Photo of Carissa Martin, Clinical Social Work/Therapist in 48911, MI
Carissa Martin
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Lansing, MI 48911
My ideal client is someone who wants to make steps to change their life for the better. What "better" looks like depends on their needs, and we will work together to find it. They would be someone who needs a helping hand and support to reach their goals and get through life's difficult times. This person may be seeking out therapy to find support that they don't have in their life already or to bolster their existing support system.
My ideal client is someone who wants to make steps to change their life for the better. What "better" looks like depends on their needs, and we will work together to find it. They would be someone who needs a helping hand and support to reach their goals and get through life's difficult times. This person may be seeking out therapy to find support that they don't have in their life already or to bolster their existing support system.
(517) 220-0546 View (517) 220-0546
Photo of Dinah Weststrate, Clinical Social Work/Therapist in 48911, MI
Dinah Weststrate
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911
Dinah Weststrate LMSW, fully licensed clinical social worker with over 10 years of experience. Earning a bachelors in Social Work from Saginaw Valley State University and a masters in Social Work from Michigan State University. Dinah has experience working primarily with adults and some family systems, with chronic mental illness, depression, brain injury, chronic medical conditions, and major life changes.
Dinah Weststrate LMSW, fully licensed clinical social worker with over 10 years of experience. Earning a bachelors in Social Work from Saginaw Valley State University and a masters in Social Work from Michigan State University. Dinah has experience working primarily with adults and some family systems, with chronic mental illness, depression, brain injury, chronic medical conditions, and major life changes.
(517) 948-0871 View (517) 948-0871
Photo of Elevate Counseling and Community Services, Clinical Social Work/Therapist in 48911, MI
Elevate Counseling and Community Services
Clinical Social Work/Therapist, LMSW-C
Verified Verified
Lansing, MI 48911
Elevate Counseling is an Outpatient Private Practice located in Lansing, MI. We offer telehealth to individuals, families, and couples in Michigan and in-person sessions in South Lansing. We have a client-centered and strength-based theoretical orientation, meaning when you work with a therapist at Elevate Counseling, we seek to help you identify appropriate treatment goals and reach them based on the strengths you possess. Elevate Counseling values creating an environment of compassion and acceptance for individuals of all walks of life.
Elevate Counseling is an Outpatient Private Practice located in Lansing, MI. We offer telehealth to individuals, families, and couples in Michigan and in-person sessions in South Lansing. We have a client-centered and strength-based theoretical orientation, meaning when you work with a therapist at Elevate Counseling, we seek to help you identify appropriate treatment goals and reach them based on the strengths you possess. Elevate Counseling values creating an environment of compassion and acceptance for individuals of all walks of life.
(517) 258-8343 View (517) 258-8343
Photo of Dr Brittany Turner Psychotherapeutic Services, Clinical Social Work/Therapist in 48911, MI
Dr Brittany Turner Psychotherapeutic Services
Clinical Social Work/Therapist
Verified Verified
Lansing, MI 48911  (Online Only)
I believe in the inherent strength of every individual and is passionate about fostering a safe, non-judgmental space for clients to explore their thoughts and emotions. Together, we will work collaboratively to foster equilibrium in various dimensions of your life, promoting harmony. Learn more at drbrittanyturner.com
I believe in the inherent strength of every individual and is passionate about fostering a safe, non-judgmental space for clients to explore their thoughts and emotions. Together, we will work collaboratively to foster equilibrium in various dimensions of your life, promoting harmony. Learn more at drbrittanyturner.com
View
Photo of Allison Stewart, Clinical Social Work/Therapist in 48911, MI
Allison Stewart
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Lansing, MI 48911  (Online Only)
Waitlist for new clients
You have a calm exterior, but inside is a rollercoaster of anxiety and stress. Putting others needs before yours feels like a reflex and you’re burnt out from it. You're that overachiever who, no matter how much you achieve, never quite feels good enough. You want success, but you also want to disappear when the spotlight is on you. You wish to be more assertive but stress, low self-esteem, and overthinking usually wins. Maybe something happened in your past to cause all this. Asking for help feels like stepping into the unknown, but you're tired of feeling this way. You're ready for a shift in how you experience life.
You have a calm exterior, but inside is a rollercoaster of anxiety and stress. Putting others needs before yours feels like a reflex and you’re burnt out from it. You're that overachiever who, no matter how much you achieve, never quite feels good enough. You want success, but you also want to disappear when the spotlight is on you. You wish to be more assertive but stress, low self-esteem, and overthinking usually wins. Maybe something happened in your past to cause all this. Asking for help feels like stepping into the unknown, but you're tired of feeling this way. You're ready for a shift in how you experience life.
View
Photo of Meghan Faust, Clinical Social Work/Therapist in 48911, MI
Meghan Faust
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911
Meghan Faust, LMSW, ACSW Through my work, I am committed to helping adolescents, adults, and families navigate a variety of challenges including depression, anxiety, mood disorders, grief and loss, ADHD, eating disorders, behavioral issues and other stressors that affect all of us at some time in our lives. I have 15 years of experience as a mental health therapist. I graduated with my Master's of Social Work from Michigan State University. I am part of the Academy of Certified Social Workers. Before starting private practice in 2013, I was a therapist for adjudicated youth for 5 years.
Meghan Faust, LMSW, ACSW Through my work, I am committed to helping adolescents, adults, and families navigate a variety of challenges including depression, anxiety, mood disorders, grief and loss, ADHD, eating disorders, behavioral issues and other stressors that affect all of us at some time in our lives. I have 15 years of experience as a mental health therapist. I graduated with my Master's of Social Work from Michigan State University. I am part of the Academy of Certified Social Workers. Before starting private practice in 2013, I was a therapist for adjudicated youth for 5 years.
(517) 760-5361 View (517) 760-5361
Photo of James Loree, Clinical Social Work/Therapist in 48911, MI
James Loree
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911
James Loree LMSW is a licensed master social worker who has practiced clinical psychotherapy and mental health counseling since 2003. He graduated from the University of Houston with a Bachelor of Arts degree in psychology and from Michigan State University with a Master of Clinical and Macro Social Work degree. James believes in a non-judgmental, holistic approach to care, empowering adult individuals and couples to release patterns of thinking and behavior that no longer serve them while learning to trust their ability to learn and grow in a safe environment.
James Loree LMSW is a licensed master social worker who has practiced clinical psychotherapy and mental health counseling since 2003. He graduated from the University of Houston with a Bachelor of Arts degree in psychology and from Michigan State University with a Master of Clinical and Macro Social Work degree. James believes in a non-judgmental, holistic approach to care, empowering adult individuals and couples to release patterns of thinking and behavior that no longer serve them while learning to trust their ability to learn and grow in a safe environment.
(517) 236-8124 View (517) 236-8124
Photo of Danielle Thornes, Clinical Social Work/Therapist in 48911, MI
Danielle Thornes
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911  (Online Only)
Waitlist for new clients
Being a highly sensitive person, struggling with self-esteem and feeling overwhelmed can be draining. Maybe you are struggling with anxiety or negative thoughts about yourself and are feeling ready for therapy. Turning to family and friends can be great, but therapy is a place where the focus is all on you. Reaching out for help is courageous and caring towards yourself. To find clarity, it helps to have someone truly listen to you. When you are heard, you find what it is you value and need. Having support in therapy can lead you towards empowerment and confidence.
Being a highly sensitive person, struggling with self-esteem and feeling overwhelmed can be draining. Maybe you are struggling with anxiety or negative thoughts about yourself and are feeling ready for therapy. Turning to family and friends can be great, but therapy is a place where the focus is all on you. Reaching out for help is courageous and caring towards yourself. To find clarity, it helps to have someone truly listen to you. When you are heard, you find what it is you value and need. Having support in therapy can lead you towards empowerment and confidence.
(517) 300-7851 View (517) 300-7851
Photo of Lisa Martinson, Clinical Social Work/Therapist in 48911, MI
Lisa Martinson
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911
I am a Licensed Masters Social Worker interested in working with individuals. I have over 20 years of experience working in the behavioral health field. I specialize in providing strength-based interventions to support individuals with life transitions, stressors and trauma. I have also worked with individuals with developmental disabilities and Autism. My educational background includes a Bachelor of Arts Degree in Psychology from Michigan State University followed by a Master's Degree in Social Work from Grand Valley State University.
I am a Licensed Masters Social Worker interested in working with individuals. I have over 20 years of experience working in the behavioral health field. I specialize in providing strength-based interventions to support individuals with life transitions, stressors and trauma. I have also worked with individuals with developmental disabilities and Autism. My educational background includes a Bachelor of Arts Degree in Psychology from Michigan State University followed by a Master's Degree in Social Work from Grand Valley State University.
(517) 921-1305 View (517) 921-1305
Photo of Taylor Rodriguez, Counselor in 48911, MI
Taylor Rodriguez
Counselor, MA , LLPC
Verified Verified
1 Endorsed
Lansing, MI 48911
I am a Limited Licensed Professional Counselor with 2 years of experience working with adolescents and adults of diverse backgrounds with a variety of mental health needs.
I am a Limited Licensed Professional Counselor with 2 years of experience working with adolescents and adults of diverse backgrounds with a variety of mental health needs.
(517) 793-5839 View (517) 793-5839
Photo of Terri Rose, Marriage & Family Therapist in 48911, MI
Terri Rose
Marriage & Family Therapist, LMFT
Verified Verified
Lansing, MI 48911
Terri Rose is a Licensed Marriage and Family Therapist who has been practicing since 2016. She graduated from Nova Southeastern University with a Master of Science in Family Therapy. Terri believes in a systemic approach when considering many issues clients face. Whether she is working with individuals, couples, or families, Terri focuses on the interactions and relationships within each individuals' unique systems, including family, society, culture, etc. Her main areas of focus include relationship issues, anxiety, and self-esteem.
Terri Rose is a Licensed Marriage and Family Therapist who has been practicing since 2016. She graduated from Nova Southeastern University with a Master of Science in Family Therapy. Terri believes in a systemic approach when considering many issues clients face. Whether she is working with individuals, couples, or families, Terri focuses on the interactions and relationships within each individuals' unique systems, including family, society, culture, etc. Her main areas of focus include relationship issues, anxiety, and self-esteem.
(517) 995-8033 View (517) 995-8033
Photo of Ilene Vallance, Clinical Social Work/Therapist in 48911, MI
Ilene Vallance
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
Lansing, MI 48911  (Online Only)
My name is Ilene Vallance, LMSW, ACSW and I am a Licensed Clinical Social Worker (LMSW) in the State of Michigan. I am a member of the National Association of Social Workers (NASW) and Academy of Certified Social Workers (ACSW). I have over 30 years of professional experience providing mental health services and psychotherapy in the public and private sector. I have specialized training in Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Solution Focused Therapy, Mindfulness Therapy, Positive Psychology, conflict resolution, and interpersonal communication skills.
My name is Ilene Vallance, LMSW, ACSW and I am a Licensed Clinical Social Worker (LMSW) in the State of Michigan. I am a member of the National Association of Social Workers (NASW) and Academy of Certified Social Workers (ACSW). I have over 30 years of professional experience providing mental health services and psychotherapy in the public and private sector. I have specialized training in Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Solution Focused Therapy, Mindfulness Therapy, Positive Psychology, conflict resolution, and interpersonal communication skills.
(517) 401-4140 View (517) 401-4140
Photo of William Tyler, Marriage & Family Therapist in 48911, MI
William Tyler
Marriage & Family Therapist, LMFT
Verified Verified
Lansing, MI 48911
Bill Tyler is a fully Licensed Marriage and Family Therapist in the state of Michigan (License 4101006402) since 2012. He holds Degrees in Psychology and Marriage and Family Therapy from Michigan State University and Treats couples, families, and independently living adults ages 18 and older. Bill works best with people who are Hungry for Change.
Bill Tyler is a fully Licensed Marriage and Family Therapist in the state of Michigan (License 4101006402) since 2012. He holds Degrees in Psychology and Marriage and Family Therapy from Michigan State University and Treats couples, families, and independently living adults ages 18 and older. Bill works best with people who are Hungry for Change.
(517) 777-9226 View (517) 777-9226
Photo of Chelsea Litwiller, Clinical Social Work/Therapist in 48911, MI
Chelsea Litwiller
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911
Chelsea Litwiller is a Licensed Master Social Worker in Michigan who has been practicing since 2019. She has a Bachelors in Human Development and Family Studies with a concentration in Child and Youth Development and a Masters in Clinical Social Work from Michigan State University. Chelsea has an energetic and positive personality that helps her connect well with children, teens, and young adults. She believes in building a strong connection with clients first, using empathy and humor, to make sessions more relaxed for clients and ensure they feel safe to be themselves and share their story with her.
Chelsea Litwiller is a Licensed Master Social Worker in Michigan who has been practicing since 2019. She has a Bachelors in Human Development and Family Studies with a concentration in Child and Youth Development and a Masters in Clinical Social Work from Michigan State University. Chelsea has an energetic and positive personality that helps her connect well with children, teens, and young adults. She believes in building a strong connection with clients first, using empathy and humor, to make sessions more relaxed for clients and ensure they feel safe to be themselves and share their story with her.
(517) 760-6252 View (517) 760-6252
Photo of Richard L Baldwin, Licensed Professional Counselor in 48911, MI
Richard L Baldwin
Licensed Professional Counselor, MA/LPC
Verified Verified
1 Endorsed
Lansing, MI 48911
Hello, and thank you for taking a moment to stop by. You are evidently looking for something; perhaps I can help you find it. Seeking help can seem like staring at the base of a steep cliff and facing a seemingly unreachable goal, a goal of real and satisfying change. While change is not often easily or painlessly achieved, it is certainly possible. With an experienced helper to assist along the way, you can determine to safely and successfully make your way toward the top. The hardest step, of course, is the first: that of getting started. You have already done so in reading this, so don't stop now. Keep going.
Hello, and thank you for taking a moment to stop by. You are evidently looking for something; perhaps I can help you find it. Seeking help can seem like staring at the base of a steep cliff and facing a seemingly unreachable goal, a goal of real and satisfying change. While change is not often easily or painlessly achieved, it is certainly possible. With an experienced helper to assist along the way, you can determine to safely and successfully make your way toward the top. The hardest step, of course, is the first: that of getting started. You have already done so in reading this, so don't stop now. Keep going.
(517) 901-7240 View (517) 901-7240
Photo of Playful Hearts Counseling, Licensed Professional Counselor in 48911, MI
Playful Hearts Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
Lansing, MI 48911
As a Therapist, my goal is to work with Children, Adolescents and Adults. I use a variety of therapeutic modalities and apply research based techniques.My counseling philosophy can best be described as Eclectic. I work on awareness, relationship and integration to encourage personal growth and wholeness. The goals and techniques used in therapy will be based on the individual needs of the client. With a Eclectic approach, I draw from a variety of techniques such as Child- Centered Play Therapy, Cognitive Behavioral Therapy ,Mindfulness, Hypnotherapy, Auricular Acupuncture and Solution Focused Principles.
As a Therapist, my goal is to work with Children, Adolescents and Adults. I use a variety of therapeutic modalities and apply research based techniques.My counseling philosophy can best be described as Eclectic. I work on awareness, relationship and integration to encourage personal growth and wholeness. The goals and techniques used in therapy will be based on the individual needs of the client. With a Eclectic approach, I draw from a variety of techniques such as Child- Centered Play Therapy, Cognitive Behavioral Therapy ,Mindfulness, Hypnotherapy, Auricular Acupuncture and Solution Focused Principles.
(517) 618-0310 View (517) 618-0310
Photo of Amy Kapp, Clinical Social Work/Therapist in 48911, MI
Amy Kapp
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Lansing, MI 48911
I have over a decade of experience working with children and their families. Much of that work has been with children who have confusing and/or challenging behaviors, as well as children who are neurodiverse. I am passionate about meeting the unique needs of children who have experienced trauma, as well as the caregivers who are helping them heal. It can be isolating to be a parent of a child with baffling behaviors and/or neurodiversity and you need a place you can come to be accepted as you are.
I have over a decade of experience working with children and their families. Much of that work has been with children who have confusing and/or challenging behaviors, as well as children who are neurodiverse. I am passionate about meeting the unique needs of children who have experienced trauma, as well as the caregivers who are helping them heal. It can be isolating to be a parent of a child with baffling behaviors and/or neurodiversity and you need a place you can come to be accepted as you are.
(517) 955-3250 View (517) 955-3250
Photo of David Enterline, Clinical Social Work/Therapist in 48911, MI
David Enterline
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911
David Enterline is a clinical social worker with 16 years of experience in both the inpatient and outpatient setting. David has treated a broad range of diagnoses. Areas of specialty include depression, anxiety, obsessive-compulsive traits, thought disorders, bipolar disorders and post-traumatic stress. David has also treated a diverse background of individuals that has given him experience with trauma survivors, abuse survivors, veterans, and those in the LGBTQ community. David's pre-graduate work was with children and families. Post-graduate work has been exclusive to adults, from late adolescence to older adults (70+).
David Enterline is a clinical social worker with 16 years of experience in both the inpatient and outpatient setting. David has treated a broad range of diagnoses. Areas of specialty include depression, anxiety, obsessive-compulsive traits, thought disorders, bipolar disorders and post-traumatic stress. David has also treated a diverse background of individuals that has given him experience with trauma survivors, abuse survivors, veterans, and those in the LGBTQ community. David's pre-graduate work was with children and families. Post-graduate work has been exclusive to adults, from late adolescence to older adults (70+).
(517) 245-1369 View (517) 245-1369
Photo of Charla Yingling, Clinical Social Work/Therapist in 48911, MI
Charla Yingling
Clinical Social Work/Therapist, LMSW, CCTP
Verified Verified
Lansing, MI 48911
I provide psychotherapy services to an ethnically diverse client population of varying ages. I work with individuals, couples, families, adolescents, and children. My clinical interests include working with people who struggle with anxiety, depression, identity issues, stress management, and couple/family relational concerns.
I provide psychotherapy services to an ethnically diverse client population of varying ages. I work with individuals, couples, families, adolescents, and children. My clinical interests include working with people who struggle with anxiety, depression, identity issues, stress management, and couple/family relational concerns.
(517) 235-5844 x114 View (517) 235-5844 x114
Photo of Uplift & Inspire Counseling and Consulting LLC, Clinical Social Work/Therapist in 48911, MI
Uplift & Inspire Counseling and Consulting LLC
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911
I believe one of the bravest things you can do is begin to understand your own story. I understand firsthand just how difficult it can be to ask for help. Let’s face it not many of us enjoy feeling vulnerable. Are you tired of feeling judged or facing backlash because of your outlook on life, just want to heal from trauma bonds and negative mindsets? Facing a life changing diagnosis and need help processing? Allow me to assist you with healing through mindfulness based, client centered, cultural sensitive, ect, practices. Life happens even when therapy isn’t in session so learn some new techniques that will help ease your stress.
I believe one of the bravest things you can do is begin to understand your own story. I understand firsthand just how difficult it can be to ask for help. Let’s face it not many of us enjoy feeling vulnerable. Are you tired of feeling judged or facing backlash because of your outlook on life, just want to heal from trauma bonds and negative mindsets? Facing a life changing diagnosis and need help processing? Allow me to assist you with healing through mindfulness based, client centered, cultural sensitive, ect, practices. Life happens even when therapy isn’t in session so learn some new techniques that will help ease your stress.
(517) 300-0866 View (517) 300-0866

How does your Therapist compare?

Number of Therapists in 48911

80+

Average cost per session

$150

Therapists in 48911 who prioritize treating:

89% Anxiety
87% Depression
67% Relationship Issues
67% Trauma and PTSD
61% Life Transitions
56% Self Esteem
55% Grief

Average years in practice

10 Years

Top 3 insurances accepted

73% BlueCross and BlueShield
67% Aetna
62% UnitedHealthcare UHC | UBH

How Therapists in 48911 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 48911?

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.