Therapists in South San Francisco, CA

Photo of Kristian Elliott, Marriage & Family Therapist in South San Francisco, CA
Kristian Elliott
Marriage & Family Therapist, LMFT
Verified
South San Francisco, CA 94080
Hi there, I’m Kristian! My name is Kristian Elliott, and I am a Licensed Marriage and Family Therapist (LMFT) based in San Francisco working with clients statewide through telehealth. I work with adults and specialize in anxiety, depression, stress, and life transitions using person-centered therapy and cognitive behavioral therapy to help my clients work towards their goals and start feeling improvement in their daily life.
Hi there, I’m Kristian! My name is Kristian Elliott, and I am a Licensed Marriage and Family Therapist (LMFT) based in San Francisco working with clients statewide through telehealth. I work with adults and specialize in anxiety, depression, stress, and life transitions using person-centered therapy and cognitive behavioral therapy to help my clients work towards their goals and start feeling improvement in their daily life.
(650) 629-3719 View (650) 629-3719
Photo of Leslie Lombardy, Marriage & Family Therapist in South San Francisco, CA
Leslie Lombardy
Marriage & Family Therapist, LMFT, LPCC
Verified
South San Francisco, CA 94080  (Online Only)
I offer an eclectic approach to therapy, meeting every unique client where they are. This means that we can work together in a more solution-focused way, taking a closer look at your concerns in the here and now or taking a deeper dive at how your concerns are informed by your personal history and family of origin. Either way, we will explore together the gaps between where you are today and where you would like to be so that you can be live a more authentic and satisfying life. I work with individuals, couples, and families with anxiety, depression, trauma, life transitions, and all types of relationship issues.
I offer an eclectic approach to therapy, meeting every unique client where they are. This means that we can work together in a more solution-focused way, taking a closer look at your concerns in the here and now or taking a deeper dive at how your concerns are informed by your personal history and family of origin. Either way, we will explore together the gaps between where you are today and where you would like to be so that you can be live a more authentic and satisfying life. I work with individuals, couples, and families with anxiety, depression, trauma, life transitions, and all types of relationship issues.
(424) 401-3936 View (424) 401-3936
Photo of Crystal Ruacho, Clinical Social Work/Therapist in South San Francisco, CA
Crystal Ruacho
Clinical Social Work/Therapist, LCSW
Verified
South San Francisco, CA 94080
Hi, my name is Crystal Garcia Ruacho, and I am a Licensed Clinical Social Worker (LCSW) in California. My therapy approach focuses on developing human connection through a trauma informed lens to support the people I work with in reaching their personal mental health goals. I have over 12 years of experience working with school aged children, adolescents, and young adults. I enjoy supporting individuals experiencing PTSD, depression, and anxiety. I am a trauma focused therapist, using EMDR and person centered approach to help clients work through life challenges and bring out the best version of themselves.
Hi, my name is Crystal Garcia Ruacho, and I am a Licensed Clinical Social Worker (LCSW) in California. My therapy approach focuses on developing human connection through a trauma informed lens to support the people I work with in reaching their personal mental health goals. I have over 12 years of experience working with school aged children, adolescents, and young adults. I enjoy supporting individuals experiencing PTSD, depression, and anxiety. I am a trauma focused therapist, using EMDR and person centered approach to help clients work through life challenges and bring out the best version of themselves.
(650) 844-1037 View (650) 844-1037
Photo of Jeffrey Ly | Porn Addiction Relationships in South San Francisco, CA
Jeffrey Ly | Porn Addiction Relationships
MA, LPHA, AMFT
South San Francisco, CA 94080  (Online Only)
Pornography addiction can significantly impact your life and relationships but there is hope for recovery. I’m not just a mental health professional, I’ve been “you” for many years. I understand firsthand the personal struggles in your life and committed relationships that come with uncontrollable pornography use. The endless stream of attractive women a few clicks away on Pornhub, Onlyfans or Social Media is hard to quit even with all your willpower and promise to quit for the sake of your relationship.
Pornography addiction can significantly impact your life and relationships but there is hope for recovery. I’m not just a mental health professional, I’ve been “you” for many years. I understand firsthand the personal struggles in your life and committed relationships that come with uncontrollable pornography use. The endless stream of attractive women a few clicks away on Pornhub, Onlyfans or Social Media is hard to quit even with all your willpower and promise to quit for the sake of your relationship.
(650) 955-0541 View (650) 955-0541
Photo of Nancy Sites, Marriage & Family Therapist in South San Francisco, CA
Nancy Sites
Marriage & Family Therapist, LMFT
Verified
South San Francisco, CA 94080  (Online Only)
My approach to therapy is to provide a safe and collaborative environment to help my clients increase their awareness of how their emotions, thoughts, and behaviors are influenced by their perception of events that impact their ability to live a fulfilling life.
My approach to therapy is to provide a safe and collaborative environment to help my clients increase their awareness of how their emotions, thoughts, and behaviors are influenced by their perception of events that impact their ability to live a fulfilling life.
(424) 419-2916 View (424) 419-2916
Photo of Pritika Sehgal, Marriage & Family Therapist in South San Francisco, CA
Pritika Sehgal
Marriage & Family Therapist, LMFT
Verified
South San Francisco, CA 94080  (Online Only)
My therapeutic style is grounded in non-judgment and compassion. My focus is on improving holistic well-being and growth. My roots are from India, and being from a different culture, I recognize importance of culture sensitivity and I enjoy working with people from different culture and ethnic backgrounds. I have an empathetic, respectful, and curious approach towards diversity. My background is in Dialectical Behavior Therapy (DBT) which offers a variety of coping skills to to create balance and reduce reactions to triggers that cause emotional suffering. Dialectical Behavior Therapy can be helpful in individual and group therapy.
My therapeutic style is grounded in non-judgment and compassion. My focus is on improving holistic well-being and growth. My roots are from India, and being from a different culture, I recognize importance of culture sensitivity and I enjoy working with people from different culture and ethnic backgrounds. I have an empathetic, respectful, and curious approach towards diversity. My background is in Dialectical Behavior Therapy (DBT) which offers a variety of coping skills to to create balance and reduce reactions to triggers that cause emotional suffering. Dialectical Behavior Therapy can be helpful in individual and group therapy.
(510) 281-8142 View (510) 281-8142
Photo of Nicole Vanneman, Marriage & Family Therapist in South San Francisco, CA
Nicole Vanneman
Marriage & Family Therapist, LMFT
Verified
South San Francisco, CA 94080
Hi! I’m Nicole. I am a Licensed Marriage and Family Therapist and I know how hard life can be to navigate sometimes. It can shake you up, break you down, and challenge you in ways you never thought it would. It can make you question who you are and where you are going. Seeking therapy can be daunting, but just know, you don’t have to travel this road alone. I love what I do and would consider it an honor to support you on your journey!
Hi! I’m Nicole. I am a Licensed Marriage and Family Therapist and I know how hard life can be to navigate sometimes. It can shake you up, break you down, and challenge you in ways you never thought it would. It can make you question who you are and where you are going. Seeking therapy can be daunting, but just know, you don’t have to travel this road alone. I love what I do and would consider it an honor to support you on your journey!
(650) 582-2868 View (650) 582-2868
Photo of Ricardo Moran, Clinical Social Work/Therapist in South San Francisco, CA
Ricardo Moran
Clinical Social Work/Therapist, LCSW
Verified
South San Francisco, CA 94080
Hello, I'm Ricardo Moran, a Licensed Clinical Social Worker. My passion is to support individuals and families to prevent and cope with problems in their everyday lives. Currently, I have been working with young adolescent and adult patients who have depression and anxiety. I understand how these diagnoses can impair someone's overall functioning so it's important to me to support them with managing their symptoms.
Hello, I'm Ricardo Moran, a Licensed Clinical Social Worker. My passion is to support individuals and families to prevent and cope with problems in their everyday lives. Currently, I have been working with young adolescent and adult patients who have depression and anxiety. I understand how these diagnoses can impair someone's overall functioning so it's important to me to support them with managing their symptoms.
(650) 830-8554 View (650) 830-8554
Photo of Diana Gómez Ibarra, Marriage & Family Therapist in South San Francisco, CA
Diana Gómez Ibarra
Marriage & Family Therapist, MA, MFT
Verified
1 Endorsed
South San Francisco, CA 94080
Looking for help in this vulnerable process of healing? I'm honored to share space with people who bring the effects of Trauma and Loss to session. I am passionate about helping people with difficult pasts heal and feel more present. I help grievers work through the would-have could-have and should-haves that linger long after a loss. Have you spent more time explaining your Cultura to a therapist than the issues you wanted to focus on? Let's focus on you. I got you! I am a Bay Area Chicana therapist, that loves integrating culture as a means of healing, context and growth.
Looking for help in this vulnerable process of healing? I'm honored to share space with people who bring the effects of Trauma and Loss to session. I am passionate about helping people with difficult pasts heal and feel more present. I help grievers work through the would-have could-have and should-haves that linger long after a loss. Have you spent more time explaining your Cultura to a therapist than the issues you wanted to focus on? Let's focus on you. I got you! I am a Bay Area Chicana therapist, that loves integrating culture as a means of healing, context and growth.
(650) 458-0189 View (650) 458-0189
Photo of Vernon Proctor, Marriage & Family Therapist in South San Francisco, CA
Vernon Proctor
Marriage & Family Therapist, LMFT
Verified
South San Francisco, CA 94080
Helping you reach your most significant potential by managing yourself. I have success in assisting people in accomplishing their goals by utilizing active listening and unconditional positive regard to establish a therapeutic relationship where you will feel emotionally safe. I have an effective range of therapeutic experience developed from my combined 21 years of experience as a teacher and therapist. Acceptance and Commitment Therapy, Dialectic Behavior Therapy, Cognitive Behavior therapy, Behavioral Analysis, and Client-Centered Therapy are a few of the tools I use to deliver direct counseling services.
Helping you reach your most significant potential by managing yourself. I have success in assisting people in accomplishing their goals by utilizing active listening and unconditional positive regard to establish a therapeutic relationship where you will feel emotionally safe. I have an effective range of therapeutic experience developed from my combined 21 years of experience as a teacher and therapist. Acceptance and Commitment Therapy, Dialectic Behavior Therapy, Cognitive Behavior therapy, Behavioral Analysis, and Client-Centered Therapy are a few of the tools I use to deliver direct counseling services.
(650) 420-4588 View (650) 420-4588
Photo of Lisa Falls, Licensed Professional Clinical Counselor in South San Francisco, CA
Lisa Falls
Licensed Professional Clinical Counselor, LCPC
Verified
South San Francisco, CA 94080
Hi, my name is Lisa Falls. I am a Licensed Professional Clinical Counselor, a Board-Certified Art Therapist. I have Advanced Certification in EFT, also known as Emotional Freedom Techniques. I have training in ThetaHeling and am a Neurofeedback Practitioner. I am passionate about working with my clients to heal and live happy, productive, and successful lives. I work with Adults, Families, Couples, and Teenagers. I am comfortable treating grief, loss, and trauma issues. Also, Anxiety and depression, Alcohol abuse, and OCD. I also treat clients with a Dual Diagnosis.
Hi, my name is Lisa Falls. I am a Licensed Professional Clinical Counselor, a Board-Certified Art Therapist. I have Advanced Certification in EFT, also known as Emotional Freedom Techniques. I have training in ThetaHeling and am a Neurofeedback Practitioner. I am passionate about working with my clients to heal and live happy, productive, and successful lives. I work with Adults, Families, Couples, and Teenagers. I am comfortable treating grief, loss, and trauma issues. Also, Anxiety and depression, Alcohol abuse, and OCD. I also treat clients with a Dual Diagnosis.
(650) 955-6189 View (650) 955-6189
Photo of Megan Montague, Marriage & Family Therapist in South San Francisco, CA
Megan Montague
Marriage & Family Therapist, LMFT
Verified
South San Francisco, CA 94080  (Online Only)
As a licensed marriage and family therapist, I understand just how important it is to find the right person when life feels overwhelming. With a warm, caring, and non-judgmental approach, I have helped many clients feel safe and comfortable enough to overcome plaguing issues and create lasting change.
As a licensed marriage and family therapist, I understand just how important it is to find the right person when life feels overwhelming. With a warm, caring, and non-judgmental approach, I have helped many clients feel safe and comfortable enough to overcome plaguing issues and create lasting change.
(415) 300-1396 View (415) 300-1396
Photo of Anjana Kathuria, Clinical Social Work/Therapist in South San Francisco, CA
Anjana Kathuria
Clinical Social Work/Therapist, LCSW
Verified
South San Francisco, CA 94080
Hi there, I'm Anjana! Thank you for taking the time to read my profile. I have been a licensed clinical social worker for the last 13 years in California, and I believe that to have a successful outcome in therapy, the client and therapist must build a strong rapport. I am a person-centered counselor with a warm and compassionate style. I believe in treating others with respect and dignity.
Hi there, I'm Anjana! Thank you for taking the time to read my profile. I have been a licensed clinical social worker for the last 13 years in California, and I believe that to have a successful outcome in therapy, the client and therapist must build a strong rapport. I am a person-centered counselor with a warm and compassionate style. I believe in treating others with respect and dignity.
(650) 582-2592 View (650) 582-2592
Photo of Chidi Njoku, Clinical Social Work/Therapist in South San Francisco, CA
Chidi Njoku
Clinical Social Work/Therapist, LCSW
Verified
South San Francisco, CA 94080  (Online Only)
In the last 20 years, I have worked with a number of patient populations, including, couples and families, individuals struggling with addictions, mood disorders, relationship challenges, work stress, and victims of violent crimes. My varied experiences have developed me into the clinician I am today. My style is solution focused, geared towards helping my clients feel safe and empowered to tap into the tools and resources within them.
In the last 20 years, I have worked with a number of patient populations, including, couples and families, individuals struggling with addictions, mood disorders, relationship challenges, work stress, and victims of violent crimes. My varied experiences have developed me into the clinician I am today. My style is solution focused, geared towards helping my clients feel safe and empowered to tap into the tools and resources within them.
(415) 449-4581 View (415) 449-4581
Photo of Araceli Cordova, Marriage & Family Therapist in South San Francisco, CA
Araceli Cordova
Marriage & Family Therapist, LMFT
Verified
2 Endorsed
South San Francisco, CA 94080
Not accepting new clients
As a bilingual, first generation Mexican American therapist and Bay Area native, I am passionate about promoting exploration and connection to self identity, healthy relationships, and a growth mindset in times of transition. I work with children and families, particularly I specialize in providing a supportive and nonjudgmental space for teens struggling with the chaos of adolescence and becoming a young adult in this generation. I am here to process these anxious feelings and help teens develop the skills to better recognize, understand, and tolerate their feelings, so they can learn to “grow through what they go through”.
As a bilingual, first generation Mexican American therapist and Bay Area native, I am passionate about promoting exploration and connection to self identity, healthy relationships, and a growth mindset in times of transition. I work with children and families, particularly I specialize in providing a supportive and nonjudgmental space for teens struggling with the chaos of adolescence and becoming a young adult in this generation. I am here to process these anxious feelings and help teens develop the skills to better recognize, understand, and tolerate their feelings, so they can learn to “grow through what they go through”.
(650) 684-8199 View (650) 684-8199
Photo of Carlos M Flores, Marriage & Family Therapist in South San Francisco, CA
Carlos M Flores
Marriage & Family Therapist, LMFT
Verified
South San Francisco, CA 94080  (Online Only)
I have worked with individuals from the Kink, Latinx, LGBT+, and neurodiverse communities to mitigate the impact of stressors by employing Cognitive Behavior Therapy (CBT), trauma informed care, and trauma narratives. I have served clients in both private and community mental health settings to address barriers created by anxiety, trauma, and unexpected life transitions.
I have worked with individuals from the Kink, Latinx, LGBT+, and neurodiverse communities to mitigate the impact of stressors by employing Cognitive Behavior Therapy (CBT), trauma informed care, and trauma narratives. I have served clients in both private and community mental health settings to address barriers created by anxiety, trauma, and unexpected life transitions.
(310) 919-2038 View (310) 919-2038
Photo of Martha Borja Acacio, Marriage & Family Therapist in South San Francisco, CA
Martha Borja Acacio
Marriage & Family Therapist, MS, LMFT
Verified
South San Francisco, CA 94080
I hold over 25 years of experience working with youth, adolescents, young adults, adults and families. After earning my master's degree in Counseling at San Francisco State University, I accepted a position with Family Service Agency of San Francisco, then with the City and County of San Francisco Department of Public Health, Community Behavioral Services. In this position, I helped to create the Transitional Youth Service Program. In 2000, I received a Certificate of Honor award from the Mayor of San Francisco.
I hold over 25 years of experience working with youth, adolescents, young adults, adults and families. After earning my master's degree in Counseling at San Francisco State University, I accepted a position with Family Service Agency of San Francisco, then with the City and County of San Francisco Department of Public Health, Community Behavioral Services. In this position, I helped to create the Transitional Youth Service Program. In 2000, I received a Certificate of Honor award from the Mayor of San Francisco.
(650) 353-9141 View (650) 353-9141
Photo of Katrina Watkins, Marriage & Family Therapist in South San Francisco, CA
Katrina Watkins
Marriage & Family Therapist, LMFT
Verified
South San Francisco, CA 94080
Hello, I'm Katrina Watkins, a Licensed Marriage and Family Therapist. My therapeutic approach is client-centered, focusing on creating a safe, empathetic space for you to explore your concerns and strengths. I am dedicated to assisting my clients in the following areas: anxiety and stress management, depression and mood disorders, relationship and family issues, trauma and PTSD, grief and loss, self-esteem and confidence, addiction and substance abuse, mindfulness, work-related stress, LGBTQ+ issues, and more.
Hello, I'm Katrina Watkins, a Licensed Marriage and Family Therapist. My therapeutic approach is client-centered, focusing on creating a safe, empathetic space for you to explore your concerns and strengths. I am dedicated to assisting my clients in the following areas: anxiety and stress management, depression and mood disorders, relationship and family issues, trauma and PTSD, grief and loss, self-esteem and confidence, addiction and substance abuse, mindfulness, work-related stress, LGBTQ+ issues, and more.
(650) 275-6256 View (650) 275-6256
Photo of Jane Jolindon Alfonso, Marriage & Family Therapist in South San Francisco, CA
Jane Jolindon Alfonso
Marriage & Family Therapist, MA , MFT
Verified
South San Francisco, CA 94080  (Online Only)
Are you exhausted and feeling disconnected? Can’t relax and forgotten what it’s like to get a good night’s sleep or enjoy the small things in life? Having trouble balancing priorities or unclear about what those priorities are? Do everyone else’s needs come before your own? If you’ve answered “yes” to any of those questions, then let’s talk. I’m a Filipina, licensed Marriage and Family Therapist with over 15 years of experience in the San Francisco Bay Area. I specialize in working with professional women and BIPOC who have a lot on their plate and feel like they’re going to collapse or explode if one more thing happens.
Are you exhausted and feeling disconnected? Can’t relax and forgotten what it’s like to get a good night’s sleep or enjoy the small things in life? Having trouble balancing priorities or unclear about what those priorities are? Do everyone else’s needs come before your own? If you’ve answered “yes” to any of those questions, then let’s talk. I’m a Filipina, licensed Marriage and Family Therapist with over 15 years of experience in the San Francisco Bay Area. I specialize in working with professional women and BIPOC who have a lot on their plate and feel like they’re going to collapse or explode if one more thing happens.
(415) 806-4253 View (415) 806-4253
Photo of Hillary Harper, Marriage & Family Therapist in South San Francisco, CA
Hillary Harper
Marriage & Family Therapist, LMFT
Verified
South San Francisco, CA 94080  (Online Only)
I have been practicing as a therapist since 2015 and have worked in clinical settings, non-profit, and in a private practice. Each person generates their own understanding of life. My goal is to help each individual create their own meaning of life and gain a better understanding of the challenges that they may face. From a small child to a grown adult, there is the capacity for change within each one of use. Regardless of age, I look at each client as an individual and treat each person for who they are and the struggles that they may be facing. I offer a supportive. healing environment that is catered around each person's needs.
I have been practicing as a therapist since 2015 and have worked in clinical settings, non-profit, and in a private practice. Each person generates their own understanding of life. My goal is to help each individual create their own meaning of life and gain a better understanding of the challenges that they may face. From a small child to a grown adult, there is the capacity for change within each one of use. Regardless of age, I look at each client as an individual and treat each person for who they are and the struggles that they may be facing. I offer a supportive. healing environment that is catered around each person's needs.
(510) 319-2360 View (510) 319-2360

See more therapy options for South San Francisco

How does your Therapist compare?

Number of Therapists in South San Francisco, CA

100+

Average cost per session

$187

Therapists in South San Francisco, CA who prioritize treating:

96% Anxiety
88% Depression
74% Grief
71% Relationship Issues
68% Trauma and PTSD
56% Self Esteem
51% Stress

Average years in practice

19 Years

Top 3 insurances accepted

72% Aetna
66% Anthem | Elevance
58% MHN | Health Net

How Therapists in South San Francisco, CA see their clients

78% In Person and Online
22% Online Only

Gender breakdown

72% Female
27% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in South 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.