Therapists in Manchester, NH

Photo of Kristin Paquette, Counselor in Manchester, NH
Kristin Paquette
Counselor, LCMHC
Verified Verified
Manchester, NH 03103  (Online Only)
Life can be tough, overwhelming, and stressful for all of us at times. But, you don’t have to navigate these stressors alone; I am here to walk with you through these difficult periods. Whether you are trying to navigate the stress of everyday life, working towards a specific goal, or experiencing a recent change in your life, I am here to support you and empower you to reach your goals.
Life can be tough, overwhelming, and stressful for all of us at times. But, you don’t have to navigate these stressors alone; I am here to walk with you through these difficult periods. Whether you are trying to navigate the stress of everyday life, working towards a specific goal, or experiencing a recent change in your life, I am here to support you and empower you to reach your goals.
(603) 818-1941 View (603) 818-1941
Photo of Nancy Foster Counselingnh, Counselor in Manchester, NH
Nancy Foster Counselingnh
Counselor, MS, LCMHC
Verified Verified
Manchester, NH 03101  (Online Only)
Not accepting new clients at this time. I provide compassionate, supportive and caring counseling treating depression, anxiety and trauma for adults. I understand and appreciate how difficult the decision can be to seek counseling services. My first goal is to help you to feel welcomed, comfortable and safe. I will work with you from a place of respect and trust that allows for self exploration and growth. We will work to process the issues, gain perspective and work toward helpful solutions . Contact my office or visit website and request an appointment. I look forward to meeting with you.
Not accepting new clients at this time. I provide compassionate, supportive and caring counseling treating depression, anxiety and trauma for adults. I understand and appreciate how difficult the decision can be to seek counseling services. My first goal is to help you to feel welcomed, comfortable and safe. I will work with you from a place of respect and trust that allows for self exploration and growth. We will work to process the issues, gain perspective and work toward helpful solutions . Contact my office or visit website and request an appointment. I look forward to meeting with you.
(603) 819-4898 View (603) 819-4898
Photo of Shawn J Hassell, LMFT, Between Us Assoc PLLC, Marriage & Family Therapist in Manchester, NH
Shawn J Hassell, LMFT, Between Us Assoc PLLC
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Manchester, NH 03104
Waitlist for new clients
Do you have difficulty with feeling depressed, hopeless, or anxious? Do you and your partner have conflict, or do you lack emotional connection or intimacy together? Are there challenges with your adolescent? I offer individual, couples and family therapy. I bring 24 years of experience working with family conflict and also couple issues such as communication, sexuality, and infidelity. I treat anxiety, OCD, depression, grief/loss. I bring experience with challenges connected to sexual orientation, a family member coming out, and same-gender relationships, ENM couples, queer couples, as well as transgender individuals.
Do you have difficulty with feeling depressed, hopeless, or anxious? Do you and your partner have conflict, or do you lack emotional connection or intimacy together? Are there challenges with your adolescent? I offer individual, couples and family therapy. I bring 24 years of experience working with family conflict and also couple issues such as communication, sexuality, and infidelity. I treat anxiety, OCD, depression, grief/loss. I bring experience with challenges connected to sexual orientation, a family member coming out, and same-gender relationships, ENM couples, queer couples, as well as transgender individuals.
(603) 556-4896 x2031 View (603) 556-4896 x2031
Photo of Felicity Bernard, Counselor in Manchester, NH
Felicity Bernard
Counselor, LCMHC
Verified Verified
Manchester, NH 03103
Ellie Manchester - Feeling overwhelmed? isolated? relationships a mess? My mission in life is to help folks realize new ways of operating by increasing their capacity to express thoughts and feelings, increase opportunities for happiness and find way to cope when things are not going well. At Ellie Mental Health, our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in our community.
Ellie Manchester - Feeling overwhelmed? isolated? relationships a mess? My mission in life is to help folks realize new ways of operating by increasing their capacity to express thoughts and feelings, increase opportunities for happiness and find way to cope when things are not going well. At Ellie Mental Health, our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in our community.
(603) 634-9471 View (603) 634-9471
Photo of Hannah Appah, Pre-Licensed Professional in Manchester, NH
Hannah Appah
Pre-Licensed Professional, MA
Verified Verified
Manchester, NH 03103
Waitlist for new clients
Hello and welcome! Taking the first step and seeking therapy can be both scary and nerve racking, yet exciting. And you’re here, taking the first step- I’m so proud of you! By creating a safe and therapeutic environment, I aim to provide you with validation, encouragement, acceptance, and a nonjudgmental space at all times. I am a pre licensed clinical mental health counselor working under the supervision of a licensed clinical social worker.
Hello and welcome! Taking the first step and seeking therapy can be both scary and nerve racking, yet exciting. And you’re here, taking the first step- I’m so proud of you! By creating a safe and therapeutic environment, I aim to provide you with validation, encouragement, acceptance, and a nonjudgmental space at all times. I am a pre licensed clinical mental health counselor working under the supervision of a licensed clinical social worker.
(603) 803-4653 View (603) 803-4653
Photo of Brian Driscoll, Pre-Licensed Professional in Manchester, NH
Brian Driscoll
Pre-Licensed Professional, MS, CMHC
Verified Verified
2 Endorsed
Manchester, NH 03103
I believe in the power of healing and the ability of everyone to be able to overcome trauma and adversity. Having previously served in the military and first responder, and now as a school counselor for children, I am dedicated to the service of others with a humanistic, person-centered, and strengths-based approach. My passion is in helping others heal from the effects of trauma and the many other obstacles that life will present. Often times the hardest step is the first step. With a soft voice, compassion, understanding, and acceptance, I want to take that first step with you and empower you to find strength and resilience.
I believe in the power of healing and the ability of everyone to be able to overcome trauma and adversity. Having previously served in the military and first responder, and now as a school counselor for children, I am dedicated to the service of others with a humanistic, person-centered, and strengths-based approach. My passion is in helping others heal from the effects of trauma and the many other obstacles that life will present. Often times the hardest step is the first step. With a soft voice, compassion, understanding, and acceptance, I want to take that first step with you and empower you to find strength and resilience.
(603) 696-4872 View (603) 696-4872
Photo of Kimberly Sieper, Counselor in Manchester, NH
Kimberly Sieper
Counselor, MS, MBA, LCMHC, MLADC
Verified Verified
3 Endorsed
Manchester, NH 03104
Not accepting new clients
When all parts of a person's life are manageable, they will experience wellness. My job is to assist you to regain "balance" during life's challenges. Counseling can help sort through these struggles, and help you gain perspective so you can create a better future. I work with individuals experiencing PTSD, substance addiction, anxiety, depression, anger, relationship problems, divorce, stress as well as many other issues. I utilize Ketamine Assisted Therapy, Mindfulness, Dialectical and Cognitive Behavioral Therapies, Reiki, Energy work, Hypnosis, and Past Life Regression.
When all parts of a person's life are manageable, they will experience wellness. My job is to assist you to regain "balance" during life's challenges. Counseling can help sort through these struggles, and help you gain perspective so you can create a better future. I work with individuals experiencing PTSD, substance addiction, anxiety, depression, anger, relationship problems, divorce, stress as well as many other issues. I utilize Ketamine Assisted Therapy, Mindfulness, Dialectical and Cognitive Behavioral Therapies, Reiki, Energy work, Hypnosis, and Past Life Regression.
(603) 605-1741 View (603) 605-1741
Photo of Deb Boniface, Counselor in Manchester, NH
Deb Boniface
Counselor, MEd, LCMHC
Verified Verified
Manchester, NH 03102  (Online Only)
My ideal client(s) are those who are ready to be in therapy, to make conscience choices to better their lives, are talkative, on-time, and ready to work. To hear the truth, even if it's painful, open to suggestions to better their lives, can tell me I'm wrong if they think I am, have open, honest dialogue.
My ideal client(s) are those who are ready to be in therapy, to make conscience choices to better their lives, are talkative, on-time, and ready to work. To hear the truth, even if it's painful, open to suggestions to better their lives, can tell me I'm wrong if they think I am, have open, honest dialogue.
(603) 874-1079 View (603) 874-1079
Photo of Camila Crawford, Clinical Social Work/Therapist in Manchester, NH
Camila Crawford
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Manchester, NH 03104
Waitlist for new clients
Anxiety and depression can make it virtually impossible to experience joy and contentment. We might imagine a catastrophic future or constantly relive a difficult past. Problems don't get solved and we feel stuck. Therapy can help us think about our lives more clearly and align our actions with our intentions.
Anxiety and depression can make it virtually impossible to experience joy and contentment. We might imagine a catastrophic future or constantly relive a difficult past. Problems don't get solved and we feel stuck. Therapy can help us think about our lives more clearly and align our actions with our intentions.
(603) 691-2470 View (603) 691-2470
Photo of Sophie Luppold, Pre-Licensed Professional in Manchester, NH
Sophie Luppold
Pre-Licensed Professional, MSW
Verified Verified
Manchester, NH 03101
Accepting new clients! Empowering lives at every stage. Welcome to a compassionate space where healing begins. I specialize in supporting children, teens and adults through the challenges of ADHD, depression, anxiety, low-self-esteem, bullying, and trauma. I have expertise in tailored to diverse age groups, creating a nurturing environment where individuals can explore grow, and find their inner strength. Offering tailored strategies of individuals for all ages to navigate and thrive with ADHD. Gentle guidance for understanding and managing and overcoming feelings of anxiety and depression. Caring support for trauma and esteem.
Accepting new clients! Empowering lives at every stage. Welcome to a compassionate space where healing begins. I specialize in supporting children, teens and adults through the challenges of ADHD, depression, anxiety, low-self-esteem, bullying, and trauma. I have expertise in tailored to diverse age groups, creating a nurturing environment where individuals can explore grow, and find their inner strength. Offering tailored strategies of individuals for all ages to navigate and thrive with ADHD. Gentle guidance for understanding and managing and overcoming feelings of anxiety and depression. Caring support for trauma and esteem.
(603) 803-4127 View (603) 803-4127
Photo of Jill Pelchat, Clinical Social Work/Therapist in Manchester, NH
Jill Pelchat
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Manchester, NH 03104  (Online Only)
It’s a hard thing taking that first step. Here you are, taking that step. I am already in awe of you. If you are struggling to find balance in life constantly stuck in an internal conflict with yourself, I want to walk with you on your journey. I find a non-judgmental compassionate environment is the first step in creating space to begin healing. My passion is understanding the whole person past to present. Collaborating with you to remove barriers and live your fullest life.
It’s a hard thing taking that first step. Here you are, taking that step. I am already in awe of you. If you are struggling to find balance in life constantly stuck in an internal conflict with yourself, I want to walk with you on your journey. I find a non-judgmental compassionate environment is the first step in creating space to begin healing. My passion is understanding the whole person past to present. Collaborating with you to remove barriers and live your fullest life.
View
Photo of John Michael Spellacy, Counselor in Manchester, NH
John Michael Spellacy
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Manchester, NH 03103  (Online Only)
Now accepting new clients. Everyone is at a crossroads during their life that they need to talk about issues that they struggle with. Whether it be loss of a love one, battling a substance use issue, a mood disorder or coping with an intellectual disability. Clients have a wide variety of issues that they are seeking to manage and to cope with in a better way. Many times a client is seeking someone to help them make sense out of something that, at least to them in the beginning, seems to be senseless. Answers and ways of moving their life into a forward motion is what many people seek in counseling.
Now accepting new clients. Everyone is at a crossroads during their life that they need to talk about issues that they struggle with. Whether it be loss of a love one, battling a substance use issue, a mood disorder or coping with an intellectual disability. Clients have a wide variety of issues that they are seeking to manage and to cope with in a better way. Many times a client is seeking someone to help them make sense out of something that, at least to them in the beginning, seems to be senseless. Answers and ways of moving their life into a forward motion is what many people seek in counseling.
(603) 709-4806 View (603) 709-4806
Photo of Priyanka Khadka, Pre-Licensed Professional in Manchester, NH
Priyanka Khadka
Pre-Licensed Professional, MSW
Verified Verified
Manchester, NH 03101
Accepting new clients! Welcome to my therapeutic space! I specialize in clinical work with adolescents, adults, individuals, and couples. My role is to guide you on a journey of self-discovery, healing, and empowerment. I am dedicated to creating a supportive and empowering environment, especially attuned to the unique needs of BIPOC and LGBT individuals. My practice is a safe space for survivors of Intimate Partner Violence to address and work through their trauma.
Accepting new clients! Welcome to my therapeutic space! I specialize in clinical work with adolescents, adults, individuals, and couples. My role is to guide you on a journey of self-discovery, healing, and empowerment. I am dedicated to creating a supportive and empowering environment, especially attuned to the unique needs of BIPOC and LGBT individuals. My practice is a safe space for survivors of Intimate Partner Violence to address and work through their trauma.
(866) 571-0965 View (866) 571-0965
Photo of Dr. Erica Lemoyne Pllc, Counselor in Manchester, NH
Dr. Erica Lemoyne Pllc
Counselor, PsyD, LCMHC
Verified Verified
Manchester, NH 03101
Waitlist for new clients
Are you experiencing memories of traumatic events that are impacting your life in a negative manner? Does it feel like the pain and self blame you are feeling will never go away? Are you struggling with feelings of hopelessness, grieving over the loss of a loved one, or experiencing difficulties in your relationships? Have you tried to solve the problems in your life on your own and realized you need help from someone else? If you answered yes to any of these questions, then you have made the right choice by visiting. It is understandable it is hard. You've likely been debating seeking help for months, if not years.
Are you experiencing memories of traumatic events that are impacting your life in a negative manner? Does it feel like the pain and self blame you are feeling will never go away? Are you struggling with feelings of hopelessness, grieving over the loss of a loved one, or experiencing difficulties in your relationships? Have you tried to solve the problems in your life on your own and realized you need help from someone else? If you answered yes to any of these questions, then you have made the right choice by visiting. It is understandable it is hard. You've likely been debating seeking help for months, if not years.
(844) 612-6622 View (844) 612-6622
Photo of Ray Conner, Marriage & Family Therapist Associate in Manchester, NH
Ray Conner
Marriage & Family Therapist Associate, MFT
Verified Verified
Manchester, NH 03104  (Online Only)
Not accepting new clients
My clients are couples, or individuals in ethically non-monogamous (ENM) relationships who want to work on their connection, communication, and intimacy with their partner(s). I also work with couples(+) who struggle with significant trust issues, or who are navigating step-family dynamics. We'll explore the cognitive, emotional, physical, cultural and spiritual aspects of your relationship(s), using research-informed therapy models and more open-ended explorations. If you are struggling to connect with your partner(s) or family members, identify as LGBTQIA2+ or non-monogamous, I'd love to meet you!
My clients are couples, or individuals in ethically non-monogamous (ENM) relationships who want to work on their connection, communication, and intimacy with their partner(s). I also work with couples(+) who struggle with significant trust issues, or who are navigating step-family dynamics. We'll explore the cognitive, emotional, physical, cultural and spiritual aspects of your relationship(s), using research-informed therapy models and more open-ended explorations. If you are struggling to connect with your partner(s) or family members, identify as LGBTQIA2+ or non-monogamous, I'd love to meet you!
(603) 836-5003 View (603) 836-5003
Photo of Zachary DeWitt, Pre-Licensed Professional in Manchester, NH
Zachary DeWitt
Pre-Licensed Professional, CMHC
Verified Verified
2 Endorsed
Manchester, NH 03101
I believe in the healing power of connection and tailoring counseling specifically to the client’s needs. I have experience working with individuals of all ages. In addition to traditional EMDR therapy, my background also includes Mindfulness, Art Therapy, Cognitive Behavioral Therapy, and other solution-focused approaches. I am currently offering morning, afternoon and evening appointments. I look forward to connecting with you!
I believe in the healing power of connection and tailoring counseling specifically to the client’s needs. I have experience working with individuals of all ages. In addition to traditional EMDR therapy, my background also includes Mindfulness, Art Therapy, Cognitive Behavioral Therapy, and other solution-focused approaches. I am currently offering morning, afternoon and evening appointments. I look forward to connecting with you!
(603) 704-4629 View (603) 704-4629
Photo of Noelle Harrison, Pre-Licensed Professional in Manchester, NH
Noelle Harrison
Pre-Licensed Professional, MS, MEd
Verified Verified
Manchester, NH 03104  (Online Only)
Feel free to visit our website to view my availability and book a telehealth appointment. I enjoy employing a multifaceted, integrated approach to helping individuals growing in the art of being human. From the systemic perspective that trustworthy relationships with others help us build healthy relationships with ourselves, and vice versa, I strive to offer a therapeutic relationship that is genuine, respectful, curious, and compassionate. My approach to the therapeutic process is rooted in the integration of somatic and existential techniques,
Feel free to visit our website to view my availability and book a telehealth appointment. I enjoy employing a multifaceted, integrated approach to helping individuals growing in the art of being human. From the systemic perspective that trustworthy relationships with others help us build healthy relationships with ourselves, and vice versa, I strive to offer a therapeutic relationship that is genuine, respectful, curious, and compassionate. My approach to the therapeutic process is rooted in the integration of somatic and existential techniques,
(603) 244-3173 x707 View (603) 244-3173 x707
Photo of April C Wisler, Licensed Clinical Mental Health Counselor in Manchester, NH
April C Wisler
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Manchester, NH 03104
NOW accepting NEW clients with availability during traditional business hours. As a Licensed Clinical Mental Health Counselor, my role is to help guide you to achieve your treatment goals and find the type of wellness that comes from true self-acceptance and peace. Whether your needs involve development of coping skills, healing through creative expression, or changing the story that you have been carrying, my diverse experience in the field places me in a unique position to help you achieve all of your goals.
NOW accepting NEW clients with availability during traditional business hours. As a Licensed Clinical Mental Health Counselor, my role is to help guide you to achieve your treatment goals and find the type of wellness that comes from true self-acceptance and peace. Whether your needs involve development of coping skills, healing through creative expression, or changing the story that you have been carrying, my diverse experience in the field places me in a unique position to help you achieve all of your goals.
(734) 212-8804 x703 View (734) 212-8804 x703
Photo of Chris Bryan, Pre-Licensed Professional in Manchester, NH
Chris Bryan
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Manchester, NH 03101
Are you seeking relief from the relentless grip of anxiety, the haunting specter of trauma, or the painful battle against addiction? Meet Chris Bryan, a compassionate and highly skilled therapist who specializes in guiding individuals like you towards lasting healing and transformation. With a wealth of experience, Chris has honed his expertise in working with clients struggling with anxiety, trauma, substance misuse, and other addictive behaviors. He understands that these challenges can feel overwhelming, but he also believes in the power of the human spirit to overcome them.
Are you seeking relief from the relentless grip of anxiety, the haunting specter of trauma, or the painful battle against addiction? Meet Chris Bryan, a compassionate and highly skilled therapist who specializes in guiding individuals like you towards lasting healing and transformation. With a wealth of experience, Chris has honed his expertise in working with clients struggling with anxiety, trauma, substance misuse, and other addictive behaviors. He understands that these challenges can feel overwhelming, but he also believes in the power of the human spirit to overcome them.
(603) 633-8828 View (603) 633-8828
Photo of Personal Visions Counseling & Wellness, LLC, Counselor in Manchester, NH
Personal Visions Counseling & Wellness, LLC
Counselor, MA, LCMHC, NBCC
Verified Verified
1 Endorsed
Manchester, NH 03104
Waitlist for new clients
My primary focus is in ART (Accelerated Resolution Therapy) and EMDR and have had feedback that it has been helpful to my clients. I also weave in Internal Family Systems (IFS) into my work. If you are looking for change and want to feel better, validated and respected, please contact me with your specific needs and goals.
My primary focus is in ART (Accelerated Resolution Therapy) and EMDR and have had feedback that it has been helpful to my clients. I also weave in Internal Family Systems (IFS) into my work. If you are looking for change and want to feel better, validated and respected, please contact me with your specific needs and goals.
(603) 540-2358 View (603) 540-2358

How does your Therapist compare?

Number of Therapists in Manchester, NH

300+

Average cost per session

$140

Therapists in Manchester, NH who prioritize treating:

93% Anxiety
88% Depression
73% Relationship Issues
72% Self Esteem
70% Trauma and PTSD
69% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

79% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH
74% BlueCross and BlueShield

How Therapists in Manchester, NH see their clients

73% In Person and Online
27% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Manchester?

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.