Therapists in Lake Mary, FL

Photo of Adriana Rueda-Barrera, Counselor in Lake Mary, FL
Adriana Rueda-Barrera
Counselor, MS, NCC, LMHC
Verified Verified
Lake Mary, FL 32746
Waitlist for new clients
I am a License Mental Health Counselor. I received my Bachelor's degrees in Psychology at the Javeriana University in Bogota (Colombia), and my Master's at Stetson University (Florida). I hold a National Certified Counselor certification. I have more than twenty years of experience working with adults in the field of Wellness and treatment protocol particularly in anxiety, depression, trauma, substance abuse, and major disorders. My practice focuses on promoting developing and personal growth seeking to encourage integral wellness.
I am a License Mental Health Counselor. I received my Bachelor's degrees in Psychology at the Javeriana University in Bogota (Colombia), and my Master's at Stetson University (Florida). I hold a National Certified Counselor certification. I have more than twenty years of experience working with adults in the field of Wellness and treatment protocol particularly in anxiety, depression, trauma, substance abuse, and major disorders. My practice focuses on promoting developing and personal growth seeking to encourage integral wellness.
(407) 641-2878 View (407) 641-2878
Photo of Claudia Haywood, Marriage & Family Therapist in Lake Mary, FL
Claudia Haywood
Marriage & Family Therapist, LMFT, MS
Verified Verified
1 Endorsed
Lake Mary, FL 32746  (Online Only)
Have you found yourself struggling with unresolved childhood trauma, anxiety, and/or life transitions? Have you found it difficult to understand and regulate your emotions? Are you wanting to develop and implement boundaries into your life, but don’t know where to start? As your therapist, I aim to assist with cultivating self-awareness, unlearning unhealthy generational traits, navigating childhood trauma and establishing boundaries. Everyone can benefit from therapy. My goal is to provide a safe and nonjudgemental environment that allows you to feel comfortable while navigating current or past stressors in your life.
Have you found yourself struggling with unresolved childhood trauma, anxiety, and/or life transitions? Have you found it difficult to understand and regulate your emotions? Are you wanting to develop and implement boundaries into your life, but don’t know where to start? As your therapist, I aim to assist with cultivating self-awareness, unlearning unhealthy generational traits, navigating childhood trauma and establishing boundaries. Everyone can benefit from therapy. My goal is to provide a safe and nonjudgemental environment that allows you to feel comfortable while navigating current or past stressors in your life.
(321) 999-9581 View (321) 999-9581
Photo of Bill Bazarewski, Counselor in Lake Mary, FL
Bill Bazarewski
Counselor, LMHC
Verified Verified
Lake Mary, FL 32746
My goal is to provide a safe and secure therapeutic environment for all my clients. I have an extensive background of working with emotional, behavioral and substance abuse issues. I have worked in the Seminole County for the last 20 years and have developed many positive relationships with other mental health professionals such as social workers, psychiatrists , agencies and the legal and judicial systems. I work with children, adolescents and adults, who may suffer from mood disorders, adjustment disorders, behavioral disorders and substance abuse disorders. It is my intent to help a client make choices and decisions that promote positive changes.
My goal is to provide a safe and secure therapeutic environment for all my clients. I have an extensive background of working with emotional, behavioral and substance abuse issues. I have worked in the Seminole County for the last 20 years and have developed many positive relationships with other mental health professionals such as social workers, psychiatrists , agencies and the legal and judicial systems. I work with children, adolescents and adults, who may suffer from mood disorders, adjustment disorders, behavioral disorders and substance abuse disorders. It is my intent to help a client make choices and decisions that promote positive changes.
(407) 490-3437 View (407) 490-3437
Photo of Ellen Babanin, Counselor in Lake Mary, FL
Ellen Babanin
Counselor, LMFT, MS, MA
Verified Verified
Lake Mary, FL 32746  (Online Only)
Reaching out for help takes great strength. You have already taken the first step in healing and improving your life. It is difficult to see the positives and the hope when you are discouraged or overwhelmed. I work with my clients to help them overcome the barriers that prevent them from leading a fulfilling life. I specialize in eating disorders, depression, self-harming behaviors, couple and adolescent counseling. I encourage you to take the next step in working on those concerns and problems that prevent you from being happy and content. I would welcome the opportunity to help you start believing that change is possible.
Reaching out for help takes great strength. You have already taken the first step in healing and improving your life. It is difficult to see the positives and the hope when you are discouraged or overwhelmed. I work with my clients to help them overcome the barriers that prevent them from leading a fulfilling life. I specialize in eating disorders, depression, self-harming behaviors, couple and adolescent counseling. I encourage you to take the next step in working on those concerns and problems that prevent you from being happy and content. I would welcome the opportunity to help you start believing that change is possible.
(386) 259-3736 View (386) 259-3736
Photo of Jennifer Hoke in Lake Mary, FL
Jennifer Hoke
MA, LMHC
Verified Verified
Lake Mary, FL 32746
I am passionate about joining individuals and couples facing anxiety, relationship challenges, and trauma. I would be honored to help during difficult life struggles and offering a space to process and make sense of their life story. I provide a safe and compassionate space for healing, offering hope and vision when life gets overwhelming.
I am passionate about joining individuals and couples facing anxiety, relationship challenges, and trauma. I would be honored to help during difficult life struggles and offering a space to process and make sense of their life story. I provide a safe and compassionate space for healing, offering hope and vision when life gets overwhelming.
(407) 720-5337 View (407) 720-5337
Photo of Teresa A Brown, Licensed Mental Health Counselor in Lake Mary, FL
Teresa A Brown
Licensed Mental Health Counselor, MS, LPC, LMHC
Verified Verified
Lake Mary, FL 32746
Waitlist for new clients
Feeling overwhelmed, stressed, anxious, or depressed? Going through a significant life change or relationship issue? Maybe a problem has become so big that you just can't seem to figure out what to do. It is OK to not have all the answers. Sometimes we need support from others to get through tough times. But there is no need to prolong suffering by trying cope with negative situations or emotions alone. Help is possible. You deserve to feel as good as you possibly can so you can live the life you are meant to lead - even if you aren't sure what exactly that is!
Feeling overwhelmed, stressed, anxious, or depressed? Going through a significant life change or relationship issue? Maybe a problem has become so big that you just can't seem to figure out what to do. It is OK to not have all the answers. Sometimes we need support from others to get through tough times. But there is no need to prolong suffering by trying cope with negative situations or emotions alone. Help is possible. You deserve to feel as good as you possibly can so you can live the life you are meant to lead - even if you aren't sure what exactly that is!
(321) 204-7994 View (321) 204-7994
Photo of Maria Georgo in Lake Mary, FL
Maria Georgo
PhD, LMHC
Verified Verified
Lake Mary, FL 32746
Listen to your heart, find your voice. We all have places in our life where we are blocked. Working together, we will identify those blocks and find ways for you to overcome them. I am here to help move you in the direction you seek. I am a counselor, confidant, consultant, sounding board, executive coach, guide, and problem solver. I provide a broad and holistic perspective and yet personal, eclectic, and customized method. I am the best kept secret to your success. Let's get started today.
Listen to your heart, find your voice. We all have places in our life where we are blocked. Working together, we will identify those blocks and find ways for you to overcome them. I am here to help move you in the direction you seek. I am a counselor, confidant, consultant, sounding board, executive coach, guide, and problem solver. I provide a broad and holistic perspective and yet personal, eclectic, and customized method. I am the best kept secret to your success. Let's get started today.
(407) 863-8728 View (407) 863-8728
Photo of Taylor Pappas, Pre-Licensed Professional in Lake Mary, FL
Taylor Pappas
Pre-Licensed Professional, MA, RMHCI
Verified Verified
3 Endorsed
Lake Mary, FL 32746
At this time in your life, you may find yourself struggling to discuss or think about your past, feeling overwhelmed keeping up with life's daily tasks, or finding difficulty in identifying a purpose for the future. If this is true, I want you to know that you are enough. You have every right to feel like a piece of you is not quite understood. Acknowledging this is your first step. This is where your growth begins. I believe in creating a safe space for my clients. This means that I meet you where you are. No expectations. You are the expert of your life.
At this time in your life, you may find yourself struggling to discuss or think about your past, feeling overwhelmed keeping up with life's daily tasks, or finding difficulty in identifying a purpose for the future. If this is true, I want you to know that you are enough. You have every right to feel like a piece of you is not quite understood. Acknowledging this is your first step. This is where your growth begins. I believe in creating a safe space for my clients. This means that I meet you where you are. No expectations. You are the expert of your life.
(407) 707-8280 View (407) 707-8280
Photo of Elizabeth Lomas, Registered Mental Health Counselor Intern in Lake Mary, FL
Elizabeth Lomas
Registered Mental Health Counselor Intern, MEd, RMHCI
Verified Verified
Lake Mary, FL 32746
Waitlist for new clients
Whether you find yourself in a difficult season of life or ready to address the pains of the past, the choice to begin counseling is a courageous decision. In my practice, I aim to provide compassionate care that meets your specific needs and empowers you to embrace your strengths. I believe the collaborative relationship between counselor and client is the cornerstone of growth. It is my hope that I can reflect the best parts of yourself back to you and help you heal from the challenges you have overcome.
Whether you find yourself in a difficult season of life or ready to address the pains of the past, the choice to begin counseling is a courageous decision. In my practice, I aim to provide compassionate care that meets your specific needs and empowers you to embrace your strengths. I believe the collaborative relationship between counselor and client is the cornerstone of growth. It is my hope that I can reflect the best parts of yourself back to you and help you heal from the challenges you have overcome.
(321) 339-3167 View (321) 339-3167
Richard R Marcil Jr
Psychologist, PhD
Verified Verified
Lake Mary, FL 32746
Note: Unable to see new patients at this time. Starting on our first session, we'll focus on clarifying your concerns and create your treatment goals. I can help sort out your priorities and help to identify any underlying issues that may be hindering your ability to live your best life through psychotherapy and, if necessary, psychological testing. My focus is individual counseling for issues such as anxiety, depression, ADD/ADHD, chronic pain, work issues, and interpersonal dynamics. My approach is to listen and understand while providing guidance and support using the tools of empathy, education, and humor.
Note: Unable to see new patients at this time. Starting on our first session, we'll focus on clarifying your concerns and create your treatment goals. I can help sort out your priorities and help to identify any underlying issues that may be hindering your ability to live your best life through psychotherapy and, if necessary, psychological testing. My focus is individual counseling for issues such as anxiety, depression, ADD/ADHD, chronic pain, work issues, and interpersonal dynamics. My approach is to listen and understand while providing guidance and support using the tools of empathy, education, and humor.
(407) 915-0523 View (407) 915-0523
Photo of Jerika Ross, Psychologist in Lake Mary, FL
Jerika Ross
Psychologist, PhD
Verified Verified
2 Endorsed
Lake Mary, FL 32746  (Online Only)
Not accepting new clients
Time to get real. Take off the mask. Lay down your superwoman cape. Let’s have a candid conversation aimed to help you seek your truth and thrive in it! My specialty is being able to spot the possibilities not yet explored and develop a concrete plan to foster meaningful change.
Time to get real. Take off the mask. Lay down your superwoman cape. Let’s have a candid conversation aimed to help you seek your truth and thrive in it! My specialty is being able to spot the possibilities not yet explored and develop a concrete plan to foster meaningful change.
(407) 512-8428 View (407) 512-8428
Photo of Love Life Beyond Counseling , Clinical Social Work/Therapist in Lake Mary, FL
Love Life Beyond Counseling
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Lake Mary, FL 32746  (Online Only)
Jackie Faana is a licensed therapist in Florida with over a decade of experience, providing my expertise to those in need of support. Her practice specializes in helping clients navigate through challenges related to depression, anxiety, and the intricate process of coping with life changes.
Jackie Faana is a licensed therapist in Florida with over a decade of experience, providing my expertise to those in need of support. Her practice specializes in helping clients navigate through challenges related to depression, anxiety, and the intricate process of coping with life changes.
(407) 499-5214 View (407) 499-5214
Photo of Ashley Johnson, Marriage & Family Therapist in Lake Mary, FL
Ashley Johnson
Marriage & Family Therapist, LMFT
Verified Verified
Lake Mary, FL 32746
I recognize that more often than not, sometimes reaching out is the hardest part. If you have found yourself here, pat yourself on the back! You have conquered the first step! As a mental health professional, I truly believe therapy should never be viewed as a "one size fits all" approach. Along with this ideology, I take great care in personalizing all treatment plans to be just as unique as the individual sitting in front of me. My goal as a therapist is to ensure I am providing each individual/family a safe, comfortable setting and providing the best possible therapeutic interventions to achieve an overall sense of well-being.
I recognize that more often than not, sometimes reaching out is the hardest part. If you have found yourself here, pat yourself on the back! You have conquered the first step! As a mental health professional, I truly believe therapy should never be viewed as a "one size fits all" approach. Along with this ideology, I take great care in personalizing all treatment plans to be just as unique as the individual sitting in front of me. My goal as a therapist is to ensure I am providing each individual/family a safe, comfortable setting and providing the best possible therapeutic interventions to achieve an overall sense of well-being.
(321) 414-9406 View (321) 414-9406
Photo of Shawn Riker, Marriage & Family Therapist in Lake Mary, FL
Shawn Riker
Marriage & Family Therapist, LMFT
Verified Verified
Lake Mary, FL 32746
Are you struggling with your marriage, parenting your children, anxiety and depression, or just seeking direction in your life? You may find my approach valuable. Eighty-percent of your solution likely lies within you. I want to empower you to improve your life and relationships. I believe in utilizing a strength-based approach to help you solve whatever issue you may be facing. It only takes one person to transform a marriage, family, relationship, or life. That one person could be you! Take a look at the testimonials and videos on my website.
Are you struggling with your marriage, parenting your children, anxiety and depression, or just seeking direction in your life? You may find my approach valuable. Eighty-percent of your solution likely lies within you. I want to empower you to improve your life and relationships. I believe in utilizing a strength-based approach to help you solve whatever issue you may be facing. It only takes one person to transform a marriage, family, relationship, or life. That one person could be you! Take a look at the testimonials and videos on my website.
(407) 268-6793 View (407) 268-6793
Photo of Tiara Smith, Registered Mental Health Counselor Intern in Lake Mary, FL
Tiara Smith
Registered Mental Health Counselor Intern, MA, RMHCI
Verified Verified
Lake Mary, FL 32746
Everyone deserves help. Everyone deserves compassion. As a therapist, I find joy in helping people live their best lives. Life is challenging and at some point everyone could use a helping hand. This help can mean different things to different people, however one thing is certain. Understanding your story is the first step in obtaining the life you want and deserve.
Everyone deserves help. Everyone deserves compassion. As a therapist, I find joy in helping people live their best lives. Life is challenging and at some point everyone could use a helping hand. This help can mean different things to different people, however one thing is certain. Understanding your story is the first step in obtaining the life you want and deserve.
(407) 250-1715 View (407) 250-1715
Photo of Ohana Counseling & Wellness: Amanda Metcalf, Counselor in Lake Mary, FL
Ohana Counseling & Wellness: Amanda Metcalf
Counselor, MA, LMHC, IBCLC, PMH-C, CCFP
Verified Verified
5 Endorsed
Lake Mary, FL 32746
Have you lost yourself somewhere in the daily grind? Perhaps you've given so much to your spouse, children, or job that you find yourself perpetually frazzled & exhausted. Ohana Counseling & Wellness Services was built on the idea that the traditional, medicalized model of counseling doesn't work for everyone. Rather than search for what is "wrong" with clients, we emphasize natural strengths & abilities to help our client's better tackle life's various obstacles including but not limited to: pregnancy/postpartum/parenting, relational struggles, burnout, first responder wellness, anxiety, depression, work/life balance difficulties.
Have you lost yourself somewhere in the daily grind? Perhaps you've given so much to your spouse, children, or job that you find yourself perpetually frazzled & exhausted. Ohana Counseling & Wellness Services was built on the idea that the traditional, medicalized model of counseling doesn't work for everyone. Rather than search for what is "wrong" with clients, we emphasize natural strengths & abilities to help our client's better tackle life's various obstacles including but not limited to: pregnancy/postpartum/parenting, relational struggles, burnout, first responder wellness, anxiety, depression, work/life balance difficulties.
(689) 333-6526 View (689) 333-6526
Photo of Christina Milazzo, Counselor in Lake Mary, FL
Christina Milazzo
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Lake Mary, FL 32746
Do you have a teen daughter or are you a young woman struggling with stress and anxiety, sadness, body-image issues, self-harm/cutting? For the past ten year I have focused my practice on working with teen girls and young women to help them cope with difficult emotions, learn new ways to manage stress, how to communicate better with others, and how to feel more confident. I also collaborate and coach parents on how to strengthen their relationship with their teen while also learning how to support your loved one's mental and emotional health.
Do you have a teen daughter or are you a young woman struggling with stress and anxiety, sadness, body-image issues, self-harm/cutting? For the past ten year I have focused my practice on working with teen girls and young women to help them cope with difficult emotions, learn new ways to manage stress, how to communicate better with others, and how to feel more confident. I also collaborate and coach parents on how to strengthen their relationship with their teen while also learning how to support your loved one's mental and emotional health.
(407) 972-1021 View (407) 972-1021
Photo of Dalia Fox, Clinical Social Work/Therapist in Lake Mary, FL
Dalia Fox
Clinical Social Work/Therapist, LCSW
Verified Verified
Lake Mary, FL 32746
Seeking counseling can be an immense and brave step. It is an honor and privilege to be trusted to walk alongside my clients in their most challenging moments. I believe everyone is on a road toward success and deserves happiness. However we sometimes get steered away from our desired journey due to the challenges we encounter, or barriers in the road. My role is to walk alongside you on this journey, helping you break the barriers and empower you to discover your true potential. I provide counseling to a diverse, multicultural population including being an LGBTQ+ ally.
Seeking counseling can be an immense and brave step. It is an honor and privilege to be trusted to walk alongside my clients in their most challenging moments. I believe everyone is on a road toward success and deserves happiness. However we sometimes get steered away from our desired journey due to the challenges we encounter, or barriers in the road. My role is to walk alongside you on this journey, helping you break the barriers and empower you to discover your true potential. I provide counseling to a diverse, multicultural population including being an LGBTQ+ ally.
(407) 972-1023 View (407) 972-1023
Photo of Nelly V Venturini, Counselor in Lake Mary, FL
Nelly V Venturini
Counselor, LMHC, NCC, CIRT
Verified Verified
Lake Mary, FL 32746  (Online Only)
Are you struggling in your life? Is your relationship a source of emotional pain for you? Is the communication with your spouse constantly frustrating? Has the pandemic left you wanting to recover the life you had? As a specialist with extensive experience, I can help you. Whether you attend individually or with your partner, practical solutions are within your reach. You can learn the skills needed to make your life and marriage truly satisfactory. Please don't wait any longer. If you are considering divorce, going through it, or recovering from it, talking to someone who can help may be right for you. Yo hablo Espanol.
Are you struggling in your life? Is your relationship a source of emotional pain for you? Is the communication with your spouse constantly frustrating? Has the pandemic left you wanting to recover the life you had? As a specialist with extensive experience, I can help you. Whether you attend individually or with your partner, practical solutions are within your reach. You can learn the skills needed to make your life and marriage truly satisfactory. Please don't wait any longer. If you are considering divorce, going through it, or recovering from it, talking to someone who can help may be right for you. Yo hablo Espanol.
(407) 852-8213 View (407) 852-8213
Photo of Robert O'Brien, Registered Mental Health Counselor Intern in Lake Mary, FL
Robert O'Brien
Registered Mental Health Counselor Intern, RMHCI
Verified Verified
Lake Mary, FL 32746
Like everyone, I have a story. My story involves career change, relationship challenges, loss, joy, and everything in between. I have learned more about myself during the trials of life than I did through the joys. Figuring out the best way forward is never easy and sometimes requires help. I can help you figure out who you are, and more importantly, who you want to be. I specialize in working with individuals with anxiety disorders, depression, grief, and couples in need of figuring out what is next.
Like everyone, I have a story. My story involves career change, relationship challenges, loss, joy, and everything in between. I have learned more about myself during the trials of life than I did through the joys. Figuring out the best way forward is never easy and sometimes requires help. I can help you figure out who you are, and more importantly, who you want to be. I specialize in working with individuals with anxiety disorders, depression, grief, and couples in need of figuring out what is next.
(321) 449-7524 View (321) 449-7524

How does your Therapist compare?

Number of Therapists in Lake Mary, FL

100+

Average cost per session

$130

Therapists in Lake Mary, FL who prioritize treating:

92% Anxiety
87% Depression
84% Relationship Issues
80% Self Esteem
72% Coping Skills
70% Trauma and PTSD
67% Stress

Average years in practice

12 Years

Top 3 insurances accepted

83% Aetna
83% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Therapists in Lake Mary, FL see their clients

73% In Person and Online
27% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lake Mary?

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.