Therapists in 29204

Photo of Mark Stoll, Licensed Professional Counselor in 29204, SC
Mark Stoll
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Columbia, SC 29204
I understand how chronic anxiety and stress create unhappiness. When you're struggling with anxiety or depression and constantly being bullied by intrusive thoughts you can't truly enjoy life. When you're struggling with overwhelm and burnout you can't find meaning and purpose. If you want to develop new effective coping skills, this approach is ideal for you. You will be empowered to take control over the direction of your life and cultivate healthy ways to deal with thoughts and feelings. You'll develop some breathing room to better engage your day to day behaviors and live the pleasurable, purposeful life you deserve.
I understand how chronic anxiety and stress create unhappiness. When you're struggling with anxiety or depression and constantly being bullied by intrusive thoughts you can't truly enjoy life. When you're struggling with overwhelm and burnout you can't find meaning and purpose. If you want to develop new effective coping skills, this approach is ideal for you. You will be empowered to take control over the direction of your life and cultivate healthy ways to deal with thoughts and feelings. You'll develop some breathing room to better engage your day to day behaviors and live the pleasurable, purposeful life you deserve.
(803) 373-7121 View (803) 373-7121
Photo of Ruth Strait Ellis, Clinical Social Work/Therapist in 29204, SC
Ruth Strait Ellis
Clinical Social Work/Therapist, LISW-CP, LMSW
Verified Verified
Columbia, SC 29204
Thank you for taking a moment to visit my profile! Take the time to visit other professional profiles to find what you believe to be a "good fit" for you or your loved one. My professional passion is to provide quality, confidential and meaningful direction in your quest to improve your situation. My focus is client centered and it assumes that you have what you need inside of you to heal your wounds and reach a place of balance and peace. We focus on the disruptive behaviors that detract us from enjoying a healthy, productive, and prosperous lifestyle.
Thank you for taking a moment to visit my profile! Take the time to visit other professional profiles to find what you believe to be a "good fit" for you or your loved one. My professional passion is to provide quality, confidential and meaningful direction in your quest to improve your situation. My focus is client centered and it assumes that you have what you need inside of you to heal your wounds and reach a place of balance and peace. We focus on the disruptive behaviors that detract us from enjoying a healthy, productive, and prosperous lifestyle.
(803) 676-1925 View (803) 676-1925
Photo of Jessica Fox - (re)flourish counseling, Licensed Professional Counselor in 29204, SC
Jessica Fox - (re)flourish counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Columbia, SC 29204
Waitlist for new clients
I help women and children who just haven’t felt like themselves lately; fatigued, moody, anxious, stressed. You used to feel like you were thriving in life, and then depression or anxiety crept in. You look back and wonder what changed and are unsure how to get back to feeling like your best self, or just YOU again. Or maybe it's your "once-so-sweet" child who is acting out or fearful and stressed all the time. Problems in school, lack of focus, and behavioral changes can all be part of stress, depression, or anxiety - not your parenting! Through supportive counseling, we can help you or your child RE-flourish in life.
I help women and children who just haven’t felt like themselves lately; fatigued, moody, anxious, stressed. You used to feel like you were thriving in life, and then depression or anxiety crept in. You look back and wonder what changed and are unsure how to get back to feeling like your best self, or just YOU again. Or maybe it's your "once-so-sweet" child who is acting out or fearful and stressed all the time. Problems in school, lack of focus, and behavioral changes can all be part of stress, depression, or anxiety - not your parenting! Through supportive counseling, we can help you or your child RE-flourish in life.
(803) 310-2398 View (803) 310-2398
Photo of This Full Life Counseling, Counselor in 29204, SC
This Full Life Counseling
Counselor, LPC
Verified Verified
3 Endorsed
Columbia, SC 29204
On the outside people see you as "put together" because you're gritty and tough even when you don't feel it. Yet inside its impossible to narrow down your symptoms to one category because you feel ALL of the things, maybe even all at the same time. Confusion, stress, pain, heartbreak, fear, loneliness, sadness and anger are your normal. Because when you've experienced hard, difficult things in your life, those feelings ARE normal. You're tired of "faking" being ok as life has become overwhelming. When was the last time you felt confident and present, able to be ENOUGH for yourself and others? Maybe its time to feel that again.
On the outside people see you as "put together" because you're gritty and tough even when you don't feel it. Yet inside its impossible to narrow down your symptoms to one category because you feel ALL of the things, maybe even all at the same time. Confusion, stress, pain, heartbreak, fear, loneliness, sadness and anger are your normal. Because when you've experienced hard, difficult things in your life, those feelings ARE normal. You're tired of "faking" being ok as life has become overwhelming. When was the last time you felt confident and present, able to be ENOUGH for yourself and others? Maybe its time to feel that again.
(803) 991-4907 View (803) 991-4907
Photo of Clear Vision Counseling, LLC., Licensed Professional Counselor in 29204, SC
Clear Vision Counseling, LLC.
Licensed Professional Counselor, LPC-SC
Verified Verified
Columbia, SC 29204
Vision is the capability of thinking or planning a path to one’s future using wisdom and positive imagination. Our vision is often clouded by many things. It can be clouded by memories of traumatic experiences, depressive negative cognitions/thoughts, the loss of loved ones or unexpected life changes. It can also be clouded by uncontrolled worry about the future we imagine for ourselves. Here at Clear Vision Counseling, LLC. Our primary goal is to help our client’s build their vision, which requires healing parts of the past, while using wisdom to change behaviors and thoughts about the future.
Vision is the capability of thinking or planning a path to one’s future using wisdom and positive imagination. Our vision is often clouded by many things. It can be clouded by memories of traumatic experiences, depressive negative cognitions/thoughts, the loss of loved ones or unexpected life changes. It can also be clouded by uncontrolled worry about the future we imagine for ourselves. Here at Clear Vision Counseling, LLC. Our primary goal is to help our client’s build their vision, which requires healing parts of the past, while using wisdom to change behaviors and thoughts about the future.
(803) 636-8952 View (803) 636-8952
Photo of Karla Castro Briseno, Marriage & Family Therapist in 29204, SC
Karla Castro Briseno
Marriage & Family Therapist, EdS, LMFT, LMFTS
Verified Verified
Columbia, SC 29204
Human beings are not born with a manual in their hands about how to face life; we just do the best we can. We try, we have questions, we look for answers, for change. But we often feel frustrated, angry, sad, and often, don’t know why? We search for happiness, but often don’t know where to find it. This is not an easy road, but I believe that we are resilient and capable of finding answers.
Human beings are not born with a manual in their hands about how to face life; we just do the best we can. We try, we have questions, we look for answers, for change. But we often feel frustrated, angry, sad, and often, don’t know why? We search for happiness, but often don’t know where to find it. This is not an easy road, but I believe that we are resilient and capable of finding answers.
(803) 918-6904 View (803) 918-6904
Photo of Victoria Frierson, Licensed Professional Counselor Associate in 29204, SC
Victoria Frierson
Licensed Professional Counselor Associate, MA, NCC, LPC-A
Verified Verified
1 Endorsed
Columbia, SC 29204
Life is difficult and requires constant change, adjustment, and resilience. We need support at times. I am passionate about joining you in your journey to healing in spite of everything happening around you. By providing a safe space and therapeutic relationship I hope to be with you as you process your story, understand yourself in light of the pieces of your life, and identify a plan to restore health and hope. When we are unwell, it touches every part of our lives. I see therapy as an opportunity to build awareness of yourself, connect with what is happening internally in the presence of another, and begin implementing change.
Life is difficult and requires constant change, adjustment, and resilience. We need support at times. I am passionate about joining you in your journey to healing in spite of everything happening around you. By providing a safe space and therapeutic relationship I hope to be with you as you process your story, understand yourself in light of the pieces of your life, and identify a plan to restore health and hope. When we are unwell, it touches every part of our lives. I see therapy as an opportunity to build awareness of yourself, connect with what is happening internally in the presence of another, and begin implementing change.
(803) 921-0065 View (803) 921-0065
Photo of Goines Counseling and Consulting Services,LLC, Licensed Professional Counselor in 29204, SC
Goines Counseling and Consulting Services,LLC
Licensed Professional Counselor, EdS, LPC
Verified Verified
Columbia, SC 29204
GCCS is a multicultural counseling organization committed to providing quality mental health services to children, adolescents, adults and families. As a military veteran I am committed to provide quality service to military veterans and their families. My training as a certified school counselor enhance my skills to work with parents and their children with many of the issues they encounter in school daily such as bullying, peer pressure and academic issues during the school year.
GCCS is a multicultural counseling organization committed to providing quality mental health services to children, adolescents, adults and families. As a military veteran I am committed to provide quality service to military veterans and their families. My training as a certified school counselor enhance my skills to work with parents and their children with many of the issues they encounter in school daily such as bullying, peer pressure and academic issues during the school year.
(803) 619-9835 View (803) 619-9835
Photo of Pam Litchford Counseling, Licensed Professional Counselor in 29204, SC
Pam Litchford Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Columbia, SC 29204
If you are a woman dealing with all the stressors we are faced with, I can help. Please go to my website for everything you need to know! www.pamlitchfordcounseling.com (Please do not email through the Psychology Today link.)
If you are a woman dealing with all the stressors we are faced with, I can help. Please go to my website for everything you need to know! www.pamlitchfordcounseling.com (Please do not email through the Psychology Today link.)
View
Photo of Kayla Sweet, Licensed Professional Counselor in 29204, SC
Kayla Sweet
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
Columbia, SC 29204
I am a licensed professional counselor (LPC) in South Carolina and I work to create a safe and warm space for the LGBTQIA+ and queer allies of Columbia. All are welcome! I work with adolescents and adults to navigate anxiety, depression, life stress, relationship struggles, LGBTQ+ issues, managing work/life balance, self-esteem, maladaptive coping skills, and interpersonal skills. I take an individualized approach to therapy and customize treatment to each client’s specific needs. I work with clients to create an environment that is open, safe, nonjudgmental, and best suited to foster growth.
I am a licensed professional counselor (LPC) in South Carolina and I work to create a safe and warm space for the LGBTQIA+ and queer allies of Columbia. All are welcome! I work with adolescents and adults to navigate anxiety, depression, life stress, relationship struggles, LGBTQ+ issues, managing work/life balance, self-esteem, maladaptive coping skills, and interpersonal skills. I take an individualized approach to therapy and customize treatment to each client’s specific needs. I work with clients to create an environment that is open, safe, nonjudgmental, and best suited to foster growth.
(803) 784-8460 View (803) 784-8460
Photo of Casey Kelly, Licensed Clinical Mental Health Counselor in 29204, SC
Casey Kelly
Licensed Clinical Mental Health Counselor, LCMHC, LPC, LCAS, AADAC, CSI
Verified Verified
Columbia, SC 29204
Are you someone who feels like nothing is working? Someone who feels like no matter what they try, their pain seems to keep getting worse? Pain like anxiety, sadness, low self esteem. Or obsessions, bad body image, trauma, guilt? Pain does not discriminate, and neither should treatment. I love working with people who are too smart for their own good. People who know what they are struggling with, but just can't move past it. People who know exactly what to do in Balder's Gate, but can't seem to figure out this coping thing.
Are you someone who feels like nothing is working? Someone who feels like no matter what they try, their pain seems to keep getting worse? Pain like anxiety, sadness, low self esteem. Or obsessions, bad body image, trauma, guilt? Pain does not discriminate, and neither should treatment. I love working with people who are too smart for their own good. People who know what they are struggling with, but just can't move past it. People who know exactly what to do in Balder's Gate, but can't seem to figure out this coping thing.
(803) 258-6446 View (803) 258-6446
Photo of Larissa Trapp, Marriage & Family Therapist Associate in 29204, SC
Larissa Trapp
Marriage & Family Therapist Associate, MMFT, LMFT-A
Verified Verified
Columbia, SC 29204
I work with individuals, couples and families to reach goals that benefits the individual and family unit. I believe that everyone has the ability to attain those goals. I utilize Solution Focused and Narrative Therapy approaches. My goal is to help people be more successful in their interpersonal relationships.
I work with individuals, couples and families to reach goals that benefits the individual and family unit. I believe that everyone has the ability to attain those goals. I utilize Solution Focused and Narrative Therapy approaches. My goal is to help people be more successful in their interpersonal relationships.
(803) 918-6822 View (803) 918-6822
Photo of Carol Reyner Barnett, Clinical Social Work/Therapist in 29204, SC
Carol Reyner Barnett
Clinical Social Work/Therapist, MEd, EdS, LISW
Verified Verified
Columbia, SC 29204
I have over 30 years of experience with helping people with depression,anxiety,family issues, grief and loss, and codependency. My approach is solution focused with an emphasis on body,mind, and spirit. I accept Blue Cross, Value Options, Tricare Standard, Military One, and Medicare. I am also an EAP provider for First Sun, Deer Oaks,Cascade Centers, and Value Options. Call me today for a 15 minute free phone consultation to see if my approach is right for you.
I have over 30 years of experience with helping people with depression,anxiety,family issues, grief and loss, and codependency. My approach is solution focused with an emphasis on body,mind, and spirit. I accept Blue Cross, Value Options, Tricare Standard, Military One, and Medicare. I am also an EAP provider for First Sun, Deer Oaks,Cascade Centers, and Value Options. Call me today for a 15 minute free phone consultation to see if my approach is right for you.
(803) 459-1003 View (803) 459-1003
Photo of Jessica M. Lawler, Marriage & Family Therapist in 29204, SC
Jessica M. Lawler
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Columbia, SC 29204
Waitlist for new clients
A common myth is that LMFT’s work only with families/couples; I love working with both of those as well as with individuals! I am passionate about working with motivated, open-minded clients willing to be creative in pairing to make shifts in thinking, the handling of emotions, and behavioral responses. I’m less focused on the specifics of the presenting problem and more on a person’s process when dealing with it. This means I feel competent in working with most presentations to include, but not limited to anxiety, depression, post-traumatic stress, grief, relational conflict, mood swings, etc.
A common myth is that LMFT’s work only with families/couples; I love working with both of those as well as with individuals! I am passionate about working with motivated, open-minded clients willing to be creative in pairing to make shifts in thinking, the handling of emotions, and behavioral responses. I’m less focused on the specifics of the presenting problem and more on a person’s process when dealing with it. This means I feel competent in working with most presentations to include, but not limited to anxiety, depression, post-traumatic stress, grief, relational conflict, mood swings, etc.
(803) 219-8017 View (803) 219-8017
Photo of Angela G Bright, Licensed Professional Counselor Associate in 29204, SC
Angela G Bright
Licensed Professional Counselor Associate, M Ed, LPC A, GCDF
Verified Verified
Columbia, SC 29204
Overwhelmed? Stressed? Angry? Reactionary? Trouble in relationships - personal, professional, intimate? Feeling down or frustrated too often? I am here to listen and together we can find solutions that work for you. My primary goal is to help you develop strategies and interventions to improve your life and overall well-being. My counseling style is open and interactive. I encourage you to express your concerns, identify and face your struggles, and develop effective techniques and strategies to manage life's obstacles.
Overwhelmed? Stressed? Angry? Reactionary? Trouble in relationships - personal, professional, intimate? Feeling down or frustrated too often? I am here to listen and together we can find solutions that work for you. My primary goal is to help you develop strategies and interventions to improve your life and overall well-being. My counseling style is open and interactive. I encourage you to express your concerns, identify and face your struggles, and develop effective techniques and strategies to manage life's obstacles.
(803) 902-7978 View (803) 902-7978
Photo of Jeremy Martin, Clinical Social Work/Therapist in 29204, SC
Jeremy Martin
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Columbia, SC 29204
Finding a therapist is a deeply personal journey and it can be stressful and traumatizing to explain the very core of who you are to someone who may not “get it.” I aim to understand your perspective and embrace all aspects of you in a non-judgmental space. I recognize that every individual brings their own perception of their needs and the world around them, so I place substantial focus on identity, culture, and environment. I also believe that therapy is a great way to continue the conversation with ourselves and transition to a space where we are able to lovingly embrace all aspects of our lives.
Finding a therapist is a deeply personal journey and it can be stressful and traumatizing to explain the very core of who you are to someone who may not “get it.” I aim to understand your perspective and embrace all aspects of you in a non-judgmental space. I recognize that every individual brings their own perception of their needs and the world around them, so I place substantial focus on identity, culture, and environment. I also believe that therapy is a great way to continue the conversation with ourselves and transition to a space where we are able to lovingly embrace all aspects of our lives.
(803) 599-2887 View (803) 599-2887
Photo of Nikki Lowery, Licensed Professional Counselor in 29204, SC
Nikki Lowery
Licensed Professional Counselor, MA, LPC, LPCS, CCTP
Verified Verified
1 Endorsed
Columbia, SC 29204
At some point in life, you may be faced with emotional challenges. It may feel impossible to figure out how to get your life back in order. No matter what your issues may be, you have found someone to help you get back on track. With my clients I provide a safe, nonjudgmental environment, which allows them to freely express their emotions. My passion is working with individuals that experience anxiety, depression and trauma.
At some point in life, you may be faced with emotional challenges. It may feel impossible to figure out how to get your life back in order. No matter what your issues may be, you have found someone to help you get back on track. With my clients I provide a safe, nonjudgmental environment, which allows them to freely express their emotions. My passion is working with individuals that experience anxiety, depression and trauma.
(803) 291-5146 View (803) 291-5146
Photo of Samantha Wolfer, Licensed Professional Counselor in 29204, SC
Samantha Wolfer
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Columbia, SC 29204
Do you find yourself weighed down by the thoughts in your head? Do you keep saying yes when you really want to say no? Do you find it hard to speak up for yourself or ask for what you need? Feeling disconnected from yourself and others? Have you had a lifelong bad relationship with your body? Let me come alongside you and help you navigate the sometimes choppy waters of life. If you're looking for a new way of being in the world, with yourself and others, I'd love to help. I enjoy working with individuals and couples dealing with anxiety, panic, depression, trauma, body image/food issues, and relationship conflict.
Do you find yourself weighed down by the thoughts in your head? Do you keep saying yes when you really want to say no? Do you find it hard to speak up for yourself or ask for what you need? Feeling disconnected from yourself and others? Have you had a lifelong bad relationship with your body? Let me come alongside you and help you navigate the sometimes choppy waters of life. If you're looking for a new way of being in the world, with yourself and others, I'd love to help. I enjoy working with individuals and couples dealing with anxiety, panic, depression, trauma, body image/food issues, and relationship conflict.
(803) 310-2365 View (803) 310-2365
Photo of Helen H Kluiters, Clinical Social Work/Therapist in 29204, SC
Helen H Kluiters
Clinical Social Work/Therapist, LISW-CP
Verified Verified
Columbia, SC 29204
I help adult individuals to better manage emotional issues that are causing conflict and concern. I will collaborate with you to help you to find solutions and to become more confident, peaceful, and satisfied in all areas of your life. I am committed to providing non-judgmental, compassionate, and professional services to all clients.
I help adult individuals to better manage emotional issues that are causing conflict and concern. I will collaborate with you to help you to find solutions and to become more confident, peaceful, and satisfied in all areas of your life. I am committed to providing non-judgmental, compassionate, and professional services to all clients.
(803) 219-8522 View (803) 219-8522
Photo of Amy DeLuzio, Licensed Professional Counselor in 29204, SC
Amy DeLuzio
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Columbia, SC 29204
Waitlist for new clients
We all reach points in life where we don’t know what the next step is, and let’s be honest, with past experiences of missteps, uncertainty can be downright scary. Previously, you may have used certain coping strategies or learned skills to navigate hard times, but this time around, those things may not be helping. Starting therapy can be a scary decision, but it might just be one of the bravest decisions you ever make.
We all reach points in life where we don’t know what the next step is, and let’s be honest, with past experiences of missteps, uncertainty can be downright scary. Previously, you may have used certain coping strategies or learned skills to navigate hard times, but this time around, those things may not be helping. Starting therapy can be a scary decision, but it might just be one of the bravest decisions you ever make.
(803) 893-9818 View (803) 893-9818

How does your Therapist compare?

Number of Therapists in 29204

60+

Average cost per session

$127

Therapists in 29204 who prioritize treating:

98% Anxiety
92% Depression
89% Relationship Issues
84% Self Esteem
78% Trauma and PTSD
78% Coping Skills
78% Stress

Average years in practice

8 Years

Top 3 insurances accepted

76% BlueCross and BlueShield
63% Aetna
61% Cigna and Evernorth

How Therapists in 29204 see their clients

88% In Person and Online
12% Online Only

Gender breakdown

87% Female
13% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 29204?

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.