Therapists in Wasilla, AK

Photo of Lillac Counseling Services, LLC, Licensed Professional Counselor in Wasilla, AK
Lillac Counseling Services, LLC
Licensed Professional Counselor, PhD, LPC-S, LMHC, NCC, CCMHC
Verified Verified
Wasilla, AK 99687  (Online Only)
Not accepting new clients
Lillac Counseling Services, LLC is a teaching practice that offers online therapy services to Alaskans and Hoosiers. Our mission is to make therapy services accessible to individuals (ages 18+) experiencing anxiety, depression, trauma, or family challenges. At LCS; we are dedicated to empowering and supporting clients on their healing journey with a person-centered approach & unconditional positive regard. I have over a decade of experience providing counseling services to youth and adults. We can work together on processing life experiences and rewriting your narrative for a happier, healthier future.
Lillac Counseling Services, LLC is a teaching practice that offers online therapy services to Alaskans and Hoosiers. Our mission is to make therapy services accessible to individuals (ages 18+) experiencing anxiety, depression, trauma, or family challenges. At LCS; we are dedicated to empowering and supporting clients on their healing journey with a person-centered approach & unconditional positive regard. I have over a decade of experience providing counseling services to youth and adults. We can work together on processing life experiences and rewriting your narrative for a happier, healthier future.
(833) 976-3712 View (833) 976-3712
Photo of Randy B Hughes, Pre-Licensed Professional in Wasilla, AK
Randy B Hughes
Pre-Licensed Professional, MA, CCC
Verified Verified
4 Endorsed
Wasilla, AK 99654
We all face times when we don't know the way forward, when relationships are hard, when we're not sure we can ever get past the pain. But there's hope. I'm honored to get to journey alongside people as they navigate and learn to grow through the difficult areas of their lives. Together, we can work through your struggle and pain so you can walk forward confidently in your life.
We all face times when we don't know the way forward, when relationships are hard, when we're not sure we can ever get past the pain. But there's hope. I'm honored to get to journey alongside people as they navigate and learn to grow through the difficult areas of their lives. Together, we can work through your struggle and pain so you can walk forward confidently in your life.
(907) 521-8504 View (907) 521-8504
Photo of Abegail Millard, Psychologist in Wasilla, AK
Abegail Millard
Psychologist, PsyD
Verified Verified
1 Endorsed
Wasilla, AK 99654
I help adults and adolescents who struggle with anxiety, depression, relational issues, low self-esteem, stress management, as well as traumatic experiences. As a retired Veteran, I am especially passionate about serving active duty military, retirees, veterans and military dependents. I have experience offering counseling to people across the life-span in various residential and outpatient community-based mental health settings, and am excited to use my experience to help you create positive change in your life.
I help adults and adolescents who struggle with anxiety, depression, relational issues, low self-esteem, stress management, as well as traumatic experiences. As a retired Veteran, I am especially passionate about serving active duty military, retirees, veterans and military dependents. I have experience offering counseling to people across the life-span in various residential and outpatient community-based mental health settings, and am excited to use my experience to help you create positive change in your life.
(907) 318-7020 View (907) 318-7020
Photo of K. Bryan McInnis, Licensed Professional Counselor in Wasilla, AK
K. Bryan McInnis
Licensed Professional Counselor, LPC, NCC
Verified Verified
Wasilla, AK 99654
Waitlist for new clients
I help people whose lives have been impacted by trauma find hope, healing, and transformation. The impact of trauma can be seen in nearly every aspect of the human experience, manifest in our mind, body, emotions, relationships, and our deepest sense of self. If you are struggling with emotional distress, chronic pain, relationship difficulties, feeling numb or disconnected from life, or hidden in the shadow of grief and loss, the truth is that you are not alone and healing is possible.
I help people whose lives have been impacted by trauma find hope, healing, and transformation. The impact of trauma can be seen in nearly every aspect of the human experience, manifest in our mind, body, emotions, relationships, and our deepest sense of self. If you are struggling with emotional distress, chronic pain, relationship difficulties, feeling numb or disconnected from life, or hidden in the shadow of grief and loss, the truth is that you are not alone and healing is possible.
(844) 818-0721 View (844) 818-0721
Photo of Dr. Rebecca L Sparkman, Pastoral Counselor in Wasilla, AK
Dr. Rebecca L Sparkman
Pastoral Counselor, PhD, EAGLA, EMDR
Verified Verified
7 Endorsed
Wasilla, AK 99654
It is my privilege and passion to walk alongside those who are healing from trauma, complex trauma, abuse, anxiety and depression. Grief and loss, grappling with spiritual, personal identity & various complex issues are the result of traumatic experiences. I firmly believe respectful, culturally competent and trauma informed approaches create space for you to become empowered to not just survive, but thrive! It is my desire that each individual who walks through my doors feels that all parts of them are welcome and treated with dignity. If you are ready to see change happen, I am sure we will make a great team.
It is my privilege and passion to walk alongside those who are healing from trauma, complex trauma, abuse, anxiety and depression. Grief and loss, grappling with spiritual, personal identity & various complex issues are the result of traumatic experiences. I firmly believe respectful, culturally competent and trauma informed approaches create space for you to become empowered to not just survive, but thrive! It is my desire that each individual who walks through my doors feels that all parts of them are welcome and treated with dignity. If you are ready to see change happen, I am sure we will make a great team.
(907) 521-8504 View (907) 521-8504
Photo of Stephanie Turner, Licensed Professional Counselor in Wasilla, AK
Stephanie Turner
Licensed Professional Counselor, LPC
Verified Verified
Wasilla, AK 99654
I am trained in Motivational Interviewing, EMDR, and Cognitive Processing. I combine these modalities with my years of schooling, counseling experience, and life experience to help you obtain the skills to live your best life. I combine traditional talk therapy with therapeutic techniques and humor. I believe in an empathic and non-judgmental approach to therapy. My specialty areas: trauma, anxiety, depression, and relationship issues. I offer a highly personalized approach tailored to each of my client’s individual needs to help attain the personal growth they're striving for.
I am trained in Motivational Interviewing, EMDR, and Cognitive Processing. I combine these modalities with my years of schooling, counseling experience, and life experience to help you obtain the skills to live your best life. I combine traditional talk therapy with therapeutic techniques and humor. I believe in an empathic and non-judgmental approach to therapy. My specialty areas: trauma, anxiety, depression, and relationship issues. I offer a highly personalized approach tailored to each of my client’s individual needs to help attain the personal growth they're striving for.
(907) 202-7233 View (907) 202-7233
Photo of Karuna Counseling, LLC Morgan Yaskus, Pre-Licensed Professional in Wasilla, AK
Karuna Counseling, LLC Morgan Yaskus
Pre-Licensed Professional, MS
Verified Verified
Wasilla, AK 99654
Adolescence to early adulthood can be a really difficult time to navigate. It’s where we begin the path of self-discovery, establish our personal identities, form relationships, and look to the future. While these can all be very exciting things, they are often also quite challenging and accompanied by stress, conflict, strained relationships, and a whole lot of change. Through a person-centered and collaborative approach, I strive to help individuals strengthen their core beliefs, self-worth, and confidence within themselves.
Adolescence to early adulthood can be a really difficult time to navigate. It’s where we begin the path of self-discovery, establish our personal identities, form relationships, and look to the future. While these can all be very exciting things, they are often also quite challenging and accompanied by stress, conflict, strained relationships, and a whole lot of change. Through a person-centered and collaborative approach, I strive to help individuals strengthen their core beliefs, self-worth, and confidence within themselves.
(844) 786-2180 View (844) 786-2180
Photo of Tom Lytle, Counselor in Wasilla, AK
Tom Lytle
Counselor, MA, LPC, NCC, MAC, NCACII
Verified Verified
Wasilla, AK 99654
Alaska Counseling Excellence, Inc. believes there are times in a person's life when they need a trusted and confidential partner. A partner who can help a person explore the causes of his/her thoughts, feelings, or behaviors and develop new ways of thinking, acting and feeling. A partner who can assist a person in discovering peace and contentment throughout life's journey. At Alaska Counseling Excellence, Inc. counselors are trained to assist a person in their life journey. Alaska Counseling Excellence, Inc. is committed to helping individuals, couples and families achieve these goals in an environment that emphasizes confidentiality, respect, trust and compassion.
Alaska Counseling Excellence, Inc. believes there are times in a person's life when they need a trusted and confidential partner. A partner who can help a person explore the causes of his/her thoughts, feelings, or behaviors and develop new ways of thinking, acting and feeling. A partner who can assist a person in discovering peace and contentment throughout life's journey. At Alaska Counseling Excellence, Inc. counselors are trained to assist a person in their life journey. Alaska Counseling Excellence, Inc. is committed to helping individuals, couples and families achieve these goals in an environment that emphasizes confidentiality, respect, trust and compassion.
(907) 331-6772 View (907) 331-6772
Photo of Refocus Counseling - Marriage, Licensed Professional Counselor in Wasilla, AK
Refocus Counseling - Marriage
Licensed Professional Counselor, PhD
Verified Verified
1 Endorsed
Wasilla, AK 99654
As a Couples, Marriage and Family Therapist, we want you to know that even if you are at “Divorce Door” , and the “D” word is getting thrown around, even if there has been infidelity in your marriage, it is NOT to late! In our time together, you will be introduced to some of the best ways to overcome marital/relationship conflicts and some of the quickest ways to restore the love you once had. The information we will work through has saved thousands of marriages from the pain of unresolved conflict and the disaster of divorce. Our successful approach to building UP relationship, can help you build up yours!
As a Couples, Marriage and Family Therapist, we want you to know that even if you are at “Divorce Door” , and the “D” word is getting thrown around, even if there has been infidelity in your marriage, it is NOT to late! In our time together, you will be introduced to some of the best ways to overcome marital/relationship conflicts and some of the quickest ways to restore the love you once had. The information we will work through has saved thousands of marriages from the pain of unresolved conflict and the disaster of divorce. Our successful approach to building UP relationship, can help you build up yours!
(907) 521-8504 View (907) 521-8504
Photo of Confidential Care in Wasilla, AK
Confidential Care
PMHNP
Verified Verified
Wasilla, AK 99654
Confidential Care is a private psychiatric and mental health agency dedicated to providing the highest quality therapeutic mental health services to aid individuals, couples, and families through their most difficult and challenging times. Through therapeutic services, the individual will receive emotional support, work to resolve conflicts with people, understand feelings and problems, and try out new solutions to old problems. Confidential Care offers medication management by our psychiatric nurse practitioner and comprehensive counseling services by our therapists.
Confidential Care is a private psychiatric and mental health agency dedicated to providing the highest quality therapeutic mental health services to aid individuals, couples, and families through their most difficult and challenging times. Through therapeutic services, the individual will receive emotional support, work to resolve conflicts with people, understand feelings and problems, and try out new solutions to old problems. Confidential Care offers medication management by our psychiatric nurse practitioner and comprehensive counseling services by our therapists.
(907) 357-1999 View (907) 357-1999
Photo of Dara Harrel, Licensed Professional Counselor in Wasilla, AK
Dara Harrel
Licensed Professional Counselor, LPC, LPC-S
Verified Verified
Wasilla, AK 99654
Waitlist for new clients
You have already taken the first step towards a better life! By being proactive and searching for someone who can help make the changes you desire, you have shown you are ready to make this a reality. Are you wondering how life got so hard and it feels like you can’t keep up? Maybe you are not happy with yourself or your partner. Have you lost your sense of self or feel unappreciated? Perhaps you want to learn how to better communicate and reduce conflict with your partner, your family or your friends? Old answers are not working anymore and you want to create new solutions.
You have already taken the first step towards a better life! By being proactive and searching for someone who can help make the changes you desire, you have shown you are ready to make this a reality. Are you wondering how life got so hard and it feels like you can’t keep up? Maybe you are not happy with yourself or your partner. Have you lost your sense of self or feel unappreciated? Perhaps you want to learn how to better communicate and reduce conflict with your partner, your family or your friends? Old answers are not working anymore and you want to create new solutions.
(844) 329-7618 View (844) 329-7618
Photo of Inner Horizons , Clinical Social Work/Therapist in Wasilla, AK
Inner Horizons
Clinical Social Work/Therapist, LCSW
Verified Verified
Wasilla, AK 99654
Heal from your past, live in the present, embrace your future. Many people get stuck in life. You don’t have to figure it out alone. Are you struggling with: setting goals, getting things done, feeling isolated, connecting with others, expressing yourself, finding meaning in life?
Heal from your past, live in the present, embrace your future. Many people get stuck in life. You don’t have to figure it out alone. Are you struggling with: setting goals, getting things done, feeling isolated, connecting with others, expressing yourself, finding meaning in life?
(844) 995-1098 View (844) 995-1098
Photo of Sarah Bannister, Licensed Professional Counselor in Wasilla, AK
Sarah Bannister
Licensed Professional Counselor, MA, LPC
Verified Verified
Wasilla, AK 99654
I specialize in work with clients who are dealing with grief, healing from abuse, navigating women’s issues, and struggling with anxiety, depression and other life and mental health concerns. I have a special love for working with those in the LGBTQ plus community, and am passionate about offering an inclusive and healing space for all. I offer individual, family and couples counseling sessions, and enjoy working with people of all ages who are looking for growth and change.
I specialize in work with clients who are dealing with grief, healing from abuse, navigating women’s issues, and struggling with anxiety, depression and other life and mental health concerns. I have a special love for working with those in the LGBTQ plus community, and am passionate about offering an inclusive and healing space for all. I offer individual, family and couples counseling sessions, and enjoy working with people of all ages who are looking for growth and change.
(907) 313-7965 View (907) 313-7965
Photo of John Sundeen, Licensed Professional Counselor in Wasilla, AK
John Sundeen
Licensed Professional Counselor, LPC
Verified Verified
Wasilla, AK 99654
My name is John Sundeen, and I am a Licensed Professional Counselor in Ketchikan, AK and working with clients statewide via telehealth. I work with teens and adults specializing in anxiety, depression, addiction, and relationship issues, utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Mindfulness to help my clients find resolution to their problems and build the skills necessary to handle future challenges.
My name is John Sundeen, and I am a Licensed Professional Counselor in Ketchikan, AK and working with clients statewide via telehealth. I work with teens and adults specializing in anxiety, depression, addiction, and relationship issues, utilizing Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Mindfulness to help my clients find resolution to their problems and build the skills necessary to handle future challenges.
(844) 755-3043 View (844) 755-3043
Photo of Lindsey Russell, Clinical Social Work/Therapist in Wasilla, AK
Lindsey Russell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wasilla, AK 99654  (Online Only)
This last year has been so draining and you're just trying to stay afloat. Your anxiety keeps telling you that you have a million things that are left to get accomplished, and your depression is right there to tag in, making you feel terrible for not getting anything done on your list. You are trying to balance difficult co-workers, keeping (and maintaining) friendships, juggling 4 different schedules, and trying to keep your house from looking like a bomb went off. You smile through the day being a great pretender, only to be alone with your thoughts at night and feeling like you’re failing at adulting.
This last year has been so draining and you're just trying to stay afloat. Your anxiety keeps telling you that you have a million things that are left to get accomplished, and your depression is right there to tag in, making you feel terrible for not getting anything done on your list. You are trying to balance difficult co-workers, keeping (and maintaining) friendships, juggling 4 different schedules, and trying to keep your house from looking like a bomb went off. You smile through the day being a great pretender, only to be alone with your thoughts at night and feeling like you’re failing at adulting.
(828) 319-2863 View (828) 319-2863
Beth Johnson
Licensed Professional Counselor, LPC, RPT
Verified Verified
Wasilla, AK 99654
Does your child behave in ways that confuse or frustrate you? Do they worry a lot or feel sad all the time? Are they isolating from other people or feeling like they don't want to live any more? Has your child experienced hard situations that have left them struggling to cope? Are you worried about your child and looking for ways to help them deal with their big feelings?
Does your child behave in ways that confuse or frustrate you? Do they worry a lot or feel sad all the time? Are they isolating from other people or feeling like they don't want to live any more? Has your child experienced hard situations that have left them struggling to cope? Are you worried about your child and looking for ways to help them deal with their big feelings?
(833) 606-1640 View (833) 606-1640
Photo of Refocus Specialist for Postpartum Depression, LPC Intern in Wasilla, AK
Refocus Specialist for Postpartum Depression
LPC Intern, MA
Verified Verified
4 Endorsed
Wasilla, AK 99654
I want to first acknowledge how challenging this period must be for you. It takes immense strength to reach out for support, and I'm here to help you navigate through this. Postpartum depression is a common and treatable condition, and you're not alone in this journey. It's important to recognize that what you're feeling is valid and that seeking help is a positive step towards your well-being and recovery. Many women go through postpartum depression, and with the right strategies and support, you can overcome it. We'll work together to understand your feelings and experiences.
I want to first acknowledge how challenging this period must be for you. It takes immense strength to reach out for support, and I'm here to help you navigate through this. Postpartum depression is a common and treatable condition, and you're not alone in this journey. It's important to recognize that what you're feeling is valid and that seeking help is a positive step towards your well-being and recovery. Many women go through postpartum depression, and with the right strategies and support, you can overcome it. We'll work together to understand your feelings and experiences.
(907) 521-8504 View (907) 521-8504
Photo of Erika McGough, Licensed Professional Counselor in Wasilla, AK
Erika McGough
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Wasilla, AK 99654  (Online Only)
Is this you?...toddler pulling on your pant leg, baby on your hip, dishes in the sink. You feel overwhelmed, touched out, exhausted, frazzled, and experience mom guilt. Maybe your kids are older, you're running to and from sports practices/after school activities dealing with attitudes and eye rolls and wondering, 'what next? how do I navigate this?’ I work with womxn navigating parenthood, and also work with womxn experiencing life transitions, anxiety, depression, and stress. If your goal is to gain clarity, find peace, feel empowered, and uphold bad ass boundaries so you can thrive, contact me today!
Is this you?...toddler pulling on your pant leg, baby on your hip, dishes in the sink. You feel overwhelmed, touched out, exhausted, frazzled, and experience mom guilt. Maybe your kids are older, you're running to and from sports practices/after school activities dealing with attitudes and eye rolls and wondering, 'what next? how do I navigate this?’ I work with womxn navigating parenthood, and also work with womxn experiencing life transitions, anxiety, depression, and stress. If your goal is to gain clarity, find peace, feel empowered, and uphold bad ass boundaries so you can thrive, contact me today!
(907) 331-4576 View (907) 331-4576
Photo of Experiential Play Therapy @Refocus Counseling, Licensed Professional Counselor in Wasilla, AK
Experiential Play Therapy @Refocus Counseling
Licensed Professional Counselor, S-LPC, PhD
Verified Verified
3 Endorsed
Wasilla, AK 99654
Experiential Play Therapy is a model of play therapy with a strong belief in the child’s quest for health. Only the child knows their particular perceptions of their life’s dilemmas. Therefore, in Experiential Play Therapy, the child is allowed to be the director of the play. In that process, they will utilize toys and their own creativity to recreate their experience in an environment that enables them to approach their struggles so that they are able to regain the power that has been lost in the actual event or environment. The therapist becomes a partner in the child’s quest, assuming whatever role the child requests.
Experiential Play Therapy is a model of play therapy with a strong belief in the child’s quest for health. Only the child knows their particular perceptions of their life’s dilemmas. Therefore, in Experiential Play Therapy, the child is allowed to be the director of the play. In that process, they will utilize toys and their own creativity to recreate their experience in an environment that enables them to approach their struggles so that they are able to regain the power that has been lost in the actual event or environment. The therapist becomes a partner in the child’s quest, assuming whatever role the child requests.
(907) 521-8504 View (907) 521-8504
Photo of Changing Seasons Counseling, Counselor in Wasilla, AK
Changing Seasons Counseling
Counselor, MA, LPC, CDCII
Verified Verified
1 Endorsed
Wasilla, AK 99654
Life can be seen as a continual process of change. Changing Seasons is dedicated to helping clients navigate through all of life's challenges. Regardless of the challenges, everyone needs relationships that encourage and support us in our "Seasons of journey".
Life can be seen as a continual process of change. Changing Seasons is dedicated to helping clients navigate through all of life's challenges. Regardless of the challenges, everyone needs relationships that encourage and support us in our "Seasons of journey".
(907) 795-3860 View (907) 795-3860

How does your Therapist compare?

Number of Therapists in Wasilla, AK

100+

Average cost per session

$200

Therapists in Wasilla, AK who prioritize treating:

93% Anxiety
90% Depression
82% Trauma and PTSD
74% Relationship Issues
68% Coping Skills
68% Self Esteem
64% Grief

Average years in practice

13 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
68% Premera
64% Aetna

How Therapists in Wasilla, AK see their clients

78% In Person and Online
22% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Wasilla?

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.