Photo of Maria Mangione, LPCC, Counselor
Maria Mangione
Counselor, LPCC
Verified Verified
1 Endorsed
Cincinnati, OH 45219
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
(513) 647-3106 View (513) 647-3106
Photo of Samuel Eshleman Latimer, PsyD, Psychologist
Samuel Eshleman Latimer
Psychologist, PsyD
Verified Verified
1 Endorsed
Cincinnati, OH 45219
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
(513) 845-1876 View (513) 845-1876
Photo of Andrew Stryker, LISW-S, Clinical Social Work/Therapist
Andrew Stryker
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Cincinnati, OH 45219
Not accepting new clients
This might be a particularly rough time in your life and you don't know which way is up. Maybe you want to find out what direction in life you truly want to be headed. Your mind may be going a mile a minute. Mental health challenges can look like many different things, but you're still the expert on your own experience; You deserve a moment to chart your own course.
This might be a particularly rough time in your life and you don't know which way is up. Maybe you want to find out what direction in life you truly want to be headed. Your mind may be going a mile a minute. Mental health challenges can look like many different things, but you're still the expert on your own experience; You deserve a moment to chart your own course.
(513) 796-5398 View (513) 796-5398
Photo of Jill Chiara, LISW, LCSW, Clinical Social Work/Therapist
Jill Chiara
Clinical Social Work/Therapist, LISW, LCSW
Verified Verified
Cincinnati, OH 45219
I have been treating adult individuals who have been struggling with anxiety and depression for 23 years. Issues that I have experience working with are relational conflicts, job stress, parenting, and trauma. My approach to treatment is psychodynamic, and I use EMDR and CBT as well when it can be beneficial for the therapy.
I have been treating adult individuals who have been struggling with anxiety and depression for 23 years. Issues that I have experience working with are relational conflicts, job stress, parenting, and trauma. My approach to treatment is psychodynamic, and I use EMDR and CBT as well when it can be beneficial for the therapy.
(513) 773-3276 View (513) 773-3276
Photo of Samantha Ruwe, LPC, Counselor
Samantha Ruwe
Counselor, LPC
Verified Verified
1 Endorsed
Cincinnati, OH 45219
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
(513) 953-4346 View (513) 953-4346
Photo of La'Keyta Inez Hoffmann - Light & Hope Counseling LLC, MA, LMHC, LPCC-S, Counselor
Light & Hope Counseling LLC
Counselor, MA, LMHC, LPCC-S
Verified Verified
3 Endorsed
Cincinnati, OH 45219
Hello and Welcome to Light & Hope Counseling. We thank you for taking this big leap toward being seen, heard, and healed! We work with individuals and couples impacted by trauma, anxiety, and depression. We are experienced mental health therapists who partner with you to hear your story. In this journey, we will understand and eliminate dysfunctional, disruptive behaviors and thoughts while improving relationships. We look forward to working with you during this new chapter of your life, and we can attest that our therapeutic approach and skills are effective at helping people reach their desired goals.
Hello and Welcome to Light & Hope Counseling. We thank you for taking this big leap toward being seen, heard, and healed! We work with individuals and couples impacted by trauma, anxiety, and depression. We are experienced mental health therapists who partner with you to hear your story. In this journey, we will understand and eliminate dysfunctional, disruptive behaviors and thoughts while improving relationships. We look forward to working with you during this new chapter of your life, and we can attest that our therapeutic approach and skills are effective at helping people reach their desired goals.
(513) 496-1795 View (513) 496-1795
Photo of Michelle Maegly Psy. D., PsyD, Psychologist
Michelle Maegly Psy. D.
Psychologist, PsyD
Verified Verified
6 Endorsed
Cincinnati, OH 45219
If you are recovering or want to start recovering from narcissistic abuse, I’m here to help. When your relationship began you were bright, vibrant, confident. Now you hardly recognize yourself and you don’t know how things went so horribly wrong… You may have found yourself in a relationship with someone who needs to come out on top and control the narrative; is willing to skillfully use manipulation tactics; can't accept feedback; and never takes responsibility for the consequences of their actions. Instead, you're with someone who is defensive, counter-attacks, and makes you the enemy while they play the victim.
If you are recovering or want to start recovering from narcissistic abuse, I’m here to help. When your relationship began you were bright, vibrant, confident. Now you hardly recognize yourself and you don’t know how things went so horribly wrong… You may have found yourself in a relationship with someone who needs to come out on top and control the narrative; is willing to skillfully use manipulation tactics; can't accept feedback; and never takes responsibility for the consequences of their actions. Instead, you're with someone who is defensive, counter-attacks, and makes you the enemy while they play the victim.
(513) 612-9745 View (513) 612-9745
Photo of Adrianna Jones, BS, Pre-Licensed Professional
Adrianna Jones
Pre-Licensed Professional, BS
Verified Verified
1 Endorsed
Cincinnati, OH 45219
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
(513) 960-3518 View (513) 960-3518
Photo of Tiffany Graves, LPCC-S
Tiffany Graves
LPCC-S
Verified Verified
2 Endorsed
Cincinnati, OH 45219
Do you struggle with guilt and shame around 'not being good enough'? Do you often find yourself people-pleasing and struggling to set boundaries that protect your peace of mind? Together we will embark on a journey of growth, resilience, and self-empowerment. I will provide you with the tools to overcome challenges associated with emotional healing, releasing negative beliefs, building self-confidence, and healing childhood trauma wounds.
Do you struggle with guilt and shame around 'not being good enough'? Do you often find yourself people-pleasing and struggling to set boundaries that protect your peace of mind? Together we will embark on a journey of growth, resilience, and self-empowerment. I will provide you with the tools to overcome challenges associated with emotional healing, releasing negative beliefs, building self-confidence, and healing childhood trauma wounds.
(513) 966-5991 View (513) 966-5991
Photo of Rebecca Gneuhs, MSW, LISW--S, Clinical Social Work/Therapist
Rebecca Gneuhs
Clinical Social Work/Therapist, MSW, LISW--S
Verified Verified
Cincinnati, OH 45219  (Online Only)
I work with a diverse range of clients from early adulthood to seniors. I work primarily with chronic health conditions, caregivers, people experiencing life transition, relationship concerns, and anxiety.
I work with a diverse range of clients from early adulthood to seniors. I work primarily with chronic health conditions, caregivers, people experiencing life transition, relationship concerns, and anxiety.
View
Photo of Robyn Williams, MA, LPC, Licensed Professional Counselor
Robyn Williams
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Cincinnati, OH 45219
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
(513) 450-7532 View (513) 450-7532
Photo of Ben Yudin, MSW, LISW, Clinical Social Work/Therapist
Ben Yudin
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Cincinnati, OH 45219
CURRENTLY TAKING NEW PATIENTS We all desire and deserve to be healthy. Therefore, I strive to provide psychotherapy treatment for individuals, couples, and families who are looking for assistance with a wide range of problems. The most common difficulties people who have sought my help are for depression, anxiety, stress, obsessive compulsive disorder, academic problems, work-related problems, and family or marital conflict. I have extensive experience working with adolescents and young adults. I also have specialized experience with patients who are suffering from addictions, as well as complicated grief.
CURRENTLY TAKING NEW PATIENTS We all desire and deserve to be healthy. Therefore, I strive to provide psychotherapy treatment for individuals, couples, and families who are looking for assistance with a wide range of problems. The most common difficulties people who have sought my help are for depression, anxiety, stress, obsessive compulsive disorder, academic problems, work-related problems, and family or marital conflict. I have extensive experience working with adolescents and young adults. I also have specialized experience with patients who are suffering from addictions, as well as complicated grief.
(513) 434-3924 View (513) 434-3924
Photo of Christopher L Young, MSW, LISW, Clinical Social Work/Therapist
Christopher L Young
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Cincinnati, OH 45219
*Currently offering telehealth appointments only* I work with adults and adolescents and have experience helping with a wide range of issues. The only prerequisite for therapy is that you or your loved ones are suffering and would like some help. Where appropriate and useful, I prefer to work intensively in an exploratory and supportive capacity to attend to long-standing and entrenched problems that seem resistant to change. If your goal is better self-understanding, enduring growth, and becoming more comfortable in your own skin, we may be a good match.
*Currently offering telehealth appointments only* I work with adults and adolescents and have experience helping with a wide range of issues. The only prerequisite for therapy is that you or your loved ones are suffering and would like some help. Where appropriate and useful, I prefer to work intensively in an exploratory and supportive capacity to attend to long-standing and entrenched problems that seem resistant to change. If your goal is better self-understanding, enduring growth, and becoming more comfortable in your own skin, we may be a good match.
(513) 342-6108 View (513) 342-6108
Photo of Eric Chang, MDiv, MA, LPCC
Eric Chang
Licensed Professional Clinical Counselor, MDiv, MA, LPCC
Verified Verified
1 Endorsed
Cincinnati, OH 45219
Waitlist for new clients
"Helping You Do Life Better." We all face difficult times in our journey of life when we find ourselves feeling lost, stuck, confused, and/or alone because of our struggles with emotional and mental health. Counseling can help you do life better in the following ways: (1) increase self-awareness, self-acceptance, and self-love; (2) discover internal strengths; (3) recover and rediscover the person who you are meant to be; (4) find healing and restoration you long for. My clients that have found the most success in these areas are those who are willing to invest in themselves and do the work between sessions.
"Helping You Do Life Better." We all face difficult times in our journey of life when we find ourselves feeling lost, stuck, confused, and/or alone because of our struggles with emotional and mental health. Counseling can help you do life better in the following ways: (1) increase self-awareness, self-acceptance, and self-love; (2) discover internal strengths; (3) recover and rediscover the person who you are meant to be; (4) find healing and restoration you long for. My clients that have found the most success in these areas are those who are willing to invest in themselves and do the work between sessions.
(513) 854-8877 View (513) 854-8877
Photo of Sean M Blyth, LICDC, LSW, Drug & Alcohol Counselor
Sean M Blyth
Drug & Alcohol Counselor, LICDC, LSW
Verified Verified
Cincinnati, OH 45219
Welcome to Harm Reduction Therapy: Your Path to Healing and Growth. My compassionate and empowering approach prioritizes reducing harm and promoting healing and growth without requiring abstinence. As an experienced therapist, I work with you to understand and address the underlying causes of harmful behaviors, while providing practical tools and coping strategies to manage cravings, triggers, and emotions in healthier ways.
Welcome to Harm Reduction Therapy: Your Path to Healing and Growth. My compassionate and empowering approach prioritizes reducing harm and promoting healing and growth without requiring abstinence. As an experienced therapist, I work with you to understand and address the underlying causes of harmful behaviors, while providing practical tools and coping strategies to manage cravings, triggers, and emotions in healthier ways.
(513) 951-7212 View (513) 951-7212
Photo of Alyssa Eichhorn, MA, LPCC, Counselor
Alyssa Eichhorn
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Cincinnati, OH 45219
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
(513) 450-6701 View (513) 450-6701
Photo of Brooke Bluestein, PhD, Pre-Licensed Professional
Brooke Bluestein
Pre-Licensed Professional, PhD
Verified Verified
Cincinnati, OH 45219
I believe that the goal of therapy is to help you lead a happier, more fulfilling life. Therapy can empower you to discover your inner strength and achieve the happiness and well-being you deserve. I've had the privilege of working with amazing adolescents and adults from all walks of life, and together, we've tackled a wide range of issues. Whether it's anxiety, depression, OCD, trauma, or relationship concerns, I'm here to listen and help you find your path to healing and personal growth. Life can be tough, but with the right support, I truly believe that people can overcome anything.
I believe that the goal of therapy is to help you lead a happier, more fulfilling life. Therapy can empower you to discover your inner strength and achieve the happiness and well-being you deserve. I've had the privilege of working with amazing adolescents and adults from all walks of life, and together, we've tackled a wide range of issues. Whether it's anxiety, depression, OCD, trauma, or relationship concerns, I'm here to listen and help you find your path to healing and personal growth. Life can be tough, but with the right support, I truly believe that people can overcome anything.
(513) 960-6190 View (513) 960-6190
Photo of Delvin M. Hector - DMH Mental Health Consultation and Training LLC, LISW-S, Clinical Social Work/Therapist
DMH Mental Health Consultation and Training LLC
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Cincinnati, OH 45219  (Online Only)
Since 1980 I have gained extensive experience helping/assisting individuals with a variety of life issues mental illnesses and psychiatric diagnoses. My expertise includes relationships, addiction, anxiety, depression, stress, and trauma. I focus on providing opportunities to improve productivity, and the quality of life for individuals and groups. I consult with psychiatrists and other experts in the field, to provide quality and effective services.
Since 1980 I have gained extensive experience helping/assisting individuals with a variety of life issues mental illnesses and psychiatric diagnoses. My expertise includes relationships, addiction, anxiety, depression, stress, and trauma. I focus on providing opportunities to improve productivity, and the quality of life for individuals and groups. I consult with psychiatrists and other experts in the field, to provide quality and effective services.
(513) 657-1541 View (513) 657-1541
Photo of Rena Mei-Tal - Rena Mei-Tal, Psy.D., PsyD, ABPP, Psychologist
Rena Mei-Tal, Psy.D.
Psychologist, PsyD, ABPP
Verified Verified
1 Endorsed
Cincinnati, OH 45219
Not accepting new clients
My work with clients is grounded in a collaborative relationship. We work together to clarify your goals and choices, and to become aware of both the internal and the external barriers to achieving these goals. My therapeutic style supports my clients in living with increased awareness rather than automatically repeating old destructive patterns; my emphasis on addressing issues with compassion supports self-exploration and change. Over time, we collaborate in shaping a life that is consistent with your values, which in turn increases self-respect and peace of mind.
My work with clients is grounded in a collaborative relationship. We work together to clarify your goals and choices, and to become aware of both the internal and the external barriers to achieving these goals. My therapeutic style supports my clients in living with increased awareness rather than automatically repeating old destructive patterns; my emphasis on addressing issues with compassion supports self-exploration and change. Over time, we collaborate in shaping a life that is consistent with your values, which in turn increases self-respect and peace of mind.
(513) 448-1908 View (513) 448-1908
Photo of Helmer Figueiredo, PsyD, Psychologist
Helmer Figueiredo
Psychologist, PsyD
Verified Verified
1 Endorsed
Cincinnati, OH 45219
You’re tired of sitting with your emotional pain. I’m going to help you do something about it. Therapy with me is results driven. goal oriented and solution focused. “Life is stress”, said Hans Selye, the father of stress research. Indeed, all of us will certainly go through periods in life which may seem unbearable. You are not alone in your pain. I’ve had plenty of life experiences that were enough to warrant emotional pain. Throughout my life, I struggled with severe anxiety. We all have.
You’re tired of sitting with your emotional pain. I’m going to help you do something about it. Therapy with me is results driven. goal oriented and solution focused. “Life is stress”, said Hans Selye, the father of stress research. Indeed, all of us will certainly go through periods in life which may seem unbearable. You are not alone in your pain. I’ve had plenty of life experiences that were enough to warrant emotional pain. Throughout my life, I struggled with severe anxiety. We all have.
(513) 647-2424 View (513) 647-2424

How does your Therapist compare?

Number of Therapists in 45219

40+

Average cost per session

$150

Therapists in 45219 who prioritize treating:

98% Anxiety
96% Depression
86% Trauma and PTSD
82% Self Esteem
80% Relationship Issues
78% Coping Skills
63% Grief

Average years in practice

10 Years

Top 3 insurances accepted

66% Aetna
50% UnitedHealthcare UHC | UBH
47% BlueCross and BlueShield

How Therapists in 45219 see their clients

82% In Person and Online
18% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 45219?

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.