Therapists in 07760

Darlene M. Lewis
Licensed Professional Counselor, LPC, SAC, NBCC
Rumson, NJ 07760
Life is about transitions, which can be challenging yet unavoidable. Changes/milestones, illness, loss; of a loved one/marriage/job/home/pet, etc...feelings of hopelessness, anxiety, sadness inevitably surface. With over 25 years of experience working with teens/adolescents, as well as parents and families, I can help you work through your transitions, inclusive of the myriad of emotional highs and lows that come with change. In addition, as a nationally certified End of Life Doula, I have intensive training and experience working with those trying to regain peace in the wake of loss and grief.
Life is about transitions, which can be challenging yet unavoidable. Changes/milestones, illness, loss; of a loved one/marriage/job/home/pet, etc...feelings of hopelessness, anxiety, sadness inevitably surface. With over 25 years of experience working with teens/adolescents, as well as parents and families, I can help you work through your transitions, inclusive of the myriad of emotional highs and lows that come with change. In addition, as a nationally certified End of Life Doula, I have intensive training and experience working with those trying to regain peace in the wake of loss and grief.
(732) 561-4392 View (732) 561-4392
Amanda M. Goodwin
Clinical Social Work/Therapist, MSW , LCSW
3 Endorsed
Rumson, NJ 07760
Navigating through the world today and trying to manage a variety of life's stressors can be overwhelming. We require the tools to manage these new challenges and stressors as best as we can. I work with a variety of clients that are trying to cope with the stressors of their everyday lives. I have a passion for helping others and working collaboratively towards goals. Utilizing a compassionate and supportive approach, I can assist you to feel confident and ready to take on a variety of life's challenges.
Navigating through the world today and trying to manage a variety of life's stressors can be overwhelming. We require the tools to manage these new challenges and stressors as best as we can. I work with a variety of clients that are trying to cope with the stressors of their everyday lives. I have a passion for helping others and working collaboratively towards goals. Utilizing a compassionate and supportive approach, I can assist you to feel confident and ready to take on a variety of life's challenges.
(848) 212-8496 View (848) 212-8496
Michelle Kerekes
Licensed Professional Counselor, LPC, LCADC
Rumson, NJ 07760
You’re overwhelmed. Your mind races, toggling between to-do lists, taking note of what still needs to get done. You agonize over whether or not what you said or did was good enough. You desperately want to say no to the next request, to cut yourself some slack but haven’t the slightest clue how. The idea terrifies you. What will others think? So instead, to quiet the internal chaos you over do it on whatever takes your mind anywhere but here – food, alcohol, work, TV, shopping, social media, sleep, exercise, etc.
You’re overwhelmed. Your mind races, toggling between to-do lists, taking note of what still needs to get done. You agonize over whether or not what you said or did was good enough. You desperately want to say no to the next request, to cut yourself some slack but haven’t the slightest clue how. The idea terrifies you. What will others think? So instead, to quiet the internal chaos you over do it on whatever takes your mind anywhere but here – food, alcohol, work, TV, shopping, social media, sleep, exercise, etc.
(848) 999-5084 View (848) 999-5084
Glenn Peter Hofferber
Licensed Professional Counselor, MS, LPC, NCC
1 Endorsed
Rumson, NJ 07760
Welcome! I'm Glenn, a seasoned Couples Counselor dedicated to fostering thriving relationships. I also specialize in men's issues, explicitly helping men learn how to thrive in a complicated world. I assist couples in rekindling intimacy, enhancing communication, and navigating conflicts to rebuild lasting connections. My approach combines evidence-based therapies and a client-centered focus to address relationship challenges. I prioritize creating a safe space for open dialogue and trust-building and empowering couples with practical tools to reignite passion and mutual understanding.
Welcome! I'm Glenn, a seasoned Couples Counselor dedicated to fostering thriving relationships. I also specialize in men's issues, explicitly helping men learn how to thrive in a complicated world. I assist couples in rekindling intimacy, enhancing communication, and navigating conflicts to rebuild lasting connections. My approach combines evidence-based therapies and a client-centered focus to address relationship challenges. I prioritize creating a safe space for open dialogue and trust-building and empowering couples with practical tools to reignite passion and mutual understanding.
(848) 204-0895 View (848) 204-0895
Jennifer Kelly
Licensed Professional Counselor, MA, LPC
1 Endorsed
Rumson, NJ 07760
Jennifer Kelly, LPC, is a dedicated licensed clinician whose professional journey has been guided by a deep commitment to holistic wellness. With a profound belief in the interconnectedness of our mental, physical, emotional, and spiritual aspects, Jennifer has devoted her career to understanding and treating individuals as complete beings. She applies this whole person approach to therapy and her practice reflects a comprehensive understanding of the human experience. She has years of experience working with teens and adults with a specialty in treatment of anxiety, depression, trauma, life transitions, grief and relationships.
Jennifer Kelly, LPC, is a dedicated licensed clinician whose professional journey has been guided by a deep commitment to holistic wellness. With a profound belief in the interconnectedness of our mental, physical, emotional, and spiritual aspects, Jennifer has devoted her career to understanding and treating individuals as complete beings. She applies this whole person approach to therapy and her practice reflects a comprehensive understanding of the human experience. She has years of experience working with teens and adults with a specialty in treatment of anxiety, depression, trauma, life transitions, grief and relationships.
(848) 272-7641 View (848) 272-7641
Robert LoPresti
Psychologist, PhD
Rumson, NJ 07760
In Imago Relationship therapy I coach the partners into giving and receiving love. Love is the healing force. Imago Therapy is the guiding model along with cognitive behavioral therapy, somatic experiencing, body centered approaches and mindfulness. In individual therapy the focus is on finding clients' strengths and using those strengths for healing of symptoms including insomnia, stress, anxiety, depression, trauma, ADHD and others using cognitive behavioral, somatic experiencing, hypnotherapy, mindfulness,imagery, brainspotting, EMDR, TFT, EFT, and others. Mindfulness is taught in all sessions
In Imago Relationship therapy I coach the partners into giving and receiving love. Love is the healing force. Imago Therapy is the guiding model along with cognitive behavioral therapy, somatic experiencing, body centered approaches and mindfulness. In individual therapy the focus is on finding clients' strengths and using those strengths for healing of symptoms including insomnia, stress, anxiety, depression, trauma, ADHD and others using cognitive behavioral, somatic experiencing, hypnotherapy, mindfulness,imagery, brainspotting, EMDR, TFT, EFT, and others. Mindfulness is taught in all sessions
(732) 842-4553 View (732) 842-4553
Tara Engelhardt
Clinical Social Work/Therapist, MSW, LCSW
4 Endorsed
Rumson, NJ 07760
Tara Engelhardt is a Licensed Clinical Social Worker who graduated from Alvernia University with her Bachelor’s degree in Social Work and from Monmouth University with her Masters in Social Work with a Concentration in Clinical Practice with Families and Children. During her clinical experience, she knew she wanted to work with children and families. Tara has experience working with a variety of populations including children, adolescents, adults and families. Tara strives to provide a safe space for her clients which promotes understanding, acceptance, and personal growth.
Tara Engelhardt is a Licensed Clinical Social Worker who graduated from Alvernia University with her Bachelor’s degree in Social Work and from Monmouth University with her Masters in Social Work with a Concentration in Clinical Practice with Families and Children. During her clinical experience, she knew she wanted to work with children and families. Tara has experience working with a variety of populations including children, adolescents, adults and families. Tara strives to provide a safe space for her clients which promotes understanding, acceptance, and personal growth.
(848) 294-1427 View (848) 294-1427
Alexandra Smith
Clinical Social Work/Therapist, LCSW
Rumson, NJ 07760
Have you been feeling frustrated or overwhelmed by life challenges? Each of us has a unique journey, experiencing situations that require resilience and adaptability. Strategies that may have worked in the past can limit our options for creating our best life right now. Learning more successful thought patterns can free us to explore a greater range of possibilities, while honoring our own needs and aspirations. Working together in a private, non-judgmental way, we can strengthen your ability to navigate our culture so you can thrive, not just survive...
Have you been feeling frustrated or overwhelmed by life challenges? Each of us has a unique journey, experiencing situations that require resilience and adaptability. Strategies that may have worked in the past can limit our options for creating our best life right now. Learning more successful thought patterns can free us to explore a greater range of possibilities, while honoring our own needs and aspirations. Working together in a private, non-judgmental way, we can strengthen your ability to navigate our culture so you can thrive, not just survive...
(848) 257-5361 View (848) 257-5361
Michele Mazzo
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Rumson, NJ 07760
Hi and welcome to the first step of the therapeutic process. For your safety during COVID-19, Michele offers online video or phone sessions that are highly effective. Michele also offers face to face individual, couples, and family therapy sessions. Michele specializes in couples therapy as it relates to pre-marital counseling, communication styles, intimacy, trust, relationship dysfunction, divorce recovery, parenting, co-parenting, conflict resolution, and how to navigate daily stressors effectively.
Hi and welcome to the first step of the therapeutic process. For your safety during COVID-19, Michele offers online video or phone sessions that are highly effective. Michele also offers face to face individual, couples, and family therapy sessions. Michele specializes in couples therapy as it relates to pre-marital counseling, communication styles, intimacy, trust, relationship dysfunction, divorce recovery, parenting, co-parenting, conflict resolution, and how to navigate daily stressors effectively.
(848) 206-6517 View (848) 206-6517
Dr. Aimee Chiligiris
Psychologist, PsyD
3 Endorsed
Rumson, NJ 07760
I am the founder of York Psychological Services and a licensed clinical psychologist with expertise in the treatment of substance use and mental health concerns. I provide psychological services to adolescents (14+), young adults, adults and families experiencing hardship as related to mental health and/or substance use concerns. In addition, I provide family or parent training for concerned individuals who have loved ones struggling with substance use. I have significant experience in working with substance use disorders in the areas of client care and developing and directing outpatient substance services.
I am the founder of York Psychological Services and a licensed clinical psychologist with expertise in the treatment of substance use and mental health concerns. I provide psychological services to adolescents (14+), young adults, adults and families experiencing hardship as related to mental health and/or substance use concerns. In addition, I provide family or parent training for concerned individuals who have loved ones struggling with substance use. I have significant experience in working with substance use disorders in the areas of client care and developing and directing outpatient substance services.
(908) 341-1330 View (908) 341-1330
Jessica Reilly
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Rumson, NJ 07760
Jessica understands that change is a difficult yet rewarding process to engage in and is passionate about creating and maintaining an environment in which clients feel heard, supported and challenged. Jessica specializes in providing therapy to children, adolescents and adults. She has experience helping individuals and families navigate difficulties such as anxiety, depression, self -esteem, life transitions, peer conflicts, family conflict, grief/loss and academic difficulties.
Jessica understands that change is a difficult yet rewarding process to engage in and is passionate about creating and maintaining an environment in which clients feel heard, supported and challenged. Jessica specializes in providing therapy to children, adolescents and adults. She has experience helping individuals and families navigate difficulties such as anxiety, depression, self -esteem, life transitions, peer conflicts, family conflict, grief/loss and academic difficulties.
(848) 246-1379 View (848) 246-1379
Lisa Kreutzberg
Licensed Professional Counselor, MS, LPC, NBCC
1 Endorsed
Rumson, NJ 07760
Unanticipated events and life transitions of all kinds can be extraordinarily painful and disruptive. My training, experience and areas of interest include: Coping with Serious Illness or Injury • Financial Uncertainty • Grief and Loss • Job Loss and Career Change • Separation and Divorce • Relocation • Mindfulness • Spirituality. Please call for a free 20 minute consultation. We can decide together if booking a session is the right next step. 732-305-4532. My website: www.beachcounselingandcoaching.com.
Unanticipated events and life transitions of all kinds can be extraordinarily painful and disruptive. My training, experience and areas of interest include: Coping with Serious Illness or Injury • Financial Uncertainty • Grief and Loss • Job Loss and Career Change • Separation and Divorce • Relocation • Mindfulness • Spirituality. Please call for a free 20 minute consultation. We can decide together if booking a session is the right next step. 732-305-4532. My website: www.beachcounselingandcoaching.com.
(848) 246-2670 View (848) 246-2670
Nikki P. Woods
Clinical Social Work/Therapist, MSW, LCSW
4 Endorsed
Rumson, NJ 07760
As the Founder of Navesink Wellness Center, my team and I have created a unique treatment approach that goes beyond managing symptoms to uncover the root causes of emotional challenges. We believe that lasting change happens when we understand the deeper reasons behind our feelings - allowing us to address the underlying patterns rather than the surface struggles. Our collaborative approach brings together the expertise of multiple disciplines to provide a complete view of each client’s needs. We combine ongoing connection with a comprehensive approach to address both the origin of the challenges and the symptoms they create.
As the Founder of Navesink Wellness Center, my team and I have created a unique treatment approach that goes beyond managing symptoms to uncover the root causes of emotional challenges. We believe that lasting change happens when we understand the deeper reasons behind our feelings - allowing us to address the underlying patterns rather than the surface struggles. Our collaborative approach brings together the expertise of multiple disciplines to provide a complete view of each client’s needs. We combine ongoing connection with a comprehensive approach to address both the origin of the challenges and the symptoms they create.
(732) 422-5490 View (732) 422-5490
Shannon Marie Cahill
Licensed Professional Counselor, MS, LPC
Rumson, NJ 07760
My approach to therapy is rooted in directness, authenticity, and genuine connection, where honesty becomes the foundation for growth. I believe in facing what’s been avoided—because avoidance only delays healing—and working together to address both the minor struggles and the major challenges head-on. My goal is to help you gain clarity, confidence, and control over your emotions and direction in life. Therapy with me is about progress, not perfection—each session bringing you one step closer to the peace and self-assurance you deserve.
My approach to therapy is rooted in directness, authenticity, and genuine connection, where honesty becomes the foundation for growth. I believe in facing what’s been avoided—because avoidance only delays healing—and working together to address both the minor struggles and the major challenges head-on. My goal is to help you gain clarity, confidence, and control over your emotions and direction in life. Therapy with me is about progress, not perfection—each session bringing you one step closer to the peace and self-assurance you deserve.
(609) 849-3648 View (609) 849-3648
Abigail Kovalcik
Licensed Social Worker, MSW, LSW
2 Endorsed
Rumson, NJ 07760
Abigail is a clinical psychotherapist licensed in both New Jersey and New York. Abigail provides compassionate, individualized care to children, adolescents, and adults navigating a wide range of life transitions. Whether working with a child facing emotional dysregulation, a teen struggling with social pressures, or an adult coping with relationship challenges, Abigail creates a warm, supportive space rooted in empathy and understanding. Her approach blends clinical insight with genuine compassion, allowing clients to feel seen, heard, and validated.
Abigail is a clinical psychotherapist licensed in both New Jersey and New York. Abigail provides compassionate, individualized care to children, adolescents, and adults navigating a wide range of life transitions. Whether working with a child facing emotional dysregulation, a teen struggling with social pressures, or an adult coping with relationship challenges, Abigail creates a warm, supportive space rooted in empathy and understanding. Her approach blends clinical insight with genuine compassion, allowing clients to feel seen, heard, and validated.
(848) 308-7924 View (848) 308-7924
Hannah de Groot
Licensed Professional Counselor, LPC, MEd, RYT-200
6 Endorsed
Rumson, NJ 07760
My clients are dedicated athletes struggling with eating disorders, RED-S, or OCD, facing the dual challenges of their mental health and a desire to perform at their peak. They are often overwhelmed by the demands of their sport, which can blur the lines between passion and harmful habits. Their primary goal is to reclaim their lives and their love for their sport. My clients seek not only recovery, but transformation through the opportunity to realign their beliefs and values towards a healthier, more balanced life. They crave empowerment, resilience, and the ability to thrive both in their athletic pursuits and personal lives.
My clients are dedicated athletes struggling with eating disorders, RED-S, or OCD, facing the dual challenges of their mental health and a desire to perform at their peak. They are often overwhelmed by the demands of their sport, which can blur the lines between passion and harmful habits. Their primary goal is to reclaim their lives and their love for their sport. My clients seek not only recovery, but transformation through the opportunity to realign their beliefs and values towards a healthier, more balanced life. They crave empowerment, resilience, and the ability to thrive both in their athletic pursuits and personal lives.
(267) 245-7058 View (267) 245-7058
Rebecca Rappel Zohn
Clinical Social Work/Therapist, MSW, LCSW, LCADC
6 Endorsed
Rumson, NJ 07760
Do you feel anxious, burnt out, or overwhelmed? Maybe your mind is always racing through what still needs to get done, replaying conversations from earlier, or worrying you said the wrong thing. You're exhausted from overthinking, second guessing yourself and . putting everyone else first. You keep telling yourself you'll relax once everything is done, but "everything" never seems to end.
Do you feel anxious, burnt out, or overwhelmed? Maybe your mind is always racing through what still needs to get done, replaying conversations from earlier, or worrying you said the wrong thing. You're exhausted from overthinking, second guessing yourself and . putting everyone else first. You keep telling yourself you'll relax once everything is done, but "everything" never seems to end.
(732) 203-5045 View (732) 203-5045
Parker R Hilton
Licensed Professional Counselor, LPC, NCC, ACS, LCPC, MS
6 Endorsed
Rumson, NJ 07760
As a counselor, my goal is to inspire actualized change. A large part of that process is forming a strong working relationship to determine where you find fulfillment, derive meaning, and how you exist in the here and now. I'm a firm believer that the worldview we hold and the narratives we perpetuate dictate how we navigate life's nuances so, we often start there. Once we strip the old stories and ego, what are we left with? On the other side of anger, self-doubt, anxiety, self-criticism, depression, grief, addiction, or whatever your concerns may be—Who are you? I'm excited to embark on the journey to that state of being with you.
As a counselor, my goal is to inspire actualized change. A large part of that process is forming a strong working relationship to determine where you find fulfillment, derive meaning, and how you exist in the here and now. I'm a firm believer that the worldview we hold and the narratives we perpetuate dictate how we navigate life's nuances so, we often start there. Once we strip the old stories and ego, what are we left with? On the other side of anger, self-doubt, anxiety, self-criticism, depression, grief, addiction, or whatever your concerns may be—Who are you? I'm excited to embark on the journey to that state of being with you.
(848) 253-3702 View (848) 253-3702
Esther Tresser-Polanco
Counselor, LMHC, LPC, NJ, NY, CT, FL
7 Endorsed
Rumson, NJ 07760
The things that once helped you just aren’t working anymore. Sometimes, someone on the outside can help in ways friends and family no longer can. Your days have been overwhelming, tiring, and may be filled with worry and what ifs. Your relationship may feel unfulfilling. You may be struggling to have a child. Your anxiety is getting in the way. I want to hear your story, support you, and together, create a plan, strengthen your resilience, and develop techniques to cope & move forward. You don’t have to navigate this alone. Let me help you untangle your concerns and guide you to making real change to the life you’re living.
The things that once helped you just aren’t working anymore. Sometimes, someone on the outside can help in ways friends and family no longer can. Your days have been overwhelming, tiring, and may be filled with worry and what ifs. Your relationship may feel unfulfilling. You may be struggling to have a child. Your anxiety is getting in the way. I want to hear your story, support you, and together, create a plan, strengthen your resilience, and develop techniques to cope & move forward. You don’t have to navigate this alone. Let me help you untangle your concerns and guide you to making real change to the life you’re living.
(718) 395-5794 View (718) 395-5794
Jason J Hutchings
Psychologist, PsyD
8 Endorsed
Rumson, NJ 07760
I am a depth psychologist practicing in Pennsylvania and remotely in 36 states via PsyPact. It may be that an external life event has left you feeling disoriented or, perhaps, you are confronted by an inner feeling of emptiness or agitation that is difficult to ignore. The common thread of suffering runs through all of our lives. Symptoms, and other manifestations of our psychological life, contain an important message. Deciphering the symbols of the psyche, via thoughts, feelings, memories, dreams and lived experience, allows us to lead a more balanced and meaningful life.
I am a depth psychologist practicing in Pennsylvania and remotely in 36 states via PsyPact. It may be that an external life event has left you feeling disoriented or, perhaps, you are confronted by an inner feeling of emptiness or agitation that is difficult to ignore. The common thread of suffering runs through all of our lives. Symptoms, and other manifestations of our psychological life, contain an important message. Deciphering the symbols of the psyche, via thoughts, feelings, memories, dreams and lived experience, allows us to lead a more balanced and meaningful life.
(484) 897-6086 View (484) 897-6086

See more therapy options for 07760

How does your Therapist compare?

Number of Therapists in 07760

100+

Average cost per session

$175

Therapists in 07760 who prioritize treating:

98% Anxiety
98% Social Anxiety
98% Health Anxiety
98% Driving Anxiety
87% Depression
78% Self Esteem
77% Relationship Issues

Average years in practice

14 Years

Top 3 insurances accepted

79% Aetna
70% Horizon Blue Cross and Blue Shield
57% BlueCross and BlueShield

How Therapists in 07760 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 07760?

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.