Therapists in Southwest Garden, Saint Louis, MO
Marina Klier
Clinical Social Work/Therapist, LCSW, MSW, MEd
Verified Verified
1 Endorsed
Southwest Garden, Saint Louis, MO 63139
If you are navigating sexual, romantic, or emotional difficulties I am here to help. Struggling with identity and authenticity in a sex negative, stigmatizing society can be an isolating experience. You and any partners need an affirming space to explore the full bounds of your potential. A validating and inclusive space can help you feel comfortable questioning the social constructs and relational education you’ve received that may no longer serve you. You will receive guidance in existing confidently and finding the connection you seek. You deserve someone who is on your side, rooting for your success, whatever that may look like.
If you are navigating sexual, romantic, or emotional difficulties I am here to help. Struggling with identity and authenticity in a sex negative, stigmatizing society can be an isolating experience. You and any partners need an affirming space to explore the full bounds of your potential. A validating and inclusive space can help you feel comfortable questioning the social constructs and relational education you’ve received that may no longer serve you. You will receive guidance in existing confidently and finding the connection you seek. You deserve someone who is on your side, rooting for your success, whatever that may look like.
Zach Carson
Pre-Licensed Professional, PLPC
Verified Verified
Southwest Garden, Saint Louis, MO 63139
I am honored to sit with individuals and couples as they wrestle through questions of meaning, purpose, and pain towards joy, hope, and more abundant life. I see it as my role as a counselor to collaborate with clients to help clarify thought patterns, recognize and honor emotions, and work to better navigate the systems which influence outlook and behavior, be they societal, familial, or cultural.
I am honored to sit with individuals and couples as they wrestle through questions of meaning, purpose, and pain towards joy, hope, and more abundant life. I see it as my role as a counselor to collaborate with clients to help clarify thought patterns, recognize and honor emotions, and work to better navigate the systems which influence outlook and behavior, be they societal, familial, or cultural.
Peter Maynor
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Southwest Garden, Saint Louis, MO 63139
Waitlist for new clients
If you are motivated to grow as an individual or as a couple, face challenging realities, and develop a growth mentality, or if you need to recover from harm, work through grief, and move toward wholeness and wellbeing, this could be the right therapeutic fit for you. If you feel stuck, unsatisfied, anxious, or discouraged, we can work through your struggles. If your relationship is in jeopardy or you just want to take it to the next level of connection, this is the right place for you. Lastly, to recent graduates looking for supervision, I've enjoyed supervising many therapists over the years and would be happy to discuss fitting.
If you are motivated to grow as an individual or as a couple, face challenging realities, and develop a growth mentality, or if you need to recover from harm, work through grief, and move toward wholeness and wellbeing, this could be the right therapeutic fit for you. If you feel stuck, unsatisfied, anxious, or discouraged, we can work through your struggles. If your relationship is in jeopardy or you just want to take it to the next level of connection, this is the right place for you. Lastly, to recent graduates looking for supervision, I've enjoyed supervising many therapists over the years and would be happy to discuss fitting.
Matthew Collins
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Southwest Garden, Saint Louis, MO 63110
My goal is to provide a supportive, non-judgmental space where you can explore and address concerns related to problematic sexual behavior, relationships skills, and sexual well-being. Whether you're facing challenges with desire, communication, or sexual functioning, I’m here to help you navigate these sensitive areas with compassion and evidence-based strategies. Together, we’ll work towards enhancing your understanding of your sexual wellness and building a more fulfilling, confident connection with yourself and your relationships.
My goal is to provide a supportive, non-judgmental space where you can explore and address concerns related to problematic sexual behavior, relationships skills, and sexual well-being. Whether you're facing challenges with desire, communication, or sexual functioning, I’m here to help you navigate these sensitive areas with compassion and evidence-based strategies. Together, we’ll work towards enhancing your understanding of your sexual wellness and building a more fulfilling, confident connection with yourself and your relationships.
Bill Michalski
Licensed Professional Counselor, MEd, LPC
Verified Verified
Southwest Garden, Saint Louis, MO 63139
Why is it that you’re doing everything “right” and still don’t feel happy? How do you remain true to your heartfelt work in a world that doesn’t seem to appreciate it? Is all this stress accomplishing anything meaningful for you or your loved ones? Why do fears and anxieties keep you isolated from people you might like to know? These are just a few of the questions we can tackle together in therapy. If there is one place in the world where you should be allowed to be your genuine self, I believe it is the therapy room.
Why is it that you’re doing everything “right” and still don’t feel happy? How do you remain true to your heartfelt work in a world that doesn’t seem to appreciate it? Is all this stress accomplishing anything meaningful for you or your loved ones? Why do fears and anxieties keep you isolated from people you might like to know? These are just a few of the questions we can tackle together in therapy. If there is one place in the world where you should be allowed to be your genuine self, I believe it is the therapy room.
Jason Eccker
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Southwest Garden, Saint Louis, MO 63139
Waitlist for new clients
As a social worker, my goal is to partner with my clients so that they may achieve their goals. I have a diverse background in treating trauma, addiction and mental health from a strengths-based perspective, and I have been successful in helping clients to integrate long-term solutions in their daily lives. I feel that my ability to create a strong therapeutic alliance with clients as one of my biggest strengths. For those suffering from PTSD/other past trauma, I offer EMDR therapy which continues to be researched as highly effective for individuals suffering from these conditions.
As a social worker, my goal is to partner with my clients so that they may achieve their goals. I have a diverse background in treating trauma, addiction and mental health from a strengths-based perspective, and I have been successful in helping clients to integrate long-term solutions in their daily lives. I feel that my ability to create a strong therapeutic alliance with clients as one of my biggest strengths. For those suffering from PTSD/other past trauma, I offer EMDR therapy which continues to be researched as highly effective for individuals suffering from these conditions.
Michaela Kearney
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Southwest Garden, Saint Louis, MO 63139
Whether it be little moments or big ones, it is my belief that we have all experienced some degree of trauma in life. No matter the degree, the impact on us can be significant. In trying to make sense of these experiences, we can all benefit from having witnesses to our experiences and pain. We are not meant to live life alone. For many this leads us to look for a therapist. As a therapist, but also just as a person, it is an honor each time I am invited to bear witness to someone else's story.
Whether it be little moments or big ones, it is my belief that we have all experienced some degree of trauma in life. No matter the degree, the impact on us can be significant. In trying to make sense of these experiences, we can all benefit from having witnesses to our experiences and pain. We are not meant to live life alone. For many this leads us to look for a therapist. As a therapist, but also just as a person, it is an honor each time I am invited to bear witness to someone else's story.
Erica Lynn Braun
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Southwest Garden, Saint Louis, MO 63139
Erica is a seasoned, compassionate therapist - dedicated to empowering individuals on their journey towards mental and emotional well-being. With a wealth of experience and a commitment to excellence, Erica has become a trusted guide for those seeking support and transformation in their lives. Erica has a diverse background, having worked with individuals facing a spectrum of mental health issues such as anxiety, depression, trauma, and relationship difficulties. Her holistic approach to therapy integrates evidence-based practices with personalized strategies, tailoring each session to meet the unique needs and goals of her client.
Erica is a seasoned, compassionate therapist - dedicated to empowering individuals on their journey towards mental and emotional well-being. With a wealth of experience and a commitment to excellence, Erica has become a trusted guide for those seeking support and transformation in their lives. Erica has a diverse background, having worked with individuals facing a spectrum of mental health issues such as anxiety, depression, trauma, and relationship difficulties. Her holistic approach to therapy integrates evidence-based practices with personalized strategies, tailoring each session to meet the unique needs and goals of her client.
Jessie Kissinger
Pre-Licensed Professional, MEd, PLPC, NCC
Verified Verified
2 Endorsed
Southwest Garden, Saint Louis, MO 63139
I believe counseling is most powerful when it sensitizes you to what’s happening in your mind, heart, and body and helps you meet whatever you find with compassion. Feeling your feels (literally) is the first step to making sense of them. Within that confusion is the possibility of deeper self-knowledge and freedom. I find it helpful to use yoga and mindfulness practices to keep you grounded as you explore big emotions, and I enjoy working with people who want to bring the wisdom of the body into their therapeutic work—whether that’s processing loss, trauma, change, overwhelm, spiritual concerns, or feeling stuck and disconnected.
I believe counseling is most powerful when it sensitizes you to what’s happening in your mind, heart, and body and helps you meet whatever you find with compassion. Feeling your feels (literally) is the first step to making sense of them. Within that confusion is the possibility of deeper self-knowledge and freedom. I find it helpful to use yoga and mindfulness practices to keep you grounded as you explore big emotions, and I enjoy working with people who want to bring the wisdom of the body into their therapeutic work—whether that’s processing loss, trauma, change, overwhelm, spiritual concerns, or feeling stuck and disconnected.
Katie L Arnold
Licensed Professional Counselor, MA, ATR, LPC
Verified Verified
2 Endorsed
Southwest Garden, Saint Louis, MO 63139
I have a diverse background in the evidence-based treatment of persons with trauma, eating disorders, co-occurring disorders, anxiety, mood disorders, LGBTQIA+ challenges and gender dysphoria. For clients with PTSD and other trauma, common goals include symptom reduction, coping, exploration and healing. With eating disorders, my practice is most appropriate for clients who have attended a higher level of care (e.g. Intensive Outpatient, Residential, PHP) and are looking to confront issues underlying the eating disorder. Clients seeking gender affirming care will find support with expression, transition, relationships and more.
I have a diverse background in the evidence-based treatment of persons with trauma, eating disorders, co-occurring disorders, anxiety, mood disorders, LGBTQIA+ challenges and gender dysphoria. For clients with PTSD and other trauma, common goals include symptom reduction, coping, exploration and healing. With eating disorders, my practice is most appropriate for clients who have attended a higher level of care (e.g. Intensive Outpatient, Residential, PHP) and are looking to confront issues underlying the eating disorder. Clients seeking gender affirming care will find support with expression, transition, relationships and more.
Ellen S. Dorfman
Clinical Social Work/Therapist, MA, LCSW, LPC
Verified Verified
1 Endorsed
Southwest Garden, Saint Louis, MO 63139
Not accepting new clients
Ellen Dorfman believes that the client is the ultimate expert. She prefers to accompany clients on the journey of their choosing, assuming the role of guide rather than tour director. Ellen is most interested in what can be learned from the clients as they bring issues of trauma, and loss. Those with grief, loss, depression, and personal growth and identity issues make up much of her practice.
Ellen Dorfman believes that the client is the ultimate expert. She prefers to accompany clients on the journey of their choosing, assuming the role of guide rather than tour director. Ellen is most interested in what can be learned from the clients as they bring issues of trauma, and loss. Those with grief, loss, depression, and personal growth and identity issues make up much of her practice.
Jason Heisserer
Pre-Licensed Professional, EdD, MSW, LMSW
Verified Verified
Southwest Garden, Saint Louis, MO 63139
Disrupting stories we believe about ourselves and the world takes curiosity, grace, and tenderness. (Re)Discovering who we are and living as that person may feel like you are untangling knots of confusion, emotion, or pain. Sometimes it feels like a search for meaning, joy, or humor. And sometimes it requires sitting with ourselves in the memories and emotions of the moment as they move through our body and awareness.
Disrupting stories we believe about ourselves and the world takes curiosity, grace, and tenderness. (Re)Discovering who we are and living as that person may feel like you are untangling knots of confusion, emotion, or pain. Sometimes it feels like a search for meaning, joy, or humor. And sometimes it requires sitting with ourselves in the memories and emotions of the moment as they move through our body and awareness.
Grayson Rosen
Pre-Licensed Professional, MA, PLPC
Verified Verified
Southwest Garden, Saint Louis, MO 63139
Wherever you are in your journey, facing your struggles and seeking help is an act of courage. I specialize in supporting clients in self-exploration, identity development, building self-compassion, and embracing neurodivergence. As a queer and neurodivergent person myself, I strive to create an environment where people of all gender identities, attraction patterns, relational orientations, and neurotypes feel affirmed and can develop pride in who they are. My approach is rooted in empathy and non-judgmental acceptance and is built upon the practice of deep listening. Establishing a trusting relationship is my first priority.
Wherever you are in your journey, facing your struggles and seeking help is an act of courage. I specialize in supporting clients in self-exploration, identity development, building self-compassion, and embracing neurodivergence. As a queer and neurodivergent person myself, I strive to create an environment where people of all gender identities, attraction patterns, relational orientations, and neurotypes feel affirmed and can develop pride in who they are. My approach is rooted in empathy and non-judgmental acceptance and is built upon the practice of deep listening. Establishing a trusting relationship is my first priority.
Caitlin McDaniel
Pre-Licensed Professional
Verified Verified
Southwest Garden, Saint Louis, MO 63139
If you are anything like me, you know that life is not only hard, it can sometimes feel impossible. Fortunately, counseling can be both a refuge and a catalyst for life-changing growth. I believe there’s something mysterious within all of us that already knows what we need and how to get there - sometimes we just need support in figuring out what’s getting in the way. There is no world where I am an expert on you, but I am an expert in feeling pretty miserable. And it’s from my own struggles as a complex human that I am able to be a passionately knowledgeable and creative resource for you.
If you are anything like me, you know that life is not only hard, it can sometimes feel impossible. Fortunately, counseling can be both a refuge and a catalyst for life-changing growth. I believe there’s something mysterious within all of us that already knows what we need and how to get there - sometimes we just need support in figuring out what’s getting in the way. There is no world where I am an expert on you, but I am an expert in feeling pretty miserable. And it’s from my own struggles as a complex human that I am able to be a passionately knowledgeable and creative resource for you.
Levi Levin
Pre-Licensed Professional, MSW, LMSW
Verified Verified
Southwest Garden, Saint Louis, MO 63139
Hey! I’m Levi. I invite you to take a moment in your search to exhale with me. I appreciate you finding your way to me today. What’s more, I appreciate the world you exist in right now. No matter your stage of life, or which part(s) of your internal and external worlds you want to discuss – I will arrive in gentle kindness to strategize with you toward digestible approaches to life problems. You need not have “one big issue” that brings you to our space. In the words of my favorite band, Yo La Tengo: “Let’s be undecided, let’s take our time; and sooner or later, we will know our mind.”
Hey! I’m Levi. I invite you to take a moment in your search to exhale with me. I appreciate you finding your way to me today. What’s more, I appreciate the world you exist in right now. No matter your stage of life, or which part(s) of your internal and external worlds you want to discuss – I will arrive in gentle kindness to strategize with you toward digestible approaches to life problems. You need not have “one big issue” that brings you to our space. In the words of my favorite band, Yo La Tengo: “Let’s be undecided, let’s take our time; and sooner or later, we will know our mind.”
Online Therapists
I specialize in providing therapeutic and advocacy services to children and adolescents in the areas of individual and family counseling. As a Licensed Professional Counselor and Certified School Counselor in Missouri and Illinois, I have worked with children and adolescents for over 15 years both in both a school and clinical setting. I specialize in the areas of trauma, behavior issues, depression, and anxiety. My key strength is building relationships with my clients while providing that safe place to express themselves. While we can't change what's happened in the past, I believe together we can take the steps in creating
I specialize in providing therapeutic and advocacy services to children and adolescents in the areas of individual and family counseling. As a Licensed Professional Counselor and Certified School Counselor in Missouri and Illinois, I have worked with children and adolescents for over 15 years both in both a school and clinical setting. I specialize in the areas of trauma, behavior issues, depression, and anxiety. My key strength is building relationships with my clients while providing that safe place to express themselves. While we can't change what's happened in the past, I believe together we can take the steps in creating
Still Move Counseling LLC
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63118
Find yourself lost, overwhelmed or suddenly unsure of how to build a better life? Our clinicians are highly trained in a variety of modalities to support you with the most effective path forward.
Find yourself lost, overwhelmed or suddenly unsure of how to build a better life? Our clinicians are highly trained in a variety of modalities to support you with the most effective path forward.
Monica Uthlaut
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
4 Endorsed
Saint Louis, MO 63144
As a collective, society is learning that overall health and wellness needs to be a non-negotiable if you want to create the life you desire. My passion lies in supporting clients in what western medicine labels as "anxiety, depression, and ptsd symptoms", when in actuality, the underlying issue is nervous system dysregulation. Addressing the root issue will facilitate healing your entire system to achieve mind-body integration. Deep inner work requires curiosity to identify road blocks that limit your ability to self-reflect and find the answers that you seek. Your truth already exists within you.
As a collective, society is learning that overall health and wellness needs to be a non-negotiable if you want to create the life you desire. My passion lies in supporting clients in what western medicine labels as "anxiety, depression, and ptsd symptoms", when in actuality, the underlying issue is nervous system dysregulation. Addressing the root issue will facilitate healing your entire system to achieve mind-body integration. Deep inner work requires curiosity to identify road blocks that limit your ability to self-reflect and find the answers that you seek. Your truth already exists within you.
Annette Arms
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63127 (Online Only)
Hi, my name is Annette Arms, and I am a licensed professional counselor, and a nationally certified counselor who is EMDR trained living and working in southwest Missouri serving clients throughout the state via telehealth. I work with children, adolescents, young adults, couples, and families. My specialties include working with neurodivergent children and adults, and the approaches I use are person-centered using a variety of integrative approaches such as EMDR, Cognitive Behavioral Therapy, Play Therapy, and Narrative Therapy tailored to each client's individual need(s).
Hi, my name is Annette Arms, and I am a licensed professional counselor, and a nationally certified counselor who is EMDR trained living and working in southwest Missouri serving clients throughout the state via telehealth. I work with children, adolescents, young adults, couples, and families. My specialties include working with neurodivergent children and adults, and the approaches I use are person-centered using a variety of integrative approaches such as EMDR, Cognitive Behavioral Therapy, Play Therapy, and Narrative Therapy tailored to each client's individual need(s).
Susan Ginocchio Verble
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63122
We all long to feel heard, seen and understood. Whether you feel stuck in a negative cycle, feel distance from your partner, suffer from a betrayal or other unhealed wound, feel criticized, attacked, or misunderstood by your partner, I can provide an experience to help you heal your broken bonds and reconnect with the person that means the most to you! EFT, Emotionally Focused Therapy, is an intervention based on a scientific study of adult love and bonding processes, the leading edge in couples therapy. I have advanced training in EFT and am passionate about helping couples regain the connection they desire.
We all long to feel heard, seen and understood. Whether you feel stuck in a negative cycle, feel distance from your partner, suffer from a betrayal or other unhealed wound, feel criticized, attacked, or misunderstood by your partner, I can provide an experience to help you heal your broken bonds and reconnect with the person that means the most to you! EFT, Emotionally Focused Therapy, is an intervention based on a scientific study of adult love and bonding processes, the leading edge in couples therapy. I have advanced training in EFT and am passionate about helping couples regain the connection they desire.
See more therapy options for Southwest Garden, Saint Louis
Nearby Searches for Southwest Garden, Saint Louis
- Botanical Heights
- Cheltenham
- Clifton Heights
- Ellendale
- Forest Park Southeast
- Lindenwood Park
- North Hampton
- Shaw
- South Hampton
- Tower Grove East
- Tower Grove Park
- Tower Grove South
How does your Therapist compare?
Number of Therapists in Southwest Garden, Saint Louis, MO
10+
Average cost per session
$140
Therapists in Southwest Garden, Saint Louis, MO who prioritize treating:
87% | Relationship Issues |
87% | Anxiety |
80% | Depression |
73% | Self Esteem |
67% | Trauma and PTSD |
67% | Stress |
60% | Grief |
Average years in practice
11 Years
Top 3 insurances accepted
100% | Aetna |
80% | UnitedHealthcare UHC | UBH |
80% | Optum |
How Therapists in Southwest Garden, Saint Louis, MO see their clients
100% | In Person and Online |
Gender breakdown
43% | Female | |
36% | Male | |
21% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Southwest Garden, Saint Louis?
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
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.
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.
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.