Therapists in San Diego, CA

View neighborhoods in San Diego
Photo of Pedro B. Ostrosky, MA, LMFT, Marriage & Family Therapist
Pedro B. Ostrosky
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92130
Bilingual (Spanish & English) services– Life can be difficult sometimes, when we experience anxiety, stress, sadness, and continuous disappointment or failure. Sometimes we manage to overcome them and other times we get used to living with those difficult emotions and negative thoughts, which negatively impact the way we perceive ourselves and the world. It shouldn't be like this! Suffering is inherent to life, however, it should not be greater than growth and satisfaction.
Bilingual (Spanish & English) services– Life can be difficult sometimes, when we experience anxiety, stress, sadness, and continuous disappointment or failure. Sometimes we manage to overcome them and other times we get used to living with those difficult emotions and negative thoughts, which negatively impact the way we perceive ourselves and the world. It shouldn't be like this! Suffering is inherent to life, however, it should not be greater than growth and satisfaction.
(619) 439-1758 View (619) 439-1758
Photo of Rayna Petikas, PhD, ABPP, BCC, Psychologist
Rayna Petikas
Psychologist, PhD, ABPP, BCC
Verified Verified
San Diego, CA 92101  (Online Only)
I enjoy helping adult clients manage mood disorders, clarify career and life ambitions, and navigate critical transition periods. Additionally, I work with couples to help them better understand one another and improve their overall relationship, as well as more effectively manage relational conflicts and tensions. Lastly, I offer executive coaching services. It can be lonely and hard to get feedback at the top. Executive coaching provides the support of a confidant and sounding board, while creating an action plan towards further self-development.
I enjoy helping adult clients manage mood disorders, clarify career and life ambitions, and navigate critical transition periods. Additionally, I work with couples to help them better understand one another and improve their overall relationship, as well as more effectively manage relational conflicts and tensions. Lastly, I offer executive coaching services. It can be lonely and hard to get feedback at the top. Executive coaching provides the support of a confidant and sounding board, while creating an action plan towards further self-development.
(619) 815-7313 View (619) 815-7313
Photo of Sonia Aguilar, LMFT, Marriage & Family Therapist
Sonia Aguilar
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92129
Hello, I am a Licensed Marriage and Family Therapist (LMFT) and have been practicing as a clinician since 2006. Firstly, building a meaningful therapeutic relationship is at the heart of my approach. In individual, couples, and adolescent therapy sessions, I integrate Cognitive Behavioral Therapy (CBT) skills along with mindfulness to recognize and reevaluate how previous life experiences have possibly negatively impacted your beliefs, coping skills, cognitions, emotions, and behaviors, which might be keeping you stuck in feelings of anxiety, depression or unhealthy ways of relating.
Hello, I am a Licensed Marriage and Family Therapist (LMFT) and have been practicing as a clinician since 2006. Firstly, building a meaningful therapeutic relationship is at the heart of my approach. In individual, couples, and adolescent therapy sessions, I integrate Cognitive Behavioral Therapy (CBT) skills along with mindfulness to recognize and reevaluate how previous life experiences have possibly negatively impacted your beliefs, coping skills, cognitions, emotions, and behaviors, which might be keeping you stuck in feelings of anxiety, depression or unhealthy ways of relating.
(858) 330-2996 View (858) 330-2996
Photo of Vanessa Tan, LMFT, Marriage & Family Therapist
Vanessa Tan
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92103  (Online Only)
Hi! I'm Vanessa, a Licensed Marriage and Family Therapist (LMFT). I'm a first generation immigrant based in San Diego, CA. Originally from South East Asia, I've worked and lived in Singapore, Taiwan, and Buffalo, NY. I love cooking, board game nights, heated blankets, and playing fetch with my dog! I love the story-telling of my clients - there's so much to be learned from the life experiences that we have, the minute details that stick with us after all these years, and the takeaways from each life circumstance.
Hi! I'm Vanessa, a Licensed Marriage and Family Therapist (LMFT). I'm a first generation immigrant based in San Diego, CA. Originally from South East Asia, I've worked and lived in Singapore, Taiwan, and Buffalo, NY. I love cooking, board game nights, heated blankets, and playing fetch with my dog! I love the story-telling of my clients - there's so much to be learned from the life experiences that we have, the minute details that stick with us after all these years, and the takeaways from each life circumstance.
(858) 321-8288 View (858) 321-8288
Photo of Tori Palliccia, LMFT, Marriage & Family Therapist
Tori Palliccia
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92101  (Online Only)
I am Cognitive Behavioral Therapist and believe that the way we talk to ourselves will determine how we feel and act. I want to know what you believe about yourself and how you feel about others and help you adjust your unhealthy thinking and replace your unhealthy acting out behaviors. With that, it is important to know your story and how your early life influenced these thoughts and beliefs, so I also use psychodynamic. I explore the unresolved issues that have contributed to unhealthy relationship patterns, self-destructive behaviors and poor self-worth so that the wounds of the past can be healed.
I am Cognitive Behavioral Therapist and believe that the way we talk to ourselves will determine how we feel and act. I want to know what you believe about yourself and how you feel about others and help you adjust your unhealthy thinking and replace your unhealthy acting out behaviors. With that, it is important to know your story and how your early life influenced these thoughts and beliefs, so I also use psychodynamic. I explore the unresolved issues that have contributed to unhealthy relationship patterns, self-destructive behaviors and poor self-worth so that the wounds of the past can be healed.
(510) 617-5836 View (510) 617-5836
Photo of Paul W. Randolph, PsyD, CEAP, CMF, Psychologist
Paul W. Randolph
Psychologist, PsyD, CEAP, CMF
Verified Verified
San Diego, CA 92103
Dr. Paul Randolph has more than 25 years of experience providing clinical services to the San Diego community. Dr. Randolph has a diverse background and provides services to support his clients with continued growth, problem-solving, while promoting the end of suffering and distress that motivates us to seek help.
Dr. Paul Randolph has more than 25 years of experience providing clinical services to the San Diego community. Dr. Randolph has a diverse background and provides services to support his clients with continued growth, problem-solving, while promoting the end of suffering and distress that motivates us to seek help.
(619) 431-4022 View (619) 431-4022
Photo of Vanessa Gonzalez, LMFT, Marriage & Family Therapist
Vanessa Gonzalez
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92126
My name is Vanessa Gonzalez, LMFT. My focus is children, adolescents, and parenting skills to provide the most growth for the youth. I have a history of working closely with foster youth, children in kinship Care, as well as children in a traditional home setting. I have worked with children experiencing anxiety, trauma, children living with ADHD, grief, separation, and divorce. I am familiar with the use and skills of Trauma Focused CBT, Cognitive behavioral therapy, mindfulness skills, parenting skills, and more. I believe that each person has was it takes to achieve their goals and just needs some assistance to facilitate change.
My name is Vanessa Gonzalez, LMFT. My focus is children, adolescents, and parenting skills to provide the most growth for the youth. I have a history of working closely with foster youth, children in kinship Care, as well as children in a traditional home setting. I have worked with children experiencing anxiety, trauma, children living with ADHD, grief, separation, and divorce. I am familiar with the use and skills of Trauma Focused CBT, Cognitive behavioral therapy, mindfulness skills, parenting skills, and more. I believe that each person has was it takes to achieve their goals and just needs some assistance to facilitate change.
(858) 251-9872 View (858) 251-9872
Photo of Cameron Lewis, MA, LMFT, Marriage & Family Therapist
Cameron Lewis
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92108  (Online Only)
Cameron Lewis is Licensed Marriage & Family Therapist who has a passion for holding space for others & helping client's see their truest potential. Cameron graduated from the University of San Francisco and has earned a Master's degree in Counseling Psychology with an emphasis in Marriage & Family Therapy. Cameron has several years of experience working with adolescents, teens, adults and individuals with development differences & co-occurring disorders in variety of settings including in-home, school-based setting, and private practice.
Cameron Lewis is Licensed Marriage & Family Therapist who has a passion for holding space for others & helping client's see their truest potential. Cameron graduated from the University of San Francisco and has earned a Master's degree in Counseling Psychology with an emphasis in Marriage & Family Therapy. Cameron has several years of experience working with adolescents, teens, adults and individuals with development differences & co-occurring disorders in variety of settings including in-home, school-based setting, and private practice.
(619) 374-5899 View (619) 374-5899
Photo of Shane Padamada, MA, LPCC, NCC, Licensed Professional Counselor
Shane Padamada
Licensed Professional Counselor, MA, LPCC, NCC
Verified Verified
1 Endorsed
San Diego, CA 92116  (Online Only)
Are you dealing with a major life transition, job loss, or losing a significant relationship? I'll help you work through these painful issues and much more. You'll learn how to train your brain to function better - Sharpen your attention, relieve your anxiety, enhance your mood and improve your behavior...all without re-living any traumatic experiences. My process works fast. The best thing is that it's simple, painless, and non-invasive. You'll discover natural ways to improve your mind, your body, and find your inner peace. You'll learn to make conscious, healthy decisions for yourself to dramatically improve your life.
Are you dealing with a major life transition, job loss, or losing a significant relationship? I'll help you work through these painful issues and much more. You'll learn how to train your brain to function better - Sharpen your attention, relieve your anxiety, enhance your mood and improve your behavior...all without re-living any traumatic experiences. My process works fast. The best thing is that it's simple, painless, and non-invasive. You'll discover natural ways to improve your mind, your body, and find your inner peace. You'll learn to make conscious, healthy decisions for yourself to dramatically improve your life.
(619) 775-2011 View (619) 775-2011
Photo of Abby Kogler, MA, AMFT, Marriage & Family Therapist Associate
Abby Kogler
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Diego, CA 92108
It may feel daunting to find someone you trust with your child and your story. You want your child to just be a kid again, transition from “survive” to thrive, and find freedom from your own childhood hardships. There's no handbook that tells you exactly what to do with each child or how to walk through dark seasons of your life. You're no longer alone. My desire is to create a safe and non-judgmental space for your child, teen, or yourself to discover what your life would look like without the burdens of both interpersonal and intrapersonal issues taking over and how to make this a reality.
It may feel daunting to find someone you trust with your child and your story. You want your child to just be a kid again, transition from “survive” to thrive, and find freedom from your own childhood hardships. There's no handbook that tells you exactly what to do with each child or how to walk through dark seasons of your life. You're no longer alone. My desire is to create a safe and non-judgmental space for your child, teen, or yourself to discover what your life would look like without the burdens of both interpersonal and intrapersonal issues taking over and how to make this a reality.
(619) 815-3390 x149 View (619) 815-3390 x149
Photo of Self Esteem And Self Love | Roxanne Cueva, MS, LMFT, Marriage & Family Therapist
Self Esteem And Self Love | Roxanne Cueva
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Diego, CA 92126  (Online Only)
Struggling with low self-esteem and low confidence can be tricky, especially when fed by the opinions of others. In a world where we rely heavily on the acceptance of our peers, we sometimes forget that the most important opinion of ourselves lies within. This space is for embracing and accepting who you truly are - no shame attached.
Struggling with low self-esteem and low confidence can be tricky, especially when fed by the opinions of others. In a world where we rely heavily on the acceptance of our peers, we sometimes forget that the most important opinion of ourselves lies within. This space is for embracing and accepting who you truly are - no shame attached.
(858) 358-7920 View (858) 358-7920
Photo of Mary Ann Fornes, LMFT, Marriage & Family Therapist
Mary Ann Fornes
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92101
I work with clients who are dealing with lingering effects of childhood trauma, from bullying to abuse, and experiencing anger, anxiety, avoidance and depression. Clients who might have PTSD symptoms such as flashbacks or nightmares, triggers and problems with trust. Clients who have consistently formed bad relationships and unhealthy attachments.
I work with clients who are dealing with lingering effects of childhood trauma, from bullying to abuse, and experiencing anger, anxiety, avoidance and depression. Clients who might have PTSD symptoms such as flashbacks or nightmares, triggers and problems with trust. Clients who have consistently formed bad relationships and unhealthy attachments.
(619) 815-5729 View (619) 815-5729
Photo of Immigration Evaluations And Therapy Paola Peters, MA, LMFT, CCTP, Marriage & Family Therapist
Immigration Evaluations And Therapy Paola Peters
Marriage & Family Therapist, MA, LMFT, CCTP
Verified Verified
1 Endorsed
San Diego, CA 92130  (Online Only)
I am a psychotherapist and Certified Clinical Trauma Professional in CA & NJ. Bilingual in Spanish/English. I started my clinical practice as a Psychologist in Argentina in 1995. My view of therapy not only comprises discussing difficult aspects of your life, but it is also a journey that involves growth & healing, through sustained self-exploration of life experiences that are impacting your lifestyle now. I believe that therapy is about understanding yourself, others and learning effective ways to solve personal and interpersonal problems to tolerate and reduce stress to live a more rewarding life.
I am a psychotherapist and Certified Clinical Trauma Professional in CA & NJ. Bilingual in Spanish/English. I started my clinical practice as a Psychologist in Argentina in 1995. My view of therapy not only comprises discussing difficult aspects of your life, but it is also a journey that involves growth & healing, through sustained self-exploration of life experiences that are impacting your lifestyle now. I believe that therapy is about understanding yourself, others and learning effective ways to solve personal and interpersonal problems to tolerate and reduce stress to live a more rewarding life.
(858) 422-1518 View (858) 422-1518
Photo of Luann Skolnik, LCSW, Clinical Social Work/Therapist
Luann Skolnik
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92122
Hi there, I'm LuAnn, a licensed clinical social worker. I have been in practice for over 20 years. I help individuals with issues like depression, anxiety, relationship issues, aging, life coaching, and more. I utilize CBT, IFS, Therapeutic Tapping for anxiety, EMDR, and supportive and empowering treatment modalities. One of my goals is not to create blame but to open up to self-compassion as a way to move forward. I help people explore their past as a way of providing information that will help you create new possibilities. The past does not have to define you; your actions, dreams, and hopes will move you forward on your journey.
Hi there, I'm LuAnn, a licensed clinical social worker. I have been in practice for over 20 years. I help individuals with issues like depression, anxiety, relationship issues, aging, life coaching, and more. I utilize CBT, IFS, Therapeutic Tapping for anxiety, EMDR, and supportive and empowering treatment modalities. One of my goals is not to create blame but to open up to self-compassion as a way to move forward. I help people explore their past as a way of providing information that will help you create new possibilities. The past does not have to define you; your actions, dreams, and hopes will move you forward on your journey.
(858) 251-9731 View (858) 251-9731
Photo of Rafael M. Reyes, PsyD, Psychologist
Rafael M. Reyes
Psychologist, PsyD
Verified Verified
3 Endorsed
San Diego, CA 92103
Dr. Reyes has years of experience in the field of psychology and has had extensive training in the treatment of child and adolescent issues. His practice currently focuses on helping children and families overcome issues related to behavior problems, depression, anxiety and anger. He also sees adults for the treatment of depression and anxiety. Dr. Reyes has practiced in San Diego for the past ten years and is also affiliated with Sharp Mesa Vista Hospital. He speaks fluent Spanish and can provide all services in both English and Spanish.
Dr. Reyes has years of experience in the field of psychology and has had extensive training in the treatment of child and adolescent issues. His practice currently focuses on helping children and families overcome issues related to behavior problems, depression, anxiety and anger. He also sees adults for the treatment of depression and anxiety. Dr. Reyes has practiced in San Diego for the past ten years and is also affiliated with Sharp Mesa Vista Hospital. He speaks fluent Spanish and can provide all services in both English and Spanish.
(858) 376-7963 View (858) 376-7963
Photo of Kacey Truong, ASW, Pre-Licensed Professional
Kacey Truong
Pre-Licensed Professional, ASW
Verified Verified
San Diego, CA 92103
Do you struggle with anxiety and depression due to your childhood trauma? Are you having problems with your partner or family members due to life transition issues? Are you experiencing increased stress, fears, and doubts around the future? I believe that we all have the capacity to heal our emotional wounds and create meaningful changes. My goal as a therapist is to offer you a safe place in which you can process insights, concerns, and emotions associated with trauma.
Do you struggle with anxiety and depression due to your childhood trauma? Are you having problems with your partner or family members due to life transition issues? Are you experiencing increased stress, fears, and doubts around the future? I believe that we all have the capacity to heal our emotional wounds and create meaningful changes. My goal as a therapist is to offer you a safe place in which you can process insights, concerns, and emotions associated with trauma.
(760) 263-6896 View (760) 263-6896
Photo of Rachael Troxel Fletcher - Rachael Troxel Fletcher @ Grow Through Life , AMFT, Marriage & Family Therapist Associate
Rachael Troxel Fletcher @ Grow Through Life
Marriage & Family Therapist Associate, AMFT
Verified Verified
2 Endorsed
San Diego, CA 92108
Welcome. I enjoy working with children, teens and families. I have experience working with all ages and treating depression, anxiety, grief, anger management, abuse, and trauma. I firmly believes therapy should be a collaborative process between the therapist and the client. We will set goals for treatment and work toward achieving those goals.
Welcome. I enjoy working with children, teens and families. I have experience working with all ages and treating depression, anxiety, grief, anger management, abuse, and trauma. I firmly believes therapy should be a collaborative process between the therapist and the client. We will set goals for treatment and work toward achieving those goals.
(858) 758-8135 View (858) 758-8135
Photo of Darian Brinton, LMFT, Marriage & Family Therapist
Darian Brinton
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92123
I want to help you feel connected and learn to begin taking responsibility for improving your life. Often times, we have answers to our own problems that can be unlocked with help from others. I have found that providing a listening ear and space for self-reflection, everyone has the ability to make significant improvements in all areas of their lives.
I want to help you feel connected and learn to begin taking responsibility for improving your life. Often times, we have answers to our own problems that can be unlocked with help from others. I have found that providing a listening ear and space for self-reflection, everyone has the ability to make significant improvements in all areas of their lives.
(714) 492-1371 View (714) 492-1371
Photo of Kathy Parks, LCSW, Clinical Social Work/Therapist
Kathy Parks
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92108
I offer clients a supportive, caring environment to identify solutions for growth and well-being. Together we can identify specific problems and create common sense strategies that have high probabilities of success. The areas often discussed in therapy include relationships, substance abuse, career frustrations, illness and life transitions, and one's own experience of psychological symptoms, most commonly anxiety and depression. By approaching psychotherapy through a person-centered, solution-focused, skills based perspective, I can assist individuals from diverse backgrounds.
I offer clients a supportive, caring environment to identify solutions for growth and well-being. Together we can identify specific problems and create common sense strategies that have high probabilities of success. The areas often discussed in therapy include relationships, substance abuse, career frustrations, illness and life transitions, and one's own experience of psychological symptoms, most commonly anxiety and depression. By approaching psychotherapy through a person-centered, solution-focused, skills based perspective, I can assist individuals from diverse backgrounds.
(619) 304-0631 View (619) 304-0631
Photo of Marissa Hulbert, AMFT, APCC, MS, Marriage & Family Therapist Associate
Marissa Hulbert
Marriage & Family Therapist Associate, AMFT, APCC, MS
Verified Verified
San Diego, CA 92123  (Online Only)
It is a brave step to begin a therapeutic journey and finding the right therapist is important. I believe it's the bond formed between therapist and client that truly drives therapeutic success. With me, you'll find a space defined by compassion, non-judgment, and empathic understanding. I am here to be that steady presence, offering a supportive and safe space for exploration and healing.
It is a brave step to begin a therapeutic journey and finding the right therapist is important. I believe it's the bond formed between therapist and client that truly drives therapeutic success. With me, you'll find a space defined by compassion, non-judgment, and empathic understanding. I am here to be that steady presence, offering a supportive and safe space for exploration and healing.
(619) 639-9533 View (619) 639-9533

How does your Therapist compare?

Number of Therapists in San Diego, CA

3,000+

Average cost per session

$160

Therapists in San Diego, CA who prioritize treating:

92% Anxiety
87% Depression
70% Self Esteem
66% Coping Skills
65% Relationship Issues
64% Trauma and PTSD
62% Stress

Average years in practice

11 Years

Top 3 insurances accepted

80% Aetna
74% Cigna and Evernorth
68% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Diego?

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.