Therapists in Centennial, CO

Photo of Jump Starts for Growing Families, Clinical Social Work/Therapist in Centennial, CO
Jump Starts for Growing Families
Clinical Social Work/Therapist, MEd, LCSW, DCH
Verified Verified
Centennial, CO 80112
Are you talking about starting a family, your life with a baby, toddler or small children? Whether planned now or later, the reality of becoming and being parents is life changing. Have the two of you shared your expectations and visions of family life? Do you know when you will be ready, who will do what, and how this fits with your personal needs and goals? Parenting is emotionally rewarding and demanding, and requires team work. How are you doing with each other, understanding differences in your experiences and needs? This is an opportunity to strengthen your loving relationship.
Are you talking about starting a family, your life with a baby, toddler or small children? Whether planned now or later, the reality of becoming and being parents is life changing. Have the two of you shared your expectations and visions of family life? Do you know when you will be ready, who will do what, and how this fits with your personal needs and goals? Parenting is emotionally rewarding and demanding, and requires team work. How are you doing with each other, understanding differences in your experiences and needs? This is an opportunity to strengthen your loving relationship.
(720) 613-2558 View (720) 613-2558
Photo of Carrie A Brown, Licensed Professional Counselor in Centennial, CO
Carrie A Brown
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Centennial, CO 80111
I believe that while our circumstances and stories are varied, we are all seeking connection, understanding and relief. Depression and anxiety often stem from profound experiences of loss or a disrupted sense of belonging. When we undergo significant losses, whether the death of a loved one, the end of a relationship, or the departure from a familiar community, we can feel adrift and disconnected. These experiences can erode our sense of purpose and identity, leading to feelings of isolation and despair, Rebuilding a sense of connection and finding new sources of support are crucial steps in the healing journey.
I believe that while our circumstances and stories are varied, we are all seeking connection, understanding and relief. Depression and anxiety often stem from profound experiences of loss or a disrupted sense of belonging. When we undergo significant losses, whether the death of a loved one, the end of a relationship, or the departure from a familiar community, we can feel adrift and disconnected. These experiences can erode our sense of purpose and identity, leading to feelings of isolation and despair, Rebuilding a sense of connection and finding new sources of support are crucial steps in the healing journey.
(720) 964-1867 View (720) 964-1867
Photo of Patricia Sawyer Mathews, Psychologist in Centennial, CO
Patricia Sawyer Mathews
Psychologist, PhD
Verified Verified
Centennial, CO 80122
I tend to approach therapy through the exploration of current and past relationships in your life. Together, we look for relationship patterns that you would like to change because they are troublesome to you. I work with individuals, couples and families to help sort out problems and identify emotions with the goal of feeling better. Our work may include new ways to think about problems and/or new coping strategies to more effectively deal with them.
I tend to approach therapy through the exploration of current and past relationships in your life. Together, we look for relationship patterns that you would like to change because they are troublesome to you. I work with individuals, couples and families to help sort out problems and identify emotions with the goal of feeling better. Our work may include new ways to think about problems and/or new coping strategies to more effectively deal with them.
(720) 897-0926 View (720) 897-0926
Photo of Mona Osterhoudt, Clinical Social Work/Therapist in Centennial, CO
Mona Osterhoudt
Clinical Social Work/Therapist, LCSW
Verified Verified
Centennial, CO 80112
If you need help managing all the stressors that life keeps throwing at you, I am here to help untangle it. Sometimes we lose focus on what makes us happy, I'd like to help you find your happy place again.
If you need help managing all the stressors that life keeps throwing at you, I am here to help untangle it. Sometimes we lose focus on what makes us happy, I'd like to help you find your happy place again.
(720) 868-9336 View (720) 868-9336
Photo of Elaine Louise Blinn, Clinical Social Work/Therapist in Centennial, CO
Elaine Louise Blinn
Clinical Social Work/Therapist, MA, LCSW, BCD
Verified Verified
Centennial, CO 80112
Hi! I am Elaine Blinn - a Licensed Clinical Social Worker. I am located in Southeast Denver right off I-25 and Arapahoe Road. I make my own appointments and can work with your needs with a flexible schedule. I enjoy working with a variety of age groups - from children, teens and adults as well as older adults. I have a special interest in working with depression, loss and grief and chronic and acute health issues.
Hi! I am Elaine Blinn - a Licensed Clinical Social Worker. I am located in Southeast Denver right off I-25 and Arapahoe Road. I make my own appointments and can work with your needs with a flexible schedule. I enjoy working with a variety of age groups - from children, teens and adults as well as older adults. I have a special interest in working with depression, loss and grief and chronic and acute health issues.
(719) 345-1026 View (719) 345-1026
Photo of Morgan Craft Watts, Clinical Social Work/Therapist in Centennial, CO
Morgan Craft Watts
Clinical Social Work/Therapist, LCSW
Verified Verified
Centennial, CO 80015  (Online Only)
As a Licensed Clinical Social Worker, I utilize a person-centered approach to help guide you on your path to finding freedom from whatever has been holding you back. I have worked in substance abuse and mental health for the past eight years and specialize in co-morbid treatment for adults and adolescents. I pride myself on my ability to connect with my clients and build positive rapport, especially with adolescents. You have the potential to heal and change, you just might not have the tools right now to accomplish your goals. Let me help you to build those tools!
As a Licensed Clinical Social Worker, I utilize a person-centered approach to help guide you on your path to finding freedom from whatever has been holding you back. I have worked in substance abuse and mental health for the past eight years and specialize in co-morbid treatment for adults and adolescents. I pride myself on my ability to connect with my clients and build positive rapport, especially with adolescents. You have the potential to heal and change, you just might not have the tools right now to accomplish your goals. Let me help you to build those tools!
(720) 740-1825 View (720) 740-1825
Photo of Alissa Shanahan, Pre-Licensed Professional in Centennial, CO
Alissa Shanahan
Pre-Licensed Professional, MSW, SWC, RYT
Verified Verified
1 Endorsed
Centennial, CO 80112
Waitlist for new clients
My practice is informed by my eclectic educational background, eastern and indigenous teachings, and the body’s innate sense of wisdom. I consider myself to be a warm, grounding individual, and am here to learn from you and walk with you on your mental health journey. I have learned a great deal about the ‘mind-body split’ and the reality that modern therapy often leaves the body and spirit out of the picture, much to our detriment. I work with clients to begin building relationships with their bodies, nervous systems, and greater selves, with the goal of increased coping skills, embodiment, resiliency and neuroplasticity.
My practice is informed by my eclectic educational background, eastern and indigenous teachings, and the body’s innate sense of wisdom. I consider myself to be a warm, grounding individual, and am here to learn from you and walk with you on your mental health journey. I have learned a great deal about the ‘mind-body split’ and the reality that modern therapy often leaves the body and spirit out of the picture, much to our detriment. I work with clients to begin building relationships with their bodies, nervous systems, and greater selves, with the goal of increased coping skills, embodiment, resiliency and neuroplasticity.
(720) 575-3883 View (720) 575-3883
Photo of Athlete Insight, Psychologist in Centennial, CO
Athlete Insight
Psychologist, PsyD
Verified Verified
Centennial, CO 80112
Do you excel in training but continue to disappoint yourself in competition? Do you wonder how your mental health impacts your performance? Are you looking for effective ways to improve your mental health and/or performance? Now, more than ever, athletes and high-performing individuals feel anxious, overwhelmed and uncertain about how to be their best when the standards for success continue to stretch human capacities. Not addressing these feelings of doubt and uncertainty can lead to long-term effects on tryouts, call-ups, college admissions, or job applications.
Do you excel in training but continue to disappoint yourself in competition? Do you wonder how your mental health impacts your performance? Are you looking for effective ways to improve your mental health and/or performance? Now, more than ever, athletes and high-performing individuals feel anxious, overwhelmed and uncertain about how to be their best when the standards for success continue to stretch human capacities. Not addressing these feelings of doubt and uncertainty can lead to long-term effects on tryouts, call-ups, college admissions, or job applications.
(720) 263-9895 View (720) 263-9895
Photo of Amy Schamberg in Centennial, CO
Amy Schamberg
EdS, NBC-HWC
Verified Verified
Centennial, CO 80112
If you’re constantly overwhelmed by the never-ending demands of your career, your family, or your personal life... if you're having trouble managing your stress.... if you're feeling stuck or unsure about what to do next.... please know you are not alone, and it doesn’t have to be this way. You really can have it all- a successful career, a loving and present relationship with your partner or family, and more free time for yourself. Using science-based strategies, you will learn how to break free from chronic stress and release the anxiety, overthinking, and burnout that has been weighing you down.
If you’re constantly overwhelmed by the never-ending demands of your career, your family, or your personal life... if you're having trouble managing your stress.... if you're feeling stuck or unsure about what to do next.... please know you are not alone, and it doesn’t have to be this way. You really can have it all- a successful career, a loving and present relationship with your partner or family, and more free time for yourself. Using science-based strategies, you will learn how to break free from chronic stress and release the anxiety, overthinking, and burnout that has been weighing you down.
(720) 782-8244 View (720) 782-8244
Photo of Jessa Taylor Choi, Pre-Licensed Professional in Centennial, CO
Jessa Taylor Choi
Pre-Licensed Professional, BA
Verified Verified
Centennial, CO 80122
Jessa believes in the wellness model of counseling, that mental health is just as important as one’s physical health. She believes there are times we all struggle with mental health, and that no one should be alone in that struggle. She believes in the resilience of individuals and draws on their strengths to help them heal and grow. Jessa approaches therapy from an evidence-based treatment approach utilizing cognitive behavioral therapy, internal family systems, narrative therapy, attachment theory and mindfulness. She is interested in working with individuals, couples, and families.
Jessa believes in the wellness model of counseling, that mental health is just as important as one’s physical health. She believes there are times we all struggle with mental health, and that no one should be alone in that struggle. She believes in the resilience of individuals and draws on their strengths to help them heal and grow. Jessa approaches therapy from an evidence-based treatment approach utilizing cognitive behavioral therapy, internal family systems, narrative therapy, attachment theory and mindfulness. She is interested in working with individuals, couples, and families.
(720) 802-6701 View (720) 802-6701
Photo of Madeleine Bodily, Marriage & Family Therapist Intern in Centennial, CO
Madeleine Bodily
Marriage & Family Therapist Intern, BS
Verified Verified
Centennial, CO 80112
Life is full of unexpected challenges and exciting opportunities, sometimes it can be difficult to navigate though it all. Whether it be stress, conflict in a relationship, adjusting to a new stage in life, managing responsibilities, family concerns or mental health, I am dedicated to fostering a safe environment and collaborating with each individual to provide quality and client centered care.
Life is full of unexpected challenges and exciting opportunities, sometimes it can be difficult to navigate though it all. Whether it be stress, conflict in a relationship, adjusting to a new stage in life, managing responsibilities, family concerns or mental health, I am dedicated to fostering a safe environment and collaborating with each individual to provide quality and client centered care.
(720) 782-2583 View (720) 782-2583
Photo of Cynthia McKay, Drug & Alcohol Counselor in Centennial, CO
Cynthia McKay
Drug & Alcohol Counselor, JD, MA, LAC
Verified Verified
Centennial, CO 80111
I am here to help you be the best version of yourself. You have already completed the most difficult task and that is to ask for help. If you are struggling with issues and feel powerless, know that there are people who love you and want to assist you in finding happiness in your life. I live authentically have the ability to help others to see their potential while guiding them to a more peaceful life. I specialize in families, stress, addiction, marriage and complex trauma. Helping people through previous trauma is what drives me. Guiding those who need to process and develop a healthier space in their life is my passion.
I am here to help you be the best version of yourself. You have already completed the most difficult task and that is to ask for help. If you are struggling with issues and feel powerless, know that there are people who love you and want to assist you in finding happiness in your life. I live authentically have the ability to help others to see their potential while guiding them to a more peaceful life. I specialize in families, stress, addiction, marriage and complex trauma. Helping people through previous trauma is what drives me. Guiding those who need to process and develop a healthier space in their life is my passion.
(720) 893-8639 View (720) 893-8639
Photo of Elyse Flint, Licensed Professional Counselor in Centennial, CO
Elyse Flint
Licensed Professional Counselor, LPC, LAC
Verified Verified
Centennial, CO 80112  (Online Only)
Not accepting new clients
As a therapist, my primary goal is to provide a supportive and understanding environment for my clients to share their emotions and experiences. It is important to me that my clients feel understood and heard in the therapy room; I value collaboration and developing a strong therapeutic relationship. I work to support, empower, and gently challenge my clients in order to help meet their goals and create a life of meaning. I believe that therapy should be personal and individualized, and operate from a cognitive behavioral, acceptance and commitment therapy and EMDR framework.
As a therapist, my primary goal is to provide a supportive and understanding environment for my clients to share their emotions and experiences. It is important to me that my clients feel understood and heard in the therapy room; I value collaboration and developing a strong therapeutic relationship. I work to support, empower, and gently challenge my clients in order to help meet their goals and create a life of meaning. I believe that therapy should be personal and individualized, and operate from a cognitive behavioral, acceptance and commitment therapy and EMDR framework.
(720) 500-7267 View (720) 500-7267
Photo of Megan Keith, Licensed Professional Counselor in Centennial, CO
Megan Keith
Licensed Professional Counselor, LPC, LAC
Verified Verified
Centennial, CO 80112  (Online Only)
Not accepting new clients
Trauma can impact us in many different ways. It can affect our ability to trust others or ourselves, can make us feel "broken" or defective. Have you experienced the loss of a loved one, the ending of a friendship or relationship, rejection, abandonment, or something that feels like it left a mark? You are not alone, and an empathetic ear can help heal the wounds of trauma and invalidation.
Trauma can impact us in many different ways. It can affect our ability to trust others or ourselves, can make us feel "broken" or defective. Have you experienced the loss of a loved one, the ending of a friendship or relationship, rejection, abandonment, or something that feels like it left a mark? You are not alone, and an empathetic ear can help heal the wounds of trauma and invalidation.
(720) 770-4383 View (720) 770-4383
Photo of SOBT Therapy, LLC, Licensed Professional Counselor in Centennial, CO
SOBT Therapy, LLC
Licensed Professional Counselor
Verified Verified
1 Endorsed
Centennial, CO 80112
Access to care is key, crucial, and paramount! We, at SOBT Therapy, LLC, have a diverse team of empathetic and compassionate providers who have immediate openings, are trained, are experienced, are ready, and are eager to work with you. We work directly with certain health insurance companies and can also provide a discount as low as $65.00 per therapy session. You can reach us by calling our main line - (720) 968-6924, we are ready and happy to assist you - or by emailing our main office. We hope that you make that first step. We are here for you!
Access to care is key, crucial, and paramount! We, at SOBT Therapy, LLC, have a diverse team of empathetic and compassionate providers who have immediate openings, are trained, are experienced, are ready, and are eager to work with you. We work directly with certain health insurance companies and can also provide a discount as low as $65.00 per therapy session. You can reach us by calling our main line - (720) 968-6924, we are ready and happy to assist you - or by emailing our main office. We hope that you make that first step. We are here for you!
View
Photo of Lisa Scott Rickman, Licensed Addiction Counselor in Centennial, CO
Lisa Scott Rickman
Licensed Addiction Counselor, MA, LAC
Verified Verified
5 Endorsed
Centennial, CO 80122
Does your life seem overwhelming? Do you feel worthless, alone or depressed? Do you try to improve your relationships, but nothing seems to help? Possibly you ruminate on circumstances from your past which robs you of a peaceful present. This may cause depression and/or anxiety, which makes your life difficult. You may feel completely alone in this. I have also struggled with these issues, and found a lot of healing through therapy. I am confident that you can too. Are you ready to make changes in your life so you can have a joy-filled future? I believe this is possible for you!
Does your life seem overwhelming? Do you feel worthless, alone or depressed? Do you try to improve your relationships, but nothing seems to help? Possibly you ruminate on circumstances from your past which robs you of a peaceful present. This may cause depression and/or anxiety, which makes your life difficult. You may feel completely alone in this. I have also struggled with these issues, and found a lot of healing through therapy. I am confident that you can too. Are you ready to make changes in your life so you can have a joy-filled future? I believe this is possible for you!
(720) 893-8633 View (720) 893-8633
Photo of Annette Vanvleet, Clinical Social Work/Therapist in Centennial, CO
Annette Vanvleet
Clinical Social Work/Therapist, LCSW
Verified Verified
Centennial, CO 80112
Annette VanVleet is a Licensed Clinical Social Worker (LCSW) with over 20 years of experience in the mental health field. She is passionate about helping children, adolescents, adults, families and couples address unique challenges and live more fulfilled lives. Annette specializes in depression, anxiety, grief, trauma, ADHD/ADD, and relationship issues.
Annette VanVleet is a Licensed Clinical Social Worker (LCSW) with over 20 years of experience in the mental health field. She is passionate about helping children, adolescents, adults, families and couples address unique challenges and live more fulfilled lives. Annette specializes in depression, anxiety, grief, trauma, ADHD/ADD, and relationship issues.
(720) 790-5628 View (720) 790-5628
Photo of Ellie Barrett, Licensed Professional Counselor Candidate in Centennial, CO
Ellie Barrett
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
1 Endorsed
Centennial, CO 80111
Ellie Barrett, M.A., LPCC, loves working with adolescents (13-18) and adults (18+) for individual therapy. Her experience in counseling ranges from disability focused & affirmative therapy, as well as those experiencing anxiety, depression, substance use disorders, & chronic illness/chronic pain. Additionally, Ellie is trained in supporting clients who have survived trauma from systemic and global influences, including natural disasters, pandemics, genocide, mass shootings, immigration, political unrest, and war. Ellie graduated with her master’s degree in international disaster psychology from the University of Denver.
Ellie Barrett, M.A., LPCC, loves working with adolescents (13-18) and adults (18+) for individual therapy. Her experience in counseling ranges from disability focused & affirmative therapy, as well as those experiencing anxiety, depression, substance use disorders, & chronic illness/chronic pain. Additionally, Ellie is trained in supporting clients who have survived trauma from systemic and global influences, including natural disasters, pandemics, genocide, mass shootings, immigration, political unrest, and war. Ellie graduated with her master’s degree in international disaster psychology from the University of Denver.
(720) 797-8914 View (720) 797-8914
Photo of Letitia Cullens-Proctor, Licensed Professional Counselor in Centennial, CO
Letitia Cullens-Proctor
Licensed Professional Counselor, MA, LPC, CCMHC
Verified Verified
1 Endorsed
Centennial, CO 80112  (Online Only)
Tired of repeating negative patterns? Are you looking to build healthier relationships? Do you need to process a traumatic event that has affected you? I work with adult clients who are ready for a change, who want to take steps towards growing and healing. Many of my clients have multiple marginalized identities (neurodivergent, LGBTQ+, global majority), or have experienced a traumatic event in the past such as a childhood trauma, loss of a job, or sexual assault. I also work with many Graduate counseling students and working therapists, because we often forget that we need help and a safe space to work on ourselves as well.
Tired of repeating negative patterns? Are you looking to build healthier relationships? Do you need to process a traumatic event that has affected you? I work with adult clients who are ready for a change, who want to take steps towards growing and healing. Many of my clients have multiple marginalized identities (neurodivergent, LGBTQ+, global majority), or have experienced a traumatic event in the past such as a childhood trauma, loss of a job, or sexual assault. I also work with many Graduate counseling students and working therapists, because we often forget that we need help and a safe space to work on ourselves as well.
(720) 605-6675 View (720) 605-6675
Photo of Kathy Westerly, Licensed Professional Counselor in Centennial, CO
Kathy Westerly
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Centennial, CO 80112
Many of us experience difficult roadblocks throughout life. Learning the tools to cope with these barriers is possible and achievable. Although it may seem daunting, change is always within arm's reach. Using many forms of Cognitive Behavioral Treatments, Kathy helps her clients examine the thoughts, emotions, and behaviors that are perpetuating struggle. Together, they identify new choices and practices that help clients transform the way they show up in life.
Many of us experience difficult roadblocks throughout life. Learning the tools to cope with these barriers is possible and achievable. Although it may seem daunting, change is always within arm's reach. Using many forms of Cognitive Behavioral Treatments, Kathy helps her clients examine the thoughts, emotions, and behaviors that are perpetuating struggle. Together, they identify new choices and practices that help clients transform the way they show up in life.
(720) 513-6811 View (720) 513-6811

How does your Therapist compare?

Number of Therapists in Centennial, CO

500+

Average cost per session

$150

Therapists in Centennial, CO who prioritize treating:

93% Anxiety
90% Depression
79% Relationship Issues
76% Trauma and PTSD
76% Self Esteem
69% Coping Skills
66% Grief

Average years in practice

11 Years

Top 3 insurances accepted

67% Aetna
60% Cigna and Evernorth
58% UnitedHealthcare UHC | UBH

How Therapists in Centennial, CO see their clients

85% In Person and Online
15% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Centennial?

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.