Therapists in Plymouth, MI

Photo of Jill Kovach, Psychologist in Plymouth, MI
Jill Kovach
Psychologist, PsyD
Verified Verified
Plymouth, MI 48170
Within the relationships that I build with individuals, I work to meet them where they are at and grow from there. My approach is being open, empathetic, and relational as that allows for us to develop trust in working through some of life's most delicate moments. Whether these moments are processed through creative modalities, such as art and play, or by being able to talk, process, or seek guidance, I try to ensure trust is built as a cornerstone of our relationship. It is important to me that individuals feel safe in exploring thoughts, feelings, and behaviors within our therapeutic space.
Within the relationships that I build with individuals, I work to meet them where they are at and grow from there. My approach is being open, empathetic, and relational as that allows for us to develop trust in working through some of life's most delicate moments. Whether these moments are processed through creative modalities, such as art and play, or by being able to talk, process, or seek guidance, I try to ensure trust is built as a cornerstone of our relationship. It is important to me that individuals feel safe in exploring thoughts, feelings, and behaviors within our therapeutic space.
(734) 440-9342 View (734) 440-9342
Photo of Jennifer A Vanderveen, Counselor in Plymouth, MI
Jennifer A Vanderveen
Counselor, MA, LLPC
Verified Verified
1 Endorsed
Plymouth, MI 48170
Hello! I am Jenn Vanderveen. I have more than 10 years of experience in working with teens as a high school guidance counselor. I am also passionate about women's issues and mental health wellness. I am available to meet with teens ages 12 and up, young adults, and adult women.
Hello! I am Jenn Vanderveen. I have more than 10 years of experience in working with teens as a high school guidance counselor. I am also passionate about women's issues and mental health wellness. I am available to meet with teens ages 12 and up, young adults, and adult women.
(734) 821-3288 View (734) 821-3288
Photo of Sara Peck, Clinical Social Work/Therapist in Plymouth, MI
Sara Peck
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Plymouth, MI 48170
I became a therapist because I believe people can do hard things. Regardless of where your path has led you - or has yet to lead you - as your therapist I will meet you where you are and empower you to find your inner strength. Everyone is at a different stage of their healing journey and I will walk alongside you on yours. When we work together, your sense of safety and security is my biggest priority; I firmly believe healing cannot happen in the presence of judgement. I welcome and celebrate all identities and appreciate the individuality of your experiences.
I became a therapist because I believe people can do hard things. Regardless of where your path has led you - or has yet to lead you - as your therapist I will meet you where you are and empower you to find your inner strength. Everyone is at a different stage of their healing journey and I will walk alongside you on yours. When we work together, your sense of safety and security is my biggest priority; I firmly believe healing cannot happen in the presence of judgement. I welcome and celebrate all identities and appreciate the individuality of your experiences.
(517) 296-6178 View (517) 296-6178
Photo of Ruthann Lapham, Clinical Social Work/Therapist in Plymouth, MI
Ruthann Lapham
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Plymouth, MI 48170
Waitlist for new clients
I believe everyone can benefit from therapy, and I am proud of you for taking the first step in this process. Everyone who enters therapy comes for their own reason. My goal is to create a comfortable, non-judgemental space for you to be your authentic self and for you to tell your story. I realize that being open with someone new can be tough. That is why I strive to create an inclusive and safe space for every client.
I believe everyone can benefit from therapy, and I am proud of you for taking the first step in this process. Everyone who enters therapy comes for their own reason. My goal is to create a comfortable, non-judgemental space for you to be your authentic self and for you to tell your story. I realize that being open with someone new can be tough. That is why I strive to create an inclusive and safe space for every client.
(734) 519-6983 View (734) 519-6983
Photo of Dr. Jaime Wetzel, Psychologist in Plymouth, MI
Dr. Jaime Wetzel
Psychologist, PhD
Verified Verified
Plymouth, MI 48170
You work hard to manage the stress related to raising a family, focusing on your career, and your own personal growth. Your child may have experienced a traumatic unforeseen event such as the death of a loved one, divorce, or an automobile accident. Family life is rarely perfect. Finding the right support for you or your child, is the key to success and healing. You need to work with someone who can hear your story without judgment and who will provide individualized techniques tailored to you and your family's unique needs.
You work hard to manage the stress related to raising a family, focusing on your career, and your own personal growth. Your child may have experienced a traumatic unforeseen event such as the death of a loved one, divorce, or an automobile accident. Family life is rarely perfect. Finding the right support for you or your child, is the key to success and healing. You need to work with someone who can hear your story without judgment and who will provide individualized techniques tailored to you and your family's unique needs.
(734) 821-4020 View (734) 821-4020
Photo of Janet S Kallen, Limited Licensed Psychologist in Plymouth, MI
Janet S Kallen
Limited Licensed Psychologist, MA, LLP, CAADC
Verified Verified
Plymouth, MI 48170  (Online Only)
Do you you suffer from depression or anxiety? Do you struggle in an unhealthy relationship or has anger been an emotion that has controlled your life? Do you drink More than intended or more often than intended or use other drugs? I can help you develop coping skills to manage your life and have the life you deserve. I would enjoy hearing from you.
Do you you suffer from depression or anxiety? Do you struggle in an unhealthy relationship or has anger been an emotion that has controlled your life? Do you drink More than intended or more often than intended or use other drugs? I can help you develop coping skills to manage your life and have the life you deserve. I would enjoy hearing from you.
(734) 212-8175 View (734) 212-8175
Photo of Renee Bryer, Psychologist in Plymouth, MI
Renee Bryer
Psychologist, PhD, ABPP-CN, HSPP
Verified Verified
Plymouth, MI 48170
At some point in life's journey, we are confronted with a situation or experience that is difficult to manage. This difficulty may stem from unforeseen life circumstances or our inability to cope effectively with the expected. Seeking professional help to better understand ourselves and our situation can provide the window of opportunity for a better quality of life. This improved quality of life may include a healthier lifestyle, a smoother adjustment to a life change, more rewarding relationships, improved school performance, or a more gratifying career.
At some point in life's journey, we are confronted with a situation or experience that is difficult to manage. This difficulty may stem from unforeseen life circumstances or our inability to cope effectively with the expected. Seeking professional help to better understand ourselves and our situation can provide the window of opportunity for a better quality of life. This improved quality of life may include a healthier lifestyle, a smoother adjustment to a life change, more rewarding relationships, improved school performance, or a more gratifying career.
(734) 206-7306 View (734) 206-7306
Photo of Katrina Elizabeth DiMango, Clinical Social Work/Therapist in Plymouth, MI
Katrina Elizabeth DiMango
Clinical Social Work/Therapist, LMSW-C
Verified Verified
1 Endorsed
Plymouth, MI 48170
Life can be challenging at times, but you do not have to go it alone. Therapy can help you discover new ways to handle challenging situations that will support your overall health and wellbeing. If you are the type of person who views therapy as a collaboration between yourself and your therapist, then we will likely be a good fit. We would set goals and identify underlying beliefs that may be causing anxiety or depression or troubles in everyday life functioning.
Life can be challenging at times, but you do not have to go it alone. Therapy can help you discover new ways to handle challenging situations that will support your overall health and wellbeing. If you are the type of person who views therapy as a collaboration between yourself and your therapist, then we will likely be a good fit. We would set goals and identify underlying beliefs that may be causing anxiety or depression or troubles in everyday life functioning.
(734) 336-1499 View (734) 336-1499
Photo of Isabella Andrew, Clinical Social Work/Therapist in Plymouth, MI
Isabella Andrew
Clinical Social Work/Therapist, LLMSW
Verified Verified
2 Endorsed
Plymouth, MI 48170
I consider myself outgoing and optimistic, and I bring a very humanistic approach to my practice tailored to what my clients need. My professional interests include: working with the LGBTQIA+ community to become a better ally and providing resources for children, adolescents, and young adults who need help navigating through the challenges our world can bring. I want future clients to know that I am open to anyone from any background who walks through my office! I promise a judgement-free zone, complete with my empathetic and welcoming personality :)
I consider myself outgoing and optimistic, and I bring a very humanistic approach to my practice tailored to what my clients need. My professional interests include: working with the LGBTQIA+ community to become a better ally and providing resources for children, adolescents, and young adults who need help navigating through the challenges our world can bring. I want future clients to know that I am open to anyone from any background who walks through my office! I promise a judgement-free zone, complete with my empathetic and welcoming personality :)
(248) 963-6375 View (248) 963-6375
Photo of Reset Brain and Body, Licensed Professional Counselor in Plymouth, MI
Reset Brain and Body
Licensed Professional Counselor, LPC, RYT
Verified Verified
Plymouth, MI 48170
Reset Brain and Body is an integrative mental health care practice with a passion for redefining how people experience this work. Going beyond just talking, Reset integrates individualized mind-body practices to help each client sustain positive change and live their most fulfilled, empowered and healthy lives. We specialize in working with adults, adolescents, couples, families and teams on stress, anxiety, depression, trauma, postpartum mood disorders, social emotional learning, relationships, and chronic pain.
Reset Brain and Body is an integrative mental health care practice with a passion for redefining how people experience this work. Going beyond just talking, Reset integrates individualized mind-body practices to help each client sustain positive change and live their most fulfilled, empowered and healthy lives. We specialize in working with adults, adolescents, couples, families and teams on stress, anxiety, depression, trauma, postpartum mood disorders, social emotional learning, relationships, and chronic pain.
(734) 228-1922 View (734) 228-1922
Photo of Brooke Houser, Clinical Social Work/Therapist in Plymouth, MI
Brooke Houser
Clinical Social Work/Therapist, LMSW-C
Verified Verified
Plymouth, MI 48170  (Online Only)
Are you feeling held back by anxiety, negative thoughts, or unhelpful behaviors? Do you want to feel more comfortable in your skin? I help people who feel stuck reach their full potential. I have years of experience in helping people overcome challenges and live more functional, productive lives. As your therapist, I will be a listener, problem-solver, and advocate. Our work together will be centered on your goals and give you lasting coping skills. You have the strengths to lead a more productive, satisfying life. It is my job to find skills and tools that align with your strengths and address barriers as they come.
Are you feeling held back by anxiety, negative thoughts, or unhelpful behaviors? Do you want to feel more comfortable in your skin? I help people who feel stuck reach their full potential. I have years of experience in helping people overcome challenges and live more functional, productive lives. As your therapist, I will be a listener, problem-solver, and advocate. Our work together will be centered on your goals and give you lasting coping skills. You have the strengths to lead a more productive, satisfying life. It is my job to find skills and tools that align with your strengths and address barriers as they come.
(734) 212-8031 View (734) 212-8031
Photo of Building Bridges Therapy Center, Psychologist in Plymouth, MI
Building Bridges Therapy Center
Psychologist, PsyD, BCBA, LP, CCC-SLP, OTRL
Verified Verified
Plymouth, MI 48170
Building Bridges provides comprehensive, individualized care, for children & their families. Our multi-disciplinary team collaborates to address the unique mental and physical needs of each child, while providing support for the entire family. Because we understand special needs, our multi-disciplinary team collaborates to provide the best treatment for each child, and identifies ways to support other family members for a healthy family dynamic. It's okay...actually, essential for family members to take time away, and express their feelings.
Building Bridges provides comprehensive, individualized care, for children & their families. Our multi-disciplinary team collaborates to address the unique mental and physical needs of each child, while providing support for the entire family. Because we understand special needs, our multi-disciplinary team collaborates to provide the best treatment for each child, and identifies ways to support other family members for a healthy family dynamic. It's okay...actually, essential for family members to take time away, and express their feelings.
(734) 404-7741 View (734) 404-7741
Photo of Louise A Weller, Psychologist in Plymouth, MI
Louise A Weller
Psychologist, PhD, LP
Verified Verified
2 Endorsed
Plymouth, MI 48170
Are you struggling with memories of traumatic events? Do you need to deal with guilt, shame, or anger? Are you engaging in behaviors you wish you could stop? I am a licensed Clinical Psychologist specializing in the treatment of stress and anxiety-related issues, whether due to trauma in the past, or current life issues. I am experienced in treating combat-related stress, family of origin issues, sexual abuse and institutional/religious abuse. I have experience working with folks with anger problems, past trauma, and addictive disorders. I am experienced working with sexual orientation and other issues of self-identity.
Are you struggling with memories of traumatic events? Do you need to deal with guilt, shame, or anger? Are you engaging in behaviors you wish you could stop? I am a licensed Clinical Psychologist specializing in the treatment of stress and anxiety-related issues, whether due to trauma in the past, or current life issues. I am experienced in treating combat-related stress, family of origin issues, sexual abuse and institutional/religious abuse. I have experience working with folks with anger problems, past trauma, and addictive disorders. I am experienced working with sexual orientation and other issues of self-identity.
(734) 428-3688 View (734) 428-3688
Photo of Anne Krcatovich, MA, LLP, LLC, Limited Licensed Psychologist in Plymouth, MI
Anne Krcatovich, MA, LLP, LLC
Limited Licensed Psychologist, MA, LLP, LLC
Verified Verified
Plymouth, MI 48170
There is no better time than now to focus on your mental health! I offer a safe, welcoming, nonjudgmental space in which to explore and understand your struggles. I mostly work with depression, anxiety, relationship issues, adjustment issues, and grief and loss. My ideal clients are those who are eager to learn about themselves and excited to put in the work necessary for self-growth and the realization of their full potential.
There is no better time than now to focus on your mental health! I offer a safe, welcoming, nonjudgmental space in which to explore and understand your struggles. I mostly work with depression, anxiety, relationship issues, adjustment issues, and grief and loss. My ideal clients are those who are eager to learn about themselves and excited to put in the work necessary for self-growth and the realization of their full potential.
(734) 259-4588 View (734) 259-4588
Photo of Jessica Baker, Limited Licensed Psychologist in Plymouth, MI
Jessica Baker
Limited Licensed Psychologist, MS
Verified Verified
1 Endorsed
Plymouth, MI 48170  (Online Only)
Hello! I specialize in psychological assessment from ages 1 - 99. I am able to assess for attention deficit/hyperactivity disorder, autism spectrum disorder, social (pragmatic) communication disorder, cognitive/intellectual impairments (including for guardianship concerns), learning disabilities, and speech and language difficulties, as well as personality assessment. I also provide therapy services, especially for those with a history of chronic and/or substantial stress (PTSD/Adjustment concerns), and I specialize in CBIT (Comprehensive Behavioral Intervention for Tics)/Tourette's and other tic disorders, and bariatric surgery.
Hello! I specialize in psychological assessment from ages 1 - 99. I am able to assess for attention deficit/hyperactivity disorder, autism spectrum disorder, social (pragmatic) communication disorder, cognitive/intellectual impairments (including for guardianship concerns), learning disabilities, and speech and language difficulties, as well as personality assessment. I also provide therapy services, especially for those with a history of chronic and/or substantial stress (PTSD/Adjustment concerns), and I specialize in CBIT (Comprehensive Behavioral Intervention for Tics)/Tourette's and other tic disorders, and bariatric surgery.
(313) 251-3474 View (313) 251-3474
Photo of Hasti Raveau, Psychologist in Plymouth, MI
Hasti Raveau
Psychologist, PhD, LP
Verified Verified
9 Endorsed
Plymouth, MI 48170
Dr. Raveau is a clinical psychologist and founder of Mala Child & Family Institute. She is an expert in treating ADHD/neurodiversity, trauma/PTSD, anxiety/OCD/perfectionism, parenting/co-parenting issues, racial minorities, and family level challenges. She helps clients end intergenerational cycles of trauma, form authentic relationships, embrace their neurodiversity and cultural background, and build authentic lives filled with a sense of abundance and inner peace. Dr. Raveau embraces working with individuals and families who identify with a range of ethnicities, religions, sexual orientations, and gender identities.
Dr. Raveau is a clinical psychologist and founder of Mala Child & Family Institute. She is an expert in treating ADHD/neurodiversity, trauma/PTSD, anxiety/OCD/perfectionism, parenting/co-parenting issues, racial minorities, and family level challenges. She helps clients end intergenerational cycles of trauma, form authentic relationships, embrace their neurodiversity and cultural background, and build authentic lives filled with a sense of abundance and inner peace. Dr. Raveau embraces working with individuals and families who identify with a range of ethnicities, religions, sexual orientations, and gender identities.
(734) 245-2279 View (734) 245-2279
Photo of Dr. Dima Swaidan, Psychologist in Plymouth, MI
Dr. Dima Swaidan
Psychologist, PsyD, LP
Verified Verified
3 Endorsed
Plymouth, MI 48170
Not accepting new clients
My mission is to provide a safe, confidential, and empathetic environment where you can feel comfortable exploring your thoughts, behaviors, and emotions openly. Through our collaborative efforts we can strengthen your skills and explore new ways to face life stressors more effectively. By reflecting on both past and present experiences, therapy will help form a greater understanding of one's self and resolution to concerns. My goal is to provide unwavering support as you journey through self-exploration to find greater life satisfaction and functioning in all aspects of your life.
My mission is to provide a safe, confidential, and empathetic environment where you can feel comfortable exploring your thoughts, behaviors, and emotions openly. Through our collaborative efforts we can strengthen your skills and explore new ways to face life stressors more effectively. By reflecting on both past and present experiences, therapy will help form a greater understanding of one's self and resolution to concerns. My goal is to provide unwavering support as you journey through self-exploration to find greater life satisfaction and functioning in all aspects of your life.
(734) 672-3056 View (734) 672-3056
Photo of Ann Schueller, Clinical Social Work/Therapist in Plymouth, MI
Ann Schueller
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Plymouth, MI 48170
I have been providing therapy services in a private practice setting for 10 years. I have experience with individuals who have a wide range of mental health conditions including depression, anxiety, obsessive-compulsive disorder, mood disorders and post-traumatic stress disorder. I specialize in treating adults with depression and anxiety and have focused on women's issues, relationship problems and childhood trauma. I have learned a great deal working with people from diverse backgrounds who struggle with a variety of issues. I strive to offer assistance that will promote change and help clients feel better and achieve their goals.
I have been providing therapy services in a private practice setting for 10 years. I have experience with individuals who have a wide range of mental health conditions including depression, anxiety, obsessive-compulsive disorder, mood disorders and post-traumatic stress disorder. I specialize in treating adults with depression and anxiety and have focused on women's issues, relationship problems and childhood trauma. I have learned a great deal working with people from diverse backgrounds who struggle with a variety of issues. I strive to offer assistance that will promote change and help clients feel better and achieve their goals.
(734) 390-4890 View (734) 390-4890
Photo of Amy Lois Anderson, Clinical Social Work/Therapist in Plymouth, MI
Amy Lois Anderson
Clinical Social Work/Therapist, LLMSW
Verified Verified
Plymouth, MI 48170
My approach to therapy is rooted in a person-centered framework, where I prioritize building trust and rapport with clients, empowering them to explore their thoughts, emotions, and experiences at their own pace. Drawing from evidence-based practices such as CBT, DBT, and mindfulness techniques, I tailor treatment plans to meet the unique needs and goals of each individual.
My approach to therapy is rooted in a person-centered framework, where I prioritize building trust and rapport with clients, empowering them to explore their thoughts, emotions, and experiences at their own pace. Drawing from evidence-based practices such as CBT, DBT, and mindfulness techniques, I tailor treatment plans to meet the unique needs and goals of each individual.
(734) 530-4438 View (734) 530-4438
Photo of Sandra Mroz, Clinical Social Work/Therapist in Plymouth, MI
Sandra Mroz
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Plymouth, MI 48170
The therapeutic relationship is personal for every individual. The idea of sharing your story to someone can feel scary and overwhelming but can also feel relieving and hopeful. If you are struggling with depression, anxiety, trauma, phase of life changes, or just need a safe space to process life stressors, therapy can be a positive step in creating change in your life. The challenging part can be finding a therapist that you can trust and is a good fit. Feeling comfortable with your therapist is essential to making progress.
The therapeutic relationship is personal for every individual. The idea of sharing your story to someone can feel scary and overwhelming but can also feel relieving and hopeful. If you are struggling with depression, anxiety, trauma, phase of life changes, or just need a safe space to process life stressors, therapy can be a positive step in creating change in your life. The challenging part can be finding a therapist that you can trust and is a good fit. Feeling comfortable with your therapist is essential to making progress.
(734) 212-8139 View (734) 212-8139

How does your Therapist compare?

Number of Therapists in Plymouth, MI

300+

Average cost per session

$150

Therapists in Plymouth, MI who prioritize treating:

94% Anxiety
90% Depression
81% Self Esteem
75% Relationship Issues
73% Coping Skills
73% Stress
66% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
64% Blue Care Network
49% Aetna

How Therapists in Plymouth, MI see their clients

77% In Person and Online
23% Online Only

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Plymouth?

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.