Therapists in East Lansing, MI

Photo of Robin Renwick Piper, Clinical Social Work/Therapist in East Lansing, MI
Robin Renwick Piper
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
East Lansing, MI 48823
At some point during life's journey, most of us experience difficulties that would be easier to navigate with the support and guidance of a trained therapist. These difficulties may range from chronic, problematic behavioral patterns stemming from unresolved childhood issues or trauma, to difficulty coping with a current life situation or phase-of-life transition.
At some point during life's journey, most of us experience difficulties that would be easier to navigate with the support and guidance of a trained therapist. These difficulties may range from chronic, problematic behavioral patterns stemming from unresolved childhood issues or trauma, to difficulty coping with a current life situation or phase-of-life transition.
(517) 667-7126 View (517) 667-7126
Photo of Beau Young, Licensed Professional Counselor in East Lansing, MI
Beau Young
Licensed Professional Counselor, LLPC, MS
Verified Verified
East Lansing, MI 48823
I am excited to work with a diverse set of therapeutic tools & use techniques from a variety of theoretical orientations to form an individualized plan of action for each client that I work with. Generally, I employ techniques mostly from Solution-Focused Brief Therapy, CBT, and person-centered therapy.
I am excited to work with a diverse set of therapeutic tools & use techniques from a variety of theoretical orientations to form an individualized plan of action for each client that I work with. Generally, I employ techniques mostly from Solution-Focused Brief Therapy, CBT, and person-centered therapy.
(517) 878-7581 View (517) 878-7581
Photo of Jennifer Thompson-Orsua, Marriage & Family Therapist in East Lansing, MI
Jennifer Thompson-Orsua
Marriage & Family Therapist, MS, LMFT
Verified Verified
East Lansing, MI 48823
I believe that healing, growth, and change are possible when people enter into therapy with a willingness to share their truth, feel, and try new things. These positive changes can include a decrease in negative symptoms, increased self-esteem, improved communication skills, and enhanced relationships.
I believe that healing, growth, and change are possible when people enter into therapy with a willingness to share their truth, feel, and try new things. These positive changes can include a decrease in negative symptoms, increased self-esteem, improved communication skills, and enhanced relationships.
(517) 305-1768 View (517) 305-1768
Photo of Bridging Communities & Counseling Services, LLC, Clinical Social Work/Therapist in East Lansing, MI
Bridging Communities & Counseling Services, LLC
Clinical Social Work/Therapist, LMSW, CAADC, ADS
Verified Verified
East Lansing, MI 48823
We are accepting NEW clients- BCCS is a community-based Outpatient Mental Health Clinic that provides a person-centered approach to children, adolescents, and adults. Our approach is to provide a supportive, safe, and interculturally competent environment, tailored to your individual needs. Most of our clinicians are bilingual licensed mental health professionals, who are passionate about closing the mental health gap created by language, cultural or religious barriers.
We are accepting NEW clients- BCCS is a community-based Outpatient Mental Health Clinic that provides a person-centered approach to children, adolescents, and adults. Our approach is to provide a supportive, safe, and interculturally competent environment, tailored to your individual needs. Most of our clinicians are bilingual licensed mental health professionals, who are passionate about closing the mental health gap created by language, cultural or religious barriers.
(517) 992-6353 View (517) 992-6353
Photo of Kristen Gennety, Clinical Social Work/Therapist in East Lansing, MI
Kristen Gennety
Clinical Social Work/Therapist, LLMSW
Verified Verified
East Lansing, MI 48823
Are you really bad at icebreakers? Or feel like a bundle of nerves when interacting with others? Even seeing people you like might elicit a feeling of dread. Dread of talking, dread of going to see them, dread of even getting ready to leave the house. A lot of our thoughts and feelings don’t always make sense. They don’t always match what we think we should be doing. We love these people, but we don’t want to go. Maybe you show up to work everyday, but you hate your job. Maybe your interaction with someone made you vey angry, even if it seems like it’s not a big deal.
Are you really bad at icebreakers? Or feel like a bundle of nerves when interacting with others? Even seeing people you like might elicit a feeling of dread. Dread of talking, dread of going to see them, dread of even getting ready to leave the house. A lot of our thoughts and feelings don’t always make sense. They don’t always match what we think we should be doing. We love these people, but we don’t want to go. Maybe you show up to work everyday, but you hate your job. Maybe your interaction with someone made you vey angry, even if it seems like it’s not a big deal.
(517) 201-1047 View (517) 201-1047
Photo of Faith Hale, Licensed Professional Counselor in East Lansing, MI
Faith Hale
Licensed Professional Counselor, LPC
Verified Verified
East Lansing, MI 48823
I graduated with my Master's in Professional Counseling in 2019 from Cornerstone University in Grand Rapids, MI. I started my career in mental health working at an all-male therapeutic juvenile delinquent facility. My experience working there solidified my passion and desire to work with victims of trauma and abuse. I believe that therapy is the client and therapist coming together to work as a team; you are the expert of your life and I have the knowledge and tools to help you master your life in whatever way you desire.
I graduated with my Master's in Professional Counseling in 2019 from Cornerstone University in Grand Rapids, MI. I started my career in mental health working at an all-male therapeutic juvenile delinquent facility. My experience working there solidified my passion and desire to work with victims of trauma and abuse. I believe that therapy is the client and therapist coming together to work as a team; you are the expert of your life and I have the knowledge and tools to help you master your life in whatever way you desire.
(517) 743-6433 View (517) 743-6433
Photo of Kathryn (Payne) Wachowski, Clinical Social Work/Therapist in East Lansing, MI
Kathryn (Payne) Wachowski
Clinical Social Work/Therapist, LMSW
Verified Verified
East Lansing, MI 48823
When faced with difficult challenges our emotional, physical, and mental health is impacted. The impacts of life transitions, past traumas, and stress can show up in our lives as anger, depression, anxiety, behavioral concerns, and relationship issues. Therapy can be helpful to individuals by allowing space to learn to identify emotions as well as learn tools to manage symptoms. If you're struggling to manage unhelpful thoughts or behaviors centering around anxiety, body image, depression, life changes, self-esteem, self-harm, and stress management I would urge you to consider therapy.
When faced with difficult challenges our emotional, physical, and mental health is impacted. The impacts of life transitions, past traumas, and stress can show up in our lives as anger, depression, anxiety, behavioral concerns, and relationship issues. Therapy can be helpful to individuals by allowing space to learn to identify emotions as well as learn tools to manage symptoms. If you're struggling to manage unhelpful thoughts or behaviors centering around anxiety, body image, depression, life changes, self-esteem, self-harm, and stress management I would urge you to consider therapy.
(517) 583-4030 View (517) 583-4030
Photo of Karen Bailey, Licensed Professional Counselor in East Lansing, MI
Karen Bailey
Licensed Professional Counselor, LPC
Verified Verified
East Lansing, MI 48823
Karen Bailey is a Licensed Professional Counselor who has been practicing since 2012. She holds a Master of Arts Degree in Community Counseling from Siena Heights University and an undergraduate degree in Communication from Michigan State University. Karen believes in a Client Centered Therapy Approach with a strong emphasis on CBT, Mindfulness and Family Systems. Her main area of focus includes Anxiety, Depression, Grief, and Life transition with focus on strengths, change and resilience in life's journey.
Karen Bailey is a Licensed Professional Counselor who has been practicing since 2012. She holds a Master of Arts Degree in Community Counseling from Siena Heights University and an undergraduate degree in Communication from Michigan State University. Karen believes in a Client Centered Therapy Approach with a strong emphasis on CBT, Mindfulness and Family Systems. Her main area of focus includes Anxiety, Depression, Grief, and Life transition with focus on strengths, change and resilience in life's journey.
(517) 793-4170 View (517) 793-4170
Photo of Destiny Ann Flowers-Fayad, Counselor in East Lansing, MI
Destiny Ann Flowers-Fayad
Counselor, MA, LLPC, CRC
Verified Verified
2 Endorsed
East Lansing, MI 48823  (Online Only)
Hello! Thank you for prioritizing yourself. My main goal for therapy is developing a safe and healing relationship, as this relationship provides that support and encouragement you may need to feel confident achieving your goals. I work with you at your own pace, as you are the expert of your own experiences. I enjoy helping clients through a variety of different support needs, and I am especially passionate about helping people and their family members with chronic illness and disability needs, as disability does not exist in a vacuum. I also love supporting parents and new mothers to cope with stress and their inner critic.
Hello! Thank you for prioritizing yourself. My main goal for therapy is developing a safe and healing relationship, as this relationship provides that support and encouragement you may need to feel confident achieving your goals. I work with you at your own pace, as you are the expert of your own experiences. I enjoy helping clients through a variety of different support needs, and I am especially passionate about helping people and their family members with chronic illness and disability needs, as disability does not exist in a vacuum. I also love supporting parents and new mothers to cope with stress and their inner critic.
(517) 878-7460 View (517) 878-7460
Photo of Tapiwa Kahari, Clinical Social Work/Therapist in East Lansing, MI
Tapiwa Kahari
Clinical Social Work/Therapist, LMSW
Verified Verified
East Lansing, MI 48823  (Online Only)
Hi there! I can’t wait to hear from you :) Have you been feeling anxious, stressed, worried, or depressed about your life and what’s happening around you? Feeling stuck or that you don’t have control, unsure, or that you are just going through the motions at times. Think to yourself.. When was the last time you celebrated a small or big win just because. Or the last time you sat down and said out loud “I’m REALLY proud of myself?” Well, I am proud of you for putting you first as you begin your therapy journey. Remember you are stronger than you know, don’t be so hard on yourself! Reaching out is a true sign of strength and courage.
Hi there! I can’t wait to hear from you :) Have you been feeling anxious, stressed, worried, or depressed about your life and what’s happening around you? Feeling stuck or that you don’t have control, unsure, or that you are just going through the motions at times. Think to yourself.. When was the last time you celebrated a small or big win just because. Or the last time you sat down and said out loud “I’m REALLY proud of myself?” Well, I am proud of you for putting you first as you begin your therapy journey. Remember you are stronger than you know, don’t be so hard on yourself! Reaching out is a true sign of strength and courage.
(517) 252-9734 View (517) 252-9734
Photo of Maureen Fabiano, Limited Licensed Psychologist in East Lansing, MI
Maureen Fabiano
Limited Licensed Psychologist, MA, LLP
Verified Verified
East Lansing, MI 48823
Waitlist for new clients
I would like the opportunity to join with you while you are facing challenging times, so you can have more of the life you want with less emotional discomfort and distress. I will provide a safe, nonjudgmental professional relationship. I will carefully listen, provide knowledgeable feedback, and collaboratively work with you toward your desired goal or goals. I have many years of therapy experience. I primarily work with individuals and some couples.
I would like the opportunity to join with you while you are facing challenging times, so you can have more of the life you want with less emotional discomfort and distress. I will provide a safe, nonjudgmental professional relationship. I will carefully listen, provide knowledgeable feedback, and collaboratively work with you toward your desired goal or goals. I have many years of therapy experience. I primarily work with individuals and some couples.
(517) 258-3791 View (517) 258-3791
Photo of Jessica Krueger, Licensed Professional Counselor in East Lansing, MI
Jessica Krueger
Licensed Professional Counselor, LPC
Verified Verified
East Lansing, MI 48823
Not accepting new clients
*NOT ACCEPTING NEW CLIENTS. Hi there! My name is Jessica, and my pronouns are she/her/hers. I believe the real job of therapy is to provide a safe place where you get to know yourself better and make changes in your life. My goal is to help you express emotions that are interfering with your life, and guide you through them at your own pace. It is a collaborative process where we work together to explore what you are going through and identify what you are looking to accomplish. It is important to me throughout this process you are feeling heard, understood, and respected.
*NOT ACCEPTING NEW CLIENTS. Hi there! My name is Jessica, and my pronouns are she/her/hers. I believe the real job of therapy is to provide a safe place where you get to know yourself better and make changes in your life. My goal is to help you express emotions that are interfering with your life, and guide you through them at your own pace. It is a collaborative process where we work together to explore what you are going through and identify what you are looking to accomplish. It is important to me throughout this process you are feeling heard, understood, and respected.
(517) 465-3091 View (517) 465-3091
Photo of Kara Prickett, Clinical Social Work/Therapist in East Lansing, MI
Kara Prickett
Clinical Social Work/Therapist, LLMSW
Verified Verified
East Lansing, MI 48823
I want therapy to be accessible to as many people as possible and that means I want to be as flexible and open to each person. I think a good fit in the relationship between client and therapist is an important foundation. My goal is to understand precisely what clients want to work on and help them reach their goals. I am actively involved in the dialogue of the session and like to provide validation, education, and options.
I want therapy to be accessible to as many people as possible and that means I want to be as flexible and open to each person. I think a good fit in the relationship between client and therapist is an important foundation. My goal is to understand precisely what clients want to work on and help them reach their goals. I am actively involved in the dialogue of the session and like to provide validation, education, and options.
(517) 948-5017 View (517) 948-5017
Photo of Shawn Patrick Finnerty, Clinical Social Work/Therapist in East Lansing, MI
Shawn Patrick Finnerty
Clinical Social Work/Therapist, LLMSW, NCPRSS
Verified Verified
1 Endorsed
East Lansing, MI 48823
My lived experience with trauma and substance use disorder (SUD) has dedicated me to providing a trauma-informed, person-centered, and holistic approach to therapy for those that struggle with, and in recovery from substance abuse issues. Additionally, as part of the LBGTQIA+ community, I am sensitive to the adverse circumstances that can cause mental and emotional discomfort, and I am dedicated to providing gender and sexuality-affirming care, ensuring that every individual feels safe and seen.
My lived experience with trauma and substance use disorder (SUD) has dedicated me to providing a trauma-informed, person-centered, and holistic approach to therapy for those that struggle with, and in recovery from substance abuse issues. Additionally, as part of the LBGTQIA+ community, I am sensitive to the adverse circumstances that can cause mental and emotional discomfort, and I am dedicated to providing gender and sexuality-affirming care, ensuring that every individual feels safe and seen.
(517) 997-1224 View (517) 997-1224
Photo of Travis Johnson, PhD., LMFT, AAMFT App. Supervisor, Marriage & Family Therapist in East Lansing, MI
Travis Johnson, PhD., LMFT, AAMFT App. Supervisor
Marriage & Family Therapist, LMFT, MI, LA, (A) NC
Verified Verified
6 Endorsed
East Lansing, MI 48823  (Online Only)
My primary modes of therapy include emotionally focused, attachment, narrative, and cognitive-behavioral therapy. I practice being mindful of each client's uniqueness and customize the therapeutic encounter based on what is needed. I know this may change weekly, and I strive to be flexible enough to follow the client while providing a solid direction for change.
My primary modes of therapy include emotionally focused, attachment, narrative, and cognitive-behavioral therapy. I practice being mindful of each client's uniqueness and customize the therapeutic encounter based on what is needed. I know this may change weekly, and I strive to be flexible enough to follow the client while providing a solid direction for change.
(616) 920-8092 View (616) 920-8092
Photo of Emma G Steinhaus, Licensed Professional Counselor in East Lansing, MI
Emma G Steinhaus
Licensed Professional Counselor, LLPC
Verified Verified
East Lansing, MI 48823
Are you struggling to get out of your own head? Do you feel as if this anxiety will never end? These feelings do not have to last forever. I desire to help you find happiness, healing, and hope. I desire to help you reach those goals with the use of helpful coping/grounding skills. I have a great passion for those who are facing anxiety of any form. I specialize in working with OCD, depression, grief, trauma, sexual abuse and eating disorders. I use a solutions focused approach as well as incorporating CBT, DBT and exposure response prevention.
Are you struggling to get out of your own head? Do you feel as if this anxiety will never end? These feelings do not have to last forever. I desire to help you find happiness, healing, and hope. I desire to help you reach those goals with the use of helpful coping/grounding skills. I have a great passion for those who are facing anxiety of any form. I specialize in working with OCD, depression, grief, trauma, sexual abuse and eating disorders. I use a solutions focused approach as well as incorporating CBT, DBT and exposure response prevention.
(517) 343-1930 View (517) 343-1930
Photo of Headspace Counseling Services Llc Ashita Ghelani Group Practice Owner, Clinical Social Work/Therapist in East Lansing, MI
Headspace Counseling Services Llc Ashita Ghelani Group Practice Owner
Clinical Social Work/Therapist, LMSW, LLP
Verified Verified
2 Endorsed
East Lansing, MI 48823
Headspace Counseling Services is group therapy practice of 16 mental health therapist with diverse background and various expertise. At Headspace Counseling Services, we offer following services 1. Provide FDA Approved ADD/ADHD testing for 6-60 years of individuals 2. Medication Management for teens and adults 3. Counseling services for all ages. We offer in-person as well as telehealth services We are open 6 days a week.
Headspace Counseling Services is group therapy practice of 16 mental health therapist with diverse background and various expertise. At Headspace Counseling Services, we offer following services 1. Provide FDA Approved ADD/ADHD testing for 6-60 years of individuals 2. Medication Management for teens and adults 3. Counseling services for all ages. We offer in-person as well as telehealth services We are open 6 days a week.
(517) 210-0969 View (517) 210-0969
Photo of Blair Burnette, Psychologist in East Lansing, MI
Blair Burnette
Psychologist, PhD
Verified Verified
East Lansing, MI 48825
I specialize in working with adults affected by cancer (including caregivers and loved ones), body image concerns, and eating concerns (including disordered eating and eating disorders). I also have experience working with college students, young adults, chronic illness, and chronic pain. People who are looking to process diagnoses and fears of death, adjust to major life transitions, grapple with identity, and find peace with their bodies and food are great fits for my skills and experiences. I am LGBTQ+-affirming and fat-positive.
I specialize in working with adults affected by cancer (including caregivers and loved ones), body image concerns, and eating concerns (including disordered eating and eating disorders). I also have experience working with college students, young adults, chronic illness, and chronic pain. People who are looking to process diagnoses and fears of death, adjust to major life transitions, grapple with identity, and find peace with their bodies and food are great fits for my skills and experiences. I am LGBTQ+-affirming and fat-positive.
(517) 793-5274 View (517) 793-5274
Photo of Alliance Psychological Associates PLLC, Psychologist in East Lansing, MI
Alliance Psychological Associates PLLC
Psychologist, PhD
Verified Verified
6 Endorsed
East Lansing, MI 48823  (Online Only)
Not accepting new clients
I work to empower individuals to fulfill their personal, academic, occupational, and financial potential. Together, clients and I uncover barriers in their thoughts and behaviors and change distorted ways of seeing themselves, others, and the world that make it difficult to achieve their goals. My practice foci include relationship violence, divorce, gender-, race-, and sexuality-related stress, self-esteem, & assertiveness. Visit Alliance Psych profiles: Mercuri Rose, Frank Schott, Shanita Wade, Parker Curtis, Tonna Kleinhans, Sherrie Stewart, Kelly Dietzel, Rachel Recker.
I work to empower individuals to fulfill their personal, academic, occupational, and financial potential. Together, clients and I uncover barriers in their thoughts and behaviors and change distorted ways of seeing themselves, others, and the world that make it difficult to achieve their goals. My practice foci include relationship violence, divorce, gender-, race-, and sexuality-related stress, self-esteem, & assertiveness. Visit Alliance Psych profiles: Mercuri Rose, Frank Schott, Shanita Wade, Parker Curtis, Tonna Kleinhans, Sherrie Stewart, Kelly Dietzel, Rachel Recker.
(517) 283-6213 View (517) 283-6213
Photo of Gina Snoeyink, Clinical Social Work/Therapist in East Lansing, MI
Gina Snoeyink
Clinical Social Work/Therapist, LMSW
Verified Verified
East Lansing, MI 48823
Currently not accepting new clients. Offering telehealth and in office services. I have worked with children, adults, couples and families from various backgrounds for over twenty years. I believe in helping people overcome obstacles that are holding them back from being happy, healthy and living their best lives. Everyone faces difficult times in their lives and could benefit from working through those hard times in therapy. Although therapy can be difficult, I believe that building a trusting relationship between therapist and client is key in making it successful and fostering change.
Currently not accepting new clients. Offering telehealth and in office services. I have worked with children, adults, couples and families from various backgrounds for over twenty years. I believe in helping people overcome obstacles that are holding them back from being happy, healthy and living their best lives. Everyone faces difficult times in their lives and could benefit from working through those hard times in therapy. Although therapy can be difficult, I believe that building a trusting relationship between therapist and client is key in making it successful and fostering change.
(517) 306-4646 View (517) 306-4646

See more therapy options for East Lansing

How does your Therapist compare?

Number of Therapists in East Lansing, MI

400+

Average cost per session

$140

Therapists in East Lansing, MI who prioritize treating:

94% Anxiety
89% Depression
80% Self Esteem
74% Relationship Issues
74% Trauma and PTSD
71% Stress
69% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
59% McLaren
58% Blue Care Network

How Therapists in East Lansing, MI see their clients

66% In Person and Online
34% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in East Lansing?

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.