Therapists in York, NE
![Photo of Ann M Collingham, MSEd, PLMHP, NCC, Counselor](https://photos.psychologytoday.com/9d16017a-ded6-4faf-b047-ef9ed49f5eb9/2/320x400.jpeg)
I'm here to help when life's curveballs get to be too much. I offer clients a judgement-free space to work through life's toughest issues. I provide care to individuals (6 yrs & older), couples, and families for various areas of concern such as PTSD, depression, anxiety, personality disorders, grief, relationship issues and life transitions.
I'm here to help when life's curveballs get to be too much. I offer clients a judgement-free space to work through life's toughest issues. I provide care to individuals (6 yrs & older), couples, and families for various areas of concern such as PTSD, depression, anxiety, personality disorders, grief, relationship issues and life transitions.
![Photo of Bobbie Alley-Tonniges - Red Couch Counseling, LLC, LIMHP, Counselor](https://photos.psychologytoday.com/01aa5691-5134-483f-8a2a-0590adf64f66/1/320x400.jpeg)
NOW accepting new clients! Red Couch Counseling provides outpatient mental health counseling and medication management. We have four therapists; Erika, Bobbie, Dr. Ervin, and Jill. Holly Eckhart, PMHNP-BC provides medication management. Erika Jones, LIMHP, PLADC works with adolescents and adults. Erika has additional training in drug and alcohol and is able to complete drug and alcohol evaluations. Erika is also a probation approved provider.
NOW accepting new clients! Red Couch Counseling provides outpatient mental health counseling and medication management. We have four therapists; Erika, Bobbie, Dr. Ervin, and Jill. Holly Eckhart, PMHNP-BC provides medication management. Erika Jones, LIMHP, PLADC works with adolescents and adults. Erika has additional training in drug and alcohol and is able to complete drug and alcohol evaluations. Erika is also a probation approved provider.
![Photo of Renee Lynn Duffek, MA, LIMHP, LADC, Licensed Professional Counselor](https://photos.psychologytoday.com/7605b39f-d308-462c-9b5f-c4ef820a4813/1/320x400.jpeg)
Many people who feel anxious and depressed get to comfortable with these negative emotions. Often these are trauma responses that can be very unconscious. Healing comes from awareness and knowing that you can get better once you do the work. Having good coping techniques and changing beliefs is key.
Many people who feel anxious and depressed get to comfortable with these negative emotions. Often these are trauma responses that can be very unconscious. Healing comes from awareness and knowing that you can get better once you do the work. Having good coping techniques and changing beliefs is key.
![Photo of Stacey Michels, MA, LIMHP, LADC, Counselor](https://photos.psychologytoday.com/3bf505f7-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am a Licensed Independent Mental Health Practitioner, (three years in a residential setting and 12 years in private practice). I am also licensed as a Drug and Alcohol Counselor. I have experience working with adolescents, adults, and elders in dealing with issues of grief, anxiety, depression, self-esteem, divorce, domestic violence, victims of abuse (both victim and perpetrator), posttraumatic stress disorder, and addictions.
I am a Licensed Independent Mental Health Practitioner, (three years in a residential setting and 12 years in private practice). I am also licensed as a Drug and Alcohol Counselor. I have experience working with adolescents, adults, and elders in dealing with issues of grief, anxiety, depression, self-esteem, divorce, domestic violence, victims of abuse (both victim and perpetrator), posttraumatic stress disorder, and addictions.
![Photo of Leslie Jane Deal, LIMHP](https://photos.psychologytoday.com/30ada460-a33d-4f81-855b-b525598ace7e/1/320x400.jpeg)
Life can be challenging and difficult. I am deeply passionate about helping others through those challenges. I have many years of counseling experience and have worked with many demographics of people including: couples, singles, parents, children, and adolescents. I am intensely strength based and believe in identifying the strengths of individuals to help them find solutions to their problems.
Life can be challenging and difficult. I am deeply passionate about helping others through those challenges. I have many years of counseling experience and have worked with many demographics of people including: couples, singles, parents, children, and adolescents. I am intensely strength based and believe in identifying the strengths of individuals to help them find solutions to their problems.
![Photo of Emily L Goodman, LIMHP, LADC, PMH-C, Counselor](https://photos.psychologytoday.com/f1e080e8-6747-48cb-8060-1a99164bfb3c/1/320x400.jpeg)
At some point during our life I believe that we have all wanted to hear "it's ok", "me too", to be supported or reinforced through challenging times. I enjoy working with women who have been impacted with anxiety, broken love languages, executive functioning difficulties, cyclical issues surrounding their monthly cycle, maternal mental health, as well as, those who just need someone to talk to. I believe that in our society we have too many pressures of judgment and I strive to provide a free environment. An environment free from judgement, free from stress, and a place to find your best sense of self.
At some point during our life I believe that we have all wanted to hear "it's ok", "me too", to be supported or reinforced through challenging times. I enjoy working with women who have been impacted with anxiety, broken love languages, executive functioning difficulties, cyclical issues surrounding their monthly cycle, maternal mental health, as well as, those who just need someone to talk to. I believe that in our society we have too many pressures of judgment and I strive to provide a free environment. An environment free from judgement, free from stress, and a place to find your best sense of self.
![Photo of Diane C. Marti, PhD, LP, Psychologist](https://photos.psychologytoday.com/405ce560-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
My training has been quite diverse thus I enjoy working with individuals of all ages and needs. My ideal client is an individual who understands the need to seek help or guidance and is willing to work with me on these concerns. I have over 18 years of clinical experience and enjoy working with "systems" (e.g., schools, families, support systems). I prioritize consultation with schools when addressing school-based behaviors such as underachievement, learning disabilities, and bullying concerns. I take a "strength-based" approach, always attempting to work within the clients talents and building from that point forward.
My training has been quite diverse thus I enjoy working with individuals of all ages and needs. My ideal client is an individual who understands the need to seek help or guidance and is willing to work with me on these concerns. I have over 18 years of clinical experience and enjoy working with "systems" (e.g., schools, families, support systems). I prioritize consultation with schools when addressing school-based behaviors such as underachievement, learning disabilities, and bullying concerns. I take a "strength-based" approach, always attempting to work within the clients talents and building from that point forward.
![Photo of Patty Kimberly-Martinez, MA, LIMHP, LCP, Counselor](https://photos.psychologytoday.com/3ca26de1-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Every person wants happiness and contentment, but we also face challenges that leaves us confused, or even stuck. I realize it may not always be easy coming to a therapist, but personal growth, empowerment, and feeling whole are wonderful gifts to yourself. My hope is to foster trust by providing a safe environment to make sense of thoughts, feelings and pain. I love what I do and feel honored to gain your trust and hear about life, joys, and struggles.
Every person wants happiness and contentment, but we also face challenges that leaves us confused, or even stuck. I realize it may not always be easy coming to a therapist, but personal growth, empowerment, and feeling whole are wonderful gifts to yourself. My hope is to foster trust by providing a safe environment to make sense of thoughts, feelings and pain. I love what I do and feel honored to gain your trust and hear about life, joys, and struggles.
![Photo of Theresa Arnett Nickolaus - Sozo Family Services, MA-C, LIMHP, CMHIMP, Counselor](https://photos.psychologytoday.com/684251f3-1d67-4ef5-8f0c-3e7f2f5a67ea/2/320x400.jpeg)
Theresa is the Executive and Clinical Director at Sozo Family Services. She's a proponent of women's health and has dedicated herself to not only treating women but also educating them about the issues affecting their quality of life. She is personally involved in the training and development of all staff at Sozo Family Services to ensure that every person receives the highest level of care. She is a Licensed Independent Mental Health Counselor and a Certified Mental Health Integrative Medicine Provider, to provide complementary alternative medicine.
Theresa is the Executive and Clinical Director at Sozo Family Services. She's a proponent of women's health and has dedicated herself to not only treating women but also educating them about the issues affecting their quality of life. She is personally involved in the training and development of all staff at Sozo Family Services to ensure that every person receives the highest level of care. She is a Licensed Independent Mental Health Counselor and a Certified Mental Health Integrative Medicine Provider, to provide complementary alternative medicine.
![Photo of Carli Israelson-Reiners, MA, PLMHP, Counselor](https://photos.psychologytoday.com/f32aac95-22ef-4255-817c-003ff18d0b32/1/320x400.png)
Carli is known for her background as a Christian counselor, women's wellness, and for being Nebraska's rural resource for telehealth. Raised in rural Nebraska, she is passionate about country life, mamas, & authenticity. In addition to counseling, Carli helps direct a local Health Care Foundation and speaks regionally, with advocacy and faith in mind. Beyond Private Practice, Carli also collaborates with other providers & medical clinics. Focuses listed below. You can see her in person at her rural country location—many clients find this nature & the quiet to be therapeutic! Other locations include Henderson, NE and sessions online.
Carli is known for her background as a Christian counselor, women's wellness, and for being Nebraska's rural resource for telehealth. Raised in rural Nebraska, she is passionate about country life, mamas, & authenticity. In addition to counseling, Carli helps direct a local Health Care Foundation and speaks regionally, with advocacy and faith in mind. Beyond Private Practice, Carli also collaborates with other providers & medical clinics. Focuses listed below. You can see her in person at her rural country location—many clients find this nature & the quiet to be therapeutic! Other locations include Henderson, NE and sessions online.
Online Therapists
![Photo of Jamie Moline, MA, LMHP, CPC, Counselor](https://photos.psychologytoday.com/f31b653a-2a46-4250-b097-30fe4fecc7c9/1/320x400.jpeg)
I specialize in working with adolescents and adults. With 20 years combined experience in education and therapy I have had the honor of helping thousands of individuals and families on their journey to develop and improve their social-emotional, behavioral and mental health and wellness, happiness and overall functioning.
I specialize in working with adolescents and adults. With 20 years combined experience in education and therapy I have had the honor of helping thousands of individuals and families on their journey to develop and improve their social-emotional, behavioral and mental health and wellness, happiness and overall functioning.
![Photo of Ashley Olsen, PLMHP](https://photos.psychologytoday.com/4ec36afd-9271-4c6d-b36b-d5bb7080b970/1/320x400.jpeg)
Experiencing overwhelming feelings or relationship conflict can be so discouraging. It's in these moments where you deserve someone who will listen to you without judgment, give you their undivided attention, and partner with you to create a life that fills you with joy. I make sure your experience with therapy is validating, safe, and individualized to fit your needs.
Experiencing overwhelming feelings or relationship conflict can be so discouraging. It's in these moments where you deserve someone who will listen to you without judgment, give you their undivided attention, and partner with you to create a life that fills you with joy. I make sure your experience with therapy is validating, safe, and individualized to fit your needs.
![Photo of Kelly Marie Martin, MS, LIMHP, LADC, Counselor](https://photos.psychologytoday.com/d54524c3-97b2-4545-a648-d905622f80f1/5/320x400.jpeg)
Kelly Marie Martin
Counselor, MS, LIMHP, LADC
Verified Verified
1 Endorsed
Lincoln, NE 68512
Waitlist for new clients
Hello! My name is Kelly and I provide therapy and counseling for clients struggling with substance use and mental health concerns. I also provide substance use evaluations. I am passionate about helping teens and young adults navigate life’s challenges, and specialize in helping people cope with emotions in healthier ways. I have experience working with adults of all ages, and work well with many different personalities. I believe that everyone deserves a life that’s worth living and is capable of getting there no matter how hopeless things feel.
Hello! My name is Kelly and I provide therapy and counseling for clients struggling with substance use and mental health concerns. I also provide substance use evaluations. I am passionate about helping teens and young adults navigate life’s challenges, and specialize in helping people cope with emotions in healthier ways. I have experience working with adults of all ages, and work well with many different personalities. I believe that everyone deserves a life that’s worth living and is capable of getting there no matter how hopeless things feel.
![Photo of Paige Madonia-Foster, PLMHP](https://photos.psychologytoday.com/81bbc57c-c0dc-49c2-a2da-abfad153bb26/2/320x400.jpeg)
Paige Madonia-Foster
Provisional Mental Health Practitioner, PLMHP
Verified Verified
1 Endorsed
Lincoln, NE 68508
I am here to work with individuals that are experiencing difficult life experiences, big life changes, and those that are seeking to understand more about themselves, their emotions, and behaviors. I strive to have my clients feel heard and understood. Everyone is going through something unique and I like to build a strong and supportive therapeutic relationship to understand those unique needs. I am passionate about helping clients reach their goals and aim to help clients create the life they desire.
I am here to work with individuals that are experiencing difficult life experiences, big life changes, and those that are seeking to understand more about themselves, their emotions, and behaviors. I strive to have my clients feel heard and understood. Everyone is going through something unique and I like to build a strong and supportive therapeutic relationship to understand those unique needs. I am passionate about helping clients reach their goals and aim to help clients create the life they desire.
![Photo of Dr. Katie Reutzel, PhD, RD, LMNT, PLMHP, Counselor](https://photos.psychologytoday.com/0f3d6db1-8169-455c-a360-234df59a5646/2/320x400.jpeg)
My name is Dr. Katie Reutzel and I am a Registered Dietitian and Provisionally Licensed Mental Health Practitioner in the state of Nebraska. I am an adjunct professor at the University of Nebraska-Omaha in addition to offering nutrition and mental health counseling through my private practice, K-Love Counseling. I am passionate about seeing the whole person healed...body, soul, and spirit...through the work of the Holy Spirit and the integration of both mental health and nutrition to ensure my clients are able to live life in freedom and abundance.
My name is Dr. Katie Reutzel and I am a Registered Dietitian and Provisionally Licensed Mental Health Practitioner in the state of Nebraska. I am an adjunct professor at the University of Nebraska-Omaha in addition to offering nutrition and mental health counseling through my private practice, K-Love Counseling. I am passionate about seeing the whole person healed...body, soul, and spirit...through the work of the Holy Spirit and the integration of both mental health and nutrition to ensure my clients are able to live life in freedom and abundance.
![Photo of Mallorie Terry, PLMHP, PLMFT](https://photos.psychologytoday.com/a5e42739-1e64-4fed-861f-8839456585bc/2/320x400.jpeg)
Mallorie Terry
Provisional Mental Health Practitioner, PLMHP, PLMFT
Verified Verified
1 Endorsed
Lincoln, NE 68506
Are you an anxious, people-pleasing millennial looking to become your most authentic self? Do you struggle with self-esteem after experiencing trauma within relationships? Maybe you're navigating the process of breaking generational trauma cycles for yourself or your children. If you are looking for support in discovering your most authentic self through processing old traumas, increasing self-esteem, and building healthy relationships with yourself and others, you have come to the right place! Bonus if you enjoy pop-culture references, don't mind colorful language, and enjoy the use of humor in therapy!
Are you an anxious, people-pleasing millennial looking to become your most authentic self? Do you struggle with self-esteem after experiencing trauma within relationships? Maybe you're navigating the process of breaking generational trauma cycles for yourself or your children. If you are looking for support in discovering your most authentic self through processing old traumas, increasing self-esteem, and building healthy relationships with yourself and others, you have come to the right place! Bonus if you enjoy pop-culture references, don't mind colorful language, and enjoy the use of humor in therapy!
![Photo of Mary Byrd, LIMHP, RPT-S](https://photos.psychologytoday.com/afc09230-e449-4ff5-9c0b-2e3db6fc27a8/2/320x400.jpeg)
Mary Byrd
Independent Mental Health Practitioner, LIMHP, RPT-S
Verified Verified
3 Endorsed
Omaha, NE 68144
My practice focuses on helping individuals and families utilize healthy coping skills to deal with life situations and mental health related concerns. I focus on issues related to adoption, abuse, attachment, anxiety, depression, behavioral problems, obsessive compulsive disorder, grief/loss, mood dysregulation, trauma, and impulse control difficulties. I have recently started co-facilitating DBT informed skills groups. I have extensive training in EMDR treatment, cognitive behavioral treatment strategies, and am a registered play therapist.
My practice focuses on helping individuals and families utilize healthy coping skills to deal with life situations and mental health related concerns. I focus on issues related to adoption, abuse, attachment, anxiety, depression, behavioral problems, obsessive compulsive disorder, grief/loss, mood dysregulation, trauma, and impulse control difficulties. I have recently started co-facilitating DBT informed skills groups. I have extensive training in EMDR treatment, cognitive behavioral treatment strategies, and am a registered play therapist.
![Photo of Maria T Kerkman, MSW, PCMSW, PLMHP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0a2090d8-ec76-4889-bddb-669bac1e4e6c/1/320x400.jpeg)
Maria T Kerkman
Clinical Social Work/Therapist, MSW, PCMSW, PLMHP
Verified Verified
1 Endorsed
Omaha, NE 68102
Life is constantly changing, and sometimes change is difficult to accept; stress, anxiety, and depression are part of our lives; taking care of our mental health is the key to enjoy life and bein the best we can. I can provide therapy in English or Spanish this helps to break the language barrier and help with life changes through therapy. La vida siempre esta cambiando, los cambios son dificiles de aceptar, el estress, la anciedad, depresion son parte de nuestas vidas, para poder disfrutar una vida plena es importante tener salud mental. El idioma no es una barrera ya que hablo espanol.
Life is constantly changing, and sometimes change is difficult to accept; stress, anxiety, and depression are part of our lives; taking care of our mental health is the key to enjoy life and bein the best we can. I can provide therapy in English or Spanish this helps to break the language barrier and help with life changes through therapy. La vida siempre esta cambiando, los cambios son dificiles de aceptar, el estress, la anciedad, depresion son parte de nuestas vidas, para poder disfrutar una vida plena es importante tener salud mental. El idioma no es una barrera ya que hablo espanol.
![Photo of Kimberly Ellenberger, Counselor](https://photos.psychologytoday.com/64d7f86a-e059-4599-ae7c-35887a1e2910/2/320x400.jpeg)
Are you battling with anxiety and depression, facing the complexities of infertility, or navigating the challenges of divorce? As a telehealth therapist, I am here to support you through these tough times and beyond. My goal is to provide compassionate guidance and effective therapy that fits seamlessly into your daily life. Let's embark on a journey of healing and growth together. In addition, I can also provide specialized services for individuals diagnosed with autism and/or intellectual and developmental disabilities as I have had many years of experience. Reach out today to start your path towards a brighter tomorrow.
Are you battling with anxiety and depression, facing the complexities of infertility, or navigating the challenges of divorce? As a telehealth therapist, I am here to support you through these tough times and beyond. My goal is to provide compassionate guidance and effective therapy that fits seamlessly into your daily life. Let's embark on a journey of healing and growth together. In addition, I can also provide specialized services for individuals diagnosed with autism and/or intellectual and developmental disabilities as I have had many years of experience. Reach out today to start your path towards a brighter tomorrow.
![Photo of Ace Devlin, MS, PLMHP, Counselor](https://photos.psychologytoday.com/d88d9476-c8b3-4ce7-8e27-a042c07b22fa/2/320x400.jpeg)
Most of the time we can manage the ups and downs of life without extra support. Then something shifts, and it can feel like it all collapses like a house of cards. Quickly, it can feel like you don't even recognize yourself anymore. None of the skills you were using to successfully manage your life work like they used to. You're overwhelmed and at a loss for how to get unstuck. At times even the seemingly tiniest of changes can shake us to our foundations, and leave us feeling adrift; but change is often the perfect opportunity to grow.
Most of the time we can manage the ups and downs of life without extra support. Then something shifts, and it can feel like it all collapses like a house of cards. Quickly, it can feel like you don't even recognize yourself anymore. None of the skills you were using to successfully manage your life work like they used to. You're overwhelmed and at a loss for how to get unstuck. At times even the seemingly tiniest of changes can shake us to our foundations, and leave us feeling adrift; but change is often the perfect opportunity to grow.
See more therapy options for York
How does your Therapist compare?
Number of Therapists in York, NE
10+
Average cost per session
$150
Therapists in York, NE who prioritize treating:
100% | Depression |
100% | Anxiety |
90% | Trauma and PTSD |
80% | Relationship Issues |
80% | Grief |
80% | Coping Skills |
70% | Family Conflict |
Average years in practice
16 Years
Top 3 insurances accepted
100% | Aetna |
100% | BlueCross and BlueShield |
100% | UnitedHealthcare UHC | UBH |
How Therapists in York, NE see their clients
100% | In Person and Online |
Gender breakdown
100% | Female |
FAQs - About Therapy and Counseling
How can I find a therapist in York?
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.