Therapists in Washington, DC

View neighborhoods in Washington
Photo of Abigail Amanda Plaisance, Clinical Social Work/Therapist in Washington, DC
Abigail Amanda Plaisance
Clinical Social Work/Therapist, LICSW
Verified Verified
Washington, DC 20036  (Online Only)
I work with young professionals to help them through difficult times, such as transitioning to a new place, new job, or new relationships. I assist my clients understand their emotions and thoughts and work to bring deeper understanding of their sense of self. By utilizing mindfulness interventions, along with cognitive behavioral therapy, I help my clients develop coping skills, boundaries, and techniques to help them feel grounded in the present time and reduce anxiety and negative thoughts.
I work with young professionals to help them through difficult times, such as transitioning to a new place, new job, or new relationships. I assist my clients understand their emotions and thoughts and work to bring deeper understanding of their sense of self. By utilizing mindfulness interventions, along with cognitive behavioral therapy, I help my clients develop coping skills, boundaries, and techniques to help them feel grounded in the present time and reduce anxiety and negative thoughts.
(202) 972-6960 View (202) 972-6960
Photo of Rachel Sassoon, Psychologist in Washington, DC
Rachel Sassoon
Psychologist, PsyD
Verified Verified
Washington, DC 20006
I believe that psychotherapy provides the opportunity to develop self-awareness, improve our relationships with others, and alleviate distress and suffering. Whether you are struggling with anxiety or depression, dealing with life’s transitions and challenges, or seeking to improve your overall well-being, I can help you develop the strategies and insight to do so. Together we will identify patterns of relating to yourself and others that are no longer working for you and figure out how to replace them with more fulfilling and satisfying ones.
I believe that psychotherapy provides the opportunity to develop self-awareness, improve our relationships with others, and alleviate distress and suffering. Whether you are struggling with anxiety or depression, dealing with life’s transitions and challenges, or seeking to improve your overall well-being, I can help you develop the strategies and insight to do so. Together we will identify patterns of relating to yourself and others that are no longer working for you and figure out how to replace them with more fulfilling and satisfying ones.
(202) 817-2274 View (202) 817-2274
Photo of Sarah Holland, Clinical Social Work/Therapist in Washington, DC
Sarah Holland
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
5 Endorsed
Washington, DC 20036  (Online Only)
I am currently accepting new clients for daytime, virtual sessions. I help young adults process the unique challenges of their age, tame their inner critic and self-doubt, and heal from trauma. Together we will get really curious about what makes you tick and how your current patterns and coping mechanisms came to be. We can work through trauma, relationship issues, anxiety, shame and guilt, decision making, emotional regulation, feeling lost or purposeless, and building tangible coping skills. I utilize principles of Internal Family Systems, psychodynamic, somatic, and mindfulness-based therapies in my work.
I am currently accepting new clients for daytime, virtual sessions. I help young adults process the unique challenges of their age, tame their inner critic and self-doubt, and heal from trauma. Together we will get really curious about what makes you tick and how your current patterns and coping mechanisms came to be. We can work through trauma, relationship issues, anxiety, shame and guilt, decision making, emotional regulation, feeling lost or purposeless, and building tangible coping skills. I utilize principles of Internal Family Systems, psychodynamic, somatic, and mindfulness-based therapies in my work.
(202) 890-1828 View (202) 890-1828
Photo of Ethan Mereish, Psychologist in Washington, DC
Ethan Mereish
Psychologist, PhD, MA
Verified Verified
4 Endorsed
Washington, DC 20036  (Online Only)
It's courageous and wonderful that you are interested in starting therapy. As a psychologist, my goal is to provide you with a compassionate and empowering therapeutic experience to help you improve your mental health, reach your goals, and achieve your potential. I see therapy as a place for you to gain insights about your personal patterns, process difficult experiences, overcome obstacles, and improve your relationships.
It's courageous and wonderful that you are interested in starting therapy. As a psychologist, my goal is to provide you with a compassionate and empowering therapeutic experience to help you improve your mental health, reach your goals, and achieve your potential. I see therapy as a place for you to gain insights about your personal patterns, process difficult experiences, overcome obstacles, and improve your relationships.
(202) 831-8978 View (202) 831-8978
Photo of Mindfulness Journey Inc, Clinical Social Work/Therapist in Washington, DC
Mindfulness Journey Inc
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
1 Endorsed
Washington, DC 20001  (Online Only)
Not accepting new clients
Please Email Me For Faster Response- Are your fears so intense that they are preventing you from living the quality of life that you want? Are the compulsions so strong that you feel you need to do certain physical and/or mental compulsions to feel better for the moment, only to have the fear come back just as intense? Do you have intrusive thoughts that are so disturbing that you are afraid to tell anyone for fear they won't understand? Do you have trauma in your past that is affecting you and preventing you from enjoying life? Is the trauma affecting your self-esteem., or your relationships? I can help
Please Email Me For Faster Response- Are your fears so intense that they are preventing you from living the quality of life that you want? Are the compulsions so strong that you feel you need to do certain physical and/or mental compulsions to feel better for the moment, only to have the fear come back just as intense? Do you have intrusive thoughts that are so disturbing that you are afraid to tell anyone for fear they won't understand? Do you have trauma in your past that is affecting you and preventing you from enjoying life? Is the trauma affecting your self-esteem., or your relationships? I can help
(202) 793-7073 View (202) 793-7073
Photo of Rayna Smith, Clinical Social Work/Therapist in Washington, DC
Rayna Smith
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Washington, DC 20007  (Online Only)
To book with me click on ‘my website’ or go to URL: joinuplift.co/provider/therapy/florida-terrance-e-kraus-lcsw-090823
To book with me click on ‘my website’ or go to URL: joinuplift.co/provider/therapy/florida-terrance-e-kraus-lcsw-090823
(888) 380-2028 x1 View (888) 380-2028 x1
Photo of Zephy's Social Work Services, Clinical Social Work/Therapist in Washington, DC
Zephy's Social Work Services
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Washington, DC 20005
Are you struggling with negative thoughts, losing interest in things? You are at a point where you have difficulties coping and getting back to your life. You may find yourself in a situation in which you experienced a personal loss such as a loved one, a job promotion, the stresses of being a family caregiver for a loved one. There's help to alleviate your situation.
Are you struggling with negative thoughts, losing interest in things? You are at a point where you have difficulties coping and getting back to your life. You may find yourself in a situation in which you experienced a personal loss such as a loved one, a job promotion, the stresses of being a family caregiver for a loved one. There's help to alleviate your situation.
(202) 793-8229 View (202) 793-8229
Photo of Rachel Bradley Williams, Clinical Social Work/Therapist in Washington, DC
Rachel Bradley Williams
Clinical Social Work/Therapist, LICSW, RPT-S
Verified Verified
3 Endorsed
Washington, DC 20008
Not accepting new clients
Upon entering each new developmental phase of our lives, there is often a momentary pause, an unsettling of the ship as we adjust to new demands, challenges and desires (and this is true no matter our age). Perhaps the Terrible Twos, Tween or Teen years have hit? Could it be that your child is struggling at school and you'd like to support him or her to feel better and have more success? Maybe you are an adult who is feeling overwhelmed by stress and the demands of life. These moments are great opportunities for growth and I believe I can help.
Upon entering each new developmental phase of our lives, there is often a momentary pause, an unsettling of the ship as we adjust to new demands, challenges and desires (and this is true no matter our age). Perhaps the Terrible Twos, Tween or Teen years have hit? Could it be that your child is struggling at school and you'd like to support him or her to feel better and have more success? Maybe you are an adult who is feeling overwhelmed by stress and the demands of life. These moments are great opportunities for growth and I believe I can help.
(202) 304-1134 View (202) 304-1134
Photo of Caitlin McNally Olsen, Marriage & Family Therapist in Washington, DC
Caitlin McNally Olsen
Marriage & Family Therapist, MS, LMFT
Verified Verified
Washington, DC 20015  (Online Only)
I work primarily with women who are struggling with identity crises and self-acceptance, depression and anxiety, self-trust and overwhelm. First, we have a history-taking and goal-setting session. We then use gentle self-care to establish a healthy mental wellness routine. Next, I guide you toward your goals. Our work together is complete, usually after 6-12 months, when you have met those goals and have a strong, accepting sense of who you are.
I work primarily with women who are struggling with identity crises and self-acceptance, depression and anxiety, self-trust and overwhelm. First, we have a history-taking and goal-setting session. We then use gentle self-care to establish a healthy mental wellness routine. Next, I guide you toward your goals. Our work together is complete, usually after 6-12 months, when you have met those goals and have a strong, accepting sense of who you are.
(702) 766-2685 View (702) 766-2685
Photo of Janine Donnelly, Clinical Social Work/Therapist in Washington, DC
Janine Donnelly
Clinical Social Work/Therapist, LICSW
Verified Verified
4 Endorsed
Washington, DC 20018
Not accepting new clients
Therapy is the process of rediscovering clarity, purpose, and joy. While starting therapy can seem daunting, I offer a warm, nonjudgmental space in which we'll explore your concerns together. I use compassion and humor to help you move through pain and worry, so that you can be more fully present in your life, relationships, and community. I will work hard with you to release unhealthy or frustrating ways of thinking or behaving that stand between you and the life you want. I strive to meet my clients with empathy and authenticity, backed up by over twenty years of experience and a commitment to research-based methods.
Therapy is the process of rediscovering clarity, purpose, and joy. While starting therapy can seem daunting, I offer a warm, nonjudgmental space in which we'll explore your concerns together. I use compassion and humor to help you move through pain and worry, so that you can be more fully present in your life, relationships, and community. I will work hard with you to release unhealthy or frustrating ways of thinking or behaving that stand between you and the life you want. I strive to meet my clients with empathy and authenticity, backed up by over twenty years of experience and a commitment to research-based methods.
(240) 232-2738 View (240) 232-2738
Photo of Blessing E. Dawson, Clinical Social Work/Therapist in Washington, DC
Blessing E. Dawson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Washington, DC 20024  (Online Only)
I provide therapy to millennial individuals and couples, equipping them with tools they can use to reach their personal and relational goals. I help millennials heal from difficulties related to life transitions, conflicts in their relationships, stress management, interpersonal trauma, and so much more. In our work together, we can take a deeper look into what you need to feel more satisfied in life and happier in your relationships.
I provide therapy to millennial individuals and couples, equipping them with tools they can use to reach their personal and relational goals. I help millennials heal from difficulties related to life transitions, conflicts in their relationships, stress management, interpersonal trauma, and so much more. In our work together, we can take a deeper look into what you need to feel more satisfied in life and happier in your relationships.
(202) 630-3165 View (202) 630-3165
Photo of Peggy L Miller, Clinical Social Work/Therapist in Washington, DC
Peggy L Miller
Clinical Social Work/Therapist, MEd, MSW, LICSW
Verified Verified
1 Endorsed
Washington, DC 20008
Not accepting new clients
Welcome to my therapy practice! I am a therapist with over 25 years of experience helping individuals and couples achieve a greater sense of well being and fulfillment in their lives. I believe my role as therapist is to provide a safe, supportive, non-judgmental, and confidential relationship in which we can work collaboratively to understand your current concerns and challenges,then identify and work toward goals and steps for achieving positive change. I am devoted to the individuals I work with and consider it a privilege to have an active role in their pursuit of a more gratifying life.
Welcome to my therapy practice! I am a therapist with over 25 years of experience helping individuals and couples achieve a greater sense of well being and fulfillment in their lives. I believe my role as therapist is to provide a safe, supportive, non-judgmental, and confidential relationship in which we can work collaboratively to understand your current concerns and challenges,then identify and work toward goals and steps for achieving positive change. I am devoted to the individuals I work with and consider it a privilege to have an active role in their pursuit of a more gratifying life.
(202) 831-9574 View (202) 831-9574
Photo of Sarah Nichols, Clinical Social Work/Therapist in Washington, DC
Sarah Nichols
Clinical Social Work/Therapist, MSW, LICSW, LCSW, LCSW-C, LISW-CP
Verified Verified
Washington, DC 20002  (Online Only)
Have you been in a “funk” lately with no idea how to get out? Are you sure there is more to life, but are unsure how to find it? Maybe these thoughts are originating from depression, anxiety, or grief and you’re feeling it is time to reach out for help. The good news is that I am here to help. Together we can develop a plan, address negative behaviors, and reduce unwanted thoughts from getting in the way of living your best life.
Have you been in a “funk” lately with no idea how to get out? Are you sure there is more to life, but are unsure how to find it? Maybe these thoughts are originating from depression, anxiety, or grief and you’re feeling it is time to reach out for help. The good news is that I am here to help. Together we can develop a plan, address negative behaviors, and reduce unwanted thoughts from getting in the way of living your best life.
(202) 519-8460 View (202) 519-8460
Photo of Lediya Dumessa, Psychologist in Washington, DC
Lediya Dumessa
Psychologist, PhD
Verified Verified
2 Endorsed
Washington, DC 20003
As a therapist, I integrate cognitive-behavioral and humanistic theories, which I find effective in building meaningful therapeutic relationships while simultaneously challenging and restructuring thoughts and modifying relevant behaviors. My personal and professional experiences living in different parts of the world have increased my sensitivity to the differences in how individuals from different cultural backgrounds experience mental health concerns and seek treatment. As such, I am passionate about making mental health resources accessible to a wide range of communities, and strive to provide culturally sensitive treatments.
As a therapist, I integrate cognitive-behavioral and humanistic theories, which I find effective in building meaningful therapeutic relationships while simultaneously challenging and restructuring thoughts and modifying relevant behaviors. My personal and professional experiences living in different parts of the world have increased my sensitivity to the differences in how individuals from different cultural backgrounds experience mental health concerns and seek treatment. As such, I am passionate about making mental health resources accessible to a wide range of communities, and strive to provide culturally sensitive treatments.
(319) 458-5094 View (319) 458-5094
Photo of Rhetya Kelly Thompson, Counselor in Washington, DC
Rhetya Kelly Thompson
Counselor, LGPC
Verified Verified
1 Endorsed
Washington, DC 20001
I specialize in therapy for children and teens facing behavioral and emotional challenges, as well as supporting their parents. If your child's intense emotions or behaviors are overwhelming, or if your teen is struggling with defiance, social challenges, or managing their feelings, know that you're not alone. My balanced approach focuses on helping your child or teen express and regulate their emotions positively, while equally empowering you as a parent with effective strategies for guidance and support. Together, we'll work towards building stronger family dynamics and individual emotional resilience.
I specialize in therapy for children and teens facing behavioral and emotional challenges, as well as supporting their parents. If your child's intense emotions or behaviors are overwhelming, or if your teen is struggling with defiance, social challenges, or managing their feelings, know that you're not alone. My balanced approach focuses on helping your child or teen express and regulate their emotions positively, while equally empowering you as a parent with effective strategies for guidance and support. Together, we'll work towards building stronger family dynamics and individual emotional resilience.
(833) 657-4006 View (833) 657-4006
Photo of Teresa Harris, Counselor in Washington, DC
Teresa Harris
Counselor, LPC, LMHC, MBA, CPT
Verified Verified
Washington, DC 20037  (Online Only)
Waitlist for new clients
My work begins with a very person-centered approach, recognizing my role as one to listen and empower a client as they create the life they want to live. I often incorporate techniques from solution-focused, narrative, cognitive behavioral, and dialectical behavioral approaches. After 10 years in the fitness/wellness industry, I’ve worked with those struggling with unhealthy relationships with food and their bodies. Working with these clients often utilizes elements of mindfulness and self-compassion toward a life of more self-love.
My work begins with a very person-centered approach, recognizing my role as one to listen and empower a client as they create the life they want to live. I often incorporate techniques from solution-focused, narrative, cognitive behavioral, and dialectical behavioral approaches. After 10 years in the fitness/wellness industry, I’ve worked with those struggling with unhealthy relationships with food and their bodies. Working with these clients often utilizes elements of mindfulness and self-compassion toward a life of more self-love.
(202) 769-0591 View (202) 769-0591
Photo of Faith2Evolve, LLC, Clinical Social Work/Therapist in Washington, DC
Faith2Evolve, LLC
Clinical Social Work/Therapist, MAEd, MSW, LICSW, LCAS, CCSOTS
Verified Verified
Washington, DC 20019  (Online Only)
I am a Licensed Clinical Social Worker (LCSW) in the state of North Carolina, and a Licensed Independent Clinical Social Worker (LICSW) in Washington, DC. I received my Bachelors in Family and Community Services, Masters in Adult Education from East Carolina University and a Masters of Social Work from North Carolina State University. I have worked in mental health and substance abuse field since 2005. I enjoy working with individuals including adults and adolescents.
I am a Licensed Clinical Social Worker (LCSW) in the state of North Carolina, and a Licensed Independent Clinical Social Worker (LICSW) in Washington, DC. I received my Bachelors in Family and Community Services, Masters in Adult Education from East Carolina University and a Masters of Social Work from North Carolina State University. I have worked in mental health and substance abuse field since 2005. I enjoy working with individuals including adults and adolescents.
(202) 318-6499 View (202) 318-6499
Photo of Rachel B Miller, Psychologist in Washington, DC
Rachel B Miller
Psychologist, PsyD, CGP
Verified Verified
Washington, DC 20036
Waitlist for new clients
Welcome to my practice! I am a licensed clinical psychologist practicing in Washington DC. I provide confidential individual, group and couples therapy to adult and adolescent clients. I have experience working with a diverse clientele and welcome individuals from all racial and ethnic backgrounds. In my practice, I work as a generalist and treat individuals and couples on a wide variety of presenting issues and concerns, including relationship concerns, depression, anxiety, life and role transitions, and grief/loss.
Welcome to my practice! I am a licensed clinical psychologist practicing in Washington DC. I provide confidential individual, group and couples therapy to adult and adolescent clients. I have experience working with a diverse clientele and welcome individuals from all racial and ethnic backgrounds. In my practice, I work as a generalist and treat individuals and couples on a wide variety of presenting issues and concerns, including relationship concerns, depression, anxiety, life and role transitions, and grief/loss.
(202) 759-3118 View (202) 759-3118
Photo of Emma Mattingly, Pre-Licensed Professional in Washington, DC
Emma Mattingly
Pre-Licensed Professional, LGPC
Verified Verified
Washington, DC 20006  (Online Only)
Not accepting new clients
My clinical focus includes helping teenage and adult clients explore, understand, identify and apply mental strategies to help manage anxiety, depression, ADHD, bipolar disorder and more. My expertise also includes grief related to life transitions, relationship challenges, overwhelm, depression, anxiety, trauma and stressors that accompany competition. I have developed exceptional skills for working with trauma, identity, school and career issues, grief and loss, as well as emotional and behavioral issues. I use CBT, person-centered, strength-based, culturally sensitive and solution-focused therapeutic frameworks.
My clinical focus includes helping teenage and adult clients explore, understand, identify and apply mental strategies to help manage anxiety, depression, ADHD, bipolar disorder and more. My expertise also includes grief related to life transitions, relationship challenges, overwhelm, depression, anxiety, trauma and stressors that accompany competition. I have developed exceptional skills for working with trauma, identity, school and career issues, grief and loss, as well as emotional and behavioral issues. I use CBT, person-centered, strength-based, culturally sensitive and solution-focused therapeutic frameworks.
(202) 946-2250 View (202) 946-2250
Photo of Eileen A Dombo, Clinical Social Work/Therapist in Washington, DC
Eileen A Dombo
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Washington, DC 20036
I believe each individual is the expert on his or her life and experiences. As a therapist, it is my goal to tap into that and add my own skills, insights and techniques that have helped many others. Working together, we can find solutions to the problems or situations causing stress. I find that, for most of my clients, therapy is a short-term need. You can then use your new skills in similar situations that arise in the future. My goal is to have you leave therapy with a range of tools that work for you.
I believe each individual is the expert on his or her life and experiences. As a therapist, it is my goal to tap into that and add my own skills, insights and techniques that have helped many others. Working together, we can find solutions to the problems or situations causing stress. I find that, for most of my clients, therapy is a short-term need. You can then use your new skills in similar situations that arise in the future. My goal is to have you leave therapy with a range of tools that work for you.
(202) 688-5204 View (202) 688-5204

How does your Therapist compare?

Number of Therapists in Washington, DC

2,000+

Average cost per session

$180

Therapists in Washington, DC who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
68% Trauma and PTSD
68% Stress
65% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

62% BlueCross and BlueShield
57% CareFirst
53% Cigna and Evernorth

How Therapists in Washington, DC see their clients

55% In Person and Online
45% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.