Therapists in 49240

Photo of Juanita (Nita) Kay Meyerink - Positive Mindset Therapy, LLC, Clinical Social Work/Therapist, LMSW
Positive Mindset Therapy, LLC
Clinical Social Work/Therapist, LMSW
Grass Lake, MI 49240
Wherever you are in life right now, there can be struggles you aren’t equipped to deal with: aging, chronic illness both mental and physical, aging parents, retirement, career, school, and many more. Having health and mobility issues, caregiving for loved ones, getting organized, shifting priorities, injuries, illness, or balancing family and work life are some of the things that change the direction of a person’s life. Having someone to guide you through the small steps and the big ones, can reduce anxiety and help alleviate depression. Applying your new understanding will allow you to address your needs with knowledge and grace.
Wherever you are in life right now, there can be struggles you aren’t equipped to deal with: aging, chronic illness both mental and physical, aging parents, retirement, career, school, and many more. Having health and mobility issues, caregiving for loved ones, getting organized, shifting priorities, injuries, illness, or balancing family and work life are some of the things that change the direction of a person’s life. Having someone to guide you through the small steps and the big ones, can reduce anxiety and help alleviate depression. Applying your new understanding will allow you to address your needs with knowledge and grace.
(517) 468-6592 View (517) 468-6592
Photo of Lissa Lynn Cole, Counselor, MA, LPC, NCC
Lissa Lynn Cole
Counselor, MA, LPC, NCC
1 Endorsed
Serves Area
What brings you to my office? The answers to this question are as varied as are the people who seek counseling with me. You may have a problem or disappointment with your health, self-esteem/worth, relationships, school, work, mood, or boundaries. People reach out to me when, despite being very capable, they have not been able to get their lives on the course that they desire. I believe that the changes and healing you want to accomplish can be brought about by the combination of my skills, your knowledge of yourself, and the strong working relationship that we will establish together.
What brings you to my office? The answers to this question are as varied as are the people who seek counseling with me. You may have a problem or disappointment with your health, self-esteem/worth, relationships, school, work, mood, or boundaries. People reach out to me when, despite being very capable, they have not been able to get their lives on the course that they desire. I believe that the changes and healing you want to accomplish can be brought about by the combination of my skills, your knowledge of yourself, and the strong working relationship that we will establish together.
(517) 245-0948 View (517) 245-0948
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 Catherine Kattula-Klink, Clinical Social Work/Therapist, LMSW, ACSW
Catherine Kattula-Klink
Clinical Social Work/Therapist, LMSW, ACSW
5 Endorsed
Serves Area
Welcome! I am a trauma-focused therapist who believes deeply in the healing power of connection. At the heart of my work is the therapeutic relationship itself: a safe, collaborative space where you can move at your own pace, feel supported, and begin to reconnect with yourself and others. If this feels like the work you'd like to do, please reach out to me. I specialize in working with women, teens, and members of the LGBTQ+ community - always with respect for your unique experiences and strengths.
Welcome! I am a trauma-focused therapist who believes deeply in the healing power of connection. At the heart of my work is the therapeutic relationship itself: a safe, collaborative space where you can move at your own pace, feel supported, and begin to reconnect with yourself and others. If this feels like the work you'd like to do, please reach out to me. I specialize in working with women, teens, and members of the LGBTQ+ community - always with respect for your unique experiences and strengths.
(517) 300-3944 View (517) 300-3944
Photo of Lauri Maes - New Direction Counseling Center, Licensed Professional Counselor, MA, LPC, NCC
New Direction Counseling Center
Licensed Professional Counselor, MA, LPC, NCC
Serves Area
Tired of feeling like the path that you are on is going nowhere or has led you to a place that you are not satisfied with? Do you want to make a change in your life, but you feel too paralyzed to do so out of fear of failure, rejection or isolation? Do you ever feel so hopeless that you feel you are just stuck and think things will never get any better or that you are destined to be like this forever?
Tired of feeling like the path that you are on is going nowhere or has led you to a place that you are not satisfied with? Do you want to make a change in your life, but you feel too paralyzed to do so out of fear of failure, rejection or isolation? Do you ever feel so hopeless that you feel you are just stuck and think things will never get any better or that you are destined to be like this forever?
(517) 726-5064 View (517) 726-5064
Photo of Katrina M (Lorenz) Milliken, Clinical Social Work/Therapist, LMSW-C, CSSW-S
Katrina M (Lorenz) Milliken
Clinical Social Work/Therapist, LMSW-C, CSSW-S
6 Endorsed
Serves Area
While fostering a sense of safety, we will explore your/a loved one's present experience with depression, anxiety, self-harm, grief, loss &/or trauma symptoms. Are you looking for support that could enhance your relationship(s)? I believe in building one up in a sincere & safe way, identifying strengths within individuals, while empowering to communicate effectively, reducing escalation & conflict. My experience has centered on teens, parenting, treatment of adults, psychiatric assessments & trauma. My personal history as a solo parent & ovarian cancer survivor may help others moving through difficult situations.
While fostering a sense of safety, we will explore your/a loved one's present experience with depression, anxiety, self-harm, grief, loss &/or trauma symptoms. Are you looking for support that could enhance your relationship(s)? I believe in building one up in a sincere & safe way, identifying strengths within individuals, while empowering to communicate effectively, reducing escalation & conflict. My experience has centered on teens, parenting, treatment of adults, psychiatric assessments & trauma. My personal history as a solo parent & ovarian cancer survivor may help others moving through difficult situations.
(248) 617-6611 View (248) 617-6611
Photo of Hannah Sinkovitz, Licensed Professional Counselor, MA, LPC
Hannah Sinkovitz
Licensed Professional Counselor, MA, LPC
4 Endorsed
Serves Area
Ready to reclaim your identity as a whole person deserving of love, respect, and care? I can help! I’m Hannah. A licensed professional counselor, wife, & mother of three. I specialize in working with women to dive deep, heal their inner child, identify & advocate for their needs, and truly heal from the pain that won’t let go. I journey alongside women who find themselves asking the questions: who am I really? Why can't I move on? Why is my emotion right at the surface all the time? How do I reclaim joy? If that’s you, you’re in the right place.
Ready to reclaim your identity as a whole person deserving of love, respect, and care? I can help! I’m Hannah. A licensed professional counselor, wife, & mother of three. I specialize in working with women to dive deep, heal their inner child, identify & advocate for their needs, and truly heal from the pain that won’t let go. I journey alongside women who find themselves asking the questions: who am I really? Why can't I move on? Why is my emotion right at the surface all the time? How do I reclaim joy? If that’s you, you’re in the right place.
(517) 465-8750 View (517) 465-8750
Photo of Andrea Joyce Rowe, Clinical Social Work/Therapist, LMSW
Andrea Joyce Rowe
Clinical Social Work/Therapist, LMSW
Serves Area
I am a compassionate and skilled therapist dedicated to helping you live your best life! I have years of experience with life transitions, crisis, and everything in between. I can offer a supportive and safe space for you to share your thoughts and emotions in order to heal. I utilize EMDR to help people reverse negative self talk and image.
I am a compassionate and skilled therapist dedicated to helping you live your best life! I have years of experience with life transitions, crisis, and everything in between. I can offer a supportive and safe space for you to share your thoughts and emotions in order to heal. I utilize EMDR to help people reverse negative self talk and image.
(517) 742-3798 View (517) 742-3798
Photo of Michael John Patterson, Clinical Social Work/Therapist, LMSW
Michael John Patterson
Clinical Social Work/Therapist, LMSW
Serves Area
I am a licensed clinical social worker with close to 30 years of post-masters experience in psychotherapy. I work with adults, teens, couples, and families. Depression, anxiety, domestic violence, ADHD, and PTSD are my primary specialties. I also have significant experience in high conflict custody issues and post-divorce conflict. I am available via face-to-face sessions in downtown Chelsea Michigan, or via teletherapy. I take Blue Cross, Blue care Network, and Aetna.
I am a licensed clinical social worker with close to 30 years of post-masters experience in psychotherapy. I work with adults, teens, couples, and families. Depression, anxiety, domestic violence, ADHD, and PTSD are my primary specialties. I also have significant experience in high conflict custody issues and post-divorce conflict. I am available via face-to-face sessions in downtown Chelsea Michigan, or via teletherapy. I take Blue Cross, Blue care Network, and Aetna.
(734) 627-6154 View (734) 627-6154
Photo of Sarah Goodell, Clinical Social Work/Therapist, LMSW
Sarah Goodell
Clinical Social Work/Therapist, LMSW
2 Endorsed
Serves Area
Waitlist for new clients
Hello wonderful Being, it is my privilege to walk with you on your path of healing. I have worked with people from all walks of life and am oriented towards helping those struggling with stress, anxiety, trauma, and self-esteem. I consider myself a holistic therapist and aim to educate my clients on their nervous systems and the impact of trauma.
Hello wonderful Being, it is my privilege to walk with you on your path of healing. I have worked with people from all walks of life and am oriented towards helping those struggling with stress, anxiety, trauma, and self-esteem. I consider myself a holistic therapist and aim to educate my clients on their nervous systems and the impact of trauma.
(517) 300-7524 View (517) 300-7524
Photo of Ashley Magers, Clinical Social Work/Therapist, LMSW, PMH-C
Ashley Magers
Clinical Social Work/Therapist, LMSW, PMH-C
Serves Area
Waitlist for new clients
Are you frequently feeling irritated or overwhelmed and finding it difficult to accept yourself and your limitations? Are you noticing feelings of resentment towards others in your life? Are you adjusting to a life transition, such as pregnancy or parenthood? If you would like to deepen your clarity and self-compassion as you explore what choices you have to change how you connect with yourself and in your relationships, Ashley would love the opportunity to come alongside you at this point in your journey!
Are you frequently feeling irritated or overwhelmed and finding it difficult to accept yourself and your limitations? Are you noticing feelings of resentment towards others in your life? Are you adjusting to a life transition, such as pregnancy or parenthood? If you would like to deepen your clarity and self-compassion as you explore what choices you have to change how you connect with yourself and in your relationships, Ashley would love the opportunity to come alongside you at this point in your journey!
(734) 294-0731 View (734) 294-0731
Photo of Andrea VanLopik Dillon, Clinical Social Work/Therapist, LMSW
Andrea VanLopik Dillon
Clinical Social Work/Therapist, LMSW
2 Endorsed
Online Only
My ideal client is an expectant parent grappling with trauma, perfectionism, perinatal mental health challenges, or anxiety. They are seeking a compassionate, non-judgmental space to navigate these complexities, aiming to build resilience, embrace imperfection, and find balance. Their goal is to foster emotional well-being for themself driven by a desire for stability and peace in life.
My ideal client is an expectant parent grappling with trauma, perfectionism, perinatal mental health challenges, or anxiety. They are seeking a compassionate, non-judgmental space to navigate these complexities, aiming to build resilience, embrace imperfection, and find balance. Their goal is to foster emotional well-being for themself driven by a desire for stability and peace in life.
(517) 709-7865 View (517) 709-7865
Photo of Traci Breniser (Hawkins) Wilson, Limited Licensed Psychologist, MA, LLP
Traci Breniser (Hawkins) Wilson
Limited Licensed Psychologist, MA, LLP
2 Endorsed
Online Only
I am a psychologist dedicated to helping people navigate everyday challenges and live authentically. My approach is rooted in a deep belief in each person's ability to achieve their greatest potential. I support individuals facing feelings of sadness, overwhelm, anxiety, inner conflict, life transitions, decision-making dilemmas & relationship or marital struggles. While many can manage their difficulties independently, the therapeutic process often accelerates progress, easing symptoms and reducing stress more effectively. I see therapy as a dynamic, enlightening journey where my clients and I collaborate as a team to foster growth
I am a psychologist dedicated to helping people navigate everyday challenges and live authentically. My approach is rooted in a deep belief in each person's ability to achieve their greatest potential. I support individuals facing feelings of sadness, overwhelm, anxiety, inner conflict, life transitions, decision-making dilemmas & relationship or marital struggles. While many can manage their difficulties independently, the therapeutic process often accelerates progress, easing symptoms and reducing stress more effectively. I see therapy as a dynamic, enlightening journey where my clients and I collaborate as a team to foster growth
(517) 680-4193 View (517) 680-4193
Photo of Jordana M. Ballinger, Drug & Alcohol Counselor, MS, CAADC, ICAADC, C-DBT
Jordana M. Ballinger
Drug & Alcohol Counselor, MS, CAADC, ICAADC, C-DBT
1 Endorsed
Online Only
I specialize in dual diagnosis populations, using evidence-based treatments including Dialectical Behavior Therapy (DBT) and CBT (cognitive behavioral therapy) and ACT (acceptance and commitment therapy) to help clients manage co-occurring mental health, substance use and behavioral addictions. I support a range of recovery goals including harm reduction, controlled drinking, or abstinence—and tailor care to your needs. With deep understanding and compassion, I help you build skills, reduce distress, and create meaningful, lasting change. Let's build a life worth living together.
I specialize in dual diagnosis populations, using evidence-based treatments including Dialectical Behavior Therapy (DBT) and CBT (cognitive behavioral therapy) and ACT (acceptance and commitment therapy) to help clients manage co-occurring mental health, substance use and behavioral addictions. I support a range of recovery goals including harm reduction, controlled drinking, or abstinence—and tailor care to your needs. With deep understanding and compassion, I help you build skills, reduce distress, and create meaningful, lasting change. Let's build a life worth living together.
(843) 896-2352 View (843) 896-2352

More Therapists Nearby

Photo of Dana Howley, Psychologist, PsyD, LP
Dana Howley
Psychologist, PsyD, LP
1 Endorsed
Ypsilanti, MI 48197
I am a licensed clinical psychologist with a humanistic approach, which means that I deeply value the possibility and uniqueness of every individual. I am passionate about dismantling systemic oppression and white-body supremacy. I believe that healing begins with unconditional positive regard, and so I invite clients to share their unique experience(s), in an environment of openness without judgment and without criticism. From this place, I believe each person can begin to make personal shifts toward discovering and becoming their most authentic self.
I am a licensed clinical psychologist with a humanistic approach, which means that I deeply value the possibility and uniqueness of every individual. I am passionate about dismantling systemic oppression and white-body supremacy. I believe that healing begins with unconditional positive regard, and so I invite clients to share their unique experience(s), in an environment of openness without judgment and without criticism. From this place, I believe each person can begin to make personal shifts toward discovering and becoming their most authentic self.
View
Photo of Sydney Klevering, Clinical Social Work/Therapist
Sydney Klevering
Clinical Social Work/Therapist
1 Endorsed
Ann Arbor, MI 48105
Have you ever been told you’re "too sensitive" or "too much"? What about "not enough"? Have you felt pressured to meet other’s expectations and disregard your own needs, feelings and wants? If this feels true, you are not alone. I have experience working with individuals through their traumas, shame, anxiety, anger, depression, identity issues, life transition, relationship troubles, grief, and heartache. I believe therapy looks different for each individual depending on what they are needing from the therapeutic space. Sometimes it’s using humor to bring connection, other times it’s processing tough challenges without judgement.
Have you ever been told you’re "too sensitive" or "too much"? What about "not enough"? Have you felt pressured to meet other’s expectations and disregard your own needs, feelings and wants? If this feels true, you are not alone. I have experience working with individuals through their traumas, shame, anxiety, anger, depression, identity issues, life transition, relationship troubles, grief, and heartache. I believe therapy looks different for each individual depending on what they are needing from the therapeutic space. Sometimes it’s using humor to bring connection, other times it’s processing tough challenges without judgement.
View
Photo of Paige Malay, Clinical Social Work/Therapist, LMSW
Paige Malay
Clinical Social Work/Therapist, LMSW
Ann Arbor, MI 48108
My experience as a therapist has shown me the power of creating a connection that fosters exploration and growth. My experience as a client has shown me how profound it is to have the space to speak openly about the pressures weighing on the mind and body. I use a holistic and trauma-informed approach to get to know my clients, their strengths, and their goals. The type of therapy we do together will be unique to client needs, wants, and circumstances.
My experience as a therapist has shown me the power of creating a connection that fosters exploration and growth. My experience as a client has shown me how profound it is to have the space to speak openly about the pressures weighing on the mind and body. I use a holistic and trauma-informed approach to get to know my clients, their strengths, and their goals. The type of therapy we do together will be unique to client needs, wants, and circumstances.
(734) 212-2325 View (734) 212-2325
Photo of Ken Lounds, Clinical Social Work/Therapist, LMSW, ACSW
Ken Lounds
Clinical Social Work/Therapist, LMSW, ACSW
Ann Arbor, MI 48104
Our Mission At Living Fully Mental Health, PLC is to provide high-quality counseling services to individuals and families who are experiencing emotional or psychological difficulties. I have over 30 years of clinical social work experience providing services to adults, children, and families in a variety of settings including outpatient clinics, schools, inpatient and partial hospital programs. We have 2 office locations in Michigan: I am available in-person in Grand Blanc and online in MI and FL, and Susan Pesha, LMSW is available in-person in Ann Arbor, MI.
Our Mission At Living Fully Mental Health, PLC is to provide high-quality counseling services to individuals and families who are experiencing emotional or psychological difficulties. I have over 30 years of clinical social work experience providing services to adults, children, and families in a variety of settings including outpatient clinics, schools, inpatient and partial hospital programs. We have 2 office locations in Michigan: I am available in-person in Grand Blanc and online in MI and FL, and Susan Pesha, LMSW is available in-person in Ann Arbor, MI.
(810) 442-8660 View (810) 442-8660
Photo of Lilly Hulyk, Clinical Social Work/Therapist, LMSW, SSW
Lilly Hulyk
Clinical Social Work/Therapist, LMSW, SSW
Serves Area
Hi, I’m Lilly. I’m a therapist in Michigan and Massachusetts specializing in anxiety, adjustment to life changes, relationship trauma, and attachment work. We all feel anxious or out of touch with ourselves or our life at times, but if you find yourself feeling that way more often than not, I want you to know that you deserve more. I’m here to support you in healing from past hurt, finding freedom from overthinking, to learn to be compassionate and kind to yourself and the people you care about, and to find feelings of safety, stability, and happiness in your daily life.
Hi, I’m Lilly. I’m a therapist in Michigan and Massachusetts specializing in anxiety, adjustment to life changes, relationship trauma, and attachment work. We all feel anxious or out of touch with ourselves or our life at times, but if you find yourself feeling that way more often than not, I want you to know that you deserve more. I’m here to support you in healing from past hurt, finding freedom from overthinking, to learn to be compassionate and kind to yourself and the people you care about, and to find feelings of safety, stability, and happiness in your daily life.
(734) 849-4364 View (734) 849-4364
Photo of Shaina McPhetridge, Marriage & Family Therapist, LMFT, RYT
Shaina McPhetridge
Marriage & Family Therapist, LMFT, RYT
3 Endorsed
Serves Area
Life can lead us down some pretty rough paths sometimes, leaving us feeling crazy, confused, and completely lost on what to do or where to go. You don't have to drag yourself through feeling like this forever. I work with individuals, couples, and teens who need some relief - from negative beliefs, anxiety, panic, stress, relationship struggles, single-incident and complex PTSD, as well as other unresolved issues. Many of my clients are insightful, curious, growth-oriented people who are seeking something beyond the typical therapy approach. We focus on getting to the root of the issue and changing it - creating a new normal.
Life can lead us down some pretty rough paths sometimes, leaving us feeling crazy, confused, and completely lost on what to do or where to go. You don't have to drag yourself through feeling like this forever. I work with individuals, couples, and teens who need some relief - from negative beliefs, anxiety, panic, stress, relationship struggles, single-incident and complex PTSD, as well as other unresolved issues. Many of my clients are insightful, curious, growth-oriented people who are seeking something beyond the typical therapy approach. We focus on getting to the root of the issue and changing it - creating a new normal.
(310) 935-3665 View (310) 935-3665

How does your Therapist compare?

Number of Therapists in 49240

10+

Average cost per session

$142

Therapists in 49240 who prioritize treating:

93% Anxiety
93% Coping Skills
93% Stress
86% Trauma and PTSD
86% Self Esteem
79% Relationship Issues
79% Depression

Average years in practice

12 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
85% Aetna
77% Blue Care Network

How Therapists in 49240 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 49240?

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.