Therapists in Gates, NY

Photo of Louise Dottaviano, LMSW
Louise Dottaviano
LMSW
Verified Verified
1 Endorsed
Gates, NY 14624
Hi, my name is Louise D'Ottaviano, I'm a licensed Masters Social Worker. I earned my Masters Degree in Social Work at Bryn Mawr College in Pennsylvania. I have experience with treating anxiety, depression, suicidality, self-injurious behaviors, and trauma and stressor related disorders. I have a passion for working with the entire family system and believe that parents/guardians/caregivers should be involved in treatment.
Hi, my name is Louise D'Ottaviano, I'm a licensed Masters Social Worker. I earned my Masters Degree in Social Work at Bryn Mawr College in Pennsylvania. I have experience with treating anxiety, depression, suicidality, self-injurious behaviors, and trauma and stressor related disorders. I have a passion for working with the entire family system and believe that parents/guardians/caregivers should be involved in treatment.
(585) 536-1374 View (585) 536-1374
Photo of Rob Riechel, MS, LMHC, Counselor
Rob Riechel
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Gates, NY 14624  (Online Only)
Not accepting new clients
Hey there! I'm Rob Riechel, a licensed Psychotherapist here to create a safe and authentic space for your mental well-being journey. Whether you're an individual navigating life's twists and turns, a couple seeking connection, or a teen or adult exploring personal growth, I've got your back. My approach is all about being yourself – no pretenses, no judgment and genuine connection. Let's work together to rewrite your story and pen a narrative toward a more relaxed, fulfilled you.
Hey there! I'm Rob Riechel, a licensed Psychotherapist here to create a safe and authentic space for your mental well-being journey. Whether you're an individual navigating life's twists and turns, a couple seeking connection, or a teen or adult exploring personal growth, I've got your back. My approach is all about being yourself – no pretenses, no judgment and genuine connection. Let's work together to rewrite your story and pen a narrative toward a more relaxed, fulfilled you.
(585) 312-6759 View (585) 312-6759
Photo of Scott Gaskill, LCSW-R, Clinical Social Work/Therapist
Scott Gaskill
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Gates, NY 14624
Do Anxiety, Panic, Obsessions or Worry keep you from living the life you want? Are your relationships, your work or happiness effected? I specialize in helping younger adults (18-39) work through these and other challenges such as OCD, Panic, Bipolar Disorder, Low Self Esteem or Depression. In sessions you will be heard, supported and won't be judged. I have a down to earth approach that focuses on what will be the most effective approach in your particular situation. The goal is for you to feel better, to be stronger and to no longer feel the need for therapy.
Do Anxiety, Panic, Obsessions or Worry keep you from living the life you want? Are your relationships, your work or happiness effected? I specialize in helping younger adults (18-39) work through these and other challenges such as OCD, Panic, Bipolar Disorder, Low Self Esteem or Depression. In sessions you will be heard, supported and won't be judged. I have a down to earth approach that focuses on what will be the most effective approach in your particular situation. The goal is for you to feel better, to be stronger and to no longer feel the need for therapy.
(585) 318-8581 View (585) 318-8581
Photo of Michael J Pernot, LMHC, Counselor
Michael J Pernot
Counselor, LMHC
Verified Verified
Gates, NY 14624
Much of our lives are series of automatic reactions and habits. In between being in these autopilot modes, we can have moments of awareness something isn’t quite right or we envision our life differently. In our work together, I will utilize our relationship to help expand your awareness and move toward acceptance and deciding on an appropriate action. My role is to provide safety, security and honesty for you to use and explore what is most important in your life. One of my personal beliefs is that we all have the capacity to change and that we all are doing the best we can with the tools we have.
Much of our lives are series of automatic reactions and habits. In between being in these autopilot modes, we can have moments of awareness something isn’t quite right or we envision our life differently. In our work together, I will utilize our relationship to help expand your awareness and move toward acceptance and deciding on an appropriate action. My role is to provide safety, security and honesty for you to use and explore what is most important in your life. One of my personal beliefs is that we all have the capacity to change and that we all are doing the best we can with the tools we have.
(585) 312-3617 View (585) 312-3617
Photo of Derek Miller, LCSW, Clinical Social Work/Therapist
Derek Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Gates, NY 14624
My greatest passion is helping people make lasting change their lives. My approach draws both on my professional and personal experiences with addiction, trauma, first responders, relationships and more. By creating a space and relationship where you feel safe, valued, and respected, we can then work together to overcome the challenges of today and build resiliency for the challenges yet to come. Therapy can be a truly transformative experience, when it is built on human connection and dedication to change. I look forward to walking with you on this journey!
My greatest passion is helping people make lasting change their lives. My approach draws both on my professional and personal experiences with addiction, trauma, first responders, relationships and more. By creating a space and relationship where you feel safe, valued, and respected, we can then work together to overcome the challenges of today and build resiliency for the challenges yet to come. Therapy can be a truly transformative experience, when it is built on human connection and dedication to change. I look forward to walking with you on this journey!
(585) 902-0317 View (585) 902-0317
Photo of Rebecca M English - Rebecca English Counseling, LCSW, Clinical Social Work/Therapist
Rebecca English Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Gates, NY 14624
It has been a joy to work as a therapist for the past 20 years. I have been witness to much resilience, strength, healing and growth. My passion is working with individuals, couples and families, helping them to feel supported and validated as they increase peace in their lives, resolve issues and manage stressors and mental health symptoms. I have worked in the settings of my private practice, residential mental health, outpatient mental health, psychiatric emergency department and as a school social worker.
It has been a joy to work as a therapist for the past 20 years. I have been witness to much resilience, strength, healing and growth. My passion is working with individuals, couples and families, helping them to feel supported and validated as they increase peace in their lives, resolve issues and manage stressors and mental health symptoms. I have worked in the settings of my private practice, residential mental health, outpatient mental health, psychiatric emergency department and as a school social worker.
(585) 228-0163 View (585) 228-0163
Photo of John Brewer, LMHC, Counselor
John Brewer
Counselor, LMHC
Verified Verified
Gates, NY 14624
Welcome! The very fact that you are here exhibits courage. You may be wanting to engage in therapy for a variety of reasons. It could be a life event that you didn’t expect, anxiety, depression, or just simply feeling stuck. Therapy can provide insight and new tools to successfully navigate through life and provide you with purpose and meaning. I will work collaboratively with you to listen and understand your point of view. This will allow me to be your change agent as you are the expert in your own life. You may be wondering about me and my qualifications.
Welcome! The very fact that you are here exhibits courage. You may be wanting to engage in therapy for a variety of reasons. It could be a life event that you didn’t expect, anxiety, depression, or just simply feeling stuck. Therapy can provide insight and new tools to successfully navigate through life and provide you with purpose and meaning. I will work collaboratively with you to listen and understand your point of view. This will allow me to be your change agent as you are the expert in your own life. You may be wondering about me and my qualifications.
(585) 283-2013 View (585) 283-2013
Photo of Alysa MacMillen, PsyD, Psychologist
Alysa MacMillen
Psychologist, PsyD
Verified Verified
1 Endorsed
Gates, NY 14624
“I’m so tired but I can’t sleep. I lie awake at night feeling paralyzed and unable to breathe…my body feels hot, my stomach hurts and my heart races. I replay every embarrassing or shameful moment of my day…of my life… on repeat in my mind; I feel like a failure. I’m convinced that everyone is judging me. ‘What if…’ thoughts consume me. I never feel good enough!” Sound familiar? If you are tired of avoiding things, people pleasing, numbing, striving for perfection, worrying about everything…you are in the right place. I can help.
“I’m so tired but I can’t sleep. I lie awake at night feeling paralyzed and unable to breathe…my body feels hot, my stomach hurts and my heart races. I replay every embarrassing or shameful moment of my day…of my life… on repeat in my mind; I feel like a failure. I’m convinced that everyone is judging me. ‘What if…’ thoughts consume me. I never feel good enough!” Sound familiar? If you are tired of avoiding things, people pleasing, numbing, striving for perfection, worrying about everything…you are in the right place. I can help.
(585) 540-1861 View (585) 540-1861
Photo of Jamie DiMarco - American Elder Care Mental Health Services, LCSW, MSW, Clinical Social Work/Therapist
American Elder Care Mental Health Services
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Gates, NY 14624
Getting older is part of every person's journey, and it comes with many rewards. But, we recognize that aging can bring unwanted burdens - new limitations, medical concerns, feeling overwhelmed and worried about day to day tasks. Maybe you're caregiving for a loved one, or maybe you are a loved one frustrated with the challenges aging can bring. At American Elder Care, we listen, we work to create realistic goals that improve mood, decrease anxiousness and sadness, while focusing on creating improved quality of life and connection, giving peace of mind.
Getting older is part of every person's journey, and it comes with many rewards. But, we recognize that aging can bring unwanted burdens - new limitations, medical concerns, feeling overwhelmed and worried about day to day tasks. Maybe you're caregiving for a loved one, or maybe you are a loved one frustrated with the challenges aging can bring. At American Elder Care, we listen, we work to create realistic goals that improve mood, decrease anxiousness and sadness, while focusing on creating improved quality of life and connection, giving peace of mind.
(585) 735-0060 View (585) 735-0060
Photo of Chaynna Clark, LMHC, NCC, Counselor
Chaynna Clark
Counselor, LMHC, NCC
Verified Verified
4 Endorsed
Gates, NY 14624  (Online Only)
Are you or a loved one struggling with life's challenges? I'm here to help. I offer compassionate and professional therapy services for both adolescents and adults through convenient telehealth sessions. Whether you prefer to communicate in English or Spanish, I am fluent in both languages and ready to support you on your journey to better mental health. Reach out today to schedule your first session and take the first step towards a brighter tomorrow.
Are you or a loved one struggling with life's challenges? I'm here to help. I offer compassionate and professional therapy services for both adolescents and adults through convenient telehealth sessions. Whether you prefer to communicate in English or Spanish, I am fluent in both languages and ready to support you on your journey to better mental health. Reach out today to schedule your first session and take the first step towards a brighter tomorrow.
(585) 575-1006 View (585) 575-1006
Photo of Matt Kois, LMHC, MS, Licensed Professional Counselor
Matt Kois
Licensed Professional Counselor, LMHC, MS
Verified Verified
1 Endorsed
Gates, NY 14624  (Online Only)
Hey everyone, I'm glad you're here! Life is challenging and overwhelming nowadays, and therapy can be a place to break this cycle. Do you want to feel less stressed or anxious? Do you want more meaningful relationships? Do you think about how to create a more fulfilling life through the ups and downs? We will work together as a team to manage the rollercoaster that life is while finding ways to cope and help identify more about yourself. I ensure my treatment is always individualized and I adapt my approach based upon what will be best for you. I look forward to connecting and to start tackling things together!
Hey everyone, I'm glad you're here! Life is challenging and overwhelming nowadays, and therapy can be a place to break this cycle. Do you want to feel less stressed or anxious? Do you want more meaningful relationships? Do you think about how to create a more fulfilling life through the ups and downs? We will work together as a team to manage the rollercoaster that life is while finding ways to cope and help identify more about yourself. I ensure my treatment is always individualized and I adapt my approach based upon what will be best for you. I look forward to connecting and to start tackling things together!
(716) 526-6240 View (716) 526-6240
Photo of Yezenia [Jess] Hussey, LMHC-D, NCC, CASAC-T, Counselor
Yezenia [Jess] Hussey
Counselor, LMHC-D, NCC, CASAC-T
Verified Verified
9 Endorsed
Gates, NY 14624  (Online Only)
Waitlist for new clients
Thinking about starting therapy or getting your child started? I’m here to give you a little motivational nudge in the right direction. Let's get rid of the outdated stigma: seeking therapy is a sign of strength, not weakness. Therapy isn’t just for when things go wrong; it’s also about personal growth! Let’s be real, we all spend so much time scrolling through social media, comparing ourselves to curated lives. Therapy can help you tune out that noise and focus on what truly matters—your own well-being. You owe it to yourself to invest in your mental health. Trust me, your future self will thank you for it.
Thinking about starting therapy or getting your child started? I’m here to give you a little motivational nudge in the right direction. Let's get rid of the outdated stigma: seeking therapy is a sign of strength, not weakness. Therapy isn’t just for when things go wrong; it’s also about personal growth! Let’s be real, we all spend so much time scrolling through social media, comparing ourselves to curated lives. Therapy can help you tune out that noise and focus on what truly matters—your own well-being. You owe it to yourself to invest in your mental health. Trust me, your future self will thank you for it.
(585) 326-5796 View (585) 326-5796

More Therapists Nearby

Photo of Lisa Marie McClary, Lisa, McClary, LMSW
Lisa Marie McClary
Lisa, McClary, LMSW
Verified Verified
1 Endorsed
Rochester, NY 14624
A Licensed Social Worker with 13 years of experience in mental health counseling, crisis management and mental health assessments. I hold a Master’s Degree in Social Work with a concentration in Mental Health and School Social Work. I use a generalist practice approach, while incorporating solution focused therapy, client-centered therapy, cognitive behavior therapy and spiritual therapy. I believe, at least for most people, a deep-seated sense of meaning and purpose in life, together with a sense of belonging, is of foundational importance to psychological well-being and wholeness.
A Licensed Social Worker with 13 years of experience in mental health counseling, crisis management and mental health assessments. I hold a Master’s Degree in Social Work with a concentration in Mental Health and School Social Work. I use a generalist practice approach, while incorporating solution focused therapy, client-centered therapy, cognitive behavior therapy and spiritual therapy. I believe, at least for most people, a deep-seated sense of meaning and purpose in life, together with a sense of belonging, is of foundational importance to psychological well-being and wholeness.
(585) 326-9872 View (585) 326-9872
Photo of Kelly Kreider, MSW, Pre-Licensed Professional
Kelly Kreider
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Rochester, NY 14624
Welcome! I am passionate about working with children, adolescents, and families that are experiencing trauma symptoms and disruptive behaviors. I work in partnership with the client (and parents, if applicable) in order to meet therapeutic goals and live a more holistically healthy life. I strive to create a safe and supportive environment for my clients, where we work together to meet the goals you have set. I have worked in a variety of settings with children/families who have had traumatic experiences - I am passionate about working in tandem with my clients to help them thrive in life, despite past/current circumstances.
Welcome! I am passionate about working with children, adolescents, and families that are experiencing trauma symptoms and disruptive behaviors. I work in partnership with the client (and parents, if applicable) in order to meet therapeutic goals and live a more holistically healthy life. I strive to create a safe and supportive environment for my clients, where we work together to meet the goals you have set. I have worked in a variety of settings with children/families who have had traumatic experiences - I am passionate about working in tandem with my clients to help them thrive in life, despite past/current circumstances.
(585) 536-1406 View (585) 536-1406
Photo of Christina D Molinero-Walker, LMSW
Christina D Molinero-Walker
LMSW
Verified Verified
2 Endorsed
Rochester, NY 14624  (Online Only)
Welcome! Here you have the opportunity to be seen and heard without judgment or bias, free to express and navigate who you truly are. Life is hard, I totally understand. Sometimes we can all use the help of therapy to navigate through past experiences and trauma to become a better present day self. I am committed to helping you become the best version of you! Please feel free to click on the "My Website" tab and schedule a free 15 minute consult today to further explore your treatment goals!
Welcome! Here you have the opportunity to be seen and heard without judgment or bias, free to express and navigate who you truly are. Life is hard, I totally understand. Sometimes we can all use the help of therapy to navigate through past experiences and trauma to become a better present day self. I am committed to helping you become the best version of you! Please feel free to click on the "My Website" tab and schedule a free 15 minute consult today to further explore your treatment goals!
(585) 523-2238 View (585) 523-2238
Photo of Abigail Monroe, PsyD, Psychologist
Abigail Monroe
Psychologist, PsyD
Verified Verified
Rochester, NY 14624
I work with children, adolescents, and parents, to help walk through concerns regarding: learning and cognitive difficulties, neurodevelopmental questions and skills (i.e. ADHD, Autism), mental health, behaviors, questions about previous testing, questions about parenting children with these concerns, etc. Clients seek my services in order to better understand concerns/questions about their child, to better understand labels/diagnoses given, and to seek mental health support and therapy for their child/teen. (Additional time/date flexibility for sessions is available during the summer months and school breaks)
I work with children, adolescents, and parents, to help walk through concerns regarding: learning and cognitive difficulties, neurodevelopmental questions and skills (i.e. ADHD, Autism), mental health, behaviors, questions about previous testing, questions about parenting children with these concerns, etc. Clients seek my services in order to better understand concerns/questions about their child, to better understand labels/diagnoses given, and to seek mental health support and therapy for their child/teen. (Additional time/date flexibility for sessions is available during the summer months and school breaks)
(585) 632-7498 View (585) 632-7498
Photo of Emily Anne Curtis, LCSW, Clinical Social Work/Therapist
Emily Anne Curtis
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14624  (Online Only)
Here for a multitude of concerns, focused on improving communication with loved ones, self-advocacy at work, spirituality, and analysis of childhood and its impact on the present.
Here for a multitude of concerns, focused on improving communication with loved ones, self-advocacy at work, spirituality, and analysis of childhood and its impact on the present.
(585) 634-3198 View (585) 634-3198
Photo of Julie Saraceno, LCSW, RPT, Clinical Social Work/Therapist
Julie Saraceno
Clinical Social Work/Therapist, LCSW, RPT
Verified Verified
Rochester, NY 14624
Not accepting new clients
Reaching out for support can be hard, but you are not alone. Everyone has experienced their own life journey involving grief/loss, relational ruptures, parenting struggles or trauma. Sometimes this journey can leave adults in a place where it is hard to find the motivation to complete everyday tasks, manage life stress or have patience with our loved ones. This can be true for children too, which may cause them to struggle in school, have emotional outbursts or display signs of anxiety. No matter what is bringing you, your child, or family to this moment in time, I am honored to be a part of your journey.
Reaching out for support can be hard, but you are not alone. Everyone has experienced their own life journey involving grief/loss, relational ruptures, parenting struggles or trauma. Sometimes this journey can leave adults in a place where it is hard to find the motivation to complete everyday tasks, manage life stress or have patience with our loved ones. This can be true for children too, which may cause them to struggle in school, have emotional outbursts or display signs of anxiety. No matter what is bringing you, your child, or family to this moment in time, I am honored to be a part of your journey.
(585) 502-9843 View (585) 502-9843
Photo of Amy J Brogan, LCSW, Clinical Social Work/Therapist
Amy J Brogan
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14624
Has the journey of life thrown you unexpected twists and turns presenting you with challenging circumstances, barriers and painful experiences? Your challenges can cause you to feel overwhelmed and out of balance. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I would be honored to work with you and or your family member to achieve your goals.
Has the journey of life thrown you unexpected twists and turns presenting you with challenging circumstances, barriers and painful experiences? Your challenges can cause you to feel overwhelmed and out of balance. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I would be honored to work with you and or your family member to achieve your goals.
(585) 440-7160 View (585) 440-7160
Photo of Courtney M Morrison, LMHC
Courtney M Morrison
Mental Health Counselor, LMHC
Verified Verified
Rochester, NY 14624  (Online Only)
If you are here, you are taking that giant first step towards a happier and healthier you! You can expect to feel uplifted and empowered after leaving a session. I utilize skills such as attuned listening, strength recognition, and challenging to help individuals face life struggles. I view therapy as collaborative and interactive. Together, we will find the tools that work best for you!
If you are here, you are taking that giant first step towards a happier and healthier you! You can expect to feel uplifted and empowered after leaving a session. I utilize skills such as attuned listening, strength recognition, and challenging to help individuals face life struggles. I view therapy as collaborative and interactive. Together, we will find the tools that work best for you!
(585) 539-8492 View (585) 539-8492

See more therapy options for Gates

How does your Therapist compare?

Number of Therapists in Gates, NY

10+

Average cost per session

$107

Therapists in Gates, NY who prioritize treating:

100% Anxiety
92% Depression
92% Trauma and PTSD
83% Relationship Issues
75% Coping Skills
75% Self Esteem
67% Peer Relationships

Average years in practice

7 Years

Top 3 insurances accepted

89% Aetna
78% Cigna and Evernorth
56% Oxford

How Therapists in Gates, NY see their clients

67% In Person and Online
33% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Gates?

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.