Therapists in Lenexa, KS

Photo of Cindy L Claxton, Clinical Social Work/Therapist in Lenexa, KS
Cindy L Claxton
Clinical Social Work/Therapist, LSCSW, LCAC, KCGC-I, LCSW
Verified Verified
Lenexa, KS 66215
I believe all people deserve to pursue happiness and lead fulfilling lives. I work with anyone who is ready to seek solutions to whatever life is throwing at them. Meeting in a safe and supportive environment where we can talk through life's struggles can make the difference in living the life you strive for. I have an eclectic approach to help you gain valuable skills, insight, and confidence in your decisions. I utilize a strength’s based approach and will work with you to identify and harness your strengths in order to achieve your best outcomes.
I believe all people deserve to pursue happiness and lead fulfilling lives. I work with anyone who is ready to seek solutions to whatever life is throwing at them. Meeting in a safe and supportive environment where we can talk through life's struggles can make the difference in living the life you strive for. I have an eclectic approach to help you gain valuable skills, insight, and confidence in your decisions. I utilize a strength’s based approach and will work with you to identify and harness your strengths in order to achieve your best outcomes.
(913) 359-3639 View (913) 359-3639
Photo of Brittany Loucks, Licensed Professional Counselor in Lenexa, KS
Brittany Loucks
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Lenexa, KS 66215
Life is full of hurt, disappointment, and brokenness. Even in the midst of difficulty, we often long for a sense of joy, hope, belonging, healing, and peace. Things like anxiety, depression, trauma, loss, and relational conflict can leave deep wounds and a sense of hopelessness. While there is often never a way to "fix" everything that's broken in our lives, I am a firm believer that healing and restoration is possible and counseling is a wonderful tool to move towards healing and a sense of wholeness.
Life is full of hurt, disappointment, and brokenness. Even in the midst of difficulty, we often long for a sense of joy, hope, belonging, healing, and peace. Things like anxiety, depression, trauma, loss, and relational conflict can leave deep wounds and a sense of hopelessness. While there is often never a way to "fix" everything that's broken in our lives, I am a firm believer that healing and restoration is possible and counseling is a wonderful tool to move towards healing and a sense of wholeness.
(913) 286-5260 View (913) 286-5260
Photo of Laura Porter, Licensed Clinical Professional Counselor in Lenexa, KS
Laura Porter
Licensed Clinical Professional Counselor, MS, LCPC, NCC
Verified Verified
Lenexa, KS 66215  (Online Only)
You have the capacity for hope and positive changes in your life, regardless of your challenges. At some point in life, just about everyone needs some support to meet these challenges. It is my desire to walk alongside individuals, couples and families to facilitate the restoration of mental, emotional and spiritual health. I offer an individualized approach where you can expect a safe, confidential and nonjudgmental environment. I focus on issues that can affect your well-being including: psychological and emotional issues, social, marital and family relationships, personal and professional goals, spirituality, and coping with trauma, loss and life stressors.
You have the capacity for hope and positive changes in your life, regardless of your challenges. At some point in life, just about everyone needs some support to meet these challenges. It is my desire to walk alongside individuals, couples and families to facilitate the restoration of mental, emotional and spiritual health. I offer an individualized approach where you can expect a safe, confidential and nonjudgmental environment. I focus on issues that can affect your well-being including: psychological and emotional issues, social, marital and family relationships, personal and professional goals, spirituality, and coping with trauma, loss and life stressors.
(913) 956-0043 View (913) 956-0043
Photo of Kelsey Carlisle Ney, Licensed Professional Counselor in Lenexa, KS
Kelsey Carlisle Ney
Licensed Professional Counselor, MA, LCPC
Verified Verified
1 Endorsed
Lenexa, KS 66215
Looking for a safe space to be yourself? Feeling misunderstood? Constantly overthinking? Feeling stuck? Struggling to do the things you once enjoyed? Not feeling comfortable in your body? Questioning your identity? Never tried counseling before? Have you had bad experiences with previous counselors? Struggling with your relationship with yourself? If you answered yes to one or more of those questions, I'd LOVE to meet with you. I want to help you get your needs met as well as set and reach your goals. Please reach out if you think I could be helpful to you. I am happy to answer any questions you have for me.
Looking for a safe space to be yourself? Feeling misunderstood? Constantly overthinking? Feeling stuck? Struggling to do the things you once enjoyed? Not feeling comfortable in your body? Questioning your identity? Never tried counseling before? Have you had bad experiences with previous counselors? Struggling with your relationship with yourself? If you answered yes to one or more of those questions, I'd LOVE to meet with you. I want to help you get your needs met as well as set and reach your goals. Please reach out if you think I could be helpful to you. I am happy to answer any questions you have for me.
(913) 392-2971 View (913) 392-2971
Photo of Dee M Hudgens, Clinical Social Work/Therapist in Lenexa, KS
Dee M Hudgens
Clinical Social Work/Therapist, RN, MSW, LSCSW
Verified Verified
1 Endorsed
Lenexa, KS 66215
Do You Need Help With: Those important relationships in your life? Are you or a loved Ione struggling with addictions issues? How about help solving problems with your child or adolescent, or blended family issues? Are you struggling with intimacy issues perhaps relating to the after effects of an affair? I utilize techniques for increasing your communication skills, improving self esteem and maintaining quality relationships. My clinical experience includes working with adults, adolescents, families and couples. With a strong nursing background I consider your unique physical and medical health issues.
Do You Need Help With: Those important relationships in your life? Are you or a loved Ione struggling with addictions issues? How about help solving problems with your child or adolescent, or blended family issues? Are you struggling with intimacy issues perhaps relating to the after effects of an affair? I utilize techniques for increasing your communication skills, improving self esteem and maintaining quality relationships. My clinical experience includes working with adults, adolescents, families and couples. With a strong nursing background I consider your unique physical and medical health issues.
(913) 667-4307 View (913) 667-4307
Photo of Elizabeth Scott Breedlove, Clinical Social Work/Therapist in Lenexa, KS
Elizabeth Scott Breedlove
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Lenexa, KS 66219
Elizabeth provides a safe place and recovery focused space for LGBTQIA+, teens, college students, women, men, and families. Elizabeth challenges and aids in the implementation of each client’s goals and aspirations for their growth process. She empowers her clients to not only live independently, but successfully. Elizabeth serves individuals and their families by addressing disordered eating, body dysmorphia, gender dysmorphia, SPMI, parenting, reassignment surgery support, personality, addiction, anxiety, trauma, conflict resolution, boundary, and goal setting.
Elizabeth provides a safe place and recovery focused space for LGBTQIA+, teens, college students, women, men, and families. Elizabeth challenges and aids in the implementation of each client’s goals and aspirations for their growth process. She empowers her clients to not only live independently, but successfully. Elizabeth serves individuals and their families by addressing disordered eating, body dysmorphia, gender dysmorphia, SPMI, parenting, reassignment surgery support, personality, addiction, anxiety, trauma, conflict resolution, boundary, and goal setting.
(844) 902-0592 View (844) 902-0592
Photo of Brieanna Claassen, Licensed Clinical Professional Counselor in Lenexa, KS
Brieanna Claassen
Licensed Clinical Professional Counselor, MA, LCPC, CPT
Verified Verified
3 Endorsed
Lenexa, KS 66215
Dealing with emotional and relational difficulties can be overwhelming to tackle alone, and a counselor provides the support, encouragement, and care to help overcome life's many obstacles. I am a Licensed Clinical Professional Counselor with a Master of Arts in Marriage, Couple, and Family Counseling from MidAmerica Nazarene University. I work with a variety of clients as individuals, families, couples, and children at re:Vive Counseling, Consulting, and Training in Lenexa. My treatment approach utilizes attachment relationships and family systems to promote healing.
Dealing with emotional and relational difficulties can be overwhelming to tackle alone, and a counselor provides the support, encouragement, and care to help overcome life's many obstacles. I am a Licensed Clinical Professional Counselor with a Master of Arts in Marriage, Couple, and Family Counseling from MidAmerica Nazarene University. I work with a variety of clients as individuals, families, couples, and children at re:Vive Counseling, Consulting, and Training in Lenexa. My treatment approach utilizes attachment relationships and family systems to promote healing.
(913) 305-5011 View (913) 305-5011
Photo of Shawn Derritt in Lenexa, KS
Shawn Derritt
EdD, MS
Verified Verified
1 Endorsed
Lenexa, KS 66227  (Online Only)
As a certified life coach with a Masters in Counseling Psychology, I am passionate about helping individuals transform their lives. If you're feeling stuck, lost, or uncertain about your path forward, my coaching services can provide the guidance, support, and accountability you need to achieve your goals. Whether you're seeking to improve your relationships, advance your career, or find greater fulfillment and purpose, I'm here to help. With my extensive training, expertise, and compassionate approach, I can help you break through limiting beliefs, overcome obstacles, and unlock your full potential.
As a certified life coach with a Masters in Counseling Psychology, I am passionate about helping individuals transform their lives. If you're feeling stuck, lost, or uncertain about your path forward, my coaching services can provide the guidance, support, and accountability you need to achieve your goals. Whether you're seeking to improve your relationships, advance your career, or find greater fulfillment and purpose, I'm here to help. With my extensive training, expertise, and compassionate approach, I can help you break through limiting beliefs, overcome obstacles, and unlock your full potential.
(913) 398-5181 View (913) 398-5181
Photo of Nicole Green Singer, Licensed Professional Counselor in Lenexa, KS
Nicole Green Singer
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Lenexa, KS 66219  (Online Only)
When choosing a therapist, it is crucial to consider their specialization. Nicole specializes in evidence based Skills for coping with emotional regulation, neurotypical disorders, social skills development, attention deficit disorder, as well as anxiety disorders like obsessive-compulsive disorder and post-traumatic stress disorder/trauma related disorders.
When choosing a therapist, it is crucial to consider their specialization. Nicole specializes in evidence based Skills for coping with emotional regulation, neurotypical disorders, social skills development, attention deficit disorder, as well as anxiety disorders like obsessive-compulsive disorder and post-traumatic stress disorder/trauma related disorders.
(913) 513-4138 View (913) 513-4138
Photo of Kara G Thompson, Marriage & Family Therapist in Lenexa, KS
Kara G Thompson
Marriage & Family Therapist, MS, LCMFT
Verified Verified
Lenexa, KS 66215
You are NOT alone! When we are in the middle of a rough season in life, it is common for us to draw within ourselves and isolate. My mission is to help people feel safe and validated in the midst of life's struggles, because we all deserve support and a voice. I provide a comforting, casual space to help you empower yourself to bring about the changes you want in your life, whether it is in life transitions, relationships, parenting or times of stress or trauma. By breaking old, painful patterns and creating new, fulfilling ones, I will walk with you as you heal and have more peace in your life. The beginning is always today!
You are NOT alone! When we are in the middle of a rough season in life, it is common for us to draw within ourselves and isolate. My mission is to help people feel safe and validated in the midst of life's struggles, because we all deserve support and a voice. I provide a comforting, casual space to help you empower yourself to bring about the changes you want in your life, whether it is in life transitions, relationships, parenting or times of stress or trauma. By breaking old, painful patterns and creating new, fulfilling ones, I will walk with you as you heal and have more peace in your life. The beginning is always today!
(913) 662-1962 View (913) 662-1962
Photo of Jessica Ortiz, Counselor in Lenexa, KS
Jessica Ortiz
Counselor, LCPC, MA
Verified Verified
Lenexa, KS 66219
Not accepting new clients
Through a supportive and compassionate relationship, I help people who have experienced traumatic and difficult life experiences become the heroes of their own stories and live they life they want and deserve. I empower my clients to recognize and build on their unique strengths, and believe everyone is capable of healing and creating joy in life.
Through a supportive and compassionate relationship, I help people who have experienced traumatic and difficult life experiences become the heroes of their own stories and live they life they want and deserve. I empower my clients to recognize and build on their unique strengths, and believe everyone is capable of healing and creating joy in life.
(913) 270-8542 View (913) 270-8542
Photo of Gloria Derritt, Licensed Professional Counselor in Lenexa, KS
Gloria Derritt
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Lenexa, KS 66227  (Online Only)
As a licensed professional counselor, I possess a deep-seated passion for women's mental health and their ability to connect with their inner beauty and self-worth while healing from past pain. Life experiences can often lead to overpowering emotions, making daily life challenging to manage.
As a licensed professional counselor, I possess a deep-seated passion for women's mental health and their ability to connect with their inner beauty and self-worth while healing from past pain. Life experiences can often lead to overpowering emotions, making daily life challenging to manage.
(913) 392-2744 View (913) 392-2744
Photo of Christine F Presley, Marriage & Family Therapist in Lenexa, KS
Christine F Presley
Marriage & Family Therapist, LCMFT, CPTT, CSAT, EMDR
Verified Verified
Lenexa, KS 66215
YOU ARE NOT CRAZY. Although your story is unique, research has proven that Partners/Spouses of Infidelity or Compulsive Sexual Behaviors experience broken trust and you're likely experiencing symptoms of PTSD (intrusive thoughts, avoidance of people/places, mood dysregulation, etc). Combined with the discovery or disclosure of the betrayal, the associated behaviors of gaslighting (lies & blame) will lead to feelings of incongruence within your body and mind which can make you feel like you are going crazy. You are not alone, and you are not crazy. There is hope. Hope for healing, restoration, empowerment, and non-victim living.
YOU ARE NOT CRAZY. Although your story is unique, research has proven that Partners/Spouses of Infidelity or Compulsive Sexual Behaviors experience broken trust and you're likely experiencing symptoms of PTSD (intrusive thoughts, avoidance of people/places, mood dysregulation, etc). Combined with the discovery or disclosure of the betrayal, the associated behaviors of gaslighting (lies & blame) will lead to feelings of incongruence within your body and mind which can make you feel like you are going crazy. You are not alone, and you are not crazy. There is hope. Hope for healing, restoration, empowerment, and non-victim living.
(913) 320-0794 View (913) 320-0794
Photo of Brianne Jewell, Clinical Social Work/Therapist in Lenexa, KS
Brianne Jewell
Clinical Social Work/Therapist, LSCSW , EMDR , TCTSY , RYT
Verified Verified
Lenexa, KS 66219
As a therapist, I am here to walk with you into the unknown, to listen to your experiences, life changes, tragedies and joys; endeavoring to view life through your eyes…to listen, without judgement, to what it’s like to walk in your shoes…to offer support, a listening ear and to strategize together ways to grow, cope & continue your journey forward in life.
As a therapist, I am here to walk with you into the unknown, to listen to your experiences, life changes, tragedies and joys; endeavoring to view life through your eyes…to listen, without judgement, to what it’s like to walk in your shoes…to offer support, a listening ear and to strategize together ways to grow, cope & continue your journey forward in life.
(913) 380-1641 View (913) 380-1641
Photo of Artful Interventions - Dr. Margo Fallon, Psychologist in Lenexa, KS
Artful Interventions - Dr. Margo Fallon
Psychologist, PhD, MA, BSE
Verified Verified
Lenexa, KS 66285
When words just aren't enough, try action methods! With a supportive mentoring approach, I try to provide a person centered philosophy - fitting the latest best researched helping methods to the person and their issues, so that feeling better happens as quickly and painlessly as possible. Individuals of all ages are welcome. This special site and service is for potential psychotherapy clients and other professionals only. Please do not solicit through Psych Today. Contact by email is most helpful - which expresses your name, concerns & contact information. Calling Psych Today only gives us a phone number and no further information.
When words just aren't enough, try action methods! With a supportive mentoring approach, I try to provide a person centered philosophy - fitting the latest best researched helping methods to the person and their issues, so that feeling better happens as quickly and painlessly as possible. Individuals of all ages are welcome. This special site and service is for potential psychotherapy clients and other professionals only. Please do not solicit through Psych Today. Contact by email is most helpful - which expresses your name, concerns & contact information. Calling Psych Today only gives us a phone number and no further information.
(913) 845-7572 View (913) 845-7572
Photo of Tom Page, Licensed Professional Counselor in Lenexa, KS
Tom Page
Licensed Professional Counselor, MA, LCPC
Verified Verified
Lenexa, KS 66215
Do you feel like your life has been hijacked by overwhelming thoughts and feelings? The overwhelm can really feel like it robs you of the things that matter most. That's where I can help. My name is Tom Page and I am a Licensed Clinical Professional Counselor that specializes in helping people reclaim their peace of mind.
Do you feel like your life has been hijacked by overwhelming thoughts and feelings? The overwhelm can really feel like it robs you of the things that matter most. That's where I can help. My name is Tom Page and I am a Licensed Clinical Professional Counselor that specializes in helping people reclaim their peace of mind.
(913) 270-0931 View (913) 270-0931
Photo of Edward McNeil, Licensed Professional Counselor in Lenexa, KS
Edward McNeil
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Lenexa, KS 66214
Waitlist for new clients
If you are struggling with conflicts within your family or struggling with your own personal mental health, you are not alone. A case study in 2020 showed that mental health issues such as depression, anxiety, tripled in adults during the pandemic. This also includes a flare up in conflicts between couples and families. These situations can become overwhelming at times and seeking help from a counseling professional may be the hardest step to take, however, it will also be the most rewarding.
If you are struggling with conflicts within your family or struggling with your own personal mental health, you are not alone. A case study in 2020 showed that mental health issues such as depression, anxiety, tripled in adults during the pandemic. This also includes a flare up in conflicts between couples and families. These situations can become overwhelming at times and seeking help from a counseling professional may be the hardest step to take, however, it will also be the most rewarding.
(913) 724-5757 View (913) 724-5757
Photo of Angie Swetnam, Clinical Social Work/Therapist in Lenexa, KS
Angie Swetnam
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Lenexa, KS 66215
I specialize in supporting children, teenagers and adults with depression, anxiety, trauma and self-harm behaviors. I understand that the process for seeking therapy services can be grueling; with long wait times for appointments, or finding someone that accepts your insurance and, most importantly, finding someone you connect with. I may not be a fit for you but I am here if you are willing to try.
I specialize in supporting children, teenagers and adults with depression, anxiety, trauma and self-harm behaviors. I understand that the process for seeking therapy services can be grueling; with long wait times for appointments, or finding someone that accepts your insurance and, most importantly, finding someone you connect with. I may not be a fit for you but I am here if you are willing to try.
(913) 270-1486 View (913) 270-1486
Photo of Tanise Smith Clinical Psychotherapist, Licensed Professional Counselor in Lenexa, KS
Tanise Smith Clinical Psychotherapist
Licensed Professional Counselor, MS, LPC, LCPC
Verified Verified
2 Endorsed
Lenexa, KS 66219  (Online Only)
Are you feeling gloomy, stuck or unmotivated? Do you find it difficult to shut your thoughts off at night because of scattered thoughts? Does the harmony in your love relationship need a reset? Is achieving work-life balance difficult? Are you transitioning out of a relationship and want support? Perhaps you are a survivor of narcissistic abuse by a partner, parent or employer? Whatever it is, your goal for happiness is important and it's OK to receive care on your journey.
Are you feeling gloomy, stuck or unmotivated? Do you find it difficult to shut your thoughts off at night because of scattered thoughts? Does the harmony in your love relationship need a reset? Is achieving work-life balance difficult? Are you transitioning out of a relationship and want support? Perhaps you are a survivor of narcissistic abuse by a partner, parent or employer? Whatever it is, your goal for happiness is important and it's OK to receive care on your journey.
(913) 347-5540 View (913) 347-5540
Photo of Bellatore, Clinical Social Work/Therapist in Lenexa, KS
Bellatore
Clinical Social Work/Therapist
Verified Verified
Lenexa, KS 66219
Bellatore offers individual therapy and nutrition counseling, as well as an Intensive Outpatient Program, for individuals struggling with eating disorders including anorexia, bulimia, binge eating disorder and ARFID. Our programs are limited to 10 clients to allow for highly individualized treatment.
Bellatore offers individual therapy and nutrition counseling, as well as an Intensive Outpatient Program, for individuals struggling with eating disorders including anorexia, bulimia, binge eating disorder and ARFID. Our programs are limited to 10 clients to allow for highly individualized treatment.
(913) 298-8755 View (913) 298-8755

How does your Therapist compare?

Number of Therapists in Lenexa, KS

100+

Average cost per session

$130

Therapists in Lenexa, KS who prioritize treating:

95% Anxiety
91% Depression
81% Relationship Issues
77% Self Esteem
75% Trauma and PTSD
73% Stress
69% Grief

Average years in practice

9 Years

Top 3 insurances accepted

58% BlueCross and BlueShield
51% Aetna
48% UnitedHealthcare UHC | UBH

How Therapists in Lenexa, KS see their clients

87% In Person and Online
13% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lenexa?

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.