Photo of Dr. Denise Dawson, Clinical Social Work/Therapist, PhD, LCSW, LCAS
Dr. Denise Dawson
Clinical Social Work/Therapist, PhD, LCSW, LCAS
Online Only
I am a licensed therapist and university research professor. I've had the fortunate opportunity of working with many different types of people throughout my career. Working on social work and public health research projects helped me realize I enjoy working with patients who struggle with mental health and chronic disease diagnoses. I obtained my Master's in Social Work degree from East Carolina University in 2011 and began practicing psychotherapy. Taking the first step toward treatment isn't easy. But since you are already here, take the second step to schedule an appointment...you'll be glad you did!
I am a licensed therapist and university research professor. I've had the fortunate opportunity of working with many different types of people throughout my career. Working on social work and public health research projects helped me realize I enjoy working with patients who struggle with mental health and chronic disease diagnoses. I obtained my Master's in Social Work degree from East Carolina University in 2011 and began practicing psychotherapy. Taking the first step toward treatment isn't easy. But since you are already here, take the second step to schedule an appointment...you'll be glad you did!
(919) 551-3412 View (919) 551-3412
Photo of Jayda Irizarry, Clinical Social Work/Therapist, MSW, LCSW, CCATP
Jayda Irizarry
Clinical Social Work/Therapist, MSW, LCSW, CCATP
4 Endorsed
Raleigh, NC 27606
I would like to commend you for taking the step of seeking therapy! Right now, you may be viewing therapy as daunting, exciting, or something new. Regardless of where you are, it is my commitment to meet you there, free of judgments and ready to listen. Life’s transitions, journeys, and unexpected changes comes with many successes and challenges. It is my passion to stand alongside children, adolescents, and adults with a supportive, compassionate and goal-oriented approach.
I would like to commend you for taking the step of seeking therapy! Right now, you may be viewing therapy as daunting, exciting, or something new. Regardless of where you are, it is my commitment to meet you there, free of judgments and ready to listen. Life’s transitions, journeys, and unexpected changes comes with many successes and challenges. It is my passion to stand alongside children, adolescents, and adults with a supportive, compassionate and goal-oriented approach.
(984) 206-3342 View (984) 206-3342
Photo of Karim Nassar, Clinical Social Work/Therapist, MSW, LCSWA
Karim Nassar
Clinical Social Work/Therapist, MSW, LCSWA
Online Only
You deserve to live your best, most authentic life. My practice focuses on helping members of the LGBTQIA+ community. I celebrate all sexual orientations, gender identities, and gender presentations, and believe that all relationship models between consenting adults are valid and beautiful. I believe that therapy can be a powerful tool in helping us find our path through the obstacles and challenges that life throws at us.
You deserve to live your best, most authentic life. My practice focuses on helping members of the LGBTQIA+ community. I celebrate all sexual orientations, gender identities, and gender presentations, and believe that all relationship models between consenting adults are valid and beautiful. I believe that therapy can be a powerful tool in helping us find our path through the obstacles and challenges that life throws at us.
(919) 443-6249 View (919) 443-6249
Photo of Zacc Adams, Licensed Clinical Professional Counselor, MEd, LCMHC, LCPC
Zacc Adams
Licensed Clinical Professional Counselor, MEd, LCMHC, LCPC
1 Endorsed
Online Only
Welcome to my profile. I am a therapist that looks forward to observing the growth and development within my clients over time. My ideal client is someone that is ready for intentional growth in their life. I provide telehealth therapy addressing many day to day life challenges. My ideal client would be based anywhere in Maryland or North Carolina. My main areas of focus are: anxiety, depression, life transitions, relationships, sexuality, LGBTQ+ issues, and men's issues.
Welcome to my profile. I am a therapist that looks forward to observing the growth and development within my clients over time. My ideal client is someone that is ready for intentional growth in their life. I provide telehealth therapy addressing many day to day life challenges. My ideal client would be based anywhere in Maryland or North Carolina. My main areas of focus are: anxiety, depression, life transitions, relationships, sexuality, LGBTQ+ issues, and men's issues.
(301) 635-4496 View (301) 635-4496
Photo of Marcia Brown, Clinical Social Work/Therapist, LCSW
Marcia Brown
Clinical Social Work/Therapist, LCSW
Raleigh, NC 27606
If you are exhausted and overwhelmed in your role as a parent, drained from the struggles of challenging child behavior, feeling anxious and second guessing your parenting approach, or simply want to get a handle on some current challenges before they turn into bigger issues, parent-child therapy can help. It is not uncommon to get to a point where you have tried so many different approaches, techniques, and books, that you aren't even sure what is working and what isn't anymore. Together we can focus on fundamental pieces that lead to real, lasting positive change for your child and your family.
If you are exhausted and overwhelmed in your role as a parent, drained from the struggles of challenging child behavior, feeling anxious and second guessing your parenting approach, or simply want to get a handle on some current challenges before they turn into bigger issues, parent-child therapy can help. It is not uncommon to get to a point where you have tried so many different approaches, techniques, and books, that you aren't even sure what is working and what isn't anymore. Together we can focus on fundamental pieces that lead to real, lasting positive change for your child and your family.
(919) 737-2271 View (919) 737-2271
Photo of Sarina Manifold, Clinical Social Work/Therapist, MSSW, LCSW
Sarina Manifold
Clinical Social Work/Therapist, MSSW, LCSW
Raleigh, NC 27606
Not accepting new clients
Have you experienced a loss, change, or transition that has left you thinking, “this isn’t how it was supposed to be” or “no one understands”? Because of this, you feel hopeless, or afraid you aren’t going to be able to go on. Maybe you are caring for someone with a chronic or terminal illness and you feel exhausted and angry, and then almost immediately guilty for feeling that way. When you try to talk to others, they tell you to "think of the good things", which then leads you to feel more anger and frustration. You are tired of feeling like this.
Have you experienced a loss, change, or transition that has left you thinking, “this isn’t how it was supposed to be” or “no one understands”? Because of this, you feel hopeless, or afraid you aren’t going to be able to go on. Maybe you are caring for someone with a chronic or terminal illness and you feel exhausted and angry, and then almost immediately guilty for feeling that way. When you try to talk to others, they tell you to "think of the good things", which then leads you to feel more anger and frustration. You are tired of feeling like this.
(984) 207-0834 View (984) 207-0834
Photo of Jason Phillips - Jason Phillips, Life Coach, Clinical Social Work/Therapist, LCSW
Jason Phillips, Life Coach
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
"Are you feeling STUCK?" Are you overwhelmed, depressed, or stressed out? Do you feel your past is preventing you from becoming the best version of yourself? I work with high-achieving men and women helping them reach their personal and professional goals through increasing their self-love and self-confidence. I help individuals gain their inner strength, self-awareness, challenge irrational beliefs, and discover individualized coping skills. My style is direct, yet transparent, focusing on building a strong therapeutic relationship to allow you to feel comfortable addressing the core issues causing distress.
"Are you feeling STUCK?" Are you overwhelmed, depressed, or stressed out? Do you feel your past is preventing you from becoming the best version of yourself? I work with high-achieving men and women helping them reach their personal and professional goals through increasing their self-love and self-confidence. I help individuals gain their inner strength, self-awareness, challenge irrational beliefs, and discover individualized coping skills. My style is direct, yet transparent, focusing on building a strong therapeutic relationship to allow you to feel comfortable addressing the core issues causing distress.
(984) 205-8025 View (984) 205-8025
Photo of Nicole Pinna, Clinical Social Work/Therapist, LCSW
Nicole Pinna
Clinical Social Work/Therapist, LCSW
Raleigh, NC 27606
My therapeutic philosophy is rooted in empowerment, acceptance, and the healing power of laughter. I support clients as they reclaim their truest selves by embracing vulnerability, and challenging the limiting stories or intrusive thoughts that have gotten in the way of everyday life. I am passionate about honoring memories, creating new meaning, and establishing positive change.
My therapeutic philosophy is rooted in empowerment, acceptance, and the healing power of laughter. I support clients as they reclaim their truest selves by embracing vulnerability, and challenging the limiting stories or intrusive thoughts that have gotten in the way of everyday life. I am passionate about honoring memories, creating new meaning, and establishing positive change.
(720) 809-7831 View (720) 809-7831
Photo of Victoria Snow, Clinical Social Work/Therapist, MSW, LCSW
Victoria Snow
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Are you struggling to find your place in the world? Do you feel self-doubt, hopeless, and on-edge? That anxious voice inside your head may be telling you that everyone else has it "figured out". You feel like you're not good enough. I know how heavy, frightening, and isolating that can feel. I have experience working with an array of concerns including life transitions, anxiety disorders, trauma, stress management, relationship stress, and the unique needs of adolescents and young adults. My specialty area of Dialectical Behavior Therapy training and Mindfulness will help you (or your loved one) cope with many kinds of challenges.
Are you struggling to find your place in the world? Do you feel self-doubt, hopeless, and on-edge? That anxious voice inside your head may be telling you that everyone else has it "figured out". You feel like you're not good enough. I know how heavy, frightening, and isolating that can feel. I have experience working with an array of concerns including life transitions, anxiety disorders, trauma, stress management, relationship stress, and the unique needs of adolescents and young adults. My specialty area of Dialectical Behavior Therapy training and Mindfulness will help you (or your loved one) cope with many kinds of challenges.
(919) 877-6151 View (919) 877-6151
Photo of Darnell Johnson, Counselor, LCMHCS, LCAS, CCS
Darnell Johnson
Counselor, LCMHCS, LCAS, CCS
2 Endorsed
Raleigh, NC 27606
You are better than the worst thing you've ever done! The goal of Starlight Counseling is for your dignity to be restored. If you are involved with the court system and in need of a substance assessment or counseling I can set an appointment within 1 to 3 business days.
You are better than the worst thing you've ever done! The goal of Starlight Counseling is for your dignity to be restored. If you are involved with the court system and in need of a substance assessment or counseling I can set an appointment within 1 to 3 business days.
(919) 805-6046 View (919) 805-6046
Photo of Marecius Samuel, Licensed Professional Counselor, LCMHC, LCAS, TF-CBT
Marecius Samuel
Licensed Professional Counselor, LCMHC, LCAS, TF-CBT
1 Endorsed
Raleigh, NC 27606
Email is the best way to contact me) Marecius Samuel is the owner and sole therapist of Breaking Barriers Wellness and Counseling. Marecius (pronounced Ma-re-kus) has many years of counseling experience and has worked with diverse populations. Marecius has worked with children, adolescents, and adults with various mental, behavioral, and substance abuse related diagnoses. Marecius has provided therapy within inpatient psychiatric hospital settings and has previous work experience on Community Support Teams, Intensive In-Home, Family-Centered Treatment and Outpatient Therapy.
Email is the best way to contact me) Marecius Samuel is the owner and sole therapist of Breaking Barriers Wellness and Counseling. Marecius (pronounced Ma-re-kus) has many years of counseling experience and has worked with diverse populations. Marecius has worked with children, adolescents, and adults with various mental, behavioral, and substance abuse related diagnoses. Marecius has provided therapy within inpatient psychiatric hospital settings and has previous work experience on Community Support Teams, Intensive In-Home, Family-Centered Treatment and Outpatient Therapy.
(984) 203-7477 View (984) 203-7477
Photo of Carrieann Lefsaker, Lic Clinical Mental Health Counselor Associate, MEd, LCMHCA
Carrieann Lefsaker
Lic Clinical Mental Health Counselor Associate, MEd, LCMHCA
2 Endorsed
Raleigh, NC 27606
Not accepting new clients
First and foremost, I support and affirm all LGBTQ+ identities and I am respectful of all racial, ethnic, and cultural identities and experiences. I spent 21 years in the U.S. military and have been peer mentoring in the addiction recovery community for over 10 years. My time with these two populations, and my own personal experiences, have given me a passion for understanding and treating trauma and the many conditions that arise along with it. I use a trauma-focused approach that processes foundational issues while learning coping skills that can quickly lessen symptoms.
First and foremost, I support and affirm all LGBTQ+ identities and I am respectful of all racial, ethnic, and cultural identities and experiences. I spent 21 years in the U.S. military and have been peer mentoring in the addiction recovery community for over 10 years. My time with these two populations, and my own personal experiences, have given me a passion for understanding and treating trauma and the many conditions that arise along with it. I use a trauma-focused approach that processes foundational issues while learning coping skills that can quickly lessen symptoms.
(919) 689-4517 View (919) 689-4517
Photo of Patrice Banks, Licensed Professional Counselor, LCMHC, QS
Patrice Banks
Licensed Professional Counselor, LCMHC, QS
Online Only
As a licensed clinical mental health counselor, I am committed to creating a safe, supportive space for individuals to explore their thoughts and feelings. With a focus on anxiety, depression, and life transitions, I utilize an integrating approach tailored to your unique needs. My goal is to empower you to uncover your strengths, developing coping strategies, and navigate life's challenges. Together, we will work collaboratively to foster growth. I believe in the transformative power of therapy! I look forward to supporting you on your journey toward healing and personal growth.
As a licensed clinical mental health counselor, I am committed to creating a safe, supportive space for individuals to explore their thoughts and feelings. With a focus on anxiety, depression, and life transitions, I utilize an integrating approach tailored to your unique needs. My goal is to empower you to uncover your strengths, developing coping strategies, and navigate life's challenges. Together, we will work collaboratively to foster growth. I believe in the transformative power of therapy! I look forward to supporting you on your journey toward healing and personal growth.
(984) 367-3165 View (984) 367-3165
Photo of Maria Garcia Hawley, Counselor, LCMHCA, LCASA
Maria Garcia Hawley
Counselor, LCMHCA, LCASA
2 Endorsed
Online Only
My primary interests are women’s issues, substance use, and relationship concerns. However, I’m here to help anyone seeking therapy solve, manage, or just vent about the problems they are experiencing. With some encouragement and guidance anyone can overcome as well as persevere through life’s challenges.
My primary interests are women’s issues, substance use, and relationship concerns. However, I’m here to help anyone seeking therapy solve, manage, or just vent about the problems they are experiencing. With some encouragement and guidance anyone can overcome as well as persevere through life’s challenges.
(919) 694-4983 View (919) 694-4983
Photo of Angeline Walker, Licensed Clinical Mental Health Counselor, MS, LCMHC, QS
Angeline Walker
Licensed Clinical Mental Health Counselor, MS, LCMHC, QS
1 Endorsed
Online Only
Physician Dean Ornish once said, "Awareness is the first step in healing." True healing is difficult when struggles remain hidden or unspoken. My passion lies in helping children, adolescents, and adults cultivate self-awareness and develop healthy strategies to manage stress, anxiety, and depression. With a warm and interactive counseling style, I actively listen, offer new perspectives, and treat every individual with respect, compassion, and dignity. My practice provides a supportive space where clients can openly address their concerns. I admire the courage it takes to step forward, change course, and pursue a healthier life.
Physician Dean Ornish once said, "Awareness is the first step in healing." True healing is difficult when struggles remain hidden or unspoken. My passion lies in helping children, adolescents, and adults cultivate self-awareness and develop healthy strategies to manage stress, anxiety, and depression. With a warm and interactive counseling style, I actively listen, offer new perspectives, and treat every individual with respect, compassion, and dignity. My practice provides a supportive space where clients can openly address their concerns. I admire the courage it takes to step forward, change course, and pursue a healthier life.
(704) 610-0745 View (704) 610-0745
Photo of Donald P Rush, Clinical Social Work/Therapist, MSW, LCSW
Donald P Rush
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Are you struggling with anxiety, anger, depression or lack of self esteem? Do you long for closer relationships with less stress? I have helped numerous individuals develop their strengths and create the version of themselves and their lives they envisioned. Whether you are struggling with a personality disorder, grief, mood disorders, anxiety, or significant traumas, together we can find a path toward. My specialty areas are mood management, mindfulness and relationship skills development.
Are you struggling with anxiety, anger, depression or lack of self esteem? Do you long for closer relationships with less stress? I have helped numerous individuals develop their strengths and create the version of themselves and their lives they envisioned. Whether you are struggling with a personality disorder, grief, mood disorders, anxiety, or significant traumas, together we can find a path toward. My specialty areas are mood management, mindfulness and relationship skills development.
(984) 240-8201 x1002 View (984) 240-8201 x1002
Photo of Dr. Lisa Miller, Counselor, MA, PharmD, LCMHCA
Dr. Lisa Miller
Counselor, MA, PharmD, LCMHCA
Online Only
I specialize in providing virtual counseling services to women across North Carolina who are navigating major life transitions such as menopause, infertility, and redefining their roles in both personal and professional life. Are you a high-achieving professional who feels the weight of balancing a demanding career alongside deeply personal challenges. My goal is to offer you a safe, supportive space where you can unpack your experiences and develop strategies to restore balance and find fulfillment.
I specialize in providing virtual counseling services to women across North Carolina who are navigating major life transitions such as menopause, infertility, and redefining their roles in both personal and professional life. Are you a high-achieving professional who feels the weight of balancing a demanding career alongside deeply personal challenges. My goal is to offer you a safe, supportive space where you can unpack your experiences and develop strategies to restore balance and find fulfillment.
(984) 316-5410 View (984) 316-5410
Photo of Morgan Kelly, Licensed Clinical Mental Health Counselor, MA, LCMHC
Morgan Kelly
Licensed Clinical Mental Health Counselor, MA, LCMHC
1 Endorsed
Raleigh, NC 27606
Feel like you need to earn your worth, like being anything less than perfect isn't okay? Maybe you're living with an eating disorder that leaves you worrying about or compensating for what you put into your body and trying to control it's shape and size. Do you struggle with self-worth or figuring out and feeling okay with being who you really are? Maybe you've been through trauma or abuse that has left you searching for ways to cope.
Feel like you need to earn your worth, like being anything less than perfect isn't okay? Maybe you're living with an eating disorder that leaves you worrying about or compensating for what you put into your body and trying to control it's shape and size. Do you struggle with self-worth or figuring out and feeling okay with being who you really are? Maybe you've been through trauma or abuse that has left you searching for ways to cope.
(919) 694-4309 View (919) 694-4309
Photo of Margo Arrowsmith, Clinical Social Work/Therapist, LCSW
Margo Arrowsmith
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
People have the answers to problems within themselves. However, when thoughts remain internal, they can become tangled and make problem-solving difficult. I help my clients untangle the complexities, enabling them to apply this knowledge to solve problems. I then help them craft solutions using mind, body, and spirit with proven psychological techniques. Each client is unique. With decades of experience and postgraduate training, utilizing methods ranging from behavioral to cognitive, my background in psychodynamic therapy equips me with a unique ability to view the whole person and craft a plan that is workable and flexible.
People have the answers to problems within themselves. However, when thoughts remain internal, they can become tangled and make problem-solving difficult. I help my clients untangle the complexities, enabling them to apply this knowledge to solve problems. I then help them craft solutions using mind, body, and spirit with proven psychological techniques. Each client is unique. With decades of experience and postgraduate training, utilizing methods ranging from behavioral to cognitive, my background in psychodynamic therapy equips me with a unique ability to view the whole person and craft a plan that is workable and flexible.
(984) 341-0471 View (984) 341-0471
Photo of Yesenia Schuler, Psychologist, PsyD
Yesenia Schuler
Psychologist, PsyD
1 Endorsed
Raleigh, NC 27606
Yesenia Schuler, PsyD is a clinical neuropsychologist with a focus on various psychiatric conditions such as trauma- and stressor-related disorders that impact cognitive functioning, executive control, and mood regulation. She also has a pediatric concentration with a focus on complex trauma, neurodevelopmental disorders including autism, learning disorders, and ADHD as well as emotional and behavioral dysregulation. Dr. Schuler works closely with individuals and/or families to fully capture their diagnostic needs by providing a comprehensive understanding of the individual and using that data to inform treatment planning.
Yesenia Schuler, PsyD is a clinical neuropsychologist with a focus on various psychiatric conditions such as trauma- and stressor-related disorders that impact cognitive functioning, executive control, and mood regulation. She also has a pediatric concentration with a focus on complex trauma, neurodevelopmental disorders including autism, learning disorders, and ADHD as well as emotional and behavioral dysregulation. Dr. Schuler works closely with individuals and/or families to fully capture their diagnostic needs by providing a comprehensive understanding of the individual and using that data to inform treatment planning.
(984) 223-8004 View (984) 223-8004
1
...

See more therapy options for 27606

How does your Therapist compare?

Number of Therapists in 27606

200+

Average cost per session

$150

Therapists in 27606 who prioritize treating:

95% Anxiety
88% Depression
80% Self Esteem
72% Relationship Issues
70% Stress
69% Coping Skills
66% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

89% Aetna
87% BlueCross and BlueShield
61% Cigna and Evernorth

How Therapists in 27606 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 27606?

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.