Photo of Lisa Marie Beaulieu, LMFT , Marriage & Family Therapist
Lisa Marie Beaulieu
Marriage & Family Therapist, LMFT
Verified Verified
Bantam, CT 06750
I take a collaborative approach towards helping clients develop insight and create fresh alternatives to ineffective patterns, assisting them with examining intergenerational transmissions of trauma, relational trauma, and maladaptive coping strategies. My ideal client is looking for a psychotherapist that integrates evidence-based practices, including EMDR and Clinical Hypnosis, with Shamanic, alternative and energy healing approaches into sessions. My ideal client is looking to gain insight, learn to regulate emotions and listen to their emotions, manage their energy and is committed to doing the work to become their best self.
I take a collaborative approach towards helping clients develop insight and create fresh alternatives to ineffective patterns, assisting them with examining intergenerational transmissions of trauma, relational trauma, and maladaptive coping strategies. My ideal client is looking for a psychotherapist that integrates evidence-based practices, including EMDR and Clinical Hypnosis, with Shamanic, alternative and energy healing approaches into sessions. My ideal client is looking to gain insight, learn to regulate emotions and listen to their emotions, manage their energy and is committed to doing the work to become their best self.
(860) 249-1578 View (860) 249-1578
Photo of Andrew Matusiak, MSW, LCSW, Clinical Social Work/Therapist
Andrew Matusiak
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Bantam, CT 06750
Waitlist for new clients
Do you want to live a life with greater freedom? What if I told you that you could be truly happy, live without anxiety, and have mastery over your body and mind? I understand that everyone is in a different part of the healing process and will design a plan with you to meet your specific goals.
Do you want to live a life with greater freedom? What if I told you that you could be truly happy, live without anxiety, and have mastery over your body and mind? I understand that everyone is in a different part of the healing process and will design a plan with you to meet your specific goals.
(860) 960-0282 View (860) 960-0282
Photo of Sarah Pelligrinelli, LMSW, CTRS, Pre-Licensed Professional
Sarah Pelligrinelli
Pre-Licensed Professional, LMSW, CTRS
Verified Verified
1 Endorsed
Litchfield, CT 06750
All are welcome here, let me show you that you are enough! I would love to demonstrate that therapy doesn't have to be intimidating. Together, we can create a balanced path to healing, self-understanding, and meaningful work. The beauty of alternative therapy lies in its person-centered nature, allowing you to take proactive steps and witness the results you deserve.
All are welcome here, let me show you that you are enough! I would love to demonstrate that therapy doesn't have to be intimidating. Together, we can create a balanced path to healing, self-understanding, and meaningful work. The beauty of alternative therapy lies in its person-centered nature, allowing you to take proactive steps and witness the results you deserve.
(860) 552-2582 View (860) 552-2582
Photo of Scott Paul Ogurick, MS, LPC, Licensed Professional Counselor
Scott Paul Ogurick
Licensed Professional Counselor, MS, LPC
Verified Verified
Litchfield, CT 06750
"Change is not about moving forward, it is letting go of where you are". I really value this quote and refer to it daily; not only in my life but also when helping with the lives of others. I aim to offer supports and guidance to individuals, couples and families seeking assistance in making a change for the better. My goal is to collaborate with the individual, couple and or family to build rapport, gain trust and meet the individual(s) where he or she is at in their lives in order to build resistance and move towards the solution to the presented issue(s).
"Change is not about moving forward, it is letting go of where you are". I really value this quote and refer to it daily; not only in my life but also when helping with the lives of others. I aim to offer supports and guidance to individuals, couples and families seeking assistance in making a change for the better. My goal is to collaborate with the individual, couple and or family to build rapport, gain trust and meet the individual(s) where he or she is at in their lives in order to build resistance and move towards the solution to the presented issue(s).
(860) 910-4174 View (860) 910-4174
Photo of Rosalie Salie Guest, LPC, RN, Licensed Professional Counselor
Rosalie Salie Guest
Licensed Professional Counselor, LPC, RN
Verified Verified
Litchfield, CT 06750
I am a registered nurse and licensed professional counselor. I am multi-dimensional in the services I provide. I see children, adolescents, individuals, couples, and families. I started my career working with and teaching children who were not psychologically ready to move from kindergarten to first grade. My love for helping people inspired me to go back to school and pursue a nursing degree. After moving to Connecticut, I worked as a psych nurse at Waterbury Hospital at Merriman Hall for 6 years. This was a locked unit and it was here that I learned all the family therapy methodology.
I am a registered nurse and licensed professional counselor. I am multi-dimensional in the services I provide. I see children, adolescents, individuals, couples, and families. I started my career working with and teaching children who were not psychologically ready to move from kindergarten to first grade. My love for helping people inspired me to go back to school and pursue a nursing degree. After moving to Connecticut, I worked as a psych nurse at Waterbury Hospital at Merriman Hall for 6 years. This was a locked unit and it was here that I learned all the family therapy methodology.
(860) 615-4124 View (860) 615-4124
Photo of Candace I Boden, LCSW, Clinical Social Work/Therapist
Candace I Boden
Clinical Social Work/Therapist, LCSW
Verified Verified
Bantam, CT 06750
You don't have to suffer with the painful symptoms of depression, high anxiety, panic disorder, unresolved grief, or repercussions from abuse and difficult life transitions. Talk therapy helps change brain chemistry and relieve those difficult symptoms that are keeping you from leading the quality life you deserve. I hope you'll consider psychotherapy with me in a relaxed, country environment. You can feel better.
You don't have to suffer with the painful symptoms of depression, high anxiety, panic disorder, unresolved grief, or repercussions from abuse and difficult life transitions. Talk therapy helps change brain chemistry and relieve those difficult symptoms that are keeping you from leading the quality life you deserve. I hope you'll consider psychotherapy with me in a relaxed, country environment. You can feel better.
(860) 331-8080 View (860) 331-8080
Photo of undefined - Horticulture Therapy Farm, LLC, LPC, LADC, LMHC, DOT SAP, Licensed Professional Counselor
Horticulture Therapy Farm, LLC
Licensed Professional Counselor, LPC, LADC, LMHC, DOT SAP
Verified Verified
Bantam, CT 06750
Outdoor Ecotherapy or telehealth. Lisa grew up on a farm property in Litchfield County, CT. Experiences here led her to an early appreciation for the relationship of the natural environment and healing through restorative modalities. She believes that connecting with nature improves mental health and well being. She studied horticulture and incorporated knowledge and skills in landscape design, project management, growing, and all aspects of greenhouse activities for over twenty years. Lisa then studied psychology and practiced in several settings including psychiatric group homes, hospitals, agencies, rehabs and private practice.
Outdoor Ecotherapy or telehealth. Lisa grew up on a farm property in Litchfield County, CT. Experiences here led her to an early appreciation for the relationship of the natural environment and healing through restorative modalities. She believes that connecting with nature improves mental health and well being. She studied horticulture and incorporated knowledge and skills in landscape design, project management, growing, and all aspects of greenhouse activities for over twenty years. Lisa then studied psychology and practiced in several settings including psychiatric group homes, hospitals, agencies, rehabs and private practice.
(203) 307-5881 View (203) 307-5881
Photo of Eileen Kelly, MA, LMFT, Marriage & Family Therapist
Eileen Kelly
Marriage & Family Therapist, MA, LMFT
Verified Verified
Litchfield, CT 06750  (Online Only)
I thank you for reaching out during these challenging times. I have been in private practice for the last 16 yrs. My approach is to create a climate of support, empathy and compassion where together we can develop solutions for your concerns. I specialize in helping adults with relationships of all kinds - whether it be in a marriage - with family members (siblings or parents) or even in the workplace - reach out if you could use some help.
I thank you for reaching out during these challenging times. I have been in private practice for the last 16 yrs. My approach is to create a climate of support, empathy and compassion where together we can develop solutions for your concerns. I specialize in helping adults with relationships of all kinds - whether it be in a marriage - with family members (siblings or parents) or even in the workplace - reach out if you could use some help.
(203) 423-0287 View (203) 423-0287
Photo of Skylar Kelly Sandel, LPC, Licensed Professional Counselor
Skylar Kelly Sandel
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Litchfield, CT 06750
I am a Licensed Professional Counselor who has spent the past decade serving individuals, children, and families in various capacities within the human service field. I specialized in crisis-based intervention, co-dependency, relational communication and Accelerated Resolution Therapy (ART). I take a responsive client-focused approach to treating trauma exposure which allows me to establish strong therapeutic alliances with clients in their most vulnerable moments.
I am a Licensed Professional Counselor who has spent the past decade serving individuals, children, and families in various capacities within the human service field. I specialized in crisis-based intervention, co-dependency, relational communication and Accelerated Resolution Therapy (ART). I take a responsive client-focused approach to treating trauma exposure which allows me to establish strong therapeutic alliances with clients in their most vulnerable moments.
(860) 390-5099 View (860) 390-5099
Photo of Autumn Cloud-Ingram, LCSW, Clinical Social Work/Therapist
Autumn Cloud-Ingram
Clinical Social Work/Therapist, LCSW
Verified Verified
Litchfield, CT 06750
Is your transition to motherhood not what you expected? Have you been feeling constantly overwhelmed, agitated, or finding it difficult to connect with your baby or partner? Are you experiencing anxious thoughts and fears about caring for your baby? Or maybe your birth wasn't the empowering experience you imagined. Maybe it left you feeling scared and out of control and you have been blaming yourself for your experience. If "yes" to any of the above, you may be experiencing postpartum depression, postpartum anxiety, or birth trauma. You do not have to walk through these feelings alone!
Is your transition to motherhood not what you expected? Have you been feeling constantly overwhelmed, agitated, or finding it difficult to connect with your baby or partner? Are you experiencing anxious thoughts and fears about caring for your baby? Or maybe your birth wasn't the empowering experience you imagined. Maybe it left you feeling scared and out of control and you have been blaming yourself for your experience. If "yes" to any of the above, you may be experiencing postpartum depression, postpartum anxiety, or birth trauma. You do not have to walk through these feelings alone!
(475) 250-1441 View (475) 250-1441
Photo of Ed Bacigalupo, LCSW, Clinical Social Work/Therapist
Ed Bacigalupo
Clinical Social Work/Therapist, LCSW
Verified Verified
Litchfield, CT 06750
In a nonjudgmental format, I will help you improve your self-esteem and self-worth, as well as focus and motivation. It is my honor to assist you with reaching your true potential. Stop letting worry, fear and anger stand in the way of your goals and dreams. Awaken to the strengths you possess and learn new strategies to increase life enjoyment.
In a nonjudgmental format, I will help you improve your self-esteem and self-worth, as well as focus and motivation. It is my honor to assist you with reaching your true potential. Stop letting worry, fear and anger stand in the way of your goals and dreams. Awaken to the strengths you possess and learn new strategies to increase life enjoyment.
(860) 544-2473 View (860) 544-2473
Photo of Jaymie Naclerio, MS, LPC, Licensed Professional Counselor
Jaymie Naclerio
Licensed Professional Counselor, MS, LPC
Verified Verified
Litchfield, CT 06750
I am a Licensed Professional Counselor who has spent over 12 years working with children, parents, and families in various capacities within the human services field. I specialize in working with clients who have diverse behavioral, mental health, and educational needs including but not limited to anxiety disorders, depressive disorders, relational communication needs, life transitions, and parenting. I utilize patient-centered therapy and trauma-assisted therapy to support clients with developing goals that are unique for their personal needs and preferences.
I am a Licensed Professional Counselor who has spent over 12 years working with children, parents, and families in various capacities within the human services field. I specialize in working with clients who have diverse behavioral, mental health, and educational needs including but not limited to anxiety disorders, depressive disorders, relational communication needs, life transitions, and parenting. I utilize patient-centered therapy and trauma-assisted therapy to support clients with developing goals that are unique for their personal needs and preferences.
(860) 854-3657 View (860) 854-3657
Photo of undefined - Litchfield Hills Clinical Services, BFA, MS, LPC, Licensed Professional Counselor
Litchfield Hills Clinical Services
Licensed Professional Counselor, BFA, MS, LPC
Verified Verified
Litchfield, CT 06750
Many individuals are struggling with day to day stressors whether it be school, work, friends, intimate relationships, alcohol and substance use or managing depression and anxiety. I am able to help incorporate my 16 years of building therapeutic relationships to help guide and support you on your journey. I have experience in many modalities including Intensive In Home Services with MDFT (Multi Dimensional Family Therapy) , CBT (Cognitive Behavior Therapy) and DBT ( Dialectical Behavioral Therapy) I find an eclectic approach utilizing many modalities yields the best success.
Many individuals are struggling with day to day stressors whether it be school, work, friends, intimate relationships, alcohol and substance use or managing depression and anxiety. I am able to help incorporate my 16 years of building therapeutic relationships to help guide and support you on your journey. I have experience in many modalities including Intensive In Home Services with MDFT (Multi Dimensional Family Therapy) , CBT (Cognitive Behavior Therapy) and DBT ( Dialectical Behavioral Therapy) I find an eclectic approach utilizing many modalities yields the best success.
(844) 320-4394 View (844) 320-4394
Photo of Melissa A Hurley, MSW, LCSW, Clinical Social Work/Therapist
Melissa A Hurley
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Litchfield, CT 06750
You are worth it! You deserve to be at peace and to feel fine when you say “I’m fine”. Talk therapy helps change brain chemistry and relieve those difficult symptoms that are keeping you from leading the quality life you deserve. I graduated with my Master's Degree in Social Work in 2006 from Southern Connecticut State University’s Advanced Standing program and have been licensed in the state of Connecticut since 2009.
You are worth it! You deserve to be at peace and to feel fine when you say “I’m fine”. Talk therapy helps change brain chemistry and relieve those difficult symptoms that are keeping you from leading the quality life you deserve. I graduated with my Master's Degree in Social Work in 2006 from Southern Connecticut State University’s Advanced Standing program and have been licensed in the state of Connecticut since 2009.
(860) 294-0295 View (860) 294-0295
Photo of Caitlin McAvoy, LCSW, Clinical Social Work/Therapist
Caitlin McAvoy
Clinical Social Work/Therapist, LCSW
Verified Verified
Litchfield, CT 06750
Waitlist for new clients
Do you often times leave appointments feeling misunderstood, invalidated or not heard by providers? Sky Meadow Counseling utilizes a client center approach with a combination of traditional psychotherapy and holistic practices with individuals age 10 and above. We are here to provide clients, families and/or caregivers with a safe environment through processing and healing. Together we will work through challenging life situations that disrupt emotional, mental, and physical well being. Sky Meadow Counseling offers a specialized focus on Chronic Illness, Autoimmune Disease, and Chronic Pain.
Do you often times leave appointments feeling misunderstood, invalidated or not heard by providers? Sky Meadow Counseling utilizes a client center approach with a combination of traditional psychotherapy and holistic practices with individuals age 10 and above. We are here to provide clients, families and/or caregivers with a safe environment through processing and healing. Together we will work through challenging life situations that disrupt emotional, mental, and physical well being. Sky Meadow Counseling offers a specialized focus on Chronic Illness, Autoimmune Disease, and Chronic Pain.
(860) 813-3499 View (860) 813-3499
Photo of Kelly W Mays, LPCA
Kelly W Mays
Professional Counselor Associate, LPCA
Verified Verified
Litchfield, CT 06750  (Online Only)
I offer remote tele-health and video therapy sessions to anyone seeking mental health support. I earned my MA in Clinical Psychology from the University of Hartford following earning a BA in Psychology, minoring in Women's Studies, from Uconn. I served at York Correctional Maximum Security Prison as a Post Graduate Clinical Intern. I worked as an IICAPS clinician following graduation. I am now working as an Outpatient Clinician serving clients of varying ages and clinical needs. I take the trust my clients offer very seriously and I only take a limited amount of clients ensuring I can give the best care possible.
I offer remote tele-health and video therapy sessions to anyone seeking mental health support. I earned my MA in Clinical Psychology from the University of Hartford following earning a BA in Psychology, minoring in Women's Studies, from Uconn. I served at York Correctional Maximum Security Prison as a Post Graduate Clinical Intern. I worked as an IICAPS clinician following graduation. I am now working as an Outpatient Clinician serving clients of varying ages and clinical needs. I take the trust my clients offer very seriously and I only take a limited amount of clients ensuring I can give the best care possible.
(860) 909-8469 View (860) 909-8469
Photo of Clara Burlinson, LCSW, Clinical Social Work/Therapist
Clara Burlinson
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Litchfield, CT 06750
Does your life feel unmanageable and unbalanced? It is hard to live mindfully and prioritize yourself first and foremost, and some days it is just hard to get out of bed? It is easy to get caught up in the hustle and bustle of daily life and the "work is your worth" mindset. I take a holistic approach and aim to help young adults/adults to recognize the importance of balance, boundaries in relationships, and returning to activities that previously provided them joy. I meet the individual where they are, and with compassion, and begin to help them feel equipped to prioritize and deal with everyday stressors.
Does your life feel unmanageable and unbalanced? It is hard to live mindfully and prioritize yourself first and foremost, and some days it is just hard to get out of bed? It is easy to get caught up in the hustle and bustle of daily life and the "work is your worth" mindset. I take a holistic approach and aim to help young adults/adults to recognize the importance of balance, boundaries in relationships, and returning to activities that previously provided them joy. I meet the individual where they are, and with compassion, and begin to help them feel equipped to prioritize and deal with everyday stressors.
(860) 718-4306 View (860) 718-4306
Photo of Marisa Lindsey, LCSW, Clinical Social Work/Therapist
Marisa Lindsey
Clinical Social Work/Therapist, LCSW
Verified Verified
Litchfield, CT 06750
I work with folks who wish to: address and heal the traumatic experiences impacting their mental, emotional, energetic, and physical wellbeing; to bring clarity to and treat the symptoms of a mental health diagnosis; to address and overcome fear in some aspect of their lives; to navigate uncertainty and transition in their professional careers; to overcome personal limitations and strengthen their artistic, creative, spiritual, divinatory, or magical practice or craft; to improve their relationships with other people, whether human or other-than-human, living or ancestral, and strengthen their connection with the land they live on.
I work with folks who wish to: address and heal the traumatic experiences impacting their mental, emotional, energetic, and physical wellbeing; to bring clarity to and treat the symptoms of a mental health diagnosis; to address and overcome fear in some aspect of their lives; to navigate uncertainty and transition in their professional careers; to overcome personal limitations and strengthen their artistic, creative, spiritual, divinatory, or magical practice or craft; to improve their relationships with other people, whether human or other-than-human, living or ancestral, and strengthen their connection with the land they live on.
(860) 467-0075 View (860) 467-0075
Photo of undefined - Bright Tomorrows Counseling , LADC, AADC, Drug & Alcohol Counselor
Bright Tomorrows Counseling
Drug & Alcohol Counselor, LADC, AADC
Verified Verified
2 Endorsed
Litchfield, CT 06750
I specialize in helping others on their recovery journey. I strive to help others change their patterns of thinking and behaving, in order to sustain long term recovery. I fully believe and enforce “we can grow through what we go through. “
I specialize in helping others on their recovery journey. I strive to help others change their patterns of thinking and behaving, in order to sustain long term recovery. I fully believe and enforce “we can grow through what we go through. “
(959) 335-0828 View (959) 335-0828
Photo of Melissa Schiavone, LMFT, Marriage & Family Therapist
Melissa Schiavone
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Litchfield, CT 06750
As a Licensed Marriage and Family Therapist I approach my time with clients from both an individual and relational point of view. I believe it is vital to explore self-awareness and interpersonal relationships in order to understand what may be interfering with living a more fulfilling life. I understand that not everyone responds to the same experiences in the same way and that therapy needs to be designed to fit each individual clients needs based on their own histories and experiences. I will collaborate with you to make therapy a place that fits your needs.
As a Licensed Marriage and Family Therapist I approach my time with clients from both an individual and relational point of view. I believe it is vital to explore self-awareness and interpersonal relationships in order to understand what may be interfering with living a more fulfilling life. I understand that not everyone responds to the same experiences in the same way and that therapy needs to be designed to fit each individual clients needs based on their own histories and experiences. I will collaborate with you to make therapy a place that fits your needs.
(860) 579-6980 View (860) 579-6980

See more therapy options for 06750

How does your Therapist compare?

Number of Therapists in 06750

20+

Average cost per session

$150

Therapists in 06750 who prioritize treating:

88% Depression
88% Anxiety
79% Trauma and PTSD
75% Coping Skills
71% Relationship Issues
71% Self Esteem
63% Family Conflict

Average years in practice

9 Years

Top 3 insurances accepted

81% UnitedHealthcare UHC | UBH
76% Aetna
76% Anthem | Elevance

How Therapists in 06750 see their clients

84% In Person and Online
16% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 06750?

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.