Therapists in Sacramento, CA

View neighborhoods in Sacramento
Photo of Denisha Forch, Marriage & Family Therapist in Sacramento, CA
Denisha Forch
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95829  (Online Only)
Relationships can bring the greatest joys in our life but they can also be the area that causes us the most stress in our lives. Are you having any challenges communicating your needs, setting boundaries, or find yourself in relationship conflicts? Are you interested in having healthy relationships and connections? Or maybe you are looking to find that special person in your life. Whatever it may be I am here to help you gain clarity and direction for your life, yourself, and your relationships. If you would like to make some changes and get the outcomes you are looking for I am accepting new telehealth/online therapy clients.
Relationships can bring the greatest joys in our life but they can also be the area that causes us the most stress in our lives. Are you having any challenges communicating your needs, setting boundaries, or find yourself in relationship conflicts? Are you interested in having healthy relationships and connections? Or maybe you are looking to find that special person in your life. Whatever it may be I am here to help you gain clarity and direction for your life, yourself, and your relationships. If you would like to make some changes and get the outcomes you are looking for I am accepting new telehealth/online therapy clients.
(916) 659-6966 View (916) 659-6966
Photo of Hypnosis with Jaci and Medical Advocate Services in Sacramento, CA
Hypnosis with Jaci and Medical Advocate Services
Verified Verified
Sacramento, CA 95833
I started my career as a Social Worker over 25 years ago. I assisted individuals from all walks of life with behavioral, psychological and physical conditions and diagnoses. In 2009 I began my private Hypnotherapy Practice. When working with relaxation and hypnosis the exciting part is you are working with the subconscious part of the mind where one can rewire the way they want to feel or don't want to feel in a short period of time. Hypnotherapy is an effective and useful tool for any emotional, physical or behavioral issue/condition that someone wants to rid themselves or manage. Hypnosis also is effective to enhance any area.
I started my career as a Social Worker over 25 years ago. I assisted individuals from all walks of life with behavioral, psychological and physical conditions and diagnoses. In 2009 I began my private Hypnotherapy Practice. When working with relaxation and hypnosis the exciting part is you are working with the subconscious part of the mind where one can rewire the way they want to feel or don't want to feel in a short period of time. Hypnotherapy is an effective and useful tool for any emotional, physical or behavioral issue/condition that someone wants to rid themselves or manage. Hypnosis also is effective to enhance any area.
(916) 775-8395 View (916) 775-8395
Photo of Jodie George, Marriage & Family Therapist in Sacramento, CA
Jodie George
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825
In my more than twenty-five years as a healing professional and coming from a background that includes theater, teaching, banking and hospital administration, I have come to view psychotherapy as less a set of scientific procedures than as a healing art. I believe that everyone has a primary need to be heard, seen, and known. I have the experience and sensitivity to gain trust and be totally present with my client's life story and to hear, see, and understand everything I can that will help me assist in the recovery process.
In my more than twenty-five years as a healing professional and coming from a background that includes theater, teaching, banking and hospital administration, I have come to view psychotherapy as less a set of scientific procedures than as a healing art. I believe that everyone has a primary need to be heard, seen, and known. I have the experience and sensitivity to gain trust and be totally present with my client's life story and to hear, see, and understand everything I can that will help me assist in the recovery process.
(530) 732-1363 View (530) 732-1363
Photo of Joanne Nichols Kuchera, Clinical Social Work/Therapist in Sacramento, CA
Joanne Nichols Kuchera
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95816
As a practicing therapist for over 20 years, I have the privilege of working collaboratively with my clients to assist them in finding solutions to their problems and learning how to live life more authentically and with greater joy. Whatever your circumstance, if you're struggling to make changes, therapy and developing greater insight, may be just the energy you need to make the change you want. I believe that everyone has capacity for positive change and personal development, and that working together we can synergistically accomplish greater things than on our own.
As a practicing therapist for over 20 years, I have the privilege of working collaboratively with my clients to assist them in finding solutions to their problems and learning how to live life more authentically and with greater joy. Whatever your circumstance, if you're struggling to make changes, therapy and developing greater insight, may be just the energy you need to make the change you want. I believe that everyone has capacity for positive change and personal development, and that working together we can synergistically accomplish greater things than on our own.
(916) 713-5014 View (916) 713-5014
Photo of Maegan Tanner, Pre-Licensed Professional in Sacramento, CA
Maegan Tanner
Pre-Licensed Professional, AMFT
Verified Verified
1 Endorsed
Sacramento, CA 95816
As a queer relationship and sex therapist, I am passionate about supporting folks create the relationships and sex lives they want! Do you feel overwhelmed, anxious, frustrated and alone in this world as you do your best to connect to others? Maybe social anxiety is holding you back. Maybe you aren’t quite where you want to be in your relationships or career. Maybe adulting is … well… kinda crappy? I use humor, down to earth therapeutic conversations, and evidence-based skills. Visit lovehealgrow.com to learn more or scheduling online today. In person appointments available!
As a queer relationship and sex therapist, I am passionate about supporting folks create the relationships and sex lives they want! Do you feel overwhelmed, anxious, frustrated and alone in this world as you do your best to connect to others? Maybe social anxiety is holding you back. Maybe you aren’t quite where you want to be in your relationships or career. Maybe adulting is … well… kinda crappy? I use humor, down to earth therapeutic conversations, and evidence-based skills. Visit lovehealgrow.com to learn more or scheduling online today. In person appointments available!
(530) 456-4869 View (530) 456-4869
Photo of Stephen Young, Clinical Social Work/Therapist in Sacramento, CA
Stephen Young
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95816
Everyone needs a safe space to reflect, release, reset, and rest. Are you having trouble understanding your mood, thoughts or emotions? Do you lie in bed late at night with thoughts that will not shut off? Are your emotions or thoughts hindering your relationships or professional life? Do you feel your life is not balanced due to the constant pressure to over perform? Do you find yourself neglecting your relationships with your spouse, children or close loved ones? We all need someone we can trust to walk us through the process of understanding and exploring ways to heal, cope and grow into our most authentic self.
Everyone needs a safe space to reflect, release, reset, and rest. Are you having trouble understanding your mood, thoughts or emotions? Do you lie in bed late at night with thoughts that will not shut off? Are your emotions or thoughts hindering your relationships or professional life? Do you feel your life is not balanced due to the constant pressure to over perform? Do you find yourself neglecting your relationships with your spouse, children or close loved ones? We all need someone we can trust to walk us through the process of understanding and exploring ways to heal, cope and grow into our most authentic self.
(530) 461-5940 View (530) 461-5940
Photo of Katya Mills, Marriage & Family Therapist in Sacramento, CA
Katya Mills
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825
Katya (she/they) is a therapist with over 15 years of experience. She graduated from JFK University with a MA in Holistic Counseling Psychology. She believes healing is a creative endeavor unique to each and every one. Life is an adventure with its ups and downs, and the adversaries we face come from within (anxiety, confusion, depression, fear) and without (circumstances, stigma, relationships, trauma). Sometimes we feel small, helpless and hopeless against them. Katya's intention is to develop a healthy alliance with you, and empower you to defeat your adversaries and reach your highest aspirations.
Katya (she/they) is a therapist with over 15 years of experience. She graduated from JFK University with a MA in Holistic Counseling Psychology. She believes healing is a creative endeavor unique to each and every one. Life is an adventure with its ups and downs, and the adversaries we face come from within (anxiety, confusion, depression, fear) and without (circumstances, stigma, relationships, trauma). Sometimes we feel small, helpless and hopeless against them. Katya's intention is to develop a healthy alliance with you, and empower you to defeat your adversaries and reach your highest aspirations.
(916) 702-7354 View (916) 702-7354
Photo of Sarvenaz Sepehri, Psychologist in Sacramento, CA
Sarvenaz Sepehri
Psychologist, PsyD
Verified Verified
Sacramento, CA 95825
I’m a Sacramento native, UCLA Bruin, and clinical psychologist, in chronological order. These days, I work in private practice with teens and adults who are looking to make a change; they’re stumped, though, about where to begin. That’s where my skillset comes in handy. I specialize in a unique type of psychological testing called Therapeutic Assessment. There are only two people certified in California to conduct these types of assessments and I’m one of them. Here's a short breakdown of how it works. While it might not sound intuitive, the questions that puzzle you most are going to guide us. You might be wondering:
I’m a Sacramento native, UCLA Bruin, and clinical psychologist, in chronological order. These days, I work in private practice with teens and adults who are looking to make a change; they’re stumped, though, about where to begin. That’s where my skillset comes in handy. I specialize in a unique type of psychological testing called Therapeutic Assessment. There are only two people certified in California to conduct these types of assessments and I’m one of them. Here's a short breakdown of how it works. While it might not sound intuitive, the questions that puzzle you most are going to guide us. You might be wondering:
(916) 347-5743 View (916) 347-5743
Photo of Kirsten Leitner, Marriage & Family Therapist in Sacramento, CA
Kirsten Leitner
Marriage & Family Therapist, LMFT, MA
Verified Verified
Sacramento, CA 95811
Waitlist for new clients
As an ally in the healing process I am committed to honoring your uniqueness. Your experiences, emotions and perspectives are uniquely personal to you - and so are your solutions. By focusing on your strengths and inspirations I help you discover, use and "own" the parts of yourself that are most authentic. Whether you come to therapy seeking relief from identifiable pain or distress, or whether you come to discover something new about yourself, I believe that something in you already knows what you need. I can help you recognize and connect to this innately wise part of you.
As an ally in the healing process I am committed to honoring your uniqueness. Your experiences, emotions and perspectives are uniquely personal to you - and so are your solutions. By focusing on your strengths and inspirations I help you discover, use and "own" the parts of yourself that are most authentic. Whether you come to therapy seeking relief from identifiable pain or distress, or whether you come to discover something new about yourself, I believe that something in you already knows what you need. I can help you recognize and connect to this innately wise part of you.
(916) 299-3626 View (916) 299-3626
Photo of Ivonne Melgar, Clinical Social Work/Therapist in Sacramento, CA
Ivonne Melgar
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95811
Do you often feel anxious, sad, or resentful in relationships? Perhaps you believe you can’t have the relationships you want or find yourself asking “why does this keep happening to me?” You might have a pattern of choosing partners who are emotionally unavailable. You know something feels off, but you’re not exactly sure why or what to do about it. If any of these signs are familiar, it’s okay. It’s not your fault and you’re not broken. I work with women to resolve old trauma wounds and learn new ways of relating with themselves and others. My approach is both clinical and casual and my medicine is warm, funny and nurturing.
Do you often feel anxious, sad, or resentful in relationships? Perhaps you believe you can’t have the relationships you want or find yourself asking “why does this keep happening to me?” You might have a pattern of choosing partners who are emotionally unavailable. You know something feels off, but you’re not exactly sure why or what to do about it. If any of these signs are familiar, it’s okay. It’s not your fault and you’re not broken. I work with women to resolve old trauma wounds and learn new ways of relating with themselves and others. My approach is both clinical and casual and my medicine is warm, funny and nurturing.
(916) 318-3121 View (916) 318-3121
Photo of Jennifer Christeson, Clinical Social Work/Therapist in Sacramento, CA
Jennifer Christeson
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95823
Allow me to be your guide as we work together to identify and harness your strengths, empowering you to achieve your personal, professional and relationship goals. Heal old wounds while you cultivate self compassion and create lasting change. I utilize an eclectic approach drawing from strength based, mindfulness based cognitive, solutions focused brief , and gottman couples therapies and have over 30 years experience working with individuals, couples and groups .
Allow me to be your guide as we work together to identify and harness your strengths, empowering you to achieve your personal, professional and relationship goals. Heal old wounds while you cultivate self compassion and create lasting change. I utilize an eclectic approach drawing from strength based, mindfulness based cognitive, solutions focused brief , and gottman couples therapies and have over 30 years experience working with individuals, couples and groups .
(916) 659-7812 View (916) 659-7812
Photo of Samaria Parada, Marriage & Family Therapist Associate in Sacramento, CA
Samaria Parada
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Sacramento, CA 95816
I help​ individuals and couples who are feeling stuck, worried, or unsure of things as they hope for better in the future. You can experience more fulfillment in your life and relationships! I’m here to support you.
I help​ individuals and couples who are feeling stuck, worried, or unsure of things as they hope for better in the future. You can experience more fulfillment in your life and relationships! I’m here to support you.
(530) 261-8615 View (530) 261-8615
Photo of Brace Bacon, Marriage & Family Therapist in Sacramento, CA
Brace Bacon
Marriage & Family Therapist
Verified Verified
Sacramento, CA 94203  (Online Only)
Your culture impacts the way you view the world, the way it views you, and your experience in seeking therapy. As someone who identifies as LGBTQIA+ and a man of color, I understand the importance of inclusion. I am here to help you navigate anxieties, depression, romantic and peer relationships, career choices, sexual orientation, parenting, self-esteem, and recovery support. Our time together will be collaborative and an opportunity for growth where I see my role as someone walking alongside you.
Your culture impacts the way you view the world, the way it views you, and your experience in seeking therapy. As someone who identifies as LGBTQIA+ and a man of color, I understand the importance of inclusion. I am here to help you navigate anxieties, depression, romantic and peer relationships, career choices, sexual orientation, parenting, self-esteem, and recovery support. Our time together will be collaborative and an opportunity for growth where I see my role as someone walking alongside you.
(323) 405-7255 View (323) 405-7255
Photo of Jenelle Okkerse, Marriage & Family Therapist in Sacramento, CA
Jenelle Okkerse
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95826
I have spent the last 20 years providing mental health services to children and adults as I feel it is my calling. I am systems oriented as I do not believe that we exist in a vacuum. We are all influenced by the environment we live in. There are times when we all need assistance in navigating our individual systems.
I have spent the last 20 years providing mental health services to children and adults as I feel it is my calling. I am systems oriented as I do not believe that we exist in a vacuum. We are all influenced by the environment we live in. There are times when we all need assistance in navigating our individual systems.
(916) 659-8028 View (916) 659-8028
Photo of Susan Harrison, Marriage & Family Therapist in Sacramento, CA
Susan Harrison
Marriage & Family Therapist, MFT
Verified Verified
8 Endorsed
Sacramento, CA 95864  (Online Only)
I commend you for reaching out to the possibilities therapy may offer. Change begins in this moment. Life can feel unmanageable. We experience the joys and challenges of relationships. The relationship may be with ourselves: inner struggles, uncertain goals, questioned values, addictive tendencies and confusion as to why we "do what we do". The relationship may be with another. The relationship may call upon us to clarify our expectations, to establish personal boundaries, to develop flexibility, to reflect on co-dependence, to improve our communication style and to open ourselves to change.
I commend you for reaching out to the possibilities therapy may offer. Change begins in this moment. Life can feel unmanageable. We experience the joys and challenges of relationships. The relationship may be with ourselves: inner struggles, uncertain goals, questioned values, addictive tendencies and confusion as to why we "do what we do". The relationship may be with another. The relationship may call upon us to clarify our expectations, to establish personal boundaries, to develop flexibility, to reflect on co-dependence, to improve our communication style and to open ourselves to change.
(916) 571-9164 View (916) 571-9164
Photo of Kristine Estrada, Pre-Licensed Professional in Sacramento, CA
Kristine Estrada
Pre-Licensed Professional, ACSW
Verified Verified
Sacramento, CA 95811
I applaud you for the courage it takes to explore personal change and enrich your life to achieve your personal goals. I assure you that whatever fears, regrets, resentment or grief you are carrying, you are not alone and there is a path to a lighter and brighter life. I believe that therapy is an opportunity to explore your inner wisdom as you navigate solutions to life experiences. I cultivate a welcoming, supportive and safe environment while understanding what "speaks" to you for therapy to be effective. Each person is unique, therefore my therapeutic approach is tailored to match the needs of the individual and situation.
I applaud you for the courage it takes to explore personal change and enrich your life to achieve your personal goals. I assure you that whatever fears, regrets, resentment or grief you are carrying, you are not alone and there is a path to a lighter and brighter life. I believe that therapy is an opportunity to explore your inner wisdom as you navigate solutions to life experiences. I cultivate a welcoming, supportive and safe environment while understanding what "speaks" to you for therapy to be effective. Each person is unique, therefore my therapeutic approach is tailored to match the needs of the individual and situation.
(916) 252-4901 View (916) 252-4901
Photo of Alexandra Rosenblum, Marriage & Family Therapist in Sacramento, CA
Alexandra Rosenblum
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825  (Online Only)
Alexandra Garcia-Rosenblum is a licensed marriage and family therapist (LMFT) who has been practicing since 2017. She graduated from University of California, Santa Barbara in 2015 with a degree in psychology and double minors in Spanish and Applied Psychology, and graduated from Chapman University in 2018 with a degree in Marriage and Family Therapy. Alex believes that everybody needs a safe space in order to thrive, and provides a safe, relatable, and supportive environment using a multicultural lens to meet each client where they are at.
Alexandra Garcia-Rosenblum is a licensed marriage and family therapist (LMFT) who has been practicing since 2017. She graduated from University of California, Santa Barbara in 2015 with a degree in psychology and double minors in Spanish and Applied Psychology, and graduated from Chapman University in 2018 with a degree in Marriage and Family Therapy. Alex believes that everybody needs a safe space in order to thrive, and provides a safe, relatable, and supportive environment using a multicultural lens to meet each client where they are at.
(916) 545-3887 View (916) 545-3887
Photo of Megan Bell, Marriage & Family Therapist in Sacramento, CA
Megan Bell
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95816
Growing up can be tough, and at times it might feel like everything you try when supporting your child isn't working, leaving you frustrated, tired and maybe even overwhelmed. I work to support children, teens and young adults as they work to conquer their current life obstacles and nurture their inner strengths.
Growing up can be tough, and at times it might feel like everything you try when supporting your child isn't working, leaving you frustrated, tired and maybe even overwhelmed. I work to support children, teens and young adults as they work to conquer their current life obstacles and nurture their inner strengths.
(916) 269-4965 View (916) 269-4965
Photo of Lisa Prahl, Clinical Social Work/Therapist in Sacramento, CA
Lisa Prahl
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 95825  (Online Only)
Hello- I have worked with adults and children for the duration of my 27 year long career. I have extensive experience with clients of different age groups, ethnicities, trauma histories, and life transitions. Feelings of loss, depression or anxiety, and adjustment can be difficult to manage in today's world. The world is changing every day - everyone needs assistance now and again. My goal in therapy with you is to create a safe compassionate experience where you can share your feelings and emotions.
Hello- I have worked with adults and children for the duration of my 27 year long career. I have extensive experience with clients of different age groups, ethnicities, trauma histories, and life transitions. Feelings of loss, depression or anxiety, and adjustment can be difficult to manage in today's world. The world is changing every day - everyone needs assistance now and again. My goal in therapy with you is to create a safe compassionate experience where you can share your feelings and emotions.
(424) 340-7707 View (424) 340-7707
Photo of Jeri White, Associate Professional Clinical Counselor in Sacramento, CA
Jeri White
Associate Professional Clinical Counselor, APCC
Verified Verified
Sacramento, CA 95825
I am motivated to work with adults who are experiencing difficult and challenging times in life and may be experiencing anxiety, stress, depression, trauma or grief; those who, for any of these reasons find themselves feeling overwhelmed, frustrated, sad, unmotivated or just stuck.
I am motivated to work with adults who are experiencing difficult and challenging times in life and may be experiencing anxiety, stress, depression, trauma or grief; those who, for any of these reasons find themselves feeling overwhelmed, frustrated, sad, unmotivated or just stuck.
(916) 866-7741 x3 View (916) 866-7741 x3

How does your Therapist compare?

Number of Therapists in Sacramento, CA

1,000+

Average cost per session

$150

Therapists in Sacramento, CA who prioritize treating:

92% Anxiety
86% Depression
73% Relationship Issues
70% Self Esteem
68% Trauma and PTSD
67% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

68% Aetna
62% Cigna and Evernorth
60% UnitedHealthcare UHC | UBH

How Therapists in Sacramento, CA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sacramento?

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.