Therapists in Phoenixville, PA

Photo of Jessica Benzing, Clinical Social Work/Therapist in Phoenixville, PA
Jessica Benzing
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Phoenixville, PA 19460
Are you struggling with wanting change and not knowing how to start? Are you dealing with worry, sadness or relationship struggles? Are you wanting to work through trauma from your past and not able to navigate that on your own? If you identify with these questions I may be the right therapist for you.
Are you struggling with wanting change and not knowing how to start? Are you dealing with worry, sadness or relationship struggles? Are you wanting to work through trauma from your past and not able to navigate that on your own? If you identify with these questions I may be the right therapist for you.
(610) 859-4858 View (610) 859-4858
Photo of Helen Dean, Licensed Professional Counselor in Phoenixville, PA
Helen Dean
Licensed Professional Counselor, MA, LBS, NCC
Verified Verified
2 Endorsed
Phoenixville, PA 19460
Dealing with life changes can be difficult and confusing. Sometimes you just need someone to help you talk through your thoughts and create a plan, other times you may want to make a serious change within yourself. No matter what your reasoning, having someone to talk with will help. Therapy can help give you back your power and peace of mind. I specialize in areas of anxiety, depression, and believe that not everyone requires a diagnosis to get the help they need.
Dealing with life changes can be difficult and confusing. Sometimes you just need someone to help you talk through your thoughts and create a plan, other times you may want to make a serious change within yourself. No matter what your reasoning, having someone to talk with will help. Therapy can help give you back your power and peace of mind. I specialize in areas of anxiety, depression, and believe that not everyone requires a diagnosis to get the help they need.
(610) 320-2588 View (610) 320-2588
Photo of Leah Horn, Licensed Professional Counselor in Phoenixville, PA
Leah Horn
Licensed Professional Counselor, MSEd, NCC, LPC
Verified Verified
Phoenixville, PA 19460
Therapy is a journey that can be beneficial for people at any stage of life; whether it's to adjust to parenthood, overcome fear, process loss, build self esteem, practice more self care, reduce anxiety, or to simply have a safe space to talk about the beauty and hardships in life. I am here for you and with you at whatever stage of life you may be in. I believe in the importance of having a strong and trusting relationship with your therapist. You can expect to always be met with empathy, understanding, and kindness when meeting with me. I believe that when relationships are strong, change is even stronger.
Therapy is a journey that can be beneficial for people at any stage of life; whether it's to adjust to parenthood, overcome fear, process loss, build self esteem, practice more self care, reduce anxiety, or to simply have a safe space to talk about the beauty and hardships in life. I am here for you and with you at whatever stage of life you may be in. I believe in the importance of having a strong and trusting relationship with your therapist. You can expect to always be met with empathy, understanding, and kindness when meeting with me. I believe that when relationships are strong, change is even stronger.
(610) 600-6856 View (610) 600-6856
Photo of Teresa Helen Jennings, Licensed Professional Counselor in Phoenixville, PA
Teresa Helen Jennings
Licensed Professional Counselor, MA, LPC, ATR-BC
Verified Verified
1 Endorsed
Phoenixville, PA 19460
If you are tired of things as they are and need a change - it's time to take that step! Have you felt anxious, stressed, sad, lonely, misunderstood, disconnected, and overwhelmed? Have you come to find that your view of yourself and the way you experience relationships prevents you from finding happiness or meaning? Having a safe space - and taking the time to reflect is crucial. Reconsidering how you view yourself - and the way you relate to those around you - can shift your perspective. This can lead to personal enrichment and healthier boundaries in your life and relationships.
If you are tired of things as they are and need a change - it's time to take that step! Have you felt anxious, stressed, sad, lonely, misunderstood, disconnected, and overwhelmed? Have you come to find that your view of yourself and the way you experience relationships prevents you from finding happiness or meaning? Having a safe space - and taking the time to reflect is crucial. Reconsidering how you view yourself - and the way you relate to those around you - can shift your perspective. This can lead to personal enrichment and healthier boundaries in your life and relationships.
(484) 878-5909 View (484) 878-5909
Photo of The Adolescent Connection Life Coaching in Phoenixville, PA
The Adolescent Connection Life Coaching
MEd, MCLC
Verified Verified
Phoenixville, PA 19460
I have specialized in helping adolescents and young adults for 30 years. I have a unique understanding of the challenges that they are trying to navigate. From social media, developing healthy relationships with friends and family making choices about their next steps in life and helping them to gain a stronger sense of self. This is a personal journey, one that I am honored to be a part of. Together we will identify the challenges that are interfering with their quality of life, then we will develop an individualized plan to move forward. I invite you to come in, have a seat, take a breath and your first step forward.
I have specialized in helping adolescents and young adults for 30 years. I have a unique understanding of the challenges that they are trying to navigate. From social media, developing healthy relationships with friends and family making choices about their next steps in life and helping them to gain a stronger sense of self. This is a personal journey, one that I am honored to be a part of. Together we will identify the challenges that are interfering with their quality of life, then we will develop an individualized plan to move forward. I invite you to come in, have a seat, take a breath and your first step forward.
(484) 601-5339 View (484) 601-5339
Photo of Mallory Pambianchi, Counselor in Phoenixville, PA
Mallory Pambianchi
Counselor, LPC
Verified Verified
Phoenixville, PA 19460  (Online Only)
Hello and Welcome! My name is Mallory and I have over 16 years of experience as a therapist working with a variety of individuals; adults, children and families. I am a culturally sensitive therapist who believes each person has an entirely unique experience and story. I received my Master's in Clinical Psychology in 2007 and am a licensed professional counselor and licensed behavior specialist.
Hello and Welcome! My name is Mallory and I have over 16 years of experience as a therapist working with a variety of individuals; adults, children and families. I am a culturally sensitive therapist who believes each person has an entirely unique experience and story. I received my Master's in Clinical Psychology in 2007 and am a licensed professional counselor and licensed behavior specialist.
(484) 435-7608 View (484) 435-7608
Photo of Jessica Ventura, Licensed Professional Counselor in Phoenixville, PA
Jessica Ventura
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Phoenixville, PA 19460  (Online Only)
My name is Jess, I have experience working with adults, teens, adolescents, children & family systems. My specialties are treating trauma related disorders, adolescent and teen adjustment issues, emotional & behavioral regulation concerns, grief/loss and identity development. I also specialize in treating anxiety and depression. I am trained and certified in Eye Movement Desensitization Therapy (EMDR). I utilize Psychodynamic, Emotion Focused, and Cognitive Behavioral Therapy tools and techniques to help clients recognize, accept, and cope with feelings generated by their past and present experiences.
My name is Jess, I have experience working with adults, teens, adolescents, children & family systems. My specialties are treating trauma related disorders, adolescent and teen adjustment issues, emotional & behavioral regulation concerns, grief/loss and identity development. I also specialize in treating anxiety and depression. I am trained and certified in Eye Movement Desensitization Therapy (EMDR). I utilize Psychodynamic, Emotion Focused, and Cognitive Behavioral Therapy tools and techniques to help clients recognize, accept, and cope with feelings generated by their past and present experiences.
(484) 218-4620 View (484) 218-4620
Photo of Jeremy Atkins, Psychologist in Phoenixville, PA
Jeremy Atkins
Psychologist, PsyD
Verified Verified
Phoenixville, PA 19460
Since starting in the field about 20 years ago, I have had the privilege of working therapeutically with diverse populations in various clinics, hospitals, and schools. Over the past several years I have focused on treating clinical and forensic clients through my private practice. I am currently accepting new clients to be seen either virtually or in person at my office in Phoenixville, PA.
Since starting in the field about 20 years ago, I have had the privilege of working therapeutically with diverse populations in various clinics, hospitals, and schools. Over the past several years I have focused on treating clinical and forensic clients through my private practice. I am currently accepting new clients to be seen either virtually or in person at my office in Phoenixville, PA.
(610) 697-9818 View (610) 697-9818
Photo of Dr. Matt Snyder, Licensed Professional Counselor in Phoenixville, PA
Dr. Matt Snyder
Licensed Professional Counselor, PhD, LPC
Verified Verified
4 Endorsed
Phoenixville, PA 19460
Anxious and stressed about life, work, relationships? Want to get a fresh start and live a more fulfilling life? Do you want to feel better, think better, and get more out of your life, work, and relationships? I have 30 plus years of experience helping people reduce anxiety, change negative self-talk, and become more value driven in their lives. We will work toward improving coping and communication skills, bolstering self-esteem, and promoting emotional, cognitive, and behavioral change. As a team, we will work towards setting life goals, creating healthy relationships, and reducing that stress and anxiety permanently.
Anxious and stressed about life, work, relationships? Want to get a fresh start and live a more fulfilling life? Do you want to feel better, think better, and get more out of your life, work, and relationships? I have 30 plus years of experience helping people reduce anxiety, change negative self-talk, and become more value driven in their lives. We will work toward improving coping and communication skills, bolstering self-esteem, and promoting emotional, cognitive, and behavioral change. As a team, we will work towards setting life goals, creating healthy relationships, and reducing that stress and anxiety permanently.
(484) 546-7160 View (484) 546-7160
Photo of Jessica M Miller, Licensed Professional Counselor in Phoenixville, PA
Jessica M Miller
Licensed Professional Counselor, MA, LPC
Verified Verified
Phoenixville, PA 19460
Are you concerned about changes in your child's mood or behaviors? Are you a parent of a child with social, emotional, or behavioral challenges? Do you struggle to help your child meet these challenges? Do you worry, “Will my child make friends? Will the teachers like my child? What if my child never learns to manage their impulsivity, anxiety, big emotions, social issues?” There is hope.
Are you concerned about changes in your child's mood or behaviors? Are you a parent of a child with social, emotional, or behavioral challenges? Do you struggle to help your child meet these challenges? Do you worry, “Will my child make friends? Will the teachers like my child? What if my child never learns to manage their impulsivity, anxiety, big emotions, social issues?” There is hope.
(484) 739-8863 View (484) 739-8863
Photo of Matt Ercolani, Licensed Professional Counselor in Phoenixville, PA
Matt Ercolani
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
6 Endorsed
Phoenixville, PA 19460
It has been said that in life, it is not the destination, but the journey that is the important part. That may be true, but sometimes, the journey sure is tough to get through! It is my goal as a counselor to walk with you on your journey as you discover aspects of yourself and the world around you so that you can start living your best life.
It has been said that in life, it is not the destination, but the journey that is the important part. That may be true, but sometimes, the journey sure is tough to get through! It is my goal as a counselor to walk with you on your journey as you discover aspects of yourself and the world around you so that you can start living your best life.
(484) 246-7949 View (484) 246-7949
Photo of Heather McDermond, NCC, LPC, Licensed Professional Counselor in Phoenixville, PA
Heather McDermond, NCC, LPC
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Phoenixville, PA 19460
In our lives, we may struggle with anxiety, depression, or stress. If you are feeling distressed from life's uncertainties, counseling may benefit you. In my practice, I work collaboratively with you to identify specific needs that you believe are causing stress and discomfort in your life. My approach is to be an active guide to help you identify your strengths that you already possess, and then utilize those strengths to reach your fullest potential. I utilize research based techniques to help increase your self-awareness and challenge your negative counterproductive patterns to help you achieve your therapeutic goals.
In our lives, we may struggle with anxiety, depression, or stress. If you are feeling distressed from life's uncertainties, counseling may benefit you. In my practice, I work collaboratively with you to identify specific needs that you believe are causing stress and discomfort in your life. My approach is to be an active guide to help you identify your strengths that you already possess, and then utilize those strengths to reach your fullest potential. I utilize research based techniques to help increase your self-awareness and challenge your negative counterproductive patterns to help you achieve your therapeutic goals.
(484) 556-4200 View (484) 556-4200
Photo of Lindsay Rutter, Licensed Professional Counselor in Phoenixville, PA
Lindsay Rutter
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Phoenixville, PA 19460  (Online Only)
I strive to create an environment where my clients will feel safe, valued, and heard. I focus on developing a strong therapeutic alliance which sets the foundation of our work. I specialize in working with bipolar disorder, anxiety disorders, mood disorders, trauma-related issues, relationships, stress management, transitions, grief and loss, self-esteem, and personal growth. My goal is to meet the unique needs of each individual through the use of various treatment modalities and interventions. I utilize a person-centered approach to therapy where the focus is on developing a warm, positive, validating experience.
I strive to create an environment where my clients will feel safe, valued, and heard. I focus on developing a strong therapeutic alliance which sets the foundation of our work. I specialize in working with bipolar disorder, anxiety disorders, mood disorders, trauma-related issues, relationships, stress management, transitions, grief and loss, self-esteem, and personal growth. My goal is to meet the unique needs of each individual through the use of various treatment modalities and interventions. I utilize a person-centered approach to therapy where the focus is on developing a warm, positive, validating experience.
(484) 209-0644 View (484) 209-0644
Photo of Susan E. Schumacher, Licensed Professional Counselor in Phoenixville, PA
Susan E. Schumacher
Licensed Professional Counselor, DA, LPC, LCPC, CCTP
Verified Verified
1 Endorsed
Phoenixville, PA 19460
Are you feeling stuck, anxious or discouraged? Feeling unfulfilled or overwhelmed? Are there issues from the past that seem to intrude into your present life? Do you isolate and avoid? Are you experiencing difficulties with depression, anxiety, relationships, work or sleep issues? You can find relief and move forward in your life. Looking for extra support and guidance through a challenging situation? Are you considering a move in a new direction?
Are you feeling stuck, anxious or discouraged? Feeling unfulfilled or overwhelmed? Are there issues from the past that seem to intrude into your present life? Do you isolate and avoid? Are you experiencing difficulties with depression, anxiety, relationships, work or sleep issues? You can find relief and move forward in your life. Looking for extra support and guidance through a challenging situation? Are you considering a move in a new direction?
(610) 810-1572 View (610) 810-1572
Photo of Alaina Klause, Licensed Professional Counselor in Phoenixville, PA
Alaina Klause
Licensed Professional Counselor, MS, LPC, CCTP
Verified Verified
1 Endorsed
Phoenixville, PA 19460
Starting therapy can be an overwhelming process; you took the first step! I’m happy you're here. I am a Licensed Professional Counselor in Pennsylvania with a person-centered, humanistic approach that fosters an environment in which individuals can feel safe, seen, and heard. I am a Health at Every Size (HAES), gender-affirming clinician, and a Certified Clinical Trauma Professional (& avid Swiftie). If you are looking to unpack, heal, and explore your relationship with yourself and/or with food, you come to the right place.
Starting therapy can be an overwhelming process; you took the first step! I’m happy you're here. I am a Licensed Professional Counselor in Pennsylvania with a person-centered, humanistic approach that fosters an environment in which individuals can feel safe, seen, and heard. I am a Health at Every Size (HAES), gender-affirming clinician, and a Certified Clinical Trauma Professional (& avid Swiftie). If you are looking to unpack, heal, and explore your relationship with yourself and/or with food, you come to the right place.
(610) 298-9356 View (610) 298-9356
Photo of Reach Counseling Services, Marriage & Family Therapist in Phoenixville, PA
Reach Counseling Services
Marriage & Family Therapist, MDiv, DMin, FT, LMFT
Verified Verified
Phoenixville, PA 19460
Reach for the life you were meant to have and reach for your fullest potential. We offer you a helping hand in getting your life where you want it to be. We will help you reach your goals, reach for a future of hope and healing. We offer individual, family, couples and marriage therapy, pastoral counseling and spiritual support in helping you deal with life's challenges and in helping you make what you want out of your life. We specialize in issues of depression; loss and grief; spirituality; couples and family concerns; geriatrics and life transition issues.
Reach for the life you were meant to have and reach for your fullest potential. We offer you a helping hand in getting your life where you want it to be. We will help you reach your goals, reach for a future of hope and healing. We offer individual, family, couples and marriage therapy, pastoral counseling and spiritual support in helping you deal with life's challenges and in helping you make what you want out of your life. We specialize in issues of depression; loss and grief; spirituality; couples and family concerns; geriatrics and life transition issues.
(610) 228-4301 View (610) 228-4301
Photo of Victoria Bailey Blecker, Clinical Social Work/Therapist in Phoenixville, PA
Victoria Bailey Blecker
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Phoenixville, PA 19460
Not accepting new clients
I have had the privilege for over 15 years of working with individuals, couples and families facing a variety of issues such as depression, anxiety, eating disorders, obesity, substance abuse, divorce, loss and life transitions. My past experience at The Renfrew Center in Philadelphia taught me to value the empowerment of my clients to grow and create happier, more fulfilling lives for themselves through the therapeutic process.
I have had the privilege for over 15 years of working with individuals, couples and families facing a variety of issues such as depression, anxiety, eating disorders, obesity, substance abuse, divorce, loss and life transitions. My past experience at The Renfrew Center in Philadelphia taught me to value the empowerment of my clients to grow and create happier, more fulfilling lives for themselves through the therapeutic process.
(301) 605-9892 View (301) 605-9892
Photo of Laurie Mawhinney-Houston, Clinical Social Work/Therapist in Phoenixville, PA
Laurie Mawhinney-Houston
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Phoenixville, PA 19460
Welcome! As a Pennsylvania Licensed Clinical Social Worker, I operate from a bio/psycho/social/spiritual context. We are complex humans with complex stories and needs. I take all aspects of your story into consideration when creating a treatment plan in a collaborative manner so we can best meet your needs and goals. I have worked with people from various cultural, racial, economic, sexual preference/identify and religious backgrounds. Whether you are dealing with depression, anxiety, family conflict, relationship conflict or navigating the stressful and overwhelming world we live in I can help.
Welcome! As a Pennsylvania Licensed Clinical Social Worker, I operate from a bio/psycho/social/spiritual context. We are complex humans with complex stories and needs. I take all aspects of your story into consideration when creating a treatment plan in a collaborative manner so we can best meet your needs and goals. I have worked with people from various cultural, racial, economic, sexual preference/identify and religious backgrounds. Whether you are dealing with depression, anxiety, family conflict, relationship conflict or navigating the stressful and overwhelming world we live in I can help.
(484) 897-6129 View (484) 897-6129
Photo of Laird Family Counseling, LLC, Marriage & Family Therapist in Phoenixville, PA
Laird Family Counseling, LLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
Phoenixville, PA 19460
I am a Licensed Marriage and Family Therapist, working with children, adolescents, families and couples and individual clients. I utilize principles of family systems theory with all clients and believe the family dynamic of every client system is central to client progress. I want to help you learn how to break the negative cycles in your life and help you to live the authentic, healthy and happy life you deserve.
I am a Licensed Marriage and Family Therapist, working with children, adolescents, families and couples and individual clients. I utilize principles of family systems theory with all clients and believe the family dynamic of every client system is central to client progress. I want to help you learn how to break the negative cycles in your life and help you to live the authentic, healthy and happy life you deserve.
(610) 643-4088 View (610) 643-4088
Photo of Marci Kennell, Marriage & Family Therapist in Phoenixville, PA
Marci Kennell
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Phoenixville, PA 19460  (Online Only)
Something has to change and you are ready for it! This is not how you want to continue living your life. Maybe you are feeling completely overwhelmed with anxiety, desperate to break old patterns, and/or ready to process difficult life experiences. I am here to support your journey with a very individualized and holistic approach. My style is warm, collaborative, direct, and down to earth. As a systemic licensed Marriage and Family Therapist, I will help guide you in uncovering the root of the issues by exploring your foundational relationships and experiences and then work together to create sustainable change.
Something has to change and you are ready for it! This is not how you want to continue living your life. Maybe you are feeling completely overwhelmed with anxiety, desperate to break old patterns, and/or ready to process difficult life experiences. I am here to support your journey with a very individualized and holistic approach. My style is warm, collaborative, direct, and down to earth. As a systemic licensed Marriage and Family Therapist, I will help guide you in uncovering the root of the issues by exploring your foundational relationships and experiences and then work together to create sustainable change.
(610) 379-1453 View (610) 379-1453

See more therapy options for Phoenixville

How does your Therapist compare?

Number of Therapists in Phoenixville, PA

100+

Average cost per session

$140

Therapists in Phoenixville, PA who prioritize treating:

95% Anxiety
89% Depression
84% Self Esteem
83% Relationship Issues
72% Trauma and PTSD
68% Stress
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

74% Aetna
66% Highmark
56% BlueCross and BlueShield

How Therapists in Phoenixville, PA see their clients

76% In Person and Online
24% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Phoenixville?

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.