Photo of Richard Lackey, LISW-CP, LAC, CACII, Clinical Social Work/Therapist
Richard Lackey
Clinical Social Work/Therapist, LISW-CP, LAC, CACII
Verified Verified
1 Endorsed
Charleston, SC 29403
Not accepting new clients
Change is rarely easy and having the right tools can make all the difference. I work with adults, couples, and families with the goal of helping design the life you want. I work to provide a safe space with the support and tools you need to become more yourself, accomplish your goals, and move forward. I aim to help people get more of what they want out of life, focusing on real world positive changes with managing stress, building healthy relationships, improving overall health and well-being, and being confident and comfortable dealing with the unexpected in life.
Change is rarely easy and having the right tools can make all the difference. I work with adults, couples, and families with the goal of helping design the life you want. I work to provide a safe space with the support and tools you need to become more yourself, accomplish your goals, and move forward. I aim to help people get more of what they want out of life, focusing on real world positive changes with managing stress, building healthy relationships, improving overall health and well-being, and being confident and comfortable dealing with the unexpected in life.
(412) 246-9745 View (412) 246-9745
Photo of Melissa (Missa) Borah, LCSW, LISW-CP, Clinical Social Work/Therapist
Melissa (Missa) Borah
Clinical Social Work/Therapist, LCSW, LISW-CP
Verified Verified
1 Endorsed
Charleston, SC 29403  (Online Only)
Not accepting new clients
I believe every person has the innate desire and capability to reach their personal goals given the right tools and environment. I am passionate about making the world a safer place for all people. I am a member of/advocate for the LGBTQ+ community. I support people dealing with self-acceptance, questions about gender and sexuality, life transitions, and more.
I believe every person has the innate desire and capability to reach their personal goals given the right tools and environment. I am passionate about making the world a safer place for all people. I am a member of/advocate for the LGBTQ+ community. I support people dealing with self-acceptance, questions about gender and sexuality, life transitions, and more.
(323) 676-0462 View (323) 676-0462
Photo of Emmie Mai -Emdr And Overwhelmed Moms-, LPC, PMH-C, Licensed Professional Counselor
Emmie Mai -Emdr And Overwhelmed Moms-
Licensed Professional Counselor, LPC, PMH-C
Verified Verified
22 Endorsed
Charleston, SC 29403
Waitlist for new clients
In-Person Appointments Avaliable! You strive to be the best, the best partner, the best parent, the best at the office, but you always feel like you fall short. Will life always be this chaotic and exhausting? Despite your best efforts, there never seems to be enough time in the day. After caring for so many others in your life, you struggle to care for yourself. You're constantly running on empty. Although you recognize the patterns in your life you don't want to repeat, you can't seem to stop the cycle. In the past, you've tried to make changes on your own, but nothing works long-term. You're stuck and not sure what to do next.
In-Person Appointments Avaliable! You strive to be the best, the best partner, the best parent, the best at the office, but you always feel like you fall short. Will life always be this chaotic and exhausting? Despite your best efforts, there never seems to be enough time in the day. After caring for so many others in your life, you struggle to care for yourself. You're constantly running on empty. Although you recognize the patterns in your life you don't want to repeat, you can't seem to stop the cycle. In the past, you've tried to make changes on your own, but nothing works long-term. You're stuck and not sure what to do next.
(843) 896-3420 View (843) 896-3420
Photo of Michelle Leach, MEd, MS, LPCA
Michelle Leach
Licensed Professional Counselor Associate, MEd, MS, LPCA
Verified Verified
Charleston, SC 29403
I am so glad you're here! My name is Michelle and I specialize in Sex Therapy. Pretty wild, I know. While I understand that not everyone has sexual concerns and questions, our mental health can be greatly affected by sex and sexuality; whether you're having it or not. I believe sex is a big part of the human experience and we need safe, positive and affirming professionals to talk to about it. I like to take a collaborative approach to therapy to help you identify what your goals are to achieving sexual wellness. I am trained first and foremost as a mental health professional but for those needing help with sexual issues, I am here.
I am so glad you're here! My name is Michelle and I specialize in Sex Therapy. Pretty wild, I know. While I understand that not everyone has sexual concerns and questions, our mental health can be greatly affected by sex and sexuality; whether you're having it or not. I believe sex is a big part of the human experience and we need safe, positive and affirming professionals to talk to about it. I like to take a collaborative approach to therapy to help you identify what your goals are to achieving sexual wellness. I am trained first and foremost as a mental health professional but for those needing help with sexual issues, I am here.
(843) 427-3559 View (843) 427-3559
Photo of Jessica Schwartzkopf, MA, LPC, Licensed Professional Counselor
Jessica Schwartzkopf
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Charleston, SC 29403
Pursuing counseling can be an intimidating or overwhelming process at times. It may be concern of the unknown or maybe you have not had a positive experience with counseling previously. Seeking support is a courageous act and one grounded in strength. I use humor and a down-to-earth approach to build a non-judgmental therapeutic relationship designed to support you throughout. I focus on issues including, but not limited to, depression, anxiety, stress management and self-esteem.
Pursuing counseling can be an intimidating or overwhelming process at times. It may be concern of the unknown or maybe you have not had a positive experience with counseling previously. Seeking support is a courageous act and one grounded in strength. I use humor and a down-to-earth approach to build a non-judgmental therapeutic relationship designed to support you throughout. I focus on issues including, but not limited to, depression, anxiety, stress management and self-esteem.
(843) 203-9253 View (843) 203-9253
Photo of Kristi Galloway, LPC, Licensed Professional Counselor
Kristi Galloway
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Charleston, SC 29403
Along with the clinical team at Charleston DBT Associates, I offer comprehensive Dialectical Behavior Therapy (DBT) for both adult and adolescent clients. DBT brings together Eastern Mindfulness techniques and Western clinical principles to create behavioral change in a warm therapeutic environment. DBT is the transaction between Zen contemplative practice and behavior therapy, held together with a dialectical philosophy. This dialectical stance works to find what is adaptive in even the most maladaptive behaviors, to assist clients in creating the emotional and behavioral changes needed to build a life worth living.
Along with the clinical team at Charleston DBT Associates, I offer comprehensive Dialectical Behavior Therapy (DBT) for both adult and adolescent clients. DBT brings together Eastern Mindfulness techniques and Western clinical principles to create behavioral change in a warm therapeutic environment. DBT is the transaction between Zen contemplative practice and behavior therapy, held together with a dialectical philosophy. This dialectical stance works to find what is adaptive in even the most maladaptive behaviors, to assist clients in creating the emotional and behavioral changes needed to build a life worth living.
(843) 310-6092 View (843) 310-6092
Photo of Lair Torrent, LMFT, PC, Marriage & Family Therapist
Lair Torrent
Marriage & Family Therapist, LMFT, PC
Verified Verified
Charleston, SC 29403
I work from a nonjudgmental model where all are welcome. I help people that are struggling find happiness. My job is to make my job obsolete. I offer the tools to help reach goals, to heal from trauma, deal with pain, beat depression and fix relationships. I don't sell the 50 minutes a week that most therapists give you, I'm selling a practice life. It's not just the time we spend in session, it's also about the time between sessions. I have found that working this way moves the process of therapy forward and catalyzes healing.
I work from a nonjudgmental model where all are welcome. I help people that are struggling find happiness. My job is to make my job obsolete. I offer the tools to help reach goals, to heal from trauma, deal with pain, beat depression and fix relationships. I don't sell the 50 minutes a week that most therapists give you, I'm selling a practice life. It's not just the time we spend in session, it's also about the time between sessions. I have found that working this way moves the process of therapy forward and catalyzes healing.
(917) 746-7527 View (917) 746-7527
Photo of Emily F. Johnson, LISW-CP, Clinical Social Work/Therapist
Emily F. Johnson
Clinical Social Work/Therapist, LISW-CP
Verified Verified
4 Endorsed
Charleston, SC 29403
Accepting new clients! People often feel alone with their problems. Friends, family, and/or colleagues may see you in one way, while your private life may be different. You may be unhappy with how life is going generally or with specific things about yourself or your relationships. My practice is designed to help you feel comfortable sharing your troubling issues and encourage you to develop new insights, create strategies to manage stressors and enhance your strengths.
Accepting new clients! People often feel alone with their problems. Friends, family, and/or colleagues may see you in one way, while your private life may be different. You may be unhappy with how life is going generally or with specific things about yourself or your relationships. My practice is designed to help you feel comfortable sharing your troubling issues and encourage you to develop new insights, create strategies to manage stressors and enhance your strengths.
(843) 212-6007 View (843) 212-6007
Photo of Matthew Robert Horton, LPC, Licensed Professional Counselor
Matthew Robert Horton
Licensed Professional Counselor, LPC
Verified Verified
Charleston, SC 29403  (Online Only)
Licensed in both SC and DE / I have been providing individual, family, and group therapy for more than one decade, and am skilled in the alleviation of an ever-growing list of symptoms: anxiety, depression, adjustment-related, and trauma-related stressors. I offer services to individuals aged 18 and up from such diverse backgrounds as military service members and veterans, college students, members of the LGBT community, parents, and retirees. I am driven to be of service to my clients, however I wish to ultimately empower their autonomy and increase their independence.
Licensed in both SC and DE / I have been providing individual, family, and group therapy for more than one decade, and am skilled in the alleviation of an ever-growing list of symptoms: anxiety, depression, adjustment-related, and trauma-related stressors. I offer services to individuals aged 18 and up from such diverse backgrounds as military service members and veterans, college students, members of the LGBT community, parents, and retirees. I am driven to be of service to my clients, however I wish to ultimately empower their autonomy and increase their independence.
(843) 897-6711 View (843) 897-6711
Photo of Savannah Coffey, LMFT, Marriage & Family Therapist
Savannah Coffey
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Charleston, SC 29403
Are you unsure if your relationship is still the right one? Have you been up all night replaying the day's events and every conversation you had? Are you and your partner going on your third day of not talking to each other? I work with adults and couples, just like you, ready to experience a real and tangible shift in their lives. With solution-focused counseling, I'll support you on your journey of healing and growth, addressing all parts of you and/or your relationship. Together, we will work through questions, like these, to help you find more peace, healing, and practical tools to build the life or relationship you desire.
Are you unsure if your relationship is still the right one? Have you been up all night replaying the day's events and every conversation you had? Are you and your partner going on your third day of not talking to each other? I work with adults and couples, just like you, ready to experience a real and tangible shift in their lives. With solution-focused counseling, I'll support you on your journey of healing and growth, addressing all parts of you and/or your relationship. Together, we will work through questions, like these, to help you find more peace, healing, and practical tools to build the life or relationship you desire.
(843) 310-6269 View (843) 310-6269
Photo of Rachael Harter, NCC, LPC-A, Licensed Professional Counselor
Rachael Harter
Licensed Professional Counselor, NCC, LPC-A
Verified Verified
3 Endorsed
Charleston, SC 29403  (Online Only)
I work with people who are facing anxiety, depression, self-esteem concerns, relationship issues, identity issues, and LGBTQ+ issues. Our work together will focus on managing and processing emotions, implementing skills, and helping you create an authentic life aligned with your goals and values. My objective is to help you make sense of your internal world without feeling overpowered by it- this change IS possible, btw. My clinical work is warm yet structured, genuine, and with emphasis on how YOU want to move towards change. I'm here to walk with you through all the tough parts.
I work with people who are facing anxiety, depression, self-esteem concerns, relationship issues, identity issues, and LGBTQ+ issues. Our work together will focus on managing and processing emotions, implementing skills, and helping you create an authentic life aligned with your goals and values. My objective is to help you make sense of your internal world without feeling overpowered by it- this change IS possible, btw. My clinical work is warm yet structured, genuine, and with emphasis on how YOU want to move towards change. I'm here to walk with you through all the tough parts.
(843) 897-2525 View (843) 897-2525
Photo of Ben Kettering, LPCA, MA, MSEd
Ben Kettering
Licensed Professional Counselor Associate, LPCA, MA, MSEd
Verified Verified
1 Endorsed
Charleston, SC 29403
Successful therapy thrives on trust. I offer an empathic space where clients can genuinely explore feelings and experiences. Initiating this journey might be daunting, but with mutual openness, a dash of humor, and commitment, my clients and I often forge a meaningful connection quickly.
Successful therapy thrives on trust. I offer an empathic space where clients can genuinely explore feelings and experiences. Initiating this journey might be daunting, but with mutual openness, a dash of humor, and commitment, my clients and I often forge a meaningful connection quickly.
(843) 968-0332 View (843) 968-0332
Photo of Sanford Cassel, PhD, Psychologist
Sanford Cassel
Psychologist, PhD
Verified Verified
Charleston, SC 29403
I am committed to helping children, adolescents and adults clarify, and remove impediments to realizing, their dreams and desires. My goal is to help you feel heard and respected. I work with you to develop your unique, effective voice. We work together to agree upon, and implement, techniques aimed at achieving your goals. When necessary, we also create, and practice, concrete strategies to advocate for your own interests, within the context of family, relationship and/or work conflict.
I am committed to helping children, adolescents and adults clarify, and remove impediments to realizing, their dreams and desires. My goal is to help you feel heard and respected. I work with you to develop your unique, effective voice. We work together to agree upon, and implement, techniques aimed at achieving your goals. When necessary, we also create, and practice, concrete strategies to advocate for your own interests, within the context of family, relationship and/or work conflict.
(843) 790-5815 View (843) 790-5815
Photo of Carolyn Evans, LISW-CP, Clinical Social Work/Therapist
Carolyn Evans
Clinical Social Work/Therapist, LISW-CP
Verified Verified
Charleston, SC 29403  (Online Only)
I believe that symptoms are like guideposts, signaling opportunities for growth. Expressed as anxiety, depression or even chronic pain, these unwelcome experiences actually show us where to begin the work of bringing life back into balance. My clients are typically outwardly successful people who seem to be traversing their busy lives with ease, while secretly they struggle with issues like chronic pain, anxiety, depression and disconnection from self and others. I work within a mind-body framework to uncover and heal the root causes of a client's symptoms so that they can experience lasting relief.
I believe that symptoms are like guideposts, signaling opportunities for growth. Expressed as anxiety, depression or even chronic pain, these unwelcome experiences actually show us where to begin the work of bringing life back into balance. My clients are typically outwardly successful people who seem to be traversing their busy lives with ease, while secretly they struggle with issues like chronic pain, anxiety, depression and disconnection from self and others. I work within a mind-body framework to uncover and heal the root causes of a client's symptoms so that they can experience lasting relief.
(843) 279-8567 View (843) 279-8567
Photo of Hillary Evans, CHT
Hillary Evans
CHT
Verified Verified
2 Endorsed
Charleston, SC 29403
Hillary offers a calming, confidential environment built on trust and personalized solutions. She uses hypnosis to help her clients unlock the inner power of their minds to accomplish amazing things - transform emotions, overcome blocks, learn new things, manage pain, and improve wellbeing. Hillary's training enables her to help her clients cope with today's ever-changing, high-pressure world... from transforming anxious feelings, coping with sadness, developing greater self-confidence, to succeed in business, kicking habits and weight loss, to improved personal relationships, and enhanced performance in sports.
Hillary offers a calming, confidential environment built on trust and personalized solutions. She uses hypnosis to help her clients unlock the inner power of their minds to accomplish amazing things - transform emotions, overcome blocks, learn new things, manage pain, and improve wellbeing. Hillary's training enables her to help her clients cope with today's ever-changing, high-pressure world... from transforming anxious feelings, coping with sadness, developing greater self-confidence, to succeed in business, kicking habits and weight loss, to improved personal relationships, and enhanced performance in sports.
(843) 558-8079 View (843) 558-8079
Photo of Ward Lassoe, MA, LPC, Licensed Professional Counselor
Ward Lassoe
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Charleston, SC 29403
My sense of humor is big part part of my counseling style. I take my work with clients seriously, but there are times when therapy needs to include some humor. In addition to counseling, I also provide life coaching for clients who want to make changes but aren't sure where to start. I work particularly well with clients who are nervous or skeptical about the idea of counseling. I realize that therapy can be a significant expense, so I run my practice as efficiently as possible. All scheduling, forms, notes, and billing are online, so we can make the best use of our time together.
My sense of humor is big part part of my counseling style. I take my work with clients seriously, but there are times when therapy needs to include some humor. In addition to counseling, I also provide life coaching for clients who want to make changes but aren't sure where to start. I work particularly well with clients who are nervous or skeptical about the idea of counseling. I realize that therapy can be a significant expense, so I run my practice as efficiently as possible. All scheduling, forms, notes, and billing are online, so we can make the best use of our time together.
(843) 628-4636 View (843) 628-4636
Photo of Mona Balooch, LCSW, Clinical Social Work/Therapist
Mona Balooch
Clinical Social Work/Therapist, LCSW
Verified Verified
Charleston, SC 29403
Are you ready for things to change? Tired of feeling stuck in cycles in your relationship, your moods, your behaviors? I have been there. My goal is to hold a safe place for you to express yourself (yes, all of it), find your strengths, and learn tools to elicit change regardless of the circumstances you face.
Are you ready for things to change? Tired of feeling stuck in cycles in your relationship, your moods, your behaviors? I have been there. My goal is to hold a safe place for you to express yourself (yes, all of it), find your strengths, and learn tools to elicit change regardless of the circumstances you face.
(854) 201-3932 View (854) 201-3932
Photo of Jennifer A Bennice, PhD, Psychologist
Jennifer A Bennice
Psychologist, PhD
Verified Verified
Charleston, SC 29403
Research indicates that women suffer from depression, anxiety, and eating disorders at disproportionate rates. Many women endure perhaps the most intense form of stress--interpersonal trauma ( e.g., rape, domestic violence, child abuse). An even larger proportion of women experience chronic high levels of stress, as they attempt to balance their responsibilities as professionals and their roles as mothers, wives, and daughters.
Research indicates that women suffer from depression, anxiety, and eating disorders at disproportionate rates. Many women endure perhaps the most intense form of stress--interpersonal trauma ( e.g., rape, domestic violence, child abuse). An even larger proportion of women experience chronic high levels of stress, as they attempt to balance their responsibilities as professionals and their roles as mothers, wives, and daughters.
(843) 419-7169 View (843) 419-7169
Photo of Eric Sullivan, LPC, LMFT, Licensed Professional Counselor
Eric Sullivan
Licensed Professional Counselor, LPC, LMFT
Verified Verified
6 Endorsed
Charleston, SC 29403  (Online Only)
I'm a proud gay person who helps LGBTQ+ people level up their mental health. You're tired of feeling stuck and are over day-dreaming about how things could be better for you without any actual change. You live a busy life and want to engage in therapy regularly to keep yourself grounded (same here - I love my therapist). You want support and accountability to help you push past fear and take action because you know you have the power to create an amazing life, and I will help you get there. Having directly counseled hundreds of Queer people, I'm forever on a mission to elevate our community, and I want to partner with you next!
I'm a proud gay person who helps LGBTQ+ people level up their mental health. You're tired of feeling stuck and are over day-dreaming about how things could be better for you without any actual change. You live a busy life and want to engage in therapy regularly to keep yourself grounded (same here - I love my therapist). You want support and accountability to help you push past fear and take action because you know you have the power to create an amazing life, and I will help you get there. Having directly counseled hundreds of Queer people, I'm forever on a mission to elevate our community, and I want to partner with you next!
(843) 226-7476 View (843) 226-7476
Photo of Samantha Rukavina, LPC, Licensed Professional Counselor
Samantha Rukavina
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Charleston, SC 29403
As a therapist, I deeply enjoy walking alongside individuals and couples as they pursue healing and navigate the many challenges of life. I am passionate about holistic wellness and strive to create a safe and accepting place for my clients as they seek mental, emotional, spiritual, and physical health. I believe that every client is beautifully and uniquely diverse, and I value the opportunity to partner with them as they pursue healing in all areas of their lives.
As a therapist, I deeply enjoy walking alongside individuals and couples as they pursue healing and navigate the many challenges of life. I am passionate about holistic wellness and strive to create a safe and accepting place for my clients as they seek mental, emotional, spiritual, and physical health. I believe that every client is beautifully and uniquely diverse, and I value the opportunity to partner with them as they pursue healing in all areas of their lives.
(843) 279-5745 View (843) 279-5745
1

How does your Therapist compare?

Number of Therapists in 29403

100+

Average cost per session

$150

Therapists in 29403 who prioritize treating:

96% Anxiety
92% Depression
80% Relationship Issues
78% Self Esteem
77% Life Transitions
73% Trauma and PTSD
73% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

73% BlueCross and BlueShield
64% Aetna
61% UnitedHealthcare UHC | UBH

How Therapists in 29403 see their clients

74% In Person and Online
26% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 29403?

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.