Therapists in Alvarado, TX

Photo of Andrew W. Rogers, Licensed Professional Counselor in Alvarado, TX
Andrew W. Rogers
Licensed Professional Counselor, MA, LPC
Verified
1 Endorsed
Alvarado, TX 76009
For the better part of a decade of my professional career I had the privilege of working with children and teenagers from traumatic backgrounds such as abuse and neglect. That experience paved the way for my approach to counseling which seeks to help clients understand the connections between thoughts, emotions and behaviors. Much of my counseling experience has been focused on the treatment of Anxiety based disorders including phobias, OCD, PTSD, social anxiety, panic, and generalized anxiety. I also have spent noted time helping clients walking through clinical depression and disorders such as AD/HD.
For the better part of a decade of my professional career I had the privilege of working with children and teenagers from traumatic backgrounds such as abuse and neglect. That experience paved the way for my approach to counseling which seeks to help clients understand the connections between thoughts, emotions and behaviors. Much of my counseling experience has been focused on the treatment of Anxiety based disorders including phobias, OCD, PTSD, social anxiety, panic, and generalized anxiety. I also have spent noted time helping clients walking through clinical depression and disorders such as AD/HD.
(682) 463-1097 View (682) 463-1097
Photo of Stephanie Lynn Davis, Licensed Professional Counselor in Alvarado, TX
Stephanie Lynn Davis
Licensed Professional Counselor, LPC
Verified
Alvarado, TX 76009
It takes courage to take the first step and reach out for help. I strive to create a safe and welcoming space where you are able to share your story. My goal is for you to feel honored, valued and heard. Maybe you are dealing with relationship concerns like a change in your family situation or concerns with a child. Maybe you or your child is feeling overwhelmed, anxious, depressed or trying to overcome low self-esteem. Possibly, there are struggles with family, life transitions, friends or school. All of these topics can be tough but talking with someone can help. I would be honored to help you with any of your concerns.
It takes courage to take the first step and reach out for help. I strive to create a safe and welcoming space where you are able to share your story. My goal is for you to feel honored, valued and heard. Maybe you are dealing with relationship concerns like a change in your family situation or concerns with a child. Maybe you or your child is feeling overwhelmed, anxious, depressed or trying to overcome low self-esteem. Possibly, there are struggles with family, life transitions, friends or school. All of these topics can be tough but talking with someone can help. I would be honored to help you with any of your concerns.
(214) 463-2374 View (214) 463-2374
Photo of Meagan L Hastings, Licensed Professional Counselor in Alvarado, TX
Meagan L Hastings
Licensed Professional Counselor, MA, LPC-S
Verified
3 Endorsed
Alvarado, TX 76009  (Online Only)
Not feeling like yourself lately? Overwhelmed, irritable, loss of interest, restless sleep, racing thoughts, indecisive? These are all issues we can address together. If you or your child have lost your joy or find it hard to even laugh, Let's talk.
Not feeling like yourself lately? Overwhelmed, irritable, loss of interest, restless sleep, racing thoughts, indecisive? These are all issues we can address together. If you or your child have lost your joy or find it hard to even laugh, Let's talk.
(817) 380-4737 View (817) 380-4737
Photo of Tiffany Medlin, Licensed Professional Counselor in Alvarado, TX
Tiffany Medlin
Licensed Professional Counselor, MA, LPCS
Verified
1 Endorsed
Alvarado, TX 76009
Currently accepting LPC-Associates for supervision> Do you feel like you are struggling to "get it together" or feeling like you have to be perfect all the time? Maybe you are about to graduate, are trying to start a new career, or recently became a parent; these changes can bring up insecurities, anxiety and even depression. Sometimes it can feel like you are doing everything right but you still can't seem to reach your goals. Everyone faces challenges, but when you feel like everything has to be perfect, these challenges can feel overwhelming.
Currently accepting LPC-Associates for supervision> Do you feel like you are struggling to "get it together" or feeling like you have to be perfect all the time? Maybe you are about to graduate, are trying to start a new career, or recently became a parent; these changes can bring up insecurities, anxiety and even depression. Sometimes it can feel like you are doing everything right but you still can't seem to reach your goals. Everyone faces challenges, but when you feel like everything has to be perfect, these challenges can feel overwhelming.
(469) 537-7914 View (469) 537-7914

More Therapists Nearby

Photo of Annmarie Rotan, Clinical Social Work/Therapist in Alvarado, TX
Annmarie Rotan
Clinical Social Work/Therapist, MSW, LCSW, LISW
Verified
Burleson, TX 76028  (Online Only)
I am looking forward to assisting you on your journey. With over 20 years of experience in my field I have worked with all ages in numerous practice settings. Having experience with a wide range of mental health issues including but not limited to crisis intervention, mediation, dynamics of grief as well as death and dying, trauma, chronic illness, anxiety, academic issues, depression and relationship concerns. The connection between mind and body health has been proven and I feel healing at the emotional level enhances our quality of life which trickles down to our physical wellbeing. Please email for online scheduling access.
I am looking forward to assisting you on your journey. With over 20 years of experience in my field I have worked with all ages in numerous practice settings. Having experience with a wide range of mental health issues including but not limited to crisis intervention, mediation, dynamics of grief as well as death and dying, trauma, chronic illness, anxiety, academic issues, depression and relationship concerns. The connection between mind and body health has been proven and I feel healing at the emotional level enhances our quality of life which trickles down to our physical wellbeing. Please email for online scheduling access.
(682) 688-7779 View (682) 688-7779
Photo of Jodi Nicholson, Licensed Professional Counselor in Alvarado, TX
Jodi Nicholson
Licensed Professional Counselor, PhD, LPC-S
Verified
Burleson, TX 76028
“We repeat what we don’t repair.” - Christine Langley-Obaugh My counseling style is warm and interactive. I believe in treating everyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My primary approach is cognitive-behavioral, though I am eclectic in my techniques. I believe each individual's needs are unique and will tailor our dialog and treatment plan to meet your specific needs and goals.
“We repeat what we don’t repair.” - Christine Langley-Obaugh My counseling style is warm and interactive. I believe in treating everyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My primary approach is cognitive-behavioral, though I am eclectic in my techniques. I believe each individual's needs are unique and will tailor our dialog and treatment plan to meet your specific needs and goals.
(682) 463-1012 View (682) 463-1012
Photo of Tiffany A. Derrick, Licensed Professional Counselor in Alvarado, TX
Tiffany A. Derrick
Licensed Professional Counselor, MA, LPC-S, ICPS
Verified
1 Endorsed
Burleson, TX 76028
I am a hardworking and dedicated therapist. I will seek to provide the knowledge necessary to reduce arguments, improve relationships, and teach people to assume responsibility and make better decisions in a supportive environment. At Therapy Services Texas, LLC, I am focused on providing a safe and respectful environment to explore and experience feelings and perceptions. I offer Face-to-Face and Distance Counseling for residents of any city in Texas.
I am a hardworking and dedicated therapist. I will seek to provide the knowledge necessary to reduce arguments, improve relationships, and teach people to assume responsibility and make better decisions in a supportive environment. At Therapy Services Texas, LLC, I am focused on providing a safe and respectful environment to explore and experience feelings and perceptions. I offer Face-to-Face and Distance Counseling for residents of any city in Texas.
(817) 440-3722 View (817) 440-3722
Photo of Katherine Vernon, LPC Intern in Alvarado, TX
Katherine Vernon
LPC Intern, MS, LPC-A
Verified
Burleson, TX 76028
Hi, I’m Katherine. As a person centered counselor, I am passionate about working with the unique YOU on your unique journey of life. My hearts passion is working with adolescents and adults through a warm and empowering environment. Let’s begin this journey together.
Hi, I’m Katherine. As a person centered counselor, I am passionate about working with the unique YOU on your unique journey of life. My hearts passion is working with adolescents and adults through a warm and empowering environment. Let’s begin this journey together.
(817) 752-4197 View (817) 752-4197
Photo of Debbie McNary, Pre-Licensed Professional in Alvarado, TX
Debbie McNary
Pre-Licensed Professional, MA, LPC-A
Verified
Burleson, TX 76028
Sometimes things feel too difficult to bear alone. Maybe you are experiencing a challenging transition, struggling with the past, or dealing with strong feelings such as hopelessness, loss of self-worth, or isolation. As a counselor, I can offer a listening ear and a non-judgmental attitude as we navigate whatever you are going through together. If you are a parent seeking help for your child, I offer Child-Centered Play therapy for children ages 4-12. Children engage in counseling by interacting with the therapist and toys in a special setting. I team with parents and have parent consults regularly.
Sometimes things feel too difficult to bear alone. Maybe you are experiencing a challenging transition, struggling with the past, or dealing with strong feelings such as hopelessness, loss of self-worth, or isolation. As a counselor, I can offer a listening ear and a non-judgmental attitude as we navigate whatever you are going through together. If you are a parent seeking help for your child, I offer Child-Centered Play therapy for children ages 4-12. Children engage in counseling by interacting with the therapist and toys in a special setting. I team with parents and have parent consults regularly.
(682) 299-6865 View (682) 299-6865
Photo of Cherylene M. Tucker, Licensed Professional Counselor in Alvarado, TX
Cherylene M. Tucker
Licensed Professional Counselor, LPC, NCC, MAC, LCDC
Verified
4 Endorsed
Venus, TX 76084  (Online Only)
“I am ready for things to change!” Have you ever said this? Maybe you’ve thought this. Are you or your loved one struggling with stress, depression, anxiety, grief/loss, relational issues, or other difficult emotions and concerns? If you answered yes, I am here to listen. I understand that daily life experiences, work difficulties, personal struggles, and relationships are sometimes overwhelming. I use a variety of techniques that will assist you in defining the issues, identifying options, develop goals and/or coping skills. Aiming to help you gain insight, inner strength, confidence, and resolution.
“I am ready for things to change!” Have you ever said this? Maybe you’ve thought this. Are you or your loved one struggling with stress, depression, anxiety, grief/loss, relational issues, or other difficult emotions and concerns? If you answered yes, I am here to listen. I understand that daily life experiences, work difficulties, personal struggles, and relationships are sometimes overwhelming. I use a variety of techniques that will assist you in defining the issues, identifying options, develop goals and/or coping skills. Aiming to help you gain insight, inner strength, confidence, and resolution.
(972) 433-9729 View (972) 433-9729
Photo of S. Michelle Quintero, Clinical Social Work/Therapist in Alvarado, TX
S. Michelle Quintero
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Burleson, TX 76028
Hello! My name is Michelle Quintero, bilingual therapist. I believe that everyone has the ability to make positive changes to improve their mental well-being. ​ I prioritize creating a space to process our experiences without feeling judged. ​ My main goal as a therapist is to accompany you on your journey and equip you with tools to deal with your issues.
Hello! My name is Michelle Quintero, bilingual therapist. I believe that everyone has the ability to make positive changes to improve their mental well-being. ​ I prioritize creating a space to process our experiences without feeling judged. ​ My main goal as a therapist is to accompany you on your journey and equip you with tools to deal with your issues.
(817) 612-5770 View (817) 612-5770
Photo of Danielle Jackson, Licensed Professional Counselor in Alvarado, TX
Danielle Jackson
Licensed Professional Counselor, MS, LPC
Verified
1 Endorsed
Burleson, TX 76028
Not accepting new clients
Are you looking for creative counseling to meet your specific needs? Therapy is not a one size fits all approach. I believe that treatment is collaborative, creative and individualized. I also believe in affordable care and striving for a sense of belongingness that can be accessed through group therapy.
Are you looking for creative counseling to meet your specific needs? Therapy is not a one size fits all approach. I believe that treatment is collaborative, creative and individualized. I also believe in affordable care and striving for a sense of belongingness that can be accessed through group therapy.
(817) 497-8709 View (817) 497-8709
Photo of Sherrie R Smith, Clinical Social Work/Therapist in Alvarado, TX
Sherrie R Smith
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
Burleson, TX 76028
Are you struggling with anxiety, depression, grief, or relationship issues that seem to steal your joy, peace, and hope? It's time for a therapeutic journey -you're worth it! My purpose is to equip, support, and journey with the individual who desires to work towards wellness and being their best self. Individuals who are committed and willing to enter into a brave space, journeying towards attaining optimal mental and social well-being discovering insight, knowledge, and tools to facilitate mental health and wellness along the way.
Are you struggling with anxiety, depression, grief, or relationship issues that seem to steal your joy, peace, and hope? It's time for a therapeutic journey -you're worth it! My purpose is to equip, support, and journey with the individual who desires to work towards wellness and being their best self. Individuals who are committed and willing to enter into a brave space, journeying towards attaining optimal mental and social well-being discovering insight, knowledge, and tools to facilitate mental health and wellness along the way.
(817) 242-5871 View (817) 242-5871
Photo of Madrone B. Phoenix, Clinical Social Work/Therapist in Alvarado, TX
Madrone B. Phoenix
Clinical Social Work/Therapist, LICSW, RYT, EMDR
Verified
8 Endorsed
Keene, TX 76059  (Online Only)
Our group practice centralizes care for People of Color, Queer, Transgender, Nonbinary, Neurodivergent, and Disabled communities. We are BIPOC & QT2S+ led. As integrative, holistic healers, we help you work through life adjustments, anxiety, depression, and trauma. If you are entering a process of self-exploration and want to own your place and identity in this world with skilled providers who mirror you, welcome home. Together, we'll discover the parts of you that need to be witnessed, healed, released, and cleared so you can reclaim and empower the parts that have been neglected, forgotten, or ignored.
Our group practice centralizes care for People of Color, Queer, Transgender, Nonbinary, Neurodivergent, and Disabled communities. We are BIPOC & QT2S+ led. As integrative, holistic healers, we help you work through life adjustments, anxiety, depression, and trauma. If you are entering a process of self-exploration and want to own your place and identity in this world with skilled providers who mirror you, welcome home. Together, we'll discover the parts of you that need to be witnessed, healed, released, and cleared so you can reclaim and empower the parts that have been neglected, forgotten, or ignored.
(281) 645-5137 View (281) 645-5137
Photo of Bailey P. Adams, Licensed Professional Counselor Associate in Alvarado, TX
Bailey P. Adams
Licensed Professional Counselor Associate, MS , LPC-A
Verified
1 Endorsed
Burleson, TX 76028
Counseling is for everyone and that is why Bailey considers herself a therapist for the everyday individual. People just like you! There is no need to fear going to therapy. Bailey works with the whole family throughout the life span. Bailey works with Individuals with anxiety, depression, suicidal ideation, self-harm, childhood trauma, grief, and general life/ relationship transitions, including setting boundaries.
Counseling is for everyone and that is why Bailey considers herself a therapist for the everyday individual. People just like you! There is no need to fear going to therapy. Bailey works with the whole family throughout the life span. Bailey works with Individuals with anxiety, depression, suicidal ideation, self-harm, childhood trauma, grief, and general life/ relationship transitions, including setting boundaries.
(817) 646-1319 View (817) 646-1319
Photo of Kathryn Foster, Psychologist in Alvarado, TX
Kathryn Foster
Psychologist, PhD
Verified
1 Endorsed
Burleson, TX 76028
Hi. I understand that when you're hurting, you need understanding and sensitivity. I fit therapy to my individual client's personality and needs so it will work! We can use talk therapy, including cognitive-behavioral, hypnosis, sensorimotor psychotherapy (see more on my website.) I tend to be an active therapist and have worked extensively with abused, depressed, and anxious persons, and also specialize in couples therapy and dissociative disorders. With a Ph.D. in psychology and masters in couples/family therapy, I've done psychotherapy for 32 years. Please don't hesitate to write me.
Hi. I understand that when you're hurting, you need understanding and sensitivity. I fit therapy to my individual client's personality and needs so it will work! We can use talk therapy, including cognitive-behavioral, hypnosis, sensorimotor psychotherapy (see more on my website.) I tend to be an active therapist and have worked extensively with abused, depressed, and anxious persons, and also specialize in couples therapy and dissociative disorders. With a Ph.D. in psychology and masters in couples/family therapy, I've done psychotherapy for 32 years. Please don't hesitate to write me.
(817) 438-0711 View (817) 438-0711
Photo of Rachel Slack, Licensed Professional Counselor in Alvarado, TX
Rachel Slack
Licensed Professional Counselor, LPC, NCC
Verified
Burleson, TX 76028
I am a highly trained and board-certified counselor with a passion for helping people address the places they are hurting in their lives. I know asking for help is never easy and I am passionate about creating a safe space for individuals to explore the challenging places in all aspects of their lives that affect their mental health. My experience includes counseling individuals with depression, anxiety, grief, trauma, drug abuse, communication issues, and other various mental health concerns. I also enjoy helping others with conflict resolution, relationship issues, and body-image struggles.
I am a highly trained and board-certified counselor with a passion for helping people address the places they are hurting in their lives. I know asking for help is never easy and I am passionate about creating a safe space for individuals to explore the challenging places in all aspects of their lives that affect their mental health. My experience includes counseling individuals with depression, anxiety, grief, trauma, drug abuse, communication issues, and other various mental health concerns. I also enjoy helping others with conflict resolution, relationship issues, and body-image struggles.
(682) 356-2623 View (682) 356-2623
Photo of Tessa Robinson, Licensed Professional Counselor in Alvarado, TX
Tessa Robinson
Licensed Professional Counselor, MA, LPC
Verified
Burleson, TX 76097  (Online Only)
Trauma is a disruptive force in people’s lives. Combined with the loss of social supports and routines that once sustained us, it can be hard to feel productive as life simply feels overwhelming. To cope, many of us are falling back on destructive habits such as abusing drugs and alcohol while others are experiencing panic attacks. Further, those of us with children are stretched thin, and it can be hard to meet their needs adequately while running on emotional fumes. Yet, even during this time of upheaval and uncertainty, you are not alone. There is a path forward, and by working together we can shine a light upon it.
Trauma is a disruptive force in people’s lives. Combined with the loss of social supports and routines that once sustained us, it can be hard to feel productive as life simply feels overwhelming. To cope, many of us are falling back on destructive habits such as abusing drugs and alcohol while others are experiencing panic attacks. Further, those of us with children are stretched thin, and it can be hard to meet their needs adequately while running on emotional fumes. Yet, even during this time of upheaval and uncertainty, you are not alone. There is a path forward, and by working together we can shine a light upon it.
(817) 697-2428 View (817) 697-2428
Photo of Kelli Justusson, Licensed Professional Counselor in Alvarado, TX
Kelli Justusson
Licensed Professional Counselor, MS, LPC
Verified
1 Endorsed
Burleson, TX 76028  (Online Only)
I have a passion for working with children, adolescents and their support systems to address trauma or other concerns. I believe it is important to meet children and teens where they are to help them gain the skills and confidence to become successful adults. Helping children understand their thoughts, feelings, actions and needs is the first step in that journey. I also believe it is important to help children and teens learn to advocate for themselves in order to grow and develop into the best version of themselves.
I have a passion for working with children, adolescents and their support systems to address trauma or other concerns. I believe it is important to meet children and teens where they are to help them gain the skills and confidence to become successful adults. Helping children understand their thoughts, feelings, actions and needs is the first step in that journey. I also believe it is important to help children and teens learn to advocate for themselves in order to grow and develop into the best version of themselves.
(817) 241-5492 View (817) 241-5492
Photo of Penne Schulz, Licensed Professional Counselor in Alvarado, TX
Penne Schulz
Licensed Professional Counselor, MS, LPC-S
Verified
2 Endorsed
Burleson, TX 76028
Hi! I'm Penne Schulz. I am a relationship specialist working with couples -- I have over 16 years experience. And, I also specialize in trauma, working with individuals in trauma recovery and a variety of issues that can cause people to get stuck. I work as a guide looking back to see what may have been fractured and what needs mending... working in the "here and now" finding out how relief and happiness can happen NOW; and looking towards the future to see what we are aiming for - creating mile markers helping us know we are heading in the right direction.
Hi! I'm Penne Schulz. I am a relationship specialist working with couples -- I have over 16 years experience. And, I also specialize in trauma, working with individuals in trauma recovery and a variety of issues that can cause people to get stuck. I work as a guide looking back to see what may have been fractured and what needs mending... working in the "here and now" finding out how relief and happiness can happen NOW; and looking towards the future to see what we are aiming for - creating mile markers helping us know we are heading in the right direction.
(817) 962-2548 View (817) 962-2548

See more therapy options for Alvarado

How does your Therapist compare?

Number of Therapists in Alvarado, TX

< 10

Therapists in Alvarado, TX who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
75% ADHD
75% Parenting
75% Family Conflict
75% Stress

Average years in practice

3 Years

Top 3 insurances accepted

100% Aetna
100% UnitedHealthcare UHC | UBH
75% BlueCross and BlueShield

How Therapists in Alvarado, TX see their clients

75% In Person and Online
25% Online Only

Gender breakdown

75% Female
25% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Alvarado?

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.