Therapists in Canajoharie, NY

Photo of Dorothea VanValkenburgh, LHMC, MS, Counselor
Dorothea VanValkenburgh
Counselor, LHMC, MS
Verified Verified
1 Endorsed
Canajoharie, NY 13317
I would first like to commend you for taking this time to focus on yourself and taking this step in promoting your mental health wellness. I have been working in the mental health field for over 14 years. This has allowed me to be practicing and strengthening my counseling techniques since grad school. I have been providing clinical mental health counseling since 2014. Since then I have worked with individuals that have a variety of motivations for seeking counseling and support. I have worked with individuals of all ages. These settings have allowed me to help others process a variety of symptoms and barriers presented to them.
I would first like to commend you for taking this time to focus on yourself and taking this step in promoting your mental health wellness. I have been working in the mental health field for over 14 years. This has allowed me to be practicing and strengthening my counseling techniques since grad school. I have been providing clinical mental health counseling since 2014. Since then I have worked with individuals that have a variety of motivations for seeking counseling and support. I have worked with individuals of all ages. These settings have allowed me to help others process a variety of symptoms and barriers presented to them.
(518) 765-1579 View (518) 765-1579

More Therapists Nearby

Photo of Tiffany Garcia, LCSW, Clinical Social Work/Therapist
Tiffany Garcia
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello! I am a licensed clinical therapist with over 8 years of counseling experience. My expertise lies in helping people achieve their goals of stress reduction, improved coping skills, communication, and self-esteem. My eclectic approach includes extensive knowledge in cognitive behavioral, client-centered, and trauma-informed therapy modalities. As an Afro-Latina myself, I know that having a culturally-sensitive therapist is very important to ensure that clients feel heard and supported in sessions. I believe in creating a space of acceptance and unconditional positive regard in order to foster self-acceptance and healing.
Hello! I am a licensed clinical therapist with over 8 years of counseling experience. My expertise lies in helping people achieve their goals of stress reduction, improved coping skills, communication, and self-esteem. My eclectic approach includes extensive knowledge in cognitive behavioral, client-centered, and trauma-informed therapy modalities. As an Afro-Latina myself, I know that having a culturally-sensitive therapist is very important to ensure that clients feel heard and supported in sessions. I believe in creating a space of acceptance and unconditional positive regard in order to foster self-acceptance and healing.
(716) 321-0817 View (716) 321-0817
Photo of Christopher Oliver - Attentional Mind Mental Health Counseling PLLC, LMHC, BCN, COFC, CFI, Counselor
Attentional Mind Mental Health Counseling PLLC
Counselor, LMHC, BCN, COFC, CFI
Verified Verified
Schoharie, NY 12157
Understand the clinical utilization of mindfulness concepts by scheduling an appointment with Chris Oliver, LMHC/BCN/COFC/CFI. Learning to harness the power of your attention can lead to dramatic improvements in your psychiatric and psychological health needs. Whether you’re seeking a general reduction in your experience with anxiety and depression, are attempting to treat trauma-based and/or stress disorder reactivity concerns, or are looking for long term psychotherapeutic support, Attentional Mind can help. QEEG Brain-mapping / Neurofeedback / Open-Focus sessions available (inquire within).
Understand the clinical utilization of mindfulness concepts by scheduling an appointment with Chris Oliver, LMHC/BCN/COFC/CFI. Learning to harness the power of your attention can lead to dramatic improvements in your psychiatric and psychological health needs. Whether you’re seeking a general reduction in your experience with anxiety and depression, are attempting to treat trauma-based and/or stress disorder reactivity concerns, or are looking for long term psychotherapeutic support, Attentional Mind can help. QEEG Brain-mapping / Neurofeedback / Open-Focus sessions available (inquire within).
(518) 278-6223 View (518) 278-6223
Photo of Teresa Longo, LCMHC, Counselor
Teresa Longo
Counselor, LCMHC
Verified Verified
Online Only
Life can be stressful offering various turns and detours that were quite unexpected. We can never underestimate the impact emotions have on our lives. My name is Teresa Longo and I am a LMHC with over 20 years of experience helping individuals navigate their life journey. I seek to offer a comfortable, safe place where you can heal while gaining more insight into the road behind and the one ahead. “To get through the hardest journey we need only to take one step at a time, but we must keep on stepping.” – Chinese Proverb
Life can be stressful offering various turns and detours that were quite unexpected. We can never underestimate the impact emotions have on our lives. My name is Teresa Longo and I am a LMHC with over 20 years of experience helping individuals navigate their life journey. I seek to offer a comfortable, safe place where you can heal while gaining more insight into the road behind and the one ahead. “To get through the hardest journey we need only to take one step at a time, but we must keep on stepping.” – Chinese Proverb
(347) 621-6553 View (347) 621-6553
Photo of Ksusha Cascio, LCSW, Clinical Social Work/Therapist
Ksusha Cascio
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Online Only
I utilize a holistic and body-based approach to healing complex trauma, internal conflict and domestic or religious abuse. My clients often come to me being very insightful on their feelings yet finding themselves stuck in shame or unrelenting self-criticism. Often they feel stuck in conflict in a cycle of wanting to create change while wanting to stay safe in the chaos they know. If this sounds like you, I am here to help you foster curiosity and compassion for inner healing.
I utilize a holistic and body-based approach to healing complex trauma, internal conflict and domestic or religious abuse. My clients often come to me being very insightful on their feelings yet finding themselves stuck in shame or unrelenting self-criticism. Often they feel stuck in conflict in a cycle of wanting to create change while wanting to stay safe in the chaos they know. If this sounds like you, I am here to help you foster curiosity and compassion for inner healing.
(631) 518-3877 View (631) 518-3877
Photo of Cate Richardson-Henley, LCSW-R, Clinical Social Work/Therapist
Cate Richardson-Henley
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Serves Area
Looking for an experienced therapist? I have been a master's level social worker for 29 years. For over 19 of those, I have been doing psychotherapy. I have worked with a broad range of clients. If you are feeling stressed, anxious, or depressed I can help. If you just want someone to talk to, I can listen. I also specialize in chronic pain/illness, Bipolar, and issues effecting the LGBTQ+ community. For more comprehensive info., please visit my website.
Looking for an experienced therapist? I have been a master's level social worker for 29 years. For over 19 of those, I have been doing psychotherapy. I have worked with a broad range of clients. If you are feeling stressed, anxious, or depressed I can help. If you just want someone to talk to, I can listen. I also specialize in chronic pain/illness, Bipolar, and issues effecting the LGBTQ+ community. For more comprehensive info., please visit my website.
(607) 441-4783 View (607) 441-4783
Photo of Joseph Roth, LCSW, Clinical Social Work/Therapist
Joseph Roth
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Joseph Roth LCSW Empathic social worker who takes a CBT approach particularly a Mindfulness approach to assist clients live in the moment rather than being conflicted inside their own minds. Prefer working with adults and teens along with couples and families. Enjoy working with those with depression, anxiety disorders, family conflict, and issues surrounding self-esteem. CBT and DBT are my main focus in therapy.
Joseph Roth LCSW Empathic social worker who takes a CBT approach particularly a Mindfulness approach to assist clients live in the moment rather than being conflicted inside their own minds. Prefer working with adults and teens along with couples and families. Enjoy working with those with depression, anxiety disorders, family conflict, and issues surrounding self-esteem. CBT and DBT are my main focus in therapy.
(347) 934-8499 View (347) 934-8499
Photo of Kelly Keohan, MA, LMHC, Counselor
Kelly Keohan
Counselor, MA, LMHC
Verified Verified
Online Only
Are you looking for a direct but supportive approach that utilizes evidenced based treatment modalities? I am a Licensed Mental Health Clinician who specializes in treating disordered eating patterns, depression, anxiety and relationship issues. With over 30 yrs experience assisting individuals and families in recovery based treatment interventions such as; Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and Family Based Therapy (FBT), I may be able to assist you.
Are you looking for a direct but supportive approach that utilizes evidenced based treatment modalities? I am a Licensed Mental Health Clinician who specializes in treating disordered eating patterns, depression, anxiety and relationship issues. With over 30 yrs experience assisting individuals and families in recovery based treatment interventions such as; Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT) and Family Based Therapy (FBT), I may be able to assist you.
(518) 299-9262 View (518) 299-9262
Photo of Dezarie Moskal, LCP, Psychologist
Dezarie Moskal
Psychologist, LCP
Verified Verified
Online Only
My name is Dezarie (Dez) Moskal. I am a licensed clinical psychologist (Ph.D.) who values helping my clients live their best lives. Sometimes life deals us a tough hand, and although you have the skills to have made it this far, we can work together to help you not just "live" but excel in the life you want to live. I have worked with a diverse range of adult clients, including those experiencing depression, anxiety, chronic pain, life transitions, PTSD, ADHD, and alcohol and substance use. I have 10 years of experience working with Veterans. I have also worked with college students and people who identify as BIPOC and LGBTQ+.
My name is Dezarie (Dez) Moskal. I am a licensed clinical psychologist (Ph.D.) who values helping my clients live their best lives. Sometimes life deals us a tough hand, and although you have the skills to have made it this far, we can work together to help you not just "live" but excel in the life you want to live. I have worked with a diverse range of adult clients, including those experiencing depression, anxiety, chronic pain, life transitions, PTSD, ADHD, and alcohol and substance use. I have 10 years of experience working with Veterans. I have also worked with college students and people who identify as BIPOC and LGBTQ+.
(914) 902-5933 View (914) 902-5933
Photo of Cathy Harris, LCSW, Clinical Social Work/Therapist
Cathy Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Are you trying to figure out how to make changes in yourself and in your life? Counseling is just a series of conversations with 3 basic parts. First is for you to identify what you want to change, then you will explore ways to make those changes. Finally there is the work of challenging some of your thinking habits and how to try new strategies. This can can lead to changes in your behavior. Rigid or inaccurate thoughts can limit your understanding of other people as well as yourself. As you progress you will likely feel much more hopeful and positive. These new skills can be used daily. This is you taking charge of your life!
Are you trying to figure out how to make changes in yourself and in your life? Counseling is just a series of conversations with 3 basic parts. First is for you to identify what you want to change, then you will explore ways to make those changes. Finally there is the work of challenging some of your thinking habits and how to try new strategies. This can can lead to changes in your behavior. Rigid or inaccurate thoughts can limit your understanding of other people as well as yourself. As you progress you will likely feel much more hopeful and positive. These new skills can be used daily. This is you taking charge of your life!
(607) 643-6379 View (607) 643-6379
Photo of Julie A Murphy, LCSW, Clinical Social Work/Therapist
Julie A Murphy
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Are you overwhelmed by anxiety or depression? Do you need someone to talk with? Do you struggle with self-esteem or get stuck in negative thought-spirals? I am an clinical therapist (LCSW) ready to help identify a treatment plan. I offer a person-centered, non-judgmental approach to therapy. I will accept you for who you are.
Are you overwhelmed by anxiety or depression? Do you need someone to talk with? Do you struggle with self-esteem or get stuck in negative thought-spirals? I am an clinical therapist (LCSW) ready to help identify a treatment plan. I offer a person-centered, non-judgmental approach to therapy. I will accept you for who you are.
(315) 903-7384 View (315) 903-7384
Photo of Elizabeth Anton, LMHC, Counselor
Elizabeth Anton
Counselor, LMHC
Verified Verified
Online Only
Welcome! I am an LMHC with 20+ years of clinical experience in the field. My practice focuses on the "life story" of the whole client, including family, interests, and personal characteristics. Are you struggling through a separation, divorce, or co-parenting problem? Do you worry that your relationship could be healthier, or that you and your partner can do more to support one another rather than argue? These are my areas of specialty, along with adults/young adults struggling with life transitions, relationships, work/life stress, depression, anxiety, body image, disordered eating, and/or eating disorders.
Welcome! I am an LMHC with 20+ years of clinical experience in the field. My practice focuses on the "life story" of the whole client, including family, interests, and personal characteristics. Are you struggling through a separation, divorce, or co-parenting problem? Do you worry that your relationship could be healthier, or that you and your partner can do more to support one another rather than argue? These are my areas of specialty, along with adults/young adults struggling with life transitions, relationships, work/life stress, depression, anxiety, body image, disordered eating, and/or eating disorders.
(332) 263-4024 View (332) 263-4024
Photo of Dani Cleary, LCSW, Clinical Social Work/Therapist
Dani Cleary
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello! My name is Dani Cleary and I am a Licensed Clinical Social Worker (LCSW), based in Long Island, New York, and working with clients via telehealth. I work with adolescents, adults, and persons 65 years and older. I specialize in anxiety, depression, stress, and grief, using Cognitive Behavioral Therapy, a Psychodynamic Approach, and Strength-Based Perspective. I have found that my approach and style are a good fit for a broad range of ages, as I typically treat adolescents to 65 years and older populations. As broad as those ages are, comes the broad range of conditions and transitions in life.
Hello! My name is Dani Cleary and I am a Licensed Clinical Social Worker (LCSW), based in Long Island, New York, and working with clients via telehealth. I work with adolescents, adults, and persons 65 years and older. I specialize in anxiety, depression, stress, and grief, using Cognitive Behavioral Therapy, a Psychodynamic Approach, and Strength-Based Perspective. I have found that my approach and style are a good fit for a broad range of ages, as I typically treat adolescents to 65 years and older populations. As broad as those ages are, comes the broad range of conditions and transitions in life.
(646) 718-1630 View (646) 718-1630
Photo of Amanda Smith, LCSW, Clinical Social Work/Therapist
Amanda Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My Name is Amanda J. Smith. I'm a psychotherapist under the License of Clinical Social Worker (LCSW) in the State of New York & New Jersey and have 5+ years in the mental health field. I have worked with clients from the adolescent to the geriatric population, with a wide range of concerns including depression, anxiety, life changes/transitions, racial/cultural/environmental stressors, and LGBTQIA+ support. My counseling style is non-judgmental, warm, and interactive. I believe in treating anyone with respect, sensitivity, and compassion.
My Name is Amanda J. Smith. I'm a psychotherapist under the License of Clinical Social Worker (LCSW) in the State of New York & New Jersey and have 5+ years in the mental health field. I have worked with clients from the adolescent to the geriatric population, with a wide range of concerns including depression, anxiety, life changes/transitions, racial/cultural/environmental stressors, and LGBTQIA+ support. My counseling style is non-judgmental, warm, and interactive. I believe in treating anyone with respect, sensitivity, and compassion.
(347) 836-5202 View (347) 836-5202
Photo of Pete Tolson, LMHC, Counselor
Pete Tolson
Counselor, LMHC
Verified Verified
2 Endorsed
Serves Area
In my practice, individuals who are dealing with mental health concerns will find a supportive, safe space to explore their thoughts and feelings. My approach is person-centered which means that I will meet each client where they are at in the counseling process and help them work toward their individual or relational goals.
In my practice, individuals who are dealing with mental health concerns will find a supportive, safe space to explore their thoughts and feelings. My approach is person-centered which means that I will meet each client where they are at in the counseling process and help them work toward their individual or relational goals.
(607) 304-3704 View (607) 304-3704
Photo of Katie Streeter - Southern Adirondack Counseling Services, LMHC, LPC, NCC, MA, Counselor
Southern Adirondack Counseling Services
Counselor, LMHC, LPC, NCC, MA
Verified Verified
Online Only
We do not take insurance at this time. Text or email is the easiest form of contact to respond to during the workday. Currently offering tele-therapy only. I have a passion and enthusiasm for guiding clients through the journey of finding balance and happiness in their life through solutions-based therapy. I have had the privilege of working with Active Duty military, Veterans and First Responders for over 10 years through my work and volunteerism as a Mental Health Evaluator. I know how stress, anxiety, and the unknown can affect a person and their family.
We do not take insurance at this time. Text or email is the easiest form of contact to respond to during the workday. Currently offering tele-therapy only. I have a passion and enthusiasm for guiding clients through the journey of finding balance and happiness in their life through solutions-based therapy. I have had the privilege of working with Active Duty military, Veterans and First Responders for over 10 years through my work and volunteerism as a Mental Health Evaluator. I know how stress, anxiety, and the unknown can affect a person and their family.
(518) 519-3783 View (518) 519-3783
Photo of Raquel Rasuk, PsyD, Psychologist
Raquel Rasuk
Psychologist, PsyD
Verified Verified
Online Only
Hello! I’m a Licensed Clinical Psychologist with a PhD in Clinical Psychology. Using methods like cognitive behavioral therapy, I specialize in working with issues including life transitions, self esteem, trauma, PTSD, mood disorders, and domestic abuse. I have extensive experience working with clients from diverse cultural backgrounds and different types of psychological distress. I approach therapy using a holistic and client-centered approach. My unbiased, supportive, and empathetic orientation helps me understand the individual world of each client, no matter their socio-cultural background, experiences, or presenting concerns.
Hello! I’m a Licensed Clinical Psychologist with a PhD in Clinical Psychology. Using methods like cognitive behavioral therapy, I specialize in working with issues including life transitions, self esteem, trauma, PTSD, mood disorders, and domestic abuse. I have extensive experience working with clients from diverse cultural backgrounds and different types of psychological distress. I approach therapy using a holistic and client-centered approach. My unbiased, supportive, and empathetic orientation helps me understand the individual world of each client, no matter their socio-cultural background, experiences, or presenting concerns.
(347) 808-2837 View (347) 808-2837
Photo of Laura Jean Solomon, LCSW, Clinical Social Work/Therapist
Laura Jean Solomon
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hi. My Name is Laura Solomon. I am a Licensed Clinical Social Worker and have been practicing for 20 years. I also have a Master’s in Social Science and graduated from both the University of Albany and Binghamton University. I have worked with a wide range of clients including addiction, eating disorders, anxiety, depression, codependency, grief, and family issues to name a few. I believe in meeting people where they are at yet also healthily challenging them for growth purposes. I have worked with clients in person as well as virtually.
Hi. My Name is Laura Solomon. I am a Licensed Clinical Social Worker and have been practicing for 20 years. I also have a Master’s in Social Science and graduated from both the University of Albany and Binghamton University. I have worked with a wide range of clients including addiction, eating disorders, anxiety, depression, codependency, grief, and family issues to name a few. I believe in meeting people where they are at yet also healthily challenging them for growth purposes. I have worked with clients in person as well as virtually.
(347) 407-8501 View (347) 407-8501
Bressler Wakesberg Center for Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Waitlist for new clients
Ellen Bressler LCSW and Martin Wakesberg LCSW, SAP Treating all age groups using a variety of modalities including cognitive behavioral therapy, solution focused and trauma informed therapy. Most insurances accepted.
Ellen Bressler LCSW and Martin Wakesberg LCSW, SAP Treating all age groups using a variety of modalities including cognitive behavioral therapy, solution focused and trauma informed therapy. Most insurances accepted.
(518) 708-6519 View (518) 708-6519
Photo of Rebecca Santiago - Clearwater Counseling Associates, Clinical Social Work/Therapist
Clearwater Counseling Associates
Clinical Social Work/Therapist
Verified Verified
Serves Area
Your journey of personal growth and healing. Life is a journey; sometimes you can travel alone, but there are times when you could use someone to walk with you along that journey and help you reach your goals. As your multicultural competent therapist, I am here to support, empower, and guide you towards that more positive + joyful life experience. I work with clients who are looking to take a deeper look at emotional and behavioral patterns, better understand their emotional needs, and build emotional resilience to create a meaningful life.
Your journey of personal growth and healing. Life is a journey; sometimes you can travel alone, but there are times when you could use someone to walk with you along that journey and help you reach your goals. As your multicultural competent therapist, I am here to support, empower, and guide you towards that more positive + joyful life experience. I work with clients who are looking to take a deeper look at emotional and behavioral patterns, better understand their emotional needs, and build emotional resilience to create a meaningful life.
(347) 650-2616 View (347) 650-2616

How does your Therapist compare?

Number of Therapists in Canajoharie, NY

< 10

Therapists in Canajoharie, NY who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Trauma and PTSD
100% Bipolar Disorder
100% School Issues
100% Behavioral Issues

Average years in practice

11 Years

Gender breakdown

100% Female

How Therapists in Canajoharie, NY see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Canajoharie?

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.