Therapists in Ashton, MD

Photo of Lynda Mischler, Clinical Social Work/Therapist in Ashton, MD
Lynda Mischler
Clinical Social Work/Therapist, MSW, LCSW-C, LICSW
Verified Verified
Ashton, MD 20861  (Online Only)
I strongly believe in the value of therapy and I feel privileged to be a part of the healing community. I strive to empower you to make healthy changes that will positively impact your life. I work with sensitivity and warmth to create an accepting environment where you can feel safe and free to explore your thoughts and feelings despite how difficult or painful they might be. At times, your life may seem out of balance, whether the issues pertain to home, work, or relationships. My goal is to help you find the peace and joy in life that you deserve. I specialize in the healing of trauma.
I strongly believe in the value of therapy and I feel privileged to be a part of the healing community. I strive to empower you to make healthy changes that will positively impact your life. I work with sensitivity and warmth to create an accepting environment where you can feel safe and free to explore your thoughts and feelings despite how difficult or painful they might be. At times, your life may seem out of balance, whether the issues pertain to home, work, or relationships. My goal is to help you find the peace and joy in life that you deserve. I specialize in the healing of trauma.
(301) 288-3769 View (301) 288-3769
Photo of Vince Broglio, Clinical Social Work/Therapist in Ashton, MD
Vince Broglio
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Ashton, MD 20861  (Online Only)
This section is asking me to imagine what my ideal client is like (their issues, needs, goals, etc). I don't necessarily think there is an "ideal" client as far as needs, issues, or goals. What would be ideal is to have clients who are motivated, and those who (to a certain degree) look forward to coming to therapy.
This section is asking me to imagine what my ideal client is like (their issues, needs, goals, etc). I don't necessarily think there is an "ideal" client as far as needs, issues, or goals. What would be ideal is to have clients who are motivated, and those who (to a certain degree) look forward to coming to therapy.
(301) 381-2930 View (301) 381-2930
Photo of Stephanie Spicer Parkhurst, Psychologist in Ashton, MD
Stephanie Spicer Parkhurst
Psychologist, PhD, LLC
Verified Verified
Ashton, MD 20861
Living with purpose, meaning and happiness calls for self-compassion as you work to heal and grow. I believe we each have the innate ability for personal development that is enhanced when we are in a safe and supportive relationship. It can be hard to ask for help so I work to establish a strong, trusting relationship where needs, experiences and goals can be explored and worked on without fear of being judged. I work with adults experiencing a broad range of concerns including anxiety, depression, stress, trauma, relationship issues, attention/concentration issues, and changing life circumstances.
Living with purpose, meaning and happiness calls for self-compassion as you work to heal and grow. I believe we each have the innate ability for personal development that is enhanced when we are in a safe and supportive relationship. It can be hard to ask for help so I work to establish a strong, trusting relationship where needs, experiences and goals can be explored and worked on without fear of being judged. I work with adults experiencing a broad range of concerns including anxiety, depression, stress, trauma, relationship issues, attention/concentration issues, and changing life circumstances.
(240) 801-6998 View (240) 801-6998

More Therapists Nearby

Photo of April Donohue, Psychologist in Ashton, MD
April Donohue
Psychologist, PhD
Verified Verified
1 Endorsed
Highland, MD 20777
Youth experience a variety of transitions, challenges, and pressures. Coping with such difficulties while going to school and managing relationships is hard. Kids may show symptoms of anxiety, mood changes, behavior problems, struggles with friends, or trouble in school as a result. I want to help youth and their families get back on track. My primary approach is CBT, which focuses on how thoughts, feelings, and behavior all work together and affect our mental health. Although I use treatments backed by research, I believe my relationship with my clients is the foundation of our work together.
Youth experience a variety of transitions, challenges, and pressures. Coping with such difficulties while going to school and managing relationships is hard. Kids may show symptoms of anxiety, mood changes, behavior problems, struggles with friends, or trouble in school as a result. I want to help youth and their families get back on track. My primary approach is CBT, which focuses on how thoughts, feelings, and behavior all work together and affect our mental health. Although I use treatments backed by research, I believe my relationship with my clients is the foundation of our work together.
(301) 691-4254 View (301) 691-4254
Photo of Kathy Wallens, Licensed Clinical Professional Counselor in Ashton, MD
Kathy Wallens
Licensed Clinical Professional Counselor, LCPC, BC-DMT, NCC
Verified Verified
Silver Spring, MD 20905  (Online Only)
Not accepting new clients
Life is challenging no matter who we are. And there are times in our lives when we need extra support to get through the bumps and bruises life presents, whether suddenly or over a protracted period. I have been working with adults and seniors in the Washington DC area for over 40 years. I am experienced in working with individuals dealing with anxiety, depression, panic attacks and phobias, grief and loss, relationship issues and more. I also have extensive experience working with individuals with developmental delays.
Life is challenging no matter who we are. And there are times in our lives when we need extra support to get through the bumps and bruises life presents, whether suddenly or over a protracted period. I have been working with adults and seniors in the Washington DC area for over 40 years. I am experienced in working with individuals dealing with anxiety, depression, panic attacks and phobias, grief and loss, relationship issues and more. I also have extensive experience working with individuals with developmental delays.
(240) 696-4167 View (240) 696-4167
Photo of Matthew Frasca, Licensed Clinical Professional Counselor in Ashton, MD
Matthew Frasca
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Sandy Spring, MD 20860
Finding a therapist is challenging and stressful, but my job is to make it much easier for you. I work with a variety of clients all with different needs. My goal is to help you overcome and work through issues, empowering you to take back control over your life. My objective with my clients (children through adults) is to inspire self-discovery, inner peace, and help them find strength and understanding to make them feel complete, whole, and safe. I work with each client at their level and at their pace. Together we can broach difficult topics in a caring and empathetic way to begin the healing process.
Finding a therapist is challenging and stressful, but my job is to make it much easier for you. I work with a variety of clients all with different needs. My goal is to help you overcome and work through issues, empowering you to take back control over your life. My objective with my clients (children through adults) is to inspire self-discovery, inner peace, and help them find strength and understanding to make them feel complete, whole, and safe. I work with each client at their level and at their pace. Together we can broach difficult topics in a caring and empathetic way to begin the healing process.
(240) 702-2757 View (240) 702-2757
Photo of Deborah Irvin, Clinical Social Work/Therapist in Ashton, MD
Deborah Irvin
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Sandy Spring, MD 20860
I'm glad today is the day you are reaching out. I'm sorry you are struggling... you are not alone. Are you overwhelmed, suffering from anxiety, or depression; or need trauma recovery? I can help. Perhaps you are experiencing a significant loss, contemplating separation or divorce, or want to end the cycle of unsatisfying life choices. Are you in need parenting advice, or a parent struggling with current demands and personal fulfillment, or looking for support to take that daring next step? I can help. I provide a warm, supportive, therapeutic environment with years of proven success. It would be an honor to work with you.
I'm glad today is the day you are reaching out. I'm sorry you are struggling... you are not alone. Are you overwhelmed, suffering from anxiety, or depression; or need trauma recovery? I can help. Perhaps you are experiencing a significant loss, contemplating separation or divorce, or want to end the cycle of unsatisfying life choices. Are you in need parenting advice, or a parent struggling with current demands and personal fulfillment, or looking for support to take that daring next step? I can help. I provide a warm, supportive, therapeutic environment with years of proven success. It would be an honor to work with you.
(301) 812-4428 View (301) 812-4428
Photo of Lisa Fawn Mitchell, Licensed Clinical Professional Counselor in Ashton, MD
Lisa Fawn Mitchell
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
1 Endorsed
Sandy Spring, MD 20860
"Your beliefs become your thoughts, Your thoughts become your words, Your words become your actions, Your actions become your habits...." Gandhi Let me help you identify how your thoughts affect your actions and impact your life. Let's work together to create the habits you desire to make it a great year!
"Your beliefs become your thoughts, Your thoughts become your words, Your words become your actions, Your actions become your habits...." Gandhi Let me help you identify how your thoughts affect your actions and impact your life. Let's work together to create the habits you desire to make it a great year!
(240) 348-6285 View (240) 348-6285
Photo of Jacqueline Trombley, Clinical Social Work/Therapist in Ashton, MD
Jacqueline Trombley
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Sandy Spring, MD 20860
I have over 12 years experience working with both adolescents and adults. I specialize in trauma, anxiety, depression, grief, low self-esteem, and other relationship related challenges. I have a Level 1 and Level 2 trauma certificate from the Ferentz Institute and work with both childhood and adult trauma. I am also an Internal Family Systems Certified Therapist. Though trauma is my speciality, I have experience with a wide range of mental health issues. I have run several groups for adults and for teens in the Montgomery County school system. I offer video and in person sessions.
I have over 12 years experience working with both adolescents and adults. I specialize in trauma, anxiety, depression, grief, low self-esteem, and other relationship related challenges. I have a Level 1 and Level 2 trauma certificate from the Ferentz Institute and work with both childhood and adult trauma. I am also an Internal Family Systems Certified Therapist. Though trauma is my speciality, I have experience with a wide range of mental health issues. I have run several groups for adults and for teens in the Montgomery County school system. I offer video and in person sessions.
(240) 348-6492 View (240) 348-6492
Photo of David Tong, Licensed Clinical Professional Counselor in Ashton, MD
David Tong
Licensed Clinical Professional Counselor, MA, EMBA, LCPC, NCC
Verified Verified
4 Endorsed
Sandy Spring, MD 20860  (Online Only)
My approach to counseling is to be fully present, attune, and resonate with my clients by co-regulating their nervous systems in a therapeutic setting. I am trained to identify and treat the root causes of emotional triggers and associated thoughts, beliefs, and behaviors. I believe mental wellness is characterized by calmness, clarity, curiosity, creativity, confidence, courage, compassion, and connectedness.
My approach to counseling is to be fully present, attune, and resonate with my clients by co-regulating their nervous systems in a therapeutic setting. I am trained to identify and treat the root causes of emotional triggers and associated thoughts, beliefs, and behaviors. I believe mental wellness is characterized by calmness, clarity, curiosity, creativity, confidence, courage, compassion, and connectedness.
(301) 381-4835 View (301) 381-4835
Cynthia Glass
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Brinklow, MD 20862
Not accepting new clients
I specialize in working with women in transitions, couples, families, addictions and grief work. I also work with adolescents with peer and self esteem issues. My approach to working with my clients is eclectic, gestalt and psycho dynamic. I have a good deal of experience working with Cognitive Behavioral Therapy as well as Dialectical Behavioral Therapy. My general focus is on Family and Personal Empowerment.
I specialize in working with women in transitions, couples, families, addictions and grief work. I also work with adolescents with peer and self esteem issues. My approach to working with my clients is eclectic, gestalt and psycho dynamic. I have a good deal of experience working with Cognitive Behavioral Therapy as well as Dialectical Behavioral Therapy. My general focus is on Family and Personal Empowerment.
(301) 710-9760 View (301) 710-9760
Photo of Lisa Levine, Psychologist in Ashton, MD
Lisa Levine
Psychologist, PsyD
Verified Verified
Sandy Spring, MD 20860  (Online Only)
For the past 20 years I have been helping adolescents and adults recover from often debilitating OCD, BDD, GAD, Panic Disorder, and other anxiety disorders. I have a special interest in mental compulsions and have written articles and regularly present at national conferences on treatment for “Pure O.” As awful as OCD and anxiety disorders can be, they are highly treatable. It takes a lot of courage to face one’s anxiety. Helping people discover their strength and overcome their challenges is a privilege I cherish.
For the past 20 years I have been helping adolescents and adults recover from often debilitating OCD, BDD, GAD, Panic Disorder, and other anxiety disorders. I have a special interest in mental compulsions and have written articles and regularly present at national conferences on treatment for “Pure O.” As awful as OCD and anxiety disorders can be, they are highly treatable. It takes a lot of courage to face one’s anxiety. Helping people discover their strength and overcome their challenges is a privilege I cherish.
(301) 786-5610 View (301) 786-5610
Photo of Chris Haugen, Clinical Social Work/Therapist in Ashton, MD
Chris Haugen
Clinical Social Work/Therapist, LCSW-C, EdM
Verified Verified
Silver Spring, MD 20905
It's hard to know how to choose a counselor. I'm happy to meet for an hour or two at no charge to make sure it is a good match. Be aware that I accept Maryland and Federal Workers' Compensation. It starts with feeling at ease with someone, and feeling understood. I'm willing to be helpful for people who struggle with addiction, but I may need people to see an additional counselor for more focused help on this. One's thinking and beliefs are important, and certainly there is an emotional component. I find that people feel a lot better when they feel their lives are moving forward.
It's hard to know how to choose a counselor. I'm happy to meet for an hour or two at no charge to make sure it is a good match. Be aware that I accept Maryland and Federal Workers' Compensation. It starts with feeling at ease with someone, and feeling understood. I'm willing to be helpful for people who struggle with addiction, but I may need people to see an additional counselor for more focused help on this. One's thinking and beliefs are important, and certainly there is an emotional component. I find that people feel a lot better when they feel their lives are moving forward.
(301) 591-6512 View (301) 591-6512
Photo of Anne Fox, Clinical Social Work/Therapist in Ashton, MD
Anne Fox
Clinical Social Work/Therapist, LCSW-C, LCSW
Verified Verified
Sandy Spring, MD 20860  (Online Only)
Major transitions, family issues, excessive worry, or feelings of being stuck are hurdles we may face at some point on our life's journey. I provide a safe, non-judgmental space to support you or your loved ones through these issues and help you navigate life's challenges. My goal is to form a collaborative relationship with my clients so that we can explore the root of issues, identify barriers, and create pathways to help you move forward.
Major transitions, family issues, excessive worry, or feelings of being stuck are hurdles we may face at some point on our life's journey. I provide a safe, non-judgmental space to support you or your loved ones through these issues and help you navigate life's challenges. My goal is to form a collaborative relationship with my clients so that we can explore the root of issues, identify barriers, and create pathways to help you move forward.
(240) 589-7717 View (240) 589-7717
Photo of Beneath the Surface Therapy , Licensed Clinical Professional Counselor in Ashton, MD
Beneath the Surface Therapy
Licensed Clinical Professional Counselor, LPC, LCPC, NCC
Verified Verified
Colesville, MD 20905  (Online Only)
Accepting clients for telehealth. Are you considered the one who has it all together making it difficult to get the support you need? Sometimes life's stressors overwhelm our ability to cope. However, I believe the greatest tools we have are within ourselves! We sometimes just don't know how to access them. My passion for therapy comes from empowering individuals to authentically lead the lives they choose to live, with consideration for cultural values and overall wellness.
Accepting clients for telehealth. Are you considered the one who has it all together making it difficult to get the support you need? Sometimes life's stressors overwhelm our ability to cope. However, I believe the greatest tools we have are within ourselves! We sometimes just don't know how to access them. My passion for therapy comes from empowering individuals to authentically lead the lives they choose to live, with consideration for cultural values and overall wellness.
(301) 450-8250 View (301) 450-8250
Photo of Alexandra L. Flynn, Clinical Social Work/Therapist in Ashton, MD
Alexandra L. Flynn
Clinical Social Work/Therapist, LMSW
Verified Verified
Sandy Spring, MD 20860
I know how challenging life can be, especially during transition or stress. Going to college, starting a new career, dealing with family and/or relationship changes, and experiencing an illness can all cause anxiety and mood changes. These times can be even more difficult if you already struggle with a lack of confidence and low self-esteem and don't have the tools to manage your stress and anxiety. Finding mental health treatment is no easy task. It can be frustrating to navigate insurance and find the right provider. But don't worry; I'm here to help!
I know how challenging life can be, especially during transition or stress. Going to college, starting a new career, dealing with family and/or relationship changes, and experiencing an illness can all cause anxiety and mood changes. These times can be even more difficult if you already struggle with a lack of confidence and low self-esteem and don't have the tools to manage your stress and anxiety. Finding mental health treatment is no easy task. It can be frustrating to navigate insurance and find the right provider. But don't worry; I'm here to help!
(240) 730-2788 View (240) 730-2788
Photo of Stephanie Junghans, Licensed Clinical Professional Counselor in Ashton, MD
Stephanie Junghans
Licensed Clinical Professional Counselor, LCPC, ACS
Verified Verified
1 Endorsed
Sandy Spring, MD 20860
Welcome! Everyone has a unique story and I believe that therapy is a safe place to come and explore that story. My therapeutic style includes facets of CBT , and incorporates a variety of techniques based on my client's individual needs, including mindfulness, strength- based approaches, and play-therapy. Using active conversation and encouragement, my collaborative, client-centered approach helps my clients to gain a sense of their own individuality and uniqueness.
Welcome! Everyone has a unique story and I believe that therapy is a safe place to come and explore that story. My therapeutic style includes facets of CBT , and incorporates a variety of techniques based on my client's individual needs, including mindfulness, strength- based approaches, and play-therapy. Using active conversation and encouragement, my collaborative, client-centered approach helps my clients to gain a sense of their own individuality and uniqueness.
(240) 213-9195 View (240) 213-9195
Photo of Celeste May Amadei, Psychologist in Ashton, MD
Celeste May Amadei
Psychologist, PsyD, RN, MSN
Verified Verified
Sandy Spring, MD 20860
Not accepting new clients
My work is focused on children/adolescents. I treat psychological and medically based problems. I am a Psychologist and an RN. I was the Clinic Director of a 268 bed emergency shelter that served the children of Chicago; I was a Nurse/Nurse Manager in General Pediatrics; Neurosurgery and Psychiatry at Children's Hospital and other hospitals; I have worked in Residential Treatment Centers and other child/adolescent settings; I have extensive experience in abuse. This has allowed me to develop a deep awareness of our children's needs. I am also a mother of 3, perhaps my best training.
My work is focused on children/adolescents. I treat psychological and medically based problems. I am a Psychologist and an RN. I was the Clinic Director of a 268 bed emergency shelter that served the children of Chicago; I was a Nurse/Nurse Manager in General Pediatrics; Neurosurgery and Psychiatry at Children's Hospital and other hospitals; I have worked in Residential Treatment Centers and other child/adolescent settings; I have extensive experience in abuse. This has allowed me to develop a deep awareness of our children's needs. I am also a mother of 3, perhaps my best training.
(240) 949-7177 View (240) 949-7177
Photo of Madalyn Carpenter, Counselor in Ashton, MD
Madalyn Carpenter
Counselor, MS, LCPC
Verified Verified
Sandy Spring, MD 20860
Waitlist for new clients
Hi there! I am so proud of you for taking the first step in making your health a priority! I am a licensed therapist in the state of Maryland where I provide counseling to children, adolescents, and adults who are in need of support. I focus on helping individuals bring out the best in themselves. I am a caring and empathetic therapist who provides a safe space for my clients. I received my Master’s Degree in Counseling from Johns Hopkins University, and my Bachelor’s Degree in Psychology from Guilford College.
Hi there! I am so proud of you for taking the first step in making your health a priority! I am a licensed therapist in the state of Maryland where I provide counseling to children, adolescents, and adults who are in need of support. I focus on helping individuals bring out the best in themselves. I am a caring and empathetic therapist who provides a safe space for my clients. I received my Master’s Degree in Counseling from Johns Hopkins University, and my Bachelor’s Degree in Psychology from Guilford College.
(240) 512-1862 View (240) 512-1862
Photo of Suzanne Lescht, Clinical Social Work/Therapist in Ashton, MD
Suzanne Lescht
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Highland, MD 20777  (Online Only)
Over twenty five years of private practice has helped me understand that my success in providing exceptional counseling for my clients, lies in the ability to customize my therapy techniques, depending on your needs. Whether your issue stems from depression, anxiety, or you have work related, or a relationship problem, I believe that I can help you. Every individual has a story. I look forward to connecting with you, and developing a rapport. Together we can make changes, and hopefully we can improve your life.
Over twenty five years of private practice has helped me understand that my success in providing exceptional counseling for my clients, lies in the ability to customize my therapy techniques, depending on your needs. Whether your issue stems from depression, anxiety, or you have work related, or a relationship problem, I believe that I can help you. Every individual has a story. I look forward to connecting with you, and developing a rapport. Together we can make changes, and hopefully we can improve your life.
(667) 200-3778 View (667) 200-3778

See more therapy options for Ashton

How does your Therapist compare?

Number of Therapists in Ashton, MD

< 10

Therapists in Ashton, MD who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% ADHD
100% Self Esteem
67% Grief
67% Trauma and PTSD

Average years in practice

15 Years

Gender breakdown

67% Female
33% Male

How Therapists in Ashton, MD see their clients

66% Online Only
34% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Ashton?

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.