Photo of Kristen Waterman, Licensed Professional Counselor in 63303, MO
Kristen Waterman
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
I love working with children, parents, and adult women with a variety of issues. I am a trauma focused therapist and will walk beside a client through difficult and life changing processes. I am so grateful for all the people who want to better their lives and are reaching out to me. Please EMAIL or TEXT me for session inquiries.
I love working with children, parents, and adult women with a variety of issues. I am a trauma focused therapist and will walk beside a client through difficult and life changing processes. I am so grateful for all the people who want to better their lives and are reaching out to me. Please EMAIL or TEXT me for session inquiries.
(636) 339-4896 View (636) 339-4896
Photo of Devereux Counseling, Licensed Professional Counselor in 63303, MO
Devereux Counseling
Licensed Professional Counselor, MA, LPC, CMHIMP
Verified Verified
5 Endorsed
Saint Charles, MO 63303
Are you struggling to find peace in your life? We all need support once in a while. My goal is to help you live a more balanced, happy, healthy life! We will work together to identify goals and strategies to help you initiate positive change in your life.I am truly grateful for the opportunity to help individuals reach their goals and I would be honored to support you on your journey! I am experienced in working with individuals in a variety of capacities including helping them learn to manage and overcome anxiety, depression, addiction, improve self-esteem, communication and overall well-being & overall connectedness in life!
Are you struggling to find peace in your life? We all need support once in a while. My goal is to help you live a more balanced, happy, healthy life! We will work together to identify goals and strategies to help you initiate positive change in your life.I am truly grateful for the opportunity to help individuals reach their goals and I would be honored to support you on your journey! I am experienced in working with individuals in a variety of capacities including helping them learn to manage and overcome anxiety, depression, addiction, improve self-esteem, communication and overall well-being & overall connectedness in life!
(636) 422-5290 View (636) 422-5290
Photo of Michele Calvin, Pre-Licensed Professional in 63303, MO
Michele Calvin
Pre-Licensed Professional, MA, PLPC
Verified Verified
Saint Charles, MO 63303
Accepting New Clients-As we go through life, it can deliver trials, obstacles, and you may be on an ongoing roller coaster ride; and through these trying situations, you may feel out of control, hopeless, and ponder whom you can seek for help. Starting therapy can seem overwhelming, but I am here to guide the way. Counseling is personable and distinctive; I believe your therapeutic journey should lead to positive changes in your life by incorporating Cognitive Behavioral Therapy (CBT) and Person-Centered Therapy (PCT) practices.
Accepting New Clients-As we go through life, it can deliver trials, obstacles, and you may be on an ongoing roller coaster ride; and through these trying situations, you may feel out of control, hopeless, and ponder whom you can seek for help. Starting therapy can seem overwhelming, but I am here to guide the way. Counseling is personable and distinctive; I believe your therapeutic journey should lead to positive changes in your life by incorporating Cognitive Behavioral Therapy (CBT) and Person-Centered Therapy (PCT) practices.
(636) 238-2652 View (636) 238-2652
Photo of Lynda Bankston, Licensed Professional Counselor in 63303, MO
Lynda Bankston
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Individual/ Couples/ Family/ Adolescent Therapeutic Sessions Available! Are you Angry and don't know why? Are you dealing with Depression and Anxiety? Are you Dealing with Addiction? Do you have marriage or relationship problems and just don't know what to do? Are you stressed out and don't know how to sort things out? Call today and let's figure things out. Don't wait for things to get better on there own. Call now so we can start you in a new direction. Make Your Mental Health a PRIORITY **Offering Evening and Weekend Appointments**
Individual/ Couples/ Family/ Adolescent Therapeutic Sessions Available! Are you Angry and don't know why? Are you dealing with Depression and Anxiety? Are you Dealing with Addiction? Do you have marriage or relationship problems and just don't know what to do? Are you stressed out and don't know how to sort things out? Call today and let's figure things out. Don't wait for things to get better on there own. Call now so we can start you in a new direction. Make Your Mental Health a PRIORITY **Offering Evening and Weekend Appointments**
(636) 685-2097 View (636) 685-2097
Photo of Jennifer Ostmann, Licensed Professional Counselor in 63303, MO
Jennifer Ostmann
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Hello! My name is Jenn. I am happy you found me! I work with individuals with a wide variety of mental health and life stress concerns. I strive to help individuals manage their depression and anxiety through coping skills and challenging your inner critic. My passion lies with helping soon-to-be, new and seasoned parents manage the rollercoaster of emotions that comes with parenting. Working with me will help you to challenge those inner thoughts and incorporate mindfulness skills to identify what you’re feeling and how to process those feelings without judgment.
Hello! My name is Jenn. I am happy you found me! I work with individuals with a wide variety of mental health and life stress concerns. I strive to help individuals manage their depression and anxiety through coping skills and challenging your inner critic. My passion lies with helping soon-to-be, new and seasoned parents manage the rollercoaster of emotions that comes with parenting. Working with me will help you to challenge those inner thoughts and incorporate mindfulness skills to identify what you’re feeling and how to process those feelings without judgment.
(636) 228-2891 View (636) 228-2891
Photo of Eliza Chenault, Clinical Social Work/Therapist in 63303, MO
Eliza Chenault
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Charles, MO 63303
Reaching out for help for yourself or your child is hard and scary! Life can be challenging and sometimes we need extra support to get us through life transitions or daily stressors. My role as a therapist is to help your child and family understand and process their emotions, while also providing you with skills to calm your body and mind. I enjoy incorporating play and art into sessions to give children outlets to express their thoughts and feelings when they don’t yet have the words to do so.
Reaching out for help for yourself or your child is hard and scary! Life can be challenging and sometimes we need extra support to get us through life transitions or daily stressors. My role as a therapist is to help your child and family understand and process their emotions, while also providing you with skills to calm your body and mind. I enjoy incorporating play and art into sessions to give children outlets to express their thoughts and feelings when they don’t yet have the words to do so.
(636) 597-6616 View (636) 597-6616
Diane M Scott
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Change is possible and hope always exists. I create a therapeutic environment of acceptance with no judgement so that change and growth can occur. My ideal client will realize that something in their life is not working and they want to figure it out and make things better. They want to experience happiness, purpose and peace in their life. Taking that first step toward counseling is challenging but benefits will include increased self-esteem, better relationships, a clearer understanding of self, increased productivity and a greater ability to deal with stress.
Change is possible and hope always exists. I create a therapeutic environment of acceptance with no judgement so that change and growth can occur. My ideal client will realize that something in their life is not working and they want to figure it out and make things better. They want to experience happiness, purpose and peace in their life. Taking that first step toward counseling is challenging but benefits will include increased self-esteem, better relationships, a clearer understanding of self, increased productivity and a greater ability to deal with stress.
(636) 487-4831 View (636) 487-4831
Photo of Kathy R Coleman, Licensed Professional Counselor in 63303, MO
Kathy R Coleman
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Saint Charles, MO 63303  (Online Only)
Hello, I am so pleased you stopped by my page. Please allow me to share my heart with you. Beyond my credentials and the obvious that I’m a Licensed clinician, I am genuinely interested in who you are and your unique experiences that has brought you to this point in life. Sometimes, everyday stressors, relationships, inner conflicts, and other life disturbances leave us feeling overwhelmed and stuck in our pain but there is no need to remain there suffering in silence . It takes acknowledgement, strength and a certain determination to address self and pursue change. I commend you for starting your journey to health and wellness.
Hello, I am so pleased you stopped by my page. Please allow me to share my heart with you. Beyond my credentials and the obvious that I’m a Licensed clinician, I am genuinely interested in who you are and your unique experiences that has brought you to this point in life. Sometimes, everyday stressors, relationships, inner conflicts, and other life disturbances leave us feeling overwhelmed and stuck in our pain but there is no need to remain there suffering in silence . It takes acknowledgement, strength and a certain determination to address self and pursue change. I commend you for starting your journey to health and wellness.
(636) 242-6475 View (636) 242-6475
Photo of Mr. Darwin Glenn Marriage and Family Counseling , Pastoral Counselor in 63303, MO
Mr. Darwin Glenn Marriage and Family Counseling
Pastoral Counselor
Verified Verified
1 Endorsed
Saint Charles, MO 63303  (Online Only)
Are you feeling stressed at work, school or home? Would you like a safe non judgemental space to share? If you are single, married or in a committed relationship, I am available to provide support as you navigate a path to a peaceful, healthier, lifestyle. My wife, Marlena Glenn, also provides Marriage and Family Counseling. Her certifications and training include Gottman, Integrative Sex and Couples, Co Parenting, Family Mediation, & Prepare and Enrich Relationship Counseling. She provides a clinical perspective. We can meet with you together, if requested, for individual, pre-marital, couples or family counseling.
Are you feeling stressed at work, school or home? Would you like a safe non judgemental space to share? If you are single, married or in a committed relationship, I am available to provide support as you navigate a path to a peaceful, healthier, lifestyle. My wife, Marlena Glenn, also provides Marriage and Family Counseling. Her certifications and training include Gottman, Integrative Sex and Couples, Co Parenting, Family Mediation, & Prepare and Enrich Relationship Counseling. She provides a clinical perspective. We can meet with you together, if requested, for individual, pre-marital, couples or family counseling.
(314) 470-9317 View (314) 470-9317
Photo of Amber Kwentus, LLC, Licensed Professional Counselor in 63303, MO
Amber Kwentus, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63303
I believe in a person-centered and holistic approach. I am passionate about leading clients through their pain to find their purpose and to lead an inspired life! My approach is a blending of Cognitive Behavioral (CBT), Person Centered, and Trauma Informed Therapies. I am trained in EMDR as well.
I believe in a person-centered and holistic approach. I am passionate about leading clients through their pain to find their purpose and to lead an inspired life! My approach is a blending of Cognitive Behavioral (CBT), Person Centered, and Trauma Informed Therapies. I am trained in EMDR as well.
(314) 648-8589 View (314) 648-8589
Photo of Julia Bietsch, Licensed Professional Counselor in 63303, MO
Julia Bietsch
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Can life just stop being a shit show? You work your butt off for a job that you constantly feel the "Sunday Scaries" over, you come home to a sink full of dishes and somehow twice as much laundry than what you saw the basket this morning, your mom made yet another comment about the way you choose to parent your kids, and you can’t even remember the last time you had a real, guilt-free night out. It's all starting to close in on you and you wish you could just run. It would be so easy to just run, wouldn't it?
Can life just stop being a shit show? You work your butt off for a job that you constantly feel the "Sunday Scaries" over, you come home to a sink full of dishes and somehow twice as much laundry than what you saw the basket this morning, your mom made yet another comment about the way you choose to parent your kids, and you can’t even remember the last time you had a real, guilt-free night out. It's all starting to close in on you and you wish you could just run. It would be so easy to just run, wouldn't it?
(636) 306-4502 View (636) 306-4502
Photo of Counseling and Mindfulness, LLC, Licensed Professional Counselor in 63303, MO
Counseling and Mindfulness, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, MO 63303
Hello! My name is Courtney Mills. I have been a licensed professional counselor, in the state of Missouri, since 2011, as well as a school counselor since 2010. I have dedicated my career to supporting children in their journey toward social emotional growth and wellbeing. Educating children through a strength-based and mindful approach, I have worked with children through individual and group counseling support. Advocating for children's needs and helping them develop and grow into their own, self-confident individuals is the true passion and drive behind what I do every day.
Hello! My name is Courtney Mills. I have been a licensed professional counselor, in the state of Missouri, since 2011, as well as a school counselor since 2010. I have dedicated my career to supporting children in their journey toward social emotional growth and wellbeing. Educating children through a strength-based and mindful approach, I have worked with children through individual and group counseling support. Advocating for children's needs and helping them develop and grow into their own, self-confident individuals is the true passion and drive behind what I do every day.
(636) 428-2120 View (636) 428-2120
Photo of Sherrie Stafford, Licensed Professional Counselor in 63303, MO
Sherrie Stafford
Licensed Professional Counselor, MS, LPC, SATP, LCPC
Verified Verified
Saint Charles, MO 63303  (Online Only)
I am a medically retired police officer. I provide services anywhere in Missouri and Kan. I hold a certification DBT and in sex addiction treatment, and trained in EMDR I&II, substance use issues, LGBT, and attachment issues. Domestic violence trainer of trainers. Many hours of trainings in trauma. I have worked the national and local suicide hotline. Developed/trained and provided therapy to police officers/wives. Have provided therapy to special clearance service members/wives at FT Carson, FT Warren, and Air Force Academy. I have worked closely with mental health/drug court. I provide therapy to individuals and couples.
I am a medically retired police officer. I provide services anywhere in Missouri and Kan. I hold a certification DBT and in sex addiction treatment, and trained in EMDR I&II, substance use issues, LGBT, and attachment issues. Domestic violence trainer of trainers. Many hours of trainings in trauma. I have worked the national and local suicide hotline. Developed/trained and provided therapy to police officers/wives. Have provided therapy to special clearance service members/wives at FT Carson, FT Warren, and Air Force Academy. I have worked closely with mental health/drug court. I provide therapy to individuals and couples.
(816) 307-9598 View (816) 307-9598
Photo of Jessalyn Wininger, Licensed Professional Counselor in 63303, MO
Jessalyn Wininger
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Saint Peters, MO 63303
I am a licensed clinical therapist specializing in trauma and attachment. I have served a variety of populations and have extensive experience working with pervasive mental health diagnoses, identity development processes, trauma, and holistic wellness practices. My approach integrates a variety of therapeutic theories and techniques to build individual service plans that facilitate deep self-exploration, understanding, and skill building to help clients achieve their goals.
I am a licensed clinical therapist specializing in trauma and attachment. I have served a variety of populations and have extensive experience working with pervasive mental health diagnoses, identity development processes, trauma, and holistic wellness practices. My approach integrates a variety of therapeutic theories and techniques to build individual service plans that facilitate deep self-exploration, understanding, and skill building to help clients achieve their goals.
(636) 422-6179 View (636) 422-6179
Photo of Courtney Michelle Baker, Licensed Professional Counselor in 63303, MO
Courtney Michelle Baker
Licensed Professional Counselor, PhD, LPC
Verified Verified
4 Endorsed
Saint Charles, MO 63303
I specialize in couples, working with those experiencing conflict, conflict-avoidance, infidelity/trust issues, communication problems, parenting/co-parenting struggles, and or when one or both partners experience depression, anxiety, or trauma. Relationships are the most important things in our lives, and when we get disconnected, everything in life can feel so much harder. I also see individuals who are struggling with self-worth issues, excessive worry, past history of trauma. Therapy can do a world of good, especially when life has been painful. I am dedicated to the therapy process, and help clients find hope and relief.
I specialize in couples, working with those experiencing conflict, conflict-avoidance, infidelity/trust issues, communication problems, parenting/co-parenting struggles, and or when one or both partners experience depression, anxiety, or trauma. Relationships are the most important things in our lives, and when we get disconnected, everything in life can feel so much harder. I also see individuals who are struggling with self-worth issues, excessive worry, past history of trauma. Therapy can do a world of good, especially when life has been painful. I am dedicated to the therapy process, and help clients find hope and relief.
(636) 442-0231 View (636) 442-0231
Photo of Jennifer Burch, Counselor in 63303, MO
Jennifer Burch
Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, MO 63303  (Online Only)
Life can be hard! If you are feeling overwhelmed, stressed, unable to enjoy life, having trouble with relationships...consider reaching out for help. My areas of interest include: depression, anxiety, grief, stress management, women’s issues, relationship issues, life transitions and self-esteem. Whatever challenges you may be facing, let's work through them together.
Life can be hard! If you are feeling overwhelmed, stressed, unable to enjoy life, having trouble with relationships...consider reaching out for help. My areas of interest include: depression, anxiety, grief, stress management, women’s issues, relationship issues, life transitions and self-esteem. Whatever challenges you may be facing, let's work through them together.
(636) 251-5873 View (636) 251-5873
Photo of Perry Dodge, Licensed Professional Counselor in 63303, MO
Perry Dodge
Licensed Professional Counselor, MS, MA, LPC, CPC
Verified Verified
Saint Charles, MO 63303
Are you experiencing stress in your life? Do you want to improve your marriage or family relationships? Are you going through a major life transition? Individuals, couples and families that work with me often experience greater peace, energy, and joy in life and more harmony in their key relationships. My specialties include strengthening marriages, overcoming stress, men's challenges and Christian Counseling. My work has been featured on NBC KSDK NewsChannel 5's Today in St. Louis, Bott Radio Network and St. Louis Woman Magazine, and I am the author of the book The Married Man's Field Manual: 30 Rules of Engagement.
Are you experiencing stress in your life? Do you want to improve your marriage or family relationships? Are you going through a major life transition? Individuals, couples and families that work with me often experience greater peace, energy, and joy in life and more harmony in their key relationships. My specialties include strengthening marriages, overcoming stress, men's challenges and Christian Counseling. My work has been featured on NBC KSDK NewsChannel 5's Today in St. Louis, Bott Radio Network and St. Louis Woman Magazine, and I am the author of the book The Married Man's Field Manual: 30 Rules of Engagement.
(314) 596-2982 View (314) 596-2982
Drops Of Hope Integrative Care Center
Clinical Social Work/Therapist, DPSc, PScD, LCSW, MSW, CABSA
Verified Verified
1 Endorsed
Saint Charles, MO 63303
Not accepting new clients
I am a brain based holistic trauma event processing therapist. I specialize in healing of traumatic events so the client is able to heal and go out and live their life to the fullest with out problematic thoughts, emotions or behaviors getting in their way. I use multiple modalities chosen by the client. I am the creator of AEP -AMPLIFIED Emotional Processing and I am Master Certified in Rapid Resolution Therapy and EMDR (Eye Movement Desensitization and Reprocessing) and an instructor for CARE International (Center for Aromatherapy Research and Education.
I am a brain based holistic trauma event processing therapist. I specialize in healing of traumatic events so the client is able to heal and go out and live their life to the fullest with out problematic thoughts, emotions or behaviors getting in their way. I use multiple modalities chosen by the client. I am the creator of AEP -AMPLIFIED Emotional Processing and I am Master Certified in Rapid Resolution Therapy and EMDR (Eye Movement Desensitization and Reprocessing) and an instructor for CARE International (Center for Aromatherapy Research and Education.
(636) 452-9614 View (636) 452-9614
Photo of Darcie Brady, Clinical Social Work/Therapist in 63303, MO
Darcie Brady
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Charles, MO 63303
It’s ok to need time to figure things out-that’s what life is all about. I love working with teens as they grow and become their own unique, independent selves. I have dedicated my career to work with adolescents both in my role in public education and in private practice as a social worker.
It’s ok to need time to figure things out-that’s what life is all about. I love working with teens as they grow and become their own unique, independent selves. I have dedicated my career to work with adolescents both in my role in public education and in private practice as a social worker.
View
Photo of Nicole Smith, Pre-Licensed Professional in 63303, MO
Nicole Smith
Pre-Licensed Professional, Nicole , Smith , CIT
Verified Verified
Saint Charles, MO 63303
I am so excited to go on this journey with you! Counseling is such a unique, sometimes trying, but ultimately really fulfilling experience. I see clients of all kinds, but have the most experience working with clients who are working through relationship issues, sexual trauma, and complex trauma.
I am so excited to go on this journey with you! Counseling is such a unique, sometimes trying, but ultimately really fulfilling experience. I see clients of all kinds, but have the most experience working with clients who are working through relationship issues, sexual trauma, and complex trauma.
(636) 251-3900 View (636) 251-3900

How does your Therapist compare?

Number of Therapists in 63303

100+

Average cost per session

$120

Therapists in 63303 who prioritize treating:

86% Anxiety
84% Self Esteem
80% Relationship Issues
80% Depression
77% Coping Skills
68% Trauma and PTSD
68% Stress

Average years in practice

11 Years

Top 3 insurances accepted

76% UnitedHealthcare UHC | UBH
73% Aetna
71% Cigna and Evernorth

How Therapists in 63303 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

91% Female
8% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 63303?

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.