Therapists in 42141
![Photo of Megan Bartley, T-LPA, Pre-Licensed Professional](https://photos.psychologytoday.com/5268e181-ceaa-426c-96c0-74c87ae33a64/1/320x400.jpeg)
As a Temporary Licensed Psychological Associate (T-LPA), I provide in-person and telehealth sessions to adolescents and adults in Kentucky. My focus lies predominantly on addressing stressors associated with depression, anxiety, bipolar disorder, PTSD, autism, and ADHD. In my practice, I adopt a collective strengths-based neurodiversity-affirming approach, drawing from various therapeutic modalities such as cognitive behavioral therapy and dialectical behavioral therapy. This approach allows me to tailor my interventions to suit each individual's unique needs. I can also provide assessments for the diagnosis of ADHD.
As a Temporary Licensed Psychological Associate (T-LPA), I provide in-person and telehealth sessions to adolescents and adults in Kentucky. My focus lies predominantly on addressing stressors associated with depression, anxiety, bipolar disorder, PTSD, autism, and ADHD. In my practice, I adopt a collective strengths-based neurodiversity-affirming approach, drawing from various therapeutic modalities such as cognitive behavioral therapy and dialectical behavioral therapy. This approach allows me to tailor my interventions to suit each individual's unique needs. I can also provide assessments for the diagnosis of ADHD.
![Photo of Amanda Kay Burd - Isaiah 43 Christian Counseling Services, PLLC, LPCC-S, MEd, Counselor](https://photos.psychologytoday.com/dc0fd9d8-90a5-43c4-bbb5-16aa20fed48e/1/320x400.jpeg)
Isaiah 43 Christian Counseling Services, PLLC
Counselor, LPCC-S, MEd
Verified Verified
Glasgow, KY 42141
Are you feeling exhausted in this game of life? Do you feel defeated? Do you feel alone and isolated? Are you feeling like some things never change? Contact me today so that we can get a collaborative plan in place to help you experience some positive changes in your daily life! Some of the challenges I have the most experience with are: anxiety, depression, somatic symptoms, isolation, sadness, tearfulness, panic, life changes, burnout, addiction, self confidence issues, ADD/ADHD, stress management, work place challenges, PTSD, Childhood behavioral problems and every day stressors.
Are you feeling exhausted in this game of life? Do you feel defeated? Do you feel alone and isolated? Are you feeling like some things never change? Contact me today so that we can get a collaborative plan in place to help you experience some positive changes in your daily life! Some of the challenges I have the most experience with are: anxiety, depression, somatic symptoms, isolation, sadness, tearfulness, panic, life changes, burnout, addiction, self confidence issues, ADD/ADHD, stress management, work place challenges, PTSD, Childhood behavioral problems and every day stressors.
![Photo of Leisia K Landers, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b93590cc-dac1-4cfb-9c2f-947803d37ec7/1/320x400.jpeg)
Leisia K Landers
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Glasgow, KY 42141 (Online Only)
C.S.Lewis once said, " You can't go back and change the beginning but you can start where you are and change the ending". I believe that you must meet the client where they are currently. To provide a safe environment to alleviate crises, identify current needs, process past issues/traumas, and identify future goals for self. Also, to help clients learn to change negative behaviors/habits, to identify their own strengths, and develop positive coping skills in order to improve their quality of life. I believe your past does not have to define you but you can use it to propel yourself forward into the future that you hope to have.
C.S.Lewis once said, " You can't go back and change the beginning but you can start where you are and change the ending". I believe that you must meet the client where they are currently. To provide a safe environment to alleviate crises, identify current needs, process past issues/traumas, and identify future goals for self. Also, to help clients learn to change negative behaviors/habits, to identify their own strengths, and develop positive coping skills in order to improve their quality of life. I believe your past does not have to define you but you can use it to propel yourself forward into the future that you hope to have.
![Photo of Callie Fuller, CSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6e724571-4c62-4380-b545-8bbf8206265a/1/320x400.png)
Callie Fuller
Clinical Social Work/Therapist, CSW, MSW
Verified Verified
1 Endorsed
Glasgow, KY 42141
To the outside world, your life looks great. But behind the forced smiles and fake selfies, something is wrong, and it has been for a while. Let's get real for a minute. Chances are you probably feel like there's no hope left. And if we're being honest, this might just be your last-ditch effort before giving up and throwing in the towel. Whether your life is a constant mess because everything is falling apart, or because you aren't sure where else to turn, you've come to the right place.
To the outside world, your life looks great. But behind the forced smiles and fake selfies, something is wrong, and it has been for a while. Let's get real for a minute. Chances are you probably feel like there's no hope left. And if we're being honest, this might just be your last-ditch effort before giving up and throwing in the towel. Whether your life is a constant mess because everything is falling apart, or because you aren't sure where else to turn, you've come to the right place.
![Photo of Kristina Fuller - Fuller Life Counseling Partners, Counselor](https://photos.psychologytoday.com/90e12bc5-9529-440c-b3de-18268b9576e8/1/320x400.png)
Fuller Life Counseling Partners is a group of professional counselors and psychiatric nurse practitioners in Bowling Green, Glasgow, Scottsville and Tompkinsville that are dedicated to focusing on the overall wellness of those we work with. We believe that it is important to take care of your body, your mind, and soul in order to live your best life. We know it can be overwhelming or stressful when you are looking for a counselor. No matter the reason that brings you here today; we want you to know that we want to help. We offer both mental health and substance abuse services including an intensive outpatient program.
Fuller Life Counseling Partners is a group of professional counselors and psychiatric nurse practitioners in Bowling Green, Glasgow, Scottsville and Tompkinsville that are dedicated to focusing on the overall wellness of those we work with. We believe that it is important to take care of your body, your mind, and soul in order to live your best life. We know it can be overwhelming or stressful when you are looking for a counselor. No matter the reason that brings you here today; we want you to know that we want to help. We offer both mental health and substance abuse services including an intensive outpatient program.
![Photo of Erin Elizabeth Heck - Alliance Counseling Associates, LMFT, LPCC, LCSW, LPP, Counselor](https://photos.psychologytoday.com/6773e968-102e-4ed4-a778-bef38359a7a9/1/320x400.png)
At Alliance Counseling, we know reaching out for help can be difficult, but we're glad you are! We believe that mental health care is just as crucial as physical wellness and are committed to breaking the stigma surrounding it. Our dedicated team of therapists and case managers provide prompt, personalized, and easy-to-access services. Our comprehensive process includes thorough screening and assessment to create a personalized plan tailored to your unique needs, ensuring you get the right fit with our therapists and services. Book online through out website today and start your personalized journey to better mental health today!
At Alliance Counseling, we know reaching out for help can be difficult, but we're glad you are! We believe that mental health care is just as crucial as physical wellness and are committed to breaking the stigma surrounding it. Our dedicated team of therapists and case managers provide prompt, personalized, and easy-to-access services. Our comprehensive process includes thorough screening and assessment to create a personalized plan tailored to your unique needs, ensuring you get the right fit with our therapists and services. Book online through out website today and start your personalized journey to better mental health today!
![Photo of Derrick S. Wagoner, LPCC-S](https://photos.psychologytoday.com/03e5b224-a689-4a90-8427-ca5863842a27/2/320x400.png)
Derrick S. Wagoner
Licensed Professional Clinical Counselor, LPCC-S
Verified Verified
1 Endorsed
Glasgow, KY 42141
I have worked in the mental health field since 2005, and since 2013 as a licensed therapist. I work with individuals who struggle with anxiety, depression, anger management, trauma, adjustment and/or transitional periods of life. I believe therapy can bring about personal growth and is vital in individuals becoming, or returning to who they want to be.
I have worked in the mental health field since 2005, and since 2013 as a licensed therapist. I work with individuals who struggle with anxiety, depression, anger management, trauma, adjustment and/or transitional periods of life. I believe therapy can bring about personal growth and is vital in individuals becoming, or returning to who they want to be.
![Photo of Susan J Barnett - Angel Arms Counseling & Outreach, Inc., BA, MSSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d88c2e5b-278e-4a90-834c-062b54116d22/1/320x400.jpeg)
Angel Arms Counseling & Outreach, Inc.
Clinical Social Work/Therapist, BA, MSSW, LCSW
Verified Verified
Glasgow, KY 42141
I am looking for great therapists to hire to an exceptional team. I also provide CSW supervision. I have a variety of experience and look forward to meeting all types of people. I am very accepting of everyone. Whether it's depression, anxiety, court issues, family issues, couple issues or working with your children in behaviors. I love to help people find their path on the journey through life. I specialize in couples and family issues. I work with children and teens on behavior modification and teen issues. LGBTQ+ friendly with a no judgement zone.
I am looking for great therapists to hire to an exceptional team. I also provide CSW supervision. I have a variety of experience and look forward to meeting all types of people. I am very accepting of everyone. Whether it's depression, anxiety, court issues, family issues, couple issues or working with your children in behaviors. I love to help people find their path on the journey through life. I specialize in couples and family issues. I work with children and teens on behavior modification and teen issues. LGBTQ+ friendly with a no judgement zone.
![Photo of Chelsea Harvey, LPCC](https://photos.psychologytoday.com/7ab60fef-82c2-46f3-96fa-d2d6188cd003/1/320x400.jpeg)
Chelsea Harvey
Licensed Professional Clinical Counselor, LPCC
Verified Verified
2 Endorsed
Glasgow, KY 42141
I have experience working with clients of all ages, especially with adolescents and young adults. As a therapist I work with individuals struggling with anxiety, depression, and trauma. Whether your goal is to process through traumatic events you have experienced during your life or to learn coping skills to manage your symptoms, I believe that therapy can be a great tool to help you become the best version of yourself.
I have experience working with clients of all ages, especially with adolescents and young adults. As a therapist I work with individuals struggling with anxiety, depression, and trauma. Whether your goal is to process through traumatic events you have experienced during your life or to learn coping skills to manage your symptoms, I believe that therapy can be a great tool to help you become the best version of yourself.
![Photo of Dr. Jonathan Lee, DBS, MA, LMFT, CHT, Marriage & Family Therapist](https://photos.psychologytoday.com/4adf71b2-6659-40da-b78a-c5eefae12d5a/1/320x400.jpeg)
Dr. Jonathan Lee
Marriage & Family Therapist, DBS, MA, LMFT, CHT
Verified Verified
Glasgow, KY 42141
The Challenge for anyone who wants to change is to find the inspiration and motivation to start and then the confidence to continue. Once you do, you will find that the blessings far outweigh any hardships it took to get there.
The Challenge for anyone who wants to change is to find the inspiration and motivation to start and then the confidence to continue. Once you do, you will find that the blessings far outweigh any hardships it took to get there.
![Photo of Sarah Elizabeth Light, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/de8544d3-ed78-4d4e-bd7d-678f9e830632/3/320x400.jpeg)
Sarah Elizabeth Light
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Glasgow, KY 42141
With more than 18 years experience, I’m a practicing LCSW & the owner of Lighthouse Counseling, LLC. Here we specialize in diagnosing and treating the following Mental Health Disorders and related concerns: Anxiety, Depression, ADD/ADHD, Past/Present Trauma, PTSD, ASD, Crisis Intervention, Life Challenges/Adjustments, Co- Parenting/Custodial Issues, Grief/Loss, Behavior Challenges, Personality Disorders and Addiction Problems. Christian Faith-Based Services, treating Workplace Trauma for First Responders & other Professionals, and Couples/Marriage Counseling are my specialties! Our website is: www.lighthousecounselingllc.org
With more than 18 years experience, I’m a practicing LCSW & the owner of Lighthouse Counseling, LLC. Here we specialize in diagnosing and treating the following Mental Health Disorders and related concerns: Anxiety, Depression, ADD/ADHD, Past/Present Trauma, PTSD, ASD, Crisis Intervention, Life Challenges/Adjustments, Co- Parenting/Custodial Issues, Grief/Loss, Behavior Challenges, Personality Disorders and Addiction Problems. Christian Faith-Based Services, treating Workplace Trauma for First Responders & other Professionals, and Couples/Marriage Counseling are my specialties! Our website is: www.lighthousecounselingllc.org
![Photo of Loretta Boone, MSW, CSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/233b8d25-1369-4955-97fa-50f9ac5b69ee/1/320x400.jpeg)
Loretta Boone
Clinical Social Work/Therapist, MSW, CSW
Verified Verified
1 Endorsed
Glasgow, KY 42141
Not accepting new clients
Welcome and Congrats on taking the first step toward a more peaceful and balanced life! I provide services to those seeking support and care in managing anxiety, depression, grief, and all that comes with the everchanging journey of life. I've spent most of my career helping clients and their families/caregivers in navigating life with a critical/terminal illness. I want to help you reach that next level in life whether it be from loss or external or internal need or want for change.
Welcome and Congrats on taking the first step toward a more peaceful and balanced life! I provide services to those seeking support and care in managing anxiety, depression, grief, and all that comes with the everchanging journey of life. I've spent most of my career helping clients and their families/caregivers in navigating life with a critical/terminal illness. I want to help you reach that next level in life whether it be from loss or external or internal need or want for change.
![Photo of Brian Sergent, LPCC, NCC, CCTP](https://photos.psychologytoday.com/b963f252-cfae-4774-8fee-fbf457f9fc29/2/320x400.jpeg)
Brian Sergent
Licensed Professional Clinical Counselor, LPCC, NCC, CCTP
Verified Verified
Glasgow, KY 42141
Hello, my name is Brian Sergent and I am a licensed counselor in Kentucky. I am a husband, father of three children, counselor and someone whom I hope you will feel comfortable talking to. I have been involved in the mental health field as a professional for over a decade now and have worked in many different capacities. I would be happy to talk with you!
Hello, my name is Brian Sergent and I am a licensed counselor in Kentucky. I am a husband, father of three children, counselor and someone whom I hope you will feel comfortable talking to. I have been involved in the mental health field as a professional for over a decade now and have worked in many different capacities. I would be happy to talk with you!
![Photo of Emily Anne Boston, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9c7345cc-5e7e-42ce-972a-d89ba975e471/1/320x400.jpeg)
If you are here...you're ready to change. And I'm proud of you. Change is hard. Taking the first steps to get help is even harder. But I am here for you. So if you are seeking to understand your feelings and lessen your anxieties, I'm here to help you do that. Maybe you need help to process something that has happened to you or someone you love? Perhaps a big life change has inspired fear you cannot overcome? If you are struggling with grief, anxiety, depression or anger, I am here to guide you. Addictions destroying your life? Trauma? Feeling stuck? I'm here for you, too. And I'm ready when you are.
If you are here...you're ready to change. And I'm proud of you. Change is hard. Taking the first steps to get help is even harder. But I am here for you. So if you are seeking to understand your feelings and lessen your anxieties, I'm here to help you do that. Maybe you need help to process something that has happened to you or someone you love? Perhaps a big life change has inspired fear you cannot overcome? If you are struggling with grief, anxiety, depression or anger, I am here to guide you. Addictions destroying your life? Trauma? Feeling stuck? I'm here for you, too. And I'm ready when you are.
![Photo of Joellen Marion, LPCC-S](https://photos.psychologytoday.com/7ef084fb-4057-47ac-bd53-6acbf2ebc23a/2/320x400.jpeg)
I have worked in a variety of settings with a variety of age ranges. I have experience working in mental health and substance use as well as providing parenting support and couples therapy. I love working with people who are ready to change no matter where you are at from your goals. I am here to help guide and work beside you while you are control. I am an LPCC-S and am able to provide supervision to LPCA's in need.
I have worked in a variety of settings with a variety of age ranges. I have experience working in mental health and substance use as well as providing parenting support and couples therapy. I love working with people who are ready to change no matter where you are at from your goals. I am here to help guide and work beside you while you are control. I am an LPCC-S and am able to provide supervision to LPCA's in need.
![Photo of Hannah Krisher, MA, LPA, Psychological Associate](https://photos.psychologytoday.com/c3d04af7-aed5-40a4-84b3-8e9cb736574d/2/320x400.jpeg)
Hi there! I provide services to the Bowling Green community and surrounding areas. Most individuals seek psychological services when they are emotionally distressed. Psychotherapy is beneficial to individuals experiencing both low levels of emotional discomfort and more severe, chronic discomfort. I believe that any individual, no matter the severity of concern, can benefit from therapy. My personal style is warm and empathic, while also being solution-focused. I operate mainly from a Cognitive Behavior Therapy (CBT) background, and I also incorporate strategies from other approaches.
Hi there! I provide services to the Bowling Green community and surrounding areas. Most individuals seek psychological services when they are emotionally distressed. Psychotherapy is beneficial to individuals experiencing both low levels of emotional discomfort and more severe, chronic discomfort. I believe that any individual, no matter the severity of concern, can benefit from therapy. My personal style is warm and empathic, while also being solution-focused. I operate mainly from a Cognitive Behavior Therapy (CBT) background, and I also incorporate strategies from other approaches.
![Photo of Kyra Tuley, LCSW, TCADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9fe173e1-23c2-41be-8256-4b00d25cc7ca/2/320x400.jpeg)
Kyra Tuley
Clinical Social Work/Therapist, LCSW, TCADC
Verified Verified
1 Endorsed
Glasgow, KY 42141 (Online Only)
My specialty client populations I have worked with previously are those struggling with addiction, those experiencing homelessness, and at-risk youth. Any goal, need, and challenge brought to me are met with the understanding that you are the expert of your situation. I will work to assist you through using the skills I have accumulated throughout my education and career to best serve you at your most vulnerable times while learning from your experiences to provide the best possible care and further assist where and when able. I have experience in both outpatient and inpatient counseling, as well as individual and group counseling.
My specialty client populations I have worked with previously are those struggling with addiction, those experiencing homelessness, and at-risk youth. Any goal, need, and challenge brought to me are met with the understanding that you are the expert of your situation. I will work to assist you through using the skills I have accumulated throughout my education and career to best serve you at your most vulnerable times while learning from your experiences to provide the best possible care and further assist where and when able. I have experience in both outpatient and inpatient counseling, as well as individual and group counseling.
![Photo of Amanda G. Patrick, MA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/7180668a-4728-413f-a272-80c0bd81ebaf/1/320x400.jpeg)
Amanda G. Patrick
Marriage & Family Therapist Associate, MA
Verified Verified
8 Endorsed
Glasgow, KY 42141
If you’re here, reading this, chances are you’re uncertain about where life is heading. You’re not alone, friend. Life can be incredibly tough and messy. But I must say, there’s beauty and huge potential in the falling, stumbling, not knowing and feeling lost. Why? Because that’s when the best changes can be made! My therapy style is solution-focused and begins with meeting you where you are. After all, you’re the expert in your journey. No one will ever know your life as you do. My goal is to honor that in working with you to create a new narrative that is full of joy, hope, and possibilities.
If you’re here, reading this, chances are you’re uncertain about where life is heading. You’re not alone, friend. Life can be incredibly tough and messy. But I must say, there’s beauty and huge potential in the falling, stumbling, not knowing and feeling lost. Why? Because that’s when the best changes can be made! My therapy style is solution-focused and begins with meeting you where you are. After all, you’re the expert in your journey. No one will ever know your life as you do. My goal is to honor that in working with you to create a new narrative that is full of joy, hope, and possibilities.
See more therapy options for 42141
How does your Therapist compare?
Number of Therapists in 42141
10+
Average cost per session
$90
Therapists in 42141 who prioritize treating:
100% | Depression |
100% | Anxiety |
95% | Coping Skills |
84% | Relationship Issues |
84% | Self Esteem |
79% | Trauma and PTSD |
74% | Grief |
Average years in practice
10 Years
Top 3 insurances accepted
87% | Medicaid |
73% | WellCare |
67% | Aetna |
How Therapists in 42141 see their clients
90% | In Person and Online | |
10% | Online Only |
Gender breakdown
82% | Female | |
18% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 42141?
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
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.
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.
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.