Therapists in Winston Salem, NC

Photo of Logan King, Counselor in Winston Salem, NC
Logan King
Counselor, MA, LCMHC
Verified Verified
5 Endorsed
Winston Salem, NC 27103
As a therapist, I am passionate about supporting individuals as they navigate life's many challenges. I currently work with clients ages 16+ and have a special interest in partnering with college students, young adults, and members of the LGBTQIA+ community. I am experienced in supporting clients struggling with anxiety, depression, life transitions, relationship concerns, and difficulty regulating emotions.
As a therapist, I am passionate about supporting individuals as they navigate life's many challenges. I currently work with clients ages 16+ and have a special interest in partnering with college students, young adults, and members of the LGBTQIA+ community. I am experienced in supporting clients struggling with anxiety, depression, life transitions, relationship concerns, and difficulty regulating emotions.
(336) 310-6998 View (336) 310-6998
Photo of Weston Smith, Licensed Clinical Mental Health Counselor in Winston Salem, NC
Weston Smith
Licensed Clinical Mental Health Counselor, MA, LCMHC, QP
Verified Verified
Winston Salem, NC 27106
I work with adolescents, young adults, and families who are struggling with anger, depression, anxiety, ADHD, Family Conflict, and stage of life decisions (including “failure to launch”). I believe in the power of experience and self-discovery to lead towards living a better life. I focus on helping clients explore community, family, and other support, as well as developing skills for healthy communications to foster independence and self-confidence. My career has been centered in guiding folks through difficult life transitions, peer issues, family conflict, and challenges in school, home, and in outdoor settings.
I work with adolescents, young adults, and families who are struggling with anger, depression, anxiety, ADHD, Family Conflict, and stage of life decisions (including “failure to launch”). I believe in the power of experience and self-discovery to lead towards living a better life. I focus on helping clients explore community, family, and other support, as well as developing skills for healthy communications to foster independence and self-confidence. My career has been centered in guiding folks through difficult life transitions, peer issues, family conflict, and challenges in school, home, and in outdoor settings.
(336) 396-9112 View (336) 396-9112
Photo of Cathey Floyd, Counselor in Winston Salem, NC
Cathey Floyd
Counselor, MA, LCMHC, NCC
Verified Verified
Winston Salem, NC 27104
Waitlist for new clients
One of my favorite quotes by Melody Beattie conveys the essence of our counseling relationship: “Learn to listen to your inner voice. Listen to your heart. It’s your connection to God, to people, to the universe, and to yourself." My goal is to create a safe and positive environment allowing you an opportunity to explore and grow in self-awareness as you learn more about how to identify new strategies and cope with your circumstances in healthy ways. I believe in the power of individuals to change as they work toward common goals with their therapist, drawing upon person-centered and cognitive behavioral approaches.
One of my favorite quotes by Melody Beattie conveys the essence of our counseling relationship: “Learn to listen to your inner voice. Listen to your heart. It’s your connection to God, to people, to the universe, and to yourself." My goal is to create a safe and positive environment allowing you an opportunity to explore and grow in self-awareness as you learn more about how to identify new strategies and cope with your circumstances in healthy ways. I believe in the power of individuals to change as they work toward common goals with their therapist, drawing upon person-centered and cognitive behavioral approaches.
(336) 815-5856 x711 View (336) 815-5856 x711
Photo of E. Brooke Barnard, Counselor in Winston Salem, NC
E. Brooke Barnard
Counselor, MS, LPC
Verified Verified
2 Endorsed
Winston Salem, NC 27103
I have an avid interest in helping children, adults, and families dealing with special needs, including Autism Spectrum Disorder, mental and/or physical challenges, and Academically Gifted and Talented. I also specialize in supporting clients and families coping with chronic and/or serious illnesses. Siblings, who are often overlooked in these families, are of special concern to me. Depression, anxiety and grief and loss issues due to death, divorce and other life changes hold a special interest for me as well.
I have an avid interest in helping children, adults, and families dealing with special needs, including Autism Spectrum Disorder, mental and/or physical challenges, and Academically Gifted and Talented. I also specialize in supporting clients and families coping with chronic and/or serious illnesses. Siblings, who are often overlooked in these families, are of special concern to me. Depression, anxiety and grief and loss issues due to death, divorce and other life changes hold a special interest for me as well.
(336) 790-4638 View (336) 790-4638
Photo of Kawanna Woods-Willis, Clinical Social Work/Therapist in Winston Salem, NC
Kawanna Woods-Willis
Clinical Social Work/Therapist, LCSW-A
Verified Verified
Winston Salem, NC 27106
I have worked with children and families in various capacity for over 25 years. I have over 15 years of experience working in mental and behavioral health. Originally from Greensboro, North Carolina, I have always gravitated toward community work and outreach. I am a highly skilled, compassionate, empathetic, and solution-oriented mental health professional providing exceptional care and implementing effective treatment plans for children, adolescents, and adults. I have experience working with a diverse client population as an effective motivator, communicator, and advocate.
I have worked with children and families in various capacity for over 25 years. I have over 15 years of experience working in mental and behavioral health. Originally from Greensboro, North Carolina, I have always gravitated toward community work and outreach. I am a highly skilled, compassionate, empathetic, and solution-oriented mental health professional providing exceptional care and implementing effective treatment plans for children, adolescents, and adults. I have experience working with a diverse client population as an effective motivator, communicator, and advocate.
(336) 481-7165 x104 View (336) 481-7165 x104
Photo of Cindy Brown Stiltner, Licensed Clinical Mental Health Counselor in Winston Salem, NC
Cindy Brown Stiltner
Licensed Clinical Mental Health Counselor, MA, NCC, LCAS, LCMHC
Verified Verified
1 Endorsed
Winston Salem, NC 27103  (Online Only)
Unexpected loss, challenging situations, employment, parenting, illness-all of which can cause significant stress. A single stressful event or series of events could trigger the onset of depression or anxiety at any point in your life, even years after the event(s) have occurred. While we certainly cannot control the challenges life throws our way, we can control what we do about them. We have the right to use those challenges to learn and strengthen ourselves…to become a better version of ourselves.
Unexpected loss, challenging situations, employment, parenting, illness-all of which can cause significant stress. A single stressful event or series of events could trigger the onset of depression or anxiety at any point in your life, even years after the event(s) have occurred. While we certainly cannot control the challenges life throws our way, we can control what we do about them. We have the right to use those challenges to learn and strengthen ourselves…to become a better version of ourselves.
(336) 203-9643 View (336) 203-9643
Photo of Debra A Weigl, Clinical Social Work/Therapist in Winston Salem, NC
Debra A Weigl
Clinical Social Work/Therapist, LCSW, MSW, MS
Verified Verified
1 Endorsed
Winston Salem, NC 27101
I remember many years ago, while in graduate school, a professor stating that the client may not remember the therapist's words but will remember the connection or alliance that was forged. This statement speaks to the fact that fundamentally it is the working relationship which drives change. Therefore, it is extremely important that you find a therapist who strives to "get you."
I remember many years ago, while in graduate school, a professor stating that the client may not remember the therapist's words but will remember the connection or alliance that was forged. This statement speaks to the fact that fundamentally it is the working relationship which drives change. Therefore, it is extremely important that you find a therapist who strives to "get you."
(336) 750-6190 View (336) 750-6190
Photo of Jacob S Blackstock, Counselor in Winston Salem, NC
Jacob S Blackstock
Counselor, MEd, LCMHCA, NCC
Verified Verified
1 Endorsed
Winston Salem, NC 27101
Jacob Blackstock, LCMHCA, NCC earned his Master of Education (M.ED.) in Clinical Mental Health Counseling from UNC Pembroke in 2016 and is currently finishing a Doctor of Philosophy (PhD) degree in Counseling and Counselor Education from UNC Greensboro. Jacob’s dissertation research focuses on loneliness in young adults and Jacob hopes to use this research to help young adults form healthier connections with others. Jacob has experience working in hospital, community agency, and college counseling settings.
Jacob Blackstock, LCMHCA, NCC earned his Master of Education (M.ED.) in Clinical Mental Health Counseling from UNC Pembroke in 2016 and is currently finishing a Doctor of Philosophy (PhD) degree in Counseling and Counselor Education from UNC Greensboro. Jacob’s dissertation research focuses on loneliness in young adults and Jacob hopes to use this research to help young adults form healthier connections with others. Jacob has experience working in hospital, community agency, and college counseling settings.
(336) 948-1902 View (336) 948-1902
Photo of New Life Counseling Center, PLLC, Licensed Professional Counselor in Winston Salem, NC
New Life Counseling Center, PLLC
Licensed Professional Counselor
Verified Verified
1 Endorsed
Winston Salem, NC 27103
Accepting new clients! New Life Counseling Center is founded on the shared principles that every client deserves a therapist who cares about them and their experience: Someone who has the skills and insight to make a real difference. We believe that people aren’t looking for a paid friend, but a knowledgeable professional to connect with you and help you heal. Being able to sit with a caring person who has the skills, experience and objectivity to help guide you through the confusion and pain that can sometimes seem so overwhelming, can be life changing The warmth of caring, unconditional acceptance has healing power in your life!
Accepting new clients! New Life Counseling Center is founded on the shared principles that every client deserves a therapist who cares about them and their experience: Someone who has the skills and insight to make a real difference. We believe that people aren’t looking for a paid friend, but a knowledgeable professional to connect with you and help you heal. Being able to sit with a caring person who has the skills, experience and objectivity to help guide you through the confusion and pain that can sometimes seem so overwhelming, can be life changing The warmth of caring, unconditional acceptance has healing power in your life!
(336) 628-8522 View (336) 628-8522
Photo of Stephen J McCullough, Psychologist in Winston Salem, NC
Stephen J McCullough
Psychologist, PsyD
Verified Verified
1 Endorsed
Winston Salem, NC 27101
I work with children, adolescents and their families to help them deal with the challenges and problems many of us face each day. I also see adults who are having difficulty at home, at work, or in other areas of life. Let's work together to find solutions.
I work with children, adolescents and their families to help them deal with the challenges and problems many of us face each day. I also see adults who are having difficulty at home, at work, or in other areas of life. Let's work together to find solutions.
(336) 447-1934 View (336) 447-1934
Photo of Emily Greasamar, Clinical Social Work/Therapist in Winston Salem, NC
Emily Greasamar
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Winston Salem, NC 27101
Hello, and welcome! If you are here, you're likely ready to make a change. As humans, sometimes we fall into painful cycles fueled by agonizing experiences of depression and anxiety. It can cause such disconnection with ourselves and the people we love. It's a frustrating, lonely, and oftentimes a hopeless place to be. If you found your way here, you likely want and DESERVE to find that long-overdue joy and peace that you and your relationships are craving. By the time you reach this place, it may feel like all efforts have been exhausted.
Hello, and welcome! If you are here, you're likely ready to make a change. As humans, sometimes we fall into painful cycles fueled by agonizing experiences of depression and anxiety. It can cause such disconnection with ourselves and the people we love. It's a frustrating, lonely, and oftentimes a hopeless place to be. If you found your way here, you likely want and DESERVE to find that long-overdue joy and peace that you and your relationships are craving. By the time you reach this place, it may feel like all efforts have been exhausted.
(336) 901-7055 x1 View (336) 901-7055 x1
Photo of Hayley McCraw, Counselor in Winston Salem, NC
Hayley McCraw
Counselor, MA, LCMHCA, NCC
Verified Verified
2 Endorsed
Winston Salem, NC 27103
I provide creative care that celebrates all identities. I primarily work with emerging adults and teens 15+ to help navigate an exciting phase of life filled with new transitions and challenges. I am passionate about working with those who have experienced interpersonal trauma such as sexual assault, intimate partner violence, and human trafficking. While allowing you to take the lead on your therapeutic journey, I will support you through healing, self-discovery, and coping with distressing feelings and experiences. I am committed to considering the impact of identity, oppression, and societal systems on your concerns.
I provide creative care that celebrates all identities. I primarily work with emerging adults and teens 15+ to help navigate an exciting phase of life filled with new transitions and challenges. I am passionate about working with those who have experienced interpersonal trauma such as sexual assault, intimate partner violence, and human trafficking. While allowing you to take the lead on your therapeutic journey, I will support you through healing, self-discovery, and coping with distressing feelings and experiences. I am committed to considering the impact of identity, oppression, and societal systems on your concerns.
(336) 715-4402 View (336) 715-4402
Photo of Leigh Zick Dongre, Licensed Clinical Mental Health Counselor Supervisor in Winston Salem, NC
Leigh Zick Dongre
Licensed Clinical Mental Health Counselor Supervisor, PhD, LCMHC-S, LCAS
Verified Verified
Winston Salem, NC 27104
The path to living more fully is an adventure, one I believe has transformed my own life. Each day I am honored to join people along a path of recovery, self-exploration, and healing. I have helped people break through the obstacles that seem to be holding them back in life. My role as your counselor is to be a knowledgeable, genuine, and empathetic guide along this journey and provide a safe and supportive environment to do so. I help people live their best lives, by reaching more authenticity, self-awareness, and making behavioral changes. I primarily offer telemental health counseling with options for counseling in Winston-Salem.
The path to living more fully is an adventure, one I believe has transformed my own life. Each day I am honored to join people along a path of recovery, self-exploration, and healing. I have helped people break through the obstacles that seem to be holding them back in life. My role as your counselor is to be a knowledgeable, genuine, and empathetic guide along this journey and provide a safe and supportive environment to do so. I help people live their best lives, by reaching more authenticity, self-awareness, and making behavioral changes. I primarily offer telemental health counseling with options for counseling in Winston-Salem.
(336) 791-0314 View (336) 791-0314
Photo of Katie Davin, Counselor in Winston Salem, NC
Katie Davin
Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Winston Salem, NC 27101
Anxiety and depression can be suffocating and often restrict you from engaging in life in the ways you want to. They are quite successful at creating a cycle of disappointment and desperation that convince you you’re alone and helpless. While that inner voice of yours may be wreaking havoc and demanding that you rethink that situation or decision for the umpteenth time, let me remind you that you are not broken nor are you alone. Everyone has an inherent ability to achieve personal growth and overcome the ravages of anxiety — we just need some guidance at times.
Anxiety and depression can be suffocating and often restrict you from engaging in life in the ways you want to. They are quite successful at creating a cycle of disappointment and desperation that convince you you’re alone and helpless. While that inner voice of yours may be wreaking havoc and demanding that you rethink that situation or decision for the umpteenth time, let me remind you that you are not broken nor are you alone. Everyone has an inherent ability to achieve personal growth and overcome the ravages of anxiety — we just need some guidance at times.
(336) 863-3954 View (336) 863-3954
Photo of Alexia Mitchell, Clinical Social Work/Therapist in Winston Salem, NC
Alexia Mitchell
Clinical Social Work/Therapist, LCSWA
Verified Verified
1 Endorsed
Winston Salem, NC 27105
We must: Heal. Grow. Thrive. And always remember that "Today is a good day to have a good day". Life can be a lot to juggle at times. Sometimes all it takes is for someone to sit beside you and listen to you share that you are doing the best that you can and have it affirmed, that is enough. I am here to validate your feelings and affirm that I am here to support you on your journey. It is YOUR journey.
We must: Heal. Grow. Thrive. And always remember that "Today is a good day to have a good day". Life can be a lot to juggle at times. Sometimes all it takes is for someone to sit beside you and listen to you share that you are doing the best that you can and have it affirmed, that is enough. I am here to validate your feelings and affirm that I am here to support you on your journey. It is YOUR journey.
(336) 864-6224 View (336) 864-6224
Photo of Creative Counseling and Wellness Center Corp, Licensed Professional Counselor in Winston Salem, NC
Creative Counseling and Wellness Center Corp
Licensed Professional Counselor, PhD, LCMHCS, LCAS, CRC, CCS
Verified Verified
2 Endorsed
Winston Salem, NC 27103
All of our journeys are unique. It is important that each individual finds a path to wellness that is comfortable for them. At times, life brings challenges and roadblocks that require us to seek outside supports. I strive to provide a safe and caring, judgement free environment for individuals to explore and unpack life's difficulties. I provide effective care and give individuals the respect they deserve.
All of our journeys are unique. It is important that each individual finds a path to wellness that is comfortable for them. At times, life brings challenges and roadblocks that require us to seek outside supports. I strive to provide a safe and caring, judgement free environment for individuals to explore and unpack life's difficulties. I provide effective care and give individuals the respect they deserve.
(336) 939-0428 View (336) 939-0428
Photo of Sarah Marsh, Lic Clinical Mental Health Counselor Associate in Winston Salem, NC
Sarah Marsh
Lic Clinical Mental Health Counselor Associate, MA, LCMHC-A
Verified Verified
Winston Salem, NC 27104  (Online Only)
I work with children. adolescent, and adult clients who struggle with anxiety, life transitions, school issues, and family issues.
I work with children. adolescent, and adult clients who struggle with anxiety, life transitions, school issues, and family issues.
(336) 530-5990 View (336) 530-5990
Photo of Ricky A Speller, Licensed Professional Counselor in Winston Salem, NC
Ricky A Speller
Licensed Professional Counselor, LCMHC, LCASA
Verified Verified
Winston Salem, NC 27106
I am dedicated to knowing the client and building rapport based off culture, specific needs and the client's ways of expressing themselves and how they view assistance from therapy. At Virgie's Prayer Counseling Service PLLC, I strive to change individuals' opinion about therapy and provide personalized therapy sessions to address specific needs. I have experience working with children, teens and adults in various settings such as schools, office, probation and level III group homes. I have assisted clients to process trauma, grief, depression, anxiety, family issues, stress, and helped couples navigate through challenges.
I am dedicated to knowing the client and building rapport based off culture, specific needs and the client's ways of expressing themselves and how they view assistance from therapy. At Virgie's Prayer Counseling Service PLLC, I strive to change individuals' opinion about therapy and provide personalized therapy sessions to address specific needs. I have experience working with children, teens and adults in various settings such as schools, office, probation and level III group homes. I have assisted clients to process trauma, grief, depression, anxiety, family issues, stress, and helped couples navigate through challenges.
(336) 443-8865 View (336) 443-8865
Photo of Annamarie Gallagher, Licensed Professional Counselor in Winston Salem, NC
Annamarie Gallagher
Licensed Professional Counselor, MA, LCMHCS
Verified Verified
2 Endorsed
Winston Salem, NC 27103
Not accepting new clients
Welcome! I am a Licensed Clinical Mental Health Counselor Supervisor in NC with over 15 yrs of experience in community, higher education, supervision and group private practice settings. In my work, I draw from EMDR (eye movement desensitization), ACT (acceptance and commitment therapy), brainspotting, mindfulness, expressive arts, internal family systems (IFS) and other trauma-informed practices through a social justice lens. With a deep commitment to equitable care celebrating gender, sexuality, race, and culture, my practice is LGBTQ+ allied and weight-inclusive.
Welcome! I am a Licensed Clinical Mental Health Counselor Supervisor in NC with over 15 yrs of experience in community, higher education, supervision and group private practice settings. In my work, I draw from EMDR (eye movement desensitization), ACT (acceptance and commitment therapy), brainspotting, mindfulness, expressive arts, internal family systems (IFS) and other trauma-informed practices through a social justice lens. With a deep commitment to equitable care celebrating gender, sexuality, race, and culture, my practice is LGBTQ+ allied and weight-inclusive.
(336) 396-7827 View (336) 396-7827
Photo of Kimberley Renee Hunt, Clinical Social Work/Therapist in Winston Salem, NC
Kimberley Renee Hunt
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Winston Salem, NC 27127
Not accepting new clients
I know the world can be overwhelming and stressful. You may feel like no matter what you do it is never good enough or that you struggle coping with all the stressors in your life. This feeling of unworthiness can have a negative impact on how you view both yourself and the world around you. These thoughts and feelings influence your actions. My goal is for you to learn self-acceptance, personal empowerment and to find your truest self. I focus on building a strong alliance with you and building on those strengths.
I know the world can be overwhelming and stressful. You may feel like no matter what you do it is never good enough or that you struggle coping with all the stressors in your life. This feeling of unworthiness can have a negative impact on how you view both yourself and the world around you. These thoughts and feelings influence your actions. My goal is for you to learn self-acceptance, personal empowerment and to find your truest self. I focus on building a strong alliance with you and building on those strengths.
(336) 594-2669 View (336) 594-2669

See more therapy options for Winston Salem

How does your Therapist compare?

Number of Therapists in Winston Salem, NC

500+

Average cost per session

$140

Therapists in Winston Salem, NC who prioritize treating:

92% Anxiety
89% Depression
77% Self Esteem
73% Coping Skills
73% Stress
72% Relationship Issues
71% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
65% Aetna
48% UnitedHealthcare UHC | UBH

How Therapists in Winston Salem, NC see their clients

73% In Person and Online
27% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Winston Salem?

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.