Therapists in Inner Sunset, San Francisco, CA

Photo of Yu Hang 'ronald' Deng, Marriage & Family Therapist in Inner Sunset, San Francisco, CA
Yu Hang 'ronald' Deng
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Inner Sunset, San Francisco, CA 94122  (Online Only)
I received my B.A. degree in University of California, Davis, with a major in Psychology, and my M.A. degree from John F. Kennedy University in the Counseling Psychology program. My expertise includes mental health counseling, such as depressive/anxiety disorders, communication, family, intimacy and/or relationship issues for individuals, groups, couples, and families, drug addiction treatment, and gambling addiction. As a licensed Marriage and Family Therapist, I strongly believe in human potential, and my goal is to help my clients to discover and utilize the tools they have already possessed!
I received my B.A. degree in University of California, Davis, with a major in Psychology, and my M.A. degree from John F. Kennedy University in the Counseling Psychology program. My expertise includes mental health counseling, such as depressive/anxiety disorders, communication, family, intimacy and/or relationship issues for individuals, groups, couples, and families, drug addiction treatment, and gambling addiction. As a licensed Marriage and Family Therapist, I strongly believe in human potential, and my goal is to help my clients to discover and utilize the tools they have already possessed!
(415) 367-4238 View (415) 367-4238
Photo of Patricia E Lund, Psychologist in Inner Sunset, San Francisco, CA
Patricia E Lund
Psychologist, PhD
Verified Verified
Inner Sunset, San Francisco, CA 94122
Have you recently received a medical diagnosis that has thrown you "off your path?" Do you have an upcoming surgical procedure that has you frightened, and you want to be as prepared as possible? Are you scheduling an elective procedure that will make your life better, but that has inherent risks? Or perhaps you need help in healing from a disturbing medical procedure? One of my specialties as a psychotherapist is to help you manage and heal from such events. I have spent 30 years helping people diagnosed with breast cancer, other forms of cancer, and medical crises as well as life transitions, depression, anxiety, PTSD, and grief.
Have you recently received a medical diagnosis that has thrown you "off your path?" Do you have an upcoming surgical procedure that has you frightened, and you want to be as prepared as possible? Are you scheduling an elective procedure that will make your life better, but that has inherent risks? Or perhaps you need help in healing from a disturbing medical procedure? One of my specialties as a psychotherapist is to help you manage and heal from such events. I have spent 30 years helping people diagnosed with breast cancer, other forms of cancer, and medical crises as well as life transitions, depression, anxiety, PTSD, and grief.
(415) 592-6893 View (415) 592-6893
Photo of Delia Tramontina, Clinical Social Work/Therapist in Inner Sunset, San Francisco, CA
Delia Tramontina
Clinical Social Work/Therapist, LCSW
Verified Verified
Inner Sunset, San Francisco, CA 94122
I love to work with individuals and couples to discover the emotions and attachment needs which drive their thoughts and behaviors. Sometimes we have feelings that are difficult to experience or express, and so we act in ways to protect the most vulnerable parts of ourselves. This may lead to conflict in our primary relationships, depression, anxiety, substance use, or just the sense that one's life could be more fulfilling. In couples, this can lead to cycles of communication that make it difficult for each partner to know how to soothe their partner and their own self.
I love to work with individuals and couples to discover the emotions and attachment needs which drive their thoughts and behaviors. Sometimes we have feelings that are difficult to experience or express, and so we act in ways to protect the most vulnerable parts of ourselves. This may lead to conflict in our primary relationships, depression, anxiety, substance use, or just the sense that one's life could be more fulfilling. In couples, this can lead to cycles of communication that make it difficult for each partner to know how to soothe their partner and their own self.
(628) 214-7786 View (628) 214-7786
Photo of Luanna Rodgers, Marriage & Family Therapist in Inner Sunset, San Francisco, CA
Luanna Rodgers
Marriage & Family Therapist, MA, MFT
Verified Verified
Inner Sunset, San Francisco, CA 94122
I am a caring, empathetic, and experienced therapist with more than 20 years in practice. I can assist you to find your unique life's path, overcome obstacles such as difficult emotions and past trauma, and expand your potential for happiness. I work with individuals, families, and people in many sorts of relationships, especially in the areas of anxiety and stress management, trauma and post-traumatic stress, depression, self worth and self-actualization, gender identity, sexuality and intimacy, and life transitions.
I am a caring, empathetic, and experienced therapist with more than 20 years in practice. I can assist you to find your unique life's path, overcome obstacles such as difficult emotions and past trauma, and expand your potential for happiness. I work with individuals, families, and people in many sorts of relationships, especially in the areas of anxiety and stress management, trauma and post-traumatic stress, depression, self worth and self-actualization, gender identity, sexuality and intimacy, and life transitions.
(415) 697-3853 View (415) 697-3853
Photo of Tim Sasaki, Clinical Social Work/Therapist in Inner Sunset, San Francisco, CA
Tim Sasaki
Clinical Social Work/Therapist, LCSW, MPH
Verified Verified
Inner Sunset, San Francisco, CA 94122  (Online Only)
Hello! I believe the power of therapy lies in improving your relationship to the world, the people close to you, and ultimately to yourself. I use our relationship as our guide in your journey to heal, transform, and navigate life's challenges. While I provide therapy to people from all walks of life, I especially enjoy working with gay, lesbian, queer, trans, and nonbinary individuals and people of color. In therapy together, we will create an affirming space to understand what's going on for you, reflect on the factors contributing to your current needs, and explore ways to move forward.
Hello! I believe the power of therapy lies in improving your relationship to the world, the people close to you, and ultimately to yourself. I use our relationship as our guide in your journey to heal, transform, and navigate life's challenges. While I provide therapy to people from all walks of life, I especially enjoy working with gay, lesbian, queer, trans, and nonbinary individuals and people of color. In therapy together, we will create an affirming space to understand what's going on for you, reflect on the factors contributing to your current needs, and explore ways to move forward.
(628) 245-1796 View (628) 245-1796
Photo of Judith Anna Nitchie, Marriage & Family Therapist in Inner Sunset, San Francisco, CA
Judith Anna Nitchie
Marriage & Family Therapist, MA, CMT, MFT
Verified Verified
Inner Sunset, San Francisco, CA 94122  (Online Only)
Life with a chronic illness presents unique challenges. Not only do you have your new (and changing) physical reality, but anxiety, depression and overwhelm can show up unannounced. I've been there! The great news is that, with help, we can transform our state of mind and start loving life again. WE can get YOU back on the road to loving your life--let's get to it!
Life with a chronic illness presents unique challenges. Not only do you have your new (and changing) physical reality, but anxiety, depression and overwhelm can show up unannounced. I've been there! The great news is that, with help, we can transform our state of mind and start loving life again. WE can get YOU back on the road to loving your life--let's get to it!
(415) 799-9266 View (415) 799-9266
Photo of Kim Jones, Marriage & Family Therapist in Inner Sunset, San Francisco, CA
Kim Jones
Marriage & Family Therapist, MA, MFT
Verified Verified
Inner Sunset, San Francisco, CA 94122
There usually comes a time in life where we feel stuck, lost, anxious, or depressed. You may be struggling in your relationships with family, friends, partner, or work, or feeling anxious about building the life you want. You may have tried various solutions on your own before acknowledging that you could use the support of another person. However you may be feeling, I believe that your symptoms are there to get your attention, and therapy can be a helpful tool.
There usually comes a time in life where we feel stuck, lost, anxious, or depressed. You may be struggling in your relationships with family, friends, partner, or work, or feeling anxious about building the life you want. You may have tried various solutions on your own before acknowledging that you could use the support of another person. However you may be feeling, I believe that your symptoms are there to get your attention, and therapy can be a helpful tool.
(628) 227-6082 View (628) 227-6082
Photo of Nina Atanassova, Marriage & Family Therapist in Inner Sunset, San Francisco, CA
Nina Atanassova
Marriage & Family Therapist, MFT
Verified Verified
Inner Sunset, San Francisco, CA 94112  (Online Only)
In my practice, I believe that the process of change requires an approach that is tailored to each individual's unique style and needs. I strive to create a collaborative, caring, and supportive atmosphere that will assist you in identifying and changing the thoughts, the behaviors, and the interpersonal styles that are no longer effective for you. I offer confidential, supportive and caring environment free of judgment that will facilitate your journey through difficulties and challenges.
In my practice, I believe that the process of change requires an approach that is tailored to each individual's unique style and needs. I strive to create a collaborative, caring, and supportive atmosphere that will assist you in identifying and changing the thoughts, the behaviors, and the interpersonal styles that are no longer effective for you. I offer confidential, supportive and caring environment free of judgment that will facilitate your journey through difficulties and challenges.
(628) 244-9011 View (628) 244-9011
Photo of Alina Liu, Psychologist in Inner Sunset, San Francisco, CA
Alina Liu
Psychologist, PsyD, MSW
Verified Verified
3 Endorsed
Inner Sunset, San Francisco, CA 94122
Are you burned out from "imposter syndrome" at work, stuck in an unfulfilling relationship, or feeling perpetually disconnected and isolated? Living inauthentically can feel exhausting. I work with individuals and couples to provide a range of therapy services from short-term evidence-based treatment for anxiety/depression to long-term relational work. Mental health is about having choices; in our first session, I am excited to get to know you and walk you through the process of therapy. My goal is to help you release painful emotions, reflect on patterns of thoughts and behaviors, and reconnect with a deeper sense of inner freedom.
Are you burned out from "imposter syndrome" at work, stuck in an unfulfilling relationship, or feeling perpetually disconnected and isolated? Living inauthentically can feel exhausting. I work with individuals and couples to provide a range of therapy services from short-term evidence-based treatment for anxiety/depression to long-term relational work. Mental health is about having choices; in our first session, I am excited to get to know you and walk you through the process of therapy. My goal is to help you release painful emotions, reflect on patterns of thoughts and behaviors, and reconnect with a deeper sense of inner freedom.
(415) 639-5225 View (415) 639-5225
Photo of Matthew Fishleder LMFT, Marriage & Family Therapist in Inner Sunset, San Francisco, CA
Matthew Fishleder LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Inner Sunset, San Francisco, CA 94122  (Online Only)
Step into a welcoming, non-judgmental space to begin your journey of self-discovery and growth. Many of my clients are driven by a desire to explore their inner worlds, grapple with life's questions, and navigate personal transitions authentically while enhancing their connections. Whether you face challenges such as anxiety, depression, or relationship issues, or simply seek personal fulfillment, our goal is to be your guide. Discover your true self, gain clarity, and develop resilience as you embrace life's uncertainties with purpose and commitment.
Step into a welcoming, non-judgmental space to begin your journey of self-discovery and growth. Many of my clients are driven by a desire to explore their inner worlds, grapple with life's questions, and navigate personal transitions authentically while enhancing their connections. Whether you face challenges such as anxiety, depression, or relationship issues, or simply seek personal fulfillment, our goal is to be your guide. Discover your true self, gain clarity, and develop resilience as you embrace life's uncertainties with purpose and commitment.
(628) 272-0073 View (628) 272-0073
Photo of Priscille Schwarcz-Besson, Psychologist in Inner Sunset, San Francisco, CA
Priscille Schwarcz-Besson
Psychologist, PhD
Verified Verified
Inner Sunset, San Francisco, CA 94122
Whether you are facing transitional or deeply rooted challenges, psychotherapy is a powerful way to regain balance, and bring back meaning and a sense of purpose in your life. You might find yourself at a time when you feel stuck, struggling with various difficulties. It is my goal to support you in uncovering patterns that no longer serve you and in fostering new experiences to support your own growth.
Whether you are facing transitional or deeply rooted challenges, psychotherapy is a powerful way to regain balance, and bring back meaning and a sense of purpose in your life. You might find yourself at a time when you feel stuck, struggling with various difficulties. It is my goal to support you in uncovering patterns that no longer serve you and in fostering new experiences to support your own growth.
(628) 265-6460 View (628) 265-6460
Photo of Helen Liang, Counselor in Inner Sunset, San Francisco, CA
Helen Liang
Counselor, MA, LPCC, LMHC
Verified Verified
Inner Sunset, San Francisco, CA 94117  (Online Only)
I offer a safe, nonjudgmental space to help you process and navigate life’s ups and downs. You don’t have to do this on your own. I want to help you orient and understand what’s happening, then equip you with tools to manage better on your own. We can’t control what happens in life but we can try and help strengthen your ability to ride the wave.
I offer a safe, nonjudgmental space to help you process and navigate life’s ups and downs. You don’t have to do this on your own. I want to help you orient and understand what’s happening, then equip you with tools to manage better on your own. We can’t control what happens in life but we can try and help strengthen your ability to ride the wave.
(415) 484-0186 View (415) 484-0186
Photo of Brian Polis, Licensed Professional Clinical Counselor in Inner Sunset, San Francisco, CA
Brian Polis
Licensed Professional Clinical Counselor, MS, LPCC, PPS
Verified Verified
Inner Sunset, San Francisco, CA 94122  (Online Only)
Opening up around the vulnerable and intimate details of our lives can be very uncomfortable. There is so much pressure to be “happy”, “better”, or “perfect”, while receiving messaging that being anything else is unacceptable. We are very adaptive yet often struggle to effectively get our needs met, so may engage in avoidance behaviors and withhold or internalize our feelings to try to prevent things from getting worse. You want to feel more like your true self and get more satisfaction out of your relationships. You need an unconditionally supportive, non-judgmental, creative, and humorous therapist who accepts you however you are.
Opening up around the vulnerable and intimate details of our lives can be very uncomfortable. There is so much pressure to be “happy”, “better”, or “perfect”, while receiving messaging that being anything else is unacceptable. We are very adaptive yet often struggle to effectively get our needs met, so may engage in avoidance behaviors and withhold or internalize our feelings to try to prevent things from getting worse. You want to feel more like your true self and get more satisfaction out of your relationships. You need an unconditionally supportive, non-judgmental, creative, and humorous therapist who accepts you however you are.
(628) 232-8422 View (628) 232-8422
Photo of Graham Best, Marriage & Family Therapist in Inner Sunset, San Francisco, CA
Graham Best
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Inner Sunset, San Francisco, CA 94122
Right now I am offering therapy remotely, using video sessions. It actually works very well. The technology is easy, involving only a link to click at our appointment time. The connection is steady, secure, and HIPAA-compliant. I have been conducting video sessions as an effective part of my practice for many years. I welcome inquiries for working with adults, couples, families, and teens.
Right now I am offering therapy remotely, using video sessions. It actually works very well. The technology is easy, involving only a link to click at our appointment time. The connection is steady, secure, and HIPAA-compliant. I have been conducting video sessions as an effective part of my practice for many years. I welcome inquiries for working with adults, couples, families, and teens.
(415) 592-6483 View (415) 592-6483
Photo of Abigail Levinson Marks, Psychologist in Inner Sunset, San Francisco, CA
Abigail Levinson Marks
Psychologist, PhD
Verified Verified
Inner Sunset, San Francisco, CA 94122
Not accepting new clients
All therapy begins with a story--your story. My job as your therapist is to help you tell your story and find the meaning in its threads and connections that will help you know yourself more deeply. Whether you have a specific problem or simply want to make some life changes, we'll carefully unravel what has led you to this place in your life, so that ultimately you can find the freedom to move forward in a different way. My style is warm, down to earth, creative, thoughtful, and authentic.
All therapy begins with a story--your story. My job as your therapist is to help you tell your story and find the meaning in its threads and connections that will help you know yourself more deeply. Whether you have a specific problem or simply want to make some life changes, we'll carefully unravel what has led you to this place in your life, so that ultimately you can find the freedom to move forward in a different way. My style is warm, down to earth, creative, thoughtful, and authentic.
(415) 991-3887 View (415) 991-3887
Photo of Caroline P. Smith, Clinical Social Work/Therapist in Inner Sunset, San Francisco, CA
Caroline P. Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Inner Sunset, San Francisco, CA 94122
I approach my work with clients with compassion, authenticity and openness. As a psychotherapist, I will work together with you to access the resources you have within you. When you are able to connect with this core strength, you are able to see more possibilities. Clients have reported that ,through our work together, they have developed a deeper understanding of themselves, more openness to meaningful and fulfilling experiences and a greater capacity for connection with others. They have also reported that their underlying depression has been alleviated and they have a greater ability to manage the stress in their lives.
I approach my work with clients with compassion, authenticity and openness. As a psychotherapist, I will work together with you to access the resources you have within you. When you are able to connect with this core strength, you are able to see more possibilities. Clients have reported that ,through our work together, they have developed a deeper understanding of themselves, more openness to meaningful and fulfilling experiences and a greater capacity for connection with others. They have also reported that their underlying depression has been alleviated and they have a greater ability to manage the stress in their lives.
(415) 805-9963 View (415) 805-9963
Photo of Jennifer Chance, Marriage & Family Therapist in Inner Sunset, San Francisco, CA
Jennifer Chance
Marriage & Family Therapist, MA, MFT
Verified Verified
7 Endorsed
Inner Sunset, San Francisco, CA 94122  (Online Only)
Starting therapy is a tremendous gesture of hope and self-love. It can also be scary or daunting to know where to begin. Whatever is bringing you to therapy right now- a break up, a loss, the overwhelm of being highly sensitive, the gut wrenching challenges of fertility struggles, the anticipation and transitions of pregnancy- will be explored with openness, curiosity and acceptance. We all struggle in life and are not meant to do it alone. Things really do get easier when we share what is hard with others.
Starting therapy is a tremendous gesture of hope and self-love. It can also be scary or daunting to know where to begin. Whatever is bringing you to therapy right now- a break up, a loss, the overwhelm of being highly sensitive, the gut wrenching challenges of fertility struggles, the anticipation and transitions of pregnancy- will be explored with openness, curiosity and acceptance. We all struggle in life and are not meant to do it alone. Things really do get easier when we share what is hard with others.
(415) 687-3567 View (415) 687-3567
Photo of Sabrina Curtis, Marriage & Family Therapist Associate in Inner Sunset, San Francisco, CA
Sabrina Curtis
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Inner Sunset, San Francisco, CA 94122  (Online Only)
The core of human suffering lies in the resistance to what is... J. Prendergast
The core of human suffering lies in the resistance to what is... J. Prendergast
(415) 423-2147 View (415) 423-2147
Photo of Tila B Bibliowicz in Inner Sunset, San Francisco, CA
Tila B Bibliowicz
MA, BCET
Verified Verified
1 Endorsed
Inner Sunset, San Francisco, CA 94131
As a Board Certified Educational Therapist with decades of experience working with children, adolescents, college students, and adults, I am dedicated to helping my clients discover their unique learning styles and find the best tools to maximize their potential. I work with students who are struggling academically, as well as those with ADD/ADHD, executive functioning issues, and OCD clients that affect their academic performance or are in need of remedial learning or effective test-taking strategies. I provide individualized instruction for clients struggling in school or college that addresses each student's difficulties.
As a Board Certified Educational Therapist with decades of experience working with children, adolescents, college students, and adults, I am dedicated to helping my clients discover their unique learning styles and find the best tools to maximize their potential. I work with students who are struggling academically, as well as those with ADD/ADHD, executive functioning issues, and OCD clients that affect their academic performance or are in need of remedial learning or effective test-taking strategies. I provide individualized instruction for clients struggling in school or college that addresses each student's difficulties.
(415) 390-0083 View (415) 390-0083
Photo of Erik Sowder, Psychologist in Inner Sunset, San Francisco, CA
Erik Sowder
Psychologist, PhD, BCB
Verified Verified
Inner Sunset, San Francisco, CA 94116  (Online Only)
I am a clinical health psychologist, board certified in biofeedback. I specialize in cognitive behavioral therapy, mindfulness-based interventions, and biofeedback in working with various psychophysiological disorders, such as anxiety, depression, headaches, chronic pain, high blood pressure, and gastrointestinal distress.
I am a clinical health psychologist, board certified in biofeedback. I specialize in cognitive behavioral therapy, mindfulness-based interventions, and biofeedback in working with various psychophysiological disorders, such as anxiety, depression, headaches, chronic pain, high blood pressure, and gastrointestinal distress.
(415) 630-8128 View (415) 630-8128

See more therapy options for Inner Sunset, San Francisco

How does your Therapist compare?

Number of Therapists in Inner Sunset, San Francisco, CA

50+

Average cost per session

$200

Therapists in Inner Sunset, San Francisco, CA who prioritize treating:

91% Anxiety
84% Depression
79% Relationship Issues
79% Self Esteem
73% Trauma and PTSD
71% Grief
70% Stress

Average years in practice

13 Years

Top 3 insurances accepted

62% Aetna
62% Other
54% UnitedHealthcare UHC | UBH

How Therapists in Inner Sunset, San Francisco, CA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

81% Female
19% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Inner Sunset, San Francisco?

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.