Therapists in 48826

Photo of Shiela L Owens - S.L.O.M. Project Inc., Therapy, Counselor, DBT, MHT, MA, LLPC, Coach, Family
S.L.O.M. Project Inc., Therapy
Counselor, DBT, MHT, MA, LLPC, Coach, Family
East Lansing, MI 48826
D.B.T.,Anxiety, PTSD, Trauma, Loss/Grief, Marriage &Family, Suicide Ideation, B.P, Mood Disorder, Group & Business Arbitration, I specialize in one-one, group, business, entertainment, substance, and incarcerated population. Through cognitive therapy and evidence based treatment and education, I will offer a full scope of services to all clients and consumers with treatment tools including testing instruments, play and role therapy, assessments, interventions, arbitration. You will also obtain a plethora of adapting behavioral coping mechanisms that will be dedicated to your treatment and successful recovery.
D.B.T.,Anxiety, PTSD, Trauma, Loss/Grief, Marriage &Family, Suicide Ideation, B.P, Mood Disorder, Group & Business Arbitration, I specialize in one-one, group, business, entertainment, substance, and incarcerated population. Through cognitive therapy and evidence based treatment and education, I will offer a full scope of services to all clients and consumers with treatment tools including testing instruments, play and role therapy, assessments, interventions, arbitration. You will also obtain a plethora of adapting behavioral coping mechanisms that will be dedicated to your treatment and successful recovery.
(517) 317-6485 View (517) 317-6485
Photo of Courtney Schlaud, Pre-Licensed Professional, LLMSW
Courtney Schlaud
Pre-Licensed Professional, LLMSW
Serves Area
Whether it's a fresh circumstance or a slow-burn experience, I welcome you into a space where empathy leads. I provide mental health support by discovering your unique strengths, exploring your lens of the world, developing understanding of self, and building your resilience. My experience includes work with neurodiversity (ADHD and/or Autistic), depression, anxiety, codependency, life adjustment stressors, and other mild to moderate mental health struggles. I work with those aged 18+.
Whether it's a fresh circumstance or a slow-burn experience, I welcome you into a space where empathy leads. I provide mental health support by discovering your unique strengths, exploring your lens of the world, developing understanding of self, and building your resilience. My experience includes work with neurodiversity (ADHD and/or Autistic), depression, anxiety, codependency, life adjustment stressors, and other mild to moderate mental health struggles. I work with those aged 18+.
(989) 310-7344 View (989) 310-7344
Photo of Tori Alexander, Clinical Social Work/Therapist, LLMSW
Tori Alexander
Clinical Social Work/Therapist, LLMSW
2 Endorsed
Serves Area
​I know that reaching out for help is often the hardest and bravest step you can take. That's why I offer a safe, compassionate, and non-judgmental space where you can truly be seen and heard. My commitment to supporting you is rooted in my own life experiences, which have taught me the beauty of walking alongside others on their journey.
​I know that reaching out for help is often the hardest and bravest step you can take. That's why I offer a safe, compassionate, and non-judgmental space where you can truly be seen and heard. My commitment to supporting you is rooted in my own life experiences, which have taught me the beauty of walking alongside others on their journey.
(517) 225-1079 View (517) 225-1079
Photo of Becky Lopez, Clinical Social Work/Therapist, LMSW
Becky Lopez
Clinical Social Work/Therapist, LMSW
9 Endorsed
Serves Area
I am doing telehealth and in person appointments. When you are faced with challenges, conflicts and loss, it can be difficult to overcome on your own. I believe we all have the strength and knowledge inside of us, we just need a little help finding it, and we all need someone with whom we can express ourselves. Life challenges can bring us to a place where support from a neutral and caring professional can make a needed difference. Counseling can help you get to a place of recovery, peace and empowerment.
I am doing telehealth and in person appointments. When you are faced with challenges, conflicts and loss, it can be difficult to overcome on your own. I believe we all have the strength and knowledge inside of us, we just need a little help finding it, and we all need someone with whom we can express ourselves. Life challenges can bring us to a place where support from a neutral and caring professional can make a needed difference. Counseling can help you get to a place of recovery, peace and empowerment.
(517) 797-3135 View (517) 797-3135
Photo of Alissa R. Sweeney, Clinical Social Work/Therapist, LLMSW, SSW
Alissa R. Sweeney
Clinical Social Work/Therapist, LLMSW, SSW
2 Endorsed
Online Only
Are you feeling anxious, unsure of yourself, or stuck in patterns that are hard to shift? Maybe something just doesn’t feel quite right, and you're not sure why. Maybe you are trying to learn more about yourself and you are struggling with perfectionism. If that sounds like you, then I think we would be a good fit. Therapy can be a place to slow down, make sense of what’s going on, and feel more like yourself again. You don’t need to have it all figured out before coming in. We’ll go at a pace that feels right for you—whether you're navigating anxiety, struggling with confidence, or adjusting to changes in your life.
Are you feeling anxious, unsure of yourself, or stuck in patterns that are hard to shift? Maybe something just doesn’t feel quite right, and you're not sure why. Maybe you are trying to learn more about yourself and you are struggling with perfectionism. If that sounds like you, then I think we would be a good fit. Therapy can be a place to slow down, make sense of what’s going on, and feel more like yourself again. You don’t need to have it all figured out before coming in. We’ll go at a pace that feels right for you—whether you're navigating anxiety, struggling with confidence, or adjusting to changes in your life.
(616) 636-1832 View (616) 636-1832
Photo of Michelle Hunscher, Licensed Master Social Worker, LCSW, LMSW
Michelle Hunscher
Licensed Master Social Worker, LCSW, LMSW
Online Only
Waitlist for new clients
Are past traumas, worries, or relationship difficulties getting in the way of how you want to live your life? Do you want a safe space where you can heal and move forward? Let's spend time together to explore what is troubling you and to improve your emotional wellbeing. I work with adults from diverse backgrounds - including those healing from toxic relationships, individuals navigating the effects of childhood trauma, and fellow neurodiverse folks. I am LGBTQ+, poly/ENM, and kink friendly.
Are past traumas, worries, or relationship difficulties getting in the way of how you want to live your life? Do you want a safe space where you can heal and move forward? Let's spend time together to explore what is troubling you and to improve your emotional wellbeing. I work with adults from diverse backgrounds - including those healing from toxic relationships, individuals navigating the effects of childhood trauma, and fellow neurodiverse folks. I am LGBTQ+, poly/ENM, and kink friendly.
(734) 307-1058 View (734) 307-1058

More Therapists Nearby

Photo of Deby Dantus, Clinical Social Work/Therapist, MSW, LCSW
Deby Dantus
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Okemos, MI 48864
As a Licensed Clinical Social Worker (LCSW), I bring over 15 years of experience helping individuals navigate life’s most challenging moments. My practice now focuses on supporting adolescents and adults struggling with anxiety, depression, parenting challenges, and significant life transitions. My foundation in human development and growth continues to inform my understanding of how we evolve through different stages of life. Whether you're a teen wrestling with academic and social pressure, a parent feeling overwhelmed, or an adult at a crossroads, therapy can provide a space to reflect, heal, and grow.
As a Licensed Clinical Social Worker (LCSW), I bring over 15 years of experience helping individuals navigate life’s most challenging moments. My practice now focuses on supporting adolescents and adults struggling with anxiety, depression, parenting challenges, and significant life transitions. My foundation in human development and growth continues to inform my understanding of how we evolve through different stages of life. Whether you're a teen wrestling with academic and social pressure, a parent feeling overwhelmed, or an adult at a crossroads, therapy can provide a space to reflect, heal, and grow.
(517) 618-9984 View (517) 618-9984
Photo of Drew Schafer, Limited Licensed Psychologist, MA, LLP
Drew Schafer
Limited Licensed Psychologist, MA, LLP
3 Endorsed
East Lansing, MI 48823
Helping people cope with ADHD, anxiety and OCD, to calm the chaos of daily life
Helping people cope with ADHD, anxiety and OCD, to calm the chaos of daily life
(734) 508-3063 View (734) 508-3063
Photo of Frances Adams, Clinical Social Work/Therapist, LCSW
Frances Adams
Clinical Social Work/Therapist, LCSW
Serves Area
As a Licensed Clinical Social Worker, I am deeply committed to providing compassionate, non-judgmental, and client-centered care. My approach is rooted in the belief that every individual deserves to be heard, valued, and supported in a way that fosters healing and personal growth. I strive to create a safe and calming space where clients can explore their thoughts, emotions, and experiences without fear of judgment.
As a Licensed Clinical Social Worker, I am deeply committed to providing compassionate, non-judgmental, and client-centered care. My approach is rooted in the belief that every individual deserves to be heard, valued, and supported in a way that fosters healing and personal growth. I strive to create a safe and calming space where clients can explore their thoughts, emotions, and experiences without fear of judgment.
(517) 726-5787 View (517) 726-5787
Photo of Matthew Rogers, Clinical Social Work/Therapist, LMSW
Matthew Rogers
Clinical Social Work/Therapist, LMSW
Okemos, MI 48864
Welcome! I have been a counselor since 2016, providing services to couples, adults, and adolescents of all backgrounds. I value the inherent worth of each of my clients and seek to provide a safe space for them to share and grow. I am passionate about helping other people and and honored anytime a client entrusts me to work with them. It is not always easy to ask for help!
Welcome! I have been a counselor since 2016, providing services to couples, adults, and adolescents of all backgrounds. I value the inherent worth of each of my clients and seek to provide a safe space for them to share and grow. I am passionate about helping other people and and honored anytime a client entrusts me to work with them. It is not always easy to ask for help!
(517) 300-7560 View (517) 300-7560
Photo of Erin Gajda, Licensed Professional Counselor, MA, LPC
Erin Gajda
Licensed Professional Counselor, MA, LPC
2 Endorsed
Okemos, MI 48864
Often family history and life experiences have taught us unhealthy skills of dealing with the painful events in our lives. You may have found yourself in place where you are reacting in ways you never thought you would and not living the life you want. It's common to not even know why you are feeling the way you do. Exhaustion, frustration, anger and being easily overwhelmed are just a few common indicators there is something going on with your emotional self. If you are struggling know there is a different way.
Often family history and life experiences have taught us unhealthy skills of dealing with the painful events in our lives. You may have found yourself in place where you are reacting in ways you never thought you would and not living the life you want. It's common to not even know why you are feeling the way you do. Exhaustion, frustration, anger and being easily overwhelmed are just a few common indicators there is something going on with your emotional self. If you are struggling know there is a different way.
(517) 948-5109 View (517) 948-5109
Photo of Kayla Mockridge, Clinical Social Work/Therapist, LMSW
Kayla Mockridge
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
Sometimes life can feel unmanageable. We work hard, take care of others, and push ourselves to keep going. Somewhere along the way, we forget to take care of ourselves. The result? Exhaustion, overwhelm, loneliness, even a sense of disconnection from our deeper self. Therapy offers you a chance to pause and invest in yourself. It's an opportunity to extend to yourself the same compassion, patience, and understanding that you so freely give others. As a therapist, my goal is to crease a safe, supportive space where you can reflect, heal, and grow at your own pace.
Sometimes life can feel unmanageable. We work hard, take care of others, and push ourselves to keep going. Somewhere along the way, we forget to take care of ourselves. The result? Exhaustion, overwhelm, loneliness, even a sense of disconnection from our deeper self. Therapy offers you a chance to pause and invest in yourself. It's an opportunity to extend to yourself the same compassion, patience, and understanding that you so freely give others. As a therapist, my goal is to crease a safe, supportive space where you can reflect, heal, and grow at your own pace.
(734) 212-8857 View (734) 212-8857
Photo of Jayd Gogarn, Counselor, MA, LLPC
Jayd Gogarn
Counselor, MA, LLPC
1 Endorsed
Lansing, MI 48917
Teen life is strife with significant personal, social, and emotional development. It involves finding their footing on the path to self-discovery, navigating the complexities of relationships, and coping with the mood swings that come with hormonal changes, among myriad other challenges as they transition from the different formative stages and into young adulthood. Teen life can be just as hard on parents. Struggling to maintain connection and communication with adolescents who are moving toward independence, recognizing what feeds or starves the beast, or simply maintaining harmony among everyday life demands.
Teen life is strife with significant personal, social, and emotional development. It involves finding their footing on the path to self-discovery, navigating the complexities of relationships, and coping with the mood swings that come with hormonal changes, among myriad other challenges as they transition from the different formative stages and into young adulthood. Teen life can be just as hard on parents. Struggling to maintain connection and communication with adolescents who are moving toward independence, recognizing what feeds or starves the beast, or simply maintaining harmony among everyday life demands.
(517) 500-5312 View (517) 500-5312
Photo of Malary Thorsby, Pre-Licensed Professional, LLMSW
Malary Thorsby
Pre-Licensed Professional, LLMSW
2 Endorsed
Owosso, MI 48867
Immediate Openings. You may be facing anxiety, depression, grief, or big life changes and just want to feel like yourself again. You’re looking for a safe, calm space to talk, process, and breathe. You deserve steady support, real understanding, and practical tools that fit your life. Whether you’re coping with being overwhelmed, healing from loss, breaking old patterns, or exploring substance use without judgment, you don’t have to do it alone. My goal is to help you feel heard, supported, and empowered as you move toward a calmer, more balanced future. Together, we’ll build hope and create space for who you’re becoming.
Immediate Openings. You may be facing anxiety, depression, grief, or big life changes and just want to feel like yourself again. You’re looking for a safe, calm space to talk, process, and breathe. You deserve steady support, real understanding, and practical tools that fit your life. Whether you’re coping with being overwhelmed, healing from loss, breaking old patterns, or exploring substance use without judgment, you don’t have to do it alone. My goal is to help you feel heard, supported, and empowered as you move toward a calmer, more balanced future. Together, we’ll build hope and create space for who you’re becoming.
(989) 487-1876 View (989) 487-1876
Photo of Tracy Mogelnicki, Clinical Social Work/Therapist, LMSW
Tracy Mogelnicki
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
-Accepting New Clients - There’s nothing more important to the therapeutic process than establishing a strong relationship between counselor and client. Through a collaborative effort, I strive to create a warm, non-judgmental space where clients of any and all backgrounds feel comfortable to tell their stories, and I provide supportive acceptance in a positive environment. Through the therapeutic process I use a variety of modalities, which allow for gentle directive and reflective approaches designed to empower clients, leading to the promotion of growth and healing.
-Accepting New Clients - There’s nothing more important to the therapeutic process than establishing a strong relationship between counselor and client. Through a collaborative effort, I strive to create a warm, non-judgmental space where clients of any and all backgrounds feel comfortable to tell their stories, and I provide supportive acceptance in a positive environment. Through the therapeutic process I use a variety of modalities, which allow for gentle directive and reflective approaches designed to empower clients, leading to the promotion of growth and healing.
(248) 331-8962 View (248) 331-8962
Photo of Susan Cumings, Counselor, MA, LLPC
Susan Cumings
Counselor, MA, LLPC
Mason, MI 48854
Susan offers compassion, authenticity and collaboration, providing a supportive space to explore your concerns and discover hope and meaning in times of difficulty and stress. Her approach is strengths-based and solution-focused. She’ll help you discover your inner strengths then choose the appropriate therapy to best achieve the goals you set together. She has experience helping people who struggle with grief, anger management, crisis pregnancy, chronic pain and illness, childhood sexual abuse, separation and divorce, and Reactive Attachment Disorder. She has worked with at-risk teens as well as rape, abuse, and trauma survivors.
Susan offers compassion, authenticity and collaboration, providing a supportive space to explore your concerns and discover hope and meaning in times of difficulty and stress. Her approach is strengths-based and solution-focused. She’ll help you discover your inner strengths then choose the appropriate therapy to best achieve the goals you set together. She has experience helping people who struggle with grief, anger management, crisis pregnancy, chronic pain and illness, childhood sexual abuse, separation and divorce, and Reactive Attachment Disorder. She has worked with at-risk teens as well as rape, abuse, and trauma survivors.
(517) 837-7837 View (517) 837-7837
Photo of Anne Marie Moskal, Clinical Social Work/Therapist, LMSW
Anne Marie Moskal
Clinical Social Work/Therapist, LMSW
8 Endorsed
Howell, MI 48843
“Out of your vulnerabilities will come your strength.” -Sigmund Freud. My dedication to the field of therapy is driven by a profound interest and ever evolving curiosity with the complexities of the human experience. My journey into this profession is also deeply personal, offering me an empathetic perspective. My approach is client-centered, compassionate, and tailored to the unique needs of each individual. I am informed by advanced training in a variety of evidence-based treatment approaches that are provided below.
“Out of your vulnerabilities will come your strength.” -Sigmund Freud. My dedication to the field of therapy is driven by a profound interest and ever evolving curiosity with the complexities of the human experience. My journey into this profession is also deeply personal, offering me an empathetic perspective. My approach is client-centered, compassionate, and tailored to the unique needs of each individual. I am informed by advanced training in a variety of evidence-based treatment approaches that are provided below.
(810) 643-0016 View (810) 643-0016
Photo of Jennifer Huerta, Clinical Social Work/Therapist, MSW, LCSW, LCAC
Jennifer Huerta
Clinical Social Work/Therapist, MSW, LCSW, LCAC
3 Endorsed
Serves Area
Are you feeling exhausted, overwhelmed, or stuck? Do you find yourself on autopilot until you can escape the stress of life by watching tv, scrolling social media, or drinking? Are you struggling to set boundaries or take time for self-care? Have your self-care, health, work, or relationships been impacted by the stress or anxiety? I provide a safe space to make sense of your story and clarify your goals for healing from past hurts and habits. Whether you need to vent, problem solve, or learn coping skills, I can help guide your mental health goals. I offer in-person in northeast Indianapolis and online throughout IN, MI and CA.
Are you feeling exhausted, overwhelmed, or stuck? Do you find yourself on autopilot until you can escape the stress of life by watching tv, scrolling social media, or drinking? Are you struggling to set boundaries or take time for self-care? Have your self-care, health, work, or relationships been impacted by the stress or anxiety? I provide a safe space to make sense of your story and clarify your goals for healing from past hurts and habits. Whether you need to vent, problem solve, or learn coping skills, I can help guide your mental health goals. I offer in-person in northeast Indianapolis and online throughout IN, MI and CA.
(317) 951-9943 View (317) 951-9943
Photo of Candace Johnson-Mason, Licensed Professional Counselor, LPC-S, NCC, CFRC
Candace Johnson-Mason
Licensed Professional Counselor, LPC-S, NCC, CFRC
1 Endorsed
Okemos, MI 48864
Courage begins with showing up and allowing ourselves to be seen - Brene Brown. Therapy is a gradual process that can be challenging. It takes courage to take the first step in seeking help and to be open to new ways of thinking, feeling, and behaving. Therapy involves collaborative work to help clients envision and achieve their therapeutic goals. I specialize in treating complex trauma, PTSD, anxiety, depression, grief, obsessive-compulsive disorder, life-stage adjustment, and relationship issues. I am a Certified First Responder Counselor.
Courage begins with showing up and allowing ourselves to be seen - Brene Brown. Therapy is a gradual process that can be challenging. It takes courage to take the first step in seeking help and to be open to new ways of thinking, feeling, and behaving. Therapy involves collaborative work to help clients envision and achieve their therapeutic goals. I specialize in treating complex trauma, PTSD, anxiety, depression, grief, obsessive-compulsive disorder, life-stage adjustment, and relationship issues. I am a Certified First Responder Counselor.
(517) 245-1130 View (517) 245-1130
Photo of Kennan DeWitt, Licensed Professional Counselor, LPC
Kennan DeWitt
Licensed Professional Counselor, LPC
Okemos, MI 48864
As a licensed professional counselor, I create a safe, accepting, and affirming environment for LGBTQ persons, other minorities, and those with intersectional identities and concerns. I am a strong and empowering advocate. I serve individuals and couples. My specialties are mental health, anxiety/depression, suicidal ideation, trauma, discrimination/oppression, substance use, gambling/gaming addiction, relationship conflict, and anger. I believe that everyone should have access to therapy like medical care.
As a licensed professional counselor, I create a safe, accepting, and affirming environment for LGBTQ persons, other minorities, and those with intersectional identities and concerns. I am a strong and empowering advocate. I serve individuals and couples. My specialties are mental health, anxiety/depression, suicidal ideation, trauma, discrimination/oppression, substance use, gambling/gaming addiction, relationship conflict, and anger. I believe that everyone should have access to therapy like medical care.
(517) 994-5180 View (517) 994-5180

How does your Therapist compare?

Number of Therapists in 48826

< 10

Therapists in 48826 who prioritize treating:

100% Depression
100% Anxiety
100% Stress
83% Trauma and PTSD
83% Self Esteem
67% Relationship Issues
67% ADHD

Average years in practice

8 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
83% Aetna
83% Medicaid

How Therapists in 48826 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 48826?

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.