Therapists in Laguna Hills, CA

Photo of Jill Boultinghouse, Marriage & Family Therapist in Laguna Hills, CA
Jill Boultinghouse
Marriage & Family Therapist, MA, LMFT, EMDR
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
I have over 20 years of experience as a therapist. I truly understand how difficult it can be to ask for help. Many feel uncomfortable & anxious when seeking help from a counselor about such sensitive & personal issues. It takes courage and faith to reach out. I believe together we will find real solutions to your struggles.
I have over 20 years of experience as a therapist. I truly understand how difficult it can be to ask for help. Many feel uncomfortable & anxious when seeking help from a counselor about such sensitive & personal issues. It takes courage and faith to reach out. I believe together we will find real solutions to your struggles.
(949) 258-9739 View (949) 258-9739
Photo of Patricia Anita Lee, Marriage & Family Therapist in Laguna Hills, CA
Patricia Anita Lee
Marriage & Family Therapist, LMFT
Verified Verified
Laguna Hills, CA 92653
During this exceptionally stressful time, anxiety, depression, and/or general life issues impact daily life. A need to lower anxiety, elevate mood, and find ways to cope with the unknown is important for all ages.
During this exceptionally stressful time, anxiety, depression, and/or general life issues impact daily life. A need to lower anxiety, elevate mood, and find ways to cope with the unknown is important for all ages.
(949) 649-6179 View (949) 649-6179
Photo of Orange County Neurofeedback Center, Psychologist in Laguna Hills, CA
Orange County Neurofeedback Center
Psychologist, PhD
Verified Verified
Laguna Hills, CA 92653
Neurofeedback is a drug-free treatment that allows us to train an individual’s brain to achieve a healthier pattern of functioning. Neurofeedback guides brain functions by measuring brain waves and providing a feedback signal. Electroencephalography (EEG) is recorded during the neurofeedback treatment. Then, its various components are extracted and presented to the patient using a feedback loop in the form of either audio or video feedback. By utilizing the brain’s natural neuroplasticity, we can achieve long-lasting symptom improvement.
Neurofeedback is a drug-free treatment that allows us to train an individual’s brain to achieve a healthier pattern of functioning. Neurofeedback guides brain functions by measuring brain waves and providing a feedback signal. Electroencephalography (EEG) is recorded during the neurofeedback treatment. Then, its various components are extracted and presented to the patient using a feedback loop in the form of either audio or video feedback. By utilizing the brain’s natural neuroplasticity, we can achieve long-lasting symptom improvement.
(949) 506-3032 View (949) 506-3032
Photo of Galya Cohen, Psychologist in Laguna Hills, CA
Galya Cohen
Psychologist, PsyD
Verified Verified
Laguna Hills, CA 92653
I provide individual psychotherapy to both adults and adolescents who have a variety of mental health conditions, including trauma, ADHD, mood and anxiety disorders, substance use disorders, personality disorders, and psychotic spectrum disorders. I also have training in Ketamine Assisted Psychotherapy (KAP), and can provide integration services for those who have had experienced psychedelic medicines without the additional therapeutic assistance to integrate the experience.
I provide individual psychotherapy to both adults and adolescents who have a variety of mental health conditions, including trauma, ADHD, mood and anxiety disorders, substance use disorders, personality disorders, and psychotic spectrum disorders. I also have training in Ketamine Assisted Psychotherapy (KAP), and can provide integration services for those who have had experienced psychedelic medicines without the additional therapeutic assistance to integrate the experience.
(949) 996-0348 View (949) 996-0348
Photo of Kali Paredes, Marriage & Family Therapist in Laguna Hills, CA
Kali Paredes
Marriage & Family Therapist, LMFT
Verified Verified
Laguna Hills, CA 92653  (Online Only)
I've been in the field for over 10 years and have worked with a diverse spectrum of individuals and families. I've worked in the substance use sector, school districts, non-profits, and the private sector. I'm a San Francisco native and value diversity, and I approach all of my clients with a person-centered approach. I value meeting everyone where they're at to assist them in working through whatever challenges they may be facing in a collaborative and supportive way. I look forward to working with you!
I've been in the field for over 10 years and have worked with a diverse spectrum of individuals and families. I've worked in the substance use sector, school districts, non-profits, and the private sector. I'm a San Francisco native and value diversity, and I approach all of my clients with a person-centered approach. I value meeting everyone where they're at to assist them in working through whatever challenges they may be facing in a collaborative and supportive way. I look forward to working with you!
(415) 429-2918 View (415) 429-2918
Photo of Junko Johnson, Marriage & Family Therapist in Laguna Hills, CA
Junko Johnson
Marriage & Family Therapist, MS, LMFT, RPT
Verified Verified
Laguna Hills, CA 92653
Everyone has a story; everyone has struggles; everyone is fighting their own battle. We all experience some degree of suffering though it and all of us need a safe place. A safe place where we can be who we really are, where we can listen to our own needs, wants, feelings, and beliefs. I create this kind of environment for you by providing validation, empathy, and compassion. I conduct psychotherapy with adults, young children, and adolescents. My style of practice is client-centered. I create an approach tailored to the particular characteristics and needs of each client.
Everyone has a story; everyone has struggles; everyone is fighting their own battle. We all experience some degree of suffering though it and all of us need a safe place. A safe place where we can be who we really are, where we can listen to our own needs, wants, feelings, and beliefs. I create this kind of environment for you by providing validation, empathy, and compassion. I conduct psychotherapy with adults, young children, and adolescents. My style of practice is client-centered. I create an approach tailored to the particular characteristics and needs of each client.
(949) 522-7580 View (949) 522-7580
Photo of Audrey Hayden, Marriage & Family Therapist in Laguna Hills, CA
Audrey Hayden
Marriage & Family Therapist, MA, LMFT
Verified Verified
Laguna Hills, CA 92653
As we move through our lives, we are presented with moments of challenge and moments of opportunity, and I believe my job as a therapist is to help you prepare for both. I have found a passion in working with adults of all ages, addressing issues of identity, life transition, trauma, grief and self-acceptance. I also work with all couples; I want to help you and your partner make sense of your relationship and help you both address your concerns and build a solid, secure and fulfilling commitment together.
As we move through our lives, we are presented with moments of challenge and moments of opportunity, and I believe my job as a therapist is to help you prepare for both. I have found a passion in working with adults of all ages, addressing issues of identity, life transition, trauma, grief and self-acceptance. I also work with all couples; I want to help you and your partner make sense of your relationship and help you both address your concerns and build a solid, secure and fulfilling commitment together.
(949) 449-1823 View (949) 449-1823
Photo of Tracy Reid, Marriage & Family Therapist in Laguna Hills, CA
Tracy Reid
Marriage & Family Therapist, MS, MFT
Verified Verified
Laguna Hills, CA 92653
During the process of therapy, working through the struggles of life can bring you to a deeper and more meaningful place, not only finding, but also liking who you are. Therapy will help you learn coping skills, setting boundaries, changing perceptions that keep you stuck, finding the connection you want in relationships, building self-esteem, finding release from loss and grief, openness to change, and a willingness to accept your worth and find your authentic voice.
During the process of therapy, working through the struggles of life can bring you to a deeper and more meaningful place, not only finding, but also liking who you are. Therapy will help you learn coping skills, setting boundaries, changing perceptions that keep you stuck, finding the connection you want in relationships, building self-esteem, finding release from loss and grief, openness to change, and a willingness to accept your worth and find your authentic voice.
(949) 393-4292 View (949) 393-4292
Photo of Jacqueline Hyman, Clinical Social Work/Therapist in Laguna Hills, CA
Jacqueline Hyman
Clinical Social Work/Therapist, LCSW
Verified Verified
Laguna Hills, CA 92653
CATALYST FOR CHANGE! Together we can accomplish changes in individual, marital, and career dissatisfactionto achieve desired personal growth. With over 30 years experience as a university clinical faculty instructor, corporate EAP advisor, and private practice,
CATALYST FOR CHANGE! Together we can accomplish changes in individual, marital, and career dissatisfactionto achieve desired personal growth. With over 30 years experience as a university clinical faculty instructor, corporate EAP advisor, and private practice,
(949) 613-5317 View (949) 613-5317
Photo of Judith C. Henri-Farry, LMFT, Marriage & Family Therapist in Laguna Hills, CA
Judith C. Henri-Farry, LMFT
Marriage & Family Therapist, LMFT
Verified Verified
Laguna Hills, CA 92653
Not accepting new clients
Are you struggling? During these uncertain times, do you sometimes feel like life is getting out of control? For over 30 years, people have been coming to me for help with transforming their broken hearts into hearts filled with LOVE, their troubled minds into minds seeking NEW VISTAS and wounded spirits into spirits filled with HOPE. You can enrich your life by learning how your brain creates change along with cognitive and emotional restructuring techniques designed to promote your own creative problem solving process.
Are you struggling? During these uncertain times, do you sometimes feel like life is getting out of control? For over 30 years, people have been coming to me for help with transforming their broken hearts into hearts filled with LOVE, their troubled minds into minds seeking NEW VISTAS and wounded spirits into spirits filled with HOPE. You can enrich your life by learning how your brain creates change along with cognitive and emotional restructuring techniques designed to promote your own creative problem solving process.
(562) 669-4167 View (562) 669-4167
Photo of Tiara Thomas, Clinical Social Work/Therapist in Laguna Hills, CA
Tiara Thomas
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
3 Endorsed
Laguna Hills, CA 92653
Staring therapy is one of the bravest things you can do. Whether you are having relationship problems, feeling unmotivated or anxious, struggling with a past traumatic experience, or dealing with depression or anger issues, you deserve to take this step toward improving your life. In my practice, I work with children, adolescents, young adults, and families, to help build strategies to improve their mood, relationships, work/school life, and reduce their emotional pain.
Staring therapy is one of the bravest things you can do. Whether you are having relationship problems, feeling unmotivated or anxious, struggling with a past traumatic experience, or dealing with depression or anger issues, you deserve to take this step toward improving your life. In my practice, I work with children, adolescents, young adults, and families, to help build strategies to improve their mood, relationships, work/school life, and reduce their emotional pain.
(949) 649-0534 View (949) 649-0534
Photo of Bruce R Fredenburg, Marriage & Family Therapist in Laguna Hills, CA
Bruce R Fredenburg
Marriage & Family Therapist, MS, LMFT
Verified Verified
Laguna Hills, CA 92653
In my early twenties, I worked as a volunteer counselor in a Free Clinic. There I learned that when someone has suffered emotional trauma they need gentleness and kindness before anything else. From those experiences and more I decided that my professional mission is to act as a change agent and a peacemaker. To accomplish this I have extensive training in treating anxiety, trauma, depression, post traumatic stress, and addictions. I also taught at the college level. For more than 25 years I have studied and taken specialized training in the intersection of psychology, spirituality and holistic approaches to mental health.
In my early twenties, I worked as a volunteer counselor in a Free Clinic. There I learned that when someone has suffered emotional trauma they need gentleness and kindness before anything else. From those experiences and more I decided that my professional mission is to act as a change agent and a peacemaker. To accomplish this I have extensive training in treating anxiety, trauma, depression, post traumatic stress, and addictions. I also taught at the college level. For more than 25 years I have studied and taken specialized training in the intersection of psychology, spirituality and holistic approaches to mental health.
(949) 449-1410 View (949) 449-1410
Photo of Barbara Colitz, Clinical Social Work/Therapist in Laguna Hills, CA
Barbara Colitz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Laguna Hills, CA 92653
I have extensive experience serving all ages. .I work with a wide range of emotional and behavioral issues providing services that span from therapy for depression and grief counseling to parenting support,couples counseling and beyond. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to each of my clients individual needs to help attain the personal growth they are striving for. Treatment specialization includes Therapy for depression and anxiety;'couples counseling;family counseling; parenting support;counseling to grandparents raising grandchildren;grief counseling;work and career issues;stress management;addiction and recovery;conflict resolution and hypnotherapy.
I have extensive experience serving all ages. .I work with a wide range of emotional and behavioral issues providing services that span from therapy for depression and grief counseling to parenting support,couples counseling and beyond. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to each of my clients individual needs to help attain the personal growth they are striving for. Treatment specialization includes Therapy for depression and anxiety;'couples counseling;family counseling; parenting support;counseling to grandparents raising grandchildren;grief counseling;work and career issues;stress management;addiction and recovery;conflict resolution and hypnotherapy.
(949) 565-2563 View (949) 565-2563
Photo of Keith Rivera, Clinical Social Work/Therapist in Laguna Hills, CA
Keith Rivera
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Laguna Hills, CA 92653  (Online Only)
I'm a Licensed Clinical Social Worker who has worked 20+ years with children and adults who have experienced mental health challenges. My approach is simple: Meet people where they are at from a compassionate, non-judgmental, and honest perspective. I use a collection of therapeutic techniques specific to the needs of the person, and my underlying philosophy is to facilitate conversations that evoke critical thinking so that people can master the skills necessary to resolve their own issues.
I'm a Licensed Clinical Social Worker who has worked 20+ years with children and adults who have experienced mental health challenges. My approach is simple: Meet people where they are at from a compassionate, non-judgmental, and honest perspective. I use a collection of therapeutic techniques specific to the needs of the person, and my underlying philosophy is to facilitate conversations that evoke critical thinking so that people can master the skills necessary to resolve their own issues.
(510) 390-7600 View (510) 390-7600
Photo of Rachel Coulter, Marriage & Family Therapist in Laguna Hills, CA
Rachel Coulter
Marriage & Family Therapist, LMFT
Verified Verified
Laguna Hills, CA 92653
Rachel is a therapist for San Diego based mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
Rachel is a therapist for San Diego based mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
(949) 806-6330 View (949) 806-6330
Photo of Heidi A Berman, Marriage & Family Therapist in Laguna Hills, CA
Heidi A Berman
Marriage & Family Therapist, PhD, MFCT
Verified Verified
Laguna Hills, CA 92653  (Online Only)
Do you or someone close to you have noticeable mood changes or periods of anxiety & depression that are interfering with your life? Is your child not the same youngster he/she used to be? I am a highly experienced PhD. with specializations in Mood Disorders (e.g. Bipolar, Depression), Anxiety Disorders, Eating Disorders, and all Addictions. Additionally, I have substantial experience in virtually all areas of mental health. I work hard for you to make the therapy process both comfortable and rewarding. My practice is open to adults,teens, children, couples and families. Phone consultation (therapy) is available during or after-hours.
Do you or someone close to you have noticeable mood changes or periods of anxiety & depression that are interfering with your life? Is your child not the same youngster he/she used to be? I am a highly experienced PhD. with specializations in Mood Disorders (e.g. Bipolar, Depression), Anxiety Disorders, Eating Disorders, and all Addictions. Additionally, I have substantial experience in virtually all areas of mental health. I work hard for you to make the therapy process both comfortable and rewarding. My practice is open to adults,teens, children, couples and families. Phone consultation (therapy) is available during or after-hours.
(949) 390-9274 x1 View (949) 390-9274 x1
Photo of Stacey Berardino, Psychologist in Laguna Hills, CA
Stacey Berardino
Psychologist, PhD
Verified Verified
Laguna Hills, CA 92653
Our office, located in South Orange County, specializes in services related to the clinical and forensic psychology fields. We provide assessment, psychological testing, diagnosis, as well as treatment for a host of issues related to both clinical and forensic psychology. We are dedicated to quick and friendly service in order to meet your needs and get you an appointment as soon as possible.
Our office, located in South Orange County, specializes in services related to the clinical and forensic psychology fields. We provide assessment, psychological testing, diagnosis, as well as treatment for a host of issues related to both clinical and forensic psychology. We are dedicated to quick and friendly service in order to meet your needs and get you an appointment as soon as possible.
(949) 525-9052 View (949) 525-9052
Photo of Allison Davis Maxon, Marriage & Family Therapist in Laguna Hills, CA
Allison Davis Maxon
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
Hi, my name is Allison. I specialize in Attachment, Childhood Trauma, Parenting and Foster Care/Adoption with over 25 years of clinical experience. My clinical orientation in Attachment is specialized in complex family systems and relational (complex) trauma. I'm the co-author of the 'Seven Core Issues in Adoption and Permanency: A Comprehensive Guide to Promoting Understanding and Healing in Adoption, Foster Care, Kinship Families and Third Party Reproduction', as well as 'The Seven Core Issues Workbook for Parents of Traumatized Children and Teens'. To learn more please visit my website.
Hi, my name is Allison. I specialize in Attachment, Childhood Trauma, Parenting and Foster Care/Adoption with over 25 years of clinical experience. My clinical orientation in Attachment is specialized in complex family systems and relational (complex) trauma. I'm the co-author of the 'Seven Core Issues in Adoption and Permanency: A Comprehensive Guide to Promoting Understanding and Healing in Adoption, Foster Care, Kinship Families and Third Party Reproduction', as well as 'The Seven Core Issues Workbook for Parents of Traumatized Children and Teens'. To learn more please visit my website.
(949) 438-5965 View (949) 438-5965
Photo of Leyla Sadr Rasooli, Psychologist in Laguna Hills, CA
Leyla Sadr Rasooli
Psychologist, PsyD, LMFT
Verified Verified
Laguna Hills, CA 92653
Are you feeling frustrated, overwhelmed, unsettled, or unbalanced with life, in relationships, or even at work? Are you struggling to get better, But it feels that no matter how much you try, things seem to remain the same; you can’t seem to move forward. Have you found yourself asking: “why me? Am I the problem? Is it my past? My family? Why am I feeling this way? Will it ever end? Is there a way out?... It would be great to find peace. It would be great to “unload” the emotional “hurt,” be heard, and find answers and options to inner peace. You are not alone, and there is “hope” for happiness, Let’s find it together!
Are you feeling frustrated, overwhelmed, unsettled, or unbalanced with life, in relationships, or even at work? Are you struggling to get better, But it feels that no matter how much you try, things seem to remain the same; you can’t seem to move forward. Have you found yourself asking: “why me? Am I the problem? Is it my past? My family? Why am I feeling this way? Will it ever end? Is there a way out?... It would be great to find peace. It would be great to “unload” the emotional “hurt,” be heard, and find answers and options to inner peace. You are not alone, and there is “hope” for happiness, Let’s find it together!
(909) 304-1903 View (909) 304-1903
Photo of Keean Kirk, Marriage & Family Therapist Associate in Laguna Hills, CA
Keean Kirk
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
6 Endorsed
Laguna Hills, CA 92653
Waitlist for new clients
My focus is to help individuals heal, energize, and become aware of their inner strengths. We achieve this by providing you a neutral safe space, listening to your concerns, and customizing a treatment plan. I offer effective outpatient, individualized, psychological care and treat a number of mental health disorders, to provide a neutral ground to individuals and families. I work from the theoretical framework of Internal Family Systems and Cognitive Behavioral Therapy modalities.
My focus is to help individuals heal, energize, and become aware of their inner strengths. We achieve this by providing you a neutral safe space, listening to your concerns, and customizing a treatment plan. I offer effective outpatient, individualized, psychological care and treat a number of mental health disorders, to provide a neutral ground to individuals and families. I work from the theoretical framework of Internal Family Systems and Cognitive Behavioral Therapy modalities.
(949) 649-4570 View (949) 649-4570

See more therapy options for Laguna Hills

How does your Therapist compare?

Number of Therapists in Laguna Hills, CA

100+

Average cost per session

$175

Therapists in Laguna Hills, CA who prioritize treating:

96% Anxiety
93% Depression
79% Relationship Issues
76% Trauma and PTSD
75% Self Esteem
69% Coping Skills
67% Stress

Average years in practice

13 Years

Top 3 insurances accepted

65% Aetna
62% Cigna and Evernorth
39% MHN | Health Net

How Therapists in Laguna Hills, CA see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Laguna Hills?

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.