Therapists in Murrysville, PA

Photo of Nancy E. Campbell, Clinical Social Work/Therapist in Murrysville, PA
Nancy E. Campbell
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Murrysville, PA 15632  (Online Only)
Not accepting new clients
Hello, I am a mental health therapist with over 20 years of experience working with young adults, 18 and over, seeking treatment for anxiety, depression and eating disorders. Primarily I work with college students. both graduate and undergraduate, who seem to be a good fit. Treatment approaches include Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT), as well as eating disorder recovery techniques. I offer 1 hour Telehealth sessions and accept most major insurances. The best way to reach me is by email or text.
Hello, I am a mental health therapist with over 20 years of experience working with young adults, 18 and over, seeking treatment for anxiety, depression and eating disorders. Primarily I work with college students. both graduate and undergraduate, who seem to be a good fit. Treatment approaches include Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT), as well as eating disorder recovery techniques. I offer 1 hour Telehealth sessions and accept most major insurances. The best way to reach me is by email or text.
(520) 878-7857 View (520) 878-7857
Photo of Wendy M McSparren, Clinical Social Work/Therapist in Murrysville, PA
Wendy M McSparren
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
2 Endorsed
Murrysville, PA 15668
I believe as human beings we all need to feel a sense of hope and we all deserve support during challenging or stressful times. Selecting a therapist can feel overwhelming when we are struggling or feel lost. My approach is to meet you where you are, work together to determine what best meets your needs, and to collaboratively create a plan that helps you achieve your goals.
I believe as human beings we all need to feel a sense of hope and we all deserve support during challenging or stressful times. Selecting a therapist can feel overwhelming when we are struggling or feel lost. My approach is to meet you where you are, work together to determine what best meets your needs, and to collaboratively create a plan that helps you achieve your goals.
(724) 580-4315 View (724) 580-4315
Photo of Mark R Jones, Clinical Social Work/Therapist in Murrysville, PA
Mark R Jones
Clinical Social Work/Therapist, ACSW, DCSW, LCSW
Verified Verified
Murrysville, PA 15668  (Online Only)
I specialize in treating people with anxiety disorders. I have worked as a clinician in hospitals, mental health centers and in private practice since 1978. I believe in treating the whole person; body, mind, spirit and emotion. I believe a balance of all four is necessary for health. I believe in and practice both dynamic and cognitive-behavioral interventions as well as mindfulness which emphasizes acceptance, compassion for self and others and meditation. I work diligently in the service of my client's recovery and feel great joy in their success. I treat OCD, trauma and panic disorder.
I specialize in treating people with anxiety disorders. I have worked as a clinician in hospitals, mental health centers and in private practice since 1978. I believe in treating the whole person; body, mind, spirit and emotion. I believe a balance of all four is necessary for health. I believe in and practice both dynamic and cognitive-behavioral interventions as well as mindfulness which emphasizes acceptance, compassion for self and others and meditation. I work diligently in the service of my client's recovery and feel great joy in their success. I treat OCD, trauma and panic disorder.
(412) 459-7808 View (412) 459-7808
Photo of Kayla Mento, Licensed Professional Counselor in Murrysville, PA
Kayla Mento
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
1 Endorsed
Murrysville, PA 15668  (Online Only)
One of the bravest things you can do is to take a deep dive into understanding your story. Your story may be filled with emotional turmoil, trauma, and overwhelming anxiety on how you’ll be able to pull through to the other side. Take a deep breath, relax, and let’s rewrite your story together. I invite you to talk about the taboo things (no topic is off limits), become comfortable in your own skin, and take the journey with me through self-exploration to finally arrive at your authentic self.
One of the bravest things you can do is to take a deep dive into understanding your story. Your story may be filled with emotional turmoil, trauma, and overwhelming anxiety on how you’ll be able to pull through to the other side. Take a deep breath, relax, and let’s rewrite your story together. I invite you to talk about the taboo things (no topic is off limits), become comfortable in your own skin, and take the journey with me through self-exploration to finally arrive at your authentic self.
(412) 910-2083 View (412) 910-2083
Photo of Joyce Brooks, Clinical Social Work/Therapist in Murrysville, PA
Joyce Brooks
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Verified Verified
Murrysville, PA 15668  (Online Only)
Anxious? Stressed? How does Christianity intersect with anxiety? I can help you! I have over 20 years of experience working with adults addressing issues related to anxiety, stress, grief and loss, trauma and depression. I have worked in a variety of mental health settings (residential, in-home services, alternative education, partial hospitalization).
Anxious? Stressed? How does Christianity intersect with anxiety? I can help you! I have over 20 years of experience working with adults addressing issues related to anxiety, stress, grief and loss, trauma and depression. I have worked in a variety of mental health settings (residential, in-home services, alternative education, partial hospitalization).
(412) 301-9760 View (412) 301-9760
Photo of Elizabeth Dorosh, Licensed Professional Counselor in Murrysville, PA
Elizabeth Dorosh
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Murrysville, PA 15668
Anxiety is everywhere these days. We're all making our way through a sea of unknowns, and our children are along for the ride. I believe that YOU, a parent or caregiver, have been doing the very best that you can for your child. I also know that with limited resources, a lack of external support or your own mental health strain, supporting a struggling child often feels impossible. If you’ve exhausted a list of ideas to help your child with little progress, let me join you. Together we can redistribute that emotional weight you’re carrying and give your child a big wide space to heal and grow.
Anxiety is everywhere these days. We're all making our way through a sea of unknowns, and our children are along for the ride. I believe that YOU, a parent or caregiver, have been doing the very best that you can for your child. I also know that with limited resources, a lack of external support or your own mental health strain, supporting a struggling child often feels impossible. If you’ve exhausted a list of ideas to help your child with little progress, let me join you. Together we can redistribute that emotional weight you’re carrying and give your child a big wide space to heal and grow.
(724) 607-8051 View (724) 607-8051
Photo of Journey Healthcare Integrative Psychiatry in Murrysville, PA
Journey Healthcare Integrative Psychiatry
PA-C
Verified Verified
3 Endorsed
Murrysville, PA 15668
Supervised by Dr. Teresa Lutka. I have had the privileged to work with a diverse patient population. My favorite thing to see in a patient is a desire to get well and have a fulfilling life. If that inner drive is there, at Journey, we can help you. It is such a joy to see people come from difficult situations, a slew of other providers with a medicine list a mile long and learn how to become empowered over their life again. I believe all perceived mistakes are attempted solutions that need more education. I teach people to go from a space of helplessness and shaming to pride and awareness.
Supervised by Dr. Teresa Lutka. I have had the privileged to work with a diverse patient population. My favorite thing to see in a patient is a desire to get well and have a fulfilling life. If that inner drive is there, at Journey, we can help you. It is such a joy to see people come from difficult situations, a slew of other providers with a medicine list a mile long and learn how to become empowered over their life again. I believe all perceived mistakes are attempted solutions that need more education. I teach people to go from a space of helplessness and shaming to pride and awareness.
(878) 205-0811 x2 View (878) 205-0811 x2
Photo of Amber Lee Rose-Smith, Licensed Professional Counselor in Murrysville, PA
Amber Lee Rose-Smith
Licensed Professional Counselor, LPC
Verified Verified
Murrysville, PA 15668
Anxiety, depression, trauma, interpersonal struggles, and life transitions are just some of the issues we face daily that can hold us back from reaching our goals and our true selves. Children, teens, and young adults are exposed early on to enormous amounts of pressure like bullying, mood and behavior changes, and self esteem concerns. I am passionate about helping children, adolescents, and adults jump off the merry-go-round they're trapped on and create new, positive, and healthy ways to cope with life's unpredictable twists and turns or even feeling stuck in the same old. Allow me to understand you and ensure you have a voice.
Anxiety, depression, trauma, interpersonal struggles, and life transitions are just some of the issues we face daily that can hold us back from reaching our goals and our true selves. Children, teens, and young adults are exposed early on to enormous amounts of pressure like bullying, mood and behavior changes, and self esteem concerns. I am passionate about helping children, adolescents, and adults jump off the merry-go-round they're trapped on and create new, positive, and healthy ways to cope with life's unpredictable twists and turns or even feeling stuck in the same old. Allow me to understand you and ensure you have a voice.
(724) 604-5044 View (724) 604-5044
Photo of Ethan Tuxill, Licensed Professional Counselor in Murrysville, PA
Ethan Tuxill
Licensed Professional Counselor, LPC, MS
Verified Verified
2 Endorsed
Murrysville, PA 15668
Not accepting new clients
As your therapist, I can help you identify and walk your unique path: towards your goals, mental wellness, healthy relationships, life-balance, self-understanding and peace and satisfaction. My aim is always to honor you, your experiences and identities without judgement. I make space in our sessions to give authentic support and connection and provide expertise when appropriate: from philosophical soul searching to practical goal setting, with a balance of humor, empathy and psychological/philosophical insights and techniques.
As your therapist, I can help you identify and walk your unique path: towards your goals, mental wellness, healthy relationships, life-balance, self-understanding and peace and satisfaction. My aim is always to honor you, your experiences and identities without judgement. I make space in our sessions to give authentic support and connection and provide expertise when appropriate: from philosophical soul searching to practical goal setting, with a balance of humor, empathy and psychological/philosophical insights and techniques.
(724) 395-8080 View (724) 395-8080
Photo of Maureen Bourke, Licensed Professional Counselor in Murrysville, PA
Maureen Bourke
Licensed Professional Counselor
Verified Verified
1 Endorsed
Murrysville, PA 15668
When the burdens of life leave us feeling like it is a struggle to breathe as we are slowly sinking in quicksand, it can feel impossible to recognize any other way to live, think, and/or function. As a therapist, I believe that listening is paramount to learning and better understanding an individual so that trust and genuine care remain cornerstones of the therapeutic process. Whether it is intrusive thoughts, external stressors, or anything that causes you to feel unsettled, I want us to collaborate so that you will be empowered to discover your own innate strengths.
When the burdens of life leave us feeling like it is a struggle to breathe as we are slowly sinking in quicksand, it can feel impossible to recognize any other way to live, think, and/or function. As a therapist, I believe that listening is paramount to learning and better understanding an individual so that trust and genuine care remain cornerstones of the therapeutic process. Whether it is intrusive thoughts, external stressors, or anything that causes you to feel unsettled, I want us to collaborate so that you will be empowered to discover your own innate strengths.
(724) 892-4966 View (724) 892-4966
Photo of Katelyn Elliott, Licensed Professional Counselor in Murrysville, PA
Katelyn Elliott
Licensed Professional Counselor, NCC, LPC
Verified Verified
Murrysville, PA 15668
Counseling is a collaborative relationship that helps us connect to a meaningful life. Exploring personal experience is a process we can develop together, so that healing can happen. I believe you can be empowered by new awareness, and that everything you need is already within you, just waiting to be actualized.
Counseling is a collaborative relationship that helps us connect to a meaningful life. Exploring personal experience is a process we can develop together, so that healing can happen. I believe you can be empowered by new awareness, and that everything you need is already within you, just waiting to be actualized.
(412) 545-6340 View (412) 545-6340
Photo of Michael Bowersox, Licensed Professional Counselor in Murrysville, PA
Michael Bowersox
Licensed Professional Counselor, MA, LPC
Verified Verified
Murrysville, PA 15668
It's wonderful you are taking the time to poke around and find a therapist that will be a fit for you. Honestly this may be one of the most important pieces in the whole process of therapy - that you and the therapist 'click' and are able to co-create a trusting, collaborative relationship. My hope is that our work together brings more groundedness and balance into your life. And this journey looks different for each of us. It’s an active process, discovering unhelpful patterns of physical sensation-emotion-thought reactivity and then co-creating mindful, body-based practices that draw on your inner strengths and facilitate healing
It's wonderful you are taking the time to poke around and find a therapist that will be a fit for you. Honestly this may be one of the most important pieces in the whole process of therapy - that you and the therapist 'click' and are able to co-create a trusting, collaborative relationship. My hope is that our work together brings more groundedness and balance into your life. And this journey looks different for each of us. It’s an active process, discovering unhelpful patterns of physical sensation-emotion-thought reactivity and then co-creating mindful, body-based practices that draw on your inner strengths and facilitate healing
(724) 221-3452 View (724) 221-3452
Photo of Jennifer Ann Barker, Licensed Professional Counselor in Murrysville, PA
Jennifer Ann Barker
Licensed Professional Counselor, MA, LPC, ATR-BC
Verified Verified
Murrysville, PA 15668
Although we cannot change our past, we can acknowledge its impact and change how we view it and ourselves. While working with clients, I encourage expression to gain self-awareness and to reshape narratives. Expression is essential in everyday life, especially when working through difficult times, such as grief and trauma. I practice therapy with a person-centered, trauma-informed, strength based approach to meet clients where they are and to help them make changes to start the healing process. As an Art Therapist, I have the ability to bring artmaking into the therapy session and to help facilitate the healing process.
Although we cannot change our past, we can acknowledge its impact and change how we view it and ourselves. While working with clients, I encourage expression to gain self-awareness and to reshape narratives. Expression is essential in everyday life, especially when working through difficult times, such as grief and trauma. I practice therapy with a person-centered, trauma-informed, strength based approach to meet clients where they are and to help them make changes to start the healing process. As an Art Therapist, I have the ability to bring artmaking into the therapy session and to help facilitate the healing process.
(878) 216-0445 View (878) 216-0445
Photo of Journey Healthcare in Murrysville, PA
Journey Healthcare
Verified Verified
Murrysville, PA 15668
We put the "We" in Wellness for you are never on your own through your journey to recovery. Let us help you by providing treatment that will be life changing. . . .
We put the "We" in Wellness for you are never on your own through your journey to recovery. Let us help you by providing treatment that will be life changing. . . .
(878) 313-2538 x2 View (878) 313-2538 x2
Photo of Chelsey Smail in Murrysville, PA
Chelsey Smail
PA-C
Verified Verified
Murrysville, PA 15668
Supervised by Dr. Lutka, I am a Psychiatric Physician Assistant who had previously been working as a Hospitalist. Studying Internal Medicine, I saw first hand how our minds, bodies, and souls are so interwoven and the profound impact that each health component has on the others. For example, our physical health significantly impacts our mental health, and vice verses. Here at Journey Healthcare, we want to help you to utilize therapy in combination with medications, if necessary, to help you reach your most successful potential to lead a fulfilling and happy life.
Supervised by Dr. Lutka, I am a Psychiatric Physician Assistant who had previously been working as a Hospitalist. Studying Internal Medicine, I saw first hand how our minds, bodies, and souls are so interwoven and the profound impact that each health component has on the others. For example, our physical health significantly impacts our mental health, and vice verses. Here at Journey Healthcare, we want to help you to utilize therapy in combination with medications, if necessary, to help you reach your most successful potential to lead a fulfilling and happy life.
(878) 313-2118 x2 View (878) 313-2118 x2
Photo of Theresa M. Lee, Licensed Professional Counselor in Murrysville, PA
Theresa M. Lee
Licensed Professional Counselor, MSCP, LPC
Verified Verified
Murrysville, PA 15668
Waitlist for new clients
Not accepting new clients at this time. It is my professional and personal belief that individuals do not heal in an environment of shame and guilt. For this reason, I strive to create a non-judgmental atmosphere where clients feel safe to discuss their issues in an open and productive way. My specialty areas are substance use disorders (addictions) and trauma. Guilt and shame are two feelings that are frequently felt by those who struggle with addictive issues, and for those who have experienced trauma. My goal is to help clients and their families understand their issues and work toward a better life.
Not accepting new clients at this time. It is my professional and personal belief that individuals do not heal in an environment of shame and guilt. For this reason, I strive to create a non-judgmental atmosphere where clients feel safe to discuss their issues in an open and productive way. My specialty areas are substance use disorders (addictions) and trauma. Guilt and shame are two feelings that are frequently felt by those who struggle with addictive issues, and for those who have experienced trauma. My goal is to help clients and their families understand their issues and work toward a better life.
(878) 205-0582 View (878) 205-0582
Blooming Expressions Therapy, LLC
Licensed Professional Counselor, MA, AT, LPC
Verified Verified
Murrysville, PA 15668
At Blooming Expressions, we honor that each person has their own unique set of experiences and needs. We firmly believe in the power of fostering a therapeutic relationship built on trust and collaboration. Our therapists are committed to listening without judgment, providing guidance and support as individuals navigate through life's challenges. If you are seeking a therapy experience that values your unique identity and experiences, where equity, acceptance, and social justice are at the forefront, Blooming Expressions Therapy is here to accompany you on your journey of self-discovery and personal growth.
At Blooming Expressions, we honor that each person has their own unique set of experiences and needs. We firmly believe in the power of fostering a therapeutic relationship built on trust and collaboration. Our therapists are committed to listening without judgment, providing guidance and support as individuals navigate through life's challenges. If you are seeking a therapy experience that values your unique identity and experiences, where equity, acceptance, and social justice are at the forefront, Blooming Expressions Therapy is here to accompany you on your journey of self-discovery and personal growth.
(412) 785-2934 View (412) 785-2934
Photo of Michelle Colarusso, Licensed Professional Counselor in Murrysville, PA
Michelle Colarusso
Licensed Professional Counselor, PhD, LPC, BC-TMH, ACS
Verified Verified
Murrysville, PA 15668  (Online Only)
My goal as a therapist is to create an environment in which my clients can safely work though the complexities of their thoughts, feelings, and personal experience. Life presents many challenges and it is human to feel lost and unsure of our direction in life. The therapeutic relationship provides a unique opportunity for therapist and client to work together to make sense of one’s life and seek the truth of one’s experience.
My goal as a therapist is to create an environment in which my clients can safely work though the complexities of their thoughts, feelings, and personal experience. Life presents many challenges and it is human to feel lost and unsure of our direction in life. The therapeutic relationship provides a unique opportunity for therapist and client to work together to make sense of one’s life and seek the truth of one’s experience.
(878) 217-0897 View (878) 217-0897
Photo of Byers Psychological Services, LLC, Psychologist in Murrysville, PA
Byers Psychological Services, LLC
Psychologist, PhD
Verified Verified
Murrysville, PA 15668
Are you feeling lost or alone? Do you struggle with emotions of sadness, anxiety, or grief? Have you been physically or sexually abused or a victim of domestic violence? Maybe, you're feeling stuck or are struggling with a life transition and don't know where to turn? It can be hard to ask for help, but a little help is often what we need in order to connect with our own inner capacity to cope and heal. I have experience helping children, adolescents, adults, and the elderly to manage life's difficulties and work toward health, happiness, and acceptance.
Are you feeling lost or alone? Do you struggle with emotions of sadness, anxiety, or grief? Have you been physically or sexually abused or a victim of domestic violence? Maybe, you're feeling stuck or are struggling with a life transition and don't know where to turn? It can be hard to ask for help, but a little help is often what we need in order to connect with our own inner capacity to cope and heal. I have experience helping children, adolescents, adults, and the elderly to manage life's difficulties and work toward health, happiness, and acceptance.
(412) 376-4155 View (412) 376-4155
Photo of Dana Nicholson, Psychologist in Murrysville, PA
Dana Nicholson
Psychologist, PsyD
Verified Verified
Murrysville, PA 15668  (Online Only)
Our mission is to provide the highest quality clinical services that empower you to find your inner strengths and reach your greatest potential. We create a safe, compassionate and caring environment for you to explore your strengths and utilize your gifts to your fullest potential. Life’s challenges can be overwhelming at times and we are here to help you overcome these while becoming stronger and healthier in the process. Love, peace, joy and harmony are possible in your life and we are here to help you elevate to your highest potential. As Christian counselors, we believe that no challenge is too big or pain too deep
Our mission is to provide the highest quality clinical services that empower you to find your inner strengths and reach your greatest potential. We create a safe, compassionate and caring environment for you to explore your strengths and utilize your gifts to your fullest potential. Life’s challenges can be overwhelming at times and we are here to help you overcome these while becoming stronger and healthier in the process. Love, peace, joy and harmony are possible in your life and we are here to help you elevate to your highest potential. As Christian counselors, we believe that no challenge is too big or pain too deep
(724) 200-8403 View (724) 200-8403

How does your Therapist compare?

Number of Therapists in Murrysville, PA

80+

Average cost per session

$125

Therapists in Murrysville, PA who prioritize treating:

97% Anxiety
94% Depression
84% Coping Skills
80% Self Esteem
76% Relationship Issues
74% Trauma and PTSD
71% Stress

Average years in practice

10 Years

Top 3 insurances accepted

88% Highmark
87% University of Pittsburgh Medical Center
70% BlueCross and BlueShield

How Therapists in Murrysville, PA see their clients

82% In Person and Online
18% Online Only

Gender breakdown

84% Female
16% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Murrysville?

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.