Therapists in Sykesville, MD

Photo of Sarah Raihl, LCSW - , Clinical Social Work/Therapist
Sarah Raihl
Clinical Social Work/Therapist, LCSW -
Verified Verified
Sykesville, MD 21784  (Online Only)
Hello. I'm a Licensed Clinical Social Worker in the state of Maryland. I have been practicing Social Work for over 29 years now and have worked in many settings including hospitals, foster care, schools and community agencies. I have spent many years working as a Medical Case Manager working with individuals living with HIV. Over the past few years I have developed a Wellness Program focusing on using coping skills to increase overall health and wellness.
Hello. I'm a Licensed Clinical Social Worker in the state of Maryland. I have been practicing Social Work for over 29 years now and have worked in many settings including hospitals, foster care, schools and community agencies. I have spent many years working as a Medical Case Manager working with individuals living with HIV. Over the past few years I have developed a Wellness Program focusing on using coping skills to increase overall health and wellness.
(443) 491-9325 View (443) 491-9325
Photo of undefined - Melissa Mullineaux, LCPC, LLC, MA, LCPC, Counselor
Melissa Mullineaux, LCPC, LLC
Counselor, MA, LCPC
Verified Verified
1 Endorsed
Sykesville, MD 21784
Accepting new patients! Are you tired of stressing out over calories, berating yourself every time you mess up, or feeling like you’re about to crumble at any second? Do you feel guilty after eating? At this point, maybe it’s hard to even remember a time you didn’t feel like this. But one thing is for sure: you’re ready for some relief. You’re ready to eat out without shaming yourself. You’re ready to find joy in the day-to-day again. Most of all, you’re ready to heal your relationship with your body and yourself. You’re ready for a new “normal,” and I can help you get there.
Accepting new patients! Are you tired of stressing out over calories, berating yourself every time you mess up, or feeling like you’re about to crumble at any second? Do you feel guilty after eating? At this point, maybe it’s hard to even remember a time you didn’t feel like this. But one thing is for sure: you’re ready for some relief. You’re ready to eat out without shaming yourself. You’re ready to find joy in the day-to-day again. Most of all, you’re ready to heal your relationship with your body and yourself. You’re ready for a new “normal,” and I can help you get there.
(410) 204-2104 View (410) 204-2104
Photo of Barbara Kass, MS, LCPC, NCC, Counselor
Barbara Kass
Counselor, MS, LCPC, NCC
Verified Verified
Sykesville, MD 21784  (Online Only)
One Spirit Counseling is founded on my belief that everyone has the power to heal themselves. My goal in counseling is to help people find their power and connect with their ability to heal and become whole. In addition to my Pastoral Counseling degree from Loyola University, I have a Master of Public Health and am a Certified Health Education Specialist. My public health and education background speak to the physical, behavioral, and environmental health that each of us require to survive while my mental health and spiritual training help bring healing to emotional wounds.
One Spirit Counseling is founded on my belief that everyone has the power to heal themselves. My goal in counseling is to help people find their power and connect with their ability to heal and become whole. In addition to my Pastoral Counseling degree from Loyola University, I have a Master of Public Health and am a Certified Health Education Specialist. My public health and education background speak to the physical, behavioral, and environmental health that each of us require to survive while my mental health and spiritual training help bring healing to emotional wounds.
(410) 734-2337 View (410) 734-2337
Photo of undefined - PEM Wellness, CRNP
PEM Wellness
CRNP
Verified Verified
Sykesville, MD 21784  (Online Only)
Medication Assisted Treatment, including: Suboxone, Zubsolv, and more. Medical Cannabis for individuals who qualify.
Medication Assisted Treatment, including: Suboxone, Zubsolv, and more. Medical Cannabis for individuals who qualify.
(410) 883-5966 View (410) 883-5966
Photo of Melissa Weaver, LCSW-C, Clinical Social Work/Therapist
Melissa Weaver
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Sykesville, MD 21784  (Online Only)
Not accepting new clients
Each of us experiences life’s struggles or can get stuck in patterns that limit our emotional freedom and joy. I welcome the opportunity to act as a guide to support, create safe space, and provide objective feedback and gentle nudging out of the comfort zone that’s limiting your fullest potential. Through insight-oriented, psychodynamic, and cross-cultural lenses, my goal is to empower you to gain greater self-awareness, overcome challenges and enhance your quality of life. I utilize a holistic approach to help you process and feel your feelings while you remain open to self-reflection and the willingness to implement new changes.
Each of us experiences life’s struggles or can get stuck in patterns that limit our emotional freedom and joy. I welcome the opportunity to act as a guide to support, create safe space, and provide objective feedback and gentle nudging out of the comfort zone that’s limiting your fullest potential. Through insight-oriented, psychodynamic, and cross-cultural lenses, my goal is to empower you to gain greater self-awareness, overcome challenges and enhance your quality of life. I utilize a holistic approach to help you process and feel your feelings while you remain open to self-reflection and the willingness to implement new changes.
(443) 432-2897 View (443) 432-2897
Photo of Lydia Heimlich, LMSW
Lydia Heimlich
LMSW
Verified Verified
Sykesville, MD 21784
Are you feeling overwhelmed and seeking understanding and effective coping strategies? Do you want to alleviate distress, build resilience, and enhance your overall quality of life? I provide a holistic approach that addresses both mind and body, empowering you to feel understood and achieve comprehensive well-being. Your goals are within reach, and I'm here to support you on your journey.
Are you feeling overwhelmed and seeking understanding and effective coping strategies? Do you want to alleviate distress, build resilience, and enhance your overall quality of life? I provide a holistic approach that addresses both mind and body, empowering you to feel understood and achieve comprehensive well-being. Your goals are within reach, and I'm here to support you on your journey.
(410) 873-7199 View (410) 873-7199
Photo of Caroline Cinquino Miller, MEd, LCPC, Counselor
Caroline Cinquino Miller
Counselor, MEd, LCPC
Verified Verified
2 Endorsed
Sykesville, MD 21784
Change is not easy. Whether you're needing to experience relief from anxiety, depression, past trauma, or a current difficult situation, counseling can help bring us out of stagnation and onto the path of change in a compassionate and non-judgmental atmosphere. I enjoy helping people identify what thoughts and behaviors are helpful in building satisfying lives and which may have once proved useful, but no longer work for them. Taking small steps, while being kind to ourselves when we make mistakes, can create the kind of change that we want to see in our lives.
Change is not easy. Whether you're needing to experience relief from anxiety, depression, past trauma, or a current difficult situation, counseling can help bring us out of stagnation and onto the path of change in a compassionate and non-judgmental atmosphere. I enjoy helping people identify what thoughts and behaviors are helpful in building satisfying lives and which may have once proved useful, but no longer work for them. Taking small steps, while being kind to ourselves when we make mistakes, can create the kind of change that we want to see in our lives.
(410) 973-6497 View (410) 973-6497
Photo of Denise Adams, MS, LCPC, Counselor
Denise Adams
Counselor, MS, LCPC
Verified Verified
1 Endorsed
Sykesville, MD 21784
Imagine waking up every morning feeling ready to take on the world. How great does that feel? Since 2017, I've been guiding patients through life's challenges with a wide range of counseling services. With experience as a special education teacher, middle school counselor, and clinical therapist, I bring a diverse background to our sessions. Life can be tough, but a little help from a professional can make a big difference. I care deeply about your well-being and will provide you with the tools to live your best life.
Imagine waking up every morning feeling ready to take on the world. How great does that feel? Since 2017, I've been guiding patients through life's challenges with a wide range of counseling services. With experience as a special education teacher, middle school counselor, and clinical therapist, I bring a diverse background to our sessions. Life can be tough, but a little help from a professional can make a big difference. I care deeply about your well-being and will provide you with the tools to live your best life.
(410) 204-5271 View (410) 204-5271
Photo of undefined - Anchor Counseling Centers
Anchor Counseling Centers
Licensed Clinical Professional Counselor
Verified Verified
4 Endorsed
Sykesville, MD 21784
Our professional, experienced counselors work with children, adolescents and adults in individual sessions as well as family or couples counseling. The counselors have a variety of backgrounds ranging from substance abuse, foster care, case management, Employee Assistance Programs, and school counseling. We are happy to discuss your needs and match you with the most appropriate counselor in the practice. We have locations in Columbia, Cumberland, Eldersburg, Sykesville & Westminster.
Our professional, experienced counselors work with children, adolescents and adults in individual sessions as well as family or couples counseling. The counselors have a variety of backgrounds ranging from substance abuse, foster care, case management, Employee Assistance Programs, and school counseling. We are happy to discuss your needs and match you with the most appropriate counselor in the practice. We have locations in Columbia, Cumberland, Eldersburg, Sykesville & Westminster.
(410) 983-6585 View (410) 983-6585
Photo of Hannah Snyder, LCPAT, LCPC, Art Therapist
Hannah Snyder
Art Therapist, LCPAT, LCPC
Verified Verified
Sykesville, MD 21784
I am an art therapist who integrates Cognitive Behavioral Therapy and Positive Psychology in my work to treat Anxiety and ADHD in teens and adults. Although this is my specialization, I also have experience working with clients struggling with identity, depression, bipolar disorder, and relationship struggles. I provide individual and group services to her clients, in addition to family and parent coaching.
I am an art therapist who integrates Cognitive Behavioral Therapy and Positive Psychology in my work to treat Anxiety and ADHD in teens and adults. Although this is my specialization, I also have experience working with clients struggling with identity, depression, bipolar disorder, and relationship struggles. I provide individual and group services to her clients, in addition to family and parent coaching.
(410) 671-0413 View (410) 671-0413
Photo of Rachel Cochran, LCSW-C, Clinical Social Work/Therapist
Rachel Cochran
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Sykesville, MD 21784
If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals. I work with individuals, couples and families in multiple areas including trauma, anxiety, mood disorders, relationship/family conflict, self-esteem issues, grief, eating disorder and food addiction, learning disorders, anger management, self-harm, LGBT issues, reaction to divorce, mediation, and forensic evaluation. I am more than happy to consult with you to see if we are a good fit to work together!
If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals. I work with individuals, couples and families in multiple areas including trauma, anxiety, mood disorders, relationship/family conflict, self-esteem issues, grief, eating disorder and food addiction, learning disorders, anger management, self-harm, LGBT issues, reaction to divorce, mediation, and forensic evaluation. I am more than happy to consult with you to see if we are a good fit to work together!
(410) 457-3281 View (410) 457-3281
Photo of Madison Elie-Thompson, LCPC, NCC, C-DBT, CCTP
Madison Elie-Thompson
Licensed Clinical Professional Counselor, LCPC, NCC, C-DBT, CCTP
Verified Verified
Sykesville, MD 21784  (Online Only)
Waitlist for new clients
Madison Elie-Thompson specializes in trauma informed care for first responders, veterans, health care professionals and adults (18+). Madison focuses on creating a safe space for you to grow, learn new skills, process trauma, and reach your goals. While trauma is Madison’s specialty, she is also well versed in a variety of mental health concerns including depression, anxiety and substance use. She is passionate about her work and values growth in all areas of her practice.
Madison Elie-Thompson specializes in trauma informed care for first responders, veterans, health care professionals and adults (18+). Madison focuses on creating a safe space for you to grow, learn new skills, process trauma, and reach your goals. While trauma is Madison’s specialty, she is also well versed in a variety of mental health concerns including depression, anxiety and substance use. She is passionate about her work and values growth in all areas of her practice.
(443) 300-8879 View (443) 300-8879
Photo of Brenda Lee von Rautenkranz, MS, LCPC, NCC
Brenda Lee von Rautenkranz
Licensed Clinical Professional Counselor, MS, LCPC, NCC
Verified Verified
1 Endorsed
Sykesville, MD 21784
Thank you for visiting my profile. I am passionate about helping children and adults find and maintain balance in their lives. I use a whole body system approach that incorporates nutrition, vitamins and exercise, the mind, and spirit. . As a psychotherapist and with my background as a fitness trainer, I have found the importance of a healthy body gives a healthy mind. My practice is about enabling individuals to recognize and address the obstacles that are keeping them from finding that balance. I work with children (3-12), adolescents and adults. But wait there is more....
Thank you for visiting my profile. I am passionate about helping children and adults find and maintain balance in their lives. I use a whole body system approach that incorporates nutrition, vitamins and exercise, the mind, and spirit. . As a psychotherapist and with my background as a fitness trainer, I have found the importance of a healthy body gives a healthy mind. My practice is about enabling individuals to recognize and address the obstacles that are keeping them from finding that balance. I work with children (3-12), adolescents and adults. But wait there is more....
(301) 679-7225 View (301) 679-7225
Photo of Kristen Custer, LCPC, CCATP, Counselor
Kristen Custer
Counselor, LCPC, CCATP
Verified Verified
Sykesville, MD 21784  (Online Only)
If you are looking for relief from overwhelming anxiety or desire the ability to tame anxiety impacting your life, then you are in the right place! I am a therapist passionate about working with those experiencing anxiety and related issues such as obsessive-compulsive disorders, transitional life stress, and interpersonal problems. Anxiety can be invasive and scary. With years of helping those troubled by anxiety, I have found trust, openness, and commitment to change to be the most prominent factors in successfully overcoming anxiety's challenges.
If you are looking for relief from overwhelming anxiety or desire the ability to tame anxiety impacting your life, then you are in the right place! I am a therapist passionate about working with those experiencing anxiety and related issues such as obsessive-compulsive disorders, transitional life stress, and interpersonal problems. Anxiety can be invasive and scary. With years of helping those troubled by anxiety, I have found trust, openness, and commitment to change to be the most prominent factors in successfully overcoming anxiety's challenges.
(443) 971-7015 View (443) 971-7015
Photo of undefined - The Counseling Renaissance, LCPC
The Counseling Renaissance
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Sykesville, MD 21784
We have Immediate Openings! Christlyn McCaskill, ATR-BC, LCPAT, LCPC, Sheena Anthony, LGPC, and Rachel Scholnick, LMSW are available to work with teens and adults struggling with mood, anxiety, relationship issues, self-esteem, and more, both in-person and virtually. We offer clients a safe space to discover, explore, and process. Christlyn has special skills with trauma work and art therapy. Sheena uses Dialectical-Behavioral Therapy, Cognitive Behavior Therapy, and Solution-Focused Therapy. Rachel uses a strengths-based, collaborative approach, and especially works with grief, and women's issues.
We have Immediate Openings! Christlyn McCaskill, ATR-BC, LCPAT, LCPC, Sheena Anthony, LGPC, and Rachel Scholnick, LMSW are available to work with teens and adults struggling with mood, anxiety, relationship issues, self-esteem, and more, both in-person and virtually. We offer clients a safe space to discover, explore, and process. Christlyn has special skills with trauma work and art therapy. Sheena uses Dialectical-Behavioral Therapy, Cognitive Behavior Therapy, and Solution-Focused Therapy. Rachel uses a strengths-based, collaborative approach, and especially works with grief, and women's issues.
(410) 657-8749 View (410) 657-8749
Photo of Lisa Barnes Lcsw-C Tidewater Counseling Services, MSW, LCSW-C, LISW-CP, Clinical Social Work/Therapist
Lisa Barnes Lcsw-C Tidewater Counseling Services
Clinical Social Work/Therapist, MSW, LCSW-C, LISW-CP
Verified Verified
2 Endorsed
Sykesville, MD 21784  (Online Only)
It really takes courage to seek a more fulfilling and happier life and I congratulate you on taking this first step! Tidewater Counseling Services offers individual counseling services to clients 16 years of age and older. I am interested in learning about your mental health concerns and will tailor sessions to meet your unique and specific needs. I meet you where you are and work collaboratively to assist you in achieving your goals.
It really takes courage to seek a more fulfilling and happier life and I congratulate you on taking this first step! Tidewater Counseling Services offers individual counseling services to clients 16 years of age and older. I am interested in learning about your mental health concerns and will tailor sessions to meet your unique and specific needs. I meet you where you are and work collaboratively to assist you in achieving your goals.
(843) 825-1290 View (843) 825-1290
Photo of Martha Smith, LCPC, NCC
Martha Smith
Licensed Clinical Professional Counselor, LCPC, NCC
Verified Verified
Sykesville, MD 21784
My approach to counseling is a strengths based one. I specialize in treating children, teenagers and adults. I have advanced training in play therapy, ABA therapy, Motivational Interviewing, Cognitive Behavioral Therapy, Mindfulness, and trauma. I believe that when people are going through serious life events they can change for the better with active listening, empathy, unconditional acceptance and the use of an eclectic approach to meet the patients individual needs.
My approach to counseling is a strengths based one. I specialize in treating children, teenagers and adults. I have advanced training in play therapy, ABA therapy, Motivational Interviewing, Cognitive Behavioral Therapy, Mindfulness, and trauma. I believe that when people are going through serious life events they can change for the better with active listening, empathy, unconditional acceptance and the use of an eclectic approach to meet the patients individual needs.
(410) 324-6312 View (410) 324-6312
Photo of Michael Reeder, MS, LCPC
Michael Reeder
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
1 Endorsed
Sykesville, MD 21784
I take a holistic approach that incorporates mind, body, and spirit. I believe it's important to integrate life meaning into counseling. I'll work with you to set goals and the proper pacing of therapy. Therapy is a collaboration, as ultimately the power to change rests within you. I emphasize unconditional positive regard, respect, a safe and caring therapeutic relationship, individual strengths, and taking control over choices.
I take a holistic approach that incorporates mind, body, and spirit. I believe it's important to integrate life meaning into counseling. I'll work with you to set goals and the proper pacing of therapy. Therapy is a collaboration, as ultimately the power to change rests within you. I emphasize unconditional positive regard, respect, a safe and caring therapeutic relationship, individual strengths, and taking control over choices.
(877) 823-3439 View (877) 823-3439
Photo of Pamela A. Del Nero And Therapy Dog Kenny, LCSW-C, Clinical Social Work/Therapist
Pamela A. Del Nero And Therapy Dog Kenny
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Sykesville, MD 21784  (Online Only)
When facing challenging times, therapy can provide a safe place to talk about those challenges. I am happy to announce the addition of the newest staff member, Kenny, a certified therapy dog whose presence helps create a safe space. My goal is to help clients achieve their own "zen" state by learning how to recognize, access, & trust their own intuition. I view therapy as part of one's wellness journey. And one of the most important challenges in this journey is to understand one's personal power & how to manage it. Therapy is a challenging process, but I will be your advocate & help you learn to become your own advocate.
When facing challenging times, therapy can provide a safe place to talk about those challenges. I am happy to announce the addition of the newest staff member, Kenny, a certified therapy dog whose presence helps create a safe space. My goal is to help clients achieve their own "zen" state by learning how to recognize, access, & trust their own intuition. I view therapy as part of one's wellness journey. And one of the most important challenges in this journey is to understand one's personal power & how to manage it. Therapy is a challenging process, but I will be your advocate & help you learn to become your own advocate.
(410) 927-5132 View (410) 927-5132
Photo of Jacquelyn Kiser, LCSW-C, Clinical Social Work/Therapist
Jacquelyn Kiser
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Sykesville, MD 21784
***Accepting New Telehealth Clients** **Email for quicker response***Life can easily become overwhelming and people can find themselves going through the daily routine as opposed to truly enjoying the journey. Stress, depression, anxiety, grief, and conflict in relationships can rob people of joy and wellness. My focus is to partner with clients, uncover their strengths, and help them achieve the goals they have identified. I believe that people are fully capable of change and I create a safe, non-judgmental, and trusting environment to assist people in the healing process.
***Accepting New Telehealth Clients** **Email for quicker response***Life can easily become overwhelming and people can find themselves going through the daily routine as opposed to truly enjoying the journey. Stress, depression, anxiety, grief, and conflict in relationships can rob people of joy and wellness. My focus is to partner with clients, uncover their strengths, and help them achieve the goals they have identified. I believe that people are fully capable of change and I create a safe, non-judgmental, and trusting environment to assist people in the healing process.
(410) 376-8906 View (410) 376-8906

How does your Therapist compare?

Number of Therapists in Sykesville, MD

50+

Average cost per session

$140

Therapists in Sykesville, MD who prioritize treating:

94% Anxiety
90% Depression
86% Self Esteem
82% Coping Skills
76% Stress
74% Trauma and PTSD
72% Relationship Issues

Average years in practice

14 Years

Top 3 insurances accepted

78% Cigna and Evernorth
69% BlueCross and BlueShield
63% CareFirst

How Therapists in Sykesville, MD see their clients

66% In Person and Online
34% Online Only

Gender breakdown

94% Female
6% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Sykesville?

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.