Photo of Sierra Lopez, LCSW, Clinical Social Work/Therapist
Sierra Lopez
Clinical Social Work/Therapist, LCSW
Verified Verified
Van Nuys, CA 91406
Hi, I’m Sierra! I’m a Licensed Clinical Social Worker and I’m constantly evolving in this field to ensure I provide the most safe and supportive environment for my clients. I have extensive training and experience working with a multitude of diagnoses and life problems, my focus is being a tool to help you along your healing journey. I’ve worked with teens, young and older adults that struggle with symptoms of depression, anxiety, mania, trauma, and substance use.
Hi, I’m Sierra! I’m a Licensed Clinical Social Worker and I’m constantly evolving in this field to ensure I provide the most safe and supportive environment for my clients. I have extensive training and experience working with a multitude of diagnoses and life problems, my focus is being a tool to help you along your healing journey. I’ve worked with teens, young and older adults that struggle with symptoms of depression, anxiety, mania, trauma, and substance use.
(747) 318-5096 View (747) 318-5096
Photo of Jeremey Lance Sulker-Hall, LMFT, Marriage & Family Therapist
Jeremey Lance Sulker-Hall
Marriage & Family Therapist, LMFT
Verified Verified
Van Nuys, CA 91406  (Online Only)
I understand the unique challenge that can be opening up to someone about personal thoughts, unprocessed emotions, experiences that cause suffering. I am best positioned to serve client's that are looking to feel seen, heard, and validated with care, so that you can learn to be vulnerable and know that you are not alone. I love working with client's who are motivated to improve, to challenge themselves to explore situations through different lenses, to review through unprocessed emotions, to reorganize past perspectives, to gain a better self understanding, to make changes so that they in turn can lead richer lives.
I understand the unique challenge that can be opening up to someone about personal thoughts, unprocessed emotions, experiences that cause suffering. I am best positioned to serve client's that are looking to feel seen, heard, and validated with care, so that you can learn to be vulnerable and know that you are not alone. I love working with client's who are motivated to improve, to challenge themselves to explore situations through different lenses, to review through unprocessed emotions, to reorganize past perspectives, to gain a better self understanding, to make changes so that they in turn can lead richer lives.
(747) 318-5905 View (747) 318-5905
Photo of Julia Sandugey Psyd, PsyD, Psychologist
Julia Sandugey Psyd
Psychologist, PsyD
Verified Verified
Van Nuys, CA 91406  (Online Only)
Breaking The Mold: Your Down-to-Earth Psychologist. I'm not your typical clinician; I'm here to keep it real and foster genuine connections to help you navigate this crazy world. Research shows the therapeutic relationship is the strongest agent of change, so let's do this together.
Breaking The Mold: Your Down-to-Earth Psychologist. I'm not your typical clinician; I'm here to keep it real and foster genuine connections to help you navigate this crazy world. Research shows the therapeutic relationship is the strongest agent of change, so let's do this together.
(323) 940-5676 View (323) 940-5676
Photo of Helaine Harris - Helaine Harris, LMFT, MA, LMFT, Marriage & Family Therapist
Helaine Harris, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Lake Balboa, CA 91406
Therapist who adds another dimension of healing. Clients call me "The Wound Detector," because of my intuitive ability of getting to their core issues & rapidly turning those challenges around. Deep-seated conscious & unconscious issues are the origin of anxiety, depression, financial, career, relationship & health challenges. Oftentimes, clients feel much lighter after one session. Guiding you to your emotional freedom & empowerment is my goal for you. Our work is done in a safe & gentle environment, allowing you to open yourself to your gifts & magnificence that lie underneath your pain. I take PPO insurance & AETNA in-network.
Therapist who adds another dimension of healing. Clients call me "The Wound Detector," because of my intuitive ability of getting to their core issues & rapidly turning those challenges around. Deep-seated conscious & unconscious issues are the origin of anxiety, depression, financial, career, relationship & health challenges. Oftentimes, clients feel much lighter after one session. Guiding you to your emotional freedom & empowerment is my goal for you. Our work is done in a safe & gentle environment, allowing you to open yourself to your gifts & magnificence that lie underneath your pain. I take PPO insurance & AETNA in-network.
(818) 962-4606 View (818) 962-4606
Photo of Heather Bryant Bays, MSW, LCSW, Clinical Social Work/Therapist
Heather Bryant Bays
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Van Nuys, CA 91406  (Online Only)
So much of our happiness boils down to the relationships in our lives; it brings us our greatest joys or our most painful sorrows. Life transitions, both developmental (adolescence, young adults, mid-life) and experiential (cohabitating, marriage, parenting, divorce) can cause unexpected emotional and relational challenges and getting support through these transitions can be hugely beneficial. We all suffer from moments of shame, sadness, loss, confusion, anxiety, insecurity, and fear as we try to move through these developmental stages and life transitions, but you don't have to do it alone.
So much of our happiness boils down to the relationships in our lives; it brings us our greatest joys or our most painful sorrows. Life transitions, both developmental (adolescence, young adults, mid-life) and experiential (cohabitating, marriage, parenting, divorce) can cause unexpected emotional and relational challenges and getting support through these transitions can be hugely beneficial. We all suffer from moments of shame, sadness, loss, confusion, anxiety, insecurity, and fear as we try to move through these developmental stages and life transitions, but you don't have to do it alone.
(747) 234-2059 View (747) 234-2059
Photo of Ann Anderson, LMFT, Marriage & Family Therapist
Ann Anderson
Marriage & Family Therapist, LMFT
Verified Verified
Lake Balboa, CA 91406
Nobody’s childhood dream was to grow up and feel overwhelmed, alone, stuck or unworthy. I aim to help individuals heal from trauma-related issues such as anxiety, depression, and relationship/family issues. If you find yourself living without a navigation system to understand emotional terrain or trauma that impacts your well-being; you are not alone. All of us go through rough patches in our lives. My approach is specific to meet your unique needs in a safe and non-judgemental space.
Nobody’s childhood dream was to grow up and feel overwhelmed, alone, stuck or unworthy. I aim to help individuals heal from trauma-related issues such as anxiety, depression, and relationship/family issues. If you find yourself living without a navigation system to understand emotional terrain or trauma that impacts your well-being; you are not alone. All of us go through rough patches in our lives. My approach is specific to meet your unique needs in a safe and non-judgemental space.
(323) 897-8510 View (323) 897-8510
Photo of Sabeen Ahmed, LCSW, Clinical Social Work/Therapist
Sabeen Ahmed
Clinical Social Work/Therapist, LCSW
Verified Verified
Van Nuys, CA 91406
Not accepting new clients
I typically work with people with a history of trauma or mental health difficulties, particularly women, adolescents, and young adults. More specifically, I have experience working with women who have experienced gender-based or intimate partner violence and adolescents, adults, and families coping with mental health issues such as depression and anxiety, amongst more severe illnesses. Whether it's a life transition, unhealthy relationship, past trauma, or some other triggering event leading to pain and discomfort, I help empower my clients to find the strength within themselves to overcome their challenges.
I typically work with people with a history of trauma or mental health difficulties, particularly women, adolescents, and young adults. More specifically, I have experience working with women who have experienced gender-based or intimate partner violence and adolescents, adults, and families coping with mental health issues such as depression and anxiety, amongst more severe illnesses. Whether it's a life transition, unhealthy relationship, past trauma, or some other triggering event leading to pain and discomfort, I help empower my clients to find the strength within themselves to overcome their challenges.
(747) 298-7545 View (747) 298-7545
Photo of Jeffrey Riffle, LCP, Psychologist
Jeffrey Riffle
Psychologist, LCP
Verified Verified
Van Nuys, CA 91406
I'm Dr. Jeff Riffle, a California Licensed Clinical Psychologist living in Northern California. I help clients all across the state through telehealth. I see both individual adults and couples. Let’s talk. I establish a safe, non-judgmental, and inviting space for us to talk. I’ve been, most often, called warm and supportive by my clients. I’d love the opportunity to create that type of environment for you, as well.
I'm Dr. Jeff Riffle, a California Licensed Clinical Psychologist living in Northern California. I help clients all across the state through telehealth. I see both individual adults and couples. Let’s talk. I establish a safe, non-judgmental, and inviting space for us to talk. I’ve been, most often, called warm and supportive by my clients. I’d love the opportunity to create that type of environment for you, as well.
(747) 298-6882 View (747) 298-6882
Photo of Camesha Marie Harper, LCSW, Clinical Social Work/Therapist
Camesha Marie Harper
Clinical Social Work/Therapist, LCSW
Verified Verified
Van Nuys, CA 91406
Hi, my name is Camesha Harper, and I am a Licensed Clinical Social Worker (LCSW). Through your therapeutic journey, I will meet you exactly where you are. Therapy can be scary and filled with uncertainty. We will work on the goals that you identify and together develop a plan of action. I specialize in working with individuals who have experienced traumas in life, anxiety, depression, stress, anger, mood disorders, dysregulation, and BIPOC stressors.
Hi, my name is Camesha Harper, and I am a Licensed Clinical Social Worker (LCSW). Through your therapeutic journey, I will meet you exactly where you are. Therapy can be scary and filled with uncertainty. We will work on the goals that you identify and together develop a plan of action. I specialize in working with individuals who have experienced traumas in life, anxiety, depression, stress, anger, mood disorders, dysregulation, and BIPOC stressors.
(747) 319-4763 View (747) 319-4763
Photo of Audrey Curra, MA, AMFT, Marriage & Family Therapist Associate
Audrey Curra
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Van Nuys, CA 91406  (Online Only)
Pregnancy, birthing, and early parenting are physically and emotionally life altering transitions. For many families they can be a mix of immense joy and overwhelming suffering. If you are struggling with infertility or loss, the road to parenthood is even more emotionally burdensome. Trained in maternal mental health, I help women and couples work through the challenges of difficulty conceiving, perinatal mood and anxiety disorders, and early parenting. I help the whole family to develop resources, make meaning out of your experiences, transform your identity, and forge supportive and loving relationships within your family unit.
Pregnancy, birthing, and early parenting are physically and emotionally life altering transitions. For many families they can be a mix of immense joy and overwhelming suffering. If you are struggling with infertility or loss, the road to parenthood is even more emotionally burdensome. Trained in maternal mental health, I help women and couples work through the challenges of difficulty conceiving, perinatal mood and anxiety disorders, and early parenting. I help the whole family to develop resources, make meaning out of your experiences, transform your identity, and forge supportive and loving relationships within your family unit.
(818) 293-4026 View (818) 293-4026
Photo of Erick Santos, LCSW, EMDR, Clinical Social Work/Therapist
Erick Santos
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Lake Balboa, CA 91406
Has trauma, anxiety, or depression interfered with the potential to become the best version of yourself? We often feel defined by traumatic or emotionally difficult experiences that often leave us feeling stuck in place rather than moving forward towards our goals. I’m here to provide a safe, affirming space for you to develop an understanding of yourself to overcome past experiences or fears that define you. Our work together will be met with unconditional acceptance, creative approaches, and the utmost compassion.
Has trauma, anxiety, or depression interfered with the potential to become the best version of yourself? We often feel defined by traumatic or emotionally difficult experiences that often leave us feeling stuck in place rather than moving forward towards our goals. I’m here to provide a safe, affirming space for you to develop an understanding of yourself to overcome past experiences or fears that define you. Our work together will be met with unconditional acceptance, creative approaches, and the utmost compassion.
(323) 677-2839 View (323) 677-2839
Photo of Jennifer Kolbow, LMFT, Marriage & Family Therapist
Jennifer Kolbow
Marriage & Family Therapist, LMFT
Verified Verified
Van Nuys, CA 91406
My name is Jennifer Kolbow, and I am a Licensed Marriage and Family Therapist based in Corona, CA, and providing telehealth to clients throughout California. I enjoy working with families, parents as well as children and teens individually, in order to reduce symptoms and improve relationships. My approach works well with children and teens struggling with anger and irritability, withdrawal and isolation, low self-esteem, and excessive worry. I also help adults struggling with all stages of parenting from infertility to postpartum to empty nesters, and all of the transitions in between.
My name is Jennifer Kolbow, and I am a Licensed Marriage and Family Therapist based in Corona, CA, and providing telehealth to clients throughout California. I enjoy working with families, parents as well as children and teens individually, in order to reduce symptoms and improve relationships. My approach works well with children and teens struggling with anger and irritability, withdrawal and isolation, low self-esteem, and excessive worry. I also help adults struggling with all stages of parenting from infertility to postpartum to empty nesters, and all of the transitions in between.
(747) 239-5468 View (747) 239-5468
Photo of Douglas Caine, PsyD, Drug & Alcohol Counselor
Douglas Caine
Drug & Alcohol Counselor, PsyD
Verified Verified
Van Nuys, CA 91406
I treat several types of people: those with Depression (especially the treatment-resistant type); Post Traumatic Stress Disorder (PTSD); Substance Use Disorder (SUD); and those engaged with existential considerations (meaning, purpose, drive). In many cases - even including those with SUD - the addition of Ketamine can bring about successful changes many have found elusive.
I treat several types of people: those with Depression (especially the treatment-resistant type); Post Traumatic Stress Disorder (PTSD); Substance Use Disorder (SUD); and those engaged with existential considerations (meaning, purpose, drive). In many cases - even including those with SUD - the addition of Ketamine can bring about successful changes many have found elusive.
(818) 869-9965 View (818) 869-9965
Photo of Dr. Reena Becerra, PhD, Psychologist
Dr. Reena Becerra
Psychologist, PhD
Verified Verified
3 Endorsed
Lake Balboa, CA 91406  (Online Only)
You are looking to ease the pain. You have been through so much that it's hard to continue to be strong in this moment. You long to feel understood, have peaceful and easy relationships and to leave toxic people and behaviors behind. It would be so nice to feel whole again.. to smile and feel like you are living your truth. You want to have meaning in your life and respectful relationships and to let go of all that is holding you back. It is possible to have the life you desire, complete with healthy communication, self care and the happiness and empowerment that you deserve. Let me help you feel like life makes more sense.
You are looking to ease the pain. You have been through so much that it's hard to continue to be strong in this moment. You long to feel understood, have peaceful and easy relationships and to leave toxic people and behaviors behind. It would be so nice to feel whole again.. to smile and feel like you are living your truth. You want to have meaning in your life and respectful relationships and to let go of all that is holding you back. It is possible to have the life you desire, complete with healthy communication, self care and the happiness and empowerment that you deserve. Let me help you feel like life makes more sense.
(805) 222-4639 View (805) 222-4639
Photo of Anik Janjughazyan, LMFT, Marriage & Family Therapist
Anik Janjughazyan
Marriage & Family Therapist, LMFT
Verified Verified
Van Nuys, CA 91406
You are here–seeking answers, hoping to find a safe place where you feel truly heard and guided within a professional setting. A place where the client can explore unresolved conflicts, past traumas, fears and frustrations. Gaining a sense of relief, through a better understanding of the issues they face . In time, and with your permission, we will do the collaborative work to improve our quality of life and strengthen our relationships with others and ourselves.
You are here–seeking answers, hoping to find a safe place where you feel truly heard and guided within a professional setting. A place where the client can explore unresolved conflicts, past traumas, fears and frustrations. Gaining a sense of relief, through a better understanding of the issues they face . In time, and with your permission, we will do the collaborative work to improve our quality of life and strengthen our relationships with others and ourselves.
(818) 308-1652 View (818) 308-1652
Photo of Mya Yvette Little, PsyD, LCSW, Clinical Social Work/Therapist
Mya Yvette Little
Clinical Social Work/Therapist, PsyD, LCSW
Verified Verified
2 Endorsed
Van Nuys, CA 91406  (Online Only)
A healthy outside starts from the Inside. My specialty is relationships. Not just the relationships you have with those around you, but the relationship you have with yourself. Life should not be a struggle; it should be an adventure you enjoy. Therapy can help you whether you are trapped in a routine that's no longer serving you, facing a new difficulty, or simply seeking to improve the general quality of your life.
A healthy outside starts from the Inside. My specialty is relationships. Not just the relationships you have with those around you, but the relationship you have with yourself. Life should not be a struggle; it should be an adventure you enjoy. Therapy can help you whether you are trapped in a routine that's no longer serving you, facing a new difficulty, or simply seeking to improve the general quality of your life.
(323) 827-7511 View (323) 827-7511
Photo of Justine Gordon, AMFT, EMDR, Marriage & Family Therapist Associate
Justine Gordon
Marriage & Family Therapist Associate, AMFT, EMDR
Verified Verified
Lake Balboa, CA 91406
Navigating life's challenges is never easy, but reaching out for help is a brave first step to living a more genuine and fulfilling life. I have expertise in working with individuals struggling with childhood trauma and trauma-related symptoms such as grief, anxiety, depression, low self-esteem, and relational conflict. I believe every client is unique and deserves to be listened to and understood in an empathetic way. I am passionate about creating a safe, kind, collaborative and judgment-free space where clients can attain new insights, experience new feelings, and find a renewed sense of physical and mental well-being.
Navigating life's challenges is never easy, but reaching out for help is a brave first step to living a more genuine and fulfilling life. I have expertise in working with individuals struggling with childhood trauma and trauma-related symptoms such as grief, anxiety, depression, low self-esteem, and relational conflict. I believe every client is unique and deserves to be listened to and understood in an empathetic way. I am passionate about creating a safe, kind, collaborative and judgment-free space where clients can attain new insights, experience new feelings, and find a renewed sense of physical and mental well-being.
(323) 859-6635 View (323) 859-6635
Photo of Natasha Dellinger Singer, LCSW-R, Clinical Social Work/Therapist
Natasha Dellinger Singer
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Van Nuys, CA 91406
Most of us face challenges in life, and recent times have brought more stress, feelings of isolation, and grief to many. I would love to support you through your challenges and assist you to find the peace you are looking for. You don't have to go it alone. I offer more than 30 years of specialized professional experience in Trauma, Grief, and Substance Abuse. My own life experiences enable me to offer unique assistance in helping you find your way and to heal. I've attained 43 years of sobriety, dealt with the loss of my daughter due to addiction, and recovered from traumas in my own childhood.
Most of us face challenges in life, and recent times have brought more stress, feelings of isolation, and grief to many. I would love to support you through your challenges and assist you to find the peace you are looking for. You don't have to go it alone. I offer more than 30 years of specialized professional experience in Trauma, Grief, and Substance Abuse. My own life experiences enable me to offer unique assistance in helping you find your way and to heal. I've attained 43 years of sobriety, dealt with the loss of my daughter due to addiction, and recovered from traumas in my own childhood.
(818) 629-0126 View (818) 629-0126
Photo of Megan E House - Blind Spot Therapy, LMFT, MS, Marriage & Family Therapist
Blind Spot Therapy
Marriage & Family Therapist, LMFT, MS
Verified Verified
Van Nuys, CA 91406
I work with clients of all ages, genders, and backgrounds, each with their own unique experiences and traumas. Yet, a common question persists: "What does a healthy relationship look like?" and "How do I find one?" My goal is to help you explore and define what a fulfilling and healthy relationship means for you, beyond societal expectations and towards your true desires. Often, we are too close to our problems to see them clearly. These blind spots can weaken us, but they do not have to define us. I collaborate with my clients to explore uncharted aspects of themselves, identify red flags, and develop strategies for positive change
I work with clients of all ages, genders, and backgrounds, each with their own unique experiences and traumas. Yet, a common question persists: "What does a healthy relationship look like?" and "How do I find one?" My goal is to help you explore and define what a fulfilling and healthy relationship means for you, beyond societal expectations and towards your true desires. Often, we are too close to our problems to see them clearly. These blind spots can weaken us, but they do not have to define us. I collaborate with my clients to explore uncharted aspects of themselves, identify red flags, and develop strategies for positive change
(818) 532-0493 View (818) 532-0493
Photo of Amber Brown, LCSW, Clinical Social Work/Therapist
Amber Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Van Nuys, CA 91406
I am a Licensed Clinical Social Worker and a graduate of Clark Atlanta University Social Work graduate program with a focus on mental health.
I am a Licensed Clinical Social Worker and a graduate of Clark Atlanta University Social Work graduate program with a focus on mental health.
(747) 318-4502 View (747) 318-4502
1

See more therapy options for 91406

How does your Therapist compare?

Number of Therapists in 91406

50+

Average cost per session

$165

Therapists in 91406 who prioritize treating:

95% Anxiety
90% Depression
81% Coping Skills
71% Self Esteem
69% Relationship Issues
66% Trauma and PTSD
66% Stress

Average years in practice

11 Years

Top 3 insurances accepted

80% Cigna and Evernorth
80% UnitedHealthcare UHC | UBH
78% Aetna

How Therapists in 91406 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 91406?

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.