Therapists in Prestonwood Forest, Houston, TX

Photo of Michelle Marie Myers, Marriage & Family Therapist, MS, LMFT, LPC
Michelle Marie Myers
Marriage & Family Therapist, MS, LMFT, LPC
1 Endorsed
Serves Area
You'll find my approach to be compassionate and empowering. Together, we will explore your story, identify patterns, and develop strategies to help you move forward with confidence. My goal is to empower you to navigate life's challenges, uncover your strengths, and achieve meaningful change. I specialize in helping clients work through anxiety, depression, personality disorders, family dynamics, trauma and grief. Whether you're facing a significant loss, struggling in a relationship, or feeling overwhelmed, I am here to walk alongside you on your journey.
You'll find my approach to be compassionate and empowering. Together, we will explore your story, identify patterns, and develop strategies to help you move forward with confidence. My goal is to empower you to navigate life's challenges, uncover your strengths, and achieve meaningful change. I specialize in helping clients work through anxiety, depression, personality disorders, family dynamics, trauma and grief. Whether you're facing a significant loss, struggling in a relationship, or feeling overwhelmed, I am here to walk alongside you on your journey.
(832) 500-5248 View (832) 500-5248
Photo of Mona Mossad, Licensed Professional Counselor, MBBCH, MA, LPC, CART
Mona Mossad
Licensed Professional Counselor, MBBCH, MA, LPC, CART
1 Endorsed
Serves Area
I work best with an individual who may experience self-doubt, low self-esteem, unreasonable fears, depression, stress, and anxiety that sometimes may accompany serious illnesses. I also work with people who are grieving a significant loss, experiencing adjustment disorders because of a life changing event, addicted to alcohol or drugs, involved in a failing marriage, challenged by raising a family, or experiencing a professional burnout. I help you to focus on how unused potential, or being consumed by negative thoughts, can lead to missed opportunities. I will guide you to develop coping skills that will eventually lead to better outcomes in the future.
I work best with an individual who may experience self-doubt, low self-esteem, unreasonable fears, depression, stress, and anxiety that sometimes may accompany serious illnesses. I also work with people who are grieving a significant loss, experiencing adjustment disorders because of a life changing event, addicted to alcohol or drugs, involved in a failing marriage, challenged by raising a family, or experiencing a professional burnout. I help you to focus on how unused potential, or being consumed by negative thoughts, can lead to missed opportunities. I will guide you to develop coping skills that will eventually lead to better outcomes in the future.
(832) 981-6901 View (832) 981-6901
Photo of Mosadi L Porter, LPC Associate, EdD
Mosadi L Porter
LPC Associate, EdD
3 Endorsed
Serves Area
Emotional wounds from your past dictating your present? Disconnected in your relationships? Stuck in patterns of miscommunication? I help pre-committed, unmarried, and established couples, college students, and adults navigate challenges in emotional healing, love, identity, and self-worth. Whether you’re facing anxiety, trauma, relationship conflict, or major life transitions, I create a supportive, nonjudgmental space for revelation and growth. I will challenge and support, but YOU are the expert on YOU. I am here to help you navigate the choppy waters of life. My goal is simple: to help you grow from surviving to thriving.
Emotional wounds from your past dictating your present? Disconnected in your relationships? Stuck in patterns of miscommunication? I help pre-committed, unmarried, and established couples, college students, and adults navigate challenges in emotional healing, love, identity, and self-worth. Whether you’re facing anxiety, trauma, relationship conflict, or major life transitions, I create a supportive, nonjudgmental space for revelation and growth. I will challenge and support, but YOU are the expert on YOU. I am here to help you navigate the choppy waters of life. My goal is simple: to help you grow from surviving to thriving.
(346) 523-7894 View (346) 523-7894
Photo of Brittany Johnson, Licensed Professional Counselor, M Ed, LPC, ADHD-, CCSP
Brittany Johnson
Licensed Professional Counselor, M Ed, LPC, ADHD-, CCSP
2 Endorsed
Serves Area
Struggling with anxiety, stress, or painful memories? You’re not alone. I believe therapy should feel supportive, approachable, and grounded in real life. I strive to create a safe, nonjudgmental space where clients can explore their experiences and feel understood. My holistic approach combines emotional processing with practical coping skills to help clients heal from past challenges while building confidence and resilience in daily life. I tailor therapy to each individual’s unique needs, strengths, and goals.
Struggling with anxiety, stress, or painful memories? You’re not alone. I believe therapy should feel supportive, approachable, and grounded in real life. I strive to create a safe, nonjudgmental space where clients can explore their experiences and feel understood. My holistic approach combines emotional processing with practical coping skills to help clients heal from past challenges while building confidence and resilience in daily life. I tailor therapy to each individual’s unique needs, strengths, and goals.
(979) 271-5039 View (979) 271-5039
Photo of Jayme C Smith, Licensed Professional Counselor, MA, LPC-S
Jayme C Smith
Licensed Professional Counselor, MA, LPC-S
3 Endorsed
Serves Area
Are you searching to find happiness in the midst of life's unpredictability? Navigating challenges, picking up the pieces, and moving forward can be overwhelming. At times, it may even impact our connections with family and friends. While we are the experts of our own lives, a little support can make a significant difference. I'm here to extend my commitment to support you on your journey toward greater self-awareness. Together, we can manage the challenges that have arisen and will continue to surface. This effort will empower you to make healthier decisions, improving your life and helping you reach your goals. You've got this!
Are you searching to find happiness in the midst of life's unpredictability? Navigating challenges, picking up the pieces, and moving forward can be overwhelming. At times, it may even impact our connections with family and friends. While we are the experts of our own lives, a little support can make a significant difference. I'm here to extend my commitment to support you on your journey toward greater self-awareness. Together, we can manage the challenges that have arisen and will continue to surface. This effort will empower you to make healthier decisions, improving your life and helping you reach your goals. You've got this!
(281) 559-7658 View (281) 559-7658
Photo of Adela Rushing, Licensed Professional Counselor, MABC, LPC-S
Adela Rushing
Licensed Professional Counselor, MABC, LPC-S
1 Endorsed
Serves Area
My passion is to help clients seeking change, healing, and restoration through a variety of counseling techniques. I generally work with individuals, couples, and groups and specialize in helping relationships, marriages, survivors of trauma and abuse, and veterans.
My passion is to help clients seeking change, healing, and restoration through a variety of counseling techniques. I generally work with individuals, couples, and groups and specialize in helping relationships, marriages, survivors of trauma and abuse, and veterans.
(432) 287-1408 View (432) 287-1408
Photo of Dr. Allison Kellier, Licensed Professional Counselor
Dr. Allison Kellier
Licensed Professional Counselor
Serves Area
I am Allison Kellier PsyD, a Licensed Professional Counselor (LPC) with over 18 years of clinical experience. I work with children, and adults, who are struggling with the effects of negative life stressors, depression, anxiety, mood disorders, Trauma and PTSD, relational issues, work-life stressors, grief, and loss issues and much more. I earned a Master of Arts degree in Counseling and a Doctorate Degree in Psychology. I have been a Licensed Professional Counselor since 2007.
I am Allison Kellier PsyD, a Licensed Professional Counselor (LPC) with over 18 years of clinical experience. I work with children, and adults, who are struggling with the effects of negative life stressors, depression, anxiety, mood disorders, Trauma and PTSD, relational issues, work-life stressors, grief, and loss issues and much more. I earned a Master of Arts degree in Counseling and a Doctorate Degree in Psychology. I have been a Licensed Professional Counselor since 2007.
(832) 400-3621 View (832) 400-3621
Photo of Melissa Ann Chase, Licensed Professional Counselor, MA, LPC, EMDR
Melissa Ann Chase
Licensed Professional Counselor, MA, LPC, EMDR
1 Endorsed
Serves Area
I am Melissa Chase, and I am here to help. I am the mother of four exceptional children and the grandmother of five more amazing grandchildren. I am a Sam Houston State University graduate, where I completed my undergraduate degree in education. I taught high school for sixteen years and, during that time, completed my Master's Degree in Professional Counseling at Houston Baptist University. My passion is supporting people through stressful situations and tragedy.
I am Melissa Chase, and I am here to help. I am the mother of four exceptional children and the grandmother of five more amazing grandchildren. I am a Sam Houston State University graduate, where I completed my undergraduate degree in education. I taught high school for sixteen years and, during that time, completed my Master's Degree in Professional Counseling at Houston Baptist University. My passion is supporting people through stressful situations and tragedy.
(281) 524-4535 View (281) 524-4535
Photo of Heather McPherson - Respark Therapy & Associates, Licensed Professional Counselor, LPC, LMFT, LCSW
Respark Therapy & Associates
Licensed Professional Counselor, LPC, LMFT, LCSW
Serves Area
We are a team of highly-specialized therapists who are committed to serving your individual and relationship needs. We have a combined 40+ years of experience and a wide array of specialties and certifications. We provide the most up to date and effective therapy because our clinicians are highly trained in relationship issues as well as sexuality issues. Most couples therapists do not receive any education in sexuality. We are a diverse team which only strengthens our ability to serve all communities. We continuously seek advanced, expert training opportunities in sexuality and relationship issues.
We are a team of highly-specialized therapists who are committed to serving your individual and relationship needs. We have a combined 40+ years of experience and a wide array of specialties and certifications. We provide the most up to date and effective therapy because our clinicians are highly trained in relationship issues as well as sexuality issues. Most couples therapists do not receive any education in sexuality. We are a diverse team which only strengthens our ability to serve all communities. We continuously seek advanced, expert training opportunities in sexuality and relationship issues.
(512) 572-9866 View (512) 572-9866
Photo of Kiira Sisman, Licensed Professional Counselor
Kiira Sisman
Licensed Professional Counselor
1 Endorsed
Serves Area
How did this happen again? It took so much time and effort to break free from your last toxic and co-dependent relationship. Now you find yourself immediately stuck back in another one. It’s terrible to live this way. Your entire self-worth is dependent on external validation from others. Your partners constantly mistreat you, but you don’t feel like you deserve any better. “At least,” you tell yourself, “This negative attention is better than getting no attention at all.” You wish there was some way to regain control of your life and relationships, but you don’t know how. It feels hopeless, and you’re almost ready to give up.
How did this happen again? It took so much time and effort to break free from your last toxic and co-dependent relationship. Now you find yourself immediately stuck back in another one. It’s terrible to live this way. Your entire self-worth is dependent on external validation from others. Your partners constantly mistreat you, but you don’t feel like you deserve any better. “At least,” you tell yourself, “This negative attention is better than getting no attention at all.” You wish there was some way to regain control of your life and relationships, but you don’t know how. It feels hopeless, and you’re almost ready to give up.
(832) 684-9970 View (832) 684-9970
Photo of Kim Saltzman, Licensed Professional Counselor, MA, LPC, CSAT, CEDS-A
Kim Saltzman
Licensed Professional Counselor, MA, LPC, CSAT, CEDS-A
1 Endorsed
Serves Area
Along side of my professional credentials, I too have traveled down a road of recovery and healing that enables me to share valuable insight and perspective with my clients. I specialize in treating Eating Disorders, PTSD/Complex trauma, and Sex Addiction. I support a holistic counseling approach that addresses the mental, physical, and spiritual aspects of a person. By integrating various counseling techniques and philosophies, I offer my clients the most current and effective methods of treatment.
Along side of my professional credentials, I too have traveled down a road of recovery and healing that enables me to share valuable insight and perspective with my clients. I specialize in treating Eating Disorders, PTSD/Complex trauma, and Sex Addiction. I support a holistic counseling approach that addresses the mental, physical, and spiritual aspects of a person. By integrating various counseling techniques and philosophies, I offer my clients the most current and effective methods of treatment.
(281) 245-0785 View (281) 245-0785
Photo of Latrina Hogan, Licensed Professional Counselor, LPC
Latrina Hogan
Licensed Professional Counselor, LPC
Serves Area
I am a licensed professional counselor (LPC) with 4 years of experience supporting clients in Florida and Texas. I work with individuals experiencing depression, anxiety, relationship issues, trauma, and emotional abuse. I help clients process and overcome the effects of trauma while creating a safe, judgment-free space to share their experiences. I am passionate about helping people understand their emotions, build resilience, and move toward healing with clarity and confidence.
I am a licensed professional counselor (LPC) with 4 years of experience supporting clients in Florida and Texas. I work with individuals experiencing depression, anxiety, relationship issues, trauma, and emotional abuse. I help clients process and overcome the effects of trauma while creating a safe, judgment-free space to share their experiences. I am passionate about helping people understand their emotions, build resilience, and move toward healing with clarity and confidence.
(281) 853-8192 View (281) 853-8192
Photo of Kiran Ahmed, Licensed Professional Counselor, MA, LPC-S
Kiran Ahmed
Licensed Professional Counselor, MA, LPC-S
2 Endorsed
Serves Area
Have you ever felt alone with no one to confide in? Do you feel unheard? Do you feel others may not understand, or judge you if you asked for help? My approach to clients is simple, meet them where they are. I use different types of approaches to make you feel the most comfortable. I believe you know what you want and need, and it’s my job to help you get there. I am not here to judge you or lecture you, I am simply the support and guidance you may need on your journey. As a South Asian woman and the daughter of immigrants, I have had to overcome my own struggles and know how vital it is to have someone who is supportive.
Have you ever felt alone with no one to confide in? Do you feel unheard? Do you feel others may not understand, or judge you if you asked for help? My approach to clients is simple, meet them where they are. I use different types of approaches to make you feel the most comfortable. I believe you know what you want and need, and it’s my job to help you get there. I am not here to judge you or lecture you, I am simply the support and guidance you may need on your journey. As a South Asian woman and the daughter of immigrants, I have had to overcome my own struggles and know how vital it is to have someone who is supportive.
(281) 377-3743 View (281) 377-3743
Photo of Jessica Jensen, Licensed Professional Counselor, MA, LPC, PC, PF
Jessica Jensen
Licensed Professional Counselor, MA, LPC, PC, PF
Serves Area
I had the privilege of serving our local community as an educator for 16 years with 11 of those being a Professional School Counselor. My experience and skill set has allowed me to help individuals in many different aspects of their lives. I love what I did daily in the school setting and now wish to extend these services to anyone in need as a Licensed Professional Counselor.
I had the privilege of serving our local community as an educator for 16 years with 11 of those being a Professional School Counselor. My experience and skill set has allowed me to help individuals in many different aspects of their lives. I love what I did daily in the school setting and now wish to extend these services to anyone in need as a Licensed Professional Counselor.
(281) 746-6910 View (281) 746-6910
Photo of Kristin Henshaw - Cy-Hope Counseling Center, Marriage & Family Therapist, MA, LMFT-S
Cy-Hope Counseling Center
Marriage & Family Therapist, MA, LMFT-S
2 Endorsed
Serves Area
From the moment a client enters our grounds, we strive to provide a warm, therapeutic, and inviting atmosphere. We have a variety of talented counselors and speech therapists with various specialties that allows us to match you with the therapist that is a fit for your needs. Whether you are faced with challenging and stressful relationships within your family, a personal need of a struggling child or family member, or an individual need for yourself, we have the right counselors for you. We look forward to working with you!
From the moment a client enters our grounds, we strive to provide a warm, therapeutic, and inviting atmosphere. We have a variety of talented counselors and speech therapists with various specialties that allows us to match you with the therapist that is a fit for your needs. Whether you are faced with challenging and stressful relationships within your family, a personal need of a struggling child or family member, or an individual need for yourself, we have the right counselors for you. We look forward to working with you!
(281) 730-8538 View (281) 730-8538
Photo of Neera Darvish - Dr. Neera, Clinical Social Work/Therapist, PhD, LCSW
Dr. Neera
Clinical Social Work/Therapist, PhD, LCSW
Serves Area
You are not alone. Many things are possible even if they look impossible. Health, financial success, marriage and family restoration, parental success, career success and achieving your purpose can happen. I will walk beside you to overcome your fears and open up a joyful life pursuing your purpose.
You are not alone. Many things are possible even if they look impossible. Health, financial success, marriage and family restoration, parental success, career success and achieving your purpose can happen. I will walk beside you to overcome your fears and open up a joyful life pursuing your purpose.
(281) 602-8323 View (281) 602-8323
Photo of Jacqueline Ramsey, Drug & Alcohol Counselor, MA,, LCDC,, QMHP
Jacqueline Ramsey
Drug & Alcohol Counselor, MA,, LCDC,, QMHP
1 Endorsed
Serves Area
With over 14 years of experience in the mental health and substance use field, I am committed to providing a safe, compassionate, and judgment-free space for every client I serve. I believe in meeting individuals where they are and empowering them to recognize their strengths, heal from their past, and build healthier patterns. Using a trauma-informed and person-centered approach, I walk alongside clients as they navigate challenges and move toward meaningful change. My goal is to earn your trust, support your growth, and help you create a life that feels authentic and hopeful.
With over 14 years of experience in the mental health and substance use field, I am committed to providing a safe, compassionate, and judgment-free space for every client I serve. I believe in meeting individuals where they are and empowering them to recognize their strengths, heal from their past, and build healthier patterns. Using a trauma-informed and person-centered approach, I walk alongside clients as they navigate challenges and move toward meaningful change. My goal is to earn your trust, support your growth, and help you create a life that feels authentic and hopeful.
(832) 979-6304 View (832) 979-6304
Photo of Chelsea Pangelinan, Licensed Professional Counselor, MS, LPC
Chelsea Pangelinan
Licensed Professional Counselor, MS, LPC
1 Endorsed
Serves Area
You’re tired of holding everything together. Maybe you’ve always been the strong one — the dependable friend, the mediator, the one who keeps functioning even when you’re overwhelmed inside. On the outside you look capable; internally you’re exhausted, overthinking, or wondering why life feels harder than it should. If you’re navigating ADHD, anxiety, identity questions, burnout, or unresolved experiences from your past, therapy can be a place where you don’t have to mask or figure it out alone.
You’re tired of holding everything together. Maybe you’ve always been the strong one — the dependable friend, the mediator, the one who keeps functioning even when you’re overwhelmed inside. On the outside you look capable; internally you’re exhausted, overthinking, or wondering why life feels harder than it should. If you’re navigating ADHD, anxiety, identity questions, burnout, or unresolved experiences from your past, therapy can be a place where you don’t have to mask or figure it out alone.
View
Photo of Juauna Krogh - Juauna Krogh EMDR Therapist, Licensed Professional Counselor Associate, MA, LPC-A
Juauna Krogh EMDR Therapist
Licensed Professional Counselor Associate, MA, LPC-A
1 Endorsed
Serves Area
Do you struggle with anxiety, depression, or the weight of life transitions that affect your relationships, work, or sense of self? Do you feel exhausted, overwhelmed, or uncertain while trying to manage stress, expectations, or painful emotions? Therapy can provide the support you need to regain clarity, balance, and hope. In our sessions, I create a safe, welcoming space where you can share openly, explore your challenges, and begin building tools for lasting healing and improved mental health.
Do you struggle with anxiety, depression, or the weight of life transitions that affect your relationships, work, or sense of self? Do you feel exhausted, overwhelmed, or uncertain while trying to manage stress, expectations, or painful emotions? Therapy can provide the support you need to regain clarity, balance, and hope. In our sessions, I create a safe, welcoming space where you can share openly, explore your challenges, and begin building tools for lasting healing and improved mental health.
(281) 771-1411 View (281) 771-1411
Photo of Veronica Chantel Shorten, Licensed Professional Counselor, CRC, LPC
Veronica Chantel Shorten
Licensed Professional Counselor, CRC, LPC
1 Endorsed
Serves Area
I have always had a passion for encouraging adolescents and young adults to explore their obstacles and rediscover their strengths during the most pivotal and challenging stages of life. Whether working through trauma, managing symptoms of anxiety or depression, or addressing issues such as self esteem, relationships, and stress, my approach is rooted in empathy, cultural sensitivity, and evidence-based practices. As a licensed professional counselor, I strive to create a safe, inclusive, and empowering space where you can explore emotions, navigate identity, build resilience, and develop tools necessary for lasting mental wellness.
I have always had a passion for encouraging adolescents and young adults to explore their obstacles and rediscover their strengths during the most pivotal and challenging stages of life. Whether working through trauma, managing symptoms of anxiety or depression, or addressing issues such as self esteem, relationships, and stress, my approach is rooted in empathy, cultural sensitivity, and evidence-based practices. As a licensed professional counselor, I strive to create a safe, inclusive, and empowering space where you can explore emotions, navigate identity, build resilience, and develop tools necessary for lasting mental wellness.
(346) 306-0770 View (346) 306-0770

How does your Therapist compare?

Number of Therapists in Prestonwood Forest, Houston, TX

60+

Average cost per session

$140

Therapists in Prestonwood Forest, Houston, TX who prioritize treating:

95% Anxiety
92% Depression
80% Trauma and PTSD
78% Relationship Issues
67% Self Esteem
65% Grief
65% Stress

Average years in practice

12 Years

Top 3 insurances accepted

91% Aetna
89% Cigna and Evernorth
80% BlueCross and BlueShield

How Therapists in Prestonwood Forest, Houston, TX see their clients

68% In Person and Online
32% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Prestonwood Forest, Houston?

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.