Therapists in London, OH

Photo of Rebekah Cotner, Counselor in London, OH
Rebekah Cotner
Counselor, MA, LPCC-S
Verified Verified
London, OH 43140
Not accepting new clients
I am a licensed clinical counselor who works with children, adolescents, and adults. I approach clients from a strengths-based perspective and customize therapy to the needs of the individual or family. I utilize client-centered therapy, cognitive behavioral therapy, and solutions-focused therapy. I also use art and play therapy with children during sessions when appropriate.
I am a licensed clinical counselor who works with children, adolescents, and adults. I approach clients from a strengths-based perspective and customize therapy to the needs of the individual or family. I utilize client-centered therapy, cognitive behavioral therapy, and solutions-focused therapy. I also use art and play therapy with children during sessions when appropriate.
(740) 761-2271 View (740) 761-2271
Photo of Darby Creek Counseling, Counselor in London, OH
Darby Creek Counseling
Counselor, MEd, LPCC-S
Verified Verified
1 Endorsed
London, OH 43140
Waitlist for new clients
We provide trauma-informed mental health therapy for children, adolescents, and adults. We work with our clients from our first interaction to make sure their treatment is individualized to meet their mental health needs and personal goals. Our staff of over 30 diverse and skilled therapists provide the highest quality care to serve diverse communities with respect to their spiritual, cultural, and individual differences. Our offices in Hilliard, Ohio and London, Ohio are available to work in-person with community members in Central, Ohio or we are available for Telehealth services throughout the State.
We provide trauma-informed mental health therapy for children, adolescents, and adults. We work with our clients from our first interaction to make sure their treatment is individualized to meet their mental health needs and personal goals. Our staff of over 30 diverse and skilled therapists provide the highest quality care to serve diverse communities with respect to their spiritual, cultural, and individual differences. Our offices in Hilliard, Ohio and London, Ohio are available to work in-person with community members in Central, Ohio or we are available for Telehealth services throughout the State.
(740) 845-8652 View (740) 845-8652
Photo of Ryan Van Pelt, Counselor in London, OH
Ryan Van Pelt
Counselor, MA, LPCC
Verified Verified
1 Endorsed
London, OH 43140
Sometimes life is hard and sometimes life hurts, but there is always hope. Pain, loss, and suffering are real. I am willing to meet you where you are, to take the time to come along side you, and I am willing to help. Every client is different, and there is no single way to help everyone. That is why I take the time to listen to your story. I utilize clinically proven solution-focused therapies and cognitive behavioral therapies to help clients heal.
Sometimes life is hard and sometimes life hurts, but there is always hope. Pain, loss, and suffering are real. I am willing to meet you where you are, to take the time to come along side you, and I am willing to help. Every client is different, and there is no single way to help everyone. That is why I take the time to listen to your story. I utilize clinically proven solution-focused therapies and cognitive behavioral therapies to help clients heal.
(614) 705-0548 View (614) 705-0548
Photo of Angela Bolenbaugh, Licensed Professional Counselor in London, OH
Angela Bolenbaugh
Licensed Professional Counselor
Verified Verified
London, OH 43140
Angela is a Licensed Professional Counselor in Ohio, who has been practicing since 2024. She earned her Bachelor's Degree in Psychology from the Ohio State University and a Master's Degree in Clinical Mental Health Counseling from the University of Dayton. Angela has several years of experience working with adults and adolescents in both Community Mental Health and School-Based settings. Her training includes Person-Centered Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Exposure and Response Prevention, as well as, Motivational Interviewing.
Angela is a Licensed Professional Counselor in Ohio, who has been practicing since 2024. She earned her Bachelor's Degree in Psychology from the Ohio State University and a Master's Degree in Clinical Mental Health Counseling from the University of Dayton. Angela has several years of experience working with adults and adolescents in both Community Mental Health and School-Based settings. Her training includes Person-Centered Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Exposure and Response Prevention, as well as, Motivational Interviewing.
(740) 480-3391 View (740) 480-3391
Photo of Lady-Dreama Gordon, Clinical Social Work/Therapist in London, OH
Lady-Dreama Gordon
Clinical Social Work/Therapist
Verified Verified
London, OH 43140
Lady-Dreama Gordon is a Licensed Independent Clinical Social Worker in Ohio who has been practicing since 2010. She has a Master's in Social Work from The Ohio State University. Lady-Dreama will be a guide to help you through your healing journey. She offers insight and psychoeducation to teach new healthy skills, techniques, and ways to deal with all that life has to offer. Born and raised in Columbus, Ohio, she was reared by a single father as her mother passed when she was just 3 years old, due to health complications.
Lady-Dreama Gordon is a Licensed Independent Clinical Social Worker in Ohio who has been practicing since 2010. She has a Master's in Social Work from The Ohio State University. Lady-Dreama will be a guide to help you through your healing journey. She offers insight and psychoeducation to teach new healthy skills, techniques, and ways to deal with all that life has to offer. Born and raised in Columbus, Ohio, she was reared by a single father as her mother passed when she was just 3 years old, due to health complications.
(614) 881-2701 View (614) 881-2701
Photo of Michele Baiz, Clinical Social Work/Therapist in London, OH
Michele Baiz
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
London, OH 43140
I utilize an eclectic approach to therapy. I believe it is important to learn a person, their history, their goals, and their daily experiences so as to form the best treatment approach to address various needs. I have over 20 years of experience working with individuals, couples, and families and have worked extensively with trauma survivors. I am trained in EMDR and TF-CBT. I treat individuals experiencing depression, anxiety, self-esteem issues, addiction, and stress associated with life transitions.
I utilize an eclectic approach to therapy. I believe it is important to learn a person, their history, their goals, and their daily experiences so as to form the best treatment approach to address various needs. I have over 20 years of experience working with individuals, couples, and families and have worked extensively with trauma survivors. I am trained in EMDR and TF-CBT. I treat individuals experiencing depression, anxiety, self-esteem issues, addiction, and stress associated with life transitions.
(937) 230-8436 View (937) 230-8436
Photo of Julia Johnston, Drug & Alcohol Counselor in London, OH
Julia Johnston
Drug & Alcohol Counselor, MA, LPCC, LICDC
Verified Verified
London, OH 43140
Julia Johnston, LPCC Julia Johnston is a Licensed Clinical Professional Counselor in Ohio who has been practicing since 2017. She attended Ohio Northern University where she received her BA in Psychology. At ONU, Julia worked with her professor to conduct research on how trauma impacts learning and memory. She presented her research findings at the national level. Julia attended John Carroll University for her MA in Clinical Mental Health Counseling with a specialization in addiction. Throughout her life, Julia has always been fascinated by how the brain works and how it influences thoughts, feelings, and emotions.
Julia Johnston, LPCC Julia Johnston is a Licensed Clinical Professional Counselor in Ohio who has been practicing since 2017. She attended Ohio Northern University where she received her BA in Psychology. At ONU, Julia worked with her professor to conduct research on how trauma impacts learning and memory. She presented her research findings at the national level. Julia attended John Carroll University for her MA in Clinical Mental Health Counseling with a specialization in addiction. Throughout her life, Julia has always been fascinated by how the brain works and how it influences thoughts, feelings, and emotions.
(614) 412-5692 View (614) 412-5692
Photo of Christa Carnahan, Clinical Social Work/Therapist in London, OH
Christa Carnahan
Clinical Social Work/Therapist, LISW-S
Verified Verified
London, OH 43140
Christa Carnahan is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 1996. Christa is very good at starting where a client is. She thinks that she builds a rapport well. Christa has strong skills at goal setting and can help someone figure out what goals will fit best for them. She can assist someone in breaking these goals down into manageable steps to help them achieve each small goal to feel successful. Christa works well with her clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment.
Christa Carnahan is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 1996. Christa is very good at starting where a client is. She thinks that she builds a rapport well. Christa has strong skills at goal setting and can help someone figure out what goals will fit best for them. She can assist someone in breaking these goals down into manageable steps to help them achieve each small goal to feel successful. Christa works well with her clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment.
(614) 654-3412 View (614) 654-3412
Photo of Stephanie Krznarich, Clinical Social Work/Therapist in London, OH
Stephanie Krznarich
Clinical Social Work/Therapist, LISW-S
Verified Verified
London, OH 43140
Stephanie Krznarich is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 1993. She has a Bachelor's and Master's degree in Social Work from The Ohio State University and attended Bethany Theological Seminary where her focus was on Pastoral Care and Counseling as well as Chaplaincy. Stephanie brings more than 30 years of experience to the counseling relationship. Her focus has been working with individuals who have substance use disorders and/or mental health disorders, cognitive impairment, in addition to trauma survivors.
Stephanie Krznarich is a Licensed Independent Social Worker Supervisor in Ohio who has been practicing since 1993. She has a Bachelor's and Master's degree in Social Work from The Ohio State University and attended Bethany Theological Seminary where her focus was on Pastoral Care and Counseling as well as Chaplaincy. Stephanie brings more than 30 years of experience to the counseling relationship. Her focus has been working with individuals who have substance use disorders and/or mental health disorders, cognitive impairment, in addition to trauma survivors.
(614) 739-8096 View (614) 739-8096
Photo of Dominique Ater, Licensed Professional Counselor in London, OH
Dominique Ater
Licensed Professional Counselor
Verified Verified
London, OH 43140
Dominique Ater is a Licensed Professional Counselor in Ohio who has been practicing since 2021. She received her Master of Science in Clinical Mental Health Counseling from Walden University. She gained experience working in community mental health settings focusing on co-occurring substance use and mental health issues focusing on behavior modification, depression, anxiety, trauma, bipolar disorder, ODD, and borderline personality disorder. Dominique has experience working with children, adolescents, adults, and couples. Dominique understands that asking a stranger for help can be difficult and scary.
Dominique Ater is a Licensed Professional Counselor in Ohio who has been practicing since 2021. She received her Master of Science in Clinical Mental Health Counseling from Walden University. She gained experience working in community mental health settings focusing on co-occurring substance use and mental health issues focusing on behavior modification, depression, anxiety, trauma, bipolar disorder, ODD, and borderline personality disorder. Dominique has experience working with children, adolescents, adults, and couples. Dominique understands that asking a stranger for help can be difficult and scary.
(614) 683-4813 View (614) 683-4813
Photo of Madea Carpenter, Clinical Social Work/Therapist in London, OH
Madea Carpenter
Clinical Social Work/Therapist, LSW
Verified Verified
London, OH 43140
Madea Carpenter, LMSW Madea Carpenter is a Licensed Master Social Worker in Ohio who has been practicing since 2016. Madea specializes in trauma-informed care, cognitive behavioral therapy, DBT, strengths-based therapy, and substance abuse counseling. Outside of work, Madea enjoys crime shows, reading, and relaxing!.
Madea Carpenter, LMSW Madea Carpenter is a Licensed Master Social Worker in Ohio who has been practicing since 2016. Madea specializes in trauma-informed care, cognitive behavioral therapy, DBT, strengths-based therapy, and substance abuse counseling. Outside of work, Madea enjoys crime shows, reading, and relaxing!.
(614) 877-6255 View (614) 877-6255
Photo of Kara Leach, Licensed Professional Clinical Counselor in London, OH
Kara Leach
Licensed Professional Clinical Counselor, LPCC-S, CMHIMP
Verified Verified
London, OH 43140
Kara Leach is a Licensed Professional Clinical Counselor in Ohio who has been practicing since 2001. Kara provides individual therapy to women struggling with depression, anxiety, trauma, grief, postpartum anxiety/depression, life transitions, parenting struggles, relationship struggles, and perimenopause/menopause. Kara aims to meet her clients where they are in their current struggles and walk alongside them on their healing journey. She utilizes CBT, ACT, DBT, supportive therapy, and mindfulness.
Kara Leach is a Licensed Professional Clinical Counselor in Ohio who has been practicing since 2001. Kara provides individual therapy to women struggling with depression, anxiety, trauma, grief, postpartum anxiety/depression, life transitions, parenting struggles, relationship struggles, and perimenopause/menopause. Kara aims to meet her clients where they are in their current struggles and walk alongside them on their healing journey. She utilizes CBT, ACT, DBT, supportive therapy, and mindfulness.
(614) 666-6982 View (614) 666-6982

Online Therapists

Photo of Orienta Eison, Counselor in London, OH
Orienta Eison
Counselor, LPCC
Verified Verified
Columbus, OH 43215  (Online Only)
Ms. Orienta Eison, founder of Emerging Spirit Counseling Services is dually licensed in OH and KY as a Licensed Professional Clinical Counselor. Ms. Eison has helped clients heal, change and grow for over 20 years through therapeutic counseling interventions. She specializes in individual and family counseling for children and women helping to promote safe and healthy lifestyle choices.
Ms. Orienta Eison, founder of Emerging Spirit Counseling Services is dually licensed in OH and KY as a Licensed Professional Clinical Counselor. Ms. Eison has helped clients heal, change and grow for over 20 years through therapeutic counseling interventions. She specializes in individual and family counseling for children and women helping to promote safe and healthy lifestyle choices.
(614) 295-9669 View (614) 295-9669
Photo of Terrance Tufts, Counselor in London, OH
Terrance Tufts
Counselor, LPCC
Verified Verified
Dayton, OH 45405
I have served those with Anxiety, Depression, Bipolar, Schizophrenia, Family Issues, etc. My ideal client is motivated to roll up their sleeves and engage in the therapeutic process. They have an open mind and can practice effective coping skills to improve their overall functioning and quality of life. They can challenge themselves to be vulnerable and practice accountability while processing their problematic thinking patterns and behaviors in a safe and non-judgmental environment. They wish to engage in therapy because they realize that they need to make a change and are willing to take a leap of faith to make it happen.
I have served those with Anxiety, Depression, Bipolar, Schizophrenia, Family Issues, etc. My ideal client is motivated to roll up their sleeves and engage in the therapeutic process. They have an open mind and can practice effective coping skills to improve their overall functioning and quality of life. They can challenge themselves to be vulnerable and practice accountability while processing their problematic thinking patterns and behaviors in a safe and non-judgmental environment. They wish to engage in therapy because they realize that they need to make a change and are willing to take a leap of faith to make it happen.
(380) 205-2706 View (380) 205-2706
Photo of Kelslan Scarbrough, Counselor in London, OH
Kelslan Scarbrough
Counselor, MA, LPCC, LMHC, RDT
Verified Verified
1 Endorsed
Columbus, OH 43206  (Online Only)
As a licensed counselor in Ohio (LPCC) and the state of Washington (LMHC), I view each individual as the expert of their experience, and foster a therapeutic space where unique strengths are celebrated and employed to create meaningful change. My education and experience provide me the opportunity to work with a variety of clinical concerns, including relational distress, depression, anxiety, trauma, life transitions and personal wellness, among others. My approach to counseling is client-centered and eclectic in nature. I draw upon narrative, ACT (Acceptance and Commitment Therapy), strength-based and evidenced-based modalities
As a licensed counselor in Ohio (LPCC) and the state of Washington (LMHC), I view each individual as the expert of their experience, and foster a therapeutic space where unique strengths are celebrated and employed to create meaningful change. My education and experience provide me the opportunity to work with a variety of clinical concerns, including relational distress, depression, anxiety, trauma, life transitions and personal wellness, among others. My approach to counseling is client-centered and eclectic in nature. I draw upon narrative, ACT (Acceptance and Commitment Therapy), strength-based and evidenced-based modalities
(206) 203-5279 View (206) 203-5279
Photo of Susan I Musto, Clinical Social Work/Therapist in London, OH
Susan I Musto
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Columbus, OH 43212
Bearing your soul to a complete stranger can be a very stress provoking experience. Trauma, anxiety and depression are difficult journeys to take alone. I have been a Licensed Clinical Social Worker since 2007, and have worked in a variety of settings to gain the experience I have to help the many difficult challenges we face in our lives. If you have childhood trauma, or adult trauma, or depression, anxiety, or even just trying to adjust to a new stage of life. I would be honored to help you manage and conquer what challenges you're facing.
Bearing your soul to a complete stranger can be a very stress provoking experience. Trauma, anxiety and depression are difficult journeys to take alone. I have been a Licensed Clinical Social Worker since 2007, and have worked in a variety of settings to gain the experience I have to help the many difficult challenges we face in our lives. If you have childhood trauma, or adult trauma, or depression, anxiety, or even just trying to adjust to a new stage of life. I would be honored to help you manage and conquer what challenges you're facing.
(614) 683-3093 View (614) 683-3093
Photo of Terrance Tufts, Counselor in London, OH
Terrance Tufts
Counselor, LPCC
Verified Verified
Columbus, OH 43220
My ideal client is motivated to roll up their sleeves and engage in the therapeutic process. They are able to hold an open mind and practice effective coping skills to improve their overall functioning and quality of life. They can challenge themselves to be vulnerable and practice accountability while processing their problematic thinking patterns and behaviors in a safe and non-judgmental environment. They wish to engage in therapy because they realize that they need to make a change and are willing to take a leap of faith to make it happen.
My ideal client is motivated to roll up their sleeves and engage in the therapeutic process. They are able to hold an open mind and practice effective coping skills to improve their overall functioning and quality of life. They can challenge themselves to be vulnerable and practice accountability while processing their problematic thinking patterns and behaviors in a safe and non-judgmental environment. They wish to engage in therapy because they realize that they need to make a change and are willing to take a leap of faith to make it happen.
(380) 600-9722 View (380) 600-9722
Photo of Sara Elam, Licensed Professional Counselor in London, OH
Sara Elam
Licensed Professional Counselor, LPC
Verified Verified
Blue Ash, OH 45242
Do you feel like you struggle to do everyday things that seem to come easily to others? Do you find that you’re your own worst enemy or harshest critic? Do you feel like everyone’s last priority - including your own? Do you feel stuck and unsure how to break free? Despite how it may feel, I promise you that you are not alone!
Do you feel like you struggle to do everyday things that seem to come easily to others? Do you find that you’re your own worst enemy or harshest critic? Do you feel like everyone’s last priority - including your own? Do you feel stuck and unsure how to break free? Despite how it may feel, I promise you that you are not alone!
(513) 796-5849 View (513) 796-5849
Photo of Alayna Mastrippolito, Licensed Professional Counselor in London, OH
Alayna Mastrippolito
Licensed Professional Counselor, LPC
Verified Verified
Fairfield, OH 45014  (Online Only)
Hi! I’m a licensed counselor in Ohio.  I've been working with pre-teens, teens, and young adults for the past few years, mainly helping with anxiety, depression, self-esteem, and relationships, though I'm here to talk about anything you/your child wants to talk about!
Hi! I’m a licensed counselor in Ohio.  I've been working with pre-teens, teens, and young adults for the past few years, mainly helping with anxiety, depression, self-esteem, and relationships, though I'm here to talk about anything you/your child wants to talk about!
(513) 647-1332 View (513) 647-1332
Photo of Kathryn Sasser - A SonderMind Provider, Licensed Professional Clinical Counselor in London, OH
Kathryn Sasser - A SonderMind Provider
Licensed Professional Clinical Counselor, LCPC
Verified Verified
Dublin, OH 43017
As our world becomes increasingly more complex and seemingly chaotic, we often find ourselves struggling to navigate day-to-day experiences. These experiences can be big, or they can be a lot of little issues that seem to pile up. Either way, it might feel as though what you're going through is insurmountable. When we feel overwhelmed, our emotions can be strong and we might feel sadness, anger, or despair - or everything in between. We might make choices that don't turn out well. School or work responsibilities sometimes fall by the wayside. Perhaps we believe nobody understands what we're feeling.
As our world becomes increasingly more complex and seemingly chaotic, we often find ourselves struggling to navigate day-to-day experiences. These experiences can be big, or they can be a lot of little issues that seem to pile up. Either way, it might feel as though what you're going through is insurmountable. When we feel overwhelmed, our emotions can be strong and we might feel sadness, anger, or despair - or everything in between. We might make choices that don't turn out well. School or work responsibilities sometimes fall by the wayside. Perhaps we believe nobody understands what we're feeling.
(380) 207-0939 View (380) 207-0939

See more therapy options for London

How does your Therapist compare?

Number of Therapists in London, OH

10+

Average cost per session

$200

Therapists in London, OH who prioritize treating:

100% Depression
100% Anxiety
75% Grief
67% Trauma and PTSD
50% Relationship Issues
50% ADHD
50% Alcohol Use

Average years in practice

26 Years

Top 3 insurances accepted

100% Cigna and Evernorth
100% UnitedHealthcare UHC | UBH
100% Optum

How Therapists in London, OH see their clients

100% In Person and Online

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in London?

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.