Therapists in Nyack, NY

Photo of John T Dunn, Clinical Social Work/Therapist in Nyack, NY
John T Dunn
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960
Along with training in individual, family and couples therapy, I bring my experience as a man growing and adjusting to a changing world. I specialize in working with men struggling in relationships with women, their children, other men -- all aspects of their lives in a world that has most of us questioning what is right, wrong or, just best. I bring this same sensitivity and experience to my work with women.
Along with training in individual, family and couples therapy, I bring my experience as a man growing and adjusting to a changing world. I specialize in working with men struggling in relationships with women, their children, other men -- all aspects of their lives in a world that has most of us questioning what is right, wrong or, just best. I bring this same sensitivity and experience to my work with women.
(914) 273-1260 View (914) 273-1260
Photo of Samantha Sedlik Buell, Psychologist in Nyack, NY
Samantha Sedlik Buell
Psychologist, PhD, NCSP, ABSNP
Verified Verified
3 Endorsed
Nyack, NY 10960
Do you or your child struggle academically, emotionally, or socially? Does your school not provide necessary testing or learning accommodations and support? Or does your gifted or 2E child not receive the enrichment needed to achieve his or her full potential? Neuropsychological evaluations help students obtain the learning recommendations, school and testing accommodations, or enrichment needed for academic, emotional, and social growth. Clients and families also often find the assessment process therapeutic in itself, as it leads to understanding of individual strengths and weaknesses and clear diagnosis of any disabilities.
Do you or your child struggle academically, emotionally, or socially? Does your school not provide necessary testing or learning accommodations and support? Or does your gifted or 2E child not receive the enrichment needed to achieve his or her full potential? Neuropsychological evaluations help students obtain the learning recommendations, school and testing accommodations, or enrichment needed for academic, emotional, and social growth. Clients and families also often find the assessment process therapeutic in itself, as it leads to understanding of individual strengths and weaknesses and clear diagnosis of any disabilities.
(845) 250-6446 View (845) 250-6446
Photo of Kathy Keefe-Cooperman, Psychologist in Nyack, NY
Kathy Keefe-Cooperman
Psychologist, PsyD
Verified Verified
Nyack, NY 10960
My goal is to help you achieve balance and wellness in your life. We work collaboratively using proven treatment approaches. I work with adults, young adults, and school-age children (ages 4 to 12) who are faced with a difficulty that impacts quality of life. When I work with children, I collaborate with parents as well. My goal is to help people understand the complexities of mental health and develop healthy strategies to improve their lives. Change is hard, and we work together to make that happen.
My goal is to help you achieve balance and wellness in your life. We work collaboratively using proven treatment approaches. I work with adults, young adults, and school-age children (ages 4 to 12) who are faced with a difficulty that impacts quality of life. When I work with children, I collaborate with parents as well. My goal is to help people understand the complexities of mental health and develop healthy strategies to improve their lives. Change is hard, and we work together to make that happen.
(845) 412-8179 View (845) 412-8179
Photo of Hudson Valley Center for Cognitive Therapy, Psychologist in Nyack, NY
Hudson Valley Center for Cognitive Therapy
Psychologist, PhD
Verified Verified
1 Endorsed
Nyack, NY 10960
I am the Director of the Hudson Valley Center for Cognitive Therapy (HVCCT). Our psychologists work with children, adolescents, adults, couples, and families. Two of our primary areas of specialization are mood and anxiety disorders, such as depression, panic, phobias, OCD, chronic worry,and social anxiety. Our therapists also have expertise in working with ADHD, academic and career issues, grief/loss, relationship/marital issues, parent training, and health psychology. We also offer psychoeducational evaluations. More detailed information regarding our services can be found at http://www.hvcct.com.
I am the Director of the Hudson Valley Center for Cognitive Therapy (HVCCT). Our psychologists work with children, adolescents, adults, couples, and families. Two of our primary areas of specialization are mood and anxiety disorders, such as depression, panic, phobias, OCD, chronic worry,and social anxiety. Our therapists also have expertise in working with ADHD, academic and career issues, grief/loss, relationship/marital issues, parent training, and health psychology. We also offer psychoeducational evaluations. More detailed information regarding our services can be found at http://www.hvcct.com.
(845) 353-3399 x12 View (845) 353-3399 x12
Photo of Elizabeth Bretz LCSW, P.C., Clinical Social Work/Therapist in Nyack, NY
Elizabeth Bretz LCSW, P.C.
Clinical Social Work/Therapist, LCSW, LCAT, PMH-C
Verified Verified
7 Endorsed
Nyack, NY 10960
I specialize in perinatal mental health including postpartum depression and postpartum anxiety. I also treat students entering or in college. I welcome all parents (new. experienced, hopeful) to my office. My approach is strengths-based and collaborative, with a healthy dose of humor thrown in. I strive to create a warm, non-judgmental space where we can work together, at your pace, to identify your goals and areas where you would like to see change. Give me a call to see how I can help!
I specialize in perinatal mental health including postpartum depression and postpartum anxiety. I also treat students entering or in college. I welcome all parents (new. experienced, hopeful) to my office. My approach is strengths-based and collaborative, with a healthy dose of humor thrown in. I strive to create a warm, non-judgmental space where we can work together, at your pace, to identify your goals and areas where you would like to see change. Give me a call to see how I can help!
(845) 478-7516 View (845) 478-7516
Photo of Judith Liu, Clinical Social Work/Therapist in Nyack, NY
Judith Liu
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Nyack, NY 10960
I am the owner of a group practice. We are accepting new clients. I have limited spots. There are times in life when everyone needs a little help. You might be dealing with grief, such as losing a family member or a beloved pet. You may be struggling with daily problems like past trauma, financial difficulties, or issues focusing. We help individuals feeling overwhelmed, hopeless, or want to feel differently. With a supportive relationship and a safe space to share these things this process can allow the time for you to start to enjoy life, feel more confident, and recognize yourself again.
I am the owner of a group practice. We are accepting new clients. I have limited spots. There are times in life when everyone needs a little help. You might be dealing with grief, such as losing a family member or a beloved pet. You may be struggling with daily problems like past trauma, financial difficulties, or issues focusing. We help individuals feeling overwhelmed, hopeless, or want to feel differently. With a supportive relationship and a safe space to share these things this process can allow the time for you to start to enjoy life, feel more confident, and recognize yourself again.
(203) 941-5498 View (203) 941-5498
Photo of Beth Wish, Psychologist in Nyack, NY
Beth Wish
Psychologist, PhD
Verified Verified
Nyack, NY 10960
I provide a warm and supportive environment for you to feel safe, accepted, and nurtured. I view myself as an emotional guide. My intent is to follow your unique experience of thoughts, sensations, and feelings; help you deepen your understanding of yourself; and, support your inner wisdom as it leads you toward healing.
I provide a warm and supportive environment for you to feel safe, accepted, and nurtured. I view myself as an emotional guide. My intent is to follow your unique experience of thoughts, sensations, and feelings; help you deepen your understanding of yourself; and, support your inner wisdom as it leads you toward healing.
(845) 262-6220 View (845) 262-6220
Photo of Stephen Kiesling, Clinical Social Work/Therapist in Nyack, NY
Stephen Kiesling
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Nyack, NY 10960
I am a licensed clinical social worker with 20 years of experience working with children, adolescents and their families. I have a warm, non-judgmental manner and a good sense of humor, which has enabled me to form strong working relationships with my clients. I consider parents an invaluable source of knowledge about their children and I involve them collaboratively in understanding the presenting issues and in effecting change
I am a licensed clinical social worker with 20 years of experience working with children, adolescents and their families. I have a warm, non-judgmental manner and a good sense of humor, which has enabled me to form strong working relationships with my clients. I consider parents an invaluable source of knowledge about their children and I involve them collaboratively in understanding the presenting issues and in effecting change
(845) 875-4840 View (845) 875-4840
Photo of Jem Wong, Marriage & Family Therapist Associate in Nyack, NY
Jem Wong
Marriage & Family Therapist Associate, MS
Verified Verified
1 Endorsed
Nyack, NY 10960  (Online Only)
Jem’s therapeutic focus is on improving the quality of relationships in one’s life. Relationships involve your experience with yourself and others and may include food, sexuality, your body, work, money, and drugs and alcohol. By getting curious about real-time thoughts and feelings, Jem then helps you recognize patterns and larger stories that you carry about yourself and relationships. This allows for more conscious choices, with the purpose of building new or upon existing skills to express a client’s true potential and more fulfilling life.
Jem’s therapeutic focus is on improving the quality of relationships in one’s life. Relationships involve your experience with yourself and others and may include food, sexuality, your body, work, money, and drugs and alcohol. By getting curious about real-time thoughts and feelings, Jem then helps you recognize patterns and larger stories that you carry about yourself and relationships. This allows for more conscious choices, with the purpose of building new or upon existing skills to express a client’s true potential and more fulfilling life.
(845) 254-2180 View (845) 254-2180
Photo of Orsolya D Clifford, Clinical Social Work/Therapist in Nyack, NY
Orsolya D Clifford
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Nyack, NY 10960
How you get through a difficult time does matter. Insight oriented work is an incredibly powerful and meaningful process whereby you explore who you are, what you want, and how to get there. My clients are typically smart, kind, and goal-oriented. I have found that they may be struggling with anxiety, depression, or rocky relationships but they strive for peace, inner strength, loving relationships and a sense of purpose.
How you get through a difficult time does matter. Insight oriented work is an incredibly powerful and meaningful process whereby you explore who you are, what you want, and how to get there. My clients are typically smart, kind, and goal-oriented. I have found that they may be struggling with anxiety, depression, or rocky relationships but they strive for peace, inner strength, loving relationships and a sense of purpose.
(845) 345-8064 View (845) 345-8064
Photo of Rebecca Bowe, Clinical Social Work/Therapist in Nyack, NY
Rebecca Bowe
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Nyack, NY 10960
Hello and welcome! My name is Dr. Rebecca Bowe, and I am a clinical social worker practicing in the state of New York. I have extensive experience working with adolescents, young adults, couples and family systems (specifically during times of difficult transitions). I believe therapy is a collaborative process and tailor sessions to meet my client's specific needs. Sessions may incorporate mindfulness practices, art integration, CBT techniques, and talk therapy.
Hello and welcome! My name is Dr. Rebecca Bowe, and I am a clinical social worker practicing in the state of New York. I have extensive experience working with adolescents, young adults, couples and family systems (specifically during times of difficult transitions). I believe therapy is a collaborative process and tailor sessions to meet my client's specific needs. Sessions may incorporate mindfulness practices, art integration, CBT techniques, and talk therapy.
(845) 640-5614 View (845) 640-5614
Photo of Anthony A Thomas, Counselor in Nyack, NY
Anthony A Thomas
Counselor, MA, LMHC
Verified Verified
Nyack, NY 10960
I'm a skilled, compassionate, empathetic and solutions-oriented mental health practitioner dedicated to providing exceptional care and implementing effective treatment for adolescents and adults experiencing emotional problems or exposed to drug and alcohol abuse. I have demonstrated a track record of success working with diverse client populations in one-on-one, couples and group settings. I'm an effective motivator, communicator, and advocate with an inherent ability to manage all types of personalities, diffuse stressful situations, resolve issues and help you achieve challenging objectives. Lastly, I have an innate ability to establish a rapport, build trust, and relate too individuals on all levels.
I'm a skilled, compassionate, empathetic and solutions-oriented mental health practitioner dedicated to providing exceptional care and implementing effective treatment for adolescents and adults experiencing emotional problems or exposed to drug and alcohol abuse. I have demonstrated a track record of success working with diverse client populations in one-on-one, couples and group settings. I'm an effective motivator, communicator, and advocate with an inherent ability to manage all types of personalities, diffuse stressful situations, resolve issues and help you achieve challenging objectives. Lastly, I have an innate ability to establish a rapport, build trust, and relate too individuals on all levels.
(845) 397-1229 View (845) 397-1229
Photo of Rachel Astarte • Self Specialist, Marriage & Family Therapist in Nyack, NY
Rachel Astarte • Self Specialist
Marriage & Family Therapist, LMFT, MFA, CLC
Verified Verified
2 Endorsed
Nyack, NY 10960  (Online Only)
Whatever feels “off” in your life—depression, unhealthy boundaries, a dead-end career, anxiety, loneliness, low self-esteem—is a symptom of a larger problem: an unbalanced and under-appreciated Self. Just like a fever lets us know we have an infection, life problems let us know something deep within us isn’t right. We don’t blame the fever, we thank it for alerting us to the bigger problem. Using life’s challenges as a guide, we work together to build the foundation of self you need in order to live an enriching and fully human life. This deep work benefits not only yourself but also your loved ones and the rest of our human family.
Whatever feels “off” in your life—depression, unhealthy boundaries, a dead-end career, anxiety, loneliness, low self-esteem—is a symptom of a larger problem: an unbalanced and under-appreciated Self. Just like a fever lets us know we have an infection, life problems let us know something deep within us isn’t right. We don’t blame the fever, we thank it for alerting us to the bigger problem. Using life’s challenges as a guide, we work together to build the foundation of self you need in order to live an enriching and fully human life. This deep work benefits not only yourself but also your loved ones and the rest of our human family.
(845) 442-6421 View (845) 442-6421
Photo of Cheryl Adler, Clinical Social Work/Therapist in Nyack, NY
Cheryl Adler
Clinical Social Work/Therapist, LCSW, DAPA, FAPA
Verified Verified
Nyack, NY 10960
My ideal client is a person who is struggling with how to take the "Next Step", be it a relationship crisis, career transition, health issue, loss of a pet, beloved friend or relative. My client might be stuck and wants to pursue a creative passion. My client wants to enrich their emotional, spiritual life and financial growth. My client may have one or more addictions and seeks a sober lifestyle, has tried other avenues that have failed. My client, in spite of fear, wants to move their life forward and explore the vast possibilities of positive life changes and success.
My ideal client is a person who is struggling with how to take the "Next Step", be it a relationship crisis, career transition, health issue, loss of a pet, beloved friend or relative. My client might be stuck and wants to pursue a creative passion. My client wants to enrich their emotional, spiritual life and financial growth. My client may have one or more addictions and seeks a sober lifestyle, has tried other avenues that have failed. My client, in spite of fear, wants to move their life forward and explore the vast possibilities of positive life changes and success.
(845) 547-0882 View (845) 547-0882
Photo of Sara Darian, Psychologist in Nyack, NY
Sara Darian
Psychologist, PsyD
Verified Verified
3 Endorsed
Nyack, NY 10960
You or your child/teen have the power to make positive changes in order to live a happier, more fulfilling life. You may be thinking about improving relationships, coping more effectively with daily stress, or becoming more successful academically or in a career. Unfortunately, sometimes stress, anxiety, & depression make it difficult to make the changes you truly want. I aim to empower my clients so that they discover (or re-discover) the inner-strength needed to believe in themselves, learn new coping strategies, & achieve their goals.
You or your child/teen have the power to make positive changes in order to live a happier, more fulfilling life. You may be thinking about improving relationships, coping more effectively with daily stress, or becoming more successful academically or in a career. Unfortunately, sometimes stress, anxiety, & depression make it difficult to make the changes you truly want. I aim to empower my clients so that they discover (or re-discover) the inner-strength needed to believe in themselves, learn new coping strategies, & achieve their goals.
(845) 263-3645 View (845) 263-3645
Photo of Hanna Brinnier Perrault, Clinical Social Work/Therapist in Nyack, NY
Hanna Brinnier Perrault
Clinical Social Work/Therapist, LMSW
Verified Verified
4 Endorsed
Nyack, NY 10960  (Online Only)
Whether you're transitioning to a new job, anxious about a relationship, navigating a recent loss, these adjustments can feel stressful and overwhelming. I have experience working with trauma, grief, life transitions, depression, anxiety, relational difficulties, and academic/occupational issues. I enjoy working with college/graduate students and young professionals. am trained in a range of modalities including CBT and DBT, but overall, I am person-centered, attachment based and psychodynamically oriented. Thus, I approach therapy from a trauma-focused lens, providing a safe space for clients to process all thoughts and feelings.
Whether you're transitioning to a new job, anxious about a relationship, navigating a recent loss, these adjustments can feel stressful and overwhelming. I have experience working with trauma, grief, life transitions, depression, anxiety, relational difficulties, and academic/occupational issues. I enjoy working with college/graduate students and young professionals. am trained in a range of modalities including CBT and DBT, but overall, I am person-centered, attachment based and psychodynamically oriented. Thus, I approach therapy from a trauma-focused lens, providing a safe space for clients to process all thoughts and feelings.
(845) 539-1242 View (845) 539-1242
Photo of Perseverance Now Counseling Center , Clinical Social Work/Therapist in Nyack, NY
Perseverance Now Counseling Center
Clinical Social Work/Therapist, LCSW, CCATP, SIFI
Verified Verified
1 Endorsed
Nyack, NY 10960
Great to meet you! My name is Briana! I am a Licensed Clinical Social Worker, with over 13 years' experience working with adult individuals, couples, and groups. I seek to not only challenge Clients, but to support, empower, and foster growth towards accomplishing their goals. I look to working with people who need support for Trauma, Addiction, Mental Health, Infertility, Conflict Resolution and Communication.
Great to meet you! My name is Briana! I am a Licensed Clinical Social Worker, with over 13 years' experience working with adult individuals, couples, and groups. I seek to not only challenge Clients, but to support, empower, and foster growth towards accomplishing their goals. I look to working with people who need support for Trauma, Addiction, Mental Health, Infertility, Conflict Resolution and Communication.
(845) 516-8830 View (845) 516-8830
Photo of Celine Stillman, Clinical Social Work/Therapist in Nyack, NY
Celine Stillman
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960
We all experience times in our lives when what once worked for us no longer does. We may become overwhelmed, anxious, fearful, or angry and are no longer able to ignore those feelings. Instead they get in our way. Talking to someone, especially one who listens to you carefully and joins you in a collaborative and supportive process, is amazingly helpful. People with whom I work note that they begin to feel better and less alone almost immediately.
We all experience times in our lives when what once worked for us no longer does. We may become overwhelmed, anxious, fearful, or angry and are no longer able to ignore those feelings. Instead they get in our way. Talking to someone, especially one who listens to you carefully and joins you in a collaborative and supportive process, is amazingly helpful. People with whom I work note that they begin to feel better and less alone almost immediately.
(917) 338-0879 View (917) 338-0879
Photo of Valerie Keil, Clinical Social Work/Therapist in Nyack, NY
Valerie Keil
Clinical Social Work/Therapist, LCSW
Verified Verified
Nyack, NY 10960
Not accepting new clients
Modern life is uniquely challenging. We try to shape and mold ourselves into what we think we “should” be, and in doing so, we often lose touch with the most precious parts of ourselves. When we lose touch with these childlike parts, we keep ourselves from forming the close attachments that make life worth living. I work with my patients to help them embrace their natural curiosity, explore the existential questions that we push aside in daily life, challenge the negative self-talk that holds us back, and engage more fully in the pleasures that life can hold.
Modern life is uniquely challenging. We try to shape and mold ourselves into what we think we “should” be, and in doing so, we often lose touch with the most precious parts of ourselves. When we lose touch with these childlike parts, we keep ourselves from forming the close attachments that make life worth living. I work with my patients to help them embrace their natural curiosity, explore the existential questions that we push aside in daily life, challenge the negative self-talk that holds us back, and engage more fully in the pleasures that life can hold.
(914) 350-4774 View (914) 350-4774
Photo of Hudson Valley Mental Health Counseling, PLLC in Nyack, NY
Hudson Valley Mental Health Counseling, PLLC
LMHC, LPC
Verified Verified
Nyack, NY 10960
My ideal client is ready to try something new in the face of OCD and anxiety challenges. If you are a parent of a child or adolescent struggling with OCD, or struggling with OCD or anxiety yourself, it can be overwhelming to find the specialized support and guidance that you are looking for.
My ideal client is ready to try something new in the face of OCD and anxiety challenges. If you are a parent of a child or adolescent struggling with OCD, or struggling with OCD or anxiety yourself, it can be overwhelming to find the specialized support and guidance that you are looking for.
(845) 241-3857 View (845) 241-3857

How does your Therapist compare?

Number of Therapists in Nyack, NY

100+

Average cost per session

$155

Therapists in Nyack, NY who prioritize treating:

95% Anxiety
90% Depression
81% Relationship Issues
76% Self Esteem
68% Grief
67% Trauma and PTSD
65% Coping Skills

Average years in practice

17 Years

Top 3 insurances accepted

65% Aetna
53% Cigna and Evernorth
53% UnitedHealthcare UHC | UBH

How Therapists in Nyack, NY see their clients

71% In Person and Online
29% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Nyack?

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.