Therapists in Wexford, PA

Photo of Julie Klecker, Licensed Professional Counselor in Wexford, PA
Julie Klecker
Licensed Professional Counselor, LPC
Verified Verified
Wexford, PA 15090
Julie Klecker is a Licensed Professional Counselor in Pennsylvania who has been practicing since 1993. Julie has 30 years of experience counseling multicultural populations with various mental health and substance use problems and behaviors. Her specialties lie in the areas of trauma treatment and addictions. She also has a passion to see relationships and families restored. Julie enjoys working with children using play and art therapy. Julie's hope is that everyone entering counseling will feel accepted, seen, and supported. It is her joy to see lives transformed through self-acceptance and self-love. Julie has served in the U. S.
Julie Klecker is a Licensed Professional Counselor in Pennsylvania who has been practicing since 1993. Julie has 30 years of experience counseling multicultural populations with various mental health and substance use problems and behaviors. Her specialties lie in the areas of trauma treatment and addictions. She also has a passion to see relationships and families restored. Julie enjoys working with children using play and art therapy. Julie's hope is that everyone entering counseling will feel accepted, seen, and supported. It is her joy to see lives transformed through self-acceptance and self-love. Julie has served in the U. S.
(724) 952-2778 View (724) 952-2778
Photo of Megan Dufford, Psychologist in Wexford, PA
Megan Dufford
Psychologist, PsyD
Verified Verified
Wexford, PA 15090  (Online Only)
Many find psychotherapy useful as a space to explore stressors and difficulties, learn new ways to cope with hardships, and ultimately make changes to enhance quality of life. I remain focused on providing support to each client and incorporate techniques aimed to alleviate distress, foster resilience, and help one move closer to achieving their goals. I utilize an integrative approach including person-centered, supportive, CBT, and/or psychodynamic techniques, always tailoring my style to meet each client's unique needs.
Many find psychotherapy useful as a space to explore stressors and difficulties, learn new ways to cope with hardships, and ultimately make changes to enhance quality of life. I remain focused on providing support to each client and incorporate techniques aimed to alleviate distress, foster resilience, and help one move closer to achieving their goals. I utilize an integrative approach including person-centered, supportive, CBT, and/or psychodynamic techniques, always tailoring my style to meet each client's unique needs.
(412) 253-7125 View (412) 253-7125
Photo of Rhonda Pilardi, Clinical Social Work/Therapist in Wexford, PA
Rhonda Pilardi
Clinical Social Work/Therapist, LCSW
Verified Verified
Wexford, PA 15090
Hi my name is Rhonda and I am here to help! Struggling with issues that cause frustration and stress in your life? In need of guidance and encouragement to tackle problems? Suffer no more! Take action, call today for help to begin your healing process. I am a nonjudgemental mental health professional who can guide you and your family in a positive, productive direction. Your mental health is a valuable investment in your quality of life.
Hi my name is Rhonda and I am here to help! Struggling with issues that cause frustration and stress in your life? In need of guidance and encouragement to tackle problems? Suffer no more! Take action, call today for help to begin your healing process. I am a nonjudgemental mental health professional who can guide you and your family in a positive, productive direction. Your mental health is a valuable investment in your quality of life.
(724) 908-9961 View (724) 908-9961
Photo of Kristie Abbs, Clinical Social Work/Therapist in Wexford, PA
Kristie Abbs
Clinical Social Work/Therapist, DSW, LCSW, LISW
Verified Verified
Wexford, PA 15090
I am very excited to have an opportunity to work with you to overcome your struggles and meet the goals that you want to achieve. My work with you and your loved ones will encompass exploring emotions, behaviors, experiences, and your needs. Over my 18 years of practice in the mental health field and doctoral level training, I have learned how to assist individuals, couples, groups, children, and families in learning essential skills to improve and grow, leading them to changes that have positively impacted their lives.
I am very excited to have an opportunity to work with you to overcome your struggles and meet the goals that you want to achieve. My work with you and your loved ones will encompass exploring emotions, behaviors, experiences, and your needs. Over my 18 years of practice in the mental health field and doctoral level training, I have learned how to assist individuals, couples, groups, children, and families in learning essential skills to improve and grow, leading them to changes that have positively impacted their lives.
(724) 204-2280 View (724) 204-2280
Photo of Cathy Grieb, Licensed Professional Counselor in Wexford, PA
Cathy Grieb
Licensed Professional Counselor, LPC, MA, NCC
Verified Verified
1 Endorsed
Wexford, PA 15090
**Currently Accepting New Clients.** My goal is to help you function at your optimal potential and live a life that is authentic, genuine, and aligns with your personal values. Our behavior and perception of ourselves is influenced by our individual history, relationships, and how we make sense of our lives. Difficult situations face all of us. Gaining awareness and understanding of our challenges is part of the dynamic process toward change that can occur in counseling. We can work together to help develop skills to help you cope and manage through life's challenges.
**Currently Accepting New Clients.** My goal is to help you function at your optimal potential and live a life that is authentic, genuine, and aligns with your personal values. Our behavior and perception of ourselves is influenced by our individual history, relationships, and how we make sense of our lives. Difficult situations face all of us. Gaining awareness and understanding of our challenges is part of the dynamic process toward change that can occur in counseling. We can work together to help develop skills to help you cope and manage through life's challenges.
(878) 206-1120 View (878) 206-1120
Photo of Amy Shirey, Clinical Social Work/Therapist in Wexford, PA
Amy Shirey
Clinical Social Work/Therapist, LSW
Verified Verified
Wexford, PA 15090
I can help you cope with multiple stressors in your life as you manage the symptoms of mood and anxiety disorders. If you are looking for guidance and support, then we would be a great match.
I can help you cope with multiple stressors in your life as you manage the symptoms of mood and anxiety disorders. If you are looking for guidance and support, then we would be a great match.
(724) 605-4437 View (724) 605-4437
Photo of Colleen R Ulke, Counselor in Wexford, PA
Colleen R Ulke
Counselor, MA, NCC
Verified Verified
Wexford, PA 15090
We all struggle and no-one has all the answers. Eventually, we tire of asking the same questions only to arrive at the same dead ends. Whether as individuals or in relationships, we realize the need for outside help to move forward. This is why I entered the counseling field, to help others find the answers they need to find peace and well-being. If you are at that point where you need some assistance to have the life you want or become the person you want to be, I am here to help. It's time to find relief from the overwhelm and create a future that you can look forward to.
We all struggle and no-one has all the answers. Eventually, we tire of asking the same questions only to arrive at the same dead ends. Whether as individuals or in relationships, we realize the need for outside help to move forward. This is why I entered the counseling field, to help others find the answers they need to find peace and well-being. If you are at that point where you need some assistance to have the life you want or become the person you want to be, I am here to help. It's time to find relief from the overwhelm and create a future that you can look forward to.
(724) 269-2893 View (724) 269-2893
Photo of Yanet Vanegas, Psychologist in Wexford, PA
Yanet Vanegas
Psychologist, PsyD, PMH-C
Verified Verified
Wexford, PA 15090  (Online Only)
Dr. Yanet Vanegas is a licensed psychologist trained at Harvard Medical School’s McLean Hospital. She specializes in the treatment of children, adolescents, and perinatal (prenatal and postpartum) women, and uses evidence-based practices to treat depression, anxiety, behavioral problems, ADHD, self-esteem concerns, social anxiety, autism, and social skills deficits. Dr. Vanegas also received extensive training and is a specialist in the treatment of eating disorders and OCD. She owns a private practice, A Secure Base Psychological Service, LLC, in Tampa, FL, and can practice in 39 states.
Dr. Yanet Vanegas is a licensed psychologist trained at Harvard Medical School’s McLean Hospital. She specializes in the treatment of children, adolescents, and perinatal (prenatal and postpartum) women, and uses evidence-based practices to treat depression, anxiety, behavioral problems, ADHD, self-esteem concerns, social anxiety, autism, and social skills deficits. Dr. Vanegas also received extensive training and is a specialist in the treatment of eating disorders and OCD. She owns a private practice, A Secure Base Psychological Service, LLC, in Tampa, FL, and can practice in 39 states.
(412) 538-5764 View (412) 538-5764
Photo of Grace Capone, Clinical Social Work/Therapist in Wexford, PA
Grace Capone
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
2 Endorsed
Wexford, PA 15090
Between what society and those around you say, you constantly feel like you are not enough. You are feeling lost in the world and so badly want to feel grounded for once, but have no idea where to start or where it's even safe to begin navigating that. What you are experiencing is so multi-layered that it leaves you feeling stuck. My passion is helping other people to truly find themselves by unraveling layers of trauma, societal expectations, and negativity imposed by others. I want to help you figure out how to be truly, wholly yourself and live a life that encompasses your values and beliefs.
Between what society and those around you say, you constantly feel like you are not enough. You are feeling lost in the world and so badly want to feel grounded for once, but have no idea where to start or where it's even safe to begin navigating that. What you are experiencing is so multi-layered that it leaves you feeling stuck. My passion is helping other people to truly find themselves by unraveling layers of trauma, societal expectations, and negativity imposed by others. I want to help you figure out how to be truly, wholly yourself and live a life that encompasses your values and beliefs.
(724) 573-8330 View (724) 573-8330
Photo of Rebecca Sheppard, Clinical Social Work/Therapist in Wexford, PA
Rebecca Sheppard
Clinical Social Work/Therapist, LSW
Verified Verified
Wexford, PA 15090
I specifically enjoy working with clients experiencing anxiety/phobias, self-esteem/body image/disordered eating concerns, and stress. I would also love to work with clients experiencing sexual concerns. My ideal client is someone who comes to me with an open mind about treatment, is willing to challenge themselves, and works with me as a team to set and achieve their goals. Ideal clients will be open and honest with me, as they understand our sessions are a safe and judgment-free space. They will have patience with themselves as we explore their concerns while also being willing to make changes for their benefit.
I specifically enjoy working with clients experiencing anxiety/phobias, self-esteem/body image/disordered eating concerns, and stress. I would also love to work with clients experiencing sexual concerns. My ideal client is someone who comes to me with an open mind about treatment, is willing to challenge themselves, and works with me as a team to set and achieve their goals. Ideal clients will be open and honest with me, as they understand our sessions are a safe and judgment-free space. They will have patience with themselves as we explore their concerns while also being willing to make changes for their benefit.
(724) 399-3698 View (724) 399-3698
Photo of Jennifer Candelario, Licensed Professional Counselor in Wexford, PA
Jennifer Candelario
Licensed Professional Counselor, LPC
Verified Verified
Wexford, PA 15090
Are you struggling with difficult life transitions, depression, & anxiety? I enjoy working with clients who feel motivated to take that first step of exploring reasons why they are feeling unhappy or dissatisfied with their lives right now. I work with clients who want to gain insight & learn tangible skills that they can practice outside of the therapeutic sessions to change their lives for the better. My role as a Licensed Professional Counselor is to help individuals gain insight and feel empowered to create positive change in their lives. I offer a collaborative approach to create a unique treatment plan tailored to your needs.
Are you struggling with difficult life transitions, depression, & anxiety? I enjoy working with clients who feel motivated to take that first step of exploring reasons why they are feeling unhappy or dissatisfied with their lives right now. I work with clients who want to gain insight & learn tangible skills that they can practice outside of the therapeutic sessions to change their lives for the better. My role as a Licensed Professional Counselor is to help individuals gain insight and feel empowered to create positive change in their lives. I offer a collaborative approach to create a unique treatment plan tailored to your needs.
(724) 481-5614 View (724) 481-5614
Photo of Jennifer Porco, Psychologist in Wexford, PA
Jennifer Porco
Psychologist, PhD
Verified Verified
1 Endorsed
Wexford, PA 15090
My therapeutic expertise is in the treatment of eating disorders, substance use disorders, mood disorders, and anxiety disorders, working predominantly with adolescents and adults. I mainly utilize cognitive behavioral and dialectical behavioral techniques in therapy, although I have also received training in psychodynamic theory.
My therapeutic expertise is in the treatment of eating disorders, substance use disorders, mood disorders, and anxiety disorders, working predominantly with adolescents and adults. I mainly utilize cognitive behavioral and dialectical behavioral techniques in therapy, although I have also received training in psychodynamic theory.
(724) 305-2980 View (724) 305-2980
Photo of Amanda Buchheit, Licensed Professional Counselor in Wexford, PA
Amanda Buchheit
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Wexford, PA 15090
No matter what brings you to therapy, my goal is to build a partnership where your unique insights and values are incorporated into your treatment. I have experience working with depression, anxiety, trauma, ADHD, anger, and relationship concerns. I draw from a variety of therapeutic techniques, including CBT, Cognitive Processing Therapy, The Gottman Method, Internal Family Systems, and Person-Centered Therapy. Feel free to ask me about these techniques and how I might incorporate them into therapy to fit your specific concerns.
No matter what brings you to therapy, my goal is to build a partnership where your unique insights and values are incorporated into your treatment. I have experience working with depression, anxiety, trauma, ADHD, anger, and relationship concerns. I draw from a variety of therapeutic techniques, including CBT, Cognitive Processing Therapy, The Gottman Method, Internal Family Systems, and Person-Centered Therapy. Feel free to ask me about these techniques and how I might incorporate them into therapy to fit your specific concerns.
(724) 580-2644 View (724) 580-2644
Photo of Rachael Johnston, Licensed Professional Counselor in Wexford, PA
Rachael Johnston
Licensed Professional Counselor, LPC
Verified Verified
Wexford, PA 15090
Too often in this world, we are forced to continue forward and not stop to take care of ourselves. As humans, we long for connection, empathy, and purpose in life to move forward to the best of our abilities. As a therapist, my goal is to help individuals see their true potential and move forward with purpose and connections that will improve all aspects of their lives.
Too often in this world, we are forced to continue forward and not stop to take care of ourselves. As humans, we long for connection, empathy, and purpose in life to move forward to the best of our abilities. As a therapist, my goal is to help individuals see their true potential and move forward with purpose and connections that will improve all aspects of their lives.
(724) 618-4255 View (724) 618-4255
Photo of Dr. Eldridge & Associates, Psychologist in Wexford, PA
Dr. Eldridge & Associates
Psychologist, PhD, LCSW, LPC
Verified Verified
Wexford, PA 15090
We are accepting new clients (In-Person and Telehealth). We have a small, welcoming group practice consisting of therapists with many years of experience and a broad range of expertise in treating children, adolescents, and adults. Our therapists understand and work with individuals from all walks of life and enjoy assisting them with their mental health goals. Together we develop a treatment plan that best fits our clients’ needs and desires for living a better life. Our office is comfortable and home-like in its furnishings and decor. Our therapists are licensed in Ohio and West Virginia as well as Pennsylvania.
We are accepting new clients (In-Person and Telehealth). We have a small, welcoming group practice consisting of therapists with many years of experience and a broad range of expertise in treating children, adolescents, and adults. Our therapists understand and work with individuals from all walks of life and enjoy assisting them with their mental health goals. Together we develop a treatment plan that best fits our clients’ needs and desires for living a better life. Our office is comfortable and home-like in its furnishings and decor. Our therapists are licensed in Ohio and West Virginia as well as Pennsylvania.
(724) 573-3713 View (724) 573-3713
Photo of Cynthia Rumery, Licensed Professional Counselor in Wexford, PA
Cynthia Rumery
Licensed Professional Counselor, MS, LPC
Verified Verified
Wexford, PA 15090
As a counselor, I have always been aware of the courage and openness a client needs to be able to seek support and engage in counseling services. I also understand how difficult it is to make therapeutic changes in one's life. I am humbled to be privileged to learn about a client's intimate struggles, and I take the depth of that relationship of respect, privacy, boundaries, and expectations very seriously. My ideal client is anyone open to counseling, receiving feedback, and willing to work together on developing action steps towards change and personal growth.
As a counselor, I have always been aware of the courage and openness a client needs to be able to seek support and engage in counseling services. I also understand how difficult it is to make therapeutic changes in one's life. I am humbled to be privileged to learn about a client's intimate struggles, and I take the depth of that relationship of respect, privacy, boundaries, and expectations very seriously. My ideal client is anyone open to counseling, receiving feedback, and willing to work together on developing action steps towards change and personal growth.
(724) 885-2906 View (724) 885-2906
Photo of Nicole Metzger, Licensed Professional Counselor in Wexford, PA
Nicole Metzger
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Wexford, PA 15090
My name is Nicole, and I have worked in the mental health field for 15 years. As a therapist I specialize in working with depression, anxiety, bipolar disorder, grief/loss, trauma and more. Together we can change the way you process feelings and emotions. You can learn to have a more positive outlook on life. I will work with you to help you achieve your goals using a person-centered approach. Every person can change and grow.
My name is Nicole, and I have worked in the mental health field for 15 years. As a therapist I specialize in working with depression, anxiety, bipolar disorder, grief/loss, trauma and more. Together we can change the way you process feelings and emotions. You can learn to have a more positive outlook on life. I will work with you to help you achieve your goals using a person-centered approach. Every person can change and grow.
(724) 860-3627 View (724) 860-3627
Photo of Samantha Philip, Counselor in Wexford, PA
Samantha Philip
Counselor, MA
Verified Verified
Wexford, PA 15090
We all long to be free from the things that prevent us from living life fully. Whether emotional, relational, or behavioral strongholds, I hold hope for you that you are able to find freedom. I am a compassionate counselor rooted in values of humility, mercy, and clinical excellence. My own healing journey has given me a profound passion for supporting people struggling to find freedom from their pain and fear. I believe you are capable of healing, and am committed to standing alongside you as a fellow sojourner while also implementing evidence-based therapy and offering tools to heal, grow and thrive.
We all long to be free from the things that prevent us from living life fully. Whether emotional, relational, or behavioral strongholds, I hold hope for you that you are able to find freedom. I am a compassionate counselor rooted in values of humility, mercy, and clinical excellence. My own healing journey has given me a profound passion for supporting people struggling to find freedom from their pain and fear. I believe you are capable of healing, and am committed to standing alongside you as a fellow sojourner while also implementing evidence-based therapy and offering tools to heal, grow and thrive.
(724) 384-7526 View (724) 384-7526
Photo of Nicki Cardilli, Licensed Professional Counselor in Wexford, PA
Nicki Cardilli
Licensed Professional Counselor, LPC
Verified Verified
Wexford, PA 15090
I am accepting clients in office/telehealth. With over two decades of experience in the mental health field, I have worked with children, teens and adults individually and with their families. I feel that my background working in inpatient, outpatient, residential and in-home settings enables me to help a variety of clients from all walks of life and backgounds in a relaxed and friendly atmosphere. My clinical approach most often includes Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT) and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT.) I believe in drawing on individual and family strengths.
I am accepting clients in office/telehealth. With over two decades of experience in the mental health field, I have worked with children, teens and adults individually and with their families. I feel that my background working in inpatient, outpatient, residential and in-home settings enables me to help a variety of clients from all walks of life and backgounds in a relaxed and friendly atmosphere. My clinical approach most often includes Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT) and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT.) I believe in drawing on individual and family strengths.
(724) 200-8612 View (724) 200-8612
Photo of Colleen Fisher, Licensed Professional Counselor in Wexford, PA
Colleen Fisher
Licensed Professional Counselor, LPC , NCC
Verified Verified
1 Endorsed
Wexford, PA 15090
I have a passion for connecting with my clients on an interpersonal level. My counseling philosophy is that therapy should first and foremost be a safe space for you to express any of your emotions and experiences. I pride myself in being a non-judgmental and receptive counselor. I practice a relaxed therapy style that focuses on processing and emotion identification with a trauma-informed approach. I also include CBT and DBT skills where appropriate. I enjoy adding non-verbal approaches to processing, including the use of play, art, and creative expression.
I have a passion for connecting with my clients on an interpersonal level. My counseling philosophy is that therapy should first and foremost be a safe space for you to express any of your emotions and experiences. I pride myself in being a non-judgmental and receptive counselor. I practice a relaxed therapy style that focuses on processing and emotion identification with a trauma-informed approach. I also include CBT and DBT skills where appropriate. I enjoy adding non-verbal approaches to processing, including the use of play, art, and creative expression.
(878) 888-6840 View (878) 888-6840

How does your Therapist compare?

Number of Therapists in Wexford, PA

200+

Average cost per session

$125

Therapists in Wexford, PA who prioritize treating:

95% Anxiety
92% Depression
78% Relationship Issues
76% Self Esteem
70% Trauma and PTSD
69% Stress
66% Grief

Average years in practice

11 Years

Top 3 insurances accepted

86% Highmark
80% BlueCross and BlueShield
75% Aetna

How Therapists in Wexford, PA see their clients

78% In Person and Online
22% Online Only

Gender breakdown

80% Female
17% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Wexford?

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.