Therapists in Buellton, CA

Photo of Ginger Clark, Marriage & Family Therapist in Buellton, CA
Ginger Clark
Marriage & Family Therapist, LMFT, PhD
Verified Verified
Buellton, CA 93427  (Online Only)
I enjoy working with clients who are seeking to deepen and enrich their connection to themselves for the purpose of a more fulfilling life and intimate relationships. Based on your need and interest, a variety of bodymind practices will be offered to help you ground, center and support your growing ability to be present in your moment to moment experience. The result: a deeper sense of yourself and more rewarding contact with others and a greater sense of aliveness.
I enjoy working with clients who are seeking to deepen and enrich their connection to themselves for the purpose of a more fulfilling life and intimate relationships. Based on your need and interest, a variety of bodymind practices will be offered to help you ground, center and support your growing ability to be present in your moment to moment experience. The result: a deeper sense of yourself and more rewarding contact with others and a greater sense of aliveness.
(424) 347-1850 View (424) 347-1850
Photo of Sylvia Boden, Clinical Social Work/Therapist in Buellton, CA
Sylvia Boden
Clinical Social Work/Therapist, LCSW
Verified Verified
Buellton, CA 93427  (Online Only)
Not accepting new clients
Experienced in the treatment of stage of life changes (e.g. divorce, empty-nesters, retirees, aging, grief/loss), anxiety, depression, caregiver stress/compassion fatigue and chronic pain. Although many factors affect quality of life, I emphasize that my client's health, both mental and physical, is their cornerstone to a long and healthy life.
Experienced in the treatment of stage of life changes (e.g. divorce, empty-nesters, retirees, aging, grief/loss), anxiety, depression, caregiver stress/compassion fatigue and chronic pain. Although many factors affect quality of life, I emphasize that my client's health, both mental and physical, is their cornerstone to a long and healthy life.
(714) 294-2815 View (714) 294-2815
Photo of Karen Cowdrey, Clinical Social Work/Therapist in Buellton, CA
Karen Cowdrey
Clinical Social Work/Therapist, LCSW
Verified Verified
Buellton, CA 93427
Karen Cowdrey is a licensed clinical social worker specializing in psychotherapy with individuals, couples and families. She has over 30 years of experience in many individual, family and group psychotherapeutic approaches including Internal Family Systems Therapy, Assertiveness Training, and other Cognitive and Behavioral methods. Karen has extensive inpatient and partial hospitalization experience. She has worked with clients whose problems have spanned from very seriously impaired individuals to very highly functioning persons.
Karen Cowdrey is a licensed clinical social worker specializing in psychotherapy with individuals, couples and families. She has over 30 years of experience in many individual, family and group psychotherapeutic approaches including Internal Family Systems Therapy, Assertiveness Training, and other Cognitive and Behavioral methods. Karen has extensive inpatient and partial hospitalization experience. She has worked with clients whose problems have spanned from very seriously impaired individuals to very highly functioning persons.
(805) 918-8027 View (805) 918-8027
Photo of Amy Tetalman, Marriage & Family Therapist in Buellton, CA
Amy Tetalman
Marriage & Family Therapist, LMFT
Verified Verified
Buellton, CA 93427
Amy Tetalman, MFT is a licensed Marriage and Family Therapist, in practice since 2008. She received her Bachelor's Degree in Psychology from UC Santa Barbara and her Master's Degree in Clinical Psychology from Antioch University, Santa Barbara. Amy utilizes a collaborative, strength-based and holistic approach to therapy. She believes in humor, compassion and unconditional positive regard when it comes to connecting with her clients. She incorporates elements from psychodynamic, interpersonal, cognitive behavioral, internal family systems, humanistic and solution-focused therapies.
Amy Tetalman, MFT is a licensed Marriage and Family Therapist, in practice since 2008. She received her Bachelor's Degree in Psychology from UC Santa Barbara and her Master's Degree in Clinical Psychology from Antioch University, Santa Barbara. Amy utilizes a collaborative, strength-based and holistic approach to therapy. She believes in humor, compassion and unconditional positive regard when it comes to connecting with her clients. She incorporates elements from psychodynamic, interpersonal, cognitive behavioral, internal family systems, humanistic and solution-focused therapies.
(805) 515-3056 View (805) 515-3056
Photo of Pamela Sowers, Clinical Social Work/Therapist in Buellton, CA
Pamela Sowers
Clinical Social Work/Therapist, LCSW
Verified Verified
Buellton, CA 93427
Pamela N. Sowers is a Licensed Clinical Social Worker in California who started practicing in 1999. She has a Bachelor of Arts from California State University, Sacramento with a Major in Child Development and a Master of Social Work from California State University Sacramento Graduate School. Pamela incorporates evidence-based types of therapy appropriate to the client's diagnosis, age and personal perspective.
Pamela N. Sowers is a Licensed Clinical Social Worker in California who started practicing in 1999. She has a Bachelor of Arts from California State University, Sacramento with a Major in Child Development and a Master of Social Work from California State University Sacramento Graduate School. Pamela incorporates evidence-based types of therapy appropriate to the client's diagnosis, age and personal perspective.
(805) 500-0410 View (805) 500-0410
Photo of Larry Bascom, Psychologist in Buellton, CA
Larry Bascom
Psychologist, PsyD
Verified Verified
Buellton, CA 93427
Dr. Larry Bascom has expertise in treating children, adolescents, adults, families, and couples with a wide range of issues. He specializes in working with children experiencing school-related problems, including learning, social, or behavioral difficulties, and ADHD. He works closely with parents and teachers in developing effective treatment strategies for their children and students. He helps parents recognize how they can best support their children in developing their greatest potential. He has worked extensively with adults struggling with depression, anxiety, and recovery from trauma.
Dr. Larry Bascom has expertise in treating children, adolescents, adults, families, and couples with a wide range of issues. He specializes in working with children experiencing school-related problems, including learning, social, or behavioral difficulties, and ADHD. He works closely with parents and teachers in developing effective treatment strategies for their children and students. He helps parents recognize how they can best support their children in developing their greatest potential. He has worked extensively with adults struggling with depression, anxiety, and recovery from trauma.
(805) 977-5905 View (805) 977-5905
Photo of Ronald Pilato, Psychologist in Buellton, CA
Ronald Pilato
Psychologist, PsyD
Verified Verified
Buellton, CA 93427
Dr. Ron Pilato is a Psychologist who has been practicing since 2003. Following his undergraduate degree from Cornell University and Master's degree from the California Institute for Integral Studies, he graduated from the Wright Institute with a doctorate in Clinical Psychology. Ron believes in mindfulness-based, cognitive-behavioral, interpersonal neurobiology, psychodynamic, and stress reduction approaches. He enjoys exploring personal agency and sources of often unseen strengths including human diversity, spiritual and religious practices and beliefs, and the prevention and treatment of burnout.
Dr. Ron Pilato is a Psychologist who has been practicing since 2003. Following his undergraduate degree from Cornell University and Master's degree from the California Institute for Integral Studies, he graduated from the Wright Institute with a doctorate in Clinical Psychology. Ron believes in mindfulness-based, cognitive-behavioral, interpersonal neurobiology, psychodynamic, and stress reduction approaches. He enjoys exploring personal agency and sources of often unseen strengths including human diversity, spiritual and religious practices and beliefs, and the prevention and treatment of burnout.
(805) 510-7962 View (805) 510-7962
Photo of Bradford Durian, Marriage & Family Therapist in Buellton, CA
Bradford Durian
Marriage & Family Therapist, LMFT
Verified Verified
Buellton, CA 93427
Bradford Durian is an LMFT who has been licensed since September 2002. He graduated from Pepperdine University's Graduate School of Education and Psychology with a Master of Arts degree in the field of Clinical Psychology with an emphasis in Marriage and Family Therapy. Bradford applies cognitive behavioral approaches to address symptoms of depression and anxiety that were pioneered by Aaron Beck and Albert Ellis. Bradford believes in the application of family systems theory in order to fully understand the individual in their historical, cultural and developmental contexts.
Bradford Durian is an LMFT who has been licensed since September 2002. He graduated from Pepperdine University's Graduate School of Education and Psychology with a Master of Arts degree in the field of Clinical Psychology with an emphasis in Marriage and Family Therapy. Bradford applies cognitive behavioral approaches to address symptoms of depression and anxiety that were pioneered by Aaron Beck and Albert Ellis. Bradford believes in the application of family systems theory in order to fully understand the individual in their historical, cultural and developmental contexts.
(805) 900-3891 View (805) 900-3891
Photo of Jalaledin Ebrahim, Marriage & Family Therapist in Buellton, CA
Jalaledin Ebrahim
Marriage & Family Therapist, LMFT
Verified Verified
Buellton, CA 93427
Dr. Jalaledin Ebrahim is a Licensed Marriage and Family Therapist in California who has been practicing since 2011. He holds a Master's degree in Spiritual Psychology, a second Master's degree in Counseling Psychology, and a PhD in Depth Psychotherapy. Dr. J is a transpersonal integral psychotherapist. This means he sees all his clients as spiritual beings having a human experience which is informed by physical, mental, emotional, spiritual, cultural, and socio-political factors. Dr. J believes in meeting you where you're at and empowering you to take the next steps in your life.
Dr. Jalaledin Ebrahim is a Licensed Marriage and Family Therapist in California who has been practicing since 2011. He holds a Master's degree in Spiritual Psychology, a second Master's degree in Counseling Psychology, and a PhD in Depth Psychotherapy. Dr. J is a transpersonal integral psychotherapist. This means he sees all his clients as spiritual beings having a human experience which is informed by physical, mental, emotional, spiritual, cultural, and socio-political factors. Dr. J believes in meeting you where you're at and empowering you to take the next steps in your life.
(805) 823-2475 View (805) 823-2475
Photo of Susan Kasser, Marriage & Family Therapist in Buellton, CA
Susan Kasser
Marriage & Family Therapist, LMFT
Verified Verified
Buellton, CA 93427
My work as a therapist is dedicated to helping people discover and connect with the unique strengths each and every one of us has within, which enables healthy relationships with ourselves and others. Our relationship will be one of trust, safety and self discovery. I have extensive experience working with children, adolescents and adults struggling with depression, anxiety, grief, trauma and abuse issues. This experience has led me to work in behavioral health clinics, foster care and family court settings.
My work as a therapist is dedicated to helping people discover and connect with the unique strengths each and every one of us has within, which enables healthy relationships with ourselves and others. Our relationship will be one of trust, safety and self discovery. I have extensive experience working with children, adolescents and adults struggling with depression, anxiety, grief, trauma and abuse issues. This experience has led me to work in behavioral health clinics, foster care and family court settings.
(805) 876-9556 View (805) 876-9556
Photo of Luz Rodrigues, Clinical Social Work/Therapist in Buellton, CA
Luz Rodrigues
Clinical Social Work/Therapist, LMFT
Verified Verified
Buellton, CA 93427
Luz M. Rodrigues is a Licensed Marriage and Family Therapist in Arkansas who has been practicing since 2017. She has a Master's of Science from the University of Phoenix. Luz believes that healing is a process, and there is no time limit or deadline, just progress – gradual growth, that's all that matters. In her spare time, Luz enjoys spending time with mother nature, walking on trails, fishing, and outside activities with family and fur babies.
Luz M. Rodrigues is a Licensed Marriage and Family Therapist in Arkansas who has been practicing since 2017. She has a Master's of Science from the University of Phoenix. Luz believes that healing is a process, and there is no time limit or deadline, just progress – gradual growth, that's all that matters. In her spare time, Luz enjoys spending time with mother nature, walking on trails, fishing, and outside activities with family and fur babies.
(805) 429-8237 View (805) 429-8237
Photo of Shannon Kennedy, Marriage & Family Therapist in Buellton, CA
Shannon Kennedy
Marriage & Family Therapist, MFT
Verified Verified
2 Endorsed
Buellton, CA 93427
Not accepting new clients
I work with clients on tools and strategies to help with symptom reduction while we uncover what you need for a deeper level of healing. In a safe, non-judgmental space I can help you identify the thoughts, narratives and distorted core beliefs that cause you suffering, keep you repeating the same patterns and block you from a higher quality of life. With gentleness and compassion we can explore the places you may get triggered and the old wounds that continue to cause fear and pain.
I work with clients on tools and strategies to help with symptom reduction while we uncover what you need for a deeper level of healing. In a safe, non-judgmental space I can help you identify the thoughts, narratives and distorted core beliefs that cause you suffering, keep you repeating the same patterns and block you from a higher quality of life. With gentleness and compassion we can explore the places you may get triggered and the old wounds that continue to cause fear and pain.
(805) 954-9175 View (805) 954-9175
Photo of Sherrie N Kovach, Marriage & Family Therapist in Buellton, CA
Sherrie N Kovach
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Buellton, CA 93427
"This is your life, be the change..." Weathering pain, change and hardship without support can take its toll on our lives. My approach involves supporting people through challenging adjustments and difficult life transitions and guiding them in the pursuit of balance and life satisfaction. I see my role as helping clients with skill building to navigate unexpected life events. I am inspired by the compassion and courage of my clients to share in making lasting changes to ingrained patterns in their lives. My practice has involved working with teens and individual adults seeing a wide range of clients.
"This is your life, be the change..." Weathering pain, change and hardship without support can take its toll on our lives. My approach involves supporting people through challenging adjustments and difficult life transitions and guiding them in the pursuit of balance and life satisfaction. I see my role as helping clients with skill building to navigate unexpected life events. I am inspired by the compassion and courage of my clients to share in making lasting changes to ingrained patterns in their lives. My practice has involved working with teens and individual adults seeing a wide range of clients.
(805) 852-1185 View (805) 852-1185
Photo of Joyce Kougl, Marriage & Family Therapist in Buellton, CA
Joyce Kougl
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Buellton, CA 93427
I believe that therapy can be a great environment to help you grow as an individual, to mend broken relationships, and to let go of the past that may be holding you back. I believe in creating a strong support system in order to help with the healing process and move forward with your life. In working with children, families and individuals I utilize an eclectic approach with an emphasis in Cognitive Behavioral Therapy as I believe thinking, questioning and doing leads to changes needed for growth and recovery.
I believe that therapy can be a great environment to help you grow as an individual, to mend broken relationships, and to let go of the past that may be holding you back. I believe in creating a strong support system in order to help with the healing process and move forward with your life. In working with children, families and individuals I utilize an eclectic approach with an emphasis in Cognitive Behavioral Therapy as I believe thinking, questioning and doing leads to changes needed for growth and recovery.
(805) 585-5374 View (805) 585-5374
Photo of Diana Greenwood, Marriage & Family Therapist in Buellton, CA
Diana Greenwood
Marriage & Family Therapist, MA, LMFT
Verified Verified
Buellton, CA 93427
Each of us has a story. Stories shape our behaviors, thoughts and emotions, and influence how we form relationships, feel about life and ourselves. Sometimes, we hide parts of our stories to feel safe and lessen hurt. Over time, these missing parts can take root and cause suffering, leaving us drained, anxious, angry, depressed or just empty. I believe therapy is an opportunity to discover and make use of the healing power of our stories. Unearthing and reclaiming lost parts dissolves them of their power over us, alleviates our suffering and allows us to live a happier, more authentic life.
Each of us has a story. Stories shape our behaviors, thoughts and emotions, and influence how we form relationships, feel about life and ourselves. Sometimes, we hide parts of our stories to feel safe and lessen hurt. Over time, these missing parts can take root and cause suffering, leaving us drained, anxious, angry, depressed or just empty. I believe therapy is an opportunity to discover and make use of the healing power of our stories. Unearthing and reclaiming lost parts dissolves them of their power over us, alleviates our suffering and allows us to live a happier, more authentic life.
(805) 330-3808 View (805) 330-3808
Photo of Angela Reid, Marriage & Family Therapist Associate in Buellton, CA
Angela Reid
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Buellton, CA 93427
Welcome, It takes a lot of courage and vulnerability to seek therapy, and I am honored to be a part of that journey. I take a collaborative, integrative, and compassionate approach, utilizing a number of evidence-based modalities tailored to each individual. I am passionate about supporting my clients, and providing a confidential safe space that allows you to explore your inner and outer worlds, free of judgment and expectations. I believe in empowering my clients to explore, heal, and reconnect with their authentic and yet evolving, contextual, and relational selves, so that they may live a rich and meaningful life.
Welcome, It takes a lot of courage and vulnerability to seek therapy, and I am honored to be a part of that journey. I take a collaborative, integrative, and compassionate approach, utilizing a number of evidence-based modalities tailored to each individual. I am passionate about supporting my clients, and providing a confidential safe space that allows you to explore your inner and outer worlds, free of judgment and expectations. I believe in empowering my clients to explore, heal, and reconnect with their authentic and yet evolving, contextual, and relational selves, so that they may live a rich and meaningful life.
(805) 800-8398 View (805) 800-8398
Photo of Jill Sagner, Marriage & Family Therapist Associate in Buellton, CA
Jill Sagner
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Buellton, CA 93427
It takes courage to ask for help - people entering therapy are seeking change, either in the quality of their relationships or in their personal or professional satisfaction levels. Evolving requires us to step up, learn, and grow. It starts with a desire for change and a willingness to be uncomfortable. If you have this, then you have the most important pieces to begin the process of therapy. I lead with curiosity and compassion. My style is nurturing, highly interactive and practical. I believe that examining the patterns of your life can help you understand how you have arrived in your present circumstances.
It takes courage to ask for help - people entering therapy are seeking change, either in the quality of their relationships or in their personal or professional satisfaction levels. Evolving requires us to step up, learn, and grow. It starts with a desire for change and a willingness to be uncomfortable. If you have this, then you have the most important pieces to begin the process of therapy. I lead with curiosity and compassion. My style is nurturing, highly interactive and practical. I believe that examining the patterns of your life can help you understand how you have arrived in your present circumstances.
(805) 819-2434 View (805) 819-2434
Photo of Nikole Michelle Layton, Clinical Social Work/Therapist in Buellton, CA
Nikole Michelle Layton
Clinical Social Work/Therapist, LCSW
Verified Verified
Buellton, CA 93427
Are you realizing that being anxious all the time actually isn't normal? Are you painfully aware of everything happening around you? Have you been to therapy before and felt like it was a waste of time? Are you worried that something might be terribly wrong with you and if people actually knew the real you, they wouldn't stick around anymore? Are you tired of the way you treat yourself and how you let other people treat you but are unsure of how to change it? Are you struggling with feeling good enough in your relationships at home or at work?
Are you realizing that being anxious all the time actually isn't normal? Are you painfully aware of everything happening around you? Have you been to therapy before and felt like it was a waste of time? Are you worried that something might be terribly wrong with you and if people actually knew the real you, they wouldn't stick around anymore? Are you tired of the way you treat yourself and how you let other people treat you but are unsure of how to change it? Are you struggling with feeling good enough in your relationships at home or at work?
(805) 303-8002 View (805) 303-8002
Photo of Beverly Raff, Marriage & Family Therapist in Buellton, CA
Beverly Raff
Marriage & Family Therapist, MA, LMFT
Verified Verified
Buellton, CA 93427
Waitlist for new clients
I specialize in Couples Counseling and Individual Counseling in service of couples/ or relationship issues. The goal of counseling is to help you maintain the relationship you are in while holding onto your own self respect. The goal is to help both of you feel seen and responded to by your partner to desolve the shut down or critical voice in the relationship. The protocol I utilize to meet this goal is Emotionally Focused Therapy (EFT). EFT provides relational skills to deescalate the hurts and increase awareness of negative communications patterns that manifest reactive communication, distress and disconnection with each other.
I specialize in Couples Counseling and Individual Counseling in service of couples/ or relationship issues. The goal of counseling is to help you maintain the relationship you are in while holding onto your own self respect. The goal is to help both of you feel seen and responded to by your partner to desolve the shut down or critical voice in the relationship. The protocol I utilize to meet this goal is Emotionally Focused Therapy (EFT). EFT provides relational skills to deescalate the hurts and increase awareness of negative communications patterns that manifest reactive communication, distress and disconnection with each other.
(805) 623-4453 View (805) 623-4453
Photo of Mary Clarke, Marriage & Family Therapist in Buellton, CA
Mary Clarke
Marriage & Family Therapist, MA, LMFT
Verified Verified
Buellton, CA 93427  (Online Only)
(805) 678-9542 View (805) 678-9542

See more therapy options for Buellton

How does your Therapist compare?

Number of Therapists in Buellton, CA

20+

Average cost per session

$150

Therapists in Buellton, CA who prioritize treating:

90% Anxiety
85% Depression
70% Grief
60% Trauma and PTSD
55% Relationship Issues
45% Life Transitions
40% Bipolar Disorder

Average years in practice

10 Years

Top 3 insurances accepted

93% Aetna
80% Other
73% Cigna and Evernorth

How Therapists in Buellton, CA see their clients

85% In Person and Online
15% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Buellton?

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.