Therapists in Washington, DC

View neighborhoods in Washington
Photo of Aimee C Ruscio, Psychologist in Washington, DC
Aimee C Ruscio
Psychologist, PhD
Verified Verified
2 Endorsed
Washington, DC 20036
You've spent much of your life doing the things that you "should," so you wonder, "why don't I feel happier?" People may see you as "put together" and accomplished from the outside, but inside, you feel numb, chaotic, anxious, or even broken. I help people who've been through traumatic experiences feel in charge of their lives again without being held back by painful memories from the past. If you feel angry, stressed, depressed, guilty, or self-loathing, I want you to know that there is a way through this to a meaningful and happy life.
You've spent much of your life doing the things that you "should," so you wonder, "why don't I feel happier?" People may see you as "put together" and accomplished from the outside, but inside, you feel numb, chaotic, anxious, or even broken. I help people who've been through traumatic experiences feel in charge of their lives again without being held back by painful memories from the past. If you feel angry, stressed, depressed, guilty, or self-loathing, I want you to know that there is a way through this to a meaningful and happy life.
(202) 968-1362 View (202) 968-1362
Photo of Veronica Fabani Psychotherapy, LLC, Licensed Professional Counselor in Washington, DC
Veronica Fabani Psychotherapy, LLC
Licensed Professional Counselor, LCPC, CAC I, MAC
Verified Verified
Washington, DC 20006  (Online Only)
If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, we look forward to working with you to achieve your goals. As bilingual (Spanish and English) solution-focused therapists, the goal is to accompany you through the process of a personal challenge, in which you allow and make possible the transformation of your attitude towards what troubles you.
If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, we look forward to working with you to achieve your goals. As bilingual (Spanish and English) solution-focused therapists, the goal is to accompany you through the process of a personal challenge, in which you allow and make possible the transformation of your attitude towards what troubles you.
(202) 902-9085 View (202) 902-9085
Photo of Jenny Lloyd, Psychologist in Washington, DC
Jenny Lloyd
Psychologist, PsyD
Verified Verified
2 Endorsed
Washington, DC 20010  (Online Only)
I provide therapy to adults 18yrs+. My practice is trauma-informed, and I have particular experience working with LGBTQ+ individuals. I’m a generalist, and therefore can help those who are dealing with a variety of concerns, such as constant worry, difficulty in relationships, struggles with instances of violence or discrimination, self-critical thinking, emptiness, panic attacks, low mood, disconnection, identity development, life transitions, etc. While there are many methods of healing, therapy can be an important piece of your wellbeing, and I can help guide you towards a more self-aware, satisfying, and meaningful life.
I provide therapy to adults 18yrs+. My practice is trauma-informed, and I have particular experience working with LGBTQ+ individuals. I’m a generalist, and therefore can help those who are dealing with a variety of concerns, such as constant worry, difficulty in relationships, struggles with instances of violence or discrimination, self-critical thinking, emptiness, panic attacks, low mood, disconnection, identity development, life transitions, etc. While there are many methods of healing, therapy can be an important piece of your wellbeing, and I can help guide you towards a more self-aware, satisfying, and meaningful life.
(202) 933-3359 View (202) 933-3359
Photo of Imran Riaz, Psychologist in Washington, DC
Imran Riaz
Psychologist, PsyD
Verified Verified
Washington, DC 20036
I specialize in the treatment of anxiety disorders. I work specifically with clients who have anxiety in social settings, anxiety around competency and performance, and obsessive compulsive tendencies.
I specialize in the treatment of anxiety disorders. I work specifically with clients who have anxiety in social settings, anxiety around competency and performance, and obsessive compulsive tendencies.
(202) 798-1365 View (202) 798-1365
Photo of Shaquira Wakefield, Clinical Social Work/Therapist in Washington, DC
Shaquira Wakefield
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Washington, DC 20032  (Online Only)
As a therapist with the Jaxcyn Therapy Group, I assist individuals with managing their mental health and emotional well-being, while providing support, guidance, and strategies to help clients navigate their challenges and develop healthier coping mechanisms.
As a therapist with the Jaxcyn Therapy Group, I assist individuals with managing their mental health and emotional well-being, while providing support, guidance, and strategies to help clients navigate their challenges and develop healthier coping mechanisms.
(202) 972-6795 View (202) 972-6795
Photo of Achieving Joy, Clinical Social Work/Therapist in Washington, DC
Achieving Joy
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Washington, DC 20017
Achieving Joy's counseling boutique is created to improve the emotional, mental, and spiritual wellness of the LGBTQ community. Our counselor's are diverse, licensed and are active participants within the community. We provide a safe space for individuals and couples to explore monogamous and non-monogamous relationships, complete pre-marital counseling, and create action steps to reach your life goals. We also provide group counseling, workshops, and annual conferences. Our purpose is to help you create a plan of action to achieve your joy.
Achieving Joy's counseling boutique is created to improve the emotional, mental, and spiritual wellness of the LGBTQ community. Our counselor's are diverse, licensed and are active participants within the community. We provide a safe space for individuals and couples to explore monogamous and non-monogamous relationships, complete pre-marital counseling, and create action steps to reach your life goals. We also provide group counseling, workshops, and annual conferences. Our purpose is to help you create a plan of action to achieve your joy.
(301) 691-3874 View (301) 691-3874
Photo of Janet L Miller, Licensed Professional Counselor in Washington, DC
Janet L Miller
Licensed Professional Counselor, PhD, LPC
Verified Verified
Washington, DC 20036
Throughout life we can experience challenges within our selves and our relationships. We can find ourselves feeling confused, stuck, unhappy, or unsatisfied. We might notice changes in our moods or behaviors, or feel more affected by stressors than at previous times in our lives. I specialize in adult psychotherapy, including anxiety, depression, trauma, and self-esteem issues. Other specialty areas include challenges in navigating life transitions, relationships, and identity development.
Throughout life we can experience challenges within our selves and our relationships. We can find ourselves feeling confused, stuck, unhappy, or unsatisfied. We might notice changes in our moods or behaviors, or feel more affected by stressors than at previous times in our lives. I specialize in adult psychotherapy, including anxiety, depression, trauma, and self-esteem issues. Other specialty areas include challenges in navigating life transitions, relationships, and identity development.
(301) 531-4812 View (301) 531-4812
Photo of Mary Durso, Clinical Social Work/Therapist in Washington, DC
Mary Durso
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20003  (Online Only)
Hi! I am a Licensed Individual Clinical Social Worker (LICSW). I received my Master's degree in Counseling Psychology in 1985 and my Master's degree in Social Work in 1999. I earned my LICSW in 2002. I like talking with people-but more importantly, listening to people. To me, therapy is a block of time. It is an opportunity for people to talk to someone who is not a parent, brother, sister, spouse or even best friend. My goal is to listen to you and to help you consider options in your life.
Hi! I am a Licensed Individual Clinical Social Worker (LICSW). I received my Master's degree in Counseling Psychology in 1985 and my Master's degree in Social Work in 1999. I earned my LICSW in 2002. I like talking with people-but more importantly, listening to people. To me, therapy is a block of time. It is an opportunity for people to talk to someone who is not a parent, brother, sister, spouse or even best friend. My goal is to listen to you and to help you consider options in your life.
(866) 779-3837 View (866) 779-3837
Photo of Maria Athekame, Clinical Social Work/Therapist in Washington, DC
Maria Athekame
Clinical Social Work/Therapist, LGSW, LMSW
Verified Verified
2 Endorsed
Washington, DC 20003  (Online Only)
My priority is to provide you with a safe place to bring your truth. Together we will work to create strategies and interventions to ease the challenges you face. I believe that you are the most important person in the room, and should feel heard, felt, and affirmed. For many people long term illness or sudden changes in physical abilities can leave you with a sudden shock of where to go from here? There is the physical work to grow and rebuild, but also the emotional component of grief. Reflecting on past abilities, friendships, romantic relationships, and the anxieties of what the future may hold as you learn a new everyday.
My priority is to provide you with a safe place to bring your truth. Together we will work to create strategies and interventions to ease the challenges you face. I believe that you are the most important person in the room, and should feel heard, felt, and affirmed. For many people long term illness or sudden changes in physical abilities can leave you with a sudden shock of where to go from here? There is the physical work to grow and rebuild, but also the emotional component of grief. Reflecting on past abilities, friendships, romantic relationships, and the anxieties of what the future may hold as you learn a new everyday.
(202) 946-4822 View (202) 946-4822
Photo of Bernard John Knight, Licensed Professional Counselor in Washington, DC
Bernard John Knight
Licensed Professional Counselor, LPC
Verified Verified
Washington, DC 20001
Not accepting new clients
I help clients with anxiety, depression, life transitions and career issues. I enjoy helping clients live more joyful lives that better align with their goals and desires. I appreciate how COVID-19 has affected each of us personally and professionally. My sessions are solution-focused, and I strive to help my clients in a results-oriented manner. I am both a mental health counselor and a certified life coach. We will explore the issues that might be preventing you from living your life to the fullest and together develop effective tools to help.
I help clients with anxiety, depression, life transitions and career issues. I enjoy helping clients live more joyful lives that better align with their goals and desires. I appreciate how COVID-19 has affected each of us personally and professionally. My sessions are solution-focused, and I strive to help my clients in a results-oriented manner. I am both a mental health counselor and a certified life coach. We will explore the issues that might be preventing you from living your life to the fullest and together develop effective tools to help.
(202) 350-4824 View (202) 350-4824
Photo of Naveed Khan, Licensed Professional Counselor in Washington, DC
Naveed Khan
Licensed Professional Counselor, LPC, MPH
Verified Verified
Washington, DC 20006  (Online Only)
Not accepting new clients
The most immediate benefit of one-on-one work is that it pulls you out of the automaticity of life. It is only when we choose to step out of our regular schedules, that we are able to reflect, assess, reorient, plan, and finally pivot. Whether you are experiencing a lack of motivation, crying spells, racing thoughts, and/or other symptoms of stress, depression, or anxiety - I will support you through this period. Although I am trained in a number of therapy modalities, my initial focus is to understand your experiences at the present moment.
The most immediate benefit of one-on-one work is that it pulls you out of the automaticity of life. It is only when we choose to step out of our regular schedules, that we are able to reflect, assess, reorient, plan, and finally pivot. Whether you are experiencing a lack of motivation, crying spells, racing thoughts, and/or other symptoms of stress, depression, or anxiety - I will support you through this period. Although I am trained in a number of therapy modalities, my initial focus is to understand your experiences at the present moment.
(202) 798-4628 View (202) 798-4628
Photo of Barry M Wagner, Psychologist in Washington, DC
Barry M Wagner
Psychologist, PhD
Verified Verified
1 Endorsed
Washington, DC 20015
My areas of expertise include: (1) Adolescents and adults having difficulties managing stress, anxiety and worries, depression, and interpersonal problems. (2) Adolescents with challenges in their social relationships, academic motivation, and behavioral adjustment. Depending on the situation, I may address such problems with individual therapy, family therapy, or parenting work. (3) Attention-deficit/hyperactivity disorder (ADHD) in youth and adults: providing useful skills and techniques for living a more productive and satisfying life with ADHD. (4) Couple therapy: Helping couples to improve communication, rebuild or deepen trust or intimacy, or understand and re-shape unsatisfying or distressing patterns of interaction.
My areas of expertise include: (1) Adolescents and adults having difficulties managing stress, anxiety and worries, depression, and interpersonal problems. (2) Adolescents with challenges in their social relationships, academic motivation, and behavioral adjustment. Depending on the situation, I may address such problems with individual therapy, family therapy, or parenting work. (3) Attention-deficit/hyperactivity disorder (ADHD) in youth and adults: providing useful skills and techniques for living a more productive and satisfying life with ADHD. (4) Couple therapy: Helping couples to improve communication, rebuild or deepen trust or intimacy, or understand and re-shape unsatisfying or distressing patterns of interaction.
(202) 759-8558 View (202) 759-8558
Photo of Sheila Delvalle—Substance Abuse•Couples•Teens, Licensed Master Social Worker in Washington, DC
Sheila Delvalle—Substance Abuse•Couples•Teens
Licensed Master Social Worker, MSW, LMSW, LGSW
Verified Verified
Washington, DC 20005
Do you struggle with substance use? Has addiction taken over your life? Your past does not have to dictate your present or your future. You can recover from traumatic experiences. In therapy, you can defuse the factors powering addiction. You can build practical coping skills for sustained recovery. You can save your relationship with couples therapy. I am a social worker with advanced training in substance abuse, harm reduction, and trauma therapy. Experienced therapist for teenagers. Reach out now. I look forward to hearing your story and helping you, your teenager, or your relationship get back on track.
Do you struggle with substance use? Has addiction taken over your life? Your past does not have to dictate your present or your future. You can recover from traumatic experiences. In therapy, you can defuse the factors powering addiction. You can build practical coping skills for sustained recovery. You can save your relationship with couples therapy. I am a social worker with advanced training in substance abuse, harm reduction, and trauma therapy. Experienced therapist for teenagers. Reach out now. I look forward to hearing your story and helping you, your teenager, or your relationship get back on track.
(202) 796-6511 View (202) 796-6511
Photo of Lauren Kay Laich, Licensed Professional Counselor in Washington, DC
Lauren Kay Laich
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Washington, DC 20004  (Online Only)
Waitlist for new clients
My greatest reward is helping clients explore ways to change their lives, allowing them to feel hopeful about the future. I work from a person-centered perspective, allowing my clients to determine the pace & direction of therapy. I have extensive experience working with people struggling with various issues, such as depression, anxiety, trauma, OCD, addiction, & self-esteem. I use CBT, DBT, & Motivational Interviewing techniques, based on the needs of the individual. I believe that we all need someone to talk with who will really listen & accept us as we are, without judgment; this is my goal as a therapist.
My greatest reward is helping clients explore ways to change their lives, allowing them to feel hopeful about the future. I work from a person-centered perspective, allowing my clients to determine the pace & direction of therapy. I have extensive experience working with people struggling with various issues, such as depression, anxiety, trauma, OCD, addiction, & self-esteem. I use CBT, DBT, & Motivational Interviewing techniques, based on the needs of the individual. I believe that we all need someone to talk with who will really listen & accept us as we are, without judgment; this is my goal as a therapist.
(866) 275-2079 View (866) 275-2079
Photo of Stacy Notaras Murphy, Licensed Professional Counselor in Washington, DC
Stacy Notaras Murphy
Licensed Professional Counselor, MS, NCC, LPC, EMDR-C
Verified Verified
5 Endorsed
Washington, DC 20036
Waitlist for new clients
I am passionate about helping people facing relationship struggles that manifest as anxiety, depression, and difficulty with intimacy. My experience and training (EFT: Emotionally-Focused Therapy, Imago, PACT) taught me that most emotional challenges are tied to how we function in our personal relationships. I've been told that my real strength is helping people feel safe and reflective enough to recognize, think through, and either accept or change the way they approach the relationships that matter most. I enjoy a collaborative with my clients and couples, working together to make meaningful changes.
I am passionate about helping people facing relationship struggles that manifest as anxiety, depression, and difficulty with intimacy. My experience and training (EFT: Emotionally-Focused Therapy, Imago, PACT) taught me that most emotional challenges are tied to how we function in our personal relationships. I've been told that my real strength is helping people feel safe and reflective enough to recognize, think through, and either accept or change the way they approach the relationships that matter most. I enjoy a collaborative with my clients and couples, working together to make meaningful changes.
(202) 760-2121 View (202) 760-2121
Photo of Leen Nguyen, Clinical Social Work/Therapist in Washington, DC
Leen Nguyen
Clinical Social Work/Therapist, LMSW
Verified Verified
Washington, DC 20002  (Online Only)
I practice an integrative and holistic therapeutic approach, addressing mind, body, and spirit. With expertise in crisis, trauma, and addiction, I view clients through a contextual and social lens, guided by the Person-in-Environment Theory.
I practice an integrative and holistic therapeutic approach, addressing mind, body, and spirit. With expertise in crisis, trauma, and addiction, I view clients through a contextual and social lens, guided by the Person-in-Environment Theory.
(833) 659-8154 View (833) 659-8154
Photo of Jennifer Ortega, Clinical Social Work/Therapist in Washington, DC
Jennifer Ortega
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Washington, DC 20006  (Online Only)
Hello! My Name is Jennifer. I am a therapist with Arelis Perez Psychotherapy Services. We are a multicultural and multi-lingual practice offering therapeutic services to children, teenager, and adults. Our clinicians are trained to utilize a variety of therapeutic modalities to support and empower a diverse population.
Hello! My Name is Jennifer. I am a therapist with Arelis Perez Psychotherapy Services. We are a multicultural and multi-lingual practice offering therapeutic services to children, teenager, and adults. Our clinicians are trained to utilize a variety of therapeutic modalities to support and empower a diverse population.
(202) 931-5971 View (202) 931-5971
Photo of Shally Vaid, Licensed Professional Counselor in Washington, DC
Shally Vaid
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Washington, DC 20006
I strive to create a safe, supportive, non-judgmental space for clients who feel burdened with hard feelings. You may be navigating a period of anxiety or depression, struggling with a difficult phase of life, or are unsure how to move beyond past experiences. We will create a collaborative partnership where we can work through these questions together, empowering you to find a path back to joy and calm in your life. I work with college students, adults, am Gottman-trained in couples work, and have particular expertise with clients experiencing infertility, adjusting to parenthood or navigating the joys and challenges of older kids.
I strive to create a safe, supportive, non-judgmental space for clients who feel burdened with hard feelings. You may be navigating a period of anxiety or depression, struggling with a difficult phase of life, or are unsure how to move beyond past experiences. We will create a collaborative partnership where we can work through these questions together, empowering you to find a path back to joy and calm in your life. I work with college students, adults, am Gottman-trained in couples work, and have particular expertise with clients experiencing infertility, adjusting to parenthood or navigating the joys and challenges of older kids.
(202) 760-2749 View (202) 760-2749
Photo of Jihan Eley, Clinical Social Work/Therapist in Washington, DC
Jihan Eley
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C
Verified Verified
8 Endorsed
Washington, DC 20036  (Online Only)
Not accepting new clients
I help people uncover the underlying 'stories' and old belief systems that cause them to feel stuck and how they may be reenacting these stories in the present. I enjoy working with individuals who would like to build better systems of internal and external support. I view therapy as a partnership, and seek out clients who are willing to partner together and are interested in creating more fulfilling life experiences and relationships.
I help people uncover the underlying 'stories' and old belief systems that cause them to feel stuck and how they may be reenacting these stories in the present. I enjoy working with individuals who would like to build better systems of internal and external support. I view therapy as a partnership, and seek out clients who are willing to partner together and are interested in creating more fulfilling life experiences and relationships.
(202) 800-1038 View (202) 800-1038
Photo of Harpreet Kang, Clinical Social Work/Therapist in Washington, DC
Harpreet Kang
Clinical Social Work/Therapist, LICSW, LCSW-VA, LCSW-C
Verified Verified
Washington, DC 20003  (Online Only)
Waitlist for new clients
You are contemplating therapy because something is amiss in your life. Maybe you feel sad or anxious. Perhaps you feel alone? overwhelmed? It takes courage to enter therapy. To go on a voyage of self-discovery and change. It can be a rewarding journey. My approach focuses on helping you identify and work through whatever it is that is keeping you from reaching your full potential. I am collaborative, compassionate, and accepting. I have an interactive style, in which we work together to make sense of your experiences. Please contact me for additional information to help you make your decision.
You are contemplating therapy because something is amiss in your life. Maybe you feel sad or anxious. Perhaps you feel alone? overwhelmed? It takes courage to enter therapy. To go on a voyage of self-discovery and change. It can be a rewarding journey. My approach focuses on helping you identify and work through whatever it is that is keeping you from reaching your full potential. I am collaborative, compassionate, and accepting. I have an interactive style, in which we work together to make sense of your experiences. Please contact me for additional information to help you make your decision.
(202) 629-0450 View (202) 629-0450

How does your Therapist compare?

Number of Therapists in Washington, DC

3,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

62% BlueCross and BlueShield
57% CareFirst
54% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.