Therapists in Culver-Winton, Rochester, NY

Dan Prince
Counselor, LMHC
2 Endorsed
Culver-Winton, Rochester, NY 14610
Thank you for taking a moment to view my profile. Are you feeling overwhelmed with change and choices? Are you feeling disconnected from others and having a difficult time communicating needs and desires? Let’s talk about it. If you are seeking a space where you feel comfortable being your true self, welcome. I seek to provide genuine compassion, empathy, and understanding while we address your genuine and valid concerns. Please contact me by email for quickest response.
Thank you for taking a moment to view my profile. Are you feeling overwhelmed with change and choices? Are you feeling disconnected from others and having a difficult time communicating needs and desires? Let’s talk about it. If you are seeking a space where you feel comfortable being your true self, welcome. I seek to provide genuine compassion, empathy, and understanding while we address your genuine and valid concerns. Please contact me by email for quickest response.
(585) 318-8528 View (585) 318-8528
Julia Dorsey-Gehan
Mental Health Counselor, LMHC, MS, NCC
3 Endorsed
Culver-Winton, Rochester, NY 14610
Accepting New Clients! I am currently offering both Tele-psych and in-person sessions. If you're facing challenges related to anxiety, depression, mood disorders, trauma, or sexual orientation, and you're ready to make a positive change in your life, please reach out via email or text. I will respond within 24 hours. In my practice, I strive to create a safe and non-judgmental environment where you can openly explore your concerns. Together, we will work on developing the skills and behaviors necessary for you to move forward. Additionally, I have two interns working with me, enhancing the support we can offer.
Accepting New Clients! I am currently offering both Tele-psych and in-person sessions. If you're facing challenges related to anxiety, depression, mood disorders, trauma, or sexual orientation, and you're ready to make a positive change in your life, please reach out via email or text. I will respond within 24 hours. In my practice, I strive to create a safe and non-judgmental environment where you can openly explore your concerns. Together, we will work on developing the skills and behaviors necessary for you to move forward. Additionally, I have two interns working with me, enhancing the support we can offer.
(585) 708-1539 View (585) 708-1539
Sheilagh McGreal
Art Therapist, MS, ATR, LCAT
Culver-Winton, Rochester, NY 14610
Have you been questioning if you're neurodivergent, Autistic, ADHD, or highly sensitive? Struggling to manage anxiety and overwhelm? Sometimes these things can make socializing, career, or school challenging so it's important to find ways to thrive. The world can also be super confusing at times and it's easy to default to self doubt. You might be asking how or where you fit in the world and ready to start finding answers. If you've been looking for how to take the next steps forward, it might be time to discover and embrace your authentic self. You're worth the time and energy- I'm here to take those steps with you.
Have you been questioning if you're neurodivergent, Autistic, ADHD, or highly sensitive? Struggling to manage anxiety and overwhelm? Sometimes these things can make socializing, career, or school challenging so it's important to find ways to thrive. The world can also be super confusing at times and it's easy to default to self doubt. You might be asking how or where you fit in the world and ready to start finding answers. If you've been looking for how to take the next steps forward, it might be time to discover and embrace your authentic self. You're worth the time and energy- I'm here to take those steps with you.
(585) 376-5039 View (585) 376-5039
Emily Michalski
Art Therapist, MS, LCAT, KAP
3 Endorsed
Culver-Winton, Rochester, NY 14610
You might be feeling burnt out, emotionally overloaded, or caught in that “what’s the point?” place that can show up when life is relentless. Maybe you look like you’re functioning, but inside you feel anxious, numb, depleted, or disconnected. My ideal client wants a steady, nonjudgmental space to slow down, regulate, and make sense of what they’re carrying. Together, we use art therapy and creativity to process stress, reconnect with your values, and find meaning again so life feels more grounded, sustainable, and genuinely yours.
You might be feeling burnt out, emotionally overloaded, or caught in that “what’s the point?” place that can show up when life is relentless. Maybe you look like you’re functioning, but inside you feel anxious, numb, depleted, or disconnected. My ideal client wants a steady, nonjudgmental space to slow down, regulate, and make sense of what they’re carrying. Together, we use art therapy and creativity to process stress, reconnect with your values, and find meaning again so life feels more grounded, sustainable, and genuinely yours.
(585) 632-4112 View (585) 632-4112
Susan Gottfried
Counselor, LMHC
1 Endorsed
Culver-Winton, Rochester, NY 14610
If you are in a crisis and need healing, I would like to help! Crisis is an opportunity for change! An emotional crisis can be a prolonged struggle or an unfortunate event which brings pain, anger and sorrow. I have worked with adolescents, adults, families and veterans in mental health and addiction for 31 years. I focus on your core beliefs related to insecure/avoidant/ mixed attachment which can positively or negatively affect our outlook on life.
If you are in a crisis and need healing, I would like to help! Crisis is an opportunity for change! An emotional crisis can be a prolonged struggle or an unfortunate event which brings pain, anger and sorrow. I have worked with adolescents, adults, families and veterans in mental health and addiction for 31 years. I focus on your core beliefs related to insecure/avoidant/ mixed attachment which can positively or negatively affect our outlook on life.
(585) 308-9937 View (585) 308-9937
Margo J Markesteijn
Clinical Social Work/Therapist, LCSW, MDiv, PhD
Culver-Winton, Rochester, NY 14610
I work in a Jungian way, recognizing that we are spiritual beings on a human journey. When problems arise in our lives, we have an opportunity to more fully understand who we are and what life is asking of us. Learning the tools with which to continue on the path in a more fulfilling way is the goal of the work I will do with you: to discover new possibilities within your own reservoir of coping and problem solving skills.
I work in a Jungian way, recognizing that we are spiritual beings on a human journey. When problems arise in our lives, we have an opportunity to more fully understand who we are and what life is asking of us. Learning the tools with which to continue on the path in a more fulfilling way is the goal of the work I will do with you: to discover new possibilities within your own reservoir of coping and problem solving skills.
(585) 612-5478 View (585) 612-5478
Anahata Mental Health Counseling, PLLC
Counselor, LMHC
3 Endorsed
Culver-Winton, Rochester, NY 14610
Accepting clients for August, 2026! I work with entrepreneurs and high performing adults/couples with neurodivergence, high anxiety, a trauma history and relationship challenges. We identify patterns and beliefs so change can be made and maintained. Many of my clients are low-no contact with family of origin. If talk therapy hasn't helped you fulfill your goals then my approaches might. I offer intensive therapy sessions which are extended therapy sessions. This is a great option for busy people or someone who had a life disruption that needs to be immediately addressed (an affair/addictive patterns/breakup/ill family/codependent)
Accepting clients for August, 2026! I work with entrepreneurs and high performing adults/couples with neurodivergence, high anxiety, a trauma history and relationship challenges. We identify patterns and beliefs so change can be made and maintained. Many of my clients are low-no contact with family of origin. If talk therapy hasn't helped you fulfill your goals then my approaches might. I offer intensive therapy sessions which are extended therapy sessions. This is a great option for busy people or someone who had a life disruption that needs to be immediately addressed (an affair/addictive patterns/breakup/ill family/codependent)
(315) 288-7087 View (315) 288-7087
Tryceena Marie Gordon
Counselor, LMHC, NCC, CASAC
4 Endorsed
Serves Area
Sometimes life becomes overwhelming, and even when you are doing your best, you may still feel anxious, depressed, stuck, or unsure of what to do next. You may be carrying the effects of trauma, struggling in your relationships, or relying on substances or other habits to cope. Whatever brought you here, you deserve a space where you can be honest, feel supported, and begin finding your way forward.
Sometimes life becomes overwhelming, and even when you are doing your best, you may still feel anxious, depressed, stuck, or unsure of what to do next. You may be carrying the effects of trauma, struggling in your relationships, or relying on substances or other habits to cope. Whatever brought you here, you deserve a space where you can be honest, feel supported, and begin finding your way forward.
(585) 844-5341 View (585) 844-5341
Colleen Finlayson
Mental Health Counselor, MHC-P, CASAC-T
Serves Area
Currently accepting new clients! You might be feeling misunderstood, disconnected, or overwhelmed, especially if you're neurodivergent or have recently been diagnosed with Autism Spectrum Disorder (ASD) or Attention-Deficit/Hyperactivity Disorder (ADHD). Whether you're struggling with low self-esteem, identity, or emotional regulation, you’re looking for someone who truly gets it. I work with children, teens, and adults who want to build self-worth, deepen self-connection, and create meaningful, lasting change.
Currently accepting new clients! You might be feeling misunderstood, disconnected, or overwhelmed, especially if you're neurodivergent or have recently been diagnosed with Autism Spectrum Disorder (ASD) or Attention-Deficit/Hyperactivity Disorder (ADHD). Whether you're struggling with low self-esteem, identity, or emotional regulation, you’re looking for someone who truly gets it. I work with children, teens, and adults who want to build self-worth, deepen self-connection, and create meaningful, lasting change.
(716) 217-0010 View (716) 217-0010
Susanna Guarino
Counselor, MS, LMHC
7 Endorsed
Serves Area
I'm a therapist+musician who loves working with people on their journeys to healthier relationships and becoming their most authentic selves. I was raised fundamentalist and spent my childhood learning fire and brimstone theology and memorizing verses from the King James Bible. Needless to say I chose to leave the "sinners in the hands of an angry God" mentality behind when I grew up. The truth is, being hard on ourselves doesn't help us or anyone else. But compassion, love, acceptance and presence connect us to who we really are, and who we can become.
I'm a therapist+musician who loves working with people on their journeys to healthier relationships and becoming their most authentic selves. I was raised fundamentalist and spent my childhood learning fire and brimstone theology and memorizing verses from the King James Bible. Needless to say I chose to leave the "sinners in the hands of an angry God" mentality behind when I grew up. The truth is, being hard on ourselves doesn't help us or anyone else. But compassion, love, acceptance and presence connect us to who we really are, and who we can become.
(585) 294-4776 View (585) 294-4776
Kristin Botwinick
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
I offer clients a down-to-earth and warm approach. As a licensed clinical social worker, I specialize in helping individuals navigate life's challenges with compassion and expertise. I work intuitively, tailoring my approach to meet each person's unique needs. I believe in creating a safe supportive space for personal growth. I'm often told how I put people at ease right away and have a soothing presence. This is important as I recognize how difficult it can be to open up, to set aside time to do the work that goes into therapy.
I offer clients a down-to-earth and warm approach. As a licensed clinical social worker, I specialize in helping individuals navigate life's challenges with compassion and expertise. I work intuitively, tailoring my approach to meet each person's unique needs. I believe in creating a safe supportive space for personal growth. I'm often told how I put people at ease right away and have a soothing presence. This is important as I recognize how difficult it can be to open up, to set aside time to do the work that goes into therapy.
(315) 234-3390 View (315) 234-3390
Sydney Dlhopolsky
Verified Verified
1 Endorsed
Serves Area
Do your feelings feel huge and confusing, like you're supposed to "have it together", but you're overwhelmed inside? Maybe you're autistic, ADHD, queer, trans, or questioning, exhausted from masking and meeting everyone else's expectations. In my Pittsford art therapy office and online across New York, I support neurodivergent and LGBTQIA+ folx who want to understand their brains, set boundaries, and build relationships where they can be fully themselves. Together we gently unmask, explore your identities, and create a life that actually fits your values.
Do your feelings feel huge and confusing, like you're supposed to "have it together", but you're overwhelmed inside? Maybe you're autistic, ADHD, queer, trans, or questioning, exhausted from masking and meeting everyone else's expectations. In my Pittsford art therapy office and online across New York, I support neurodivergent and LGBTQIA+ folx who want to understand their brains, set boundaries, and build relationships where they can be fully themselves. Together we gently unmask, explore your identities, and create a life that actually fits your values.
(585) 522-2531 View (585) 522-2531
Jennifer Lee
Pre-Licensed Professional, MFT
1 Endorsed
Serves Area
Life’s challenges can feel overwhelming. You may find yourself stuck in a place where moving forward seems impossible. Major transitions and unexpected changes can disrupt your sense of balance, making it difficult to manage. Over time, these struggles can impact your relationships, work, health, and overall well-being. You don’t have to face this alone. As a therapist, my role is to offer a compassionate, nonjudgmental space where we can work together toward your goals. We will draw on your strengths, lived experiences, and evidence-based practices to move toward what feels most meaningful for you.
Life’s challenges can feel overwhelming. You may find yourself stuck in a place where moving forward seems impossible. Major transitions and unexpected changes can disrupt your sense of balance, making it difficult to manage. Over time, these struggles can impact your relationships, work, health, and overall well-being. You don’t have to face this alone. As a therapist, my role is to offer a compassionate, nonjudgmental space where we can work together toward your goals. We will draw on your strengths, lived experiences, and evidence-based practices to move toward what feels most meaningful for you.
(585) 210-2264 View (585) 210-2264
Shawn Shannon-Missal
Art Therapist, LCAT, ATR-BC
1 Endorsed
Serves Area
Do you feel stuck? I know how hard it can be to reach out for help, from the energy it takes just to make the appointment to the frustration when you leave the office without relief. Navigating the medical system can become its own source of trauma, on top of what you’re already dealing with managing day-to-day life at home and work. I'm familiar with the challenges of high-functioning autism, late-diagnosed ADHD, and even chronic medical conditions like Lyme, EDS, fibromyalgia, and cancer. It is NOT all in your head. Even if other providers haven’t had much to offer, I’m confident that together we CAN improve your quality of life.
Do you feel stuck? I know how hard it can be to reach out for help, from the energy it takes just to make the appointment to the frustration when you leave the office without relief. Navigating the medical system can become its own source of trauma, on top of what you’re already dealing with managing day-to-day life at home and work. I'm familiar with the challenges of high-functioning autism, late-diagnosed ADHD, and even chronic medical conditions like Lyme, EDS, fibromyalgia, and cancer. It is NOT all in your head. Even if other providers haven’t had much to offer, I’m confident that together we CAN improve your quality of life.
(585) 676-3651 View (585) 676-3651
Ashley Ginsburg
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Taking the first step toward therapy can feel overwhelming, and I want you to know that reaching out takes real courage. My goal from the very first session is to create a space where you feel safe, heard, and understood — without judgment. I am a Licensed Clinical Social Worker (LCSW) with experience supporting individuals through some of life's most difficult challenges, including trauma, domestic violence, grief, life transitions, and parenting. I have a particular passion for working with women and female-identifying individuals, and I am deeply committed to honoring the unique experiences and strengths that each person brings.
Taking the first step toward therapy can feel overwhelming, and I want you to know that reaching out takes real courage. My goal from the very first session is to create a space where you feel safe, heard, and understood — without judgment. I am a Licensed Clinical Social Worker (LCSW) with experience supporting individuals through some of life's most difficult challenges, including trauma, domestic violence, grief, life transitions, and parenting. I have a particular passion for working with women and female-identifying individuals, and I am deeply committed to honoring the unique experiences and strengths that each person brings.
(646) 961-3140 View (646) 961-3140
Jason Knupp
Clinical Social Work/Therapist, LCSW-R, SAP
1 Endorsed
Serves Area
Depression and anxiety can hurt and the answer does not always come from a prescription.You deserve to work with someone you trust and feel comfortable with. You deserve someone who will not judge you or tell you that your problems are all in your head. Additionally, if you are struggling with a chemical addiction, we need to treat the addiction AND what is going on with you emotionally. I'm a Licensed Clinical Social Worker (LCSW) specializing in Mental Health/ Addictions therapy. I have 15 years experience helping folks cope with depression, anxiety, marital issues & addictions.
Depression and anxiety can hurt and the answer does not always come from a prescription.You deserve to work with someone you trust and feel comfortable with. You deserve someone who will not judge you or tell you that your problems are all in your head. Additionally, if you are struggling with a chemical addiction, we need to treat the addiction AND what is going on with you emotionally. I'm a Licensed Clinical Social Worker (LCSW) specializing in Mental Health/ Addictions therapy. I have 15 years experience helping folks cope with depression, anxiety, marital issues & addictions.
(585) 682-2433 View (585) 682-2433
Elizabeth Siclari
Creative Arts Therapist, LCAT, ATR, CCTPII
2 Endorsed
Serves Area
You’ve been holding everything together on the outside, but inside it feels overwhelming, exhausting, and hard to manage. If you’re stuck in patterns you can’t seem to break, there’s a reason — and it’s not because you’re failing. This is often where therapy begins. I’m Liz, an LCAT serving Western New York and the surrounding areas, specializing in trauma therapy, EMDR, anxiety treatment, and women’s mental health. For nearly a decade, I’ve supported men and women who feel overwhelmed, overextended, or disconnected helping them process trauma, reduce anxiety, and reconnect with a grounded sense of confidence and control.
You’ve been holding everything together on the outside, but inside it feels overwhelming, exhausting, and hard to manage. If you’re stuck in patterns you can’t seem to break, there’s a reason — and it’s not because you’re failing. This is often where therapy begins. I’m Liz, an LCAT serving Western New York and the surrounding areas, specializing in trauma therapy, EMDR, anxiety treatment, and women’s mental health. For nearly a decade, I’ve supported men and women who feel overwhelmed, overextended, or disconnected helping them process trauma, reduce anxiety, and reconnect with a grounded sense of confidence and control.
(716) 271-3679 View (716) 271-3679
Rita Marie Reisinger-Novisky
Clinical Social Work/Therapist, LCSW-R, SAP
Serves Area
I am committed to working with individuals who have a wide range of mental health issues. With thirty years experience I am committed to the fields of anger management and domestic violence helping clients discover and alter dysfunctional thought and belief patterns that support and justify acts of anger and domestic violence. In addition I also work with couples and individuals who have a wide variety of emotional issues including loss, grief, depression, anxiety and substance abuse. I have a cognitive behavioral orientation and work with the strengths of each individual to sustain behavioral changes in thinking, feelings and actions.
I am committed to working with individuals who have a wide range of mental health issues. With thirty years experience I am committed to the fields of anger management and domestic violence helping clients discover and alter dysfunctional thought and belief patterns that support and justify acts of anger and domestic violence. In addition I also work with couples and individuals who have a wide variety of emotional issues including loss, grief, depression, anxiety and substance abuse. I have a cognitive behavioral orientation and work with the strengths of each individual to sustain behavioral changes in thinking, feelings and actions.
(585) 481-8436 View (585) 481-8436
Chantell Teed, LCSW
Clinical Social Work/Therapist, LCSW
2 Endorsed
Serves Area
Over the last 12 years I have had the privilege to hold space for youth, individuals, and families moving through life's challenges and seasons. I value my role in being a non-judgmental space for individuals to express themselves freely, experience validation, and learn options of coping. I work with individuals who have experienced trauma, are facing relational stress, navigating parent stress/life stage changes, and general mood challenges. I believe in the power of connection for healing. I not only want to support you and your needs/symptoms however help improve the connections you have with the relationships in your life.
Over the last 12 years I have had the privilege to hold space for youth, individuals, and families moving through life's challenges and seasons. I value my role in being a non-judgmental space for individuals to express themselves freely, experience validation, and learn options of coping. I work with individuals who have experienced trauma, are facing relational stress, navigating parent stress/life stage changes, and general mood challenges. I believe in the power of connection for healing. I not only want to support you and your needs/symptoms however help improve the connections you have with the relationships in your life.
(585) 595-2697 View (585) 595-2697
Emma Annable
Verified Verified
1 Endorsed
Serves Area
Trying to keep up with life when your mind is full of noise can be exhausting. Whether it’s due to OCD, suspected autism or ADHD, or complex trauma, rumination and intrusive thoughts can keep you from completing tasks, making confident decisions or staying present in relationships. Part of you wonders, “What is wrong with me?” while another part knows you deserve more than constant self‑doubt and comparison. You want a space where you can drop the act, say the messy stuff out loud, experiment with art as well as words, and slowly build a life that actually fits who you are becoming, at a pace your nervous system can handle.
Trying to keep up with life when your mind is full of noise can be exhausting. Whether it’s due to OCD, suspected autism or ADHD, or complex trauma, rumination and intrusive thoughts can keep you from completing tasks, making confident decisions or staying present in relationships. Part of you wonders, “What is wrong with me?” while another part knows you deserve more than constant self‑doubt and comparison. You want a space where you can drop the act, say the messy stuff out loud, experiment with art as well as words, and slowly build a life that actually fits who you are becoming, at a pace your nervous system can handle.
(585) 460-2649 View (585) 460-2649

How does your Therapist compare?

Number of Therapists in Culver-Winton, Rochester, NY

60+

Average cost per session

$125

Therapists in Culver-Winton, Rochester, NY who prioritize treating:

90% Anxiety
90% Social Anxiety
90% Health Anxiety
90% Driving Anxiety
76% Depression
75% Relationship Issues
73% Relationship Anxiety

Average years in practice

10 Years

Top 3 insurances accepted

88% Aetna
82% Cigna and Evernorth
51% Carelon Behavioral Health

How Therapists in Culver-Winton, Rochester, NY see their clients

63% In Person and Online
37% Online Only

Gender breakdown

76% Female
18% Male
6% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Culver-Winton?

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.