Therapists in 10590

Photo of Alison Stevelman, Clinical Social Work/Therapist, LCSW
Alison Stevelman
Clinical Social Work/Therapist, LCSW
South Salem, NY 10590
I am a Licensed Clinical Social Worker graduated in 1988 from Hunter School of Social Work. I'm licensed to practice in both NY and CT. I've worked in a number of large hospital institutions and started my private therapy practice in 2018. I am certified in Dialectical Behavior Therapy, specialize in Mood Disorders, Relationship Issues and Addiction Problems. I see Individuals, do Couples Counseling and Family Therapy. I provide emotional support, and gently provide guidance in a non-judgmental setting. Give me a call to schedule a brief free phone session. I know this is hard to do, but it's the right next step to take.
I am a Licensed Clinical Social Worker graduated in 1988 from Hunter School of Social Work. I'm licensed to practice in both NY and CT. I've worked in a number of large hospital institutions and started my private therapy practice in 2018. I am certified in Dialectical Behavior Therapy, specialize in Mood Disorders, Relationship Issues and Addiction Problems. I see Individuals, do Couples Counseling and Family Therapy. I provide emotional support, and gently provide guidance in a non-judgmental setting. Give me a call to schedule a brief free phone session. I know this is hard to do, but it's the right next step to take.
(914) 594-5182 View (914) 594-5182
Photo of Steven Schechter, Drug & Alcohol Counselor, LMSW, LADC, CASACII
Steven Schechter
Drug & Alcohol Counselor, LMSW, LADC, CASACII
South Salem, NY 10590
I have a Masters in Social Work and I'm a Licensed Addiction Counselor in Connecticut working with clients and their families for over 15 years. I specialize in adolescent crisis intervention and I am able to be straight forward and compassionate in order to build a therapeutic connection. I am a certified interventionist and provide treatment to the family and client prior to the intervention and throughout the entire process. I'm affiliated with many treatment centers and assist in the admission to the most appropriate treatment location. I founded a transport company and can safely escort teens and adults to and from treatment.
I have a Masters in Social Work and I'm a Licensed Addiction Counselor in Connecticut working with clients and their families for over 15 years. I specialize in adolescent crisis intervention and I am able to be straight forward and compassionate in order to build a therapeutic connection. I am a certified interventionist and provide treatment to the family and client prior to the intervention and throughout the entire process. I'm affiliated with many treatment centers and assist in the admission to the most appropriate treatment location. I founded a transport company and can safely escort teens and adults to and from treatment.
(646) 859-1348 View (646) 859-1348
Photo of Fred Turpin, Licensed Psychoanalyst, NCPsyA
Fred Turpin
Licensed Psychoanalyst, NCPsyA
South Salem, NY 10590
People who come to me are often in crisis. They need someone who can listen deeper than words to bring greater understanding, clarity, and perspective. Fear or depression block pathways toward effective change. I bring years of training and practice, personal sensitivity and deep intuition. My goal is to help you release your own potential, unblock energy, so that you have greater awareness and can actualize that new awareness. I've been trained in five different psychoanalytic approaches. I offer psychoanalysis in NYS. Call 203-894-9489 for initial phone consultation.
People who come to me are often in crisis. They need someone who can listen deeper than words to bring greater understanding, clarity, and perspective. Fear or depression block pathways toward effective change. I bring years of training and practice, personal sensitivity and deep intuition. My goal is to help you release your own potential, unblock energy, so that you have greater awareness and can actualize that new awareness. I've been trained in five different psychoanalytic approaches. I offer psychoanalysis in NYS. Call 203-894-9489 for initial phone consultation.
(914) 256-2520 View (914) 256-2520
Photo of Joy Spiegel, Clinical Social Work/Therapist, LCSW-R
Joy Spiegel
Clinical Social Work/Therapist, LCSW-R
South Salem, NY 10590
I am a Licensed Clinical Social Worker with more than 20 years of experience working with adolescents and adults. I received my master’s degree in social work from Columbia University, and my practice is guided by the belief that life experience—our struggles, transitions, and personal growth—plays a vital role in helping clients navigate their own challenges. I bring both clinical expertise and grounded, real-world understanding to the therapeutic relationship. I specialize in supporting clients through adverse life events, anxiety, depression, trauma, and family or relational stress.
I am a Licensed Clinical Social Worker with more than 20 years of experience working with adolescents and adults. I received my master’s degree in social work from Columbia University, and my practice is guided by the belief that life experience—our struggles, transitions, and personal growth—plays a vital role in helping clients navigate their own challenges. I bring both clinical expertise and grounded, real-world understanding to the therapeutic relationship. I specialize in supporting clients through adverse life events, anxiety, depression, trauma, and family or relational stress.
(914) 483-5985 View (914) 483-5985
Photo of Matthew J Kaplowitz, Psychologist, PhD
Matthew J Kaplowitz
Psychologist, PhD
South Salem, NY 10590
I specialize in an integrative approach to therapy, combining analytic insight with behavioral change. I work collaboratively with clients to help them deal more effectively with their emotions and with relationships, to solve problems, connect with strengths, and let go of whatever's interfering with personal and professional success. My approach is straightforward and personalized to your needs.
I specialize in an integrative approach to therapy, combining analytic insight with behavioral change. I work collaboratively with clients to help them deal more effectively with their emotions and with relationships, to solve problems, connect with strengths, and let go of whatever's interfering with personal and professional success. My approach is straightforward and personalized to your needs.
(212) 879-7312 View (212) 879-7312
Photo of Dr. Suzanne Davino - White Cedar CBT - Suzanne Davino, Ph.D., Psychologist, PhD
White Cedar CBT - Suzanne Davino, Ph.D.
Psychologist, PhD
1 Endorsed
South Salem, NY 10590
Hello and welcome! I'm a senior clinician (NY, CT and PSYPACT states) treating adults, young adults, teens, couples, and parents via evidence-based methods. I created DBT-based PHP programs at Four Winds Hospital and SAGE, a modular intensive DBT program for emerging adults and their parents, at CBC. I also trained other clinicians in DBT. Today, I use DBT to help people stick to their intentions and goals, rather than feeling controlled by their moods. I draw from DBT and CBT to help patients, parents, and couples improve relationships and face fears. I specialize in helping young adults "launch" and working with their parents.
Hello and welcome! I'm a senior clinician (NY, CT and PSYPACT states) treating adults, young adults, teens, couples, and parents via evidence-based methods. I created DBT-based PHP programs at Four Winds Hospital and SAGE, a modular intensive DBT program for emerging adults and their parents, at CBC. I also trained other clinicians in DBT. Today, I use DBT to help people stick to their intentions and goals, rather than feeling controlled by their moods. I draw from DBT and CBT to help patients, parents, and couples improve relationships and face fears. I specialize in helping young adults "launch" and working with their parents.
(475) 267-4579 View (475) 267-4579
Photo of Patrick Mcauliffe, Psychologist, MEd, PhD
Patrick Mcauliffe
Psychologist, MEd, PhD
Serves Area
I am a Columbia University trained licensed psychologist specializing in treating school age children and young adults. I am skilled in treating a wide range of difficulties that children may have including: anxiety, depression, stress-induced difficulties, problems with school and social adjustment as well as family-based difficulties. Part of my treatment approach is identifying individual strengths and capacities (rather than just vulnerabilities) to maximize an individual's ability to cope with challenging circumstances and strengthen and grow. I also have a strong interest in how cognition impacts young athletes.
I am a Columbia University trained licensed psychologist specializing in treating school age children and young adults. I am skilled in treating a wide range of difficulties that children may have including: anxiety, depression, stress-induced difficulties, problems with school and social adjustment as well as family-based difficulties. Part of my treatment approach is identifying individual strengths and capacities (rather than just vulnerabilities) to maximize an individual's ability to cope with challenging circumstances and strengthen and grow. I also have a strong interest in how cognition impacts young athletes.
(203) 403-2496 View (203) 403-2496
Photo of Paolo Morena - Paolo Morena, LLC, Licensed Professional Counselor, LPC
Paolo Morena, LLC
Licensed Professional Counselor, LPC
Serves Area
I have experience working with diverse populations, different economic, cultural, ethnic, spiritual, faith, racial & sexual identities, & those with chronic & severe mental illness. I utilize an eclectic therapeutic approach deriving from several theoretical models. I integrate evidence based methods & techniques to offer a highly personalized approach tailored to individual needs. I draw upon various aspects of Psychodynamic, Premarital Couples Family System & Cognitive-Behavioral Therapies. My approach to premarital couples therapy combines elements of many schools of thought as well, depending upon the needs of the couple.
I have experience working with diverse populations, different economic, cultural, ethnic, spiritual, faith, racial & sexual identities, & those with chronic & severe mental illness. I utilize an eclectic therapeutic approach deriving from several theoretical models. I integrate evidence based methods & techniques to offer a highly personalized approach tailored to individual needs. I draw upon various aspects of Psychodynamic, Premarital Couples Family System & Cognitive-Behavioral Therapies. My approach to premarital couples therapy combines elements of many schools of thought as well, depending upon the needs of the couple.
(203) 648-9414 View (203) 648-9414
Photo of Susan Kirshner, Clinical Social Work/Therapist, LCSW
Susan Kirshner
Clinical Social Work/Therapist, LCSW
Serves Area
I am a very warm, sensitive, and experienced therapist dealing with issues of mid and later life. As we approach mid and later life many changes can occur in our life which may be very difficult to cope with. I will help you to deal with these issues and move on becoming stronger, more confident, and content. Some of these life transitions include divorce, separation, illness, loss, care giving,retirement and family issues,all of which can cause anxiety and depression.
I am a very warm, sensitive, and experienced therapist dealing with issues of mid and later life. As we approach mid and later life many changes can occur in our life which may be very difficult to cope with. I will help you to deal with these issues and move on becoming stronger, more confident, and content. Some of these life transitions include divorce, separation, illness, loss, care giving,retirement and family issues,all of which can cause anxiety and depression.
(845) 723-2003 View (845) 723-2003
Photo of Andrea MacGilpin, Clinical Social Work/Therapist, LCSW
Andrea MacGilpin
Clinical Social Work/Therapist, LCSW
Serves Area
It takes courage to try something new and I am glad you are seeking that support. I engage each client in a compassionate and individualized manner. I believe in the power of connection and collaboration. As our relationship develops, we will create an environment that not only supports you, but also empowers you to reach your goals. Together, we can set the stage for a stronger sense of self, and be proactive in creating a more secure and self-aware path.
It takes courage to try something new and I am glad you are seeking that support. I engage each client in a compassionate and individualized manner. I believe in the power of connection and collaboration. As our relationship develops, we will create an environment that not only supports you, but also empowers you to reach your goals. Together, we can set the stage for a stronger sense of self, and be proactive in creating a more secure and self-aware path.
(203) 349-6706 View (203) 349-6706
Photo of Dr. Roseann Capanna-Hodge, Licensed Professional Counselor, EdD, LPC, BCN
Dr. Roseann Capanna-Hodge
Licensed Professional Counselor, EdD, LPC, BCN
Serves Area
Our center provides expert-level integrative care that goes beyond the surface of the issue. We support children, adolescents, teens, adults and families with a variety of mental health issues: ADHD, anxiety, social anxiety, OCD, depression, concussion, learning disability, dyslexia, Autism, Lyme Disease, PANS/PANDAS with non-medication therapies. We provide holistic, research-based treatments such as neurofeedback, biofeedback, PEMF, counseling, somatic therapy, Exposure and Response Prevention (ERP) for OCD, and parent coaching. PODCAST: www.drroseann.com/podcast FREE Community: www.drroseann.com/community
Our center provides expert-level integrative care that goes beyond the surface of the issue. We support children, adolescents, teens, adults and families with a variety of mental health issues: ADHD, anxiety, social anxiety, OCD, depression, concussion, learning disability, dyslexia, Autism, Lyme Disease, PANS/PANDAS with non-medication therapies. We provide holistic, research-based treatments such as neurofeedback, biofeedback, PEMF, counseling, somatic therapy, Exposure and Response Prevention (ERP) for OCD, and parent coaching. PODCAST: www.drroseann.com/podcast FREE Community: www.drroseann.com/community
(203) 295-7813 View (203) 295-7813
Photo of Julie Peter, Clinical Social Work/Therapist, LMSW
Julie Peter
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
Welcome, so glad you're here! Life can get complicated, confusing, and even overwhelming at times. I can deeply relate to this, and strongly believe in the insight and freedom that therapy brings. I’m passionate about holding space for my clients’ life stories and would be honored to go on this journey with you. The most important aspect of therapy is building a trusting, restorative, and open relationship, and you’ll find my approach to be genuine, warm, and non-judgmental.
Welcome, so glad you're here! Life can get complicated, confusing, and even overwhelming at times. I can deeply relate to this, and strongly believe in the insight and freedom that therapy brings. I’m passionate about holding space for my clients’ life stories and would be honored to go on this journey with you. The most important aspect of therapy is building a trusting, restorative, and open relationship, and you’ll find my approach to be genuine, warm, and non-judgmental.
(914) 533-1054 View (914) 533-1054
Photo of Dr. Deb Courtney, Clinical Social Work/Therapist, PhD, LCSW, MA
Dr. Deb Courtney
Clinical Social Work/Therapist, PhD, LCSW, MA
4 Endorsed
Serves Area
Whatever life is bringing your way currently, whether a childhood wound resurfacing, a challenging life situation, meeting a new part of your identity, or mental health symptoms, you don’t have to navigate it alone.
Whatever life is bringing your way currently, whether a childhood wound resurfacing, a challenging life situation, meeting a new part of your identity, or mental health symptoms, you don’t have to navigate it alone.
(914) 647-4627 View (914) 647-4627
Photo of Sandra Tica, Clinical Social Work/Therapist, MSW, LCSW R
Sandra Tica
Clinical Social Work/Therapist, MSW, LCSW R
1 Endorsed
Serves Area
When you feel safe and supported in the therapeutic environment, the partnership you develop with a therapist can bring about gains that will change the trajectory of your life in significant and deeply rewarding ways.
When you feel safe and supported in the therapeutic environment, the partnership you develop with a therapist can bring about gains that will change the trajectory of your life in significant and deeply rewarding ways.
(914) 350-4694 View (914) 350-4694
Photo of Erika Daniels, Licensed Professional Counselor, LPC, LMHC, NCC
Erika Daniels
Licensed Professional Counselor, LPC, LMHC, NCC
4 Endorsed
Serves Area
Now accepting new clients! In network with insurance. I have experience working with professionals, executives and older adults struggling with depression, anxiety, emotional sensitivity, burnout, substance use, work stress, relationship issues, life transitions and retirement. I use an eclectic style that incorporates modalities such as Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Solution Focused Brief Therapy (SFBT) and more. I do this all from a client-centered counseling perspective and I can teach you coping skills to manage your stress more effectively.
Now accepting new clients! In network with insurance. I have experience working with professionals, executives and older adults struggling with depression, anxiety, emotional sensitivity, burnout, substance use, work stress, relationship issues, life transitions and retirement. I use an eclectic style that incorporates modalities such as Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Solution Focused Brief Therapy (SFBT) and more. I do this all from a client-centered counseling perspective and I can teach you coping skills to manage your stress more effectively.
(203) 587-8481 View (203) 587-8481
Photo of Judith A. Shapiro, Marriage & Family Therapist, MA, LMFT
Judith A. Shapiro
Marriage & Family Therapist, MA, LMFT
Serves Area
As a licensed marriage and family therapist with more than 25 years of experience I work closely with my clients to help them better manage life's stressors, explore and understand the origins of their behavior and develop the best methods of coping with and reducing the symptoms of relationship difficulties, depression, anxiety, loss, and family dysfunction. I tailor my methods to each individual's needs and will work with you to develop the skills needed to reverse the destructive thoughts and habits that are holding you back.
As a licensed marriage and family therapist with more than 25 years of experience I work closely with my clients to help them better manage life's stressors, explore and understand the origins of their behavior and develop the best methods of coping with and reducing the symptoms of relationship difficulties, depression, anxiety, loss, and family dysfunction. I tailor my methods to each individual's needs and will work with you to develop the skills needed to reverse the destructive thoughts and habits that are holding you back.
(203) 212-9381 View (203) 212-9381
Photo of Kathleen S Friedman, Clinical Social Work/Therapist, LCSW, CSC
Kathleen S Friedman
Clinical Social Work/Therapist, LCSW, CSC
Online Only
As a psychotherapist for the past 40 years, my experience is broad and varied. My practice is open to adults of all ages, as well as couples and families. My approach is varied depending on client needs. I use both Interpersonal/Relational Psychotherapy and ACT, or Acceptance and Commitment Therapy, a skills-based approach. By focusing on both life processes and skills development, clients are able to experience changes in behavior and thinking, and emotional relief.
As a psychotherapist for the past 40 years, my experience is broad and varied. My practice is open to adults of all ages, as well as couples and families. My approach is varied depending on client needs. I use both Interpersonal/Relational Psychotherapy and ACT, or Acceptance and Commitment Therapy, a skills-based approach. By focusing on both life processes and skills development, clients are able to experience changes in behavior and thinking, and emotional relief.
(914) 350-5501 View (914) 350-5501
Photo of Keicia Noelle Hare, Counselor, LMHC, MS, MSEd
Keicia Noelle Hare
Counselor, LMHC, MS, MSEd
1 Endorsed
Online Only
I am a Holistic Psychotherapist and Trauma Therapist. I guide my clients to wellness through strength based, client-centered, solution-focused therapy. My unique brand of counseling uses an eclectic mix of theories depending on what each client needs. I create a personalized therapeutic experience for each client based on their personality, issues and goals. I work tirelessly to support my clients on their journey to mental and emotional health.
I am a Holistic Psychotherapist and Trauma Therapist. I guide my clients to wellness through strength based, client-centered, solution-focused therapy. My unique brand of counseling uses an eclectic mix of theories depending on what each client needs. I create a personalized therapeutic experience for each client based on their personality, issues and goals. I work tirelessly to support my clients on their journey to mental and emotional health.
(917) 746-5141 View (917) 746-5141
Photo of Betty L Gannon, Clinical Social Work/Therapist, LCSW
Betty L Gannon
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
I’m glad you’re here—reaching out is a brave step, and you don’t have to do this alone. I use a variety of methods to help you build skills, find solutions, and recognize your strengths (even if you don’t see them yet). I work with adults 18 and older, focusing on depression, bipolar disorder, anxiety, adjustment disorder, and borderline personality disorder. Therapy with me is about creating real change and balancing encouragement with honesty. I offer practical tools, self-compassion, and humor, and I can incorporate spirituality if it aligns with your values.
I’m glad you’re here—reaching out is a brave step, and you don’t have to do this alone. I use a variety of methods to help you build skills, find solutions, and recognize your strengths (even if you don’t see them yet). I work with adults 18 and older, focusing on depression, bipolar disorder, anxiety, adjustment disorder, and borderline personality disorder. Therapy with me is about creating real change and balancing encouragement with honesty. I offer practical tools, self-compassion, and humor, and I can incorporate spirituality if it aligns with your values.
(914) 768-1175 View (914) 768-1175
Photo of Lindsay Mulaj, Clinical Social Work/Therapist, LCSW
Lindsay Mulaj
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Do you feel stuck? Does it feel like you know where you want to be, how you want to feel, and what you want to achieve, but are struggling to get there? In my practice, I help my patients identify roadblocks and unhealthy, maladaptive cycles in their thinking and behaviors. Utilizing principles of CBT and Motivational Interviewing, I support my patients with developing new, heathy, goal-oriented ways of thinking and doing. My practice focus is with patients seeking support with relationships, marriage and dating, parenthood, self-esteem, self-advocacy, anxiety and depression.
Do you feel stuck? Does it feel like you know where you want to be, how you want to feel, and what you want to achieve, but are struggling to get there? In my practice, I help my patients identify roadblocks and unhealthy, maladaptive cycles in their thinking and behaviors. Utilizing principles of CBT and Motivational Interviewing, I support my patients with developing new, heathy, goal-oriented ways of thinking and doing. My practice focus is with patients seeking support with relationships, marriage and dating, parenthood, self-esteem, self-advocacy, anxiety and depression.
(914) 758-1848 View (914) 758-1848

See more therapy options for 10590

How does your Therapist compare?

Number of Therapists in 10590

20+

Average cost per session

$200

Therapists in 10590 who prioritize treating:

90% Depression
86% Anxiety
71% Self Esteem
67% Relationship Issues
67% Trauma and PTSD
67% Family Conflict
62% Parenting

Average years in practice

20 Years

Top 3 insurances accepted

90% Aetna
70% Cigna and Evernorth
60% Oxford

How Therapists in 10590 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 10590?

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.