Therapists in Elk Grove, CA

Photo of Annmarie Rotan, Clinical Social Work/Therapist in Elk Grove, CA
Annmarie Rotan
Clinical Social Work/Therapist, LCSW
Verified Verified
Elk Grove, CA 95757
My name is AnnMarie Rotan and I am a Licensed Clinical Social Worker (LCSW) in 3 states working with clients via telehealth. I work with adults in all phases of life from college through retirement to identify how to manage barriers keeping them from achieving their best quality of life. My therapeutic approach is holistic based on the needs of every individual which can change as we move through the process together. I most frequently use Cognitive Behavioral Therapy due to its versatility but am comfortable using numerous other approaches as needed.
My name is AnnMarie Rotan and I am a Licensed Clinical Social Worker (LCSW) in 3 states working with clients via telehealth. I work with adults in all phases of life from college through retirement to identify how to manage barriers keeping them from achieving their best quality of life. My therapeutic approach is holistic based on the needs of every individual which can change as we move through the process together. I most frequently use Cognitive Behavioral Therapy due to its versatility but am comfortable using numerous other approaches as needed.
(916) 527-9729 View (916) 527-9729
Photo of Mariam Aldaz, Marriage & Family Therapist in Elk Grove, CA
Mariam Aldaz
Marriage & Family Therapist, LMFT
Verified Verified
Elk Grove, CA 95758  (Online Only)
My therapeutic approach is a collaborative and holistic approach, in which we work together in a way that guides you through difficulties in life. I will encourage you to think, reflect, and find your own solutions. I create a safe environment to express your thoughts and feelings. I'll challenge you in a supportive way, providing different perspectives and facilitating the use of various coping strategies and interventions.
My therapeutic approach is a collaborative and holistic approach, in which we work together in a way that guides you through difficulties in life. I will encourage you to think, reflect, and find your own solutions. I create a safe environment to express your thoughts and feelings. I'll challenge you in a supportive way, providing different perspectives and facilitating the use of various coping strategies and interventions.
(510) 826-1479 View (510) 826-1479
Photo of J D Dragna, Psychologist in Elk Grove, CA
J D Dragna
Psychologist, PsyD
Verified Verified
Elk Grove, CA 95757  (Online Only)
Do you feel there should be more to life than this? Do you find yourself yearning for more? Has day-to-day life left you feeling exhausted, overwhelmed, and unfulfilled? You are not alone. Over the past few years, people have endured many transitions which have left them feeling exhausted, disconnected, and searching for more. By not facing these feelings, you may find yourself in a never-ending cycle of feeling stuck. I believe that we can find meaning in each of these difficulties and create a stronger relationship with our self, resulting in a more balanced life.
Do you feel there should be more to life than this? Do you find yourself yearning for more? Has day-to-day life left you feeling exhausted, overwhelmed, and unfulfilled? You are not alone. Over the past few years, people have endured many transitions which have left them feeling exhausted, disconnected, and searching for more. By not facing these feelings, you may find yourself in a never-ending cycle of feeling stuck. I believe that we can find meaning in each of these difficulties and create a stronger relationship with our self, resulting in a more balanced life.
(916) 619-6526 View (916) 619-6526
Photo of Krueg Therapy Services, Clinical Social Work/Therapist in Elk Grove, CA
Krueg Therapy Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Elk Grove, CA 95757
Waitlist for new clients
My approach is to meet the people where they are and provide a safe space so that healing can happen. I work with the client to establish their goals and help them find ways to reach those desired goals. I have many years of experience working with first responders and am culturally sensitive. I understand the unique needs of first responders as it relates to trauma, crisis, PTSD, anxiety, depression, relationship problems, job-related stress, job security, suicide, life transition to retirement, etc. I know how difficult it can be to reach out to a therapist and you want to be sure that they understand your work and life culture.
My approach is to meet the people where they are and provide a safe space so that healing can happen. I work with the client to establish their goals and help them find ways to reach those desired goals. I have many years of experience working with first responders and am culturally sensitive. I understand the unique needs of first responders as it relates to trauma, crisis, PTSD, anxiety, depression, relationship problems, job-related stress, job security, suicide, life transition to retirement, etc. I know how difficult it can be to reach out to a therapist and you want to be sure that they understand your work and life culture.
(916) 302-0764 View (916) 302-0764
Photo of Alexandra Park, Marriage & Family Therapist Associate in Elk Grove, CA
Alexandra Park
Marriage & Family Therapist Associate, AMFT
Verified Verified
Elk Grove, CA 95757  (Online Only)
I have always been drawn to stories of growth and goodness in people. I’ve often pondered about why we are the way we are, and our capacity for change. I continued to follow this curiosity into college where I pursued a bachelor’s degree in psychology. My inclination towards understanding myself and others, holding hope for change, and seeing the inherent goodness in everyone is something that hasn’t left me to this day. I’m currently a master’s student at Alliant International University studying Marriage and Family Therapy and I’m being supervised by Dr. Allison Brownlee at Stronger Together Community Services.
I have always been drawn to stories of growth and goodness in people. I’ve often pondered about why we are the way we are, and our capacity for change. I continued to follow this curiosity into college where I pursued a bachelor’s degree in psychology. My inclination towards understanding myself and others, holding hope for change, and seeing the inherent goodness in everyone is something that hasn’t left me to this day. I’m currently a master’s student at Alliant International University studying Marriage and Family Therapy and I’m being supervised by Dr. Allison Brownlee at Stronger Together Community Services.
View
Photo of Karissa J King, Marriage & Family Therapist in Elk Grove, CA
Karissa J King
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Elk Grove, CA 95757  (Online Only)
Looking for professional guidance from a Christian perspective? For over a decade, I've worked with thousands of people through relationship issues, anxiety, depression, grief, and frustrating life situations - together, we've been able to work toward healing and relief. Let's get connected. I have a few open slots right now (April/May 2024), so I can probably get you in for an online session soon. :)
Looking for professional guidance from a Christian perspective? For over a decade, I've worked with thousands of people through relationship issues, anxiety, depression, grief, and frustrating life situations - together, we've been able to work toward healing and relief. Let's get connected. I have a few open slots right now (April/May 2024), so I can probably get you in for an online session soon. :)
(916) 678-1797 View (916) 678-1797
Photo of Mariya Croshal, Clinical Social Work/Therapist in Elk Grove, CA
Mariya Croshal
Clinical Social Work/Therapist, LCSW
Verified Verified
Elk Grove, CA 95758  (Online Only)
Not accepting new clients
I share parts of my life and experiences, when appropriate, in order to help my clients feel more understood, less alone, and to help them move forward in our work together. I am very open about the fact that I've been in therapy on and off for most of my adult life in order to normalize the struggle of the human condition. Most of the tools, resources, and interventions I use with my clients, I have used in my personal life. This way I can personally vouch for their function and effectiveness.
I share parts of my life and experiences, when appropriate, in order to help my clients feel more understood, less alone, and to help them move forward in our work together. I am very open about the fact that I've been in therapy on and off for most of my adult life in order to normalize the struggle of the human condition. Most of the tools, resources, and interventions I use with my clients, I have used in my personal life. This way I can personally vouch for their function and effectiveness.
(510) 726-4118 View (510) 726-4118
Photo of Makela Nicole Mims, Marriage & Family Therapist in Elk Grove, CA
Makela Nicole Mims
Marriage & Family Therapist, LMFT
Verified Verified
Elk Grove, CA 95624
I believe we all have different stories to tell, and I value providing a warm and non-judgmental space to listen and provide support and guidance. The most important qualities we desire as humans are to feel heard, valued, and respected. I not only help teach couples and individuals these value, but I practice these values also within my therapy room. My inspiration lies in helping individuals, couples live authentic lives and being able to authentically connect within our relationships. It would be a pleasure to meet you and help you on your journey to healing and self-discovery.
I believe we all have different stories to tell, and I value providing a warm and non-judgmental space to listen and provide support and guidance. The most important qualities we desire as humans are to feel heard, valued, and respected. I not only help teach couples and individuals these value, but I practice these values also within my therapy room. My inspiration lies in helping individuals, couples live authentic lives and being able to authentically connect within our relationships. It would be a pleasure to meet you and help you on your journey to healing and self-discovery.
(925) 471-8629 View (925) 471-8629
Photo of Anna Stewart, Marriage & Family Therapist in Elk Grove, CA
Anna Stewart
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
Elk Grove, CA 95624
Not accepting new clients
I'm glad you're here. You have made the first step in a very important journey by researching therapists. My goal is to help you reach YOUR goals and improve your life. I believe that you have all the answers you need within you, but that sometimes people get stuck and can't see those answers. I will help guide you to them and support you in taking action to implement them in your life, providing a little outside information and perspective along the way. My office is safe, confidential, and easily accessible from Hwy 99.
I'm glad you're here. You have made the first step in a very important journey by researching therapists. My goal is to help you reach YOUR goals and improve your life. I believe that you have all the answers you need within you, but that sometimes people get stuck and can't see those answers. I will help guide you to them and support you in taking action to implement them in your life, providing a little outside information and perspective along the way. My office is safe, confidential, and easily accessible from Hwy 99.
(916) 459-2852 View (916) 459-2852
Photo of Arturo Rangel, Marriage & Family Therapist in Elk Grove, CA
Arturo Rangel
Marriage & Family Therapist, MA, LMFT
Verified Verified
Elk Grove, CA 95757  (Online Only)
Congratulations on taking the first step on your journey towards wholesomeness. I commend you for taking the brave step to log onto this website looking for a therapist. I am a psychotherapist with over ten years of experience successfully assisting people like you navigate life's journeys and transitions and the uncomfortable emotions and thoughts that come with it. Truly, it will be an honor to work collaboratively with you. Together, we will access inner resources, strengths, talents, abilities you possess to find solutions to the challenges life presents. If you feel and think I can be a good fit, please give me a call!
Congratulations on taking the first step on your journey towards wholesomeness. I commend you for taking the brave step to log onto this website looking for a therapist. I am a psychotherapist with over ten years of experience successfully assisting people like you navigate life's journeys and transitions and the uncomfortable emotions and thoughts that come with it. Truly, it will be an honor to work collaboratively with you. Together, we will access inner resources, strengths, talents, abilities you possess to find solutions to the challenges life presents. If you feel and think I can be a good fit, please give me a call!
(530) 364-5914 View (530) 364-5914
Photo of Miguel A Gallegos, Marriage & Family Therapist in Elk Grove, CA
Miguel A Gallegos
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Elk Grove, CA 95624
I'll help you process your experiences, offer perspective, and teach you skills to help you through your life journey. I tailor my therapeutic approach to meet my client's individual and specific needs. I believe that people are not damaged, they just might be stuck, and in need of assistance.
I'll help you process your experiences, offer perspective, and teach you skills to help you through your life journey. I tailor my therapeutic approach to meet my client's individual and specific needs. I believe that people are not damaged, they just might be stuck, and in need of assistance.
(916) 385-0254 View (916) 385-0254
Photo of Benton Sheely, Associate Clinical Social Worker in Elk Grove, CA
Benton Sheely
Associate Clinical Social Worker, ACSW
Verified Verified
Elk Grove, CA 95624
Sometimes dealing with grief or trauma can lead a person to feel alone and isolated. I consider it an honor to help break that isolation while walking alongside clients as they navigate the challenges and obstacles life has thrown their way. My passion is working with individuals who have experienced trauma, and I believe that every person’s trauma is as unique as their fingerprint.
Sometimes dealing with grief or trauma can lead a person to feel alone and isolated. I consider it an honor to help break that isolation while walking alongside clients as they navigate the challenges and obstacles life has thrown their way. My passion is working with individuals who have experienced trauma, and I believe that every person’s trauma is as unique as their fingerprint.
(916) 775-8854 View (916) 775-8854
Photo of David Stanton, Marriage & Family Therapist in Elk Grove, CA
David Stanton
Marriage & Family Therapist, MS, LMFT
Verified Verified
Elk Grove, CA 95624  (Online Only)
Are you trying to untangle a personal and/or relational challenge where your sexual behavior is a factor? Maybe it is an affair that just got found out and you have been accused of being a sex addict. May it be that you are struggling with mismatched sexual desire with your partner? Perhaps so you supplement with porn and masturbation (in secret)? Maybe your goal or desire is to solve the dilemma of how to come out as gay, lesbian or some other important identity in the LGBTQ+ rainbow? And this dilemma is further complicated by religious shame and guilt for what are actually normal sexual interests and desires.
Are you trying to untangle a personal and/or relational challenge where your sexual behavior is a factor? Maybe it is an affair that just got found out and you have been accused of being a sex addict. May it be that you are struggling with mismatched sexual desire with your partner? Perhaps so you supplement with porn and masturbation (in secret)? Maybe your goal or desire is to solve the dilemma of how to come out as gay, lesbian or some other important identity in the LGBTQ+ rainbow? And this dilemma is further complicated by religious shame and guilt for what are actually normal sexual interests and desires.
(916) 943-4762 View (916) 943-4762
Photo of Pamela Awad, Marriage & Family Therapist in Elk Grove, CA
Pamela Awad
Marriage & Family Therapist, LMFT
Verified Verified
Elk Grove, CA 95624
Hello and welcome! Thank you for taking the time to read and learn more about me. My name is Pamela and I am a licensed Marriage and Family Therapist since 2015. I have over 10 years of experience working with youth, adolescents, younger adults, and parents/families. I focus on issues related to self-esteem, anxiety, social anxiety, general anxiety, life transitions, immigration, and more.
Hello and welcome! Thank you for taking the time to read and learn more about me. My name is Pamela and I am a licensed Marriage and Family Therapist since 2015. I have over 10 years of experience working with youth, adolescents, younger adults, and parents/families. I focus on issues related to self-esteem, anxiety, social anxiety, general anxiety, life transitions, immigration, and more.
(916) 975-8961 View (916) 975-8961
Photo of Kristin Manuel, Clinical Social Work/Therapist in Elk Grove, CA
Kristin Manuel
Clinical Social Work/Therapist, LCSW
Verified Verified
Elk Grove, CA 95624
Waitlist for new clients
I specialize in working with adults who are suffering from depression, anxiety, mood issues, chronic pain, chronic illness, and/or trauma. Maybe you were newly diagnosed or currently living with chronic pain or chronic illness, such as an autoimmune disorder. I offer a safe place to address healing from psychological stress that has manifested into physical and emotional symptoms. My style is warm, non-judgmental, and direct.
I specialize in working with adults who are suffering from depression, anxiety, mood issues, chronic pain, chronic illness, and/or trauma. Maybe you were newly diagnosed or currently living with chronic pain or chronic illness, such as an autoimmune disorder. I offer a safe place to address healing from psychological stress that has manifested into physical and emotional symptoms. My style is warm, non-judgmental, and direct.
(916) 237-9385 View (916) 237-9385
Photo of Helena Turner, Marriage & Family Therapist in Elk Grove, CA
Helena Turner
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Elk Grove, CA 95624
Each of us is an individual, unique and valuable in our own right. Yet, we are also engaged in a complex web of relationships. In our relationships we have the potential to feel joy and fulfillment as we share ourselves with the people we love. But many of us also find that sometimes our relationships bring deep pain and confusion. Taking the first step to call a therapist takes courage, but what you'll experience in therapy with me is a different kind of relationship, one that is unconditionally supportive and healing.
Each of us is an individual, unique and valuable in our own right. Yet, we are also engaged in a complex web of relationships. In our relationships we have the potential to feel joy and fulfillment as we share ourselves with the people we love. But many of us also find that sometimes our relationships bring deep pain and confusion. Taking the first step to call a therapist takes courage, but what you'll experience in therapy with me is a different kind of relationship, one that is unconditionally supportive and healing.
(916) 660-5059 View (916) 660-5059
Photo of Larisa Escalante, Marriage & Family Therapist in Elk Grove, CA
Larisa Escalante
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Elk Grove, CA 95757  (Online Only)
I have been privileged to work with diverse populations, gaining valuable experience in assisting individuals facing various challenges. My passion lies in supporting those with substance use disorders and dual diagnoses, including PTSD, depression, anxiety, and Borderline Personality Disorder. Additionally, I have extensive experience working with individuals with developmental disabilities, fostering an inclusive and empathetic approach to therapy.
I have been privileged to work with diverse populations, gaining valuable experience in assisting individuals facing various challenges. My passion lies in supporting those with substance use disorders and dual diagnoses, including PTSD, depression, anxiety, and Borderline Personality Disorder. Additionally, I have extensive experience working with individuals with developmental disabilities, fostering an inclusive and empathetic approach to therapy.
(279) 800-4399 View (279) 800-4399
Photo of Leslie Hyacinthe Bess, Clinical Social Work/Therapist in Elk Grove, CA
Leslie Hyacinthe Bess
Clinical Social Work/Therapist, LCSW
Verified Verified
Elk Grove, CA 95758  (Online Only)
My approach tends to be cognitive behavioral in nature and I use distress tolerance techniques (DBT). I like to tailor my approach to an individual’s goals & particular needs. What that means is that I like to collaborate with a client to find active steps to take to better one’s quality of life. It is solution-focused, and brief in nature. I believe that self-care and mindfulness are essential tools for quality of life, yet we aren’t always taught how to do that for ourselves. My clients say that I am direct, yet compassionate, and that they feel validated & empowered to make changes in their lives.
My approach tends to be cognitive behavioral in nature and I use distress tolerance techniques (DBT). I like to tailor my approach to an individual’s goals & particular needs. What that means is that I like to collaborate with a client to find active steps to take to better one’s quality of life. It is solution-focused, and brief in nature. I believe that self-care and mindfulness are essential tools for quality of life, yet we aren’t always taught how to do that for ourselves. My clients say that I am direct, yet compassionate, and that they feel validated & empowered to make changes in their lives.
(916) 587-7738 View (916) 587-7738
Photo of Lourdes Minjares, Marriage & Family Therapist in Elk Grove, CA
Lourdes Minjares
Marriage & Family Therapist, LMFT
Verified Verified
Elk Grove, CA 95757
I have been in the mental health field for the past 10+ years. I have experience working with children, teens, and adults. I have my master's degree from the University of Phoenix and I'm licensed with the board of behavioral science as a licensed marriage, family, and child therapist. The modalities I like to use with clients are cognitive behavioral therapy, client-centered and solution-focused. I enjoy helping others develop better cognitive and emotional skills, reduce symptoms of mental illness, and cope with various life challenges to improve their lives.
I have been in the mental health field for the past 10+ years. I have experience working with children, teens, and adults. I have my master's degree from the University of Phoenix and I'm licensed with the board of behavioral science as a licensed marriage, family, and child therapist. The modalities I like to use with clients are cognitive behavioral therapy, client-centered and solution-focused. I enjoy helping others develop better cognitive and emotional skills, reduce symptoms of mental illness, and cope with various life challenges to improve their lives.
(916) 970-7099 View (916) 970-7099
Photo of Accessible DBT, Inc, Marriage & Family Therapist in Elk Grove, CA
Accessible DBT, Inc
Marriage & Family Therapist, MA, LMFT
Verified Verified
Elk Grove, CA 95624
Are you ready to try Dialectical Behavior Therapy (DBT) to overcome a pattern of unstable relationships and reactive emotional outbursts? Perhaps you have landed in the psychiatric hospital due to erratic behavior. Perhaps you have reached a point where things just are not working for you and you are ready to make a change. Control these symptoms: Frantic attempts to prevent abandonment. Unstable relationships - alternating between "I love you" and "I hate you". Impulsive behavior such as binge eating, reckless driving, or spending. Self-mutilation or suicidal thoughts. Mood swings. Anger that is out of control or inappropriate.
Are you ready to try Dialectical Behavior Therapy (DBT) to overcome a pattern of unstable relationships and reactive emotional outbursts? Perhaps you have landed in the psychiatric hospital due to erratic behavior. Perhaps you have reached a point where things just are not working for you and you are ready to make a change. Control these symptoms: Frantic attempts to prevent abandonment. Unstable relationships - alternating between "I love you" and "I hate you". Impulsive behavior such as binge eating, reckless driving, or spending. Self-mutilation or suicidal thoughts. Mood swings. Anger that is out of control or inappropriate.
(916) 661-4732 View (916) 661-4732

How does your Therapist compare?

Number of Therapists in Elk Grove, CA

300+

Average cost per session

$150

Therapists in Elk Grove, CA who prioritize treating:

94% Anxiety
89% Depression
72% Relationship Issues
70% Stress
66% Grief
66% Self Esteem
65% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

79% Aetna
71% Cigna and Evernorth
70% MHN | Health Net

How Therapists in Elk Grove, CA see their clients

71% In Person and Online
29% Online Only

Gender breakdown

80% Female
20% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Elk Grove?

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.