Therapists in Imperial, CA

Photo of Sylvia Sierra, Clinical Social Work/Therapist, LCSW
Sylvia Sierra
Clinical Social Work/Therapist, LCSW
Online Only
My name is Sylvia and I'm a Licensed Clinical Social Worker (LCSW). I work with young adults and adults who may appear high-functioning but feel overwhelmed, anxious, or disconnected internally. Many are navigating stress, life transitions, or past experiences that continue to impact them. They often feel stuck in overthinking, emotional burnout, or difficulty slowing down. I help them understand these patterns, feel more grounded, and begin moving forward in a meaningful way.
My name is Sylvia and I'm a Licensed Clinical Social Worker (LCSW). I work with young adults and adults who may appear high-functioning but feel overwhelmed, anxious, or disconnected internally. Many are navigating stress, life transitions, or past experiences that continue to impact them. They often feel stuck in overthinking, emotional burnout, or difficulty slowing down. I help them understand these patterns, feel more grounded, and begin moving forward in a meaningful way.
(442) 239-9910 View (442) 239-9910
Photo of Roxanna Palacios, Marriage & Family Therapist, LMFT
Roxanna Palacios
Marriage & Family Therapist, LMFT
Online Only
I am a Licensed Marriage and Family Therapist in the state of California with a history of working in the mental health industry for approximately 8 years. I am skilled and trained in various therapeutic approaches. I obtained a Master’s Degree focused on marriage, family, and child therapy. I am a down-to-earth, respectful, open-minded person using an empathetic approach to assist an individual with the relief of symptoms and improved daily life functioning.
I am a Licensed Marriage and Family Therapist in the state of California with a history of working in the mental health industry for approximately 8 years. I am skilled and trained in various therapeutic approaches. I obtained a Master’s Degree focused on marriage, family, and child therapy. I am a down-to-earth, respectful, open-minded person using an empathetic approach to assist an individual with the relief of symptoms and improved daily life functioning.
(909) 345-8186 View (909) 345-8186
Photo of Melissa Lizarraga, Clinical Social Work/Therapist, LCSW
Melissa Lizarraga
Clinical Social Work/Therapist, LCSW
Online Only
Hi and welcome to your safe space! I believe in empowering the individual to recognize and build on their strengths by tailoring each session to their unique needs and goals. I want to congratulate you on taking the next step in your healing journey. I am here when you are ready to start. My approach to providing care is a collaborative one. I provide a safe space, free of judgment, where the individual can relax and be vulnerable and honest with themselves to achieve their goals in the therapeutic process. I have a lot of respect for everyone's journey and lead with empathy.
Hi and welcome to your safe space! I believe in empowering the individual to recognize and build on their strengths by tailoring each session to their unique needs and goals. I want to congratulate you on taking the next step in your healing journey. I am here when you are ready to start. My approach to providing care is a collaborative one. I provide a safe space, free of judgment, where the individual can relax and be vulnerable and honest with themselves to achieve their goals in the therapeutic process. I have a lot of respect for everyone's journey and lead with empathy.
(818) 273-5865 View (818) 273-5865
Photo of Jennifer Delgadillo, Marriage & Family Therapist, LMFT
Jennifer Delgadillo
Marriage & Family Therapist, LMFT
Online Only
Hello, my name is Jennifer Delgadillo and I am a Licensed Marriage and Family Therapist (LMFT) with 5 years of experience helping clients experiencing anxiety, depression, mood disorder, and helping them to heal from traumatic experiences. I work with the young adult population and teenagers. I am comfortable working with veterans. I use Cognitive Behavior therapy and have been trained in trauma, and Dialectical Behavior therapy (DBT). I provide a holding environment where patients feel comfortable sharing their emotions and processing maladaptive behaviors.
Hello, my name is Jennifer Delgadillo and I am a Licensed Marriage and Family Therapist (LMFT) with 5 years of experience helping clients experiencing anxiety, depression, mood disorder, and helping them to heal from traumatic experiences. I work with the young adult population and teenagers. I am comfortable working with veterans. I use Cognitive Behavior therapy and have been trained in trauma, and Dialectical Behavior therapy (DBT). I provide a holding environment where patients feel comfortable sharing their emotions and processing maladaptive behaviors.
(949) 832-7770 View (949) 832-7770
Photo of Nancy Ledon, Marriage & Family Therapist, LMFT
Nancy Ledon
Marriage & Family Therapist, LMFT
Online Only
Hello, I'm Nancy Ledon! I am a bilingual licensed marriage, family, and children therapist, and a certified substance use disorder counselor. I have 10 years of experience working with individuals. I am beyond passionate about helping you become your best self and plan the best way to move forward. I provide a client-centered, warm, and non-judgmental space where you can feel supported. Our first session is all about getting to know you. My focus is to build rapport, create a therapeutic safe space, and find the nature of your struggles.
Hello, I'm Nancy Ledon! I am a bilingual licensed marriage, family, and children therapist, and a certified substance use disorder counselor. I have 10 years of experience working with individuals. I am beyond passionate about helping you become your best self and plan the best way to move forward. I provide a client-centered, warm, and non-judgmental space where you can feel supported. Our first session is all about getting to know you. My focus is to build rapport, create a therapeutic safe space, and find the nature of your struggles.
(760) 239-5839 View (760) 239-5839
Photo of Ashley Codding, Marriage & Family Therapist, LMFT, PsyD
Ashley Codding
Marriage & Family Therapist, LMFT, PsyD
Imperial, CA 92251
My approach is solution-focused and strengths-based, helping you identify what’s already working and how to use it to navigate life’s challenges. Whether you're facing anxiety, relationship struggles, or trauma, I believe there is always a way forward—and that healing is possible.
My approach is solution-focused and strengths-based, helping you identify what’s already working and how to use it to navigate life’s challenges. Whether you're facing anxiety, relationship struggles, or trauma, I believe there is always a way forward—and that healing is possible.
(949) 987-8733 View (949) 987-8733
Photo of Joseph Mauch - Talk Therapy, Psychologist, PsyD, LMFT, AMFT
Talk Therapy
Psychologist, PsyD, LMFT, AMFT
Imperial, CA 92251
Welcome to an elevated healthcare experience, one built on an ethic of compassion and professional excellence. At Talk Therapy, we provide in-person and remote (video) therapy services at the modest price of an office copay. We specialize in talk therapy for individuals, families, and couples, focusing on your unique needs and goals. Our compassionate approach ensures that you feel heard and supported as we work together to navigate life’s challenges.
Welcome to an elevated healthcare experience, one built on an ethic of compassion and professional excellence. At Talk Therapy, we provide in-person and remote (video) therapy services at the modest price of an office copay. We specialize in talk therapy for individuals, families, and couples, focusing on your unique needs and goals. Our compassionate approach ensures that you feel heard and supported as we work together to navigate life’s challenges.
(760) 539-9234 View (760) 539-9234
Photo of Carolina A. Miranda, Clinical Social Work/Therapist, MSW, LCSW
Carolina A. Miranda
Clinical Social Work/Therapist, MSW, LCSW
Imperial, CA 92251
I am currently providing services via telehealth in the entire state of California. I am a firm believer in the Whole Person Wellness that is why for the past 9 years I have been developed a holistic and integrative approach to therapy and healing. As a LatinX, & Indigenous bilingual therapist, I bring over 14 years of diverse background in Mental Health and wellness management, infusing an eclectic approach to help treat individuals experiencing, but not limited to; depression, anxiety, complex trauma, Military Service Members/Veterans, cultural issues, Grief & Loss and Spiritual Awakening.
I am currently providing services via telehealth in the entire state of California. I am a firm believer in the Whole Person Wellness that is why for the past 9 years I have been developed a holistic and integrative approach to therapy and healing. As a LatinX, & Indigenous bilingual therapist, I bring over 14 years of diverse background in Mental Health and wellness management, infusing an eclectic approach to help treat individuals experiencing, but not limited to; depression, anxiety, complex trauma, Military Service Members/Veterans, cultural issues, Grief & Loss and Spiritual Awakening.
(760) 227-5268 View (760) 227-5268
Photo of Alejandra Landavazo, Marriage & Family Therapist, LMFT
Alejandra Landavazo
Marriage & Family Therapist, LMFT
Online Only
Alejandra Landavazo, Licensed Marriage & Family Therapist. My approach to therapy is a collaborative one. I see clients as the agents of change in their own lives and take a supportive role in developing and formulating a vision of where clients see themselves. I like to collaborate with clients in determining motives for initiating therapy. I like to support clients in developing and formulating short-term and long-term goals during our work together. I initiate goal discussion at intake and expand during future therapy sessions to formulate an appropriate treatment plan.
Alejandra Landavazo, Licensed Marriage & Family Therapist. My approach to therapy is a collaborative one. I see clients as the agents of change in their own lives and take a supportive role in developing and formulating a vision of where clients see themselves. I like to collaborate with clients in determining motives for initiating therapy. I like to support clients in developing and formulating short-term and long-term goals during our work together. I initiate goal discussion at intake and expand during future therapy sessions to formulate an appropriate treatment plan.
(510) 990-9274 View (510) 990-9274
Photo of Jennifer Delgadillo, Marriage & Family Therapist, LMFT
Jennifer Delgadillo
Marriage & Family Therapist, LMFT
Online Only
Not accepting new clients
Hola and Welcome, my name is Jennifer Delgadillo a Licensed Marriage and Family Therapist, LMFT. I have been a bilingual therapist for the last 7 years. Throughout my career, I have gained an amplitude of experience working with young adults, children, adolescents, and military. I offer a safe, comfortable, and non-judgmental space to explore and process your current life challenges and develop effective strategies to allow you to continue growing during life changes.
Hola and Welcome, my name is Jennifer Delgadillo a Licensed Marriage and Family Therapist, LMFT. I have been a bilingual therapist for the last 7 years. Throughout my career, I have gained an amplitude of experience working with young adults, children, adolescents, and military. I offer a safe, comfortable, and non-judgmental space to explore and process your current life challenges and develop effective strategies to allow you to continue growing during life changes.
(760) 621-7382 View (760) 621-7382
Photo of Melissa Chairez, Clinical Social Work/Therapist, LCSW
Melissa Chairez
Clinical Social Work/Therapist, LCSW
Online Only
Hi, I’m a Licensed Clinical Social Worker who works with adolescents navigating anxiety, stress, and challenges related to school, family, and everyday life. I currently provide school-based mental health services and have experience supporting teens through difficult emotions and life transitions. My goal is to create a space where clients feel comfortable, supported, and heard, while helping them build practical skills to manage stress and feel more confident in their daily lives.
Hi, I’m a Licensed Clinical Social Worker who works with adolescents navigating anxiety, stress, and challenges related to school, family, and everyday life. I currently provide school-based mental health services and have experience supporting teens through difficult emotions and life transitions. My goal is to create a space where clients feel comfortable, supported, and heard, while helping them build practical skills to manage stress and feel more confident in their daily lives.
(786) 244-7347 View (786) 244-7347
Photo of Benjamin Reisin - B&R Counseling Services, Marriage & Family Therapist, LMFT
B&R Counseling Services
Marriage & Family Therapist, LMFT
Imperial, CA 92251
I have the experience working with individuals, couples, and families, and with single parent families as well as blended families. I have treated those dealing with depression, anxiety, stress/conflict, adjustment, bullying, and communication issues. In addition, I have experience and knowledge working with individuals/groups dealing with issues of domestic violence and anger, child abuse, alcohol, and drug issues. I also have provided training on conflict resolution and parenting classes. The ultimate goal in treatment is for individuals and/or families to be highly functionable in their lives.
I have the experience working with individuals, couples, and families, and with single parent families as well as blended families. I have treated those dealing with depression, anxiety, stress/conflict, adjustment, bullying, and communication issues. In addition, I have experience and knowledge working with individuals/groups dealing with issues of domestic violence and anger, child abuse, alcohol, and drug issues. I also have provided training on conflict resolution and parenting classes. The ultimate goal in treatment is for individuals and/or families to be highly functionable in their lives.
(760) 227-5481 View (760) 227-5481
Photo of Tina Williams, Marriage & Family Therapist, LMFT
Tina Williams
Marriage & Family Therapist, LMFT
Online Only
Hello, my name is Tina Williams and I am a Licensed Marriage Family Therapist, based in Southern California and working with clients statewide via telehealth. I work with families, couples, children, and individuals, to strengthen their relationships hoping to help them find a healthy perception of themselves, to be peaceful, whole, complete, and safe. I'm most comfortable working with clients that are struggling with depression, anxiety, low-self esteem, and intrusive thoughts. I value cognitive behavioral therapy and person-centered therapy, though there is no single approach that is the right one for every individual.
Hello, my name is Tina Williams and I am a Licensed Marriage Family Therapist, based in Southern California and working with clients statewide via telehealth. I work with families, couples, children, and individuals, to strengthen their relationships hoping to help them find a healthy perception of themselves, to be peaceful, whole, complete, and safe. I'm most comfortable working with clients that are struggling with depression, anxiety, low-self esteem, and intrusive thoughts. I value cognitive behavioral therapy and person-centered therapy, though there is no single approach that is the right one for every individual.
(951) 494-2776 View (951) 494-2776
Photo of Priscilla Marie Avery, Marriage & Family Therapist
Priscilla Marie Avery
Marriage & Family Therapist
Online Only
Priscilla Avery has been helping children, adolescents, and adults since 2012 towards healing and finding hope. She has a wide range of experience in working with individuals of various cultures and backgrounds. Priscilla has a variety of expertise that is not limited to the following areas: trauma, grief, divorce, parent-child relationship problems, depression, anxiety, and adjustment to life changes. She is passionate about helping individuals who have experienced trauma in finding breakthroughs so that they can find freedom in their life.
Priscilla Avery has been helping children, adolescents, and adults since 2012 towards healing and finding hope. She has a wide range of experience in working with individuals of various cultures and backgrounds. Priscilla has a variety of expertise that is not limited to the following areas: trauma, grief, divorce, parent-child relationship problems, depression, anxiety, and adjustment to life changes. She is passionate about helping individuals who have experienced trauma in finding breakthroughs so that they can find freedom in their life.
(916) 888-8912 View (916) 888-8912
Photo of Diane M Estrada, Marriage & Family Therapist, LMFT
Diane M Estrada
Marriage & Family Therapist, LMFT
Online Only
Let me guide you through your mental health wellness journey. You are not alone. I am a licensed marriage and family therapist in California, with nine years of experience working as a Psychotherapist. My specialties include working with culturally diverse populations, including teenagers, LGBTQ, young adults, and older adults. I am fluent in Spanish and English. The modalities that I utilize include evidence base practices in Cognitive Behavioral Therapy (CBT), Interpersonal Therapy (IPT), Cognitive Processing Therapy (CPT), and Dialectical Behavior Therapy (DBT). I have worked with clients with a wide range of concerns.
Let me guide you through your mental health wellness journey. You are not alone. I am a licensed marriage and family therapist in California, with nine years of experience working as a Psychotherapist. My specialties include working with culturally diverse populations, including teenagers, LGBTQ, young adults, and older adults. I am fluent in Spanish and English. The modalities that I utilize include evidence base practices in Cognitive Behavioral Therapy (CBT), Interpersonal Therapy (IPT), Cognitive Processing Therapy (CPT), and Dialectical Behavior Therapy (DBT). I have worked with clients with a wide range of concerns.
(559) 838-4362 View (559) 838-4362
Photo of Norma Alicia Munoz Sedano, Marriage & Family Therapist, LMFT
Norma Alicia Munoz Sedano
Marriage & Family Therapist, LMFT
Online Only
I am a bilingual Licensed Marriage and Family Therapist (LMFT). In 1991, I obtained a B.H. in Social Psychology from The Universidad Autonoma de Baja California (Mexico). In 2008, I graduated from University of Phoenix with an M.A. in Marriage, Family, and Child Therapy. I have more than 22 years of experience working with patients—including adolescents, parents, adults, and couples. My focus is on improving relationships and addressing mental or emotional issues such as depression, anxiety, phobias, trauma, psychosocial stressors, life challenges, and personal goals.
I am a bilingual Licensed Marriage and Family Therapist (LMFT). In 1991, I obtained a B.H. in Social Psychology from The Universidad Autonoma de Baja California (Mexico). In 2008, I graduated from University of Phoenix with an M.A. in Marriage, Family, and Child Therapy. I have more than 22 years of experience working with patients—including adolescents, parents, adults, and couples. My focus is on improving relationships and addressing mental or emotional issues such as depression, anxiety, phobias, trauma, psychosocial stressors, life challenges, and personal goals.
(442) 255-7902 View (442) 255-7902
Photo of Tannia Montero, Marriage & Family Therapist, LMFT
Tannia Montero
Marriage & Family Therapist, LMFT
Serves Area
If you struggle with anxiety, you might know what it’s like to look like you have it all together on the outside, while inside, your mind won’t slow down. You overthink, second-guess yourself, and feel constantly on edge, even when everything seems “fine.” You may find it hard to relax, speak up, or feel fully present in your relationships and daily life. At Anxiety Relief Therapy Services, we specialize in helping individuals who are ready to move beyond just managing anxiety and start truly understanding it. Our goal is to help you feel more in control, grounded, and confident in your day-to-day life. Book a free Consultation!
If you struggle with anxiety, you might know what it’s like to look like you have it all together on the outside, while inside, your mind won’t slow down. You overthink, second-guess yourself, and feel constantly on edge, even when everything seems “fine.” You may find it hard to relax, speak up, or feel fully present in your relationships and daily life. At Anxiety Relief Therapy Services, we specialize in helping individuals who are ready to move beyond just managing anxiety and start truly understanding it. Our goal is to help you feel more in control, grounded, and confident in your day-to-day life. Book a free Consultation!
(442) 271-7995 View (442) 271-7995
Photo of Matthew Figueroa, Clinical Social Work/Therapist, LCSW
Matthew Figueroa
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I'm a Licensed Clinical Social Worker (LCSW) based in Southern California. I received my Master of Social Work from Azusa Pacific University and have been practicing therapy for 6 years. I love working with individuals who struggle with the deep existential issues in life such as death, responsibility, meaning, and isolation. I don't believe that there is a "cookie-cutter" approach to therapy. I love to draw from other theoretical approaches and fields to create a specialized treatment plan that is suited for your specific needs and goals.
I'm a Licensed Clinical Social Worker (LCSW) based in Southern California. I received my Master of Social Work from Azusa Pacific University and have been practicing therapy for 6 years. I love working with individuals who struggle with the deep existential issues in life such as death, responsibility, meaning, and isolation. I don't believe that there is a "cookie-cutter" approach to therapy. I love to draw from other theoretical approaches and fields to create a specialized treatment plan that is suited for your specific needs and goals.
(747) 277-3290 View (747) 277-3290
Photo of Jonathan Fonseca, Clinical Social Work/Therapist, LCSW
Jonathan Fonseca
Clinical Social Work/Therapist, LCSW
Online Only
Hello, I am Jonathan Fonseca, LCSW CA. License number 115200. As your licensed therapist, I am here to support you on your journey of self-discovery, healing, and personal transformation. Together, we will explore your thoughts, emotions, and experiences, and work towards fostering resilience, finding clarity, and cultivating a sense of inner peace. Thank you for choosing me as your therapist.
Hello, I am Jonathan Fonseca, LCSW CA. License number 115200. As your licensed therapist, I am here to support you on your journey of self-discovery, healing, and personal transformation. Together, we will explore your thoughts, emotions, and experiences, and work towards fostering resilience, finding clarity, and cultivating a sense of inner peace. Thank you for choosing me as your therapist.
(661) 927-0623 View (661) 927-0623
Photo of Daniel R Jongeward, Marriage & Family Therapist, LMFT
Daniel R Jongeward
Marriage & Family Therapist, LMFT
Serves Area
I use a rapid results oriented therapy approach to help you reach your goals as soon as possible. This means only months instead of years in therapy. You will find me open, honest, direct and clear using techniques from Cognitive Behavior Therapy (CBT), Ericksonion Hypnosis, Depth, Mindfulness, and Communication therapies. I am naturally a warm, caring, and nonjudgmental person with a sense of humor. Sometimes we just need a little help figuring things out.
I use a rapid results oriented therapy approach to help you reach your goals as soon as possible. This means only months instead of years in therapy. You will find me open, honest, direct and clear using techniques from Cognitive Behavior Therapy (CBT), Ericksonion Hypnosis, Depth, Mindfulness, and Communication therapies. I am naturally a warm, caring, and nonjudgmental person with a sense of humor. Sometimes we just need a little help figuring things out.
(760) 273-4626 View (760) 273-4626

See more therapy options for Imperial

How does your Therapist compare?

Number of Therapists in Imperial, CA

30+

Average cost per session

$120

Therapists in Imperial, CA who prioritize treating:

90% Anxiety
81% Depression
65% Self Esteem
58% Grief
52% Stress
48% Trauma and PTSD
48% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

90% Aetna
77% Cigna and Evernorth
63% Optum

How Therapists in Imperial, CA see their clients

77% Online Only
23% In Person and Online

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Imperial?

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.