Therapists in Grosse Pointe Woods, MI

Photo of Executive Coaching and Wellness in Grosse Pointe Woods, MI
Executive Coaching and Wellness
MSW, MBA
Verified Verified
Grosse Pointe Woods, MI 48236  (Online Only)
With both MSW and MBA degrees, as well as 15+ years experience, I am returning to clinical social work in support of professionals experiencing stress/anxiety/depression related to their work environment and/or those seeking life and career coaching. I delivered direct mental health therapy at the beginning of my career, and have multiple published articles on evidence based practice in statewide healthcare environments. Now, I am returning to direct service to help clients (especially minority-identified) navigate stressful work environments and life/career transitions. www.ecawcoaching.com
With both MSW and MBA degrees, as well as 15+ years experience, I am returning to clinical social work in support of professionals experiencing stress/anxiety/depression related to their work environment and/or those seeking life and career coaching. I delivered direct mental health therapy at the beginning of my career, and have multiple published articles on evidence based practice in statewide healthcare environments. Now, I am returning to direct service to help clients (especially minority-identified) navigate stressful work environments and life/career transitions. www.ecawcoaching.com
(313) 824-3034 View (313) 824-3034
Photo of Amy Lawrence-Skwiers, Clinical Social Work/Therapist in Grosse Pointe Woods, MI
Amy Lawrence-Skwiers
Clinical Social Work/Therapist, LMSW, CSW
Verified Verified
Grosse Pointe Woods, MI 48236  (Online Only)
Accepting new Telehealth clients throughout Michigan: Amy views therapy as a tool that enables clients to see beyond barriers, recognize new possibilities and take steps toward learning to maintain their own well-being. Amy works with individuals who are seeking assistance with anxiety, depression, trauma, grief and loss, improving relationship/marital issues or simply feeling overwhelmed by the stressors faced in everyday life. In addition to her years as a therapist Amy has also worked in the public sector as well as adjunct faculty at Wayne State University. She draws from a wealth of life experiences that make her relatable.
Accepting new Telehealth clients throughout Michigan: Amy views therapy as a tool that enables clients to see beyond barriers, recognize new possibilities and take steps toward learning to maintain their own well-being. Amy works with individuals who are seeking assistance with anxiety, depression, trauma, grief and loss, improving relationship/marital issues or simply feeling overwhelmed by the stressors faced in everyday life. In addition to her years as a therapist Amy has also worked in the public sector as well as adjunct faculty at Wayne State University. She draws from a wealth of life experiences that make her relatable.
(586) 447-7524 View (586) 447-7524
Photo of Emily Fell, Clinical Social Work/Therapist in Grosse Pointe Woods, MI
Emily Fell
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Grosse Pointe Woods, MI 48236  (Online Only)
Let's create a relationship that supports you to feel more freedom and power. We'll use movement to help you tap into the wisdom of your body and practice making choices.  I am a Licensed Clinical Social Worker in the states of Michigan and Washington.
Let's create a relationship that supports you to feel more freedom and power. We'll use movement to help you tap into the wisdom of your body and practice making choices.  I am a Licensed Clinical Social Worker in the states of Michigan and Washington.
(248) 654-8841 View (248) 654-8841
Photo of London Wilson, Clinical Social Work/Therapist in Grosse Pointe Woods, MI
London Wilson
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
Grosse Pointe Woods, MI 48236
London obtained her Masters in Clinical Social Work from Michigan State University. She’s interested in working with adults who she can help identify their purpose and truest potential, using your life experiences to gain a deeper understanding to heal yourself from the inside out. Her clients will encounter a non-judgmental and caring environment that promotes growth, healing, and motivation. Everyone has their own trials and tribulations... the rest is still unwritten.
London obtained her Masters in Clinical Social Work from Michigan State University. She’s interested in working with adults who she can help identify their purpose and truest potential, using your life experiences to gain a deeper understanding to heal yourself from the inside out. Her clients will encounter a non-judgmental and caring environment that promotes growth, healing, and motivation. Everyone has their own trials and tribulations... the rest is still unwritten.
(586) 400-2961 View (586) 400-2961
Photo of Trilogy Holistic Wellness, LLC , Licensed Professional Counselor in Grosse Pointe Woods, MI
Trilogy Holistic Wellness, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Grosse Pointe Woods, MI 48236
Hi! I'm Zipporah (Ms. Z). At Trilogy Holistic Wellness we work with adolescents and adults, providing individual and family therapy. Our therapy approach is based on the individual needs of the client from a holistic perspective. If you are seeking help with anger management, depression, anxiety, grief, trauma and transitioning into adulthood we can assist you with obtaining your goals.
Hi! I'm Zipporah (Ms. Z). At Trilogy Holistic Wellness we work with adolescents and adults, providing individual and family therapy. Our therapy approach is based on the individual needs of the client from a holistic perspective. If you are seeking help with anger management, depression, anxiety, grief, trauma and transitioning into adulthood we can assist you with obtaining your goals.
(313) 351-3159 View (313) 351-3159
Photo of Benjamin Tate, Licensed Professional Counselor in Grosse Pointe Woods, MI
Benjamin Tate
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Grosse Pointe Woods, MI 48236
Are you experiencing challenges and feeling helpless? Are you constantly worried and overwhelmed? Traumatic experiences often create a sense of helplessness. Finding a connection with a therapist can also be very stressful. If you struggle with anxiety, isolation and decreased self-image, I believe I can be the therapist for you. Becoming a therapist has allowed me to meet many brave people. The greatest honor any therapist can hope for is to witness hope and confidence be introduced to a person's life. As a therapist I focus on providing a shame and judgment free space for you to enjoy the ability to be safe, open and honest.
Are you experiencing challenges and feeling helpless? Are you constantly worried and overwhelmed? Traumatic experiences often create a sense of helplessness. Finding a connection with a therapist can also be very stressful. If you struggle with anxiety, isolation and decreased self-image, I believe I can be the therapist for you. Becoming a therapist has allowed me to meet many brave people. The greatest honor any therapist can hope for is to witness hope and confidence be introduced to a person's life. As a therapist I focus on providing a shame and judgment free space for you to enjoy the ability to be safe, open and honest.
(586) 315-4339 View (586) 315-4339
Photo of Teresa Traverso, Licensed Professional Counselor in Grosse Pointe Woods, MI
Teresa Traverso
Licensed Professional Counselor, BSEd, MA, LPC, LLC, MITS
Verified Verified
1 Endorsed
Grosse Pointe Woods, MI 48236
I am passionate and dedicated to supporting teens, adults, and families through life's challenges of school, work, relationships, and uncertainties. Healing past or current wounds of hurt, guilt and disappointment requires courage. Finding more effective ways to address current negative thinking patterns, beliefs, and experiences requires commitment. A collaborative therapeutic relationship in a non-judgemental and supportive environment allows the opportunity to find balance and hope as you achieve competency in new coping mechanisms. Whether you are feeling overwhelmed or confused, you are welcome as you are.
I am passionate and dedicated to supporting teens, adults, and families through life's challenges of school, work, relationships, and uncertainties. Healing past or current wounds of hurt, guilt and disappointment requires courage. Finding more effective ways to address current negative thinking patterns, beliefs, and experiences requires commitment. A collaborative therapeutic relationship in a non-judgemental and supportive environment allows the opportunity to find balance and hope as you achieve competency in new coping mechanisms. Whether you are feeling overwhelmed or confused, you are welcome as you are.
(248) 479-3538 View (248) 479-3538
Carissa L Gaden
Psychologist, PhD
Verified Verified
1 Endorsed
Grosse Pointe Woods, MI 48236
My private practice includes work with adults, adolescents and couples, with a specialty in adolescence and young adulthood. I have particular experience in treating depression, eating disorders, relationship and divorce issues, dissociative disorders, and childhood abuse issues. My primary goals include helping people deepen their understanding of themselves and their current difficulties, identify problematic patterns in their lives, and work through old hurts within a safe, understanding therapeutic relationship. I have given several talks to parents in the metro Detroit area preparing for and parenting their adolescent children.
My private practice includes work with adults, adolescents and couples, with a specialty in adolescence and young adulthood. I have particular experience in treating depression, eating disorders, relationship and divorce issues, dissociative disorders, and childhood abuse issues. My primary goals include helping people deepen their understanding of themselves and their current difficulties, identify problematic patterns in their lives, and work through old hurts within a safe, understanding therapeutic relationship. I have given several talks to parents in the metro Detroit area preparing for and parenting their adolescent children.
(586) 646-4651 View (586) 646-4651
Photo of Robin Ramsay, Psychologist in Grosse Pointe Woods, MI
Robin Ramsay
Psychologist, PhD
Verified Verified
Grosse Pointe Woods, MI 48236  (Online Only)
Not accepting new clients
Hi. I look forward to speaking with you directly about my services. In my more than 30 years of experience as a psychotherapist and clinical supervisor, I have worked with clients from many backgrounds and with many different kinds of problems. Some of my areas of expertise include work with life crises, anxiety and depression, relationship problems, self-esteem issues, parenting and family issues and problem behaviors. When I encounter a problem for which I am not fully trained, I am more than happy to direct clients to an appropriate service provider.
Hi. I look forward to speaking with you directly about my services. In my more than 30 years of experience as a psychotherapist and clinical supervisor, I have worked with clients from many backgrounds and with many different kinds of problems. Some of my areas of expertise include work with life crises, anxiety and depression, relationship problems, self-esteem issues, parenting and family issues and problem behaviors. When I encounter a problem for which I am not fully trained, I am more than happy to direct clients to an appropriate service provider.
(313) 312-5926 View (313) 312-5926
Photo of Erz Psychotherapy Services, P.C., Limited Licensed Psychologist in Grosse Pointe Woods, MI
Erz Psychotherapy Services, P.C.
Limited Licensed Psychologist
Verified Verified
Grosse Pointe Woods, MI 48236  (Online Only)
Hi. My name is Kathleen Erz. I am the owner of Erz Psychotherapy Services. I believe direct, honest, and caring communication is essential to effective therapy. I tend to have a straight-forward approach with people. Often old patterns of behavior or thinking get in the way of experiencing our potential. It is my job to help my clients get over their hurdles and through blocks in order to help them experience happiness.
Hi. My name is Kathleen Erz. I am the owner of Erz Psychotherapy Services. I believe direct, honest, and caring communication is essential to effective therapy. I tend to have a straight-forward approach with people. Often old patterns of behavior or thinking get in the way of experiencing our potential. It is my job to help my clients get over their hurdles and through blocks in order to help them experience happiness.
(586) 209-2657 View (586) 209-2657
Photo of Veronica H Lopiccolo, Licensed Professional Counselor in Grosse Pointe Woods, MI
Veronica H Lopiccolo
Licensed Professional Counselor, MA, LPC, NCC, ACS
Verified Verified
13 Endorsed
Grosse Pointe Woods, MI 48236
I would be honored to walk alongside of you to help you to discern where your pain, joys, and struggles are rooted. I find great joy in helping clients to release the chains in their lives that are holding them back from their greatest potential. Let's explore what your strengths, challenges, and growing edges are together. Please allow me to help you to believe the truth that hope and healing can happen for you. Together, we can change the next chapter of your life! It is never too late.
I would be honored to walk alongside of you to help you to discern where your pain, joys, and struggles are rooted. I find great joy in helping clients to release the chains in their lives that are holding them back from their greatest potential. Let's explore what your strengths, challenges, and growing edges are together. Please allow me to help you to believe the truth that hope and healing can happen for you. Together, we can change the next chapter of your life! It is never too late.
(586) 623-6255 View (586) 623-6255
Photo of Maria Pappas, Clinical Social Work/Therapist in Grosse Pointe Woods, MI
Maria Pappas
Clinical Social Work/Therapist, LMSW
Verified Verified
Grosse Pointe Woods, MI 48236
No one is immune from life's challenges. As an experienced clinical social worker, I provide a safe, supportive, and confidential environment for my clients. I specialize in strengthening relationships, overcoming depression & anxiety, coping with grief and loss, and helping people meet life's challenges. After being on staff with Henry Ford Health System for many years, I began my own private practice where I continue to provide mental health care to adults. Please feel free to contact me for a free phone consultation and the opportunity to make significant changes in your life.
No one is immune from life's challenges. As an experienced clinical social worker, I provide a safe, supportive, and confidential environment for my clients. I specialize in strengthening relationships, overcoming depression & anxiety, coping with grief and loss, and helping people meet life's challenges. After being on staff with Henry Ford Health System for many years, I began my own private practice where I continue to provide mental health care to adults. Please feel free to contact me for a free phone consultation and the opportunity to make significant changes in your life.
(586) 745-1749 View (586) 745-1749
Jaquenta Glasker
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Grosse Pointe Woods, MI 48236
Are you feeling stuck? Are you finding it more and more difficult to pull the pieces of your life together, on your own? If so, let’s partner together to get to the root of your concerns.
Are you feeling stuck? Are you finding it more and more difficult to pull the pieces of your life together, on your own? If so, let’s partner together to get to the root of your concerns.
(586) 519-6437 View (586) 519-6437
Photo of Hayley Marlow, Clinical Social Work/Therapist in Grosse Pointe Woods, MI
Hayley Marlow
Clinical Social Work/Therapist, LLMSW, IMH
Verified Verified
Grosse Pointe Woods, MI 48236
Everyone has their own unique identity and experiences. As a therapist, my focus is to embrace these differences by working collaboratively with each client to create a personalized plan that will meet them where they’re at in life, best fit their needs, and be comfortable enough to help them learn, grow, and think in a healthy way. My clinical work is devoted to consistently being present for my clients by walking with them through this journey of healing while creating a non-judgmental, therapeutic space for them to be heard, understood, and supported while making behavioral and cognitive changes to enhance their quality of life.
Everyone has their own unique identity and experiences. As a therapist, my focus is to embrace these differences by working collaboratively with each client to create a personalized plan that will meet them where they’re at in life, best fit their needs, and be comfortable enough to help them learn, grow, and think in a healthy way. My clinical work is devoted to consistently being present for my clients by walking with them through this journey of healing while creating a non-judgmental, therapeutic space for them to be heard, understood, and supported while making behavioral and cognitive changes to enhance their quality of life.
(586) 281-9574 View (586) 281-9574
Photo of Maria A Menozzi, Marriage & Family Therapist in Grosse Pointe Woods, MI
Maria A Menozzi
Marriage & Family Therapist, MA, LMFT, CAADC, RYT-500
Verified Verified
Grosse Pointe Woods, MI 48236
Are you experiencing repeat patterns of stress, distress or difficulty in your relationships? There is hope. Together, we will work to find compassion and understanding for your challenges and set you back on track to a healthier, happier life. Whether it may be the trauma of every day life, or past hurts, resentments, and heartbreak, you will feel hopeful about moving forward confidently in your life using new coping strategies for present day stressors, and the freedom to let go of old thought and behavior patterns keeping you from living your best life.
Are you experiencing repeat patterns of stress, distress or difficulty in your relationships? There is hope. Together, we will work to find compassion and understanding for your challenges and set you back on track to a healthier, happier life. Whether it may be the trauma of every day life, or past hurts, resentments, and heartbreak, you will feel hopeful about moving forward confidently in your life using new coping strategies for present day stressors, and the freedom to let go of old thought and behavior patterns keeping you from living your best life.
(586) 460-4541 View (586) 460-4541
Photo of Belinda Aliahmad, Clinical Social Work/Therapist in Grosse Pointe Woods, MI
Belinda Aliahmad
Clinical Social Work/Therapist, LLMSW
Verified Verified
Grosse Pointe Woods, MI 48236
With an educational background in Criminal Justice and Social Work, Belinda is also a committed member of the National Association of Social Workers. Belinda has 5 years of experience in a variety of settings such as, child welfare, crisis counseling, adoption services and school settings. Belinda works with a variety of clients, including adolescents, young adults and women suffering from domestic violence and sexual assault. Belinda uses trauma-focused therapy, cognitive behavioral therapy, play therapy, parent-child psychotherapy, while also incorporating meditative practices, relaxation techniques and similar strategies.
With an educational background in Criminal Justice and Social Work, Belinda is also a committed member of the National Association of Social Workers. Belinda has 5 years of experience in a variety of settings such as, child welfare, crisis counseling, adoption services and school settings. Belinda works with a variety of clients, including adolescents, young adults and women suffering from domestic violence and sexual assault. Belinda uses trauma-focused therapy, cognitive behavioral therapy, play therapy, parent-child psychotherapy, while also incorporating meditative practices, relaxation techniques and similar strategies.
(586) 571-8024 View (586) 571-8024
Photo of Open Door Counseling Center, Licensed Professional Counselor in Grosse Pointe Woods, MI
Open Door Counseling Center
Licensed Professional Counselor, MA, LLPC
Verified Verified
Grosse Pointe Woods, MI 48236
I am a Professional Counselor and Marriage, Couples and Family Therapist, which allows me to meet a wide range of goals clients seek. I specialize in Emotion Focused Therapy, which addresses the deep underlying emotions behind surface level emotions that may affect our behavior. If your emotions are affecting your health or relationships I can help.
I am a Professional Counselor and Marriage, Couples and Family Therapist, which allows me to meet a wide range of goals clients seek. I specialize in Emotion Focused Therapy, which addresses the deep underlying emotions behind surface level emotions that may affect our behavior. If your emotions are affecting your health or relationships I can help.
(586) 221-9925 View (586) 221-9925
Photo of Belinda Golder, Licensed Professional Counselor in Grosse Pointe Woods, MI
Belinda Golder
Licensed Professional Counselor, LLPC
Verified Verified
1 Endorsed
Grosse Pointe Woods, MI 48236
You may be experiencing anxiety, depression or low self esteem. Perhaps you recently lost someone close to you and wish there was some one to help you get through your current distress. I am grateful to be placed in position to provide a safe comfortable space where you can freely speak about what may be troubling you.I am a faith based counselor with a sincere willingness to help clients work through difficult situations by assisting them in establishing and working towards reaching obtainable goals.
You may be experiencing anxiety, depression or low self esteem. Perhaps you recently lost someone close to you and wish there was some one to help you get through your current distress. I am grateful to be placed in position to provide a safe comfortable space where you can freely speak about what may be troubling you.I am a faith based counselor with a sincere willingness to help clients work through difficult situations by assisting them in establishing and working towards reaching obtainable goals.
(586) 500-6346 View (586) 500-6346
Photo of Sarah Kost-Cox, Licensed Professional Counselor in Grosse Pointe Woods, MI
Sarah Kost-Cox
Licensed Professional Counselor, MA, LPC, NCC, SCL
Verified Verified
Grosse Pointe Woods, MI 48236
Waitlist for new clients
Currently, I am accepting new clients for Accelerated Resolution Therapy, ART. Let's toss out the idea of a person being ‘ideal’. I am here to help people wherever they are in life. It is an honor to journey alongside another's life as they initiate change and grow. Growth and change are often complex, I want to offer a safe palace for people to learn about themselves and thrive.
Currently, I am accepting new clients for Accelerated Resolution Therapy, ART. Let's toss out the idea of a person being ‘ideal’. I am here to help people wherever they are in life. It is an honor to journey alongside another's life as they initiate change and grow. Growth and change are often complex, I want to offer a safe palace for people to learn about themselves and thrive.
(586) 500-7265 View (586) 500-7265
Photo of Alisa Nelson, Limited Licensed Psychologist in Grosse Pointe Woods, MI
Alisa Nelson
Limited Licensed Psychologist, MA, LLP
Verified Verified
Grosse Pointe Woods, MI 48236
"Not until we are lost do we begin to understand ourselves" - Henry David Thoreau. When you are feeling uncertain, overwhelmed, and exhausted, it is so important to connect with someone compassionate who really empathizes and genuinely cares. The goal of therapy is to provide a safe space and a non-judgmental ear to explore sources of conflict and develop solutions together.
"Not until we are lost do we begin to understand ourselves" - Henry David Thoreau. When you are feeling uncertain, overwhelmed, and exhausted, it is so important to connect with someone compassionate who really empathizes and genuinely cares. The goal of therapy is to provide a safe space and a non-judgmental ear to explore sources of conflict and develop solutions together.
(586) 501-8417 View (586) 501-8417

See more therapy options for Grosse Pointe Woods

How does your Therapist compare?

Number of Therapists in Grosse Pointe Woods, MI

20+

Average cost per session

$140

Therapists in Grosse Pointe Woods, MI who prioritize treating:

90% Relationship Issues
90% Anxiety
86% Depression
71% Grief
71% Self Esteem
67% Trauma and PTSD
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
56% Blue Care Network
50% Blue Cross

How Therapists in Grosse Pointe Woods, MI see their clients

77% In Person and Online
23% Online Only

Gender breakdown

95% Female
5% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Grosse Pointe Woods?

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.