Therapists in Gate City, VA

Photo of Edica Gonzalez, LCSW, Clinical Social Work/Therapist
Edica Gonzalez
Clinical Social Work/Therapist, LCSW
Verified Verified
Gate City, VA 24251
My name is Edica Gonzalez, and I am a Licensed Clinical Social Worker. My approach is client-centered; together, we determine the best intervention to support this journey. I treat a variety of challenges, including anxiety, depression, trauma, grief/loss, anger, self-esteem, and familial/relationship issues. I currently work with active duty military personnel, adults, and adolescents 16+. I am comfortable with treating clients with PTSD, complex trauma, relational issues, depression, anxiety, phobias, domestic violence/sexual assault survivors, anger, and self-esteem issues.
My name is Edica Gonzalez, and I am a Licensed Clinical Social Worker. My approach is client-centered; together, we determine the best intervention to support this journey. I treat a variety of challenges, including anxiety, depression, trauma, grief/loss, anger, self-esteem, and familial/relationship issues. I currently work with active duty military personnel, adults, and adolescents 16+. I am comfortable with treating clients with PTSD, complex trauma, relational issues, depression, anxiety, phobias, domestic violence/sexual assault survivors, anger, and self-esteem issues.
(804) 626-5488 View (804) 626-5488
Photo of Lisa McIntosh, LPC, Licensed Professional Counselor
Lisa McIntosh
Licensed Professional Counselor, LPC
Verified Verified
Gate City, VA 24251
My name is Lisa McIntosh, LPC License 0701008421. I have more than 20 years of experience working with children, adolescents, and adults. My holistic approach focuses on the individual's emotional, psychological, and social well-being. I also focus on rapport building, goal setting, and implementing evidence-based treatment to help individuals and families identify and change their troubling emotions, thoughts, and behaviors.
My name is Lisa McIntosh, LPC License 0701008421. I have more than 20 years of experience working with children, adolescents, and adults. My holistic approach focuses on the individual's emotional, psychological, and social well-being. I also focus on rapport building, goal setting, and implementing evidence-based treatment to help individuals and families identify and change their troubling emotions, thoughts, and behaviors.
(540) 264-9722 View (540) 264-9722
Photo of Stephanie Hope Strouth - Anchoring Hope Counseling, LLC, LPC, Licensed Professional Counselor
Anchoring Hope Counseling, LLC
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Gate City, VA 24251
At Anchoring Hope, we are here for you. Our calling is to come alongside you and be a calm presence to help you get unstuck. Ultimately, our goal is to help you develop coping skills as an individual, couple, or family so that you can be successful in life. We cover various issues on a variety of levels. Please check out our website at www.ahchope.com to choose a therapist, complete our online interest form, or to read our blog!
At Anchoring Hope, we are here for you. Our calling is to come alongside you and be a calm presence to help you get unstuck. Ultimately, our goal is to help you develop coping skills as an individual, couple, or family so that you can be successful in life. We cover various issues on a variety of levels. Please check out our website at www.ahchope.com to choose a therapist, complete our online interest form, or to read our blog!
(276) 242-3540 View (276) 242-3540

More Therapists Nearby

Photo of Christine Buzitsky, LCSW, Clinical Social Work/Therapist
Christine Buzitsky
Clinical Social Work/Therapist, LCSW
Verified Verified
Weber City, VA 24290
Welcome, and thank you for considering me as a therapist to partner with you on your therapy journey! I am Christine Buzitsky, a Licensed Clinical Social Worker in North Carolina and Virginia. I have twenty-five years of experience working with adults, adolescents, children, couples, and families to address relationship issues, anxiety, depression, women's issues, grief, ADHD, coping with chronic medical concerns, and life transitions. I believe therapy must be individualized to the client.
Welcome, and thank you for considering me as a therapist to partner with you on your therapy journey! I am Christine Buzitsky, a Licensed Clinical Social Worker in North Carolina and Virginia. I have twenty-five years of experience working with adults, adolescents, children, couples, and families to address relationship issues, anxiety, depression, women's issues, grief, ADHD, coping with chronic medical concerns, and life transitions. I believe therapy must be individualized to the client.
(540) 274-8458 View (540) 274-8458
Photo of Calandra Togba-Doya, LCSW, Clinical Social Work/Therapist
Calandra Togba-Doya
Clinical Social Work/Therapist, LCSW
Verified Verified
Hiltons, VA 24258
Welcome, I'm Calandra Togba-Doya, LCSW, LICSW. I work with Individuals that desire positive change in their lives. I believe perfection is a myth, but we all can set and obtain progressive goals. My mantra is Happy, Healthy, and Whole. That's obtainable. I view the therapeutic process as a partnership with you leading the effort. You have all the answers you need. I am simply a partner walking along as you journey to uncover them. I work best with Individuals ages 14 - 65. Though the majority of my clients are women; men have found my approach very beneficial.
Welcome, I'm Calandra Togba-Doya, LCSW, LICSW. I work with Individuals that desire positive change in their lives. I believe perfection is a myth, but we all can set and obtain progressive goals. My mantra is Happy, Healthy, and Whole. That's obtainable. I view the therapeutic process as a partnership with you leading the effort. You have all the answers you need. I am simply a partner walking along as you journey to uncover them. I work best with Individuals ages 14 - 65. Though the majority of my clients are women; men have found my approach very beneficial.
(571) 556-4237 View (571) 556-4237
Photo of Jasmine Ricks, LMFT, Marriage & Family Therapist
Jasmine Ricks
Marriage & Family Therapist, LMFT
Verified Verified
Fort Blackmore, VA 24250
My name is Jasmine Ricks, and I am a licensed Marriage & Family Therapist working with individuals in Virginia and Texas via telehealth. I work with adults specializing in relationships, self-worth, anxiety, stress, and transitions utlizing Cognitive Behavioral Therapy, Acceptance Commitment Therapy, Solution Focused Brief Therapy and Family Systems to support clients. Some of the areas I help with include managing stress, coping with life transitions, communication, boundaries, acceptance, self worth, self love, self care, people pleasing, codependency, impostor syndrome, trauma, relationships challenges, work life stress, anxiety.
My name is Jasmine Ricks, and I am a licensed Marriage & Family Therapist working with individuals in Virginia and Texas via telehealth. I work with adults specializing in relationships, self-worth, anxiety, stress, and transitions utlizing Cognitive Behavioral Therapy, Acceptance Commitment Therapy, Solution Focused Brief Therapy and Family Systems to support clients. Some of the areas I help with include managing stress, coping with life transitions, communication, boundaries, acceptance, self worth, self love, self care, people pleasing, codependency, impostor syndrome, trauma, relationships challenges, work life stress, anxiety.
(804) 966-0600 View (804) 966-0600
Photo of Marita Kershaw, LCSW, Clinical Social Work/Therapist
Marita Kershaw
Clinical Social Work/Therapist, LCSW
Verified Verified
Duffield, VA 24244
Welcome! I am a Licensed Clinical Social Worker with over 8 years of diverse experience and continue to evolve in new treatment models. I have worked with individuals, families, and couples alike. I have specialized training in depression, anxiety, trauma, grief, and women's issues. Due to my years of experience, I've learned techniques and strategies that include Solution Focused Brief (SFBT), Cognitive Behavioral (CBT), and Christian Counseling therapies. I believe that using various techniques and strategies to assist you in your journey is a fulfilling movement as a therapist.
Welcome! I am a Licensed Clinical Social Worker with over 8 years of diverse experience and continue to evolve in new treatment models. I have worked with individuals, families, and couples alike. I have specialized training in depression, anxiety, trauma, grief, and women's issues. Due to my years of experience, I've learned techniques and strategies that include Solution Focused Brief (SFBT), Cognitive Behavioral (CBT), and Christian Counseling therapies. I believe that using various techniques and strategies to assist you in your journey is a fulfilling movement as a therapist.
(804) 373-2276 View (804) 373-2276
Photo of Christine Buzitsky, LCSW, Clinical Social Work/Therapist
Christine Buzitsky
Clinical Social Work/Therapist, LCSW
Verified Verified
Hiltons, VA 24258
Welcome, and thank you for considering me as a therapist to partner with you on your therapy journey! I am Christine Buzitsky, a Licensed Clinical Social Worker in North Carolina and Virginia. I have twenty-five years of experience working with adults, adolescents, children, couples, and families to address relationship issues, anxiety, depression, women's issues, grief, ADHD, coping with chronic medical concerns, and life transitions. I believe therapy must be individualized to the client.
Welcome, and thank you for considering me as a therapist to partner with you on your therapy journey! I am Christine Buzitsky, a Licensed Clinical Social Worker in North Carolina and Virginia. I have twenty-five years of experience working with adults, adolescents, children, couples, and families to address relationship issues, anxiety, depression, women's issues, grief, ADHD, coping with chronic medical concerns, and life transitions. I believe therapy must be individualized to the client.
(571) 470-7209 View (571) 470-7209
Photo of Clarissa Lane, MSW , LCSW, Clinical Social Work/Therapist
Clarissa Lane
Clinical Social Work/Therapist, MSW , LCSW
Verified Verified
Fort Blackmore, VA 24250  (Online Only)
Hello, My name is Clarissa Lane and I am a Licensed Clinical Social Worker based out of Virgina. I graduated with my Masters degree from Appalachian State University, in Boone NC. I help adults manage daily life stressors and trauma so they can move forward in life leaving the past in the past.
Hello, My name is Clarissa Lane and I am a Licensed Clinical Social Worker based out of Virgina. I graduated with my Masters degree from Appalachian State University, in Boone NC. I help adults manage daily life stressors and trauma so they can move forward in life leaving the past in the past.
(276) 531-2395 View (276) 531-2395
Photo of Debbie Kirkwood, LMFT, Marriage & Family Therapist
Debbie Kirkwood
Marriage & Family Therapist, LMFT
Verified Verified
Weber City, VA 24290
Hi, my name is Debbie Kirkwood, and I am a Licensed Marriage and Family Therapist and Licensed Professional Counselor. Having been in the mental health field for over 20 years, I have worked with many people of every age group and from various backgrounds and cultures. My focuses are Anxiety, Job Stress, Life Coaching, Stress, and Relationship Issues. I use Coaching, Person-Centered, Solution Focused Brief (SFBT), Cognitive Behavioral (CBT), and Supportive. I believe in meeting the client where they are and not where I want them to be.
Hi, my name is Debbie Kirkwood, and I am a Licensed Marriage and Family Therapist and Licensed Professional Counselor. Having been in the mental health field for over 20 years, I have worked with many people of every age group and from various backgrounds and cultures. My focuses are Anxiety, Job Stress, Life Coaching, Stress, and Relationship Issues. I use Coaching, Person-Centered, Solution Focused Brief (SFBT), Cognitive Behavioral (CBT), and Supportive. I believe in meeting the client where they are and not where I want them to be.
(571) 554-2320 View (571) 554-2320

Online Therapists

Photo of Sam Cowart, LPC, Licensed Professional Counselor
Sam Cowart
Licensed Professional Counselor, LPC
Verified Verified
Abingdon, VA 24210  (Online Only)
Sam Cowart is a Licensed Professional Counselor (LPC) with over 12 years of experience helping adult clients who are suffering from panic attacks, anxiety, depression, adjustment-related issues, anger, OCD, trauma, PTSD, and more.
Sam Cowart is a Licensed Professional Counselor (LPC) with over 12 years of experience helping adult clients who are suffering from panic attacks, anxiety, depression, adjustment-related issues, anger, OCD, trauma, PTSD, and more.
(540) 253-1471 View (540) 253-1471
Photo of Mark J. Skiera, MA, LADAC
Mark J. Skiera
Resident in Counseling, MA, LADAC
Verified Verified
1 Endorsed
Abingdon, VA 24210
When you come into my office, I assure you will be met with kindness, respect, and the belief that you can get through your challenges. You will set the pace and together we will explore proven solutions to enhance your confidence and well-being. It is my goal that you will leave each session feeling understood and with hope.
When you come into my office, I assure you will be met with kindness, respect, and the belief that you can get through your challenges. You will set the pace and together we will explore proven solutions to enhance your confidence and well-being. It is my goal that you will leave each session feeling understood and with hope.
(276) 800-7818 View (276) 800-7818
Photo of Gifty Pampuru, LPC, Licensed Professional Counselor
Gifty Pampuru
Licensed Professional Counselor, LPC
Verified Verified
Big Stone Gap, VA 24219
Life is full of challenges, some easy and some are tough! While we are equipped with some skill sets to handle them, at times the going can get tough and this is where my professional experience can help bridge the gap. I am an RN and a Licensed Professional Counselor who specializes in areas including anxiety, depression, coping skills, life transitions, and grief, amongst others. Utilizing CBT, DBT, IFS, EMDR are few of the interventions to propel the clients towards their achievement of goals and independency.
Life is full of challenges, some easy and some are tough! While we are equipped with some skill sets to handle them, at times the going can get tough and this is where my professional experience can help bridge the gap. I am an RN and a Licensed Professional Counselor who specializes in areas including anxiety, depression, coping skills, life transitions, and grief, amongst others. Utilizing CBT, DBT, IFS, EMDR are few of the interventions to propel the clients towards their achievement of goals and independency.
(571) 556-9231 View (571) 556-9231
Photo of Joy Groves, MA, LPC, NCC, Licensed Professional Counselor
Joy Groves
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Mouth Of Wilson, VA 24363
I am an experienced counselor who is truly invested in helping individuals and families make their lives better and find joy in life. Whether you have concerns for your child, teen, or for yourself, rest assured that life can feel better than it does for you right now. I am a compassionate listener who will help you develop new perspectives and skills to navigate the challenges affecting you and your family. I will encourage you, help you grow into your best self, and enhance your significant relationships. My approach is holistic, incorporating the spiritual values that are important to you.
I am an experienced counselor who is truly invested in helping individuals and families make their lives better and find joy in life. Whether you have concerns for your child, teen, or for yourself, rest assured that life can feel better than it does for you right now. I am a compassionate listener who will help you develop new perspectives and skills to navigate the challenges affecting you and your family. I will encourage you, help you grow into your best self, and enhance your significant relationships. My approach is holistic, incorporating the spiritual values that are important to you.
(276) 496-2642 View (276) 496-2642
Photo of Saborah Lee Holmes, LPC, CSAC , Licensed Professional Counselor
Saborah Lee Holmes
Licensed Professional Counselor, LPC, CSAC
Verified Verified
Duffield, VA 24244
I want to work with any person who has the ability to admit that things are not what they could be, and the courage that it takes to hope for and work towards true change in life. Issues that can be addressed include depression, anxiety, trauma, relationship and family issues. One of the main goals of treatment will be helping the person truly identify what their own goals and expectations for their treatment and more broadly for their life are and to devise steps to making their vision a reality.
I want to work with any person who has the ability to admit that things are not what they could be, and the courage that it takes to hope for and work towards true change in life. Issues that can be addressed include depression, anxiety, trauma, relationship and family issues. One of the main goals of treatment will be helping the person truly identify what their own goals and expectations for their treatment and more broadly for their life are and to devise steps to making their vision a reality.
(276) 579-1672 View (276) 579-1672
Photo of Monica Swann, MA, Pre-Licensed Professional
Monica Swann
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Galax, VA 24333
There are times in our journey where we stop and ask ourselves, “how did I get here?”. As people, we are constantly exploring our growth edges and trying to adapt to the challenges and changes in our lives. Navigating those changes on our own may be frustrating, scary and sometimes leave us feeling unclear and hopeless. No matter where in life you are currently, there is power in asking for help. I want to walk with you to safely explore the past, learn to stay mindful in the present, and work to improve your future. Sometimes the most challenging pieces of our story simply need to be acknowledged before they can be understood.
There are times in our journey where we stop and ask ourselves, “how did I get here?”. As people, we are constantly exploring our growth edges and trying to adapt to the challenges and changes in our lives. Navigating those changes on our own may be frustrating, scary and sometimes leave us feeling unclear and hopeless. No matter where in life you are currently, there is power in asking for help. I want to walk with you to safely explore the past, learn to stay mindful in the present, and work to improve your future. Sometimes the most challenging pieces of our story simply need to be acknowledged before they can be understood.
(276) 409-8671 View (276) 409-8671
Photo of Dana Diamond, LCSW, Clinical Social Work/Therapist
Dana Diamond
Clinical Social Work/Therapist, LCSW
Verified Verified
Abingdon, VA 24210
Dana holds a Master's Degree in Social Work and is a Licensed Clinical Social Worker with over 6 years of experience providing various levels of care to clients. Dana has experience in crisis counseling through a 24/7 program and completing psychiatric evaluations. Dana also has worked with children and families in their homes providing family therapy. She specializes in treating anxiety, depression, behavioral issues, and family conflict. Dana enjoys working with young adults and helping them navigate the many changes that occur during young adulthood.Dana focuses on building rapport with clients and helping clients feel empowered.
Dana holds a Master's Degree in Social Work and is a Licensed Clinical Social Worker with over 6 years of experience providing various levels of care to clients. Dana has experience in crisis counseling through a 24/7 program and completing psychiatric evaluations. Dana also has worked with children and families in their homes providing family therapy. She specializes in treating anxiety, depression, behavioral issues, and family conflict. Dana enjoys working with young adults and helping them navigate the many changes that occur during young adulthood.Dana focuses on building rapport with clients and helping clients feel empowered.
(540) 215-2366 View (540) 215-2366
Photo of Alimatu Mustapha-Palmer, LPC, Licensed Professional Counselor
Alimatu Mustapha-Palmer
Licensed Professional Counselor, LPC
Verified Verified
Saltville, VA 24370
I am Alimatu Mustapha- Palmer (nee Alima Palmer),PhD., NCC, LPC, MAC, CSAC, BCC. I have been in the world of behavioral health and services for the past 25 years. I am experienced and well-credentialed including several board certifications, awards, and recognitions. My experience includes conducting trainings, workshops, and assessments and working with individuals, families, groups, non-profits, local and international government agencies including DSS- CPS, law enforcement, minority populations, specific women and children’s issues, spirituality, cultural dynamics, marriage, divorce, life transitions, coaching and more.
I am Alimatu Mustapha- Palmer (nee Alima Palmer),PhD., NCC, LPC, MAC, CSAC, BCC. I have been in the world of behavioral health and services for the past 25 years. I am experienced and well-credentialed including several board certifications, awards, and recognitions. My experience includes conducting trainings, workshops, and assessments and working with individuals, families, groups, non-profits, local and international government agencies including DSS- CPS, law enforcement, minority populations, specific women and children’s issues, spirituality, cultural dynamics, marriage, divorce, life transitions, coaching and more.
(804) 626-5653 View (804) 626-5653
Photo of Hayley Proffitt - Rivers Of Hope Counseling, MEd
Hayley Proffitt - Rivers Of Hope Counseling
Resident in Counseling, MEd
Verified Verified
1 Endorsed
Grundy, VA 24614  (Online Only)
Hello, my name is Hayley, I am a licensed Resident in Counseling with five years of experience in the field. I am very passionate about helping others! When working with clients my goal is to remain non-judgmental, honest, reliable, and compassionate. I strive to meet my client’s right where they’re at and ensure them I am a safe and trusting outlet for their counseling journey. Throughout my experience in the mental health field, I have worked mostly with children and adolescents. I also have experience working with families, as well as adults.
Hello, my name is Hayley, I am a licensed Resident in Counseling with five years of experience in the field. I am very passionate about helping others! When working with clients my goal is to remain non-judgmental, honest, reliable, and compassionate. I strive to meet my client’s right where they’re at and ensure them I am a safe and trusting outlet for their counseling journey. Throughout my experience in the mental health field, I have worked mostly with children and adolescents. I also have experience working with families, as well as adults.
(276) 496-6080 View (276) 496-6080
Photo of Teri Dahley - Restoring Minds Therapy LLC , LPC, Lsatp, Licensed Professional Counselor
Restoring Minds Therapy LLC
Licensed Professional Counselor, LPC, Lsatp
Verified Verified
Coeburn, VA 24230  (Online Only)
I'm Teri, a licensed professional counselor and licensed substance abuse treatment practitioner with a strong background in behavioral health since 2018. My commitment is to mental health and substance use disorders, focusing on empowering clients through education on how their behaviors impact their lives.
I'm Teri, a licensed professional counselor and licensed substance abuse treatment practitioner with a strong background in behavioral health since 2018. My commitment is to mental health and substance use disorders, focusing on empowering clients through education on how their behaviors impact their lives.
(276) 388-1773 View (276) 388-1773

See more therapy options for Gate City

How does your Therapist compare?

Number of Therapists in Gate City, VA

< 10

Therapists in Gate City, VA who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Coping Skills
100% Self Esteem
100% Stress
67% Relationship Issues

Top 3 insurances accepted

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

How Therapists in Gate City, VA see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Gate City?

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.