Therapists in Arbor Hill, Albany, NY

Photo of Damien George Tilliman, Psychologist, PsyD
Damien George Tilliman
Psychologist, PsyD
Serves Area
Any therapy begins with a surface challenge causing life discomfort, where clients seek to "fix," "change," "get rid of," or "not feel/experience" issues like anger, relationship intimacy, anxiety, or decision-making difficulties. As trust builds in the therapeutic relationship, we delve deeper into untangling complex situations, considering cultural background and unique perspectives. Therapy facilitates changes on the level of values, life perspectives, self-reliance, and self-worth. Change takes time; just as it took years to form old habits, adopting new approaches is a gradual process.
Any therapy begins with a surface challenge causing life discomfort, where clients seek to "fix," "change," "get rid of," or "not feel/experience" issues like anger, relationship intimacy, anxiety, or decision-making difficulties. As trust builds in the therapeutic relationship, we delve deeper into untangling complex situations, considering cultural background and unique perspectives. Therapy facilitates changes on the level of values, life perspectives, self-reliance, and self-worth. Change takes time; just as it took years to form old habits, adopting new approaches is a gradual process.
(929) 416-6003 View (929) 416-6003
Photo of Steven D Brown, Licensed Psychoanalyst, PsyaD, LCSW
Steven D Brown
Licensed Psychoanalyst, PsyaD, LCSW
1 Endorsed
Serves Area
Dr. Brown is a licensed Psychoanalyst practicing near Hudson, NY and New York City. Professional activities include training school guidance counselors to develop and run adolescent resiliency groups. For 13 years, Dr. Brown was on staff at Kaiser Permanente HMO and Northeast Permanente Medical Group. Utilizing a solution-focused model of psychotherapy, he provided psychotherapy to Kaiser Permanente's membership. Dr. Brown developed and provided EAP services to medical and administrative staff at Kaiser and NPMG. He developed, conducted, and supervised various workshops and groups including community and corporate workshops on stress management, support groups for children of divorced families, "Fair Fighting" workshops & support groups.
Dr. Brown is a licensed Psychoanalyst practicing near Hudson, NY and New York City. Professional activities include training school guidance counselors to develop and run adolescent resiliency groups. For 13 years, Dr. Brown was on staff at Kaiser Permanente HMO and Northeast Permanente Medical Group. Utilizing a solution-focused model of psychotherapy, he provided psychotherapy to Kaiser Permanente's membership. Dr. Brown developed and provided EAP services to medical and administrative staff at Kaiser and NPMG. He developed, conducted, and supervised various workshops and groups including community and corporate workshops on stress management, support groups for children of divorced families, "Fair Fighting" workshops & support groups.
(518) 312-4554 View (518) 312-4554
Photo of Diane DeGiovine, Clinical Social Work/Therapist, LCSW-R
Diane DeGiovine
Clinical Social Work/Therapist, LCSW-R
Serves Area
My goal is as a therapist is to assist clients in becoming their own best advocate as they negotiate personal life challenges. I have a special interest in mind body awareness and have incorporated meditative and relaxation strategies and biofeedback in my therapeutic work with clients from childhood through late adulthood. Additionally, I have trained ten years in Neurofeedback, a very specialized type of biofeedback, that engages the brain in changing itself. this is particularly helpful with chronic mental health issues including, but not limited to, ADD, Anxiety, Depression, Chronic Pain Syndromes, and PTSD. Neurofeedback is also beneficial for Peak Performance Training.
My goal is as a therapist is to assist clients in becoming their own best advocate as they negotiate personal life challenges. I have a special interest in mind body awareness and have incorporated meditative and relaxation strategies and biofeedback in my therapeutic work with clients from childhood through late adulthood. Additionally, I have trained ten years in Neurofeedback, a very specialized type of biofeedback, that engages the brain in changing itself. this is particularly helpful with chronic mental health issues including, but not limited to, ADD, Anxiety, Depression, Chronic Pain Syndromes, and PTSD. Neurofeedback is also beneficial for Peak Performance Training.
(518) 868-7943 View (518) 868-7943
Photo of David Comisar - Comisar Psychotherapy Group, Clinical Social Work/Therapist, LCSW-R, PLLC
Comisar Psychotherapy Group
Clinical Social Work/Therapist, LCSW-R, PLLC
1 Endorsed
Online Only
Have you been feeling overwhelmed, anxious, or depressed? At times, we all feel unseen, unheard, and alone in our suffering. We are a group of licensed therapists providing psychotherapy via telehealth (only) to clients throughout New York State. We offer a client-centered, goal-oriented, and culturally competent approach to mental health treatment. Our multicultural approach to psychotherapy helps create an open and safe space for members of all communities. At Comisar Psychotherapy Group, our clinicians have demonstrated their competency and ability to have a meaningful impact on the lives of the people they treat.
Have you been feeling overwhelmed, anxious, or depressed? At times, we all feel unseen, unheard, and alone in our suffering. We are a group of licensed therapists providing psychotherapy via telehealth (only) to clients throughout New York State. We offer a client-centered, goal-oriented, and culturally competent approach to mental health treatment. Our multicultural approach to psychotherapy helps create an open and safe space for members of all communities. At Comisar Psychotherapy Group, our clinicians have demonstrated their competency and ability to have a meaningful impact on the lives of the people they treat.
(585) 285-4272 View (585) 285-4272
Photo of Melanie Styles, Counselor, PhD, MSEd, LMHC
Melanie Styles
Counselor, PhD, MSEd, LMHC
2 Endorsed
Online Only
Are you ready for a brighter outlook on life? Are you tired of repeating cycles and adverse behaviors? Congratulations! You have just made the first step toward a new direction and I am here to help you navigate your way through it. I have over 20 years of experience in helping people redirect their lives in a positive direction.
Are you ready for a brighter outlook on life? Are you tired of repeating cycles and adverse behaviors? Congratulations! You have just made the first step toward a new direction and I am here to help you navigate your way through it. I have over 20 years of experience in helping people redirect their lives in a positive direction.
(838) 444-6368 View (838) 444-6368
Photo of Elaine Theodore - YogaSpeak Therapy, EdM, C-IAYT, E-RYT
YogaSpeak Therapy
Verified Verified
Online Only
I am a certified Yoga Therapist and mental health/trauma clinician with over 30 years experience treating adults, and adolescents. I believe in the mind/body connection as well as 'talk therapy,' to address the whole person, offering simple tools to increase coping skills so you can regulate emotions and become aware of triggers. I specialize in helping you with trauma recovery, anxiety, chronic stress and depression. In my practice, you will be able to talk about your challenges to gain insight and perspective as well as learn yoga therapy tools specifically designed for you.
I am a certified Yoga Therapist and mental health/trauma clinician with over 30 years experience treating adults, and adolescents. I believe in the mind/body connection as well as 'talk therapy,' to address the whole person, offering simple tools to increase coping skills so you can regulate emotions and become aware of triggers. I specialize in helping you with trauma recovery, anxiety, chronic stress and depression. In my practice, you will be able to talk about your challenges to gain insight and perspective as well as learn yoga therapy tools specifically designed for you.
(781) 790-4767 View (781) 790-4767
Photo of Melissa N. Douglas, Clinical Social Work/Therapist, LCSW, SIFI
Melissa N. Douglas
Clinical Social Work/Therapist, LCSW, SIFI
Online Only
Relationships play a crucial role in our overall well-being but many of us struggle to navigate the complexities of interpersonal dynamics with romantic relationships, friendships, and family connections. I work with clients to help them identify the underlying challenges that are preventing them from forming and maintaining healthy, fulfilling relationships. Together, we develop the skills and insights needed to enhance your relational experiences and create meaningful, lasting connections with others.
Relationships play a crucial role in our overall well-being but many of us struggle to navigate the complexities of interpersonal dynamics with romantic relationships, friendships, and family connections. I work with clients to help them identify the underlying challenges that are preventing them from forming and maintaining healthy, fulfilling relationships. Together, we develop the skills and insights needed to enhance your relational experiences and create meaningful, lasting connections with others.
(914) 461-8322 View (914) 461-8322
Photo of Keona Wright, Marriage & Family Therapist, LMFT
Keona Wright
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
As your therapist, I am present, listen actively and reflectively, with compassion and empathy. My approach is patient and allows clients, like yourself, to set the pace that feels right for them. Through individual, couple and family therapy, I assist clients in improving communication, managing emotions, navigating relationship issues, working through life transitions, and overcoming obstacles like anxiety, depression, grief, addiction, and trauma. My goal is to empower you to gain self-awareness, build resilience and reconnect with your sense of purpose and fulfillment.
As your therapist, I am present, listen actively and reflectively, with compassion and empathy. My approach is patient and allows clients, like yourself, to set the pace that feels right for them. Through individual, couple and family therapy, I assist clients in improving communication, managing emotions, navigating relationship issues, working through life transitions, and overcoming obstacles like anxiety, depression, grief, addiction, and trauma. My goal is to empower you to gain self-awareness, build resilience and reconnect with your sense of purpose and fulfillment.
(929) 447-2136 View (929) 447-2136
Photo of Kristen Ruscitto Donato, Counselor, LMHC, NCC
Kristen Ruscitto Donato
Counselor, LMHC, NCC
1 Endorsed
Online Only
As a licensed mental health counselor I like to look at the whole picture. I believe in mind, body and soul being in balance. Come as you are and be accepted in a genuine space.
As a licensed mental health counselor I like to look at the whole picture. I believe in mind, body and soul being in balance. Come as you are and be accepted in a genuine space.
(315) 873-3603 View (315) 873-3603
Photo of A Sydney Madden - A Sydney Madden, LCSW-R, Clinical Social Work/Therapist, LCSW-R
A Sydney Madden, LCSW-R
Clinical Social Work/Therapist, LCSW-R
1 Endorsed
Serves Area
(518) 767-1505 View (518) 767-1505

Online Therapists

Photo of Raymond J Coppola, Psychologist
Raymond J Coppola
Psychologist
Albany, NY 12205
I am a licensed clinical psychologist with over 25 years of clinical experience in support of the wellbeing and deepening of life in individuals from across the lifespan. My work is informed by a rich integration of approaches that allow for attention to mind, heart, body, and spirit; attending to not only the wounds and vulnerabilities of life, but also to its deep promise and potential.
I am a licensed clinical psychologist with over 25 years of clinical experience in support of the wellbeing and deepening of life in individuals from across the lifespan. My work is informed by a rich integration of approaches that allow for attention to mind, heart, body, and spirit; attending to not only the wounds and vulnerabilities of life, but also to its deep promise and potential.
(518) 504-3864 x115 View (518) 504-3864 x115
Photo of Chenique Boutelle, Clinical Social Work/Therapist, LCSW, PMH-C
Chenique Boutelle
Clinical Social Work/Therapist, LCSW, PMH-C
3 Endorsed
Albany, NY 12203
I work with individuals navigating the emotional ups and downs of parenthood—whether that means anxiety, depression, or trauma during the perinatal period, or simply trying to reconnect with a “new” version of yourself. I understand how overwhelming and transformative this season can be. The perinatal period is not only a time of birth but also of rebirth—a profound process of change and adjustment, both physically and emotionally.
I work with individuals navigating the emotional ups and downs of parenthood—whether that means anxiety, depression, or trauma during the perinatal period, or simply trying to reconnect with a “new” version of yourself. I understand how overwhelming and transformative this season can be. The perinatal period is not only a time of birth but also of rebirth—a profound process of change and adjustment, both physically and emotionally.
(518) 263-0541 View (518) 263-0541
Photo of Christina King, Art Therapist, MA, LCAT, LMHC-Ma
Christina King
Art Therapist, MA, LCAT, LMHC-Ma
Albany, NY 12208
Do you feel disconnected from your true self, weighed down by increasing external expectations or an inner voice that keeps you stuck? You already have the answers within you—it’s a matter of learning how to tune into them. I help individuals ready to gain inner clarity, trust their intuition, and navigate life’s challenges—whether it's loss, family dynamics, relationships, stress, work, or past patterns—with a renewed perspective. Together, we will quiet the noise and help you reconnect with the messages your body and true self are trying to share. From this empowered place, you can choose what is best for you with new insight.
Do you feel disconnected from your true self, weighed down by increasing external expectations or an inner voice that keeps you stuck? You already have the answers within you—it’s a matter of learning how to tune into them. I help individuals ready to gain inner clarity, trust their intuition, and navigate life’s challenges—whether it's loss, family dynamics, relationships, stress, work, or past patterns—with a renewed perspective. Together, we will quiet the noise and help you reconnect with the messages your body and true self are trying to share. From this empowered place, you can choose what is best for you with new insight.
(518) 314-5194 View (518) 314-5194
Photo of Emily Joseph, Clinical Social Work/Therapist, LCSW
Emily Joseph
Clinical Social Work/Therapist, LCSW
Albany, NY 12205
Are you contemplating a big change in your life? I'm talking a career shift, relationship re-evaluation, the transition to new parenthood, and beyond. Choices that alter the trajectory of your life path. Maybe you want to make a change, but you don't even know what that looks like yet. It's normal to feel helpless and stuck before, during, and after these huge transitions. If this sounds like you, you've come to the right place. If you want a therapist who's been there, who really hears you and offers helpful insights, and you are ready to finally prioritize yourself and leave sessions feeling clearer, look no further.
Are you contemplating a big change in your life? I'm talking a career shift, relationship re-evaluation, the transition to new parenthood, and beyond. Choices that alter the trajectory of your life path. Maybe you want to make a change, but you don't even know what that looks like yet. It's normal to feel helpless and stuck before, during, and after these huge transitions. If this sounds like you, you've come to the right place. If you want a therapist who's been there, who really hears you and offers helpful insights, and you are ready to finally prioritize yourself and leave sessions feeling clearer, look no further.
(518) 282-0712 View (518) 282-0712
Photo of Barbara L Freedman, Clinical Social Work/Therapist, MSW, LCSW
Barbara L Freedman
Clinical Social Work/Therapist, MSW, LCSW
Albany, NY 12205
People arrive at a therapist's office, having tried their best way of getting along in the world, regardless of age, ethnicity, religion, sexual orientation and so forth. A universal reason for seeking help is distress in a primary relationship. In therapy, I help individuals understand how past relationships with parents, siblings and significant others impacts relationship troubles in the here and now. A trusting therapeutic relationship offers an opportunity for exploration of one's own mind at the deepest level - healing, new pathways of relating, greater authenticity, vitality & living a life that's true to one's self.
People arrive at a therapist's office, having tried their best way of getting along in the world, regardless of age, ethnicity, religion, sexual orientation and so forth. A universal reason for seeking help is distress in a primary relationship. In therapy, I help individuals understand how past relationships with parents, siblings and significant others impacts relationship troubles in the here and now. A trusting therapeutic relationship offers an opportunity for exploration of one's own mind at the deepest level - healing, new pathways of relating, greater authenticity, vitality & living a life that's true to one's self.
(518) 631-3782 View (518) 631-3782
Photo of Dr. Catherine Kramer, Clinical Social Work/Therapist, PhD, LCSW
Dr. Catherine Kramer
Clinical Social Work/Therapist, PhD, LCSW
1 Endorsed
Albany, NY 12205
Whether navigating life transitions, mental health challenges, or self-esteem issues, I focus on helping young people build the inner resources they need to thrive. I am a child therapist and co-owner of Kramer and Walker Counseling LCSW, PLLC. I work exclusively with "Beginning Minds"—young people ages 4 to 21. My areas of specialization include trauma, adjustment and stress-related issues, anxiety, depression, and other mood disturbances.
Whether navigating life transitions, mental health challenges, or self-esteem issues, I focus on helping young people build the inner resources they need to thrive. I am a child therapist and co-owner of Kramer and Walker Counseling LCSW, PLLC. I work exclusively with "Beginning Minds"—young people ages 4 to 21. My areas of specialization include trauma, adjustment and stress-related issues, anxiety, depression, and other mood disturbances.
(518) 217-5460 View (518) 217-5460
Photo of Andrew Xavier Feeney, Counselor, MA, LMHC
Andrew Xavier Feeney
Counselor, MA, LMHC
2 Endorsed
Albany, NY 12205
I recently expanded my practice, adding two clinicians to better serve those looking for therapy. At Guiding Steps Psychotherapy, our mission is to help people heal from trauma and other adverse life experiences, anxiety, and depression. We work with survivors of sexual abuse/assault, those who have experienced traumatic loss from death or infidelity, individuals suffering from addiction, and others working through traumatic adjustments such as loss of a job or severe illness. I also counsel couples working to improve their relationships, those discerning their futures, and others contemplating separation or divorce
I recently expanded my practice, adding two clinicians to better serve those looking for therapy. At Guiding Steps Psychotherapy, our mission is to help people heal from trauma and other adverse life experiences, anxiety, and depression. We work with survivors of sexual abuse/assault, those who have experienced traumatic loss from death or infidelity, individuals suffering from addiction, and others working through traumatic adjustments such as loss of a job or severe illness. I also counsel couples working to improve their relationships, those discerning their futures, and others contemplating separation or divorce
(518) 692-6842 View (518) 692-6842
Photo of Ronald Villano - Family and Personal Counseling, Mental Health Counselor, LMHC
Family and Personal Counseling
Mental Health Counselor, LMHC
Albany, NY 12203
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start...and we will answer your call TODAY. We have 5 locations in Long Island and offer Telehealth to all of New York State.
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start...and we will answer your call TODAY. We have 5 locations in Long Island and offer Telehealth to all of New York State.
(518) 520-3766 View (518) 520-3766
Photo of Ranjit Bhagwat - Bhagwat Psychological Services, Psychologist, PhD
Bhagwat Psychological Services
Psychologist, PhD
Albany, NY 12205
We are a small group practice with staff clinicians serving adult and adolescent (16+) clients across the Capital Region and the state of New York. The practice has historically specialized in the treatment of post-traumatic stress disorder and trauma, but we work with a wide scope of presenting concerns and diagnoses including depression, anxiety, relationship issues, and many others. We strive to offer a welcoming clinical experience for people from a broad range of ethnocultural backgrounds, gender and sexual identities, and class/socioeconomic contexts.
We are a small group practice with staff clinicians serving adult and adolescent (16+) clients across the Capital Region and the state of New York. The practice has historically specialized in the treatment of post-traumatic stress disorder and trauma, but we work with a wide scope of presenting concerns and diagnoses including depression, anxiety, relationship issues, and many others. We strive to offer a welcoming clinical experience for people from a broad range of ethnocultural backgrounds, gender and sexual identities, and class/socioeconomic contexts.
(518) 740-4793 View (518) 740-4793
Photo of Christine A Seestadt, Counselor, LMHC, CASAC, NCC
Christine A Seestadt
Counselor, LMHC, CASAC, NCC
6 Endorsed
Albany, NY 12211
Christine is the Co-Founder and one of the owners of Northpointe Integrative, Inc. - a group behavioral health practice located in the heart of The Capital Region. This practice is committed to the health and wellness of its clients and community by providing the highest quality of individualized care to individuals, couples and families. The therapists at Northpointe Integrative, Inc., value healing, compassion, empowerment, acceptance, growth, and connectedness. The hand-selected therapists who work at this practice offer care and treatment to people of all ages with both diverse backgrounds and experiences.
Christine is the Co-Founder and one of the owners of Northpointe Integrative, Inc. - a group behavioral health practice located in the heart of The Capital Region. This practice is committed to the health and wellness of its clients and community by providing the highest quality of individualized care to individuals, couples and families. The therapists at Northpointe Integrative, Inc., value healing, compassion, empowerment, acceptance, growth, and connectedness. The hand-selected therapists who work at this practice offer care and treatment to people of all ages with both diverse backgrounds and experiences.
(518) 622-4082 View (518) 622-4082

How does your Therapist compare?

Number of Therapists in Arbor Hill, Albany, NY

10+

Average cost per session

$125

Therapists in Arbor Hill, Albany, NY who prioritize treating:

90% Depression
90% Anxiety
90% Trauma and PTSD
60% Relationship Issues
60% Child
60% Grief
60% Divorce

Average years in practice

27 Years

Top 3 insurances accepted

50% Cigna and Evernorth
50% UnitedHealthcare UHC | UBH
50% Empire Blue Cross Blue Shield

How Therapists in Arbor Hill, Albany, NY see their clients

60% Online Only
40% In Person and Online

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Arbor Hill, Albany?

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.