Therapists in 13484

Photo of Thane Green, Marriage & Family Therapist, LMFT
Thane Green
Marriage & Family Therapist, LMFT
8 Endorsed
Serves Area
I’m a Child and Family Therapist who supports children of all ages and their families in building connection, resilience, and emotional awareness. I help children recognize what’s happening inside, understand their triggers, and use new, effective coping tools during stressful moments. I also work closely with parents through joint and family sessions to strengthen support at home and develop strategies that promote growth and healing for the whole family.
I’m a Child and Family Therapist who supports children of all ages and their families in building connection, resilience, and emotional awareness. I help children recognize what’s happening inside, understand their triggers, and use new, effective coping tools during stressful moments. I also work closely with parents through joint and family sessions to strengthen support at home and develop strategies that promote growth and healing for the whole family.
(315) 537-3935 View (315) 537-3935

More Therapists Nearby

Photo of Anthony Rotolo, PhD
Anthony Rotolo
Verified Verified
New Hartford, NY 13413
If you’re reading this, you’ve probably put a lot of thought and effort into feeling better already. You’ve read articles, watched videos, tried apps, and maybe even done counseling before. Now you’re ready for more than the same old suggestions—an advanced approach that helps you get unstuck and finally more forward.
If you’re reading this, you’ve probably put a lot of thought and effort into feeling better already. You’ve read articles, watched videos, tried apps, and maybe even done counseling before. Now you’re ready for more than the same old suggestions—an advanced approach that helps you get unstuck and finally more forward.
(315) 810-9724 View (315) 810-9724
Photo of Allison Haskell, Pre-Licensed Professional, MS, CASAC, MHC-LP
Allison Haskell
Pre-Licensed Professional, MS, CASAC, MHC-LP
1 Endorsed
Fayetteville, NY 13066
Hi! I am currently accepting new clients. Whether you are new to counseling or have previously engaged in counseling services in the past, I would love to help you navigate life’s stressors and any areas you’d like to explore. I’ve had the privilege of working with people of all ages- children, teens, young adults, and adults- as well as with couples, families and groups in private practice and community clinic settings. I use a person-centered, eclectic approach grounded in evidence-based practices, integrating techniques from CBT, DBT, motivational interviewing and solution focused therapies.
Hi! I am currently accepting new clients. Whether you are new to counseling or have previously engaged in counseling services in the past, I would love to help you navigate life’s stressors and any areas you’d like to explore. I’ve had the privilege of working with people of all ages- children, teens, young adults, and adults- as well as with couples, families and groups in private practice and community clinic settings. I use a person-centered, eclectic approach grounded in evidence-based practices, integrating techniques from CBT, DBT, motivational interviewing and solution focused therapies.
(680) 225-5289 View (680) 225-5289
Photo of Dr. Kate Rhyner, Psychologist, PhD, ABPP-CN
Dr. Kate Rhyner
Psychologist, PhD, ABPP-CN
1 Endorsed
Serves Area
I am a Board Certified Clinical Neuropsychologist and owner of Flower City Psychology PLLC. I served as an outpatient neuropsychologist for the Rochester/Canandaigua VA for the past 7 years working with Veterans with complex medical and mental health conditions prior to starting my private practice. I am board certified in clinical neuropsychology by ABPP and am a member of several local and national neuropsychological associations. I provide comprehensive neuropsychological and psychological assessments for a wide range of adult conditions in person in Rochester, NY and through telehealth across New York State.
I am a Board Certified Clinical Neuropsychologist and owner of Flower City Psychology PLLC. I served as an outpatient neuropsychologist for the Rochester/Canandaigua VA for the past 7 years working with Veterans with complex medical and mental health conditions prior to starting my private practice. I am board certified in clinical neuropsychology by ABPP and am a member of several local and national neuropsychological associations. I provide comprehensive neuropsychological and psychological assessments for a wide range of adult conditions in person in Rochester, NY and through telehealth across New York State.
(585) 639-3543 View (585) 639-3543
Photo of Jahleh Mohammadi - Sanctuary Mental Health Counseling Services, PLLC, Counselor, LMHC, RPT, CCPT
Sanctuary Mental Health Counseling Services, PLLC
Counselor, LMHC, RPT, CCPT
3 Endorsed
Syracuse, NY 13206
At Sanctuary, all of our clinicians work with people of all ages. We believe that all people have infinite worth, so before working with us, know that is our view of you and/or your child already. Our clinicians have been classically trained in many of the greats (IFS, EMDR, DBT, play therapy, etc.). The director has additional training in death and dying. With that being said, "Out of all of my credentials as a therapist, my most significant is that I'm a card carrying member of the human race" (Lori Gottlieb). Initially, our aims are to get to know you or your child from a strengths perspective and building a positive rapport.
At Sanctuary, all of our clinicians work with people of all ages. We believe that all people have infinite worth, so before working with us, know that is our view of you and/or your child already. Our clinicians have been classically trained in many of the greats (IFS, EMDR, DBT, play therapy, etc.). The director has additional training in death and dying. With that being said, "Out of all of my credentials as a therapist, my most significant is that I'm a card carrying member of the human race" (Lori Gottlieb). Initially, our aims are to get to know you or your child from a strengths perspective and building a positive rapport.
(315) 277-6703 View (315) 277-6703
Photo of Kimberlee Vargas, Clinical Social Work/Therapist, LCSW
Kimberlee Vargas
Clinical Social Work/Therapist, LCSW
Serves Area
Congratulations! Today you have taken a first step toward creating more joy and fulfillment in your life. We believe every person has the power to create positive change. Whether you want to address a particular problem in your life, navigate a new transition, recover from a recent or past trauma, let go of a negative behavior pattern, or wish to resolve uncomfortable feelings or emotions, psychotherapy can help. Using an integrative approach, mixed with compassion, honesty, humor, and guidance, we can produce solutions to move life forward by instilling hope and promoting change. We provide a non-judgmental, caring environment.
Congratulations! Today you have taken a first step toward creating more joy and fulfillment in your life. We believe every person has the power to create positive change. Whether you want to address a particular problem in your life, navigate a new transition, recover from a recent or past trauma, let go of a negative behavior pattern, or wish to resolve uncomfortable feelings or emotions, psychotherapy can help. Using an integrative approach, mixed with compassion, honesty, humor, and guidance, we can produce solutions to move life forward by instilling hope and promoting change. We provide a non-judgmental, caring environment.
(315) 636-4778 View (315) 636-4778
Photo of Adekola Alao - Mental Health TMS , MD
We offer non-invasive Trans-Cranial Magnetic Stimulation (TMS), a state of the art treatment for depression, anxiety and OCD. We will work with your insurance company to get you authorized. You only need to focus on your restoration. At Upstate Professional Center (UPC), we proudly support a rich collection of counselors and healers that includes psychiatrists, nurse practitioner, social workers, therapists, acupuncturist, physiologist, and massage therapist.
We offer non-invasive Trans-Cranial Magnetic Stimulation (TMS), a state of the art treatment for depression, anxiety and OCD. We will work with your insurance company to get you authorized. You only need to focus on your restoration. At Upstate Professional Center (UPC), we proudly support a rich collection of counselors and healers that includes psychiatrists, nurse practitioner, social workers, therapists, acupuncturist, physiologist, and massage therapist.
(315) 544-3620 View (315) 544-3620
Photo of Jessica Dolbear Haase, Marriage & Family Therapist, LMFT, MEd
Jessica Dolbear Haase
Marriage & Family Therapist, LMFT, MEd
Manlius, NY 13104
My expertise is building genuine and therapeutic relationships my clients. I use humor, genuine care, and a good dose of humility to create an environment where my clients know I am in their corner without judgment. My approach to therapy balances: 1) Creating a safe and supportive environment where clients feel heard and understood through patience, empathy, and age-appropriate therapeutic techniques 2) practical symptom relief strategies Recognizing the importance of family involvement, I work closely with parents and caregivers to foster strong, healthy relationships.
My expertise is building genuine and therapeutic relationships my clients. I use humor, genuine care, and a good dose of humility to create an environment where my clients know I am in their corner without judgment. My approach to therapy balances: 1) Creating a safe and supportive environment where clients feel heard and understood through patience, empathy, and age-appropriate therapeutic techniques 2) practical symptom relief strategies Recognizing the importance of family involvement, I work closely with parents and caregivers to foster strong, healthy relationships.
(315) 929-2414 View (315) 929-2414
Photo of Rakell Mason-Lee, Clinical Social Work/Therapist, LCSW
Rakell Mason-Lee
Clinical Social Work/Therapist, LCSW
Serves Area
My ideal client is open to embarking on a new journey, beginning new relationships, learning from others and educating oneself while gaining insight and skills. I want to help someone to find their best self and a meaningful form of contentment while doing so. I work with various individuals, ages 5+, who may need support, have troubles, a Mental Health Issue, Emotional Disturbance, Learning Disability or Developmental Delay. I treat couples and families as well and find comfort when they learn new skills to assist them in actively hearing and responding to each other again, leading to more talk and less maladaptive behaviors.
My ideal client is open to embarking on a new journey, beginning new relationships, learning from others and educating oneself while gaining insight and skills. I want to help someone to find their best self and a meaningful form of contentment while doing so. I work with various individuals, ages 5+, who may need support, have troubles, a Mental Health Issue, Emotional Disturbance, Learning Disability or Developmental Delay. I treat couples and families as well and find comfort when they learn new skills to assist them in actively hearing and responding to each other again, leading to more talk and less maladaptive behaviors.
(518) 809-8515 View (518) 809-8515
Photo of Joy Strickland, Licensed Mental Health Counselor, LMHC
Joy Strickland
Licensed Mental Health Counselor, LMHC
Fayetteville, NY 13066
If you’re feeling overwhelmed, drained, or stuck in patterns you can’t seem to change, you’re not alone. You may be carrying old hurts that still shape your reactions, or trying so hard to keep up that your own needs barely make the list. Maybe life looks “fine” from the outside, but inside you feel anxious, disconnected, or unsure how to make things feel better. You might be hoping for a therapist who feels real, grounded, and easy to talk to — someone you can trust without needing to explain or defend your feelings. If you want steadier emotions, clearer boundaries, and more honest communication, you’re in the right place.
If you’re feeling overwhelmed, drained, or stuck in patterns you can’t seem to change, you’re not alone. You may be carrying old hurts that still shape your reactions, or trying so hard to keep up that your own needs barely make the list. Maybe life looks “fine” from the outside, but inside you feel anxious, disconnected, or unsure how to make things feel better. You might be hoping for a therapist who feels real, grounded, and easy to talk to — someone you can trust without needing to explain or defend your feelings. If you want steadier emotions, clearer boundaries, and more honest communication, you’re in the right place.
(518) 800-2880 View (518) 800-2880
Photo of Britton A. Tarris, Marriage & Family Therapist, LCSW, LMFT
Britton A. Tarris
Marriage & Family Therapist, LCSW, LMFT
1 Endorsed
New Hartford, NY 13413
Welcome! Thank you for checking out my page. I hope you will find this information helpful in your search for a potential therapist to meet your needs. I am licensed by the state of New York as a Clinical Social Worker (LCSW) and a Marriage and Family Therapist (LMFT). I completed my graduate education and clinical training in 2018 at Syracuse University. I also hold a B.S. in Business Management from Utica University (formerly known as Utica College). I practice from the theoretical model of family systems that focuses on the client’s experience within the context of their relationships.
Welcome! Thank you for checking out my page. I hope you will find this information helpful in your search for a potential therapist to meet your needs. I am licensed by the state of New York as a Clinical Social Worker (LCSW) and a Marriage and Family Therapist (LMFT). I completed my graduate education and clinical training in 2018 at Syracuse University. I also hold a B.S. in Business Management from Utica University (formerly known as Utica College). I practice from the theoretical model of family systems that focuses on the client’s experience within the context of their relationships.
(315) 306-3481 View (315) 306-3481
Photo of Katavia DeLong, Counselor, LMHC
Katavia DeLong
Counselor, LMHC
Serves Area
How many times have you sat to research therapists in your area? Perhaps extensively pouring through biographies and specialties only for the next day to decide “I can manage” or “things are a little better today”? Does this seem to be the point in your therapy journey you’ve found yourself in? Maybe several times? Let’s meet where you’re at.
How many times have you sat to research therapists in your area? Perhaps extensively pouring through biographies and specialties only for the next day to decide “I can manage” or “things are a little better today”? Does this seem to be the point in your therapy journey you’ve found yourself in? Maybe several times? Let’s meet where you’re at.
(607) 208-7734 View (607) 208-7734
Photo of Paige Stone - Next Chapter Mental Health Counseling, PLLC, Counselor, LMHC-D
Next Chapter Mental Health Counseling, PLLC
Counselor, LMHC-D
4 Endorsed
Oriskany Falls, NY 13425
Life transitions can be challenging. Together we will navigate your life's challenges and find a path to healing and growth. Our goal is to create a safe and supportive space where you can explore your thoughts and feelings, develop coping skills, and ultimately, thrive. Whether you’re facing a significant life change or seeking support for emotional well-being, we're here to be a sounding board as you go through your life experiences.
Life transitions can be challenging. Together we will navigate your life's challenges and find a path to healing and growth. Our goal is to create a safe and supportive space where you can explore your thoughts and feelings, develop coping skills, and ultimately, thrive. Whether you’re facing a significant life change or seeking support for emotional well-being, we're here to be a sounding board as you go through your life experiences.
(607) 325-8537 View (607) 325-8537
Photo of Lily Anderson, Pre-Licensed Professional
Lily Anderson
Pre-Licensed Professional
3 Endorsed
Serves Area
Currently accepting new in-person and virtual appointments, and limited availability in evenings. I collaborate with my clients to explore underlying feelings that affect day-to-day life, helping them discover their interests and passions. Having worked with children for over a decade, I have a unique perspective and experience with kids and adults. I am passionate about exploring the relationship dynamics between children, parents, and siblings of all ages. From childhood, through the challenges of changing bonds as children and parents grow up, these roles may evolve and with this can come uncertainty, confusion, and questions.
Currently accepting new in-person and virtual appointments, and limited availability in evenings. I collaborate with my clients to explore underlying feelings that affect day-to-day life, helping them discover their interests and passions. Having worked with children for over a decade, I have a unique perspective and experience with kids and adults. I am passionate about exploring the relationship dynamics between children, parents, and siblings of all ages. From childhood, through the challenges of changing bonds as children and parents grow up, these roles may evolve and with this can come uncertainty, confusion, and questions.
(347) 983-1871 View (347) 983-1871
Photo of Joe Tristan, Clinical Social Work/Therapist, LCSW
Joe Tristan
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
I believe one of the bravest things you can do is begin to understand your own story. It is often hard for us to accept help due to society’s belief that we should “handle it” on our own. These unhelpful thinking patterns impact how we interact in our relationships, as well as how we process things as they are happening. I strive to work with clients through the hard times while making the process as enjoyable as possible. We can get caught in bad relationships, trauma cycles, grudges, and anger.
I believe one of the bravest things you can do is begin to understand your own story. It is often hard for us to accept help due to society’s belief that we should “handle it” on our own. These unhelpful thinking patterns impact how we interact in our relationships, as well as how we process things as they are happening. I strive to work with clients through the hard times while making the process as enjoyable as possible. We can get caught in bad relationships, trauma cycles, grudges, and anger.
(607) 275-4488 View (607) 275-4488
Photo of Valerie Lighthall, Clinical Social Work/Therapist, LCSW-R
Valerie Lighthall
Clinical Social Work/Therapist, LCSW-R
Clinton, NY 13323
You’re here because something in your life is asking for attention—grief that hasn’t eased, trauma that still echoes, a relationship that feels strained, or a transition that’s left you feeling unsteady. I work with adults and couples who want a thoughtful, grounded space to understand what’s happening beneath the surface and move toward meaningful, lasting change. My clients tend to be people who value privacy, flexibility, and a personalized approach to therapy. They’re often navigating trauma, loss, career shifts, relationship challenges, or major life transitions.
You’re here because something in your life is asking for attention—grief that hasn’t eased, trauma that still echoes, a relationship that feels strained, or a transition that’s left you feeling unsteady. I work with adults and couples who want a thoughtful, grounded space to understand what’s happening beneath the surface and move toward meaningful, lasting change. My clients tend to be people who value privacy, flexibility, and a personalized approach to therapy. They’re often navigating trauma, loss, career shifts, relationship challenges, or major life transitions.
(315) 515-4445 View (315) 515-4445
Photo of Jeffrey Aulisi, Clinical Social Work/Therapist, LCSW
Jeffrey Aulisi
Clinical Social Work/Therapist, LCSW
Utica, NY 13502
I believe that everyone has the strength within themselves to overcome obstacles in their lives, but sometimes need a safe place and an outside view to help them through this process. Everybody could use support as they handle life, and therefore I believe everybody deserves a space where they can feel comfortable to explore their emotions and express themselves. Through strength-based models and solution focused techniques I work to help people increase their self-awareness of the situations they are dealing with, and find what is in their control to improve themselves.
I believe that everyone has the strength within themselves to overcome obstacles in their lives, but sometimes need a safe place and an outside view to help them through this process. Everybody could use support as they handle life, and therefore I believe everybody deserves a space where they can feel comfortable to explore their emotions and express themselves. Through strength-based models and solution focused techniques I work to help people increase their self-awareness of the situations they are dealing with, and find what is in their control to improve themselves.
(315) 897-5375 View (315) 897-5375
Photo of Katherine C. Mackey - Katherine C. Mackey, Ph.D., Psychologist, PhD
Katherine C. Mackey, Ph.D.
Psychologist, PhD
2 Endorsed
East Syracuse, NY 13057
Hello, I'm a licensed Psychologist and have been practicing for over 20 years. I tailor supportive therapy to each person emphasizing insight, understanding, as well as, changing thinking and modifying behavior for life improvement. I work with adults who are managing: stress, life changes, anger, grief, anxiety, worry, panic, depression, trauma, crisis events, relationship issues, or making life decisions. I use a mix of Telehealth and in- person sessions (most are in- person) with established clients. I am very happy to talk with you to see how I can be of help.
Hello, I'm a licensed Psychologist and have been practicing for over 20 years. I tailor supportive therapy to each person emphasizing insight, understanding, as well as, changing thinking and modifying behavior for life improvement. I work with adults who are managing: stress, life changes, anger, grief, anxiety, worry, panic, depression, trauma, crisis events, relationship issues, or making life decisions. I use a mix of Telehealth and in- person sessions (most are in- person) with established clients. I am very happy to talk with you to see how I can be of help.
(315) 314-4018 View (315) 314-4018
Photo of Thomas B Bolton - Mind Matters Regional Neurofeedback Centers, MS, BCN, QEEG D
Mind Matters Regional Neurofeedback Centers
Verified Verified
1 Endorsed
Manlius, NY 13104
Whether you’re just beginning to explore mental health options or you’ve been searching for effective solutions for a while, neurofeedback could be the breakthrough you need. Our innovative, non-invasive, and safe for all ages approach begins with a brain scan, ensuring our program is customized to meet your unique symptom and/or diagnostic needs. Supported by extensive research across a broad range of diagnostic areas, our neurofeedback program provides a unique opportunity to directly engage with your brain's activity, promoting natural and sustainable changes without the use of medication.
Whether you’re just beginning to explore mental health options or you’ve been searching for effective solutions for a while, neurofeedback could be the breakthrough you need. Our innovative, non-invasive, and safe for all ages approach begins with a brain scan, ensuring our program is customized to meet your unique symptom and/or diagnostic needs. Supported by extensive research across a broad range of diagnostic areas, our neurofeedback program provides a unique opportunity to directly engage with your brain's activity, promoting natural and sustainable changes without the use of medication.
(315) 915-5937 View (315) 915-5937
Photo of Katherine S. Hyatt - Branches of Growth Mental Health Counseling, PLLC, Counselor, LMHC, NCC, RYT
Branches of Growth Mental Health Counseling, PLLC
Counselor, LMHC, NCC, RYT
2 Endorsed
East Syracuse, NY 13057
This profile is for a group practice. Relationships can be one of the biggest blessings and also one of the biggest stresses in your life. It's amazing how quickly life can get in the way of our relationships and cause chaos in our lives. We have obligations, responsibilities and demands that we have to keep up with, while putting in work to create a successful relationship. It can be exhausting at times and things can fall apart quickly. Therapy can be helpful for not just the couple or family, but the individual.
This profile is for a group practice. Relationships can be one of the biggest blessings and also one of the biggest stresses in your life. It's amazing how quickly life can get in the way of our relationships and cause chaos in our lives. We have obligations, responsibilities and demands that we have to keep up with, while putting in work to create a successful relationship. It can be exhausting at times and things can fall apart quickly. Therapy can be helpful for not just the couple or family, but the individual.
(315) 415-0308 View (315) 415-0308

How does your Therapist compare?

Number of Therapists in 13484

< 10

Therapists in 13484 who prioritize treating:

100% Child
100% Relationship Issues
100% ADHD
100% Anxiety
100% Life Coaching
100% Parenting
100% Adoption

Gender breakdown

100% Male

How Therapists in 13484 see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in 13484?

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.