Therapists in Montgomery, IL
![Photo of Jennifer Duque, LCPC, Counselor](https://photos.psychologytoday.com/0d09b594-deed-4ecc-8aff-1cae92c3136f/1/320x400.jpeg)
My name is Jennifer Duque and I have been a mental health therapist for 30 years. My specialty is working with clients who struggle with depression, anxiety, stress management, and relationships issues. I believe that you need to play the starring role in your own life, so let's work together to get you where you want to be.
My name is Jennifer Duque and I have been a mental health therapist for 30 years. My specialty is working with clients who struggle with depression, anxiety, stress management, and relationships issues. I believe that you need to play the starring role in your own life, so let's work together to get you where you want to be.
![Photo of Gabriel Adrian Cardenas, LMFT, MA, Marriage & Family Therapist](https://photos.psychologytoday.com/fd927d41-5372-41e2-8fee-c596fa96f11c/2/320x400.jpeg)
Gabriel A. Cardenas, MFT, MA is BILINGUAL in SPANISH and ENGLISH, Gabriel’s greatest passion is to bring healing and transformation to individuals and families who have experienced a TRAUMATIC or STRESSFUL experience. Gabriel has vast experience in treating people who struggle with DEPRESSION, ANXIETY, ANGER, and TRAUMA using cognitive behavioral therapy. He employs a family systems approach to address communication and relational issues with families. In addition, Gabriel loves to work with COUPLES who want to achieve their RELATIONSHIP GOALS—believing that a love that’s alive is also constantly evolving.
Gabriel A. Cardenas, MFT, MA is BILINGUAL in SPANISH and ENGLISH, Gabriel’s greatest passion is to bring healing and transformation to individuals and families who have experienced a TRAUMATIC or STRESSFUL experience. Gabriel has vast experience in treating people who struggle with DEPRESSION, ANXIETY, ANGER, and TRAUMA using cognitive behavioral therapy. He employs a family systems approach to address communication and relational issues with families. In addition, Gabriel loves to work with COUPLES who want to achieve their RELATIONSHIP GOALS—believing that a love that’s alive is also constantly evolving.
![Photo of Kristina Thomas, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b7822b36-8c40-4656-b8b5-dedf233a4844/2/320x400.png)
Hello! I'm really glad you are here. It shows you are ready to take a step forward in your healing journey. I believe no two clients are alike therefore each session with me will be a unique experience. During our time together, you are in control and I’m merely a guide assisting you on your journey. I am there to light the way by not only providing support and validation but also to share the tools I’ve picked up along the way.
Hello! I'm really glad you are here. It shows you are ready to take a step forward in your healing journey. I believe no two clients are alike therefore each session with me will be a unique experience. During our time together, you are in control and I’m merely a guide assisting you on your journey. I am there to light the way by not only providing support and validation but also to share the tools I’ve picked up along the way.
![Photo of Cloie Mcphail, MA, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/2fc2c6c8-3bb7-4ec9-a2dc-e23e3492beeb/2/320x400.jpeg)
I have a specialty in working with members of the LGBTQIA community. I consider and provide care that is specific to the needs of these individuals. I am able to provide individual, family, couples, and group therapy to these clients. I assist in linking clients to medical professionals, if necessary, for living an authentic life and affirming their gender identity. I have knowledge specific to issues of this population including sexual orientation and gender exploration, gender transition, gender dysphoria, relationship and sexual issues, and family/social issues.
I have a specialty in working with members of the LGBTQIA community. I consider and provide care that is specific to the needs of these individuals. I am able to provide individual, family, couples, and group therapy to these clients. I assist in linking clients to medical professionals, if necessary, for living an authentic life and affirming their gender identity. I have knowledge specific to issues of this population including sexual orientation and gender exploration, gender transition, gender dysphoria, relationship and sexual issues, and family/social issues.
![Photo of Dr. Anne Adrian, PhD, LCPC, PEL:SC, ACS, Counselor](https://photos.psychologytoday.com/3e474c22-304c-4455-bbc2-d50271ca2a86/3/320x400.jpeg)
Dr. Anne Adrian specializes in helping people with overall wellness - bringing yourself back to who you truly are at your core. She meets you where you are in a non-judgmental, safe space. Anne believes that counseling is like a puzzle and it is her job to help put the puzzle pieces together. She likes to focus on the solutions, rather than stay with the problem. Anne uses specific counseling techniques that allow you to feel more empowered with your situation. It is her hope that you will be able to work through your concerns and move forward in life.
Dr. Anne Adrian specializes in helping people with overall wellness - bringing yourself back to who you truly are at your core. She meets you where you are in a non-judgmental, safe space. Anne believes that counseling is like a puzzle and it is her job to help put the puzzle pieces together. She likes to focus on the solutions, rather than stay with the problem. Anne uses specific counseling techniques that allow you to feel more empowered with your situation. It is her hope that you will be able to work through your concerns and move forward in life.
![Photo of Ashley Denny, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/9bc60922-ec99-4f8a-9a94-504d1cf63971/1/320x400.jpeg)
Ashley Denny is a Licensed Professional Counselor in Illinois. She has a Bachelor of Arts in Psychology and Women & Gender Studies and a Master of Arts in Clinical Mental Health Counseling. Ashley believes one of the bravest tasks a person can do is begin to understand their own story. She values creating a safe, inclusive, affirming, and empowering space for all her clients. Sometimes we might feel alone or lost or that no one could possibly understand how we are feeling. We are all unique and have a story to tell, and you deserve to feel better.
Ashley Denny is a Licensed Professional Counselor in Illinois. She has a Bachelor of Arts in Psychology and Women & Gender Studies and a Master of Arts in Clinical Mental Health Counseling. Ashley believes one of the bravest tasks a person can do is begin to understand their own story. She values creating a safe, inclusive, affirming, and empowering space for all her clients. Sometimes we might feel alone or lost or that no one could possibly understand how we are feeling. We are all unique and have a story to tell, and you deserve to feel better.
![Photo of Renyce Ward, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e6ceb30c-e2cf-4057-ab51-7bd14ade34af/2/320x400.jpeg)
Renyce Ward is a Licensed Social Worker in Illinois who has been practicing since 2024. She has a BS in Psychology from University of Illinois Champaign-Urbana, a Masters of Social Work from University of Illinois Champaign-Urbana and a Trauma-Informed Educational Practices Certification from North Central College. Renyce helps support the social-emotional needs of individuals by providing a safe and non-judgmental environment where together, they will explore areas of strengths and challenges.
Renyce Ward is a Licensed Social Worker in Illinois who has been practicing since 2024. She has a BS in Psychology from University of Illinois Champaign-Urbana, a Masters of Social Work from University of Illinois Champaign-Urbana and a Trauma-Informed Educational Practices Certification from North Central College. Renyce helps support the social-emotional needs of individuals by providing a safe and non-judgmental environment where together, they will explore areas of strengths and challenges.
![Photo of Gina Weber - LifeStance Health, LCPC, Counselor](https://photos.psychologytoday.com/f86af71c-cfc0-453a-bd3c-c1b2106d1864/1/320x400.jpeg)
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
![Photo of Deborah Brozewski, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/8cc5574b-0bc7-4f95-b9b0-06a5f84e5cb6/2/320x400.jpeg)
Deb Brozewski, LCPC, CADC, is collaborative and non-judgmental, knowing the decision to enter therapy can be difficult. Deb assists clients in assessing and developing strengths to empower positive and healthy decisions. Deb received both a BA and an MA from Northern Illinois University. She has extensive experience working with adolescents and adults struggling with substance abuse, anxiety, depression, and mood disorders. Deb also has a passion for working with the LGBTQIA+ community and is attune to the obstacles that individuals of this community may face.
Deb Brozewski, LCPC, CADC, is collaborative and non-judgmental, knowing the decision to enter therapy can be difficult. Deb assists clients in assessing and developing strengths to empower positive and healthy decisions. Deb received both a BA and an MA from Northern Illinois University. She has extensive experience working with adolescents and adults struggling with substance abuse, anxiety, depression, and mood disorders. Deb also has a passion for working with the LGBTQIA+ community and is attune to the obstacles that individuals of this community may face.
![Photo of Sandra Rincon, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a49ac06e-3a0c-447f-92f3-a2999b8fa39d/1/320x400.jpeg)
Sandra Rincon is a Licensed Clinical Social Worker in Illinois who has been practicing since 2017. She graduated from the University of St. Francis with a Bachelor's of Social Work and from Aurora University with a Master's of Social Work. Sandra has experience with working in communitybased mental health alongside first responders as a police social worker with a background in suicide prevention, grief, and crisis stabilization. She has competency in working with individuals that have experienced symptoms of trauma, depression, anxiety, substance use, and needing crisis stabilization.
Sandra Rincon is a Licensed Clinical Social Worker in Illinois who has been practicing since 2017. She graduated from the University of St. Francis with a Bachelor's of Social Work and from Aurora University with a Master's of Social Work. Sandra has experience with working in communitybased mental health alongside first responders as a police social worker with a background in suicide prevention, grief, and crisis stabilization. She has competency in working with individuals that have experienced symptoms of trauma, depression, anxiety, substance use, and needing crisis stabilization.
![Photo of Dean Rashkow, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c74eb5a-d6d2-4584-97b5-8333f0de2350/2/320x400.jpeg)
Dean Rashkow is a Licensed Clinical Social Worker in Illinois who has been practicing since 2018. He received a BA in Criminal Justice and a Master of Social Work degree from Aurora University. Dean has counseling experience with couples, families, and individuals from 12 to 84. He also has experience treating people with mental health and developmental diagnosis. Dean has the ability to work in chaotic environments, lower the chaos, and help people hear each other.
Dean Rashkow is a Licensed Clinical Social Worker in Illinois who has been practicing since 2018. He received a BA in Criminal Justice and a Master of Social Work degree from Aurora University. Dean has counseling experience with couples, families, and individuals from 12 to 84. He also has experience treating people with mental health and developmental diagnosis. Dean has the ability to work in chaotic environments, lower the chaos, and help people hear each other.
15 Second Videos
![Photo of Laura Kenward, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/41004bc5-a331-429c-a43e-408ff7222b35/1/320x400.png)
Laura Kenward is a Licensed Social Worker with a special interest in identity formation, breaking shame cycles, and mending communication barriers. Her approach is to listen first to allow her clients space to share their story and struggles without judgment. She aims to assist her clients to recognize their own potential, build their inner and outer resources, and embrace their individuality. She values creating a safe and comfortable therapeutic environment. Laura sees individuals aged 11 and up as well as families and couples.
Laura Kenward is a Licensed Social Worker with a special interest in identity formation, breaking shame cycles, and mending communication barriers. Her approach is to listen first to allow her clients space to share their story and struggles without judgment. She aims to assist her clients to recognize their own potential, build their inner and outer resources, and embrace their individuality. She values creating a safe and comfortable therapeutic environment. Laura sees individuals aged 11 and up as well as families and couples.
![Photo of Kathy Smith, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/61409e90-134d-477f-b040-54b9c6f9c93e/1/320x400.jpeg)
My career in psychology began with graduate study at The Chicago School of Professional Psychology (Chicago, IL), which included a certificate in Trauma-Focused Behavioral Therapy, followed by completion of a Master of Science degree in Clinical Psychology from Benedictine University (Lisle, IL). My practice is grounded in positive, humanistic values that encourage personal growth and healing with a variety of treatment modalities.
My career in psychology began with graduate study at The Chicago School of Professional Psychology (Chicago, IL), which included a certificate in Trauma-Focused Behavioral Therapy, followed by completion of a Master of Science degree in Clinical Psychology from Benedictine University (Lisle, IL). My practice is grounded in positive, humanistic values that encourage personal growth and healing with a variety of treatment modalities.
![Photo of Regina Weber, MA, LCPC](https://photos.psychologytoday.com/f6dbfdc8-50c0-48b5-a624-5b923a1a4253/1/320x400.jpeg)
Regina Weber
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Montgomery, IL 60538
Gina Weber, LCPC, is dedicated to helping individuals in Illinois navigate life's challenges by providing compassionate and effective therapy tailored to each client's unique needs. With a focus on skillbuilding and practical strategies, Gina utilizes Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Motivational Interviewing to help clients develop emotional regulation and achieve their personal goals. Gina’s approach is rooted in creating a warm, welcoming environment infused with humor, making therapy both supportive and engaging.
Gina Weber, LCPC, is dedicated to helping individuals in Illinois navigate life's challenges by providing compassionate and effective therapy tailored to each client's unique needs. With a focus on skillbuilding and practical strategies, Gina utilizes Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Motivational Interviewing to help clients develop emotional regulation and achieve their personal goals. Gina’s approach is rooted in creating a warm, welcoming environment infused with humor, making therapy both supportive and engaging.
![Photo of Ryan Muir, LCP, Licensed Professional Counselor](https://photos.psychologytoday.com/7d6337a0-de39-48ca-b436-f3f1a6906e01/2/320x400.jpeg)
Ryan Muir is a Licensed Professional Counselor in Illinois. He has an MS in Clinical Mental Health/Addiction from National Louis University and a BA in Accounting from North Central College. As a person with a disability, Ryan leads his life with the mindset of "differently abled" rather than "disabled. " This mindset carries over into his therapeutic approach. Finding a balance between out-of-the-box thinking and openness for growth and change can become incredibly healing.
Ryan Muir is a Licensed Professional Counselor in Illinois. He has an MS in Clinical Mental Health/Addiction from National Louis University and a BA in Accounting from North Central College. As a person with a disability, Ryan leads his life with the mindset of "differently abled" rather than "disabled. " This mindset carries over into his therapeutic approach. Finding a balance between out-of-the-box thinking and openness for growth and change can become incredibly healing.
![Photo of Sandra Dunn, LCPC, Counselor](https://photos.psychologytoday.com/9876f61e-2d60-44d1-a9b0-dae98ccfc47e/1/320x400.jpeg)
As a counselor, I believe we all strive to live happy, healthy, successful, and independent lives, but sometimes find the stresses of our every day responsibilities to be overwhelming. This is where counseling can make a difference. Counseling has long been a proven tool in the successful management of stress. My office is a safe space to explore any number of private topics you may want to discuss such as wellness, depression, anxiety, trauma, or other areas of concern. We will meet to discuss these important issues and work collaboratively to help you reach your goals.
As a counselor, I believe we all strive to live happy, healthy, successful, and independent lives, but sometimes find the stresses of our every day responsibilities to be overwhelming. This is where counseling can make a difference. Counseling has long been a proven tool in the successful management of stress. My office is a safe space to explore any number of private topics you may want to discuss such as wellness, depression, anxiety, trauma, or other areas of concern. We will meet to discuss these important issues and work collaboratively to help you reach your goals.
![Photo of Starlene Kelley, LCSW, CADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/51f812f0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Starlene Kelley
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
1 Endorsed
Montgomery, IL 60538
My approach is direct, collaborative, and full of humor. Using Interpersonal Therapy, ACT, EMDR for trauma, and CBT, we’ll dive into what you’d like to change—whether it's in your relationships, mindset, or how you handle stress—and find practical solutions. Expect a focused, engaging environment where we’ll laugh along the way and make real progress.
My approach is direct, collaborative, and full of humor. Using Interpersonal Therapy, ACT, EMDR for trauma, and CBT, we’ll dive into what you’d like to change—whether it's in your relationships, mindset, or how you handle stress—and find practical solutions. Expect a focused, engaging environment where we’ll laugh along the way and make real progress.
![Photo of Joy Lockett, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/333285e1-1059-456b-9f7d-3a97f1073cf6/2/320x400.png)
Joy uses her compassion and down-to-earth nature to provide an environment where clients can feel safe to be their authentic selves. She understands that seeking change, or something different, is not an easy process. Joy forms collaborative partnerships with her clients when developing therapeutic goals and a plan for care. She uses mindfulness, empathy and insight to aid in the empowerment of clients. In addition, Joy also utilizes a varity of therapy techniques.
Joy uses her compassion and down-to-earth nature to provide an environment where clients can feel safe to be their authentic selves. She understands that seeking change, or something different, is not an easy process. Joy forms collaborative partnerships with her clients when developing therapeutic goals and a plan for care. She uses mindfulness, empathy and insight to aid in the empowerment of clients. In addition, Joy also utilizes a varity of therapy techniques.
![Photo of Mistie Drews, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5e06c3a6-9638-4fb7-b4d9-631857d566b7/2/320x400.jpeg)
Mistie Drews is a Licensed Clinical Social Worker in Illinois who has been practicing since 2016. Mistie strives to provide a safe, nonjudgmental space to provide therapy. She specializes in addictions and trauma. Mistie also has experience with family and couples and individual therapy. CBT and DBT are methods she has used. In her spare time, Mistie enjoys being near any body of water. She believes in good self-care as therapists for our own mental health. A sense of humor is so important! She has two kids that are now young adults.
Mistie Drews is a Licensed Clinical Social Worker in Illinois who has been practicing since 2016. Mistie strives to provide a safe, nonjudgmental space to provide therapy. She specializes in addictions and trauma. Mistie also has experience with family and couples and individual therapy. CBT and DBT are methods she has used. In her spare time, Mistie enjoys being near any body of water. She believes in good self-care as therapists for our own mental health. A sense of humor is so important! She has two kids that are now young adults.
![Photo of Diana Ascencio, LCSW, CPAIP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f7ca72b0-d5c9-47f2-9f88-b9d4c1d5b576/1/320x400.jpeg)
I strive to provide services to anyone feeling misunderstood, unheard, lost or struggling with the next stage in their life. Society can have a picture of what our lives should look like and how we should feel when certain events happen to us, it can get hard when we do not fit into that picture. Sometimes all we need is someone to listen and to validate our emotions to be able to find ourselves.
I strive to provide services to anyone feeling misunderstood, unheard, lost or struggling with the next stage in their life. Society can have a picture of what our lives should look like and how we should feel when certain events happen to us, it can get hard when we do not fit into that picture. Sometimes all we need is someone to listen and to validate our emotions to be able to find ourselves.
See more therapy options for Montgomery
Nearby Searches for Montgomery
- Aurora
- Batavia
- Bolingbrook
- Geneva
- Naperville
- North Aurora
- Oswego
- Plainfield
- Plano
- Sugar Grove
- Warrenville
- Yorkville
How does your Therapist compare?
Number of Therapists in Montgomery, IL
40+
Average cost per session
$142
Therapists in Montgomery, IL who prioritize treating:
98% | Anxiety |
93% | Depression |
82% | Life Transitions |
73% | Trauma and PTSD |
67% | Grief |
62% | Relationship Issues |
60% | Bipolar Disorder |
Average years in practice
14 Years
Top 3 insurances accepted
95% | BlueCross and BlueShield |
91% | Cigna and Evernorth |
86% | Aetna |
How Therapists in Montgomery, IL see their clients
83% | In Person and Online | |
17% | Online Only |
Gender breakdown
81% | Female | |
17% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Montgomery?
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
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.
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.
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.