Therapists in Lafayette, CO

Photo of Samantha Siegel, Licensed Professional Counselor in Lafayette, CO
Samantha Siegel
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Lafayette, CO 80026
My mission is to help teens, young adults, and families discover the wisdom within to succeed, thrive, and grow. Through mindfulness- and emotionally focused approaches, I provide a safe, non-judgmental space where connection and self-knowing lead to well-being, growth, and authentic expression.
My mission is to help teens, young adults, and families discover the wisdom within to succeed, thrive, and grow. Through mindfulness- and emotionally focused approaches, I provide a safe, non-judgmental space where connection and self-knowing lead to well-being, growth, and authentic expression.
(720) 702-1567 View (720) 702-1567
Photo of Meg Kies, Licensed Professional Counselor Candidate in Lafayette, CO
Meg Kies
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
1 Endorsed
Lafayette, CO 80026  (Online Only)
I approach therapy with a client-centered framework to let you determine what path your journey is taking. We will create a relationship together where I can be your mirror and reflect your innate wisdom that life's stress and trauma have obscured. Lasting change is created through this empowerment that gives you the strength and awareness to deepen personal resilience. I blend a model of evidence-based therapeutic techniques with non-traditional spiritual knowledge and practices like mindfulness. Through compassion, present-moment focus, and somatic guidance, I offer support unique to what you need for your individual situation.
I approach therapy with a client-centered framework to let you determine what path your journey is taking. We will create a relationship together where I can be your mirror and reflect your innate wisdom that life's stress and trauma have obscured. Lasting change is created through this empowerment that gives you the strength and awareness to deepen personal resilience. I blend a model of evidence-based therapeutic techniques with non-traditional spiritual knowledge and practices like mindfulness. Through compassion, present-moment focus, and somatic guidance, I offer support unique to what you need for your individual situation.
(303) 276-9939 View (303) 276-9939
Photo of Corissa Js Gold, Licensed Professional Counselor in Lafayette, CO
Corissa Js Gold
Licensed Professional Counselor, LPC-S, ART-BC, MFA
Verified Verified
Lafayette, CO 80026
I approach my work with the family system is wholistic and humanistic focused. I work with each member to the family to capitalize on strengths to acknowledge, explore, and ultimately address presenting challenges. Families take many forms. Every family's story is different. Family members may feel isolated and misunderstood. It is our need for connection, understanding, guidance, support, and empowerment that is universal.
I approach my work with the family system is wholistic and humanistic focused. I work with each member to the family to capitalize on strengths to acknowledge, explore, and ultimately address presenting challenges. Families take many forms. Every family's story is different. Family members may feel isolated and misunderstood. It is our need for connection, understanding, guidance, support, and empowerment that is universal.
(303) 732-8252 View (303) 732-8252
Photo of Sara Jean Fraser, Pre-Licensed Professional in Lafayette, CO
Sara Jean Fraser
Pre-Licensed Professional, MA, LPCC
Verified Verified
1 Endorsed
Lafayette, CO 80026
Hello and welcome! My name is SJ and I am here to create a warm and affirming space for individuals navigating the beautiful complexities of life, identity, and healing. If you find yourself at the intersection of LGBTQ+ experiences, grappling with grief, trauma, anxiety, and the pursuit of authentic self-love, you've come to the right place. I believe everyone has strengths that we can identify and utilize to achieve their goals and create the meaningful life they have envisioned.
Hello and welcome! My name is SJ and I am here to create a warm and affirming space for individuals navigating the beautiful complexities of life, identity, and healing. If you find yourself at the intersection of LGBTQ+ experiences, grappling with grief, trauma, anxiety, and the pursuit of authentic self-love, you've come to the right place. I believe everyone has strengths that we can identify and utilize to achieve their goals and create the meaningful life they have envisioned.
(720) 715-8398 View (720) 715-8398
Photo of Liz Brown, Clinical Social Work/Therapist in Lafayette, CO
Liz Brown
Clinical Social Work/Therapist, MEd, LCSW
Verified Verified
Lafayette, CO 80026  (Online Only)
Hello! I work with adolescents and young adults (ages 10-22) who are struggling with self-esteem issues, anxiety, depression, or substance use. I also work with clients who are exploring their individual identity as part of the LGBTQ+ community, or just trying to figure out their interests and goals. Adolescence and young adulthood can be a tricky time! I take pride in offering a warm, safe, non-judgmental environment for every individual and recognize that building a consistent, strong rapport will be the most valuable component of a therapeutic relationship.
Hello! I work with adolescents and young adults (ages 10-22) who are struggling with self-esteem issues, anxiety, depression, or substance use. I also work with clients who are exploring their individual identity as part of the LGBTQ+ community, or just trying to figure out their interests and goals. Adolescence and young adulthood can be a tricky time! I take pride in offering a warm, safe, non-judgmental environment for every individual and recognize that building a consistent, strong rapport will be the most valuable component of a therapeutic relationship.
(720) 809-7598 View (720) 809-7598
Photo of Sonja Hellman, Psychologist in Lafayette, CO
Sonja Hellman
Psychologist, PhD
Verified Verified
4 Endorsed
Lafayette, CO 80026
Not accepting new clients
Most clients see me three to five times, and leave our first session feeling significantly better already. You aren't choosing to think, act or feel in the way that's brought you here, so how could you possibly choose NOT to? Psychological problems are caused and maintained by forces that, until we expose them, have been beyond your control. It's *normal* to feel angry, anxious, traumatized or depressed, but it's not wonderful. I want your mind to work optimally! "Optimally" means free of preoccupations that have been keeping you down.
Most clients see me three to five times, and leave our first session feeling significantly better already. You aren't choosing to think, act or feel in the way that's brought you here, so how could you possibly choose NOT to? Psychological problems are caused and maintained by forces that, until we expose them, have been beyond your control. It's *normal* to feel angry, anxious, traumatized or depressed, but it's not wonderful. I want your mind to work optimally! "Optimally" means free of preoccupations that have been keeping you down.
(720) 789-8890 View (720) 789-8890
Photo of Gretchen Stecher, MA, LPC - Soul Shine, LLC, Licensed Professional Counselor in Lafayette, CO
Gretchen Stecher, MA, LPC - Soul Shine, LLC
Licensed Professional Counselor, MA
Verified Verified
2 Endorsed
Lafayette, CO 80026
Are you frustrated by anxiety, overwhelm, worry, or people pleasing? Are you plagued by guilt, "I'm not good enough," or comparing yourself to others? Does a yucky sense of disconnection gnaw at your insides? Healing and serenity are possible when you have accurate support. I invite you to show yourself that you matter right now by reaching out for support. Being true to yourself is a bold act of love and a demonstration of strength. You can learn how to stop judging yourself, make choices that align with your insides, successfully navigate relationships, trust yourself and move into a heart-centered, peaceful life.
Are you frustrated by anxiety, overwhelm, worry, or people pleasing? Are you plagued by guilt, "I'm not good enough," or comparing yourself to others? Does a yucky sense of disconnection gnaw at your insides? Healing and serenity are possible when you have accurate support. I invite you to show yourself that you matter right now by reaching out for support. Being true to yourself is a bold act of love and a demonstration of strength. You can learn how to stop judging yourself, make choices that align with your insides, successfully navigate relationships, trust yourself and move into a heart-centered, peaceful life.
(720) 903-3153 View (720) 903-3153
Photo of Amanda Jenkins, Clinical Social Work/Therapist in Lafayette, CO
Amanda Jenkins
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lafayette, CO 80026  (Online Only)
I work with adults who are looking to relieve depression and anxiety or cope with life transitions or challenges, couples looking for more meaningful and satisfying relationships and children/adolescents needing support with emotional or behavioral difficulties. I utilize a variety of therapeutic theories, allowing for flexibility in meeting your individual needs in the most beneficial way.
I work with adults who are looking to relieve depression and anxiety or cope with life transitions or challenges, couples looking for more meaningful and satisfying relationships and children/adolescents needing support with emotional or behavioral difficulties. I utilize a variety of therapeutic theories, allowing for flexibility in meeting your individual needs in the most beneficial way.
(303) 951-8413 View (303) 951-8413
Photo of Katy De Angelis, Clinical Social Work/Therapist in Lafayette, CO
Katy De Angelis
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Lafayette, CO 80026
Waitlist for new clients
Are you feeling depressed or anxious? Are you feeling overwhelmed as a parent navigating the mental load of having a family? Do you feel stuck in repeat behaviors wondering why you can't shift or change? Do you feel triggered by your kids or partner? I offer both psychotherapy and Brainspotting to individuals who are looking to process and heal from their pasts so they can show up in their present lives feeling more whole. I have a special interest in supporting the perinatal population, mothering and parenting and have additional training in supporting maternal mental health. I am here for you when you are ready.
Are you feeling depressed or anxious? Are you feeling overwhelmed as a parent navigating the mental load of having a family? Do you feel stuck in repeat behaviors wondering why you can't shift or change? Do you feel triggered by your kids or partner? I offer both psychotherapy and Brainspotting to individuals who are looking to process and heal from their pasts so they can show up in their present lives feeling more whole. I have a special interest in supporting the perinatal population, mothering and parenting and have additional training in supporting maternal mental health. I am here for you when you are ready.
(720) 893-3737 View (720) 893-3737
Photo of 2nd Star Counseling, Licensed Professional Counselor in Lafayette, CO
2nd Star Counseling
Licensed Professional Counselor
Verified Verified
Lafayette, CO 80026
At 2nd Star Counseling, our clinicians Kathryn Raley, NCC, LPC, RPT-S, ACS and Maggie Daggett, MA, LPCC offer individual therapy, adolescent therapy, play therapy, and family therapy.
At 2nd Star Counseling, our clinicians Kathryn Raley, NCC, LPC, RPT-S, ACS and Maggie Daggett, MA, LPCC offer individual therapy, adolescent therapy, play therapy, and family therapy.
(720) 928-9829 View (720) 928-9829
Photo of Embodied Relationships Counseling Center, Licensed Professional Counselor in Lafayette, CO
Embodied Relationships Counseling Center
Licensed Professional Counselor, LPC, CST, R-DMT
Verified Verified
Lafayette, CO 80026
If you are having difficulty communicating within your intimate relationship, feeling disconnected from each other, or believe that you may misunderstand each others intimacy styles, then you have an opportunity to level up your relationship. Every relationship needs support and continued inspiration to evolve with the natural growth of you as individuals. We can support you to communicate more effectively, to cultivate intentional and meaningful time together, and to understand each others desires and boundaries to create a present moment, fulfilling relationship.
If you are having difficulty communicating within your intimate relationship, feeling disconnected from each other, or believe that you may misunderstand each others intimacy styles, then you have an opportunity to level up your relationship. Every relationship needs support and continued inspiration to evolve with the natural growth of you as individuals. We can support you to communicate more effectively, to cultivate intentional and meaningful time together, and to understand each others desires and boundaries to create a present moment, fulfilling relationship.
(720) 740-8473 View (720) 740-8473
Photo of Kristin van der Poel at Venture Into Connection, Licensed Professional Counselor in Lafayette, CO
Kristin van der Poel at Venture Into Connection
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
5 Endorsed
Lafayette, CO 80026
Are you struggling with finding direction, rebuilding trust, connection, and intimacy in your relationships? Are you noticing an increase in anxiety, depressive symptoms, and low self-confidence? Finding the courage to take that first step, and making the call to get help can be intimidating. We at Venture Into Connection want to answer any questions you may have about our process, and we stress our commitment to providing a safe space for you to share your story.
Are you struggling with finding direction, rebuilding trust, connection, and intimacy in your relationships? Are you noticing an increase in anxiety, depressive symptoms, and low self-confidence? Finding the courage to take that first step, and making the call to get help can be intimidating. We at Venture Into Connection want to answer any questions you may have about our process, and we stress our commitment to providing a safe space for you to share your story.
(720) 790-6266 View (720) 790-6266
Photo of Donalee Brown, Psychologist in Lafayette, CO
Donalee Brown
Psychologist, PhD
Verified Verified
Lafayette, CO 80026
Seeking therapy is not always an easy decision and I welcome the decision of my clients to pursue change, greater life satisfaction and resolution of troublesome behaviors or relationships. Each client is unique and brings their own story. As a psychologist I try to help them find meaningful change leading to a more satisfactory life. My clinical focus is interpersonal trauma which includes sexual abuse, PTSD, and relationship issues. I also work with anxiety, life transitions, and attachment issues.
Seeking therapy is not always an easy decision and I welcome the decision of my clients to pursue change, greater life satisfaction and resolution of troublesome behaviors or relationships. Each client is unique and brings their own story. As a psychologist I try to help them find meaningful change leading to a more satisfactory life. My clinical focus is interpersonal trauma which includes sexual abuse, PTSD, and relationship issues. I also work with anxiety, life transitions, and attachment issues.
(720) 784-6318 View (720) 784-6318
Photo of Erin Elizabeth Dittelberger, Counselor in Lafayette, CO
Erin Elizabeth Dittelberger
Counselor, MA, LPC-S
Verified Verified
Lafayette, CO 80026  (Online Only)
Not accepting new clients
I believe that we all need help and support in our lives, especially in times of crisis and change. We all have capacity and resiliency already present in our life, but sometimes we may need someone else to witness and help support us during times of grief and loss, change of identity, or interpersonal pain and relationship difficulties. I think that creating goals of changing the way that our thoughts and beliefs influence our feelings, being able to feel what we are going through with another person present, and setting concrete goals with our behavior can help when seeking therapy. This is what we can do together.
I believe that we all need help and support in our lives, especially in times of crisis and change. We all have capacity and resiliency already present in our life, but sometimes we may need someone else to witness and help support us during times of grief and loss, change of identity, or interpersonal pain and relationship difficulties. I think that creating goals of changing the way that our thoughts and beliefs influence our feelings, being able to feel what we are going through with another person present, and setting concrete goals with our behavior can help when seeking therapy. This is what we can do together.
(303) 647-4930 View (303) 647-4930
Photo of Theresa Palermo, Clinical Social Work/Therapist in Lafayette, CO
Theresa Palermo
Clinical Social Work/Therapist, LCSW
Verified Verified
Lafayette, CO 80026
With over 30 years experience as a therapist working to help individuals of all ages to overcome obstacles and deal with grief, loss, adversity, mental illness and trauma, I have developed an expertise in helping people to integrate the experiences that they encounter and reach a new level in their lives. I works with children, adolescents and adults in individual and family therapy, utilizing Play Based Therapy, Talk Therapy, AEDP, Solution Focused Brief Therapy, EMDR and Brainspotting. My areas of specialty include, Adoption Issues, Trauma/PTSD, Depression, Anxiety, Divorce, Parenting Issues, Grief, Loss and life transitions.
With over 30 years experience as a therapist working to help individuals of all ages to overcome obstacles and deal with grief, loss, adversity, mental illness and trauma, I have developed an expertise in helping people to integrate the experiences that they encounter and reach a new level in their lives. I works with children, adolescents and adults in individual and family therapy, utilizing Play Based Therapy, Talk Therapy, AEDP, Solution Focused Brief Therapy, EMDR and Brainspotting. My areas of specialty include, Adoption Issues, Trauma/PTSD, Depression, Anxiety, Divorce, Parenting Issues, Grief, Loss and life transitions.
(720) 463-1377 View (720) 463-1377
Photo of Bonnie Brown, Psychologist in Lafayette, CO
Bonnie Brown
Psychologist, PsyD
Verified Verified
Lafayette, CO 80026
Waitlist for new clients
I'm a licensed clinical psychologist, and I believe that providing a safe and supportive environment fosters alliance and trust within the therapeutic relationship. My goal as a therapist is to help my clients achieve their goals whether that includes easing symptoms of depression or anxiety, working through difficult issues (current or past), increasing coping skills, increasing self-esteem, and/or identifying what's next in life. I am also trained and certified in EMDR.
I'm a licensed clinical psychologist, and I believe that providing a safe and supportive environment fosters alliance and trust within the therapeutic relationship. My goal as a therapist is to help my clients achieve their goals whether that includes easing symptoms of depression or anxiety, working through difficult issues (current or past), increasing coping skills, increasing self-esteem, and/or identifying what's next in life. I am also trained and certified in EMDR.
(805) 774-1624 View (805) 774-1624
Photo of Benjamin White, Clinical Social Work/Therapist in Lafayette, CO
Benjamin White
Clinical Social Work/Therapist, LCSW, CGP
Verified Verified
Lafayette, CO 80026
My clients are often looking for something beyond skills, strategies and a diagnosis. I work best with people who are looking to really sort out what's going on in their lives, and who are interested in potent and lasting change. I also work specifically with people who are increasingly concerned about environmental issues or experience climate anxiety, grief or other feelings associated with environmental issues. As an avid outdoorsman and a Cross Country Ski instructor on weekends, I also frequently work with individuals from the climbing, skiing, mountaineering and other outdoor recreation communities.
My clients are often looking for something beyond skills, strategies and a diagnosis. I work best with people who are looking to really sort out what's going on in their lives, and who are interested in potent and lasting change. I also work specifically with people who are increasingly concerned about environmental issues or experience climate anxiety, grief or other feelings associated with environmental issues. As an avid outdoorsman and a Cross Country Ski instructor on weekends, I also frequently work with individuals from the climbing, skiing, mountaineering and other outdoor recreation communities.
(970) 409-1284 View (970) 409-1284
Photo of Sarah Kennedy, Counselor in Lafayette, CO
Sarah Kennedy
Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Lafayette, CO 80026  (Online Only)
For anyone feeling like life is not aligning, I work as a guide and companion to help move through these moments in life. My passion is helping women and couples create deeper connection, and navigate through grief, mood disorders, anxiety, or life transitions by seamlessly integrating nature-based techniques and an integrative therapeutic approach.
For anyone feeling like life is not aligning, I work as a guide and companion to help move through these moments in life. My passion is helping women and couples create deeper connection, and navigate through grief, mood disorders, anxiety, or life transitions by seamlessly integrating nature-based techniques and an integrative therapeutic approach.
(720) 735-3287 View (720) 735-3287
Photo of Shannon Bauer, Licensed Professional Counselor in Lafayette, CO
Shannon Bauer
Licensed Professional Counselor, LPC
Verified Verified
Lafayette, CO 80026
Life can be stressful and sometimes we need extra tools and guidance along the way. In working together, we will focus on your past traumas, life stressors, or the way that you react to certain situations. We can explore your past family systems, current relationships, societal influences, and life changing experiences along the way to offer insight, perspective, and tools to meet your individual needs and goals. I have a vast array of experience both personally and professionally. I believe that everyone deserves someone to support them through challenging times and feel honored to be that person for clients.
Life can be stressful and sometimes we need extra tools and guidance along the way. In working together, we will focus on your past traumas, life stressors, or the way that you react to certain situations. We can explore your past family systems, current relationships, societal influences, and life changing experiences along the way to offer insight, perspective, and tools to meet your individual needs and goals. I have a vast array of experience both personally and professionally. I believe that everyone deserves someone to support them through challenging times and feel honored to be that person for clients.
(303) 625-9379 View (303) 625-9379
Photo of Jenny Epstein Kessem, Licensed Professional Counselor in Lafayette, CO
Jenny Epstein Kessem
Licensed Professional Counselor, MA, LPC, BC-DMT, ACS
Verified Verified
Lafayette, CO 80026
Are you able to accept yourself as you are right now, while also committing to change? While you may be seeking therapy to get rid of a problem, what if we turn toward that problem, listen to it, and even notice how it is taking care of you? Ironically, this is how problems seem to shift. You may struggle with your capacity to feel present and authentic in your relationships. These struggles may have roots in what you first learned about love and closeness as a little person. In our work you can learn to embrace, understand, and take good care of this early imprint in your adult relationships.
Are you able to accept yourself as you are right now, while also committing to change? While you may be seeking therapy to get rid of a problem, what if we turn toward that problem, listen to it, and even notice how it is taking care of you? Ironically, this is how problems seem to shift. You may struggle with your capacity to feel present and authentic in your relationships. These struggles may have roots in what you first learned about love and closeness as a little person. In our work you can learn to embrace, understand, and take good care of this early imprint in your adult relationships.
(303) 327-9138 View (303) 327-9138

How does your Therapist compare?

Number of Therapists in Lafayette, CO

200+

Average cost per session

$150

Therapists in Lafayette, CO who prioritize treating:

91% Anxiety
86% Relationship Issues
84% Depression
79% Self Esteem
78% Trauma and PTSD
73% Grief
69% Stress

Average years in practice

13 Years

Top 3 insurances accepted

64% Aetna
60% Cigna and Evernorth
58% UnitedHealthcare UHC | UBH

How Therapists in Lafayette, CO see their clients

86% In Person and Online
14% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Lafayette?

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.