Photo of Kim Gillie, LISW-S, C-IAYT, Clinical Social Work/Therapist
Kim Gillie
Clinical Social Work/Therapist, LISW-S, C-IAYT
Verified Verified
1 Endorsed
Columbus, OH 43220
At Eating and Behavioral Health Associates, I specialize in the treatment of eating disorders, PTSD and co-occurring emotional concerns. I help people to find their inner strength through connection of their mind and body, and use evidence-based treatments such as CBT-E and Cognitive Processing Therapy to help individuals become free of the burdens from eating disorders and trauma.
At Eating and Behavioral Health Associates, I specialize in the treatment of eating disorders, PTSD and co-occurring emotional concerns. I help people to find their inner strength through connection of their mind and body, and use evidence-based treatments such as CBT-E and Cognitive Processing Therapy to help individuals become free of the burdens from eating disorders and trauma.
(614) 412-0448 View (614) 412-0448
Photo of Emanuel Werner, LPCC-S, LCDCIII, Licensed Professional Counselor
Emanuel Werner
Licensed Professional Counselor, LPCC-S, LCDCIII
Verified Verified
Columbus, OH 43220
I specialize in treating generalized anxiety, OCD, depression, complex trauma and PTSD, substance and alcohol use, couples & marital issues, grief, major life transitions, vocational/career discernment, and a variety of everyday and lifelong existential questions and realities we all face. Are you depressed and anxious about many things, with sleepless nights and moments of quiet desperation, helplessness, hopelessness, and worthlessness? Are you searching for answers to questions both known and unknown, looking to share with someone who can validate the reality of suffering in your life & help you find ways to navigate?
I specialize in treating generalized anxiety, OCD, depression, complex trauma and PTSD, substance and alcohol use, couples & marital issues, grief, major life transitions, vocational/career discernment, and a variety of everyday and lifelong existential questions and realities we all face. Are you depressed and anxious about many things, with sleepless nights and moments of quiet desperation, helplessness, hopelessness, and worthlessness? Are you searching for answers to questions both known and unknown, looking to share with someone who can validate the reality of suffering in your life & help you find ways to navigate?
(380) 204-5153 View (380) 204-5153
Photo of Kira Techatanalai, MSW, LISW, Clinical Social Work/Therapist
Kira Techatanalai
Clinical Social Work/Therapist, MSW, LISW
Verified Verified
3 Endorsed
Columbus, OH 43220
Do you crave a deeper, loving connection to yourself, others & the world around you? Would you like to be more present & lead a life aligned with your unique purpose & values? Are you stuck in old self-defeating patterns & want to overcome doubt & shame? We all face these challenges at times. There is nothing wrong with you. I have helped many folks with their mood, life transitions, relationships & trauma. I empower clients to clarify & enrich their lives in alignment with personal values. Together, we can heal & release old patterning to make a new path that transforms your mindset & leads you to embody your truest authentic self.
Do you crave a deeper, loving connection to yourself, others & the world around you? Would you like to be more present & lead a life aligned with your unique purpose & values? Are you stuck in old self-defeating patterns & want to overcome doubt & shame? We all face these challenges at times. There is nothing wrong with you. I have helped many folks with their mood, life transitions, relationships & trauma. I empower clients to clarify & enrich their lives in alignment with personal values. Together, we can heal & release old patterning to make a new path that transforms your mindset & leads you to embody your truest authentic self.
(380) 204-5712 View (380) 204-5712
Photo of Rachel Keay-McVay, LPC, Licensed Professional Counselor
Rachel Keay-McVay
Licensed Professional Counselor, LPC
Verified Verified
Columbus, OH 43220
There is a curious habit that I've noticed, especially when working with teens, that clients will mostly only work on the "issue of the week." This can have numerous benefits and can also delay the client's progress on any underlying concerns or patterns. Ideally, once a client has agreed to their treatment goals, they continue to take attainable steps towards that goal in therapy and in their daily life. When a client feels comfortable with their therapist to share their thoughts, emotions, and vulnerabilities, then deeper work can happen.
There is a curious habit that I've noticed, especially when working with teens, that clients will mostly only work on the "issue of the week." This can have numerous benefits and can also delay the client's progress on any underlying concerns or patterns. Ideally, once a client has agreed to their treatment goals, they continue to take attainable steps towards that goal in therapy and in their daily life. When a client feels comfortable with their therapist to share their thoughts, emotions, and vulnerabilities, then deeper work can happen.
(380) 600-9183 View (380) 600-9183
Photo of Shana I Byrd, MA, MFT, Marriage & Family Therapist
Shana I Byrd
Marriage & Family Therapist, MA, MFT
Verified Verified
Columbus, OH 43220
I truly believe that we all have personal strengths that help us work through life’s difficulties. We sometimes just need others to help us identify those strengths as well as ways to utilize them to cope and find solutions. I find it a privilege to walk along side clients as they discover their strengths, heal from trauma, and work to repair relationships with self and others.
I truly believe that we all have personal strengths that help us work through life’s difficulties. We sometimes just need others to help us identify those strengths as well as ways to utilize them to cope and find solutions. I find it a privilege to walk along side clients as they discover their strengths, heal from trauma, and work to repair relationships with self and others.
(740) 276-3052 View (740) 276-3052
Photo of Kimberly Foreman, LISWS, Clinical Social Work/Therapist
Kimberly Foreman
Clinical Social Work/Therapist, LISWS
Verified Verified
Columbus, OH 43220
My ideal client is ready to do the hard work of making real change in their life. Sometimes, people think change has to be big to start therapeutic services; it doesn’t. Sometimes, learning to breathe, decrease anxiety, and be more mindful of your strengths can become a great asset. Therapy doesn’t have to be forever; sometimes, you just need help getting through the now. I help individuals & families dealing with chronic illnesses and end of life. At times like those, crises often happen: medical conflict, spiritual conflict, familial conflict, financial concerns, housing and food insecurity.
My ideal client is ready to do the hard work of making real change in their life. Sometimes, people think change has to be big to start therapeutic services; it doesn’t. Sometimes, learning to breathe, decrease anxiety, and be more mindful of your strengths can become a great asset. Therapy doesn’t have to be forever; sometimes, you just need help getting through the now. I help individuals & families dealing with chronic illnesses and end of life. At times like those, crises often happen: medical conflict, spiritual conflict, familial conflict, financial concerns, housing and food insecurity.
(380) 333-5808 View (380) 333-5808
Photo of Dr. Essence Rivers, PsyD, Psychologist
Dr. Essence Rivers
Psychologist, PsyD
Verified Verified
Columbus, OH 43220  (Online Only)
Hi, I’m Dr. Essence! As a queer, multiracial and neurodivergent woman, I have first hand experience with trying to embrace my identity, find belonging, and navigate a world that wasn't made for me. When you begin therapy with me, you are starting a relationship with a psychologist who has walked the walk as much as she can talk the talk. I value showing up as a real person, so I connect authentically with my clients by balancing encouraging support with honest feedback and accountability. Through my own self-disclosure and personal stories, I aim to create a safe space for you to grow into your favorite version of yourself!
Hi, I’m Dr. Essence! As a queer, multiracial and neurodivergent woman, I have first hand experience with trying to embrace my identity, find belonging, and navigate a world that wasn't made for me. When you begin therapy with me, you are starting a relationship with a psychologist who has walked the walk as much as she can talk the talk. I value showing up as a real person, so I connect authentically with my clients by balancing encouraging support with honest feedback and accountability. Through my own self-disclosure and personal stories, I aim to create a safe space for you to grow into your favorite version of yourself!
(561) 658-4839 View (561) 658-4839
Photo of Courtney Wade, MSEd, LPCC, Counselor
Courtney Wade
Counselor, MSEd, LPCC
Verified Verified
1 Endorsed
Columbus, OH 43220
I am passionate about helping people tap into and cultivate their innate resilience and strengths. My approach focuses on you as a whole person and the mind-body connection, rather than problems or symptoms, in order to achieve healing and wellness. I believe all people are capable of change and growth with the right tools, and I am honored to be invited on your journey to learning and developing those tools. Through a collaborative relationship, I strive to help you better understand yourself and your world, and to create and maintain balance and peace in your life and in your relationships.
I am passionate about helping people tap into and cultivate their innate resilience and strengths. My approach focuses on you as a whole person and the mind-body connection, rather than problems or symptoms, in order to achieve healing and wellness. I believe all people are capable of change and growth with the right tools, and I am honored to be invited on your journey to learning and developing those tools. Through a collaborative relationship, I strive to help you better understand yourself and your world, and to create and maintain balance and peace in your life and in your relationships.
(614) 681-8982 View (614) 681-8982
Photo of Paul Kitzmiller, LPC, Counselor
Paul Kitzmiller
Counselor, LPC
Verified Verified
Columbus, OH 43220  (Online Only)
Not accepting new clients
Do you experience unwelcomed thoughts that you try to ignore without much success? Do you feel imprisoned by intrusive images in your mind? Do you worry excessively about something bad happening to someone you love if you do not perform some kind of ritual? Do you avoid things like kitchen knives, public restrooms, children? Unwelcomed thoughts can manifest themselves in many forms beyond just excessive handwashing or checking stove knobs. Fortunately, there are evidence-based treatments available to effectively treat Obsessive Compulsive Disorder, or OCD, a condition that affects as many as 7,000,000 people in the U.S. alone.
Do you experience unwelcomed thoughts that you try to ignore without much success? Do you feel imprisoned by intrusive images in your mind? Do you worry excessively about something bad happening to someone you love if you do not perform some kind of ritual? Do you avoid things like kitchen knives, public restrooms, children? Unwelcomed thoughts can manifest themselves in many forms beyond just excessive handwashing or checking stove knobs. Fortunately, there are evidence-based treatments available to effectively treat Obsessive Compulsive Disorder, or OCD, a condition that affects as many as 7,000,000 people in the U.S. alone.
(513) 880-8501 View (513) 880-8501
Photo of Sheila Canini, APRN, FNP-BC
Sheila Canini
APRN, FNP-BC
Verified Verified
1 Endorsed
Columbus, OH 43220  (Online Only)
Welcome to my professional profile. With 40 years of dedicated service in healthcare, I am a seasoned Family Nurse Practitioner with a deep commitment to delivering top-tier medical care right to your home. My tenure has been marked by a meticulous approach to home health services, ensuring that each patient receives personalized attention and clear guidance on managing their health. Drawing on my rich background as a Major in the US Army Reserve Nursing Corps, I offer a rare blend of disciplined healthcare delivery and leadership prowess.
Welcome to my professional profile. With 40 years of dedicated service in healthcare, I am a seasoned Family Nurse Practitioner with a deep commitment to delivering top-tier medical care right to your home. My tenure has been marked by a meticulous approach to home health services, ensuring that each patient receives personalized attention and clear guidance on managing their health. Drawing on my rich background as a Major in the US Army Reserve Nursing Corps, I offer a rare blend of disciplined healthcare delivery and leadership prowess.
(380) 207-0662 View (380) 207-0662
Photo of LaVesea Clardy, LPC, Licensed Professional Counselor
LaVesea Clardy
Licensed Professional Counselor, LPC
Verified Verified
Columbus, OH 43220
LaVesea is passionate about youth; youth who have difficulties with parents and/or family dynamics, anxiety and depression who look forward and are ready to navigate healing. LaVesea works with BIPOC clients who continue to navigate systemic oppression and are prepared to work through how it has effect relationships with others as well as how they view the world. She is also passionate about working with assisting BIPOC navigate and work through depression, anxiety, suicidal ideation, self- harm.
LaVesea is passionate about youth; youth who have difficulties with parents and/or family dynamics, anxiety and depression who look forward and are ready to navigate healing. LaVesea works with BIPOC clients who continue to navigate systemic oppression and are prepared to work through how it has effect relationships with others as well as how they view the world. She is also passionate about working with assisting BIPOC navigate and work through depression, anxiety, suicidal ideation, self- harm.
(380) 333-6480 View (380) 333-6480
Photo of Yang Jing, MEd, LPCC, Counselor
Yang Jing
Counselor, MEd, LPCC
Verified Verified
1 Endorsed
Columbus, OH 43220
I believe everyone is the master of their life so that I believe my job, as a counselor, is to explore and guide my client to recognize and use their strengths then accompany them navigating out of the struggling period in life. I appreciate to have the privilege being the witness of their journey. I am an immigrant from Taiwan which made me understand the possible barriers from the cultural perspectives. I am fluent in Mandarin and Taiwanese beside English.
I believe everyone is the master of their life so that I believe my job, as a counselor, is to explore and guide my client to recognize and use their strengths then accompany them navigating out of the struggling period in life. I appreciate to have the privilege being the witness of their journey. I am an immigrant from Taiwan which made me understand the possible barriers from the cultural perspectives. I am fluent in Mandarin and Taiwanese beside English.
(614) 918-4476 View (614) 918-4476
Photo of Sarah E Altman, PhD, Psychologist
Sarah E Altman
Psychologist, PhD
Verified Verified
2 Endorsed
Columbus, OH 43220
Extremes in our emotional and psychological states can lead to imbalance, avoidance and mindlessness, and can be related to extremes in other areas of our health, such as eating, activity, and sleep. Eating too much or not fueling our bodies enough, stress or emotional eating-these are ways we cope with or respond to extremes in our thoughts and emotions, and distracts and disonnects us from our life values and goals. I am here to help you reestablish your values and goals by focusing on a more balanced perspective and awareness of your mind, body and behaviors.
Extremes in our emotional and psychological states can lead to imbalance, avoidance and mindlessness, and can be related to extremes in other areas of our health, such as eating, activity, and sleep. Eating too much or not fueling our bodies enough, stress or emotional eating-these are ways we cope with or respond to extremes in our thoughts and emotions, and distracts and disonnects us from our life values and goals. I am here to help you reestablish your values and goals by focusing on a more balanced perspective and awareness of your mind, body and behaviors.
(614) 350-3540 View (614) 350-3540
Photo of Costenah Ward, MA, LPC, Licensed Professional Counselor
Costenah Ward
Licensed Professional Counselor, MA, LPC
Verified Verified
Columbus, OH 43220
My ideal client is prepared to initiate changes in their life to promote wellness. They are prepared to process internal and external contributors to their mood, discuss options for improvement, and practice healthier skills that will assist in achieving their personal goals. My ideal client is internally motivated and desires emotional balance from concerns such as anxiety, depression, impaired self-esteem, trauma, and interpersonal conflict. They arrive to treatment with goals in mind, and will actively work to experience relief of distressing symptoms.
My ideal client is prepared to initiate changes in their life to promote wellness. They are prepared to process internal and external contributors to their mood, discuss options for improvement, and practice healthier skills that will assist in achieving their personal goals. My ideal client is internally motivated and desires emotional balance from concerns such as anxiety, depression, impaired self-esteem, trauma, and interpersonal conflict. They arrive to treatment with goals in mind, and will actively work to experience relief of distressing symptoms.
(380) 666-4224 View (380) 666-4224
Photo of Sarah E Klein, MA, LPCC, Counselor
Sarah E Klein
Counselor, MA, LPCC
Verified Verified
Columbus, OH 43220
It is my passion to reach clients who have given up hope that they can change. If you are someone who has unsuccessfully sought counseling (or has never tried counseling) for anxiety, depression, low self-esteem, bad relationships, or trauma/PTSD, I would love to have the opportunity to work with you! I promise you a comfortable, non-judgmental space where you can process through your pain and can come out the other side being changed in ways you never thought possible. It would be a privilege to walk on that journey with you!
It is my passion to reach clients who have given up hope that they can change. If you are someone who has unsuccessfully sought counseling (or has never tried counseling) for anxiety, depression, low self-esteem, bad relationships, or trauma/PTSD, I would love to have the opportunity to work with you! I promise you a comfortable, non-judgmental space where you can process through your pain and can come out the other side being changed in ways you never thought possible. It would be a privilege to walk on that journey with you!
(614) 705-2521 View (614) 705-2521
Photo of undefined - Samantha Brown - NOCD, MA, LPCC
Samantha Brown - NOCD
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
Columbus, OH 43220  (Online Only)
My approach to treating OCD is supportive yet assertive. You're here because you want change, and I'm here to help you achieve that change. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances and intricacies of OCD enables us to properly diagnose and treat it. Additionally, we have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
My approach to treating OCD is supportive yet assertive. You're here because you want change, and I'm here to help you achieve that change. At NOCD, my team and I specialize in providing evidence-based treatment for people with OCD. Our deep understanding of the nuances and intricacies of OCD enables us to properly diagnose and treat it. Additionally, we have received intensive training in Exposure Response and Prevention Therapy (ERP)—the gold standard treatment for OCD.
(614) 450-1954 View (614) 450-1954
Photo of Caitlin M Strack, MA, LPCC
Caitlin M Strack
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
1 Endorsed
Columbus, OH 43220
Are you experiencing crippling anxiety, stress, or discouragement in day to day life? Are you burned out from a job or role that used to give you fulfillment? Are you feeling like your emotions control you and hurt those closest to you? Do you struggle to keep up with the needs of those who rely on you at work or in your spiritual community? Are you a teen experiencing overwhelming pressure and painful emotions, struggling to find a solid sense of identity?
Are you experiencing crippling anxiety, stress, or discouragement in day to day life? Are you burned out from a job or role that used to give you fulfillment? Are you feeling like your emotions control you and hurt those closest to you? Do you struggle to keep up with the needs of those who rely on you at work or in your spiritual community? Are you a teen experiencing overwhelming pressure and painful emotions, struggling to find a solid sense of identity?
(614) 363-2469 x811 View (614) 363-2469 x811
Photo of Chanel Hall, MA, LPC, Licensed Professional Counselor
Chanel Hall
Licensed Professional Counselor, MA, LPC
Verified Verified
Columbus, OH 43220
I specialize in seeing clients who struggle with over-controlled personality types. Do you work too much? Want things to be perfect? Strongly dislike being out of control of situations? Or feel like you have to do things in order for them to be done correctly? My ideal client is simply a client looking to learn and grow. I have treated such a wide variety of diagnoses and people from all over the country. I am open to most clients as long as they are adults.
I specialize in seeing clients who struggle with over-controlled personality types. Do you work too much? Want things to be perfect? Strongly dislike being out of control of situations? Or feel like you have to do things in order for them to be done correctly? My ideal client is simply a client looking to learn and grow. I have treated such a wide variety of diagnoses and people from all over the country. I am open to most clients as long as they are adults.
(380) 235-3544 View (380) 235-3544
Photo of Jennifer Barney, PhD, Pre-Licensed Professional
Jennifer Barney
Pre-Licensed Professional, PhD
Verified Verified
1 Endorsed
Columbus, OH 43220
I currently work with adults using Cognitive Behavioral Therapy (CBT-E), Dialectical Behavioral Therapy (DBT), and Acceptance and Commitment Therapy (ACT) frameworks to treat eating disorders, anxiety disorders, OCD, and co-morbid mental health concerns.
I currently work with adults using Cognitive Behavioral Therapy (CBT-E), Dialectical Behavioral Therapy (DBT), and Acceptance and Commitment Therapy (ACT) frameworks to treat eating disorders, anxiety disorders, OCD, and co-morbid mental health concerns.
(614) 714-5842 View (614) 714-5842
Photo of undefined - Megan Croyle - NOCD , MA, LPCC
Megan Croyle - NOCD
Licensed Professional Clinical Counselor, MA, LPCC
Verified Verified
Columbus, OH 43220  (Online Only)
I am passionate about helping others find healing in a safe and supportive environment. Having experienced various mental health conditions, including OCD, I understand the importance of early treatment. At NOCD, my team and I focus on delivering evidence-based treatment for OCD. Our in-depth understanding of OCD's complexities enables us to accurately diagnose and treat it. We are extensively trained in ERP therapy, the gold standard for OCD treatment. When you begin with NOCD, you'll work with either me or one of my colleagues, depending on your preference and availability.
I am passionate about helping others find healing in a safe and supportive environment. Having experienced various mental health conditions, including OCD, I understand the importance of early treatment. At NOCD, my team and I focus on delivering evidence-based treatment for OCD. Our in-depth understanding of OCD's complexities enables us to accurately diagnose and treat it. We are extensively trained in ERP therapy, the gold standard for OCD treatment. When you begin with NOCD, you'll work with either me or one of my colleagues, depending on your preference and availability.
(872) 259-5240 View (872) 259-5240

How does your Therapist compare?

Number of Therapists in 43220

200+

Average cost per session

$140

Therapists in 43220 who prioritize treating:

93% Anxiety
87% Depression
73% Relationship Issues
72% Self Esteem
71% Trauma and PTSD
65% Coping Skills
64% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

83% Aetna
68% Cigna and Evernorth
63% Optum

How Therapists in 43220 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 43220?

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.