Therapists in 29576

Photo of Lee Ann L Darrone, Licensed Professional Counselor in 29576, SC
Lee Ann L Darrone
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Life is a journey. It doesn't always happen the way we plan, does it? We are often challenged by stressors we feel overwhelmed by, such as job stress, relationships, a grim diagnosis, loss of a loved one or trauma. Any one of these things can trigger anxiety or depression. I encourage you to take the lead in your therapy, to help you overcome whatever is holding you back from living your life to the fullest.
Life is a journey. It doesn't always happen the way we plan, does it? We are often challenged by stressors we feel overwhelmed by, such as job stress, relationships, a grim diagnosis, loss of a loved one or trauma. Any one of these things can trigger anxiety or depression. I encourage you to take the lead in your therapy, to help you overcome whatever is holding you back from living your life to the fullest.
(843) 350-5497 View (843) 350-5497
Photo of Dr Kim Saliba, PhD (Clinical Psychologist), Psychologist in 29576, SC
Dr Kim Saliba, PhD (Clinical Psychologist)
Psychologist, PhD
Verified Verified
Murrells Inlet, SC 29576  (Online Only)
Dr. Kim places a strong emphasis on an empathetic approach providing a full range of comprehensive services for: Adults, Adolescents, Children, and Families. Working with high risk population (Eating disorder, self-harm, suicidal thoughts, etc.) to mental health struggles (anxiety, depression, ADHD, etc.), to parent counselling and so much more. Dr. Kim provides evidence based therapy techniques and creates a safe environment to foster personal growth and supports clients in making deep and lasting changes. Dr. Kim's website also provides lots of helpful information. Website: www.drkimsaliba.com
Dr. Kim places a strong emphasis on an empathetic approach providing a full range of comprehensive services for: Adults, Adolescents, Children, and Families. Working with high risk population (Eating disorder, self-harm, suicidal thoughts, etc.) to mental health struggles (anxiety, depression, ADHD, etc.), to parent counselling and so much more. Dr. Kim provides evidence based therapy techniques and creates a safe environment to foster personal growth and supports clients in making deep and lasting changes. Dr. Kim's website also provides lots of helpful information. Website: www.drkimsaliba.com
(843) 547-9074 View (843) 547-9074
Stacy Cretzmeyer
Counselor, PhD, NCC, LPC
Verified Verified
Coastline Counseling & Consulting Services, LLC is owned and operated by Stacy Cretzmeyer, Ph.D., a licensed professional counselor and National Certified Counselor. She received her Ed.S. and Ph.D. degrees in Counselor Education from the University of South Carolina and has received extensive post-graduate training. With twenty years of clinical experience, Dr. Cretzmeyer has also taught on the graduate and undergraduate levels and has been a presenter at national and regional counseling conferences. She is a published author and has directed conferences, seminars, and workshops for teachers, counselors, health care professionals, law enforcement personnel, students and parents.
Coastline Counseling & Consulting Services, LLC is owned and operated by Stacy Cretzmeyer, Ph.D., a licensed professional counselor and National Certified Counselor. She received her Ed.S. and Ph.D. degrees in Counselor Education from the University of South Carolina and has received extensive post-graduate training. With twenty years of clinical experience, Dr. Cretzmeyer has also taught on the graduate and undergraduate levels and has been a presenter at national and regional counseling conferences. She is a published author and has directed conferences, seminars, and workshops for teachers, counselors, health care professionals, law enforcement personnel, students and parents.
(843) 606-5890 View (843) 606-5890
Nancy Whitford Davis
Licensed Professional Counselor, MA, LPC
Verified Verified
Here are some common reasons people contact me Angry Kids: Maybe they are not acting like they should. They may be angry, frustrated, don’t follow your rules, or have other behavioral or emotional issues. Also, kids process death, family break-up, or even new people joining the family differently. They may get quiet or angry. Frustrated Parents: I am trained in positive parenting to help parents by looking at what they are doing that works and what is not working. I then teach new skills and check in as to how it is going. Distant Couples: I work to restore the relationship from where it has been towards positive future direction.
Here are some common reasons people contact me Angry Kids: Maybe they are not acting like they should. They may be angry, frustrated, don’t follow your rules, or have other behavioral or emotional issues. Also, kids process death, family break-up, or even new people joining the family differently. They may get quiet or angry. Frustrated Parents: I am trained in positive parenting to help parents by looking at what they are doing that works and what is not working. I then teach new skills and check in as to how it is going. Distant Couples: I work to restore the relationship from where it has been towards positive future direction.
(843) 632-5015 View (843) 632-5015
Photo of My Family Counselor, Inc. Melanie A. Flowers, Pastoral Counselor in 29576, SC
My Family Counselor, Inc. Melanie A. Flowers
Pastoral Counselor, MA
Verified Verified
Do you struggle with feeling disconnected from yourself, God, and even your family and friends? I specialize in helping people struggling with anxiety, relationship challenges, and identity issues to live a more authentic life aligned with their values and purpose. My teaching background, focused studies and walk with God have prepared me to help adolescents, couples, families and women in all stages of life. Reach out today for a complimentary insight call and let’s begin your journey towards hope and healing. I love when my clients can see themselves in a new light and begin to experience the abundant life God has promised.
Do you struggle with feeling disconnected from yourself, God, and even your family and friends? I specialize in helping people struggling with anxiety, relationship challenges, and identity issues to live a more authentic life aligned with their values and purpose. My teaching background, focused studies and walk with God have prepared me to help adolescents, couples, families and women in all stages of life. Reach out today for a complimentary insight call and let’s begin your journey towards hope and healing. I love when my clients can see themselves in a new light and begin to experience the abundant life God has promised.
(843) 305-3132 View (843) 305-3132
Photo of Deborah A Barham, Licensed Professional Counselor in 29576, SC
Deborah A Barham
Licensed Professional Counselor, LMHC, LPC, CHT
Not Verified Not Verified
Seeking therapy can be 'anxiety provoking" and confusing. I am committed to helping clients feel comfortable and connected, providing a non-judgmental and user friendly approach. My work with clients is painless, effective and long lasting. My areas of expertise are sexual,emotional and physical abuse, anger problems, anxiety or fear, women's empowerment, men issues, substance abuse, relationship issues,domestic violence, grief and gay/lesbian issues.
Seeking therapy can be 'anxiety provoking" and confusing. I am committed to helping clients feel comfortable and connected, providing a non-judgmental and user friendly approach. My work with clients is painless, effective and long lasting. My areas of expertise are sexual,emotional and physical abuse, anger problems, anxiety or fear, women's empowerment, men issues, substance abuse, relationship issues,domestic violence, grief and gay/lesbian issues.
(954) 532-8868 View (954) 532-8868
Photo of Corey Long, Clinical Social Work/Therapist in 29576, SC
Corey Long
Clinical Social Work/Therapist, LICSW, LISW CP
Verified Verified
Murrells Inlet, SC 29576  (Online Only)
I use telehealth to work with clients who live in Massachusetts and in South Carolina I am licensed in both states. I have 30 years experience treating adults with anxiety, depression, trauma history, chronic illness and substance abuse including people in early recovery from Opioid addiction and those formerly incarcerated. I take a Reflective Listening approach, helping you to identify strengths, obstacles and a plan for change.
I use telehealth to work with clients who live in Massachusetts and in South Carolina I am licensed in both states. I have 30 years experience treating adults with anxiety, depression, trauma history, chronic illness and substance abuse including people in early recovery from Opioid addiction and those formerly incarcerated. I take a Reflective Listening approach, helping you to identify strengths, obstacles and a plan for change.
(854) 842-2455 View (854) 842-2455
Photo of Dianne Winchester, Licensed Professional Counselor in 29576, SC
Dianne Winchester
Licensed Professional Counselor, MA, LPC, LAC
Verified Verified
Not accepting new clients
Do you realize the answers you seek exist within you? Life’s disruptions, losses and painful experiences leave negative imprints, which result in unpleasant symptoms like low self-esteem, limiting self-beliefs and negative thoughts about others and life. These experiences and the undesirable impacts cloud the part of you with all of the answers, your true essence. Together we will work to liberate you from the marks that past disturbances have left in order to be the healthiest and best version of your true self. Take a journey to intimately know and love yourself, and discover the roots of your thoughts, feelings and behaviors.
Do you realize the answers you seek exist within you? Life’s disruptions, losses and painful experiences leave negative imprints, which result in unpleasant symptoms like low self-esteem, limiting self-beliefs and negative thoughts about others and life. These experiences and the undesirable impacts cloud the part of you with all of the answers, your true essence. Together we will work to liberate you from the marks that past disturbances have left in order to be the healthiest and best version of your true self. Take a journey to intimately know and love yourself, and discover the roots of your thoughts, feelings and behaviors.
(843) 258-1361 View (843) 258-1361
Photo of Dio R. Godbold, Licensed Professional Counselor in 29576, SC
Dio R. Godbold
Licensed Professional Counselor, MA, LPC, CT-Ret
Verified Verified
I am a mental health professional with experience working with children, adolescents and adults. I use a variety of theoretical perspectives in individual, couple, group and family therapy sessions with specialization in psychoanalytic psychotherapy and serious illness psychosocial support. My conceptual approach is fundamentally psychoanalytic (Depth Psychology). My therapeutic style is influenced by a variety of techniques that I have integrated through the years.
I am a mental health professional with experience working with children, adolescents and adults. I use a variety of theoretical perspectives in individual, couple, group and family therapy sessions with specialization in psychoanalytic psychotherapy and serious illness psychosocial support. My conceptual approach is fundamentally psychoanalytic (Depth Psychology). My therapeutic style is influenced by a variety of techniques that I have integrated through the years.
(843) 508-9688 x997 View (843) 508-9688 x997
Photo of Theresa M Genberg, Licensed Professional Counselor in 29576, SC
Theresa M Genberg
Licensed Professional Counselor, MEd , NCC, LPC
Verified Verified
Murrells Inlet, SC 29576  (Online Only)
I believes in providing high quality, individualized, compassionate and research based therapy. I have many years of experience working with the a culturally diverse population including in a hospital, school, and private practice setting. I believe that I can provide the therapeutic strategies to help facilitate insight and provide support to help clients successfully navigate through life while reaching their fullest potential.
I believes in providing high quality, individualized, compassionate and research based therapy. I have many years of experience working with the a culturally diverse population including in a hospital, school, and private practice setting. I believe that I can provide the therapeutic strategies to help facilitate insight and provide support to help clients successfully navigate through life while reaching their fullest potential.
(843) 891-6892 View (843) 891-6892
Photo of James (Todd) McGahey, Licensed Professional Counselor in 29576, SC
James (Todd) McGahey
Licensed Professional Counselor, EdD, LPC, NCC, NCSC
Verified Verified
I am a Licensed Professional Counselor (LPC) with over twenty years of experience in private practice, university settings, community agencies, and K-12 school settings. I help you challenge barriers and create solutions to living a fulfilled, happy life. I assist in identifying problems and patterns that affect you, both negatively and positively, and then facilitate a path to success. I provide counseling and therapy for positive and proactive change in adults.
I am a Licensed Professional Counselor (LPC) with over twenty years of experience in private practice, university settings, community agencies, and K-12 school settings. I help you challenge barriers and create solutions to living a fulfilled, happy life. I assist in identifying problems and patterns that affect you, both negatively and positively, and then facilitate a path to success. I provide counseling and therapy for positive and proactive change in adults.
(843) 605-4749 View (843) 605-4749
Photo of Adam T. Howell, Licensed Clinical Mental Health Counselor in 29576, SC
Adam T. Howell
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
Murrells Inlet, SC 29576  (Online Only)
Are you feeling depressed or anxious? Do you feel misunderstood? Have you experienced difficulties communicating with loved ones? Do you doubt your parenting skills? Do you feel empty without a purpose?
Are you feeling depressed or anxious? Do you feel misunderstood? Have you experienced difficulties communicating with loved ones? Do you doubt your parenting skills? Do you feel empty without a purpose?
(843) 396-3808 View (843) 396-3808
Photo of Johnny Deloache, Licensed Professional Counselor in 29576, SC
Johnny Deloache
Licensed Professional Counselor, MEd, LPC, NCC, M-Div, CAC-P
Verified Verified
If you are depressed, anxious, worrisome,unhappy, stressed, sad, mad, frustrated, fearful, afraid, or feeling like you are at the end of your rope, I join you on your life's journey to show you how to experience more joy, satisfaction, contentment in your life. I will work with you to ameliorate the the discomfort and distress associated with past painful memories and experiences that prevent you from enjoying the present. The goal is for the rest of your life to be the best of your life.
If you are depressed, anxious, worrisome,unhappy, stressed, sad, mad, frustrated, fearful, afraid, or feeling like you are at the end of your rope, I join you on your life's journey to show you how to experience more joy, satisfaction, contentment in your life. I will work with you to ameliorate the the discomfort and distress associated with past painful memories and experiences that prevent you from enjoying the present. The goal is for the rest of your life to be the best of your life.
(843) 491-6405 View (843) 491-6405
Photo of Maria Morabito, Licensed Professional Counselor in 29576, SC
Maria Morabito
Licensed Professional Counselor, CAS, LPC
Verified Verified
Murrells Inlet, SC 29576  (Online Only)
A safe therapeutic space is critical to the therapy experience so that the individual feels heard, understood, and supported while learning skills to navigate life’s challenges. During events of high stress, anxiety, and uncertainty, Maria’s approach is warm and caring, as she encourages open communication, collaboration, and participation. Maria has extensive experience working with adults, well as with and children with Autism spectrum disorders and other developmental disabilities. She is passionate about providing effective support, working to understand the unique perspective of each individual.
A safe therapeutic space is critical to the therapy experience so that the individual feels heard, understood, and supported while learning skills to navigate life’s challenges. During events of high stress, anxiety, and uncertainty, Maria’s approach is warm and caring, as she encourages open communication, collaboration, and participation. Maria has extensive experience working with adults, well as with and children with Autism spectrum disorders and other developmental disabilities. She is passionate about providing effective support, working to understand the unique perspective of each individual.
(475) 258-7681 View (475) 258-7681
Photo of Camilla Robarts, Licensed Professional Counselor in 29576, SC
Camilla Robarts
Licensed Professional Counselor, MA, LPC, CCTP II
Verified Verified
4 Endorsed
Are you so busy caring for and thinking of others you have lost yourself? Going through the motions, feeling anxious, overwhelmed or angry? Do you avoid finding time for yourself because you feel guilty? Are you feeling more and more disconnected from loved ones & yourself? Do you long for something more? I have helped many who were in the same place. You are not alone. You can break free from these things and begin to feel joy again. You can uncover blind spots that have kept you from moving forward & learn resiliency for the future. You can rediscover parts of yourself you have lost & find more meaning in your life.
Are you so busy caring for and thinking of others you have lost yourself? Going through the motions, feeling anxious, overwhelmed or angry? Do you avoid finding time for yourself because you feel guilty? Are you feeling more and more disconnected from loved ones & yourself? Do you long for something more? I have helped many who were in the same place. You are not alone. You can break free from these things and begin to feel joy again. You can uncover blind spots that have kept you from moving forward & learn resiliency for the future. You can rediscover parts of yourself you have lost & find more meaning in your life.
(843) 281-7282 View (843) 281-7282
Photo of Diane O'Neill, LISW, LLC, Clinical Social Work/Therapist in 29576, SC
Diane O'Neill, LISW, LLC
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Waitlist for new clients
It can be a difficult step to start therapy as it often comes at a time when you are not feeling supported or confident. The path toward relieving your struggles and meeting your goals may be unclear. I have met many clients that often start unsure of what the first move needs to be or have had unsatisfactory growth in therapy previously. For over 20 years I have worked with clients to build a set of tools that they can use to resolve today’s issues as well as to maintain a lifestyle of good mental health. I am interactive, strength-based and ready to discuss with you if I am a “good fit” for your needs.
It can be a difficult step to start therapy as it often comes at a time when you are not feeling supported or confident. The path toward relieving your struggles and meeting your goals may be unclear. I have met many clients that often start unsure of what the first move needs to be or have had unsatisfactory growth in therapy previously. For over 20 years I have worked with clients to build a set of tools that they can use to resolve today’s issues as well as to maintain a lifestyle of good mental health. I am interactive, strength-based and ready to discuss with you if I am a “good fit” for your needs.
(803) 373-1949 View (803) 373-1949
Photo of Adrienne N Lowery, Licensed Professional Counselor in 29576, SC
Adrienne N Lowery
Licensed Professional Counselor, MA, LPC, BC-TMH, NCC
Verified Verified
Many of the individuals I work with have either been through a recent life change or trauma, or have been dealing with anxiety, depression or any number of issues for several years to a lifetime. My purpose is not to understand what it is like to walk in your shoes, but to come alongside you and walk with you together through your difficulties and figure out healthy strategies together. We will set goals and objectives together to formulate a viable solution for your situation. I have experience working with individuals, couples and groups dealing with issues such as depression, anxiety, relationships, and behavioral problems.
Many of the individuals I work with have either been through a recent life change or trauma, or have been dealing with anxiety, depression or any number of issues for several years to a lifetime. My purpose is not to understand what it is like to walk in your shoes, but to come alongside you and walk with you together through your difficulties and figure out healthy strategies together. We will set goals and objectives together to formulate a viable solution for your situation. I have experience working with individuals, couples and groups dealing with issues such as depression, anxiety, relationships, and behavioral problems.
(843) 508-6834 View (843) 508-6834
Photo of Bo Godbold, Licensed Professional Counselor in 29576, SC
Bo Godbold
Licensed Professional Counselor, MA, LPC
Verified Verified
Relationships are complex. We frequently identify ourselves through our relationship with others. We are parents, children, couples, coworkers, bosses, employees, friends. These relationships continually impact our thoughts, feelings, beliefs, and actions. Perhaps your relationships involve stress, anxiety, sadness, grief, confusion, and unhealthy dynamics.
Relationships are complex. We frequently identify ourselves through our relationship with others. We are parents, children, couples, coworkers, bosses, employees, friends. These relationships continually impact our thoughts, feelings, beliefs, and actions. Perhaps your relationships involve stress, anxiety, sadness, grief, confusion, and unhealthy dynamics.
(843) 594-2465 View (843) 594-2465
Photo of Beth Traveria, Licensed Professional Counselor in 29576, SC
Beth Traveria
Licensed Professional Counselor, PsyD, LPCC, NCC
Verified Verified
Murrells Inlet, SC 29576  (Online Only)
Attention for those residing in the states of Ohio or South Carolina. Are you ready to better understand your situation? Do you want to move forward toward resolving difficulties in your life? As your therapist, I will use my knowledge of human development and behavior to assist you in gaining this understanding. I will enter into a dialogue with you regarding possible solutions. We will examine your feelings/emotions, thoughts and behaviors. I will support you as you consider trying new approaches.Counseling can lead to better relationships, solutions to specific problems and significant reductions in feelings of distress.
Attention for those residing in the states of Ohio or South Carolina. Are you ready to better understand your situation? Do you want to move forward toward resolving difficulties in your life? As your therapist, I will use my knowledge of human development and behavior to assist you in gaining this understanding. I will enter into a dialogue with you regarding possible solutions. We will examine your feelings/emotions, thoughts and behaviors. I will support you as you consider trying new approaches.Counseling can lead to better relationships, solutions to specific problems and significant reductions in feelings of distress.
View
Photo of Patricia L Unger, Licensed Professional Counselor in 29576, SC
Patricia L Unger
Licensed Professional Counselor, LPC, MAC, LAC
Verified Verified
1 Endorsed
Seeking counseling is a brave step towards mental health and recovery. I provide treatment for adolescents and adults in a safe, private environment in person or telehealth. As your counselor, I will walk along side you in your journey, providing support and practical tools to meet a variety of life's challenges. My therapy services also include EMDR and treatment for process addictions such as internet, gaming and pornography addiction. I encourage anyone seeking help with depression, anxiety or problems with addiction or family members with addiction to call or email for a consultation.
Seeking counseling is a brave step towards mental health and recovery. I provide treatment for adolescents and adults in a safe, private environment in person or telehealth. As your counselor, I will walk along side you in your journey, providing support and practical tools to meet a variety of life's challenges. My therapy services also include EMDR and treatment for process addictions such as internet, gaming and pornography addiction. I encourage anyone seeking help with depression, anxiety or problems with addiction or family members with addiction to call or email for a consultation.
(843) 531-9796 View (843) 531-9796

See more therapy options for 29576

How does your Therapist compare?

Number of Therapists in 29576

50+

Average cost per session

$125

Therapists in 29576 who prioritize treating:

96% Depression
95% Anxiety
89% Relationship Issues
84% Self Esteem
81% Trauma and PTSD
77% Coping Skills
74% Stress

Average years in practice

15 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
54% Cigna and Evernorth
49% Aetna

How Therapists in 29576 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

90% Female
10% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 29576?

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.