Therapists in Upland, CA
If you have low self esteem, are feeling worthless, and feeling like you’re not enough, you’re not alone. We all need support and guidance and to feel seen and heard. I can help you explore what you need to grow in new ways. I accept everyone exactly as they are no matter what that looks like. I will guide you to gain confidence, strength and self worth. I can help you discover your true self and accept yourself as you are. I believe we all want to be seen and heard, and tell our stories. If you’re ready for change, let me guide you. Call me for a free consultation, lets grow together.
If you have low self esteem, are feeling worthless, and feeling like you’re not enough, you’re not alone. We all need support and guidance and to feel seen and heard. I can help you explore what you need to grow in new ways. I accept everyone exactly as they are no matter what that looks like. I will guide you to gain confidence, strength and self worth. I can help you discover your true self and accept yourself as you are. I believe we all want to be seen and heard, and tell our stories. If you’re ready for change, let me guide you. Call me for a free consultation, lets grow together.
Are you struggling with anxiety, constant worry, overthinking, low energy, and/or physical symptoms (nausea, stomachaches, shortness of breath, headaches, etc.)? Is your mental health getting in the way of your daily functioning? Do you want to work on your mental health, but don't know where to start? If so, then I am here to help. My practice consists of looking at each individual from a holistic matter to better understand all the aspects that are causing distress to your life.
Are you struggling with anxiety, constant worry, overthinking, low energy, and/or physical symptoms (nausea, stomachaches, shortness of breath, headaches, etc.)? Is your mental health getting in the way of your daily functioning? Do you want to work on your mental health, but don't know where to start? If so, then I am here to help. My practice consists of looking at each individual from a holistic matter to better understand all the aspects that are causing distress to your life.
Tranquilidad Wellbeing and Psychological Services
Psychologist, PsyD
Verified Verified
Upland, CA 91786 (Online Only)
My name is Dr. Leticia Gutiérrez-López, a Bilingual (Spanish/English) Psychologist serving all age groups. My treatment philosophy is focused on overall wellbeing and I believe in treating the whole person and not just their symptoms or diagnosis. I listen with empathy, help my clients develop a tool kit of wellbeing coping strategies, and strive to instill hope.
My name is Dr. Leticia Gutiérrez-López, a Bilingual (Spanish/English) Psychologist serving all age groups. My treatment philosophy is focused on overall wellbeing and I believe in treating the whole person and not just their symptoms or diagnosis. I listen with empathy, help my clients develop a tool kit of wellbeing coping strategies, and strive to instill hope.
My goal is to restore health, well-being, and purpose, and to facilitate connection between clients and their loved ones. I believe that problems arise when people become disconnected from themselves and others. They become stuck in patterns of fear and anxious clinging, detachment and avoidance, disappointment and anger. The unpleasant residue of old traumas, disappointments, and losses interferes with people's success and joy in life. I help people release old patterns and reconnect to their life energy so they can enjoy healthy functioning, experience lovingkindness for self and others, and remember their life purpose.
My goal is to restore health, well-being, and purpose, and to facilitate connection between clients and their loved ones. I believe that problems arise when people become disconnected from themselves and others. They become stuck in patterns of fear and anxious clinging, detachment and avoidance, disappointment and anger. The unpleasant residue of old traumas, disappointments, and losses interferes with people's success and joy in life. I help people release old patterns and reconnect to their life energy so they can enjoy healthy functioning, experience lovingkindness for self and others, and remember their life purpose.
Feeling discouraged, stuck, or confused? Have you lost the spring in your step even though your life looks great on the outside? Feel frustrated in your relationships? Sick and tired, of being sick and tired? Or maybe you feel anxious, hyper vigilant, or panic stricken. You can heal from painful experiences, shift limiting beliefs and create an intentional authentic life as you live from meaning and soul. If you want something different, you must do something different. Call now and we can explore your goals for our time together. With your input we will tailor a plan implementing proven methods.
Feeling discouraged, stuck, or confused? Have you lost the spring in your step even though your life looks great on the outside? Feel frustrated in your relationships? Sick and tired, of being sick and tired? Or maybe you feel anxious, hyper vigilant, or panic stricken. You can heal from painful experiences, shift limiting beliefs and create an intentional authentic life as you live from meaning and soul. If you want something different, you must do something different. Call now and we can explore your goals for our time together. With your input we will tailor a plan implementing proven methods.
Robin Lynn Rockafellow
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Upland, CA 91786
I will treat you with respect, genuine care & compassion. I have a Cognitive-Behavioral approach in counseling that focuses on the "here & now", explores how your thoughts, feelings & behaviors affect your well being. I will be building on your strengths, promoting positive communications, encouraging positive coping strategies, increasing awareness of boundaries & problem solving skills that will enhance your relationships. CBT can help you to make sense of overwhelming problems by breaking them down into smaller manageable parts. Be empowered to move towards success & reach your full potential. Positive change is around the corner if you commit yourself to the journey.
I will treat you with respect, genuine care & compassion. I have a Cognitive-Behavioral approach in counseling that focuses on the "here & now", explores how your thoughts, feelings & behaviors affect your well being. I will be building on your strengths, promoting positive communications, encouraging positive coping strategies, increasing awareness of boundaries & problem solving skills that will enhance your relationships. CBT can help you to make sense of overwhelming problems by breaking them down into smaller manageable parts. Be empowered to move towards success & reach your full potential. Positive change is around the corner if you commit yourself to the journey.
Ramiro Agustin Ferreyra
Marriage & Family Therapist Associate, AMFT
Verified Verified
Upland, CA 91786
As an Associate Marriage and Family therapist with over 4 years of experience in the mental health field, I have witnessed firsthand the numerous challenges individuals face daily. Work-life balance, financial strain, and navigating rapid societal changes further compound these challenges, making it crucial for individuals to seek support and strategies to manage their mental health effectively. I believe that addressing these modern challenges requires a holistic approach that recognizes the interconnectedness of physical, emotional, and social factors, promoting resilience and fostering a healthier mindset.
As an Associate Marriage and Family therapist with over 4 years of experience in the mental health field, I have witnessed firsthand the numerous challenges individuals face daily. Work-life balance, financial strain, and navigating rapid societal changes further compound these challenges, making it crucial for individuals to seek support and strategies to manage their mental health effectively. I believe that addressing these modern challenges requires a holistic approach that recognizes the interconnectedness of physical, emotional, and social factors, promoting resilience and fostering a healthier mindset.
We all have problems some greater than others and some more painful with long lasting symptoms that impact our here and now. At times it feels as if our feelings are invalid or rejected by others causing significant conflict with others. These issues have a solution and with the grace of God and through a gradual process of intentional exploring of our belief system we can learn and heal these wounds. The benefits of this process is more meaningful relationships with others and acceptance of the self. If you dare to search within, this journey can guide you to love, accept, and gain a new understanding.
We all have problems some greater than others and some more painful with long lasting symptoms that impact our here and now. At times it feels as if our feelings are invalid or rejected by others causing significant conflict with others. These issues have a solution and with the grace of God and through a gradual process of intentional exploring of our belief system we can learn and heal these wounds. The benefits of this process is more meaningful relationships with others and acceptance of the self. If you dare to search within, this journey can guide you to love, accept, and gain a new understanding.
Lynn Aguilar For Disordered Eating
Marriage & Family Therapist, MA, LMFT, CIT
Verified Verified
1 Endorsed
Upland, CA 91786
Are you a woman who is successful in her career, successful at most projects you tackle, but unable to manage your relationship with food? Are you a walking encyclopedia about calories, carbs, macros, keto, etc. but it doesn’t help? Are you assaulted by clothes that don’t fit each time you open your closet? Are you having a good day only because the scale said it’s ok? Changing outfits over and over before believing you look OK. Thinking you could make up for yesterday's binge by not eating today and then going to bed in pain (again) because you ate so much. Wanting to enjoy intimacy but only if the lights are off.
Are you a woman who is successful in her career, successful at most projects you tackle, but unable to manage your relationship with food? Are you a walking encyclopedia about calories, carbs, macros, keto, etc. but it doesn’t help? Are you assaulted by clothes that don’t fit each time you open your closet? Are you having a good day only because the scale said it’s ok? Changing outfits over and over before believing you look OK. Thinking you could make up for yesterday's binge by not eating today and then going to bed in pain (again) because you ate so much. Wanting to enjoy intimacy but only if the lights are off.
My name is Carrington Singmaster, I received my Masters in Counseling Psychology with an emphasis in depth psychology from Pacifica Graduate Institute. I worked in a residential treatment center in Tucson, AZ assisting clients with Co-Occurring Disorders. Throughout my time accruing my hours for licensure I worked at the Ojai Unified School District as a psychotherapist assisting children K-12. In addition to currently having a private practice, I work for a nonprofit that employs the methodology called Equine Assisted Psychotherapy, where I incorporate horses into the therapeutic intervention.
My name is Carrington Singmaster, I received my Masters in Counseling Psychology with an emphasis in depth psychology from Pacifica Graduate Institute. I worked in a residential treatment center in Tucson, AZ assisting clients with Co-Occurring Disorders. Throughout my time accruing my hours for licensure I worked at the Ojai Unified School District as a psychotherapist assisting children K-12. In addition to currently having a private practice, I work for a nonprofit that employs the methodology called Equine Assisted Psychotherapy, where I incorporate horses into the therapeutic intervention.
Do you feel alone, not good enough, struggle with hurtful memories, or feel stuck? I work with children, families, couples, and adults who struggle with issues related to feelings of worthlessness, depression, anxiety, guilt, and shame. I specialize in working with those who have experienced traumatic events and am particularly passionate about working with survivors of sexual abuse. I provide a safe environment to explore these issues in order to help you reconnect with who you are and desire to be.
Do you feel alone, not good enough, struggle with hurtful memories, or feel stuck? I work with children, families, couples, and adults who struggle with issues related to feelings of worthlessness, depression, anxiety, guilt, and shame. I specialize in working with those who have experienced traumatic events and am particularly passionate about working with survivors of sexual abuse. I provide a safe environment to explore these issues in order to help you reconnect with who you are and desire to be.
15 Second Videos
Yuliana Nemes
Cindy Chou
Melissa Felix
(Mysti) Michelle Pruett
Luis Resendez
Lucia Lopez Plunkett
Gloria Haywood
Stephanie Goldsmith
Kirsten Bonaventura
Ben Benjamin
Sarah Pemberton
Christopher Michael
Angela Talbot Child Family Therapy
Inrijaimelina Constancio
Best Life Counseling Services
Gabrielle Rose Gonzalez
Maria L Vargas
Summer Forlenza | EMDR + Ketamine Assisted Therapy
Andreana Mabry EMDR Intensives
Truth Healing & Evolution Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Upland, CA 91786
I am a licensed marriage and family therapist (LMFT) & clinical life coach, owner of Truth, Healing & Evolution Counseling Services and WLW HEALING HOUSE, and founder of T.H.E. iLove Me Experiences and “My Warrior Life” movement. With over 17 years of experience, I work to provide clients with safe spaces to freely express themselves, encourage them to “stretch & grow” and teaches them the coping skills necessary to assist in their healing. I Am Passionate About: Normalizing Radical SelfCare and teaching clients about their WHOLE Being; focusing on the connections and relationships between their Spirit, Soul, Mind and Body.
I am a licensed marriage and family therapist (LMFT) & clinical life coach, owner of Truth, Healing & Evolution Counseling Services and WLW HEALING HOUSE, and founder of T.H.E. iLove Me Experiences and “My Warrior Life” movement. With over 17 years of experience, I work to provide clients with safe spaces to freely express themselves, encourage them to “stretch & grow” and teaches them the coping skills necessary to assist in their healing. I Am Passionate About: Normalizing Radical SelfCare and teaching clients about their WHOLE Being; focusing on the connections and relationships between their Spirit, Soul, Mind and Body.
Dr. Allen E. Lipscomb, PsyD, LCSW
Clinical Social Work/Therapist, PsyD, LCSW
Verified Verified
2 Endorsed
Upland, CA 91786
Waitlist for new clients
Dr. Lipscomb has his doctorate in psychology with a clinical emphasis in marriage, family and child psychotherapy. Dr. Lipscomb is a licensed clinical social worker who provides psychotherapy, counseling and coaching services. He provides services to individuals, couples, children/youth and families. He specializes in areas such as: Depression, Anxiety, Grief and Loss, Relationship Issues, and Trauma. Ultimately, he provides an affirming, culturally responsive, and anti-oppressive therapeutic environment for individuals to grow and thrive.
Dr. Lipscomb has his doctorate in psychology with a clinical emphasis in marriage, family and child psychotherapy. Dr. Lipscomb is a licensed clinical social worker who provides psychotherapy, counseling and coaching services. He provides services to individuals, couples, children/youth and families. He specializes in areas such as: Depression, Anxiety, Grief and Loss, Relationship Issues, and Trauma. Ultimately, he provides an affirming, culturally responsive, and anti-oppressive therapeutic environment for individuals to grow and thrive.
Norina Verduzco-Murphy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Upland, CA 91786
As a licensed therapist, I see my role as one in which I assist clients in creating an emotional, physical and spiritual balance in their lives. My therapy style is based on a variety of approaches with consideration of each client's values, cultural identity, strengths, and life experiences. I am particularly skilled in working with parenting, children, living with chronic pain/illness, trauma,survivors of child abuse, depression/anxiety, grief, postpartum mood d/o, and pregnancy/infant loss. I enjoy working collaboratively with clients to help them make lasting change.
As a licensed therapist, I see my role as one in which I assist clients in creating an emotional, physical and spiritual balance in their lives. My therapy style is based on a variety of approaches with consideration of each client's values, cultural identity, strengths, and life experiences. I am particularly skilled in working with parenting, children, living with chronic pain/illness, trauma,survivors of child abuse, depression/anxiety, grief, postpartum mood d/o, and pregnancy/infant loss. I enjoy working collaboratively with clients to help them make lasting change.
Ashley E Hill
Marriage & Family Therapist, LMFT, MA
Verified Verified
1 Endorsed
Upland, CA 91786 (Online Only)
Whether you know exactly what you want to work on, or you know something is off, but you are not sure what, as long as you want to grow and change, I can help you. I specialize in working with couples, from helping you through challenging times, to improving every day interactions, to increasing your relationship satisfaction. I have experience working with family issues, parent/child relationships, and supporting individuals who are facing upcoming transitions. I currently contract with schools and clinics to offer clinical supervision to interns/trainees from local colleges.
Whether you know exactly what you want to work on, or you know something is off, but you are not sure what, as long as you want to grow and change, I can help you. I specialize in working with couples, from helping you through challenging times, to improving every day interactions, to increasing your relationship satisfaction. I have experience working with family issues, parent/child relationships, and supporting individuals who are facing upcoming transitions. I currently contract with schools and clinics to offer clinical supervision to interns/trainees from local colleges.
Del Sol Psychological Center
Pre-Licensed Professional, PsyD, MA, MFT
Verified Verified
Upland, CA 91786
"I believe that challenges are what make life interesting; overcoming them is what makes life meaningful."
"The journey to walk into the light begins with the desire to take your life to the next level; If there is light in the soul, there will be beauty in the person. If there if beuty in the person, there will be harmony in the house. If there is harmony in the house, there will be order in the nation. if there order in the nation, there will be peace in the world.
-Ancient Proverb
Dr. Julieta Mayra is a Marriage and Family Therapist with more then 8 years of clinical and social services experience.
"I believe that challenges are what make life interesting; overcoming them is what makes life meaningful."
"The journey to walk into the light begins with the desire to take your life to the next level; If there is light in the soul, there will be beauty in the person. If there if beuty in the person, there will be harmony in the house. If there is harmony in the house, there will be order in the nation. if there order in the nation, there will be peace in the world.
-Ancient Proverb
Dr. Julieta Mayra is a Marriage and Family Therapist with more then 8 years of clinical and social services experience.
Heather Y. Daniels
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
Upland, CA 91784
Bicoastal virtual therapy in CA and Washington, DC and now offering walk-and-talk therapy in the greater LA region. I specialize in anxiety and depression, grief, coping with school and work demands, parenting, and religious trauma while utilizing a cognitive behavioral approach along with meditation and mindfulness. I strongly believe in the mind-body connection and explore this with my clients. Therapy works best when the therapist and client work together toward client-driven goals and will provide a safe and supportive place for you to focus on yourself and your well-being.
Bicoastal virtual therapy in CA and Washington, DC and now offering walk-and-talk therapy in the greater LA region. I specialize in anxiety and depression, grief, coping with school and work demands, parenting, and religious trauma while utilizing a cognitive behavioral approach along with meditation and mindfulness. I strongly believe in the mind-body connection and explore this with my clients. Therapy works best when the therapist and client work together toward client-driven goals and will provide a safe and supportive place for you to focus on yourself and your well-being.
April Solange Wozencroft
Marriage & Family Therapist, LMFT, DMFT
Verified Verified
1 Endorsed
Upland, CA 91786
Waitlist for new clients
It is a vulnerable thing to seek help and an act of courage. My experience has been with adults and adolescents. I have experience assisting men and women with acute Depression, Anxiety, Post Traumatic Stress Disorder, Drug and Alcohol Addiction, and Eating Disorders. My experience does encompass family therapy in addition to couple's therapy. I have worked with at risk youth that struggle with ADHD, ADD, Autism, Oppositional Defiance, Addiction, Conduct Disorders, Anxiety, and Mood Disorder with and without psychotic features. I know that I can help allow me to prove it even if it comes in the form of another referral.
It is a vulnerable thing to seek help and an act of courage. My experience has been with adults and adolescents. I have experience assisting men and women with acute Depression, Anxiety, Post Traumatic Stress Disorder, Drug and Alcohol Addiction, and Eating Disorders. My experience does encompass family therapy in addition to couple's therapy. I have worked with at risk youth that struggle with ADHD, ADD, Autism, Oppositional Defiance, Addiction, Conduct Disorders, Anxiety, and Mood Disorder with and without psychotic features. I know that I can help allow me to prove it even if it comes in the form of another referral.
I enjoy working with those who identify as introverts, people-pleasers, and over-thinkers, because these are also the people whose needs are often overlooked. Whether you are someone who is easily overwhelmed, feels misunderstood, or worries that you're "too sensitive" or "too emotional," my goal is to provide a safe and supportive environment where you can focus on healing, growing, and just being you.
I enjoy working with those who identify as introverts, people-pleasers, and over-thinkers, because these are also the people whose needs are often overlooked. Whether you are someone who is easily overwhelmed, feels misunderstood, or worries that you're "too sensitive" or "too emotional," my goal is to provide a safe and supportive environment where you can focus on healing, growing, and just being you.
Life is a compilation of panoramic photographs; when our images are torn, we attempt to tape them back together. Sometimes, we fixate on the imperfections of the pictures. Well, let’s step back for a moment — have you ever retaken a photo and thought, “Wait, this photo looks better than the last one”? What if that was possible for our lives, too? The key is repositioning ourselves and examining our camera's point of view. I dare you to be the photographer of your life. I want to see your photo album. You do not need to edit your photographs to make yourself look more appealing; trust me, you are already enough. :)
Life is a compilation of panoramic photographs; when our images are torn, we attempt to tape them back together. Sometimes, we fixate on the imperfections of the pictures. Well, let’s step back for a moment — have you ever retaken a photo and thought, “Wait, this photo looks better than the last one”? What if that was possible for our lives, too? The key is repositioning ourselves and examining our camera's point of view. I dare you to be the photographer of your life. I want to see your photo album. You do not need to edit your photographs to make yourself look more appealing; trust me, you are already enough. :)
See more therapy options for Upland
How does your Therapist compare?
Number of Therapists in Upland, CA
200+
Average cost per session
$150
Therapists in Upland, CA who prioritize treating:
94% | Anxiety |
90% | Depression |
80% | Relationship Issues |
75% | Self Esteem |
70% | Trauma and PTSD |
68% | Grief |
68% | Stress |
Average years in practice
13 Years
Top 3 insurances accepted
59% | Aetna |
53% | Cigna and Evernorth |
52% | UnitedHealthcare UHC | UBH |
How Therapists in Upland, CA see their clients
78% | In Person and Online | |
22% | Online Only |
Gender breakdown
82% | Female | |
17% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Upland?
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.