Therapists in Bend, OR

Photo of Ofelia Sanchez, Pre-Licensed Professional in Bend, OR
Ofelia Sanchez
Pre-Licensed Professional
Verified Verified
Bend, OR 97703
Hola. Si no te has acercado a la consejería antes, tal vez dudes si este es un buen momento para trabajar en tí mismo/a. Yo te invitaré a revisar tus inquietudes, tu curiosidad en cuanto a si podrías sentirte mas satisfecho/a en esta vida, y explorar el camino del auto-conocimiento, lo que nos dá mas opciones para lidiar con lo que nos parece difícil. Practicarás identificar lo que no se siente bien, y probar diferentes alternativas que aumenten tu armonía. Muchos vivimos muy ocupados, estresados, y pareciera que no hay tiempo para ser más felices pero SÍ que lo hay, solo hay que entendernos y probar alternativas.
Hola. Si no te has acercado a la consejería antes, tal vez dudes si este es un buen momento para trabajar en tí mismo/a. Yo te invitaré a revisar tus inquietudes, tu curiosidad en cuanto a si podrías sentirte mas satisfecho/a en esta vida, y explorar el camino del auto-conocimiento, lo que nos dá mas opciones para lidiar con lo que nos parece difícil. Practicarás identificar lo que no se siente bien, y probar diferentes alternativas que aumenten tu armonía. Muchos vivimos muy ocupados, estresados, y pareciera que no hay tiempo para ser más felices pero SÍ que lo hay, solo hay que entendernos y probar alternativas.
(458) 217-6107 View (458) 217-6107
Photo of Ravi Almeter, Professional Counselor Associate in Bend, OR
Ravi Almeter
Professional Counselor Associate, MA
Verified Verified
4 Endorsed
Bend, OR 97701
I am a OHP Pacific Source provider & cash (private pay) therapist with flexible daytime and evening hours for teens, adults, & couples. If your teen is struggling with issues of self worth and can’t seem to engage with school or the family, I’m here to support this challenging stage of adolescence. If your heart has been broken by betrayal issues, or you are struggling with unexpected transitions life has handed you, I am here to support that process; help you grieve, grab hold of your own strength & move forward to what is next. I have traveled extensively, lived overseas, competed in high level sports, & see life as an adventure.
I am a OHP Pacific Source provider & cash (private pay) therapist with flexible daytime and evening hours for teens, adults, & couples. If your teen is struggling with issues of self worth and can’t seem to engage with school or the family, I’m here to support this challenging stage of adolescence. If your heart has been broken by betrayal issues, or you are struggling with unexpected transitions life has handed you, I am here to support that process; help you grieve, grab hold of your own strength & move forward to what is next. I have traveled extensively, lived overseas, competed in high level sports, & see life as an adventure.
(458) 236-5824 View (458) 236-5824
Photo of Leyla Dim, Licensed Professional Counselor in Bend, OR
Leyla Dim
Licensed Professional Counselor, LPC, NCC, CCHt
Verified Verified
Bend, OR 97701  (Online Only)
I am now offering Psychedelic Assisted Therapy and Integrative Energy Therapies in Bend, Oregon. Combining years of clinical experience with the growing fields of psychedelic and vibrational medicines creates unique choices for true healing and well-being. As an integrated approach to health and well-being, these modalities help treat symptoms of anxiety, chronic pain, trauma, relational difficulties, depression, stress, post-concussion, addiction and other issues. Please submit an inquiry for virtual therapy availability.
I am now offering Psychedelic Assisted Therapy and Integrative Energy Therapies in Bend, Oregon. Combining years of clinical experience with the growing fields of psychedelic and vibrational medicines creates unique choices for true healing and well-being. As an integrated approach to health and well-being, these modalities help treat symptoms of anxiety, chronic pain, trauma, relational difficulties, depression, stress, post-concussion, addiction and other issues. Please submit an inquiry for virtual therapy availability.
(541) 283-1883 View (541) 283-1883
Photo of Adam Klaybor, Clinical Social Work/Therapist in Bend, OR
Adam Klaybor
Clinical Social Work/Therapist, LCSW
Verified Verified
Bend, OR 97703
Would you like to talk to someone that you can be open with and never judged? I hope I can be that person for you. No matter what your problems, we can figure it out together. First thing is first... We will work together to create a trusting relationship so that you feel supported and safe to work though the issues that bother you. I utilize a solution-based approach where we look to achieve your goals without judgment. This will enable you to take control of your thoughts, feelings, and behaviors. I am always trying to work myself out of a job because that means that you feel good! Contact me with any questions.
Would you like to talk to someone that you can be open with and never judged? I hope I can be that person for you. No matter what your problems, we can figure it out together. First thing is first... We will work together to create a trusting relationship so that you feel supported and safe to work though the issues that bother you. I utilize a solution-based approach where we look to achieve your goals without judgment. This will enable you to take control of your thoughts, feelings, and behaviors. I am always trying to work myself out of a job because that means that you feel good! Contact me with any questions.
(541) 275-6039 View (541) 275-6039
Photo of Kristin Mathes, Clinical Social Work/Therapist in Bend, OR
Kristin Mathes
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Bend, OR 97702  (Online Only)
Are you having difficulty processing anxiety? Do you ever feel like stranger in your own body? Perhaps you've tried traditional talk therapy and haven't found the relief that you need. This is the case for many of my clients. Through a trauma neuroscience approach to healing, we will go beyond traditional talk therapy to discover and heal the root sources of your symptoms. You will learn the tools for emotional regulation and resilience, which will help you reclaim control over your mind, body, and emotions once again.
Are you having difficulty processing anxiety? Do you ever feel like stranger in your own body? Perhaps you've tried traditional talk therapy and haven't found the relief that you need. This is the case for many of my clients. Through a trauma neuroscience approach to healing, we will go beyond traditional talk therapy to discover and heal the root sources of your symptoms. You will learn the tools for emotional regulation and resilience, which will help you reclaim control over your mind, body, and emotions once again.
(920) 286-2316 View (920) 286-2316
Photo of Liz Morgan, Clinical Social Work/Therapist in Bend, OR
Liz Morgan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bend, OR 97701  (Online Only)
Liz is a dedicated social worker with a wealth of experience working with individuals of all ages across diverse settings in both rural and urban areas of Oregon and Washington. Her passion lies in helping clients who have faced challenging pasts and those currently navigating difficult times. Embracing a lifelong learning philosophy, Liz firmly believes that every individual possesses the potential to improve their life.
Liz is a dedicated social worker with a wealth of experience working with individuals of all ages across diverse settings in both rural and urban areas of Oregon and Washington. Her passion lies in helping clients who have faced challenging pasts and those currently navigating difficult times. Embracing a lifelong learning philosophy, Liz firmly believes that every individual possesses the potential to improve their life.
(458) 235-4533 View (458) 235-4533
Photo of Mid-Oregon Counseling, Clinical Social Work/Therapist in Bend, OR
Mid-Oregon Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Bend, OR 97703
A healthy life includes a balance of the mind, body and spirit. But what if you’re struggling to maintain that balance? Life certainly has a way of disrupting our world through unwanted events like grief, trauma, infertility and other difficult, very personal emotions. If you are struggling, we are here for you.
A healthy life includes a balance of the mind, body and spirit. But what if you’re struggling to maintain that balance? Life certainly has a way of disrupting our world through unwanted events like grief, trauma, infertility and other difficult, very personal emotions. If you are struggling, we are here for you.
(541) 640-5376 View (541) 640-5376
Photo of Amanda Copeland, Clinical Social Work/Therapist in Bend, OR
Amanda Copeland
Clinical Social Work/Therapist, LCSW
Verified Verified
Bend, OR 97701
Are you struggling with grief or loss? Are you caught in the grip of past trauma? Grief and trauma create a heavy burden on our hearts and minds. A painful loss or traumatic experience can rob you of a fulfilling life. If you’re grieving the loss of a loved one, a lost way of life, or the loss of self, loneliness, insecurity and uncertainty. I can help you with your grief process so you can embrace the beauty of your future. If you’ve suffered a traumatic past, you may struggle with depression, anxiety or feelings of inadequacy. I can help you reclaim your self-confidence and start truly living.
Are you struggling with grief or loss? Are you caught in the grip of past trauma? Grief and trauma create a heavy burden on our hearts and minds. A painful loss or traumatic experience can rob you of a fulfilling life. If you’re grieving the loss of a loved one, a lost way of life, or the loss of self, loneliness, insecurity and uncertainty. I can help you with your grief process so you can embrace the beauty of your future. If you’ve suffered a traumatic past, you may struggle with depression, anxiety or feelings of inadequacy. I can help you reclaim your self-confidence and start truly living.
(458) 203-7025 View (458) 203-7025
Photo of Adrienne Andeen, Clinical Social Work/Therapist in Bend, OR
Adrienne Andeen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bend, OR 97702
Not accepting new clients
I have over ten years of clinical experience working with toddlers, children, adolescents, and young adults of various abilities. I assist clients who may struggle with difficult situations to identify and practice strengths and skills in order to reach their personal goals. I am able to support clients with the help of a unique co-facilitator: a horse
I have over ten years of clinical experience working with toddlers, children, adolescents, and young adults of various abilities. I assist clients who may struggle with difficult situations to identify and practice strengths and skills in order to reach their personal goals. I am able to support clients with the help of a unique co-facilitator: a horse
(458) 202-2501 View (458) 202-2501
Photo of Michelle Hallinan, Clinical Social Work/Therapist in Bend, OR
Michelle Hallinan
Clinical Social Work/Therapist, LCSW
Verified Verified
Bend, OR 97702
Waitlist for new clients
It's important to me that you feel accepted and valued for who you are and where you are in your life. Together, we will work to resolve personal and relationship dilemmas. I will strive to assist you in addressing whatever obstacles may be interfering with what you want for your life. I am passionate about devoting time and attention to understanding your unique story and the ways in which past relationships shape current ones. Through our work together, you will gain greater self-awareness and self-compassion, and an understanding of how underlying thoughts and feelings are affecting your mood, perspective and relationships.
It's important to me that you feel accepted and valued for who you are and where you are in your life. Together, we will work to resolve personal and relationship dilemmas. I will strive to assist you in addressing whatever obstacles may be interfering with what you want for your life. I am passionate about devoting time and attention to understanding your unique story and the ways in which past relationships shape current ones. Through our work together, you will gain greater self-awareness and self-compassion, and an understanding of how underlying thoughts and feelings are affecting your mood, perspective and relationships.
(458) 224-3812 View (458) 224-3812
Photo of Danielle Snyder, Clinical Social Work/Therapist in Bend, OR
Danielle Snyder
Clinical Social Work/Therapist, LCSW
Verified Verified
Bend, OR 97701  (Online Only)
Do you feel the experiences of your life deeply? Struggle to understand why things seem to impact you more than your friends or peers? Do you seek to live a life that is meaningful, filled with joy and also rooted profoundly in truth and core values? Are you looking to build on your strengths and feel empowered to live your best life? As a therapist with over twelve years of practice, I practice trauma informed, positive psychology with a focus on strength-based empowerment. My work centers on helping my clients feel empowered to live their best lives while working through the issues that may be holding them back.
Do you feel the experiences of your life deeply? Struggle to understand why things seem to impact you more than your friends or peers? Do you seek to live a life that is meaningful, filled with joy and also rooted profoundly in truth and core values? Are you looking to build on your strengths and feel empowered to live your best life? As a therapist with over twelve years of practice, I practice trauma informed, positive psychology with a focus on strength-based empowerment. My work centers on helping my clients feel empowered to live their best lives while working through the issues that may be holding them back.
(458) 224-1254 View (458) 224-1254
Photo of Nicki Hayford, Marriage & Family Therapist in Bend, OR
Nicki Hayford
Marriage & Family Therapist, LMFT
Verified Verified
Bend, OR 97702  (Online Only)
Not accepting new clients
My theory is you are the expert on your life, your relationships and your family. Let me be the catalyst in making change happen. Together we can make positive transformations occur quickly and effectively. I will work closely with you to integrate the valuable insight, knowledge, intuition and experiential wisdom you have about yourself and your relationships, in order to increase connections and improve your relationships as a whole, not just change your unwanted behaviors.
My theory is you are the expert on your life, your relationships and your family. Let me be the catalyst in making change happen. Together we can make positive transformations occur quickly and effectively. I will work closely with you to integrate the valuable insight, knowledge, intuition and experiential wisdom you have about yourself and your relationships, in order to increase connections and improve your relationships as a whole, not just change your unwanted behaviors.
(458) 224-3506 View (458) 224-3506
Photo of Tim Moore, Licensed Professional Counselor in Bend, OR
Tim Moore
Licensed Professional Counselor, LPC
Verified Verified
Bend, OR 97701
Tim offers his insight into attachment, developmental trauma, and addiction by utilizing treatments grounded in interpersonal neurobiology. Sharing specific tools such as Mindsight, Heartmath, Brainspotting, and Mindfulness techniques lead to greater compassion, kindness, resilience, and well-being. Tim is is a Licensed Professional Counselor in Oregon with over 23 years of experience working as a psychotherapist. He received his undergraduate degree in psychology at The University of Oregon and did graduate work at Antioch New England Graduate School, receiving a master’s in Counseling Psychology.
Tim offers his insight into attachment, developmental trauma, and addiction by utilizing treatments grounded in interpersonal neurobiology. Sharing specific tools such as Mindsight, Heartmath, Brainspotting, and Mindfulness techniques lead to greater compassion, kindness, resilience, and well-being. Tim is is a Licensed Professional Counselor in Oregon with over 23 years of experience working as a psychotherapist. He received his undergraduate degree in psychology at The University of Oregon and did graduate work at Antioch New England Graduate School, receiving a master’s in Counseling Psychology.
(458) 217-1544 View (458) 217-1544
Photo of Beth Getsinger, Professional Counselor Associate in Bend, OR
Beth Getsinger
Professional Counselor Associate, MCoun, NCC
Verified Verified
1 Endorsed
Bend, OR 97702  (Online Only)
We all need extra support sometimes. No matter what you're dealing with, my goal is to listen to what you need and help you get there. I do this by identifying patterns and offering new perspectives, so that you can better understand and love yourself. I bring my authenticity and humor into therapy to create a safe and nonjudgmental space.
We all need extra support sometimes. No matter what you're dealing with, my goal is to listen to what you need and help you get there. I do this by identifying patterns and offering new perspectives, so that you can better understand and love yourself. I bring my authenticity and humor into therapy to create a safe and nonjudgmental space.
View
Photo of High Desert Therapy, Clinical Social Work/Therapist in Bend, OR
High Desert Therapy
Clinical Social Work/Therapist
Verified Verified
Bend, OR 97703
You deserve to live a life that leaves you excited to wake up every morning. Now accepting new clients.
You deserve to live a life that leaves you excited to wake up every morning. Now accepting new clients.
(458) 216-5399 View (458) 216-5399
Photo of Jay C Bluestine, Clinical Social Work/Therapist in Bend, OR
Jay C Bluestine
Clinical Social Work/Therapist, LCSW, JD
Verified Verified
Bend, OR 97701
"YOU CAN'T UNDERSTAND ANOTHER PERSON'S EXPERIENCE UNTIL YOU WALK A MILE IN THEIR SHOES." That's especially true regarding the thoughts and feelings that often surround deeply personal issues. My practice is informed by my own life experiences as well as a nuanced understanding of the complexity of human nature. Together we will build the degree of trust and rapport necessary for you to: identify maladaptive patterns, challenge negative beliefs, gain insight into past and present events and most importantly, use this information to create permanent positive change in your relationships and the way you think and feel about yourself.
"YOU CAN'T UNDERSTAND ANOTHER PERSON'S EXPERIENCE UNTIL YOU WALK A MILE IN THEIR SHOES." That's especially true regarding the thoughts and feelings that often surround deeply personal issues. My practice is informed by my own life experiences as well as a nuanced understanding of the complexity of human nature. Together we will build the degree of trust and rapport necessary for you to: identify maladaptive patterns, challenge negative beliefs, gain insight into past and present events and most importantly, use this information to create permanent positive change in your relationships and the way you think and feel about yourself.
(541) 705-2388 View (541) 705-2388
Photo of Corey May, Licensed Professional Counselor in Bend, OR
Corey May
Licensed Professional Counselor, MS, LPC
Verified Verified
Bend, OR 97707  (Online Only)
Not accepting new clients
I believe that all people are capable of great accomplishments in life, and at times struggle with direction due to a myriad of reasons. In my years of working in a clinical capacity I have seen mental health struggles, stress, low motivation, lack of belief in their own capabilities, and more stand in the way of my client's dreams and aspirations. I believe that through therapy can unlocking our inner wisdom and learning how to trust our intuition more and spend less time in our heads.
I believe that all people are capable of great accomplishments in life, and at times struggle with direction due to a myriad of reasons. In my years of working in a clinical capacity I have seen mental health struggles, stress, low motivation, lack of belief in their own capabilities, and more stand in the way of my client's dreams and aspirations. I believe that through therapy can unlocking our inner wisdom and learning how to trust our intuition more and spend less time in our heads.
(541) 854-2783 View (541) 854-2783
Photo of Valerie Brodbeck, Clinical Social Work/Therapist in Bend, OR
Valerie Brodbeck
Clinical Social Work/Therapist, LCSW , CADC 1
Verified Verified
Bend, OR 97703
Waitlist for new clients
Welcome! I am a somatic-based therapist specializing in trauma, attachment, and chronic illness/pain. Have you tried traditional talk therapy before without much success? Do you feel like you have shared your story over and over but nothing really changes? By addressing all aspects of your experience (mind and body) you can have access to a wider array of resources, insight, and opportunities for change.
Welcome! I am a somatic-based therapist specializing in trauma, attachment, and chronic illness/pain. Have you tried traditional talk therapy before without much success? Do you feel like you have shared your story over and over but nothing really changes? By addressing all aspects of your experience (mind and body) you can have access to a wider array of resources, insight, and opportunities for change.
(458) 243-4803 View (458) 243-4803
Photo of Nirmal Conforti, Clinical Social Work/Therapist in Bend, OR
Nirmal Conforti
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bend, OR 97701
We are all looking for love. Authentic self love takes time, attention and oftentimes help.  Looking for it outside of yourself is exhausting, demoralizing and depressing. Believing that there must be something wrong with you is isolating and terrible for the self esteem required for a healthy relationship. You are tired of feeling like a beggar, when you know you have so much to give. You know you are amazing and are at loss as to how to get what you need and want in a partner. You’d like a relationship with mutual love, respect and deep connection. You would also like to feel great about yourself in the context of a relationship
We are all looking for love. Authentic self love takes time, attention and oftentimes help.  Looking for it outside of yourself is exhausting, demoralizing and depressing. Believing that there must be something wrong with you is isolating and terrible for the self esteem required for a healthy relationship. You are tired of feeling like a beggar, when you know you have so much to give. You know you are amazing and are at loss as to how to get what you need and want in a partner. You’d like a relationship with mutual love, respect and deep connection. You would also like to feel great about yourself in the context of a relationship
(541) 234-8137 View (541) 234-8137
Photo of Amy Dunniway, Marriage & Family Therapist in Bend, OR
Amy Dunniway
Marriage & Family Therapist, MA, LMFT
Verified Verified
Bend, OR 97702
Do you feel worried, unhappy or uncomfortable in your relationships or just by yourself? Maybe you find yourself saying, "How did I get here? I can’t do this anymore. Something needs to change or else…" You wonder if you're always going to feel this way. Daily tasks and interactions with people are monotonous, joyless or exhausting. You play the comparison game and other people's lives seem to be so much better than yours. No one would understand if you told them what you're going through. Life feels like a struggle. Anxiety, depression, anger, confusion or discomfort seem like the norm, not the exception.
Do you feel worried, unhappy or uncomfortable in your relationships or just by yourself? Maybe you find yourself saying, "How did I get here? I can’t do this anymore. Something needs to change or else…" You wonder if you're always going to feel this way. Daily tasks and interactions with people are monotonous, joyless or exhausting. You play the comparison game and other people's lives seem to be so much better than yours. No one would understand if you told them what you're going through. Life feels like a struggle. Anxiety, depression, anger, confusion or discomfort seem like the norm, not the exception.
(541) 319-2099 View (541) 319-2099

How does your Therapist compare?

Number of Therapists in Bend, OR

500+

Average cost per session

$164

Therapists in Bend, OR who prioritize treating:

91% Anxiety
87% Depression
81% Relationship Issues
77% Self Esteem
76% Trauma and PTSD
76% Stress
71% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

77% PacificSource
55% Oregon Health Plan (OHP)
39% Aetna

How Therapists in Bend, OR see their clients

65% In Person and Online
35% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Bend?

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.