Photo of Natasha Preckajlo, MSW, LCSW, Clinical Social Work/Therapist
Natasha Preckajlo
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Jacksonville, FL 32257
I always look forward to working with individuals who are motivated for self growth and change. The hardest and most courageous thing that a potential client can do is to reach out for help and admit to themselves, "I think I might need some help." Expressing the need for help to someone, especially loved ones is a big deal, and I am here to help guide you towards meeting your goals, whatever they are. I believe we are all seeking peace, happiness and love in some shape or form. So let's work together to make those goals an attainable reality.
I always look forward to working with individuals who are motivated for self growth and change. The hardest and most courageous thing that a potential client can do is to reach out for help and admit to themselves, "I think I might need some help." Expressing the need for help to someone, especially loved ones is a big deal, and I am here to help guide you towards meeting your goals, whatever they are. I believe we are all seeking peace, happiness and love in some shape or form. So let's work together to make those goals an attainable reality.
(904) 421-9512 View (904) 421-9512
Photo of Deschion Townsend, MS
Deschion Townsend
MS
Verified Verified
1 Endorsed
Jacksonville, FL 32257
Hello, my name is Deschion (pronounced De Shawn), I am a daughter of a retired Navy Veteran. I bring 15 years of therapeutic counseling experience. During the session with my client, I am interested on focusing where they are at, working at their pace, acknowledging their emotions and what would they like to accomplish.
Hello, my name is Deschion (pronounced De Shawn), I am a daughter of a retired Navy Veteran. I bring 15 years of therapeutic counseling experience. During the session with my client, I am interested on focusing where they are at, working at their pace, acknowledging their emotions and what would they like to accomplish.
(904) 891-9365 View (904) 891-9365
Photo of Jonathan Pawson, LCMHC, Counselor
Jonathan Pawson
Counselor, LCMHC
Verified Verified
Jacksonville, FL 32257
Jonathan Pawson LMHC. My typical treatment plan involves a collaborative, personalized approach, focusing on your unique needs, values, and goals. I work with a wide range of clients, each presenting unique experiences and challenges. My primary areas of specialty lie in treating various forms of trauma disorders, such as Post-Traumatic Stress Disorder (PTSD), Complex-PTSD, and Acute Stress Disorder. Additionally, I am proficient in working with clients dealing with attachment issues, both adults and children.
Jonathan Pawson LMHC. My typical treatment plan involves a collaborative, personalized approach, focusing on your unique needs, values, and goals. I work with a wide range of clients, each presenting unique experiences and challenges. My primary areas of specialty lie in treating various forms of trauma disorders, such as Post-Traumatic Stress Disorder (PTSD), Complex-PTSD, and Acute Stress Disorder. Additionally, I am proficient in working with clients dealing with attachment issues, both adults and children.
(904) 552-2510 View (904) 552-2510
Photo of Lisa Maddox, LMHC
Lisa Maddox
Licensed Mental Health Counselor, LMHC
Verified Verified
Jacksonville, FL 32257
Lisa Maddox is a Registered Mental Health Counseling Intern who has been working with kids and families in education since 2006 and working in the counseling field since 2020. She is passionate about helping people process and work through grief and major life changes. Lisa believes it takes a village to help a family prosper and enjoys working with all parts of the family unit (kids, adolescents, parents, couples, and family therapy) to help them grow and thrive. Lisa completed her Bachelor of Science (BS) in Psychology, and her Master of Science (MS) in Mental Health Counseling at Jacksonville University.
Lisa Maddox is a Registered Mental Health Counseling Intern who has been working with kids and families in education since 2006 and working in the counseling field since 2020. She is passionate about helping people process and work through grief and major life changes. Lisa believes it takes a village to help a family prosper and enjoys working with all parts of the family unit (kids, adolescents, parents, couples, and family therapy) to help them grow and thrive. Lisa completed her Bachelor of Science (BS) in Psychology, and her Master of Science (MS) in Mental Health Counseling at Jacksonville University.
(904) 474-0083 View (904) 474-0083
Photo of Rachel Block-Stewart, LMHC, Counselor
Rachel Block-Stewart
Counselor, LMHC
Verified Verified
Jacksonville, FL 32257
Rachel Block-Stewart is a Licensed Mental Health Counselor (LMHC) who has over 10 years of experience working with adults and adolescents seeking help with life transitions and adjustments, trauma, depression, anxiety, and difficulty coping. Rachel completed her Bachelor of Science (BS) in Community Health at the University of Maryland and her Master of Science (MS) in Applied Psychology with a Counseling emphasis at Eastern Washington University.
Rachel Block-Stewart is a Licensed Mental Health Counselor (LMHC) who has over 10 years of experience working with adults and adolescents seeking help with life transitions and adjustments, trauma, depression, anxiety, and difficulty coping. Rachel completed her Bachelor of Science (BS) in Community Health at the University of Maryland and her Master of Science (MS) in Applied Psychology with a Counseling emphasis at Eastern Washington University.
(904) 326-8928 View (904) 326-8928
Photo of Ailyn Penate, PsyD, Psychologist
Ailyn Penate
Psychologist, PsyD
Verified Verified
Jacksonville, FL 32257
As a clinical neuropsychologist, I excel in assessing and diagnosing neurocognitive disorders like dementia, mild cognitive impairment, and trauma-induced cognitive decline. My expertise extends to neurodevelopmental conditions like ADHD. With distinctive training and extensive experience, I adeptly address diverse psychological and neuropsychological concerns in both clinical and forensic contexts. Furthermore, my focus on evidence-based approaches enables me to specialize in the treatment of various psychological conditions, offering comprehensive care to those in need.
As a clinical neuropsychologist, I excel in assessing and diagnosing neurocognitive disorders like dementia, mild cognitive impairment, and trauma-induced cognitive decline. My expertise extends to neurodevelopmental conditions like ADHD. With distinctive training and extensive experience, I adeptly address diverse psychological and neuropsychological concerns in both clinical and forensic contexts. Furthermore, my focus on evidence-based approaches enables me to specialize in the treatment of various psychological conditions, offering comprehensive care to those in need.
(850) 716-1574 View (850) 716-1574
Photo of Joan B Frazier, LMFT, LMHC, Marriage & Family Therapist
Joan B Frazier
Marriage & Family Therapist, LMFT, LMHC
Verified Verified
Jacksonville, FL 32257
As human beings, we have needs for both belonging and autonomy, attachment and freedom—which in adult life, often seem thwarted. We want to be heard and understood. As a counselor, my job is to listen, offer understanding, or direction where possible, and of course hope. When we have become overburdened with the weight of whatever is NOT working in our lives, we often long for someone we can tell our truth to...and someone who will strive to tell us the truth non-judgementally. This dialogue is “counseling” at its best.
As human beings, we have needs for both belonging and autonomy, attachment and freedom—which in adult life, often seem thwarted. We want to be heard and understood. As a counselor, my job is to listen, offer understanding, or direction where possible, and of course hope. When we have become overburdened with the weight of whatever is NOT working in our lives, we often long for someone we can tell our truth to...and someone who will strive to tell us the truth non-judgementally. This dialogue is “counseling” at its best.
(904) 530-5808 View (904) 530-5808
Photo of undefined - TheraFit, Marriage & Family Therapist
TheraFit
Marriage & Family Therapist
Verified Verified
Jacksonville, FL 32257
At TheraFit we help our clients learn to Live Well. Live Free. Live MentalFit. Through our services and programs, you will experience the GAINS (Growth mindset, Accept your authentic self, Invest time in you, Never give up, Success awaits) you have been searching for to live a life you deserve. TheraFit offers Individual, Couples and Marriage Counseling, Performance Coaching, an Intensive MentalFit Program, and Leadership Trainings and Seminars to businesses. Contact us today to learn more and start the next chapter of your journey today!
At TheraFit we help our clients learn to Live Well. Live Free. Live MentalFit. Through our services and programs, you will experience the GAINS (Growth mindset, Accept your authentic self, Invest time in you, Never give up, Success awaits) you have been searching for to live a life you deserve. TheraFit offers Individual, Couples and Marriage Counseling, Performance Coaching, an Intensive MentalFit Program, and Leadership Trainings and Seminars to businesses. Contact us today to learn more and start the next chapter of your journey today!
(904) 769-5426 View (904) 769-5426
Photo of Carmen del Valle-Izurieta, MS, LMHC, Counselor
Carmen del Valle-Izurieta
Counselor, MS, LMHC
Verified Verified
Jacksonville, FL 32257
According to the German philosopher, Friedrich Nietzsche, “That which does not kill us makes us stronger.” I disagree! Instead, trauma, if left unprocessed/untreated, it has the potential to cause unnecessary and significant mental distress. Throughout our lives, we, the vast majority of us, may experience traumatic events (micro and/or macro). During these trauma(s)—our role is simple—Survival. After the event(s), when we find ourselves on the other side of the trauma(s), again—our role is simple—To Go On With Life.
According to the German philosopher, Friedrich Nietzsche, “That which does not kill us makes us stronger.” I disagree! Instead, trauma, if left unprocessed/untreated, it has the potential to cause unnecessary and significant mental distress. Throughout our lives, we, the vast majority of us, may experience traumatic events (micro and/or macro). During these trauma(s)—our role is simple—Survival. After the event(s), when we find ourselves on the other side of the trauma(s), again—our role is simple—To Go On With Life.
(904) 944-5701 View (904) 944-5701
Photo of Sabrina Soto Molina, LMHC, Counselor
Sabrina Soto Molina
Counselor, LMHC
Verified Verified
Jacksonville, FL 32257  (Online Only)
I enjoy working with motivated clients. I specialize in working with self esteem issues, anxiety, couples issues, domestic abuse, infidelity, workplace issues and women's issues.
I enjoy working with motivated clients. I specialize in working with self esteem issues, anxiety, couples issues, domestic abuse, infidelity, workplace issues and women's issues.
(904) 675-1698 View (904) 675-1698
Photo of Heather Renee Fisse, LMHC, LMT, RYT, CPT, Counselor
Heather Renee Fisse
Counselor, LMHC, LMT, RYT, CPT
Verified Verified
2 Endorsed
Jacksonville, FL 32257
Do you feel disconnected from your friends, family and self? Do you struggle with making decisions and feel as though time is slipping away from you? This is commonplace in our society as we are constantly being pulled in different directions by the demands of our world. I value the power of integrating one's mental, physical, and spiritual self into daily living so that we find purpose and happiness in the moment, regardless of the activity, and begin the process of recognizing what choices we have in our power to create the life that we find meaningful.
Do you feel disconnected from your friends, family and self? Do you struggle with making decisions and feel as though time is slipping away from you? This is commonplace in our society as we are constantly being pulled in different directions by the demands of our world. I value the power of integrating one's mental, physical, and spiritual self into daily living so that we find purpose and happiness in the moment, regardless of the activity, and begin the process of recognizing what choices we have in our power to create the life that we find meaningful.
(904) 342-6645 View (904) 342-6645
Photo of Sydney Richards, MA, LMFT, Marriage & Family Therapist
Sydney Richards
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Jacksonville, FL 32257
Hello! I am so glad you're here. While everyone needs a helping hand from time to time, it can sometimes be difficult to take the steps needed to seek out therapy. I commend you for the awareness and insight it takes to know when to seek out help. I am a Licensed Marriage & Family Therapist in the sunny state of Florida. I work with clients from a variety of ages, though I primarily work with children and teens as well as their families. I also provide individual therapy services. I am not providing couples therapy at this time.
Hello! I am so glad you're here. While everyone needs a helping hand from time to time, it can sometimes be difficult to take the steps needed to seek out therapy. I commend you for the awareness and insight it takes to know when to seek out help. I am a Licensed Marriage & Family Therapist in the sunny state of Florida. I work with clients from a variety of ages, though I primarily work with children and teens as well as their families. I also provide individual therapy services. I am not providing couples therapy at this time.
(904) 746-9513 x103 View (904) 746-9513 x103
Photo of Dr. Marinette Asuncion - Uy Therapist For High-Achieving Adults, PsyD, Psychologist
Dr. Marinette Asuncion - Uy Therapist For High-Achieving Adults
Psychologist, PsyD
Verified Verified
1 Endorsed
Jacksonville, FL 32257
From the outside, you seem to have it all. You are highly accomplished, driven, and reliable. You have what others call a “successful life,” but the truth is you don’t feel the same on the inside. You always worry about the worst things that can happen. Your thoughts deplete & deprive you of joy. You try to keep it all together, but despite your best efforts, thoughts leave you feeling exhausted, unable to focus, and unmotivated and snap at the people you love. You have given so much to everyone, and your needs always come last. Not anymore. You are finally ready to go from merely existing to flourishing.
From the outside, you seem to have it all. You are highly accomplished, driven, and reliable. You have what others call a “successful life,” but the truth is you don’t feel the same on the inside. You always worry about the worst things that can happen. Your thoughts deplete & deprive you of joy. You try to keep it all together, but despite your best efforts, thoughts leave you feeling exhausted, unable to focus, and unmotivated and snap at the people you love. You have given so much to everyone, and your needs always come last. Not anymore. You are finally ready to go from merely existing to flourishing.
(904) 295-1533 View (904) 295-1533
Photo of Dr. Rita de Cassia Silva, PhD, LCSW, PPS, CWA, Licensed Professional Counselor
Dr. Rita de Cassia Silva
Licensed Professional Counselor, PhD, LCSW, PPS, CWA
Verified Verified
Jacksonville, FL 32257  (Online Only)
Do you wake up in the morning feeling empty, tired, and unmotivated? Are you struggling with issues related to your past, uncontrollable thoughts, anger, grief, communication, anxiety, or major life changes? Are you seeking a more loving, meaningful, and harmonious relationship with your partner and your loved ones but don't know how or what to do to improve it? There comes a time when help is needed from a licensed professional. As Maya Angelou wrote, "There is no greater agony than bearing an untold story inside you".
Do you wake up in the morning feeling empty, tired, and unmotivated? Are you struggling with issues related to your past, uncontrollable thoughts, anger, grief, communication, anxiety, or major life changes? Are you seeking a more loving, meaningful, and harmonious relationship with your partner and your loved ones but don't know how or what to do to improve it? There comes a time when help is needed from a licensed professional. As Maya Angelou wrote, "There is no greater agony than bearing an untold story inside you".
(904) 595-1722 View (904) 595-1722
Photo of undefined - Thought Wise LLC, PsyD, Psychologist
Thought Wise LLC
Psychologist, PsyD
Verified Verified
Jacksonville, FL 32257
We can assess, diagnose, and treat psychological disorders that arise from brain-related conditions such as brain injury, Alzheimer’s disease, Parkinson’s disease, ADHD, and many other neurological conditions and we provide psychotherapeutic services. If you are having relationship problems, or you are experiencing physical or neurological symptoms, or you have gone through a traumatic experience, or a career or life transition, and it is causing you stress, anxiety, sadness, anger, or guilt, we can work together to help you improve your mood, your relationship with others and improve your inner peace.
We can assess, diagnose, and treat psychological disorders that arise from brain-related conditions such as brain injury, Alzheimer’s disease, Parkinson’s disease, ADHD, and many other neurological conditions and we provide psychotherapeutic services. If you are having relationship problems, or you are experiencing physical or neurological symptoms, or you have gone through a traumatic experience, or a career or life transition, and it is causing you stress, anxiety, sadness, anger, or guilt, we can work together to help you improve your mood, your relationship with others and improve your inner peace.
(850) 518-7262 View (850) 518-7262
Photo of Stacey Mak, LCSW, Clinical Social Work/Therapist
Stacey Mak
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Jacksonville, FL 32257
I specialize in attachment therapy and work with children, families, and adults interested in processing their childhood trauma. I have extensive training and experience in adoption and trauma. I see children together with their parent to build trust and connection, provide parent coaching, and support each family member to foster a healthy family dynamic. Complex trauma, relational trauma, Reactive Attachment Disorder, PTSD, Oppositional Defiant Disorder, ADHD and challenging behaviors are common presenting issues.
I specialize in attachment therapy and work with children, families, and adults interested in processing their childhood trauma. I have extensive training and experience in adoption and trauma. I see children together with their parent to build trust and connection, provide parent coaching, and support each family member to foster a healthy family dynamic. Complex trauma, relational trauma, Reactive Attachment Disorder, PTSD, Oppositional Defiant Disorder, ADHD and challenging behaviors are common presenting issues.
(904) 254-2440 View (904) 254-2440
Photo of Ann Taylor, LMHC, Counselor
Ann Taylor
Counselor, LMHC
Verified Verified
Jacksonville, FL 32257
Ann Taylor is a Licensed Mental Health Counselor and Certified Addictions Professional in the State of Florida who has over 10 years of experience providing therapeutic care to inmates in the State of Florida Correctional System and 13 years of experience providing substance abuse counseling to adults who have received DUIs, have pain management issues, and alcohol and drug abuse and dependence. Ann completed her Bachelor of Arts in Criminology at the University of Memphis and received her Master of Arts in Mental Health Counseling from Argosy University.
Ann Taylor is a Licensed Mental Health Counselor and Certified Addictions Professional in the State of Florida who has over 10 years of experience providing therapeutic care to inmates in the State of Florida Correctional System and 13 years of experience providing substance abuse counseling to adults who have received DUIs, have pain management issues, and alcohol and drug abuse and dependence. Ann completed her Bachelor of Arts in Criminology at the University of Memphis and received her Master of Arts in Mental Health Counseling from Argosy University.
(904) 872-6968 View (904) 872-6968
Photo of Dr. Tabitha Johnson, PhD, LMFT, Marriage & Family Therapist
Dr. Tabitha Johnson
Marriage & Family Therapist, PhD, LMFT
Verified Verified
2 Endorsed
Jacksonville, FL 32257
Are you facing the possibility of a marriage or relationship breakup? Do you excel in many areas of life, but have issues in your romantic relationship? Do you feel stuck, and don't know how to fix things? If you're struggling with communication, conflict resolution, infidelity, or intimacy problems, I'd love to help you get things back on track and help you experience the thriving love life you deserve. I've helped hundreds of couples headed toward divorce fall in love again and experience a successful marriage, and I'd love to help you too.
Are you facing the possibility of a marriage or relationship breakup? Do you excel in many areas of life, but have issues in your romantic relationship? Do you feel stuck, and don't know how to fix things? If you're struggling with communication, conflict resolution, infidelity, or intimacy problems, I'd love to help you get things back on track and help you experience the thriving love life you deserve. I've helped hundreds of couples headed toward divorce fall in love again and experience a successful marriage, and I'd love to help you too.
(904) 503-6256 View (904) 503-6256
Photo of Paul Kenton McRae, LMHC, Counselor
Paul Kenton McRae
Counselor, LMHC
Verified Verified
Jacksonville, FL 32257
Everyone has moments in life where challenges can be overwhelming or even too much to handle. Let me help you leave that behind and get you back to being you. I truly have a love of helping people reach their potential, and together we can you get to a better place by finding your strengths and building on them to become healthier and leading a more fulfilling life.
Everyone has moments in life where challenges can be overwhelming or even too much to handle. Let me help you leave that behind and get you back to being you. I truly have a love of helping people reach their potential, and together we can you get to a better place by finding your strengths and building on them to become healthier and leading a more fulfilling life.
(904) 474-5430 View (904) 474-5430
Photo of Anita Moreno, MSSA, LCSW, Clinical Social Work/Therapist
Anita Moreno
Clinical Social Work/Therapist, MSSA, LCSW
Verified Verified
2 Endorsed
Jacksonville, FL 32257
In spite of your best efforts, life can sometimes overwhelm you. Whether problems are recent or longstanding, I can help. My 27 years in the profession has afforded me knowledge and experience with a broad range of issues. My practice emphasizes the resolution to everyday problems. We will explore obstacles to growth and development and uncover inner strengths that can be applied to personal and professional relationships. I value psychotherapy as a growth- producing process. Out of this you will learn a great deal about yourself which you can use to make your life more meaningful.
In spite of your best efforts, life can sometimes overwhelm you. Whether problems are recent or longstanding, I can help. My 27 years in the profession has afforded me knowledge and experience with a broad range of issues. My practice emphasizes the resolution to everyday problems. We will explore obstacles to growth and development and uncover inner strengths that can be applied to personal and professional relationships. I value psychotherapy as a growth- producing process. Out of this you will learn a great deal about yourself which you can use to make your life more meaningful.
(904) 344-5995 View (904) 344-5995

How does your Therapist compare?

Number of Therapists in 32257

80+

Average cost per session

$130

Therapists in 32257 who prioritize treating:

92% Depression
89% Anxiety
81% Self Esteem
75% Coping Skills
73% Relationship Issues
69% Trauma and PTSD
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

92% Aetna
87% Cigna and Evernorth
86% UnitedHealthcare UHC | UBH

How Therapists in 32257 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

81% Female
17% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 32257?

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.