Photo of Trecia K Davis, MSW, LCSW, Clinical Social Work/Therapist
Trecia K Davis
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63108
Not accepting new clients
You are tired of fighting, having to explain yourself, being disappointed, and grieving the life you planned as a child. Parenting is one of the HARDEST and most fulfilling experiences that one can have in this lifetime, but it can sometimes feel like a constant battle. If you toss in co-parenting with an ex-partner, trying to integrate a new partner into your "ready-made" family, and/or being a caregiver to a family member due to unfavorable circumstances, things get a lot more complicated. Being the child in these situations, can be even harder to navigate because everything can feel so unstable. All of it feels exhausting!
You are tired of fighting, having to explain yourself, being disappointed, and grieving the life you planned as a child. Parenting is one of the HARDEST and most fulfilling experiences that one can have in this lifetime, but it can sometimes feel like a constant battle. If you toss in co-parenting with an ex-partner, trying to integrate a new partner into your "ready-made" family, and/or being a caregiver to a family member due to unfavorable circumstances, things get a lot more complicated. Being the child in these situations, can be even harder to navigate because everything can feel so unstable. All of it feels exhausting!
(314) 309-3367 View (314) 309-3367
Photo of Patrick Cleveland, LMFT, LPC, Licensed Professional Counselor
Patrick Cleveland
Licensed Professional Counselor, LMFT, LPC
Verified Verified
Saint Louis, MO 63108  (Online Only)
He is currently working to complete the Licensed Addiction Counselor Credential. He accepts in-person and on-line clients. He is a Licensed Professional Counselor in Colorado and Missouri, a Licensed Marriage and Family Therapist in Colorado and Michigan, and a Licensed Professional Clinical Mental Health Counselor in New Mexico. He has 21 years of experience counseling children, adolescents and adults. He has extensive training in communication skills for couples. He uses solution-focused treatment, cognitive behavioral therapy and motivational interviewing. He speaks English.
He is currently working to complete the Licensed Addiction Counselor Credential. He accepts in-person and on-line clients. He is a Licensed Professional Counselor in Colorado and Missouri, a Licensed Marriage and Family Therapist in Colorado and Michigan, and a Licensed Professional Clinical Mental Health Counselor in New Mexico. He has 21 years of experience counseling children, adolescents and adults. He has extensive training in communication skills for couples. He uses solution-focused treatment, cognitive behavioral therapy and motivational interviewing. He speaks English.
(314) 912-0629 View (314) 912-0629
Photo of Carly Sparks, MSW, LCSW, Clinical Social Work/Therapist
Carly Sparks
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Saint Louis, MO 63108
KINETIC counseling specializes in trauma, depression, anxiety, relationship issues, familial stress, and parenting. With 14 years of experience in family social work, Carly provides private counseling services which focus on a comprehensive appreciation of the complexity of people's lives and choices. She utilizes Cognitive Behavioral Therapy, Cognitive Processing Therapy, Stress Reduction techniques, Mindfulness strategies, and Dialectical Behavior Therapy interventions. Carly works to incorporate a holistic approach embracing each person's interests, hobbies, educational background and belief system.
KINETIC counseling specializes in trauma, depression, anxiety, relationship issues, familial stress, and parenting. With 14 years of experience in family social work, Carly provides private counseling services which focus on a comprehensive appreciation of the complexity of people's lives and choices. She utilizes Cognitive Behavioral Therapy, Cognitive Processing Therapy, Stress Reduction techniques, Mindfulness strategies, and Dialectical Behavior Therapy interventions. Carly works to incorporate a holistic approach embracing each person's interests, hobbies, educational background and belief system.
(314) 310-0186 View (314) 310-0186
Photo of Erica Harmon, MSW, LCSW, Clinical Social Work/Therapist
Erica Harmon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63108  (Online Only)
Many of my clients come to me feeling overwhelmed, disconnected from family or loved ones, hopeless about the future, or like they’re struggling to make decisions or meaningful change. They may be uncertain of how to start the process of change or healing, though they’re ready for growth and understanding.
Many of my clients come to me feeling overwhelmed, disconnected from family or loved ones, hopeless about the future, or like they’re struggling to make decisions or meaningful change. They may be uncertain of how to start the process of change or healing, though they’re ready for growth and understanding.
(314) 207-0130 View (314) 207-0130
Photo of Tosha T Pearson, MEd, LPC, Licensed Professional Counselor
Tosha T Pearson
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63108
Hello, everyone! My name is Tosha Pearson, and I'm a Licensed Professional Counselor in Saint Louis. I'm here to support individuals of all ages with their social-emotional needs, and well-being. Whether you're a child, a teenager, or an adult, I firmly believe that taking care of our emotional health is crucial for our overall development and success. In a safe and welcoming environment we can explore your feelings, address challenges, and develop effective strategies to navigate life's ups and downs.
Hello, everyone! My name is Tosha Pearson, and I'm a Licensed Professional Counselor in Saint Louis. I'm here to support individuals of all ages with their social-emotional needs, and well-being. Whether you're a child, a teenager, or an adult, I firmly believe that taking care of our emotional health is crucial for our overall development and success. In a safe and welcoming environment we can explore your feelings, address challenges, and develop effective strategies to navigate life's ups and downs.
(314) 312-1760 View (314) 312-1760
Photo of Kat Seal, LMSW
Kat Seal
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Saint Louis, MO 63108
Feeling fractured from your once-strong sense of self can be confusing, isolating, and painful. Oftentimes these feelings can arise from societal pressures to conform, living in a sex-negative society, or relationship and systemic trauma. Sex & relationship therapy can be a good fit for improving the relational quality of your life and accessing desire as a tool for living well. I specialize in supporting individuals and relationships (of all styles) who struggle to access authenticity and wholeness in their daily lives. I work best with engaged clients who practice active self reflection.
Feeling fractured from your once-strong sense of self can be confusing, isolating, and painful. Oftentimes these feelings can arise from societal pressures to conform, living in a sex-negative society, or relationship and systemic trauma. Sex & relationship therapy can be a good fit for improving the relational quality of your life and accessing desire as a tool for living well. I specialize in supporting individuals and relationships (of all styles) who struggle to access authenticity and wholeness in their daily lives. I work best with engaged clients who practice active self reflection.
(314) 897-4049 View (314) 897-4049
Photo of Clayton A. Clark, MEd, LPC, NCC, Licensed Professional Counselor
Clayton A. Clark
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Saint Louis, MO 63108
Something’s not right, and maybe it hasn’t been for a while, but you know it’s time to make some changes. If you (or you & your partner) need help making that change, I’d be honored to work with you. I take a flexible approach, bringing thoughtfulness and creativity to the process to meet you where you are. Here are areas I help people with most often: anxiety & stress, depression, couples counseling (Gottman Method), trauma (Brainspotting), career counseling & life design, substance use & addiction, men's issues, life transitions, anger, mindfulness, and grief.
Something’s not right, and maybe it hasn’t been for a while, but you know it’s time to make some changes. If you (or you & your partner) need help making that change, I’d be honored to work with you. I take a flexible approach, bringing thoughtfulness and creativity to the process to meet you where you are. Here are areas I help people with most often: anxiety & stress, depression, couples counseling (Gottman Method), trauma (Brainspotting), career counseling & life design, substance use & addiction, men's issues, life transitions, anger, mindfulness, and grief.
(314) 666-6308 View (314) 666-6308
Photo of Kaylyn Chappell, LMFT, LCMFT, Marriage & Family Therapist
Kaylyn Chappell
Marriage & Family Therapist, LMFT, LCMFT
Verified Verified
Saint Louis, MO 63108  (Online Only)
Not accepting new clients
I'm a secular therapist, currently seeing individuals only- I prefer to take things slow, so rapport and genuine connection can be built. I don't have all the answers or a magic wand, and you're not a toaster that needs to be fixed. But life is hard as hell, and having someone you can count on every week to provide clinical guidance, empathy, and a safe space to process definitely makes it a little easier to keep going.
I'm a secular therapist, currently seeing individuals only- I prefer to take things slow, so rapport and genuine connection can be built. I don't have all the answers or a magic wand, and you're not a toaster that needs to be fixed. But life is hard as hell, and having someone you can count on every week to provide clinical guidance, empathy, and a safe space to process definitely makes it a little easier to keep going.
(314) 742-7615 View (314) 742-7615
Photo of Megan MacKenzie, LCSW, Clinical Social Work/Therapist
Megan MacKenzie
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63108
As a relationship, sex, and gender therapist, I help couples, relationships, and individuals explore explore identities, experience greater pleasure and intimacy, and recalibrate toward more authentic, compassionate, and courageous lives. I am passionate about supporting LGBTQ+ folks in exploring and healing from the negative impacts of internalized homophobia and transphobia as they often manifest in shame, guilt, and low self-esteem.
As a relationship, sex, and gender therapist, I help couples, relationships, and individuals explore explore identities, experience greater pleasure and intimacy, and recalibrate toward more authentic, compassionate, and courageous lives. I am passionate about supporting LGBTQ+ folks in exploring and healing from the negative impacts of internalized homophobia and transphobia as they often manifest in shame, guilt, and low self-esteem.
(314) 626-0543 View (314) 626-0543
Photo of Alicia Buck Hall - SkiWise Health & Wellness Services, MEd, LPC, NCC, Licensed Professional Counselor
SkiWise Health & Wellness Services
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Saint Louis, MO 63108
Alicia Buck - Hall is passionate about providing informed and practical guidance / recommendations for improving social-emotional outcomes for all experiencing behavioral health challenges. Functioning from a culturally relevant lens, the goal is to reduce the stigmas surrounding mental health that will lead to a more informed and relevant practice of addressing problematic concerns from a clinically informed perspective. Focus is placed on attending to social emotional needs while learning to build healthy supportive relationships, encouraging early intervention, being able to adapt, self-regulate, and develop resilience.
Alicia Buck - Hall is passionate about providing informed and practical guidance / recommendations for improving social-emotional outcomes for all experiencing behavioral health challenges. Functioning from a culturally relevant lens, the goal is to reduce the stigmas surrounding mental health that will lead to a more informed and relevant practice of addressing problematic concerns from a clinically informed perspective. Focus is placed on attending to social emotional needs while learning to build healthy supportive relationships, encouraging early intervention, being able to adapt, self-regulate, and develop resilience.
(314) 948-6939 View (314) 948-6939
Photo of David K McGraw, LPC, Licensed Professional Counselor
David K McGraw
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63108
Our world often stigmatizes needing support, but let's face it: no one gets anywhere without help! Change and growth come with challenges, and having the support of a genuine and compassionate therapist can make a positive difference. Whether you are experiencing a significant personal development, struggling to relate to others, or feeling stuck and looking for a change for the better, reaching out to someone trained to help is a critical step towards finding a way to live more authentically. As a therapist, I work with individuals & couples to create a space to process experiences and find a path forward to greater well-being.
Our world often stigmatizes needing support, but let's face it: no one gets anywhere without help! Change and growth come with challenges, and having the support of a genuine and compassionate therapist can make a positive difference. Whether you are experiencing a significant personal development, struggling to relate to others, or feeling stuck and looking for a change for the better, reaching out to someone trained to help is a critical step towards finding a way to live more authentically. As a therapist, I work with individuals & couples to create a space to process experiences and find a path forward to greater well-being.
(314) 926-9030 View (314) 926-9030
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, MSW, LCSW, Clinical Social Work/Therapist
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63108
Are you ready to set healthy boundaries in your relationships? Have you been wanting to explore your sexuality but didn't know where to start? Is your non-monogamous relationship experiencing friction? Maybe you are the survivor, strong friend, and problem solver who appears to have it all together. Yet on the inside you feel overwhelmed while also wondering, "Is this worth going to therapy for?" If your boundaries leave you questioning yourself, if you want to explore your sexuality, or if you and your partner(s) want support, it's worth going to therapy for. Our relationship, sexuality, and trauma experts are here for you.
Are you ready to set healthy boundaries in your relationships? Have you been wanting to explore your sexuality but didn't know where to start? Is your non-monogamous relationship experiencing friction? Maybe you are the survivor, strong friend, and problem solver who appears to have it all together. Yet on the inside you feel overwhelmed while also wondering, "Is this worth going to therapy for?" If your boundaries leave you questioning yourself, if you want to explore your sexuality, or if you and your partner(s) want support, it's worth going to therapy for. Our relationship, sexuality, and trauma experts are here for you.
(314) 593-2416 View (314) 593-2416
Photo of Michelle Smart, LCSW, MSW, Clinical Social Work/Therapist
Michelle Smart
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Saint Louis, MO 63108  (Online Only)
Just imagine a time in your life when your difficulties were so surmountable that the quality of your life diminished—struggling with weighty feelings from the loss of a loved one to thoughts of suicide. There is a solution: therapy! When individuals seek help and fully engage in the therapeutic process, the results lead to individuals living healthier lives. Together, we will create change in the areas of your life that no longer have meaning and purpose. I work to make everyone's therapy the best fit for them. I will use evidence-based therapy concepts, but I do not limit our work to any single model. My treatment style is rooted
Just imagine a time in your life when your difficulties were so surmountable that the quality of your life diminished—struggling with weighty feelings from the loss of a loved one to thoughts of suicide. There is a solution: therapy! When individuals seek help and fully engage in the therapeutic process, the results lead to individuals living healthier lives. Together, we will create change in the areas of your life that no longer have meaning and purpose. I work to make everyone's therapy the best fit for them. I will use evidence-based therapy concepts, but I do not limit our work to any single model. My treatment style is rooted
(314) 470-9254 View (314) 470-9254
Photo of Cheryl M Thompson, MEd, LPC, Licensed Professional Counselor
Cheryl M Thompson
Licensed Professional Counselor, MEd, LPC
Verified Verified
Saint Louis, MO 63108
Did you know that couples on average wait 6 years before seeking help for a troubled marriage. Are you and your spouse wanting renewal, connection and joy. There is hope whether the problem is trust, emotional distance, or escalating conflict. I start with a strengths based focus using research based Gottman method interventions that work. Do you have more than 20 days in the month of sadness, irritability or anxious worry? Individual counseling is a place to tell your story in order to build new skills and experiences to increase the days of happiness and contentment each month.
Did you know that couples on average wait 6 years before seeking help for a troubled marriage. Are you and your spouse wanting renewal, connection and joy. There is hope whether the problem is trust, emotional distance, or escalating conflict. I start with a strengths based focus using research based Gottman method interventions that work. Do you have more than 20 days in the month of sadness, irritability or anxious worry? Individual counseling is a place to tell your story in order to build new skills and experiences to increase the days of happiness and contentment each month.
(314) 207-3278 View (314) 207-3278
Photo of Alexis Short, LCSW, MSW, Clinical Social Work/Therapist
Alexis Short
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
2 Endorsed
Saint Louis, MO 63108
I am passionate about working with adolescents and young adults. However, I really enjoy working with any individual that wants to explore their mental health or maybe just needs someone to talk to. I am here to help you express and process through many different ways such as art, games, talking, mindfulness exercises, and much more.
I am passionate about working with adolescents and young adults. However, I really enjoy working with any individual that wants to explore their mental health or maybe just needs someone to talk to. I am here to help you express and process through many different ways such as art, games, talking, mindfulness exercises, and much more.
(314) 789-3047 View (314) 789-3047
Photo of Dr. A. P. Carmichael, PhD, MEd, MA, LMFT, Marriage & Family Therapist
Dr. A. P. Carmichael
Marriage & Family Therapist, PhD, MEd, MA, LMFT
Verified Verified
2 Endorsed
Saint Louis, MO 63108
Waitlist for new clients
Relationships are part of what makes us human. We thrive when connected with others. I am passionate about helping people create and maintain healthy and loving relationships. I work with couples, families, and individuals and have strong experience working with LGBTQ clients. I make it a priority to create a safe space for all of my clients. It is through this atmosphere of acceptance that we can work together to create true change and growth. I work with individuals, families and couples who are going through a crisis, or those who are simply looking to strengthen their relationships.
Relationships are part of what makes us human. We thrive when connected with others. I am passionate about helping people create and maintain healthy and loving relationships. I work with couples, families, and individuals and have strong experience working with LGBTQ clients. I make it a priority to create a safe space for all of my clients. It is through this atmosphere of acceptance that we can work together to create true change and growth. I work with individuals, families and couples who are going through a crisis, or those who are simply looking to strengthen their relationships.
(314) 682-4859 View (314) 682-4859
Photo of Kenneth J McCain, MA, LPC, Licensed Professional Counselor
Kenneth J McCain
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63108
Life does not come with a road map and sometimes we find ourselves straying off course. Call me today to see if we can help you get back on the path.
Life does not come with a road map and sometimes we find ourselves straying off course. Call me today to see if we can help you get back on the path.
(314) 956-0547 View (314) 956-0547
Photo of Megan Shultz, LPC, Licensed Professional Counselor
Megan Shultz
Licensed Professional Counselor, LPC
Verified Verified
Saint Louis, MO 63108
Are you often told that you "need to relax," that you're "Type A," or that "you should slow down"? Do you feel stuck in an endless cycle of worry, stress, or depression? Are you ready to make your mental health a priority but don't know where or how to start? If being able to just relax seems unachievable and hopeless; I want you to know that change is possible. Together we can help you develop healthier coping skills, establish appropriate boundaries, and gain new insights about yourself and your life situation.
Are you often told that you "need to relax," that you're "Type A," or that "you should slow down"? Do you feel stuck in an endless cycle of worry, stress, or depression? Are you ready to make your mental health a priority but don't know where or how to start? If being able to just relax seems unachievable and hopeless; I want you to know that change is possible. Together we can help you develop healthier coping skills, establish appropriate boundaries, and gain new insights about yourself and your life situation.
(314) 916-8651 View (314) 916-8651
Photo of Claudine Miller, LPC(MO), LCPC(IL, Licensed Professional Counselor
Claudine Miller
Licensed Professional Counselor, LPC(MO), LCPC(IL
Verified Verified
Saint Louis, MO 63108  (Online Only)
Change can create stress, depression and anxiety or it can be a transformative experience. I help individuals and couples cope with changes in career, relationships, and life goals. Whether you are unhappy in your relationships, your work, or some other aspect of your life, counseling can help. If you are recognizing the need to create change in your life, I would love to help you create the life you desire. My primary focus is on helping others transform and create joy in their lives.
Change can create stress, depression and anxiety or it can be a transformative experience. I help individuals and couples cope with changes in career, relationships, and life goals. Whether you are unhappy in your relationships, your work, or some other aspect of your life, counseling can help. If you are recognizing the need to create change in your life, I would love to help you create the life you desire. My primary focus is on helping others transform and create joy in their lives.
(314) 310-4088 View (314) 310-4088
Photo of Ernest E. Garrett - Garrett LCSW & Consulting, L.L.C., ACSW, Clinical Social Work/Therapist
Garrett LCSW & Consulting, L.L.C.
Clinical Social Work/Therapist, ACSW
Verified Verified
Saint Louis, MO 63108  (Online Only)
Garrett LCSW & Consulting, L.L.C. offers culturally affirmative, linguistically accessible, and clinically competent social work services with and on behalf of diverse populations in Missouri, Wisconsin, and the District of Columbia.
Garrett LCSW & Consulting, L.L.C. offers culturally affirmative, linguistically accessible, and clinically competent social work services with and on behalf of diverse populations in Missouri, Wisconsin, and the District of Columbia.
(314) 887-8072 View (314) 887-8072
1

How does your Therapist compare?

Number of Therapists in 63108

100+

Average cost per session

$135

Therapists in 63108 who prioritize treating:

91% Anxiety
83% Depression
70% Relationship Issues
70% Trauma and PTSD
68% Self Esteem
68% Stress
65% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

81% Cigna and Evernorth
81% UnitedHealthcare UHC | UBH
75% Aetna

How Therapists in 63108 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

78% Female
17% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 63108?

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.