Therapists in Sheffield, MA

Photo of Heather Dinneen, Clinical Social Work/Therapist, LICSW
Heather Dinneen
Clinical Social Work/Therapist, LICSW
Sheffield, MA 01257
Hi! My name is Heather and I am a Licensed Social Worker from Massachusetts.
Hi! My name is Heather and I am a Licensed Social Worker from Massachusetts.
(413) 675-5964 View (413) 675-5964
Photo of Michelle Feuerbach, Clinical Social Work/Therapist, MSW, LICSW, LCSW
Michelle Feuerbach
Clinical Social Work/Therapist, MSW, LICSW, LCSW
1 Endorsed
Online Only
Not accepting new clients
I utilize evidence-based modalities including motivational interviewing, cognitive behavioral therapy and dialectical behavior therapy to empower those I work with to create positive change in their lives. I employ a person-centered approach and believe that the therapeutic alliance is the single most important aspect of the the therapy process. We will spend the first few sessions getting to know one another and building trust and rapport. We will work together to identify your goals for therapy and outline clear and understandable steps to meet those goals.
I utilize evidence-based modalities including motivational interviewing, cognitive behavioral therapy and dialectical behavior therapy to empower those I work with to create positive change in their lives. I employ a person-centered approach and believe that the therapeutic alliance is the single most important aspect of the the therapy process. We will spend the first few sessions getting to know one another and building trust and rapport. We will work together to identify your goals for therapy and outline clear and understandable steps to meet those goals.
(413) 248-6010 View (413) 248-6010
Photo of Julia M Gottlieb, Counselor, LMHC
Julia M Gottlieb
Counselor, LMHC
Sheffield, MA 01257
I see myself as a helping guide and co-collaborator. My approach is relational, warm, and non-judgmental. I believe each individual possesses the innate wisdom and ability to uncover meaning and solutions within themselves, and ultimately heal. I draw from various therapeutic modalities, integrating person-centered, attachment, psychodynamic and somatic modalities into the work as needed. I am flexible and responsive, working intuitively to best serve you and help foster a space for genuine healing, growth, and self-understanding.
I see myself as a helping guide and co-collaborator. My approach is relational, warm, and non-judgmental. I believe each individual possesses the innate wisdom and ability to uncover meaning and solutions within themselves, and ultimately heal. I draw from various therapeutic modalities, integrating person-centered, attachment, psychodynamic and somatic modalities into the work as needed. I am flexible and responsive, working intuitively to best serve you and help foster a space for genuine healing, growth, and self-understanding.
(413) 323-3548 View (413) 323-3548
Photo of Keith Watkins - Evergreen Psychotherapy, Clinical Social Work/Therapist, LICSW
Evergreen Psychotherapy
Clinical Social Work/Therapist, LICSW
2 Endorsed
Sheffield, MA 01257
I work with individuals struggling with anxiety, depression, grief, low self-esteem, relationship distress, substance use and trauma. My professional experience and training comes from a variety of settings; as a clinician providing individual therapy and group therapy at one of Massachusetts’ leading IOP drug rehab programs; as a clinical manager at Berkshire County’s largest provider of behavioral health services; as an Interdisciplinary Behavioral Health Collaboration (IBHC) fellow providing integrated behavioral health services within rural and medically underserved areas in Western Massachusetts.
I work with individuals struggling with anxiety, depression, grief, low self-esteem, relationship distress, substance use and trauma. My professional experience and training comes from a variety of settings; as a clinician providing individual therapy and group therapy at one of Massachusetts’ leading IOP drug rehab programs; as a clinical manager at Berkshire County’s largest provider of behavioral health services; as an Interdisciplinary Behavioral Health Collaboration (IBHC) fellow providing integrated behavioral health services within rural and medically underserved areas in Western Massachusetts.
(413) 423-0429 View (413) 423-0429
Photo of Gary Osborne - HERE Family Coaching, MFA, MAT
HERE Family Coaching
Verified Verified
Sheffield, MA 01257
Adolescents and young people are creating a bridge for their adult future. I am passionate about guiding this process of transformation for the world’s future. I work with parents, families, children, youth, and adolescents to learn to fully live in the world and to claim a place for each individual for the whole. Gary teaches teens to meet their absolute place in the world. Together I help each adolescent move beyond stuck-ness, anxiety or uncertainty. You may be a parent struggling with your teen’s screen or gaming addiction with no solution. Left alone, it could take years - if ever – for him move to a zest for life.
Adolescents and young people are creating a bridge for their adult future. I am passionate about guiding this process of transformation for the world’s future. I work with parents, families, children, youth, and adolescents to learn to fully live in the world and to claim a place for each individual for the whole. Gary teaches teens to meet their absolute place in the world. Together I help each adolescent move beyond stuck-ness, anxiety or uncertainty. You may be a parent struggling with your teen’s screen or gaming addiction with no solution. Left alone, it could take years - if ever – for him move to a zest for life.
(917) 861-3014 View (917) 861-3014
Claire Rosenberg
Clinical Social Work/Therapist, LICSW
Serves Area
I work with clients age 18 and up who suffer from major mental illness as well as depression, trauma histories, eating disorders, anxiety disorders and relational problems. I have a long background in individual, couples and family therapy, having spent 13 years on the social work staff at the Austen Riggs Center in Stockbridge, MA. My practice is now centrally located in Great Barrington, MA. I studied at the Smith College School for Social Work and The Menniger Clinic in Topeka, KS before joining the staff at Austen Riggs. I have been in solo private practice since 2005.
I work with clients age 18 and up who suffer from major mental illness as well as depression, trauma histories, eating disorders, anxiety disorders and relational problems. I have a long background in individual, couples and family therapy, having spent 13 years on the social work staff at the Austen Riggs Center in Stockbridge, MA. My practice is now centrally located in Great Barrington, MA. I studied at the Smith College School for Social Work and The Menniger Clinic in Topeka, KS before joining the staff at Austen Riggs. I have been in solo private practice since 2005.
(413) 642-1949 View (413) 642-1949
Photo of Joanne Galatea Boelke, Clinical Social Work/Therapist, MSW, LCSWr, LICSW
Joanne Galatea Boelke
Clinical Social Work/Therapist, MSW, LCSWr, LICSW
Online Only
My desire is to help clients create a more positive and productive life experience in order to transform their lives and break the cycle of self-defeating behaviors. Life is not meant to be just endured, but enjoyed. We all deserve a chance to reach our fullest potential despite experiences which have created limited core beliefs and hold us back in self- destructive patterns of depression, anxiety, fear, and guilt. I believe that therapy should be a collaborative experience.
My desire is to help clients create a more positive and productive life experience in order to transform their lives and break the cycle of self-defeating behaviors. Life is not meant to be just endured, but enjoyed. We all deserve a chance to reach our fullest potential despite experiences which have created limited core beliefs and hold us back in self- destructive patterns of depression, anxiety, fear, and guilt. I believe that therapy should be a collaborative experience.
(413) 300-6106 View (413) 300-6106
Photo of Jackie LaBonte, Clinical Social Work/Therapist, LICSW, MSW
Jackie LaBonte
Clinical Social Work/Therapist, LICSW, MSW
2 Endorsed
Serves Area
Welcome! Many individuals I work with come to me with a history of depression, anxiety, trauma, difficulty in relationships, and low self-esteem. My approach focuses on understanding symptoms that arise from these experiences, along with exploring ways of managing, soothing, and coping. Importantly, I prioritize building a strong therapeutic relationship based on trust and empathy. This is the foundation that will allow us to delve into underlying causes, patterns, and conflicts that lead to personal growth and lasting change. Together, we navigate your unique journey towards healing, self-discovery and inner peace.
Welcome! Many individuals I work with come to me with a history of depression, anxiety, trauma, difficulty in relationships, and low self-esteem. My approach focuses on understanding symptoms that arise from these experiences, along with exploring ways of managing, soothing, and coping. Importantly, I prioritize building a strong therapeutic relationship based on trust and empathy. This is the foundation that will allow us to delve into underlying causes, patterns, and conflicts that lead to personal growth and lasting change. Together, we navigate your unique journey towards healing, self-discovery and inner peace.
(413) 613-4230 View (413) 613-4230
Photo of Michael Guthrie, Clinical Social Work/Therapist, LICSW
Michael Guthrie
Clinical Social Work/Therapist, LICSW
1 Endorsed
Serves Area
Men and women who appear to benefit the most from working with me are those who arrive via their own motivation. They are clear that something is not working for them and they are open to investigating what might move them forward. Having curiosity as well as a willingness to expand their "comfort zone" contributes to a successful outcome. It is my intention to assist a client in expanding their understanding of their situation, others and themselves. Being "mindful" is more than a slogan; learning to be with things as they are or make changes adds greatly to well-being.
Men and women who appear to benefit the most from working with me are those who arrive via their own motivation. They are clear that something is not working for them and they are open to investigating what might move them forward. Having curiosity as well as a willingness to expand their "comfort zone" contributes to a successful outcome. It is my intention to assist a client in expanding their understanding of their situation, others and themselves. Being "mindful" is more than a slogan; learning to be with things as they are or make changes adds greatly to well-being.
(413) 931-3185 View (413) 931-3185
Photo of Judith Pomerantz, Clinical Social Work/Therapist, MSW, LICSW
Judith Pomerantz
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
Waitlist for new clients
I can help you find peaceful solutions to challenges you face. My holistic approach welcomes your thoughts, body sensations, emotions, and spiritual beliefs. From the foundation of a trusting and respectful relationship, we customize treatment to your needs. Depending on our focus, I integrate tools from cutting edge models of therapy including Internal Family Systems Therapy, Sensorimotor Psychotherapy, EMDR, and mindfulness. My style is practical, compassionate, and interactive. I know that entering therapy takes courage. I believe deeply in your capacity to heal. As your therapist/guide I am committed to your healing and manifesting the life you want.
I can help you find peaceful solutions to challenges you face. My holistic approach welcomes your thoughts, body sensations, emotions, and spiritual beliefs. From the foundation of a trusting and respectful relationship, we customize treatment to your needs. Depending on our focus, I integrate tools from cutting edge models of therapy including Internal Family Systems Therapy, Sensorimotor Psychotherapy, EMDR, and mindfulness. My style is practical, compassionate, and interactive. I know that entering therapy takes courage. I believe deeply in your capacity to heal. As your therapist/guide I am committed to your healing and manifesting the life you want.
(413) 648-7858 View (413) 648-7858

More Therapists Nearby

Photo of Melissa Recore, Counselor
Melissa Recore
Counselor
Online Only
Hello, I'm Melissa. With over 10 years of experience as a Cognitive Behavioral Therapist, I am dedicated to helping you navigate life's challenges and achieve your personal goals. I believe that therapy is most effective when we work together as a team. My approach is collaborative, meaning we will work side by side to understand your unique experiences and develop strategies that empower you to thrive in our high-stress world. I hold a Master's degree and am a Licensed Clinical Mental Health Counselor. My passion lies in making individuals feel comfortable with their mental health, accepting difficult life events
Hello, I'm Melissa. With over 10 years of experience as a Cognitive Behavioral Therapist, I am dedicated to helping you navigate life's challenges and achieve your personal goals. I believe that therapy is most effective when we work together as a team. My approach is collaborative, meaning we will work side by side to understand your unique experiences and develop strategies that empower you to thrive in our high-stress world. I hold a Master's degree and am a Licensed Clinical Mental Health Counselor. My passion lies in making individuals feel comfortable with their mental health, accepting difficult life events
(413) 722-5103 View (413) 722-5103
Photo of Dayana Hernandez Concepcion, Pre-Licensed Professional
Dayana Hernandez Concepcion
Pre-Licensed Professional
Online Only
Hi, my name is Dayana, a bilingual mental health counselor. I'm a proud member of Trust Therapeutics, LLC, dedicated to offering my support to a diverse range of individuals, including young adults, professionals, the Latino/a community, and individuals from all backgrounds, including LGBTQ+ and those with disabilities. My focus includes depression, anxiety, anger management, trauma, codependency, chronic pain, and grief. I accept most MassHealth Plans, making quality mental health care accessible to diverse communities. In teletherapy, I prioritize your well-being. I provide a safe space for you to explore your thoughts & feelings.
Hi, my name is Dayana, a bilingual mental health counselor. I'm a proud member of Trust Therapeutics, LLC, dedicated to offering my support to a diverse range of individuals, including young adults, professionals, the Latino/a community, and individuals from all backgrounds, including LGBTQ+ and those with disabilities. My focus includes depression, anxiety, anger management, trauma, codependency, chronic pain, and grief. I accept most MassHealth Plans, making quality mental health care accessible to diverse communities. In teletherapy, I prioritize your well-being. I provide a safe space for you to explore your thoughts & feelings.
(888) 454-2439 View (888) 454-2439
Photo of Nathara Bailey, Pre-Licensed Professional, MA
Nathara Bailey
Pre-Licensed Professional, MA
Online Only
Hi, my name is Nathara! I am a proud member of Trust Therapeutics, LLC, dedicated to offering my support to a diverse range of individuals, including young adults, professionals, the Latino/a community, and individuals from all backgrounds, including LGBTQ+ and those with disabilities Life is not without challenges, but that does not mean we can not create and find the the tools to face them.
Hi, my name is Nathara! I am a proud member of Trust Therapeutics, LLC, dedicated to offering my support to a diverse range of individuals, including young adults, professionals, the Latino/a community, and individuals from all backgrounds, including LGBTQ+ and those with disabilities Life is not without challenges, but that does not mean we can not create and find the the tools to face them.
(857) 810-5391 View (857) 810-5391
Photo of Travis McCarthy, Counselor, MA, RDT, LMHC
Travis McCarthy
Counselor, MA, RDT, LMHC
3 Endorsed
Serves Area
My name is Travis McCarthy and I am a Drama Therapist and Licensed Mental Health Counselor. I specialize in working with children, families, students, adults, and older adults who struggle with life transitions, stress management, and seeking deeper self-understanding.
My name is Travis McCarthy and I am a Drama Therapist and Licensed Mental Health Counselor. I specialize in working with children, families, students, adults, and older adults who struggle with life transitions, stress management, and seeking deeper self-understanding.
(413) 675-5531 View (413) 675-5531
Photo of Angela Kelly, Counselor
Angela Kelly
Counselor
Online Only
With a warm, caring, strengths-based, open-minded style, I am here to listen and support you to develop insights and practices that help you thrive. I trust your inherent wisdom and also understand that many life stressors, and many experiences of harm, trauma, conditioning, and injustice, can make us feel disconnected from ourselves and make it harder to tune in to the insights, strengths, and solutions within us. Starting with a person-centered approach that incorporates a range of tools and modalities tailored to your needs
With a warm, caring, strengths-based, open-minded style, I am here to listen and support you to develop insights and practices that help you thrive. I trust your inherent wisdom and also understand that many life stressors, and many experiences of harm, trauma, conditioning, and injustice, can make us feel disconnected from ourselves and make it harder to tune in to the insights, strengths, and solutions within us. Starting with a person-centered approach that incorporates a range of tools and modalities tailored to your needs
(413) 223-6869 View (413) 223-6869
Photo of Margo Davis - Margo Davis, MSW, LICSW, Clinical Social Work/Therapist, LICSW
Margo Davis, MSW, LICSW
Clinical Social Work/Therapist, LICSW
Great Barrington, MA 01230
Do you want to transform your life? Do you long to live in a way that’s more vivid, poignant and meaningful? Are you hungry for an authentic connection with others? It’s the key operating systems that run us when we are making dinner, interacting with our family and tying our shoes. Perhaps you are ready for some new ones? Sometimes it takes life falling apart for us to become ready to seek a new path. You need courage to let go of what no longer works and that’s where I can help. I use a lens of core vulnerability to help people understand the role of defense mechanisms and a mindfulness-based approach.
Do you want to transform your life? Do you long to live in a way that’s more vivid, poignant and meaningful? Are you hungry for an authentic connection with others? It’s the key operating systems that run us when we are making dinner, interacting with our family and tying our shoes. Perhaps you are ready for some new ones? Sometimes it takes life falling apart for us to become ready to seek a new path. You need courage to let go of what no longer works and that’s where I can help. I use a lens of core vulnerability to help people understand the role of defense mechanisms and a mindfulness-based approach.
(413) 216-2048 View (413) 216-2048
Photo of Zachary Kinsley-Greeley, Clinical Social Work/Therapist, LICSW
Zachary Kinsley-Greeley
Clinical Social Work/Therapist, LICSW
1 Endorsed
Online Only
Currently accepting new clients! Hello! I pursued a career in therapy to offer support and a safe, therapeutic space for the queer community because it was something I would have liked to have had as a young person growing up. I enjoy working with teens and adults dealing with issues of acceptance, interpersonal conflict, chronic mental illness, and life transitions. I also enjoy working with parents who are seeking to repair their relationship with a LGBTQ+ child. If you’re looking for unconditional positive regard balanced with healthy accountability (and some humor for good measure), I’d love to work with you.
Currently accepting new clients! Hello! I pursued a career in therapy to offer support and a safe, therapeutic space for the queer community because it was something I would have liked to have had as a young person growing up. I enjoy working with teens and adults dealing with issues of acceptance, interpersonal conflict, chronic mental illness, and life transitions. I also enjoy working with parents who are seeking to repair their relationship with a LGBTQ+ child. If you’re looking for unconditional positive regard balanced with healthy accountability (and some humor for good measure), I’d love to work with you.
(413) 553-1256 View (413) 553-1256
Photo of Stephanie Nesbitt, Clinical Social Work/Therapist, LICSW
Stephanie Nesbitt
Clinical Social Work/Therapist, LICSW
Pittsfield, MA 01201
I enjoy working with a diverse group of adults with different kinds of struggles, but my primary focus is treating people with ADHD, Autism, and various kinds of trauma including childhood, complex, and religious trauma. I work with people who have left high demand, high control groups and survivors of domestic violence. I work with people who have chronic illness, disability, or pain. I work with people who are grieving. I work with people with alternative lifestyles, alternative spirituality, and LGBTQ+ folks.
I enjoy working with a diverse group of adults with different kinds of struggles, but my primary focus is treating people with ADHD, Autism, and various kinds of trauma including childhood, complex, and religious trauma. I work with people who have left high demand, high control groups and survivors of domestic violence. I work with people who have chronic illness, disability, or pain. I work with people who are grieving. I work with people with alternative lifestyles, alternative spirituality, and LGBTQ+ folks.
(413) 423-0460 View (413) 423-0460
Margaret Dondiego
Marriage & Family Therapist, LMFT, BCN
1 Endorsed
Pittsfield, MA 01201
Board certified in neurofeedback, I use NFB and DBR combined with talk therapy to assist clients with self regulation and healing from the effects of trauma. I work with adults, children and families. My focus is on reducing symptoms of traumatic stress which make daily life and relationships difficult. Neuro-therapy and DBR help increase the effectiveness of therapy through "bottom-up" brain training, changing patterns that underlie emotional, behavioral and sensory concerns. I often use Deep Brain Reorienting in combination with NFB, which helps further transform the brain patterns behind difficult to change trauma responses.
Board certified in neurofeedback, I use NFB and DBR combined with talk therapy to assist clients with self regulation and healing from the effects of trauma. I work with adults, children and families. My focus is on reducing symptoms of traumatic stress which make daily life and relationships difficult. Neuro-therapy and DBR help increase the effectiveness of therapy through "bottom-up" brain training, changing patterns that underlie emotional, behavioral and sensory concerns. I often use Deep Brain Reorienting in combination with NFB, which helps further transform the brain patterns behind difficult to change trauma responses.
View
Photo of Jeri Hautzig, Clinical Social Work/Therapist, LMSW
Jeri Hautzig
Clinical Social Work/Therapist, LMSW
4 Endorsed
Pittsfield, MA 01201
Thank you so much for your interest in working with me. Choosing a therapist is no small task, and my sincere hope for everyone is that they find a therapist they trust. So I'll tell you a little bit about how I work so you can see if you think we should work together. My primary experience is working with older adults experiencing depression and life changes as well as adults of all ages with co-occuring mood, anxiety, and personality disorders. I am passionate about working with people all across the lifespan.
Thank you so much for your interest in working with me. Choosing a therapist is no small task, and my sincere hope for everyone is that they find a therapist they trust. So I'll tell you a little bit about how I work so you can see if you think we should work together. My primary experience is working with older adults experiencing depression and life changes as well as adults of all ages with co-occuring mood, anxiety, and personality disorders. I am passionate about working with people all across the lifespan.
(413) 475-9615 View (413) 475-9615

See more therapy options for Sheffield

How does your Therapist compare?

Number of Therapists in Sheffield, MA

10+

Average cost per session

$160

Therapists in Sheffield, MA who prioritize treating:

100% Anxiety
90% Relationship Issues
90% Depression
90% Self Esteem
80% Grief
80% Family Conflict
70% Trauma and PTSD

Average years in practice

7 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
63% Harvard Pilgrim
63% UnitedHealthcare UHC | UBH

How Therapists in Sheffield, MA see their clients

80% In Person and Online
20% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Sheffield?

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.