Therapists in Litchfield, NH

Photo of Kat Delaney, Counselor, LCMHC
Kat Delaney
Counselor, LCMHC
Litchfield, NH 03052
The clients I work with come in with a variety of different issues and a strong commitment towards healing. As the owner of the practice, I take great pride in connecting clients to the therapist that is right for them.
The clients I work with come in with a variety of different issues and a strong commitment towards healing. As the owner of the practice, I take great pride in connecting clients to the therapist that is right for them.
(603) 764-7455 View (603) 764-7455
Photo of Rossy Soto-Pimentel, Pre-Licensed Professional, MSW
Rossy Soto-Pimentel
Pre-Licensed Professional, MSW
1 Endorsed
Litchfield, NH 03052
Are you tired of struggling with stress, anxiety, or depressive symptoms? Do you genuinely miss being able to enjoy life and savor every moment? If you're finding it hard to cope with the loss of a loved one or a significant life event, it's time to let go and start savoring every minute. Let's work together to make that happen.
Are you tired of struggling with stress, anxiety, or depressive symptoms? Do you genuinely miss being able to enjoy life and savor every moment? If you're finding it hard to cope with the loss of a loved one or a significant life event, it's time to let go and start savoring every minute. Let's work together to make that happen.
(603) 338-1586 View (603) 338-1586
Photo of Kaitlyn Milone, Licensed Mental Health Counselor, LMHC
Kaitlyn Milone
Licensed Mental Health Counselor, LMHC
Online Only
As a Licensed Mental Health Counselor, I am passionate about creating a safe, supportive, and nonjudgmental space where individuals can explore their experiences, build resilience, and create meaningful change. With extensive experience in crisis intervention, trauma-informed care, and clinical supervision, I bring a calm, compassionate, and grounded presence to every client interaction. I specialize in working with individuals facing challenges such as anxiety, depression, trauma, and life transitions, and I am particularly attuned to the unique needs of underserved populations, including those experiencing homelessness.
As a Licensed Mental Health Counselor, I am passionate about creating a safe, supportive, and nonjudgmental space where individuals can explore their experiences, build resilience, and create meaningful change. With extensive experience in crisis intervention, trauma-informed care, and clinical supervision, I bring a calm, compassionate, and grounded presence to every client interaction. I specialize in working with individuals facing challenges such as anxiety, depression, trauma, and life transitions, and I am particularly attuned to the unique needs of underserved populations, including those experiencing homelessness.
(833) 721-4952 View (833) 721-4952
Photo of Dr. Heather Andonucci-Hill, Psychologist, PsyD
Dr. Heather Andonucci-Hill
Psychologist, PsyD
Serves Area
Dr. Heather Andonucci-Hill earned her B.A. at Saint Michael’s College in Vermont where she majored in psychology and minored in gender studies. She earned both her Master’s and Doctorate at the California School of Professional Psychology, Alliant International University, specializing in working with children and families. Dr. Andonucci-Hill is a member of the American Psychological Association. Dr. Andonucci-Hill specializes in treating clients with mood and anxiety disorders, trauma related issues, personality disorders, attention deficit hyperactivity disorders, family challenges, and women’s issues.
Dr. Heather Andonucci-Hill earned her B.A. at Saint Michael’s College in Vermont where she majored in psychology and minored in gender studies. She earned both her Master’s and Doctorate at the California School of Professional Psychology, Alliant International University, specializing in working with children and families. Dr. Andonucci-Hill is a member of the American Psychological Association. Dr. Andonucci-Hill specializes in treating clients with mood and anxiety disorders, trauma related issues, personality disorders, attention deficit hyperactivity disorders, family challenges, and women’s issues.
(855) 340-7803 View (855) 340-7803
Jill Pearl
Counselor, MA, LCMHC
Serves Area
Jill Pearl is a licensed clinical mental health counselor (LCMHC) in the state of New Hampshire and has been practicing since 2001. She earned her bachelor’s degree from the University of New Hampshire in French and a Master’s degree in Clinical Mental Health Counseling from Rivier University. Jill uses a supportive, collaborative and strength-based perspective while incorporating treatment modalities such as CBT, DBT, positive psychology, person centered therapy and mindfulness. Her areas of interest include depression, anxiety, relationship issues and eating disorders.
Jill Pearl is a licensed clinical mental health counselor (LCMHC) in the state of New Hampshire and has been practicing since 2001. She earned her bachelor’s degree from the University of New Hampshire in French and a Master’s degree in Clinical Mental Health Counseling from Rivier University. Jill uses a supportive, collaborative and strength-based perspective while incorporating treatment modalities such as CBT, DBT, positive psychology, person centered therapy and mindfulness. Her areas of interest include depression, anxiety, relationship issues and eating disorders.
(855) 658-7427 View (855) 658-7427
Dr. Lori Hillard
Psychologist, PhD
Serves Area
Lori Hillard, PhD. is a licensed clinical psychologist. She earned her doctoral degree in Clinical Psychology and Behavioral Medicine in 2002 from the University of Maryland, Baltimore County. She completed her predoctoral internship and postdoctoral fellowship at the Yale University School of Medicine. Dr. Hillard also holds a Master’s degree in Counseling Psychology from the University of Massachusetts, Boston and earned her Bachelor’s degree in psychology at the University of Massachusetts, Amherst. Dr. Hillard has been practicing for twenty years and has practiced and consulted in many different settings.
Lori Hillard, PhD. is a licensed clinical psychologist. She earned her doctoral degree in Clinical Psychology and Behavioral Medicine in 2002 from the University of Maryland, Baltimore County. She completed her predoctoral internship and postdoctoral fellowship at the Yale University School of Medicine. Dr. Hillard also holds a Master’s degree in Counseling Psychology from the University of Massachusetts, Boston and earned her Bachelor’s degree in psychology at the University of Massachusetts, Amherst. Dr. Hillard has been practicing for twenty years and has practiced and consulted in many different settings.
(844) 612-6796 View (844) 612-6796
Photo of Dr. Barry Lewis, Counselor, PsyD, LCMHC
Dr. Barry Lewis
Counselor, PsyD, LCMHC
Serves Area
Dr. Lewis is a licensed clinical mental health counselor and master licensed alcohol and drug counselor with over 10 years experience as a psychotherapist and nearly 15 total years experience in the field of mental health. He completed a bachelor’s degree with a double major in history and psychology from Colby-Sawyer College, a master’s degree in mental health counseling from Rivier University, and a doctor of psychology degree in counseling and school psychology from Rivier University. Dr. Lewis specializes in depression, anxiety, trauma, insomnia, and substance use disorders.
Dr. Lewis is a licensed clinical mental health counselor and master licensed alcohol and drug counselor with over 10 years experience as a psychotherapist and nearly 15 total years experience in the field of mental health. He completed a bachelor’s degree with a double major in history and psychology from Colby-Sawyer College, a master’s degree in mental health counseling from Rivier University, and a doctor of psychology degree in counseling and school psychology from Rivier University. Dr. Lewis specializes in depression, anxiety, trauma, insomnia, and substance use disorders.
(844) 595-9385 View (844) 595-9385
Photo of Dr. Laura Richman, Psychologist, PsyD
Dr. Laura Richman
Psychologist, PsyD
Serves Area
Laura Richman earned her doctorate in Clinical Psychology at Long Island University C.W. Post in 1996. After graduating, Laura worked in the Counseling Center at the State University of New York at Purchase College with individuals with a variety of difficulties including depression, anxiety, eating disorders and stage of life concerns. She was in private practice in New York City for five years before moving to New Hampshire and joining the Counseling Center of Nashua which is now Lifestance Health.
Laura Richman earned her doctorate in Clinical Psychology at Long Island University C.W. Post in 1996. After graduating, Laura worked in the Counseling Center at the State University of New York at Purchase College with individuals with a variety of difficulties including depression, anxiety, eating disorders and stage of life concerns. She was in private practice in New York City for five years before moving to New Hampshire and joining the Counseling Center of Nashua which is now Lifestance Health.
(844) 909-1415 View (844) 909-1415
Photo of Laura Whittick, Clinical Social Work/Therapist, MSW, LICSW
Laura Whittick
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
Laura Whittick, MSW, LICSW, provides compassionate and evidence-based therapy to individuals and families in New Hampshire. She helps clients navigate life’s challenges, whether they are struggling with anxiety, depression, trauma, or major life transitions. Laura fosters a supportive and nonjudgmental environment where clients feel empowered to explore their thoughts, emotions, and behaviors while working toward meaningful change. Laura specializes in treating PTSD and trauma, obsessive-compulsive disorder (OCD), and substance use issues.
Laura Whittick, MSW, LICSW, provides compassionate and evidence-based therapy to individuals and families in New Hampshire. She helps clients navigate life’s challenges, whether they are struggling with anxiety, depression, trauma, or major life transitions. Laura fosters a supportive and nonjudgmental environment where clients feel empowered to explore their thoughts, emotions, and behaviors while working toward meaningful change. Laura specializes in treating PTSD and trauma, obsessive-compulsive disorder (OCD), and substance use issues.
(844) 645-0879 View (844) 645-0879
Photo of Valerie O'Brien, Counselor, MS, LCMHC, LADC
Valerie O'Brien
Counselor, MS, LCMHC, LADC
Serves Area
Valerie O’Brien is a Licensed Mental Health Counselor in New Hampshire who has been practicing since 2016. Valerie has dual licensure to treat mental health and co-occurring substance use disorders and is trained in DBT and EMDR. Valerie is an outdoor enthusiast and enjoys camping, hiking, and fishing.
Valerie O’Brien is a Licensed Mental Health Counselor in New Hampshire who has been practicing since 2016. Valerie has dual licensure to treat mental health and co-occurring substance use disorders and is trained in DBT and EMDR. Valerie is an outdoor enthusiast and enjoys camping, hiking, and fishing.
(888) 835-2230 View (888) 835-2230
Photo of Vicky McGall, Counselor, MA, LCMHC
Vicky McGall
Counselor, MA, LCMHC
Serves Area
Provider is a Licensed Clinical Mental Health Counselor who has been practicing since 1998. She graduated from Rivier College with a master's in Counseling. Vicky Belies in Cognitive Behavioral Therapy, and use Dialetical Behavioral Therapy skills only. Her main area of focus includes Attention Deficit Disorder, Depression, Bipolar, Anxiety and Mindfulness/Relaxation. In her spare time, Vicky enjoys walking, hiking, spending time with Family/friends, reading, and working out.
Provider is a Licensed Clinical Mental Health Counselor who has been practicing since 1998. She graduated from Rivier College with a master's in Counseling. Vicky Belies in Cognitive Behavioral Therapy, and use Dialetical Behavioral Therapy skills only. Her main area of focus includes Attention Deficit Disorder, Depression, Bipolar, Anxiety and Mindfulness/Relaxation. In her spare time, Vicky enjoys walking, hiking, spending time with Family/friends, reading, and working out.
(833) 996-1709 View (833) 996-1709
Photo of Cheryl Twombly, Clinical Social Work/Therapist, LICSW
Cheryl Twombly
Clinical Social Work/Therapist, LICSW
1 Endorsed
Serves Area
Cheryl Twombly is a Licensed Clinic Social Worker who has over 30 years of experience working with people through all stages of life from pregnancy to end of life in a variety of different settings. Regardless of my role, my priority has always been to ensure clients feel respected, heard, and validated during our time working together. My style brings my warmth, compassion, humor, and a direct nature together in a person-centered manner that supports clients to face their pain and deepen an understanding of their needs while enhancing awareness of their existing strengths and developing new coping strategies.
Cheryl Twombly is a Licensed Clinic Social Worker who has over 30 years of experience working with people through all stages of life from pregnancy to end of life in a variety of different settings. Regardless of my role, my priority has always been to ensure clients feel respected, heard, and validated during our time working together. My style brings my warmth, compassion, humor, and a direct nature together in a person-centered manner that supports clients to face their pain and deepen an understanding of their needs while enhancing awareness of their existing strengths and developing new coping strategies.
(888) 491-5017 View (888) 491-5017
Photo of Alyson Lewis, Clinical Social Work/Therapist, LCSW
Alyson Lewis
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Independent Clinical Social Worker (LICSW). I work with clients throughout New Hampshire using telehealth services. I have been a practicing clinician since 2009, and I have been independently licensed since 2012. I work with clients of all ages, and I specialize in anxiety, depression, substance use disorders, grief and loss, and life transitions and adjustment disorders. I predominantly utilize Cognitive Behavioral Therapy and solution-focused brief Therapy to assist clients in reaching their therapeutic goals.
I am a Licensed Independent Clinical Social Worker (LICSW). I work with clients throughout New Hampshire using telehealth services. I have been a practicing clinician since 2009, and I have been independently licensed since 2012. I work with clients of all ages, and I specialize in anxiety, depression, substance use disorders, grief and loss, and life transitions and adjustment disorders. I predominantly utilize Cognitive Behavioral Therapy and solution-focused brief Therapy to assist clients in reaching their therapeutic goals.
(866) 605-5926 View (866) 605-5926
Photo of Dr. Wairimu Mutai, Licensed Clinical Mental Health Counselor, PhD, LCMHC
Dr. Wairimu Mutai
Licensed Clinical Mental Health Counselor, PhD, LCMHC
Serves Area
Dr. Wairimu Mutai is a Licensed Clinical Mental Health Counselor. She earned her Doctoral Degree in Counselor Ed & Supervision from Kent State University and her Master’s degree in Clinical Mental Health Counseling from Bowling Green State University, both in the state of Ohio. She has worked as a therapist with individuals and families across the lifespan, including immigrants and incarcerated teens. She has specialized training in couples therapy and works from a Developmental Model approach.
Dr. Wairimu Mutai is a Licensed Clinical Mental Health Counselor. She earned her Doctoral Degree in Counselor Ed & Supervision from Kent State University and her Master’s degree in Clinical Mental Health Counseling from Bowling Green State University, both in the state of Ohio. She has worked as a therapist with individuals and families across the lifespan, including immigrants and incarcerated teens. She has specialized training in couples therapy and works from a Developmental Model approach.
(866) 851-1152 View (866) 851-1152
Photo of Joseph Ginsburg, Pre-Licensed Professional, Qualifi
Joseph Ginsburg
Pre-Licensed Professional, Qualifi
Serves Area
Joe Ginsburg helps individuals and couples navigate life’s most difficult challenges with clarity, resilience, and purpose. Serving clients across Massachusetts, Joe offers tailored support to teens, young adults, and adults seeking meaningful change. Whether facing struggles with anxiety, depression, or substance use, Joe creates a compassionate, structured space to explore emotions, rebuild trust in oneself, and foster lasting growth. Joe is especially passionate about supporting individuals coping with grief, sleep difficulties, and somatoform disorders—conditions where physical symptoms are closely tied to emotional distress.
Joe Ginsburg helps individuals and couples navigate life’s most difficult challenges with clarity, resilience, and purpose. Serving clients across Massachusetts, Joe offers tailored support to teens, young adults, and adults seeking meaningful change. Whether facing struggles with anxiety, depression, or substance use, Joe creates a compassionate, structured space to explore emotions, rebuild trust in oneself, and foster lasting growth. Joe is especially passionate about supporting individuals coping with grief, sleep difficulties, and somatoform disorders—conditions where physical symptoms are closely tied to emotional distress.
(877) 848-1245 View (877) 848-1245
Photo of Valerie J Mazzola, Clinical Social Work/Therapist, MSW, LICSW
Valerie J Mazzola
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
As the founder of Clear Balance Counseling, PLLC, I am happy to announce the opening of our new office in Londonderry, NH. My passion for helping others led me to pursue a career in mental health over 33 years ago. I have had the privilege of supporting adolescents, adults, families and couples on their journey to achieving clarity, balance, and emotional well-being. I provide a safe and nonjudgmental space for people to explore their thoughts emotions, concerns, challenges, and the underlying experiences that shape them. I believe that every individual has the strength and the ability to overcome adversity.
As the founder of Clear Balance Counseling, PLLC, I am happy to announce the opening of our new office in Londonderry, NH. My passion for helping others led me to pursue a career in mental health over 33 years ago. I have had the privilege of supporting adolescents, adults, families and couples on their journey to achieving clarity, balance, and emotional well-being. I provide a safe and nonjudgmental space for people to explore their thoughts emotions, concerns, challenges, and the underlying experiences that shape them. I believe that every individual has the strength and the ability to overcome adversity.
(603) 490-5338 View (603) 490-5338
Photo of Christine Penta, Clinical Social Work/Therapist, MSW, LICSW
Christine Penta
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
Christine is a Licensed Independent Clinical Social Worker in the states of New Hampshire and Massachusetts. She received a Bachelor of Arts degree from the College of the Holy Cross in Worcester, MA and a Master’s degree in Social Work from Gallaudet University in Washington, DC. Prior to joining LifeStance in 2018, Christine spent ten years working in community mental health.
Christine is a Licensed Independent Clinical Social Worker in the states of New Hampshire and Massachusetts. She received a Bachelor of Arts degree from the College of the Holy Cross in Worcester, MA and a Master’s degree in Social Work from Gallaudet University in Washington, DC. Prior to joining LifeStance in 2018, Christine spent ten years working in community mental health.
(866) 681-4575 View (866) 681-4575
Photo of Patricia Genest, Counselor, MA, LCMHC
Patricia Genest
Counselor, MA, LCMHC
Serves Area
Patricia Ledbetter is a Licensed Clinical Mental Health Counselor and Masters Licensed Alcohol and Drug Counselor in the State of New Hampshire. She received her undergraduate degree in Psychology at Endicott College in Beverly, MA and her Masters degree from Rivier University in Mental Health Counseling. Trish has interned at a therapeutic residential school for adolescent females with emotional and behavioral issues, mental health disorders and complex trauma histories.
Patricia Ledbetter is a Licensed Clinical Mental Health Counselor and Masters Licensed Alcohol and Drug Counselor in the State of New Hampshire. She received her undergraduate degree in Psychology at Endicott College in Beverly, MA and her Masters degree from Rivier University in Mental Health Counseling. Trish has interned at a therapeutic residential school for adolescent females with emotional and behavioral issues, mental health disorders and complex trauma histories.
(888) 669-6251 View (888) 669-6251
Photo of Monicca Levesque, Marriage & Family Therapist, MA, LMFT
Monicca Levesque
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Online Only
Do you worry about your marriage or your family? Do you carry a heavy emotional burden through life and wonder when things will finally get better? I work with individuals, couples, and families who want to improve their lives and relationships. Here you will find a friendly and supportive relationship. I work in a variety of ways to help you get what you want out of therapy, most often that involves gaining relief from painful emotional symptoms, improving interpersonal relationships, becoming more productive at work and being freed to take more enjoyment out of life.
Do you worry about your marriage or your family? Do you carry a heavy emotional burden through life and wonder when things will finally get better? I work with individuals, couples, and families who want to improve their lives and relationships. Here you will find a friendly and supportive relationship. I work in a variety of ways to help you get what you want out of therapy, most often that involves gaining relief from painful emotional symptoms, improving interpersonal relationships, becoming more productive at work and being freed to take more enjoyment out of life.
(603) 734-5668 View (603) 734-5668
Photo of Dr. Jessica Leonard, Psychologist, PhD
Dr. Jessica Leonard
Psychologist, PhD
Serves Area
Dr. Jes Leonard is a psychologist who has been practicing since 2016. She currently serves as the Training Director for the post-doc and practicum training program at Lifestance NH and as the Regional Clinical Assessment Director for Lifestance NH/ME. She graduated from West Virginia University with a doctoral degree in counseling psychology and Ithaca College with a masters of science degree with a concentration in sport psychology. Dr. Leonard believes in the resilience of all humans and has a client-centered approach in assisting clients live a more purposeful and meaningful life and providing tools to manage life stressors.
Dr. Jes Leonard is a psychologist who has been practicing since 2016. She currently serves as the Training Director for the post-doc and practicum training program at Lifestance NH and as the Regional Clinical Assessment Director for Lifestance NH/ME. She graduated from West Virginia University with a doctoral degree in counseling psychology and Ithaca College with a masters of science degree with a concentration in sport psychology. Dr. Leonard believes in the resilience of all humans and has a client-centered approach in assisting clients live a more purposeful and meaningful life and providing tools to manage life stressors.
(888) 299-2854 View (888) 299-2854

See more therapy options for Litchfield

How does your Therapist compare?

Number of Therapists in Litchfield, NH

20+

Average cost per session

$140

Therapists in Litchfield, NH who prioritize treating:

100% Depression
100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
64% Trauma and PTSD
64% Life Transitions

Average years in practice

36 Years

Top 3 insurances accepted

100% Aetna
100% Optum
76% UnitedHealthcare UHC | UBH

How Therapists in Litchfield, NH see their clients

88% In Person and Online
12% Online Only

Gender breakdown

92% Female
8% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Litchfield?

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.