Therapists in Orcas, WA

Photo of Holly Davis Borrero, Counselor, MS, LMFT , LMHC
Holly Davis Borrero
Counselor, MS, LMFT , LMHC
1 Endorsed
Serves Area
Waitlist for new clients
I am an Individual, Marriage/Couple, and Family therapist offering evidence-based tele-health "Zoom" counseling sessions for Washingtonians, or in-person on Orcas Island. My focus on resilience invites clients to utilize and develop their own internal strengths. As they begin to build skills, resolve conflict, improve communication, address challenges in their relationships, and reduce symptoms like anxiety and depression, many of my clients heal emotional trauma, relieve angst, find hope, and ultimately flourish.
I am an Individual, Marriage/Couple, and Family therapist offering evidence-based tele-health "Zoom" counseling sessions for Washingtonians, or in-person on Orcas Island. My focus on resilience invites clients to utilize and develop their own internal strengths. As they begin to build skills, resolve conflict, improve communication, address challenges in their relationships, and reduce symptoms like anxiety and depression, many of my clients heal emotional trauma, relieve angst, find hope, and ultimately flourish.
(206) 944-6548 View (206) 944-6548
Photo of Racheal Perez, Pre-Licensed Professional
Racheal Perez
Pre-Licensed Professional
2 Endorsed
Online Only
My goal is to offer you a safe and supportive space where you can be yourself. Here, you can be fully seen, encouraged, and equipped with tools that truly make a difference in your daily life. Together, we’ll work toward helping you feel lighter, more grounded, and more connected, so you can create a life that feels authentic and fulfilling.
My goal is to offer you a safe and supportive space where you can be yourself. Here, you can be fully seen, encouraged, and equipped with tools that truly make a difference in your daily life. Together, we’ll work toward helping you feel lighter, more grounded, and more connected, so you can create a life that feels authentic and fulfilling.
(206) 558-4922 View (206) 558-4922
Photo of Kat Darger, Counselor, MA, LMHCA
Kat Darger
Counselor, MA, LMHCA
8 Endorsed
Online Only
Do you get thrown off center easily? Are you noticing patterns in your life you’d like to change, or experiencing despair, shame, or anxiety about who you are and what your life looks and feels like? We are shaped by the world around us, influenced by our experiences and relationships with not only other people, but with animals, plants, places, and all of the nonhuman world. We all experience pain and weather grief and loss, sometimes in hidden or unacknowledged ways. Therapy can be used to bring conscious awareness to elements in our lives which impact or limit us.
Do you get thrown off center easily? Are you noticing patterns in your life you’d like to change, or experiencing despair, shame, or anxiety about who you are and what your life looks and feels like? We are shaped by the world around us, influenced by our experiences and relationships with not only other people, but with animals, plants, places, and all of the nonhuman world. We all experience pain and weather grief and loss, sometimes in hidden or unacknowledged ways. Therapy can be used to bring conscious awareness to elements in our lives which impact or limit us.
(206) 737-2582 View (206) 737-2582
Photo of James Michael Seehof, Marriage & Family Therapist, MS, LMFT, LCPC
James Michael Seehof
Marriage & Family Therapist, MS, LMFT, LCPC
Serves Area
James Michael Seehof attained a Masters Degree in Psychology and was a licensed psychotherapist with a private practice in Idaho for 15 years. He is now practicing in the state of Washington on Orcas Island at the Healing Arts Center in Eastsound. He is currently licensed as an LMFT in the state of Washington and an LCPC and LMFT in the state of Idaho. He is comfortable working with diverse clients and respects their individuality. He tailors his technique to the needs of his clients, comfortable listening and exploring as well as discussing strategies needed to create change or solidify boundaries.
James Michael Seehof attained a Masters Degree in Psychology and was a licensed psychotherapist with a private practice in Idaho for 15 years. He is now practicing in the state of Washington on Orcas Island at the Healing Arts Center in Eastsound. He is currently licensed as an LMFT in the state of Washington and an LCPC and LMFT in the state of Idaho. He is comfortable working with diverse clients and respects their individuality. He tailors his technique to the needs of his clients, comfortable listening and exploring as well as discussing strategies needed to create change or solidify boundaries.
(360) 506-6326 View (360) 506-6326
Photo of Peg LeBlanc, Marriage & Family Therapist, MA, LMFT, C-DBT
Peg LeBlanc
Marriage & Family Therapist, MA, LMFT, C-DBT
Serves Area
If you need support to change a troubled relationship, a job or living situation, I can help you. If you have dreams or plans that you want help bringing about I can help with motivation and structure. People who can take action to seek help for difficulties feel better about themselves and move in the direction of greater happiness. I like to employ wisdom from many sources; Research based positive psychology, cognitive and dialectical behavioral therapy, mindfulness practices that restore emotional balance. I always seek to help you mobilize your own wisdom, sense of humor and courage.
If you need support to change a troubled relationship, a job or living situation, I can help you. If you have dreams or plans that you want help bringing about I can help with motivation and structure. People who can take action to seek help for difficulties feel better about themselves and move in the direction of greater happiness. I like to employ wisdom from many sources; Research based positive psychology, cognitive and dialectical behavioral therapy, mindfulness practices that restore emotional balance. I always seek to help you mobilize your own wisdom, sense of humor and courage.
(360) 226-7880 View (360) 226-7880
Photo of Dr. Carlan Gordon - Dr. Carlan Gordon - The Woods Wellness Center, Psychologist
Dr. Carlan Gordon - The Woods Wellness Center
Psychologist
Online Only
Not accepting new clients
Are you feeling stuck? Lonely? Disconnected? Burned out? If so, you're not alone and you're in the right place. I commend you for taking the first step in finding a therapist. I am a licensed clinical psychologist with extensive experience in the treatment of depression, anxiety, grief & loss, adjustment difficulties, issues related to substance use, relationship difficulties, and trauma; including religious/spiritual and intergenerational trauma. I also help individuals cope effectively with new medical diagnoses, chronic illnesses, insomnia, and pain. I practice from a holistic, relational, attachment-oriented approach.
Are you feeling stuck? Lonely? Disconnected? Burned out? If so, you're not alone and you're in the right place. I commend you for taking the first step in finding a therapist. I am a licensed clinical psychologist with extensive experience in the treatment of depression, anxiety, grief & loss, adjustment difficulties, issues related to substance use, relationship difficulties, and trauma; including religious/spiritual and intergenerational trauma. I also help individuals cope effectively with new medical diagnoses, chronic illnesses, insomnia, and pain. I practice from a holistic, relational, attachment-oriented approach.
(334) 380-0287 View (334) 380-0287
Photo of Danielle Trottier, Social Worker Associate, MSW, LICSWA
Danielle Trottier
Social Worker Associate, MSW, LICSWA
1 Endorsed
Online Only
If you're feeling overwhelmed, disconnected, or just not quite yourself, you're not alone—and you're not broken. You might be juggling a lot: intense emotions, neurodivergence, burnout, people-pleasing, or just a deep craving for more peace and direction. Therapy can help you come back to who you really are and support who you're becoming. I work with people who are ready to feel better. My style is collaborative, intuitive, empirically supported, and rooted in the knowledge of your individual agency.
If you're feeling overwhelmed, disconnected, or just not quite yourself, you're not alone—and you're not broken. You might be juggling a lot: intense emotions, neurodivergence, burnout, people-pleasing, or just a deep craving for more peace and direction. Therapy can help you come back to who you really are and support who you're becoming. I work with people who are ready to feel better. My style is collaborative, intuitive, empirically supported, and rooted in the knowledge of your individual agency.
(509) 567-2504 View (509) 567-2504
Photo of Michael Franklin Elder, Marriage & Family Therapist, LMFT, CTTS
Michael Franklin Elder
Marriage & Family Therapist, LMFT, CTTS
Serves Area
Not accepting new clients
I have temporarily suspended my practice due to a family medical crisis. I hope to return to practice in September of 2026. I serve local residents with in-person therapy. Telehealth is available for times of illness and off island travel. I also serve first responders by telehealth anywhere in Washington or California.
I have temporarily suspended my practice due to a family medical crisis. I hope to return to practice in September of 2026. I serve local residents with in-person therapy. Telehealth is available for times of illness and off island travel. I also serve first responders by telehealth anywhere in Washington or California.
(855) 642-1923 View (855) 642-1923

More Therapists Nearby

Photo of Katie Olvera, Psychologist, PsyD
Katie Olvera
Psychologist, PsyD
Bellingham, WA 98225
Not accepting new clients
Hello! I am a Certified Clinical Trauma Professional and I specialize in working with people who have been through traumatic experiences (specifically related to sexual assault, child abuse, dating/domestic violence). I am also a WA State Approved Clinical Supervisor, and I offer a supervision bundle for those interested in building a private practice while still working towards licensure. More information about my supervision style and structure can be found on my website.
Hello! I am a Certified Clinical Trauma Professional and I specialize in working with people who have been through traumatic experiences (specifically related to sexual assault, child abuse, dating/domestic violence). I am also a WA State Approved Clinical Supervisor, and I offer a supervision bundle for those interested in building a private practice while still working towards licensure. More information about my supervision style and structure can be found on my website.
(360) 305-3909 View (360) 305-3909
Photo of Elizabeth Walther, Clinical Social Work/Therapist, LCSW
Elizabeth Walther
Clinical Social Work/Therapist, LCSW
Online Only
For over 20 years, I’ve helped individuals, couples, families, and groups navigate the complexities of life and relationships. My passion is empowering people to build lives filled with connection, healing, and purpose. I take a holistic view of well-being. My approach is rooted in understanding the whole person, including how relationships, identity, and culture impact mental health. Trained in Emotionally Focused Therapy (EFT) and deeply committed to Attachment-based approaches, I specialize in relationship repair, trauma recovery, and emotional resilience.
For over 20 years, I’ve helped individuals, couples, families, and groups navigate the complexities of life and relationships. My passion is empowering people to build lives filled with connection, healing, and purpose. I take a holistic view of well-being. My approach is rooted in understanding the whole person, including how relationships, identity, and culture impact mental health. Trained in Emotionally Focused Therapy (EFT) and deeply committed to Attachment-based approaches, I specialize in relationship repair, trauma recovery, and emotional resilience.
(619) 369-8043 View (619) 369-8043
Photo of Marilene Silva, Marriage & Family Therapist, MFT, SUDP
Marilene Silva
Marriage & Family Therapist, MFT, SUDP
Bellingham, WA 98225
Mental health and addiction assessments and counseling. Marriage therapy. Clinical Sexual Therapy. Trauma-informed consultations. Narcissistic/power and control intimate violence. Immigration psychological evaluations for Hardship, Cancelation of Removal, U Visa, Substance Abuse, VAWA, and others. Services in Spanish, Portuguese, and English.
Mental health and addiction assessments and counseling. Marriage therapy. Clinical Sexual Therapy. Trauma-informed consultations. Narcissistic/power and control intimate violence. Immigration psychological evaluations for Hardship, Cancelation of Removal, U Visa, Substance Abuse, VAWA, and others. Services in Spanish, Portuguese, and English.
(360) 526-8652 View (360) 526-8652
Photo of A J Vlossak, Clinical Social Work/Therapist, LISCWA
A J Vlossak
Clinical Social Work/Therapist, LISCWA
1 Endorsed
Bellingham, WA 98225
Not accepting new clients
Your brain's being a menace and you want that to change. My goal is to help you navigate that change, recognize the difference between uncomfortable and unhealthy, and create an experience, and a life, that you want to participate in. If you've been in and out of therapy for a long time and struggled to find a fit, you're in my wheelhouse. If you're neurodivergent, neurospicy, got the AuDHD two-for-one special, or are just really, really traumatized (or all of the above!), you're part of the group I work with best.
Your brain's being a menace and you want that to change. My goal is to help you navigate that change, recognize the difference between uncomfortable and unhealthy, and create an experience, and a life, that you want to participate in. If you've been in and out of therapy for a long time and struggled to find a fit, you're in my wheelhouse. If you're neurodivergent, neurospicy, got the AuDHD two-for-one special, or are just really, really traumatized (or all of the above!), you're part of the group I work with best.
(360) 382-7283 View (360) 382-7283
Photo of Allie Brooks, Counselor, LMHCA
Allie Brooks
Counselor, LMHCA
1 Endorsed
Online Only
Not accepting new clients
My approach to counseling begins with you. You are the expert when it comes to yourself, your struggles, and what you would like to change. I believe each client has the ability to reach their goals and understanding of their own potential. With your collaboration, my goal is to provide an environment free from judgment, where you feel safe, heard, and supported. Because each person has unique needs, I work eclectically, using aspects of person-centered, humanistic and existential frameworks.
My approach to counseling begins with you. You are the expert when it comes to yourself, your struggles, and what you would like to change. I believe each client has the ability to reach their goals and understanding of their own potential. With your collaboration, my goal is to provide an environment free from judgment, where you feel safe, heard, and supported. Because each person has unique needs, I work eclectically, using aspects of person-centered, humanistic and existential frameworks.
(360) 727-0106 View (360) 727-0106
Photo of Dr. Diana Bastien, Psychologist, PsyD, ABPP
Dr. Diana Bastien
Psychologist, PsyD, ABPP
Online Only
Are you or your child struggling with OCD, anxiety, panic attacks, school refusal, or PANDAS? I specialize in treating these issues using a compassionate, personalized approach that empowers you to feel more confident and in control. I work with children, teens, and adults, offering targeted care that gets results. My practice is grounded in CBT and Exposure Response Prevention (ERP)—a structured, evidence-based treatment that often leads to faster, more lasting symptom relief than traditional talk therapy. Whether you're facing long-standing OCD or acute school anxiety, my specialized methods are designed to make a difference.
Are you or your child struggling with OCD, anxiety, panic attacks, school refusal, or PANDAS? I specialize in treating these issues using a compassionate, personalized approach that empowers you to feel more confident and in control. I work with children, teens, and adults, offering targeted care that gets results. My practice is grounded in CBT and Exposure Response Prevention (ERP)—a structured, evidence-based treatment that often leads to faster, more lasting symptom relief than traditional talk therapy. Whether you're facing long-standing OCD or acute school anxiety, my specialized methods are designed to make a difference.
(206) 495-6804 View (206) 495-6804
Photo of Kristen Elizabeth Jacobson, Clinical Social Work/Therapist, LICSW
Kristen Elizabeth Jacobson
Clinical Social Work/Therapist, LICSW
Online Only
You don’t have to navigate life’s challenges alone. Whether you're feeling overwhelmed by stress, anxiety, relationship struggles, self-doubt, or a major life transition, support is available—and change is possible. I’m a licensed therapist in Washington with 16 years of experience helping individuals and couples move through difficult seasons with greater clarity, confidence, and resilience. I know reaching out takes courage, and I want to acknowledge the strength it takes to take that first step. I believe you are the expert of your own story. You already have inner strengths—and my role is to help you tap into them.
You don’t have to navigate life’s challenges alone. Whether you're feeling overwhelmed by stress, anxiety, relationship struggles, self-doubt, or a major life transition, support is available—and change is possible. I’m a licensed therapist in Washington with 16 years of experience helping individuals and couples move through difficult seasons with greater clarity, confidence, and resilience. I know reaching out takes courage, and I want to acknowledge the strength it takes to take that first step. I believe you are the expert of your own story. You already have inner strengths—and my role is to help you tap into them.
(360) 300-4544 View (360) 300-4544
Photo of Charlotte Underwood, Licensed Professional Counselor, MA, LMHC
Charlotte Underwood
Licensed Professional Counselor, MA, LMHC
Serves Area
I am a depth oriented psychotherapist specializing in trauma, ancestral healing, and somatic therapy. While you may be experiencing anxiety, depression, low self-esteem, or insomnia, these are all symptoms. I work with you to heal what’s causing your distress, dis-ease. When the body, heart, mind, soul and spirit are not aligned, we suffer. We will work using a variety of approaches depending on what needs the most tending and care, always with compassion and a pace that is safe and allows for long term healing, integration, and nervous system regulation, allowing your natural rhythm to return.
I am a depth oriented psychotherapist specializing in trauma, ancestral healing, and somatic therapy. While you may be experiencing anxiety, depression, low self-esteem, or insomnia, these are all symptoms. I work with you to heal what’s causing your distress, dis-ease. When the body, heart, mind, soul and spirit are not aligned, we suffer. We will work using a variety of approaches depending on what needs the most tending and care, always with compassion and a pace that is safe and allows for long term healing, integration, and nervous system regulation, allowing your natural rhythm to return.
(401) 388-3421 View (401) 388-3421
Photo of Freida Fenn, Marriage & Family Therapist, MA, LMFT, CMHS
Freida Fenn
Marriage & Family Therapist, MA, LMFT, CMHS
1 Endorsed
Bellingham, WA 98226
A warm Hello. I am accepting new clients. I see Couples, Individuals, Teens and Families in my garden office or via Zoom. I provide emotional support, practical communication tools and new coping skills. Together, we create a path for positive change. Unresolved family issues, grief, divorce, trauma, stress, couple conflicts, parenting challenges, gender identity issues, life transitions and changes in your primary relationships can get you down. You deserve support and help to heal. My lived experience: I am a parent of a healthy, vibrant adult daughter. I have experienced divorce. Now I am happily married.
A warm Hello. I am accepting new clients. I see Couples, Individuals, Teens and Families in my garden office or via Zoom. I provide emotional support, practical communication tools and new coping skills. Together, we create a path for positive change. Unresolved family issues, grief, divorce, trauma, stress, couple conflicts, parenting challenges, gender identity issues, life transitions and changes in your primary relationships can get you down. You deserve support and help to heal. My lived experience: I am a parent of a healthy, vibrant adult daughter. I have experienced divorce. Now I am happily married.
(360) 262-4318 View (360) 262-4318
Photo of Kelby Broddie, Marriage & Family Therapist, MA, LMFT
Kelby Broddie
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Bellingham, WA 98226
Helping people improve their relationships and to re-engage in their life in ways that are healthy is my primary focus. I completed my undergraduate degree at the University of Oregon, then went on to get my master’s in Marriage and Family Therapy at Appalachian State University. I have been working with couples, individuals, and families for more than six years and I continue to pursue higher certifications in couple’s therapy. I also offer supervision, and I have enjoyed my time as a supervisor here at Accent Counseling, Inc. as well.
Helping people improve their relationships and to re-engage in their life in ways that are healthy is my primary focus. I completed my undergraduate degree at the University of Oregon, then went on to get my master’s in Marriage and Family Therapy at Appalachian State University. I have been working with couples, individuals, and families for more than six years and I continue to pursue higher certifications in couple’s therapy. I also offer supervision, and I have enjoyed my time as a supervisor here at Accent Counseling, Inc. as well.
(360) 938-0963 View (360) 938-0963
Photo of Rasheonia Lemon, Counselor, LMHCA
Rasheonia Lemon
Counselor, LMHCA
1 Endorsed
Online Only
I have a passion for working with individuals who find themselves wrestling with developing the step to facilitate change, clients seeking to confront thoughts which continue to recycle. I am familiar in working with individuals who battle with depression, anxiety, relationship issues, life transitions, general stress, career development and PTSD. I am comfortable working with adolescents, as well as, adults, and our elders.
I have a passion for working with individuals who find themselves wrestling with developing the step to facilitate change, clients seeking to confront thoughts which continue to recycle. I am familiar in working with individuals who battle with depression, anxiety, relationship issues, life transitions, general stress, career development and PTSD. I am comfortable working with adolescents, as well as, adults, and our elders.
(360) 654-7167 View (360) 654-7167
Photo of Wendy Blum, Counselor, MS, LMHC
Wendy Blum
Counselor, MS, LMHC
3 Endorsed
Bellingham, WA 98225
Waitlist for new clients
I love working with people who are curious and open to change. I work with all types of people exploring thoughts, feelings, and how life looks to them. Anxiety, worry, relationship issues or stress about the past or future are common topics of discussion. Sound familiar? Are you wanting to explore a better way to see life then how it looks to you right now? Many, but not all, of my clients are neurodivergent (ADHD, Autistic or AuDHD). Some people are curious if this describes their lived experience, but with so much information out there it can be hard to sort through. I help people dive in and explore this topic.
I love working with people who are curious and open to change. I work with all types of people exploring thoughts, feelings, and how life looks to them. Anxiety, worry, relationship issues or stress about the past or future are common topics of discussion. Sound familiar? Are you wanting to explore a better way to see life then how it looks to you right now? Many, but not all, of my clients are neurodivergent (ADHD, Autistic or AuDHD). Some people are curious if this describes their lived experience, but with so much information out there it can be hard to sort through. I help people dive in and explore this topic.
(360) 526-8738 View (360) 526-8738

How does your Therapist compare?

Number of Therapists in Orcas, WA

< 10

Therapists in Orcas, WA who prioritize treating:

88% Relationship Issues
88% Anxiety
88% Life Transitions
75% Depression
75% Grief
75% Trauma and PTSD
75% Other

Average years in practice

29 Years

Top 3 insurances accepted

60% Aetna
60% LifeWise
60% Premera Blue Cross

How Therapists in Orcas, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Orcas?

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.