Photo of Melanie Rivard, Clinical Social Work/Therapist in 40242, KY
Melanie Rivard
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40242  (Online Only)
Let's talk about trauma. How common is it? The National Center on PTSD estimates 60% of men and 50% of women will experience at least one trauma in their lifetime. Experiencing trauma isn't a rare event, it can happen to anyone. Common reactions to traumatic experiences include feeling detached or numb, feeling on guard, experiencing nightmares or unwanted thoughts about the trauma, and going out of your way to avoid reminders of the event. If you’ve been through something in your past, and you can’t seem to escape it in the present, you have the power to stop it from disrupting your future.
Let's talk about trauma. How common is it? The National Center on PTSD estimates 60% of men and 50% of women will experience at least one trauma in their lifetime. Experiencing trauma isn't a rare event, it can happen to anyone. Common reactions to traumatic experiences include feeling detached or numb, feeling on guard, experiencing nightmares or unwanted thoughts about the trauma, and going out of your way to avoid reminders of the event. If you’ve been through something in your past, and you can’t seem to escape it in the present, you have the power to stop it from disrupting your future.
(859) 251-2773 View (859) 251-2773
Photo of Jessica Gibo, Marriage & Family Therapist in 40242, KY
Jessica Gibo
Marriage & Family Therapist, MFTA
Verified Verified
2 Endorsed
Louisville, KY 40242  (Online Only)
Life is complicated. Stress is inevitable. And, if you find yourself feeling overwhelmed by life or stressors I can help you get your feet back on the ground and move forward. Therapy is a great resource help individuals, couples, and families to journey through life by making small changes which can have a big positive impact on how you approach and balance the many complex systems of life. As a therapist I will work with you to discover and restore your inner peace, improve communication, and provide feedback to discover what the next right step will before you.
Life is complicated. Stress is inevitable. And, if you find yourself feeling overwhelmed by life or stressors I can help you get your feet back on the ground and move forward. Therapy is a great resource help individuals, couples, and families to journey through life by making small changes which can have a big positive impact on how you approach and balance the many complex systems of life. As a therapist I will work with you to discover and restore your inner peace, improve communication, and provide feedback to discover what the next right step will before you.
(502) 586-4096 View (502) 586-4096
Photo of Mina Thevenin, LCSW, PLLC, Clinical Social Work/Therapist in 40242, KY
Mina Thevenin, LCSW, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40242
Thank you for allowing me the opportunity to join you on your path in this moment. We are all here such a short time...you are purpose, already, you know. And somewhere within, you know this truth. Our roles day in/day out r merely opportunities to be who we truly are IN the right now.
Thank you for allowing me the opportunity to join you on your path in this moment. We are all here such a short time...you are purpose, already, you know. And somewhere within, you know this truth. Our roles day in/day out r merely opportunities to be who we truly are IN the right now.
(502) 233-2365 View (502) 233-2365
Photo of Jim McGee, Clinical Social Work/Therapist in 40242, KY
Jim McGee
Clinical Social Work/Therapist, LCSW, MSW, MDiv, MA
Verified Verified
Louisville, KY 40242
Not accepting new clients
Currently I am not accepting new clients, but this may change when my schedule has more openings. I believe in helping people discover their hidden resources to cope more effectively with the difficulties of life, including bereavement, complicated grief, mood disturbance, depression, anger, anxiety, behavior problems of youth, and the effects of addiction on family. I enjoy working with adolescents, children, adults, couples, and families. Expressive approaches include spiritually integrated therapy, therapeutic music, play therapy for children, solution focused narrative therapy,and cognitive behavioral therapy.
Currently I am not accepting new clients, but this may change when my schedule has more openings. I believe in helping people discover their hidden resources to cope more effectively with the difficulties of life, including bereavement, complicated grief, mood disturbance, depression, anger, anxiety, behavior problems of youth, and the effects of addiction on family. I enjoy working with adolescents, children, adults, couples, and families. Expressive approaches include spiritually integrated therapy, therapeutic music, play therapy for children, solution focused narrative therapy,and cognitive behavioral therapy.
(502) 265-3933 View (502) 265-3933
Deborah Ann Edds
Psychologist, PhD
Verified Verified
1 Endorsed
Louisville, KY 40242
Dr. Edds has 20 years of experience working in the Bardstown area. During this time, she has developed good working relationships with many of the doctors, schools and agencies in the area. Feel free to ask your doctor, school counselor or agency representative for their opinion of Dr. Edds' work.
Dr. Edds has 20 years of experience working in the Bardstown area. During this time, she has developed good working relationships with many of the doctors, schools and agencies in the area. Feel free to ask your doctor, school counselor or agency representative for their opinion of Dr. Edds' work.
(502) 327-4622 View (502) 327-4622
Photo of Chelsea Mitchell, Psychologist in 40242, KY
Chelsea Mitchell
Psychologist, PsyD
Verified Verified
1 Endorsed
Louisville, KY 40242
Does your child or teenager appear anxious, irritable, or distant? Have they experienced a traumatic event? Do you find your current parenting strategies are ineffective? As a Clinical Psychologist, I provide cognitive-behavioral therapy (CBT) and trauma-focused cognitive-behavioral therapy (TF-CBT) that is research-based and time-limited. My speciality areas include obsessive compulsive disorder, social anxiety, panic and agoraphobia, separation anxiety, specific phobia's, and post-traumatic stress disorder.
Does your child or teenager appear anxious, irritable, or distant? Have they experienced a traumatic event? Do you find your current parenting strategies are ineffective? As a Clinical Psychologist, I provide cognitive-behavioral therapy (CBT) and trauma-focused cognitive-behavioral therapy (TF-CBT) that is research-based and time-limited. My speciality areas include obsessive compulsive disorder, social anxiety, panic and agoraphobia, separation anxiety, specific phobia's, and post-traumatic stress disorder.
(502) 618-2060 View (502) 618-2060
Photo of Henry Lucas, Clinical Social Work/Therapist in 40242, KY
Henry Lucas
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
1 Endorsed
Louisville, KY 40242
Looking for more clarity in your life? Feel like you're missing something or being left behind? Tired of feeling stuck? Do you have painful unspoken memories or experiences? My hope is to help you identify your problems and assist in creating solutions. I believe in establishing a trusting relationship that creates opportunity for potential, growth and clarity around a variety of issues.
Looking for more clarity in your life? Feel like you're missing something or being left behind? Tired of feeling stuck? Do you have painful unspoken memories or experiences? My hope is to help you identify your problems and assist in creating solutions. I believe in establishing a trusting relationship that creates opportunity for potential, growth and clarity around a variety of issues.
(502) 443-1623 View (502) 443-1623
Photo of Brandon Smith, Marriage & Family Therapist in 40242, KY
Brandon Smith
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Louisville, KY 40242
I help people find hope and relief from distress created by life circumstances and relationships. Together we can work on establishing healthy emotional, psychological and relational rhythms and boundaries as a part of healing and growth. It is my strong belief that all people have access to the power of hope and compassion as means to live out a better story.
I help people find hope and relief from distress created by life circumstances and relationships. Together we can work on establishing healthy emotional, psychological and relational rhythms and boundaries as a part of healing and growth. It is my strong belief that all people have access to the power of hope and compassion as means to live out a better story.
(502) 230-1901 View (502) 230-1901
Photo of Shannon Gambill, Clinical Social Work/Therapist in 40242, KY
Shannon Gambill
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Louisville, KY 40242
Finding the true origin of an issue or challenge, as well as exploring skill sets and solution paths to address this, is an ever-evolving and interesting journey. I enjoy embarking on this journey with kids, teens and adults. I utilize a strengths-based, reality-based, motivational approach. Interventions are guided by evidence-based practices and good ol' trial and error... since every person is unique. My therapy dog, Boss Paws, sometimes joins in. He may give a nudge of support or simply look cute (like fuzzballs do) and provide an element of anxiety relief. He's cool like that!
Finding the true origin of an issue or challenge, as well as exploring skill sets and solution paths to address this, is an ever-evolving and interesting journey. I enjoy embarking on this journey with kids, teens and adults. I utilize a strengths-based, reality-based, motivational approach. Interventions are guided by evidence-based practices and good ol' trial and error... since every person is unique. My therapy dog, Boss Paws, sometimes joins in. He may give a nudge of support or simply look cute (like fuzzballs do) and provide an element of anxiety relief. He's cool like that!
(502) 305-3794 View (502) 305-3794
Photo of Kilgore Samaritan Counseling Center, Marriage & Family Therapist in 40242, KY
Kilgore Samaritan Counseling Center
Marriage & Family Therapist, PhD, LCSW, LCADC
Verified Verified
Louisville, KY 40242
Kilgore Samaritan Counseling Center is a not-for-profit faith sensitive counseling center that has been healing the mind, body and spirit of individuals and families for 33 years. Our mission is to meet the emotional and mental health needs of those in our community, regardless of their ability to pay. Kilgore integrates and leverages behavioral sciences and takes a holistic approach of working by, with and through you to improve your quality of life. We serve the Louisville greater area and will serve and meet you where you are regardless of your background, experience, and situation.
Kilgore Samaritan Counseling Center is a not-for-profit faith sensitive counseling center that has been healing the mind, body and spirit of individuals and families for 33 years. Our mission is to meet the emotional and mental health needs of those in our community, regardless of their ability to pay. Kilgore integrates and leverages behavioral sciences and takes a holistic approach of working by, with and through you to improve your quality of life. We serve the Louisville greater area and will serve and meet you where you are regardless of your background, experience, and situation.
(502) 532-8172 View (502) 532-8172
Photo of Barbara Beauchamp, Psychologist in 40242, KY
Barbara Beauchamp
Psychologist, PsyD, HSP
Verified Verified
1 Endorsed
Louisville, KY 40242  (Online Only)
Not accepting new clients
There are times when a person simply needs a sanctuary in which one can focus on what is working and not working in life. Therapy is an ideal place for this type of reflection. Therapy is also an active process that requires considerable patience, empathy, and a willingness to explore those parts of ourselves that require some attention and perhaps even need to change. I believe that you hold within yourself the capacity for change, and I am very willing to journey with you as a guide toward a more healthy and peaceful way of being.
There are times when a person simply needs a sanctuary in which one can focus on what is working and not working in life. Therapy is an ideal place for this type of reflection. Therapy is also an active process that requires considerable patience, empathy, and a willingness to explore those parts of ourselves that require some attention and perhaps even need to change. I believe that you hold within yourself the capacity for change, and I am very willing to journey with you as a guide toward a more healthy and peaceful way of being.
(502) 324-3750 View (502) 324-3750
Photo of Nadeja Wesley, Clinical Social Work/Therapist in 40242, KY
Nadeja Wesley
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40242
Nadeja Wesley is a licensed clinical social worker who utilizes a treatment modality that emphasizes self-reflection, insight, and empathy to facilitate a restorative and enriching therapeutic experience. She works from a psychodynamic clinical framework which integrates cognitive behavioral therapy (CBT), Trauma-Informed and Harm Reduction, and EMDR techniques. Nadeja has nearly 20 years' experience providing therapeutic treatment to individuals and families across multiple community settings.
Nadeja Wesley is a licensed clinical social worker who utilizes a treatment modality that emphasizes self-reflection, insight, and empathy to facilitate a restorative and enriching therapeutic experience. She works from a psychodynamic clinical framework which integrates cognitive behavioral therapy (CBT), Trauma-Informed and Harm Reduction, and EMDR techniques. Nadeja has nearly 20 years' experience providing therapeutic treatment to individuals and families across multiple community settings.
(502) 610-5037 View (502) 610-5037
Photo of Rebecca Rector, Licensed Professional Clinical Counselor in 40242, KY
Rebecca Rector
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Louisville, KY 40242
Rebecca Rector is a Licensed Professional Clinical Counselor in Kentucky who has been practicing since 2018. She has a BA in Communications and an MS in Clinical and Counseling Psychology specializing in children and adolescents. Rebecca provides a warm and inviting space allowing clients to explore their feelings and emotions in a safe and judgement free environment. When she's not in the office you can find Rebecca exploring one of Louisville's parks with her dogs or trying a new restaurant with friends.
Rebecca Rector is a Licensed Professional Clinical Counselor in Kentucky who has been practicing since 2018. She has a BA in Communications and an MS in Clinical and Counseling Psychology specializing in children and adolescents. Rebecca provides a warm and inviting space allowing clients to explore their feelings and emotions in a safe and judgement free environment. When she's not in the office you can find Rebecca exploring one of Louisville's parks with her dogs or trying a new restaurant with friends.
(502) 306-3647 View (502) 306-3647
Photo of Billy Butler, Counselor in 40242, KY
Billy Butler
Counselor, LPCC
Verified Verified
Louisville, KY 40242
Billy Butler is a Licensed Professional Clinical Counselor in Kentucky who has been practicing since 2017. He has a Master of Arts in Clinical Mental Health Counseling from Marymount University in Arlington, VA. Billy values the therapeutic relationship and strives to cultivate a safe, warm, and accepting space for clients to experience growth and transformation. Through a holistic approach to therapy, Billy meets clients where they are and develops personalized therapy goals that empower the client to make desired positive change in their lives.
Billy Butler is a Licensed Professional Clinical Counselor in Kentucky who has been practicing since 2017. He has a Master of Arts in Clinical Mental Health Counseling from Marymount University in Arlington, VA. Billy values the therapeutic relationship and strives to cultivate a safe, warm, and accepting space for clients to experience growth and transformation. Through a holistic approach to therapy, Billy meets clients where they are and develops personalized therapy goals that empower the client to make desired positive change in their lives.
(502) 289-6788 View (502) 289-6788
Photo of Jodi Goodin, Psychologist in 40242, KY
Jodi Goodin
Psychologist, LCSW, PsyD
Verified Verified
Louisville, KY 40242
Jodi Goodin is a licensed psychologist who received her bachelor's degree from Centre College, her master's degree from Xavier University and her doctoral degree from Georgia School of Professional Psychology, with a focus on clinical work with children and adolescents. She has worked in multiple roles across outpatient, inpatient, residential, community-based and school settings over the past 20 years, with therapy services provided to children, adolescents and adults in individual, group and couples formats. Dr. Goodin uses cognitive behavioral (CBT), client-centered and solution-focused approaches in her work.
Jodi Goodin is a licensed psychologist who received her bachelor's degree from Centre College, her master's degree from Xavier University and her doctoral degree from Georgia School of Professional Psychology, with a focus on clinical work with children and adolescents. She has worked in multiple roles across outpatient, inpatient, residential, community-based and school settings over the past 20 years, with therapy services provided to children, adolescents and adults in individual, group and couples formats. Dr. Goodin uses cognitive behavioral (CBT), client-centered and solution-focused approaches in her work.
(502) 842-5290 View (502) 842-5290
Photo of Alex Hammond, Psychological Associate in 40242, KY
Alex Hammond
Psychological Associate, MEd, LPA
Verified Verified
Louisville, KY 40242
Waitlist for new clients
I enjoy working with a variety of people. I know how difficult it can be to make that first step towards healing by seeing a therapist. I want to meet you along the way in making that step as simple as I can. My goal is to ensure that we are a good fit to collaborate and then determine what your most pressing needs are. I am especially interested in working with BIPOC individuals who are moving past cultural assumptions about mental health and pursuing healing in the midst of their doubts.
I enjoy working with a variety of people. I know how difficult it can be to make that first step towards healing by seeing a therapist. I want to meet you along the way in making that step as simple as I can. My goal is to ensure that we are a good fit to collaborate and then determine what your most pressing needs are. I am especially interested in working with BIPOC individuals who are moving past cultural assumptions about mental health and pursuing healing in the midst of their doubts.
(502) 237-8592 View (502) 237-8592
Photo of Tabitha Overstreet, Clinical Social Work/Therapist in 40242, KY
Tabitha Overstreet
Clinical Social Work/Therapist, LCSW, LMFT
Verified Verified
Louisville, KY 40242
Tabitha works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Tabitha believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, She partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
Tabitha works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Tabitha believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, She partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
(502) 335-4957 View (502) 335-4957
Photo of Nicole Palmer, Licensed Professional Clinical Counselor in 40242, KY
Nicole Palmer
Licensed Professional Clinical Counselor, LPCC, NCC
Verified Verified
Louisville, KY 40242
Nicole Palmer is a licensed professional clinical counselor, licensed clinical alcohol and drug counselor and mental health integrative medicine certified provider who has worked in the field of mental health and addictions for more than 15 years. She received her master's degree in mental health counseling at Walden University. She has worked in residential, inpatient and outpatient care with adults in individual and group counseling settings.
Nicole Palmer is a licensed professional clinical counselor, licensed clinical alcohol and drug counselor and mental health integrative medicine certified provider who has worked in the field of mental health and addictions for more than 15 years. She received her master's degree in mental health counseling at Walden University. She has worked in residential, inpatient and outpatient care with adults in individual and group counseling settings.
(502) 369-0151 View (502) 369-0151
Photo of Rachel Kolodziej, Clinical Social Work/Therapist in 40242, KY
Rachel Kolodziej
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40242
Rachel Kolodziej is a Licensed Clinical Social Worker in Indiana who has been practicing since 2015. Rachel graduated from Indiana University, Bloomington in 2011, earning a Bachelor of Arts in Psychology with a minor in Human Development and Family Studies. She continued to pursue higher education at University of Louisville and obtained a Master's of Science in Social Work with a specialization in Marriage and Family Therapy in 2015. She is a Licensed Clinical Social Worker (LCSW) in Kentucky and Indiana, as well as a Marriage and Family Therapist (LMFT) in Indiana.
Rachel Kolodziej is a Licensed Clinical Social Worker in Indiana who has been practicing since 2015. Rachel graduated from Indiana University, Bloomington in 2011, earning a Bachelor of Arts in Psychology with a minor in Human Development and Family Studies. She continued to pursue higher education at University of Louisville and obtained a Master's of Science in Social Work with a specialization in Marriage and Family Therapy in 2015. She is a Licensed Clinical Social Worker (LCSW) in Kentucky and Indiana, as well as a Marriage and Family Therapist (LMFT) in Indiana.
(502) 706-4844 View (502) 706-4844
Photo of Tonya Silcox, Clinical Social Work/Therapist in 40242, KY
Tonya Silcox
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Lyndon, KY 40242
Are you feeling overwhelmed by the expectations of personal or professional roles? Do you find yourself numbing, hiding or avoiding feelings or painful/uncomfortable situations? Maybe, you have a family member caught in destructive patterns and it's impacting your life? I'd love to help you change unhealthy habits, transform your thoughts, and reconnect with your true self. Together, we can work to replace pain with self-love, change unhealthy patterns, and find healthy ways to deal with life's stressors. I have a strong background in behavior modification strategies, sustaining change, mental health-related issues, and addictions.
Are you feeling overwhelmed by the expectations of personal or professional roles? Do you find yourself numbing, hiding or avoiding feelings or painful/uncomfortable situations? Maybe, you have a family member caught in destructive patterns and it's impacting your life? I'd love to help you change unhealthy habits, transform your thoughts, and reconnect with your true self. Together, we can work to replace pain with self-love, change unhealthy patterns, and find healthy ways to deal with life's stressors. I have a strong background in behavior modification strategies, sustaining change, mental health-related issues, and addictions.
(502) 806-8336 View (502) 806-8336

How does your Therapist compare?

Number of Therapists in 40242

30+

Average cost per session

$125

Therapists in 40242 who prioritize treating:

93% Anxiety
87% Depression
83% Trauma and PTSD
80% Relationship Issues
63% Grief
60% Coping Skills
57% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

70% Cigna and Evernorth
70% Humana
65% Aetna

How Therapists in 40242 see their clients

87% In Person and Online
13% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 40242?

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.