Therapists in Hilo, HI

Photo of Mariana Sampaio, Counselor in Hilo, HI
Mariana Sampaio
Counselor, LMHC, MSW
Verified Verified
2 Endorsed
Hilo, HI 96720  (Online Only)
Our goal is to walk the path of personal growth with you. We currently focused on supporting teens and adults to explore their lives' experiences and to become the version of themselves they most desire. Since first starting to work in direct service it has come clear to me that every human being is unique and worthy. Hence, I draw from different Evidence Based Treatment modalities in order to best fit the needs of each individual client. These include Cognitive Behavioral Therapy (CBT) and Trauma-Focused CBT, Radically Open Dialectical Behavioral Therapy (RO-DBT), Dialectical Behavioral Therapy (DBT), among other modalities.
Our goal is to walk the path of personal growth with you. We currently focused on supporting teens and adults to explore their lives' experiences and to become the version of themselves they most desire. Since first starting to work in direct service it has come clear to me that every human being is unique and worthy. Hence, I draw from different Evidence Based Treatment modalities in order to best fit the needs of each individual client. These include Cognitive Behavioral Therapy (CBT) and Trauma-Focused CBT, Radically Open Dialectical Behavioral Therapy (RO-DBT), Dialectical Behavioral Therapy (DBT), among other modalities.
(808) 556-5541 View (808) 556-5541
Photo of Kevin Faust, Mental Health Counselor in Hilo, HI
Kevin Faust
Mental Health Counselor, LMHC, LPC, NCC, NATC, CCTP-II
Verified Verified
1 Endorsed
Hilo, HI 96721  (Online Only)
Waitlist for new clients
Psychological trauma occurs when our level of stress exceeds our ability to cope with that stress. When this happens, our subconscious minds often develop cognitive distortions and a disregulated nervous system (stuck in fight-or-flight survival mode) that can then lead to maladaptive behaviors. This may show up as feeling anxious or depressed, ADHD, memory issues, confusion, or dissociation, feeling stuck, or lacking stability, motivation, & focus in life. I specialize in helping womxn who have been subjected to narcissistic abuse by men. This type of romantic relationship is known as a "pathological love relationship" (PLR).
Psychological trauma occurs when our level of stress exceeds our ability to cope with that stress. When this happens, our subconscious minds often develop cognitive distortions and a disregulated nervous system (stuck in fight-or-flight survival mode) that can then lead to maladaptive behaviors. This may show up as feeling anxious or depressed, ADHD, memory issues, confusion, or dissociation, feeling stuck, or lacking stability, motivation, & focus in life. I specialize in helping womxn who have been subjected to narcissistic abuse by men. This type of romantic relationship is known as a "pathological love relationship" (PLR).
(808) 207-6857 View (808) 207-6857
Photo of Calm Water Counseling LLC. , Counselor in Hilo, HI
Calm Water Counseling LLC. [David Hashimoto LMHC]
Counselor, MA, LMHC
Verified Verified
Hilo, HI 96720
I specialize in treating Anxiety, utilizing evidence-based modalities which are backed by scientific evidence, teaching people to achieve calm as soon as the first session. I can also help you to manage Depression, life transitions, and more. Lastly, I am a hilo native, and iv'e been in practice here for 11 years.
I specialize in treating Anxiety, utilizing evidence-based modalities which are backed by scientific evidence, teaching people to achieve calm as soon as the first session. I can also help you to manage Depression, life transitions, and more. Lastly, I am a hilo native, and iv'e been in practice here for 11 years.
(808) 731-9991 View (808) 731-9991
Photo of Melissa Bartholomew, Counselor in Hilo, HI
Melissa Bartholomew
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Hilo, HI 96720  (Online Only)
I work with individuals struggling with anxiety, depression, interpersonal conflict, stress, burnout, communication, and parenting. When we meet, we will discuss together what goals we want to work towards in counseling. I like to build upon individual strengths as we tackle your life challenges. I often use Acceptance and Commitment Therapy (ACT) as they hold the belief that all forms of human suffering is a normal part of life. I also take a holistic view in your overall health.
I work with individuals struggling with anxiety, depression, interpersonal conflict, stress, burnout, communication, and parenting. When we meet, we will discuss together what goals we want to work towards in counseling. I like to build upon individual strengths as we tackle your life challenges. I often use Acceptance and Commitment Therapy (ACT) as they hold the belief that all forms of human suffering is a normal part of life. I also take a holistic view in your overall health.
(808) 731-2964 View (808) 731-2964
Photo of Laura Dvorak, Clinical Social Work/Therapist in Hilo, HI
Laura Dvorak
Clinical Social Work/Therapist, LCSW
Verified Verified
Hilo, HI 96720  (Online Only)
I am here to educate, empower, and hold space as you navigate life’s uncertain terrain. Together we can create a safe container to lean into difficult emotions and identify breakthroughs, from relationships to health to career to family to a deeper sense of purpose. I enjoy working with individuals, couples, families, elders, adolescents ages 10-18 and I am passionate about connecting people to resources both internal and external.
I am here to educate, empower, and hold space as you navigate life’s uncertain terrain. Together we can create a safe container to lean into difficult emotions and identify breakthroughs, from relationships to health to career to family to a deeper sense of purpose. I enjoy working with individuals, couples, families, elders, adolescents ages 10-18 and I am passionate about connecting people to resources both internal and external.
(808) 515-3520 View (808) 515-3520
Photo of Robert Storey, Psychologist in Hilo, HI
Robert Storey
Psychologist, EdD, LP
Verified Verified
Hilo, HI 96720
Dr. Robert Storey obtained his B.A. in Liberal Arts at Washington and Lee University as a Philosophy major, minoring in Sociology. He obtained a Masters in Guidance and Psychological Services at Springfield College and was awarded his Doctorate in Educational Psychology ( Ed.D) while studying at American International University. He began his clinical internship in 1986 under the auspices of distinguished Dr. Frank Sacco, a protege of Karl Menninger with tutelage by Anna Freud. Dr. Sacco came from a long lineage of psychodynamic pioneers and Dr. Storey was privileged to be part of this tradition of groundbreaking psychologists.
Dr. Robert Storey obtained his B.A. in Liberal Arts at Washington and Lee University as a Philosophy major, minoring in Sociology. He obtained a Masters in Guidance and Psychological Services at Springfield College and was awarded his Doctorate in Educational Psychology ( Ed.D) while studying at American International University. He began his clinical internship in 1986 under the auspices of distinguished Dr. Frank Sacco, a protege of Karl Menninger with tutelage by Anna Freud. Dr. Sacco came from a long lineage of psychodynamic pioneers and Dr. Storey was privileged to be part of this tradition of groundbreaking psychologists.
(808) 855-6844 View (808) 855-6844
Photo of Sadea Campbell, Pre-Licensed Professional in Hilo, HI
Sadea Campbell
Pre-Licensed Professional, BA
Verified Verified
Hilo, HI 96720
Sadea has an extensive background working and volunteering with children and adolescents and is currently also interning as a Behavioral Health Specialist at an elementary school where she works with children with ADHD, Oppositional Defiant Disorder, Autism Spectrum Disorder, Anxiety, and Trauma. Additionally, Sadea has gained experience as a Preschool Aide working with toddlers with trauma, Autism Spectrum Disorder, and emotional regulation needs.
Sadea has an extensive background working and volunteering with children and adolescents and is currently also interning as a Behavioral Health Specialist at an elementary school where she works with children with ADHD, Oppositional Defiant Disorder, Autism Spectrum Disorder, Anxiety, and Trauma. Additionally, Sadea has gained experience as a Preschool Aide working with toddlers with trauma, Autism Spectrum Disorder, and emotional regulation needs.
(808) 736-0586 View (808) 736-0586
Photo of D. Kalei Pi'ena, Marriage & Family Therapist in Hilo, HI
D. Kalei Pi'ena
Marriage & Family Therapist, LMFT
Verified Verified
Hilo, HI 96720
Therapy can help to provide some guidance and understanding the obstacles of your life. I offer a safe and supportive environment to start the process of exploring those obstacles and embrace change. I use a client centered approach in my work with my clients and have a strong behaviorist background. I am comfortable in working with children, adolescents, adults individually
Therapy can help to provide some guidance and understanding the obstacles of your life. I offer a safe and supportive environment to start the process of exploring those obstacles and embrace change. I use a client centered approach in my work with my clients and have a strong behaviorist background. I am comfortable in working with children, adolescents, adults individually
(808) 427-1184 View (808) 427-1184
Photo of Sophia Bullard, Pre-Licensed Professional in Hilo, HI
Sophia Bullard
Pre-Licensed Professional, MS
Verified Verified
Hilo, HI 96720
Sophia Bullard studied at Thomas Jefferson University in Philadelphia, receiving her Bachelors of Science in Psychology in 2021 and her Masters of Science in Community and Trauma Counseling in May of 2022. Sophia is currently working towards the LMHC (Licensed Mental Health Counselor) credential in the state of Hawaii. Additionally, she has future goals of becoming a Registered Play Therapist and Certified Yoga Therapist. Sophia’s clinical experience stems from working as a counseling intern at various public elementary and middle schools in the Greater Philadelphia area.
Sophia Bullard studied at Thomas Jefferson University in Philadelphia, receiving her Bachelors of Science in Psychology in 2021 and her Masters of Science in Community and Trauma Counseling in May of 2022. Sophia is currently working towards the LMHC (Licensed Mental Health Counselor) credential in the state of Hawaii. Additionally, she has future goals of becoming a Registered Play Therapist and Certified Yoga Therapist. Sophia’s clinical experience stems from working as a counseling intern at various public elementary and middle schools in the Greater Philadelphia area.
(808) 758-5390 View (808) 758-5390
Photo of Marija Galebovic, Counselor in Hilo, HI
Marija Galebovic
Counselor, LMHC
Verified Verified
Hilo, HI 96720
Aloha, my name is Marija Galebovic and I am a Licensed Mental Health Counselor in the State of Hawaii. I have worked with clients with many different mental health concerns, and my approach is quite eclectic because we are all unique and deserve individualized care. My specialties include anxiety, life transitions, burnout, and stress.
Aloha, my name is Marija Galebovic and I am a Licensed Mental Health Counselor in the State of Hawaii. I have worked with clients with many different mental health concerns, and my approach is quite eclectic because we are all unique and deserve individualized care. My specialties include anxiety, life transitions, burnout, and stress.
(808) 736-0982 View (808) 736-0982
Photo of Nadia Arbles, Licensed Professional Counselor in Hilo, HI
Nadia Arbles
Licensed Professional Counselor, PhD, LMHC, NCC, LPC, WFR
Verified Verified
Hilo, HI 96720
Not accepting new clients
Are you struggling with issues related to self-esteem, anxiety, depression, addictions, attachment, trauma and loss? Not happy with yourself or your life? Going through transition or separation? Please consider seeking my help! I have successfully helped with a wide variety of behavioral and relational issues, challenges with adjustment, transition, acculturation, disaster relief and crisis counseling. In therapy, I take a holistic approach for you and come up with your unique plan of actions and treatment strategies. I believe each individual has an inborn capacity for change and growth given the right circumstances and support.
Are you struggling with issues related to self-esteem, anxiety, depression, addictions, attachment, trauma and loss? Not happy with yourself or your life? Going through transition or separation? Please consider seeking my help! I have successfully helped with a wide variety of behavioral and relational issues, challenges with adjustment, transition, acculturation, disaster relief and crisis counseling. In therapy, I take a holistic approach for you and come up with your unique plan of actions and treatment strategies. I believe each individual has an inborn capacity for change and growth given the right circumstances and support.
(808) 825-6691 View (808) 825-6691
Photo of Melissa St. Claire, Pre-Licensed Professional in Hilo, HI
Melissa St. Claire
Pre-Licensed Professional, MA, CHT
Verified Verified
Hilo, HI 96720
Stressful situations can happen suddenly, or build over time. Whether it is a relationship issue, traumatic experience, life transition, or career challenge, I can help you move from surviving to thriving. Using comprehensive methodologies, I offer a highly personalized approach, tailored to each client. I work with individuals to help them build on their strengths and attain the healing, growth and change they are looking for.
Stressful situations can happen suddenly, or build over time. Whether it is a relationship issue, traumatic experience, life transition, or career challenge, I can help you move from surviving to thriving. Using comprehensive methodologies, I offer a highly personalized approach, tailored to each client. I work with individuals to help them build on their strengths and attain the healing, growth and change they are looking for.
(808) 320-1239 View (808) 320-1239
Photo of Donna Dennerlein, Clinical Social Work/Therapist in Hilo, HI
Donna Dennerlein
Clinical Social Work/Therapist, LCSW
Verified Verified
Hilo, HI 96720
Waitlist for new clients
Aloha, are you needing support and looking for freedom from internal strain, anxiety, worry, depression, trauma and relationship issues? In today's culture with fewer connections to communities and cultures, it gives much less support to you and it's important to reach out. It’s time to explore and develop the richness and capacities within you for improved understanding, awareness and self-direction through body, mind, emotion & spirit practices and tools.
Aloha, are you needing support and looking for freedom from internal strain, anxiety, worry, depression, trauma and relationship issues? In today's culture with fewer connections to communities and cultures, it gives much less support to you and it's important to reach out. It’s time to explore and develop the richness and capacities within you for improved understanding, awareness and self-direction through body, mind, emotion & spirit practices and tools.
(808) 731-2301 View (808) 731-2301
Photo of Tracy Crowell, Counselor in Hilo, HI
Tracy Crowell
Counselor, LCMHC
Verified Verified
Hilo, HI 96720
My name is Tracy Crowell, and I am a licensed mental health professional and a nationally certified counselor. I am currently working on my doctoral degree in Psychology. My goal is to help individuals who are struggling with life's issues and challenges and implement coping strategies and insight that will help them find the solutions they are looking for to live a happier and more fulfilled life. The clients that I work with, that are a good fit for my style and approach of therapy, are young adults and adults who are experiencing anxiety, depression, stress, relational issues, adjustment issues, and trauma.
My name is Tracy Crowell, and I am a licensed mental health professional and a nationally certified counselor. I am currently working on my doctoral degree in Psychology. My goal is to help individuals who are struggling with life's issues and challenges and implement coping strategies and insight that will help them find the solutions they are looking for to live a happier and more fulfilled life. The clients that I work with, that are a good fit for my style and approach of therapy, are young adults and adults who are experiencing anxiety, depression, stress, relational issues, adjustment issues, and trauma.
(808) 736-1064 View (808) 736-1064
Photo of Sandra Pickard, Clinical Social Work/Therapist in Hilo, HI
Sandra Pickard
Clinical Social Work/Therapist, DCSW, LCSW
Verified Verified
Hilo, HI 96720
Not accepting new clients
I am not taking new clients at this time, however please feel free to contact me about future openings. If you are struggling with past, present or future stresses, I can help you find your balance in these times of uncertainty. Together, we’ll explore your reasons for seeking therapy and create a plan that meets your needs. With your age and stage of life in mind, we’ll choose the most effective strategies for you. I offer a safe place to process trauma and grief. I offer you acceptance, skillful assistance, encouragement and compassion.
I am not taking new clients at this time, however please feel free to contact me about future openings. If you are struggling with past, present or future stresses, I can help you find your balance in these times of uncertainty. Together, we’ll explore your reasons for seeking therapy and create a plan that meets your needs. With your age and stage of life in mind, we’ll choose the most effective strategies for you. I offer a safe place to process trauma and grief. I offer you acceptance, skillful assistance, encouragement and compassion.
(808) 518-4447 View (808) 518-4447
Photo of Daysi Cortes, Mental Health Counselor in Hilo, HI
Daysi Cortes
Mental Health Counselor, MS, LMHC
Verified Verified
Hilo, HI 96720
I place value in providing a safe, open, nonjudgemental, supportive space that encourages individuals to find their inner strengths, self-acceptance and build new skills necessary for healing and coping with future challenges and building resilience. Telling your story is an important part of healing. I look forward to listening and finding a place of wellness, self-acceptance & healing. I work with diverse clients of all ages experiencing various mental health difficulties, including anxiety, depression, mood disorders, self-esteem, relationship issues, and more. I also have a passion for working with children and teens.
I place value in providing a safe, open, nonjudgemental, supportive space that encourages individuals to find their inner strengths, self-acceptance and build new skills necessary for healing and coping with future challenges and building resilience. Telling your story is an important part of healing. I look forward to listening and finding a place of wellness, self-acceptance & healing. I work with diverse clients of all ages experiencing various mental health difficulties, including anxiety, depression, mood disorders, self-esteem, relationship issues, and more. I also have a passion for working with children and teens.
(808) 746-3591 View (808) 746-3591
Photo of Laura Moidel Acevedo, Counselor in Hilo, HI
Laura Moidel Acevedo
Counselor, MACP, LMHC
Verified Verified
Hilo, HI 96720
I have particular compassion and knowledge for those with transgender and sexual orientation issues and with survivors of sexual abuse and sexual assault. I am familiar with the social stigma and trauma that can result from being a person with these issues and have helped many overcome the resulting emotional and psychological distress.
I have particular compassion and knowledge for those with transgender and sexual orientation issues and with survivors of sexual abuse and sexual assault. I am familiar with the social stigma and trauma that can result from being a person with these issues and have helped many overcome the resulting emotional and psychological distress.
(808) 419-7277 View (808) 419-7277
Photo of Rebecca Keolanui, Marriage & Family Therapist in Hilo, HI
Rebecca Keolanui
Marriage & Family Therapist, MA, LMFT
Verified Verified
Hilo, HI 96720
This life journey, so full of potential joy, grace and human intimacy, is a winding road. Exploring what keeps us from optimal positive relations and personal peace, health, and acceptance is what my work embodies. Each of us has unique strengths and challenges. My experience is working with depression, anxiety/stress, trauma/PTSD, relationship, parenting and family issues, grief and loss, life transitions, and spiritual crisis. I advocate and am available for premarital sessions for couples.
This life journey, so full of potential joy, grace and human intimacy, is a winding road. Exploring what keeps us from optimal positive relations and personal peace, health, and acceptance is what my work embodies. Each of us has unique strengths and challenges. My experience is working with depression, anxiety/stress, trauma/PTSD, relationship, parenting and family issues, grief and loss, life transitions, and spiritual crisis. I advocate and am available for premarital sessions for couples.
(808) 731-1634 View (808) 731-1634
Photo of Lisa Chilson-McCraw, Clinical Social Work/Therapist in Hilo, HI
Lisa Chilson-McCraw
Clinical Social Work/Therapist, MSW, LCSW, CSAC
Verified Verified
Hilo, HI 96720
Lisa Chilson-McCraw, MSW, LCSW, CSAC is very passionate about serving others and her community. Following a calling, she has committed her life to supporting and helping others through their struggles in life. She describes her work as a blessing, having had the opportunity to serve a multicultural and diverse groups of individuals in diverse settings over the last 14 years. She has worked with individuals who have experienced trauma, domestic violence/abuse (survivors and offenders), victims of human trafficking, substance use issues, grief and loss, significant life changes, and the behaviors/emotions that are often associated.
Lisa Chilson-McCraw, MSW, LCSW, CSAC is very passionate about serving others and her community. Following a calling, she has committed her life to supporting and helping others through their struggles in life. She describes her work as a blessing, having had the opportunity to serve a multicultural and diverse groups of individuals in diverse settings over the last 14 years. She has worked with individuals who have experienced trauma, domestic violence/abuse (survivors and offenders), victims of human trafficking, substance use issues, grief and loss, significant life changes, and the behaviors/emotions that are often associated.
(808) 698-6439 View (808) 698-6439
Photo of Pamela K. Luis, MFT, Marriage & Family Therapist in Hilo, HI
Pamela K. Luis, MFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Hilo, HI 96720
I am currently accepting Graduate Students for supervision. Are you struggling with past or current military, childhood or other types of trauma? Are you dealing with overwhelming anxiety or depression? Are you in conflict with family members? These are my specialties and I would be honored to guide you through the healing process. I focus on unique individual strengths and positive attributes. I am here to guide you on that journey of rediscovery in yourself and with your loved ones.
I am currently accepting Graduate Students for supervision. Are you struggling with past or current military, childhood or other types of trauma? Are you dealing with overwhelming anxiety or depression? Are you in conflict with family members? These are my specialties and I would be honored to guide you through the healing process. I focus on unique individual strengths and positive attributes. I am here to guide you on that journey of rediscovery in yourself and with your loved ones.
(808) 518-3906 View (808) 518-3906

How does your Therapist compare?

Number of Therapists in Hilo, HI

100+

Average cost per session

$130

Therapists in Hilo, HI who prioritize treating:

91% Anxiety
81% Depression
80% Self Esteem
72% Life Transitions
71% Relationship Issues
71% Coping Skills
70% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

84% Hawaii Medical Services Association
51% BlueCross and BlueShield
46% Hawaii Medical Assurance Association

How Therapists in Hilo, HI see their clients

63% In Person and Online
37% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Hilo?

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.