Therapists in Durham, NC

Photo of Orlando Dowdy, Pastoral Counselor in Durham, NC
Orlando Dowdy
Pastoral Counselor, DMin, MDiv
Verified Verified
3 Endorsed
Durham, NC 27704
I am a therapist who believes in the authenticity of each person's struggles as they encounter them in their journey through life. I seek to help others in the curing of their souls through psychotherapy. I make every effort to provide a therapeutic environment that is non-judgmental, supportive, safe, nurturing and empathic. Making the decision to come to counseling can be difficult and overwhelming. It's a privilege for me to be present with you in this process. If you have any questions please don't hesitate to email or call.
I am a therapist who believes in the authenticity of each person's struggles as they encounter them in their journey through life. I seek to help others in the curing of their souls through psychotherapy. I make every effort to provide a therapeutic environment that is non-judgmental, supportive, safe, nurturing and empathic. Making the decision to come to counseling can be difficult and overwhelming. It's a privilege for me to be present with you in this process. If you have any questions please don't hesitate to email or call.
(919) 975-5892 View (919) 975-5892
Rob Garland
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Durham, NC 27705
Waitlist for new clients
Rob Garland is a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist- Associate. He received a Master of Social Work degree from the University of North Carolina at Chapel Hill, which included a year practicum in the UNC Department of Psychology community clinic. Rob began working in behavioral health a decade ago, working with adolescents in group settings. Since then, he has worked with homeless adults, college students, and adults with severe and persistent mental illnesses.
Rob Garland is a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist- Associate. He received a Master of Social Work degree from the University of North Carolina at Chapel Hill, which included a year practicum in the UNC Department of Psychology community clinic. Rob began working in behavioral health a decade ago, working with adolescents in group settings. Since then, he has worked with homeless adults, college students, and adults with severe and persistent mental illnesses.
(919) 629-0343 x4 View (919) 629-0343 x4
Photo of David M Moore in Durham, NC
David M Moore
PhD, LCMHCS, FABP , TA/SA
Verified Verified
Durham, NC 27705
Psychoanalysis provides the most in-depth, long-lasting treatment. Ideal for the person who has tried medications and briefer therapies unsuccessfully. Like exercise and the violin, concentrated​ long work is required for lifelong growth in the ability to love, work and play, while containing suffering, loss and uncertainty. Quick fixes limited to a pill or briefer therapy, only if insurance pays, tend to be quite expensive long run. Psychoanalysis seeks to get at the underlying roots and meanings beginning in infancy and childhood that become recurrent problematic adult relationship patterns, internal conflicts and body issues.
Psychoanalysis provides the most in-depth, long-lasting treatment. Ideal for the person who has tried medications and briefer therapies unsuccessfully. Like exercise and the violin, concentrated​ long work is required for lifelong growth in the ability to love, work and play, while containing suffering, loss and uncertainty. Quick fixes limited to a pill or briefer therapy, only if insurance pays, tend to be quite expensive long run. Psychoanalysis seeks to get at the underlying roots and meanings beginning in infancy and childhood that become recurrent problematic adult relationship patterns, internal conflicts and body issues.
(919) 330-0052 View (919) 330-0052
Pat B Webster
Psychologist, PhD
Verified Verified
Durham, NC 27707
The goal of Psychotherapy is to feel and function better in the world. That's what I help my clients do. I have been in practice for 40+ years, and have trained broadly and deeply in experiential, interpersonal and couples therapy. Before I was a psychologist, I was a nurse, and offer that background in helping as well. I bring the wisdom and insight of years of practice and life experience.
The goal of Psychotherapy is to feel and function better in the world. That's what I help my clients do. I have been in practice for 40+ years, and have trained broadly and deeply in experiential, interpersonal and couples therapy. Before I was a psychologist, I was a nurse, and offer that background in helping as well. I bring the wisdom and insight of years of practice and life experience.
(919) 323-8015 View (919) 323-8015
Photo of Barbara Hodapp, Clinical Social Work/Therapist in Durham, NC
Barbara Hodapp
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Durham, NC 27707
Are you thinking something needs to change but you’re not sure what? Life can often throw major curveballs and we can be left feeling stuck, frustrated or confused. Other times life is difficult and we beat ourselves up because it seems that everyone else is doing fine. Whether you’re struggling with eating issues, worry that won’t go away, or feeling like every day is a battle, things can change for the better.
Are you thinking something needs to change but you’re not sure what? Life can often throw major curveballs and we can be left feeling stuck, frustrated or confused. Other times life is difficult and we beat ourselves up because it seems that everyone else is doing fine. Whether you’re struggling with eating issues, worry that won’t go away, or feeling like every day is a battle, things can change for the better.
(919) 551-6498 View (919) 551-6498
Photo of Bull City Counseling, Clinical Social Work/Therapist in Durham, NC
Bull City Counseling
Clinical Social Work/Therapist, LCSW, MA, LPC, LCMHC
Verified Verified
2 Endorsed
Durham, NC 27707
Bull City Counseling stands out in our community by providing quality care in an environment where you matter. Our clinicians offer caring and competent services to individuals that want help connecting with peace and hope, gaining self-confidence, and discovering their best selves.
Bull City Counseling stands out in our community by providing quality care in an environment where you matter. Our clinicians offer caring and competent services to individuals that want help connecting with peace and hope, gaining self-confidence, and discovering their best selves.
(919) 213-0225 View (919) 213-0225
Photo of Meredith Pochily, Clinical Social Work/Therapist in Durham, NC
Meredith Pochily
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Durham, NC 27707
Not accepting new clients
Would you like to dig beneath the surface to better understand yourself and the things you do, think, or feel that may surprise or confuse you? I find that this deeper work not only reduces symptoms of stress, depression, anxiety, and OCD, but also facilitates lasting change, enhancing your quality of life, your relationships with others, and your relationship with yourself. I seek to offer a collaborative and accepting space where you can feel seen, valued, and understood throughout the therapeutic process. I approach therapy with an attitude of curiosity rather than judgment, and encourage you to do the same!
Would you like to dig beneath the surface to better understand yourself and the things you do, think, or feel that may surprise or confuse you? I find that this deeper work not only reduces symptoms of stress, depression, anxiety, and OCD, but also facilitates lasting change, enhancing your quality of life, your relationships with others, and your relationship with yourself. I seek to offer a collaborative and accepting space where you can feel seen, valued, and understood throughout the therapeutic process. I approach therapy with an attitude of curiosity rather than judgment, and encourage you to do the same!
View
Photo of Creative Vibes Counseling and Consulting, PLLC, Lic Clinical Mental Health Counselor Supervisor in Durham, NC
Creative Vibes Counseling and Consulting, PLLC
Lic Clinical Mental Health Counselor Supervisor, LCMHCS
Verified Verified
1 Endorsed
Durham, NC 27703  (Online Only)
Hi! My name is Erica McQueen. My goal is to provide a healthy place for individuals to process thoughts and emotions that may be affecting their daily functioning and quality of life. Creating a compassion and non-judgmental environment for my clients to feel connected, recognized and support is integral to my role as a therapist. I strive to provide a safe place.
Hi! My name is Erica McQueen. My goal is to provide a healthy place for individuals to process thoughts and emotions that may be affecting their daily functioning and quality of life. Creating a compassion and non-judgmental environment for my clients to feel connected, recognized and support is integral to my role as a therapist. I strive to provide a safe place.
(919) 907-0046 View (919) 907-0046
Photo of Sharon P. Merrill, Licensed Clinical Mental Health Counselor in Durham, NC
Sharon P. Merrill
Licensed Clinical Mental Health Counselor, MACC, LCMHC
Verified Verified
Durham, NC 27713
Welcome! Whether you are in throes of a life transition, a relationship problem, trauma recovery, you need safety to be and to grow; I offer you a safe space for rest and strengthening, then to be curious and investigate yourself, your body, your experiences and emotions, your relationships toward becoming more fully alive and living for what truly matters to you. I use a process-oriented approach toward exploring yourself with nonjudgmental curiosity to discover more of yourself and your beliefs and values so you can develop greater ease with yourself and others, with decision-making, and relationships.
Welcome! Whether you are in throes of a life transition, a relationship problem, trauma recovery, you need safety to be and to grow; I offer you a safe space for rest and strengthening, then to be curious and investigate yourself, your body, your experiences and emotions, your relationships toward becoming more fully alive and living for what truly matters to you. I use a process-oriented approach toward exploring yourself with nonjudgmental curiosity to discover more of yourself and your beliefs and values so you can develop greater ease with yourself and others, with decision-making, and relationships.
(919) 926-0240 View (919) 926-0240
Photo of Courtney Evans, Counselor in Durham, NC
Courtney Evans
Counselor, LMHC, LCASA
Verified Verified
Durham, NC 27713
Courtney Evans is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2018. She graduated from North Carolina A&T State University with a Master in Science Mental Health Degree with a certificate in Rehabilitation Counseling and Behavioral Addictions. Courtney has worked with clients ranging from anxiety, depression, self-esteem issues, relationship issues, family dynamic distresses, poor communication styles, women's trauma, substance abuse, and shame/guilt. Her counseling style is warm, vibrant, and interactive.
Courtney Evans is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2018. She graduated from North Carolina A&T State University with a Master in Science Mental Health Degree with a certificate in Rehabilitation Counseling and Behavioral Addictions. Courtney has worked with clients ranging from anxiety, depression, self-esteem issues, relationship issues, family dynamic distresses, poor communication styles, women's trauma, substance abuse, and shame/guilt. Her counseling style is warm, vibrant, and interactive.
(919) 335-4875 View (919) 335-4875
Photo of Kristen Anne Verrill, Clinical Social Work/Therapist in Durham, NC
Kristen Anne Verrill
Clinical Social Work/Therapist, LCSW, MSW, MA LIT
Verified Verified
1 Endorsed
Durham, NC 27707  (Online Only)
I am Clinical Social Worker specializing in care for LGBTQ+ adults, couples, and adolescents. I have experience in both the inpatient and outpatient settings treating depression, anxiety, symptoms related to trauma, self-harm behaviors, disordered eating behaviors, OCD, bipolar disorder, ADD, ADHD, and personality disorders. I have also worked extensively with the transgender and gender non-conforming community and is informed in working with gender identity exploration and struggles related to body dysphoria.
I am Clinical Social Worker specializing in care for LGBTQ+ adults, couples, and adolescents. I have experience in both the inpatient and outpatient settings treating depression, anxiety, symptoms related to trauma, self-harm behaviors, disordered eating behaviors, OCD, bipolar disorder, ADD, ADHD, and personality disorders. I have also worked extensively with the transgender and gender non-conforming community and is informed in working with gender identity exploration and struggles related to body dysphoria.
(984) 400-5597 View (984) 400-5597
Photo of Dr. William Rodriguez Psy. D in Durham, NC
Dr. William Rodriguez Psy. D
PsyD
Verified Verified
Durham, NC 27707
People come to therapy because they want to feel better. Maybe it's relationship problems or anxiety/depression, but whatever the reason, life has become uncomfortable or painfull. Most people want more understanding of themselves and their situation. That being said change is what we all seek in therapy.Making your life work better is the goal. My therapy will help you alter self-defeating ways, get a more realistic and accurate perspective, gain insight that leads to improving the quality of your life.
People come to therapy because they want to feel better. Maybe it's relationship problems or anxiety/depression, but whatever the reason, life has become uncomfortable or painfull. Most people want more understanding of themselves and their situation. That being said change is what we all seek in therapy.Making your life work better is the goal. My therapy will help you alter self-defeating ways, get a more realistic and accurate perspective, gain insight that leads to improving the quality of your life.
(919) 648-0455 View (919) 648-0455
Photo of Robert Horne, Licensed Clinical Mental Health Counselor in Durham, NC
Robert Horne
Licensed Clinical Mental Health Counselor, LCHMHC
Verified Verified
1 Endorsed
Durham, NC 27701  (Online Only)
Robert Horne is a National Certified Counselor, Licensed Clinical Mental Health Counselor, Approved Clinical Supervisor, Licensed Clinical Addiction Counselor, and International Advance Alcohol Drug Counselor with over 13 years of mental health and addiction counseling and over 25 years of pastoral counseling experience. He is enthusiastic about assisting adults, couples, and families from diverse backgrounds with overcoming their current and past challenges and moving towards better living experiences. Robert specializes in assisting adults, couples, and families with depression, anxiety, grief, trauma, and relationship concerns.
Robert Horne is a National Certified Counselor, Licensed Clinical Mental Health Counselor, Approved Clinical Supervisor, Licensed Clinical Addiction Counselor, and International Advance Alcohol Drug Counselor with over 13 years of mental health and addiction counseling and over 25 years of pastoral counseling experience. He is enthusiastic about assisting adults, couples, and families from diverse backgrounds with overcoming their current and past challenges and moving towards better living experiences. Robert specializes in assisting adults, couples, and families with depression, anxiety, grief, trauma, and relationship concerns.
(919) 629-0909 View (919) 629-0909
Photo of James Eric Bailey, Licensed Clinical Mental Health Counselor in Durham, NC
James Eric Bailey
Licensed Clinical Mental Health Counselor, LCMHC, LCAS
Verified Verified
1 Endorsed
Durham, NC 27713
Accepting New Clients! Stressed out? depressed? marriage problems? anxious? struggling to hold it together? many of us are! I can help. Empathy, understanding, listening and commitment to assisting you with what life has dealt are vital ingredients for a quality therapist. Here you will be treated with respect and I guarantee that you will never feel uncomfortable or out of place. Contact me and I can get you scheduled very quickly, I look forward to seeing you!
Accepting New Clients! Stressed out? depressed? marriage problems? anxious? struggling to hold it together? many of us are! I can help. Empathy, understanding, listening and commitment to assisting you with what life has dealt are vital ingredients for a quality therapist. Here you will be treated with respect and I guarantee that you will never feel uncomfortable or out of place. Contact me and I can get you scheduled very quickly, I look forward to seeing you!
(919) 823-5111 View (919) 823-5111
Photo of Julia Kaplinska, PhD, Psychologist in Durham, NC
Julia Kaplinska, PhD
Psychologist, PhD
Verified Verified
Durham, NC 27713
I am licensed clinical psychologist and yoga teacher. I work with adults who are dealing with stressors or going through transitions. I have expertise in working with individuals who have experienced childhood and adult trauma and specialize in somatically-integrative care. I believe that each person is inherently resilient. I see therapy as a tool to help you discover your resilience, change unhelpful habits, heal wounds and grow into your potential. I think a strong therapeutic relationship is necessary for effective psychotherapy. I work in a client-centered way, collaborating with you on an individualized treatment plan.
I am licensed clinical psychologist and yoga teacher. I work with adults who are dealing with stressors or going through transitions. I have expertise in working with individuals who have experienced childhood and adult trauma and specialize in somatically-integrative care. I believe that each person is inherently resilient. I see therapy as a tool to help you discover your resilience, change unhelpful habits, heal wounds and grow into your potential. I think a strong therapeutic relationship is necessary for effective psychotherapy. I work in a client-centered way, collaborating with you on an individualized treatment plan.
(919) 408-7042 View (919) 408-7042
Photo of Levette Scott in Durham, NC
Levette Scott
PhD, NCC, LCMHC, LSC, EMDR
Verified Verified
Durham, NC 27713  (Online Only)
I have a Doctor of Philosophy in Curriculum and Instruction in Counselor Education from University of South Florida in 2013. I have over 10 years of school counseling experience, 25 years of nursing experience where two of those years were in psychiatric nursing and five years of mental health counseling. My areas of special interest and experience are working with individuals with a chronic illness, adolescent with anxiety and depressive issues, and group counseling specializations. I have also counseled children and adults with career readiness after being diagnosed with a chronic illness.
I have a Doctor of Philosophy in Curriculum and Instruction in Counselor Education from University of South Florida in 2013. I have over 10 years of school counseling experience, 25 years of nursing experience where two of those years were in psychiatric nursing and five years of mental health counseling. My areas of special interest and experience are working with individuals with a chronic illness, adolescent with anxiety and depressive issues, and group counseling specializations. I have also counseled children and adults with career readiness after being diagnosed with a chronic illness.
(919) 739-2588 View (919) 739-2588
Photo of Whitley Grant-Goodman, Licensed Clinical Mental Health Counselor in Durham, NC
Whitley Grant-Goodman
Licensed Clinical Mental Health Counselor, LCMHCS, LCAS
Verified Verified
1 Endorsed
Durham, NC 27709  (Online Only)
I specialize in providing therapy for women of color dealing with phase of life concerns that may manifest as anxiety, depression, low self-esteem, irritability, or feeling overwhelmed. Whether you're adjusting to a new career, relationship changes, motherhood, or any other life transition, I'm here to help you find balance, strength, and clarity.Most people are looking for a safe space to express their concerns and I can provide that.
I specialize in providing therapy for women of color dealing with phase of life concerns that may manifest as anxiety, depression, low self-esteem, irritability, or feeling overwhelmed. Whether you're adjusting to a new career, relationship changes, motherhood, or any other life transition, I'm here to help you find balance, strength, and clarity.Most people are looking for a safe space to express their concerns and I can provide that.
(919) 351-6205 View (919) 351-6205
Photo of Molly Byrom, Clinical Social Work/Therapist in Durham, NC
Molly Byrom
Clinical Social Work/Therapist, LCSW
Verified Verified
Durham, NC 27701
In the real world and with our loved ones, it can be hard to show up as our full selves. Our anxiety and depression tend to rob us from being present. When it comes to big decisions, it's hard to discern between fear and intuition. It is important to me that you find a space to feel heard and accepted without judgement. My practice is grounded in supportive listening, and centers you as the expert of your life. With a cultural humility approach, I commit to being sensitive to your unique experiences.
In the real world and with our loved ones, it can be hard to show up as our full selves. Our anxiety and depression tend to rob us from being present. When it comes to big decisions, it's hard to discern between fear and intuition. It is important to me that you find a space to feel heard and accepted without judgement. My practice is grounded in supportive listening, and centers you as the expert of your life. With a cultural humility approach, I commit to being sensitive to your unique experiences.
(202) 417-8397 View (202) 417-8397
Photo of Alan W. Harper, Clinical Social Work/Therapist in Durham, NC
Alan W. Harper
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Durham, NC 27707
Sometimes life is hard and you need help coping. Sometimes you get angry and you're not sure why or how to control it. Sometimes bad things happen and you can't get over it the way your friends and family expect you to. Maybe you don't really know what's going on, but you recognize that something isn't right. I want to help you figure out what isn't working in your life and get you to where you want to be.
Sometimes life is hard and you need help coping. Sometimes you get angry and you're not sure why or how to control it. Sometimes bad things happen and you can't get over it the way your friends and family expect you to. Maybe you don't really know what's going on, but you recognize that something isn't right. I want to help you figure out what isn't working in your life and get you to where you want to be.
(919) 267-2262 View (919) 267-2262
Photo of Emily Fitzgerald, Clinical Social Work/Therapist in Durham, NC
Emily Fitzgerald
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Durham, NC 27705
Do you find yourself feeling on edge, like you just can't slow down? You get stuck in the details and desperately want things to be 'just right'; you are high achieving - sometimes at the cost of your health. People marvel at you juggling it all, but they probably don't realize you are exhausted and don't know how to ask for, or even accept help; maybe you are just realizing you deserve support too! Together we can will work to find a way to create harmony between you and your goals, your relationships, and even your body. You will not be alone in this journey as we create tangible and easily applicable changes to create peace.
Do you find yourself feeling on edge, like you just can't slow down? You get stuck in the details and desperately want things to be 'just right'; you are high achieving - sometimes at the cost of your health. People marvel at you juggling it all, but they probably don't realize you are exhausted and don't know how to ask for, or even accept help; maybe you are just realizing you deserve support too! Together we can will work to find a way to create harmony between you and your goals, your relationships, and even your body. You will not be alone in this journey as we create tangible and easily applicable changes to create peace.
(919) 750-0641 View (919) 750-0641

How does your Therapist compare?

Number of Therapists in Durham, NC

1,000+

Average cost per session

$150

Therapists in Durham, NC who prioritize treating:

92% Anxiety
86% Depression
78% Relationship Issues
77% Self Esteem
70% Coping Skills
70% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
71% Aetna
51% Cigna and Evernorth

How Therapists in Durham, NC see their clients

65% In Person and Online
35% Online Only

Gender breakdown

80% Female
17% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Durham?

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.