Therapists in Exton, PA

Photo of Joy L Wawrzyniak, Clinical Social Work/Therapist in Exton, PA
Joy L Wawrzyniak
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Exton, PA 19341
The teenage years are the most vulnerable, exciting, and growing years of a young person’s life. Self discovery can often yield low self esteem, independence can easily shift to rebellion, and a slow maturation process often creates impulsive decision making. And when a parent’s warnings and worries don’t seem to have an impact on the teenager’s course, or when it feels too heavy to carry alone, it’s helpful to have another guiding force to help. Through counseling, an adolescent can feel understood, begin to understand themselves, and learn to understand and accept their role in the family and society.
The teenage years are the most vulnerable, exciting, and growing years of a young person’s life. Self discovery can often yield low self esteem, independence can easily shift to rebellion, and a slow maturation process often creates impulsive decision making. And when a parent’s warnings and worries don’t seem to have an impact on the teenager’s course, or when it feels too heavy to carry alone, it’s helpful to have another guiding force to help. Through counseling, an adolescent can feel understood, begin to understand themselves, and learn to understand and accept their role in the family and society.
(610) 851-4876 View (610) 851-4876
Photo of Bri Beverly in Exton, PA
Bri Beverly
MS, NCC
Verified Verified
Exton, PA 19341  (Online Only)
We are a team of clinicians, coaches and practitioners with values rooted in Mental Strength, Emotional Wellness, and Physical Fitness. We take an integrative approach to wellness and support our community in achieving their goals. Whether you’re experiencing challenges in your personal life, family life, or career, our team at Lotus Life is here to support you. Our clinicians and coaches provide guidance and the space for reflection on where you are at, and where you want to go. We’ll help you get there.
We are a team of clinicians, coaches and practitioners with values rooted in Mental Strength, Emotional Wellness, and Physical Fitness. We take an integrative approach to wellness and support our community in achieving their goals. Whether you’re experiencing challenges in your personal life, family life, or career, our team at Lotus Life is here to support you. Our clinicians and coaches provide guidance and the space for reflection on where you are at, and where you want to go. We’ll help you get there.
(484) 249-0137 View (484) 249-0137
Photo of Erin Jameson Saltzburg, Clinical Social Work/Therapist in Exton, PA
Erin Jameson Saltzburg
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
2 Endorsed
Exton, PA 19341  (Online Only)
Every day, I sit with women just like you. Women who are struggling. Women who are trying to cope with intense grief, devastating pregnancy loss, the roller coaster of infertility, the anxiety of pregnancy after a loss experience and the challenges of the NICU experience. Every day I support individuals who are managing difficult relationships and trying to cope with overwhelming life transitions.
Every day, I sit with women just like you. Women who are struggling. Women who are trying to cope with intense grief, devastating pregnancy loss, the roller coaster of infertility, the anxiety of pregnancy after a loss experience and the challenges of the NICU experience. Every day I support individuals who are managing difficult relationships and trying to cope with overwhelming life transitions.
(484) 879-4292 View (484) 879-4292
Photo of Lisa Pagano, Clinical Social Work/Therapist in Exton, PA
Lisa Pagano
Clinical Social Work/Therapist, LCSW
Verified Verified
Exton, PA 19341
I have been practicing psychotherapy for over 18 years. In my years of practice I have worked with clients struggling with constant worry and feelings of sadness. I have worked with clients who have experienced profound loss and tragedy as well as daily life stressors that have become overwhelming. I specialize in treating women struggling with PostPartum Depression & Anxiety. Many of my clients have struggled with life adjustment issues such as; career changes, infertility, chronic illness, divorce, parenting issues and relationship challenges.
I have been practicing psychotherapy for over 18 years. In my years of practice I have worked with clients struggling with constant worry and feelings of sadness. I have worked with clients who have experienced profound loss and tragedy as well as daily life stressors that have become overwhelming. I specialize in treating women struggling with PostPartum Depression & Anxiety. Many of my clients have struggled with life adjustment issues such as; career changes, infertility, chronic illness, divorce, parenting issues and relationship challenges.
(484) 653-6349 View (484) 653-6349
Photo of Kelly Wood, Clinical Social Work/Therapist in Exton, PA
Kelly Wood
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Exton, PA 19341
I am a Licensed Clinical Social Worker and have clinical experience working with children, adolescents, adults, and couples. Some of my clinical experience includes: trauma work and healing (with EMDR as an option), addiction recovery support, depression and/or anxiety combining mind and body work in treatment, working with teens and children on emotional regulation while building skills that will develop intrinsic self worth, and examining thoughts, emotions, and behaviors in interpersonal relations.
I am a Licensed Clinical Social Worker and have clinical experience working with children, adolescents, adults, and couples. Some of my clinical experience includes: trauma work and healing (with EMDR as an option), addiction recovery support, depression and/or anxiety combining mind and body work in treatment, working with teens and children on emotional regulation while building skills that will develop intrinsic self worth, and examining thoughts, emotions, and behaviors in interpersonal relations.
(610) 850-0517 View (610) 850-0517
Photo of Cara Dyson-Oconnor, Licensed Professional Counselor in Exton, PA
Cara Dyson-Oconnor
Licensed Professional Counselor, LPC
Verified Verified
Exton, PA 19341
Cara is a Licensed Professional Counselor and is certified by the National Board of Certified Counselors. She earned her Masters Degree in Counseling Psychology from Immaculata University in 2010 and is certified in Cognitive Behavioral Therapy. She has worked with individuals of ages 13 and up in inpatient, partial hospitalization, intensive outpatient, group therapy, and individual outpatient settings. Cara has a non-judgmental, mindful, and supportive approach which focuses on the individual's strengths, coping mechanisms, and support systems to effect change.
Cara is a Licensed Professional Counselor and is certified by the National Board of Certified Counselors. She earned her Masters Degree in Counseling Psychology from Immaculata University in 2010 and is certified in Cognitive Behavioral Therapy. She has worked with individuals of ages 13 and up in inpatient, partial hospitalization, intensive outpatient, group therapy, and individual outpatient settings. Cara has a non-judgmental, mindful, and supportive approach which focuses on the individual's strengths, coping mechanisms, and support systems to effect change.
(484) 613-3322 View (484) 613-3322
Photo of Sarah Pepper, Pre-Licensed Professional in Exton, PA
Sarah Pepper
Pre-Licensed Professional, MEd, EdS
Verified Verified
1 Endorsed
Exton, PA 19341
Does your child have big feelings that no one else seems to understand? Do you have difficulty finding ways to communicate with your child regarding direction? Does it often feel like your child is misunderstood? Parenting is complicated, can feel isolating, and like a never-ending race of sorts! Your efforts may feel as though they can go unappreciated, yet it is never too late to ask for help for your little one. If your child is struggling with impulsive control, inattention, emotion regulation, anxiety or social skills, I can help your child get back on track. Your child deserves to feel seen, heard, and understood.
Does your child have big feelings that no one else seems to understand? Do you have difficulty finding ways to communicate with your child regarding direction? Does it often feel like your child is misunderstood? Parenting is complicated, can feel isolating, and like a never-ending race of sorts! Your efforts may feel as though they can go unappreciated, yet it is never too late to ask for help for your little one. If your child is struggling with impulsive control, inattention, emotion regulation, anxiety or social skills, I can help your child get back on track. Your child deserves to feel seen, heard, and understood.
(484) 989-8959 View (484) 989-8959
Photo of Nicole S. Wildes, Counselor in Exton, PA
Nicole S. Wildes
Counselor, LPC
Verified Verified
Exton, PA 19341
Whether you are interested in healing hurts from long ago or simply dissatisfied with the current state of life, therapy can help you learn to embrace, with joy and gratitude, the messiness of the human experience. I help clients cultivate the tools they need to live a more confident life, take risks, and find the wisdom and sweetness in painful experiences. Being a therapist is a privilege, and I am very grateful to be able to provide a nonjudgemental space and connect with others in such a meaningful way.
Whether you are interested in healing hurts from long ago or simply dissatisfied with the current state of life, therapy can help you learn to embrace, with joy and gratitude, the messiness of the human experience. I help clients cultivate the tools they need to live a more confident life, take risks, and find the wisdom and sweetness in painful experiences. Being a therapist is a privilege, and I am very grateful to be able to provide a nonjudgemental space and connect with others in such a meaningful way.
(610) 549-4679 View (610) 549-4679
Photo of Pamela Lorenzon Simms, Psychologist in Exton, PA
Pamela Lorenzon Simms
Psychologist, PsyD
Verified Verified
Exton, PA 19341
Pam believes each person and their experience is unique. She is committed to creating an empathic and supportive environment in therapy that fosters collaborative therapeutic relationship built on trust and respect, regardless of the age of the individual. Furthermore, she has a passion for physical health that she believes is important for a balanced mind-body connection.
Pam believes each person and their experience is unique. She is committed to creating an empathic and supportive environment in therapy that fosters collaborative therapeutic relationship built on trust and respect, regardless of the age of the individual. Furthermore, she has a passion for physical health that she believes is important for a balanced mind-body connection.
(267) 214-7651 View (267) 214-7651
Photo of Jeanine P Aversa, Licensed Professional Counselor in Exton, PA
Jeanine P Aversa
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Exton, PA 19341
Licensed counselor focused on providing individual and couples counseling services. Specializing in work with adults in areas of life transitions, anxiety, depression, substance abuse /addiction, PTSD, bi-polar and stress management.
Licensed counselor focused on providing individual and couples counseling services. Specializing in work with adults in areas of life transitions, anxiety, depression, substance abuse /addiction, PTSD, bi-polar and stress management.
(484) 214-2403 View (484) 214-2403
Photo of Paula Tropiano, Licensed Professional Counselor in Exton, PA
Paula Tropiano
Licensed Professional Counselor, MA, LPC, LCMH
Verified Verified
Exton, PA 19341  (Online Only)
Do you continue to struggle with anxiety, mood, or self-defeating behaviors that get in the way of feeling good about yourself and sabotaging your potential? You are not alone. Many people silently suffer from addictive eating and alcohol consumption, anger, social anxiety, difficulties with focus, decision-making, and relationship problems. There is hope! You can break these frustrating and painful cycles of repetition, even if you have tried to change for many years. Quality skills-based counseling and coaching can help.
Do you continue to struggle with anxiety, mood, or self-defeating behaviors that get in the way of feeling good about yourself and sabotaging your potential? You are not alone. Many people silently suffer from addictive eating and alcohol consumption, anger, social anxiety, difficulties with focus, decision-making, and relationship problems. There is hope! You can break these frustrating and painful cycles of repetition, even if you have tried to change for many years. Quality skills-based counseling and coaching can help.
(610) 898-3181 View (610) 898-3181
Photo of Tiffany Interra, Marriage & Family Therapist in Exton, PA
Tiffany Interra
Marriage & Family Therapist, LMFT
Verified Verified
Exton, PA 19341  (Online Only)
Tiffany Interra is a Licensed Marriage and Family Therapist from Pennsylvania who has been a practicing clinician since 2015, working in various settings, such as clinics, nonprofits, and telehealth. Tiffany takes a trauma and culturally-informed approach to treatment. She specializes in addressing depression, anxiety, self-esteem, and trauma-related concerns. Tiffany provides individual and family services to adults, as well as families who have a loved one who is experiencing symptoms or any concerning behaviors.
Tiffany Interra is a Licensed Marriage and Family Therapist from Pennsylvania who has been a practicing clinician since 2015, working in various settings, such as clinics, nonprofits, and telehealth. Tiffany takes a trauma and culturally-informed approach to treatment. She specializes in addressing depression, anxiety, self-esteem, and trauma-related concerns. Tiffany provides individual and family services to adults, as well as families who have a loved one who is experiencing symptoms or any concerning behaviors.
(484) 623-6149 View (484) 623-6149
Forward Focus Therapy, LLC
Psychologist, PsyD, LPC
Verified Verified
1 Endorsed
Exton, PA 19341  (Online Only)
Not accepting new clients
WEEKEND & EVENING online therapy openings. You are feeling, tired, isolated, & overwhelmed. You have lost your passion & drive. You want to find a better way to manage your life. You do not need to do it alone. Together, we will focus on the present, using practical, effective strategies you can use daily to help you achieve a work/life balance & well being. The individuals I work with are comfortable with technology, have a sense of humor, & are motivated to change. They value an online experience & enjoy the benefits of an experienced psychologist, while being in a comfortable location, at a convenient time.
WEEKEND & EVENING online therapy openings. You are feeling, tired, isolated, & overwhelmed. You have lost your passion & drive. You want to find a better way to manage your life. You do not need to do it alone. Together, we will focus on the present, using practical, effective strategies you can use daily to help you achieve a work/life balance & well being. The individuals I work with are comfortable with technology, have a sense of humor, & are motivated to change. They value an online experience & enjoy the benefits of an experienced psychologist, while being in a comfortable location, at a convenient time.
(484) 874-7120 View (484) 874-7120
Photo of Candice Bieganski (Mccarthy), Licensed Professional Counselor in Exton, PA
Candice Bieganski (Mccarthy)
Licensed Professional Counselor, MA, NCC, LPC, CCTP
Verified Verified
Exton, PA 19341
Waitlist for new clients
Life's challenges can often make us feel stuck, alone, and invalidated. I want you to know that your feelings are not only valid but also an essential part of your unique journey. In our therapeutic space, I am dedicated to creating a warm and accepting environment where you can authentically be yourself, even when it feels messy or uncertain. As a Licensed Professional Counselor, my mission is to empower individuals on their journey to emotional well-being and freedom. I specialize in providing support to adults 18+ navigating through overwhelming or traumatic experiences, as well as those in recovery from addiction.
Life's challenges can often make us feel stuck, alone, and invalidated. I want you to know that your feelings are not only valid but also an essential part of your unique journey. In our therapeutic space, I am dedicated to creating a warm and accepting environment where you can authentically be yourself, even when it feels messy or uncertain. As a Licensed Professional Counselor, my mission is to empower individuals on their journey to emotional well-being and freedom. I specialize in providing support to adults 18+ navigating through overwhelming or traumatic experiences, as well as those in recovery from addiction.
(484) 759-8462 View (484) 759-8462
Photo of Amanda Farrell, Clinical Social Work/Therapist in Exton, PA
Amanda Farrell
Clinical Social Work/Therapist, LCSW
Verified Verified
Exton, PA 19341
Mandy Farrell is a Licensed Clinical Social Worker in Pennsylvania who started practicing in 2021. She completed her Bachelors in Social Work at Temple University and her Masters in Social Work at Widener University.
Mandy Farrell is a Licensed Clinical Social Worker in Pennsylvania who started practicing in 2021. She completed her Bachelors in Social Work at Temple University and her Masters in Social Work at Widener University.
(484) 232-9305 View (484) 232-9305
Photo of Victoria Wilson-Geter, Clinical Social Work/Therapist in Exton, PA
Victoria Wilson-Geter
Clinical Social Work/Therapist, LCSW
Verified Verified
Exton, PA 19341  (Online Only)
Stressed Out? Need More Confidence? Avoiding? Overwhelmed? Trouble saying, “No.”? Frustrated? Easily Angered or Still Angry? Experienced Trauma? Grief/Loss? Are you a People Pleaser? Overwhelmed? Tired of being a Caretaker to everyone else, but not yourself? Lonely?, Trouble Regulating your Moods? Regretful of Choices you've made? Struggling? We all experience moments and seasons in our lives when we are just not functioning as our best selves. LIFE and or, underlying mental health issues can result in us experiencing depression, anxiety, trauma, complicated grief, relationship problems, loneliness, and a host more.
Stressed Out? Need More Confidence? Avoiding? Overwhelmed? Trouble saying, “No.”? Frustrated? Easily Angered or Still Angry? Experienced Trauma? Grief/Loss? Are you a People Pleaser? Overwhelmed? Tired of being a Caretaker to everyone else, but not yourself? Lonely?, Trouble Regulating your Moods? Regretful of Choices you've made? Struggling? We all experience moments and seasons in our lives when we are just not functioning as our best selves. LIFE and or, underlying mental health issues can result in us experiencing depression, anxiety, trauma, complicated grief, relationship problems, loneliness, and a host more.
(484) 292-2934 View (484) 292-2934
Photo of Susan Barbara Katz, Clinical Social Work/Therapist in Exton, PA
Susan Barbara Katz
Clinical Social Work/Therapist, MA, LCSW, CMFT
Verified Verified
1 Endorsed
Exton, PA 19341
Has there been a time in your life when you felt overwhelmed, confused, conflicted, frightened, or burdened? A time when life's journey presented multiple paths and you turned down one more difficult than expected, and you got scratched and bruised by the bushes overgrown thorns? If you've answered yes, then counseling can be a vehicle supporting you through life's challenges to achieve emotional health and well-being. Caring, collaborative, and compassionate counseling can help you heal your emotoinal wounds, fears diminished, and the perceived darkness can be replaced by a new vision for yourself and new possibilities.
Has there been a time in your life when you felt overwhelmed, confused, conflicted, frightened, or burdened? A time when life's journey presented multiple paths and you turned down one more difficult than expected, and you got scratched and bruised by the bushes overgrown thorns? If you've answered yes, then counseling can be a vehicle supporting you through life's challenges to achieve emotional health and well-being. Caring, collaborative, and compassionate counseling can help you heal your emotoinal wounds, fears diminished, and the perceived darkness can be replaced by a new vision for yourself and new possibilities.
(610) 624-3645 View (610) 624-3645
Photo of Bradley High, Licensed Professional Counselor in Exton, PA
Bradley High
Licensed Professional Counselor, LPC
Verified Verified
Exton, PA 19341
Brad High, LPC Brad High is a Licensed Professional Counselor in Pennsylvania who started practicing in 2003. He has an Undergraduate Degree from Ursinus College and a Graduate Degree from Immaculata University. Brad believes in utilizing Motivational Interviewing along with Cognitive Behavioral Therapy to help people learn appropriate coping skills, so they are able to function more freely in everyday tasks. In his spare time, Brad enjoys being with his wife and kids, watching any kind of sports, and being involved with local church.
Brad High, LPC Brad High is a Licensed Professional Counselor in Pennsylvania who started practicing in 2003. He has an Undergraduate Degree from Ursinus College and a Graduate Degree from Immaculata University. Brad believes in utilizing Motivational Interviewing along with Cognitive Behavioral Therapy to help people learn appropriate coping skills, so they are able to function more freely in everyday tasks. In his spare time, Brad enjoys being with his wife and kids, watching any kind of sports, and being involved with local church.
(484) 559-7023 View (484) 559-7023
Photo of Brian Hickman, Licensed Professional Counselor in Exton, PA
Brian Hickman
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Exton, PA 19341
I help people to gain the insight and awareness needed to be the best version of themselves. I strive to create a comfortable and nonjudgmental environment, where people can express themselves and work toward living the life they really want. I work with clients on being less depressed, less anxious, and on overcoming behaviors that may be holding them back. I enjoy working with people who have been in therapy before and also people who have not. I will meet you where you are and help you to clarify and work toward your goals.
I help people to gain the insight and awareness needed to be the best version of themselves. I strive to create a comfortable and nonjudgmental environment, where people can express themselves and work toward living the life they really want. I work with clients on being less depressed, less anxious, and on overcoming behaviors that may be holding them back. I enjoy working with people who have been in therapy before and also people who have not. I will meet you where you are and help you to clarify and work toward your goals.
(610) 601-2392 View (610) 601-2392
Photo of Tyler Hempsey, Licensed Professional Counselor in Exton, PA
Tyler Hempsey
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Exton, PA 19341
While I am open to and confident in working with all ages and populations, a focus and passion of mine are young adults. Young adults that are seeking a higher quality of life, looking to better understand their emotions, to process past traumas, manage/reduce anxiety, manage/reduce depression, keep stable moods, and clearly identify their short and long-term therapy goals - aimed toward building lifelong self-confidence and self-esteem.
While I am open to and confident in working with all ages and populations, a focus and passion of mine are young adults. Young adults that are seeking a higher quality of life, looking to better understand their emotions, to process past traumas, manage/reduce anxiety, manage/reduce depression, keep stable moods, and clearly identify their short and long-term therapy goals - aimed toward building lifelong self-confidence and self-esteem.
(484) 265-9924 View (484) 265-9924

How does your Therapist compare?

Number of Therapists in Exton, PA

200+

Average cost per session

$145

Therapists in Exton, PA who prioritize treating:

95% Anxiety
89% Depression
76% Relationship Issues
74% Self Esteem
63% Grief
63% Trauma and PTSD
61% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

75% Aetna
67% Highmark
53% Cigna and Evernorth

How Therapists in Exton, PA see their clients

83% In Person and Online
17% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Exton?

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.