Therapists in Oregon, OH
![Photo of Christina Maria Cavaliere, MSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c050676f-1587-4937-af76-38036477786d/1/320x400.jpeg)
Christina Maria Cavaliere
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
Oregon, OH 43616
With over 20 years working in mental health, I hope to present my clients with a wide range of experience and insight into their presenting problems. Using a foundation open-mindedness, compassionate inquiry and personalized treatment approaches, clients can find a source of support and respectful reflection to solve and manage behavioral and emotional issues. I hope to help clients tap into their inner healing intelligence and promote self-efficacy and empowerment. I have experience working with a wide range of concerns; depression, anxiety, OCD, ADHD, anger management, trauma, childhood trauma and abuse and many more.
With over 20 years working in mental health, I hope to present my clients with a wide range of experience and insight into their presenting problems. Using a foundation open-mindedness, compassionate inquiry and personalized treatment approaches, clients can find a source of support and respectful reflection to solve and manage behavioral and emotional issues. I hope to help clients tap into their inner healing intelligence and promote self-efficacy and empowerment. I have experience working with a wide range of concerns; depression, anxiety, OCD, ADHD, anger management, trauma, childhood trauma and abuse and many more.
![Photo of Mylo Jennings - Mylo Jennings & Associates, LLC, PhD, LISWS, LICDC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/842d7eef-4322-4055-be6d-a658c48b930a/2/320x400.jpeg)
Mylo Jennings & Associates, LLC
Clinical Social Work/Therapist, PhD, LISWS, LICDC
Verified Verified
Oregon, OH 43616
I provide psychotherapy/counseling and clinical interventions for individuals, adults, adolescents children, families and groups. With more than 35 years of experience in providing assessment, and interventions for mental (behavioral) health and substance use related issues. I have also invested many years developing, applying, and perfecting psychotherapy techniques including but not limited to Existential Psychotherapy, Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), Dialectical Behavior Therapy, Interpersonal Therapy, family systems Therapy.
I provide psychotherapy/counseling and clinical interventions for individuals, adults, adolescents children, families and groups. With more than 35 years of experience in providing assessment, and interventions for mental (behavioral) health and substance use related issues. I have also invested many years developing, applying, and perfecting psychotherapy techniques including but not limited to Existential Psychotherapy, Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), Dialectical Behavior Therapy, Interpersonal Therapy, family systems Therapy.
![Photo of Christina M Cavaliere, MSW, LISW, PAT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d942c5f-8900-4c4c-bb0a-809be62499c3/2/320x400.jpeg)
Christina M Cavaliere
Clinical Social Work/Therapist, MSW, LISW, PAT
Verified Verified
Oregon, OH 43616
Helping clients manage their mental health issues and build the life they desire with a variety of modalities, strength-based approaches and genuine compassion and concern
Helping clients manage their mental health issues and build the life they desire with a variety of modalities, strength-based approaches and genuine compassion and concern
![Photo of Jennifer Wolfe, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b6b980f4-13e1-425c-8e82-b44babc81df5/1/320x400.jpeg)
Ernest Hemingway said, "The world breaks everyone, and afterward many are strong at the broken places." We have all experienced hardship, but healing and growth is possible! If you are ready to make a change, I am here to walk alongside you on your journey.
Ernest Hemingway said, "The world breaks everyone, and afterward many are strong at the broken places." We have all experienced hardship, but healing and growth is possible! If you are ready to make a change, I am here to walk alongside you on your journey.
![Photo of Kelsey McCloskey - Kelsey McCloskey, LPCC, LLC, MA, LPCC](https://photos.psychologytoday.com/bd4422f6-9fcc-4ffa-88d8-0a141c6987eb/1/320x400.jpeg)
Kelsey McCloskey, LPCC, LLC
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
Oregon, OH 43616
Not accepting new clients
I am currently on maternity leave and will be accepting new clientele again once back. Over the past 8 years I have had the privilege of working with children, adolescents, and adults in outpatient and inpatient settings. I have enjoyed meeting each person where they are by providing appropriate resources and support, so that you can achieve your personal goals. Counseling is not a "one size fits all" situation and I hope to provide a personalized experience to encourage further healthy growth and development.
I am currently on maternity leave and will be accepting new clientele again once back. Over the past 8 years I have had the privilege of working with children, adolescents, and adults in outpatient and inpatient settings. I have enjoyed meeting each person where they are by providing appropriate resources and support, so that you can achieve your personal goals. Counseling is not a "one size fits all" situation and I hope to provide a personalized experience to encourage further healthy growth and development.
![Photo of Michelle Coutcher, MSW, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/43e96444-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Michelle Coutcher
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Oregon, OH 43616
Waitlist for new clients
Everyone can use a little help at sometime in their life.
Everyone can use a little help at sometime in their life.
![Photo of Bridget Schwirzinski, MA, LSW, LPCC-S, Counselor](https://photos.psychologytoday.com/cf6115c6-68bc-4e86-820f-01e82e18933b/2/320x400.jpeg)
“Therapy is too good to be limited to the sick” – Erving Polster. Every individual has a story that needs to be told or listened to. My mindful approach, is to help others write their stories. Then with compassion and assertiveness help those change or continue their story. I have familiarity working with adults, individuals with chronic illnesses, first responders, teenagers with chronic illness, SPMI population, trauma, complex trauma, depression, anxiety, support during life transitions, chronic illnesses, individuals with dual diagnosis (not in active use), relationship upset, emotional dysregulation and stress management.
“Therapy is too good to be limited to the sick” – Erving Polster. Every individual has a story that needs to be told or listened to. My mindful approach, is to help others write their stories. Then with compassion and assertiveness help those change or continue their story. I have familiarity working with adults, individuals with chronic illnesses, first responders, teenagers with chronic illness, SPMI population, trauma, complex trauma, depression, anxiety, support during life transitions, chronic illnesses, individuals with dual diagnosis (not in active use), relationship upset, emotional dysregulation and stress management.
![Photo of Alana Trevino, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6f5c234c-defc-47e0-8433-2e53ad5eff7b/2/320x400.jpeg)
Now accepting new clients! You're so tired of fighting the invisible battle of your mind. Intrusive thoughts, brain fog, and self doubt keep you from reaching your full potential. The negative thoughts and feeling constantly keyed up or on edge causes conflict in your relationships and wears on your sense of self. You have goals and aspirations but the past keeps holding you back from your future. I specialize in helping clients identify and overcome their stuck points in life and heal from trauma, anxiety, depression, or self doubt. I specialize in working with first responders, adults of all ages, and teens ages 16 +.
Now accepting new clients! You're so tired of fighting the invisible battle of your mind. Intrusive thoughts, brain fog, and self doubt keep you from reaching your full potential. The negative thoughts and feeling constantly keyed up or on edge causes conflict in your relationships and wears on your sense of self. You have goals and aspirations but the past keeps holding you back from your future. I specialize in helping clients identify and overcome their stuck points in life and heal from trauma, anxiety, depression, or self doubt. I specialize in working with first responders, adults of all ages, and teens ages 16 +.
![Photo of Cynthia Holloway, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/87ab27c8-014e-4c73-bb74-1cb67fe1a10f/1/320x400.jpeg)
Cynthia Holloway Independent Marriage and Family Therapist Hello, I’m Cindy I’m a master’s prepared Independently licensed Marriage and Family Therapist. I look forward to helping individuals as they work to heal and develop skills that will help them help themselves. Currently, my practice consists of individual adults. Often, these folks are navigating a significant life transition and / or working through trauma from the past that seems to interfere with current life experiences and well-being. Disorders these individuals bring with them include depression, anxiety, various identity issues, and post-traumatic stress.
Cynthia Holloway Independent Marriage and Family Therapist Hello, I’m Cindy I’m a master’s prepared Independently licensed Marriage and Family Therapist. I look forward to helping individuals as they work to heal and develop skills that will help them help themselves. Currently, my practice consists of individual adults. Often, these folks are navigating a significant life transition and / or working through trauma from the past that seems to interfere with current life experiences and well-being. Disorders these individuals bring with them include depression, anxiety, various identity issues, and post-traumatic stress.
![Photo of Branden Fox, MSW, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e8b2b712-d8ba-4d77-bc14-3284bfdfb9f9/1/320x400.jpeg)
Accepting new clients! Have you been struggling with a significant life change such as entering adulthood, recent separation, empty nesting, becoming a parent? During this transition, have you felt like you lost yourself in the process? If you are looking to learn and use new coping skills, set more boundaries in your relationships, and are looking for effective communication techniques to strengthen your relationships, I would love to help! I often work with clients with "engineer-like" / very logical- based mindsets. I have a directive and driven therapy style, and a solution-focused approach.
Accepting new clients! Have you been struggling with a significant life change such as entering adulthood, recent separation, empty nesting, becoming a parent? During this transition, have you felt like you lost yourself in the process? If you are looking to learn and use new coping skills, set more boundaries in your relationships, and are looking for effective communication techniques to strengthen your relationships, I would love to help! I often work with clients with "engineer-like" / very logical- based mindsets. I have a directive and driven therapy style, and a solution-focused approach.
![Photo of Jennifer Dubow, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cd67f8d-46cd-11ea-a6ad-06142c356176/5/320x400.jpeg)
The initial step into a therapist's office is part of the process for change because it acknowledges the importance of making that change while realizing that it is healthy to reach out for help. Therapy allows you uninterrupted time to focus on the issues important to you, while the therapist provides the encouragement and tools necessary to reach your goals.
The initial step into a therapist's office is part of the process for change because it acknowledges the importance of making that change while realizing that it is healthy to reach out for help. Therapy allows you uninterrupted time to focus on the issues important to you, while the therapist provides the encouragement and tools necessary to reach your goals.
![Photo of Sarah Croak, LISW, MSW, MEd, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c7c9db4-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Sarah Croak
Clinical Social Work/Therapist, LISW, MSW, MEd
Verified Verified
Oregon, OH 43605
Not accepting new clients
As a therapist with more than 20 years of experience,I have spent much time helping individuals,couples and families overcome difficulties in their lives. These obstacles range from everyday struggles to overwhelming life challenges. My training, which includes earning master's degrees in both Social Work and Counseling, has prepared me to work with a wide range of issues.
As a therapist with more than 20 years of experience,I have spent much time helping individuals,couples and families overcome difficulties in their lives. These obstacles range from everyday struggles to overwhelming life challenges. My training, which includes earning master's degrees in both Social Work and Counseling, has prepared me to work with a wide range of issues.
![Photo of Jessica Jambor, MSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/24f3a54d-74a4-41d7-8d0b-66d1a7463f2b/2/320x400.jpeg)
Jessica Jambor
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
1 Endorsed
Oregon, OH 43616
Not accepting new clients
Jessica may be a good fit as a therapist for you if you struggle with PTSD, suicidal ideation, self-image, grief, or anxiety. Also, if you do not feel good enough in many areas of your life. Her clients appreciate her welcoming and patient approach. "I am passionate about connecting with people and providing a safe and judgment free space in which you can share your authentic self. I aim to make therapy more approachable and less intimidating. My goal is to work through anxieties, traumas, or barriers that are in the way of becoming who you truly are.
Jessica may be a good fit as a therapist for you if you struggle with PTSD, suicidal ideation, self-image, grief, or anxiety. Also, if you do not feel good enough in many areas of your life. Her clients appreciate her welcoming and patient approach. "I am passionate about connecting with people and providing a safe and judgment free space in which you can share your authentic self. I aim to make therapy more approachable and less intimidating. My goal is to work through anxieties, traumas, or barriers that are in the way of becoming who you truly are.
![Photo of Olena Sowers, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4a6cc362-4d51-477d-b659-0e557324f544/1/320x400.png)
Making the decision to find help is hard enough. That is why my goal in counseling is to create a place where you feel safe enough to tell your story. I am Olena Sowers, LPCC, and while I work with many concerns, I specialize in trauma and PTSD and EMDR. I have worked with a variety of client concerns, from anxiety, foster care and adoption to addiction, family conflict, anger, and others. I specialize in trauma and PTSD and am trained in EMDR. I have experience working with individuals who survived physical, sexual, and emotional abuse and neglect, assault, first responders, veterans, motor vehicle accident victims, and many more.
Making the decision to find help is hard enough. That is why my goal in counseling is to create a place where you feel safe enough to tell your story. I am Olena Sowers, LPCC, and while I work with many concerns, I specialize in trauma and PTSD and EMDR. I have worked with a variety of client concerns, from anxiety, foster care and adoption to addiction, family conflict, anger, and others. I specialize in trauma and PTSD and am trained in EMDR. I have experience working with individuals who survived physical, sexual, and emotional abuse and neglect, assault, first responders, veterans, motor vehicle accident victims, and many more.
![Photo of Heather L McLane, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/11e07028-430a-4233-9648-fb291a2ff837/1/320x400.jpeg)
Heather L McLane
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Oregon, OH 43616
As a Licensed Professional Counselor, Heather McLane is trained in both individual and group counseling. Heather welcomes a wide variety of ages, from age 5-80, to treat for depression, anxiety, life adjustments, relationship issues, and substance abuse disorders. I am CAMS-trained in the management of suicide. If you have been hurt in an abusive relationship and seek healing, I would create a space that empowers and strengthens you to move forward either in individual counseling or in a small support group setting. If you have been struggling with negative thinking and contemplating ending your life, I will help you find purpose.
As a Licensed Professional Counselor, Heather McLane is trained in both individual and group counseling. Heather welcomes a wide variety of ages, from age 5-80, to treat for depression, anxiety, life adjustments, relationship issues, and substance abuse disorders. I am CAMS-trained in the management of suicide. If you have been hurt in an abusive relationship and seek healing, I would create a space that empowers and strengthens you to move forward either in individual counseling or in a small support group setting. If you have been struggling with negative thinking and contemplating ending your life, I will help you find purpose.
More Therapists Nearby
![Photo of Holly Mundon, MSW , LISWS , CCTP , CDCA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/43404ebd-ea64-4eef-8f00-fec423fc15f2/1/320x400.png)
Holly Mundon
Clinical Social Work/Therapist, MSW , LISWS , CCTP , CDCA
Verified Verified
Toledo, OH 43606
Are you having struggles in your job or relationship? Have you been diagnosed with a mental illness and need coping skills as you learn to manage all that it entails? Do you need education, support, and encouragement? I work with grief/loss, trauma, Depression, Anxiety, coping skills & boundaries, relationship and job stressors, life transitions, and general support. I am passionate about helping those who are 'helping professions' and work with health professionals and first responders dealing with secondary trauma. We will work together to set goals for taking the next steps to feel better.
Are you having struggles in your job or relationship? Have you been diagnosed with a mental illness and need coping skills as you learn to manage all that it entails? Do you need education, support, and encouragement? I work with grief/loss, trauma, Depression, Anxiety, coping skills & boundaries, relationship and job stressors, life transitions, and general support. I am passionate about helping those who are 'helping professions' and work with health professionals and first responders dealing with secondary trauma. We will work together to set goals for taking the next steps to feel better.
![Photo of Rachel Tincher, LPCC, Counselor](https://photos.psychologytoday.com/6029c86f-6597-4859-b744-751793845b8a/1/320x400.jpeg)
My mission is to help others connect with, trust, and understand themselves, and as a result create deeper connections, trust, and understanding of others, which naturally creates a more fulfilling, peaceful life for each of my clients. I value providing quality service catering to each of my clients individual needs, and that’s why I practice what I preach to my clients!
My mission is to help others connect with, trust, and understand themselves, and as a result create deeper connections, trust, and understanding of others, which naturally creates a more fulfilling, peaceful life for each of my clients. I value providing quality service catering to each of my clients individual needs, and that’s why I practice what I preach to my clients!
![Photo of Manzetta L Jackson, PhD, MEd, PCC-S, Counselor](https://photos.psychologytoday.com/3d4858b1-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Since attending therapy is an implicit admission of imperfections for most people, my approach to counseling is person-centered and collaborative. Once the therapeutic alliance has been established, this approach allows clients to express their emotional reactions, develop more productive ways of dealing with feelings, and increase their levels of understanding and awareness. My counseling philosophy is to provide support, education, feedback and treatment that inspires clients to successfully take appropriate actions that will assist with solving their problems. Therapist qualities that I utilize include, but are not limited to, mutual respect, authenticity, genuineness, integrity, and the ability to empathize.
Since attending therapy is an implicit admission of imperfections for most people, my approach to counseling is person-centered and collaborative. Once the therapeutic alliance has been established, this approach allows clients to express their emotional reactions, develop more productive ways of dealing with feelings, and increase their levels of understanding and awareness. My counseling philosophy is to provide support, education, feedback and treatment that inspires clients to successfully take appropriate actions that will assist with solving their problems. Therapist qualities that I utilize include, but are not limited to, mutual respect, authenticity, genuineness, integrity, and the ability to empathize.
![Photo of Jessica Napier, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/ca59c6c5-fd9b-4036-8a4c-5a299996ffb7/2/320x400.jpeg)
Jessica Napier
Licensed Professional Counselor, LPC
Verified Verified
Toledo, OH 43623 (Online Only)
Not accepting new clients
I work with individuals and couples seeking to find connection and steadiness in times of pain and uncertainty. With a compassionate and client-centered approach, I provide a safe space for you to explore your thoughts, emotions, and experiences.
I work with individuals and couples seeking to find connection and steadiness in times of pain and uncertainty. With a compassionate and client-centered approach, I provide a safe space for you to explore your thoughts, emotions, and experiences.
![Photo of Kayla Salomone, MSW, LISW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e15b27f-ab49-4fd5-8377-934672368362/2/320x400.jpeg)
Kayla Salomone
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
2 Endorsed
Toledo, OH 43613 (Online Only)
Being able to live life fully while also tolerating feelings of discomfort and uncertainty is something we can all strive for. Often, these feelings lead us to avoid and disconnect which move us further away from what we truly value.
Being able to live life fully while also tolerating feelings of discomfort and uncertainty is something we can all strive for. Often, these feelings lead us to avoid and disconnect which move us further away from what we truly value.
See more therapy options for Oregon
How does your Therapist compare?
Number of Therapists in Oregon, OH
10+
Average cost per session
$130
Therapists in Oregon, OH who prioritize treating:
93% | Relationship Issues |
93% | Depression |
93% | Anxiety |
87% | Trauma and PTSD |
80% | Self Esteem |
67% | Coping Skills |
67% | Stress |
Average years in practice
8 Years
Top 3 insurances accepted
92% | Aetna |
85% | BlueCross and BlueShield |
85% | Medical Mutual |
How Therapists in Oregon, OH see their clients
100% | In Person and Online |
Gender breakdown
87% | Female | |
13% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Oregon?
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.