Therapists in Yarmouth, MA

Photo of Kimberly Fitzgerald, LICSW, Clinical Social Work/Therapist
Kimberly Fitzgerald
Clinical Social Work/Therapist, LICSW
Verified Verified
Yarmouth, MA 02664
Life is really HARD! Add the stress and complications of work, parenting, family issues, old stuff creeping back up … it can be unbearable at times! I am a Licensed Clinical Social Worker who has expertise working with individuals and families dealing with adoption and foster care, anxiety, depression, trauma, caregiving, grief and end of life issues. Sessions will focus on your inherent strengths to help you make true changes in your life. In addition to individuals, I work with families. Families can be supportive but complicated. They are often the core of our world and therefore we and they are worth the effort to invest in.
Life is really HARD! Add the stress and complications of work, parenting, family issues, old stuff creeping back up … it can be unbearable at times! I am a Licensed Clinical Social Worker who has expertise working with individuals and families dealing with adoption and foster care, anxiety, depression, trauma, caregiving, grief and end of life issues. Sessions will focus on your inherent strengths to help you make true changes in your life. In addition to individuals, I work with families. Families can be supportive but complicated. They are often the core of our world and therefore we and they are worth the effort to invest in.
(508) 827-1220 View (508) 827-1220
Photo of Brianna Landry, OTR, Occupational Therapist
Brianna Landry
Occupational Therapist, OTR
Verified Verified
Yarmouth, MA 02664
Brianna specializes in working with young children and their families. From developmental concerns with communication, self care skills, and play skills to concerns with behaviors, Brianna works with your family to find the best path forward.
Brianna specializes in working with young children and their families. From developmental concerns with communication, self care skills, and play skills to concerns with behaviors, Brianna works with your family to find the best path forward.
(508) 440-4375 View (508) 440-4375
Photo of Alyssa Desroches - Seed of Truth Counseling LLC, LICSW, Clinical Social Work/Therapist
Seed of Truth Counseling LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Yarmouth, MA 02664  (Online Only)
Are you struggling to see your worth in this world, despite being an overachiever? You never let yourself off the hook at work, home, or both. You're also struggling to figure out how you even feel. There's no time in your busy day to even consider it. Most people look at you and think you have it all together, but on the inside you're screaming. You feel like there is a missing piece, but you just can't put your finger on it. I help motivated, insightful, and highly sensitive individuals and couples, like you, find the healing they have always deserved.
Are you struggling to see your worth in this world, despite being an overachiever? You never let yourself off the hook at work, home, or both. You're also struggling to figure out how you even feel. There's no time in your busy day to even consider it. Most people look at you and think you have it all together, but on the inside you're screaming. You feel like there is a missing piece, but you just can't put your finger on it. I help motivated, insightful, and highly sensitive individuals and couples, like you, find the healing they have always deserved.
(413) 359-6679 View (413) 359-6679
Photo of Lori Coppinger, MA, LMHC, Counselor
Lori Coppinger
Counselor, MA, LMHC
Verified Verified
Yarmouth, MA 02664  (Online Only)
Waitlist for new clients
Not currently accepting new clients. Experienced psychotherapist working with adult individuals dedicated to helping them achieve life goals and improve quality of life. Anchored in Hope is the premise of my practice, providing the foundation to utilize client's strengths to reach their goals. There is always hope. Individuals come to me seeking support for anxiety, depression, grief, substance use and trauma disorders. Certified Grief Educator, IFS Level 2. Each case is different and individualized treatment meeting client's needs is important. Developing a therapeutic relationship with the right person is also very important.
Not currently accepting new clients. Experienced psychotherapist working with adult individuals dedicated to helping them achieve life goals and improve quality of life. Anchored in Hope is the premise of my practice, providing the foundation to utilize client's strengths to reach their goals. There is always hope. Individuals come to me seeking support for anxiety, depression, grief, substance use and trauma disorders. Certified Grief Educator, IFS Level 2. Each case is different and individualized treatment meeting client's needs is important. Developing a therapeutic relationship with the right person is also very important.
(508) 593-4591 View (508) 593-4591
Photo of Claudia Partyka Alifano, MA, LMHC, Counselor
Claudia Partyka Alifano
Counselor, MA, LMHC
Verified Verified
Yarmouth, MA 02664
As a holistic spiritual psychotherapist, expressive art therapist and licensed mental health counselor, I partner with people of all ages to ease depression & anxiety, assist with grief counseling, and guide major life transitions. I also have two post-graduate certificates in trauma. My traditional psychotherapy practice consists of many teens and adults in my quaint office overlooking Barnstable Harbour.
As a holistic spiritual psychotherapist, expressive art therapist and licensed mental health counselor, I partner with people of all ages to ease depression & anxiety, assist with grief counseling, and guide major life transitions. I also have two post-graduate certificates in trauma. My traditional psychotherapy practice consists of many teens and adults in my quaint office overlooking Barnstable Harbour.
(508) 640-7206 View (508) 640-7206
Photo of Dr. Jonathan Kelley, PsyaD, CrtPsya, LMHC, Counselor
Dr. Jonathan Kelley
Counselor, PsyaD, CrtPsya, LMHC
Verified Verified
Yarmouth, MA 02664
Limited availability for new clients in Barnstable location: I find every person is unique, with individual gifts, tolerances and goals. In my experience, people come to therapy searching for help with some inhibition, perfectionism, self-esteem or emotion creating blocks in relationships, work and enjoying life. I have found the power of conversation and careful listening opens up new perspectives and flexibility of thought, action and breadth of emotions, creating a more fulfilling life.
Limited availability for new clients in Barnstable location: I find every person is unique, with individual gifts, tolerances and goals. In my experience, people come to therapy searching for help with some inhibition, perfectionism, self-esteem or emotion creating blocks in relationships, work and enjoying life. I have found the power of conversation and careful listening opens up new perspectives and flexibility of thought, action and breadth of emotions, creating a more fulfilling life.
(508) 281-2856 View (508) 281-2856
Photo of Deborah Thompson, MEd, LMHC, Counselor
Deborah Thompson
Counselor, MEd, LMHC
Verified Verified
Yarmouth, MA 02664
Since 1984 I have had the privilege of helping people improve the quality of their lives. If you are clearly not leading a fulfilling and productive life, an indepth examination and reassessment of this current situation can lead to satisfying changes.
Since 1984 I have had the privilege of helping people improve the quality of their lives. If you are clearly not leading a fulfilling and productive life, an indepth examination and reassessment of this current situation can lead to satisfying changes.
(774) 353-3069 View (774) 353-3069
Photo of Brian D Galway, LMHC, CPC, Counselor
Brian D Galway
Counselor, LMHC, CPC
Verified Verified
Yarmouth, MA 02664  (Online Only)
Accepting new clients, ages 18-64 throughout Massachusetts utilizing telehealth services. If you are looking to reduce stress, strengthen communication skills, find meaningful relationships, deal with a loss, build self-esteem. deal with depression or anxiety or make a career change, then I can help. I utilize cognitive behavioral techniques, supportive counseling and a goal- oriented approach. Work with Couples in Learning Effective Communication Skills and Relationship Enhancing Strategies.
Accepting new clients, ages 18-64 throughout Massachusetts utilizing telehealth services. If you are looking to reduce stress, strengthen communication skills, find meaningful relationships, deal with a loss, build self-esteem. deal with depression or anxiety or make a career change, then I can help. I utilize cognitive behavioral techniques, supportive counseling and a goal- oriented approach. Work with Couples in Learning Effective Communication Skills and Relationship Enhancing Strategies.
(508) 838-5594 View (508) 838-5594
Photo of Deborah Riggs, LICSW, Clinical Social Work/Therapist
Deborah Riggs
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Yarmouth, MA 02664  (Online Only)
My hope for my clients is to empower them to reach their goals. That looks different for everyone. We know that anxiety, depression, trauma, grief, addiction, relationship as well as work stressors can negatively impact us and prevent us from having the life we truly deserve and want. Oftentimes, in order to move forward, we need to look back and see why certain things have impacted us and continue to impact us. My approach starts with reviewing goals and determining how best to move forward. Sometimes that means short-term solution focused therapy. Other times, it's cognitive behavioral and narrative therapy along with MI.
My hope for my clients is to empower them to reach their goals. That looks different for everyone. We know that anxiety, depression, trauma, grief, addiction, relationship as well as work stressors can negatively impact us and prevent us from having the life we truly deserve and want. Oftentimes, in order to move forward, we need to look back and see why certain things have impacted us and continue to impact us. My approach starts with reviewing goals and determining how best to move forward. Sometimes that means short-term solution focused therapy. Other times, it's cognitive behavioral and narrative therapy along with MI.
(508) 827-6474 View (508) 827-6474
Photo of Kimberly Schildbach, MEd, LMHC, Counselor
Kimberly Schildbach
Counselor, MEd, LMHC
Verified Verified
1 Endorsed
Yarmouth, MA 02664  (Online Only)
Do worries, self-doubt, and that feeling of dread follow you? Are you stressed in life and relationships - afraid to be yourself? I help motivated clients master relationships, manage emotional challenges, and strengthen their sense of self. I can help you identify the patterns that keep you stuck so you can feel competent and in control again. Together we'll work to unravel how your past impacts you in the present so you can grow in confidence and learn ways to thrive in your relationships
Do worries, self-doubt, and that feeling of dread follow you? Are you stressed in life and relationships - afraid to be yourself? I help motivated clients master relationships, manage emotional challenges, and strengthen their sense of self. I can help you identify the patterns that keep you stuck so you can feel competent and in control again. Together we'll work to unravel how your past impacts you in the present so you can grow in confidence and learn ways to thrive in your relationships
(617) 214-1008 View (617) 214-1008
Photo of Cherie Stulsky, LICSW, Clinical Social Work/Therapist
Cherie Stulsky
Clinical Social Work/Therapist, LICSW
Verified Verified
Yarmouth, MA 02664
Waitlist for new clients
Life can be stressful. We need to manage our lives, emotions and behaviors. Sometimes things happen outside of our control that complicate things even more. I see my role as a partner in helping individuals find the strategies needed to navigate life’s challenges in a healthy and productive manner. I work with individuals as they discover and explore their most authentic selves and how to limit the barriers to achieving their goals. I believe that the ultimate power is within ourselves and therefore will work with you to develop a plan that is realistic for your life and builds on your strengths.
Life can be stressful. We need to manage our lives, emotions and behaviors. Sometimes things happen outside of our control that complicate things even more. I see my role as a partner in helping individuals find the strategies needed to navigate life’s challenges in a healthy and productive manner. I work with individuals as they discover and explore their most authentic selves and how to limit the barriers to achieving their goals. I believe that the ultimate power is within ourselves and therefore will work with you to develop a plan that is realistic for your life and builds on your strengths.
(508) 466-5633 View (508) 466-5633
Photo of Mary Grabowski, PsyD, Psychologist
Mary Grabowski
Psychologist, PsyD
Verified Verified
Yarmouth, MA 02664
Waitlist for new clients
Ready to better understand how your brain function or learning impacts your day-to-day life? Ready to move forward in your life? I offer Psychological and Neuropsychological Evaluation and Therapy Services. My testing clients may have a neurological disorder or difficulties with attention, focus, organization, and/or memory, neurodevelopmental disorders, medical conditions, and comorbid psychiatric disorders. My therapy clients may have Anxiety related disorders, depression and/or stress which can cause an upheaval in life. I often work with complex families including those with a member who has ASD, disability or dementia.
Ready to better understand how your brain function or learning impacts your day-to-day life? Ready to move forward in your life? I offer Psychological and Neuropsychological Evaluation and Therapy Services. My testing clients may have a neurological disorder or difficulties with attention, focus, organization, and/or memory, neurodevelopmental disorders, medical conditions, and comorbid psychiatric disorders. My therapy clients may have Anxiety related disorders, depression and/or stress which can cause an upheaval in life. I often work with complex families including those with a member who has ASD, disability or dementia.
(508) 687-6380 View (508) 687-6380

More Therapists Nearby

Photo of Mary Lynn Swanson, LICSW, Clinical Social Work/Therapist
Mary Lynn Swanson
Clinical Social Work/Therapist, LICSW
Verified Verified
South Dennis, MA 02660
I specialize in treating women who present with mental health challenges related to self-esteem, trauma, grief and loss, relationships, health, and wellness. My goal for those I work with is to empower and guide them through whatever transition or obstacle they are facing. I have had the privilege of providing therapeutic services for over 25 years to varying populations and in my experience I have found that treatment is most successful when there is a positive fit between the therapist and client.
I specialize in treating women who present with mental health challenges related to self-esteem, trauma, grief and loss, relationships, health, and wellness. My goal for those I work with is to empower and guide them through whatever transition or obstacle they are facing. I have had the privilege of providing therapeutic services for over 25 years to varying populations and in my experience I have found that treatment is most successful when there is a positive fit between the therapist and client.
(508) 318-6572 View (508) 318-6572
Photo of Angela Mallowes, LMHC, Licensed Professional Counselor
Angela Mallowes
Licensed Professional Counselor, LMHC
Verified Verified
Yarmouth Port, MA 02675
Angela Mallowes is a Licensed Mental Health Counselor who specializes in working with teens and adults on a variety of mental health concerns using a strengths-based, trauma informed approach. Angela holds an MA in Counseling Psychology from Lesley University. A career changer, Angela brings fresh energy with a depth of experience to her practice.
Angela Mallowes is a Licensed Mental Health Counselor who specializes in working with teens and adults on a variety of mental health concerns using a strengths-based, trauma informed approach. Angela holds an MA in Counseling Psychology from Lesley University. A career changer, Angela brings fresh energy with a depth of experience to her practice.
(508) 901-2468 View (508) 901-2468
Photo of Jesse A Rieber, LMHC, BCPC, Counselor
Jesse A Rieber
Counselor, LMHC, BCPC
Verified Verified
West Yarmouth, MA 02673  (Online Only)
I have been in practice for the last 21 years. I see primarily adult individuals (that is persons 17 years or older). Trauma and PTSD represent the major focus of my practice. Trauma is a dysregulation of the sympathetic and parasympathetic nervous systems. Such dysregulation is represented by the diagnoses of PTSD, Acute Stress Disorder, Depression and Anxiety among other disorders.
I have been in practice for the last 21 years. I see primarily adult individuals (that is persons 17 years or older). Trauma and PTSD represent the major focus of my practice. Trauma is a dysregulation of the sympathetic and parasympathetic nervous systems. Such dysregulation is represented by the diagnoses of PTSD, Acute Stress Disorder, Depression and Anxiety among other disorders.
(508) 342-5222 View (508) 342-5222
Photo of Pamela Willsey, LICSW, PCC, Clinical Social Work/Therapist
Pamela Willsey
Clinical Social Work/Therapist, LICSW, PCC
Verified Verified
1 Endorsed
South Yarmouth, MA 02664  (Online Only)
Girls of all ages and stages of life seek guidance, empowerment, resilience, and self-assurance on life's journey and yearn for strategies to do so. Pam Willsey, a licensed therapist and ICF-certified life coach, understands these unique challenges. Her tailored approach, shaped by clinical experience and parental wisdom, has helped girls the world over through life’s challenges for over 25 years. Pam is also the author of "Packing For Success, A Thrival Guide For Young Women Navigating Life’s Transitions," a valuable guide to empowering girls and young women with strategies for self-confidence, personal growth, and resilience.
Girls of all ages and stages of life seek guidance, empowerment, resilience, and self-assurance on life's journey and yearn for strategies to do so. Pam Willsey, a licensed therapist and ICF-certified life coach, understands these unique challenges. Her tailored approach, shaped by clinical experience and parental wisdom, has helped girls the world over through life’s challenges for over 25 years. Pam is also the author of "Packing For Success, A Thrival Guide For Young Women Navigating Life’s Transitions," a valuable guide to empowering girls and young women with strategies for self-confidence, personal growth, and resilience.
(617) 612-4375 View (617) 612-4375
Photo of Katherine Driscoll, MSW, LICSW, Clinical Social Work/Therapist
Katherine Driscoll
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
South Yarmouth, MA 02664
Sensing you are meant to experience more happiness, connection, and success? Feeling stuck or overwhelmed, unsure how to move forward? I am accepting clients and welcome the opportunity to help you come to know, and make the changes you would like to see in your life. I aim to create a safe and supportive relationship where you can speak freely and be met with compassion and encouragement. My approach includes engaging clients in the important work of clarifying their goals, helping them to gain new skills to navigate current challenges, grieve losses they have faced, and develop more healthy relationship patterns moving forward.
Sensing you are meant to experience more happiness, connection, and success? Feeling stuck or overwhelmed, unsure how to move forward? I am accepting clients and welcome the opportunity to help you come to know, and make the changes you would like to see in your life. I aim to create a safe and supportive relationship where you can speak freely and be met with compassion and encouragement. My approach includes engaging clients in the important work of clarifying their goals, helping them to gain new skills to navigate current challenges, grieve losses they have faced, and develop more healthy relationship patterns moving forward.
(508) 306-4174 View (508) 306-4174
Photo of Jaclyn Gonsalves, LMHC, Counselor
Jaclyn Gonsalves
Counselor, LMHC
Verified Verified
South Dennis, MA 02660
As a dedicated Licensed Mental Health Counselor, I specialize in supporting young adults and adolescents aged between 9-30, navigating the intricate challenges of depression, anxiety, self-esteem issues, and life transitions. My approach integrates a holistic, person-centered philosophy, rooted in fostering self-discovery and empowerment. I aim to create a supportive environment for individuals to develop emotional regulation, mindfulness, and effective coping strategies. My goal is to help clients not just manage their struggles but to thrive amidst life’s changes.
As a dedicated Licensed Mental Health Counselor, I specialize in supporting young adults and adolescents aged between 9-30, navigating the intricate challenges of depression, anxiety, self-esteem issues, and life transitions. My approach integrates a holistic, person-centered philosophy, rooted in fostering self-discovery and empowerment. I aim to create a supportive environment for individuals to develop emotional regulation, mindfulness, and effective coping strategies. My goal is to help clients not just manage their struggles but to thrive amidst life’s changes.
(508) 812-9907 View (508) 812-9907
Photo of Leslie Baker, LICSW, Clinical Social Work/Therapist
Leslie Baker
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Yarmouth Port, MA 02675  (Online Only)
Life can be challenging and at some point we all go through rough patches. Some people find that they cannot overcome the problem on their own. Therapy helps to heal wounds, overcome obstacles, and build hope for the future. I believe people seek out therapy already equipped with the tools and qualities necessary to have a happy and successful life. Sometimes these skills are clouded by grief, depression, stress, anxiety, etc. My job is to help you work through those issues by tapping into your natural strengths.
Life can be challenging and at some point we all go through rough patches. Some people find that they cannot overcome the problem on their own. Therapy helps to heal wounds, overcome obstacles, and build hope for the future. I believe people seek out therapy already equipped with the tools and qualities necessary to have a happy and successful life. Sometimes these skills are clouded by grief, depression, stress, anxiety, etc. My job is to help you work through those issues by tapping into your natural strengths.
(617) 600-6247 View (617) 600-6247
Photo of Carol Bolstad, LMHC, LADC I, MA, Counselor
Carol Bolstad
Counselor, LMHC, LADC I, MA
Verified Verified
South Yarmouth, MA 02664
I am a licensed therapist, recovery, and spiritual counselor working with people seeking meaningful changes. I use Cognitive Behavioral Therapy to help you identify unhelpful thinking patterns and develop new ways of thinking that can lead to behavior change and more stable moods and emotions. Acceptance and Commitment Therapy encourages the use of mindfulness skills and exploration of your values that can lead you to living into your most authentic self. Sand Play Therapy is a more creative or expressive approach to self-discovery by gaining insights into what is currently going on in your life and how you want it to be.
I am a licensed therapist, recovery, and spiritual counselor working with people seeking meaningful changes. I use Cognitive Behavioral Therapy to help you identify unhelpful thinking patterns and develop new ways of thinking that can lead to behavior change and more stable moods and emotions. Acceptance and Commitment Therapy encourages the use of mindfulness skills and exploration of your values that can lead you to living into your most authentic self. Sand Play Therapy is a more creative or expressive approach to self-discovery by gaining insights into what is currently going on in your life and how you want it to be.
(508) 205-8967 View (508) 205-8967

See more therapy options for Yarmouth

How does your Therapist compare?

Number of Therapists in Yarmouth, MA

10+

Average cost per session

$150

Therapists in Yarmouth, MA who prioritize treating:

83% Anxiety
83% Life Transitions
75% Depression
75% Grief
75% Parenting
75% Trauma and PTSD
75% Self Esteem

Average years in practice

12 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
89% UnitedHealthcare UHC | UBH
78% Harvard Pilgrim

How Therapists in Yarmouth, MA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

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

How can I find a therapist in Yarmouth?

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.