Therapists in Miami Shores, FL

Photo of Randi Beth Frank, Counselor in Miami Shores, FL
Randi Beth Frank
Counselor, LMHC, MCAP, QS
Verified Verified
Miami Shores, FL 33138
Obviously you are here because something in your life is not working but perhaps mh perspective is inaccurate. Either way it only makes you human. My philosophy embraces the idea it is okay to ask for help and getting help should not be judged. Let's work together to eliminate the mental health stigma. We are all just trying to do the best we can. My style focuses on building a healthy connection, understanding your language, improving self-esteem, decreasing stigmas, and finding your way back to a smile.
Obviously you are here because something in your life is not working but perhaps mh perspective is inaccurate. Either way it only makes you human. My philosophy embraces the idea it is okay to ask for help and getting help should not be judged. Let's work together to eliminate the mental health stigma. We are all just trying to do the best we can. My style focuses on building a healthy connection, understanding your language, improving self-esteem, decreasing stigmas, and finding your way back to a smile.
(833) 729-0502 View (833) 729-0502
Photo of Dr. Alex Recalt, PhD, Clinical Social Work/Therapist in Miami Shores, FL
Dr. Alex Recalt, PhD
Clinical Social Work/Therapist, PhD
Verified Verified
Miami Shores, FL 33138
I specialize in helping people improve their mental health by improving their most important relationships. I believe that these two things are fundamentally connected, and that challenges like anxiety and depression often have their root in how we relate (or don’t relate) with other people in love, friendship, family, and professional life. So if you find yourself stuck in one of these areas and find yourself needing new tools, I might be able to help.
I specialize in helping people improve their mental health by improving their most important relationships. I believe that these two things are fundamentally connected, and that challenges like anxiety and depression often have their root in how we relate (or don’t relate) with other people in love, friendship, family, and professional life. So if you find yourself stuck in one of these areas and find yourself needing new tools, I might be able to help.
(305) 290-4814 View (305) 290-4814
Photo of Sompa Adhya-Taylor, Clinical Social Work/Therapist in Miami Shores, FL
Sompa Adhya-Taylor
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Miami Shores, FL 33150  (Online Only)
Hello! I am glad you're here. Let me tell you a little bit about my practice. I work with young adults, adults and their families to assist them in their personal growth and any life transition that they may be going through such as becoming a parent, launching a child into adulthood, entering or exiting a significant relationship etc. I also enjoy assisting clients with identifying various patterns in their lives and empowering them to explore ways they can contribute to changing these existing patterns.
Hello! I am glad you're here. Let me tell you a little bit about my practice. I work with young adults, adults and their families to assist them in their personal growth and any life transition that they may be going through such as becoming a parent, launching a child into adulthood, entering or exiting a significant relationship etc. I also enjoy assisting clients with identifying various patterns in their lives and empowering them to explore ways they can contribute to changing these existing patterns.
(786) 244-3386 View (786) 244-3386
Photo of Betty Matz Gelsky, Counselor in Miami Shores, FL
Betty Matz Gelsky
Counselor, MS, LMHC
Verified Verified
Miami Shores, FL 33138
After your first session, you will be better equipped to find, create and sustain the relationship you dream of. As a psychotherapist working with individuals, couples and families for over 30 years, and a dating website coach, I passionately help my clients develop meaningful, lasting connections. Utilizing 3 decades of personal and professional experience, I look forward to sharing concepts, skills and mindset for improving all your relationships so you can live your best life. All relationships welcome. For your convenience, I offer a variety of services including office, phone and virtual sessions. Call me today. 786.728.6381
After your first session, you will be better equipped to find, create and sustain the relationship you dream of. As a psychotherapist working with individuals, couples and families for over 30 years, and a dating website coach, I passionately help my clients develop meaningful, lasting connections. Utilizing 3 decades of personal and professional experience, I look forward to sharing concepts, skills and mindset for improving all your relationships so you can live your best life. All relationships welcome. For your convenience, I offer a variety of services including office, phone and virtual sessions. Call me today. 786.728.6381
(844) 505-3878 View (844) 505-3878
Photo of Raul Machuca, Counselor in Miami Shores, FL
Raul Machuca
Counselor, PhD, LMHC
Verified Verified
5 Endorsed
Miami Shores, FL 33161  (Online Only)
As a Certified Cognitive Behavior Therapist by the Academy of Cognitive Therapy I am better suited to work with clients who are looking to make real improvement in their quality of life within a short period of time. I specialize in working with clients who experience anxiety, depression, emotional regulation, relationships, as well as everyday psychosocial issues. I work with children, adolescents and adults, as well as couples and families.
As a Certified Cognitive Behavior Therapist by the Academy of Cognitive Therapy I am better suited to work with clients who are looking to make real improvement in their quality of life within a short period of time. I specialize in working with clients who experience anxiety, depression, emotional regulation, relationships, as well as everyday psychosocial issues. I work with children, adolescents and adults, as well as couples and families.
(786) 640-0198 View (786) 640-0198
Photo of Luciana Beltran, Counselor in Miami Shores, FL
Luciana Beltran
Counselor, LMHC, QS
Verified Verified
1 Endorsed
Miami Shores, FL 33138  (Online Only)
I am a Licensed Mental Health Counselor and Qualified Supervisor in Miami, Florida, originally born and raised in Peru. I have been helping others reach their therapeutic goals for eight years, working with children, adolescents and adults in different therapeutic settings. My goal is to increase awareness regarding mental health and normalize conversations about depression, anxiety, anger, stress, self-esteem, and relationships. I will provide a safe space, to explore your fears, challenges, weakness and strengths. Together, we can work on a plan that is tailored to you to ensure your success.
I am a Licensed Mental Health Counselor and Qualified Supervisor in Miami, Florida, originally born and raised in Peru. I have been helping others reach their therapeutic goals for eight years, working with children, adolescents and adults in different therapeutic settings. My goal is to increase awareness regarding mental health and normalize conversations about depression, anxiety, anger, stress, self-esteem, and relationships. I will provide a safe space, to explore your fears, challenges, weakness and strengths. Together, we can work on a plan that is tailored to you to ensure your success.
(305) 930-8361 View (305) 930-8361
Photo of Barry CARE Center, Counselor in Miami Shores, FL
Barry CARE Center
Counselor, LMHC, NCC, MFT
Verified Verified
Miami Shores, FL 33161
CARE Center offers in-person and online counseling and in-person psychoeducational assessments for children, adolescents, adults and families from our local community. The Center offers a full range of educational diagnostics, interventions, and mental health support services that address a diverse spectrum of individual needs while promoting individual and family wellness from a holistic perspective.
CARE Center offers in-person and online counseling and in-person psychoeducational assessments for children, adolescents, adults and families from our local community. The Center offers a full range of educational diagnostics, interventions, and mental health support services that address a diverse spectrum of individual needs while promoting individual and family wellness from a holistic perspective.
(305) 783-3608 View (305) 783-3608
Photo of Sally Duerr-Rodriguez, Mental Health Counselor in Miami Shores, FL
Sally Duerr-Rodriguez
Mental Health Counselor, MS, LMHC, LPC
Verified Verified
2 Endorsed
Miami Shores, FL 33138
I want to help set you free. I am certified in DBT for adolescents, young adults, adults and families and also have a certification in Cognitive Behavioral Therapy for eating disorders. I am a certified trauma specialist. My other specialties include substance abuse, eating disorders, depression and other mood disorders, anxiety, trauma, stress, relationship difficulties, and grief. Let's take the first step to freedom together.
I want to help set you free. I am certified in DBT for adolescents, young adults, adults and families and also have a certification in Cognitive Behavioral Therapy for eating disorders. I am a certified trauma specialist. My other specialties include substance abuse, eating disorders, depression and other mood disorders, anxiety, trauma, stress, relationship difficulties, and grief. Let's take the first step to freedom together.
(954) 231-4183 View (954) 231-4183
Photo of Jeffrey A. Miller, Clinical Social Work/Therapist in Miami Shores, FL
Jeffrey A. Miller
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Miami Shores, FL 33138
Not accepting new clients
When you're feeling anxious or depressed, lost or simply stuck, you may need help navigating the challenges of your life. Since 1995, I've been helping clients deal successfully with real problems, using results-oriented strategies. My approach to psychotherapy is drawn from advanced training and years of experience, colored by compassion, warmth and humor.
When you're feeling anxious or depressed, lost or simply stuck, you may need help navigating the challenges of your life. Since 1995, I've been helping clients deal successfully with real problems, using results-oriented strategies. My approach to psychotherapy is drawn from advanced training and years of experience, colored by compassion, warmth and humor.
(786) 472-2972 View (786) 472-2972
Photo of Patricia Munhall in Miami Shores, FL
Patricia Munhall
EdD, LPsyA, NP, CST
Verified Verified
Miami Shores, FL 33138
I work with you from a place of deep compassion and understanding to help you obtain what you want from your life. Using a psychodynamic approach together we solve your issues and the pain they may cause you. Conditions such as anxiety, depression, low self-esteem, self sabotage, couple and family problems are approached from a humanistic and very individual perspective. I practice with the belief that seeing a counselor or therapist should encompass more than just symptom relief. Emotional and psychological integration for an improved quality of life in all areas plays into my counseling focus for major life enhancement.
I work with you from a place of deep compassion and understanding to help you obtain what you want from your life. Using a psychodynamic approach together we solve your issues and the pain they may cause you. Conditions such as anxiety, depression, low self-esteem, self sabotage, couple and family problems are approached from a humanistic and very individual perspective. I practice with the belief that seeing a counselor or therapist should encompass more than just symptom relief. Emotional and psychological integration for an improved quality of life in all areas plays into my counseling focus for major life enhancement.
(305) 760-9893 View (305) 760-9893
Photo of Stephanie Diamond, Psychologist in Miami Shores, FL
Stephanie Diamond
Psychologist, PhD, CEDS
Verified Verified
1 Endorsed
Miami Shores, FL 33138  (Online Only)
I am invested in helping you become your best self and live your best life! Do you feel stuck in patterns of thinking, feeling, or acting, that you can't seem to break? Do you feel disconnected from yourself and others? The process of therapy with me may involve becoming aware of patterns that are holding you back, enhancing your self-worth, and reconnecting with yourself and others. It will also likely involve developing new ways of managing and responding to difficult feelings, thoughts, and working on behaviors that are holding you back from living the life you want.
I am invested in helping you become your best self and live your best life! Do you feel stuck in patterns of thinking, feeling, or acting, that you can't seem to break? Do you feel disconnected from yourself and others? The process of therapy with me may involve becoming aware of patterns that are holding you back, enhancing your self-worth, and reconnecting with yourself and others. It will also likely involve developing new ways of managing and responding to difficult feelings, thoughts, and working on behaviors that are holding you back from living the life you want.
(305) 942-2851 View (305) 942-2851
Photo of John Erick Betancourt, Clinical Social Work/Therapist in Miami Shores, FL
John Erick Betancourt
Clinical Social Work/Therapist, LCSW, MEd, CAP
Verified Verified
1 Endorsed
Miami Shores, FL 33161  (Online Only)
Are you struggling or confused, does the rate of change in the world have you wondering how you will be able to keep up. Do you feel inadequate, isolated, addicted or not living to your full potential, I don’t have all the answers, and no one does. What I do have is 15 years of experience supporting change. I’m compassionate and honest, and along with your desire for change, i can reflect a mirror at you from a different perspective to adjust your trajectory. My ideal client would be someone who is willing to not feel afraid to feel vulnerable and is open to new ideas for healing and sobriety.
Are you struggling or confused, does the rate of change in the world have you wondering how you will be able to keep up. Do you feel inadequate, isolated, addicted or not living to your full potential, I don’t have all the answers, and no one does. What I do have is 15 years of experience supporting change. I’m compassionate and honest, and along with your desire for change, i can reflect a mirror at you from a different perspective to adjust your trajectory. My ideal client would be someone who is willing to not feel afraid to feel vulnerable and is open to new ideas for healing and sobriety.
(786) 869-5467 View (786) 869-5467
Photo of Nicolas Ledon, Counselor in Miami Shores, FL
Nicolas Ledon
Counselor, LMHC, MS
Verified Verified
Miami Shores, FL 33138
Receiving the right type of support in difficult circumstances is important. My practice uses empathy and an authentic collaborative relationship to help individuals and families to adjust to their challenges. Successful resolution to even life’s most difficult situations is possible and removing the barriers that get in the way can be accomplished.
Receiving the right type of support in difficult circumstances is important. My practice uses empathy and an authentic collaborative relationship to help individuals and families to adjust to their challenges. Successful resolution to even life’s most difficult situations is possible and removing the barriers that get in the way can be accomplished.
(855) 546-5392 View (855) 546-5392
Photo of Brooke Grossfeld, Marriage & Family Therapist Intern in Miami Shores, FL
Brooke Grossfeld
Marriage & Family Therapist Intern, RMFTI, RMHCI
Verified Verified
4 Endorsed
Miami Shores, FL 33138  (Online Only)
Life presents each of us with unique opportunities for change, healing, and personal growth. As a therapist, I recognize that everyone's journey towards their goals is distinct. My primary focus is to cultivate an authentic and trusting therapist-client relationship, where you feel heard and understood. Together, we will work compassionately and effectively to transform your narrative, gain insights into your experiences, and alleviate psychological symptoms, leading you towards a healthier and happier life.
Life presents each of us with unique opportunities for change, healing, and personal growth. As a therapist, I recognize that everyone's journey towards their goals is distinct. My primary focus is to cultivate an authentic and trusting therapist-client relationship, where you feel heard and understood. Together, we will work compassionately and effectively to transform your narrative, gain insights into your experiences, and alleviate psychological symptoms, leading you towards a healthier and happier life.
(305) 930-7560 View (305) 930-7560
Photo of Alyssa Marko, Counselor in Miami Shores, FL
Alyssa Marko
Counselor, LMHC, NCC, MS
Verified Verified
1 Endorsed
Miami Shores, FL 33161  (Online Only)
The process of finding the right therapist for yourself can be daunting, but don’t let it overwhelm you! The right therapist can help you feel differently about any difficulties that may be going on in your life. I work to help you better your relationships, alleviate symptoms of anxiety and depression, increase productivity and motivation at work, and cope with the stressors of life. It is my mission to show both my clients and the community that EVERYONE can benefit from seeing a counselor!
The process of finding the right therapist for yourself can be daunting, but don’t let it overwhelm you! The right therapist can help you feel differently about any difficulties that may be going on in your life. I work to help you better your relationships, alleviate symptoms of anxiety and depression, increase productivity and motivation at work, and cope with the stressors of life. It is my mission to show both my clients and the community that EVERYONE can benefit from seeing a counselor!
(786) 244-7347 View (786) 244-7347
Photo of Fatima Dahab, Counselor in Miami Shores, FL
Fatima Dahab
Counselor, MS, LMHC
Verified Verified
Miami Shores, FL 33138
Challenges are a part of life, overcoming them can sometimes feel like an uphill battle. Lifestyle and circumstance changes are possible with the appropriate direction and motivation. I have worked in a variety of settings dealing with a wide range of issues. Thanks to a multicultural background, I have a unique insight to understanding cultural issues that can affect certain behaviors. I also have experience in dealing with depression, grief, trauma, anxiety, as well as substance abuse across all age groups. I work extensively in helping individuals and couples adjust or overcome life stressors.
Challenges are a part of life, overcoming them can sometimes feel like an uphill battle. Lifestyle and circumstance changes are possible with the appropriate direction and motivation. I have worked in a variety of settings dealing with a wide range of issues. Thanks to a multicultural background, I have a unique insight to understanding cultural issues that can affect certain behaviors. I also have experience in dealing with depression, grief, trauma, anxiety, as well as substance abuse across all age groups. I work extensively in helping individuals and couples adjust or overcome life stressors.
(786) 574-3393 View (786) 574-3393
Photo of Allison Hauser, Registered Mental Health Counselor Intern in Miami Shores, FL
Allison Hauser
Registered Mental Health Counselor Intern, MA, RMHCI
Verified Verified
Miami Shores, FL 33161  (Online Only)
You may be unsure what you want from psychotherapy or how it could help. You may know only that you are struggling and wish life could be better. You may want help for a specific issue. Or you may have had therapy before but not seen the changes you want. As I trained under renowned psychoanalytic psychologist Dr. Jonathan Shedler of UCSF, obtained my Masters in Counseling from Northwestern University, and lectured at UC Berkeley on integrating challenging psychedelic experiences, I come with perspective and technique not often found in mainstream counseling. My fine art background also informs how we may see your world anew.
You may be unsure what you want from psychotherapy or how it could help. You may know only that you are struggling and wish life could be better. You may want help for a specific issue. Or you may have had therapy before but not seen the changes you want. As I trained under renowned psychoanalytic psychologist Dr. Jonathan Shedler of UCSF, obtained my Masters in Counseling from Northwestern University, and lectured at UC Berkeley on integrating challenging psychedelic experiences, I come with perspective and technique not often found in mainstream counseling. My fine art background also informs how we may see your world anew.
(727) 855-7605 View (727) 855-7605
Photo of Dira de la Rosa, Marriage & Family Therapist in Miami Shores, FL
Dira de la Rosa
Marriage & Family Therapist, MS, LMFT
Verified Verified
Miami Shores, FL 33138
Are you coping with an infidelity in your relationship or marriage and cant move forward? Are you stuck in a toxic life pattern that you don't like? Have you simply lost connection emotionally? sexually? or are having trouble adapting as parents? Recognizing that we are in a tough spot and reaching out for the right help is the first step to navigating these delicate situations more effectively. Together, ee will uncover the root to your problems and release you from toxic patterns and help you make the right underlying changes to restructure and change the course of your life, transforming it to one that is more gratifying.
Are you coping with an infidelity in your relationship or marriage and cant move forward? Are you stuck in a toxic life pattern that you don't like? Have you simply lost connection emotionally? sexually? or are having trouble adapting as parents? Recognizing that we are in a tough spot and reaching out for the right help is the first step to navigating these delicate situations more effectively. Together, ee will uncover the root to your problems and release you from toxic patterns and help you make the right underlying changes to restructure and change the course of your life, transforming it to one that is more gratifying.
(386) 465-4205 View (386) 465-4205
Photo of Nicole Swaggerty-Valdes, Psychologist in Miami Shores, FL
Nicole Swaggerty-Valdes
Psychologist, PhD
Verified Verified
1 Endorsed
Miami Shores, FL 33138
As a licensed psychologist, I can help you become aware of your obstacles and move through them. Personal growth often requires recovering from past hurt and learning how to behave differently. This is a process that requires a trusting, nonjudgmental relationship. In treatment, my overarching goal is to provide a warm and supportive environment for you to explore your inner self and make lasting change. Although the prospect of change can feel daunting, most people find therapy to be tremendously helpful. Often the process requires setting new boundaries and prioritizing the self in the face of demanding schedules.
As a licensed psychologist, I can help you become aware of your obstacles and move through them. Personal growth often requires recovering from past hurt and learning how to behave differently. This is a process that requires a trusting, nonjudgmental relationship. In treatment, my overarching goal is to provide a warm and supportive environment for you to explore your inner self and make lasting change. Although the prospect of change can feel daunting, most people find therapy to be tremendously helpful. Often the process requires setting new boundaries and prioritizing the self in the face of demanding schedules.
(754) 227-0872 View (754) 227-0872
Photo of Dr. Stan Hyman, Clinical Social Work/Therapist in Miami Shores, FL
Dr. Stan Hyman
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
8 Endorsed
Miami Shores, FL 33138
Have You Discovered That Your Partner Has Had An Affair? For more than 25 years I have been helping individuals, couples, families and business partners create relationships that work better and bring new, creative solutions to their lives. I have helped couples struggling with infidelity and the aftermath of an affair learn how to rebuild their trust again. I can help you work through the crisis of regaining the trust and confidence that gets broken through infidelity. I can help you understand and change the dysfunctional patterns within which you find yourselves trapped.
Have You Discovered That Your Partner Has Had An Affair? For more than 25 years I have been helping individuals, couples, families and business partners create relationships that work better and bring new, creative solutions to their lives. I have helped couples struggling with infidelity and the aftermath of an affair learn how to rebuild their trust again. I can help you work through the crisis of regaining the trust and confidence that gets broken through infidelity. I can help you understand and change the dysfunctional patterns within which you find yourselves trapped.
(305) 396-1921 View (305) 396-1921

See more therapy options for Miami Shores

How does your Therapist compare?

Number of Therapists in Miami Shores, FL

30+

Average cost per session

$150

Therapists in Miami Shores, FL who prioritize treating:

97% Anxiety
81% Relationship Issues
76% Depression
76% Self Esteem
73% Family Conflict
73% Stress
70% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

72% Aetna
72% Cigna and Evernorth
72% UnitedHealthcare UHC | UBH

How Therapists in Miami Shores, FL see their clients

68% In Person and Online
32% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Miami Shores?

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.