Therapists in Oregon City, OR

Photo of Rosanne Chien, PhD, NCSP, Psychologist
Rosanne Chien
Psychologist, PhD, NCSP
Verified Verified
Oregon City, OR 97045  (Online Only)
I am a licensed psychologist who specializes in working with children, adolescents, and their families. I offer a goal-centered, collaborative approach to therapy, using your child’s unique strengths and needs to identify challenges and develop skills to meet them. I provide a safe environment where both you and your child will be heard and supported, while giving caring, honest feedback to help you explore issues, reduce conflict and problematic behaviors, and increase happiness for both you and your family.
I am a licensed psychologist who specializes in working with children, adolescents, and their families. I offer a goal-centered, collaborative approach to therapy, using your child’s unique strengths and needs to identify challenges and develop skills to meet them. I provide a safe environment where both you and your child will be heard and supported, while giving caring, honest feedback to help you explore issues, reduce conflict and problematic behaviors, and increase happiness for both you and your family.
(971) 236-0159 View (971) 236-0159
Photo of Theresa Somrak, MS, CRC
Theresa Somrak
Professional Counselor Associate, MS, CRC
Verified Verified
Oregon City, OR 97045
I love supporting those who feel different in some way develop the insight, skills, and courage to find and follow their own unique path through life. If you want to thrive with chronic health issues or disabilities, overcome old patterns, make a career transition, build a new normal after life-altering events, move through loss/grief, or find relief from ADHD symptoms, I'd be delighted to partner with you. You may just need an advocate to support and encourage you, and help you problem-solve, build effective self-management strategies, learn new coping skills, and think about and navigate your world in healthy ways.
I love supporting those who feel different in some way develop the insight, skills, and courage to find and follow their own unique path through life. If you want to thrive with chronic health issues or disabilities, overcome old patterns, make a career transition, build a new normal after life-altering events, move through loss/grief, or find relief from ADHD symptoms, I'd be delighted to partner with you. You may just need an advocate to support and encourage you, and help you problem-solve, build effective self-management strategies, learn new coping skills, and think about and navigate your world in healthy ways.
(971) 395-4098 View (971) 395-4098
Photo of Mike Schwarting, LPC, CADC1, Licensed Professional Counselor
Mike Schwarting
Licensed Professional Counselor, LPC, CADC1
Verified Verified
Oregon City, OR 97045  (Online Only)
Hi I am glad you are here. I’m Mike Schwarting, Licensed Professional Counselor (LPC) in Oregon. I am currently accepting new patients and I am able to offer individual and couples counseling currently. I believe that therapy is a process of making connections between people. In a chaotic and unsettled world, having a real connection with a knowledgeable, kind, and above all supportive therapist can mean the difference between despair and living the life you deserve.
Hi I am glad you are here. I’m Mike Schwarting, Licensed Professional Counselor (LPC) in Oregon. I am currently accepting new patients and I am able to offer individual and couples counseling currently. I believe that therapy is a process of making connections between people. In a chaotic and unsettled world, having a real connection with a knowledgeable, kind, and above all supportive therapist can mean the difference between despair and living the life you deserve.
(503) 483-6000 View (503) 483-6000
Photo of Loren Eugene Mallory, PhD, ABPP, Psychologist
Loren Eugene Mallory
Psychologist, PhD, ABPP
Verified Verified
Oregon City, OR 97045
Loren E. Mallory PhD, ABPP, is the founder and director of Willamette Falls Neuropsychology LLC. Dr. Mallory provides the direction for the clinic and conducts clinical neuropsychological evaluations for a variety of patients. Dr. Mallory's practice is limited to neuropsychology. Visit our website at www.wfneuro.com.
Loren E. Mallory PhD, ABPP, is the founder and director of Willamette Falls Neuropsychology LLC. Dr. Mallory provides the direction for the clinic and conducts clinical neuropsychological evaluations for a variety of patients. Dr. Mallory's practice is limited to neuropsychology. Visit our website at www.wfneuro.com.
(503) 616-4233 View (503) 616-4233
Photo of Jessica Janovicz, MA, LPC-A
Jessica Janovicz
Professional Counselor Associate, MA, LPC-A
Verified Verified
Oregon City, OR 97045
My focus is on empowering others in areas that include emotional wellbeing, career, relationships, spirituality, health, and personal achievement. I have a passion for holistic health and wellness, always look for the best in others, and strive to help my clients work towards becoming the best version of themselves.
My focus is on empowering others in areas that include emotional wellbeing, career, relationships, spirituality, health, and personal achievement. I have a passion for holistic health and wellness, always look for the best in others, and strive to help my clients work towards becoming the best version of themselves.
(971) 251-1753 View (971) 251-1753
Photo of Chris Gorski - Neupathway (Chris Gorski), LPC, PCA, MA
Neupathway (Chris Gorski)
Professional Counselor Associate, LPC, PCA, MA
Verified Verified
Oregon City, OR 97045
Chris Gorski, B.S., M.A., PCA, YT, MT is a seasoned therapist with nearly 30 years of experience in the Counseling and Wellness field. He holds a Bachelor of Science in Counseling and Human Services from California State University, Fullerton, and a CACREP-accredited Master of Arts from the University of the Cumberlands. Registered with the Oregon Board of Licensed Professional Counselors and Therapists, Chris specializes in couples' therapy, helping partners navigate their relationships with compassion and understanding.
Chris Gorski, B.S., M.A., PCA, YT, MT is a seasoned therapist with nearly 30 years of experience in the Counseling and Wellness field. He holds a Bachelor of Science in Counseling and Human Services from California State University, Fullerton, and a CACREP-accredited Master of Arts from the University of the Cumberlands. Registered with the Oregon Board of Licensed Professional Counselors and Therapists, Chris specializes in couples' therapy, helping partners navigate their relationships with compassion and understanding.
(971) 316-5596 View (971) 316-5596
Photo of Samantha Sessamen, LPC, Licensed Professional Counselor
Samantha Sessamen
Licensed Professional Counselor, LPC
Verified Verified
Oregon City, OR 97045
I am a trauma specialist providing virtual appointments throughout Oregon, Florida and NY. You would probably seek out a cardiologist if you had a heart issue, right? Well, if you have the opportunity, I suggest you seek out a therapist who specializes in your unique issues. I am not a generalist; I specialize in Trauma, Dissociation, Eating Disorders, Body Dysmorphia and anxiety. I work with these issues because they're what I'm most passionate about and I've dedicated my life's work to combatting the systemic issues that cause or exacerbate those issues.
I am a trauma specialist providing virtual appointments throughout Oregon, Florida and NY. You would probably seek out a cardiologist if you had a heart issue, right? Well, if you have the opportunity, I suggest you seek out a therapist who specializes in your unique issues. I am not a generalist; I specialize in Trauma, Dissociation, Eating Disorders, Body Dysmorphia and anxiety. I work with these issues because they're what I'm most passionate about and I've dedicated my life's work to combatting the systemic issues that cause or exacerbate those issues.
(971) 257-1682 View (971) 257-1682
Photo of Lindsay H. Lillstrom, PsyD, Psychologist
Lindsay H. Lillstrom
Psychologist, PsyD
Verified Verified
Oregon City, OR 97045
At any age, healthy relationships, both with others and ourselves, serve as the foundation for mental, emotional, and behavioral well-being. My goal is to help identify the many factors that can influence these relationships and collaborate on how to best support your needs. Together we can explore your unique story and specific circumstances in order to uncover ways that help you feel more intentional and confident in your approach to life.
At any age, healthy relationships, both with others and ourselves, serve as the foundation for mental, emotional, and behavioral well-being. My goal is to help identify the many factors that can influence these relationships and collaborate on how to best support your needs. Together we can explore your unique story and specific circumstances in order to uncover ways that help you feel more intentional and confident in your approach to life.
(971) 306-4876 View (971) 306-4876
Photo of John Sickler, LCSW, Clinical Social Work/Therapist
John Sickler
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Oregon City, OR 97045
I utilize an insight and awareness oriented style of therapy that is committed to authenticity and humor when possible. More than half of my clients are involved in or exploring ethical non-monogamy or a queer sexual orientation but the most important thing I look for in clients is just a good therapy chemistry between us. I prioritize new clients with Kaiser health insurance due to a new and specific contract I have with them.
I utilize an insight and awareness oriented style of therapy that is committed to authenticity and humor when possible. More than half of my clients are involved in or exploring ethical non-monogamy or a queer sexual orientation but the most important thing I look for in clients is just a good therapy chemistry between us. I prioritize new clients with Kaiser health insurance due to a new and specific contract I have with them.
(503) 966-8297 View (503) 966-8297
Photo of Maribel Aheran - Neupathway (Maribel Aheran), Eed, LPC, LMHC, Licensed Professional Counselor
Neupathway (Maribel Aheran)
Licensed Professional Counselor, Eed, LPC, LMHC
Verified Verified
Oregon City, OR 97045
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
Accepting New Patients, same week availability................................... Maribel Aheran Ed.D, LMHC-QS, NCC, MCAP is a bilingual (English & Spanish) licensed clinical mental health counselor with over 12 years of experience treating children, adolescents, college students, and adults. She completed a bachelor's degree in education from Caribbean University, a master's degree in English for speakers of other languages from Turabo University, a master's degree in Counseling and Psychology from Troy University, and a doctorate degree in education from Edgewood College.
(971) 299-6921 View (971) 299-6921
Photo of Sarah Harbin, LPC, LMHC, ATR, Licensed Professional Counselor
Sarah Harbin
Licensed Professional Counselor, LPC, LMHC, ATR
Verified Verified
Oregon City, OR 97045  (Online Only)
Hi I am Sarah, it is nice to meet you. I try to create a therapeutic space where the individuals I see can slow down, take time for non-judgmental reflection, process emotions and find the things that help them to live with authenticity and intention. I work to support and collaborate with adolescents and adults of all backgrounds to find growth, seek change and begin the healing process. I endeavor to make therapy a creative and safe space where we can explore how each person is able to find what works for them. In the first few sessions I like to get a sense of who you are, what you are seeking and to make goals for our work.
Hi I am Sarah, it is nice to meet you. I try to create a therapeutic space where the individuals I see can slow down, take time for non-judgmental reflection, process emotions and find the things that help them to live with authenticity and intention. I work to support and collaborate with adolescents and adults of all backgrounds to find growth, seek change and begin the healing process. I endeavor to make therapy a creative and safe space where we can explore how each person is able to find what works for them. In the first few sessions I like to get a sense of who you are, what you are seeking and to make goals for our work.
(503) 843-8096 View (503) 843-8096
Photo of Cameron Beard, LPC, MEd, Licensed Professional Counselor
Cameron Beard
Licensed Professional Counselor, LPC, MEd
Verified Verified
Oregon City, OR 97045
Waitlist for new clients
I specialize in working with people who have experienced any sort of trauma in their life, including but not limited to domestic violence, sexual abuse, emotional manipulation, neglect, and grief. I will teach you to process and respond to your emotions in healthy ways, improve communication skills, and shift the way you see yourself and the world around you. I will help you create more balance and flexibility in the things you do and the way you live your life. I also help clients with issues including intimate partner violence, depression, anxiety, responding to anger, life transitions, and low self-esteem.
I specialize in working with people who have experienced any sort of trauma in their life, including but not limited to domestic violence, sexual abuse, emotional manipulation, neglect, and grief. I will teach you to process and respond to your emotions in healthy ways, improve communication skills, and shift the way you see yourself and the world around you. I will help you create more balance and flexibility in the things you do and the way you live your life. I also help clients with issues including intimate partner violence, depression, anxiety, responding to anger, life transitions, and low self-esteem.
(971) 306-5153 View (971) 306-5153
Photo of Andi Eckard, LPC, NCC
Andi Eckard
LPC, NCC
Verified Verified
4 Endorsed
Oregon City, OR 97045  (Online Only)
My name is Andi and am currently open for individual appointments through telehealth. I am a clinical mental health therapist seeing clients 18+ years old struggling with anxiety, depression, life transitions, grief/loss, identity development, self-esteem and relational issues. I support gender affirming care, work from a trauma informed lens and take an approach of my clients are the experts of their lives. I work with my clients utilizing a strengths-based approach helping them to build upon what is already working for them and help them learn new skills and/or insights through a relational approach.
My name is Andi and am currently open for individual appointments through telehealth. I am a clinical mental health therapist seeing clients 18+ years old struggling with anxiety, depression, life transitions, grief/loss, identity development, self-esteem and relational issues. I support gender affirming care, work from a trauma informed lens and take an approach of my clients are the experts of their lives. I work with my clients utilizing a strengths-based approach helping them to build upon what is already working for them and help them learn new skills and/or insights through a relational approach.
(503) 850-0659 View (503) 850-0659
Photo of Shannon Gander, LMFT, CST, Marriage & Family Therapist
Shannon Gander
Marriage & Family Therapist, LMFT, CST
Verified Verified
2 Endorsed
Oregon City, OR 97045
Not accepting new clients
You may be seeking support for any number of reasons, such as depression, workplace stress, grief and loss, shame, trauma, anxiety, loneliness, clarity around transitions, disconnection in your relationships, addictions, or any number of other experiences. Every human deserves a safe, confidential place they can go to where they needn’t feel judged, rushed, or pressured. I aim for my office to be a sanctuary that can hold the hopes and aspirations for your life. I work with individuals, couples, and families around their unique goals, needs, and challenges.
You may be seeking support for any number of reasons, such as depression, workplace stress, grief and loss, shame, trauma, anxiety, loneliness, clarity around transitions, disconnection in your relationships, addictions, or any number of other experiences. Every human deserves a safe, confidential place they can go to where they needn’t feel judged, rushed, or pressured. I aim for my office to be a sanctuary that can hold the hopes and aspirations for your life. I work with individuals, couples, and families around their unique goals, needs, and challenges.
(503) 606-8615 View (503) 606-8615
Photo of Matt Field, LMFT, Marriage & Family Therapist Intern
Matt Field
Marriage & Family Therapist Intern, LMFT
Verified Verified
1 Endorsed
Oregon City, OR 97045
Imagine taking a moment to connect your feelings and thoughts. You sit down and take a moment to feel sensations in your body, your mood, and then work through the story you connect to it all. Often when seeking therapy we start by wanting to find solutions to get rid of unwanted thoughts, feelings, and behaviors - and this is good! Taking time to have caring and attentive guidance through this process is the role I take. As you share what you are going through either as an individual, partners, or family, I see that it is my job to come alongside to first listen and then guide the path to a different and preferred life.
Imagine taking a moment to connect your feelings and thoughts. You sit down and take a moment to feel sensations in your body, your mood, and then work through the story you connect to it all. Often when seeking therapy we start by wanting to find solutions to get rid of unwanted thoughts, feelings, and behaviors - and this is good! Taking time to have caring and attentive guidance through this process is the role I take. As you share what you are going through either as an individual, partners, or family, I see that it is my job to come alongside to first listen and then guide the path to a different and preferred life.
(503) 928-6328 View (503) 928-6328
Photo of Miranda Orich, Pre-Licensed Professional
Miranda Orich
Pre-Licensed Professional
Verified Verified
Oregon City, OR 97045
I am a recent graduate with a Masters of Arts in Counseling from Northwestern University's Graduate School. I am intentional about practicing inclusive therapy for people of all religions, ethnicities, and cultural backgrounds, specifically those in the LGBTQIA2S+ communities. I aim to create a safe space for thems, femmes, and women in order to empower and uplift my community.
I am a recent graduate with a Masters of Arts in Counseling from Northwestern University's Graduate School. I am intentional about practicing inclusive therapy for people of all religions, ethnicities, and cultural backgrounds, specifically those in the LGBTQIA2S+ communities. I aim to create a safe space for thems, femmes, and women in order to empower and uplift my community.
(971) 365-4566 View (971) 365-4566
Photo of Lea Maria Kujala, LCSW, MAC, CADCIII, Clinical Social Work/Therapist
Lea Maria Kujala
Clinical Social Work/Therapist, LCSW, MAC, CADCIII
Verified Verified
3 Endorsed
Oregon City, OR 97045
“We don’t have to do all of it alone. We were never meant to.” Brenée Brown We are resilient human beings who go through life trying not to be too banged up, and sometimes we get broken. There is a Japanese art form that I love called Kintsugi, where one fixes the broken pot with gold or silver to highlight where it was once broken and thus rendering it beautiful again. Trauma and addiction make us feel like we are broken inside, I work with you to apply your gold or silver highlights.
“We don’t have to do all of it alone. We were never meant to.” Brenée Brown We are resilient human beings who go through life trying not to be too banged up, and sometimes we get broken. There is a Japanese art form that I love called Kintsugi, where one fixes the broken pot with gold or silver to highlight where it was once broken and thus rendering it beautiful again. Trauma and addiction make us feel like we are broken inside, I work with you to apply your gold or silver highlights.
(503) 765-1306 View (503) 765-1306
Photo of Sarah Curts, LPC-A, Pre-Licensed Professional
Sarah Curts
Pre-Licensed Professional, LPC-A
Verified Verified
Oregon City, OR 97045
“Just when the caterpillar thought its life was over, it became a butterfly.” – Zhuangzi. I specialize in Trauma Recovery, Anxiety, Depression, Eating Disorders, Grief and Loss, coping with Miscarriage and Infertility, Life Transitions, Self Esteem, and helping those who still feel stuck even though they’ve “tried everything”. No matter how dark your life has been, there is a light inside you that can guide you to peace. I help you listen to it.
“Just when the caterpillar thought its life was over, it became a butterfly.” – Zhuangzi. I specialize in Trauma Recovery, Anxiety, Depression, Eating Disorders, Grief and Loss, coping with Miscarriage and Infertility, Life Transitions, Self Esteem, and helping those who still feel stuck even though they’ve “tried everything”. No matter how dark your life has been, there is a light inside you that can guide you to peace. I help you listen to it.
(503) 912-2436 View (503) 912-2436
Photo of Alex Franjola, MA, LPC, Licensed Professional Counselor
Alex Franjola
Licensed Professional Counselor, MA, LPC
Verified Verified
Oregon City, OR 97045  (Online Only)
Are you feeling overwhelmed? Stressed? Numb? Lacking real connection to self or others? Does life currently feel like you are just existing, reacting, coping or surviving? Is your mental, emotional, physical and interpersonal wellness feeling compromised? Do you strive to feel more balanced, integrated and resilient? I can be an ally to you in integrating these feelings and experiences in a productive environment that supports you in feeling safe, assured and respected. I would like to help you feel resilient and capable of attaining your therapeutic goals.
Are you feeling overwhelmed? Stressed? Numb? Lacking real connection to self or others? Does life currently feel like you are just existing, reacting, coping or surviving? Is your mental, emotional, physical and interpersonal wellness feeling compromised? Do you strive to feel more balanced, integrated and resilient? I can be an ally to you in integrating these feelings and experiences in a productive environment that supports you in feeling safe, assured and respected. I would like to help you feel resilient and capable of attaining your therapeutic goals.
View
Photo of Dave Davis, MA, QMHP-R, Pre-Licensed Professional
Dave Davis
Pre-Licensed Professional, MA, QMHP-R
Verified Verified
Oregon City, OR 97045
I specialize in treating anxiety. Whether this is a generalized anxiety getting in the way of you living the life you want to live, or something more specific, like social anxiety, I am excited to share the tools and skills with you to help you respond to your worries effectively and get your life back on track. I primarily use Cognitive Behavioral Therapy to help clients overcome their debilitating anxiety and engage in their lives more fully. CBT has decades of scientific evidence demonstrating its ability to quickly and efficiently help clients overcome their anxiety (and depression, which I'm also happy to help you with).
I specialize in treating anxiety. Whether this is a generalized anxiety getting in the way of you living the life you want to live, or something more specific, like social anxiety, I am excited to share the tools and skills with you to help you respond to your worries effectively and get your life back on track. I primarily use Cognitive Behavioral Therapy to help clients overcome their debilitating anxiety and engage in their lives more fully. CBT has decades of scientific evidence demonstrating its ability to quickly and efficiently help clients overcome their anxiety (and depression, which I'm also happy to help you with).
(971) 299-7105 View (971) 299-7105

How does your Therapist compare?

Number of Therapists in Oregon City, OR

100+

Average cost per session

$150

Therapists in Oregon City, OR who prioritize treating:

95% Anxiety
87% Depression
72% Relationship Issues
72% Trauma and PTSD
68% Stress
66% Self Esteem
62% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

62% BlueCross and BlueShield
52% Aetna
52% Regence

How Therapists in Oregon City, OR see their clients

55% In Person and Online
45% Online Only

Gender breakdown

68% Female
30% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Oregon City?

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.