Therapists in Bonita Springs, FL

Photo of Patricia Tirone, Clinical Social Work/Therapist in Bonita Springs, FL
Patricia Tirone
Clinical Social Work/Therapist, LCSW, BCD
Verified
Bonita Springs, FL 34134
I believe in working closely with each client in empowering them to reach their optimal potential. As a motivated and committed team, we will work together to increase your capacity for problem-solving and coping with daily and life stressors. I have a reputation for being a very involved therapist with an interactive approach. You are not in this alone. I have an extensive history of working with various clients, relationships, and issues in private practice and in inpatient and outpatient settings.
I believe in working closely with each client in empowering them to reach their optimal potential. As a motivated and committed team, we will work together to increase your capacity for problem-solving and coping with daily and life stressors. I have a reputation for being a very involved therapist with an interactive approach. You are not in this alone. I have an extensive history of working with various clients, relationships, and issues in private practice and in inpatient and outpatient settings.
(239) 494-5946 View (239) 494-5946
Photo of John Michael Papandrea, Marriage & Family Therapist in Bonita Springs, FL
John Michael Papandrea
Marriage & Family Therapist, EdD, MA, LMFT
Verified
Bonita Springs, FL 34134
Are you looking for couples or pre-marital counseling; marriage and family therapy; assistance with relationship problems or worried about sexual dysfunction? Are you struggling with anxiety, depression or low self-esteem; experiencing career or life changes; suffering from loss or grief? Do you need an experienced professional therapist who is kind, warm, thoughtful and down-to-earth to work with? I have more than 35 years of successful experience in therapy and counseling and I realize that taking the first step toward getting help is often the most difficult.
Are you looking for couples or pre-marital counseling; marriage and family therapy; assistance with relationship problems or worried about sexual dysfunction? Are you struggling with anxiety, depression or low self-esteem; experiencing career or life changes; suffering from loss or grief? Do you need an experienced professional therapist who is kind, warm, thoughtful and down-to-earth to work with? I have more than 35 years of successful experience in therapy and counseling and I realize that taking the first step toward getting help is often the most difficult.
(239) 249-8771 View (239) 249-8771
Photo of Diana M Salazar, Clinical Social Work/Therapist in Bonita Springs, FL
Diana M Salazar
Clinical Social Work/Therapist, LCSW-S, RPT-S
Verified
4 Endorsed
Bonita Springs, FL 34134
I provide individual, couple's and family therapy to children, adolescents, adults and families experiencing emotional, behavioral, and/or social difficulties. I am a Licensed Clinical Social Worker, Registered Play Therapist and Trauma Focused Cognitive Behavioral Therapist with more than ten years of experience. I co-founded Sunshine State Counseling Center. In my practice, I empower individuals to build and develop their inner strengths by providing compassionate, ethical and professional therapeutic services.
I provide individual, couple's and family therapy to children, adolescents, adults and families experiencing emotional, behavioral, and/or social difficulties. I am a Licensed Clinical Social Worker, Registered Play Therapist and Trauma Focused Cognitive Behavioral Therapist with more than ten years of experience. I co-founded Sunshine State Counseling Center. In my practice, I empower individuals to build and develop their inner strengths by providing compassionate, ethical and professional therapeutic services.
(239) 208-0959 View (239) 208-0959
Photo of Michael Ryan Pinter, Psychologist in Bonita Springs, FL
Michael Ryan Pinter
Psychologist, SSP, NCSP
Verified
1 Endorsed
Bonita Springs, FL 34134
Hello! My name is Michael Pinter and I specialize in counseling, psychoeducational assessment, and consultation. I provide services to individuals, couples, and families in my practice. Specifically, my services address issues with children, adolescents, and adults who present signs of: anxiety impulses, depression despair, obsessive compulsive behaviors, learning difficulties, relationship issues, life stage transitions, divorce challenges, or related problems. I use an empathic approach to understanding you and your current concerns and we will maneuver them together by building our therapeutic relationship.
Hello! My name is Michael Pinter and I specialize in counseling, psychoeducational assessment, and consultation. I provide services to individuals, couples, and families in my practice. Specifically, my services address issues with children, adolescents, and adults who present signs of: anxiety impulses, depression despair, obsessive compulsive behaviors, learning difficulties, relationship issues, life stage transitions, divorce challenges, or related problems. I use an empathic approach to understanding you and your current concerns and we will maneuver them together by building our therapeutic relationship.
(239) 788-0916 View (239) 788-0916
Photo of Princess Anderson, Registered Mental Health Counselor Intern in Bonita Springs, FL
Princess Anderson
Registered Mental Health Counselor Intern, MS, RMHCI
Verified
Bonita Springs, FL 34134
Have you experienced some form of trauma? Struggling with addiction? Or dealing with relationship challenges? You have come to the right place and have already taken the most important step in your journey toward peace of mind, connection, and confidence in your ability to achieve your goals. Often, the greatest challenge is overcoming the inertia of maintaining status quo and stepping out into the unknown where healing can begin.
Have you experienced some form of trauma? Struggling with addiction? Or dealing with relationship challenges? You have come to the right place and have already taken the most important step in your journey toward peace of mind, connection, and confidence in your ability to achieve your goals. Often, the greatest challenge is overcoming the inertia of maintaining status quo and stepping out into the unknown where healing can begin.
(239) 429-0201 View (239) 429-0201
Photo of Heather Wynn, Licensed Mental Health Counselor in Bonita Springs, FL
Heather Wynn
Licensed Mental Health Counselor, MA, LMHC
Verified
Bonita Springs, FL 34135  (Online Only)
Not accepting new clients
In a busy and often disconnected world, it's easy to feel lost, lonely, and overwhelmed. Even when surrounded by people, you can find yourself wondering if anyone really understands you. You may even feel it's difficult to understand yourself. I know it can be scary, exhausting, and confusing to face whatever your troubles are, but there's hope and there's help for you. I give individuals and couples a safe place to feel heard and understood as we face your difficulties as a team. You'll have a caring and experienced professional walking alongside you as you explore and overcome the issues that hold you back and hurt you.
In a busy and often disconnected world, it's easy to feel lost, lonely, and overwhelmed. Even when surrounded by people, you can find yourself wondering if anyone really understands you. You may even feel it's difficult to understand yourself. I know it can be scary, exhausting, and confusing to face whatever your troubles are, but there's hope and there's help for you. I give individuals and couples a safe place to feel heard and understood as we face your difficulties as a team. You'll have a caring and experienced professional walking alongside you as you explore and overcome the issues that hold you back and hurt you.
(239) 260-4166 View (239) 260-4166
Photo of Dr. Josephine Marie Kunkle, Counselor in Bonita Springs, FL
Dr. Josephine Marie Kunkle
Counselor, PhD, LMHC, MS
Verified
Bonita Springs, FL 34135  (Online Only)
ღ I am a cognitive behavioral psychotherapist. ღ I teach Dialectical Behavioral Therapy (DBT) in individual sessions to help a client learn skills to regain life balance and challenge distortions. ღ I am trained in Traumatic Incident Reduction to help release the fear and anxiety of a traumatic event. ღ I can help you with a personalized therapy plan we will create together, aimed at solutions focused on your well-being and happiness. ღ
ღ I am a cognitive behavioral psychotherapist. ღ I teach Dialectical Behavioral Therapy (DBT) in individual sessions to help a client learn skills to regain life balance and challenge distortions. ღ I am trained in Traumatic Incident Reduction to help release the fear and anxiety of a traumatic event. ღ I can help you with a personalized therapy plan we will create together, aimed at solutions focused on your well-being and happiness. ღ
(239) 734-8136 View (239) 734-8136
Photo of Jason P LiCausi, Marriage & Family Therapist in Bonita Springs, FL
Jason P LiCausi
Marriage & Family Therapist, LMFT
Verified
Bonita Springs, FL 34135
I am also a FL Qualified MFT/MHC Supervisor
I am also a FL Qualified MFT/MHC Supervisor
(239) 317-3115 View (239) 317-3115
Photo of Lindsey Wickard, Registered Mental Health Counselor Intern in Bonita Springs, FL
Lindsey Wickard
Registered Mental Health Counselor Intern, MA, RMHCI
Verified
Bonita Springs, FL 34134
Are you a woman struggling with past abuse, self-esteem issues, or relationships? Are you a couple facing major stress in your marriage? Are you a parent concerned about your adolescent who might be experiencing mental health issues or engaging in risky behaviors? I have worked with adolescents and their parents/guardians, women, and married couples, to find solutions for the variety of issues they face. I have also studied about the holistic interaction of body, soul, and spirit, and for 20 years have mentored people of all ages within local churches.
Are you a woman struggling with past abuse, self-esteem issues, or relationships? Are you a couple facing major stress in your marriage? Are you a parent concerned about your adolescent who might be experiencing mental health issues or engaging in risky behaviors? I have worked with adolescents and their parents/guardians, women, and married couples, to find solutions for the variety of issues they face. I have also studied about the holistic interaction of body, soul, and spirit, and for 20 years have mentored people of all ages within local churches.
(239) 920-2926 View (239) 920-2926
Photo of Andrea Ramos in Bonita Springs, FL
Andrea Ramos
PMH, RN, NLP, EMDR, MHFA
Verified
Bonita Springs, FL 34134
My unique approach combines the precision of EMDR, the transformative power of NLP, and a wealth of experience in trauma nursing, first responder coaching, certified trauma-informed care, and crisis intervention. My commitment to guiding individuals toward lasting healing and resilience is demonstrated by a client-centered focus. Specializing in working with first responder families, I acknowledge the unique stressors and dynamics these families face.
My unique approach combines the precision of EMDR, the transformative power of NLP, and a wealth of experience in trauma nursing, first responder coaching, certified trauma-informed care, and crisis intervention. My commitment to guiding individuals toward lasting healing and resilience is demonstrated by a client-centered focus. Specializing in working with first responder families, I acknowledge the unique stressors and dynamics these families face.
(239) 206-8588 View (239) 206-8588
Photo of Aim Counseling Group, Counselor in Bonita Springs, FL
Aim Counseling Group
Counselor, LMHC, CTS
Verified
3 Endorsed
Bonita Springs, FL 34135
From my experience, I continue to observe that mental health is the foundation of health. It has been a privilege to work with and learn from clients since 2005 in various settings. My strength-based approach allows individuals, couples and families to experience a safe environment in which to increase knowledge and awareness regarding emotions. Psychoeducation is a key at Aim Counseling. Knowledge is power and a means in which to learn how to be more in control of the abstract experience of emotions.
From my experience, I continue to observe that mental health is the foundation of health. It has been a privilege to work with and learn from clients since 2005 in various settings. My strength-based approach allows individuals, couples and families to experience a safe environment in which to increase knowledge and awareness regarding emotions. Psychoeducation is a key at Aim Counseling. Knowledge is power and a means in which to learn how to be more in control of the abstract experience of emotions.
(239) 970-8027 View (239) 970-8027
Photo of Tatjana Reyes Jobsky, Marriage & Family Therapist in Bonita Springs, FL
Tatjana Reyes Jobsky
Marriage & Family Therapist, MA, LMFT
Verified
Bonita Springs, FL 34135
Are you overwhelmed and don't know how you got to this point or how to get back? Stuck in past behaviors and patterns? Are you struggling with a relationship or experiencing difficulties with parenting? I am here to assist you in identifying and implementing desired changes.
Are you overwhelmed and don't know how you got to this point or how to get back? Stuck in past behaviors and patterns? Are you struggling with a relationship or experiencing difficulties with parenting? I am here to assist you in identifying and implementing desired changes.
(239) 558-1197 View (239) 558-1197
Photo of Joseph Sansone, Counselor in Bonita Springs, FL
Joseph Sansone
Counselor, MS, PhD, LMHC, CCMHC
Verified
Bonita Springs, FL 34134
Joseph Sansone, M.S., PhD, LMHC, CCMHC, is a psychotherapist specializing in clinical hypnosis, Joseph was trained in advanced clinical hypnosis at the Academy of Professional Hypnosis in 1997. Dr. Sansone has a B.A. in psychology, a M.S. in clinical mental health counseling, and a PhD in psychology. Joseph has spent much of his life as an entrepreneur and enjoys facilitating self-actualization. Joseph Sansone is a licensed mental health counselor as well as a board certified clinical mental health counselor. Dr. Sansone is also a member of the National Guild of Hypnotists.
Joseph Sansone, M.S., PhD, LMHC, CCMHC, is a psychotherapist specializing in clinical hypnosis, Joseph was trained in advanced clinical hypnosis at the Academy of Professional Hypnosis in 1997. Dr. Sansone has a B.A. in psychology, a M.S. in clinical mental health counseling, and a PhD in psychology. Joseph has spent much of his life as an entrepreneur and enjoys facilitating self-actualization. Joseph Sansone is a licensed mental health counselor as well as a board certified clinical mental health counselor. Dr. Sansone is also a member of the National Guild of Hypnotists.
(239) 970-9316 View (239) 970-9316
Photo of Courtney Anderson, Counselor in Bonita Springs, FL
Courtney Anderson
Counselor, MA, LMHC
Verified
1 Endorsed
Bonita Springs, FL 34134
I am passionate about helping children, teens, and young adults resolve anxious and depressive feelings that may keep them from living their best life. Even at a young age, we all experience situations that leave us wondering if we will ever be happy again. This can be devastating for the individual experiencing these symptoms and if not addressed early on, it can have long term effects into adult life. As a mental health counselor, I have had the pleasure of helping countless individuals overcome these feelings and get back to living a quality of life that was once unimaginable.
I am passionate about helping children, teens, and young adults resolve anxious and depressive feelings that may keep them from living their best life. Even at a young age, we all experience situations that leave us wondering if we will ever be happy again. This can be devastating for the individual experiencing these symptoms and if not addressed early on, it can have long term effects into adult life. As a mental health counselor, I have had the pleasure of helping countless individuals overcome these feelings and get back to living a quality of life that was once unimaginable.
(239) 977-3392 View (239) 977-3392
Photo of Clarity Counseling of SWFL, Counselor in Bonita Springs, FL
Clarity Counseling of SWFL
Counselor, MA, LMHC
Verified
1 Endorsed
Bonita Springs, FL 34135
Hi, I'm Claire Oswald and I am a licensed mental health counselor with the state of Florida. I have received my masters in mental health counseling from Florida Gulf Coast University and have been in practice for the last 7 years. I have background working with both inpatient and outpatient services to be able to fully understand the mental health services that are offered in SWFL. I have worked with many children but specialize in ages 13+. If you are a person who is currently experiencing stress, anxiety, fear, depression, or are just over all needing some therapy in your life then I am happy to be able to help.
Hi, I'm Claire Oswald and I am a licensed mental health counselor with the state of Florida. I have received my masters in mental health counseling from Florida Gulf Coast University and have been in practice for the last 7 years. I have background working with both inpatient and outpatient services to be able to fully understand the mental health services that are offered in SWFL. I have worked with many children but specialize in ages 13+. If you are a person who is currently experiencing stress, anxiety, fear, depression, or are just over all needing some therapy in your life then I am happy to be able to help.
(941) 500-4201 View (941) 500-4201
Photo of Bright Future Psychology - Dr. Hanna Kallstrom in Bonita Springs, FL
Bright Future Psychology - Dr. Hanna Kallstrom
PsyD
Verified
Bonita Springs, FL 34135
Through diagnostic evaluations and support/therapy services for children, teens, and adults, I enjoy helping clients explore their unique way of processing the world and develop plans to overcome challenges and achieve their goals. Specialty areas neurodivergent profiles including Specific Learning Disorders (Dyslexia; Dyscalculia; Dysgraphia), Autism (ASD), Attention Deficit Hyperactivity Disorder (ADHD), anxiety/mood disorders, developmental delays, intellectual impairments, giftedness, and executive functioning challenges. I also provide psychoeducational evaluations for 504 plans & College Board exam accommodations (AP/SAT/ACT).
Through diagnostic evaluations and support/therapy services for children, teens, and adults, I enjoy helping clients explore their unique way of processing the world and develop plans to overcome challenges and achieve their goals. Specialty areas neurodivergent profiles including Specific Learning Disorders (Dyslexia; Dyscalculia; Dysgraphia), Autism (ASD), Attention Deficit Hyperactivity Disorder (ADHD), anxiety/mood disorders, developmental delays, intellectual impairments, giftedness, and executive functioning challenges. I also provide psychoeducational evaluations for 504 plans & College Board exam accommodations (AP/SAT/ACT).
(239) 970-6081 View (239) 970-6081
Photo of Kathleen Rodriguez, Counselor in Bonita Springs, FL
Kathleen Rodriguez
Counselor, LMHC
Verified
4 Endorsed
Bonita Springs, FL 34134
My practice focuses on the well being of my clients. I provide mental health services for children to adults. My passion is to serve families in the community in need of mental health counseling. I am experience in child play therapy, family therapy, marriage/couples counseling, adolescent,, individual and substance abuse counseling. I provide treatment for anxiety, depression, grief and behavioral therapy. I am fluent in English and Spanish. I look forward to serving you.
My practice focuses on the well being of my clients. I provide mental health services for children to adults. My passion is to serve families in the community in need of mental health counseling. I am experience in child play therapy, family therapy, marriage/couples counseling, adolescent,, individual and substance abuse counseling. I provide treatment for anxiety, depression, grief and behavioral therapy. I am fluent in English and Spanish. I look forward to serving you.
(844) 743-2126 View (844) 743-2126
Photo of LMB Counseling, Counselor in Bonita Springs, FL
LMB Counseling
Counselor, LMHC
Verified
Bonita Springs, FL 34135
When you realize you're struggling or you are at a difficult point in your life, the awareness can cultivate growth. Reaching out for assistance is not a sign of weakness, but rather a sign of your strength and motivation for change. It shows your readiness to address what is needed to move through the challenge. Stress, anxiety, past traumas, life transitions, relationship difficulties, or any other challenges can knock anyone off balance.
When you realize you're struggling or you are at a difficult point in your life, the awareness can cultivate growth. Reaching out for assistance is not a sign of weakness, but rather a sign of your strength and motivation for change. It shows your readiness to address what is needed to move through the challenge. Stress, anxiety, past traumas, life transitions, relationship difficulties, or any other challenges can knock anyone off balance.
(239) 572-9451 View (239) 572-9451
Photo of Sunshine State Counseling Center , Clinical Social Work/Therapist in Bonita Springs, FL
Sunshine State Counseling Center
Clinical Social Work/Therapist, LCSW-S, RPT-S
Verified
1 Endorsed
Bonita Springs, FL 34134
Sunshine State Counseling Center provides therapeutic behavioral and mental health services to children, adolescent, adults, couples and families. Significant life events can cause stress that might lead to emotional and/or behavioral problems. When these changes are noticed it is helpful to have a professional assess the biological psychological and social functioning of the individual. These assessments are completed with the purpose of identifying present strengths and needs, and together draw a road map to achieve a higher level of functioning.
Sunshine State Counseling Center provides therapeutic behavioral and mental health services to children, adolescent, adults, couples and families. Significant life events can cause stress that might lead to emotional and/or behavioral problems. When these changes are noticed it is helpful to have a professional assess the biological psychological and social functioning of the individual. These assessments are completed with the purpose of identifying present strengths and needs, and together draw a road map to achieve a higher level of functioning.
(239) 309-2185 View (239) 309-2185
Photo of Psychologist Dr. Phyllis Walters in Bonita Springs, FL
Psychologist Dr. Phyllis Walters
PhD, LLC
Verified
1 Endorsed
Bonita Springs, FL 34135
Dr. Walters earned a Ph.D. in Psychology from The University of Northern Colorado and a Masters degree from the University of Alabama. During her education Dr. Walters completed a variety of training experiences including working in a drug rehabilitation center, public schools, the University Mental Health Clinic where she provided counseling to families, couples, individuals, and children. Dr. Walters also worked in the Neuropyschology Clinic providing neuropsychological assessment. She completed a dissertation titled Traumatic Brain Injury Self Report: Identifying the Relationship between Personality and Risk Taking Behavior.
Dr. Walters earned a Ph.D. in Psychology from The University of Northern Colorado and a Masters degree from the University of Alabama. During her education Dr. Walters completed a variety of training experiences including working in a drug rehabilitation center, public schools, the University Mental Health Clinic where she provided counseling to families, couples, individuals, and children. Dr. Walters also worked in the Neuropyschology Clinic providing neuropsychological assessment. She completed a dissertation titled Traumatic Brain Injury Self Report: Identifying the Relationship between Personality and Risk Taking Behavior.
(239) 449-8406 View (239) 449-8406

See more therapy options for Bonita Springs

How does your Therapist compare?

Number of Therapists in Bonita Springs, FL

100+

Average cost per session

$150

Therapists in Bonita Springs, FL who prioritize treating:

94% Anxiety
92% Depression
85% Self Esteem
84% Relationship Issues
82% Grief
77% Coping Skills
69% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

70% Cigna and Evernorth
63% UnitedHealthcare UHC | UBH
56% Aetna

How Therapists in Bonita Springs, FL see their clients

78% In Person and Online
22% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Bonita Springs?

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.