Therapists in Fenton, MO

Photo of Greg Pfeffer, MA, LPC, Licensed Professional Counselor
Greg Pfeffer
Licensed Professional Counselor, MA, LPC
Verified Verified
Fenton, MO 63026
Waitlist for new clients
I believe that marriage is a lifelong commitment and I also believe that it is a difficult task to maintain a healthy relationship over the course of the marriage. I seek to work with both partners in the relationship to help each discover ways they can support one another. I believe when both partners feel safe and secure in the relationship that most problems that arise are able to be dealt with in a healthy manner.
I believe that marriage is a lifelong commitment and I also believe that it is a difficult task to maintain a healthy relationship over the course of the marriage. I seek to work with both partners in the relationship to help each discover ways they can support one another. I believe when both partners feel safe and secure in the relationship that most problems that arise are able to be dealt with in a healthy manner.
(636) 264-8860 View (636) 264-8860
Photo of Tim Messer, MA, Licensed Professional Counselor
Tim Messer
Licensed Professional Counselor, MA
Verified Verified
Fenton, MO 63026  (Online Only)
Are you trying to figure out how to manage challenging emotions? Are you tired of trying to figure out how to manage anxiety, stress, and the wear and tear of day-to-day life? Relationship struggles, job stress, and many other factors can present difficulties that are hard to navigate. If you are motivated to change the downward cycles that are so easy to get stuck in, let’s get started.
Are you trying to figure out how to manage challenging emotions? Are you tired of trying to figure out how to manage anxiety, stress, and the wear and tear of day-to-day life? Relationship struggles, job stress, and many other factors can present difficulties that are hard to navigate. If you are motivated to change the downward cycles that are so easy to get stuck in, let’s get started.
(636) 205-8007 View (636) 205-8007
Photo of Mirranda Cardinali - Osage Valley Counseling, LLC, Licensed Professional Counselor
Osage Valley Counseling, LLC
Licensed Professional Counselor
Verified Verified
2 Endorsed
Fenton, MO 63026
At Osage Valley Counseling, our mission is to provide compassionate and effective trauma-informed therapy, guided by evidence based practices. Through our specialized approach, we empower individuals to reclaim their lives, restore resilience, and embrace their future. We uphold the highest standards of integrity and hold a deep commitment to the quality of knowledge, and its application within the field of mental health. Our guiding values encompass integrity, expertise, and collaboration built on a foundation of accountability and confidentiality.
At Osage Valley Counseling, our mission is to provide compassionate and effective trauma-informed therapy, guided by evidence based practices. Through our specialized approach, we empower individuals to reclaim their lives, restore resilience, and embrace their future. We uphold the highest standards of integrity and hold a deep commitment to the quality of knowledge, and its application within the field of mental health. Our guiding values encompass integrity, expertise, and collaboration built on a foundation of accountability and confidentiality.
(636) 303-1646 View (636) 303-1646
Photo of Angel M Coleman, MA, PLPC, Licensed Professional Counselor
Angel M Coleman
Licensed Professional Counselor, MA, PLPC
Verified Verified
1 Endorsed
Fenton, MO 63026  (Online Only)
Life is challenging at times and each of us manages those challenges in a different way, but none of us has to face those challenges alone. Do you find yourself not wanting to feel your emotions because it makes you uncomfortable? Maybe you are not sure if therapy is the right path for you? Maybe you feel like things are out of your control? You do not have to try and face these obstacles alone. I am here to help you navigate your way through the challenge and create a tool box of skills to use throughout this journey called life.
Life is challenging at times and each of us manages those challenges in a different way, but none of us has to face those challenges alone. Do you find yourself not wanting to feel your emotions because it makes you uncomfortable? Maybe you are not sure if therapy is the right path for you? Maybe you feel like things are out of your control? You do not have to try and face these obstacles alone. I am here to help you navigate your way through the challenge and create a tool box of skills to use throughout this journey called life.
(636) 698-0661 View (636) 698-0661
Photo of Mary Jo Schneller, PhD, CPsyD, Pastoral Counselor
Mary Jo Schneller
Pastoral Counselor, PhD, CPsyD
Verified Verified
1 Endorsed
Fenton, MO 63026
At times, we all experience challenges in our lives that make us feel out of control, out of balance, and disconnected. Despite these challenges, I believe that you can grow and heal. I believe in helping people through Faith based and practical counseling approach that responds to the needs of the whole person. I have a strong commitiment to the strengthening of individuals, marriages and families by promoting excellence in counseling. I specialize in the treatment of PTSD disorders, addictions, and sexual abuse.
At times, we all experience challenges in our lives that make us feel out of control, out of balance, and disconnected. Despite these challenges, I believe that you can grow and heal. I believe in helping people through Faith based and practical counseling approach that responds to the needs of the whole person. I have a strong commitiment to the strengthening of individuals, marriages and families by promoting excellence in counseling. I specialize in the treatment of PTSD disorders, addictions, and sexual abuse.
(314) 315-4236 View (314) 315-4236
Photo of Michael Glover, MA, LPC, Licensed Professional Counselor
Michael Glover
Licensed Professional Counselor, MA, LPC
Verified Verified
Fenton, MO 63026
You lay awake staring at the ceiling; wondering how you can feel so alone next to the person you love. When things are great - they're great! Lately, however, the good days are few and far between. Communication is at a standstill, widening the space that is growing between you. Silence is the theme that looms over the house. You're simply coexisting, longing for intimacy, but unable to navigate the chasm that separates you. You ask, “Is this what our future looks like?” Throwing yourself into hobbies, sneaking glances at one another behind your phone screen from across the room. You both need more than this, but where do you begin?
You lay awake staring at the ceiling; wondering how you can feel so alone next to the person you love. When things are great - they're great! Lately, however, the good days are few and far between. Communication is at a standstill, widening the space that is growing between you. Silence is the theme that looms over the house. You're simply coexisting, longing for intimacy, but unable to navigate the chasm that separates you. You ask, “Is this what our future looks like?” Throwing yourself into hobbies, sneaking glances at one another behind your phone screen from across the room. You both need more than this, but where do you begin?
(314) 470-8296 View (314) 470-8296
Photo of Erin Elizabeth Chilson-Available Friday Evenings And Saturdays, MEd, NCC, LPC, Licensed Professional Counselor
Erin Elizabeth Chilson-Available Friday Evenings And Saturdays
Licensed Professional Counselor, MEd, NCC, LPC
Verified Verified
1 Endorsed
Fenton, MO 63026
Not accepting new clients
My name is Erin Chilson, and I have my Master’s degree in counseling from the University of Missouri-Saint Louis. I have been providing mental health treatment to adults, children, couples, and groups, dealing with anxiety, depression, crisis situations, childhood disorders, autism, ADD/ADHD, relationship issues, anger management and more. My therapeutic approach is client-centered, with an emphasis on cognitive behavioral approaches. I feel that it is important to work with clients by creating a safe, positive, and trusting environment, in order for the client to be heard and to feel validated. I look forward to meeting with you.
My name is Erin Chilson, and I have my Master’s degree in counseling from the University of Missouri-Saint Louis. I have been providing mental health treatment to adults, children, couples, and groups, dealing with anxiety, depression, crisis situations, childhood disorders, autism, ADD/ADHD, relationship issues, anger management and more. My therapeutic approach is client-centered, with an emphasis on cognitive behavioral approaches. I feel that it is important to work with clients by creating a safe, positive, and trusting environment, in order for the client to be heard and to feel validated. I look forward to meeting with you.
(636) 428-3792 View (636) 428-3792
Photo of Lauren Starich, MS, LPC, Counselor
Lauren Starich
Counselor, MS, LPC
Verified Verified
1 Endorsed
Fenton, MO 63026
Hello there! I'm Lauren, an EMDR-trained therapist. I am here to support you through life's challenges. From family dynamics to attachment struggles and PTSD, I'm dedicated to providing a safe, empathetic space for your healing journey. Together, let's untangle the past, alleviate distress, and pave the way for a brighter future. Reach out today.
Hello there! I'm Lauren, an EMDR-trained therapist. I am here to support you through life's challenges. From family dynamics to attachment struggles and PTSD, I'm dedicated to providing a safe, empathetic space for your healing journey. Together, let's untangle the past, alleviate distress, and pave the way for a brighter future. Reach out today.
(636) 942-6826 View (636) 942-6826
Photo of Rachael Rehagen, LPC Intern
Rachael Rehagen
LPC Intern
Verified Verified
3 Endorsed
Fenton, MO 63026
Waitlist for new clients
I am passionate about working with individuals who are seeking to reconnect with themselves and grow their resiliency, especially if they are experiencing anxiety, depression, or trauma. I also work with children and their families to build a toolbox of healthy coping skills, self-confidence, and self-compassion to overcome anxiety, behavioral challenges, bullying, or trauma. As a companion along your journey, I am here to assist you in navigating life's challenges, embracing self-acceptance and compassion, and celebrating your growth and reconnection to yourself!
I am passionate about working with individuals who are seeking to reconnect with themselves and grow their resiliency, especially if they are experiencing anxiety, depression, or trauma. I also work with children and their families to build a toolbox of healthy coping skills, self-confidence, and self-compassion to overcome anxiety, behavioral challenges, bullying, or trauma. As a companion along your journey, I am here to assist you in navigating life's challenges, embracing self-acceptance and compassion, and celebrating your growth and reconnection to yourself!
(636) 229-9813 View (636) 229-9813
Photo of Elizabeth Strautz - SSM Health Behavioral Health at St. Clare Hospital, LCSW, Clinical Social Work/Therapist
SSM Health Behavioral Health at St. Clare Hospital
Clinical Social Work/Therapist, LCSW
Verified Verified
Fenton, MO 63026
SSM Health Behavioral Health offers an Intensive Outpatient Program (IOP), specifically designed for young people struggling with mental, emotional, and behavioral problems. Our Youth and Family IOP aims to help teens reduce symptoms through developing skills to promote self-awareness, and emotional regulation. Our team understands the complexity of mental and behavioral issues and we believe it’s imperative to take a comprehensive approach to caring for each person to strengthen the whole family system.
SSM Health Behavioral Health offers an Intensive Outpatient Program (IOP), specifically designed for young people struggling with mental, emotional, and behavioral problems. Our Youth and Family IOP aims to help teens reduce symptoms through developing skills to promote self-awareness, and emotional regulation. Our team understands the complexity of mental and behavioral issues and we believe it’s imperative to take a comprehensive approach to caring for each person to strengthen the whole family system.
(636) 492-2164 View (636) 492-2164
Photo of Meredith McCannon, LPC, Licensed Professional Counselor
Meredith McCannon
Licensed Professional Counselor, LPC
Verified Verified
Fenton, MO 63026  (Online Only)
My name is Meredith McCannon. I am a licensed professional counselor in the state of Missouri. My approach to therapy is client-centered and solution focused. I have a degree in Community counseling and have worked with all ages. The most common diagnosis is PTSD, MDD, GAD, Bi-polar, and borderline personality disorder. My therapeutic approach has a few theories involved. I used DBT and CBT for mindfulness and thought, feeling, behavior chain. I believe in building rapport and trust with clients to be able to work together on solutions.
My name is Meredith McCannon. I am a licensed professional counselor in the state of Missouri. My approach to therapy is client-centered and solution focused. I have a degree in Community counseling and have worked with all ages. The most common diagnosis is PTSD, MDD, GAD, Bi-polar, and borderline personality disorder. My therapeutic approach has a few theories involved. I used DBT and CBT for mindfulness and thought, feeling, behavior chain. I believe in building rapport and trust with clients to be able to work together on solutions.
(636) 782-3264 View (636) 782-3264
Photo of Macy Elizabeth Pilgrim - Osage Valley Counseling LLC, Pre-Licensed Professional
Osage Valley Counseling LLC
Pre-Licensed Professional
Verified Verified
1 Endorsed
Fenton, MO 63026
I am equipped to work with children, adolescents, and adults. My expertise lies in helping those who experience emotional dysregulation, impulsivity, and interpersonal conflict. I assist clients who want to feel understood, learn practical coping skills, increase their autonomy and self-control, or achieve personal growth.
I am equipped to work with children, adolescents, and adults. My expertise lies in helping those who experience emotional dysregulation, impulsivity, and interpersonal conflict. I assist clients who want to feel understood, learn practical coping skills, increase their autonomy and self-control, or achieve personal growth.
(636) 791-6141 View (636) 791-6141
Photo of Mary Downey-Jones, MA, LPC, Licensed Professional Counselor
Mary Downey-Jones
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Fenton, MO 63026
Welcome to your new beginning! I am here to walk beside you through the healing process and to guide you towards a healthier version of yourself. I believe in the power of the therapeutic relationship. I genuinely value the importance of building rapport with clients and to support clients finding a therapist they feel is a good fit for them based on their individual treatment needs and goals. I believe in the inherent resilience of the human spirit and embrace a strength-based lens when working with individuals who have experienced trauma as well as other challenges and stressors.
Welcome to your new beginning! I am here to walk beside you through the healing process and to guide you towards a healthier version of yourself. I believe in the power of the therapeutic relationship. I genuinely value the importance of building rapport with clients and to support clients finding a therapist they feel is a good fit for them based on their individual treatment needs and goals. I believe in the inherent resilience of the human spirit and embrace a strength-based lens when working with individuals who have experienced trauma as well as other challenges and stressors.
(636) 942-6970 View (636) 942-6970
Photo of Hope Watkins, Pre-Licensed Professional
Hope Watkins
Pre-Licensed Professional
Verified Verified
1 Endorsed
Fenton, MO 63026
Are you overwhelmed with worry, sadness, or intrusive thoughts? Are you feeling stuck in life? Do you find yourself pushing away your emotions because they are uncomfortable? It can be challenging to deal with everything life throws at you. Sometimes we can carry the weight of past experiences for years, not knowing how to overcome the build-up of negative experiences and thoughts. Wouldn’t it be wonderful to feel in control of your thoughts and emotions rather than being held at their mercy? It can be a challenging road, but it is well worth the effort.
Are you overwhelmed with worry, sadness, or intrusive thoughts? Are you feeling stuck in life? Do you find yourself pushing away your emotions because they are uncomfortable? It can be challenging to deal with everything life throws at you. Sometimes we can carry the weight of past experiences for years, not knowing how to overcome the build-up of negative experiences and thoughts. Wouldn’t it be wonderful to feel in control of your thoughts and emotions rather than being held at their mercy? It can be a challenging road, but it is well worth the effort.
(636) 339-4955 View (636) 339-4955
Photo of Michelle R Manuel-Terry, LPC, Licensed Professional Counselor
Michelle R Manuel-Terry
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Fenton, MO 63026
If you struggle with, depression, anxiety, frustration, or anger issues. If you find yourself a victim of your circumstances, and you want to give up please don't! Do you believe nothing can change for you? Stop that thinking, because that's a lie! Life is a journey. If you have given up today is the day you restart your journey. Health in any form is not a destination because no one can be perfected in the natural. However, you can become comfortable and satisfied with the journey you are on and learn skills to propel yourself forward.
If you struggle with, depression, anxiety, frustration, or anger issues. If you find yourself a victim of your circumstances, and you want to give up please don't! Do you believe nothing can change for you? Stop that thinking, because that's a lie! Life is a journey. If you have given up today is the day you restart your journey. Health in any form is not a destination because no one can be perfected in the natural. However, you can become comfortable and satisfied with the journey you are on and learn skills to propel yourself forward.
(314) 626-8611 View (314) 626-8611
Photo of Kelso Hope, Pre-Licensed Professional
Kelso Hope
Pre-Licensed Professional
Verified Verified
1 Endorsed
Fenton, MO 63026
Hello, I'm Kelso! I believe that every personal story is distinct and manifests from lived experience, culture, and beliefs. I build therapeutic relationships based on collaboration and equality because you are the expert in your unique story. In counseling sessions, I work from a trauma informed lens. You can expect genuine honesty, respect, and acceptance from me as we sift through life's clutter together.
Hello, I'm Kelso! I believe that every personal story is distinct and manifests from lived experience, culture, and beliefs. I build therapeutic relationships based on collaboration and equality because you are the expert in your unique story. In counseling sessions, I work from a trauma informed lens. You can expect genuine honesty, respect, and acceptance from me as we sift through life's clutter together.
(636) 264-9869 View (636) 264-9869
Photo of Mandy Haury, MA, LPC, Licensed Professional Counselor
Mandy Haury
Licensed Professional Counselor, MA, LPC
Verified Verified
Fenton, MO 63026  (Online Only)
Hi, I'm Mandy! Life can be a lot to handle on your own, and I'm here to help. I tend to be a good fit for clients looking for a space to process/organize their thoughts and feelings, or those seeking a more informal therapeutic experience. I view therapy as a partnership, and while I've got some tips and tricks to help you start feeling more in control and less stressed, you are the expert on you. We'll work at your pace, talking through the things you feel are most important - and it's okay if that's not the same thing from week to week. Healing isn't linear; we'll celebrate your successes no matter how big or small.
Hi, I'm Mandy! Life can be a lot to handle on your own, and I'm here to help. I tend to be a good fit for clients looking for a space to process/organize their thoughts and feelings, or those seeking a more informal therapeutic experience. I view therapy as a partnership, and while I've got some tips and tricks to help you start feeling more in control and less stressed, you are the expert on you. We'll work at your pace, talking through the things you feel are most important - and it's okay if that's not the same thing from week to week. Healing isn't linear; we'll celebrate your successes no matter how big or small.
(636) 422-6174 View (636) 422-6174
Photo of Ashley Nagel, MA, PLPC, CRC, Pre-Licensed Professional
Ashley Nagel
Pre-Licensed Professional, MA, PLPC, CRC
Verified Verified
3 Endorsed
Fenton, MO 63026
Ashley Nagel, MA, PLPC, CRC, is a dedicated trauma clinician specializing in supporting Veterans and First Responders. Ashley utilizes trauma-informed care to create a safe and healing space for this community and their families. One of the unique aspects that set Ashley apart as a therapist is her specialized education as a Certified Rehabilitation Counselor. Her expertise lies in providing exceptional support and advocacy to individuals living with disabilities, empowering them to embrace their abilities and recognize their strengths, ultimately leading to a more fulfilling life.
Ashley Nagel, MA, PLPC, CRC, is a dedicated trauma clinician specializing in supporting Veterans and First Responders. Ashley utilizes trauma-informed care to create a safe and healing space for this community and their families. One of the unique aspects that set Ashley apart as a therapist is her specialized education as a Certified Rehabilitation Counselor. Her expertise lies in providing exceptional support and advocacy to individuals living with disabilities, empowering them to embrace their abilities and recognize their strengths, ultimately leading to a more fulfilling life.
(636) 264-8735 View (636) 264-8735
Photo of Natonya Scott, Licensed Professional Counselor
Natonya Scott
Licensed Professional Counselor
Verified Verified
Fenton, MO 63026  (Online Only)
Welcome to Your Therapeutic Journey! Hello and welcome! I'm NaTonya Scott, a Licensed Professional Counselor and Mindset Coach. I have a passion for guiding individuals towards their most effective selves. As a person-centered therapist, I believe in tailoring our therapeutic journey to suit your unique needs and aspirations. My therapeutic approach is integrative and individualized, blending the empathetic principles of person-centered therapy with a goal-directed focus. Together, we'll navigate the path to a healthier and more practical life, addressing the challenges you may be facing with a compassionate yet motivating perspecti
Welcome to Your Therapeutic Journey! Hello and welcome! I'm NaTonya Scott, a Licensed Professional Counselor and Mindset Coach. I have a passion for guiding individuals towards their most effective selves. As a person-centered therapist, I believe in tailoring our therapeutic journey to suit your unique needs and aspirations. My therapeutic approach is integrative and individualized, blending the empathetic principles of person-centered therapy with a goal-directed focus. Together, we'll navigate the path to a healthier and more practical life, addressing the challenges you may be facing with a compassionate yet motivating perspecti
(636) 689-1717 View (636) 689-1717
Photo of Kathleen M Dooling, LPC, Licensed Professional Counselor
Kathleen M Dooling
Licensed Professional Counselor, LPC
Verified Verified
Fenton, MO 63026
I have a great interest in helping others with their daily life, their mental health and their relationships. I believe a therapist can be the objective support person that all people could use. I believe that no one can do it alone.
I have a great interest in helping others with their daily life, their mental health and their relationships. I believe a therapist can be the objective support person that all people could use. I believe that no one can do it alone.
(314) 635-8540 View (314) 635-8540
1

See more therapy options for Fenton

How does your Therapist compare?

Number of Therapists in Fenton, MO

100+

Average cost per session

$100

Therapists in Fenton, MO who prioritize treating:

94% Anxiety
86% Depression
84% Stress
68% Trauma and PTSD
67% Life Transitions
63% Grief
63% Family Conflict

Average years in practice

7 Years

Top 3 insurances accepted

89% Cigna and Evernorth
88% Aetna
83% UnitedHealthcare UHC | UBH

How Therapists in Fenton, MO see their clients

51% In Person and Online
49% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fenton?

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.