Photo of Ashanti C Belle, LMHC, EdS, MA, Counselor
Ashanti C Belle
Counselor, LMHC, EdS, MA
Verified Verified
1 Endorsed
Online Only
Here at Believe and Inspire Counseling, I am focused on helping guide others to their path of healing. My goal is to work with you to develop the skills needed to manage active symptoms of mental health that have shown to be detrimental on your day to day functioning as well as happiness.
Here at Believe and Inspire Counseling, I am focused on helping guide others to their path of healing. My goal is to work with you to develop the skills needed to manage active symptoms of mental health that have shown to be detrimental on your day to day functioning as well as happiness.
(904) 747-8013 View (904) 747-8013
Photo of Doris Benrey Boguslavsky, MA,
Doris Benrey Boguslavsky
Registered Mental Health Counselor Intern, MA,
Verified Verified
Orange Park, FL 32073
I have more than 40 years' experience in the areas of child and adolescent psychotherapy and school related difficulties. As a qualified Psychoanalyst, I have worked in different countries, and I help families from different nationalities and cultural backgrounds. I have ample experience working with individuals, teens, young adults and families. My areas of expertise include, relationship issues, parenting problems, depression, trauma, anger, autism and transition issues. I integrate CBT, psychodynamic, systemic and humanistic approaches depending on the problems and the personalities of my clients.
I have more than 40 years' experience in the areas of child and adolescent psychotherapy and school related difficulties. As a qualified Psychoanalyst, I have worked in different countries, and I help families from different nationalities and cultural backgrounds. I have ample experience working with individuals, teens, young adults and families. My areas of expertise include, relationship issues, parenting problems, depression, trauma, anger, autism and transition issues. I integrate CBT, psychodynamic, systemic and humanistic approaches depending on the problems and the personalities of my clients.
(904) 906-7447 View (904) 906-7447
Photo of Crystal Hicks, LCSW, Clinical Social Work/Therapist
Crystal Hicks
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Crystal Hicks is a Licensed Clinical Social Worker (LCSW) with a strong commitment to supporting individuals in their mental health journeys. She integrates evidence-based approaches with a compassionate, client-centered focus.
Crystal Hicks is a Licensed Clinical Social Worker (LCSW) with a strong commitment to supporting individuals in their mental health journeys. She integrates evidence-based approaches with a compassionate, client-centered focus.
(904) 659-0701 View (904) 659-0701
Photo of Tracy L. Johnston, EdD, LMHC, Counselor
Tracy L. Johnston
Counselor, EdD, LMHC
Verified Verified
1 Endorsed
Orange Park, FL 32073
I am Licensed Mental Health Counselor with over 20 years experience. I am also a Family Court Mediator, a Qualified Parenting Coordinator, as well as a Board Certified Coach. My practice focuses on helping individuals and families who are experiencing stress and difficulty as the result of life transitions, such as divorce or co-parenting conflicts by offering a variety of services aimed at helping the individual or family learn better communication and conflict management skills through mediation, parenting coordination, or coaching.
I am Licensed Mental Health Counselor with over 20 years experience. I am also a Family Court Mediator, a Qualified Parenting Coordinator, as well as a Board Certified Coach. My practice focuses on helping individuals and families who are experiencing stress and difficulty as the result of life transitions, such as divorce or co-parenting conflicts by offering a variety of services aimed at helping the individual or family learn better communication and conflict management skills through mediation, parenting coordination, or coaching.
(904) 770-3072 View (904) 770-3072
Photo of Danielle Turwitt, MS, LMHC, NBCC
Danielle Turwitt
Licensed Mental Health Counselor, MS, LMHC, NBCC
Verified Verified
Orange Park, FL 32073
The foundations of her work rely on a non-judgmental, supportive, and collaborative approaches. Danielle enjoys creative, expressive, and interactive therapy methods. Art therapy methods can allow for a deeper emotional understanding in all ages. As an active member of the American Counseling Association, she has had the opportunity to present at the ACA Montréal conference on the topic -Complicated Grief Treatment. She has also had the opportunity to speak to nursing students, at local community colleges, on mental health treatment for minority populations. She was also a keynote speaker for Masters graduating counseling students.
The foundations of her work rely on a non-judgmental, supportive, and collaborative approaches. Danielle enjoys creative, expressive, and interactive therapy methods. Art therapy methods can allow for a deeper emotional understanding in all ages. As an active member of the American Counseling Association, she has had the opportunity to present at the ACA Montréal conference on the topic -Complicated Grief Treatment. She has also had the opportunity to speak to nursing students, at local community colleges, on mental health treatment for minority populations. She was also a keynote speaker for Masters graduating counseling students.
(904) 560-5497 View (904) 560-5497
Photo of Shelly Nichole Grabiak, MSW, RCSWI, RYT200
Shelly Nichole Grabiak
Registered Clinical Social Worker Intern, MSW, RCSWI, RYT200
Verified Verified
2 Endorsed
Online Only
Do you feel like you have lost your spark & vibrancy? Do you struggle with expectations of who you should be, never feeling like you are enough? Do you numb your feelings or ignore your intuition in favor of comfort, stability, acceptance, and normalcy? Maybe your relationships aren't fulfilling but you don't know to do to make them better. Maybe you've experienced a single event that has made you question everything, or a cascade of smaller events over the course of life. Maybe you are just desiring more inner balance. Whatever the case, I want to help you overcome the things that are keeping you from living a more authentic life!
Do you feel like you have lost your spark & vibrancy? Do you struggle with expectations of who you should be, never feeling like you are enough? Do you numb your feelings or ignore your intuition in favor of comfort, stability, acceptance, and normalcy? Maybe your relationships aren't fulfilling but you don't know to do to make them better. Maybe you've experienced a single event that has made you question everything, or a cascade of smaller events over the course of life. Maybe you are just desiring more inner balance. Whatever the case, I want to help you overcome the things that are keeping you from living a more authentic life!
(352) 460-1140 View (352) 460-1140
Photo of Edna Schaefer, MA, LMHC, QS, Counselor
Edna Schaefer
Counselor, MA, LMHC, QS
Verified Verified
2 Endorsed
Orange Park, FL 32073
Working through a life change? In a slump or feeling stuck? I work with parents and their children, individuals and couples to stabilize and re-focus on choices, health and healthy behaviors to allow the best opportunities for success socially and emotionally. Change is a part of life and harnessing the power of change and working towards life fulfillment is the foundation of our time together.
Working through a life change? In a slump or feeling stuck? I work with parents and their children, individuals and couples to stabilize and re-focus on choices, health and healthy behaviors to allow the best opportunities for success socially and emotionally. Change is a part of life and harnessing the power of change and working towards life fulfillment is the foundation of our time together.
(904) 685-1478 View (904) 685-1478
Photo of James Roark, MA, LMHC
James Roark
Licensed Mental Health Counselor, MA, LMHC
Verified Verified
Orange Park, FL 32073
Hi, I'm James. As a licensed therapist, I bring my authentic self into our sessions. While I deeply value my experience and theoretical orientation, I believe that trust, connection, and comfort between client and therapist are equally important. My clients appreciate a therapist who is genuine, compassionate, non-judgmental, willing to offer honest feedback, and who brings a touch of humor to the process. In short, I strive to be not just a therapist, but a relatable and human presence in your journey.
Hi, I'm James. As a licensed therapist, I bring my authentic self into our sessions. While I deeply value my experience and theoretical orientation, I believe that trust, connection, and comfort between client and therapist are equally important. My clients appreciate a therapist who is genuine, compassionate, non-judgmental, willing to offer honest feedback, and who brings a touch of humor to the process. In short, I strive to be not just a therapist, but a relatable and human presence in your journey.
(904) 606-9686 View (904) 606-9686
Photo of Brianna Forney, MA, RMHCI, Pre-Licensed Professional
Brianna Forney
Pre-Licensed Professional, MA, RMHCI
Verified Verified
1 Endorsed
Orange Park, FL 32073
Do you need support, guidance, or help overcoming life challenges? Maybe it's a mindset shift or learning how to navigate conflict better. Working on therapy goals you have established will help you find solutions to the problems you are facing, improve the ways you cope with life's challenges, and promote a positive self-image.
Do you need support, guidance, or help overcoming life challenges? Maybe it's a mindset shift or learning how to navigate conflict better. Working on therapy goals you have established will help you find solutions to the problems you are facing, improve the ways you cope with life's challenges, and promote a positive self-image.
(904) 638-3197 View (904) 638-3197
Photo of Sor M Ortiz-Colon - Ortiz Wellness Center, PhD, LPC, LHMC, Counselor
Ortiz Wellness Center
Counselor, PhD, LPC, LHMC
Verified Verified
Orange Park, FL 32073
Bilingual Provider! Spanish and English. My extensive experience allows me to connect deeply with my clients, fostering a supportive environment where they feel understood and valued. I have been dedicated to working with the geriatric population in recent years, and I am pleased to offer services in Spanish. As a licensed professional counselor with over 20 years of experience in the field of mental health my approach to therapy is centered around the individual, utilizing a client-centered framework alongside cognitive-behavioral therapy (CBT) techniques.
Bilingual Provider! Spanish and English. My extensive experience allows me to connect deeply with my clients, fostering a supportive environment where they feel understood and valued. I have been dedicated to working with the geriatric population in recent years, and I am pleased to offer services in Spanish. As a licensed professional counselor with over 20 years of experience in the field of mental health my approach to therapy is centered around the individual, utilizing a client-centered framework alongside cognitive-behavioral therapy (CBT) techniques.
(904) 474-5537 View (904) 474-5537
Photo of Regina Poole - Understanding U Counseling Services LLC, LMHC, LPC, LPCMH, LCMHC, Counselor
Understanding U Counseling Services LLC
Counselor, LMHC, LPC, LPCMH, LCMHC
Verified Verified
Orange Park, FL 32073
Welcome! My name is Regina Poole, I am a licensed therapist with over 10 years of experience dedicated to helping individuals navigate their mental health challenges. I am Licensed in multiple states which includes: FL, SC, NC, DE & MA. My career spans over a decade, having worked in diverse clinical settings, including private practice, community mental health centers, and hospital environments. I am here to help you find the path forward.
Welcome! My name is Regina Poole, I am a licensed therapist with over 10 years of experience dedicated to helping individuals navigate their mental health challenges. I am Licensed in multiple states which includes: FL, SC, NC, DE & MA. My career spans over a decade, having worked in diverse clinical settings, including private practice, community mental health centers, and hospital environments. I am here to help you find the path forward.
(904) 650-5387 View (904) 650-5387
Photo of Craig P Kurtz - Craig P Kurtz LMHC, PA, LMHC, CAP, NCCH, CDV, REBT, Drug & Alcohol Counselor
Craig P Kurtz LMHC, PA
Drug & Alcohol Counselor, LMHC, CAP, NCCH, CDV, REBT
Verified Verified
Orange Park, FL 32073
HOLISTIC-Psychotherapy, COUPLES, MARITAL and SUBSTANCE ABUSE, custody, DIVORCE, bi-polar, mood anxiety, chronic pain with out medication hypnosis - traditional approaches FOR COUPLES-INDIVIDUALS where other therapy and has failed, {addictions} DUI, evaluations counseling certificates. Approved court ordered substance abuse evaluations and treatment, TASC-PROBATION treatment, substance abuse Services for All US COURTS. - EVALUATIONS for courts, Felony and misdemeanor: battery, domestic battery, Referrals to batterers intervention groups and ANGER MANAGEMENT IS available Supportive counseling and groups for witness of violent and emotional abuse of victims. PTSD Advocate for men and womans rights against domestic abuse "NO TEXT'S" as I will not receive them!
HOLISTIC-Psychotherapy, COUPLES, MARITAL and SUBSTANCE ABUSE, custody, DIVORCE, bi-polar, mood anxiety, chronic pain with out medication hypnosis - traditional approaches FOR COUPLES-INDIVIDUALS where other therapy and has failed, {addictions} DUI, evaluations counseling certificates. Approved court ordered substance abuse evaluations and treatment, TASC-PROBATION treatment, substance abuse Services for All US COURTS. - EVALUATIONS for courts, Felony and misdemeanor: battery, domestic battery, Referrals to batterers intervention groups and ANGER MANAGEMENT IS available Supportive counseling and groups for witness of violent and emotional abuse of victims. PTSD Advocate for men and womans rights against domestic abuse "NO TEXT'S" as I will not receive them!
(305) 680-1434 View (305) 680-1434
Photo of Satara Carr - Blissful Wellness Counseling, LMHC, MA, Counselor
Blissful Wellness Counseling
Counselor, LMHC, MA
Verified Verified
Orange Park, FL 32073
At Blissful Wellness we take the guess work out of therapy. Therapy doesn’t have to be difficult, and difficult doesn’t mean impossible. This philosophy has led us to helping clients aspire to create their own destiny and to manufacture the change they desire. Here at Blissful Wellness our mission is motivate encourage and guide you to your healthier self. You’re ready for change, let me help you. NOW ACCEPTING NEW CLIENTS.
At Blissful Wellness we take the guess work out of therapy. Therapy doesn’t have to be difficult, and difficult doesn’t mean impossible. This philosophy has led us to helping clients aspire to create their own destiny and to manufacture the change they desire. Here at Blissful Wellness our mission is motivate encourage and guide you to your healthier self. You’re ready for change, let me help you. NOW ACCEPTING NEW CLIENTS.
(850) 361-8512 View (850) 361-8512
Photo of James Dallas Malone, MS, LMHC, MCAP, NCC, Counselor
James Dallas Malone
Counselor, MS, LMHC, MCAP, NCC
Verified Verified
Orange Park, FL 32073
I work with men and couples experiencing difficulties with addiction, depression, anxiety and relationship issues. I have been working as a Mental Health/Addictions Counselor since 2012. As well as being a fully licensed mental health counselor in the state of Florida, I also hold certifications as a Nationally Certified Counselor and as a Certified Master's Level Addictions Professional. My theoretical approach is predominantly based on client-centered, solution-focused and cognitive behavioral therapy. I do consider myself to be eclectic, meaning that I will draw from different therapeutic approaches as needed for each individual.
I work with men and couples experiencing difficulties with addiction, depression, anxiety and relationship issues. I have been working as a Mental Health/Addictions Counselor since 2012. As well as being a fully licensed mental health counselor in the state of Florida, I also hold certifications as a Nationally Certified Counselor and as a Certified Master's Level Addictions Professional. My theoretical approach is predominantly based on client-centered, solution-focused and cognitive behavioral therapy. I do consider myself to be eclectic, meaning that I will draw from different therapeutic approaches as needed for each individual.
(904) 602-8577 View (904) 602-8577
Photo of Deborah J Dungan, LMHC, NCC, Counselor
Deborah J Dungan
Counselor, LMHC, NCC
Verified Verified
Online Only
Life can have twists and bumps along the way. As a caring professional working in the behavioral health field for over 15 years I can assist you in the development or refining coping skills so you can continue with quality in activities of daily living. Working with a variety of clients (children, teenagers and adults) I have found that one size does not fit all in behavioral health. I work with my clients to develop a plan that will best suit their needs. It is important that the individual meet their needs. Together we can work as a team to reach your goal.
Life can have twists and bumps along the way. As a caring professional working in the behavioral health field for over 15 years I can assist you in the development or refining coping skills so you can continue with quality in activities of daily living. Working with a variety of clients (children, teenagers and adults) I have found that one size does not fit all in behavioral health. I work with my clients to develop a plan that will best suit their needs. It is important that the individual meet their needs. Together we can work as a team to reach your goal.
(904) 906-6796 View (904) 906-6796
Photo of Eboni Coombs, Clinical Social Work/Therapist
Eboni Coombs
Clinical Social Work/Therapist
Verified Verified
2 Endorsed
Online Only
Do you feel as if you've been caught in a whirlwind lately and are unable to keep yourself firmly grounded? Finding yourself struggling to adjust to all that life is throwing at you? Is it hard to maintain or find that confidence that keeps you going? Being kind to yourself? I help adolescents, adults and those in between navigate the challenges that life sometimes provides. Whether you're dealing with challenges with friends/family, managing anxiety, depression or any other of life's ups and downs, I'm here to help.
Do you feel as if you've been caught in a whirlwind lately and are unable to keep yourself firmly grounded? Finding yourself struggling to adjust to all that life is throwing at you? Is it hard to maintain or find that confidence that keeps you going? Being kind to yourself? I help adolescents, adults and those in between navigate the challenges that life sometimes provides. Whether you're dealing with challenges with friends/family, managing anxiety, depression or any other of life's ups and downs, I'm here to help.
(904) 560-6032 View (904) 560-6032
Photo of Huguena Smallwood, LCSW, Clinical Social Work/Therapist
Huguena Smallwood
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
I specialize in helping young adults between the ages of 20 and 40 who are struggling with day-to-day functioning due to stress, anxiety, depression, ADHD, relationship issues, and life transitions. I provide a judgment-free, safe space where individuals and couples can express themselves openly. Using a client-centered approach, I tailor treatment plans to meet your unique needs.
I specialize in helping young adults between the ages of 20 and 40 who are struggling with day-to-day functioning due to stress, anxiety, depression, ADHD, relationship issues, and life transitions. I provide a judgment-free, safe space where individuals and couples can express themselves openly. Using a client-centered approach, I tailor treatment plans to meet your unique needs.
(904) 875-2963 View (904) 875-2963
Photo of Anne Morollo, Morollo, Counselor
Anne Morollo
Counselor, Morollo
Verified Verified
1 Endorsed
Online Only
I am a psychotherapist with 10 years in private practice seeing families, individuals and couples. Since 2013, I have been providing holistic mental health care from a Jungian tradition. The term 'holistic' to the pioneer Carl Jung, meant unity between the conscious and the unconscious. Frequently it further means recognition and treatment of an individual in mind, body and spirit. Both ideals are at the heart of integrative practice. Holistic to me does not mean 'alternative', although I have many decades of immersing myself in healing modalities that are, including acupuncture and nutrition.
I am a psychotherapist with 10 years in private practice seeing families, individuals and couples. Since 2013, I have been providing holistic mental health care from a Jungian tradition. The term 'holistic' to the pioneer Carl Jung, meant unity between the conscious and the unconscious. Frequently it further means recognition and treatment of an individual in mind, body and spirit. Both ideals are at the heart of integrative practice. Holistic to me does not mean 'alternative', although I have many decades of immersing myself in healing modalities that are, including acupuncture and nutrition.
(904) 867-7917 View (904) 867-7917
Photo of Dominique Hardy, RCSWI
Dominique Hardy
Registered Clinical Social Worker Intern, RCSWI
Verified Verified
Online Only
The best way to reach out to me to see if we are a good fit is to schedule a free consultation directly through my website! No need for endless emails and phone tags. Are you feeling stuck, overwhelmed, or disconnected from the person you want to be? Whether you’re navigating past trauma, battling anxiety or depression, or struggling to maintain fulfilling relationships, I’m here to help. Together, we can work to overcome the challenges holding you back and rediscover your spark, authenticity, and balance.
The best way to reach out to me to see if we are a good fit is to schedule a free consultation directly through my website! No need for endless emails and phone tags. Are you feeling stuck, overwhelmed, or disconnected from the person you want to be? Whether you’re navigating past trauma, battling anxiety or depression, or struggling to maintain fulfilling relationships, I’m here to help. Together, we can work to overcome the challenges holding you back and rediscover your spark, authenticity, and balance.
(904) 977-6061 View (904) 977-6061
Photo of Alisha R Lohse, MS
Alisha R Lohse
Registered Mental Health Counselor Intern, MS
Verified Verified
1 Endorsed
Orange Park, FL 32073
I am dedicated to providing a safe, supportive, and empowering environment for individuals seeking guidance and healing. My approach to counseling is rooted in empathy, genuineness, and a deep commitment to the well-being of every person I work with. I believe in the inherent strength and resilience of individuals, and I am passionate about helping my clients tap into their inner resources to overcome challenges and achieve their goals. I specialize in working with adolescents, young adults, veterans, and families. My therapeutic approach is collaborative and client-centered.
I am dedicated to providing a safe, supportive, and empowering environment for individuals seeking guidance and healing. My approach to counseling is rooted in empathy, genuineness, and a deep commitment to the well-being of every person I work with. I believe in the inherent strength and resilience of individuals, and I am passionate about helping my clients tap into their inner resources to overcome challenges and achieve their goals. I specialize in working with adolescents, young adults, veterans, and families. My therapeutic approach is collaborative and client-centered.
(904) 692-7521 View (904) 692-7521
1

How does your Therapist compare?

Number of Therapists in 32073

80+

Average cost per session

$125

Therapists in 32073 who prioritize treating:

92% Anxiety
85% Depression
78% Coping Skills
78% Self Esteem
74% Trauma and PTSD
71% Relationship Issues
68% Stress

Average years in practice

15 Years

Top 3 insurances accepted

90% Aetna
79% Cigna and Evernorth
69% Optum

How Therapists in 32073 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

73% Female
26% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 32073?

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.