Therapists in Totowa, NJ

Photo of Caryn Dambra, MA/EdS, LPC, Licensed Professional Counselor
Caryn Dambra
Licensed Professional Counselor, MA/EdS, LPC
Verified Verified
2 Endorsed
Totowa, NJ 07512  (Online Only)
Do you often find yourself feeling anxious and overwhelmed? Do you ever feel as though you are operating on “autopilot” – simply going through the motions of your life? If so, you are not alone! It's not easy to balance the various aspects and responsibilities of our lives – however, it is possible! By participating in therapy, we can find ways to feel more balanced within ourselves, which will allow us to feel more calm, capable, and content in our lives!
Do you often find yourself feeling anxious and overwhelmed? Do you ever feel as though you are operating on “autopilot” – simply going through the motions of your life? If so, you are not alone! It's not easy to balance the various aspects and responsibilities of our lives – however, it is possible! By participating in therapy, we can find ways to feel more balanced within ourselves, which will allow us to feel more calm, capable, and content in our lives!
(973) 834-5360 View (973) 834-5360
Photo of Sarah Krakus - The Human Institute, Counselor
The Human Institute
Counselor
Verified Verified
Totowa, NJ 07512
Welcome to the Human Institute, and welcome to the first step in your mental wellness journey. The Human Institute is an organization dedicated to improving the mental health access and wellness of anyone who seeks it. We firmly believe that all people are entitled to high quality mental health care, no matter who they are, where they’re from, or what they believe. That’s why we’re dedicated to a multicultural approach that utilizing professionals from a variety of backgrounds and education to help you access affordable, quality, mental health care whenever you need it.
Welcome to the Human Institute, and welcome to the first step in your mental wellness journey. The Human Institute is an organization dedicated to improving the mental health access and wellness of anyone who seeks it. We firmly believe that all people are entitled to high quality mental health care, no matter who they are, where they’re from, or what they believe. That’s why we’re dedicated to a multicultural approach that utilizing professionals from a variety of backgrounds and education to help you access affordable, quality, mental health care whenever you need it.
(973) 307-3199 View (973) 307-3199
Photo of Dr. S. Yeliz Orhan, PhD, CMH, CHT, MA
Dr. S. Yeliz Orhan
PhD, CMH, CHT, MA
Verified Verified
Totowa, NJ 07512
I am a psychologist (Ph.D.), I have over 21 years of experience and have worked with a diverse population on a variety of issues including anxiety, depression, Post-traumatic stress disorder, marital/family conflict and stress,ADHD in childs and adults,adolescent mental health,neurotic dieseases and psychotic disorders,traumatic events,phobias. Specialized on chronic stress-related psychological and problems like vaginismus,sexual problems and physiological illnesses like cardio-vascular. I have training in working with children and adolescents and their parents.I also have significant experience in working older adults/
I am a psychologist (Ph.D.), I have over 21 years of experience and have worked with a diverse population on a variety of issues including anxiety, depression, Post-traumatic stress disorder, marital/family conflict and stress,ADHD in childs and adults,adolescent mental health,neurotic dieseases and psychotic disorders,traumatic events,phobias. Specialized on chronic stress-related psychological and problems like vaginismus,sexual problems and physiological illnesses like cardio-vascular. I have training in working with children and adolescents and their parents.I also have significant experience in working older adults/
(551) 278-8728 View (551) 278-8728
Photo of Jocelyn Stern, LCSW, Clinical Social Work/Therapist
Jocelyn Stern
Clinical Social Work/Therapist, LCSW
Verified Verified
Totowa, NJ 07512  (Online Only)
I am a licensed clinical social worker who provides virtual individual therapy. I have experience working with adults who may be dealing with symptoms of Depression, Anxiety, life stressors, relationship conflict, and mood disorders. I use evidence -based practices such as Cognitive Behavioral Therapy, Mindfulness, Solution-Focused Brief Therapy, Strength-Based Therapy, Attachment-Based Therapy, and Psychodynamic Therapy.
I am a licensed clinical social worker who provides virtual individual therapy. I have experience working with adults who may be dealing with symptoms of Depression, Anxiety, life stressors, relationship conflict, and mood disorders. I use evidence -based practices such as Cognitive Behavioral Therapy, Mindfulness, Solution-Focused Brief Therapy, Strength-Based Therapy, Attachment-Based Therapy, and Psychodynamic Therapy.
(862) 386-2349 View (862) 386-2349
Photo of Ryan C. Sullivan Psy. D., Psychologist
Ryan C. Sullivan Psy. D.
Psychologist
Verified Verified
Totowa, NJ 07512
Some clients are encouraged or persuaded to engage in psychological services and others are fully self referred. I have come to learn that regardless of the avenue for initiating services and the reason for referral, most clients can have a positive therapeutic experience and achieve some measure of success, change or resolution to general or specific areas of concern or mutually defined treatment goals. My experiences have provided me with an appreciaition for clients' needs at various stages of life and given me the opportunity to learn to work effectively with clients with a wide range of functioning, types of problems and phases of life.
Some clients are encouraged or persuaded to engage in psychological services and others are fully self referred. I have come to learn that regardless of the avenue for initiating services and the reason for referral, most clients can have a positive therapeutic experience and achieve some measure of success, change or resolution to general or specific areas of concern or mutually defined treatment goals. My experiences have provided me with an appreciaition for clients' needs at various stages of life and given me the opportunity to learn to work effectively with clients with a wide range of functioning, types of problems and phases of life.
(201) 299-4294 View (201) 299-4294
Photo of Zeynep Cakmak, MA, LAC, NCC, Counselor
Zeynep Cakmak
Counselor, MA, LAC, NCC
Verified Verified
2 Endorsed
Totowa, NJ 07512  (Online Only)
While trauma, anxiety, depression, and other mental struggles may cause us to lose hope, healing is possible. As a person-centered therapist, I believe in empowering my clients on their journey towards healing. I prioritize creating a non-judgmental and inclusive environment where you can feel safe, heard, and supported as we collaborate on your goals. Whether you're grappling with anxiety, depression, self-esteem challenges, the impact of trauma, or sociocultural issues, I am here to help you overcome these obstacles and maintain your overall wellness.
While trauma, anxiety, depression, and other mental struggles may cause us to lose hope, healing is possible. As a person-centered therapist, I believe in empowering my clients on their journey towards healing. I prioritize creating a non-judgmental and inclusive environment where you can feel safe, heard, and supported as we collaborate on your goals. Whether you're grappling with anxiety, depression, self-esteem challenges, the impact of trauma, or sociocultural issues, I am here to help you overcome these obstacles and maintain your overall wellness.
(973) 587-2801 View (973) 587-2801
Photo of Julianna Ferenczi, Clinical Social Work/Therapist
Julianna Ferenczi
Clinical Social Work/Therapist
Verified Verified
Totowa, NJ 07512
Julianna is a Licensed Social Worker in the state of New Jersey. She holds a bachelor’s degree in psychology from Wagner College and a master’s degree in social work from Fordham University. Julianna has extensive experience providing clinical social work services to diverse populations such as the homeless population, veterans, and their family members. Julianna works for the outpatient behavioral health division of a major hospital system, Julianna provides behavioral health evaluations and psychotherapy to adults, young adults, and teens.
Julianna is a Licensed Social Worker in the state of New Jersey. She holds a bachelor’s degree in psychology from Wagner College and a master’s degree in social work from Fordham University. Julianna has extensive experience providing clinical social work services to diverse populations such as the homeless population, veterans, and their family members. Julianna works for the outpatient behavioral health division of a major hospital system, Julianna provides behavioral health evaluations and psychotherapy to adults, young adults, and teens.
(973) 528-1927 View (973) 528-1927
Photo of Maria Ruiz-Pedraza, LAC, Counselor
Maria Ruiz-Pedraza
Counselor, LAC
Verified Verified
Totowa, NJ 07512
Approach: Mrs. Ruiz-Pedraza uses a holistic approach with an emphasis on Cognitive Behavioral Therapy (CBT), solution confusion, and mindfulness approach. She also provides faith-based counseling enabled through her 25 years of service to the religious and nonprofit sectors. Maria provides a safe, non-judgmental space where clients can address issues and gain valuable life skills. Her goal is to help individuals and families in her community to understand themselves and their unique situations so they may find healing, strength, and coping skills. Language:  English and Spanish
Approach: Mrs. Ruiz-Pedraza uses a holistic approach with an emphasis on Cognitive Behavioral Therapy (CBT), solution confusion, and mindfulness approach. She also provides faith-based counseling enabled through her 25 years of service to the religious and nonprofit sectors. Maria provides a safe, non-judgmental space where clients can address issues and gain valuable life skills. Her goal is to help individuals and families in her community to understand themselves and their unique situations so they may find healing, strength, and coping skills. Language:  English and Spanish
(973) 833-5687 View (973) 833-5687
Photo of Matthew Rosario, MA, LPC, ACS, NCC, Licensed Professional Counselor
Matthew Rosario
Licensed Professional Counselor, MA, LPC, ACS, NCC
Verified Verified
6 Endorsed
Totowa, NJ 07512  (Online Only)
Life is messy. We all struggle. No one is exempt. Throughout each of our unique journeys and paths, the challenges, detours, and great barriers we face are an inevitable part of that experience. And at some point we all need to stop and take time—time to care for ourselves, time to reevaluate what’s important and where we’re heading. For you, maybe that time is now. Maybe you're experiencing depression, anxiety, confusion, or loss—but you don't have to do it alone. I can help support your journey back to personal power as a companion, witness, and non-judgmental guide.
Life is messy. We all struggle. No one is exempt. Throughout each of our unique journeys and paths, the challenges, detours, and great barriers we face are an inevitable part of that experience. And at some point we all need to stop and take time—time to care for ourselves, time to reevaluate what’s important and where we’re heading. For you, maybe that time is now. Maybe you're experiencing depression, anxiety, confusion, or loss—but you don't have to do it alone. I can help support your journey back to personal power as a companion, witness, and non-judgmental guide.
(973) 841-8648 View (973) 841-8648
Photo of Colette A. Thomas-Lamothe, MSW, LSW, DRCC, Clinical Social Work/Therapist
Colette A. Thomas-Lamothe
Clinical Social Work/Therapist, MSW, LSW, DRCC
Verified Verified
Totowa, NJ 07512
Colette is compassionate as she serves adults navigating life’s transitions, stressors, and setbacks, while increasing problem solving strategies as they move towards personal growth and peace. As a Licensed Social Worker, she strives to assist, support and share in the therapeutic relationship, as she helps adults, directly or indirectly, reach their goals and live healthy and productive lives. She draws on Mindfulness, Strength-based & Empowerment, and CBT techniques to help adults reclaim awareness and identify areas for improvement.
Colette is compassionate as she serves adults navigating life’s transitions, stressors, and setbacks, while increasing problem solving strategies as they move towards personal growth and peace. As a Licensed Social Worker, she strives to assist, support and share in the therapeutic relationship, as she helps adults, directly or indirectly, reach their goals and live healthy and productive lives. She draws on Mindfulness, Strength-based & Empowerment, and CBT techniques to help adults reclaim awareness and identify areas for improvement.
(973) 358-7903 View (973) 358-7903
Photo of Jaclyn Bsales, MSW, LCSW, EMDR, KAP, Clinical Social Work/Therapist
Jaclyn Bsales
Clinical Social Work/Therapist, MSW, LCSW, EMDR, KAP
Verified Verified
3 Endorsed
Totowa, NJ 07511  (Online Only)
What if i told you, you didn't have to re-live your trauma, to heal from it? Remembering is not recovering. The only thing worse than living through a traumatic event, are the after affects that impact the present day. These affects may include mood instability, flashbacks, depression, irritability, anxiety, hyper-vigilance, isolation, destructive behaviors, and more. Past trauma has the ability to change our worldview in the present, contributing to an ongoing sense of danger, fear, hopelessness, and shame. That's why, as a therapist, I use an array of here-and-now techniques to assist clients in re-establishing a sense of safety.
What if i told you, you didn't have to re-live your trauma, to heal from it? Remembering is not recovering. The only thing worse than living through a traumatic event, are the after affects that impact the present day. These affects may include mood instability, flashbacks, depression, irritability, anxiety, hyper-vigilance, isolation, destructive behaviors, and more. Past trauma has the ability to change our worldview in the present, contributing to an ongoing sense of danger, fear, hopelessness, and shame. That's why, as a therapist, I use an array of here-and-now techniques to assist clients in re-establishing a sense of safety.
(973) 358-0378 View (973) 358-0378
Photo of Edmary Gaugler, LCSW, Clinical Social Work/Therapist
Edmary Gaugler
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Totowa, NJ 07512  (Online Only)
It not easy to ask for help but you don't have to face your struggles alone. The constant worry, the racing thoughts, the tightness in your chest. The sadness, the emptiness, the loss of interest. The struggle to get out of bed, to face the day, to cope with the challenges. You feel alone, hopeless, & stuck. You wonder if things will ever get better. You are not alone. It takes great courage to acknowledge that you're struggling with anxiety or depression. I want you to know that I am here to support you as you work through these issues and make positive life changes. I believe that everyone has the capacity for growth and change.
It not easy to ask for help but you don't have to face your struggles alone. The constant worry, the racing thoughts, the tightness in your chest. The sadness, the emptiness, the loss of interest. The struggle to get out of bed, to face the day, to cope with the challenges. You feel alone, hopeless, & stuck. You wonder if things will ever get better. You are not alone. It takes great courage to acknowledge that you're struggling with anxiety or depression. I want you to know that I am here to support you as you work through these issues and make positive life changes. I believe that everyone has the capacity for growth and change.
(973) 846-1624 View (973) 846-1624
Photo of Thriving Minds Counseling, LCSW, Clinical Social Work/Therapist
Thriving Minds Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Totowa, NJ 07512
Our team of professional psychotherapists offer counseling, support, empowerment, and help you to navigate through the most challenging times in your life. If you experience stress, anxiety, depression, intrusive thoughts, unstable relationships, or just want to feel fulfilled, empowered, or happier in any area of your life, We are here for you. We carefully guide you to obtain the necessary coping skills to achieve your personal goals and emotional stability in all areas of your life.
Our team of professional psychotherapists offer counseling, support, empowerment, and help you to navigate through the most challenging times in your life. If you experience stress, anxiety, depression, intrusive thoughts, unstable relationships, or just want to feel fulfilled, empowered, or happier in any area of your life, We are here for you. We carefully guide you to obtain the necessary coping skills to achieve your personal goals and emotional stability in all areas of your life.
(551) 213-6285 View (551) 213-6285
Photo of Sam Maldonado, PhD, LPC, CHT, ASDCS, APM
Sam Maldonado
PhD, LPC, CHT, ASDCS, APM
Verified Verified
Totowa, NJ 07502  (Online Only)
I am a Certified Divorce Mediator, Master Hypnotherapist, and Licensed Professional Counselor, with over 25,000 clinical hours. I have specializations in many areas including working with children, adolescents, and adults. I have specializations in Autism and Forensic Psychology. I possess a Post Doctoral Re-Specialization in Forensic Psychology. I have provided intervention and mediation for the courts, the state, and private clients. Call for further information 201-364-8474.
I am a Certified Divorce Mediator, Master Hypnotherapist, and Licensed Professional Counselor, with over 25,000 clinical hours. I have specializations in many areas including working with children, adolescents, and adults. I have specializations in Autism and Forensic Psychology. I possess a Post Doctoral Re-Specialization in Forensic Psychology. I have provided intervention and mediation for the courts, the state, and private clients. Call for further information 201-364-8474.
(201) 231-8238 View (201) 231-8238
Photo of Susan A Grossbard, PsyD, MA, Psychologist
Susan A Grossbard
Psychologist, PsyD, MA
Verified Verified
Totowa, NJ 07512
Everyone experiences conflict in their lives. The question is how the conflict is resolved. Together we can find solutions that work for you.
Everyone experiences conflict in their lives. The question is how the conflict is resolved. Together we can find solutions that work for you.
(973) 917-8173 View (973) 917-8173
Photo of Rona LoPresti, PhD, Psychologist
Rona LoPresti
Psychologist, PhD
Verified Verified
Totowa, NJ 07512
I am a licensed psychologist w/ 25+ years experience in private practice. I work with people who have relationship, parenting and career issues who may be struggling with difficult life transitions, losses, fears, self-esteem and self-control issues and those who experience debilitating self-doubt, shyness, self-hatred, jealousy and rage. I also work with Internet addiction issues. My therapeutic approach is to help you get to the root of your emotional concerns and to learn new ways of dealing with problems so that they don't reoccur.
I am a licensed psychologist w/ 25+ years experience in private practice. I work with people who have relationship, parenting and career issues who may be struggling with difficult life transitions, losses, fears, self-esteem and self-control issues and those who experience debilitating self-doubt, shyness, self-hatred, jealousy and rage. I also work with Internet addiction issues. My therapeutic approach is to help you get to the root of your emotional concerns and to learn new ways of dealing with problems so that they don't reoccur.
(862) 253-2197 View (862) 253-2197
Photo of Ioanna Panagiotidis, LSW
Ioanna Panagiotidis
Licensed Social Worker, LSW
Verified Verified
Totowa, NJ 07502
My name is Ioanna Panagiotidis and I would love the opportunity to work with you! I am a Licensed Master Social Worker (LMSW) working toward my Licensed Clinical Social Work (LMSW). I graduated from Rutgers University with a double major in Psychology and Criminal Justice and received a Master of Social Work from New York University.
My name is Ioanna Panagiotidis and I would love the opportunity to work with you! I am a Licensed Master Social Worker (LMSW) working toward my Licensed Clinical Social Work (LMSW). I graduated from Rutgers University with a double major in Psychology and Criminal Justice and received a Master of Social Work from New York University.
(856) 386-7325 View (856) 386-7325
Photo of Kirsten DeLuca, LAC, Counselor
Kirsten DeLuca
Counselor, LAC
Verified Verified
Totowa, NJ 07502  (Online Only)
Choosing to prioritize your mental health is not always easy and can be an intimidating step. Although sometimes difficult, it is important because you matter! I hope to be a part of helping you in your journey. I have a Master’s degree in Clinical Mental Health Counseling and am a Licensed Associate Counselor. I have a background in treating clients with various challenges such as, but not limited to, anxiety, depression, disabilities, mood disorders, and psychotic disorders. I am trained in a variety of therapies and, as a result, utilize an eclectic approach. You are the expert on yourself!
Choosing to prioritize your mental health is not always easy and can be an intimidating step. Although sometimes difficult, it is important because you matter! I hope to be a part of helping you in your journey. I have a Master’s degree in Clinical Mental Health Counseling and am a Licensed Associate Counselor. I have a background in treating clients with various challenges such as, but not limited to, anxiety, depression, disabilities, mood disorders, and psychotic disorders. I am trained in a variety of therapies and, as a result, utilize an eclectic approach. You are the expert on yourself!
(908) 388-9480 View (908) 388-9480
Photo of Kiersten Massa, LPC, LCADC, ACS, CCTP, Licensed Professional Counselor
Kiersten Massa
Licensed Professional Counselor, LPC, LCADC, ACS, CCTP
Verified Verified
Totowa, NJ 07502
I am a big believer of "do what you can, with what you have, where you are". I believe in meeting my clients where they are and working alongside them, collaboratively, so that they may gain insight into themselves and make the changes in their life that they have been wanting to.
I am a big believer of "do what you can, with what you have, where you are". I believe in meeting my clients where they are and working alongside them, collaboratively, so that they may gain insight into themselves and make the changes in their life that they have been wanting to.
(973) 791-6781 View (973) 791-6781
Photo of Christine Meyer, MSW, LCSW, Clinical Social Work/Therapist
Christine Meyer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Totowa, NJ 07502
Life can present a wide array of challenges, from anxiety, to mood disorders, to trauma; all which require very specialized healing. Therapy is a personalized and integrative experience, and I am here to support you every step of the way. Whether you are seeking clarity on your past, support through a life transition, or coaching for a challenging family dynamic; I will work with you with compassion and guidance to meet your needs.
Life can present a wide array of challenges, from anxiety, to mood disorders, to trauma; all which require very specialized healing. Therapy is a personalized and integrative experience, and I am here to support you every step of the way. Whether you are seeking clarity on your past, support through a life transition, or coaching for a challenging family dynamic; I will work with you with compassion and guidance to meet your needs.
(862) 505-2946 View (862) 505-2946
1

See more therapy options for Totowa

How does your Therapist compare?

Number of Therapists in Totowa, NJ

20+

Average cost per session

$190

Therapists in Totowa, NJ who prioritize treating:

96% Depression
96% Anxiety
88% Self Esteem
79% Relationship Issues
79% Stress
75% Grief
71% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

95% Horizon Blue Cross and Blue Shield
81% Aetna
76% UnitedHealthcare UHC | UBH

How Therapists in Totowa, NJ see their clients

55% In Person and Online
45% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Totowa?

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.