Therapists in Sudbury, MA
![Photo of Courtney Bleicher, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c94c098c-1f9c-4efa-a6fc-40dbd0016516/2/320x400.jpeg)
I work with children, adolescents, and adults to address common challenges relating to depression, anxiety, relationship issues, life transitions, and family conflict. I approach treatment collaboratively and will work with you to develop a plan to help you and/or your child meet your goals. My approach is integrative, and draws on effective evidence-based treatments - including insight oriented approaches (psychodynamic), skill building approaches (cognitive-behavioral), and other collaborative and developmental interventions. Calm attention, compassion, energy, and creativity are important components of my approach; I recognize that therapy is a considerable commitment, and I am dedicated to creating a safe, supportive environment for our work.
I work with children, adolescents, and adults to address common challenges relating to depression, anxiety, relationship issues, life transitions, and family conflict. I approach treatment collaboratively and will work with you to develop a plan to help you and/or your child meet your goals. My approach is integrative, and draws on effective evidence-based treatments - including insight oriented approaches (psychodynamic), skill building approaches (cognitive-behavioral), and other collaborative and developmental interventions. Calm attention, compassion, energy, and creativity are important components of my approach; I recognize that therapy is a considerable commitment, and I am dedicated to creating a safe, supportive environment for our work.
![Photo of Stephanie Lombardi, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/20104dcf-5655-46ba-bd9c-1abc8d8d3483/1/320x400.jpeg)
My practice focuses on helping people live more meaningful lives. I work with my clients to identify their personal growth goals and establish clear and effective techniques to achieve them. I view therapy as a collaborative process in which clients are encouraged to explore thoughts, feelings, and behaviors in a supportive, nonjudgmental, and compassionate setting. I utilize a variety a therapeutic approaches, including cognitive behavioral therapy, to facilitate recognition of, and change the thinking patterns and beliefs that are negatively impacting your mood and behavior.
My practice focuses on helping people live more meaningful lives. I work with my clients to identify their personal growth goals and establish clear and effective techniques to achieve them. I view therapy as a collaborative process in which clients are encouraged to explore thoughts, feelings, and behaviors in a supportive, nonjudgmental, and compassionate setting. I utilize a variety a therapeutic approaches, including cognitive behavioral therapy, to facilitate recognition of, and change the thinking patterns and beliefs that are negatively impacting your mood and behavior.
![Photo of Emilia Taliento, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1194c937-02af-40c1-a739-3684ef7dd91d/2/320x400.png)
Are you struggling with depression, anxiety, domestic violence, eating disorders, dual diagnosis, or life changes? I can assist you with developing coping skills, practicing mindfulness, and utilizing tools to manage your mental health effectively. I aim to work with clients willing to help themselves and open to the therapeutic process. This mindset will allow us to build a positive therapeutic relationship that can bring about positive changes in their lives.
Are you struggling with depression, anxiety, domestic violence, eating disorders, dual diagnosis, or life changes? I can assist you with developing coping skills, practicing mindfulness, and utilizing tools to manage your mental health effectively. I aim to work with clients willing to help themselves and open to the therapeutic process. This mindset will allow us to build a positive therapeutic relationship that can bring about positive changes in their lives.
![Photo of Emily Kaufman, PsyD, Psychologist](https://photos.psychologytoday.com/8a4cfdb1-d952-4544-a3ba-afa7e10d8945/4/320x400.jpeg)
I provide a safe, open environment to talk about any and all experiences or feelings. Some clients come for help through a short time period, or want to look at longer term issues and to make changes in their lives. Sometimes, it is simply to talk with an unbiased, nonjudgmental listener. Whichever it may be, I am privileged to take the journey with you.
I provide a safe, open environment to talk about any and all experiences or feelings. Some clients come for help through a short time period, or want to look at longer term issues and to make changes in their lives. Sometimes, it is simply to talk with an unbiased, nonjudgmental listener. Whichever it may be, I am privileged to take the journey with you.
![Photo of Margot A LaFortune Flionis, MA, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/991a36b1-be55-4555-a796-5c3bc33c52ca/1/320x400.jpeg)
Margot A LaFortune Flionis
Clinical Social Work/Therapist, MA, MSW, LICSW
Verified Verified
Sudbury, MA 01776
I am an experienced clinician with over 20 years of working in the Metro West area. My private practice is dedicated to addressing the mental health needs of adolescents and young adults, especially those affected by anxiety, stress, social and school challenges and loss.
I am an experienced clinician with over 20 years of working in the Metro West area. My private practice is dedicated to addressing the mental health needs of adolescents and young adults, especially those affected by anxiety, stress, social and school challenges and loss.
![Photo of Catherine Harvey, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/795d7514-040f-4425-8f77-8886a2ccd7f8/1/320x400.png)
My ideal client would be someone who is ready and willing to participate in treatment. I am comfortable with an array of different diagnoses and struggles. Their needs would include working towards tangible goals that we are able to breakdown in the treatment setting. They may want to work on self-esteem, depression, anxiety, PTSD symptoms etc. They would want to minimize their symptoms and improve everyday functioning. The goal would ultimately be to no longer need treatment as they have reached their goals.
My ideal client would be someone who is ready and willing to participate in treatment. I am comfortable with an array of different diagnoses and struggles. Their needs would include working towards tangible goals that we are able to breakdown in the treatment setting. They may want to work on self-esteem, depression, anxiety, PTSD symptoms etc. They would want to minimize their symptoms and improve everyday functioning. The goal would ultimately be to no longer need treatment as they have reached their goals.
![Photo of Steven Ioanilli - Steven Ioanilli, LMHC, Mindful Path Therapy, LMHC, Counselor](https://photos.psychologytoday.com/5ff42a4a-2502-48c6-b061-a70d5a8f6b2a/2/320x400.jpeg)
Steven Ioanilli, LMHC, Mindful Path Therapy
Counselor, LMHC
Verified Verified
Sudbury, MA 01776 (Online Only)
Life challenges us in many ways, and sometimes we find ourselves struggling. We may lack energy, motivation, or direction, and find ourselves not enjoying life very much at all. Stressful events, over-thinking, and an unbalanced lifestyle can knock us out of our “window of tolerance” and decrease our resilience. If we don't take the time to slow down and attend to our bodies as well as our thoughts and emotions, life can become a rush of activity without meaning and can lead to anxiety, depression, and disconnection. Therapy is a powerful way to take that time for yourself.
Life challenges us in many ways, and sometimes we find ourselves struggling. We may lack energy, motivation, or direction, and find ourselves not enjoying life very much at all. Stressful events, over-thinking, and an unbalanced lifestyle can knock us out of our “window of tolerance” and decrease our resilience. If we don't take the time to slow down and attend to our bodies as well as our thoughts and emotions, life can become a rush of activity without meaning and can lead to anxiety, depression, and disconnection. Therapy is a powerful way to take that time for yourself.
![Photo of Larry Flynn, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4d1b114d-0349-4092-b044-adbe341688e5/1/320x400.jpeg)
Larry Flynn
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Sudbury, MA 01776
Larry specializes in counseling children of all ages, teens, young adults, adults, and families. Larry effectively helps even the very young child and clients of all ages with their emotional and/or behavioral challenges. His passion, expertise, and genuine interest is so needed, when many of our youth are longing for someone they can talk to, connect with, and feel their voice is understood. Working with the entire family providing family counseling takes a very special ability, as does helping parents navigate challenges, this is Larry's expertise.
Larry specializes in counseling children of all ages, teens, young adults, adults, and families. Larry effectively helps even the very young child and clients of all ages with their emotional and/or behavioral challenges. His passion, expertise, and genuine interest is so needed, when many of our youth are longing for someone they can talk to, connect with, and feel their voice is understood. Working with the entire family providing family counseling takes a very special ability, as does helping parents navigate challenges, this is Larry's expertise.
![Photo of Lisa A Taylor, PsyD, Psychologist](https://photos.psychologytoday.com/3bd71855-da12-4066-84a7-a6df8c9120de/2/320x400.jpeg)
Life can be incredibly challenging, throwing unexpected difficulties your way. Whether you are struggling with health issues, anxiety or depression, managing grief and loss, caregiving for a loved one with health issues or dementia, or navigating a difficult life transition, these complexities can feel overwhelming. We can all benefit from help and support to reduce emotional discomfort and grow through challenging experiences. We all deserve a place to focus on ourselves and our lives, improving quality, and building a brighter future.
Life can be incredibly challenging, throwing unexpected difficulties your way. Whether you are struggling with health issues, anxiety or depression, managing grief and loss, caregiving for a loved one with health issues or dementia, or navigating a difficult life transition, these complexities can feel overwhelming. We can all benefit from help and support to reduce emotional discomfort and grow through challenging experiences. We all deserve a place to focus on ourselves and our lives, improving quality, and building a brighter future.
![Photo of Claire B Sheth, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d9140a73-7257-4cfd-ba10-693c2a4adcfb/1/320x400.png)
Claire B Sheth
Clinical Social Work/Therapist, LICSW
Verified Verified
Sudbury, MA 01776
Not accepting new clients
Not accepting clients until September 2024. Please reach out in August for September scheduling if you are looking for a caring, compassionate and sometimes irreverent therapist who wants to help you achieve emotional, personal and interpersonal balance. I provide individual therapy to adolescents (14+), college students/young adults, family therapy and parenting support. I work with individuals and families to navigate life's transitions with perspective, grace, confidence and... if all goes well, some humor.
Not accepting clients until September 2024. Please reach out in August for September scheduling if you are looking for a caring, compassionate and sometimes irreverent therapist who wants to help you achieve emotional, personal and interpersonal balance. I provide individual therapy to adolescents (14+), college students/young adults, family therapy and parenting support. I work with individuals and families to navigate life's transitions with perspective, grace, confidence and... if all goes well, some humor.
![Photo of Lisa Manzi Lentino, Psychologist](https://photos.psychologytoday.com/7295b526-a0ac-4105-8ea9-a550e412cb7e/2/320x400.jpeg)
I am a psychologist who enjoys working with individuals who are looking to learn more about themselves and better ways of managing difficult situations and emotions they may be experiencing. I take an active approach to counseling and view my relationship with my clients as a partnership through which they become more aware and empowered.
I am a psychologist who enjoys working with individuals who are looking to learn more about themselves and better ways of managing difficult situations and emotions they may be experiencing. I take an active approach to counseling and view my relationship with my clients as a partnership through which they become more aware and empowered.
15 Second Videos
Lisa A Taylor
Integrative Wellbeing Center
Diana Cofsky
Catharine (Cat) Landrigan-Paiva
Elisa Sweig
Nikki Fedele
New Hope Counseling & Neurofeedback
Deborah Goldberg McCarthy
Marga Zarraga Md
![Photo of Judith Lytel - Metrowest Neurofeedback, PsyD, PA, Psychologist](https://photos.psychologytoday.com/957de6a9-1058-4d83-b70c-cded6d4434a3/1/320x400.jpeg)
Do you or your child struggle with attention, focus, concentration? Has a school suggested medication? Is anxiety a pervasive problem in daily life, or your child's? Are relationships or sleep difficult? ADHD is often diagnosed, when the underlying problem is actually anxiety which interferes with learning. Neurofeedback can help with these issues and more, simply by teaching you to play a computer game solely with your brain. It's easy, and everyone can do it. The feedback helps your brain learn to settle into more functional patterns, and practice helps maintain them.
Do you or your child struggle with attention, focus, concentration? Has a school suggested medication? Is anxiety a pervasive problem in daily life, or your child's? Are relationships or sleep difficult? ADHD is often diagnosed, when the underlying problem is actually anxiety which interferes with learning. Neurofeedback can help with these issues and more, simply by teaching you to play a computer game solely with your brain. It's easy, and everyone can do it. The feedback helps your brain learn to settle into more functional patterns, and practice helps maintain them.
![Photo of Alicia McGee, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3f20639f-b5e5-4209-8a6c-414c8027cc82/2/320x400.jpeg)
An ideal client is someone who is motivated, open to change, and actively engaged in the therapeutic process. An ideal client is someone who is ready to challenge themselves and be self reflective. Honestly, anyone who is willing to put the work in and be present in the process.
An ideal client is someone who is motivated, open to change, and actively engaged in the therapeutic process. An ideal client is someone who is ready to challenge themselves and be self reflective. Honestly, anyone who is willing to put the work in and be present in the process.
![Photo of Patty Rocklage, Marriage & Family Therapist](https://photos.psychologytoday.com/3bf1fa97-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am an experienced, accomplished professional with a warm communication style who feels privileged to assist individuals, couples and families in working through and overcoming their life's struggles.
I am an experienced, accomplished professional with a warm communication style who feels privileged to assist individuals, couples and families in working through and overcoming their life's struggles.
![Photo of Maura Matarese, MA, LMHC, RYT, Counselor](https://photos.psychologytoday.com/4aa78191-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
With over twenty five years of clinical experience, I help people who struggle with their relationships. Weather you are involved with a complicated parter, struggling in your marriage, dealing with infidelity, co-dependency, or addiction; considering uncoupling, starting over, or grieving the loss of the one you love, I will help you get to the heart of the matter. Then you can heal what you need to heal and make loving and authentic choices for yourself. It IS possible to have happy, healthy, fun, playful and passionate relationships in your life. If that is what your heart desires.I very much look forward to working with you.
With over twenty five years of clinical experience, I help people who struggle with their relationships. Weather you are involved with a complicated parter, struggling in your marriage, dealing with infidelity, co-dependency, or addiction; considering uncoupling, starting over, or grieving the loss of the one you love, I will help you get to the heart of the matter. Then you can heal what you need to heal and make loving and authentic choices for yourself. It IS possible to have happy, healthy, fun, playful and passionate relationships in your life. If that is what your heart desires.I very much look forward to working with you.
![Photo of Mary P. Cunningham, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/496e51f9-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Does your teen have worries and negative thoughts or feelings related to school, home or peers? I can help. With over 25 years of experience working with pre-teens, adolescents and adults, I have worked extensively with several schools in the Boston Metrowest area. I understand the intricacies of the home/school connection and am adept at partnering with parents to facilitate collaboration with all providers in the child’s environment. I have successfully worked with adolescents and families to address a wide range of issues including depression, anxiety, grief, low self-esteem, and ADD/ADHD.
Does your teen have worries and negative thoughts or feelings related to school, home or peers? I can help. With over 25 years of experience working with pre-teens, adolescents and adults, I have worked extensively with several schools in the Boston Metrowest area. I understand the intricacies of the home/school connection and am adept at partnering with parents to facilitate collaboration with all providers in the child’s environment. I have successfully worked with adolescents and families to address a wide range of issues including depression, anxiety, grief, low self-esteem, and ADD/ADHD.
![Photo of Lawrence Haydu, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cdd2602-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am accepting, interactive, and easygoing. I believe in focusing on the current situation in peoples' lives, and explore the past as long as it has a demonstrable benefit for a client's present day functioning. I believe it is important to customize my approach to a client's style, situation, and needs. As much as possible, I draw on a person's emotional and physical "intelligence" to complement his or her cognitive understanding. It is essential that my clients feel in charge of their direction and pacing, and safe enough to take the necessary risks.
I am accepting, interactive, and easygoing. I believe in focusing on the current situation in peoples' lives, and explore the past as long as it has a demonstrable benefit for a client's present day functioning. I believe it is important to customize my approach to a client's style, situation, and needs. As much as possible, I draw on a person's emotional and physical "intelligence" to complement his or her cognitive understanding. It is essential that my clients feel in charge of their direction and pacing, and safe enough to take the necessary risks.
![Photo of Mohamed Alsaidy - Northeast Health Services - Sudbury, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/39c56a37-68f2-427d-9120-639299dfb47e/1/320x400.png)
Northeast Health Services - Sudbury
Clinical Social Work/Therapist, LICSW
Not Verified Not Verified
Sudbury, MA 01776
Northeast Health Services is an outpatient mental health care provider dedicated to serving Massachusetts and the local Sudbury area. At our Sudbury clinic we provide a broad array of services including psychotherapy, group therapy, child & adolescent therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
Northeast Health Services is an outpatient mental health care provider dedicated to serving Massachusetts and the local Sudbury area. At our Sudbury clinic we provide a broad array of services including psychotherapy, group therapy, child & adolescent therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
![Photo of Caroline Murphy, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5b0990f8-1f50-435b-a486-21b8e2666cdc/2/320x400.png)
I enjoy working with others struggling with anxiety, ADHD, depression, confidence, spirituality, relationship issues, and self-worth. I often find myself working with those who are learning how to honor their intuition and develop their true and higher selves. I also enjoy working with clients who are open to alternative therapies. I am a heart-centered and strengths-based therapist who meets clients where they are in life and strives to provide a nurturing environment to allow my clients to grow into the best versions of themselves.
I enjoy working with others struggling with anxiety, ADHD, depression, confidence, spirituality, relationship issues, and self-worth. I often find myself working with those who are learning how to honor their intuition and develop their true and higher selves. I also enjoy working with clients who are open to alternative therapies. I am a heart-centered and strengths-based therapist who meets clients where they are in life and strives to provide a nurturing environment to allow my clients to grow into the best versions of themselves.
![Photo of Erica DuFresne, LMHC, Counselor](https://photos.psychologytoday.com/fa6ff5f8-cc7d-45ca-b3b8-3970998b5ecc/2/320x400.png)
My ideal client has either experienced a past trauma and/or is dealing with anxiety or depression. This client can be someone diagnosed with ASD, as I enjoy working with neurodiverse populations. This client should want guidance and support to develop emotional regulation skills, build positive relationships with others, or process their emotional experiences. I can help support those going through various life transitions, as well as help people develop self-awareness and understanding.
My ideal client has either experienced a past trauma and/or is dealing with anxiety or depression. This client can be someone diagnosed with ASD, as I enjoy working with neurodiverse populations. This client should want guidance and support to develop emotional regulation skills, build positive relationships with others, or process their emotional experiences. I can help support those going through various life transitions, as well as help people develop self-awareness and understanding.
See more therapy options for Sudbury
Nearby Searches for Sudbury
See More TherapistsHow does your Therapist compare?
Number of Therapists in Sudbury, MA
100+
Average cost per session
$175
Therapists in Sudbury, MA who prioritize treating:
92% | Anxiety |
83% | Depression |
76% | Self Esteem |
74% | Relationship Issues |
68% | Coping Skills |
68% | Life Transitions |
63% | Stress |
Average years in practice
14 Years
Top 3 insurances accepted
91% | BlueCross and BlueShield |
55% | Optum |
52% | UnitedHealthcare UHC | UBH |
How Therapists in Sudbury, MA see their clients
67% | In Person and Online | |
33% | Online Only |
Gender breakdown
85% | Female | |
14% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Sudbury?
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.