Therapists in Lewiston, ME

Photo of Laura-Lea Langlais, Clinical Social Work/Therapist in Lewiston, ME
Laura-Lea Langlais
Clinical Social Work/Therapist, LCSW , ACS
Verified Verified
Lewiston, ME 04240
I am pleased that you have selected me in your mental health journey. I have focused my social work career in joining with individuals to support the changes they wish to see in their life. During your journey in therapy I can promise you will be respected, valued & listened to in a safe, caring environment that will offer honesty & compassion. We will start by identifying what has brought you to therapy and what outcomes you are hoping for. From there we will make a road map on how to achieve what you are wanting. I look forward to partnering with you as you engage in therapy.
I am pleased that you have selected me in your mental health journey. I have focused my social work career in joining with individuals to support the changes they wish to see in their life. During your journey in therapy I can promise you will be respected, valued & listened to in a safe, caring environment that will offer honesty & compassion. We will start by identifying what has brought you to therapy and what outcomes you are hoping for. From there we will make a road map on how to achieve what you are wanting. I look forward to partnering with you as you engage in therapy.
(207) 230-6664 View (207) 230-6664
Photo of Lorraine O Wight, Clinical Social Work/Therapist in Lewiston, ME
Lorraine O Wight
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Lewiston, ME 04240
Not accepting new clients
The treatments I use help people to identify goals closest to their own values. Goals are then easier to achieve because they are already close to who you are and what you hold to be important. I can assist with reshaping challenging thoughts into productive actions and more positive behaviors. I work in a group practice in Lewiston founded as a diverse holistic group that with the pandemic has evolved into a practice of experienced mental health practictioners.
The treatments I use help people to identify goals closest to their own values. Goals are then easier to achieve because they are already close to who you are and what you hold to be important. I can assist with reshaping challenging thoughts into productive actions and more positive behaviors. I work in a group practice in Lewiston founded as a diverse holistic group that with the pandemic has evolved into a practice of experienced mental health practictioners.
(207) 518-7572 View (207) 518-7572
Photo of Bruce H Webber, Clinical Social Work/Therapist in Lewiston, ME
Bruce H Webber
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lewiston, ME 04240
Not accepting new clients
Whether the issue is addictions, depression, relationships or behavior at school, sometimes we get stuck in patterns that prevent us from being healthy and happy. In general, I view the therapeutic process as a means to help my clients get themselves unstuck. I enjoy incorporating your spiritual or religious practice into the therapeutic process, working with different ethnic groups and welcome LGBTQ clients.
Whether the issue is addictions, depression, relationships or behavior at school, sometimes we get stuck in patterns that prevent us from being healthy and happy. In general, I view the therapeutic process as a means to help my clients get themselves unstuck. I enjoy incorporating your spiritual or religious practice into the therapeutic process, working with different ethnic groups and welcome LGBTQ clients.
(207) 747-1080 View (207) 747-1080
Photo of Annette Williams, Clinical Social Work/Therapist in Lewiston, ME
Annette Williams
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Lewiston, ME 04240
We all have had life experiences that shake us and I believe that having a supportive place and person to work through those thoughts and feelings is important. I offer you a genuine, empathetic environment, integrative and holistic in nature. With over 15 years of experience in social work and extensive trauma informed knowledge, I will bring a person-centered, evidence-based approach including CBT, TF-CBT, Problem Solving Therapy, Mindfulness, Stress Reduction and Solution-Focused Brief. I am currently offering Telehealth sessions and in-person coming soon to Lewiston, Maine.
We all have had life experiences that shake us and I believe that having a supportive place and person to work through those thoughts and feelings is important. I offer you a genuine, empathetic environment, integrative and holistic in nature. With over 15 years of experience in social work and extensive trauma informed knowledge, I will bring a person-centered, evidence-based approach including CBT, TF-CBT, Problem Solving Therapy, Mindfulness, Stress Reduction and Solution-Focused Brief. I am currently offering Telehealth sessions and in-person coming soon to Lewiston, Maine.
(207) 610-7133 View (207) 610-7133
Photo of Theresa Cain Anderson, Counselor in Lewiston, ME
Theresa Cain Anderson
Counselor, MEd, LCPC
Verified Verified
Lewiston, ME 04240
Not accepting new clients
We all have periods of time in our lives that are more difficult than others. These difficult times can stem from a variety of issues including past trauma, relationship challenges, loss of a loved one, health problems, loss of a job, issues in school, or even a cause that is not quite so clear. My goal as a therapist is to help you develop the personal skills and support network necessary to deal with the many challenges that arise in life.
We all have periods of time in our lives that are more difficult than others. These difficult times can stem from a variety of issues including past trauma, relationship challenges, loss of a loved one, health problems, loss of a job, issues in school, or even a cause that is not quite so clear. My goal as a therapist is to help you develop the personal skills and support network necessary to deal with the many challenges that arise in life.
(207) 517-2405 View (207) 517-2405
Photo of Maura Clark, Clinical Social Work/Therapist in Lewiston, ME
Maura Clark
Clinical Social Work/Therapist, MSW, LCSW, PTP, RPP
Verified Verified
Lewiston, ME 04240
Do you struggle with anxiety or unwinding most days? Do you feel like your nervous system is on overdrive much of the time, creating sleep problems, an inability to 'relax', or 'not do'? Is this starting to, or has it been, interfering with your physical health, your relationships, your work? Do you think you have long standing, or more recent difficult or traumatic life events that seem to occupy too much head space? If so, I invite you to reach out to me. I can help you move through these challenges, so you and your body can unwind these stuck patterns and feel a sense of thriving, not just surviving, in the world.
Do you struggle with anxiety or unwinding most days? Do you feel like your nervous system is on overdrive much of the time, creating sleep problems, an inability to 'relax', or 'not do'? Is this starting to, or has it been, interfering with your physical health, your relationships, your work? Do you think you have long standing, or more recent difficult or traumatic life events that seem to occupy too much head space? If so, I invite you to reach out to me. I can help you move through these challenges, so you and your body can unwind these stuck patterns and feel a sense of thriving, not just surviving, in the world.
(207) 715-3653 View (207) 715-3653
Photo of Chloe Lapointe, Licensed Professional Counselor in Lewiston, ME
Chloe Lapointe
Licensed Professional Counselor, LCPC, NCC
Verified Verified
1 Endorsed
Lewiston, ME 04240
Not accepting new clients
My practice focuses on supporting individuals (ages 16+) with symptoms of anxiety and depression who are able to maintain a high level of functionality. Oftentimes, these symptoms may manifest as perfectionism, irritability, loneliness, people-pleasing, fear of failure, self-criticism and comparison to others. In depth exploration of thoughts and feelings can be a helpful way to facilitate change.
My practice focuses on supporting individuals (ages 16+) with symptoms of anxiety and depression who are able to maintain a high level of functionality. Oftentimes, these symptoms may manifest as perfectionism, irritability, loneliness, people-pleasing, fear of failure, self-criticism and comparison to others. In depth exploration of thoughts and feelings can be a helpful way to facilitate change.
(207) 204-3987 View (207) 204-3987
Photo of Malorie Johnson, Marriage & Family Therapist in Lewiston, ME
Malorie Johnson
Marriage & Family Therapist, LMFT
Verified Verified
Lewiston, ME 04240
Not accepting new clients
Are you experiencing conflict with your teen? With other family members? Are you feeling misunderstood, unheard, or unappreciated in your relationships? I enjoy helping families and young individuals improve communication, understand each another, and resolve conflict effectively. As a Marriage and Family Therapist, I use a collaborative (yes..you'll have to work hard, too!) approach to help my clients improve their relationship quality with others and improve the relationship they have with themselves.
Are you experiencing conflict with your teen? With other family members? Are you feeling misunderstood, unheard, or unappreciated in your relationships? I enjoy helping families and young individuals improve communication, understand each another, and resolve conflict effectively. As a Marriage and Family Therapist, I use a collaborative (yes..you'll have to work hard, too!) approach to help my clients improve their relationship quality with others and improve the relationship they have with themselves.
(207) 762-7570 View (207) 762-7570
Photo of Paul Dunton, Clinical Social Work/Therapist in Lewiston, ME
Paul Dunton
Clinical Social Work/Therapist, LCSW
Verified Verified
Lewiston, ME 04240
Welcome to a space dedicated to your well-being and personal growth. Therapy is a journey of self-discovery and healing, where you can explore your thoughts, emotions, and experiences in a safe, non-judgmental environment. It's a collaborative process that empowers you to navigate life's challenges, uncover your inner strengths, and foster resilience.
Welcome to a space dedicated to your well-being and personal growth. Therapy is a journey of self-discovery and healing, where you can explore your thoughts, emotions, and experiences in a safe, non-judgmental environment. It's a collaborative process that empowers you to navigate life's challenges, uncover your inner strengths, and foster resilience.
(207) 515-8533 View (207) 515-8533
Photo of Nichelle Gardner, Counselor in Lewiston, ME
Nichelle Gardner
Counselor, LCPC, CADC
Verified Verified
Lewiston, ME 04240
I believe truly understanding a person’s journey begins with a compassionate heart. Each person is beautifully unique, harbors inner strengths, and is on a developmental journey, no matter what their age. I work collaboratively and creatively to identify these strengths and explore developmental perspective. During our work together, it is my goal to create a private and safe place in which to explore, heal, and grow.
I believe truly understanding a person’s journey begins with a compassionate heart. Each person is beautifully unique, harbors inner strengths, and is on a developmental journey, no matter what their age. I work collaboratively and creatively to identify these strengths and explore developmental perspective. During our work together, it is my goal to create a private and safe place in which to explore, heal, and grow.
(207) 387-7963 View (207) 387-7963
Photo of James Skelton, Clinical Social Work/Therapist in Lewiston, ME
James Skelton
Clinical Social Work/Therapist, LCSW, LADC, CCS
Verified Verified
Lewiston, ME 04240
I believe in transparency in my relationships, ownership of responsibilities, and having integrity with one's self. These personal values drive the therapeutic relationships I aim to build with my clients. I am a person in long-term recovery, and my hope is that everyone who seeks it is able to experience the freedom that I have found in my own life through a few simple habits.
I believe in transparency in my relationships, ownership of responsibilities, and having integrity with one's self. These personal values drive the therapeutic relationships I aim to build with my clients. I am a person in long-term recovery, and my hope is that everyone who seeks it is able to experience the freedom that I have found in my own life through a few simple habits.
(207) 656-1131 View (207) 656-1131
Photo of Lise M. Carrier-Pelletier, Counselor in Lewiston, ME
Lise M. Carrier-Pelletier
Counselor, LADC, CCS, CSOTP, NCACII, SAP
Verified Verified
Lewiston, ME 04240
I have been working with substance use disorders and families and friends affected by it since 1983. I have years of experience and an interest in helping you succeed. Addictions/Use disorders/Affected Family Members are my focus. Intergenerational issues from this disorder impact children, grandchildren - older or younger - the patterns of behavior are the same. Feeling Isolated? Feeling you are not good enough? People say you are Oversensitive? Tired of using your Charm to "get by"? Need to be Perfect? Helping Others vs. helping yourself? Feel the Need to Change? Call Me!
I have been working with substance use disorders and families and friends affected by it since 1983. I have years of experience and an interest in helping you succeed. Addictions/Use disorders/Affected Family Members are my focus. Intergenerational issues from this disorder impact children, grandchildren - older or younger - the patterns of behavior are the same. Feeling Isolated? Feeling you are not good enough? People say you are Oversensitive? Tired of using your Charm to "get by"? Need to be Perfect? Helping Others vs. helping yourself? Feel the Need to Change? Call Me!
(207) 386-3058 View (207) 386-3058
Photo of Nate Miller, Clinical Social Work/Therapist in Lewiston, ME
Nate Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Lewiston, ME 04240
I enjoy working with people from all walks of life and throughout the lifespan. I tailor evidence-based therapeutic approaches to meet the needs, expectations, and goals of my clients. I use client centered methods grounded in Cognitive Behavioral Therapy, focusing on strengths, positive psychology, gratitude, mindfulness, relationships, choices, and solutions. I offer individual therapy and I co-facilitate a teen art therapy group in Lewiston on Saturday mornings. I am also certified for Ketamine Assisted Psychotherapy.
I enjoy working with people from all walks of life and throughout the lifespan. I tailor evidence-based therapeutic approaches to meet the needs, expectations, and goals of my clients. I use client centered methods grounded in Cognitive Behavioral Therapy, focusing on strengths, positive psychology, gratitude, mindfulness, relationships, choices, and solutions. I offer individual therapy and I co-facilitate a teen art therapy group in Lewiston on Saturday mornings. I am also certified for Ketamine Assisted Psychotherapy.
(207) 389-7784 View (207) 389-7784
Photo of Tracie Giambra Vye, Pre-Licensed Professional in Lewiston, ME
Tracie Giambra Vye
Pre-Licensed Professional, LSW
Verified Verified
Lewiston, ME 04240
Life can be stressful and bring challenges that we may not feel equipped to handle. Relationship difficulties, life transitions, feelings of inadequacy, and isolation just to name a few. It is my goal as your therapist to support you in feeling more empowered to live authentically and find peace and healing.
Life can be stressful and bring challenges that we may not feel equipped to handle. Relationship difficulties, life transitions, feelings of inadequacy, and isolation just to name a few. It is my goal as your therapist to support you in feeling more empowered to live authentically and find peace and healing.
(207) 902-8154 View (207) 902-8154
Photo of Kim Foskett, Counselor in Lewiston, ME
Kim Foskett
Counselor, LCPC, LPCC
Verified Verified
1 Endorsed
Lewiston, ME 04240  (Online Only)
Hello! I'm so glad we've crossed paths. I wholeheartedly believe you have the answers you need within. Often, though, our experiences have left us with constant thoughts that doubt, shame, & judge us. It gets confusing what to believe. Together, we’ll get to know & understand the cause of your struggles & work towards healing so you learn to love, trust & show up for yourself. Then you're able to show up how you want in relationships, at work & in life. I commit to being fully present & compassionate with you every step along the way. Let's do this! Healing is 100% possible.
Hello! I'm so glad we've crossed paths. I wholeheartedly believe you have the answers you need within. Often, though, our experiences have left us with constant thoughts that doubt, shame, & judge us. It gets confusing what to believe. Together, we’ll get to know & understand the cause of your struggles & work towards healing so you learn to love, trust & show up for yourself. Then you're able to show up how you want in relationships, at work & in life. I commit to being fully present & compassionate with you every step along the way. Let's do this! Healing is 100% possible.
(207) 421-9491 View (207) 421-9491
Photo of David N. Cowan, Drug & Alcohol Counselor in Lewiston, ME
David N. Cowan
Drug & Alcohol Counselor, BA, CADC, MHRT-C, DEEP
Verified Verified
Lewiston, ME 04240
My belief in therapy has always been to meet and help the client where ever they are in life. I know that AA and 12-Step programs are not for everyone. Whether your goal is complete abstinence, MAT, or learning safer ways to use, I can help you navigate your personal road to recovery. As a Substance Abuse Counselor I work one on one or in a group setting. I am also DEEP Certified and can do both Evaluations and Treatment with you. I am currently accepting new clients. On-line therapy is also available.
My belief in therapy has always been to meet and help the client where ever they are in life. I know that AA and 12-Step programs are not for everyone. Whether your goal is complete abstinence, MAT, or learning safer ways to use, I can help you navigate your personal road to recovery. As a Substance Abuse Counselor I work one on one or in a group setting. I am also DEEP Certified and can do both Evaluations and Treatment with you. I am currently accepting new clients. On-line therapy is also available.
(207) 515-8903 View (207) 515-8903
Photo of Jamie Folker Lcsw, Clinical Social Work/Therapist in Lewiston, ME
Jamie Folker Lcsw
Clinical Social Work/Therapist, LCSW
Verified Verified
Lewiston, ME 04240
I am excited at the potential opportunity to work with yourself, or a loved one. Durning therapy I gain an understanding of an individuals perspective in which they see themselves, others, and life’s conditions. I work with the individual to identifying specific problems or issues in your daily life, become aware of unproductive thought patterns and how they can impact your life. I work to identify negative thinking and reshape it in a way that changes how you feel, as well as learn new behaviors and put them into practice. Please note, recently I have had a few daytime openings open up, I do not have any openings past 2pm.
I am excited at the potential opportunity to work with yourself, or a loved one. Durning therapy I gain an understanding of an individuals perspective in which they see themselves, others, and life’s conditions. I work with the individual to identifying specific problems or issues in your daily life, become aware of unproductive thought patterns and how they can impact your life. I work to identify negative thinking and reshape it in a way that changes how you feel, as well as learn new behaviors and put them into practice. Please note, recently I have had a few daytime openings open up, I do not have any openings past 2pm.
(207) 250-4315 x1 View (207) 250-4315 x1
Photo of Rose Heikkinen, Counselor in Lewiston, ME
Rose Heikkinen
Counselor, LCPC
Verified Verified
Lewiston, ME 04240
Waitlist for new clients
At times an individual may want extra support to talk about and or explore areas in their life that are causing stress: It can lead to anxiety, depression, mood changes, substance use, compulsive behaviors, and anger. If anyone of these emotional or behavioral issues become significant it can affect relationships, education, finances or day to day functioning. In session, the individual will examine past, present and future experiences that impact thoughts, behaviors, and emotions. There are appropriate and inappropriate ways to better cope with stressors in our life and in session the client will examine which strategies work best.
At times an individual may want extra support to talk about and or explore areas in their life that are causing stress: It can lead to anxiety, depression, mood changes, substance use, compulsive behaviors, and anger. If anyone of these emotional or behavioral issues become significant it can affect relationships, education, finances or day to day functioning. In session, the individual will examine past, present and future experiences that impact thoughts, behaviors, and emotions. There are appropriate and inappropriate ways to better cope with stressors in our life and in session the client will examine which strategies work best.
(207) 506-0247 View (207) 506-0247
Photo of Angela - Healthy Minds Counseling, Inc, Clinical Social Work/Therapist in Lewiston, ME
Angela - Healthy Minds Counseling, Inc
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lewiston, ME 04240  (Online Only)
Welcome, its nice to meet you! We all want to feel valued, respected, understood, encouraged, and validated. With that, it's important to try and understand other people's perspectives and challenge unhealthy thoughts to build stronger relationships. I'm here to offer behavioral, emotional, and psychological support when you need it most. Life can be tough sometimes, and when we face challenges like depression or relationship issues etc, it's not always easy to know what to do. In our work together, we can navigate those roadblocks and get you feeling good again. I use different techniques, like CBT, DBT and Crisis Intervention.
Welcome, its nice to meet you! We all want to feel valued, respected, understood, encouraged, and validated. With that, it's important to try and understand other people's perspectives and challenge unhealthy thoughts to build stronger relationships. I'm here to offer behavioral, emotional, and psychological support when you need it most. Life can be tough sometimes, and when we face challenges like depression or relationship issues etc, it's not always easy to know what to do. In our work together, we can navigate those roadblocks and get you feeling good again. I use different techniques, like CBT, DBT and Crisis Intervention.
(207) 705-8311 View (207) 705-8311
Photo of Wendy Lynne Frayer, Clinical Social Work/Therapist in Lewiston, ME
Wendy Lynne Frayer
Clinical Social Work/Therapist, LCSW
Verified Verified
Lewiston, ME 04240  (Online Only)
Not accepting new clients
Have you been feeling overwhelmed, stuck, and/or unsupported in your life? Has getting along with others kept you distant and feeling alone? Are you plagued by negative and/or worrisome thoughts that keep you from making decisions? It can be scary to begin the process of counseling and wondering if it can help you. Imagine feeling more confident in yourself and your choices. Maybe you would like to feel more connected to self and others. Together, we will develop safety and trust in the relationship that allows for insight and collaboration into your healing journey.
Have you been feeling overwhelmed, stuck, and/or unsupported in your life? Has getting along with others kept you distant and feeling alone? Are you plagued by negative and/or worrisome thoughts that keep you from making decisions? It can be scary to begin the process of counseling and wondering if it can help you. Imagine feeling more confident in yourself and your choices. Maybe you would like to feel more connected to self and others. Together, we will develop safety and trust in the relationship that allows for insight and collaboration into your healing journey.
(207) 203-6949 View (207) 203-6949

How does your Therapist compare?

Number of Therapists in Lewiston, ME

100+

Average cost per session

$125

Therapists in Lewiston, ME who prioritize treating:

90% Anxiety
85% Depression
72% Relationship Issues
71% Trauma and PTSD
70% Stress
68% Coping Skills
68% Self Esteem

Average years in practice

14 Years

Top 3 insurances accepted

73% Aetna
68% Anthem | Elevance
66% BlueCross and BlueShield

How Therapists in Lewiston, ME see their clients

65% In Person and Online
35% Online Only

Gender breakdown

69% Female
31% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lewiston?

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.