked extensively with clients facing a range of challenges, from generalized anxiety or specific phobias, to perfectionism or insecure attachment styles. I understand that each person's experience with anxiety is unique, and I tailor my therapeutic approach to meet individual needs. Whether that involves use of common evidence-based practices like cognitive-behavioral therapy (CBT), or traditional talk therapy, we will find what works best for you.
Welcome! I am so glad you are here. My primary focus as a licensed mental health counselor associate is on anxiety-related disorders, and I have worked extensively with clients facing a range of challenges, from generalized anxiety or specific phobias, to perfectionism or insecure attachment styles. I understand that each person's experience with anxiety is unique, and I tailor my therapeutic approach to meet individual needs. Whether that involves use of common evidence-based practices like cognitive-behavioral therapy (CBT), or traditional talk therapy, we will find what works best for you.
(509) 519-1420 View (509) 519-1420
Photo of Courtney Putnam, Counselor in Tacoma, WA
Courtney Putnam
Counselor, MA, MFA, LMHCA, LMT, RM
Verified Verified
3 Endorsed
Tacoma, WA 98406
I support clients in managing the stressors in their lives, getting unstuck, expressing themselves, and deepening their relationships with themselves and others. I work with adults (18+) from all walks of life who may be struggling with self-esteem, identity, anxiety, depression, grief/loss, life transitions, chronic pain/illness, college stress, burnout, past trauma, and more. I am also an LGBTQ+ affirming therapist and offer gender-affirming care. I hold an inclusive and anti-oppressive lens and invite clients’ intersecting cultural identities to be acknowledged, respected, and celebrated.
I support clients in managing the stressors in their lives, getting unstuck, expressing themselves, and deepening their relationships with themselves and others. I work with adults (18+) from all walks of life who may be struggling with self-esteem, identity, anxiety, depression, grief/loss, life transitions, chronic pain/illness, college stress, burnout, past trauma, and more. I am also an LGBTQ+ affirming therapist and offer gender-affirming care. I hold an inclusive and anti-oppressive lens and invite clients’ intersecting cultural identities to be acknowledged, respected, and celebrated.
(253) 243-8345 View (253) 243-8345
Photo of Loni Fillmore, Psychologist in Tacoma, WA
Loni Fillmore
Psychologist, PsyD
Verified Verified
Tacoma, WA 98402
*Email is the best way to contact me for an appointment* Welcome! You are in the right place. Now is the time. The first step toward getting somewhere, changing something, is to become aware that you can’t stay where you are. Accepting the change and all that follows takes courage, compassion and curiosity. YOU’VE GOT THIS.
*Email is the best way to contact me for an appointment* Welcome! You are in the right place. Now is the time. The first step toward getting somewhere, changing something, is to become aware that you can’t stay where you are. Accepting the change and all that follows takes courage, compassion and curiosity. YOU’VE GOT THIS.
(253) 238-7551 View (253) 238-7551
Photo of Jenifer Nazarowski, Clinical Social Work/Therapist in Tacoma, WA
Jenifer Nazarowski
Clinical Social Work/Therapist, LICSW, CMC
Verified Verified
2 Endorsed
Tacoma, WA 98444  (Online Only)
I take a ‘client-centered’ approach to therapy and believe therapy is a partnership between the client and the therapist. I take the time to build a trusting, mutually-respectful client/therapist relationship. I provide guidance and support for clients to reach their full potential and make their own choices based on what is best for them. I strive to honor God in all that I do, which includes helping his children along life’s journey. I incorporate spiritual themes, tailored to the client’s personal belief system.
I take a ‘client-centered’ approach to therapy and believe therapy is a partnership between the client and the therapist. I take the time to build a trusting, mutually-respectful client/therapist relationship. I provide guidance and support for clients to reach their full potential and make their own choices based on what is best for them. I strive to honor God in all that I do, which includes helping his children along life’s journey. I incorporate spiritual themes, tailored to the client’s personal belief system.
View
Photo of Gabriela Raisl, Marriage & Family Therapist Associate in Tacoma, WA
Gabriela Raisl
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Tacoma, WA 98403
I specialize in working with couples that are needing help creating a new path for connection and emotional safety within their relationship. Some areas include parenting, infidelity, repairing ruptures and needing to strengthen communication. I work with individuals who are experiencing anxiety, depression, life transition and wanting to take a deep look inward. I offer a few spots for whole families who are wanting to connect and create secure attachments, creating a family system that feels in sync and united.
I specialize in working with couples that are needing help creating a new path for connection and emotional safety within their relationship. Some areas include parenting, infidelity, repairing ruptures and needing to strengthen communication. I work with individuals who are experiencing anxiety, depression, life transition and wanting to take a deep look inward. I offer a few spots for whole families who are wanting to connect and create secure attachments, creating a family system that feels in sync and united.
(253) 553-3206 View (253) 553-3206

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
88% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tacoma?

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.