Therapists in Buckland, MA

Photo of Jennifer West, LICSW, MEd, Clinical Social Work/Therapist
Jennifer West
Clinical Social Work/Therapist, LICSW, MEd
Verified Verified
Buckland, MA 01338
Hello. Are you at a change point and experiencing obstacles to fully inhabiting your life? These may include depression anxiety, phobias, loss, grief, trauma and relationship issues. My work is relationship based, coming from a place of respect, and focusing on strengths. I believe in client-driven work that is meaningful and moves toward a place of hope and action.
Hello. Are you at a change point and experiencing obstacles to fully inhabiting your life? These may include depression anxiety, phobias, loss, grief, trauma and relationship issues. My work is relationship based, coming from a place of respect, and focusing on strengths. I believe in client-driven work that is meaningful and moves toward a place of hope and action.
(413) 650-1072 View (413) 650-1072
Photo of Aaron Tieger Riverwood, MA, LMHC, Counselor
Aaron Tieger Riverwood
Counselor, MA, LMHC
Verified Verified
Buckland, MA 01338  (Online Only)
I often find current notions of “behavioral” or “mental” health to be rooted in an inaccurate medical paradigm, and so I prefer to consider social/emotional/spiritual wellbeing; “psyche” literally means “the soul” and thus I see the goal of psychotherapy as to help heal the soul. Depression and anxiety are understandable responses to problematic situations, and I enjoy helping to unravel the complicated dynamics of your lived experience in order to achieve your goals. I often work with people around issues of gender, identity, and culture; I also enjoy working with creative people, and people navigating challenging life transitions.
I often find current notions of “behavioral” or “mental” health to be rooted in an inaccurate medical paradigm, and so I prefer to consider social/emotional/spiritual wellbeing; “psyche” literally means “the soul” and thus I see the goal of psychotherapy as to help heal the soul. Depression and anxiety are understandable responses to problematic situations, and I enjoy helping to unravel the complicated dynamics of your lived experience in order to achieve your goals. I often work with people around issues of gender, identity, and culture; I also enjoy working with creative people, and people navigating challenging life transitions.
(413) 667-4169 View (413) 667-4169

More Therapists Nearby

Photo of Joanne Terry Swanson, LCSW, LICSW, Clinical Social Work/Therapist
Joanne Terry Swanson
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Greenfield, MA 01301
Waitlist for new clients
Are you navigating a difficult life transition, struggling with depression and anxiety, experiencing grief over a significant loss? Do you sometimes experience overwhelming thoughts and emotions that seem to get in the way? Are you feeling disconnected within significant relationships? Do you wish to experience more joy and gain confidence in your ability to face the often-painful challenges that life as a human being can bring? Therapy can provide a quiet, collaborative space where you will gain insight, clarify your unique goals and values, and discover new ways to cope that foster healing yourself and your relationships.
Are you navigating a difficult life transition, struggling with depression and anxiety, experiencing grief over a significant loss? Do you sometimes experience overwhelming thoughts and emotions that seem to get in the way? Are you feeling disconnected within significant relationships? Do you wish to experience more joy and gain confidence in your ability to face the often-painful challenges that life as a human being can bring? Therapy can provide a quiet, collaborative space where you will gain insight, clarify your unique goals and values, and discover new ways to cope that foster healing yourself and your relationships.
(512) 886-8460 View (512) 886-8460
Photo of Lo Fitzgibbons, MSW, LICSW, MEd, Clinical Social Work/Therapist
Lo Fitzgibbons
Clinical Social Work/Therapist, MSW, LICSW, MEd
Verified Verified
2 Endorsed
Greenfield, MA 01301  (Online Only)
Not accepting new clients
While facing life transitions, coping with loss, exploring the past, preparing for the future, or navigating a host of mental, emotional, and physical human experiences, my clients seek therapy to safely establish healthy patterns, thoughts, and change. Clients tell me our work creates a healing relationship that fosters long term change as well as resolve of past traumas and conflicts "instead of a band-aid approach." We'll collaborate and create a tailored approach to meet your needs. I am welcoming to communities of color. You will receive empowering, holistic psychotherapy whether trans/cis, queer, heterosexual, or LGBTQI2PA.
While facing life transitions, coping with loss, exploring the past, preparing for the future, or navigating a host of mental, emotional, and physical human experiences, my clients seek therapy to safely establish healthy patterns, thoughts, and change. Clients tell me our work creates a healing relationship that fosters long term change as well as resolve of past traumas and conflicts "instead of a band-aid approach." We'll collaborate and create a tailored approach to meet your needs. I am welcoming to communities of color. You will receive empowering, holistic psychotherapy whether trans/cis, queer, heterosexual, or LGBTQI2PA.
View
Photo of Dana Sherwood, LICSW, Clinical Social Work/Therapist
Dana Sherwood
Clinical Social Work/Therapist, LICSW
Verified Verified
Greenfield, MA 01301  (Online Only)
Waitlist for new clients
I bring seven years’ experience to meet you where you're at with compassion, respect, and expertise. I specialize in helping adults navigate anxiety, depression, trauma (PTSD and complex trauma), existential issues, and recovery from addiction. In our sessions, you can expect a safe and approachable process where we work together to affirm your strengths and untangle challenges.
I bring seven years’ experience to meet you where you're at with compassion, respect, and expertise. I specialize in helping adults navigate anxiety, depression, trauma (PTSD and complex trauma), existential issues, and recovery from addiction. In our sessions, you can expect a safe and approachable process where we work together to affirm your strengths and untangle challenges.
(413) 776-0140 View (413) 776-0140
Photo of Keri Harshbarger, LICSW, Clinical Social Work/Therapist
Keri Harshbarger
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Greenfield, MA 01301
Waitlist for new clients
Therapy is a safe space to share your unique story, have your feelings validated, and receive support without judgment. Whether you are trying to manage feelings of sadness, are worried about the future, or experiencing conflict at home or work, I'm confident that we can work together to help you feel better, improve your relationships, and start enjoying your life in the way that you deserve.
Therapy is a safe space to share your unique story, have your feelings validated, and receive support without judgment. Whether you are trying to manage feelings of sadness, are worried about the future, or experiencing conflict at home or work, I'm confident that we can work together to help you feel better, improve your relationships, and start enjoying your life in the way that you deserve.
(413) 414-4538 View (413) 414-4538
Photo of Elissa Burdick, MA, NBC-HWC
Elissa Burdick
MA, NBC-HWC
Verified Verified
Greenfield, MA 01301  (Online Only)
Waitlist for new clients
I get it. You're feeling stuck and don't know how to get out of this rut you've been in for who-knows-how-long. You've spent countless hours reading self-help books but just can't piece it all together to live a life you love. You WANT a self-care routine you love, to be kinder to yourself, to trust your decisions, and to have deeply connected relationships that lift you up. I'm here to tell you it's 100% possible to break free from tiresome autopilot mode and create the life you've always wanted for yourself! I know because I've made this happen both for myself AND for hundreds of clients just like you, locally and worldwide.
I get it. You're feeling stuck and don't know how to get out of this rut you've been in for who-knows-how-long. You've spent countless hours reading self-help books but just can't piece it all together to live a life you love. You WANT a self-care routine you love, to be kinder to yourself, to trust your decisions, and to have deeply connected relationships that lift you up. I'm here to tell you it's 100% possible to break free from tiresome autopilot mode and create the life you've always wanted for yourself! I know because I've made this happen both for myself AND for hundreds of clients just like you, locally and worldwide.
(617) 544-7280 View (617) 544-7280
Photo of Jenn Waldron, LMHC, Counselor
Jenn Waldron
Counselor, LMHC
Verified Verified
Greenfield, MA 01301  (Online Only)
We all deserve to live a life that brings us happiness and joy. There are bumps in the road and sometimes we need help navigating the terrain. I have dedicated my life to supporting people and their journeys. Our lives are made up of “right nows”, we cannot change our past, nor predict our future, what we can do is stay in the moment and embrace what comes next.
We all deserve to live a life that brings us happiness and joy. There are bumps in the road and sometimes we need help navigating the terrain. I have dedicated my life to supporting people and their journeys. Our lives are made up of “right nows”, we cannot change our past, nor predict our future, what we can do is stay in the moment and embrace what comes next.
(413) 287-8637 View (413) 287-8637
Photo of Jill Neitlich, MSW, LICSW, Clinical Social Work/Therapist
Jill Neitlich
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Greenfield, MA 01301
Not accepting new clients
I work with people who are on a journey of self-discovery and healing. My mind-body approach encourages people to develop a deeper and more compassionate relationship with their body and true self. With 30 years experience, I offer an effective combination of healing modalities and skills, including Internal Family Systems (IFS) and EMDR, which help you release the defenses and wounds of the past, and resolve inner conflicts. As you end the struggle with yourself, you can create a greater sense of inner peace and ease in your life.
I work with people who are on a journey of self-discovery and healing. My mind-body approach encourages people to develop a deeper and more compassionate relationship with their body and true self. With 30 years experience, I offer an effective combination of healing modalities and skills, including Internal Family Systems (IFS) and EMDR, which help you release the defenses and wounds of the past, and resolve inner conflicts. As you end the struggle with yourself, you can create a greater sense of inner peace and ease in your life.
(802) 560-4221 View (802) 560-4221
Photo of Hollis Greenspan, MSW, LICSW, Clinical Social Work/Therapist
Hollis Greenspan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Greenfield, MA 01301  (Online Only)
I call my approach "Radical Freedom Therapy". My specialty is assisting people to release long-held and painful patterns. Offering acceptance, permission, non-judgment and humor to address the following: Platonic, romantic and family relationships. Anger. Purpose. Creativity. Pet loss. Aging. Parents. Death and dying. Spirituality. Loneliness and depression. Women's sexuality. Health issues. Life transitions. Decision-making. Self-esteem and self-confidence.
I call my approach "Radical Freedom Therapy". My specialty is assisting people to release long-held and painful patterns. Offering acceptance, permission, non-judgment and humor to address the following: Platonic, romantic and family relationships. Anger. Purpose. Creativity. Pet loss. Aging. Parents. Death and dying. Spirituality. Loneliness and depression. Women's sexuality. Health issues. Life transitions. Decision-making. Self-esteem and self-confidence.
(413) 324-5728 View (413) 324-5728
Photo of Whole Child And Parent: Family Coaching And Therapy ~Julie B. Rosenshein, LICSW, Clinical Social Work/Therapist
Whole Child And Parent: Family Coaching And Therapy ~Julie B. Rosenshein
Clinical Social Work/Therapist, LICSW
Verified Verified
Greenfield, MA 01301
I have been working with parents, children and families for over 25 years. I specialize in elementary school age children. My book: “Parenting the Highly Sensitive Child” has been a resource for many parents. I offer tools and strategies for children struggling with emotional regulation, anger issues, ADHD, anxiety, oppositional defiant/challenging behaviors, learning difficulties and social skills. I help families regain a sense of balance by helping to resolve conflict and enhance communication....bringing enjoyment to your family once again.
I have been working with parents, children and families for over 25 years. I specialize in elementary school age children. My book: “Parenting the Highly Sensitive Child” has been a resource for many parents. I offer tools and strategies for children struggling with emotional regulation, anger issues, ADHD, anxiety, oppositional defiant/challenging behaviors, learning difficulties and social skills. I help families regain a sense of balance by helping to resolve conflict and enhance communication....bringing enjoyment to your family once again.
(413) 307-3651 View (413) 307-3651
Photo of Story Stephenson, LICSW, Clinical Social Work/Therapist
Story Stephenson
Clinical Social Work/Therapist, LICSW
Verified Verified
Shelburne Falls, MA 01370  (Online Only)
Are you someone who, due to choice or circumstance, is living life outside the mainstream? Are you an "outsider" in relation to social norms, feeling like you don't fit in or are committed to values or self-expression that make life in the larger world challenging? Perhaps you have been wary of therapy & of therapists judging you because of gender identity or presentation, because of your interest in kink or other forms of sexual expression, or because of your involvement in polyamory or other non-traditional relationship styles. If so, you need look no further to find an open-minded & respectful therapist.
Are you someone who, due to choice or circumstance, is living life outside the mainstream? Are you an "outsider" in relation to social norms, feeling like you don't fit in or are committed to values or self-expression that make life in the larger world challenging? Perhaps you have been wary of therapy & of therapists judging you because of gender identity or presentation, because of your interest in kink or other forms of sexual expression, or because of your involvement in polyamory or other non-traditional relationship styles. If so, you need look no further to find an open-minded & respectful therapist.
(857) 574-0953 View (857) 574-0953
Photo of Marek Tresnak, LMHC, MA, Counselor
Marek Tresnak
Counselor, LMHC, MA
Verified Verified
1 Endorsed
Greenfield, MA 01301
Hello and thanks for your interest in my services. I help people to reconnect with the life they would like to live. With the tools of mindfulness and cognitive therapy we work on gaining freedom from intrusive emotions and beliefs that don't serve them. Through getting in touch with their emotions and releasing them, they can find a fresh creative energy within. Most of my clients seek help with anxiety, excessive worries, depression, trauma, addiction or just a difficult relationship situation. I enjoy connecting with my clients and emphasize the power of a strong therapeutic relationship.
Hello and thanks for your interest in my services. I help people to reconnect with the life they would like to live. With the tools of mindfulness and cognitive therapy we work on gaining freedom from intrusive emotions and beliefs that don't serve them. Through getting in touch with their emotions and releasing them, they can find a fresh creative energy within. Most of my clients seek help with anxiety, excessive worries, depression, trauma, addiction or just a difficult relationship situation. I enjoy connecting with my clients and emphasize the power of a strong therapeutic relationship.
(413) 650-1530 View (413) 650-1530
Photo of Tricia Wells, MSW, LICSW, Clinical Social Work/Therapist
Tricia Wells
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Greenfield, MA 01301
Waitlist for new clients
I have been working in the Pioneer Valley for over twenty five years, helping people find more effective ways to manage life changes and stresses. I am committed to appreciating the complexity and uniqueness of the problems people have in their lives. I will listen carefully, respectfully and authentically. We will work together to help you overcome obstacles, distressful behaviors and painful symptoms. I believe that positive change happens in people's lives through empathy, radical acceptance and leaps of faith. My practice includes work with individual adults and couples.
I have been working in the Pioneer Valley for over twenty five years, helping people find more effective ways to manage life changes and stresses. I am committed to appreciating the complexity and uniqueness of the problems people have in their lives. I will listen carefully, respectfully and authentically. We will work together to help you overcome obstacles, distressful behaviors and painful symptoms. I believe that positive change happens in people's lives through empathy, radical acceptance and leaps of faith. My practice includes work with individual adults and couples.
(413) 889-1923 View (413) 889-1923
Photo of Abigail Vayda, LICSW, Clinical Social Work/Therapist
Abigail Vayda
Clinical Social Work/Therapist, LICSW
Verified Verified
Greenfield, MA 01301  (Online Only)
Not accepting new clients
I have a warm, accepting, and down-to-earth presence. I view the therapeutic relationship as a collaboration in which I can assist in guiding you towards greater self-understanding and tap into the wisdom and resilience that already exists within. I have experience working with clients living with anxiety, depression, stress, symptoms related to trauma, and addiction issues. I particularly enjoy working with individuals navigating a transition or stage of life change and those looking to better understand and shift from patterns of thinking, behavior, communication, or of relationships which are no longer of service.
I have a warm, accepting, and down-to-earth presence. I view the therapeutic relationship as a collaboration in which I can assist in guiding you towards greater self-understanding and tap into the wisdom and resilience that already exists within. I have experience working with clients living with anxiety, depression, stress, symptoms related to trauma, and addiction issues. I particularly enjoy working with individuals navigating a transition or stage of life change and those looking to better understand and shift from patterns of thinking, behavior, communication, or of relationships which are no longer of service.
(413) 337-3880 View (413) 337-3880
Photo of Yvette Cooper, MA, LMHC, Counselor
Yvette Cooper
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Deerfield, MA 01342  (Online Only)
I believe therapy is most effective when people feel safe, comfortable and at ease in a non-judgmental, neutral environment. It is here that people can safely process everyday stressors, difficult experiences past or present, symptoms of anxiety that may be showing up in their life, symptoms of depression, codependency, relationship and or family conflict, or struggling with changes happening around them. My hope is to help people feel seen, heard, and to feel empowered by offering a warm, compassionate and supportive space to my clients. You do not need to do any of this alone and I am so glad you are here!
I believe therapy is most effective when people feel safe, comfortable and at ease in a non-judgmental, neutral environment. It is here that people can safely process everyday stressors, difficult experiences past or present, symptoms of anxiety that may be showing up in their life, symptoms of depression, codependency, relationship and or family conflict, or struggling with changes happening around them. My hope is to help people feel seen, heard, and to feel empowered by offering a warm, compassionate and supportive space to my clients. You do not need to do any of this alone and I am so glad you are here!
(508) 876-3580 View (508) 876-3580
Photo of Laura A Pontani, MA, LMHC, Counselor
Laura A Pontani
Counselor, MA, LMHC
Verified Verified
Conway, MA 01341  (Online Only)
Waitlist for new clients
Hello! Whatever your intention for therapy, it is important to find a therapist that makes you feel safe, valued, and understood. I believe that my clients are the true guides to their own happiness and destination, resulting in not one specific formula for healing, but rather utilizing each individual's strengths, needs, and interests. I enjoy establishing a conversational atmosphere that is genuine, empathetic, and validating. Through this, I create a safe and nurturing space for self-discovery, self-growth, and healing. My style draws heavily on empathy and mindfulness as well as ACT, IFS, and solution focused therapies.
Hello! Whatever your intention for therapy, it is important to find a therapist that makes you feel safe, valued, and understood. I believe that my clients are the true guides to their own happiness and destination, resulting in not one specific formula for healing, but rather utilizing each individual's strengths, needs, and interests. I enjoy establishing a conversational atmosphere that is genuine, empathetic, and validating. Through this, I create a safe and nurturing space for self-discovery, self-growth, and healing. My style draws heavily on empathy and mindfulness as well as ACT, IFS, and solution focused therapies.
(617) 206-3896 View (617) 206-3896
Photo of Scott Dunaisky, MEd, LMHC, Counselor
Scott Dunaisky
Counselor, MEd, LMHC
Verified Verified
Greenfield, MA 01301
I work with children, adolescents, adults, and couples using an empathic, mindfulness based approach that is aimed at helping individuals move towards their goals. I help people work through a range of challenges including processing trauma, living with anxiety, living with depression, living with anger/rage, and working through interpersonal or family conflict. In addition, I also support people who may be struggling to achieve a balance and a feeling of control in their world. I offer a relaxed and supportive space that allows individuals to make their own choices in their process of moving towards their specific goals.
I work with children, adolescents, adults, and couples using an empathic, mindfulness based approach that is aimed at helping individuals move towards their goals. I help people work through a range of challenges including processing trauma, living with anxiety, living with depression, living with anger/rage, and working through interpersonal or family conflict. In addition, I also support people who may be struggling to achieve a balance and a feeling of control in their world. I offer a relaxed and supportive space that allows individuals to make their own choices in their process of moving towards their specific goals.
(413) 666-1578 View (413) 666-1578
Photo of Phoebe Hannon, LCSW, Clinical Social Work/Therapist
Phoebe Hannon
Clinical Social Work/Therapist, LCSW
Verified Verified
Greenfield, MA 01301  (Online Only)
Waitlist for new clients
Phoebe offers a warm and authentic space to connect, understanding “problems” in the context of societal oppression rather than as individual failures or pathologies. They offer a space where grief, anger and all parts of self are welcome, where you can rewrite old stories that no longer serve you, and envision/create a new future for yourself.
Phoebe offers a warm and authentic space to connect, understanding “problems” in the context of societal oppression rather than as individual failures or pathologies. They offer a space where grief, anger and all parts of self are welcome, where you can rewrite old stories that no longer serve you, and envision/create a new future for yourself.
(508) 571-6853 View (508) 571-6853
Emily Barr
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Greenfield, MA 01301  (Online Only)
Waitlist for new clients
Psychodynamic therapy/depth work with adults.
Psychodynamic therapy/depth work with adults.
(413) 423-0987 View (413) 423-0987

See more therapy options for Buckland

How does your Therapist compare?

Number of Therapists in Buckland, MA

< 10

Therapists in Buckland, MA who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Emotional Disturbance
100% Coping Skills
100% Women's Issues

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Health New England (HNE)
50% Aetna

How Therapists in Buckland, MA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Buckland?

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.