Photo of Jason Cheung, Licensed Professional Counselor in 97223, OR
Jason Cheung
Licensed Professional Counselor, MA, LPC
Verified Verified
Tigard, OR 97223
There are many reasons to pursue therapy. Whether you are seeking counseling for the first time or contemplating starting again with a new therapist, you are taking an important step towards self-care and personal growth. Life brings us hardships, transitions, and life altering events which leave us questioning ourselves, decisions, or the people around us. During these seasons it can be helpful to have a skilled partner. Someone who sees, listens, and affirms you as you walk through life's challenges. It is my privilege to hear your story and help you tap into your inner strength, sense of self, and provide support.
There are many reasons to pursue therapy. Whether you are seeking counseling for the first time or contemplating starting again with a new therapist, you are taking an important step towards self-care and personal growth. Life brings us hardships, transitions, and life altering events which leave us questioning ourselves, decisions, or the people around us. During these seasons it can be helpful to have a skilled partner. Someone who sees, listens, and affirms you as you walk through life's challenges. It is my privilege to hear your story and help you tap into your inner strength, sense of self, and provide support.
(503) 461-9339 View (503) 461-9339
Photo of Melissa McDonald, Counselor in 97223, OR
Melissa McDonald
Counselor, MA, NCC, LPC, LMHC
Verified Verified
9 Endorsed
Tigard, OR 97223  (Online Only)
Are you finding yourself overwhelmed, exhausted, disoriented by major change or perhaps weighed down by who you are, where you’re not, or just feeling off? Maybe you’re in need of extra support, even just a little. I get it. I’ve been there and would like to help.
Are you finding yourself overwhelmed, exhausted, disoriented by major change or perhaps weighed down by who you are, where you’re not, or just feeling off? Maybe you’re in need of extra support, even just a little. I get it. I’ve been there and would like to help.
(503) 738-1580 View (503) 738-1580
Photo of Shalaine Mistretta, Clinical Social Work/Therapist in 97223, OR
Shalaine Mistretta
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tigard, OR 97223
Not accepting new clients
I specialize in working with adolescents, teens, and young adults. Are you feeling depressed? Struggling with self-confidence? Anxious? Are you experiencing grief or struggling with loss? Having trouble at home or school? Experiencing loneliness? We all encounter challenges of all kinds along the journey. My goal is to meet you where you are and walk with you towards building a more satisfying quality of life. My approach is open and non-judgmental; I seek to understand you and your needs. Finding solutions will always be collaborative and client focused.
I specialize in working with adolescents, teens, and young adults. Are you feeling depressed? Struggling with self-confidence? Anxious? Are you experiencing grief or struggling with loss? Having trouble at home or school? Experiencing loneliness? We all encounter challenges of all kinds along the journey. My goal is to meet you where you are and walk with you towards building a more satisfying quality of life. My approach is open and non-judgmental; I seek to understand you and your needs. Finding solutions will always be collaborative and client focused.
(503) 966-2564 View (503) 966-2564
Photo of Dana Fears, Licensed Professional Counselor in 97223, OR
Dana Fears
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Portland, OR 97223
Are you on a personal journey to heal from grief and trauma? I am someone to guide you through the chaos and help you encounter hope. I specialize in grief and loss, narcissistic abuse recovery, Bipolar disorder, adult children of alcoholics, and individuals with disabilities and those auto-immune disorders, and individuals who are domestic violence and cancer survivors. Unfortunately, I don't treat suicidal ideation or self-harm at this time.
Are you on a personal journey to heal from grief and trauma? I am someone to guide you through the chaos and help you encounter hope. I specialize in grief and loss, narcissistic abuse recovery, Bipolar disorder, adult children of alcoholics, and individuals with disabilities and those auto-immune disorders, and individuals who are domestic violence and cancer survivors. Unfortunately, I don't treat suicidal ideation or self-harm at this time.
(503) 782-8649 View (503) 782-8649
Photo of Nate Lindsay, Clinical Social Work/Therapist in 97223, OR
Nate Lindsay
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97223
Openings for OHP CareOregon members! Along with my dog, Pippa, I specialize in treating attachment trauma and ADHD, offering services to adults and kids including individual, group and family therapy. My experience has taught me that our mental health struggles are often rooted in shame. We feel guilty ("I'm not doing enough") and inadequate (I'm not good enough"). The self-judgement and self-criticism resulting from painful past experiences sucks the life right out of us! My goal is to support you in discovering a path beyond "just surviving", a path with less loneliness and more wholeness.
Openings for OHP CareOregon members! Along with my dog, Pippa, I specialize in treating attachment trauma and ADHD, offering services to adults and kids including individual, group and family therapy. My experience has taught me that our mental health struggles are often rooted in shame. We feel guilty ("I'm not doing enough") and inadequate (I'm not good enough"). The self-judgement and self-criticism resulting from painful past experiences sucks the life right out of us! My goal is to support you in discovering a path beyond "just surviving", a path with less loneliness and more wholeness.
(971) 203-0782 View (971) 203-0782
Photo of Stacie Giese, Pre-Licensed Professional in 97223, OR
Stacie Giese
Pre-Licensed Professional, MA, NCC
Verified Verified
Tigard, OR 97223
Waitlist for new clients
My ideal client is someone experiencing disconnection from their authentic self or is trying to unmask. They might be experiencing anxiety, depression, or emotional triggers related to past traumas with which they are struggling. Perhaps they are interested in understanding more about their neurodivergence and ways to build supportive systems to address symptoms. I am honored to help with navigating questions of identity, gender, sexuality, and building relationships with oneself and others.
My ideal client is someone experiencing disconnection from their authentic self or is trying to unmask. They might be experiencing anxiety, depression, or emotional triggers related to past traumas with which they are struggling. Perhaps they are interested in understanding more about their neurodivergence and ways to build supportive systems to address symptoms. I am honored to help with navigating questions of identity, gender, sexuality, and building relationships with oneself and others.
(503) 782-8806 View (503) 782-8806
Photo of Debbie Johnsen, Marriage & Family Therapist in 97223, OR
Debbie Johnsen
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Tigard, OR 97223
Not accepting new clients
I understand that seeking help or support from a therapist can be a scary and intimidating process, and I commend you for being brave in reaching out for support. I offer a safe and compassionate space in which you can explore difficult experiences, express vulnerable emotions, and identify barriers to your success. I believe you are the expert in your own life and my role is to help facilitate growth and change that you desire. I believe our life experiences offer opportunities for growth in our personal lives, as well as in relationships with others.
I understand that seeking help or support from a therapist can be a scary and intimidating process, and I commend you for being brave in reaching out for support. I offer a safe and compassionate space in which you can explore difficult experiences, express vulnerable emotions, and identify barriers to your success. I believe you are the expert in your own life and my role is to help facilitate growth and change that you desire. I believe our life experiences offer opportunities for growth in our personal lives, as well as in relationships with others.
(503) 549-4920 View (503) 549-4920
Photo of Noelle Wittliff, Marriage & Family Therapist in 97223, OR
Noelle Wittliff
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Portland, OR 97223  (Online Only)
Finding the right therapist is an important step toward healing, self-acceptance, and personal growth. I help clients achieve balance; improve relationships; and live with greater integrity, creativity, and spirit. My clinical approach is devoted to providing holistic treatment that incorporates emotional, behavioral, and interpersonal solutions, tailored to the specific needs of my clients. I will help you identify and work through challenges so that you may find deeper meaning and purpose in your life.
Finding the right therapist is an important step toward healing, self-acceptance, and personal growth. I help clients achieve balance; improve relationships; and live with greater integrity, creativity, and spirit. My clinical approach is devoted to providing holistic treatment that incorporates emotional, behavioral, and interpersonal solutions, tailored to the specific needs of my clients. I will help you identify and work through challenges so that you may find deeper meaning and purpose in your life.
(323) 800-4940 View (323) 800-4940
Photo of Aaron Altman, Pre-Licensed Professional in 97223, OR
Aaron Altman
Pre-Licensed Professional
Verified Verified
Tigard, OR 97223
If you are looking to improve your mood, friendships and relationships, ease tensions in work and family life, and resolve long-running issues that may be holding you back, I would look forward to working with you. This work takes attachment, co-regulation and the social neurobiology of emotions seriously as foundations of mental health. With the help of other trauma-specific techniques, we can also work towards peace and fulfillment in the aftermath of trauma, whether single-incident or chronic and complex.
If you are looking to improve your mood, friendships and relationships, ease tensions in work and family life, and resolve long-running issues that may be holding you back, I would look forward to working with you. This work takes attachment, co-regulation and the social neurobiology of emotions seriously as foundations of mental health. With the help of other trauma-specific techniques, we can also work towards peace and fulfillment in the aftermath of trauma, whether single-incident or chronic and complex.
(971) 306-5175 View (971) 306-5175
Photo of Christina Geist, Marriage & Family Therapist Associate in 97223, OR
Christina Geist
Marriage & Family Therapist Associate, MAT, MA
Verified Verified
2 Endorsed
Tigard, OR 97223
We are all wired to seek connection, love, belonging, and to be understood. Our internal (subconscious) messaging often tells us we are not good enough to receive these things. I provide customized and effective psychotherapy with warmth and authenticity. My goal is to create a safe, nurturing space and be present as we gently and collaboratively explore and untangle past emotions, beliefs, and experiences that are unique to you and your family.
We are all wired to seek connection, love, belonging, and to be understood. Our internal (subconscious) messaging often tells us we are not good enough to receive these things. I provide customized and effective psychotherapy with warmth and authenticity. My goal is to create a safe, nurturing space and be present as we gently and collaboratively explore and untangle past emotions, beliefs, and experiences that are unique to you and your family.
(503) 433-8106 View (503) 433-8106
Photo of Ramona Roberts, Licensed Professional Counselor in 97223, OR
Ramona Roberts
Licensed Professional Counselor, LPC, NCC
Verified Verified
Tigard, OR 97223  (Online Only)
What would it be like if you had the closeness you've been missing with your spouse, partner, or loved one? What if you could resolve conflict effectively? What if developing a greater awareness of your emotions could help, rather than overwhelm, you? I believe relationships really matter to us. Healthy ones can increase our peace of mind and satisfaction with life. If you are tired of struggling with your relationships and/or your emotional well-being, therapy can help. Whether you come alone or with someone else you can learn skills that help you develop deeper, richer relationships with yourself and those you love.
What would it be like if you had the closeness you've been missing with your spouse, partner, or loved one? What if you could resolve conflict effectively? What if developing a greater awareness of your emotions could help, rather than overwhelm, you? I believe relationships really matter to us. Healthy ones can increase our peace of mind and satisfaction with life. If you are tired of struggling with your relationships and/or your emotional well-being, therapy can help. Whether you come alone or with someone else you can learn skills that help you develop deeper, richer relationships with yourself and those you love.
(503) 822-3704 View (503) 822-3704
Photo of Christine Esparza Estrada, Licensed Professional Counselor in 97223, OR
Christine Esparza Estrada
Licensed Professional Counselor, LPC
Verified Verified
Tigard, OR 97223
I am a Licensed Professional Counselor in the State of Oregon and I have more than 15 years of clinical experience. The majority of my clinical work was for the Oregon State Hospital and the Department of Corrections. I believe that each individual has the potential to change and move toward a healthy and satisfying lifestyle. In therapy, I draw on client strengths and provide opportunities to explore client thoughts, feelings and behaviors to assist with client insight and awareness. I utilize a variety of therapeutic approaches and I am committed to providing the best practice clinical services to my clients.
I am a Licensed Professional Counselor in the State of Oregon and I have more than 15 years of clinical experience. The majority of my clinical work was for the Oregon State Hospital and the Department of Corrections. I believe that each individual has the potential to change and move toward a healthy and satisfying lifestyle. In therapy, I draw on client strengths and provide opportunities to explore client thoughts, feelings and behaviors to assist with client insight and awareness. I utilize a variety of therapeutic approaches and I am committed to providing the best practice clinical services to my clients.
(458) 203-7201 View (458) 203-7201
Photo of Vera Dujovne Anderson, Psychologist in 97223, OR
Vera Dujovne Anderson
Psychologist, PhD
Verified Verified
Tigard, OR 97223
I practice individual, adult psychotherapy in Oregon and Utah (Utah is currently telehealth only), and I hold an Authorization to Practice Interjurisdictional Telepsychology (telehealth) in several other states as well. I work primarily with individuals experiencing anxiety or mood-related problems as well as those who are having difficulty with their relationships or difficulty coping with stressful life events. Since my VA internship, a portion of my practice has been working with veterans. I've been a provider for Returning Veterans Project and Give an Hour and have completed the MAPS training in MDMA-assisted therapy for PTSD.
I practice individual, adult psychotherapy in Oregon and Utah (Utah is currently telehealth only), and I hold an Authorization to Practice Interjurisdictional Telepsychology (telehealth) in several other states as well. I work primarily with individuals experiencing anxiety or mood-related problems as well as those who are having difficulty with their relationships or difficulty coping with stressful life events. Since my VA internship, a portion of my practice has been working with veterans. I've been a provider for Returning Veterans Project and Give an Hour and have completed the MAPS training in MDMA-assisted therapy for PTSD.
(503) 985-8927 View (503) 985-8927
Photo of Jennifer DeVan, Clinical Social Work/Therapist in 97223, OR
Jennifer DeVan
Clinical Social Work/Therapist, LCSW
Verified Verified
Tigard, OR 97223
Waitlist for new clients
Hello! Thank you for viewing my profile. I believe it takes strength and courage to decide to begin therapy. I believe there comes a time in most people's lives when it can be helpful to have a non-biased, supportive person to guide them through life changes or difficulties they may be experiencing. Therapy is a collaborative relationship between the client and the therapist. In order for therapy to be successful, a person has to be ready and want to make changes. It is also essential to feel understood and accepted by your therapist. If you feel that you might benefit from a caring, experienced therapist, please call.
Hello! Thank you for viewing my profile. I believe it takes strength and courage to decide to begin therapy. I believe there comes a time in most people's lives when it can be helpful to have a non-biased, supportive person to guide them through life changes or difficulties they may be experiencing. Therapy is a collaborative relationship between the client and the therapist. In order for therapy to be successful, a person has to be ready and want to make changes. It is also essential to feel understood and accepted by your therapist. If you feel that you might benefit from a caring, experienced therapist, please call.
(503) 828-3957 View (503) 828-3957
Photo of Jess Brunelle, Licensed Professional Counselor in 97223, OR
Jess Brunelle
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Portland, OR 97223
Not accepting new clients
Are you not feeling seen or heard? Have you been coping the best that you can with depression, anxiety or trauma symptoms, but life is still a struggle? Let me help you on your journey to recovery. There are so many ways to help unique, individual people with their challenges. Each person has different needs and I treat each client with respect, dignity and autonomy. Collaboratively, we can create therapy goals and demystify the process together.
Are you not feeling seen or heard? Have you been coping the best that you can with depression, anxiety or trauma symptoms, but life is still a struggle? Let me help you on your journey to recovery. There are so many ways to help unique, individual people with their challenges. Each person has different needs and I treat each client with respect, dignity and autonomy. Collaboratively, we can create therapy goals and demystify the process together.
(503) 436-7819 View (503) 436-7819
Photo of Daniel Blanchette, Licensed Professional Counselor in 97223, OR
Daniel Blanchette
Licensed Professional Counselor, LPC
Verified Verified
Tigard, OR 97223
Dan holds a Master of Science in Rehabilitation Counseling as well as a Bachelor of Science in Psychology from Portland State University in Portland, Oregon. Before moving to Oregon to attend college, Dan worked as a disc jockey, special education teacher and served in the United States Army. He has more than 15 years of experience serving diverse populations including military veterans, victims of trauma and individuals with developmental disabilities.
Dan holds a Master of Science in Rehabilitation Counseling as well as a Bachelor of Science in Psychology from Portland State University in Portland, Oregon. Before moving to Oregon to attend college, Dan worked as a disc jockey, special education teacher and served in the United States Army. He has more than 15 years of experience serving diverse populations including military veterans, victims of trauma and individuals with developmental disabilities.
(503) 782-9542 View (503) 782-9542
Photo of Brandi Cole, Clinical Social Work/Therapist in 97223, OR
Brandi Cole
Clinical Social Work/Therapist, LCSW
Verified Verified
Tigard, OR 97223
Feeling Stressed? Overwhelmed? Need someone to talk to? Having difficulties with a partner? Or worried about your child? Please call me for an appointment. I would really like to hear from you! Life situations and changes can bring a lot of stress. Brandi brings calmness to sessions, while focusing on clients’ strengths. In the beginning, she will develop clear goals around behaviors or thoughts the client(s) wants to change, and a potential time frame for services. Brandi uses multiple modalities to connect with clients and accomplish those goals.
Feeling Stressed? Overwhelmed? Need someone to talk to? Having difficulties with a partner? Or worried about your child? Please call me for an appointment. I would really like to hear from you! Life situations and changes can bring a lot of stress. Brandi brings calmness to sessions, while focusing on clients’ strengths. In the beginning, she will develop clear goals around behaviors or thoughts the client(s) wants to change, and a potential time frame for services. Brandi uses multiple modalities to connect with clients and accomplish those goals.
(503) 461-2359 View (503) 461-2359
Photo of Katherine Lindsay, Clinical Social Worker Associate in 97223, OR
Katherine Lindsay
Clinical Social Worker Associate, CSWA, CADCI
Verified Verified
1 Endorsed
Portland, OR 97223
In both my work and personal life, I am a firm believer in the benefits of therapy and the ability to integrate our challenges into our lives to create new and healthy dynamics. I am warm, creative, affirming, and direct as a therapist. I believe personal growth is a collaborative endeavor that requires caring, free from judgment. I work with individuals across the lifespan and have experience in a variety of mental health treatment settings.
In both my work and personal life, I am a firm believer in the benefits of therapy and the ability to integrate our challenges into our lives to create new and healthy dynamics. I am warm, creative, affirming, and direct as a therapist. I believe personal growth is a collaborative endeavor that requires caring, free from judgment. I work with individuals across the lifespan and have experience in a variety of mental health treatment settings.
View
Photo of Heartafire Counseling Services/Bekah Stines, LPC, Licensed Professional Counselor in 97223, OR
Heartafire Counseling Services/Bekah Stines, LPC
Licensed Professional Counselor, MSPC, LPC
Verified Verified
4 Endorsed
Tigard, OR 97223
At Heartafire, we realize that taking the first step to reach out for help can be a daunting one. If you find yourself struggling to manage life's challenges, the past keeps intruding into the present, or you feel yourself trying to manage your symptoms, but it isn't working - therapy can help! Together, we will collaborate on a plan to incorporate a variety of therapy modalities using evidence + strength-based approaches in order to individually meet your needs.
At Heartafire, we realize that taking the first step to reach out for help can be a daunting one. If you find yourself struggling to manage life's challenges, the past keeps intruding into the present, or you feel yourself trying to manage your symptoms, but it isn't working - therapy can help! Together, we will collaborate on a plan to incorporate a variety of therapy modalities using evidence + strength-based approaches in order to individually meet your needs.
(503) 308-8016 View (503) 308-8016
Photo of Avid Farahani, Psychologist in 97223, OR
Avid Farahani
Psychologist, PsyD
Verified Verified
2 Endorsed
Tigard, OR 97223  (Online Only)
As we all continue to navigate life's transitions and changes, we eventually find ourselves needing guidance and support along the way. Whether you or someone you know is currently thriving or struggling in life, deciding to seek therapy can often be a helpful, rewarding, and life-changing experience. Finding and choosing a therapist, however, could be challenging and overwhelming. Not only must practical matters be considered, such as fees and scheduling, so must the therapist's style, approach, and qualifications. In other words, it has to be a "good fit" and it must "feel right."
As we all continue to navigate life's transitions and changes, we eventually find ourselves needing guidance and support along the way. Whether you or someone you know is currently thriving or struggling in life, deciding to seek therapy can often be a helpful, rewarding, and life-changing experience. Finding and choosing a therapist, however, could be challenging and overwhelming. Not only must practical matters be considered, such as fees and scheduling, so must the therapist's style, approach, and qualifications. In other words, it has to be a "good fit" and it must "feel right."
(503) 496-7455 x2 View (503) 496-7455 x2

How does your Therapist compare?

Number of Therapists in 97223

300+

Average cost per session

$159

Therapists in 97223 who prioritize treating:

93% Anxiety
87% Depression
79% Relationship Issues
77% Self Esteem
74% Stress
69% Trauma and PTSD
67% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

61% PacificSource
54% Aetna
43% Regence

How Therapists in 97223 see their clients

69% In Person and Online
31% Online Only

Gender breakdown

73% Female
25% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 97223?

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.