Therapists in Edmonds, WA

Photo of Meghan E Szczebak, Psychologist in Edmonds, WA
Meghan E Szczebak
Psychologist, PsyD, MA
Verified Verified
Edmonds, WA 98020
My Practice is Currently Full- I am a Clinical Psychologist working with adults. My practice appeals to people who who not only suffer from symptoms that impede their daily happiness, but those who long to grow in their understanding of themselves and others. I aid in this process by focusing closely on the unique talents each person brings into the room. I look not for what is wrong but what is right and simply ask that they clients bring an honest willingness to participate in a partnership for change.
My Practice is Currently Full- I am a Clinical Psychologist working with adults. My practice appeals to people who who not only suffer from symptoms that impede their daily happiness, but those who long to grow in their understanding of themselves and others. I aid in this process by focusing closely on the unique talents each person brings into the room. I look not for what is wrong but what is right and simply ask that they clients bring an honest willingness to participate in a partnership for change.
(206) 208-7095 View (206) 208-7095
Photo of Joanna McGuire, Counselor in Edmonds, WA
Joanna McGuire
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Edmonds, WA 98020
I work with people facing all sorts of struggles. Some of the most common issues I help with include depression, anxiety, identity formation, and relationship problems between couples or within families. I have a lot of experience in working with conflict between children and adolescents and their parents. I believe in the importance of helping people to understand the roots of their behaviors. I combine therapeutic styles based on what my clients want and need.
I work with people facing all sorts of struggles. Some of the most common issues I help with include depression, anxiety, identity formation, and relationship problems between couples or within families. I have a lot of experience in working with conflict between children and adolescents and their parents. I believe in the importance of helping people to understand the roots of their behaviors. I combine therapeutic styles based on what my clients want and need.
(415) 650-1105 View (415) 650-1105
Photo of Laura Lee Montavon, Marriage & Family Therapist in Edmonds, WA
Laura Lee Montavon
Marriage & Family Therapist, MS LMFT
Verified Verified
1 Endorsed
Edmonds, WA 98020
Licensed Marriage and Family Therapist living and working in the Edmonds, WA area. I graduated with my Master of Science in Marriage and Family therapy in 2016 from Friends University in Wichita, KS. I currently work at Snohomish Psychology Associates, PLLC in Edmonds, WA, serving adolescents, adults, couples, and families. I tailor evidence-based treatment to each client and the specific needs of that client. Collaboratively with the client, we work towards goals that the client would like to achieve in their life.
Licensed Marriage and Family Therapist living and working in the Edmonds, WA area. I graduated with my Master of Science in Marriage and Family therapy in 2016 from Friends University in Wichita, KS. I currently work at Snohomish Psychology Associates, PLLC in Edmonds, WA, serving adolescents, adults, couples, and families. I tailor evidence-based treatment to each client and the specific needs of that client. Collaboratively with the client, we work towards goals that the client would like to achieve in their life.
(206) 237-6763 View (206) 237-6763
Photo of Beth Griffith, Clinical Social Work/Therapist in Edmonds, WA
Beth Griffith
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Edmonds, WA 98020  (Online Only)
I am here to support and encourage you as you journey through your days, facing the joys and trials that come your way. This is sacred ground, and it is both an honor and a privilege to be allowed into the deep, private areas of your life.You will find that this is not something I take lightly but, rather, with humility and deep respect for your courage and willingness to be vulnerable. My desire is to sit with those who are hurting and to walk alongside those who are on a journey towards healing, wholeness, or personal growth.
I am here to support and encourage you as you journey through your days, facing the joys and trials that come your way. This is sacred ground, and it is both an honor and a privilege to be allowed into the deep, private areas of your life.You will find that this is not something I take lightly but, rather, with humility and deep respect for your courage and willingness to be vulnerable. My desire is to sit with those who are hurting and to walk alongside those who are on a journey towards healing, wholeness, or personal growth.
(317) 348-4094 View (317) 348-4094
Photo of Laura Edelstein, Counselor in Edmonds, WA
Laura Edelstein
Counselor, MA, LMHC, MAC, CDP
Verified Verified
9 Endorsed
Edmonds, WA 98020
I love working with a wide range of people from young adults to seniors, and work with individuals, couples and families. I am LGBTQIA friendly and love working with diverse populations. I have had various jobs in helping professions for almost twenty years, and since 2012 have counseled adults, families and couples. I love seeing people have renewed hope and vitality in their lives.
I love working with a wide range of people from young adults to seniors, and work with individuals, couples and families. I am LGBTQIA friendly and love working with diverse populations. I have had various jobs in helping professions for almost twenty years, and since 2012 have counseled adults, families and couples. I love seeing people have renewed hope and vitality in their lives.
(425) 341-4033 View (425) 341-4033
Photo of Sarah Hoff, Counselor in Edmonds, WA
Sarah Hoff
Counselor, MA, LMHC
Verified Verified
Edmonds, WA 98026  (Online Only)
Please note at this time I only have openings on Wednesday mornings. I am an experienced individual and family therapist with specific expertise working with caregiver stress/burnout and neurodiverse populations. My clients are tired, frustrated, having difficulty with self-care and often struggle with depression and anxiety. They may have issues related to childhood that are interfering in their current adult life. My role is to help create space for each individual person within the context of their daily life to ease stress and create space for all to thrive.
Please note at this time I only have openings on Wednesday mornings. I am an experienced individual and family therapist with specific expertise working with caregiver stress/burnout and neurodiverse populations. My clients are tired, frustrated, having difficulty with self-care and often struggle with depression and anxiety. They may have issues related to childhood that are interfering in their current adult life. My role is to help create space for each individual person within the context of their daily life to ease stress and create space for all to thrive.
(425) 517-1334 View (425) 517-1334
Photo of Ben Watson, Clinical Social Work/Therapist in Edmonds, WA
Ben Watson
Clinical Social Work/Therapist, LSWAIC, MSW
Verified Verified
Edmonds, WA 98020
The greatest and most freeing gifts you can give yourself are self-exploration and compassion. Together, you and I can work collaboratively to further develop these qualities and foster your innate resilience. My goal is for you to feel safe, challenged, and empowered during our time together. The sheer fact that you are seeking support demonstrates an immense strength and courage. As a psychotherapist, I aim to create a non-judgmental, open-minded, and secure environment for clients to explore their feelings candidly and honestly. I utilize a variety of techniques and tailor treatment to the unique needs of the client.
The greatest and most freeing gifts you can give yourself are self-exploration and compassion. Together, you and I can work collaboratively to further develop these qualities and foster your innate resilience. My goal is for you to feel safe, challenged, and empowered during our time together. The sheer fact that you are seeking support demonstrates an immense strength and courage. As a psychotherapist, I aim to create a non-judgmental, open-minded, and secure environment for clients to explore their feelings candidly and honestly. I utilize a variety of techniques and tailor treatment to the unique needs of the client.
(425) 287-6156 View (425) 287-6156
Photo of Leslie Samdahl Therapy, PLLC, Counselor in Edmonds, WA
Leslie Samdahl Therapy, PLLC
Counselor, LMHC
Verified Verified
2 Endorsed
Edmonds, WA 98020
Not accepting new clients
If you are taking the step to find a therapist, that most likely means there are aspects of your life that you wish to change. This deeper exploration of what in your life is and isn’t working can feel scary. As your therapist, I will help you ease into this time of self-exploration and self-awareness, providing you with a safe and judgment free space to explore the thoughts, behaviors, and emotions that might impede on personal growth. In my practice, I work with individuals that are struggling with eating disorders, body image, depression and other mood disorders, anxiety, ADHD, perfectionism, and emotion regulation issues.
If you are taking the step to find a therapist, that most likely means there are aspects of your life that you wish to change. This deeper exploration of what in your life is and isn’t working can feel scary. As your therapist, I will help you ease into this time of self-exploration and self-awareness, providing you with a safe and judgment free space to explore the thoughts, behaviors, and emotions that might impede on personal growth. In my practice, I work with individuals that are struggling with eating disorders, body image, depression and other mood disorders, anxiety, ADHD, perfectionism, and emotion regulation issues.
(425) 517-2954 View (425) 517-2954
Photo of Claire Hargett in Edmonds, WA
Claire Hargett
MSPsy, BCBA, LBA
Verified Verified
1 Endorsed
Edmonds, WA 98020
Waitlist for new clients
As Licensed Behavior Analyst, I founded ASBI to support our neurodivergent communities by making ABA with a trauma-informed approach, more accessible and individualized. I lead with the assumption that each client I work with has had trauma that may have inhibited their emotional growth, skill development, and the ability to set boundaries, or form trusting relationships. Compassionate care is an essential component of my practice, where trust is built and skills are practiced in a safe space, both physically and emotionally.
As Licensed Behavior Analyst, I founded ASBI to support our neurodivergent communities by making ABA with a trauma-informed approach, more accessible and individualized. I lead with the assumption that each client I work with has had trauma that may have inhibited their emotional growth, skill development, and the ability to set boundaries, or form trusting relationships. Compassionate care is an essential component of my practice, where trust is built and skills are practiced in a safe space, both physically and emotionally.
(425) 537-6830 View (425) 537-6830
Photo of Katie Wilson, Counselor in Edmonds, WA
Katie Wilson
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Edmonds, WA 98020
I am a deep believer in the process of change. I have seen and experienced the fruit of the work of change and healing that arises as one pursues the process of therapy. I believe that through the power of new relational experiences, both with ourselves and with another, we get to change how we are in the world and how our experiences impact us. I work well with clients from a variety of backgrounds and ages. I have done extensive work with eating and body issues, including working in residential facilities and higher levels of care. I work to help you bring meaningful change to your daily life.
I am a deep believer in the process of change. I have seen and experienced the fruit of the work of change and healing that arises as one pursues the process of therapy. I believe that through the power of new relational experiences, both with ourselves and with another, we get to change how we are in the world and how our experiences impact us. I work well with clients from a variety of backgrounds and ages. I have done extensive work with eating and body issues, including working in residential facilities and higher levels of care. I work to help you bring meaningful change to your daily life.
(425) 842-7783 View (425) 842-7783
Photo of Stan Case, Clinical Social Work/Therapist in Edmonds, WA
Stan Case
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
Edmonds, WA 98026
I offer psychotherapy and psychoanalysis to adults, children, and adolescents in my private practice in Edmonds, Washington. I work with individual and relationship issues including depression, anxiety, mood disorders, personality disorders, dissociative disorders and trauma. My office is one block north of Swedish Hospital. Feel free to call my office directly at (425) 775-5678.
I offer psychotherapy and psychoanalysis to adults, children, and adolescents in my private practice in Edmonds, Washington. I work with individual and relationship issues including depression, anxiety, mood disorders, personality disorders, dissociative disorders and trauma. My office is one block north of Swedish Hospital. Feel free to call my office directly at (425) 775-5678.
(425) 610-8894 View (425) 610-8894
Photo of Ruth Blaikie, Marriage & Family Therapist in Edmonds, WA
Ruth Blaikie
Marriage & Family Therapist, LMFT
Verified Verified
Edmonds, WA 98020  (Online Only)
Hello. For the past 30 years, I have had the privilege of providing a safe, compassionate, and healing environment for my clients in the Seattle and Edmonds communities. I'm dedicated to helping clients develop a set of tools, gain confidence in emotional regulation, process & heal from the past, improve relationships with self and others, establish self care, feel better, reduce symptoms, and improve their quality of life. It is my honor to work in collaboration with my clients as they work towards their goals and get back into the driver's seat of their life.
Hello. For the past 30 years, I have had the privilege of providing a safe, compassionate, and healing environment for my clients in the Seattle and Edmonds communities. I'm dedicated to helping clients develop a set of tools, gain confidence in emotional regulation, process & heal from the past, improve relationships with self and others, establish self care, feel better, reduce symptoms, and improve their quality of life. It is my honor to work in collaboration with my clients as they work towards their goals and get back into the driver's seat of their life.
(425) 521-6612 View (425) 521-6612
Photo of Janelle Jensen, Marriage & Family Therapist in Edmonds, WA
Janelle Jensen
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Edmonds, WA 98026  (Online Only)
Hello! My name is Janelle Jensen and I work as a therapist and consultant in the Seattle area. My background includes Social Work and Marriage and Family Therapy, with work experience in adult mental health, aging, memory loss and family caregiver support. If you are an individual or family living with or caring for someone living with dementia or a related condition, I will work with you to provide dementia education, plan for current and future care needs, and offer emotional support to process changing relationships, grief/loss, and stressors related to family caregiving.
Hello! My name is Janelle Jensen and I work as a therapist and consultant in the Seattle area. My background includes Social Work and Marriage and Family Therapy, with work experience in adult mental health, aging, memory loss and family caregiver support. If you are an individual or family living with or caring for someone living with dementia or a related condition, I will work with you to provide dementia education, plan for current and future care needs, and offer emotional support to process changing relationships, grief/loss, and stressors related to family caregiving.
(206) 659-5846 View (206) 659-5846
Photo of Alyssa Lout, Counselor in Edmonds, WA
Alyssa Lout
Counselor, MA, LMHC, SUDP
Verified Verified
Edmonds, WA 98020
Not accepting new clients
I am a Licensed Mental Health Counselor and Substance Use Disorder Professional specializing in therapy with adolescents, couples, families and adults of all ages. Through a safe and encouraging environment, I work collaboratively with clients to identify goals, develop insight, and create lasting change in their lives. My counseling approach is client-centered, integrative, and rooted in building a rapport of trust, connectedness, and mutual respect with my clients. Through a safe and nonjudgmental therapeutic environment, I work collaboratively to identify goals for therapy at a pace that feels most comfortable to you.
I am a Licensed Mental Health Counselor and Substance Use Disorder Professional specializing in therapy with adolescents, couples, families and adults of all ages. Through a safe and encouraging environment, I work collaboratively with clients to identify goals, develop insight, and create lasting change in their lives. My counseling approach is client-centered, integrative, and rooted in building a rapport of trust, connectedness, and mutual respect with my clients. Through a safe and nonjudgmental therapeutic environment, I work collaboratively to identify goals for therapy at a pace that feels most comfortable to you.
(425) 657-5291 View (425) 657-5291
Photo of Angeline Johnston, Mental Health Counselor in Edmonds, WA
Angeline Johnston
Mental Health Counselor, MA, LMHC, CHT
Verified Verified
1 Endorsed
Edmonds, WA 98020
I work with people who are motivated to go deep because working on the surface has not brought results. If you are seeking therapy, it's likely that you are in some sort of pain and are looking to move through and beyond that pain to a place of greater safety and trust. Together we can commit to walking a healing path. We can address your needs for a fulfilling life in the here-and-now while processing old issues that perennially impact your ability to freely and joyfully relate to yourself and others.
I work with people who are motivated to go deep because working on the surface has not brought results. If you are seeking therapy, it's likely that you are in some sort of pain and are looking to move through and beyond that pain to a place of greater safety and trust. Together we can commit to walking a healing path. We can address your needs for a fulfilling life in the here-and-now while processing old issues that perennially impact your ability to freely and joyfully relate to yourself and others.
(425) 215-1218 View (425) 215-1218
Photo of Ian Jacobson, Counselor in Edmonds, WA
Ian Jacobson
Counselor, MA, LMHC
Verified Verified
Edmonds, WA 98020
*Currently accepting new patients* Hi, there! I'm Ian. If you are feeling down, anxious, or stuck or are struggling in your relationships, I would like to help. I believe that meaningful personal connection—feeling understood, accepted, & loved—is at the heart of well-being, so my desire is to provide a genuine, warm, & safe presence in which my clients feel comfortable sharing their stories & exploring how their past has shaped them & their experience of the present. Though I use a psychodynamic approach, I tailor my approach to meet my clients' needs, integrating techniques from various approaches like CBT, gestalt, & mindfulness.
*Currently accepting new patients* Hi, there! I'm Ian. If you are feeling down, anxious, or stuck or are struggling in your relationships, I would like to help. I believe that meaningful personal connection—feeling understood, accepted, & loved—is at the heart of well-being, so my desire is to provide a genuine, warm, & safe presence in which my clients feel comfortable sharing their stories & exploring how their past has shaped them & their experience of the present. Though I use a psychodynamic approach, I tailor my approach to meet my clients' needs, integrating techniques from various approaches like CBT, gestalt, & mindfulness.
(206) 531-7328 View (206) 531-7328
Photo of Bluestone Psychological Services, LLC, Counselor in Edmonds, WA
Bluestone Psychological Services, LLC
Counselor, PsyD, LMHC
Verified Verified
1 Endorsed
Edmonds, WA 98026
Find us at: www.BluestonePS.com. At Bluestone you have access to a group of independent, private practitioners who offer a wide variety of services so you can get the type of help you need in one location. Each of us has many years of experience and advanced training within our specialty areas so you know you or your loved one are working with someone who is highly skilled and can help facilitate reaching your goals.
Find us at: www.BluestonePS.com. At Bluestone you have access to a group of independent, private practitioners who offer a wide variety of services so you can get the type of help you need in one location. Each of us has many years of experience and advanced training within our specialty areas so you know you or your loved one are working with someone who is highly skilled and can help facilitate reaching your goals.
(425) 385-0106 View (425) 385-0106
Photo of Eric Leroy Holmes, Counselor in Edmonds, WA
Eric Leroy Holmes
Counselor, LMHCA, ASL
Verified Verified
Edmonds, WA 98020  (Online Only)
I enjoy growth-oriented work with couples or individuals: setting goals that challenge and move us forward towards a less conflicted life and a greater understanding. I use a variety systemic therapeutic models dedicated toward solutions and the restoration of hopefulness. A few of these are Solution Focused therapy: an empowering look at what's possible for the future and what's worked in the past, Bowen therapy working on a person's strengths as an independent being and an eclectic blend of other styles based on what the client needs, wants and will benefit from.
I enjoy growth-oriented work with couples or individuals: setting goals that challenge and move us forward towards a less conflicted life and a greater understanding. I use a variety systemic therapeutic models dedicated toward solutions and the restoration of hopefulness. A few of these are Solution Focused therapy: an empowering look at what's possible for the future and what's worked in the past, Bowen therapy working on a person's strengths as an independent being and an eclectic blend of other styles based on what the client needs, wants and will benefit from.
(206) 339-6585 View (206) 339-6585
Photo of Jamie Boulding-Bridges, Counselor in Edmonds, WA
Jamie Boulding-Bridges
Counselor, LPC, CST, FAC
Verified Verified
Edmonds, WA 98020
I am excited that you have taken the first step towards finding a therapist to help you navigate your current life situation. I am a relational and emotionally focused therapist who will work collaboratively with you to listen to, understand, explore, and move past whatever you feel is holding you back from living your most authentic and fulfilling life. I have trained with The Gottman institute and integrate their methods through an emotionally focused lens when working with couples. While I openly welcome all couples, I have additional experience and special insight working with same sex couples.
I am excited that you have taken the first step towards finding a therapist to help you navigate your current life situation. I am a relational and emotionally focused therapist who will work collaboratively with you to listen to, understand, explore, and move past whatever you feel is holding you back from living your most authentic and fulfilling life. I have trained with The Gottman institute and integrate their methods through an emotionally focused lens when working with couples. While I openly welcome all couples, I have additional experience and special insight working with same sex couples.
(425) 414-7616 View (425) 414-7616
Photo of Kyra Lindstrom, Counselor in Edmonds, WA
Kyra Lindstrom
Counselor, LMHC
Verified Verified
Edmonds, WA 98026
Kyra Lindstrom is a Licensed Professional Counselor with over 4 years of experience specializing in depressive, anxiety, and trauma-related disorders, recovery from an eating disorder, as well as life transitions and stressors. Kyra works with clients between the ages of 22 and 65+, and utilizes an integrative approach to meet the needs of the clients. In her clinical work, Kyra works to always keep the client at the center of care, adjusting approaches accordingly and creating a space of collaboration.
Kyra Lindstrom is a Licensed Professional Counselor with over 4 years of experience specializing in depressive, anxiety, and trauma-related disorders, recovery from an eating disorder, as well as life transitions and stressors. Kyra works with clients between the ages of 22 and 65+, and utilizes an integrative approach to meet the needs of the clients. In her clinical work, Kyra works to always keep the client at the center of care, adjusting approaches accordingly and creating a space of collaboration.
(425) 310-4180 View (425) 310-4180

How does your Therapist compare?

Number of Therapists in Edmonds, WA

200+

Average cost per session

$150

Therapists in Edmonds, WA who prioritize treating:

92% Anxiety
87% Depression
80% Relationship Issues
75% Self Esteem
67% Grief
66% Trauma and PTSD
66% Stress

Average years in practice

12 Years

Top 3 insurances accepted

81% Premera
63% Regence
55% First Choice Health | FCH

How Therapists in Edmonds, WA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Edmonds?

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.