Therapists in Sagamore Hills, OH

Photo of Katie D'Fantis, LPCC, Counselor
Katie D'Fantis
Counselor, LPCC
Verified Verified
1 Endorsed
Sagamore Hills, OH 44067
Not accepting new clients
Whether you’re feeling worried, stressed, unsure in your relationship or are struggling to communicate your emotions and needs, my goal is to help you heal so that you can find joy, peace, and inner harmony again. Some people experience discomfort or emotional distress from difficult life events such as grief/loss, divorce, family discord, abuse, or other traumatic experiences. No matter the severity of the event or if it happened seven days or seven years ago, that thing that happened to you matters. I can help you move towards healing.
Whether you’re feeling worried, stressed, unsure in your relationship or are struggling to communicate your emotions and needs, my goal is to help you heal so that you can find joy, peace, and inner harmony again. Some people experience discomfort or emotional distress from difficult life events such as grief/loss, divorce, family discord, abuse, or other traumatic experiences. No matter the severity of the event or if it happened seven days or seven years ago, that thing that happened to you matters. I can help you move towards healing.
(440) 571-7942 View (440) 571-7942
Photo of Independence Office - Lamplight Counseling Services LLC
Lamplight Counseling Services LLC
Verified Verified
2 Endorsed
Sagamore Hills, OH 44067
Depression, Anger, and Frustration can creep up on us without warning. No matter what the challenge, our licensed clinicians can help you gain an understanding of what is happening and implement coping skills to help you feel back in control. Our clients come to us with challenges, including Trauma, Anxiety, Depression, Work difficulties, Family Concerns, and Substance Abuse Difficulties. We desire to see each person's goals achieved in a way that helps foster both growth and self-confidence.
Depression, Anger, and Frustration can creep up on us without warning. No matter what the challenge, our licensed clinicians can help you gain an understanding of what is happening and implement coping skills to help you feel back in control. Our clients come to us with challenges, including Trauma, Anxiety, Depression, Work difficulties, Family Concerns, and Substance Abuse Difficulties. We desire to see each person's goals achieved in a way that helps foster both growth and self-confidence.
(216) 279-5494 View (216) 279-5494

More Therapists Nearby

Photo of Heather Anderson Boll- Integrated Somatic Healing Arts [Emdr - Ifs], MS, MFA, PTSD, Somatic, IFS, EMDR, Counselor
Heather Anderson Boll- Integrated Somatic Healing Arts [Emdr - Ifs]
Counselor, MS, MFA, PTSD, Somatic, IFS, EMDR
Verified Verified
Northfield, OH 44067
I hold that you inherently deserve unconditional love and acceptance - and that healing must include the internal relationship to Self, in order to welcome a profound connectedness to others. I see trauma not as something wrong with you, but something right - a deep wisdom rising up that must be heard. In collaboration we will design the path that best serves your healing, whether through tools of immediate relief (like parasympathetic release / polyvagal theory) or in long arcs of subtle process toward deeper healing (like Somatic Internal Family Systems and EMDR).
I hold that you inherently deserve unconditional love and acceptance - and that healing must include the internal relationship to Self, in order to welcome a profound connectedness to others. I see trauma not as something wrong with you, but something right - a deep wisdom rising up that must be heard. In collaboration we will design the path that best serves your healing, whether through tools of immediate relief (like parasympathetic release / polyvagal theory) or in long arcs of subtle process toward deeper healing (like Somatic Internal Family Systems and EMDR).
(216) 714-8947 View (216) 714-8947
Photo of Jennifer Vasquez, LPCC-S
Jennifer Vasquez
Licensed Professional Clinical Counselor, LPCC-S
Verified Verified
Macedonia, OH 44056
Struggling with anxiety, depression, life adjustment stress, parent-child conflict? Animal Assisted Psychotherapy is a unique approach that allows a safe space to grow, heal, and process your struggles and pain. Our animal team members work along side of us to reflect, challenge , and comfort clients in each session.
Struggling with anxiety, depression, life adjustment stress, parent-child conflict? Animal Assisted Psychotherapy is a unique approach that allows a safe space to grow, heal, and process your struggles and pain. Our animal team members work along side of us to reflect, challenge , and comfort clients in each session.
(330) 969-8117 View (330) 969-8117
Photo of Martha Portman - Root Counseling, LLC, MA, LPCC-S, Licensed Professional Counselor
Root Counseling, LLC
Licensed Professional Counselor, MA, LPCC-S
Verified Verified
1 Endorsed
Northfield, OH 44067  (Online Only)
Our belief lies in establishing a therapeutic relationship with each client that is uniquely tailored to meet their needs. With a focus in attachment and client-centered care, we are equipped to help with a wide array of issues. Our main areas of concern are: trauma and C-PTSD, Codependency, EMDR, Parenting support, and general anxiety and depression issues.
Our belief lies in establishing a therapeutic relationship with each client that is uniquely tailored to meet their needs. With a focus in attachment and client-centered care, we are equipped to help with a wide array of issues. Our main areas of concern are: trauma and C-PTSD, Codependency, EMDR, Parenting support, and general anxiety and depression issues.
(216) 284-5936 View (216) 284-5936
Photo of Sarah (Sally) Bingham, LISW, Clinical Social Work/Therapist
Sarah (Sally) Bingham
Clinical Social Work/Therapist, LISW
Verified Verified
Macedonia, OH 44056
Everyone experiences times when they may feel overwhelmed, confused, or anxious. I want to help you with those challenges. My clients tell me that my honesty, openness, enthusiasm and energy are a refreshing difference from therapy of the past where they received very little feedback. In my 24 years of experience as a therapist, I have developed a nurturing, goal oriented approach. I believe in active participation by clients in the counseling process. We will set obtainable goals together and ways to measure progress. I employ different techniques specific to clients' needs.
Everyone experiences times when they may feel overwhelmed, confused, or anxious. I want to help you with those challenges. My clients tell me that my honesty, openness, enthusiasm and energy are a refreshing difference from therapy of the past where they received very little feedback. In my 24 years of experience as a therapist, I have developed a nurturing, goal oriented approach. I believe in active participation by clients in the counseling process. We will set obtainable goals together and ways to measure progress. I employ different techniques specific to clients' needs.
(330) 603-5782 View (330) 603-5782
Photo of Virginia Fowkes Clark - Western Reserve Psychological Associates,Inc, PhD
Western Reserve Psychological Associates,Inc
PhD
Verified Verified
Macedonia, OH 44056
Western Reserve Psychological Associates, Inc. is committed to providing the highest quality outpatient psychological services in order to help our clients cope with and find solutions to problems of daily living. Fully licensed and qualified mental health professionals will provide our services in a confidential, supportive and caring environment.
Western Reserve Psychological Associates, Inc. is committed to providing the highest quality outpatient psychological services in order to help our clients cope with and find solutions to problems of daily living. Fully licensed and qualified mental health professionals will provide our services in a confidential, supportive and caring environment.
(330) 650-5338 View (330) 650-5338
Photo of Bridgette Inukiha'angana, MA, LPC, NCC, Licensed Professional Counselor
Bridgette Inukiha'angana
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Northfield, OH 44067  (Online Only)
Many types of experiences can impact your life causing stress, anxiety, depression, relational issues and other negative patterns. Investigating these present and past patterns can empower positive changes! I believe childhood and adulthood interweave into a persons current reality and the therapy space is a place to untangle the childhood events that continue to impact your current life. My belief that people are constantly changing to better suit their needs drives my enthusiasm to walk with client’s to become the version of themselves they desire to be, while also loving and respecting the current version of who they are.
Many types of experiences can impact your life causing stress, anxiety, depression, relational issues and other negative patterns. Investigating these present and past patterns can empower positive changes! I believe childhood and adulthood interweave into a persons current reality and the therapy space is a place to untangle the childhood events that continue to impact your current life. My belief that people are constantly changing to better suit their needs drives my enthusiasm to walk with client’s to become the version of themselves they desire to be, while also loving and respecting the current version of who they are.
(234) 239-9184 View (234) 239-9184
Photo of Taufika Hafiz Sakhawat, MSW, LSW, Clinical Social Work/Therapist
Taufika Hafiz Sakhawat
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Macedonia, OH 44056  (Online Only)
You are the expert on your life; you are the one who knows what goal you want to set up for your happiness. Do not let your stress, anxiety, depression, and self-defeating thoughts hold you back from your goal. People are often diagnosed with mental health conditions and substance use disorders. Risk factors for SUD usually include trauma, stress, anxiety, and depression. Acknowledging the symptoms are often difficult, with the therapy you will find your strength, triggers, and patterns and will be able to perceive a positive world to have a successful happy life.
You are the expert on your life; you are the one who knows what goal you want to set up for your happiness. Do not let your stress, anxiety, depression, and self-defeating thoughts hold you back from your goal. People are often diagnosed with mental health conditions and substance use disorders. Risk factors for SUD usually include trauma, stress, anxiety, and depression. Acknowledging the symptoms are often difficult, with the therapy you will find your strength, triggers, and patterns and will be able to perceive a positive world to have a successful happy life.
(330) 331-6785 View (330) 331-6785
Photo of Marcie Williams - Affirming Autism, LLC, MA, LPCC, Counselor
Affirming Autism, LLC
Counselor, MA, LPCC
Verified Verified
Northfield, OH 44067  (Online Only)
Are you suffering from caregiver burnout? Are you worried you aren't doing all you can to best support your autistic family member? Are you anxious about your child's future? Do you feel isolated, stressed, or stuck? While autism is a neurodevelopmental disability, there is neither a physical nor ethical reason to treat it unless autism traits are affecting your quality of life, health, job, relationships, etc. Autism itself does not get better or worse with time. It's simply a different way of receiving and processing the world. Much of the stress parents experience comes from misunderstanding their child's support needs.
Are you suffering from caregiver burnout? Are you worried you aren't doing all you can to best support your autistic family member? Are you anxious about your child's future? Do you feel isolated, stressed, or stuck? While autism is a neurodevelopmental disability, there is neither a physical nor ethical reason to treat it unless autism traits are affecting your quality of life, health, job, relationships, etc. Autism itself does not get better or worse with time. It's simply a different way of receiving and processing the world. Much of the stress parents experience comes from misunderstanding their child's support needs.
(234) 813-4882 View (234) 813-4882
Photo of Martha Witkowski, MA, LPCC-S, BC-TMH, CLC, Counselor
Martha Witkowski
Counselor, MA, LPCC-S, BC-TMH, CLC
Verified Verified
1 Endorsed
Northfield, OH 44067
Founder and owner of Root Counseling LLC: http://therootcounseling.com, specializing in online counseling services across the states of Ohio and Kentucky. Multiculturally aware, bilingual, independently licensed mental health therapist who understands that compassion and relationship building are at the core of the healing process. I am a trauma-informed, dialectical, and person-centered clinician who believes in both practical and deeply, emotionally based healing processes.
Founder and owner of Root Counseling LLC: http://therootcounseling.com, specializing in online counseling services across the states of Ohio and Kentucky. Multiculturally aware, bilingual, independently licensed mental health therapist who understands that compassion and relationship building are at the core of the healing process. I am a trauma-informed, dialectical, and person-centered clinician who believes in both practical and deeply, emotionally based healing processes.
(440) 271-1148 View (440) 271-1148
Photo of Keisha S Rivers, MSW, LSW, Clinical Social Work/Therapist
Keisha S Rivers
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Macedonia, OH 44056
Welcome! I am glad that you have come to my page. I am here to offer you a safe, relaxing and open environment so that we may work through any obstacles that you may be facing. Trauma, broken relationships, life changes, maternal issues, hard times, depression, parenting and marriage struggles-these things happen to even the strongest people and sometimes you just need someone to "hear" you. Learning how to cope with life's challenges will decrease feelings of hopelessness and sadness. Releasing negative thoughts will allow you to leave feeling "lighter" and replace them with positive thoughts and goals, hopeful for a better future
Welcome! I am glad that you have come to my page. I am here to offer you a safe, relaxing and open environment so that we may work through any obstacles that you may be facing. Trauma, broken relationships, life changes, maternal issues, hard times, depression, parenting and marriage struggles-these things happen to even the strongest people and sometimes you just need someone to "hear" you. Learning how to cope with life's challenges will decrease feelings of hopelessness and sadness. Releasing negative thoughts will allow you to leave feeling "lighter" and replace them with positive thoughts and goals, hopeful for a better future
(234) 231-8581 View (234) 231-8581
Photo of Jennifer F. Yensel - The Cole Center, LPCC, PhD, LISW, LMFT, Counselor
The Cole Center
Counselor, LPCC, PhD, LISW, LMFT
Verified Verified
Macedonia, OH 44056
We are a small private practice, established to grow a brand based on transparency in therapy, clinicians who are passionate about their jobs and ongoing interpersonal and professional growth. Our clinicians are trained to treat all mental health diagnoses. Contact us for help selecting which therapist may meet your personal needs including scheduling, insurance coverage, and unique styles.
We are a small private practice, established to grow a brand based on transparency in therapy, clinicians who are passionate about their jobs and ongoing interpersonal and professional growth. Our clinicians are trained to treat all mental health diagnoses. Contact us for help selecting which therapist may meet your personal needs including scheduling, insurance coverage, and unique styles.
(216) 342-3771 View (216) 342-3771
Photo of Kristin Hilfer, PsyD, Psychologist
Kristin Hilfer
Psychologist, PsyD
Verified Verified
Macedonia, OH 44056
Dr. Hilfer sees patients ages 12 and up. She conceptualizes cases using CBT and family systems theory. She treats patients struggling with depression, anxiety, OCD, panic disorder, PTSD, addiction issues, relationship difficulties, eating disorders, and body dysmorphia.
Dr. Hilfer sees patients ages 12 and up. She conceptualizes cases using CBT and family systems theory. She treats patients struggling with depression, anxiety, OCD, panic disorder, PTSD, addiction issues, relationship difficulties, eating disorders, and body dysmorphia.
(234) 516-2348 View (234) 516-2348
Photo of Brooke Stehlik, MA, LPCC
Brooke Stehlik
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
1 Endorsed
Northfield, OH 44067
Currently accepting new clients! Hi, I'm Brooke! I think anyone can benefit from counseling. I have experience working with teens and adults, including members of the LGBTQ+ community. I consider myself a chill therapist. I want you to feel comfortable and safe coming in, so you are able to open up about past and present struggles to bring change and growth. I want your sessions feel like you are with an old friend or your own personal cheerleader. I'd love for you to come in, put your feet up, and make my office feel like home!
Currently accepting new clients! Hi, I'm Brooke! I think anyone can benefit from counseling. I have experience working with teens and adults, including members of the LGBTQ+ community. I consider myself a chill therapist. I want you to feel comfortable and safe coming in, so you are able to open up about past and present struggles to bring change and growth. I want your sessions feel like you are with an old friend or your own personal cheerleader. I'd love for you to come in, put your feet up, and make my office feel like home!
(440) 659-2062 View (440) 659-2062
Photo of Annette Humberson, LISW-S, Clinical Social Work/Therapist
Annette Humberson
Clinical Social Work/Therapist, LISW-S
Verified Verified
Macedonia, OH 44056
Sometimes the hardest part is taking the first step to reach out and ask for help. I'm glad you're hear to learn more about my areas of specialty and communication style. My name is Annette Humberson and I've been a Social Worker for over 25 years. I have counseled people of all ages from 19 to 90+, with issues throughout their lifespan. Every person has their own story and experiences. My approach is very down to earth with compassion and acceptance to who you are, what you are struggling with, and how you would like to envision your life differently moving forward.
Sometimes the hardest part is taking the first step to reach out and ask for help. I'm glad you're hear to learn more about my areas of specialty and communication style. My name is Annette Humberson and I've been a Social Worker for over 25 years. I have counseled people of all ages from 19 to 90+, with issues throughout their lifespan. Every person has their own story and experiences. My approach is very down to earth with compassion and acceptance to who you are, what you are struggling with, and how you would like to envision your life differently moving forward.
(234) 219-2272 View (234) 219-2272
Photo of Ashley M. Thomas-Bock, PsyD, Psychologist
Ashley M. Thomas-Bock
Psychologist, PsyD
Verified Verified
Macedonia, OH 44056
Dr. Ashley M. ThomasBock is a Psychologist in Ohio who has been practicing since 2017. She has a B.S. in Psychology from University of Pittsburgh and a PsyD Doctoral Degree from Chatham University. Dr. ThomasBock partners with clients to assist them in understanding themselves and their challenges. They work together to find ways to improve the clients' day to day lives. Dr. ThomasBock enjoys seeing clients make meaningful changes in their lives and find more satisfaction and peace.
Dr. Ashley M. ThomasBock is a Psychologist in Ohio who has been practicing since 2017. She has a B.S. in Psychology from University of Pittsburgh and a PsyD Doctoral Degree from Chatham University. Dr. ThomasBock partners with clients to assist them in understanding themselves and their challenges. They work together to find ways to improve the clients' day to day lives. Dr. ThomasBock enjoys seeing clients make meaningful changes in their lives and find more satisfaction and peace.
(234) 742-4339 View (234) 742-4339
Photo of Sarah Reichert, LPCC, ATR, Counselor
Sarah Reichert
Counselor, LPCC, ATR
Verified Verified
1 Endorsed
Macedonia, OH 44056
At times, It can be hard to communicate and put into words how you are thinking, feeling, and doing. If standard talk therapy has felt like trying to fit yourself into a box, Art Therapy could be a hands on approach to creatively express yourself without needing to have the words. As Bob Ross said, "There are no mistakes, just happy accidents”. I am passionate about embracing the creative process through Art Therapy. This process sometimes looks like making sense of past experiences to gain a deeper understanding of those events. Other times, Art Therapy is a means of expressing oneself or even exploring the self.
At times, It can be hard to communicate and put into words how you are thinking, feeling, and doing. If standard talk therapy has felt like trying to fit yourself into a box, Art Therapy could be a hands on approach to creatively express yourself without needing to have the words. As Bob Ross said, "There are no mistakes, just happy accidents”. I am passionate about embracing the creative process through Art Therapy. This process sometimes looks like making sense of past experiences to gain a deeper understanding of those events. Other times, Art Therapy is a means of expressing oneself or even exploring the self.
(330) 281-4892 View (330) 281-4892
Photo of Marisa Rayford, LPC, Coach, BA, MA, Counselor
Marisa Rayford
Counselor, LPC, Coach, BA, MA
Verified Verified
Macedonia, OH 44056  (Online Only)
Waitlist for new clients
As a Licensed Professional Counselor (LPC) & Mental Health and Wellness Coach, In my practice, I focus on individuals seeking holistic mental wellness. Whether it's coping with anxiety, navigating life transitions, or healing from past trauma, my clients crave a safe space to explore their emotions & challenges. They aspire for growth, resilience, & a renewed sense of purpose, driven by a desire to live authentically & fully.
As a Licensed Professional Counselor (LPC) & Mental Health and Wellness Coach, In my practice, I focus on individuals seeking holistic mental wellness. Whether it's coping with anxiety, navigating life transitions, or healing from past trauma, my clients crave a safe space to explore their emotions & challenges. They aspire for growth, resilience, & a renewed sense of purpose, driven by a desire to live authentically & fully.
(234) 259-6408 View (234) 259-6408
Photo of Ella Dixon, PhD, MFT, LPC-S, Counselor
Ella Dixon
Counselor, PhD, MFT, LPC-S
Verified Verified
1 Endorsed
Macedonia, OH 44056  (Online Only)
Waitlist for new clients
I have a special interest in working with clients going through life transitions such as a significant loss, relationship distress, work stress/retirement, or unexpected changes that causes you to experience stress, anxiety or depression. Life transitions are challenging because they force you to let go of the familiar. Life transitions can be both negative and positive. You can learn to navigate change in a healthy way, allowing you to not only survive difficult situations, but to eventually thrive. I also enjoy working with clients exploring personal growth and the desire to live a life of purpose, happiness and connection.
I have a special interest in working with clients going through life transitions such as a significant loss, relationship distress, work stress/retirement, or unexpected changes that causes you to experience stress, anxiety or depression. Life transitions are challenging because they force you to let go of the familiar. Life transitions can be both negative and positive. You can learn to navigate change in a healthy way, allowing you to not only survive difficult situations, but to eventually thrive. I also enjoy working with clients exploring personal growth and the desire to live a life of purpose, happiness and connection.
(330) 594-3038 View (330) 594-3038

How does your Therapist compare?

Number of Therapists in Sagamore Hills, OH

< 10

Therapists in Sagamore Hills, OH who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Parenting
100% Trauma and PTSD
100% Divorce

Average years in practice

13 Years

Top 3 insurances accepted

100% Medical Mutual
50% Aetna
50% BlueCross and BlueShield

How Therapists in Sagamore Hills, OH see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Sagamore Hills?

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.