Therapists in Garden City, MI

Photo of Becca Guenther, LMSW, CAGCS, CCTP, Clinical Social Work/Therapist
Becca Guenther
Clinical Social Work/Therapist, LMSW, CAGCS, CCTP
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
Have you recently experienced the death of a loved one, encountered a significant life transition, or needed support in healing and nurturing your relationship with yourself? People usually experience distress and overwhelm long before deciding to begin working with a therapist and often lack meaningful support as they navigate life's challenges. You don't have to figure it all out by yourself. I'm here to help you learn how to embrace and integrate the difficult parts of your life into the rest of your being, a way to find healing and build a life that includes not just these complex parts but also the most joyful aspects of life.
Have you recently experienced the death of a loved one, encountered a significant life transition, or needed support in healing and nurturing your relationship with yourself? People usually experience distress and overwhelm long before deciding to begin working with a therapist and often lack meaningful support as they navigate life's challenges. You don't have to figure it all out by yourself. I'm here to help you learn how to embrace and integrate the difficult parts of your life into the rest of your being, a way to find healing and build a life that includes not just these complex parts but also the most joyful aspects of life.
(734) 412-7412 View (734) 412-7412
Photo of Charity M Loring, BSW, MSW, LMSW, CMHP, Clinical Social Work/Therapist
Charity M Loring
Clinical Social Work/Therapist, BSW, MSW, LMSW, CMHP
Verified Verified
3 Endorsed
Online Only
We all need emotional support in our lives. I respect the fact that it takes a level of bravery to step outside one's comfort zone to seek help in times of trouble. Getting therapy does not mean that you are "crazy". Instead, therapy can be empowering, and exercises our emotional potential. I provide an objective perspective and empathy that you may not typically receive from friends or family. I am honored to work with those who are attempting to seek help in bettering their lives.
We all need emotional support in our lives. I respect the fact that it takes a level of bravery to step outside one's comfort zone to seek help in times of trouble. Getting therapy does not mean that you are "crazy". Instead, therapy can be empowering, and exercises our emotional potential. I provide an objective perspective and empathy that you may not typically receive from friends or family. I am honored to work with those who are attempting to seek help in bettering their lives.
(734) 984-5378 View (734) 984-5378
Photo of Manal M Hazime - Better Choice Psychotherapy and Counseling Center, PhD, LPC, NCC, Licensed Professional Counselor
Better Choice Psychotherapy and Counseling Center
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Garden City, MI 48135
Therapy is a life-changing experience. Take the first step toward a new path. Make a better choice and draw your own conclusions for better future.
Therapy is a life-changing experience. Take the first step toward a new path. Make a better choice and draw your own conclusions for better future.
(734) 215-9335 View (734) 215-9335
Photo of Stacy Peterson, LMSW, ACSW, Clinical Social Work/Therapist
Stacy Peterson
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
I believe that we are all worthy of dignity, respect and love. This does not mean we have not suffered or experienced shame, guilt and loss-for things we have done and things that have been done to us. With you as the guide and me in a support role, I hope we can explore these issues so that healing and peace will occur. On this sometimes difficult and challenging journey, I hope we can get to work together to find resolution and understanding and come to the place where you are empowered to make new and healthier choices. I am currently unable to take on new clients at this time.
I believe that we are all worthy of dignity, respect and love. This does not mean we have not suffered or experienced shame, guilt and loss-for things we have done and things that have been done to us. With you as the guide and me in a support role, I hope we can explore these issues so that healing and peace will occur. On this sometimes difficult and challenging journey, I hope we can get to work together to find resolution and understanding and come to the place where you are empowered to make new and healthier choices. I am currently unable to take on new clients at this time.
(734) 270-4075 View (734) 270-4075
Photo of Kate M Ferris, LMSW, Clinical Social Work/Therapist
Kate M Ferris
Clinical Social Work/Therapist, LMSW
Verified Verified
Garden City, MI 48136
I offer compassion, genuineness, and understanding in a safe environment. I listen to my clients and from my 16 years of experience, I offer real solutions. I specialize in PTSD, Anxiety, Depression, Child Abuse, Substance Abuse, Sexual Abuse and Neglect. I do my best to create a comfortable environment that allows the client to break barriers and gain access and insight to the root cause of their pain. I educate my clients on how to open up and explore their wounds without judgment or fear. As a result of your work, you gain the life you never believed was possible.
I offer compassion, genuineness, and understanding in a safe environment. I listen to my clients and from my 16 years of experience, I offer real solutions. I specialize in PTSD, Anxiety, Depression, Child Abuse, Substance Abuse, Sexual Abuse and Neglect. I do my best to create a comfortable environment that allows the client to break barriers and gain access and insight to the root cause of their pain. I educate my clients on how to open up and explore their wounds without judgment or fear. As a result of your work, you gain the life you never believed was possible.
(313) 346-5205 View (313) 346-5205
Photo of Tera Foster, LLMSW, Clinical Social Work/Therapist
Tera Foster
Clinical Social Work/Therapist, LLMSW
Verified Verified
2 Endorsed
Online Only
I believe clients are experts on themselves, driving their own therapeutic journey while I hold the roadmap. Collaborating with clients to develop healthier relationships with themselves and others. Helping to identify patterns and cultivate effective communication, problem solving and coping skills.
I believe clients are experts on themselves, driving their own therapeutic journey while I hold the roadmap. Collaborating with clients to develop healthier relationships with themselves and others. Helping to identify patterns and cultivate effective communication, problem solving and coping skills.
(616) 741-3750 View (616) 741-3750
Photo of Robert Cox, LLMSW, Clinical Social Work/Therapist
Robert Cox
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Garden City, MI 48135
Become the Man you aspire to be by embracing challenges, owning your growth and turning every setback into strength. I bring 25 years of experience in the Social Work field, with a rich background in peer prevention programs aimed at reducing risk and enhancing life skills for individuals. I began with facilitating groups focused on teaching coping strategies and life skills, driven by a deep passion for supporting families and youth and men facing issues, anxiety/depression, life transitions, and challenges within family and adolescent dynamics. My experience and commitment to personal growth guide my practice.
Become the Man you aspire to be by embracing challenges, owning your growth and turning every setback into strength. I bring 25 years of experience in the Social Work field, with a rich background in peer prevention programs aimed at reducing risk and enhancing life skills for individuals. I began with facilitating groups focused on teaching coping strategies and life skills, driven by a deep passion for supporting families and youth and men facing issues, anxiety/depression, life transitions, and challenges within family and adolescent dynamics. My experience and commitment to personal growth guide my practice.
(248) 963-1674 View (248) 963-1674
Photo of Marla J. Edwards-Wheeler - Marla J. Edwards-Wheeler at Just TRI Recovery , LMSW, ACSW, QMHP , CPRM, CCJP-M, Clinical Social Work/Therapist
Marla J. Edwards-Wheeler at Just TRI Recovery
Clinical Social Work/Therapist, LMSW, ACSW, QMHP , CPRM, CCJP-M
Verified Verified
Garden City, MI 48136
Just TRI Recovery is a pioneering outpatient behavioral health treatment facility situated in Inkster, Michigan. Distinguished as the first of its kind in the area, this facility is proudly owned and operated by Marla J. Edwards-Wheeler, an accomplished African American woman. As the Founder of Just TRI Recovery, I am highly dedicated mental health therapist with a specialized focus on serving individuals within Southeastern Michigan, Michigan's criminal justice system, correctional facilities, and the broadening cities of our Inkster communities for over two decades.
Just TRI Recovery is a pioneering outpatient behavioral health treatment facility situated in Inkster, Michigan. Distinguished as the first of its kind in the area, this facility is proudly owned and operated by Marla J. Edwards-Wheeler, an accomplished African American woman. As the Founder of Just TRI Recovery, I am highly dedicated mental health therapist with a specialized focus on serving individuals within Southeastern Michigan, Michigan's criminal justice system, correctional facilities, and the broadening cities of our Inkster communities for over two decades.
(734) 270-4304 View (734) 270-4304
Photo of Aj Gareffa, LLMSW, Clinical Social Work/Therapist
Aj Gareffa
Clinical Social Work/Therapist, LLMSW
Verified Verified
Garden City, MI 48136
Client comfort is my top priority. I believe growth happens best when we feel safe, seen and secure. My therapeutic style is influenced by anti-racist theory and queer studies. I work within a disability friendly, body positive, poly/kink affirming, LGBTQIA+ friendly, and anti-racist framework. And, as a neurodivergent clinician, I strive to create an environment that is welcoming for all neurotypes.
Client comfort is my top priority. I believe growth happens best when we feel safe, seen and secure. My therapeutic style is influenced by anti-racist theory and queer studies. I work within a disability friendly, body positive, poly/kink affirming, LGBTQIA+ friendly, and anti-racist framework. And, as a neurodivergent clinician, I strive to create an environment that is welcoming for all neurotypes.
(734) 292-8589 View (734) 292-8589
Photo of Susan E Ruma, LMSW, Clinical Social Work/Therapist
Susan E Ruma
Clinical Social Work/Therapist, LMSW
Verified Verified
Garden City, MI 48135
With over 21 years of experience as a social worker, I have had the opportunity to work with homeless youth, as a case manager, as a pediatric social worker in a hospital setting and as an outpatient therapist. I've be fortunate to have wide range of experiences with different life situations and struggles. I believe in ongoing training and supervision to learn new skills to remain current in my field. I believe in helping people find their strengths and using them to improve their lives and find meaning when challenges occur.
With over 21 years of experience as a social worker, I have had the opportunity to work with homeless youth, as a case manager, as a pediatric social worker in a hospital setting and as an outpatient therapist. I've be fortunate to have wide range of experiences with different life situations and struggles. I believe in ongoing training and supervision to learn new skills to remain current in my field. I believe in helping people find their strengths and using them to improve their lives and find meaning when challenges occur.
(734) 215-3874 View (734) 215-3874
Photo of Celia Polich - Celia Polich of Growth & Serenity Through Therapy, LMSW, CAADC, Clinical Social Work/Therapist
Celia Polich of Growth & Serenity Through Therapy
Clinical Social Work/Therapist, LMSW, CAADC
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
Looking forward to meeting you in the New Year. Will resume taking new clients January 6, 2025. Salutations. What brings you into therapy and who you are is unique. I find that knowing who you are and what your strengths are can be a good foundation to bring about the change you are seeking in your life.
Looking forward to meeting you in the New Year. Will resume taking new clients January 6, 2025. Salutations. What brings you into therapy and who you are is unique. I find that knowing who you are and what your strengths are can be a good foundation to bring about the change you are seeking in your life.
(313) 474-8236 View (313) 474-8236
Photo of Frank Sollars - Sollars and Associates, LP, Psychologist
Sollars and Associates
Psychologist, LP
Verified Verified
1 Endorsed
Garden City, MI 48135
I am a licensed psychologist as well as the clinical director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. With support, encouragement, and expert insight many people begin to feel better after their first session. Our therapists possess a great deal of experience in evaluating and working with children, adolescents, and families dealing with a variety of issues.
I am a licensed psychologist as well as the clinical director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. With support, encouragement, and expert insight many people begin to feel better after their first session. Our therapists possess a great deal of experience in evaluating and working with children, adolescents, and families dealing with a variety of issues.
(248) 862-1171 View (248) 862-1171
Photo of Franklin Sollars - Sollars and Associates, Inc, PhD, Psychologist
Sollars and Associates, Inc
Psychologist, PhD
Verified Verified
Garden City, MI 48136
I am a licensed psychologist as well as the clinical director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. With support, encouragement, and expert insight many people begin to feel better after their first session. Our therapists possess a great deal of experience in evaluating and working with children, adolescents, and families dealing with a variety of issues.
I am a licensed psychologist as well as the clinical director of Sollars and Associates Integrative Counseling and Psychological Services. I have been providing counseling and psychotherapy for over 30 years in the Metro Detroit area and our group practice spans across the state of Michigan. With support, encouragement, and expert insight many people begin to feel better after their first session. Our therapists possess a great deal of experience in evaluating and working with children, adolescents, and families dealing with a variety of issues.
(313) 251-4869 View (313) 251-4869

More Therapists Nearby

Photo of Desmond Mack, LPC, Licensed Professional Counselor
Desmond Mack
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Online Only
I am a Mental Health Clinician with a passion for helping people navigate life's challenges. As a clinician, my primary goal is to work collaboratively with my clients, guiding them through the various processes and transitions that can be difficult to navigate alone. My counseling style is holistic and client-centered, which means that I focus on the whole person and their unique experiences, while allowing for the freedom of expression and collaboration. I believe that everyone's journey is unique, and that there is no one-size-fits-all approach to mental health.
I am a Mental Health Clinician with a passion for helping people navigate life's challenges. As a clinician, my primary goal is to work collaboratively with my clients, guiding them through the various processes and transitions that can be difficult to navigate alone. My counseling style is holistic and client-centered, which means that I focus on the whole person and their unique experiences, while allowing for the freedom of expression and collaboration. I believe that everyone's journey is unique, and that there is no one-size-fits-all approach to mental health.
(313) 251-5713 View (313) 251-5713
Photo of Shatangela D Gibbs, MA, LPC , SCL, NCC, Licensed Professional Counselor
Shatangela D Gibbs
Licensed Professional Counselor, MA, LPC , SCL, NCC
Verified Verified
2 Endorsed
Online Only
Perhaps you're down or anxious - maybe you're unsure about the future of a relationship, questioning your worth or purpose, or just feel that you aren't yourself. Whatever your needs may be, I am looking to journey with you to find understanding and healing. I specialize in treating Anxiety, Life Transitions, Stress, and Women's Issues. I am here to help you to reflect, release, embrace and to be empowered as you become your best and authentic self.
Perhaps you're down or anxious - maybe you're unsure about the future of a relationship, questioning your worth or purpose, or just feel that you aren't yourself. Whatever your needs may be, I am looking to journey with you to find understanding and healing. I specialize in treating Anxiety, Life Transitions, Stress, and Women's Issues. I am here to help you to reflect, release, embrace and to be empowered as you become your best and authentic self.
(248) 587-8957 View (248) 587-8957
Photo of Antanique Thomas, MS, LPC, Counselor
Antanique Thomas
Counselor, MS, LPC
Verified Verified
Canton, MI 48187
“There is no health, without mental health!”  and “There is hope…even when your brain tells you that it is not!” I am an advocate for mental health awareness and stability and I am dedicated to providing the best care, patience, and support to you and take great joy in helping people meet their therapeutic needs. My specialization is in marriage, family, and couples counseling and I have experience working with individuals as well, from ages 2 and up with a variety of different disorders including autism, schizophrenia, eating disorders, major depression, and anxiety.
“There is no health, without mental health!”  and “There is hope…even when your brain tells you that it is not!” I am an advocate for mental health awareness and stability and I am dedicated to providing the best care, patience, and support to you and take great joy in helping people meet their therapeutic needs. My specialization is in marriage, family, and couples counseling and I have experience working with individuals as well, from ages 2 and up with a variety of different disorders including autism, schizophrenia, eating disorders, major depression, and anxiety.
(947) 217-5073 View (947) 217-5073
Photo of Dalynngia Fuqua, MS,  LLPC, SCL, Counselor
Dalynngia Fuqua
Counselor, MS, LLPC, SCL
Verified Verified
1 Endorsed
Online Only
You are taking the first step to work towards your healing. I am proud of you but most importantly, I hope you are proud of yourself. Keep going! Healing is a lifelong journey that requires various techniques. When assessing client needs we can develop plans that will work best for each client individually. I will create a safe, confidential, and judgment-free environment for you to explore your past experiences and feelings while building the confidence needed to overcome barriers and achieve goals. Please remember that you are not alone! I look forward to working with you and I wish you the best in your journey!
You are taking the first step to work towards your healing. I am proud of you but most importantly, I hope you are proud of yourself. Keep going! Healing is a lifelong journey that requires various techniques. When assessing client needs we can develop plans that will work best for each client individually. I will create a safe, confidential, and judgment-free environment for you to explore your past experiences and feelings while building the confidence needed to overcome barriers and achieve goals. Please remember that you are not alone! I look forward to working with you and I wish you the best in your journey!
(734) 593-1689 View (734) 593-1689
Photo of Eric Eason - Eason Counseling and Consulting, PLLC, MA, LPC, CAADC, Licensed Professional Counselor
Eason Counseling and Consulting, PLLC
Licensed Professional Counselor, MA, LPC, CAADC
Verified Verified
Online Only
Many persons experience Depression and Anxiety. Depression is a culmination of symptoms that adversely impacts a person's well-being. It has a negative impact on a person's daily functioning, decision-making, level of motivation, poor work or school performance, physical health issues, negative feelings towards people, relationships, activities, and events; uncertainty about your next move in life and/ or redefining your purpose to move forward in life. Anxiety is one of the most intense symptoms of depression. It is the preoccupation of worrying or anticipating something to occur even though it has not happened.
Many persons experience Depression and Anxiety. Depression is a culmination of symptoms that adversely impacts a person's well-being. It has a negative impact on a person's daily functioning, decision-making, level of motivation, poor work or school performance, physical health issues, negative feelings towards people, relationships, activities, and events; uncertainty about your next move in life and/ or redefining your purpose to move forward in life. Anxiety is one of the most intense symptoms of depression. It is the preoccupation of worrying or anticipating something to occur even though it has not happened.
(248) 831-0445 View (248) 831-0445
Photo of Susan Barrow, LMSW, Clinical Social Work/Therapist
Susan Barrow
Clinical Social Work/Therapist, LMSW
Verified Verified
Ann Arbor, MI 48104
Relationships are central to my work, whether it be the relationship between a child or adult and myself, or the complex web of relationships within a family. My training and experience in Infant Mental Health--a type of therapy focusing on the attachment relationship between a primary caregiver and and an infant or young child--permeates all aspects of my work. I believe that therapy cannot separate an individual from the context of his or her relationships, past or present. I am creative and flexible in my approach to working with the children, teens, adults and families that I serve.
Relationships are central to my work, whether it be the relationship between a child or adult and myself, or the complex web of relationships within a family. My training and experience in Infant Mental Health--a type of therapy focusing on the attachment relationship between a primary caregiver and and an infant or young child--permeates all aspects of my work. I believe that therapy cannot separate an individual from the context of his or her relationships, past or present. I am creative and flexible in my approach to working with the children, teens, adults and families that I serve.
(734) 984-4562 View (734) 984-4562
Photo of Hayley Alkhafaji, LMSW, LCSW, Clinical Social Work/Therapist
Hayley Alkhafaji
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
1 Endorsed
Online Only
Hello! My name is Hayley Alkhafaji, and I am so glad that you are here. I am a psychotherapist/licensed master social worker with clinical specialization (LMSW, LCSW) I provide remote/telehealth mental health therapy services to individuals residing in Michigan and North Dakota. I primarily work with the youth, adolescent, and young adult population. I have several years of experience administering mental health services in both inpatient and outpatient settings. I am passionate about mental health, and empowering and supporting others. I believe in using a strength based and client centered approach, always focusing on the needs of
Hello! My name is Hayley Alkhafaji, and I am so glad that you are here. I am a psychotherapist/licensed master social worker with clinical specialization (LMSW, LCSW) I provide remote/telehealth mental health therapy services to individuals residing in Michigan and North Dakota. I primarily work with the youth, adolescent, and young adult population. I have several years of experience administering mental health services in both inpatient and outpatient settings. I am passionate about mental health, and empowering and supporting others. I believe in using a strength based and client centered approach, always focusing on the needs of
(248) 986-2616 View (248) 986-2616

See more therapy options for Garden City

How does your Therapist compare?

Number of Therapists in Garden City, MI

10+

Average cost per session

$120

Therapists in Garden City, MI who prioritize treating:

100% Anxiety
100% Coping Skills
92% Depression
85% Behavioral Issues
85% Self Esteem
77% Relationship Issues
77% Grief

Average years in practice

16 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH
69% Blue Cross

How Therapists in Garden City, MI see their clients

62% In Person and Online
38% Online Only

Gender breakdown

82% Female
9% Male
9% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Garden City?

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.