Therapists in Holderness, NH

Photo of Ian Sindlinger, Counselor in Holderness, NH
Ian Sindlinger
Counselor, MS, LCMHC
Verified Verified
Holderness, NH 03245
Ian's most experience is working with youth & young adults. His work focused on emotional/behavioral regulation, anxiety/depression, loss, life transitions & relationship dynamics. Furthermore, he has worked with families/couples on dynamics of communication, strengthening trust & developing routines to improve day to day function of the home. Through this work he has worked with a diverse clientele, including but not limited to people within the LGBTQIA+ community (& their families), culturally diverse, mood/personality disorders, separated/blended families & Adults preparing/going through significant life transitions.
Ian's most experience is working with youth & young adults. His work focused on emotional/behavioral regulation, anxiety/depression, loss, life transitions & relationship dynamics. Furthermore, he has worked with families/couples on dynamics of communication, strengthening trust & developing routines to improve day to day function of the home. Through this work he has worked with a diverse clientele, including but not limited to people within the LGBTQIA+ community (& their families), culturally diverse, mood/personality disorders, separated/blended families & Adults preparing/going through significant life transitions.
(603) 865-1321 View (603) 865-1321
Photo of Regina Eastman, Counselor in Holderness, NH
Regina Eastman
Counselor, Dr (C), MA, LCMHC, SEP, LMT
Verified Verified
Holderness, NH 03245
Supporting individuals toward their sense of wholeness is my therapeutic purpose. Every individual has their own journey; a path of unfolding understanding through their processes of the body, mind and emotion. My therapeutic approach is integrative, meaning the whole being - one's body, emotion, cognition and the being's essence (spirit/soul) are important variables in the process of wellness and healing. When appropriate, and consent is given, therapeutic touch is a supportive modality to support the Client in accessing bodily held, maladaptive and traumatic experiences.
Supporting individuals toward their sense of wholeness is my therapeutic purpose. Every individual has their own journey; a path of unfolding understanding through their processes of the body, mind and emotion. My therapeutic approach is integrative, meaning the whole being - one's body, emotion, cognition and the being's essence (spirit/soul) are important variables in the process of wellness and healing. When appropriate, and consent is given, therapeutic touch is a supportive modality to support the Client in accessing bodily held, maladaptive and traumatic experiences.
(603) 932-6709 View (603) 932-6709
Photo of Leah DuBois, Clinical Social Work/Therapist in Holderness, NH
Leah DuBois
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Holderness, NH 03245
When I took my first sociology and psychology class in undergraduate school, I learned that I was fascinated with people, groups of people and social systems and how they all work together to develop the person and mind. I have worked in many different settings helping children, adolescents, and adults meet their goals. I have worked therapeutic residential settings, community mental health settings, community-based services settings and the academic setting providing services to individuals and families for the last 7 years.
When I took my first sociology and psychology class in undergraduate school, I learned that I was fascinated with people, groups of people and social systems and how they all work together to develop the person and mind. I have worked in many different settings helping children, adolescents, and adults meet their goals. I have worked therapeutic residential settings, community mental health settings, community-based services settings and the academic setting providing services to individuals and families for the last 7 years.
(802) 432-2857 View (802) 432-2857

More Therapists Nearby

Photo of Janice Hrabovszky, Clinical Social Work/Therapist in Holderness, NH
Janice Hrabovszky
Clinical Social Work/Therapist, MA, LICSW, CIMHP
Verified Verified
Plymouth, NH 03264  (Online Only)
Welcome! Grab your drink of choice, pull up a comfy chair and let's talk. Are you overwhelmed by feelings of anxiety, depression or anger? Are you constantly spiraling and perseverating over anxious or depressed thoughts that are keeping you from living the life you want? Are you struggling in your relationships and finding them lacking in joy and fulfillment? It takes courage to seek out therapy and to be willing to examine yourself and your life. I would be honored to join you on this journey and help you make the changes you desire and develop a life of abundance, peace and joy.
Welcome! Grab your drink of choice, pull up a comfy chair and let's talk. Are you overwhelmed by feelings of anxiety, depression or anger? Are you constantly spiraling and perseverating over anxious or depressed thoughts that are keeping you from living the life you want? Are you struggling in your relationships and finding them lacking in joy and fulfillment? It takes courage to seek out therapy and to be willing to examine yourself and your life. I would be honored to join you on this journey and help you make the changes you desire and develop a life of abundance, peace and joy.
View
Photo of Erin Klasen-Orr, Clinical Social Work/Therapist in Holderness, NH
Erin Klasen-Orr
Clinical Social Work/Therapist, LICSW
Verified Verified
Plymouth, NH 03264
Not accepting new clients
My training as a social worker is centered around a strength-based and empowering approach. I serve adults (18 and older) who are struggling with challenges such as depression, anxiety, relationship/life changes, a chronic health condition, grief and loss, and trauma. Non-appropriate referrals would include those currently struggling with significant substance misuse or would benefit from long term therapeutic care.
My training as a social worker is centered around a strength-based and empowering approach. I serve adults (18 and older) who are struggling with challenges such as depression, anxiety, relationship/life changes, a chronic health condition, grief and loss, and trauma. Non-appropriate referrals would include those currently struggling with significant substance misuse or would benefit from long term therapeutic care.
(307) 439-1578 View (307) 439-1578
Photo of Jackie Karas, Clinical Social Work/Therapist in Holderness, NH
Jackie Karas
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Plymouth, NH 03264  (Online Only)
Not accepting new clients
Hello! I am a BSW graduate of Plymouth State University and a MSW graduate of Simmons College. I am currently practicing via Telehealth in NH and MA. With over 13 years of experience in the social work field, I have worked in various settings including community mental health, child development, healthcare, and crisis intervention. I have an eclectic therapeutic approach using a blend of best practice from Cognitive Behavioral Therapy, Motivational Interviewing, Psycho-Education, Solution Focused Therapy and other evidenced based practices.
Hello! I am a BSW graduate of Plymouth State University and a MSW graduate of Simmons College. I am currently practicing via Telehealth in NH and MA. With over 13 years of experience in the social work field, I have worked in various settings including community mental health, child development, healthcare, and crisis intervention. I have an eclectic therapeutic approach using a blend of best practice from Cognitive Behavioral Therapy, Motivational Interviewing, Psycho-Education, Solution Focused Therapy and other evidenced based practices.
(351) 247-7344 View (351) 247-7344
Photo of The Plymouth House, Counselor in Holderness, NH
The Plymouth House
Counselor, MLADC, LCMHC
Verified Verified
1 Endorsed
Plymouth, NH 03264
Since 2002, The Plymouth House has been providing individuals and their families hope for a better life, free from addiction. We offer residential treatment at our picturesque 60-acre campus in the heart of the white mountains. The Plymouth House specializes in treating clients who have failed to maintain recovery after past treatment stays. Our 12-step inspired, evidence-based program has been helping clients achieve life long sobriety for over 20 years.
Since 2002, The Plymouth House has been providing individuals and their families hope for a better life, free from addiction. We offer residential treatment at our picturesque 60-acre campus in the heart of the white mountains. The Plymouth House specializes in treating clients who have failed to maintain recovery after past treatment stays. Our 12-step inspired, evidence-based program has been helping clients achieve life long sobriety for over 20 years.
(603) 207-3910 View (603) 207-3910
Photo of Roland B. Mendiola, Psychologist in Holderness, NH
Roland B. Mendiola
Psychologist, PsyD
Verified Verified
11 Endorsed
Plymouth, NH 03264
Waitlist for new clients
It's a joy, passion, and privilege doing this work. Over the past 15 years, I've practiced in school settings, community mental health, managed care, VA hospitals, university counseling centers, and private practice. My clinical interests are in fear, stress, depression, and suicide; creativity and the expressive arts; issues of intimacy and vulnerability in relationships; and issues of culture, identity, and liberation - especially regarding race, gender, sexuality, and spirituality. My specialized training (20 years) is in Buddhist psychology, trauma-informed creative art therapy, and exposure therapy for anxiety and trauma.
It's a joy, passion, and privilege doing this work. Over the past 15 years, I've practiced in school settings, community mental health, managed care, VA hospitals, university counseling centers, and private practice. My clinical interests are in fear, stress, depression, and suicide; creativity and the expressive arts; issues of intimacy and vulnerability in relationships; and issues of culture, identity, and liberation - especially regarding race, gender, sexuality, and spirituality. My specialized training (20 years) is in Buddhist psychology, trauma-informed creative art therapy, and exposure therapy for anxiety and trauma.
(207) 517-2390 View (207) 517-2390
Photo of Elizabeth Foley, Pre-Licensed Professional in Holderness, NH
Elizabeth Foley
Pre-Licensed Professional, MS
Verified Verified
2 Endorsed
Plymouth, NH 03264
Waitlist for new clients
I'm a pre-licensed professional working towards becoming a Licensed Clinical Mental Health Counselor (LCMHC). I'm working under the supervision of a licensed clinician. Prior to joining the Counseling Associates team, I worked at a college counseling center and supported students with a wide variety of presenting concerns. In my work with clients, I strive to develop a strong working relationship where they feel safe to discuss their values, goals, and concerns. I aim to highlight clients' strengths and develop treatment goals collaboratively.
I'm a pre-licensed professional working towards becoming a Licensed Clinical Mental Health Counselor (LCMHC). I'm working under the supervision of a licensed clinician. Prior to joining the Counseling Associates team, I worked at a college counseling center and supported students with a wide variety of presenting concerns. In my work with clients, I strive to develop a strong working relationship where they feel safe to discuss their values, goals, and concerns. I aim to highlight clients' strengths and develop treatment goals collaboratively.
(603) 605-0184 View (603) 605-0184
Photo of Nikki Brant, Counselor in Holderness, NH
Nikki Brant
Counselor, LCMHC
Verified Verified
Plymouth, NH 03264  (Online Only)
My approach to therapy is based around the belief that people do not fit easily into boxes. It is my job to be adaptable. No matter what difficulties you are facing in life you know yourself best and my role is to support you getting to that end state you desire. I have worked with clients of all ages and many backgrounds. I will work with you to develop a plan of action and support you on your journey to get to that place where you can find genuine peace.
My approach to therapy is based around the belief that people do not fit easily into boxes. It is my job to be adaptable. No matter what difficulties you are facing in life you know yourself best and my role is to support you getting to that end state you desire. I have worked with clients of all ages and many backgrounds. I will work with you to develop a plan of action and support you on your journey to get to that place where you can find genuine peace.
(603) 691-3980 View (603) 691-3980
Photo of Adriana Reed, Clinical Social Work/Therapist in Holderness, NH
Adriana Reed
Clinical Social Work/Therapist, LICSW
Verified Verified
Plymouth, NH 03264
As a therapist Adriana focuses on trauma, depression and anxiety. She is also experienced working with younger clients with behavioral issues including autism. Adriana has been primarily focusing on working with children and younger adolescents at this time after finding that this area of work provides the most joy and fulfillment for her.
As a therapist Adriana focuses on trauma, depression and anxiety. She is also experienced working with younger clients with behavioral issues including autism. Adriana has been primarily focusing on working with children and younger adolescents at this time after finding that this area of work provides the most joy and fulfillment for her.
(603) 691-2831 View (603) 691-2831
Photo of Goodwin Counseling Services LLC, Counselor in Holderness, NH
Goodwin Counseling Services LLC
Counselor, LCMHC, MLADC
Verified Verified
1 Endorsed
Ashland, NH 03217
New Ashland Location! Accepting new patients at both our Franklin and Ashland location both in person and Telehealth. Our Group Practice: Goodwin Counseling offers a variety of counseling services to help clients get the most out of their life’s journey. We work with children, adults, couples, and families and a number of mental health disorders both in person and through tele-health sessions.
New Ashland Location! Accepting new patients at both our Franklin and Ashland location both in person and Telehealth. Our Group Practice: Goodwin Counseling offers a variety of counseling services to help clients get the most out of their life’s journey. We work with children, adults, couples, and families and a number of mental health disorders both in person and through tele-health sessions.
(802) 523-3517 View (802) 523-3517
Photo of The Plymouth House, Drug & Alcohol Counselor in Holderness, NH
The Plymouth House
Drug & Alcohol Counselor, CADC, MS
Verified Verified
1 Endorsed
Plymouth, NH 03264
Since 2002, The Plymouth House has been providing individuals and their families hope for a better life, free from addiction. We offer residential treatment at our picturesque 60-acre campus in the heart of the white mountains. The Plymouth House specializes in treating clients who have failed to maintain recovery after past treatment stays. Our 12-step inspired, evidence-based program has been helping clients achieve life long sobriety for over 20 years.
Since 2002, The Plymouth House has been providing individuals and their families hope for a better life, free from addiction. We offer residential treatment at our picturesque 60-acre campus in the heart of the white mountains. The Plymouth House specializes in treating clients who have failed to maintain recovery after past treatment stays. Our 12-step inspired, evidence-based program has been helping clients achieve life long sobriety for over 20 years.
(603) 207-3162 View (603) 207-3162
Photo of Kristin Emery, Pre-Licensed Professional in Holderness, NH
Kristin Emery
Pre-Licensed Professional, MA, LCMHC
Verified Verified
1 Endorsed
Ashland, NH 03217
I provide healing in wellness as you navigate your mental health issues. Whether you are someone who needs a lot of help or just someone who needs to process daily stressors, I am here to help. My focus is to help heal and build confidence within oneself and provide a positive experience where you see real change and real results. I focus on listening to my clients and what they believe they need and creating realistic goals you can achieve. Every client is different and I will help you create an individualized plan that works for you and your lifestyle. I help you by listening intently to your struggles while being there for you.
I provide healing in wellness as you navigate your mental health issues. Whether you are someone who needs a lot of help or just someone who needs to process daily stressors, I am here to help. My focus is to help heal and build confidence within oneself and provide a positive experience where you see real change and real results. I focus on listening to my clients and what they believe they need and creating realistic goals you can achieve. Every client is different and I will help you create an individualized plan that works for you and your lifestyle. I help you by listening intently to your struggles while being there for you.
(802) 589-4016 View (802) 589-4016
Photo of Nicole Cassidy, Licensed Professional Counselor in Holderness, NH
Nicole Cassidy
Licensed Professional Counselor, MEd, LPC
Verified Verified
Ashland, NH 03217  (Online Only)
I am licensed in New Jersey with 13 years of professional work experience. I have experience in helping adolescents and adults with stress and anxiety, motivation, self-esteem, and depression. I believe that you are the expert on your story and that you have many strengths that will assist you in overcoming things that challenge you. I believe in treating everyone with respect, sensitivity, and compassion. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change and I am here to support and empower you in that journey.
I am licensed in New Jersey with 13 years of professional work experience. I have experience in helping adolescents and adults with stress and anxiety, motivation, self-esteem, and depression. I believe that you are the expert on your story and that you have many strengths that will assist you in overcoming things that challenge you. I believe in treating everyone with respect, sensitivity, and compassion. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change and I am here to support and empower you in that journey.
(484) 246-8113 View (484) 246-8113
Photo of Ann Bastille, Counselor in Holderness, NH
Ann Bastille
Counselor, MA, LCMHC
Verified Verified
Campton, NH 03223  (Online Only)
With 30 years of experience treating trauma and grief, I find that Eye Movement Desensitization and Reprocessing provides relief more rapidly than traditional talk therapies. I work with adults in short term individual tele-health treatment. Due to limited availability, appropriate referrals include folks who don't experience interfering problems such as substance abuse, suicidal thinking or a diagnosis of Chronic Complex PTSD. If these or similar issues require treatment, or if you are looking for long term support, please consider maintaining a primary therapist and speaking with me about a round of EMDR as an adjunct therapy.
With 30 years of experience treating trauma and grief, I find that Eye Movement Desensitization and Reprocessing provides relief more rapidly than traditional talk therapies. I work with adults in short term individual tele-health treatment. Due to limited availability, appropriate referrals include folks who don't experience interfering problems such as substance abuse, suicidal thinking or a diagnosis of Chronic Complex PTSD. If these or similar issues require treatment, or if you are looking for long term support, please consider maintaining a primary therapist and speaking with me about a round of EMDR as an adjunct therapy.
(603) 452-7708 View (603) 452-7708
Photo of Heather Cameron, Counselor in Holderness, NH
Heather Cameron
Counselor, MA, NCC, LCMHC
Verified Verified
Meredith, NH 03253
Congratulations on seeking help! You have taken the first step on the rewarding journey of healing and self-discovery. It takes real courage to face what may be overwhelming fear, despair and self-blame. But you don't have to struggle with the burden of hopelessness alone. Others that suffered in similar ways have gotten help even when therapy has not worked in the past. Whether one struggles with stress, relationship difficulties or with crippling self-doubt, therapy is used to identify barriers and cultivate tools that bring fresh perspective and resources to address the problem at hand.
Congratulations on seeking help! You have taken the first step on the rewarding journey of healing and self-discovery. It takes real courage to face what may be overwhelming fear, despair and self-blame. But you don't have to struggle with the burden of hopelessness alone. Others that suffered in similar ways have gotten help even when therapy has not worked in the past. Whether one struggles with stress, relationship difficulties or with crippling self-doubt, therapy is used to identify barriers and cultivate tools that bring fresh perspective and resources to address the problem at hand.
(603) 825-4538 View (603) 825-4538
Photo of John Gramuglia, Clinical Social Work/Therapist in Holderness, NH
John Gramuglia
Clinical Social Work/Therapist, MLADC, LICSW
Verified Verified
Plymouth, NH 03264  (Online Only)
I have been working in the field of behavioral health in excess of twenty five years. I have specialized in addictions with both adults and adolescents. In addition, I work with couples to resolve relationship issues, individuals dealing with depression or anxiety, and those with adjustment disorders. I find that being a good listener and being empathic helps a client gain trust and have a great therapeutic experience. Currently, I have immediate opening but I only accept self pay clients. My direct number is 802 595 3318
I have been working in the field of behavioral health in excess of twenty five years. I have specialized in addictions with both adults and adolescents. In addition, I work with couples to resolve relationship issues, individuals dealing with depression or anxiety, and those with adjustment disorders. I find that being a good listener and being empathic helps a client gain trust and have a great therapeutic experience. Currently, I have immediate opening but I only accept self pay clients. My direct number is 802 595 3318
(603) 836-8378 View (603) 836-8378
Photo of Gabriel Vega Counseling, PLLC, Counselor in Holderness, NH
Gabriel Vega Counseling, PLLC
Counselor, MS, LCMHC
Verified Verified
Campton, NH 03223  (Online Only)
Gabriel Vega Counseling, PLLC strives to meet the virtual, trauma-informed, therapeutic needs of marginalized and disenfranchised individuals in New Hampshire. ​My specialties include treating Post-Traumatic Stress Disorder (PTSD), Dissociative Disorders, and symptoms related to complex developmental trauma. I specifically provide virtual Eye Movement Desensitization and Reprocessing (EMDR) and Deep Brain Reorienting (DBR) therapy for adults 18+.
Gabriel Vega Counseling, PLLC strives to meet the virtual, trauma-informed, therapeutic needs of marginalized and disenfranchised individuals in New Hampshire. ​My specialties include treating Post-Traumatic Stress Disorder (PTSD), Dissociative Disorders, and symptoms related to complex developmental trauma. I specifically provide virtual Eye Movement Desensitization and Reprocessing (EMDR) and Deep Brain Reorienting (DBR) therapy for adults 18+.
(603) 207-8323 View (603) 207-8323
Photo of The Plymouth House, Drug & Alcohol Counselor in Holderness, NH
The Plymouth House
Drug & Alcohol Counselor, LADC
Verified Verified
1 Endorsed
Plymouth, NH 03264
Since 2002, The Plymouth House has been providing individuals and their families hope for a better life, free from addiction. We offer residential treatment at our picturesque 60-acre campus in the heart of the white mountains. The Plymouth House specializes in treating clients who have failed to maintain recovery after past treatment stays. Our 12-step inspired, evidence-based program has been helping clients achieve life long sobriety for over 20 years.
Since 2002, The Plymouth House has been providing individuals and their families hope for a better life, free from addiction. We offer residential treatment at our picturesque 60-acre campus in the heart of the white mountains. The Plymouth House specializes in treating clients who have failed to maintain recovery after past treatment stays. Our 12-step inspired, evidence-based program has been helping clients achieve life long sobriety for over 20 years.
(603) 207-3078 View (603) 207-3078

How does your Therapist compare?

Number of Therapists in Holderness, NH

< 10

Therapists in Holderness, NH who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Family Conflict
100% Self Esteem
67% Relationship Issues
67% Child

Average years in practice

9 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Harvard Pilgrim

How Therapists in Holderness, NH see their clients

100% In Person and Online

Gender breakdown

67% Female
33% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Holderness?

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.