Therapists in Herndon, VA

Photo of Katie Pancione, Licensed Professional Counselor in Herndon, VA
Katie Pancione
Licensed Professional Counselor, LPC, NCC, CGP
Verified Verified
11 Endorsed
Herndon, VA 20170
Are you feeling confused and isolated due to a loss? It is hard to come to terms with the idea we are grieving. While many people can easily relate grief to the death of a person or pet, suffering, in reality, expands across so many areas that we encounter on a day-to-day basis. Maybe you are going through a breakup or struggling with fertility, or you just found out your favorite coworker is moving to a new company. Perhaps you finished that last sip of wine that you brought back from the trip of a lifetime. There are many reasons to grieve, and unfortunately, when we don't know how to process grief, it can make us feel trapped.
Are you feeling confused and isolated due to a loss? It is hard to come to terms with the idea we are grieving. While many people can easily relate grief to the death of a person or pet, suffering, in reality, expands across so many areas that we encounter on a day-to-day basis. Maybe you are going through a breakup or struggling with fertility, or you just found out your favorite coworker is moving to a new company. Perhaps you finished that last sip of wine that you brought back from the trip of a lifetime. There are many reasons to grieve, and unfortunately, when we don't know how to process grief, it can make us feel trapped.
(540) 274-0655 View (540) 274-0655
Photo of Jackie L Stout, Clinical Social Work/Therapist in Herndon, VA
Jackie L Stout
Clinical Social Work/Therapist, LCSW
Verified Verified
Herndon, VA 20170
Not accepting new clients
Not feeling quite as happy or satisfied as you would like? In relationships do you find yourself feeling unheard and disconnected? And you can't quite put your finger on what is going on? I will work with you to find solutions to current problems and to understand recurring patterns that impact our daily lives. Often it requires healing old wounds so we can move on from the past in order to develop a deeper bond with oneself and others.
Not feeling quite as happy or satisfied as you would like? In relationships do you find yourself feeling unheard and disconnected? And you can't quite put your finger on what is going on? I will work with you to find solutions to current problems and to understand recurring patterns that impact our daily lives. Often it requires healing old wounds so we can move on from the past in order to develop a deeper bond with oneself and others.
(703) 997-2308 View (703) 997-2308
Photo of Ji-Hae Park, Clinical Social Work/Therapist in Herndon, VA
Ji-Hae Park
Clinical Social Work/Therapist, LCSW, CHT
Verified Verified
Herndon, VA 20170
Let your genuine self, which has been silenced by habitual patterns and external pressures, shine through. If you’re looking to break from fears and phobias as well as unwanted habits, we can collaboratively work to ground you in your core truth and you can be with yourself in a new way.
Let your genuine self, which has been silenced by habitual patterns and external pressures, shine through. If you’re looking to break from fears and phobias as well as unwanted habits, we can collaboratively work to ground you in your core truth and you can be with yourself in a new way.
(703) 596-3372 View (703) 596-3372
Photo of Dina Friedman, Psychologist in Herndon, VA
Dina Friedman
Psychologist, PsyD
Verified Verified
Herndon, VA 20170
Not accepting new clients
I am a clinical psychologist with over 20 years of experience in private practice. I have helped many individuals to develop more peaceful lives, working through feelings of depression, anxiety and relationship struggles. I love working with parents, especially because their growth can have such a positive impact on their children. I have a special interest in working with caregivers of special needs children. This passion developed after facing the challenge of parenting my own special needs child. During COVID-19 I will discount rates to make therapy affordable to parents who have medically fragile or behaviorally challenged kids.
I am a clinical psychologist with over 20 years of experience in private practice. I have helped many individuals to develop more peaceful lives, working through feelings of depression, anxiety and relationship struggles. I love working with parents, especially because their growth can have such a positive impact on their children. I have a special interest in working with caregivers of special needs children. This passion developed after facing the challenge of parenting my own special needs child. During COVID-19 I will discount rates to make therapy affordable to parents who have medically fragile or behaviorally challenged kids.
(703) 828-0508 View (703) 828-0508
Photo of Alison Behar, LCSW at Therapy With Compassion, LLC, Clinical Social Work/Therapist in Herndon, VA
Alison Behar, LCSW at Therapy With Compassion, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Herndon, VA 20170
Pursuing therapy is a courageous act! I recognize the difficulty of this choice and have great respect for each client who presents themselves to me for help. My aim is to make therapy a safe place where you can express your feelings openly, work through difficult issues and develop tools and solutions. My approach to therapy is to start with a strong relationship based on trust and acceptance, identify your goals and use cognitive behavioral therapy tools to teach you how to look at the ways your thinking patterns influence your feelings about yourself and ultimately how you behave in your life.
Pursuing therapy is a courageous act! I recognize the difficulty of this choice and have great respect for each client who presents themselves to me for help. My aim is to make therapy a safe place where you can express your feelings openly, work through difficult issues and develop tools and solutions. My approach to therapy is to start with a strong relationship based on trust and acceptance, identify your goals and use cognitive behavioral therapy tools to teach you how to look at the ways your thinking patterns influence your feelings about yourself and ultimately how you behave in your life.
(571) 470-5614 View (571) 470-5614
Photo of Linda Sierra, Licensed Professional Counselor in Herndon, VA
Linda Sierra
Licensed Professional Counselor, LPC
Verified Verified
Herndon, VA 20171  (Online Only)
As a therapist, I provide a safe space for you to explore your potential, heal from past wounds, better manage stressors, and develop an actionable plan to work towards the goals you wish to pursue. I work with adults, adolescents and children as young as 8 years old and specialize in working with individuals who are experiencing anxiety, depression, trauma recovery, work injuries, anger issues, parenting challenges, or who are coping with relational, medical, and/or life stressors.
As a therapist, I provide a safe space for you to explore your potential, heal from past wounds, better manage stressors, and develop an actionable plan to work towards the goals you wish to pursue. I work with adults, adolescents and children as young as 8 years old and specialize in working with individuals who are experiencing anxiety, depression, trauma recovery, work injuries, anger issues, parenting challenges, or who are coping with relational, medical, and/or life stressors.
(571) 496-9178 View (571) 496-9178
Photo of Ware Wellness LLC, Clinical Social Work/Therapist in Herndon, VA
Ware Wellness LLC
Clinical Social Work/Therapist, LCSW, RYT-500
Verified Verified
Herndon, VA 20170
Eleanor Ware has been in private practice as a Board Certified Licensed Clinical Social Worker for over 20 years. She sees individuals, couples and families with a focus on anxiety, depression and relationship issues.
Eleanor Ware has been in private practice as a Board Certified Licensed Clinical Social Worker for over 20 years. She sees individuals, couples and families with a focus on anxiety, depression and relationship issues.
(571) 377-8948 View (571) 377-8948
Photo of Alexi Hilton, Psychologist in Herndon, VA
Alexi Hilton
Psychologist, PsyD
Verified Verified
1 Endorsed
Herndon, VA 20170
I am a licensed clinical psychologist with almost 20 years of experience working with children, adolescents and adults. In my training I worked with children with developmental disabilities and serious mental illness. I later worked in the Arlington County Public Schools working with both elementary and high school students providing individual and family therapy. I have spent the last 15 years in private practice. I primarily work from a cognitive-behavioral model and specialize in working with individuals with anxiety, depression, OCD and autism spectrum disorders (Asperger's).
I am a licensed clinical psychologist with almost 20 years of experience working with children, adolescents and adults. In my training I worked with children with developmental disabilities and serious mental illness. I later worked in the Arlington County Public Schools working with both elementary and high school students providing individual and family therapy. I have spent the last 15 years in private practice. I primarily work from a cognitive-behavioral model and specialize in working with individuals with anxiety, depression, OCD and autism spectrum disorders (Asperger's).
(703) 348-7036 View (703) 348-7036
Photo of Juan Carlos Silva, Psychologist in Herndon, VA
Juan Carlos Silva
Psychologist, PhD
Verified Verified
Herndon, VA 20170
Are you ready to challenge yourself? Do you feel there is a gap between your true potential and your current achievements? Does your thinking pattern keep you from enjoying life? If your answer to any of these questions is Yes then we should probably talk. I have been a psychotherapist since 1991 and can certainly offer valuable, diagnostic, and therapeutic interventions to help you realistically define and achieve your goals. Whether you want to improve your relationship or marriage, get ahead in your career, put traumatic memories behind, or remain drug-free I can help you move in that direction.
Are you ready to challenge yourself? Do you feel there is a gap between your true potential and your current achievements? Does your thinking pattern keep you from enjoying life? If your answer to any of these questions is Yes then we should probably talk. I have been a psychotherapist since 1991 and can certainly offer valuable, diagnostic, and therapeutic interventions to help you realistically define and achieve your goals. Whether you want to improve your relationship or marriage, get ahead in your career, put traumatic memories behind, or remain drug-free I can help you move in that direction.
(703) 584-4766 View (703) 584-4766
Photo of Sarah Keely, Licensed Professional Counselor in Herndon, VA
Sarah Keely
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Herndon, VA 20170
Not accepting new clients
Struggling, fighting, worried, or depressed? Real change is possible and within your reach. Whether you need help for your marriage, your family, or yourself, together we can turn conflict and despair into closeness and vitality. My approach is interactive. I value what you think and feel, and I will share with you my thoughts and impressions. Working as a team, we identify and stop negative patterns, making room for more connection in your relationships and greater joy in your life.
Struggling, fighting, worried, or depressed? Real change is possible and within your reach. Whether you need help for your marriage, your family, or yourself, together we can turn conflict and despair into closeness and vitality. My approach is interactive. I value what you think and feel, and I will share with you my thoughts and impressions. Working as a team, we identify and stop negative patterns, making room for more connection in your relationships and greater joy in your life.
(571) 485-7621 View (571) 485-7621
Photo of Paige Townley, Pre-Licensed Professional in Herndon, VA
Paige Townley
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Herndon, VA 20170
Paige Townley is a Resident in Counseling and a Nationally Certified Counselor under the supervision of Heidi Murphy, LPC-S. Paige's expertise is in treating eating disorders, body image concerns, anxiety and depression has worked in various treatment settings, including Acute Hospital, Partial Hospitalization and Intensive Outpatient Programs. Paige utilizes a trauma-informed and humanistic approach to therapy while incorporating aspects of Dialectical Behavior Therapy, Cognitive Behavior Therapy, and Acceptance and Commitment Therapy.
Paige Townley is a Resident in Counseling and a Nationally Certified Counselor under the supervision of Heidi Murphy, LPC-S. Paige's expertise is in treating eating disorders, body image concerns, anxiety and depression has worked in various treatment settings, including Acute Hospital, Partial Hospitalization and Intensive Outpatient Programs. Paige utilizes a trauma-informed and humanistic approach to therapy while incorporating aspects of Dialectical Behavior Therapy, Cognitive Behavior Therapy, and Acceptance and Commitment Therapy.
(757) 637-1377 x803 View (757) 637-1377 x803
Photo of Sarah Stark, Licensed Professional Counselor in Herndon, VA
Sarah Stark
Licensed Professional Counselor, MEd, LPC
Verified Verified
Herndon, VA 20170
I provide therapy for children/teens and adults who are looking for help and support to successfully handle life's challenges. Because my practice includes working with children, I offer strong support for parents and families who are affected by what a child is experiencing. My approach is primarily cognitive-behavioral and solution-focused, meaning that we will look at the interplay among thoughts, feelings and behaviors to explore how negative thought patterns influence behavior and work to change those patterns to provide emotional relief. I help clients develop real-life skills and coping strategies that can last a lifetime.
I provide therapy for children/teens and adults who are looking for help and support to successfully handle life's challenges. Because my practice includes working with children, I offer strong support for parents and families who are affected by what a child is experiencing. My approach is primarily cognitive-behavioral and solution-focused, meaning that we will look at the interplay among thoughts, feelings and behaviors to explore how negative thought patterns influence behavior and work to change those patterns to provide emotional relief. I help clients develop real-life skills and coping strategies that can last a lifetime.
(571) 989-7933 View (571) 989-7933
Photo of Diane Ramia, Licensed Professional Counselor in Herndon, VA
Diane Ramia
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Herndon, VA 20170
Welcome! I'm glad you are here. While I treat a wide range of clients, I specialize in working with children, teens, and young adults. I also offer support for parents, as sometimes the entire family feels the impact of what a child is experiencing. In a warm and inviting environment, we will work together to help you help you or your child develop coping strategies to foster personal growth and to see an improvement in the quality of life and relationships. My approach is primarily cognitive behavioral and solution focused. I also have additional training in play therapy techniques and believe in the therapeutic power of play.
Welcome! I'm glad you are here. While I treat a wide range of clients, I specialize in working with children, teens, and young adults. I also offer support for parents, as sometimes the entire family feels the impact of what a child is experiencing. In a warm and inviting environment, we will work together to help you help you or your child develop coping strategies to foster personal growth and to see an improvement in the quality of life and relationships. My approach is primarily cognitive behavioral and solution focused. I also have additional training in play therapy techniques and believe in the therapeutic power of play.
(571) 470-5425 View (571) 470-5425
Photo of Paul Henry, Licensed Professional Counselor in Herndon, VA
Paul Henry
Licensed Professional Counselor, LPC, NCC, NCCC
Verified Verified
1 Endorsed
Herndon, VA 20170
Not accepting new clients
I have over 20 years experience in the mental health field, having worked extensively with children, adolescents and adults in a variety of school systems and counseling centers. My expertise is in counseling and crisis-intervention, employing a strengths-based, client-centered approach to address the individualized needs of clients. I bring empathy to the clinical relationship with an emphasis on the collaborative nature of therapy. Techniques include cognitive-behavioral, mindfulness and relaxation strategies.
I have over 20 years experience in the mental health field, having worked extensively with children, adolescents and adults in a variety of school systems and counseling centers. My expertise is in counseling and crisis-intervention, employing a strengths-based, client-centered approach to address the individualized needs of clients. I bring empathy to the clinical relationship with an emphasis on the collaborative nature of therapy. Techniques include cognitive-behavioral, mindfulness and relaxation strategies.
View
Photo of LeslieGrace Craver in Herndon, VA
LeslieGrace Craver
LMSW, ReikiM, RYT-200
Verified Verified
Herndon, VA 20170
Waitlist for new clients
Consider pausing and taking a breath. You are moving forward& it often requires a new lens,new tools and a partnership with a professional. Welcome to Healing & Growth! I utilize mind/body/spirit integrative therapies including Compassion Focused therapy, Yoga & Reiki to assist individuals, partners&families experiencing life transitions, grief & loss and unhealthy generational patterns.Together we identify and build upon core beliefs and existing strengths. Through the process self-limiting beliefs shift to self-enhancing beliefs.*My professional & personal ethical mandate includes being actively opposed to racism in all its forms.
Consider pausing and taking a breath. You are moving forward& it often requires a new lens,new tools and a partnership with a professional. Welcome to Healing & Growth! I utilize mind/body/spirit integrative therapies including Compassion Focused therapy, Yoga & Reiki to assist individuals, partners&families experiencing life transitions, grief & loss and unhealthy generational patterns.Together we identify and build upon core beliefs and existing strengths. Through the process self-limiting beliefs shift to self-enhancing beliefs.*My professional & personal ethical mandate includes being actively opposed to racism in all its forms.
(703) 775-4612 View (703) 775-4612
Photo of Deborah Sanders, Clinical Social Work/Therapist in Herndon, VA
Deborah Sanders
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Herndon, VA 20170  (Online Only)
I'm only seeing clients located in Virginia and fully virtual! I often work with parents who are preparing to bring a child into their family through adoption and those who have been a family for a long time who are struggling. Maybe becoming a parent through adoption was not what you expected. Maybe you are an adoptee yourself and struggling with things like feeling really guilty or wondering where you fit. My clients want to better understand themselves and their family dynamics to feel more whole and secure.
I'm only seeing clients located in Virginia and fully virtual! I often work with parents who are preparing to bring a child into their family through adoption and those who have been a family for a long time who are struggling. Maybe becoming a parent through adoption was not what you expected. Maybe you are an adoptee yourself and struggling with things like feeling really guilty or wondering where you fit. My clients want to better understand themselves and their family dynamics to feel more whole and secure.
(571) 556-1699 View (571) 556-1699
Photo of Mary Rogers Kirby, Licensed Professional Counselor in Herndon, VA
Mary Rogers Kirby
Licensed Professional Counselor, MEd, EdS, LPC, NCC
Verified Verified
1 Endorsed
Herndon, VA 20170  (Online Only)
Seeking help and support is a significant step towards caring for yourself. Perhaps you just don't feel like yourself or are feeling overwhelmed. You're just doing the basics and floating through life. Maybe you experience intense moods. You're hurting and feel hopeless. You're just stuck. Parents, are you concerned about your child? Maybe they're starting to withdraw more or are struggling with school and friends.
Seeking help and support is a significant step towards caring for yourself. Perhaps you just don't feel like yourself or are feeling overwhelmed. You're just doing the basics and floating through life. Maybe you experience intense moods. You're hurting and feel hopeless. You're just stuck. Parents, are you concerned about your child? Maybe they're starting to withdraw more or are struggling with school and friends.
(703) 687-1548 View (703) 687-1548
Aquila Recovery Of Virginia LLC
Drug & Alcohol Counselor, Aquila Recovery Of Virginia LLC
Verified Verified
Herndon, VA 20170
About Aquila Recovery- Aquila’s intensive outpatient rehab clinic brings a fresh and evidence-based treatment modality for individuals experiencing alcohol or drug problems in Northern Virginia. We improve outcomes by: Reaching people early in difficulty with addicting substances. Engaging clients in non-confrontational therapies that assist them in writing and following their personal wellness plans. Providing long-term support for restoring life in the family and community.
About Aquila Recovery- Aquila’s intensive outpatient rehab clinic brings a fresh and evidence-based treatment modality for individuals experiencing alcohol or drug problems in Northern Virginia. We improve outcomes by: Reaching people early in difficulty with addicting substances. Engaging clients in non-confrontational therapies that assist them in writing and following their personal wellness plans. Providing long-term support for restoring life in the family and community.
(571) 462-2006 View (571) 462-2006
Photo of Gabi Taweel, Clinical Social Work/Therapist in Herndon, VA
Gabi Taweel
Clinical Social Work/Therapist, LCSW
Verified Verified
Herndon, VA 20171  (Online Only)
Navigating life as a young adult is a challenge. Often we seek stability among life's chaos, while other times we seek excitement among life's mundanity. I am here to help you identify your needs and desires during both transitional and stagnant periods of your life. I firmly believe the therapeutic relationship provides the groundwork for healing and I prioritize building rapport and mutual trust. Together, we will dive beneath surface issues, discover the underlying reasons for distress, and build strategies to take control of your life.
Navigating life as a young adult is a challenge. Often we seek stability among life's chaos, while other times we seek excitement among life's mundanity. I am here to help you identify your needs and desires during both transitional and stagnant periods of your life. I firmly believe the therapeutic relationship provides the groundwork for healing and I prioritize building rapport and mutual trust. Together, we will dive beneath surface issues, discover the underlying reasons for distress, and build strategies to take control of your life.
(571) 497-5744 View (571) 497-5744
Photo of Melaina Garrison, Marriage & Family Therapist in Herndon, VA
Melaina Garrison
Marriage & Family Therapist, MA, LMFT
Verified Verified
Herndon, VA 20170
Now accepting new adult telehealth clients. — I can help you overcome any obstacles that you may be experiencing, strengthen those relationships most important to you, and find the peace, fullness, and happiness that you want and deserve. I also have extensive clinical experience working with children, teens, and young adults. I seek to create a safe, therapeutic space for my clients to open up—directly or indirectly—through the utilization of play, art, or talk therapy. I am also happy to incorporate a Christian perspective into therapy for those who are interested in a faith-based approach.
Now accepting new adult telehealth clients. — I can help you overcome any obstacles that you may be experiencing, strengthen those relationships most important to you, and find the peace, fullness, and happiness that you want and deserve. I also have extensive clinical experience working with children, teens, and young adults. I seek to create a safe, therapeutic space for my clients to open up—directly or indirectly—through the utilization of play, art, or talk therapy. I am also happy to incorporate a Christian perspective into therapy for those who are interested in a faith-based approach.
(571) 497-4579 View (571) 497-4579

How does your Therapist compare?

Number of Therapists in Herndon, VA

300+

Average cost per session

$150

Therapists in Herndon, VA who prioritize treating:

93% Anxiety
87% Depression
71% Self Esteem
68% Coping Skills
64% Trauma and PTSD
55% Relationship Issues
52% Grief

Average years in practice

12 Years

Top 3 insurances accepted

81% Cigna and Evernorth
74% UnitedHealthcare UHC | UBH
73% BlueCross and BlueShield

How Therapists in Herndon, VA see their clients

54% Online Only
46% In Person and Online

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Herndon?

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.