Therapists in Bethesda, MD

Photo of Tamitha Davis-Rama, Clinical Social Work/Therapist in Bethesda, MD
Tamitha Davis-Rama
Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW
Verified Verified
Bethesda, MD 20814  (Online Only)
Do you feel pulled in a million and one different directions? Are you struggling to keep up with your relationships, at work or with your health? Is it hard to be kind to yourself? If yes is the answerto any of those questions, I am excited to connect with you. I help women manage anxiety and avoid feeling defeated. I use a whole person approach, addressing the needs of your mind, body, spirit and community. I integrate talking and mindfulness to help you develop a stronger relationship with self. You are met with compassion and evidence-based techniques so you can face your challenges and the habits that are holding you back.
Do you feel pulled in a million and one different directions? Are you struggling to keep up with your relationships, at work or with your health? Is it hard to be kind to yourself? If yes is the answerto any of those questions, I am excited to connect with you. I help women manage anxiety and avoid feeling defeated. I use a whole person approach, addressing the needs of your mind, body, spirit and community. I integrate talking and mindfulness to help you develop a stronger relationship with self. You are met with compassion and evidence-based techniques so you can face your challenges and the habits that are holding you back.
(240) 905-4179 View (240) 905-4179
Photo of Sabrina Alimi, Marriage & Family Therapist in Bethesda, MD
Sabrina Alimi
Marriage & Family Therapist, LGMFT
Verified Verified
Bethesda, MD 20817
Not accepting new clients
Taking the first step in starting your therapeutic journey is a powerful and courageous action, and I believe that all clients have the power to enact meaningful change in their lives. My role is as a soundboard that reflects my client’s experience and helps them identify the tools necessary for personal growth. Every person I work with has unique experiences and valid perspectives, therefore I truly see the value in being mindful of the multiple aspects influencing a client’s life.
Taking the first step in starting your therapeutic journey is a powerful and courageous action, and I believe that all clients have the power to enact meaningful change in their lives. My role is as a soundboard that reflects my client’s experience and helps them identify the tools necessary for personal growth. Every person I work with has unique experiences and valid perspectives, therefore I truly see the value in being mindful of the multiple aspects influencing a client’s life.
(301) 381-2830 x41 View (301) 381-2830 x41
Photo of Alondra Perez, Counselor in Bethesda, MD
Alondra Perez
Counselor, MS, LGPC
Verified Verified
Bethesda, MD 20814
At Bethesda Play Therapy and Healing Center I am a bilingual (English and Spanish) therapist that focuses on providing a safe and culturally sensitive space. I believe in empowering my clients to achieve their goals and full potential through an integrative approach. I utilize Cognitive Behavioral Therapy, Person Centered, Child Centered and Prescriptive Play Therapy, and Relational-cultural Therapy. I work with issues related to ADHD, depression, anxiety, relationship/family issues, substance use, trauma, behavior issues, and life transitions.
At Bethesda Play Therapy and Healing Center I am a bilingual (English and Spanish) therapist that focuses on providing a safe and culturally sensitive space. I believe in empowering my clients to achieve their goals and full potential through an integrative approach. I utilize Cognitive Behavioral Therapy, Person Centered, Child Centered and Prescriptive Play Therapy, and Relational-cultural Therapy. I work with issues related to ADHD, depression, anxiety, relationship/family issues, substance use, trauma, behavior issues, and life transitions.
(240) 384-3182 View (240) 384-3182
Photo of Lilith Rose, LCSWC, LCSW, Clinical Social Work/Therapist in Bethesda, MD
Lilith Rose, LCSWC, LCSW
Clinical Social Work/Therapist, LCSWC, LCSW
Verified Verified
Bethesda, MD 20814  (Online Only)
...and the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom - anais nin. Do these words resonate with you? Are you stuck in emotional, physical or spiritual pain? Ready to get unstuck? Blossom and grow? I am a clinical social worker with 25 plus years of experience in a number of mind/body/spirit theories and practice. My private practice is woman-centered and I am presently providing therapy to individuals. I am licensed in both Maryland and Pennsylvania and available to provide therapy to you in both locations.
...and the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom - anais nin. Do these words resonate with you? Are you stuck in emotional, physical or spiritual pain? Ready to get unstuck? Blossom and grow? I am a clinical social worker with 25 plus years of experience in a number of mind/body/spirit theories and practice. My private practice is woman-centered and I am presently providing therapy to individuals. I am licensed in both Maryland and Pennsylvania and available to provide therapy to you in both locations.
(215) 874-6117 View (215) 874-6117
Photo of Anne Donohue, Clinical Social Work/Therapist in Bethesda, MD
Anne Donohue
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20814
Anne Donohue is a Licensed Certified Social Worker-Clinical in the state of Maryland with more than 20 years of experience in various mental health settings. She earned her Master’s degree in Social Work from California State University Long Beach in 1995, and her bachelor’s degree in Psychology from Florida Atlantic University in 1991.
Anne Donohue is a Licensed Certified Social Worker-Clinical in the state of Maryland with more than 20 years of experience in various mental health settings. She earned her Master’s degree in Social Work from California State University Long Beach in 1995, and her bachelor’s degree in Psychology from Florida Atlantic University in 1991.
(240) 201-2749 View (240) 201-2749
Photo of Melissa Herendeen, Clinical Social Work/Therapist in Bethesda, MD
Melissa Herendeen
Clinical Social Work/Therapist, LCSW-C, LGSW
Verified Verified
1 Endorsed
Bethesda, MD 20814
I work with children, adolescents, and adults touched by adoption. Through an attachment and trauma-informed approach clients are able to find internal safety and better understanding of themselves and their experience as an adopted person, parent, or birth parent. Many clients come with complex layers of anxiety, depression, emotional dysregulation, relationship challenges, and ambiguous grief. Through the therapeutic relationship clients gain tools for internal validation, strategies to best manage their challenges, and opportunities to explore complex emotions in a safe environment.
I work with children, adolescents, and adults touched by adoption. Through an attachment and trauma-informed approach clients are able to find internal safety and better understanding of themselves and their experience as an adopted person, parent, or birth parent. Many clients come with complex layers of anxiety, depression, emotional dysregulation, relationship challenges, and ambiguous grief. Through the therapeutic relationship clients gain tools for internal validation, strategies to best manage their challenges, and opportunities to explore complex emotions in a safe environment.
(240) 652-2309 View (240) 652-2309
Photo of Courtney Gardner Chase, Clinical Social Work/Therapist in Bethesda, MD
Courtney Gardner Chase
Clinical Social Work/Therapist, LCSW-C, LICSW, MSW
Verified Verified
Bethesda, MD 20816
People need support and someone who is going to listen to what is causing stress or anxiety. I am here to help offer positive and effective solutions when challenges or conflicts become overwhelming. I believe people can pull from their inner strengths to address problematic issues - both historic or current with cognitive behaviors techniques. A peaceful mind equals a peaceful life.
People need support and someone who is going to listen to what is causing stress or anxiety. I am here to help offer positive and effective solutions when challenges or conflicts become overwhelming. I believe people can pull from their inner strengths to address problematic issues - both historic or current with cognitive behaviors techniques. A peaceful mind equals a peaceful life.
(301) 701-3944 View (301) 701-3944
Photo of Susan Lohr, Licensed Clinical Professional Counselor in Bethesda, MD
Susan Lohr
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Bethesda, MD 20814  (Online Only)
Hello! I am a Licensed Clinical Professional Counselor who completed my master’s degree in clinical psychology at Loyola University Maryland. I have experience in working with a variety of diverse clients through individual therapy from young adulthood through older adulthood. I have experience in working with anxiety, depression, self-esteem, stress, life transitions and adjustments, spirituality, and more. I tend to allow the client to direct the session to what is most important to address at that moment via person-centered techniques.
Hello! I am a Licensed Clinical Professional Counselor who completed my master’s degree in clinical psychology at Loyola University Maryland. I have experience in working with a variety of diverse clients through individual therapy from young adulthood through older adulthood. I have experience in working with anxiety, depression, self-esteem, stress, life transitions and adjustments, spirituality, and more. I tend to allow the client to direct the session to what is most important to address at that moment via person-centered techniques.
(240) 998-1324 View (240) 998-1324
Photo of Ileana Angeles, Licensed Clinical Professional Counselor in Bethesda, MD
Ileana Angeles
Licensed Clinical Professional Counselor, MS, LCPC, LMHC, NCC
Verified Verified
1 Endorsed
Bethesda, MD 20814  (Online Only)
In my practice, I specialize in working with young adults, as well as queer individuals struggling with social anxiety and other anxiety disorders. You deserve support tailored to your unique needs. As a therapist specializing in these areas, I provide a safe and affirming space for you to explore your challenges and cultivate the confidence to thrive authentically. Let's work together to overcome obstacles, forge meaningful connections, and reclaim your joy.
In my practice, I specialize in working with young adults, as well as queer individuals struggling with social anxiety and other anxiety disorders. You deserve support tailored to your unique needs. As a therapist specializing in these areas, I provide a safe and affirming space for you to explore your challenges and cultivate the confidence to thrive authentically. Let's work together to overcome obstacles, forge meaningful connections, and reclaim your joy.
(240) 376-4598 View (240) 376-4598
Photo of Anita Alex, Art Therapist in Bethesda, MD
Anita Alex
Art Therapist, MA, LGPAT
Verified Verified
Bethesda, MD 20817  (Online Only)
Sometimes we have many thoughts and emotions that are too big to sort through, making it difficult to know what we are feeling sometimes or even how to manage these feelings. The therapy space that I provide is a safe environment where all these thoughts, feelings, and emotions can be explored in many different ways without fear of judgement. My job is to help you identify your goals, manage any symptoms you may have, and be a big supporter of your journey.
Sometimes we have many thoughts and emotions that are too big to sort through, making it difficult to know what we are feeling sometimes or even how to manage these feelings. The therapy space that I provide is a safe environment where all these thoughts, feelings, and emotions can be explored in many different ways without fear of judgement. My job is to help you identify your goals, manage any symptoms you may have, and be a big supporter of your journey.
(301) 579-0861 View (301) 579-0861
Photo of Access to Clarity LLC (Christian Counseling), Clinical Social Work/Therapist in Bethesda, MD
Access to Clarity LLC (Christian Counseling)
Clinical Social Work/Therapist, LCSW -C
Verified Verified
Bethesda, MD 20814  (Online Only)
Hi! Are you looking for a faith-based therapist to help you address your mental health needs and spirituality? You have come to the right place! I specialize in helping women who want to live Christ-centered lives but struggle to find balance and understand their purposes. I believe that now is the time for all of us to step out on faith and experience the freedom that comes with being women of God. I’d be honored to join you alongside of your journey!
Hi! Are you looking for a faith-based therapist to help you address your mental health needs and spirituality? You have come to the right place! I specialize in helping women who want to live Christ-centered lives but struggle to find balance and understand their purposes. I believe that now is the time for all of us to step out on faith and experience the freedom that comes with being women of God. I’d be honored to join you alongside of your journey!
(240) 339-8043 View (240) 339-8043
Photo of Stacey L Reynolds, Licensed Professional Counselor in Bethesda, MD
Stacey L Reynolds
Licensed Professional Counselor, PhD, MA, LPC, LCPC, NCC
Verified Verified
Bethesda, MD 20816  (Online Only)
Not accepting new clients
Currently not accepting new clients. I am here to help you work through the challenges that life seems to throw our way. Whether you are adjusting to various life circumstances, a medical/mental health diagnosis, family issues, school/workplace dynamics, or a variety of other concerns we can work together to reach your goals. Though my education and clinical expertise is what informs my therapeutic treatment, my life experiences as a citizen of the world, veteran, and humanitarian is what guides my principals. Collectively, we can find realistic solutions to help you develop or regain a fulfilling life.
Currently not accepting new clients. I am here to help you work through the challenges that life seems to throw our way. Whether you are adjusting to various life circumstances, a medical/mental health diagnosis, family issues, school/workplace dynamics, or a variety of other concerns we can work together to reach your goals. Though my education and clinical expertise is what informs my therapeutic treatment, my life experiences as a citizen of the world, veteran, and humanitarian is what guides my principals. Collectively, we can find realistic solutions to help you develop or regain a fulfilling life.
(240) 693-5107 View (240) 693-5107
Photo of Melissa Murphy, Clinical Social Work/Therapist in Bethesda, MD
Melissa Murphy
Clinical Social Work/Therapist, MSW, LCSW-C, LICSW, LCSW, C-DBT
Verified Verified
3 Endorsed
Bethesda, MD 20814  (Online Only)
Now accepting NEW clients — Feelings of anxiety, depression, and grief are totally normal responses in these difficult times. My goal as a therapist is to guide clients through whatever is keeping them from living their happiest lives — whether the issue is more recent/due to COVID, or a deeper issue that has been draining someone’s energy for years (or a lifetime). I operate from a collaborative, strengths-based perspective to help clients understand their thoughts, feelings, and behaviors. I help clients develop strategies to mitigate OCD, anxiety, depression, ADHD, and trauma/PTSD symptoms that interfere with their well-being.
Now accepting NEW clients — Feelings of anxiety, depression, and grief are totally normal responses in these difficult times. My goal as a therapist is to guide clients through whatever is keeping them from living their happiest lives — whether the issue is more recent/due to COVID, or a deeper issue that has been draining someone’s energy for years (or a lifetime). I operate from a collaborative, strengths-based perspective to help clients understand their thoughts, feelings, and behaviors. I help clients develop strategies to mitigate OCD, anxiety, depression, ADHD, and trauma/PTSD symptoms that interfere with their well-being.
(301) 900-3284 View (301) 900-3284
Judy Brazen
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Bethesda, MD 20814
Judy Brazen graduated with a master’s degree in clinical social work from the University of Maryland. Judy’s practice focuses on providing a safe and compassionate space for her clients to address issues surrounding depression, anxiety, life transitions, and a wide array of challenges which impair their quality of life. She enjoys partnering with adults of all ages to focus on what is most important to them.
Judy Brazen graduated with a master’s degree in clinical social work from the University of Maryland. Judy’s practice focuses on providing a safe and compassionate space for her clients to address issues surrounding depression, anxiety, life transitions, and a wide array of challenges which impair their quality of life. She enjoys partnering with adults of all ages to focus on what is most important to them.
Photo of Mina Dadvar Klein, Licensed Clinical Professional Counselor in Bethesda, MD
Mina Dadvar Klein
Licensed Clinical Professional Counselor, CAGS, MS
Verified Verified
Bethesda, MD 20814
Individuals seek treatment because they are in pain. Facing one's own weaknesses is difficult and opening up even more so-particularly for people whose cultural background and/or family upbringing discourges transparency /self-disclosure. My priority is to create a safe environment where my clients may confront, accept and change aspects of their lives they consider shameful and/or self-destructive. I have been invited as a guest speaker by a number of organizations and regularly offer seminars and work shops on such themes as self-esteem,communication skills, stress management and the challenges of being married/single and dating
Individuals seek treatment because they are in pain. Facing one's own weaknesses is difficult and opening up even more so-particularly for people whose cultural background and/or family upbringing discourges transparency /self-disclosure. My priority is to create a safe environment where my clients may confront, accept and change aspects of their lives they consider shameful and/or self-destructive. I have been invited as a guest speaker by a number of organizations and regularly offer seminars and work shops on such themes as self-esteem,communication skills, stress management and the challenges of being married/single and dating
(301) 530-4806 View (301) 530-4806
Photo of Suraji Wagage, Psychologist in Bethesda, MD
Suraji Wagage
Psychologist, PhD, JD
Verified Verified
1 Endorsed
Bethesda, MD 20814  (Online Only)
Outwardly, you seem to have it all together. You’re living the perfect life… on paper. On the inside, it feels like you’re just keeping your head above water. Days are lackluster and monotonous, like someone muted all the colors of life. Yet the painful emotions are vibrant as ever, and are starting to feel overwhelming: anxiety, loneliness, shame. Gnawing emptiness. You try to distract yourself, but it’s getting harder. The critical voice in your head is growing more insistent. You can’t talk about it because you’re the one people go to with their problems. You know something has to change, but you don’t know how or where to start.
Outwardly, you seem to have it all together. You’re living the perfect life… on paper. On the inside, it feels like you’re just keeping your head above water. Days are lackluster and monotonous, like someone muted all the colors of life. Yet the painful emotions are vibrant as ever, and are starting to feel overwhelming: anxiety, loneliness, shame. Gnawing emptiness. You try to distract yourself, but it’s getting harder. The critical voice in your head is growing more insistent. You can’t talk about it because you’re the one people go to with their problems. You know something has to change, but you don’t know how or where to start.
(844) 287-4228 View (844) 287-4228
Photo of Hallie Strauss, Psychologist in Bethesda, MD
Hallie Strauss
Psychologist, PsyD
Verified Verified
2 Endorsed
Bethesda, MD 20814
Thank you for visiting my profile! My current practice focuses on providing empathic and thoughtful support to individuals, couples and families during the stressful times of separation and divorce. I believe that separation and divorce impact the entire family, and it’s my job to work with couples to resolve difficult issues in a respectful, positive manner. As an evaluator, parent coordinator, and mediator, I am trained in the analysis of mental health and conflict issues unique to divorcing couples.
Thank you for visiting my profile! My current practice focuses on providing empathic and thoughtful support to individuals, couples and families during the stressful times of separation and divorce. I believe that separation and divorce impact the entire family, and it’s my job to work with couples to resolve difficult issues in a respectful, positive manner. As an evaluator, parent coordinator, and mediator, I am trained in the analysis of mental health and conflict issues unique to divorcing couples.
(240) 833-7782 View (240) 833-7782
Photo of Jordana B Ravick, Clinical Social Work/Therapist in Bethesda, MD
Jordana B Ravick
Clinical Social Work/Therapist, MSW, LCSW, LCSW-C, LICSW
Verified Verified
6 Endorsed
Bethesda, MD 20814
We all face stressors in life that can become overwhelming. Feeling stuck with our own negative thoughts or anxiety about new changes; repeatedly engaging in the same fights with our partner or spouse; worrying that we cannot support our children in the way we want - these are all universal experiences. Everyone faces obstacles, but not everyone has to remain feeling helpless, hopeless, or stagnant. It is at these times when it makes the most sense to reach out for support and when therapy can be most effective.
We all face stressors in life that can become overwhelming. Feeling stuck with our own negative thoughts or anxiety about new changes; repeatedly engaging in the same fights with our partner or spouse; worrying that we cannot support our children in the way we want - these are all universal experiences. Everyone faces obstacles, but not everyone has to remain feeling helpless, hopeless, or stagnant. It is at these times when it makes the most sense to reach out for support and when therapy can be most effective.
(347) 215-3060 View (347) 215-3060
Photo of Lana E. Segerman, Clinical Social Work/Therapist in Bethesda, MD
Lana E. Segerman
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Bethesda, MD 20814  (Online Only)
Envision being hopeful and not feeling overwhelmed by sadness or worry, struggles with relationships, or loss of connection with others. Envision calmly coping with grief over the death of a loved one, the end of a close relationship, life transitions, or feelings of regret. Envision having courage, confidence, and clarity as you face life's struggles.
Envision being hopeful and not feeling overwhelmed by sadness or worry, struggles with relationships, or loss of connection with others. Envision calmly coping with grief over the death of a loved one, the end of a close relationship, life transitions, or feelings of regret. Envision having courage, confidence, and clarity as you face life's struggles.
(202) 751-2653 View (202) 751-2653
Photo of Ellie Mental Health - Bethesda, Clinical Social Work/Therapist in Bethesda, MD
Ellie Mental Health - Bethesda
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Bethesda, MD 20814
Ellie Mental Health is all about being authentic while providing a safe, compassionate and inviting space for our clients. We strive to provide exceptional ethical, compassionate care that meets people where they are, demonstrates empathy and recognizes whole person care.
Ellie Mental Health is all about being authentic while providing a safe, compassionate and inviting space for our clients. We strive to provide exceptional ethical, compassionate care that meets people where they are, demonstrates empathy and recognizes whole person care.
(240) 618-2889 View (240) 618-2889

How does your Therapist compare?

Number of Therapists in Bethesda, MD

1,000+

Average cost per session

$180

Therapists in Bethesda, MD who prioritize treating:

94% Anxiety
90% Depression
77% Relationship Issues
74% Self Esteem
66% Coping Skills
64% Trauma and PTSD
61% Grief

Average years in practice

13 Years

Top 3 insurances accepted

63% BlueCross and BlueShield
63% CareFirst
58% Cigna and Evernorth

How Therapists in Bethesda, MD see their clients

60% In Person and Online
40% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bethesda?

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.