Therapists in San Rafael, CA

Photo of Kelly Ceglarz, Marriage & Family Therapist in San Rafael, CA
Kelly Ceglarz
Marriage & Family Therapist, MFT, BCBA
Verified Verified
San Rafael, CA 94903  (Online Only)
I have worked with a variety of populations including with individuals with Obsessive-Compulsive Disorder (OCD), Tics & Tourettes Disorder, Autism Spectrum Disorder, developmental and behavioral disorders, anxiety disorders, and depression. In the past decade, I completed specialized training and education to focus my work on treating individuals with OCD, Tics & Tourettes, and Body-Focused Repetitive Behaviors using empirically validated treatment approaches, including Exposure and Response Prevention (ERP) and habit reversal training (HRT). I am certified in Comprehensive Behavioral Intervention for Tics (CBIT).
I have worked with a variety of populations including with individuals with Obsessive-Compulsive Disorder (OCD), Tics & Tourettes Disorder, Autism Spectrum Disorder, developmental and behavioral disorders, anxiety disorders, and depression. In the past decade, I completed specialized training and education to focus my work on treating individuals with OCD, Tics & Tourettes, and Body-Focused Repetitive Behaviors using empirically validated treatment approaches, including Exposure and Response Prevention (ERP) and habit reversal training (HRT). I am certified in Comprehensive Behavioral Intervention for Tics (CBIT).
(415) 301-6044 View (415) 301-6044
Photo of David Sol Meshel, Psychologist in San Rafael, CA
David Sol Meshel
Psychologist, PhD, EdM
Verified Verified
1 Endorsed
San Rafael, CA 94903  (Online Only)
Welcome to my private practice! I have been a licensed psychologist for over 25 years! I provide individual and family therapy to children and teens with ADHD, anxiety, depression, behavioral dysregulation and relationship issues. I often involve the parents in the therapy process. I also provide live parental coaching to parents of 2-8 year-olds using PCIT protocol (parent child interaction therapy). I also support neurodivergent children develop specific executive functioning strategies for school and home. I use humor and a child's specific strengths to reach clinical treatment goals. Please click on my website in my bio.
Welcome to my private practice! I have been a licensed psychologist for over 25 years! I provide individual and family therapy to children and teens with ADHD, anxiety, depression, behavioral dysregulation and relationship issues. I often involve the parents in the therapy process. I also provide live parental coaching to parents of 2-8 year-olds using PCIT protocol (parent child interaction therapy). I also support neurodivergent children develop specific executive functioning strategies for school and home. I use humor and a child's specific strengths to reach clinical treatment goals. Please click on my website in my bio.
(415) 936-0582 View (415) 936-0582
Photo of Ryan Plumb, Associate Marriage & Family Therapist in San Rafael, CA
Ryan Plumb
Associate Marriage & Family Therapist, MS, AMFT, APCC
Verified Verified
San Rafael, CA 94901
I am here for you. If you are seeking support for life challenges, reach out to me and begin your healing journey today. Meaningful change is possible, and I would like to help connect you to your more fully integrated self. Get the help you deserve, find greater peace of mind, and restore balance in your life. Greater strength, healing, and growth are fostered through connection, and having someone you trust to help guide you as you seek answers is easier than going it alone. This life is here for you, and you can live it more fully. I am here to help you achieve greater fulfillment so you can live your best life.
I am here for you. If you are seeking support for life challenges, reach out to me and begin your healing journey today. Meaningful change is possible, and I would like to help connect you to your more fully integrated self. Get the help you deserve, find greater peace of mind, and restore balance in your life. Greater strength, healing, and growth are fostered through connection, and having someone you trust to help guide you as you seek answers is easier than going it alone. This life is here for you, and you can live it more fully. I am here to help you achieve greater fulfillment so you can live your best life.
(415) 729-2745 View (415) 729-2745
Photo of David J Kest, Marriage & Family Therapist in San Rafael, CA
David J Kest
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
San Rafael, CA 94901
Waitlist for new clients
I offer an "Integrated Approach to Psychotherapy" for adults, couples and families. We may first seek to reduce negative symptoms and increase stability in our life, but eventually I support and challenge my clients to graduate from "surviving to truly "thriving" in all major aspects of their life. Relationships have shaped and influenced who we are and many clients appreciate help with essential relationship skills. I am one of the few therapists in Marin and SF actually certified as an Imago Relationship Therapist and have had the honor to assist the cofounders many times with their weekend workshops. on the West Coast.
I offer an "Integrated Approach to Psychotherapy" for adults, couples and families. We may first seek to reduce negative symptoms and increase stability in our life, but eventually I support and challenge my clients to graduate from "surviving to truly "thriving" in all major aspects of their life. Relationships have shaped and influenced who we are and many clients appreciate help with essential relationship skills. I am one of the few therapists in Marin and SF actually certified as an Imago Relationship Therapist and have had the honor to assist the cofounders many times with their weekend workshops. on the West Coast.
(650) 924-9677 View (650) 924-9677
Photo of Susan Quigley, MFT, Marriage & Family Therapist in San Rafael, CA
Susan Quigley, MFT
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94901
Ready for change and a more satisfying and balanced life? I offer compassionate listening, practical guidance and an action oriented approach to assist you in making the changes you want in your life.
Ready for change and a more satisfying and balanced life? I offer compassionate listening, practical guidance and an action oriented approach to assist you in making the changes you want in your life.
(415) 481-4921 View (415) 481-4921
Photo of Brian King, Psychologist in San Rafael, CA
Brian King
Psychologist, PsyD, QME
Verified Verified
1 Endorsed
San Rafael, CA 94901  (Online Only)
Waitlist for new clients
I seek to provide a thoughtful and reflective setting where clients develop greater understanding of their problems and limitations through honest exploration of themselves, and to bolster strengths/foster growth. I provide a friendly and open atmosphere to invite sharing of whatever thought or feeling that comes up so that they can be explored, analyzed and ultimately changed if you want. I work in a collaborative way and do not necessarily see my role as an advice giver, but as a thoughtful companion in helping you find your own solutions and understanding. I use a flexible blend of clinical techniques and theories.
I seek to provide a thoughtful and reflective setting where clients develop greater understanding of their problems and limitations through honest exploration of themselves, and to bolster strengths/foster growth. I provide a friendly and open atmosphere to invite sharing of whatever thought or feeling that comes up so that they can be explored, analyzed and ultimately changed if you want. I work in a collaborative way and do not necessarily see my role as an advice giver, but as a thoughtful companion in helping you find your own solutions and understanding. I use a flexible blend of clinical techniques and theories.
(415) 991-3069 View (415) 991-3069
Photo of Amy Kirsztajn, Clinical Social Work/Therapist in San Rafael, CA
Amy Kirsztajn
Clinical Social Work/Therapist
Verified Verified
San Rafael, CA 94903
I am currently accepting new clients-Life can be busy and difficult to navigate. Whether you are in your 20’s-30’s trying to figure out your career and relationships or a new parent dealing with the many challenges that having children poses, I am here to help you work through these life transitions and the feelings that come with them. I tend to be very relational in my work and love to support people in exploring their relationship with themselves and in turn how that can have a positive impact on our relationship with others.
I am currently accepting new clients-Life can be busy and difficult to navigate. Whether you are in your 20’s-30’s trying to figure out your career and relationships or a new parent dealing with the many challenges that having children poses, I am here to help you work through these life transitions and the feelings that come with them. I tend to be very relational in my work and love to support people in exploring their relationship with themselves and in turn how that can have a positive impact on our relationship with others.
(628) 313-5404 View (628) 313-5404
Photo of Nolan B Ellis, Marriage & Family Therapist Associate in San Rafael, CA
Nolan B Ellis
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Rafael, CA 94903  (Online Only)
Therapy is a shared exploration of your personal history, undertaken in an effort to locate the patterns, roadblocks and challenges to you becoming the desired version of who you wish to be. Finding the right therapist is crucial to this work. We need to feel seen, heard respected and understood by the person we entrust with our great journey of self-exploration. Many of us spend our lives trying to be someone other than ourselves; I am in service to helping you reimagine your story—past, present, and future. I will walk alongside you as you seek to understand your fears, anxieties and life's challenges.
Therapy is a shared exploration of your personal history, undertaken in an effort to locate the patterns, roadblocks and challenges to you becoming the desired version of who you wish to be. Finding the right therapist is crucial to this work. We need to feel seen, heard respected and understood by the person we entrust with our great journey of self-exploration. Many of us spend our lives trying to be someone other than ourselves; I am in service to helping you reimagine your story—past, present, and future. I will walk alongside you as you seek to understand your fears, anxieties and life's challenges.
(415) 689-9866 View (415) 689-9866
Photo of Andrew Getz, Marriage & Family Therapist in San Rafael, CA
Andrew Getz
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94901  (Online Only)
Are you coming to terms with a challenging life transition, or feeling overwhelmed by feelings of anxiety, stress, sadness or depression or simply wanting a deeper connection with yourself? If so I invite you to contact me. I am skilled at creating a supportive and empathic environment that will allow you to explore your relationship to life's challenges and to align with your inner resources. My approach draws on strategies that are tailored to meet you where you are and to focus on your individual goals and needs.
Are you coming to terms with a challenging life transition, or feeling overwhelmed by feelings of anxiety, stress, sadness or depression or simply wanting a deeper connection with yourself? If so I invite you to contact me. I am skilled at creating a supportive and empathic environment that will allow you to explore your relationship to life's challenges and to align with your inner resources. My approach draws on strategies that are tailored to meet you where you are and to focus on your individual goals and needs.
(415) 236-3536 View (415) 236-3536
Photo of Anicia A Williams, Marriage & Family Therapist in San Rafael, CA
Anicia A Williams
Marriage & Family Therapist, BS, MS, MFT
Verified Verified
4 Endorsed
San Rafael, CA 94901  (Online Only)
I specialize in anxiety, depression, trauma, multicultural issues, addictions & the relationships that suffer as a result. I love helping anyone willing, to (learn to) love and honor the person they are today & recognize their story’s ending is one that they get to choose. I enjoy helping clients who found ways to manage their mental health issues in ways that are no longer serving them. My practice is a safe space and provides equality of services and care to everyone, regardless of age, gender, gender identity, race, disability, religion, or belief or sexual orientation.
I specialize in anxiety, depression, trauma, multicultural issues, addictions & the relationships that suffer as a result. I love helping anyone willing, to (learn to) love and honor the person they are today & recognize their story’s ending is one that they get to choose. I enjoy helping clients who found ways to manage their mental health issues in ways that are no longer serving them. My practice is a safe space and provides equality of services and care to everyone, regardless of age, gender, gender identity, race, disability, religion, or belief or sexual orientation.
(415) 991-1428 View (415) 991-1428
Photo of Jamie L Katoff, Marriage & Family Therapist in San Rafael, CA
Jamie L Katoff
Marriage & Family Therapist, MFT
Verified Verified
San Rafael, CA 94903
Are you mother or mom-to-be feeling stressed, anxious, or depressed? Do you struggle with constant "mom-guilt"? I can help! As a mother myself, I understand what you're going through and want to help you feel less alone, more whole, and better equipped to care for yourself as well as your children. I offer home-visits for new moms who might find leaving the house with a baby a bit overwhelming.
Are you mother or mom-to-be feeling stressed, anxious, or depressed? Do you struggle with constant "mom-guilt"? I can help! As a mother myself, I understand what you're going through and want to help you feel less alone, more whole, and better equipped to care for yourself as well as your children. I offer home-visits for new moms who might find leaving the house with a baby a bit overwhelming.
(415) 787-3929 View (415) 787-3929
Photo of Bonnie Kaufman, Licensed Professional Counselor in San Rafael, CA
Bonnie Kaufman
Licensed Professional Counselor, LPCC, MSEd, MHC
Verified Verified
San Rafael, CA 94903
Finding the right therapist can be overwhelming. It takes a lot of strength to begin the process of therapy and I applaud you for taking the first step. Entering into a therapeutic relationship is all about building trust. I provide a relaxed, non-judgmental, and compassionate atmosphere in which you can safely explore your thoughts, feelings, and behaviors. I truly want to get to know who you are and how we can work together to reach your goals, work on changing behaviors that are no longer suiting your needs, and modify unhealthy thinking styles.
Finding the right therapist can be overwhelming. It takes a lot of strength to begin the process of therapy and I applaud you for taking the first step. Entering into a therapeutic relationship is all about building trust. I provide a relaxed, non-judgmental, and compassionate atmosphere in which you can safely explore your thoughts, feelings, and behaviors. I truly want to get to know who you are and how we can work together to reach your goals, work on changing behaviors that are no longer suiting your needs, and modify unhealthy thinking styles.
(628) 229-3527 View (628) 229-3527
Photo of Michelle C. Ogle, Marriage & Family Therapist in San Rafael, CA
Michelle C. Ogle
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Rafael, CA 94903  (Online Only)
Accepting new clients. For 20 years, I continue to be humbled by your unique journey. I believe that all voices are equal and that multiple perspectives can exist simultaneously in a world where differences have become a challenge for many. I provide a non-judgmental space and relaxed style and welcome you as you are. Society teaches us to be one strong person, which can minimize the vital and essential parts in us that reveal our true Self. Do you have compassion for all of your parts? How do you show up in your life? And how can I best help you move forward from where you are to where you want to be? www.michelleoglemft.com
Accepting new clients. For 20 years, I continue to be humbled by your unique journey. I believe that all voices are equal and that multiple perspectives can exist simultaneously in a world where differences have become a challenge for many. I provide a non-judgmental space and relaxed style and welcome you as you are. Society teaches us to be one strong person, which can minimize the vital and essential parts in us that reveal our true Self. Do you have compassion for all of your parts? How do you show up in your life? And how can I best help you move forward from where you are to where you want to be? www.michelleoglemft.com
(805) 307-3557 View (805) 307-3557
Photo of Betsy K Levine-Proctor, Psychologist in San Rafael, CA
Betsy K Levine-Proctor
Psychologist, PhD
Verified Verified
San Rafael, CA 94901  (Online Only)
I have been fortunate over my many years of working as a Psychologist to experience wonderful people grappling with difficulties around work, relationships, parenting, aging, illness and/or other potentially painful aspects of life. The work that we do in psychotherapy is individually tailored to help clients to reduce emotional (and sometimes physical) pain and to take the actions (small or big) that we figure out need to be done to face these difficult situations and make them better.
I have been fortunate over my many years of working as a Psychologist to experience wonderful people grappling with difficulties around work, relationships, parenting, aging, illness and/or other potentially painful aspects of life. The work that we do in psychotherapy is individually tailored to help clients to reduce emotional (and sometimes physical) pain and to take the actions (small or big) that we figure out need to be done to face these difficult situations and make them better.
(628) 500-7861 View (628) 500-7861
Photo of Graham Coffey, Marriage & Family Therapist Associate in San Rafael, CA
Graham Coffey
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Rafael, CA 94901
Inevitably there are times when you will struggle with difficult emotions, be stretched thin by the responsibilities of life, or be unsure about how to meet the challenges of being in relationship. During these times, therapy can help you slow down, process your feelings, develop a more compassionate relationship to yourself, and teach you the tools to connect with your resilience and strength. If you are a parent, you might be in a place where you're overwhelmed by your child's emotions or difficulties at school or with peers. Therapy can help your child find balance and a healthier way of relating.
Inevitably there are times when you will struggle with difficult emotions, be stretched thin by the responsibilities of life, or be unsure about how to meet the challenges of being in relationship. During these times, therapy can help you slow down, process your feelings, develop a more compassionate relationship to yourself, and teach you the tools to connect with your resilience and strength. If you are a parent, you might be in a place where you're overwhelmed by your child's emotions or difficulties at school or with peers. Therapy can help your child find balance and a healthier way of relating.
(415) 237-1078 View (415) 237-1078
Photo of Alyssa Paris, Marriage & Family Therapist Associate in San Rafael, CA
Alyssa Paris
Marriage & Family Therapist Associate, MA, MIM, AMFT
Verified Verified
2 Endorsed
San Rafael, CA 94901
No matter our history or wounds, I believe in our capacity to return to wholeness through the body's innate wisdom and self-healing abilities. My clinical practice is trauma-informed, attachment-oriented and rooted in mind-body-spirit unity. I offer the safe ground of radical inclusivity, unconditional positive regard, curiosity and compassion - a place in which to explore, discover, play, grieve, welcome, empower and transform. Integrating Eastern, Western, depth- and Earth-based modalities, my work is designed to be holistic and inclusive, supporting clients to connect with their most authentic selves.
No matter our history or wounds, I believe in our capacity to return to wholeness through the body's innate wisdom and self-healing abilities. My clinical practice is trauma-informed, attachment-oriented and rooted in mind-body-spirit unity. I offer the safe ground of radical inclusivity, unconditional positive regard, curiosity and compassion - a place in which to explore, discover, play, grieve, welcome, empower and transform. Integrating Eastern, Western, depth- and Earth-based modalities, my work is designed to be holistic and inclusive, supporting clients to connect with their most authentic selves.
(415) 799-5582 View (415) 799-5582
Photo of Barbara Jean Gosselin, Marriage & Family Therapist in San Rafael, CA
Barbara Jean Gosselin
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Rafael, CA 94901  (Online Only)
Choosing to see a therapist is about you wanting to make some changes in yourself or in your life. The most important job I have as your therapist is to provide you with a non-judgmental space to explore your issues, your feelings and to help you find a solution that will ultimately make you feel better.
Choosing to see a therapist is about you wanting to make some changes in yourself or in your life. The most important job I have as your therapist is to provide you with a non-judgmental space to explore your issues, your feelings and to help you find a solution that will ultimately make you feel better.
(415) 985-1759 View (415) 985-1759
Photo of Alia Al-Zand, Marriage & Family Therapist in San Rafael, CA
Alia Al-Zand
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94901
I work with children, teens and adults who are experiencing emotional distress, relational challenges and stuckness in their lives. The clients I see vary in age, gender and cultural presentation. Through my collaborative, compassionate and practical approach, I provide a safe space for people to explore life patterns in order to gain a deeper understanding of how they show up in the world.
I work with children, teens and adults who are experiencing emotional distress, relational challenges and stuckness in their lives. The clients I see vary in age, gender and cultural presentation. Through my collaborative, compassionate and practical approach, I provide a safe space for people to explore life patterns in order to gain a deeper understanding of how they show up in the world.
(415) 267-1885 View (415) 267-1885
Photo of Wendy Brown, Marriage & Family Therapist in San Rafael, CA
Wendy Brown
Marriage & Family Therapist, MFT
Verified Verified
San Rafael, CA 94901  (Online Only)
We heal and grow best in relationships that support the hard work of self-knowledge and self-growth. In my practice, open dialogue is important. Our curiosity will help you explore and know yourself better. What we carry forward from past relationships affects both ourselves and our loved ones in the present. Coming to know and understand what is going on can help shift things for you. If you are looking inward and working on yourself, you can make bigger gains doing it with someone who has the training and experience to facilitate an experience within you through dialogue.
We heal and grow best in relationships that support the hard work of self-knowledge and self-growth. In my practice, open dialogue is important. Our curiosity will help you explore and know yourself better. What we carry forward from past relationships affects both ourselves and our loved ones in the present. Coming to know and understand what is going on can help shift things for you. If you are looking inward and working on yourself, you can make bigger gains doing it with someone who has the training and experience to facilitate an experience within you through dialogue.
(415) 787-2981 View (415) 787-2981
Photo of Adrian Randal, Clinical Social Work/Therapist in San Rafael, CA
Adrian Randal
Clinical Social Work/Therapist, LMFT, LEP, MA, MS, PPSC
Verified Verified
San Rafael, CA 94901
I am a marriage/family counselor licensed in California with over 15 years of experience working as a therapist and educational psychologist. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, and parenting problems.
I am a marriage/family counselor licensed in California with over 15 years of experience working as a therapist and educational psychologist. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, and parenting problems.
(925) 260-3599 View (925) 260-3599

How does your Therapist compare?

Number of Therapists in San Rafael, CA

600+

Average cost per session

$195

Therapists in San Rafael, CA who prioritize treating:

91% Anxiety
84% Depression
81% Relationship Issues
69% Self Esteem
66% Trauma and PTSD
65% Grief
63% Stress

Average years in practice

16 Years

Top 3 insurances accepted

55% Aetna
46% Cigna and Evernorth
44% Anthem | Elevance

How Therapists in San Rafael, CA see their clients

70% In Person and Online
30% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Rafael?

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.