Therapists in Ord, NE
![Photo of Crystal VanWinkle, LIMHP, Counselor](https://photos.psychologytoday.com/a0b10f8a-be58-4c27-90db-372d02bde641/1/320x400.jpeg)
I envision my ideal client as a young person grappling with the lingering effects of trauma. They may feel overwhelmed by anxiety, depression, or a sense of hopelessness. They need a safe space to explore their emotions and a compassionate guide to help them navigate their healing journey. Their goals are to reclaim their sense of self, build resilience, and develop healthy coping mechanisms. They seek to understand their experiences and find ways to thrive despite their past because they yearn for a future where they feel empowered and in control of their lives.
I envision my ideal client as a young person grappling with the lingering effects of trauma. They may feel overwhelmed by anxiety, depression, or a sense of hopelessness. They need a safe space to explore their emotions and a compassionate guide to help them navigate their healing journey. Their goals are to reclaim their sense of self, build resilience, and develop healthy coping mechanisms. They seek to understand their experiences and find ways to thrive despite their past because they yearn for a future where they feel empowered and in control of their lives.
Online Therapists
![Photo of Amanda Sealey, MS, LIMHP](https://photos.psychologytoday.com/0052d409-eb53-42d9-a918-057f7a213be4/3/320x400.jpeg)
Amanda Sealey
Independent Mental Health Practitioner, MS, LIMHP
Verified Verified
Lexington, NE 68850 (Online Only)
Hey there! We all struggle sometimes, big or small. Would you like to struggle less? Work on healing? Maybe have more ease in your life? I love walking beside those who are in need. In my care you will set your expectations and I will help you accomplish your goals in a safe and validating space. You won't find me to be rigid or judgmental, instead I'm very casual, easygoing, genuine, and well rounded. I will meet you wherever you are with whatever you bring with you. We will take the time we need to get you closer to your vision of health and happiness.
Hey there! We all struggle sometimes, big or small. Would you like to struggle less? Work on healing? Maybe have more ease in your life? I love walking beside those who are in need. In my care you will set your expectations and I will help you accomplish your goals in a safe and validating space. You won't find me to be rigid or judgmental, instead I'm very casual, easygoing, genuine, and well rounded. I will meet you wherever you are with whatever you bring with you. We will take the time we need to get you closer to your vision of health and happiness.
![Photo of Claire Cunningham, LMHP, LMFT, LPC, Counselor](https://photos.psychologytoday.com/4bc5ba84-60aa-4ab8-b75f-fa0c012412bd/1/320x400.jpeg)
I believe that therapy is a chance to grow and develop holistically in an environment where every individual is honored and respected. I am trained in community counseling and marriage & family therapy, with specialized training in family systems conceptualizations.
I have worked with with individuals ranging across the lifespan, as well as college students, and marital/premarital couples. I work with a variety of issues including, depression, anxiety, forgiveness work, life transitions and struggles, marital discourse, etc.
I assess each individual and family holistically, looking at the physical, emotional, mental, and spiritual influences.
I believe that therapy is a chance to grow and develop holistically in an environment where every individual is honored and respected. I am trained in community counseling and marriage & family therapy, with specialized training in family systems conceptualizations.
I have worked with with individuals ranging across the lifespan, as well as college students, and marital/premarital couples. I work with a variety of issues including, depression, anxiety, forgiveness work, life transitions and struggles, marital discourse, etc.
I assess each individual and family holistically, looking at the physical, emotional, mental, and spiritual influences.
![Photo of Dr. Beth L Reiners, PsyD, Psychologist](https://photos.psychologytoday.com/9e2acc98-ef05-44da-9403-a7c48ce1ce16/2/320x400.jpeg)
As a licensed Clinical Psychologist, my goal is to help you achieve your overall health goals. I specialize in working with women, focusing on anxiety, depressive disorders, and considering the whole person. I also do advanced clinical coaching if needed to work towards overall health and goal attainment. My approach is tailored to your specific needs, using primarily the Internal Family Systems model and considering attachment wound tendencies. I am a Christian Psychologist that can consider your faith needs. I do not take emergency clients needing hospital services. In-person sessions are available after an initial consultation.
As a licensed Clinical Psychologist, my goal is to help you achieve your overall health goals. I specialize in working with women, focusing on anxiety, depressive disorders, and considering the whole person. I also do advanced clinical coaching if needed to work towards overall health and goal attainment. My approach is tailored to your specific needs, using primarily the Internal Family Systems model and considering attachment wound tendencies. I am a Christian Psychologist that can consider your faith needs. I do not take emergency clients needing hospital services. In-person sessions are available after an initial consultation.
![Photo of Merridie Kaup, LIMHP, Counselor](https://photos.psychologytoday.com/6eccf455-7e68-4d3c-a7e8-75a968e60b88/1/320x400.jpeg)
My ideal client is an adult woman facing challenges such as grief and transitions throughout a woman's life such as childbearing years, perimenopause, and menopause. I use a combination of therapeutic modalities to help women understand how hormones impact their mental health, and what they can do to support their wellbeing. When it comes to grief, each person's grief is unique for them. I tailor my therapeutic interventions to meet them where they are at with their own grief journey.
My ideal client is an adult woman facing challenges such as grief and transitions throughout a woman's life such as childbearing years, perimenopause, and menopause. I use a combination of therapeutic modalities to help women understand how hormones impact their mental health, and what they can do to support their wellbeing. When it comes to grief, each person's grief is unique for them. I tailor my therapeutic interventions to meet them where they are at with their own grief journey.
![Photo of Emily Hoegh, LMHP, LPC, Counselor](https://photos.psychologytoday.com/abf48481-e460-42d1-8716-e093b822e235/1/320x400.jpeg)
Hey there! I'm Emily Hoegh (Hegg), a holistic therapist who’s passionate about supporting women through all of life’s ups and downs. Whether you're tackling the whirlwind of motherhood, dealing with anxiety, grieving a loss, or navigating tricky relationship waters, I've got your back. I take a holistic approach that looks at the whole person—mind, body, and spirit—because you're more than just a collection of symptoms. Expect real talk and real therapy with me. No fluff, just genuine conversations and practical tools to help you thrive.
Hey there! I'm Emily Hoegh (Hegg), a holistic therapist who’s passionate about supporting women through all of life’s ups and downs. Whether you're tackling the whirlwind of motherhood, dealing with anxiety, grieving a loss, or navigating tricky relationship waters, I've got your back. I take a holistic approach that looks at the whole person—mind, body, and spirit—because you're more than just a collection of symptoms. Expect real talk and real therapy with me. No fluff, just genuine conversations and practical tools to help you thrive.
![Photo of Chelsea Schutter - Sea Change Therapy Services, MA, LMHP, Counselor](https://photos.psychologytoday.com/3c1f9243-9726-4f31-a600-ca302dd037fc/2/320x400.jpeg)
Therapy? In this economy? But the last few years have been rough and you're not even sure where to start. You're feeling exhausted, off track, or like you don't even recognize yourself anymore. You want to devote some time to yourself, to find yourself, and get back on course with your goals.
Therapy? In this economy? But the last few years have been rough and you're not even sure where to start. You're feeling exhausted, off track, or like you don't even recognize yourself anymore. You want to devote some time to yourself, to find yourself, and get back on course with your goals.
![Photo of Kerry Alfrey - Alfrey and Pruitt Counseling Services, LIMHP, LADC, CSOTS, Counselor](https://photos.psychologytoday.com/18240266-e079-4fe3-9f3f-4016819ac67d/1/320x400.jpeg)
Alfrey and Pruitt Counseling Services
Counselor, LIMHP, LADC, CSOTS
Verified Verified
Grand Island, NE 68803
Welcome to our agency, where we address a wide range of mental health challenges in today's complex world. Our team specializes in anxiety, depression, stress management, relationship issues, substance use, trauma, mood disorders, self-esteem issues, ADHD, grief, sleep disorders, and life transitions. Offering individual, family, and group therapy, we provide personalized care for all ages. Our holistic, compassionate approach is designed to support each unique journey towards healing and personal growth.
Welcome to our agency, where we address a wide range of mental health challenges in today's complex world. Our team specializes in anxiety, depression, stress management, relationship issues, substance use, trauma, mood disorders, self-esteem issues, ADHD, grief, sleep disorders, and life transitions. Offering individual, family, and group therapy, we provide personalized care for all ages. Our holistic, compassionate approach is designed to support each unique journey towards healing and personal growth.
![Photo of Shy Meckna, Counselor](https://photos.psychologytoday.com/120a8392-b07b-4001-b417-8d464864535d/1/320x400.jpeg)
I have been fully licensed for over a decade, but have worked with people in a variety of treatment settings since 2001. My approach is very client-centered. I believe that you are the expert of your own wants and needs. My goal is to help you achieve the things that you want in life in a safe and healthy fashion. I will partner with you to work through any issues or problems you might be experiencing. I have 10 years of experience working with adolescents, 3 years working with adults with severe
I have been fully licensed for over a decade, but have worked with people in a variety of treatment settings since 2001. My approach is very client-centered. I believe that you are the expert of your own wants and needs. My goal is to help you achieve the things that you want in life in a safe and healthy fashion. I will partner with you to work through any issues or problems you might be experiencing. I have 10 years of experience working with adolescents, 3 years working with adults with severe
![Photo of Ronelle Jackson, LIMHP, MSE, Counselor](https://photos.psychologytoday.com/9b1d4888-55f5-4dc1-9d69-81c2b51c790a/2/320x400.jpeg)
Looking inward is not easy, but you’re worth the hard work. I’m an advocate for embracing the entirety of life's experiences – whether they're messy, difficult, or broken, as well as joyful, beautiful, and simple. When we recognize our resilience and contentment stem from embracing imperfections, we discover freedom from feeling stuck. I believe every person deserves to have someone in their life that will listen non-judgmentally and offer unbiased counsel. Your thoughts and feelings don't have to define you.
Looking inward is not easy, but you’re worth the hard work. I’m an advocate for embracing the entirety of life's experiences – whether they're messy, difficult, or broken, as well as joyful, beautiful, and simple. When we recognize our resilience and contentment stem from embracing imperfections, we discover freedom from feeling stuck. I believe every person deserves to have someone in their life that will listen non-judgmentally and offer unbiased counsel. Your thoughts and feelings don't have to define you.
![Photo of Meredith McDowell, LIMHP, Counselor](https://photos.psychologytoday.com/25d70cc5-2208-43af-b6cf-f0faabdf59b1/1/320x400.jpeg)
My name is Meredith McDowell, and I am a Licensed Independent Mental Health Practitioner. I am a registered service provider with the State of Nebraska. I enjoy working with all types of clients. I work with families, adolescents, adults on probation or parole, couples, and veterans of all ages. I work with all types of addictions as well. I am certified with the State of Nebraska to complete drug and alcohol evaluations. I have been Gottman Trained in Level 1 and 2, in order to work with couples.
My name is Meredith McDowell, and I am a Licensed Independent Mental Health Practitioner. I am a registered service provider with the State of Nebraska. I enjoy working with all types of clients. I work with families, adolescents, adults on probation or parole, couples, and veterans of all ages. I work with all types of addictions as well. I am certified with the State of Nebraska to complete drug and alcohol evaluations. I have been Gottman Trained in Level 1 and 2, in order to work with couples.
![Photo of Regina Juhl, MSEd, LMHP, LADC, Counselor](https://photos.psychologytoday.com/3f02956f-a7e5-4b06-af91-f208a697f530/3/320x400.jpeg)
Are you feeling stuck in your life? Tired of being unhappy and unfulfilled? Addiction issues, complex emotions, or challenging relationships feeling like they'll never improve? There's good news, you've come to the right place! I have a no-frills, no-nonsense approach to therapy. I will meet you where you’re at in your journey, then we’ll dive right in to discovering how I can help you reclaim your sense of self and embark on a path toward healing.
Are you feeling stuck in your life? Tired of being unhappy and unfulfilled? Addiction issues, complex emotions, or challenging relationships feeling like they'll never improve? There's good news, you've come to the right place! I have a no-frills, no-nonsense approach to therapy. I will meet you where you’re at in your journey, then we’ll dive right in to discovering how I can help you reclaim your sense of self and embark on a path toward healing.
![Photo of Joseph Mungai, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8d19e65d-2bc5-4478-a3b0-bc8a08c8330d/1/320x400.jpeg)
I am licensed Therapist with 12 years of professional work experience. I have experience in helping clients with stress, anxiety, depression and those experiencing variety of life crises, relationship issues, family conflicts, & coping with grief, loss and struggle with trauma. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage.
I am licensed Therapist with 12 years of professional work experience. I have experience in helping clients with stress, anxiety, depression and those experiencing variety of life crises, relationship issues, family conflicts, & coping with grief, loss and struggle with trauma. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage.
![Photo of Lorie Escobar, MA, LMHP, LPC, Counselor](https://photos.psychologytoday.com/3225106d-16f5-486f-a0ff-20cbd31c68fc/1/320x400.png)
I am able to see clients in person in Lincoln, NE and via Telehealth - As a young person I was helped by a compassionate and caring counselor. I decided, I wanted to be that person for others. I love to collaborate with clients in regards to any issues, but more specifically anxiety and/or depression. Sometimes it is just helpful to have an objective person to listen.
I am able to see clients in person in Lincoln, NE and via Telehealth - As a young person I was helped by a compassionate and caring counselor. I decided, I wanted to be that person for others. I love to collaborate with clients in regards to any issues, but more specifically anxiety and/or depression. Sometimes it is just helpful to have an objective person to listen.
![Photo of Jen Myers, MAEd, LMHP, CPC, Counselor](https://photos.psychologytoday.com/3f44a6b3-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jen specializes in working with adolescents and women who struggle with anxiety, depression, low self-esteem, difficulty managing emotions or tolerating distress, and who are experiencing difficult life transitions. She offers a warm, empathetic approach to therapy and holds to the highest standards of confidentiality. Jen uses an eclectic approach with her clients intertwining Person-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and Mindfulness Self-Compassion. She is passionate about creating a safe environment in which personal growth is fostered.
Jen specializes in working with adolescents and women who struggle with anxiety, depression, low self-esteem, difficulty managing emotions or tolerating distress, and who are experiencing difficult life transitions. She offers a warm, empathetic approach to therapy and holds to the highest standards of confidentiality. Jen uses an eclectic approach with her clients intertwining Person-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, and Mindfulness Self-Compassion. She is passionate about creating a safe environment in which personal growth is fostered.
![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 faith based counselor, experienced in women's wellness, considering the whole person/collaborating with primary care providers, & for being Nebraska's rural resource for telehealth. Raised in rural Nebraska, she is passionate about small towns, mamas, & Jesus. In addition to counseling, Carli owns & operates a women’s self-care boutique—Rural & Well, where she focuses on clothing, community, & Christ centered purpose driven living. Part time, she directs a local Health Care Foundation, with families & future in mind. She finds joy in writing & speaking regionally, inspiring belief & advocacy.
Carli is known for her background as a faith based counselor, experienced in women's wellness, considering the whole person/collaborating with primary care providers, & for being Nebraska's rural resource for telehealth. Raised in rural Nebraska, she is passionate about small towns, mamas, & Jesus. In addition to counseling, Carli owns & operates a women’s self-care boutique—Rural & Well, where she focuses on clothing, community, & Christ centered purpose driven living. Part time, she directs a local Health Care Foundation, with families & future in mind. She finds joy in writing & speaking regionally, inspiring belief & advocacy.
![Photo of Samantha Amick, PLMHP, PCMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5be673c0-50f1-47a2-97b0-2571b87f1ba8/2/320x400.jpeg)
Samantha Amick
Clinical Social Work/Therapist, PLMHP, PCMSW
Verified Verified
2 Endorsed
Grand Island, NE 68801
I am Sam Amick, a Provisionally Licensed Mental Health Practitioner and Certified Master Social Worker. I received my Bachelor’s in Social Work from the University of Nebraska - Kearney in 2018 followed by my Master’s in Social Work through the University of Nebraska - Omaha in 2021. With 5 years of working in the local school system and a year of teletherapy, I have experience in helping children, adults, and families overcome a variety of life’s challenges. You can find that my services are available in person, in the Grand Island area schools, or over Telehealth.
I am Sam Amick, a Provisionally Licensed Mental Health Practitioner and Certified Master Social Worker. I received my Bachelor’s in Social Work from the University of Nebraska - Kearney in 2018 followed by my Master’s in Social Work through the University of Nebraska - Omaha in 2021. With 5 years of working in the local school system and a year of teletherapy, I have experience in helping children, adults, and families overcome a variety of life’s challenges. You can find that my services are available in person, in the Grand Island area schools, or over Telehealth.
![Photo of Karen L Gutherless, MA, LIMHP, LPC, Counselor](https://photos.psychologytoday.com/69f87e48-5f86-4e70-b0f3-e29e26d69e2b/1/320x400.jpeg)
Karen earned a MA in Christian Counseling from Columbia Evangelical Seminary in 2001 and another MA in Community Counseling form Charon State College in 2008 and has been a fully licensed mental health practitioner since 2012. Karen's specialty includes, Abuse and Trauma TBRI Practitioner (Trust Based Relational Intervention), PTSD, Counseling for Families Affected by Disability, Christian Counseling, Divorce Recovery, LGBTQ Counseling, Grief, and Bereavement, Personality Disorders, Senior Adult Counseling, Stress, Anxiety, and Depression, Children, and Adolescent with family and individual.
Karen earned a MA in Christian Counseling from Columbia Evangelical Seminary in 2001 and another MA in Community Counseling form Charon State College in 2008 and has been a fully licensed mental health practitioner since 2012. Karen's specialty includes, Abuse and Trauma TBRI Practitioner (Trust Based Relational Intervention), PTSD, Counseling for Families Affected by Disability, Christian Counseling, Divorce Recovery, LGBTQ Counseling, Grief, and Bereavement, Personality Disorders, Senior Adult Counseling, Stress, Anxiety, and Depression, Children, and Adolescent with family and individual.
![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 Kelli Czarnick, LIMHP, CPC, Counselor](https://photos.psychologytoday.com/fb452bf1-b26e-41e1-a91b-7c05114b5866/1/320x400.jpeg)
I believe in treating each person individually. I will meet you were you are and try to work to find the solution that is best for you, whether you need help with skills to make changes or just need someone objective to listen and support you through whatever challenges you may be facing.
I believe in treating each person individually. I will meet you were you are and try to work to find the solution that is best for you, whether you need help with skills to make changes or just need someone objective to listen and support you through whatever challenges you may be facing.
How does your Therapist compare?
Number of Therapists in Ord, NE
< 10
Therapists in Ord, NE who prioritize treating:
100% | Depression |
100% | Anxiety |
100% | Child |
100% | Trauma and PTSD |
100% | School Issues |
100% | Family Conflict |
Top 3 insurances accepted
100% | Aetna |
100% | BlueCross and BlueShield |
100% | Cigna and Evernorth |
How Therapists in Ord, NE see their clients
100% | Online Only |
Gender breakdown
100% | Female |
FAQs - About Therapy and Counseling
How can I find a therapist in Ord?
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.