Photo of Mandy Friedman - Clermont Mental Health, LPCC-S, CCDVC, CCTP-II
Clermont Mental Health
Licensed Professional Clinical Counselor, LPCC-S, CCDVC, CCTP-II
Verified Verified
2 Endorsed
Glenview, KY 40025  (Online Only)
Our practice provides telehealth mental health care and recovery coaching to clients in Kentucky and Indiana. We are down-to-earth, nonjudgmental professionals who specialize helping clients who are recovering. Our slogan is "Survivors Thrive Here" because our clients have endured and survived life's most difficult circumstances. We address childhood abuse, domestic violence, sexual assault, spiritual abuse, chemical dependency, narcissistic abuse, medical trauma, intimate partner abuse and racial trauma. We offer recovery coaching, and the SNAP Educational Recovery program (Survivors of Narcissistic & Abusive Personalities).
Our practice provides telehealth mental health care and recovery coaching to clients in Kentucky and Indiana. We are down-to-earth, nonjudgmental professionals who specialize helping clients who are recovering. Our slogan is "Survivors Thrive Here" because our clients have endured and survived life's most difficult circumstances. We address childhood abuse, domestic violence, sexual assault, spiritual abuse, chemical dependency, narcissistic abuse, medical trauma, intimate partner abuse and racial trauma. We offer recovery coaching, and the SNAP Educational Recovery program (Survivors of Narcissistic & Abusive Personalities).
(502) 747-9010 View (502) 747-9010
Photo of Emily Turvey - Sage Therapy, MS, LPC
Sage Therapy
Licensed Professional Counselor Associate, MS, LPC
Verified Verified
Glenview, KY 40025  (Online Only)
My name is Emily Turvey. I specialize in working with gender issues, trauma/PTSD, teens, and highly sensitive people. I am trained in the use of EMDR and often work from client centered, narrative based, and parts work approaches. Sage Therapy was created to be a space that embodies healing, clarity, and inner wisdom. The therapeutic experience provided at Sage Therapy will allow you to dig deeper to the roots of your present concerns.
My name is Emily Turvey. I specialize in working with gender issues, trauma/PTSD, teens, and highly sensitive people. I am trained in the use of EMDR and often work from client centered, narrative based, and parts work approaches. Sage Therapy was created to be a space that embodies healing, clarity, and inner wisdom. The therapeutic experience provided at Sage Therapy will allow you to dig deeper to the roots of your present concerns.
(859) 209-6468 View (859) 209-6468
Photo of Joe C Nelson, DSW, LCSW, CSAT, Clinical Social Work/Therapist
Joe C Nelson
Clinical Social Work/Therapist, DSW, LCSW, CSAT
Verified Verified
1 Endorsed
Glenview, KY 40025
There is no such thing as an ideal client. That is too boring. The way I do therapy is relaxed. I am not your average therapist, and I am not going to be like, "How does that make you feel?" but I am going to say, "What up! How are we doing today?" I never stop learning, and when you have me as a therapist, you will see that you will fall back in love with learning. Overall, I am just honored you allowed me to help you! Also, the best way to reach me is to Email over calling due to normally being in session, and I want to respond to you as quickly as possible!
There is no such thing as an ideal client. That is too boring. The way I do therapy is relaxed. I am not your average therapist, and I am not going to be like, "How does that make you feel?" but I am going to say, "What up! How are we doing today?" I never stop learning, and when you have me as a therapist, you will see that you will fall back in love with learning. Overall, I am just honored you allowed me to help you! Also, the best way to reach me is to Email over calling due to normally being in session, and I want to respond to you as quickly as possible!
(502) 427-7937 View (502) 427-7937
Photo of Amanda Friedman - Clermont Mental Health, LPCC-S, CCDVC, CCMHC, CCTP-II
Clermont Mental Health
Licensed Professional Clinical Counselor, LPCC-S, CCDVC, CCMHC, CCTP-II
Verified Verified
5 Endorsed
Glenview, KY 40025
Our practice provides affordable mental health care aimed to help you live a happy and healthy life. We are down-to-earth, nonjudgmental professionals who specialize helping clients who are recovering. Our slogan is "Survivors Thrive Here" because our clients have endured and survived life's most difficult circumstances. We address childhood abuse, domestic violence, sexual assault, spiritual abuse, chemical dependency, narcissistic abuse, medical trauma, intimate partner abuse and racial trauma. We offer recovery coaching, and the SNAP Educational Recovery program (Survivors of Narcissistic & Abusive Personalities).
Our practice provides affordable mental health care aimed to help you live a happy and healthy life. We are down-to-earth, nonjudgmental professionals who specialize helping clients who are recovering. Our slogan is "Survivors Thrive Here" because our clients have endured and survived life's most difficult circumstances. We address childhood abuse, domestic violence, sexual assault, spiritual abuse, chemical dependency, narcissistic abuse, medical trauma, intimate partner abuse and racial trauma. We offer recovery coaching, and the SNAP Educational Recovery program (Survivors of Narcissistic & Abusive Personalities).
(513) 318-3634 View (513) 318-3634
Photo of Stephanie Fisher, LPCC
Stephanie Fisher
Licensed Professional Clinical Counselor, LPCC
Verified Verified
2 Endorsed
Glenview, KY 40025  (Online Only)
Making the decision to begin counseling can seem difficult and overwhelming. My goal is to provide a welcoming, nonjudgmental environment for us to explore things in your life that have been bothering you. I believe once you better understand yourself, it is easier to explore why you do the things you do and what to do to change this in order to live the life you want. In order to make therapy more accessible, I offer late afternoon and evening appointments.
Making the decision to begin counseling can seem difficult and overwhelming. My goal is to provide a welcoming, nonjudgmental environment for us to explore things in your life that have been bothering you. I believe once you better understand yourself, it is easier to explore why you do the things you do and what to do to change this in order to live the life you want. In order to make therapy more accessible, I offer late afternoon and evening appointments.
(859) 328-6547 View (859) 328-6547

More Therapists Nearby

Photo of Connie S Morris, LCSW, Clinical Social Work/Therapist
Connie S Morris
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40207
I have provided individual therapy to adults for the past fifteen years and consider it a privilege to help others in their personal growth experience. I am passionate about helping people meet their goals, and find balance in their lives. I will provide a warm, non-judgmental environment to support you through your treatment.
I have provided individual therapy to adults for the past fifteen years and consider it a privilege to help others in their personal growth experience. I am passionate about helping people meet their goals, and find balance in their lives. I will provide a warm, non-judgmental environment to support you through your treatment.
(859) 379-7517 View (859) 379-7517
Photo of Jim Walker - Live Proud LGBT Mental Health Svcs, LCSW, Clinical Social Work/Therapist
Live Proud LGBT Mental Health Svcs
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40207
Are you a gay, lesbian, bisexual, or transgender person trying to find someone who understands your unique struggles and needs ? Have you struggled to communicate and develop the loving relationship you so strongly desire? Do loneliness, anger, and fear disrupt your closeness with others? I can help. I offer practical and personal guidance in finding the solutions you need to live free and love proud. Being a LGBT person and/or couple is often challenging- but it can ultimately be an exciting and rewarding life with the support and guidance you need.
Are you a gay, lesbian, bisexual, or transgender person trying to find someone who understands your unique struggles and needs ? Have you struggled to communicate and develop the loving relationship you so strongly desire? Do loneliness, anger, and fear disrupt your closeness with others? I can help. I offer practical and personal guidance in finding the solutions you need to live free and love proud. Being a LGBT person and/or couple is often challenging- but it can ultimately be an exciting and rewarding life with the support and guidance you need.
(502) 494-6631 View (502) 494-6631
Photo of Rosemary Sweeney, LCAC, Drug & Alcohol Counselor
Rosemary Sweeney
Drug & Alcohol Counselor, LCAC
Verified Verified
Louisville, KY 40207
Often clients have lost hope, being driven by anxiety and depression along with lack of coping skills other than substance use or behaviors that no longer work. Often there is unresolved trauma or grief or the family system has broken down. My client's receive Hope at first session, I have experience of seeing client's find healing as they activate the great healer inside. Clients find a new way of coping and framing their process to meet their goals.
Often clients have lost hope, being driven by anxiety and depression along with lack of coping skills other than substance use or behaviors that no longer work. Often there is unresolved trauma or grief or the family system has broken down. My client's receive Hope at first session, I have experience of seeing client's find healing as they activate the great healer inside. Clients find a new way of coping and framing their process to meet their goals.
(502) 680-8423 View (502) 680-8423
Photo of Courtney Rhea-Ribeiro, LMFT, Marriage & Family Therapist
Courtney Rhea-Ribeiro
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Louisville, KY 40241
I mean, let's be real... life can get very challenging. There are times we just have trouble knowing what to do. Friends and loved ones can be great sounding boards, but sometimes you need to look at things a bit differently. A new fresh perspective, a safe place to give the full nitty-gritty picture, that's what I'm here for! Also if you've got things you don't share but need to, therapy is just the place. Seen some things you feel like you can't share? Done some things you don't think others would understand? I'm here to help with the hard stuff.
I mean, let's be real... life can get very challenging. There are times we just have trouble knowing what to do. Friends and loved ones can be great sounding boards, but sometimes you need to look at things a bit differently. A new fresh perspective, a safe place to give the full nitty-gritty picture, that's what I'm here for! Also if you've got things you don't share but need to, therapy is just the place. Seen some things you feel like you can't share? Done some things you don't think others would understand? I'm here to help with the hard stuff.
(502) 427-0968 View (502) 427-0968
Photo of Rose Marano Geiser - Rose M. Geiser, LMFT, PLLC, LMFT, ATR, Marriage & Family Therapist
Rose M. Geiser, LMFT, PLLC
Marriage & Family Therapist, LMFT, ATR
Verified Verified
1 Endorsed
Louisville, KY 40207
I am an Anthem, Passport and Optum preferred provider "Are you looking for a therapist who really listens to your issues and who is not afraid to respond?" I am a therapist who actively engages with you to help you sort through life's complications. Experience working with, adolescence and adults.
I am an Anthem, Passport and Optum preferred provider "Are you looking for a therapist who really listens to your issues and who is not afraid to respond?" I am a therapist who actively engages with you to help you sort through life's complications. Experience working with, adolescence and adults.
(502) 414-1922 View (502) 414-1922
Photo of Christy Weber - Bloom Counseling + Wellness Studio
Bloom Counseling + Wellness Studio
Licensed Professional Clinical Counselor
Verified Verified
Louisville, KY 40222
Now accepting OneHealth Plan (UofL's employee health insurance). Bloom Counseling + Wellness Studio provides counseling & medication management services for children, adults, couples & families with a specialty in preconception, pregnancy, postpartum and parenting support. We also help clients struggling with anxiety, depression, life transitions & more. In addition, we have a contract with Oldham County Schools to provide in-school sessions.
Now accepting OneHealth Plan (UofL's employee health insurance). Bloom Counseling + Wellness Studio provides counseling & medication management services for children, adults, couples & families with a specialty in preconception, pregnancy, postpartum and parenting support. We also help clients struggling with anxiety, depression, life transitions & more. In addition, we have a contract with Oldham County Schools to provide in-school sessions.
(502) 661-6028 View (502) 661-6028
Photo of Katie H Smith, PsyD, Psychologist
Katie H Smith
Psychologist, PsyD
Verified Verified
Louisville, KY 40207
Dr. Smith focuses her practice on treating a number of clinical issues including: anxiety disorders (generalized anxiety, social anxiety, obsessive-compulsive disorder, and specific phobias), depression, Attention Deficit Hyperactivity Disorder (ADHD), and traumatic events including abuse and domestic violence. Dr. Smith works with children who are having difficulty adjusting to life stressors including divorce, school environments, and peer relationship development. She assists children and teens in developing effective coping skills to manage their emotions and behaviors.
Dr. Smith focuses her practice on treating a number of clinical issues including: anxiety disorders (generalized anxiety, social anxiety, obsessive-compulsive disorder, and specific phobias), depression, Attention Deficit Hyperactivity Disorder (ADHD), and traumatic events including abuse and domestic violence. Dr. Smith works with children who are having difficulty adjusting to life stressors including divorce, school environments, and peer relationship development. She assists children and teens in developing effective coping skills to manage their emotions and behaviors.
(502) 653-8312 View (502) 653-8312
Photo of Albert Vanhumlian, CT, MDiv, Pre-Licensed Professional
Albert Vanhumlian
Pre-Licensed Professional, CT, MDiv
Verified Verified
Louisville, KY 40207
Are you navigating the pain of grief and loss, feeling weighed down by the overwhelming stresses and anxieties of life? Do negative emotions overshadow your ability to embrace a more positive outlook? Perhaps your relationships feel more like battlegrounds filled with disappointment, rather than places of peace, fulfillment, and joy. Do you struggle with perfectionism, feeling as though your self-worth is tied to your achievements? Do you find yourself being overly productive or feeling stuck and unproductive, despite all your efforts toward self-improvement, the progress you seek may still feel out of reach. You are not alone.
Are you navigating the pain of grief and loss, feeling weighed down by the overwhelming stresses and anxieties of life? Do negative emotions overshadow your ability to embrace a more positive outlook? Perhaps your relationships feel more like battlegrounds filled with disappointment, rather than places of peace, fulfillment, and joy. Do you struggle with perfectionism, feeling as though your self-worth is tied to your achievements? Do you find yourself being overly productive or feeling stuck and unproductive, despite all your efforts toward self-improvement, the progress you seek may still feel out of reach. You are not alone.
(859) 350-6975 View (859) 350-6975
Photo of Lisa Heller Bass, LMFT, Marriage & Family Therapist
Lisa Heller Bass
Marriage & Family Therapist, LMFT
Verified Verified
Louisville, KY 40222
"The opportunity to help you broaden your ideas of who you are and what you can be is undeniably my greatest reward. Twenty eight years of practice has taught me a great deal about people and how to help them. Feelings of unworthiness, hopelessness, shame or incompetence literally can begin to steal away your ability to recognize yourself and see your own strength, resilience, courage and competence. I know that you can experience your life as successful. It is my absolute belief that you can. Where I come in is to help you regain your own healthy, change-producing abilities.
"The opportunity to help you broaden your ideas of who you are and what you can be is undeniably my greatest reward. Twenty eight years of practice has taught me a great deal about people and how to help them. Feelings of unworthiness, hopelessness, shame or incompetence literally can begin to steal away your ability to recognize yourself and see your own strength, resilience, courage and competence. I know that you can experience your life as successful. It is my absolute belief that you can. Where I come in is to help you regain your own healthy, change-producing abilities.
(502) 233-2612 View (502) 233-2612
Photo of Jan Anderson, PsyD, LPCC
Jan Anderson
Licensed Professional Clinical Counselor, PsyD, LPCC
Verified Verified
1 Endorsed
Louisville, KY 40222
Hello! I’m Dr. Jan Anderson, Louisville’s leading therapist for executives and professionals. I work with individuals, couples, and families who appreciate an emphasis on privacy and discretion. There is no sign, no waiting room, and I don’t book clients back-to-back. Another way I protect your privacy and confidentiality is that I operate autonomously, independent of insurance companies. In other words, the focus is on you and the only agenda is your best interest. It’s easy to get started.  I offer a complimentary 15-minute telephone consultation to see if I'm the right helping professional for you.
Hello! I’m Dr. Jan Anderson, Louisville’s leading therapist for executives and professionals. I work with individuals, couples, and families who appreciate an emphasis on privacy and discretion. There is no sign, no waiting room, and I don’t book clients back-to-back. Another way I protect your privacy and confidentiality is that I operate autonomously, independent of insurance companies. In other words, the focus is on you and the only agenda is your best interest. It’s easy to get started.  I offer a complimentary 15-minute telephone consultation to see if I'm the right helping professional for you.
(502) 498-4918 View (502) 498-4918
Photo of Jim Walker, LCSW, Clinical Social Work/Therapist
Jim Walker
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40207
Do resentment and fear poison your relationships ? Feel like loneliness is a life sentence? Struggle with truly expressing yourself even with those closest to you? I can help. I work well with individuals and families that are struggling with anxiety, shyness,and isolation including children who are being bullied or who suffer with Aspergers Syndrome. Clients can expect friendly, specific, and practical information and encouragement to express the thoughts and feelings they have been too afraid to communicate before.
Do resentment and fear poison your relationships ? Feel like loneliness is a life sentence? Struggle with truly expressing yourself even with those closest to you? I can help. I work well with individuals and families that are struggling with anxiety, shyness,and isolation including children who are being bullied or who suffer with Aspergers Syndrome. Clients can expect friendly, specific, and practical information and encouragement to express the thoughts and feelings they have been too afraid to communicate before.
(502) 494-6631 View (502) 494-6631
Photo of Lynn Supple, PsyD, Psychologist
Lynn Supple
Psychologist, PsyD
Verified Verified
Louisville, KY 40222
Do you feel like food controls you? Are you tired of constantly thinking about your weight, food, or exercise? Do you feel like you've lost a sense of what matters most? You are not alone in this! An eating disorder can take away your passion, strength, and relationships. I want to help you through the recovery process so you can live the life you desire! We will work together to reset the way you think about food and your body, with the goal of living your best life. To learn more, visit aspirewellnessky.com.
Do you feel like food controls you? Are you tired of constantly thinking about your weight, food, or exercise? Do you feel like you've lost a sense of what matters most? You are not alone in this! An eating disorder can take away your passion, strength, and relationships. I want to help you through the recovery process so you can live the life you desire! We will work together to reset the way you think about food and your body, with the goal of living your best life. To learn more, visit aspirewellnessky.com.
(502) 305-5206 View (502) 305-5206
Photo of Carol Anne Jarboe, LCSW, Clinical Social Work/Therapist
Carol Anne Jarboe
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40207
Not accepting new clients
Do you feel overwhelmed by the stress of life and relationships? Do you struggle to shut off the negative thoughts that circle through your brain? Or are you struggling to connect with your spouse and you continue to have the same arguments over and over? My passion is helping individuals and couples enhance their relationships and live happier, more fulfilled lives. I genuinely love what I do, and this passion fuels my work as a therapist.
Do you feel overwhelmed by the stress of life and relationships? Do you struggle to shut off the negative thoughts that circle through your brain? Or are you struggling to connect with your spouse and you continue to have the same arguments over and over? My passion is helping individuals and couples enhance their relationships and live happier, more fulfilled lives. I genuinely love what I do, and this passion fuels my work as a therapist.
View
Photo of Traci Braun, MEd, LPCC, EMDR, Counselor
Traci Braun
Counselor, MEd, LPCC, EMDR
Verified Verified
1 Endorsed
Louisville, KY 40207
Are you overwhelmed or distressed? I am here to help. In addition to being a licensed counselor, I am also a committed Christian. I work with individuals: teenagers (14+) and adults of various ages and with a variety of issues. I use a holistic and strength-based approach and value a collaborative, therapeutic relationship with my clients, while together we address their specific concerns. Since every client is different, I strive to select interventions and treatment modalities that are suitable to their personality and situation.
Are you overwhelmed or distressed? I am here to help. In addition to being a licensed counselor, I am also a committed Christian. I work with individuals: teenagers (14+) and adults of various ages and with a variety of issues. I use a holistic and strength-based approach and value a collaborative, therapeutic relationship with my clients, while together we address their specific concerns. Since every client is different, I strive to select interventions and treatment modalities that are suitable to their personality and situation.
(502) 514-4271 View (502) 514-4271
Photo of Jonathan A. Butler, LMFT, Marriage & Family Therapist
Jonathan A. Butler
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Louisville, KY 40207
There is so much noise pulling teenagers and individuals toward a false sense of self that they forget what is needed/wanted in the first place. While feeling stuck you want to move forward to experience flourishing and allow the noise to fade away. As the noise subsides you can start taking steps to become the teenager, man, couple, family you know you were meant to become.
There is so much noise pulling teenagers and individuals toward a false sense of self that they forget what is needed/wanted in the first place. While feeling stuck you want to move forward to experience flourishing and allow the noise to fade away. As the noise subsides you can start taking steps to become the teenager, man, couple, family you know you were meant to become.
(502) 305-7357 View (502) 305-7357

See more therapy options for 40025

How does your Therapist compare?

Number of Therapists in 40025

< 10

Therapists in 40025 who prioritize treating:

100% Trauma and PTSD
100% Women's Issues
80% Relationship Issues
80% Substance Use
80% Stress
80% Life Transitions
80% Body Positivity

Average years in practice

8 Years

Top 3 insurances accepted

100% Cigna and Evernorth
67% Aetna
67% UnitedHealthcare UHC | UBH

How Therapists in 40025 see their clients

60% Online Only
40% In Person and Online

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 40025?

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.