Photo of Debi Daniel, MA
Debi Daniel
Resident in Marriage and Family Therapy, MA
Verified Verified
Life can be hard! Therapy can be equally hard! Hopefully, the right therapist-client relationship and desire to try will facilitate an easier process. I’ve always aspired to help individuals and families resolve their conflicts, and becoming a therapist felt like a natural calling. I’ve worked with many diverse groups of people in various settings such as schools, work, and within the community. I have experience working with clients both in a private practice and in a community mental health setting. I also bring a multicultural perspective from my African upbringing, and love working with members of multicultural communities.
Life can be hard! Therapy can be equally hard! Hopefully, the right therapist-client relationship and desire to try will facilitate an easier process. I’ve always aspired to help individuals and families resolve their conflicts, and becoming a therapist felt like a natural calling. I’ve worked with many diverse groups of people in various settings such as schools, work, and within the community. I have experience working with clients both in a private practice and in a community mental health setting. I also bring a multicultural perspective from my African upbringing, and love working with members of multicultural communities.
(434) 602-8497 View (434) 602-8497
Photo of John Robert Carpenter, MA, MSW, Clinical Social Work/Therapist
John Robert Carpenter
Clinical Social Work/Therapist, MA, MSW
Verified Verified
Sometimes, our expectations don't line up with what we live through and struggle with every day. We try to put our best foot forward, but inside it gets tougher to climb out of bed, quiet the racing thoughts, or set aside the exhaustion and doubt. If you're fighting a battle like this, you don't have to fight it alone - and you don't have to lose. At Poehailos, Dupont, and Associates, I help students, adults, and couples face ADHD, anxiety, depression, addiction, and more. No matter the challenge, therapy can help you gain the freedom to recover and embrace the things that make you...well, you. You are worth it.
Sometimes, our expectations don't line up with what we live through and struggle with every day. We try to put our best foot forward, but inside it gets tougher to climb out of bed, quiet the racing thoughts, or set aside the exhaustion and doubt. If you're fighting a battle like this, you don't have to fight it alone - and you don't have to lose. At Poehailos, Dupont, and Associates, I help students, adults, and couples face ADHD, anxiety, depression, addiction, and more. No matter the challenge, therapy can help you gain the freedom to recover and embrace the things that make you...well, you. You are worth it.
(434) 686-6770 View (434) 686-6770
Photo of Cynthia Sherman, LCSW, Clinical Social Work/Therapist
Cynthia Sherman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
My passion is to work with individuals, one on one and in groups, as well as their support systems, all with the goal of living healthier lives. I feel it's essential to success in counseling to build a consistent, strong support team around my client. I have worked within the community and with various human service organizations, which has provided me invaluable experience helping clients overcome a wide array of challenges.
My passion is to work with individuals, one on one and in groups, as well as their support systems, all with the goal of living healthier lives. I feel it's essential to success in counseling to build a consistent, strong support team around my client. I have worked within the community and with various human service organizations, which has provided me invaluable experience helping clients overcome a wide array of challenges.
(540) 215-7388 View (540) 215-7388
Photo of Katie Allen, LPC, Licensed Professional Counselor
Katie Allen
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
I'll help you build trust in your ability to make the best choices for yourself. This means creating awareness of ways you can be more gentle and accepting of yourself as you are now, in addition to identifying areas that you are ready to change. I work with adults of all ages, and have a particular affinity for working with college-aged individuals and young professionals. I strive to meet people with where they are at by providing trauma-informed, culturally-humble support using evidenced-based modalities. This may include a mix of interpersonal, strengths-based, mindfulness, CBT and DBT techniques.
I'll help you build trust in your ability to make the best choices for yourself. This means creating awareness of ways you can be more gentle and accepting of yourself as you are now, in addition to identifying areas that you are ready to change. I work with adults of all ages, and have a particular affinity for working with college-aged individuals and young professionals. I strive to meet people with where they are at by providing trauma-informed, culturally-humble support using evidenced-based modalities. This may include a mix of interpersonal, strengths-based, mindfulness, CBT and DBT techniques.
(434) 205-6621 View (434) 205-6621
Photo of Raluca Irion, RIC, Pre-Licensed Professional
Raluca Irion
Pre-Licensed Professional, RIC
Verified Verified
Raluca Irion is a Resident in Clinical Mental Health Counseling (LMHC-R) with more than 3 years of experience. She utilizes depression, anxiety, grief, trauma, and the complexities of navigating through significant life transitions.
Raluca Irion is a Resident in Clinical Mental Health Counseling (LMHC-R) with more than 3 years of experience. She utilizes depression, anxiety, grief, trauma, and the complexities of navigating through significant life transitions.
(434) 216-2914 View (434) 216-2914
Photo of Hayley Rose, MA, NCC, Pre-Licensed Professional
Hayley Rose
Pre-Licensed Professional, MA, NCC
Verified Verified
Hayley is devoted to supporting patients in their journeys of growth and healing by forming a strong and empowering therapeutic alliance. Hayley is a committed thinker, researcher, and writer on the topics of diversity and equity and has compassion for those marginalized by injustices, including trauma of all types. She is particularly interested in mental health concerns for those in high-performing, demanding and creative professions, including artists, athletes, and executives. She also enjoys helping older adults navigate challenges associated with retirement and aging. Hayley sees teens and adults aged 14+
Hayley is devoted to supporting patients in their journeys of growth and healing by forming a strong and empowering therapeutic alliance. Hayley is a committed thinker, researcher, and writer on the topics of diversity and equity and has compassion for those marginalized by injustices, including trauma of all types. She is particularly interested in mental health concerns for those in high-performing, demanding and creative professions, including artists, athletes, and executives. She also enjoys helping older adults navigate challenges associated with retirement and aging. Hayley sees teens and adults aged 14+
(434) 442-5400 View (434) 442-5400
Photo of Katelyn Sessums, MS, LBA, MA
Katelyn Sessums
Resident in Marriage and Family Therapy, MS, LBA, MA
Verified Verified
1 Endorsed
Welcome! Thank you for being here! Often times, life can become entangled with painful events, memories, relationship breakdowns and emotional turmoil; that taking a moment to seek help can feel overwhelming. For this reason, I thank you for taking the time to pause and reflect on your needs or the needs of your child (children). As a Resident in Marriage and Family Therapy, I work with individuals, couples, children and families. My goal is to bring connection and fulfillment to each person on your journey to healing.
Welcome! Thank you for being here! Often times, life can become entangled with painful events, memories, relationship breakdowns and emotional turmoil; that taking a moment to seek help can feel overwhelming. For this reason, I thank you for taking the time to pause and reflect on your needs or the needs of your child (children). As a Resident in Marriage and Family Therapy, I work with individuals, couples, children and families. My goal is to bring connection and fulfillment to each person on your journey to healing.
(434) 722-3321 View (434) 722-3321
Photo of Maren Ward, LCSW, Clinical Social Work/Therapist
Maren Ward
Clinical Social Work/Therapist, LCSW
Verified Verified
Therapy is a great gift to yourself. The connection provided in a safe, therapeutic relationship is healing. I encourage self exploration to find and heal wounds that are blocking one's own self-love and connection to the authentic self that feels true and right. I provide a gentle, accepting presence to join you on your journey toward increased life satisfaction. I enjoy working with adults struggling with life transitions, anxiety, shame, depression, anger and grief or just feeling stuck.
Therapy is a great gift to yourself. The connection provided in a safe, therapeutic relationship is healing. I encourage self exploration to find and heal wounds that are blocking one's own self-love and connection to the authentic self that feels true and right. I provide a gentle, accepting presence to join you on your journey toward increased life satisfaction. I enjoy working with adults struggling with life transitions, anxiety, shame, depression, anger and grief or just feeling stuck.
(434) 448-8236 View (434) 448-8236
Photo of Clare Venus, PhD, CDE, LCP, Psychologist
Clare Venus
Psychologist, PhD, CDE, LCP
Verified Verified
1 Endorsed
Charlottesville, VA 22901  (Online Only)
Are you experiencing a crisis in your life, feeling overwhelmed and struggling to cope? Dealing with a major life transition, physical illness or caregiver stress? I have worked with people who suffer with depressed mood, persistent anxiety, chronic illness, pain and disability. These emotional and physical stressors can result in considerable disruption in relationships and work life balance. As a Licensed Psychologist I utilize a variety of therapeutic approaches that promote healing and change. I welcome clients from all backgrounds, cultures, ethnicities and sexual orientations.
Are you experiencing a crisis in your life, feeling overwhelmed and struggling to cope? Dealing with a major life transition, physical illness or caregiver stress? I have worked with people who suffer with depressed mood, persistent anxiety, chronic illness, pain and disability. These emotional and physical stressors can result in considerable disruption in relationships and work life balance. As a Licensed Psychologist I utilize a variety of therapeutic approaches that promote healing and change. I welcome clients from all backgrounds, cultures, ethnicities and sexual orientations.
(434) 481-1644 View (434) 481-1644
Photo of Ava Sardoni, PsyD
Ava Sardoni
Resident in Psychology, PsyD
Verified Verified
Waitlist for new clients
Dr. Ava Sardoni is a Pre-licensed Professional and Resident in Clinical Psychology. Ava has 4+ years of experience supporting children, adolescents, and their families with varying presenting concerns. She provides individual and family therapy services and parent coaching and support services for individuals ages 3-22 aimed to improve behavioral and emotional regulation. She has received training in Clinical and School Psychology at the doctoral level, with a specific interest and focus in supporting neurodiverse individuals and their families.
Dr. Ava Sardoni is a Pre-licensed Professional and Resident in Clinical Psychology. Ava has 4+ years of experience supporting children, adolescents, and their families with varying presenting concerns. She provides individual and family therapy services and parent coaching and support services for individuals ages 3-22 aimed to improve behavioral and emotional regulation. She has received training in Clinical and School Psychology at the doctoral level, with a specific interest and focus in supporting neurodiverse individuals and their families.
(434) 602-9522 x242 View (434) 602-9522 x242
Photo of Kim B Dew, MS, LPC, Licensed Professional Counselor
Kim B Dew
Licensed Professional Counselor, MS, LPC
Verified Verified
Waitlist for new clients
Life can be challenging, overwhelming and confusing at times, whether you are an adult, adolescent or child. I work to help clients and their families define these emotions, recognize the control they have and build their strengths to shape new, healthy coping skills .I specialize in working with anxiety and mood disorders and have worked extensively during the past 25 years with families, children and adolescents to help them find answers that are right for them. Additionally, I have experience working with adults and children who have suffered PTSD or trauma, using a cognitive-behavioral approach with proven mind/body techniques.
Life can be challenging, overwhelming and confusing at times, whether you are an adult, adolescent or child. I work to help clients and their families define these emotions, recognize the control they have and build their strengths to shape new, healthy coping skills .I specialize in working with anxiety and mood disorders and have worked extensively during the past 25 years with families, children and adolescents to help them find answers that are right for them. Additionally, I have experience working with adults and children who have suffered PTSD or trauma, using a cognitive-behavioral approach with proven mind/body techniques.
(540) 318-1652 View (540) 318-1652
Photo of Thomas Saunders, LCSW, Clinical Social Work/Therapist
Thomas Saunders
Clinical Social Work/Therapist, LCSW
Verified Verified
My name is Tommy Saunders. Please call me Tommy. I am a licensed therapist with 10 years of experience working with adults. I have worked with a wide variety of individuals experiencing many different types of mental health issues, but my specialties include trauma, PTSD, and substance abuse. I also have experience working with the active-duty military and veteran population. I am trained in Prolonged Exposure therapy for my clients with trauma, and I always use a client-centered approach. I believe that therapy is most effective when it feels like a normal conversation.
My name is Tommy Saunders. Please call me Tommy. I am a licensed therapist with 10 years of experience working with adults. I have worked with a wide variety of individuals experiencing many different types of mental health issues, but my specialties include trauma, PTSD, and substance abuse. I also have experience working with the active-duty military and veteran population. I am trained in Prolonged Exposure therapy for my clients with trauma, and I always use a client-centered approach. I believe that therapy is most effective when it feels like a normal conversation.
(434) 231-2495 View (434) 231-2495
Photo of Stacie Davidson, LPC, Licensed Professional Counselor
Stacie Davidson
Licensed Professional Counselor, LPC
Verified Verified
Stacie Davidson is a Licensed Professional Counselor who specializes in anxiety, depression, couples issues, mood disorders, personality disorders, and trauma. Stacie has both professional and personal experience with how difficult, yet brave, it is to let go of the fear of judgment when coming into a counseling setting. Her first goal of therapy with any client is to build a trusting relationship and a safe, non-judgmental space where they can feel free to explore, understand, and challenge themselves. Stacie completed his Master’s Degree in Education and Mental Health Counseling.
Stacie Davidson is a Licensed Professional Counselor who specializes in anxiety, depression, couples issues, mood disorders, personality disorders, and trauma. Stacie has both professional and personal experience with how difficult, yet brave, it is to let go of the fear of judgment when coming into a counseling setting. Her first goal of therapy with any client is to build a trusting relationship and a safe, non-judgmental space where they can feel free to explore, understand, and challenge themselves. Stacie completed his Master’s Degree in Education and Mental Health Counseling.
(434) 595-4886 View (434) 595-4886
Photo of Tonya Lambert Delp, LCP, BCBA-D, LBA, Psychologist
Tonya Lambert Delp
Psychologist, LCP, BCBA-D, LBA
Verified Verified
Waitlist for new clients
Dr. Delp has 10+ years of experience supporting children and adolescents in a variety of contexts to improve behavioral and emotional regulation and support compassionate, client-directed goals toward a more fulfilled life. Dually trained as a clinical and school psychologist, she has expertise in and experience assessing & treating needs for children/adolescents ages 3 - 22. While Dr. Delp enjoys working with children of all ages and abilities, she has concentrated her training to support adolescents with ASD and comorbid mood disorders and supporting caregivers of young children newly diagnosed with ASD.
Dr. Delp has 10+ years of experience supporting children and adolescents in a variety of contexts to improve behavioral and emotional regulation and support compassionate, client-directed goals toward a more fulfilled life. Dually trained as a clinical and school psychologist, she has expertise in and experience assessing & treating needs for children/adolescents ages 3 - 22. While Dr. Delp enjoys working with children of all ages and abilities, she has concentrated her training to support adolescents with ASD and comorbid mood disorders and supporting caregivers of young children newly diagnosed with ASD.
(434) 771-3820 View (434) 771-3820
Photo of Gavin Bruce Connor, LPC, Licensed Professional Counselor
Gavin Bruce Connor
Licensed Professional Counselor, LPC
Verified Verified
My approach is gentle, and heartful. It is also good science, grounded in trainings devoted to strengthening the bonds with oneself, others, and the earth around us. What initially may seem stuck or unbearable is introduced to a source of health that is already within you. The opportunity in crisis, and the wisdom within torments, is something you will begin to notice. This noticing begins the discovery that we can, each of us, even within the most strained relationships, bring ourselves to an authentic, courageous stance. And ultimately toward an ever-deepening Love. Your experience of this forms the heart of what I offer.
My approach is gentle, and heartful. It is also good science, grounded in trainings devoted to strengthening the bonds with oneself, others, and the earth around us. What initially may seem stuck or unbearable is introduced to a source of health that is already within you. The opportunity in crisis, and the wisdom within torments, is something you will begin to notice. This noticing begins the discovery that we can, each of us, even within the most strained relationships, bring ourselves to an authentic, courageous stance. And ultimately toward an ever-deepening Love. Your experience of this forms the heart of what I offer.
(434) 260-5033 View (434) 260-5033
Photo of Elizabeth B Black, LCSW, Clinical Social Work/Therapist
Elizabeth B Black
Clinical Social Work/Therapist, LCSW
Verified Verified
Waitlist for new clients
I am a Licensed Clinical Social Worker in the state of Virginia. Finding a good "fit" between client and therapist is essential to making changes and progress in life. I graduated with my Master's degree in Social Work in 2011 from the University of Georgia. I have enjoyed working with children, teens, adults, and families since then. I use talk therapy, play therapy techniques, and have completed Sandtray Play Therapy training.I have completed Level 1 of TheraPlay. I like to be challenged and I like to challenge my clients and I will listen to your needs and your priorities.
I am a Licensed Clinical Social Worker in the state of Virginia. Finding a good "fit" between client and therapist is essential to making changes and progress in life. I graduated with my Master's degree in Social Work in 2011 from the University of Georgia. I have enjoyed working with children, teens, adults, and families since then. I use talk therapy, play therapy techniques, and have completed Sandtray Play Therapy training.I have completed Level 1 of TheraPlay. I like to be challenged and I like to challenge my clients and I will listen to your needs and your priorities.
(434) 771-0516 View (434) 771-0516
Photo of Kellie Cannon, MA, RIC
Kellie Cannon
Resident in Counseling, MA, RIC
Verified Verified
As a resident in counseling, my approach is to meet you where you are, empower you to create goals, and I will provide you with support along the way. Counseling is all about you and what you need.
As a resident in counseling, my approach is to meet you where you are, empower you to create goals, and I will provide you with support along the way. Counseling is all about you and what you need.
(434) 577-8873 View (434) 577-8873
Photo of Lynessa Sheppard Plotnick, LPC, LMFT, Marriage & Family Therapist
Lynessa Sheppard Plotnick
Marriage & Family Therapist, LPC, LMFT
Verified Verified
I believe in the human spirit and our capacity to make positive changes in all aspects of our lives, even in the face of adversity. By exploring our thought patterns, we can better identify feelings that affect our actions on a daily basis. We can then make effective changes that improve the quality of our lives, decreasing stress, anxiety, and depression and providing us with a more peaceful and joyful life. I also believe in the benefit of human interaction with other loving creatures; you will meet my little Yorkie-Poo therapy partner, Mojo, when you come to visit me. He loves children and adults.
I believe in the human spirit and our capacity to make positive changes in all aspects of our lives, even in the face of adversity. By exploring our thought patterns, we can better identify feelings that affect our actions on a daily basis. We can then make effective changes that improve the quality of our lives, decreasing stress, anxiety, and depression and providing us with a more peaceful and joyful life. I also believe in the benefit of human interaction with other loving creatures; you will meet my little Yorkie-Poo therapy partner, Mojo, when you come to visit me. He loves children and adults.
(757) 785-0838 View (757) 785-0838
Photo of Dayna Kumar, LPC, Licensed Professional Counselor
Dayna Kumar
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Charlottesville, VA 22901  (Online Only)
I empower others to live the life they imagine. I am passionate about working alongside those on a journey towards healing, whether from internal struggle, grief, or significant trauma leading to low mood or anxiety. I am qualified in the judicial system as an expert in family and trauma therapy. I am a certified EMDR therapist and consultant -started in 2010. My focus is to strengthen your core sense of self to disrupt negative internal dialogue, memories and somatic responses that lead to distress. In family work, I focus on secure attachment patterns, and increasing attunment and co-regulation between a child and caregiver(s).
I empower others to live the life they imagine. I am passionate about working alongside those on a journey towards healing, whether from internal struggle, grief, or significant trauma leading to low mood or anxiety. I am qualified in the judicial system as an expert in family and trauma therapy. I am a certified EMDR therapist and consultant -started in 2010. My focus is to strengthen your core sense of self to disrupt negative internal dialogue, memories and somatic responses that lead to distress. In family work, I focus on secure attachment patterns, and increasing attunment and co-regulation between a child and caregiver(s).
(434) 448-3550 View (434) 448-3550
Photo of Elizabeth Oberheu, Pre-Licensed Professional
Elizabeth Oberheu
Pre-Licensed Professional
Verified Verified
Elizabeth (Liz) Oberheu is a Resident in Counseling, working toward her licensure as a Licensed Professional Counselor since 2019. She is passionate about helping her clients identify the roots of their concerns, and work toward making changes that allow them to live happier healthier lives. Liz has experience in working with anxiety, depression, and adjustment/stressor-related concerns. She obtained her M.S. in Clinical Mental Health Counseling at the University of Texas San Antonio.
Elizabeth (Liz) Oberheu is a Resident in Counseling, working toward her licensure as a Licensed Professional Counselor since 2019. She is passionate about helping her clients identify the roots of their concerns, and work toward making changes that allow them to live happier healthier lives. Liz has experience in working with anxiety, depression, and adjustment/stressor-related concerns. She obtained her M.S. in Clinical Mental Health Counseling at the University of Texas San Antonio.
(434) 436-1823 View (434) 436-1823

How does your Therapist compare?

Number of Therapists in 22901

200+

Average cost per session

$150

Therapists in 22901 who prioritize treating:

94% Anxiety
88% Depression
79% Self Esteem
76% Relationship Issues
73% Trauma and PTSD
69% Coping Skills
68% Stress

Average years in practice

12 Years

Top 3 insurances accepted

84% Aetna
83% Anthem | Elevance
76% BlueCross and BlueShield

How Therapists in 22901 see their clients

74% In Person and Online
26% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 22901?

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.