Therapists in Puyallup, WA

Photo of Cornerstone Counseling, Marriage & Family Therapist in Puyallup, WA
Cornerstone Counseling
Marriage & Family Therapist, LMFT, MHP, MA, CMHS
Verified Verified
5 Endorsed
Puyallup, WA 98372
We repeat what we don't repair." Christine Langley-Obaugh. At Cornerstone Counseling, we believe in the power of healing and growth. We understand that individuals often find themselves trapped in repetitive patterns that prevent them from living their best lives. Inspired by the quote above, we are dedicated to helping clients break free from these patterns by providing compassionate therapy and facilitating deep personal transformation. Our holistic approach combines evidence-based techniques with empathy, providing a safe space for clients to explore, heal, and grow. Let us support you on your journey to a more fulfilling life
We repeat what we don't repair." Christine Langley-Obaugh. At Cornerstone Counseling, we believe in the power of healing and growth. We understand that individuals often find themselves trapped in repetitive patterns that prevent them from living their best lives. Inspired by the quote above, we are dedicated to helping clients break free from these patterns by providing compassionate therapy and facilitating deep personal transformation. Our holistic approach combines evidence-based techniques with empathy, providing a safe space for clients to explore, heal, and grow. Let us support you on your journey to a more fulfilling life
(253) 799-0582 View (253) 799-0582
Photo of Jennifer McDonald, Marriage & Family Therapist Associate in Puyallup, WA
Jennifer McDonald
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Puyallup, WA 98373  (Online Only)
I serve children (6+), teens, and adults (up to 40) for individual therapy. I also conduct couples therapy, family therapy and i offer parent sessions. I use a mixture of models to meet each client where they are currently at in their mental health journey.
I serve children (6+), teens, and adults (up to 40) for individual therapy. I also conduct couples therapy, family therapy and i offer parent sessions. I use a mixture of models to meet each client where they are currently at in their mental health journey.
(206) 222-6701 View (206) 222-6701
Photo of Tim Skipworth, Marriage & Family Therapist in Puyallup, WA
Tim Skipworth
Marriage & Family Therapist, MA, MHP, LMFT
Verified Verified
6 Endorsed
Puyallup, WA 98374  (Online Only)
Anxiety, depression, trauma, and relational conflict can weigh on us and interfere with our day-to-day functioning. Those of us who come to therapy are often needing someone to process experiences with so these problems don't rob us of joy. You deserve to have a space to process your experiences without judgment or simply being told what you want to hear. You deserve authenticity and compassion. If you are feeling overwhelmed with personal mental health challenges or relationship issues, I want to help you find peace and happiness.
Anxiety, depression, trauma, and relational conflict can weigh on us and interfere with our day-to-day functioning. Those of us who come to therapy are often needing someone to process experiences with so these problems don't rob us of joy. You deserve to have a space to process your experiences without judgment or simply being told what you want to hear. You deserve authenticity and compassion. If you are feeling overwhelmed with personal mental health challenges or relationship issues, I want to help you find peace and happiness.
(253) 600-2496 View (253) 600-2496
Photo of Stone's Throw Counseling, Counselor in Puyallup, WA
Stone's Throw Counseling
Counselor, MA, LMHC
Verified Verified
Puyallup, WA 98375  (Online Only)
Waitlist for new clients
If you are experiencing worry, sadness, anxiety, depression, mood swings, or anger that is too big or too constant, you may need a quiet, compassionate person who can help you reduce your discomfort. I work from a place of wellness and growth, not illness. I will help you understand your challenges in ways that give you the ability to work with your (or your family's) concerns. You can change what needs changing, and keep what works well in your life.
If you are experiencing worry, sadness, anxiety, depression, mood swings, or anger that is too big or too constant, you may need a quiet, compassionate person who can help you reduce your discomfort. I work from a place of wellness and growth, not illness. I will help you understand your challenges in ways that give you the ability to work with your (or your family's) concerns. You can change what needs changing, and keep what works well in your life.
(253) 201-8093 View (253) 201-8093
Photo of Mallory Stinger in Puyallup, WA
Mallory Stinger
LBA, BCBA, M Ed
Verified Verified
Puyallup, WA 98374
Services I provide: Applied Behavior Analysis and Speech Therapy. I do not provide diagnostic or mental health services. I specialize in ABA services only. My holistic approach uses ABA in homes to provide support and model strategies for the entire family, helping them break free from barriers and lead fulfilling lives.
Services I provide: Applied Behavior Analysis and Speech Therapy. I do not provide diagnostic or mental health services. I specialize in ABA services only. My holistic approach uses ABA in homes to provide support and model strategies for the entire family, helping them break free from barriers and lead fulfilling lives.
(253) 366-8417 View (253) 366-8417
Photo of Alex Contrades, Clinical Social Work/Therapist in Puyallup, WA
Alex Contrades
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Puyallup, WA 98374
Not accepting new clients
I love to help people live more authentic, fuller lives by celebrating the things that make you unique, and helping you identify what you need to live a more values-driven life. I often work with folks who want to feel less trapped in worry, sadness, anger, or feelings of worthlessness and loneliness. Many come to me with traumatic or painful past experiences, and they want to better navigate relationships with others or manage their emotions in healthier ways. They want to find meaning in their lives, and be more confident in who they are as an individual.
I love to help people live more authentic, fuller lives by celebrating the things that make you unique, and helping you identify what you need to live a more values-driven life. I often work with folks who want to feel less trapped in worry, sadness, anger, or feelings of worthlessness and loneliness. Many come to me with traumatic or painful past experiences, and they want to better navigate relationships with others or manage their emotions in healthier ways. They want to find meaning in their lives, and be more confident in who they are as an individual.
(253) 447-5995 View (253) 447-5995
Photo of Corinne A Sudduth, Clinical Social Work/Therapist in Puyallup, WA
Corinne A Sudduth
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Puyallup, WA 98372
Hello there! My approach to counseling is person-centered and strengths-based. I believe that you are the expert of you and my purpose is to assist you in reconnecting to your inner wisdom and strength. My background is in working primarily with teens and young adults. I am passionate about helping you find the fulfillment and confidence you deserve through changing stuck patterns and building healthy relationships.
Hello there! My approach to counseling is person-centered and strengths-based. I believe that you are the expert of you and my purpose is to assist you in reconnecting to your inner wisdom and strength. My background is in working primarily with teens and young adults. I am passionate about helping you find the fulfillment and confidence you deserve through changing stuck patterns and building healthy relationships.
(253) 993-1693 View (253) 993-1693
Photo of Amy E Pruitt, Marriage & Family Therapist in Puyallup, WA
Amy E Pruitt
Marriage & Family Therapist, LMFT
Verified Verified
Puyallup, WA 98373
Would it surprise you to know that nearly every client I have ever worked with has asked me the same question? It's true. "Am I crazy?" I tell them all the same thing: "No. Crazy is a feeling--not a diagnosis. You can feel crazy, act crazy, look crazy, do something crazy--but you cannot BE crazy. Maybe you have been wondering if you are crazy? Or if perhaps you are "losing your mind"? I would like to be the therapist who gets to know you, and helps reassure you that you are not crazy or losing your mind, and to help you feel better in general.
Would it surprise you to know that nearly every client I have ever worked with has asked me the same question? It's true. "Am I crazy?" I tell them all the same thing: "No. Crazy is a feeling--not a diagnosis. You can feel crazy, act crazy, look crazy, do something crazy--but you cannot BE crazy. Maybe you have been wondering if you are crazy? Or if perhaps you are "losing your mind"? I would like to be the therapist who gets to know you, and helps reassure you that you are not crazy or losing your mind, and to help you feel better in general.
(253) 262-0423 View (253) 262-0423
Photo of Dr. Bre | Evolution Engineered, Inc., Licensed Professional Counselor in Puyallup, WA
Dr. Bre | Evolution Engineered, Inc.
Licensed Professional Counselor, PhD, LPC, LMHC
Verified Verified
2 Endorsed
Puyallup, WA 98373  (Online Only)
Wanna be your own #RelationshipGoals! I help folx evolve beyond the same old arguments, into an honest partnership that nourishes each of you individually + together! My approach is all about identifying the individual skills each of you need to co-create a loving partnership -- without trauma bonds or codependency. I work with all backgrounds + orientations + expressions that know how to Love in all different ways! We do the work that is right for YOUR partnership—not anyone else's. You'll also discover if it's time to release your relationship. AND if it is time... I'll help you do so in the most Loving way!
Wanna be your own #RelationshipGoals! I help folx evolve beyond the same old arguments, into an honest partnership that nourishes each of you individually + together! My approach is all about identifying the individual skills each of you need to co-create a loving partnership -- without trauma bonds or codependency. I work with all backgrounds + orientations + expressions that know how to Love in all different ways! We do the work that is right for YOUR partnership—not anyone else's. You'll also discover if it's time to release your relationship. AND if it is time... I'll help you do so in the most Loving way!
(360) 526-8654 View (360) 526-8654
Photo of Melissa Lowe, Clinical Social Work/Therapist in Puyallup, WA
Melissa Lowe
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Puyallup, WA 98371  (Online Only)
Accepting New Patients via telehealth/telemedicince. Seeing children, adults, and families. Those in my practice also can see couples. Melissa Lowe received her Masters in Social Work from Boise State in Idaho and holds an Associate License for Clinical Social Work. As a social worker, Melissa has over 15 years of experience working with children and families. She started out as a nanny before working crisis work in the school, assisting in the prisons, helping families, and at our local hospitals.
Accepting New Patients via telehealth/telemedicince. Seeing children, adults, and families. Those in my practice also can see couples. Melissa Lowe received her Masters in Social Work from Boise State in Idaho and holds an Associate License for Clinical Social Work. As a social worker, Melissa has over 15 years of experience working with children and families. She started out as a nanny before working crisis work in the school, assisting in the prisons, helping families, and at our local hospitals.
(253) 366-7771 View (253) 366-7771
Photo of Remote Psychological Evaluations And Testing In 35 States, Psychologist in Puyallup, WA
Remote Psychological Evaluations And Testing In 35 States
Psychologist, PhD
Verified Verified
Puyallup, WA 98374  (Online Only)
Dr. Moreland is a Licensed Psychologist, who conducts comprehensive psychological and neuropsychological assessments through HIPAA Compliant Telehealth Platforms. She specialize in working with children, adolescents, and adults with a range of socio-emotional problems, as well as cognitive symptoms and disorders. She has worked with a wide range of neurodevelopmental disorders, including intellectual disability, autism spectrum disorder, attention-deficit/hyperactivity disorder, and specific learning disorder. She has also had experience with neurological conditions, including traumatic brain injuries and dementia.
Dr. Moreland is a Licensed Psychologist, who conducts comprehensive psychological and neuropsychological assessments through HIPAA Compliant Telehealth Platforms. She specialize in working with children, adolescents, and adults with a range of socio-emotional problems, as well as cognitive symptoms and disorders. She has worked with a wide range of neurodevelopmental disorders, including intellectual disability, autism spectrum disorder, attention-deficit/hyperactivity disorder, and specific learning disorder. She has also had experience with neurological conditions, including traumatic brain injuries and dementia.
(253) 400-1650 View (253) 400-1650
Photo of Sara Joy, Counselor in Puyallup, WA
Sara Joy
Counselor, MHP, LMHC, SUDP
Verified Verified
2 Endorsed
Puyallup, WA 98371
Whether you're looking for counseling for a child, adolescent, family, couple, or adult individual, I would be honored to work with you. I have experience working with clients coping with past trauma, addiction, depression, anxiety, life transitions, teenage challenges, relationship issues, and more. I offer a nurturing atmosphere where you can feel accepted and secure. In our sessions together, I will help you process your past to see how you have ventured to this present point in time. We will look for the ways you have overcome challenges in order to restore confidence in your ability to manage and navigate your life.
Whether you're looking for counseling for a child, adolescent, family, couple, or adult individual, I would be honored to work with you. I have experience working with clients coping with past trauma, addiction, depression, anxiety, life transitions, teenage challenges, relationship issues, and more. I offer a nurturing atmosphere where you can feel accepted and secure. In our sessions together, I will help you process your past to see how you have ventured to this present point in time. We will look for the ways you have overcome challenges in order to restore confidence in your ability to manage and navigate your life.
(253) 215-8848 View (253) 215-8848
Photo of Caren Osborn, Marriage & Family Therapist in Puyallup, WA
Caren Osborn
Marriage & Family Therapist, MA, LMFT
Verified Verified
Puyallup, WA 98373
You can heal by recognizing how important your thoughts and feelings are in navigating this world. We often use our minds to solve everything and sometimes we "solve" ourselves into trouble. We become fragmented when we problem solve without taking the time to tend to our whole self. Use all of you to integrate what has been fragmented by trauma, be it divorce, depression, anxiety, family issues, grief, etc. In a Christian setting I will be guide you to access your thoughts, feelings, and spirituality to help you become more authentically yourself, allowing you to use your strengths and create more peace in your life.
You can heal by recognizing how important your thoughts and feelings are in navigating this world. We often use our minds to solve everything and sometimes we "solve" ourselves into trouble. We become fragmented when we problem solve without taking the time to tend to our whole self. Use all of you to integrate what has been fragmented by trauma, be it divorce, depression, anxiety, family issues, grief, etc. In a Christian setting I will be guide you to access your thoughts, feelings, and spirituality to help you become more authentically yourself, allowing you to use your strengths and create more peace in your life.
(253) 200-6391 View (253) 200-6391
Photo of Violet Price, Pre-Licensed Professional in Puyallup, WA
Violet Price
Pre-Licensed Professional, MS, LICSWA
Verified Verified
1 Endorsed
Puyallup, WA 98371
Violet has worked for six years in the mental health field. She has worked in various settings which include a crisis response clinic, a behavioral health hospital, and a community mental health clinic. Violet has worked with adults, adolescents, and teenagers on a variety of issues to include trauma, suicidal ideations, grief, depression, anxiety and self-esteem.
Violet has worked for six years in the mental health field. She has worked in various settings which include a crisis response clinic, a behavioral health hospital, and a community mental health clinic. Violet has worked with adults, adolescents, and teenagers on a variety of issues to include trauma, suicidal ideations, grief, depression, anxiety and self-esteem.
(253) 364-1764 View (253) 364-1764
Photo of Bridget StJohn Therapy, LLC, Marriage & Family Therapist in Puyallup, WA
Bridget StJohn Therapy, LLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
Puyallup, WA 98371
Often, when we feel blocked by experiencing overwhelming negative thoughts and emotions, it can make one feel trapped with no way out. Anger, frustration, sadness and worry can easily pound down confidence and push away people we care about in our lives. My passion is helping you break free from what I call the "dictatorship" of anxiety, anger, depression, past hurts, and work with you to find your personal strength to start living your life on your terms and strengthen connections with others.
Often, when we feel blocked by experiencing overwhelming negative thoughts and emotions, it can make one feel trapped with no way out. Anger, frustration, sadness and worry can easily pound down confidence and push away people we care about in our lives. My passion is helping you break free from what I call the "dictatorship" of anxiety, anger, depression, past hurts, and work with you to find your personal strength to start living your life on your terms and strengthen connections with others.
(206) 202-9754 View (206) 202-9754
Photo of Tranquility Counseling LLC, Counselor in Puyallup, WA
Tranquility Counseling LLC
Counselor, MS, NCC, LMHC, CCTP
Verified Verified
Puyallup, WA 98375  (Online Only)
Now Accepting New Clients. I provide Telehealth only services to individual clients who have suffered from trauma, depression and anxiety. Clients who are ready to set goals, learn and put in the effort to change, are the most successful in bettering their mental and emotional health. I believe that no one therapy fits all and I will provide each client with the therapeutic approach that will work best for them. Let me help you rid the pain and suffering you have been carrying, so you are not alone in your journey to a better you.
Now Accepting New Clients. I provide Telehealth only services to individual clients who have suffered from trauma, depression and anxiety. Clients who are ready to set goals, learn and put in the effort to change, are the most successful in bettering their mental and emotional health. I believe that no one therapy fits all and I will provide each client with the therapeutic approach that will work best for them. Let me help you rid the pain and suffering you have been carrying, so you are not alone in your journey to a better you.
(360) 763-0321 View (360) 763-0321
Photo of Chante Anderson, Counselor in Puyallup, WA
Chante Anderson
Counselor, LMHC, MS
Verified Verified
Puyallup, WA 98373
I've found that true healing unfolds when we honor the whole person, and I'm here to help you do just that. My practice specializes in several areas, including PTSD, ADHD, adult autism, other neurodivergencies, whole body health, and self-improvement. I also see a lot of individuals who struggle with depression and anxiety. I understand that healing is a multi-dimensional process, and to truly thrive, we must address all aspects of ourselves. I'm dedicated to creating a safe and supportive space for you to share your unique story. I am licensed in both WA and OR state.
I've found that true healing unfolds when we honor the whole person, and I'm here to help you do just that. My practice specializes in several areas, including PTSD, ADHD, adult autism, other neurodivergencies, whole body health, and self-improvement. I also see a lot of individuals who struggle with depression and anxiety. I understand that healing is a multi-dimensional process, and to truly thrive, we must address all aspects of ourselves. I'm dedicated to creating a safe and supportive space for you to share your unique story. I am licensed in both WA and OR state.
(253) 242-2565 View (253) 242-2565
Photo of Holly Bonnardel, Marriage & Family Therapist Associate in Puyallup, WA
Holly Bonnardel
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Puyallup, WA 98373
I practice from a non-pathologizing perspective and fuse my clients’ context, experiences, core values and goals with a solution-focused lens to encourage my clients to understand unhelpful thoughts and behaviors. I share what I am observing authentically with direct communication and work to help my clients express and integrate new perspectives and emotions in a healthy way in order to reach their goals. I value and integrate aspects of most theoretical modalities, but work mostly from a solution-focused perspective while also emphasizing and exploring emotions.
I practice from a non-pathologizing perspective and fuse my clients’ context, experiences, core values and goals with a solution-focused lens to encourage my clients to understand unhelpful thoughts and behaviors. I share what I am observing authentically with direct communication and work to help my clients express and integrate new perspectives and emotions in a healthy way in order to reach their goals. I value and integrate aspects of most theoretical modalities, but work mostly from a solution-focused perspective while also emphasizing and exploring emotions.
(253) 447-5879 View (253) 447-5879
Photo of Angela Edwards, Counselor in Puyallup, WA
Angela Edwards
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Puyallup, WA 98373  (Online Only)
“There is no standard normal. Normal is subjective. There are seven billion versions of normal on this planet.” - Matt Haig. So very often, we find ourselves facing the word "should". Who I "should" be, where in life I "should" be, what I "should" be able to do. Whether you are just learning who you are for the first time, or are in a place of transition in your life, the process can be very difficult and can often leave us feeling isolated, alone, misunderstood, and in the need of support.
“There is no standard normal. Normal is subjective. There are seven billion versions of normal on this planet.” - Matt Haig. So very often, we find ourselves facing the word "should". Who I "should" be, where in life I "should" be, what I "should" be able to do. Whether you are just learning who you are for the first time, or are in a place of transition in your life, the process can be very difficult and can often leave us feeling isolated, alone, misunderstood, and in the need of support.
View
Photo of Jessica Stearns, Counselor in Puyallup, WA
Jessica Stearns
Counselor, LMHC
Verified Verified
4 Endorsed
Puyallup, WA 98373
I am currently accepting new clients! When we accept ourselves we can more fully connect with others and enjoy being present in our daily lives. Would you like to treat yourself with loving kindness? To respond thoughtfully to others instead of reacting based on past experiences? I enjoy working with adult abuse survivors to develop self-compassion and explore issues related to childhood and relational trauma. If you would like to learn to nurture and care for yourself, to find acceptance and peace I can help!
I am currently accepting new clients! When we accept ourselves we can more fully connect with others and enjoy being present in our daily lives. Would you like to treat yourself with loving kindness? To respond thoughtfully to others instead of reacting based on past experiences? I enjoy working with adult abuse survivors to develop self-compassion and explore issues related to childhood and relational trauma. If you would like to learn to nurture and care for yourself, to find acceptance and peace I can help!
(253) 487-0374 View (253) 487-0374

How does your Therapist compare?

Number of Therapists in Puyallup, WA

200+

Average cost per session

$150

Therapists in Puyallup, WA who prioritize treating:

91% Anxiety
88% Depression
80% Self Esteem
79% Trauma and PTSD
75% Coping Skills
73% Relationship Issues
73% Stress

Average years in practice

9 Years

Top 3 insurances accepted

77% Premera
74% Regence
73% First Choice Health | FCH

How Therapists in Puyallup, WA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Puyallup?

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.