Therapists in Fenton, MI

Photo of Sheila Lebrato, Counselor in Fenton, MI
Sheila Lebrato
Counselor, MEd, LLC, NCC
Verified Verified
Fenton, MI 48430  (Online Only)
*Morning Appointments Only* Telehealth Only. Effective therapy is about finding the right fit for your unique needs. Are you an adult looking for help with addiction? trauma? depression? anxiety? relationship issues? anger? Maybe you're feeling lost or untethered and need a sounding board to find your footing again. Or maybe you know you need something but don't know where to start. I approach each and every client with compassion and without judgment. Our sessions are collaborative and I place great value on establishing a relationship built on trust and respect.
*Morning Appointments Only* Telehealth Only. Effective therapy is about finding the right fit for your unique needs. Are you an adult looking for help with addiction? trauma? depression? anxiety? relationship issues? anger? Maybe you're feeling lost or untethered and need a sounding board to find your footing again. Or maybe you know you need something but don't know where to start. I approach each and every client with compassion and without judgment. Our sessions are collaborative and I place great value on establishing a relationship built on trust and respect.
(810) 642-3768 View (810) 642-3768
Photo of Mark Carpenter, Counselor in Fenton, MI
Mark Carpenter
Counselor, LPC, MA
Verified Verified
1 Endorsed
Fenton, MI 48430
Are you suffering from Anxiety, Depression, or Grief? Do you have a child or teen who is struggling with these problems or perhaps having trouble finding ‘direction’ in life? have you tried Therapy in the past and it just didn’t seem to click? if so, VAE Life Coaching can help you. Counseling and Psychology can be of benefit, but combined with coaching skills and planning techniques, you can see a vast improvement very quickly. Not only are these sessions great for adults, they work as well if not better for young people and teens. You can rid yourself from those feelings or doom or gloom and start living A life of joy and purpose.
Are you suffering from Anxiety, Depression, or Grief? Do you have a child or teen who is struggling with these problems or perhaps having trouble finding ‘direction’ in life? have you tried Therapy in the past and it just didn’t seem to click? if so, VAE Life Coaching can help you. Counseling and Psychology can be of benefit, but combined with coaching skills and planning techniques, you can see a vast improvement very quickly. Not only are these sessions great for adults, they work as well if not better for young people and teens. You can rid yourself from those feelings or doom or gloom and start living A life of joy and purpose.
(810) 479-4827 View (810) 479-4827
Photo of Macey Garrido, Clinical Social Work/Therapist in Fenton, MI
Macey Garrido
Clinical Social Work/Therapist, LLMSW
Verified Verified
Fenton, MI 48430
My career has been centered around assessment and treatment of early childhood, adolescence, and families. I have worked in elementary schools, middle schools, childhood trauma assessment programs, a teen/parent substance abuse prevention organization, and individual therapy experience ranging from youth to older adult population for the past 2 years. Through the range of different experiences, I have gained a wealth of knowledge that I intend to bring into my practice to understand and address your unique set of needs.
My career has been centered around assessment and treatment of early childhood, adolescence, and families. I have worked in elementary schools, middle schools, childhood trauma assessment programs, a teen/parent substance abuse prevention organization, and individual therapy experience ranging from youth to older adult population for the past 2 years. Through the range of different experiences, I have gained a wealth of knowledge that I intend to bring into my practice to understand and address your unique set of needs.
(810) 208-0378 View (810) 208-0378
Photo of Christopher Ortega, Licensed Professional Counselor in Fenton, MI
Christopher Ortega
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Fenton, MI 48430  (Online Only)
As a sex therapist, I am trained to address sexual health issues and concerns. Often, we hold stigma around the topic of sex, but many mental health concerns can lead to sexual concerns, just as sexual health concerns can lead to mental health concerns. I offer a sex-positive approach and work with a variety of concerns and sexual minority populations. Whether your concern is a sexual dysfunction, needing gender-affirming care, dealing with relationship issues (including polyamory), exploring more about yourself sexually, discovering new kinks, or just needing someone to talk to, I am here to provide a safe and healing environment.
As a sex therapist, I am trained to address sexual health issues and concerns. Often, we hold stigma around the topic of sex, but many mental health concerns can lead to sexual concerns, just as sexual health concerns can lead to mental health concerns. I offer a sex-positive approach and work with a variety of concerns and sexual minority populations. Whether your concern is a sexual dysfunction, needing gender-affirming care, dealing with relationship issues (including polyamory), exploring more about yourself sexually, discovering new kinks, or just needing someone to talk to, I am here to provide a safe and healing environment.
(810) 209-3969 View (810) 209-3969
Photo of Derek Zuhlke, Psychologist in Fenton, MI
Derek Zuhlke
Psychologist, PsyD, LLP
Verified Verified
Fenton, MI 48430  (Online Only)
Making changes in our lives can be difficult. Addressing things that make us uncomfortable can be hard to share or talk about. Sometimes the hardest thing in life is making that first step. That first step might seem scary or that it might not make a difference but you’ll never know if you don’t try. I work with individuals from all walks of life dealing with depression, anxiety, life changes and adjustments, family and relationship issues, existential and identity crises, anger and emotional issues and and various other areas of mental health
Making changes in our lives can be difficult. Addressing things that make us uncomfortable can be hard to share or talk about. Sometimes the hardest thing in life is making that first step. That first step might seem scary or that it might not make a difference but you’ll never know if you don’t try. I work with individuals from all walks of life dealing with depression, anxiety, life changes and adjustments, family and relationship issues, existential and identity crises, anger and emotional issues and and various other areas of mental health
(810) 425-1627 View (810) 425-1627
Photo of Silver Lake Counseling, LLC, Licensed Professional Counselor in Fenton, MI
Silver Lake Counseling, LLC
Licensed Professional Counselor, MA, LPC, CRC
Verified Verified
1 Endorsed
Fenton, MI 48430
I am trained in EMDR and strongly believe in a holistic wellness approach to working with people. Using EMDR and other therapeutic interventions to serve your mind, body, and soul allows me to see you as a whole person. If you're struggling with anxiety, depression, grief, disability-related barriers, PTSD, cancer, hearing loss, or other stressors I am here to support you! I am a licensed professional counselor and certified rehabilitation counselor with over 18 years of affirming counseling experience providing a compassionate approach using a variety of individualized therapeutic interventions.
I am trained in EMDR and strongly believe in a holistic wellness approach to working with people. Using EMDR and other therapeutic interventions to serve your mind, body, and soul allows me to see you as a whole person. If you're struggling with anxiety, depression, grief, disability-related barriers, PTSD, cancer, hearing loss, or other stressors I am here to support you! I am a licensed professional counselor and certified rehabilitation counselor with over 18 years of affirming counseling experience providing a compassionate approach using a variety of individualized therapeutic interventions.
(810) 605-7559 View (810) 605-7559
Photo of Patricia (Patti) Beckwith, Counselor in Fenton, MI
Patricia (Patti) Beckwith
Counselor, MA, LPC
Verified Verified
Fenton, MI 48430  (Online Only)
Do you feel overwhelmed with worry and panic? Are your relationships Characterized by discord and conflict? Perhaps you are struggling with an addiction that you can't control. Maybe you are struggling with your self-image and negative self-perception, or maybe life has been very challenging lately. If you are a motivated adult keen to bring about change but uncertain about how to start, I can be there as a guiding supportive force, helping you learn to live with joy and purpose.
Do you feel overwhelmed with worry and panic? Are your relationships Characterized by discord and conflict? Perhaps you are struggling with an addiction that you can't control. Maybe you are struggling with your self-image and negative self-perception, or maybe life has been very challenging lately. If you are a motivated adult keen to bring about change but uncertain about how to start, I can be there as a guiding supportive force, helping you learn to live with joy and purpose.
(248) 983-0051 View (248) 983-0051
Photo of Nurture Family Center, Clinical Social Work/Therapist in Fenton, MI
Nurture Family Center
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Fenton, MI 48430
At NURTURE we know life will present you with many challenges, some you will overcome with ease, others may require you to tap into a village of support. NURTURE would be honored to be a component of your villiage. We use research based therapeutic methods to help individuals, families, couples and children reach their full potential through personalized counseling services. Both children and adults benefit from therapy. NURTURE can offer your family the confidential, comfortable and supportive guidance you have been looking for.
At NURTURE we know life will present you with many challenges, some you will overcome with ease, others may require you to tap into a village of support. NURTURE would be honored to be a component of your villiage. We use research based therapeutic methods to help individuals, families, couples and children reach their full potential through personalized counseling services. Both children and adults benefit from therapy. NURTURE can offer your family the confidential, comfortable and supportive guidance you have been looking for.
(810) 269-4201 View (810) 269-4201
Photo of Sarah Birchmeier, Psychologist in Fenton, MI
Sarah Birchmeier
Psychologist, PsyD Re
Verified Verified
Fenton, MI 48430
At times, life likes to throw us curve balls, and with these curve balls come challenges. My goal is to help you learn and identify safe ways to cope with these stresses and to be a better supporter of yourself all while identifying your own strengths. There will be times when we are challenged more than others and may feel like the world is closing in; and in these times, finding support can be beneficial to your own wellbeing. I encourage the sometimes bumpy road while navigating because that is truly the best way for us to learn and grow.
At times, life likes to throw us curve balls, and with these curve balls come challenges. My goal is to help you learn and identify safe ways to cope with these stresses and to be a better supporter of yourself all while identifying your own strengths. There will be times when we are challenged more than others and may feel like the world is closing in; and in these times, finding support can be beneficial to your own wellbeing. I encourage the sometimes bumpy road while navigating because that is truly the best way for us to learn and grow.
(810) 202-0163 View (810) 202-0163
Photo of Hillary Maier, Limited Licensed Psychologist in Fenton, MI
Hillary Maier
Limited Licensed Psychologist, MACP, LLPC
Verified Verified
1 Endorsed
Fenton, MI 48430
No matter where your journey began or leads, it is my hope that we will tackle its obstacles together. Please know, you matter. Your journey matters. Your thoughts and experiences past, present, and future matter. These difficulties you experience are only parts of you. You get to choose how they contribute to who you are - and that is what's important.
No matter where your journey began or leads, it is my hope that we will tackle its obstacles together. Please know, you matter. Your journey matters. Your thoughts and experiences past, present, and future matter. These difficulties you experience are only parts of you. You get to choose how they contribute to who you are - and that is what's important.
(810) 209-3859 View (810) 209-3859
Photo of Erica Miller, Counselor in Fenton, MI
Erica Miller
Counselor, MA, LLPC, TLLP
Verified Verified
2 Endorsed
Fenton, MI 48430
Not accepting new clients
Erica Miller is a graduate of the Michigan School of Psychology where she earned her master’s degree in Clinical Psychology. She is also a graduate of Wayne State University where she earned a master’s degree in Vocational Rehabilitation Counseling. Erica has developed a passion for working with teens and adults; particularly women experiencing depression, anxiety, and major life changes. Erica describes herself as a compassionate clinician who possesses a warm therapeutic style and facilitates healing for individuals utilizing a holistic, integrative, and person-centered approach.
Erica Miller is a graduate of the Michigan School of Psychology where she earned her master’s degree in Clinical Psychology. She is also a graduate of Wayne State University where she earned a master’s degree in Vocational Rehabilitation Counseling. Erica has developed a passion for working with teens and adults; particularly women experiencing depression, anxiety, and major life changes. Erica describes herself as a compassionate clinician who possesses a warm therapeutic style and facilitates healing for individuals utilizing a holistic, integrative, and person-centered approach.
(810) 644-1944 View (810) 644-1944
Photo of Samantha Slack, Clinical Social Work/Therapist in Fenton, MI
Samantha Slack
Clinical Social Work/Therapist, LMSW
Verified Verified
Fenton, MI 48430
Is your child having behavioral or emotional issues? Have you or your child experienced trauma? I am committed to helping children, adolescents and families through these challenges through evidence based, effective quality services. I work with clients of all ages who are struggling with anxiety, depression, self-esteem, or who have experienced trauma.
Is your child having behavioral or emotional issues? Have you or your child experienced trauma? I am committed to helping children, adolescents and families through these challenges through evidence based, effective quality services. I work with clients of all ages who are struggling with anxiety, depression, self-esteem, or who have experienced trauma.
(906) 586-4131 View (906) 586-4131
Photo of Gloria Himes, Licensed Professional Counselor in Fenton, MI
Gloria Himes
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Fenton, MI 48430
If you are looking for ways to be effective in managing stress and finding balance in your life, cognitive behavioral therapy is likely to empower you with improving your ability to reach your goals. This involves a practical approach in utilizing your strengths and becoming aware of some self defeating patterns with thoughts and behaviors that keep you from moving forward in your life, and perhaps with relationships and career. I have many years of experience working with children, adolescents, adults, couples, and families. I am not currently offering teletherapy.
If you are looking for ways to be effective in managing stress and finding balance in your life, cognitive behavioral therapy is likely to empower you with improving your ability to reach your goals. This involves a practical approach in utilizing your strengths and becoming aware of some self defeating patterns with thoughts and behaviors that keep you from moving forward in your life, and perhaps with relationships and career. I have many years of experience working with children, adolescents, adults, couples, and families. I am not currently offering teletherapy.
(810) 407-5326 View (810) 407-5326
Photo of Quinn Guiett, Clinical Social Work/Therapist in Fenton, MI
Quinn Guiett
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Fenton, MI 48430
My primary specialties include LGBTQIA+, ADHD, & ASD related care. With both lived and hands-on experience, I bring my CBT training and intersectionality-focused perspectives to my sessions. My goal is to help each person I work with develop strong senses of self, self-confidence and self-love.
My primary specialties include LGBTQIA+, ADHD, & ASD related care. With both lived and hands-on experience, I bring my CBT training and intersectionality-focused perspectives to my sessions. My goal is to help each person I work with develop strong senses of self, self-confidence and self-love.
(810) 692-1082 View (810) 692-1082
Photo of Hayley Lubinski, Clinical Social Work/Therapist in Fenton, MI
Hayley Lubinski
Clinical Social Work/Therapist, LLMSW
Not Verified Not Verified
1 Endorsed
Fenton, MI 48430
Life can be challenging, confusing, and beautiful all at once. I have experience as an oncology outpatient clinical social worker, a hospice social worker, and an Area Agency on Aging 1-B Support Coordinator. Through these experiences, I supported those living with anxiety, depression, and going through life transitions. I am also passionate about helping young adults and children navigate life circumstances.
Life can be challenging, confusing, and beautiful all at once. I have experience as an oncology outpatient clinical social worker, a hospice social worker, and an Area Agency on Aging 1-B Support Coordinator. Through these experiences, I supported those living with anxiety, depression, and going through life transitions. I am also passionate about helping young adults and children navigate life circumstances.
(810) 442-0278 View (810) 442-0278
Photo of Patsy Colleen Essenmacher, Clinical Social Work/Therapist in Fenton, MI
Patsy Colleen Essenmacher
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
2 Endorsed
Fenton, MI 48430
Not accepting new clients
I have over thirty years of experience treating people of all ages who struggle with problems ranging from depression and anxiety to conflictual relationships and grief. I worked 8 yrs exclusively with survivors of physical, sexual and emotional trauma. My early training is in CBT and behavior modification. Therefore, I teach skills to help with anger and stress management, social anxiety, phobias, addictions, child management and ADHD. I have a strong bias towards children, helping parents learn from their own childhood to make a positive difference for their children.
I have over thirty years of experience treating people of all ages who struggle with problems ranging from depression and anxiety to conflictual relationships and grief. I worked 8 yrs exclusively with survivors of physical, sexual and emotional trauma. My early training is in CBT and behavior modification. Therefore, I teach skills to help with anger and stress management, social anxiety, phobias, addictions, child management and ADHD. I have a strong bias towards children, helping parents learn from their own childhood to make a positive difference for their children.
(810) 347-2289 View (810) 347-2289
Photo of The Cognitive Counseling Connection, Master Social Work in Fenton, MI
The Cognitive Counseling Connection
Master Social Work, LMSW, QMHP, CGP
Verified Verified
Fenton, MI 48430  (Online Only)
Katherine Pettit is a mental health therapist licensed in Michigan with over 5 years of experience working with substance use and co-occurring disorders. I have assisted clients with depression and anxiety, relapse prevention, codependency and other mental health diagnoses. I believe that each client is the expert of their own life, and it is my job to assist them in achieving their goals through empowerment and self-determination.
Katherine Pettit is a mental health therapist licensed in Michigan with over 5 years of experience working with substance use and co-occurring disorders. I have assisted clients with depression and anxiety, relapse prevention, codependency and other mental health diagnoses. I believe that each client is the expert of their own life, and it is my job to assist them in achieving their goals through empowerment and self-determination.
(810) 888-7478 View (810) 888-7478
Photo of Tatyana Fleysher, Clinical Social Work/Therapist in Fenton, MI
Tatyana Fleysher
Clinical Social Work/Therapist, LMSW
Verified Verified
Fenton, MI 48430
Tatyana Fleysher is a Licensed Master Social Worker in Michigan who has been practicing since 2011. Tatyana is a social worker at heart and is here to help. She feels connected to people and is passionate about what she does. Ever since she was a little girl, Tatyana had a niche for helping people. She is supportive, insightful, and empathetic. Outside of work, Tatyana enjoys kayaking, paddle-boarding, traveling, the great outdoors, and animals.
Tatyana Fleysher is a Licensed Master Social Worker in Michigan who has been practicing since 2011. Tatyana is a social worker at heart and is here to help. She feels connected to people and is passionate about what she does. Ever since she was a little girl, Tatyana had a niche for helping people. She is supportive, insightful, and empathetic. Outside of work, Tatyana enjoys kayaking, paddle-boarding, traveling, the great outdoors, and animals.
(810) 957-8302 View (810) 957-8302
Photo of Jodie Eckleberry-Hunt Ph.D. A.B.P.P., Psychologist in Fenton, MI
Jodie Eckleberry-Hunt Ph.D. A.B.P.P.
Psychologist, PhD, ABPP
Verified Verified
Fenton, MI 48430
Are you looking for assistance with managing stress, relationships, grief, parenting, anxiety, trauma and/or depression? Or, are you interested in help with weight loss, adjustment to illness, or stopping smoking? I am a board certified Health Psychologist specializing in short-term counseling (usually 6-10 visits but could be more/less). I believe that people benefit more from short spurts of counseling over a lifetime (as needed) rather than meeting regularly for long periods of time. I give you the skills. You live life and return as needed. I offer individual, couples, and family therapy.
Are you looking for assistance with managing stress, relationships, grief, parenting, anxiety, trauma and/or depression? Or, are you interested in help with weight loss, adjustment to illness, or stopping smoking? I am a board certified Health Psychologist specializing in short-term counseling (usually 6-10 visits but could be more/less). I believe that people benefit more from short spurts of counseling over a lifetime (as needed) rather than meeting regularly for long periods of time. I give you the skills. You live life and return as needed. I offer individual, couples, and family therapy.
(810) 348-8470 View (810) 348-8470
Photo of Tina Fields-Fields Counseling Center, Clinical Social Work/Therapist in Fenton, MI
Tina Fields-Fields Counseling Center
Clinical Social Work/Therapist, LMSW-C, MSW, SSW
Verified Verified
1 Endorsed
Fenton, MI 48430
Introducing Tina Fields, a compassionate and highly skilled Clinical Licensed Master Social Worker (LMSW-C) dedicated to providing exceptional mental health care. With her extensive experience and expertise, Tina is committed to helping individuals overcome their challenges and find healing and growth. Tina possesses a deep understanding and specialization in various areas, including but not limited to trauma, anxiety, depression, life transitions (grief/loss, divorce, parenting) and relationship issues. With a warm and empathetic approach, she creates a safe and non-judgmental space for her clients.
Introducing Tina Fields, a compassionate and highly skilled Clinical Licensed Master Social Worker (LMSW-C) dedicated to providing exceptional mental health care. With her extensive experience and expertise, Tina is committed to helping individuals overcome their challenges and find healing and growth. Tina possesses a deep understanding and specialization in various areas, including but not limited to trauma, anxiety, depression, life transitions (grief/loss, divorce, parenting) and relationship issues. With a warm and empathetic approach, she creates a safe and non-judgmental space for her clients.
(810) 642-3640 View (810) 642-3640

How does your Therapist compare?

Number of Therapists in Fenton, MI

100+

Average cost per session

$120

Therapists in Fenton, MI who prioritize treating:

96% Anxiety
92% Depression
69% Grief
69% Trauma and PTSD
69% Self Esteem
63% Relationship Issues
63% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
73% Aetna
67% Blue Care Network

How Therapists in Fenton, MI see their clients

85% In Person and Online
15% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Fenton?

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.