Photo of Stacey Karpen Dohn, PhD, LPC, Licensed Professional Counselor
Stacey Karpen Dohn
Licensed Professional Counselor, PhD, LPC
Verified Verified
McLean, VA 22108  (Online Only)
I work with children, adolescents, and adults facing whatever challenges that arise in the many different chapters of our lives. In addition to general psychotherapy I also provide specialized care in the exploration of sexual orientation and gender identity with youth, teens, adults and their families as they navigate through the social and emotional aspects of life.
I work with children, adolescents, and adults facing whatever challenges that arise in the many different chapters of our lives. In addition to general psychotherapy I also provide specialized care in the exploration of sexual orientation and gender identity with youth, teens, adults and their families as they navigate through the social and emotional aspects of life.
(202) 759-4046 View (202) 759-4046
Photo of Jennifer Shore - Fairfax Mental Health and Wellness, Psychologist
Fairfax Mental Health and Wellness
Psychologist
Verified Verified
McLean, VA 22108
Fairfax Mental Health and Wellness (FMHW) provides integrated mental health services to the greater Virginia/Maryland/DC area. We treat a wide range of conditions including but limited to anxiety, depression, ADHD, Autism Spectrum Disorder, PTSD, OCD, Adjustment Disorders, Mood Disorders and more. We treat patients ranging in age from 5 to 60. Our practice was founded in 2013 by Dr. Jennifer Shore and now employs over 40 clinical staff including psychiatrists, nurse practitioners, psychologists, counselors, social workers and doctoral interns.
Fairfax Mental Health and Wellness (FMHW) provides integrated mental health services to the greater Virginia/Maryland/DC area. We treat a wide range of conditions including but limited to anxiety, depression, ADHD, Autism Spectrum Disorder, PTSD, OCD, Adjustment Disorders, Mood Disorders and more. We treat patients ranging in age from 5 to 60. Our practice was founded in 2013 by Dr. Jennifer Shore and now employs over 40 clinical staff including psychiatrists, nurse practitioners, psychologists, counselors, social workers and doctoral interns.
(571) 556-8535 View (571) 556-8535

More Therapists Nearby

Photo of Laura Dover Wandner - Wandner Health and Wellness, LLC, Psychologist
Wandner Health and Wellness, LLC
Psychologist
Verified Verified
McLean, VA 22101  (Online Only)
I am a committed and compassionate clinical psychologist with advanced training and expertise in clinical health psychology. My interests are in helping patients to understand the mind-body connection, helping them to improve their quality of life despite experiencing chronic health conditions, and improving the way that they live despite stress and hardships. I specialize in health psychology, which focuses on promoting overall well-being as well as coping with acute and chronic illnesses.
I am a committed and compassionate clinical psychologist with advanced training and expertise in clinical health psychology. My interests are in helping patients to understand the mind-body connection, helping them to improve their quality of life despite experiencing chronic health conditions, and improving the way that they live despite stress and hardships. I specialize in health psychology, which focuses on promoting overall well-being as well as coping with acute and chronic illnesses.
(240) 617-3769 View (240) 617-3769
Photo of Elizabeth Savill, LPC, Licensed Professional Counselor
Elizabeth Savill
Licensed Professional Counselor, LPC
Verified Verified
McLean, VA 22101
Hello, I am Elizabeth Scott Savill, a Licensed Professional Counselor who has been doing therapeutic work for over 15 years. I have worked with Preteens, Minors, and Individuals with Anxiety, Depression, Self Esteem, Life Transitions, Relationship Issues, and Anger Management. I am utilizing Eclectic, CBT, mindfulness-based, expressive arts, ACT, attachment-based, strength-based, positive psychology, person-centered, DBT, play, grief, Gottman, motivational interviewing, and many more. I am here to advocate for and guide you throughout your therapeutic journey to restore balance, reconnect with your authentic self, and live your best
Hello, I am Elizabeth Scott Savill, a Licensed Professional Counselor who has been doing therapeutic work for over 15 years. I have worked with Preteens, Minors, and Individuals with Anxiety, Depression, Self Esteem, Life Transitions, Relationship Issues, and Anger Management. I am utilizing Eclectic, CBT, mindfulness-based, expressive arts, ACT, attachment-based, strength-based, positive psychology, person-centered, DBT, play, grief, Gottman, motivational interviewing, and many more. I am here to advocate for and guide you throughout your therapeutic journey to restore balance, reconnect with your authentic self, and live your best
(571) 520-8002 View (571) 520-8002
Photo of Elayne Smith, LMFT, Marriage & Family Therapist
Elayne Smith
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
McLean, VA 22101  (Online Only)
I offer specialized therapy focused on targeted healing, lasting change, and purposeful growth. If you are vulnerable to overachieving/functioning, burnout, perfectionism, imposter syndrome, people pleasing, pursuing, painful relationship patterns, limiting beliefs, and hustling for self-worth, I can be of service. I am trained to go deep and get down to the origins of your struggles, often found in earlier relationship experiences. From there, I serve as a skilled guide through the process of organization, healing, transformation, and integration. You deserve space for your needs, to refill your resources, and to find contentment.
I offer specialized therapy focused on targeted healing, lasting change, and purposeful growth. If you are vulnerable to overachieving/functioning, burnout, perfectionism, imposter syndrome, people pleasing, pursuing, painful relationship patterns, limiting beliefs, and hustling for self-worth, I can be of service. I am trained to go deep and get down to the origins of your struggles, often found in earlier relationship experiences. From there, I serve as a skilled guide through the process of organization, healing, transformation, and integration. You deserve space for your needs, to refill your resources, and to find contentment.
(703) 878-3290 View (703) 878-3290
Photo of Virginia Gigi Larsen Gallup, PsyD, NCSP, ABSNP, Psychologist
Virginia Gigi Larsen Gallup
Psychologist, PsyD, NCSP, ABSNP
Verified Verified
McLean, VA 22101
Waitlist for new clients
In therapy, I use an assimilative-integrative approach to best meet the unique needs of my clients. My approach emphasizes a client-centered, but systemic orientation. I use evidence-based treatments that are informed by cognitive-behavioral, developmental, and relational/attachment theories. I work to build open and warm relationships with my clients and I honor the ways in which one's background and culture inform our work. Therapy is a collaborative process meant to foster positive change as my clients and families develop more compassion for themselves and one another.
In therapy, I use an assimilative-integrative approach to best meet the unique needs of my clients. My approach emphasizes a client-centered, but systemic orientation. I use evidence-based treatments that are informed by cognitive-behavioral, developmental, and relational/attachment theories. I work to build open and warm relationships with my clients and I honor the ways in which one's background and culture inform our work. Therapy is a collaborative process meant to foster positive change as my clients and families develop more compassion for themselves and one another.
(571) 454-9861 View (571) 454-9861
Photo of Felicea C. Meyer-DeLoatch, MSW, LCSW, Clinical Social Work/Therapist
Felicea C. Meyer-DeLoatch
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
McLean, VA 22101
You are braver than you believe, stronger than you seem and smarter than you think".......By A.A. Milne. It is my deepest desire to actively assist those in need of support through life's challenges. I am eager to work with those experiencing a crisis, conflict, or seemingly unmanageable change in the course of life's events. I discretely assist individuals in finding solutions to some of the more challenging issues in life.
You are braver than you believe, stronger than you seem and smarter than you think".......By A.A. Milne. It is my deepest desire to actively assist those in need of support through life's challenges. I am eager to work with those experiencing a crisis, conflict, or seemingly unmanageable change in the course of life's events. I discretely assist individuals in finding solutions to some of the more challenging issues in life.
(703) 962-1282 View (703) 962-1282
Photo of Margarita Franco Mattei, PsyD, Psychologist
Margarita Franco Mattei
Psychologist, PsyD
Verified Verified
McLean, VA 22103
I am a Licensed Clinical Psychologist. My areas of specialization include the assessment and treatment of anxiety disorders including: OCD, Panic Attacks, and Social Anxiety utilizing evidence based treatment approaches such as Cognitive Behavioral Therapy (CBT), ERP, and Mindfulness. My focus is on positive psychology and the development of coping skills.
I am a Licensed Clinical Psychologist. My areas of specialization include the assessment and treatment of anxiety disorders including: OCD, Panic Attacks, and Social Anxiety utilizing evidence based treatment approaches such as Cognitive Behavioral Therapy (CBT), ERP, and Mindfulness. My focus is on positive psychology and the development of coping skills.
(703) 349-4905 View (703) 349-4905
Photo of Lara A Doyle, LCSW, Clinical Social Work/Therapist
Lara A Doyle
Clinical Social Work/Therapist, LCSW
Verified Verified
McLean, VA 22101
Since 1993, I have worked with individuals and families coping with a wide range of social, emotional and psychological stressors. My areas of clinical expertise Include the following: Anxiety, Obsessive-Compulsive Disorder, Panic, ADHD and Autism Spectrum Disorder.
Since 1993, I have worked with individuals and families coping with a wide range of social, emotional and psychological stressors. My areas of clinical expertise Include the following: Anxiety, Obsessive-Compulsive Disorder, Panic, ADHD and Autism Spectrum Disorder.
(703) 939-9961 View (703) 939-9961
Photo of Weekend Marriage Counseling Intensives, Marriage & Family Therapist
Weekend Marriage Counseling Intensives
Marriage & Family Therapist
Verified Verified
McLean, VA 22101
Located in Lynchburg. Hi, I'm Chuck Rodgers, the founder and one of the therapists at our Center. I became frustrated with traditional 45 minute sessions & grew tired of seeing my clients leave frustrated & hurting at the end of yet one more session that drug therapy out week after week. Thus so, I decided that I was going to do it differently. Because of this I have narrowed my focus to working in 1 & 2 Day Intensive formats and have now made it available on the weekend. Marriage Trouble? Let's do a weekend and change that...
Located in Lynchburg. Hi, I'm Chuck Rodgers, the founder and one of the therapists at our Center. I became frustrated with traditional 45 minute sessions & grew tired of seeing my clients leave frustrated & hurting at the end of yet one more session that drug therapy out week after week. Thus so, I decided that I was going to do it differently. Because of this I have narrowed my focus to working in 1 & 2 Day Intensive formats and have now made it available on the weekend. Marriage Trouble? Let's do a weekend and change that...
(434) 237-2655 View (434) 237-2655
Photo of Erica Ohnstad - Thriveworks Counseling & Psychiatry McLean, Counselor
Thriveworks Counseling & Psychiatry McLean
Counselor
Verified Verified
McLean, VA 22101
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(571) 540-7917 View (571) 540-7917
Photo of Kadie Weaver, PsyD, LCP, Psychologist
Kadie Weaver
Psychologist, PsyD, LCP
Verified Verified
2 Endorsed
McLean, VA 22101
Are anxiety and stress interfering in your life? I would like to help. I specialize in treating OCD (harm OCD, health OCD, relationship OCD, just right OCD, and more). I am also a trauma specialist working with all forms of trauma and PTSD. I help people resolve their past trauma, invalidation, and unhelpful teachings/thinking processes so that they can leave their baggage behind and proceed as they wish into their relationships and life goals. I also treat depression, anxiety, panic, generalized worry, rumination, relationship issues, unhealthy coping behaviors, or even just managing every day stressors.
Are anxiety and stress interfering in your life? I would like to help. I specialize in treating OCD (harm OCD, health OCD, relationship OCD, just right OCD, and more). I am also a trauma specialist working with all forms of trauma and PTSD. I help people resolve their past trauma, invalidation, and unhelpful teachings/thinking processes so that they can leave their baggage behind and proceed as they wish into their relationships and life goals. I also treat depression, anxiety, panic, generalized worry, rumination, relationship issues, unhealthy coping behaviors, or even just managing every day stressors.
(804) 409-0679 View (804) 409-0679
Photo of Mary Lou Ercoli, LPC, LMFT, LPCC, Licensed Professional Counselor
Mary Lou Ercoli
Licensed Professional Counselor, LPC, LMFT, LPCC
Verified Verified
McLean, VA 22101  (Online Only)
Do you want a therapist that is focused on getting you results? It is my goal to ensure you tangibly see and feel the change within yourself. I provide specialized therapy for 20-30 somethings that are struggling with anxiety, depression, relationships, life transitions, and trauma. I love this population because I️ understand the struggles that our generation faces while also having the tools to help you navigate it. Being an anxiety and trauma specialist, I have helped clients find better coping tools, engage in psychoanalysis, improve decision-making, solidify their identity, manage mental health and improve their relationships.
Do you want a therapist that is focused on getting you results? It is my goal to ensure you tangibly see and feel the change within yourself. I provide specialized therapy for 20-30 somethings that are struggling with anxiety, depression, relationships, life transitions, and trauma. I love this population because I️ understand the struggles that our generation faces while also having the tools to help you navigate it. Being an anxiety and trauma specialist, I have helped clients find better coping tools, engage in psychoanalysis, improve decision-making, solidify their identity, manage mental health and improve their relationships.
(949) 423-6329 View (949) 423-6329
Photo of Lori Bristow, PhD, Psychologist
Lori Bristow
Psychologist, PhD
Verified Verified
4 Endorsed
McLean, VA 22101  (Online Only)
As there are many therapists to choose from, your task in finding a therapist can be challenging for various reasons. I hope by reading more about me, you will have a better sense of how I may be able to help you. I believe that successful therapy depends upon your sense of comfort and emotional safety, as well as the connection we establish in the therapeutic relationship.
As there are many therapists to choose from, your task in finding a therapist can be challenging for various reasons. I hope by reading more about me, you will have a better sense of how I may be able to help you. I believe that successful therapy depends upon your sense of comfort and emotional safety, as well as the connection we establish in the therapeutic relationship.
(703) 468-0107 View (703) 468-0107
Photo of Katie Clark, LPC, RPT-S, NCC, Licensed Professional Counselor
Katie Clark
Licensed Professional Counselor, LPC, RPT-S, NCC
Verified Verified
12 Endorsed
McLean, VA 22101
I believe every child deserves to feel understood, supported, and empowered. As a Licensed Professional Counselor (LPC), National Certified Counselor (NCC), and Registered Play Therapist Supervisor (RPT-S), I specialize in working with children ages three and up. My approach begins with creating a safe, nurturing space where your child can express themselves freely. Through evidence-based play therapy, I help children process emotions, develop coping skills, and build resilience.
I believe every child deserves to feel understood, supported, and empowered. As a Licensed Professional Counselor (LPC), National Certified Counselor (NCC), and Registered Play Therapist Supervisor (RPT-S), I specialize in working with children ages three and up. My approach begins with creating a safe, nurturing space where your child can express themselves freely. Through evidence-based play therapy, I help children process emotions, develop coping skills, and build resilience.
(703) 348-3732 View (703) 348-3732
Photo of Christine E Courtney, LCSW, Clinical Social Work/Therapist
Christine E Courtney
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
McLean, VA 22101
Currently accepting new clients. Let’s cut to the chase, I help people who are looking for self-growth, who want their relationships to improve, who are exploring ADHD issues, and people who want to figure out how to heal from hardship/trauma. We work together to discover the things that are getting in your way of reaching the goals and changes you want. Whether it’s a traumatic experience, toxic relationships, dealing with a beast of an inner critic, or uncertainty of what the problem even is, we will figure it out together. I also have particular specialties working with fellow therapists and military members/families.
Currently accepting new clients. Let’s cut to the chase, I help people who are looking for self-growth, who want their relationships to improve, who are exploring ADHD issues, and people who want to figure out how to heal from hardship/trauma. We work together to discover the things that are getting in your way of reaching the goals and changes you want. Whether it’s a traumatic experience, toxic relationships, dealing with a beast of an inner critic, or uncertainty of what the problem even is, we will figure it out together. I also have particular specialties working with fellow therapists and military members/families.
(571) 556-3432 View (571) 556-3432
Photo of Ophelia Boadi, LMFT, Marriage & Family Therapist
Ophelia Boadi
Marriage & Family Therapist, LMFT
Verified Verified
McLean, VA 22101  (Online Only)
I am Ophelia Boadi, a Licensed Marriage and Family Therapist (LMFT) in the Commonwealth of Virginia. I am an experienced Children and Family Mental Health Therapist with a history of working in the field since 2010 in nonprofit organizations, community-based organizations, individual/family therapy, group therapy, crisis intervention, and psychotherapy based on research studies to help children and families meet their goals in treatment.
I am Ophelia Boadi, a Licensed Marriage and Family Therapist (LMFT) in the Commonwealth of Virginia. I am an experienced Children and Family Mental Health Therapist with a history of working in the field since 2010 in nonprofit organizations, community-based organizations, individual/family therapy, group therapy, crisis intervention, and psychotherapy based on research studies to help children and families meet their goals in treatment.
(703) 782-3994 View (703) 782-3994
Photo of Dan Russo, MA/MA, NCC
Dan Russo
Resident in Counseling, MA/MA, NCC
Verified Verified
2 Endorsed
McLean, VA 22101
Are you struggling with anxiety, depression, stress, or relationship difficulties? Imagine overcoming these challenges with a thoughtful and transformative approach. My therapy combines principles of personal responsibility and purposeful living, offering a path to healing grounded in proven philosophies. Supported by advanced education and extensive experience, I provide a compassionate, evidence-based approach to help you regain control, find balance, and achieve lasting relief. Together, we will navigate your struggles and work towards a more fulfilling life.
Are you struggling with anxiety, depression, stress, or relationship difficulties? Imagine overcoming these challenges with a thoughtful and transformative approach. My therapy combines principles of personal responsibility and purposeful living, offering a path to healing grounded in proven philosophies. Supported by advanced education and extensive experience, I provide a compassionate, evidence-based approach to help you regain control, find balance, and achieve lasting relief. Together, we will navigate your struggles and work towards a more fulfilling life.
(571) 520-5934 View (571) 520-5934
Photo of Victoria Griffin, MEd, LPC, CCTP, Licensed Professional Counselor
Victoria Griffin
Licensed Professional Counselor, MEd, LPC, CCTP
Verified Verified
McLean, VA 22101  (Online Only)
The journey to wholeness and intimacy is not always an easy path but it is one that can rebuild confidence, repair trust and intimacy, and create transformational growth. Having someone who is compassionate, affirming, and experienced in healing, restoration, and transformation can lead to healing, deeper intimacy, and authentic self and relationships.
The journey to wholeness and intimacy is not always an easy path but it is one that can rebuild confidence, repair trust and intimacy, and create transformational growth. Having someone who is compassionate, affirming, and experienced in healing, restoration, and transformation can lead to healing, deeper intimacy, and authentic self and relationships.
(202) 412-9922 View (202) 412-9922
Photo of Maria Foley, PsyD, Psychologist
Maria Foley
Psychologist, PsyD
Verified Verified
McLean, VA 22101  (Online Only)
It can be a difficult decision to seek help when your life is feeling off track or stuck in patterns that are not serving you. Particularly in our current climate of increased anxiety and rising levels of depression, it’s crucial that you have a sense of comfort and emotional safety with the person with whom you work to explore the issues that confront you. I implement an individualized course of therapy for each client using a combination of psychodynamic, cognitive behavioral and relational techniques. I offer a free consultation in order for us to decide if I might be a good fit for you.
It can be a difficult decision to seek help when your life is feeling off track or stuck in patterns that are not serving you. Particularly in our current climate of increased anxiety and rising levels of depression, it’s crucial that you have a sense of comfort and emotional safety with the person with whom you work to explore the issues that confront you. I implement an individualized course of therapy for each client using a combination of psychodynamic, cognitive behavioral and relational techniques. I offer a free consultation in order for us to decide if I might be a good fit for you.
(703) 348-9263 View (703) 348-9263

See more therapy options for 22108

How does your Therapist compare?

Number of Therapists in 22108

< 10

Therapists in 22108 who prioritize treating:

100% Depression
100% Anxiety
100% Child
100% Grief
100% Trauma and PTSD
100% Other
100% Transgender

Average years in practice

11 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Cigna and Evernorth
100% MultiPlan

How Therapists in 22108 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 22108?

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.