Therapists in Lakewood, OH

Photo of Michele Javorek, Counselor in Lakewood, OH
Michele Javorek
Counselor, LPCC-S
Verified Verified
1 Endorsed
Lakewood, OH 44107
My clients are individuals who are struggling with various issues such as anxiety and depression. I want my clients to feel supported so that they can make the changes that are necessary to reach their full potential. Whether you are just beginning to think about change or you are ready to take action, we can work together to determine the goals you want to achieve.
My clients are individuals who are struggling with various issues such as anxiety and depression. I want my clients to feel supported so that they can make the changes that are necessary to reach their full potential. Whether you are just beginning to think about change or you are ready to take action, we can work together to determine the goals you want to achieve.
(216) 232-3085 View (216) 232-3085
Photo of Michael Crowdes, Licensed Professional Counselor in Lakewood, OH
Michael Crowdes
Licensed Professional Counselor
Verified Verified
Lakewood, OH 44107
Now Accepting New Clients - I am passionate about helping people break through difficulties that have been holding them back from feeling happy and hopeful. I work with people who are dealing with significant life changes, both personal and professional, relationship issues, and people who are searching for better insight into themselves, or a greater sense of purpose. One of my specialties is working with clients suffering from grief or loss.
Now Accepting New Clients - I am passionate about helping people break through difficulties that have been holding them back from feeling happy and hopeful. I work with people who are dealing with significant life changes, both personal and professional, relationship issues, and people who are searching for better insight into themselves, or a greater sense of purpose. One of my specialties is working with clients suffering from grief or loss.
(216) 677-1514 View (216) 677-1514
Photo of Karen A. Kazsmer, Counselor in Lakewood, OH
Karen A. Kazsmer
Counselor, MA, LPCC
Verified Verified
Lakewood, OH 44107
Making a decision to work with a therapist can change your life. Finding one with the right expertise to work with your concerns can really change your life. I am a well informed, well qualified and highly trained professional Counselor with over 30 years of experience. My holistic approach has an emphasis on nurturing a healthy balance of heart, mind, body and spirit, thereby creating more self-awareness to facilitate positive changes in your life. I provide a safe, respectful, compassionate and encouraging environment to explore challenges that keep you from being your best self and living a healthy thriving life.
Making a decision to work with a therapist can change your life. Finding one with the right expertise to work with your concerns can really change your life. I am a well informed, well qualified and highly trained professional Counselor with over 30 years of experience. My holistic approach has an emphasis on nurturing a healthy balance of heart, mind, body and spirit, thereby creating more self-awareness to facilitate positive changes in your life. I provide a safe, respectful, compassionate and encouraging environment to explore challenges that keep you from being your best self and living a healthy thriving life.
(216) 820-9917 View (216) 820-9917
Photo of Christine Moran, Counselor in Lakewood, OH
Christine Moran
Counselor, LPCC, CCTP
Verified Verified
1 Endorsed
Lakewood, OH 44107
I am a Ketamine-Assisted Psychotherapy (KAP) provider and Certified Clinical Trauma Professional (CCTP), clinically trained in EMDR therapy, Polyvagal Theory, parts work and attachment-based therapies, and other treatment methods grounded in the latest behavioral health and neuroscience research. While I enjoy working with clients with a multitude of presenting issues, I primarily specialize in treating trauma and PTSD. Using an integrated approach to therapy, I collaborate with clients on working through past and present difficulties to develop insight into complex issues and achieve the highest level of functioning.
I am a Ketamine-Assisted Psychotherapy (KAP) provider and Certified Clinical Trauma Professional (CCTP), clinically trained in EMDR therapy, Polyvagal Theory, parts work and attachment-based therapies, and other treatment methods grounded in the latest behavioral health and neuroscience research. While I enjoy working with clients with a multitude of presenting issues, I primarily specialize in treating trauma and PTSD. Using an integrated approach to therapy, I collaborate with clients on working through past and present difficulties to develop insight into complex issues and achieve the highest level of functioning.
(440) 588-3178 View (440) 588-3178
Photo of Lauren Ferns, LPC Intern in Lakewood, OH
Lauren Ferns
LPC Intern, CT
Verified Verified
1 Endorsed
Lakewood, OH 44107
Life can be overwhelming and out of control, leaving you feeling like you mentally and spiritually have “too many tabs open.” Let's work together to reduce life’s stressors to rediscover your motivation, sense of self, connection to others, and enjoyment of life.
Life can be overwhelming and out of control, leaving you feeling like you mentally and spiritually have “too many tabs open.” Let's work together to reduce life’s stressors to rediscover your motivation, sense of self, connection to others, and enjoyment of life.
(216) 616-1169 View (216) 616-1169
Photo of Ranada Cooper, Psychologist in Lakewood, OH
Ranada Cooper
Psychologist, PsyD
Verified Verified
Lakewood, OH 44107
Dr. Ranada Cooper is a Licensed Social Worker and a Licensed Psychologist (LSW, LP) with more than 23 years of experience in the mental health field. She is passionate about helping pre-adolescents, adolescents, and adults address their unique challenges and live more fulfilled lives. Dr. Cooper specializes in depression, anxiety, grief, trauma, relationship issues, and major life transitions. Dr. Cooper completed her Master's degree in Social Science Administration at Case Western Reserve University-MSASS. She offers counseling and talk therapy services; however, she does not currently offer psychological testing.
Dr. Ranada Cooper is a Licensed Social Worker and a Licensed Psychologist (LSW, LP) with more than 23 years of experience in the mental health field. She is passionate about helping pre-adolescents, adolescents, and adults address their unique challenges and live more fulfilled lives. Dr. Cooper specializes in depression, anxiety, grief, trauma, relationship issues, and major life transitions. Dr. Cooper completed her Master's degree in Social Science Administration at Case Western Reserve University-MSASS. She offers counseling and talk therapy services; however, she does not currently offer psychological testing.
(216) 859-3364 View (216) 859-3364
Photo of Veronica Fabec, Licensed Professional Counselor in Lakewood, OH
Veronica Fabec
Licensed Professional Counselor, LPC
Verified Verified
5 Endorsed
Lakewood, OH 44107  (Online Only)
We think we listen, but very rarely do we listen with real understanding, true empathy. Yet, listening of this very special kind, is one of the most potent forces for change that I know (Carl Rogers). Veronica is here to listen. She passionately focuses on creating a safe place for people to feel comfortable making healthy changes in their lives. As a native Spanish speaker, she is an empathic, open-minded helper focused on truly hearing English- or Spanish-speaking clients. Specializing in the treatment of anxiety and depression, Veronica provides catered treatment, primarily channeled through Cognitive Behavioral Therapy.
We think we listen, but very rarely do we listen with real understanding, true empathy. Yet, listening of this very special kind, is one of the most potent forces for change that I know (Carl Rogers). Veronica is here to listen. She passionately focuses on creating a safe place for people to feel comfortable making healthy changes in their lives. As a native Spanish speaker, she is an empathic, open-minded helper focused on truly hearing English- or Spanish-speaking clients. Specializing in the treatment of anxiety and depression, Veronica provides catered treatment, primarily channeled through Cognitive Behavioral Therapy.
(216) 606-8248 View (216) 606-8248
Photo of Lauren Boudon, Counselor in Lakewood, OH
Lauren Boudon
Counselor, MS, LCMHC, LPCC
Verified Verified
1 Endorsed
Lakewood, OH 44107
Are you struggling to connect and communicate with your partner or loved ones? I will walk alongside you as we develop new ways of building healthy relationships with those around you. A lot of my clients have been stuck repeating the same patterns over and over and are ready to find a path toward healing and connection. My hope is to offer a safe haven where you can take the risks that are needed to challenge these old cycles. Together we can find a way back to safe and secure connection. We will work together so that you leave counseling feeling empowered and confident in your relationship with yourself and others.
Are you struggling to connect and communicate with your partner or loved ones? I will walk alongside you as we develop new ways of building healthy relationships with those around you. A lot of my clients have been stuck repeating the same patterns over and over and are ready to find a path toward healing and connection. My hope is to offer a safe haven where you can take the risks that are needed to challenge these old cycles. Together we can find a way back to safe and secure connection. We will work together so that you leave counseling feeling empowered and confident in your relationship with yourself and others.
(336) 276-2087 View (336) 276-2087
Photo of Theo Eiben, Counselor in Lakewood, OH
Theo Eiben
Counselor, MEd, LPCC
Verified Verified
1 Endorsed
Lakewood, OH 44107  (Online Only)
Not accepting new clients
As a Licensed Professional Clinical Counselor, I believe clients hold answers within yet often feel they have lost touch with themselves. I strive to provide a safe and validating space for clients allowing them to discover intuitive answers to incorporate into a purposeful and fulfilling life. Gestalt therapy is one of my approaches which emphasizes existing wholly in the here and now. Throughout this process you can access and integrate fragmented traits generating deeper connection with yourself and others.
As a Licensed Professional Clinical Counselor, I believe clients hold answers within yet often feel they have lost touch with themselves. I strive to provide a safe and validating space for clients allowing them to discover intuitive answers to incorporate into a purposeful and fulfilling life. Gestalt therapy is one of my approaches which emphasizes existing wholly in the here and now. Throughout this process you can access and integrate fragmented traits generating deeper connection with yourself and others.
(562) 740-8583 View (562) 740-8583
Photo of Melanie Shmois, Clinical Social Work/Therapist in Lakewood, OH
Melanie Shmois
Clinical Social Work/Therapist, Weight , MSSA, LISW-S, Life, Coach
Verified Verified
Lakewood, OH 44107
Hello, I am Melanie Shmois, MSSA, LISW-S, Certified Life & Weight Loss Coach, Shadow Integration Master. I am a personal coach & therapist for high-performers who are at the top of their game professionally and also want to excel in their personal lives. I use transformation coaching tools to facilitate change.
Hello, I am Melanie Shmois, MSSA, LISW-S, Certified Life & Weight Loss Coach, Shadow Integration Master. I am a personal coach & therapist for high-performers who are at the top of their game professionally and also want to excel in their personal lives. I use transformation coaching tools to facilitate change.
(216) 223-8990 View (216) 223-8990
Photo of Anna Martonchik, Clinical Social Work/Therapist in Lakewood, OH
Anna Martonchik
Clinical Social Work/Therapist, LSW
Verified Verified
Lakewood, OH 44107
As we all face challenges through our lives, it can be beneficial to be surrounded by support and tools that allow you to grow through these times. I strive to create an environment that is comfortable and inviting, allowing a space to best explore and care for your mental health. Therapy is a great opportunity to embrace self-care and continue a journey of building your best self.
As we all face challenges through our lives, it can be beneficial to be surrounded by support and tools that allow you to grow through these times. I strive to create an environment that is comfortable and inviting, allowing a space to best explore and care for your mental health. Therapy is a great opportunity to embrace self-care and continue a journey of building your best self.
(216) 369-4935 View (216) 369-4935
Photo of Samantha Komertz, Licensed Professional Counselor in Lakewood, OH
Samantha Komertz
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Lakewood, OH 44107
Life can be difficult and it’s not uncommon to feel stressed, anxious or a sense of helplessness. There is no need to face these overwhelming emotions alone. My goal is to create a safe and nonjudgmental environment for you to express your thoughts, emotions, and life experiences.
Life can be difficult and it’s not uncommon to feel stressed, anxious or a sense of helplessness. There is no need to face these overwhelming emotions alone. My goal is to create a safe and nonjudgmental environment for you to express your thoughts, emotions, and life experiences.
(216) 350-2062 View (216) 350-2062
Photo of Live Well Counseling in Lakewood, OH
Live Well Counseling
MEd, LPCC-S, NCC
Verified Verified
Lakewood, OH 44107  (Online Only)
Our clinicians at Live Well are Telehealth (virtual) only. We are a full service mental health organization which means we offer both counseling and psychiatry. At Live Well, our providers hold a space for self-reflection. We help you do the inner work, to learn what you aren’t necessarily aware of, to bring forward a deeper layer of yourself, and to understand why we are the way we are. Once we can understand that we do have a choice in all the chaos, we can start to heal.
Our clinicians at Live Well are Telehealth (virtual) only. We are a full service mental health organization which means we offer both counseling and psychiatry. At Live Well, our providers hold a space for self-reflection. We help you do the inner work, to learn what you aren’t necessarily aware of, to bring forward a deeper layer of yourself, and to understand why we are the way we are. Once we can understand that we do have a choice in all the chaos, we can start to heal.
(216) 677-3160 View (216) 677-3160
Photo of Katherine Vanke, Licensed Professional Counselor in Lakewood, OH
Katherine Vanke
Licensed Professional Counselor, MEd, LPC
Verified Verified
5 Endorsed
Lakewood, OH 44107
Not accepting new clients
I am interested in supporting young people in navigating stressful and challenging life changes and believe that every individual is an expert on themselves. I want the therapeutic process to be collaborative and engaging. My previous clinical experience includes working within a university counseling center and with a Dialectical Behavioral Therapy Intensive Outpatient Group. I earned my Bachelor’s Degree in 2018 from Kent State University, my Master’s Degree in Clinical Mental Health Counseling, and a certificate in Chemical Dependency from Cleveland State University in 2022.
I am interested in supporting young people in navigating stressful and challenging life changes and believe that every individual is an expert on themselves. I want the therapeutic process to be collaborative and engaging. My previous clinical experience includes working within a university counseling center and with a Dialectical Behavioral Therapy Intensive Outpatient Group. I earned my Bachelor’s Degree in 2018 from Kent State University, my Master’s Degree in Clinical Mental Health Counseling, and a certificate in Chemical Dependency from Cleveland State University in 2022.
(216) 777-1309 View (216) 777-1309
Photo of Emily Pohorence, Licensed Professional Clinical Counselor in Lakewood, OH
Emily Pohorence
Licensed Professional Clinical Counselor, MEd, LPCC
Verified Verified
5 Endorsed
Lakewood, OH 44107  (Online Only)
Hi! I’m Emily and I work with teens and adults, age 16 and up, navigating anxiety, depression, ADD/ADHD, OCD, gender exploration, neurodivergence, relationships, self-worth, sexuality, and trauma. As a queer identifying person, I am passionate about helping individuals within the LGBTQIA+ community, with specialized experience in transgender and nonbinary care. I have specific experience writing letters of support for transgender and nonbinary clients seeking Hormone Replacement Therapy and/or gender affirming surgery. I enjoy working with all ages across the lifespan, especially teens, college students, and 20 and 30-somethings.
Hi! I’m Emily and I work with teens and adults, age 16 and up, navigating anxiety, depression, ADD/ADHD, OCD, gender exploration, neurodivergence, relationships, self-worth, sexuality, and trauma. As a queer identifying person, I am passionate about helping individuals within the LGBTQIA+ community, with specialized experience in transgender and nonbinary care. I have specific experience writing letters of support for transgender and nonbinary clients seeking Hormone Replacement Therapy and/or gender affirming surgery. I enjoy working with all ages across the lifespan, especially teens, college students, and 20 and 30-somethings.
(216) 584-9763 View (216) 584-9763
Photo of Emily Bunch, Licensed Professional Counselor in Lakewood, OH
Emily Bunch
Licensed Professional Counselor, LPCC
Verified Verified
1 Endorsed
Lakewood, OH 44107
Not accepting new clients
I am a firm believer that as humans, we grow in connection. Therapy can be a place where growth and healing can begin. I also believe that we are all bound to experience difficulty and pain throughout our lives. Throughout these ups and downs, I hope to come alongside you and provide a sense of acceptance, authenticity, and emotional safety. Therapy is an active process - in order for it to work, you must be willing to be vulnerable and experience some discomfort as you are ready. It is in these times that I am committed to connect with you and help you navigate life's difficulties in a non-judgmental manner.
I am a firm believer that as humans, we grow in connection. Therapy can be a place where growth and healing can begin. I also believe that we are all bound to experience difficulty and pain throughout our lives. Throughout these ups and downs, I hope to come alongside you and provide a sense of acceptance, authenticity, and emotional safety. Therapy is an active process - in order for it to work, you must be willing to be vulnerable and experience some discomfort as you are ready. It is in these times that I am committed to connect with you and help you navigate life's difficulties in a non-judgmental manner.
(833) 396-1218 View (833) 396-1218
Photo of Sara M Pressley, Clinical Social Work/Therapist in Lakewood, OH
Sara M Pressley
Clinical Social Work/Therapist, LISW , LICDC
Verified Verified
1 Endorsed
Lakewood, OH 44107  (Online Only)
Hi, I'm Sara! I’m a Licensed Independent Social Worker and Licensed Independent Chemical Dependency Counselor in the state of Ohio. I work with people who are going through life transitions, healing from trauma, and want to learn healthy coping skills for better managing mental health symptoms. I have a specific interest in women's issues, chronic illness, substance use disorders, and helping people learn assertive communication and boundary setting skills to build and maintain healthy relationships. My goal is to help you find what feels good for YOU. The therapeutic process is dynamic and we will evolve, grow, and shift as you do!
Hi, I'm Sara! I’m a Licensed Independent Social Worker and Licensed Independent Chemical Dependency Counselor in the state of Ohio. I work with people who are going through life transitions, healing from trauma, and want to learn healthy coping skills for better managing mental health symptoms. I have a specific interest in women's issues, chronic illness, substance use disorders, and helping people learn assertive communication and boundary setting skills to build and maintain healthy relationships. My goal is to help you find what feels good for YOU. The therapeutic process is dynamic and we will evolve, grow, and shift as you do!
(216) 714-8794 View (216) 714-8794
Photo of Samantha Chadwell, Licensed Professional Counselor in Lakewood, OH
Samantha Chadwell
Licensed Professional Counselor, LPC
Verified Verified
5 Endorsed
Lakewood, OH 44107  (Online Only)
Change what you can, manage what you can't (Raymond McCauley). Samantha is a compassionate helper who has worked with many different diagnoses throughout her three years of experience in mental health. She passionately believes that every person is unique and requires a unique approach. Specializing in the treatment of trauma, anxiety, depression, and Borderline Personality Disorder, Samantha provides eclectic treatment, drawing from Cognitive Behavioral and Dialectical Behavioral Therapies. Samantha is a connector, focusing on helping as many people as she can while reducing mental health stigma and driving for change.
Change what you can, manage what you can't (Raymond McCauley). Samantha is a compassionate helper who has worked with many different diagnoses throughout her three years of experience in mental health. She passionately believes that every person is unique and requires a unique approach. Specializing in the treatment of trauma, anxiety, depression, and Borderline Personality Disorder, Samantha provides eclectic treatment, drawing from Cognitive Behavioral and Dialectical Behavioral Therapies. Samantha is a connector, focusing on helping as many people as she can while reducing mental health stigma and driving for change.
(216) 284-5283 View (216) 284-5283
Photo of Phillip Emerson, Clinical Social Work/Therapist in Lakewood, OH
Phillip Emerson
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Lakewood, OH 44107
You may be seeking therapy for any of many reasons. Perhaps following a difficult life experience that seems to have changed things, perhaps for long-standing difficulties managing emotions, or problems that interfere with relationships or with work, or because of wanting to reach a goal in your life that you haven’t been able to reach. What you are seeking is someone who can listen and understand.
You may be seeking therapy for any of many reasons. Perhaps following a difficult life experience that seems to have changed things, perhaps for long-standing difficulties managing emotions, or problems that interfere with relationships or with work, or because of wanting to reach a goal in your life that you haven’t been able to reach. What you are seeking is someone who can listen and understand.
(216) 340-9655 View (216) 340-9655
Photo of Ethan Miller, Licensed Professional Counselor in Lakewood, OH
Ethan Miller
Licensed Professional Counselor, MEd, LPC
Verified Verified
Lakewood, OH 44107
Not accepting new clients
Regardless of your background, my goal as your counselor is to promote a safe space to ensure we can properly reach your goals. Whether it be struggling with depression, past trauma, or difficulties with self-acceptance, the safe space that I aim to promote is key to counseling success. With this in mind, diversity and multicultural backgrounds are always of consideration in my day to day practice because we all vary in our issues and this uniqueness is something I'm consistently promoting.
Regardless of your background, my goal as your counselor is to promote a safe space to ensure we can properly reach your goals. Whether it be struggling with depression, past trauma, or difficulties with self-acceptance, the safe space that I aim to promote is key to counseling success. With this in mind, diversity and multicultural backgrounds are always of consideration in my day to day practice because we all vary in our issues and this uniqueness is something I'm consistently promoting.
(234) 351-3451 View (234) 351-3451

How does your Therapist compare?

Number of Therapists in Lakewood, OH

200+

Average cost per session

$132

Therapists in Lakewood, OH who prioritize treating:

96% Anxiety
94% Depression
85% Self Esteem
80% Relationship Issues
80% Coping Skills
79% Stress
75% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

91% Medical Mutual
86% Aetna
82% UnitedHealthcare UHC | UBH

How Therapists in Lakewood, OH see their clients

75% In Person and Online
25% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lakewood?

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.