SUMMARY ORDER
Plaintiff-appellant Vorcelia Oliphant (“plaintiff’) appeals from a January 18, 2005 order of the district court denying a motion for a protective order preventing disclosure of her medical information under the psychotherapist-patient privilege in her suit against the Connecticut Department of Transportation, the Connecticut Department of Administrative Services and a number of individual employees and *887managers (collectively, “defendants”), under Title VII of the Civil Rights Act of 1964, as amended, 42 U.S.C.2000e et seq. (“Title VII”), and 42 U.S.C. § 1983.1 Plaintiff alleges that the defendants’ actions caused her severe emotional distress, led her to seek the services of a medical professional, and forced her to file for disability retirement. The district court denied the motion, holding that plaintiff had waived the psychiatrist-patient privilege by introducing her medical condition as an element of her claims. Plaintiff filed this appeal from the district court’s denial of her motion for a protective order. She did not move to certify her appeal under 28 U.S.C. § 1292(b), and the district court did not sua sponte certify it.
On March 2, 2005, defendants moved this Court to dismiss plaintiffs appeal for want of appellate jurisdiction. We issued an order denying the motion, explaining that, although jurisdiction may be lacking under 28 U.S.C. § 1291 and the collateral order doctrine, we could not determine on the papers then before us whether this proceeding was encompassed under our mandamus jurisdiction. See, e.g., Chase Manhattan Bank, N.A. v. Turner & Ne-wall, PLC, 964 F.2d 159, 162-63 (2d Cir. 1992). Accordingly, we directed the parties to brief whether plaintiffs appeal should be construed as a mandamus proceeding and whether plaintiff met the mandamus standard. We further directed the parties to supplement the record with relevant documents from the district court pertaining to how plaintiffs claims put her mental condition in issue.
The writ of mandamus “is meant to be used only in the exceptional case.” In re von Bulow, 828 F.2d 94, 96 (2d Cir.1987) (citation and internal quotation marks omitted). “Pretrial discovery orders, such as the one here, are generally not reviewable by means of direct appeal, and “we have expressed reluctance to circumvent this salutary rule by use of mandamus.’ ” United States v. Coppa, 267 F.3d 132, 137 (2d Cir.2001) (quoting In re W.R. Grace & Co., 984 F.2d 587, 589 (2d Cir.1993)). Mandamus may be available, however, where “ ‘a discovery question is of extraordinary significance or there is extreme need for reversal of the district court’s mandate before the case goes to judgment.’ ” In re von Bulow, 828 F.2d at 97 (quoting Am. Express Warehousing, Ltd. v. Transamerica Ins. Co., 380 F.2d 277, 282 (2d Cir.1967)); accord Coppa, 267 F.3d at 137-38.
Plaintiff contends that the medical information sought in the defendants’ interrogatories and requests for production is absolutely protected against involuntary disclosure by the psychotherapist-patient privilege, pursuant to the Supreme Court’s decision in Jaffee v. Redmond, 518 U.S. 1, 116 S.Ct. 1923, 135 L.Ed.2d 337 (1996). In Jaffee, the Supreme Court rec*888ognized a federal common law privilege2 that protects psychotherapist-patient communications. Although declining to “delineate [the] full contours” of the psychotherapist privilege, Jaffee, 518 U.S. at 18, 116 S.Ct. 1923, the Court described the privilege broadly as protecting “confidential communications between a licensed psychotherapist and her patients in the course of diagnosis or treatment,” id. at 15, 116 S.Ct. 1923. Finding that effective psychotherapy “depends upon an atmosphere of confidence and trust in which the patient is willing to make a frank and complete disclosure of facts, emotions, memories, and fears,” id. at 10, 116 S.Ct. 1923 the Court concluded that “protecting confidential communications between a psychotherapist and her patient ... outweigh[s] the need for probative evidence,” id. at 9-10, 116 S.Ct. 1923.
As the Supreme Court noted in Jaffee, however, the psychotherapist-patient privilege, like other testimonial privileges, may be waived. See id. at 15, n. 14, 116 S.Ct. 1923. Although we have not ruled on the precise circumstances in which a waiver is effective, we have no jurisdiction to consider that question here because plaintiffs assertion that there is an absolute privilege against such disclosure is without merit.3 This case thus does not present the extreme need for reversal that must be shown to justify mandamus. See In re Dep’t of Investigation of the City of New York, 851 F.2d 65, 68 (2d Cir.1988).
Nor is this a case in which there are no other means of obtaining review of the order. “[Generally, a litigant who wants to challenge a discovery order must disobey the order, be held in contempt of court, then bring an appeal; mandamus is not usually appropriate where such path is available.”4 In re S.E.C. ex rel. Glotzer, 374 F.3d 184, 188 (2d Cir.2004). Accordingly, this dispute fails to present any of the rare circumstances permitting the use of mandamus.
For the foregoing reasons, we DISMISS for lack of jurisdiction plaintiffs appeal of the district court’s denial of plaintiffs motion for a protective order.
. Plaintiff alleges that defendants discriminated against her on the basis of race, gender and national origin and retaliated against her in violation of Title VII of the Civil Rights Act of 1964, as amended, 42 U.S.C.2000e et seq. ("Title VII”) and Conn. Gen.Stat. § 46a-60(a)(4). She claims also that they discriminated against her on the basis of a perceived illness in violation of the American With Disabilities Act of 1990, and violated her rights under 42 U.S.C. §§ 1981 and 1983, the Equal Pay Act of 1964, as amended, 42 U.S.C. § 206, and the Family and Medical Leave Act, 29 U.S.C. § 2601 et seq., and Section 504 the Rehabilitation Act of 1973, 29 U.S.C. § 794. The district court dismissed all of plaintiffs claims except for her Title VII claim against defendant-appellee the Department of Transportation ("DOT”) for retaliation for filing various grievances and complaints, and a First Amendment claim under § 1983 "for retaliation after she organized approximately thirty individuals to seek redress for lack of promotion based on allegedly unlawful premises.” Oliphant v. Conn. Dep’t of Transp., Nos. 3:02CV700 & 3:04CV274 (PCD), 2004 WL 3249237, *1 (D.Conn. Aug. 25, 2004).
. Federal privilege law generally applies to all federal question cases. See Fed.R.Evid. 501. Because the only claims at issue here are federal claims under Title VII and 42 U.S.C. § 1983, we apply federal law. The result would not be any different under Connecticut law, however, because Connecticut General Statute § 52 — 146f(5) provides that "[c]ommunications or records may be disclosed in a civil proceeding in which the patient introduces his mental condition as an element of his claim or defense.”
. We note, however, that courts that have considered the question have generally held that a plaintiff who alleges that defendants caused extreme emotional distress puts his or her mental state at issue and thus waives the psychotherapist-patient privilege. See, e.g., Schoffstall v. Henderson, 223 F.3d 818, 822 (8th Cir.2000) ("Numerous courts since Jaffee have concluded that, similar to attorney-client privilege that can be waived when the client places the attorney's representation at issue, a plaintiff waives the psychotherapist-patient privilege by placing his or her medical condition at issue.”); cf. John Doe Co. v. United States, 350 F.3d 299, 302 (2d Cir.2003) ("It is well established doctrine that in certain circumstances a party's assertion of factual claims can, out of considerations of fairness to the party's adversaiy, result in the involuntary forfeiture of privileges for matters pertinent to the claims asserted.... The loss of the privilege in these circumstances is sometimes described as ... ‘at issue’ waiver because it results from the party having placed a contention at issue ...." (emphasis in original)).
. Plaintiff should not construe this holding as an invitation to run the risk of a contempt proceeding, see supra note 3.