Therapists in La Mesa, CA

Photo of Cynthia Thayer, Clinical Social Work/Therapist in La Mesa, CA
Cynthia Thayer
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
La Mesa, CA 91942
Challenging times in life offer the greatest opportunities for growth, healing and transformation. During these times it can feel overwhelming to move forward. Your decision to seek professional help is a reflection of your clarity and courage. Are you ready to move from surviving to thriving in your life? Would you like to partner with a seasoned professional to discover what your current situation has to teach you about yourself? Are you curious to discover the power you have within you to transform your life?
Challenging times in life offer the greatest opportunities for growth, healing and transformation. During these times it can feel overwhelming to move forward. Your decision to seek professional help is a reflection of your clarity and courage. Are you ready to move from surviving to thriving in your life? Would you like to partner with a seasoned professional to discover what your current situation has to teach you about yourself? Are you curious to discover the power you have within you to transform your life?
(619) 333-2330 View (619) 333-2330
Photo of Rebecca Boon, Clinical Social Work/Therapist in La Mesa, CA
Rebecca Boon
Clinical Social Work/Therapist, LCSW
Verified Verified
La Mesa, CA 91942  (Online Only)
Hello! My name is Rebecca Boon, and throughout my 10 years of experience, I have genuinely loved providing support to clients who are feeling stuck, frustrated or lost in their efforts to create lasting changes. I welcome diverse clients and specialize in treating anxiety, depression, low self-esteem, trauma and relationship challenges.
Hello! My name is Rebecca Boon, and throughout my 10 years of experience, I have genuinely loved providing support to clients who are feeling stuck, frustrated or lost in their efforts to create lasting changes. I welcome diverse clients and specialize in treating anxiety, depression, low self-esteem, trauma and relationship challenges.
(619) 273-5213 View (619) 273-5213
Photo of Danielle McGuire, Marriage & Family Therapist in La Mesa, CA
Danielle McGuire
Marriage & Family Therapist, LMFT
Verified Verified
La Mesa, CA 91941
I am a devoted therapist who specializes in working with children, teens, families and individuals. I am driven by a profound commitment to empower each client I work with. My approach emphasizes not only addressing immediate concerns, but also equipping individuals and families with lasting tools for ongoing support. When working with families, I partner with the parents and I will work along side you to build a solid foundation, ensuring that your children, teens and family as a whole feels confident in being able to navigate life's complexities with strength, understanding and lasting connections.
I am a devoted therapist who specializes in working with children, teens, families and individuals. I am driven by a profound commitment to empower each client I work with. My approach emphasizes not only addressing immediate concerns, but also equipping individuals and families with lasting tools for ongoing support. When working with families, I partner with the parents and I will work along side you to build a solid foundation, ensuring that your children, teens and family as a whole feels confident in being able to navigate life's complexities with strength, understanding and lasting connections.
(619) 514-1871 View (619) 514-1871
Photo of Ryan Berwold, Marriage & Family Therapist in La Mesa, CA
Ryan Berwold
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
La Mesa, CA 91942
Hello, my name is Ryan. I’m a Licensed Marriage & Family Therapist practicing in San Diego, California. I am glad that you are reaching out by just reading this, thank you. You already have great strengths and talents which can be amplified in therapy. I guide people towards health with deep care while exploring your strengths and your wounds of the mind and heart.
Hello, my name is Ryan. I’m a Licensed Marriage & Family Therapist practicing in San Diego, California. I am glad that you are reaching out by just reading this, thank you. You already have great strengths and talents which can be amplified in therapy. I guide people towards health with deep care while exploring your strengths and your wounds of the mind and heart.
(858) 281-2943 View (858) 281-2943
Photo of Christine Capuano, Licensed Professional Clinical Counselor in La Mesa, CA
Christine Capuano
Licensed Professional Clinical Counselor, LPCC
Verified Verified
La Mesa, CA 91942
I am an EMDR certified therapist and consultant- in- training. I strive to empower clients with insight, education, and skills to help make sense of what transpires in the brain and the body while navigating life with unhealed trauma and/or an eating disorder. Through this process, clients are able to work through content that has created a disruption between the brain-body connection. This therapeutic work, while challenging, can be transformative and helps bring a more present, regulated, open, and authentic self to clients daily lives.
I am an EMDR certified therapist and consultant- in- training. I strive to empower clients with insight, education, and skills to help make sense of what transpires in the brain and the body while navigating life with unhealed trauma and/or an eating disorder. Through this process, clients are able to work through content that has created a disruption between the brain-body connection. This therapeutic work, while challenging, can be transformative and helps bring a more present, regulated, open, and authentic self to clients daily lives.
(619) 489-9836 View (619) 489-9836
Photo of Stephanie Danial, Marriage & Family Therapist in La Mesa, CA
Stephanie Danial
Marriage & Family Therapist, LMFT
Verified Verified
La Mesa, CA 91942
Many people struggle with complex emotional issues and negative patterns of behavior and thought. I believe my clients are very powerful and brave to begin the journey of self-discovery and healing. As your therapist and partner in this work, I hold a safe space for you to approach your struggles by working together to understand your goals, develop greater insight and create the coping skills and strategies for a more satisfying and emotionally harmonious life.
Many people struggle with complex emotional issues and negative patterns of behavior and thought. I believe my clients are very powerful and brave to begin the journey of self-discovery and healing. As your therapist and partner in this work, I hold a safe space for you to approach your struggles by working together to understand your goals, develop greater insight and create the coping skills and strategies for a more satisfying and emotionally harmonious life.
(619) 724-4184 View (619) 724-4184
Photo of Grow Through Life Counseling La Mesa, Marriage & Family Therapist in La Mesa, CA
Grow Through Life Counseling La Mesa
Marriage & Family Therapist, LMFT, PMH-C
Verified Verified
1 Endorsed
La Mesa, CA 91942
Hello and welcome! Grow Through Life Counseling is a group private practice welcoming both in person clients in La Mesa, CA and via Telehealth in CA. We have immediate openings and are accepting new clients. Our Mission is to provide quality counseling for all ages throughout life. We provide culturally sensitive and inclusive care for all children, teens, adults, couples and families. We respect each family member's unique identities, perspectives and experiences in life. With effective and creative psychotherapeutic interventions, we support emotional growth and development during the various stages of life to be healthier.
Hello and welcome! Grow Through Life Counseling is a group private practice welcoming both in person clients in La Mesa, CA and via Telehealth in CA. We have immediate openings and are accepting new clients. Our Mission is to provide quality counseling for all ages throughout life. We provide culturally sensitive and inclusive care for all children, teens, adults, couples and families. We respect each family member's unique identities, perspectives and experiences in life. With effective and creative psychotherapeutic interventions, we support emotional growth and development during the various stages of life to be healthier.
(619) 541-6011 View (619) 541-6011
Photo of Kaely Ferrara, Clinical Social Work/Therapist in La Mesa, CA
Kaely Ferrara
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
La Mesa, CA 91942
I specialize in treating teens, adults, and families who have been affected by trauma. I use a variety of modalities including neuropsychology, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Attachment Based Therapy, Internal Family Systems, and Somatic Therapy. I treat a variety of mental health issues including depression, anxiety, PTSD, bipolar disorder, and personality disorders. I also have experience working with individuals diagnosed with special needs and their family members as a Board Certified Behavior Analyst.
I specialize in treating teens, adults, and families who have been affected by trauma. I use a variety of modalities including neuropsychology, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Attachment Based Therapy, Internal Family Systems, and Somatic Therapy. I treat a variety of mental health issues including depression, anxiety, PTSD, bipolar disorder, and personality disorders. I also have experience working with individuals diagnosed with special needs and their family members as a Board Certified Behavior Analyst.
(619) 789-1566 View (619) 789-1566
Photo of Dr. Edward Ramos, Pastoral Counselor in La Mesa, CA
Dr. Edward Ramos
Pastoral Counselor, LCMFC, RBT, MBT, BAC, ACM
Verified Verified
La Mesa, CA 91942  (Online Only)
Are you feeling sad? distressed? overwhelmed? hurt ? betrayed? You are not alone. Let me help you. It takes courage to reach out for help and you are brave for taking this courageous step. It's certainly not easy, but there is hope. Lets go together to God to find love & healing. True healing begins when the pain is addressed where you can start your healing process. I bring a compassionate, collaborative, non-judgmental, strength based approach to marriage and family counseling to restore your relationships. As a Christian Counselor I utilize the Bible, prayer, effective curriculum, personal and professional experience to help you.
Are you feeling sad? distressed? overwhelmed? hurt ? betrayed? You are not alone. Let me help you. It takes courage to reach out for help and you are brave for taking this courageous step. It's certainly not easy, but there is hope. Lets go together to God to find love & healing. True healing begins when the pain is addressed where you can start your healing process. I bring a compassionate, collaborative, non-judgmental, strength based approach to marriage and family counseling to restore your relationships. As a Christian Counselor I utilize the Bible, prayer, effective curriculum, personal and professional experience to help you.
(619) 505-3686 View (619) 505-3686
Photo of Alex Bailey, Counselor in La Mesa, CA
Alex Bailey
Counselor, LPCC, MA, CEAP
Verified Verified
1 Endorsed
La Mesa, CA 91942
I believe in emphasizing one’s own unique spiritual journey as the primary source of knowing; that there is nothing needed to “fix,” but rather an opportunity to explore with newfound curiosity and connection. Collaborating with our natural environment and translating what is discussed in the session into lived experiences is incredibly powerful and useful for sustained growth.
I believe in emphasizing one’s own unique spiritual journey as the primary source of knowing; that there is nothing needed to “fix,” but rather an opportunity to explore with newfound curiosity and connection. Collaborating with our natural environment and translating what is discussed in the session into lived experiences is incredibly powerful and useful for sustained growth.
(619) 404-4533 View (619) 404-4533
Photo of Macy McClung @ Grow Through Life Counseling , Associate Clinical Social Worker in La Mesa, CA
Macy McClung @ Grow Through Life Counseling
Associate Clinical Social Worker, ACSW
Verified Verified
1 Endorsed
La Mesa, CA 91942
Hello! I treat all ages including children, teens and families. Most commonly, I help with anxiety, depression and life or family transitions. I have experience working with youth, families, transitional aged youth (TAY), and adults. My most recent experiences including individual outpatient counseling and supporting youth and their families in a school-based setting.
Hello! I treat all ages including children, teens and families. Most commonly, I help with anxiety, depression and life or family transitions. I have experience working with youth, families, transitional aged youth (TAY), and adults. My most recent experiences including individual outpatient counseling and supporting youth and their families in a school-based setting.
(619) 612-5139 View (619) 612-5139
Photo of Jose Manuel Feliciano, Marriage & Family Therapist Associate in La Mesa, CA
Jose Manuel Feliciano
Marriage & Family Therapist Associate, MA
Verified Verified
La Mesa, CA 91942
In this crazy world we all need someone that will underst. Someone who understands what it' like to be lost, confused, hurt, sad or not heard. I, too, have felt that way so I understand. Traumas are the things that haunt our families like ghosts. It is passed from generation to generation and reenacted like a shadow from the past that no one can catch. We barely know it’s there until we see its effects on the world around us. These ghost can be healed and when that happens they can become our family’s ancestors that spread wisdom and love to those around us. I hope that we can catch the ghost in our past and make them our ancestors.
In this crazy world we all need someone that will underst. Someone who understands what it' like to be lost, confused, hurt, sad or not heard. I, too, have felt that way so I understand. Traumas are the things that haunt our families like ghosts. It is passed from generation to generation and reenacted like a shadow from the past that no one can catch. We barely know it’s there until we see its effects on the world around us. These ghost can be healed and when that happens they can become our family’s ancestors that spread wisdom and love to those around us. I hope that we can catch the ghost in our past and make them our ancestors.
(510) 560-7692 View (510) 560-7692
Photo of Veronica D Martin-Parris, Clinical Social Work/Therapist in La Mesa, CA
Veronica D Martin-Parris
Clinical Social Work/Therapist, LCSW
Verified Verified
La Mesa, CA 91942
Veronica Martin-Parris has been a licensed clinical social worker since 2006 and has over 25 years of experience in psychotherapy. She has undergraduate degree in Health Science with an Emphasis in Community Health and a Minor in African American Studies. Mrs. Parris also has a Masters degree in Social Work with a concentration in Administration and Health from San Diego State University. Find more information about her at www.purposevisiontherapy.com
Veronica Martin-Parris has been a licensed clinical social worker since 2006 and has over 25 years of experience in psychotherapy. She has undergraduate degree in Health Science with an Emphasis in Community Health and a Minor in African American Studies. Mrs. Parris also has a Masters degree in Social Work with a concentration in Administration and Health from San Diego State University. Find more information about her at www.purposevisiontherapy.com
(619) 345-5625 View (619) 345-5625
Photo of Dr. Sandra Konja, Psychologist in La Mesa, CA
Dr. Sandra Konja
Psychologist, PsyD, PMH-C
Verified Verified
2 Endorsed
La Mesa, CA 91941  (Online Only)
You’re here today because you’re likely struggling with some aspect of womanhood or motherhood and are looking to begin your journey towards healing. Maybe you’re a new mother that’s having a difficult time adjusting to your new “normal”, which has you feeling sad and/or anxious in your role. Perhaps you’re struggling to cope with challenges in your relationship/marriage. You may be having a difficult time feeling present and connected with both yourself and the people around you. Or maybe you’re ready to begin processing and working through the difficult experiences that have been holding you captive for so long.
You’re here today because you’re likely struggling with some aspect of womanhood or motherhood and are looking to begin your journey towards healing. Maybe you’re a new mother that’s having a difficult time adjusting to your new “normal”, which has you feeling sad and/or anxious in your role. Perhaps you’re struggling to cope with challenges in your relationship/marriage. You may be having a difficult time feeling present and connected with both yourself and the people around you. Or maybe you’re ready to begin processing and working through the difficult experiences that have been holding you captive for so long.
(619) 332-4950 View (619) 332-4950
Photo of Tracey Rodriguez, Psychological Associate in La Mesa, CA
Tracey Rodriguez
Psychological Associate, PsyD, LPA
Verified Verified
La Mesa, CA 91942
I am honored to welcome you on this journey toward self-discovery and growth. I am dedicated to creating a safe and empathetic space where you can explore your thoughts and feelings without judgment. Together, we will navigate the challenges you face, fostering resilience and empowering you to lead a more fulfilling life. Trust is the foundation of our therapeutic relationship, and I am committed to providing compassionate support as you embark on this transformative path.
I am honored to welcome you on this journey toward self-discovery and growth. I am dedicated to creating a safe and empathetic space where you can explore your thoughts and feelings without judgment. Together, we will navigate the challenges you face, fostering resilience and empowering you to lead a more fulfilling life. Trust is the foundation of our therapeutic relationship, and I am committed to providing compassionate support as you embark on this transformative path.
(619) 367-8961 View (619) 367-8961
Photo of Gary D Hittle, Marriage & Family Therapist in La Mesa, CA
Gary D Hittle
Marriage & Family Therapist, PhD
Verified Verified
La Mesa, CA 91942
I have been in private psychological practice for over 30 years specializing in Marital and Relational therapy, Family problem interventions, Adolescents, and in the treatment of Sexual and Substance Abuse, and family therapy related to these issues. I have a broad range of training and utilize multiple modalities in the course of assisting my clients toward growth and personal change. I also assist clients with value related questions and am helpful for those looking for a "Christian Therapist". Further, I have extensive experience in dealing with the issues of aging, serious health issue, terminal illness, and chronic pain.
I have been in private psychological practice for over 30 years specializing in Marital and Relational therapy, Family problem interventions, Adolescents, and in the treatment of Sexual and Substance Abuse, and family therapy related to these issues. I have a broad range of training and utilize multiple modalities in the course of assisting my clients toward growth and personal change. I also assist clients with value related questions and am helpful for those looking for a "Christian Therapist". Further, I have extensive experience in dealing with the issues of aging, serious health issue, terminal illness, and chronic pain.
(619) 377-3720 View (619) 377-3720
Photo of Madeline Weerts, Associate Marriage & Family Therapist in La Mesa, CA
Madeline Weerts
Associate Marriage & Family Therapist, AMFT
Verified Verified
1 Endorsed
La Mesa, CA 91942
Hello, I'm Maddie. I feel grateful to support individuals, partners, and families on their growth journeys. I work with clients to create a space where they can feel comfortable to reflect, cry, laugh, think – be authentically themselves. I have worked extensively with adolescents and adults facing anxiety and depression, negative body image and eating disorders, substance use, and other co-occurring struggles. I am passionate about guiding clients through trauma, loss, and grief - because no one should have to navigate it alone.
Hello, I'm Maddie. I feel grateful to support individuals, partners, and families on their growth journeys. I work with clients to create a space where they can feel comfortable to reflect, cry, laugh, think – be authentically themselves. I have worked extensively with adolescents and adults facing anxiety and depression, negative body image and eating disorders, substance use, and other co-occurring struggles. I am passionate about guiding clients through trauma, loss, and grief - because no one should have to navigate it alone.
(619) 350-2734 View (619) 350-2734
Photo of Julie Ellen Williams, Marriage & Family Therapist in La Mesa, CA
Julie Ellen Williams
Marriage & Family Therapist, MA, LMFT
Verified Verified
La Mesa, CA 91942
Julie Williams (They/She) is a compassionate, authentic, and experienced Mental Health Clinician that guides clients in gaining greater self-awareness and self-acceptance using Holistic, Transpersonal, and Somatic approaches for individual adults, teens, children, &/or families. Holistic Psychotherapy with Julie is for you if you are looking to learn ways to reduce symptoms of anxiety, depression, and/or post traumatic stress through the use of mindfulness-based coping skills. Centered on each individual’s unique needs and preferences, Julie weaves together several different therapeutic approaches and psychological theories.
Julie Williams (They/She) is a compassionate, authentic, and experienced Mental Health Clinician that guides clients in gaining greater self-awareness and self-acceptance using Holistic, Transpersonal, and Somatic approaches for individual adults, teens, children, &/or families. Holistic Psychotherapy with Julie is for you if you are looking to learn ways to reduce symptoms of anxiety, depression, and/or post traumatic stress through the use of mindfulness-based coping skills. Centered on each individual’s unique needs and preferences, Julie weaves together several different therapeutic approaches and psychological theories.
(619) 598-0637 View (619) 598-0637
Photo of Kenya Taylor, Marriage & Family Therapist in La Mesa, CA
Kenya Taylor
Marriage & Family Therapist, LMFT
Verified Verified
La Mesa, CA 91942
Kenya Taylor has more than 20 years of experience in mental health while including anxiety and depression interventions for chronic health conditions, pain management, first responders and their families, women's health, and successful aging to enhance individual, couples and family therapy. She continues to promote wellness in urban, rural and suburban communities.
Kenya Taylor has more than 20 years of experience in mental health while including anxiety and depression interventions for chronic health conditions, pain management, first responders and their families, women's health, and successful aging to enhance individual, couples and family therapy. She continues to promote wellness in urban, rural and suburban communities.
(858) 500-1602 View (858) 500-1602
Photo of Ivette Gonzalez, Marriage & Family Therapist in La Mesa, CA
Ivette Gonzalez
Marriage & Family Therapist, LMFT
Verified Verified
La Mesa, CA 91942
I am a licensed Marriage and Family Therapist with over 8 years of clinical experience providing therapy. I have worked with children, teens, adults, couples, and families. I have experience working in community mental health agencies and private practice settings. I have provided therapy in both English and Spanish. My experience and specialty areas include; ADHD, Anxiety disorders, Depressive Disorders, relationship issues, marital conflict, infidelity, postpartum support, Trauma disorders, generational trauma, women's issues, self-esteem, attachment issues, codependency, stress management, and co-parenting/parenting support.
I am a licensed Marriage and Family Therapist with over 8 years of clinical experience providing therapy. I have worked with children, teens, adults, couples, and families. I have experience working in community mental health agencies and private practice settings. I have provided therapy in both English and Spanish. My experience and specialty areas include; ADHD, Anxiety disorders, Depressive Disorders, relationship issues, marital conflict, infidelity, postpartum support, Trauma disorders, generational trauma, women's issues, self-esteem, attachment issues, codependency, stress management, and co-parenting/parenting support.
(619) 457-4173 View (619) 457-4173

How does your Therapist compare?

Number of Therapists in La Mesa, CA

200+

Average cost per session

$150

Therapists in La Mesa, CA who prioritize treating:

93% Anxiety
88% Depression
74% Relationship Issues
70% Self Esteem
68% Trauma and PTSD
66% Coping Skills
62% Stress

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
74% Cigna and Evernorth
66% UnitedHealthcare UHC | UBH

How Therapists in La Mesa, CA see their clients

76% In Person and Online
24% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in La Mesa?

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.