Therapists in Westerville, OH

Photo of Jennifer Kimpan, Drug & Alcohol Counselor in Westerville, OH
Jennifer Kimpan
Drug & Alcohol Counselor, MS, LICDC, ICADC, LADC
Verified Verified
Westerville, OH 43082
Change is Possible, Recovery Works. When you or someone you know is struggling with Addiction, it is difficult to know what to do. Make New Beginnings Counseling Center your first step. We provide comprehensive drug, alcohol, and addiction recovery services for those struggling and for those who want to support their recovery. Hope starts here. Recovery works, take the first step toward yours.
Change is Possible, Recovery Works. When you or someone you know is struggling with Addiction, it is difficult to know what to do. Make New Beginnings Counseling Center your first step. We provide comprehensive drug, alcohol, and addiction recovery services for those struggling and for those who want to support their recovery. Hope starts here. Recovery works, take the first step toward yours.
(937) 583-4022 View (937) 583-4022
Photo of Amanda Corrigan, Marriage & Family Therapist in Westerville, OH
Amanda Corrigan
Marriage & Family Therapist, IMFT
Verified Verified
1 Endorsed
Westerville, OH 43081
After receiving her Masters of Science in Marriage and Family Therapy from Edgewood College in 2007, Amanda pursued her Independent license as a Marriage and Family Therapist (IMFT) in Ohio. She has more than a decade of clinical experience working with kids, adults, couples, and families treating a variety of mental health, behavioral, and relationship issues. Amanda also has additional specialized experience and training in the areas of trauma treatment, suicide intervention, and intensive home-based therapy.
After receiving her Masters of Science in Marriage and Family Therapy from Edgewood College in 2007, Amanda pursued her Independent license as a Marriage and Family Therapist (IMFT) in Ohio. She has more than a decade of clinical experience working with kids, adults, couples, and families treating a variety of mental health, behavioral, and relationship issues. Amanda also has additional specialized experience and training in the areas of trauma treatment, suicide intervention, and intensive home-based therapy.
(614) 918-4243 View (614) 918-4243
Photo of Queen Watson, Licensed Professional Counselor in Westerville, OH
Queen Watson
Licensed Professional Counselor, LPC
Verified Verified
Westerville, OH 43082
Queen Watson is a Licensed Professional Counselor in Ohio who has been practicing since 2023. She has a Masters of Arts from The University of Cincinnati. Queen offers clients authenticity, encouragement throughout the therapeutic relationship, and continuous education regarding the various components of their presenting concerns. She aims to normalize seeking support for mental health concerns and the mental health strains that individuals can experience when facing daily life challenges. Outside of work Queen enjoys writing poetry, painting, and cooking. Times for creative expression are important parts of her day.
Queen Watson is a Licensed Professional Counselor in Ohio who has been practicing since 2023. She has a Masters of Arts from The University of Cincinnati. Queen offers clients authenticity, encouragement throughout the therapeutic relationship, and continuous education regarding the various components of their presenting concerns. She aims to normalize seeking support for mental health concerns and the mental health strains that individuals can experience when facing daily life challenges. Outside of work Queen enjoys writing poetry, painting, and cooking. Times for creative expression are important parts of her day.
(614) 762-9107 View (614) 762-9107
Photo of Bonnie Gourley, Clinical Social Work/Therapist in Westerville, OH
Bonnie Gourley
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Westerville, OH 43081
I enjoy working with adults and adolescents, to help navigate the challenges that come with depression, anxiety, self-esteem, relationship issues, grief/loss, divorce, life adjustments, and more. I’m here to offer support and enhance resiliency by promoting a sense of hope.
I enjoy working with adults and adolescents, to help navigate the challenges that come with depression, anxiety, self-esteem, relationship issues, grief/loss, divorce, life adjustments, and more. I’m here to offer support and enhance resiliency by promoting a sense of hope.
(614) 681-8545 View (614) 681-8545
Photo of Melanie Bergsten, Psychologist in Westerville, OH
Melanie Bergsten
Psychologist, PhD
Verified Verified
Westerville, OH 43082
Not accepting new clients
Life can be challenging and we all need a place where we can be seen, heard and understood without judgement. You may feel stuck as a result of depression or anxiety or you may want to grow, change or feel more confident and connected to others. I have a passion for helping others as they navigate their unique life path and encounter a variety of life stressors.
Life can be challenging and we all need a place where we can be seen, heard and understood without judgement. You may feel stuck as a result of depression or anxiety or you may want to grow, change or feel more confident and connected to others. I have a passion for helping others as they navigate their unique life path and encounter a variety of life stressors.
(740) 245-3669 View (740) 245-3669
Photo of Shaun B O'Ryan, Counselor in Westerville, OH
Shaun B O'Ryan
Counselor, MACPC, LPCC-S
Verified Verified
Westerville, OH 43081
I began practicing in 2004, seeing children and teens, and working with their parents. Over the years I have broadened my scope of practice to include working with adults and couples as well. An initial focus on young clients' issues like ADHD, depression, anxiety, and behavioral issues like ODD and CD, has grown into addressing a wider number of issues including anxiety disorders (including phobias, PTSD, etc.), marital issues, depression in adults, and so on.
I began practicing in 2004, seeing children and teens, and working with their parents. Over the years I have broadened my scope of practice to include working with adults and couples as well. An initial focus on young clients' issues like ADHD, depression, anxiety, and behavioral issues like ODD and CD, has grown into addressing a wider number of issues including anxiety disorders (including phobias, PTSD, etc.), marital issues, depression in adults, and so on.
(614) 468-5064 View (614) 468-5064
Photo of Tricia Good, Licensed Professional Clinical Counselor in Westerville, OH
Tricia Good
Licensed Professional Clinical Counselor, MS, LPCC-S
Verified Verified
Westerville, OH 43081
Are you nervous, afraid, feeling that asking for professional help is a sign of weakness, or worried what others will think of you? These thoughts and feelings are more common than you realize. Day-to-day life can feel stressful, overwhelming, and somewhat challenging at times. It is important that you have a safe place to explore the stressors in your life and be able to learn the necessary coping skills for personal growth. I will not only provide a confidential, safe, and calming place for you, but I will also be non-judgmental and empathetic to your needs.
Are you nervous, afraid, feeling that asking for professional help is a sign of weakness, or worried what others will think of you? These thoughts and feelings are more common than you realize. Day-to-day life can feel stressful, overwhelming, and somewhat challenging at times. It is important that you have a safe place to explore the stressors in your life and be able to learn the necessary coping skills for personal growth. I will not only provide a confidential, safe, and calming place for you, but I will also be non-judgmental and empathetic to your needs.
(330) 594-8157 View (330) 594-8157
Photo of Clara Ann Huffman, Counselor in Westerville, OH
Clara Ann Huffman
Counselor, LPC
Verified Verified
Westerville, OH 43082
Clara Ann Huffman is a Licensed Professional Counselor in Ohio who has been practicing since 2022. To all her future clients, Clara Ann looks forward to offering a safe space - to walk alongside one another through hardship. She uniquely offers enduring hope for change and persistent optimism for a better tomorrow. As a recent academic, Clara Ann further offers emerging techniques, a blend of historic and new theoretical perspectives, and a growing foundation of experience and knowledge. Alongside her passion for mental health and recovery, Clara Ann is an avid lover of nature, an emerging (slow) runner, and an amateur birder.
Clara Ann Huffman is a Licensed Professional Counselor in Ohio who has been practicing since 2022. To all her future clients, Clara Ann looks forward to offering a safe space - to walk alongside one another through hardship. She uniquely offers enduring hope for change and persistent optimism for a better tomorrow. As a recent academic, Clara Ann further offers emerging techniques, a blend of historic and new theoretical perspectives, and a growing foundation of experience and knowledge. Alongside her passion for mental health and recovery, Clara Ann is an avid lover of nature, an emerging (slow) runner, and an amateur birder.
(614) 881-4729 View (614) 881-4729
Photo of Julia Dee in Westerville, OH
Julia Dee
LPC
Verified Verified
Westerville, OH 43081
I am a Licensed Professional Clinical Counselor in Ohio and South Carolina with over 20 years of practical therapeutic experience and education in the mental health field. I specialize in women's issues, Anxiety, Coping Skills, Depression, Trauma, PTSD, and behavior patterns in your adult life that stem from stressors, abuse, neglect, and trauma experienced in childhood. I utilize a mix of modalities such as Cognitive Behavioral (CBT), Trauma Focused, Strength-Based, Attachment-based, and Psychodynamic therapy. I believe we are all works in progress, and balance in life is essential to improving one's life.
I am a Licensed Professional Clinical Counselor in Ohio and South Carolina with over 20 years of practical therapeutic experience and education in the mental health field. I specialize in women's issues, Anxiety, Coping Skills, Depression, Trauma, PTSD, and behavior patterns in your adult life that stem from stressors, abuse, neglect, and trauma experienced in childhood. I utilize a mix of modalities such as Cognitive Behavioral (CBT), Trauma Focused, Strength-Based, Attachment-based, and Psychodynamic therapy. I believe we are all works in progress, and balance in life is essential to improving one's life.
(937) 858-6433 View (937) 858-6433
Photo of Edward Luersman, Licensed Professional Counselor in Westerville, OH
Edward Luersman
Licensed Professional Counselor, MA, LPC
Verified Verified
Westerville, OH 43082
Grief, infertility, and miscarriage leave us feeling alone, overwhelmed, and trapped. You may be fed up with a lack of recognition or helpful support from loved ones and the Church, feeling uncertain and scared about the future, or feeling guilty or worthless. You might not even remember a time things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to have someone who understands you and can accompany you. You’re ready to learn how to better cope with your loss or infertility. Most of all, you’re ready to do what it takes to experience less pain and isolation and more peace and hope.
Grief, infertility, and miscarriage leave us feeling alone, overwhelmed, and trapped. You may be fed up with a lack of recognition or helpful support from loved ones and the Church, feeling uncertain and scared about the future, or feeling guilty or worthless. You might not even remember a time things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to have someone who understands you and can accompany you. You’re ready to learn how to better cope with your loss or infertility. Most of all, you’re ready to do what it takes to experience less pain and isolation and more peace and hope.
(614) 957-3061 View (614) 957-3061
Photo of Bradley K. Fox, Psychologist in Westerville, OH
Bradley K. Fox
Psychologist, PhD
Verified Verified
Westerville, OH 43081
Not accepting new clients
Sometimes we hit a wall. Maybe we would usually describe our life as going pretty well, but lately we find it harder to find motivation, or we’re more irritable, anxious, or just plain sad. Sometimes we’ve struggled a long time (with nightmares, stress, bad memories, or feeling depressed) and it's beyond what a friend can help with. Whether your goals are to manage emotions, sleep better, think more clearly, feel better about yourself or key relationships, finally accept what can't be changed, better understand relationship patterns, or find a deeper sense of purpose and meaning in life, counseling / psychotherapy may be helpful.
Sometimes we hit a wall. Maybe we would usually describe our life as going pretty well, but lately we find it harder to find motivation, or we’re more irritable, anxious, or just plain sad. Sometimes we’ve struggled a long time (with nightmares, stress, bad memories, or feeling depressed) and it's beyond what a friend can help with. Whether your goals are to manage emotions, sleep better, think more clearly, feel better about yourself or key relationships, finally accept what can't be changed, better understand relationship patterns, or find a deeper sense of purpose and meaning in life, counseling / psychotherapy may be helpful.
(614) 924-7411 x3 View (614) 924-7411 x3
Photo of Harrison Steedman, Licensed Professional Counselor in Westerville, OH
Harrison Steedman
Licensed Professional Counselor, LPC
Verified Verified
Westerville, OH 43081
Harrison Steedman is a Licensed Professional Counselor in Ohio who has been practicing since 2023. He has a Master of Science in Education, Clinical Mental Health Counseling from University of Dayton. Matthew is passionate about instilling hope through equipping people with a sense of identity, purpose, and practical coping skills and applications. Moreover, he aims to prioritize listening to and understanding of client's stories as well as creating a safe relationship with the client. Matthew's theoretical framework is Existential Therapy, Cognitive Behavioral Therapy, and Rogerian Therapy.
Harrison Steedman is a Licensed Professional Counselor in Ohio who has been practicing since 2023. He has a Master of Science in Education, Clinical Mental Health Counseling from University of Dayton. Matthew is passionate about instilling hope through equipping people with a sense of identity, purpose, and practical coping skills and applications. Moreover, he aims to prioritize listening to and understanding of client's stories as well as creating a safe relationship with the client. Matthew's theoretical framework is Existential Therapy, Cognitive Behavioral Therapy, and Rogerian Therapy.
(380) 210-4396 View (380) 210-4396
Photo of Steven Miller, Counselor in Westerville, OH
Steven Miller
Counselor, MSE, LPCC
Verified Verified
2 Endorsed
Westerville, OH 43081
My clients are those who feel frustrated due to recurring negative thoughts or behaviors they struggle to change on their own. We work together to improve these harmful patterns that can seem like a never-ending loop. To help initiate change, my therapeutic style utilizes a humanistic and person centered approach emphasizing trauma informed care. This approach centers our work on harmful thoughts, emotions, and behaviors so we can work on the whole person to identify areas of need, allowing the opportunity to support those who have been feeling isolated or stuck.
My clients are those who feel frustrated due to recurring negative thoughts or behaviors they struggle to change on their own. We work together to improve these harmful patterns that can seem like a never-ending loop. To help initiate change, my therapeutic style utilizes a humanistic and person centered approach emphasizing trauma informed care. This approach centers our work on harmful thoughts, emotions, and behaviors so we can work on the whole person to identify areas of need, allowing the opportunity to support those who have been feeling isolated or stuck.
(380) 444-4599 View (380) 444-4599
Photo of Alex Childs, Counselor in Westerville, OH
Alex Childs
Counselor, LPCC, MSE
Verified Verified
Westerville, OH 43081
Seeking out a therapist is a powerful act of self-love and compassion. It’s a commitment to yourself that you're worthy of help and you're ready for change. I work with individuals and couples, from a warm approach of collaboratively changing your life for the better. I specialize in treating areas of anxiety, depression, self-esteem, self-image, sexuality, gender, identity, and relationships.
Seeking out a therapist is a powerful act of self-love and compassion. It’s a commitment to yourself that you're worthy of help and you're ready for change. I work with individuals and couples, from a warm approach of collaboratively changing your life for the better. I specialize in treating areas of anxiety, depression, self-esteem, self-image, sexuality, gender, identity, and relationships.
(380) 210-5114 View (380) 210-5114
Photo of Joshua Stanley, Licensed Professional Counselor in Westerville, OH
Joshua Stanley
Licensed Professional Counselor, LPC
Verified Verified
Westerville, OH 43081
My ideal client is an individual who is open to working as a team and benefiting from a therapeutic relationship in which honesty, accountability, and empathy are paramount. While a client’s concerns are unique and personal, there is nothing they cannot overcome through effective therapeutic interventions and a highly-trained and relatable clinician.
My ideal client is an individual who is open to working as a team and benefiting from a therapeutic relationship in which honesty, accountability, and empathy are paramount. While a client’s concerns are unique and personal, there is nothing they cannot overcome through effective therapeutic interventions and a highly-trained and relatable clinician.
(380) 333-6687 View (380) 333-6687
Photo of Brittany Taylor, Counselor in Westerville, OH
Brittany Taylor
Counselor, LPCC
Verified Verified
Westerville, OH 43081  (Online Only)
I am a Licensed Professional Clinical Counselor with specialized experience treating trauma and anxiety disorders. My practice utilizes intentional listening and attunement, curiosity, and empathy, to guide and support my clients to identify beliefs that no longer serve them and help them recover from symptoms of stress, anxiety, difficult life changes/transitions, women’s issues, and trauma. I believe that transformation occurs when the body, mind and heart are working in unison and symbiotically, and it is my mission to use therapy as a tool to help clients achieve that.
I am a Licensed Professional Clinical Counselor with specialized experience treating trauma and anxiety disorders. My practice utilizes intentional listening and attunement, curiosity, and empathy, to guide and support my clients to identify beliefs that no longer serve them and help them recover from symptoms of stress, anxiety, difficult life changes/transitions, women’s issues, and trauma. I believe that transformation occurs when the body, mind and heart are working in unison and symbiotically, and it is my mission to use therapy as a tool to help clients achieve that.
(614) 945-4571 View (614) 945-4571
Photo of Nichole Redic, Licensed Professional Clinical Counselor in Westerville, OH
Nichole Redic
Licensed Professional Clinical Counselor, MSEd, PCC-S
Verified Verified
Westerville, OH 43081
I am here to help you navigate through life's difficult circumstances. When you find yourself traveling down a path that is filled with stress, worry, pain, and/or grief, I will help you identify and draw on your strengths. You may not enjoy the things that used to make you smile. Perhaps, you are facing a family challenge that sparks ongoing conflict and tension. What ever you are experiencing, don't go through it alone! Allow me to partner with you to capture lost joy, build healthy relationships, and grow personally.
I am here to help you navigate through life's difficult circumstances. When you find yourself traveling down a path that is filled with stress, worry, pain, and/or grief, I will help you identify and draw on your strengths. You may not enjoy the things that used to make you smile. Perhaps, you are facing a family challenge that sparks ongoing conflict and tension. What ever you are experiencing, don't go through it alone! Allow me to partner with you to capture lost joy, build healthy relationships, and grow personally.
(614) 802-5717 View (614) 802-5717
Photo of Dr. Marcy Lusk, Psychologist in Westerville, OH
Dr. Marcy Lusk
Psychologist, PsyD
Verified Verified
4 Endorsed
Westerville, OH 43081
Accepting new clients. So often, we wear masks for the benefit of those around us while inside, we suffer. I want to normalize that even though you've been through a lot, there's hope that things can improve. If you want a therapist who takes a non-judgmental stand to support you and guide you through your problems, let me help you. I identify with a culturally sensitive approach because vulnerability is difficult for anyone, and having someone who understands you can help.
Accepting new clients. So often, we wear masks for the benefit of those around us while inside, we suffer. I want to normalize that even though you've been through a lot, there's hope that things can improve. If you want a therapist who takes a non-judgmental stand to support you and guide you through your problems, let me help you. I identify with a culturally sensitive approach because vulnerability is difficult for anyone, and having someone who understands you can help.
(614) 656-3832 View (614) 656-3832
Photo of Ellie Mental Health - Westerville Ohio, Marriage & Family Therapist in Westerville, OH
Ellie Mental Health - Westerville Ohio
Marriage & Family Therapist, LPCC, LISW, IMFT
Verified Verified
Westerville, OH 43082
Ellie Mental Health in Westerville Ohio isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs.
Ellie Mental Health in Westerville Ohio isn’t your average therapy clinic. We’ve created a comfy, judgment-free zone where you can be authentic, get real about where you’re at in your mental health, and receive the compassionate care you deserve. We strive to break down treatment barriers and provide you with customized counseling services that meet your therapy needs.
(380) 208-0300 View (380) 208-0300
Photo of Dawn M Puster, Clinical Social Work/Therapist in Westerville, OH
Dawn M Puster
Clinical Social Work/Therapist, LISW-S
Verified Verified
3 Endorsed
Westerville, OH 43081  (Online Only)
I’m an LISW-S, Licensed Independent Social Worker (I.1700618) with Supervision designation, in the state of Ohio. I’ve spent the last 20 years working with children and families who are facing personal life challenges. I believe individuals are the experts of their own lives, but sometimes need help navigating difficult experiences, emotions, and circumstances. Everyone, at some point in life, experiences a challenge they struggle to overcome. It could be a loss, emotions associated with an event, a life change, or other personal struggles. Sometimes we need to learn new or more effective ways to manage those life challenges.
I’m an LISW-S, Licensed Independent Social Worker (I.1700618) with Supervision designation, in the state of Ohio. I’ve spent the last 20 years working with children and families who are facing personal life challenges. I believe individuals are the experts of their own lives, but sometimes need help navigating difficult experiences, emotions, and circumstances. Everyone, at some point in life, experiences a challenge they struggle to overcome. It could be a loss, emotions associated with an event, a life change, or other personal struggles. Sometimes we need to learn new or more effective ways to manage those life challenges.
(380) 201-9110 View (380) 201-9110

How does your Therapist compare?

Number of Therapists in Westerville, OH

200+

Average cost per session

$125

Therapists in Westerville, OH who prioritize treating:

90% Anxiety
88% Depression
72% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
66% Grief
64% Stress

Average years in practice

10 Years

Top 3 insurances accepted

83% Aetna
75% Optum
70% Medical Mutual

How Therapists in Westerville, OH see their clients

82% In Person and Online
18% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Westerville?

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.