Photo of Connor McManus, MA, LGSW, Clinical Social Work/Therapist
Connor McManus
Clinical Social Work/Therapist, MA, LGSW
Verified Verified
Minneapolis, MN 55421
I know everyone has a story to share and I am committed to honoring yours. If you are feeling overwhelmed by the pressures in your life, looking for clarity about who you are or what you believe, or wondering how you fit in the world around you, I would love to provide the supportive space and listening ear you need. I am easy-going and love helping people. I have a lot of energy and I promise I'll work very hard for you! I know when you choose a therapist you are trusting them with the things most important to you. If you're looking for a place to work things out with consistency and care, let's talk.
I know everyone has a story to share and I am committed to honoring yours. If you are feeling overwhelmed by the pressures in your life, looking for clarity about who you are or what you believe, or wondering how you fit in the world around you, I would love to provide the supportive space and listening ear you need. I am easy-going and love helping people. I have a lot of energy and I promise I'll work very hard for you! I know when you choose a therapist you are trusting them with the things most important to you. If you're looking for a place to work things out with consistency and care, let's talk.
(763) 363-6735 View (763) 363-6735
Photo of Paige Wegner, MSW, LGSW, Clinical Social Work/Therapist
Paige Wegner
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
Fridley, MN 55421
Hey there! I am proud of you for seeking therapy. To engage in therapy takes vulnerability and I would be honored to hear about your journey and assist you in achieving your goals. I pride myself on providing a safe and non-judgmental space for you to process difficult life experiences and emotions. I believe in autonomy and will give you the space to flourish within sessions.
Hey there! I am proud of you for seeking therapy. To engage in therapy takes vulnerability and I would be honored to hear about your journey and assist you in achieving your goals. I pride myself on providing a safe and non-judgmental space for you to process difficult life experiences and emotions. I believe in autonomy and will give you the space to flourish within sessions.
(763) 373-6777 View (763) 373-6777
Photo of Jody Sarkinen, RN, BSN, PHN
Jody Sarkinen
RN, BSN, PHN
Verified Verified
Are you stuck? Have you tried the traditional paths of medication and therapy and been unsatisfied with the outcome? Would you like to address the root cause and directly train your brain to become more efficient and effective? I am a registered nurse who worked in the hospital providing direct patient care for 20 years. I have witnessed the debilitating effect that dysregulated nervous systems have on patient's mental and physical well being. Traditional treatments of medication and therapy alone may not be sufficent for addressing brain dysregulation.
Are you stuck? Have you tried the traditional paths of medication and therapy and been unsatisfied with the outcome? Would you like to address the root cause and directly train your brain to become more efficient and effective? I am a registered nurse who worked in the hospital providing direct patient care for 20 years. I have witnessed the debilitating effect that dysregulated nervous systems have on patient's mental and physical well being. Traditional treatments of medication and therapy alone may not be sufficent for addressing brain dysregulation.
(763) 343-8860 View (763) 343-8860
Photo of Shannon Medina, MSW, LGSW, Clinical Social Work/Therapist
Shannon Medina
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
1 Endorsed
Fridley, MN 55421
Not accepting new clients
I believe that every individual deserves to have a unique therapeutic style that fits their specific needs. I believe that everyone has an innate ability to change, grow, and prosper. I also firmly believe that all humans have the right to access conditions that successfully reinforce happiness and inner peace. I am excited to work with clients who are looking to gain insight into his/her personal needs, unresolved challenges, and those who are seeking hope.
I believe that every individual deserves to have a unique therapeutic style that fits their specific needs. I believe that everyone has an innate ability to change, grow, and prosper. I also firmly believe that all humans have the right to access conditions that successfully reinforce happiness and inner peace. I am excited to work with clients who are looking to gain insight into his/her personal needs, unresolved challenges, and those who are seeking hope.
(612) 324-1791 View (612) 324-1791
Photo of Faryal Khan, MS, Pre-Licensed Professional
Faryal Khan
Pre-Licensed Professional, MS
Verified Verified
Columbia Heights, MN 55421  (Online Only)
Waitlist for new clients
"I am not crazy," is the first thing many hear when thinking of mental health. Mental health is less about being crazy and more about over all well-being. Research shows that expressing ourselves can lead to positive change and better understanding of ourselves. During our journey together, I respect my clients by bringing in a culturally informed and non-judgmental lens, utilizing personal, religious/spiritual, and/or cultural strengths approach to healing. Together we will work on listening to our bodies and minds, integrating both in ways that bring positivity and restoration to ourselves and our relationships.
"I am not crazy," is the first thing many hear when thinking of mental health. Mental health is less about being crazy and more about over all well-being. Research shows that expressing ourselves can lead to positive change and better understanding of ourselves. During our journey together, I respect my clients by bringing in a culturally informed and non-judgmental lens, utilizing personal, religious/spiritual, and/or cultural strengths approach to healing. Together we will work on listening to our bodies and minds, integrating both in ways that bring positivity and restoration to ourselves and our relationships.
(763) 265-6102 View (763) 265-6102
Photo of Evangelina Andrade, MA, Pre-Licensed Professional
Evangelina Andrade
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Minneapolis, MN 55421
Hey there! I’m glad you’re here. Whether you’re navigating relationship challenges, processing difficult emotions, working through past trauma, struggling with self-esteem/self confidence, or people-pleasing, I’d love to support you. I’m all about creating a space where you feel truly seen, heard, and accepted—a place where you can unpack the tough stuff without judgment. My goal is to offer a nurturing, empowering, and compassionate environment where you feel free to explore your experiences, thoughts, feelings, vulnerabilities, and strengths. I work with clients of all backgrounds, ages 12 and up. I adapt to each person’s needs.
Hey there! I’m glad you’re here. Whether you’re navigating relationship challenges, processing difficult emotions, working through past trauma, struggling with self-esteem/self confidence, or people-pleasing, I’d love to support you. I’m all about creating a space where you feel truly seen, heard, and accepted—a place where you can unpack the tough stuff without judgment. My goal is to offer a nurturing, empowering, and compassionate environment where you feel free to explore your experiences, thoughts, feelings, vulnerabilities, and strengths. I work with clients of all backgrounds, ages 12 and up. I adapt to each person’s needs.
(651) 478-2327 View (651) 478-2327
Photo of Allison Guse, MSW, LGSW, Clinical Social Work/Therapist
Allison Guse
Clinical Social Work/Therapist, MSW, LGSW
Verified Verified
2 Endorsed
Fridley, MN 55421
Life can throw us some serious curveballs! Whether you're wrestling with the daily grind, navigating tricky relationships, or just feeling a bit lost, I'm here to help you unpack it all. Therapy isn't just about deep dives into emotions (although we'll definitely do that); it's also about finding moments to figure out who you really are beneath all the layers and discovering new perspectives. Together, we'll navigate the twists and turns of your journey— because let's be honest, none of us have a map for this wild ride. I utilize the following approaches: person-centered, cognitive-behavioral, psychodynamic, and solution-focused.
Life can throw us some serious curveballs! Whether you're wrestling with the daily grind, navigating tricky relationships, or just feeling a bit lost, I'm here to help you unpack it all. Therapy isn't just about deep dives into emotions (although we'll definitely do that); it's also about finding moments to figure out who you really are beneath all the layers and discovering new perspectives. Together, we'll navigate the twists and turns of your journey— because let's be honest, none of us have a map for this wild ride. I utilize the following approaches: person-centered, cognitive-behavioral, psychodynamic, and solution-focused.
(651) 372-2181 View (651) 372-2181
Photo of Robert Mantia, LPCC, Counselor
Robert Mantia
Counselor, LPCC
Verified Verified
Fridley, MN 55421
So it's come to this. You're looking for a counselor. Maybe you've been putting this off for a long time and something happened just recently to make you take the step. Maybe someone you know thinks you should "get help." Maybe there's something you want to talk about but don't know if you can tell your family or friends. Or maybe it's something totally different. My job is to give you the tools you need to make your current situation better by increasing your knowledge, skills, insight, awareness, and most of all, hope.
So it's come to this. You're looking for a counselor. Maybe you've been putting this off for a long time and something happened just recently to make you take the step. Maybe someone you know thinks you should "get help." Maybe there's something you want to talk about but don't know if you can tell your family or friends. Or maybe it's something totally different. My job is to give you the tools you need to make your current situation better by increasing your knowledge, skills, insight, awareness, and most of all, hope.
(651) 504-1278 View (651) 504-1278
Photo of Todd Riggs, MDiv, LICSW, Clinical Social Work/Therapist
Todd Riggs
Clinical Social Work/Therapist, MDiv, LICSW
Verified Verified
Minneapolis, MN 55421
I work with teens, adults, and families who are facing challenges associated with emotional wellness who are struggling with anxiety, depression, relationship issues, stress, trauma, or other issues that are interfering with satisfaction and enjoyment in life. I work with patients as a collaborative, supportive partner to improve mental health and overall well being. My therapeutic approaches integrate cognitive, behavioral, and insight focused therapies. I provide counseling care to individuals, couples, and families in a safe environment. I treat the whole person - emotionally, physically, and spiritually.
I work with teens, adults, and families who are facing challenges associated with emotional wellness who are struggling with anxiety, depression, relationship issues, stress, trauma, or other issues that are interfering with satisfaction and enjoyment in life. I work with patients as a collaborative, supportive partner to improve mental health and overall well being. My therapeutic approaches integrate cognitive, behavioral, and insight focused therapies. I provide counseling care to individuals, couples, and families in a safe environment. I treat the whole person - emotionally, physically, and spiritually.
(612) 255-4320 View (612) 255-4320
Photo of Dave Wood, MA, LPCC, Counselor
Dave Wood
Counselor, MA, LPCC
Verified Verified
Fridley, MN 55421
Not accepting new clients
There are times in life when we feel anxious, depressed, confused, angry, grief-stricken, lonely or overwhelmed. My approach in supporting you during those times is flexible and person-centered. I have a special interest in assisting people with life transitions, relationships, grief, positive aging, and LGBT issues.
There are times in life when we feel anxious, depressed, confused, angry, grief-stricken, lonely or overwhelmed. My approach in supporting you during those times is flexible and person-centered. I have a special interest in assisting people with life transitions, relationships, grief, positive aging, and LGBT issues.
(763) 447-4061 View (763) 447-4061
Photo of Mark Sundby, MDiv, PhD, LP, Psychologist
Mark Sundby
Psychologist, MDiv, PhD, LP
Verified Verified
What would you give to feel satisfied with life again? I can help. Together, we'll implement practices demonstrated by psychological science for over fifty years to be highly effective in restoring peace of mind and offering hope for the future. You will begin to understand how certain thoughts and behaviors interfere with well-being, how others create happiness, and how to consciously choose to live in a way that contributes to greater life satisfaction for yourself and others. I have seen countless lives transformed through learning these straightforward and easy-to-understand techniques. In fact, I practice them myself.
What would you give to feel satisfied with life again? I can help. Together, we'll implement practices demonstrated by psychological science for over fifty years to be highly effective in restoring peace of mind and offering hope for the future. You will begin to understand how certain thoughts and behaviors interfere with well-being, how others create happiness, and how to consciously choose to live in a way that contributes to greater life satisfaction for yourself and others. I have seen countless lives transformed through learning these straightforward and easy-to-understand techniques. In fact, I practice them myself.
(651) 321-5197 View (651) 321-5197
Photo of Susan Fredrickson, LMFT, Marriage & Family Therapist
Susan Fredrickson
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Minneapolis, MN 55421
Not accepting new clients
I value collaborating with people to find a healing path together. I will work with you, keeping your goals uppermost in mind, while tailoring a therapy to meet your particular needs and circumstances. I have successfully helped many people find relief from a wide variety of difficult life issues. I would like to speak with you to determine together how I may be of help to you.
I value collaborating with people to find a healing path together. I will work with you, keeping your goals uppermost in mind, while tailoring a therapy to meet your particular needs and circumstances. I have successfully helped many people find relief from a wide variety of difficult life issues. I would like to speak with you to determine together how I may be of help to you.
(612) 712-6016 View (612) 712-6016
Photo of Marcie Stresemann - Affiliated Counseling Center, PhD, LPCC, Counselor
Affiliated Counseling Center
Counselor, PhD, LPCC
Verified Verified
Minneapolis, MN 55421
Welcome to Affiliated Counseling Center! We are here to help you and your loved ones with whatever is holding you back or making you feel "stuck" in life, with mood issues such as anxiety and depression, life changes, grief and bereavement, relationship issues, personal growth and many other life issues. We have a talented team of therapists who specialize in a variety of areas and tailor their approach to each client's individual needs and situation. We offer testing and assessment services as well to children, adolescents and adults. We look forward to working with you! We offer in person and virtual sessions.
Welcome to Affiliated Counseling Center! We are here to help you and your loved ones with whatever is holding you back or making you feel "stuck" in life, with mood issues such as anxiety and depression, life changes, grief and bereavement, relationship issues, personal growth and many other life issues. We have a talented team of therapists who specialize in a variety of areas and tailor their approach to each client's individual needs and situation. We offer testing and assessment services as well to children, adolescents and adults. We look forward to working with you! We offer in person and virtual sessions.
(763) 260-1839 View (763) 260-1839
Photo of Andrea Patten, MSW, LICSW, Clinical Social Work/Therapist
Andrea Patten
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
6 Endorsed
Columbia Heights, MN 55421  (Online Only)
I'm currently full- but my Mindful Way colleagues may still have openings. Making the step to come to therapy is a hard one. I feel honored to provide a warm, safe, and compassionate space for you to share your story and truly be heard. I believe you are the expert on your relationships, health, emotions, and body. I work with Adults and children (ages 2-7). I welcome folks of all backgrounds (ethnicity, race, religion, gender identity, sexual orientation) and strive to provide a safe, comfortable, culturally responsive environment that supports your healing journey.
I'm currently full- but my Mindful Way colleagues may still have openings. Making the step to come to therapy is a hard one. I feel honored to provide a warm, safe, and compassionate space for you to share your story and truly be heard. I believe you are the expert on your relationships, health, emotions, and body. I work with Adults and children (ages 2-7). I welcome folks of all backgrounds (ethnicity, race, religion, gender identity, sexual orientation) and strive to provide a safe, comfortable, culturally responsive environment that supports your healing journey.
(763) 401-7614 View (763) 401-7614
Photo of Carrie Miller, LMFT, Marriage & Family Therapist
Carrie Miller
Marriage & Family Therapist, LMFT
Verified Verified
Minneapolis, MN 55421
There is hope after trauma. MEND Therapy is unique in the twin cities in that we are an in-house, all-inclusive collaboration of trauma-informed body workers and psychotherapists. The research is clear: trauma lives in the body, not just the mind. We utilize the cutting edge, most effective and always research-based methods for treating trauma. Because trauma is not just in your head and talk therapy isn't enough.
There is hope after trauma. MEND Therapy is unique in the twin cities in that we are an in-house, all-inclusive collaboration of trauma-informed body workers and psychotherapists. The research is clear: trauma lives in the body, not just the mind. We utilize the cutting edge, most effective and always research-based methods for treating trauma. Because trauma is not just in your head and talk therapy isn't enough.
(651) 409-9125 View (651) 409-9125
Photo of Donna G Anderson, MSW, LICSW, ACSW, Clinical Social Work/Therapist
Donna G Anderson
Clinical Social Work/Therapist, MSW, LICSW, ACSW
Verified Verified
Life can be tough and at those times psychotherapy can be a lifeline. For over 45 years I have worked with men and women dealing with personal and relationship issues. My practice provides a safe place where you can give voice to your struggles, find perspective and get support while developing strategies to help you cope and move through life's challenges.
Life can be tough and at those times psychotherapy can be a lifeline. For over 45 years I have worked with men and women dealing with personal and relationship issues. My practice provides a safe place where you can give voice to your struggles, find perspective and get support while developing strategies to help you cope and move through life's challenges.
(651) 538-6891 View (651) 538-6891
Photo of Wendy Alm, MA, LMFT, Marriage & Family Therapist
Wendy Alm
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Columbia Heights, MN 55421  (Online Only)
Are you feeling stuck? Is anxiety or depression interfering with the life you want to lead? Is there a disconnect between you and your significant other? Please know that you do not have to face these challenges alone. Counseling can uncover what it is that you personally need to live your best life, and assist you in moving toward it. You don't have to stay stuck. Decide that you deserve to be happy, that you are worthy of satisfying relationships, and that you are capable of making positive changes. Come as you are, and let's get to work.
Are you feeling stuck? Is anxiety or depression interfering with the life you want to lead? Is there a disconnect between you and your significant other? Please know that you do not have to face these challenges alone. Counseling can uncover what it is that you personally need to live your best life, and assist you in moving toward it. You don't have to stay stuck. Decide that you deserve to be happy, that you are worthy of satisfying relationships, and that you are capable of making positive changes. Come as you are, and let's get to work.
(952) 592-1912 View (952) 592-1912
Photo of Faten Hope Khoury - Twin Cities Mental Health&Couples Faten Khoury , Post, MS, LMFT, Marriage & Family Therapist
Twin Cities Mental Health&Couples Faten Khoury
Marriage & Family Therapist, Post, MS, LMFT
Verified Verified
Fridley, MN 55421
For support in managing difficulties in your personal & professional lives caused by unresolved traumas or conflict, therapy can help. I work with individuals, couples, & families to help collaboratively tackle the challenges they are facing, through creating a new insight & forming an action, solution plan. Additionally, I practice EMDR therapy, AEDP, Brainspotting and Neurofeedback and find it powerful in healing a range of psychological concerns including depression, anxiety, shame and trauma and areas where clients experience "being stuck". My practice is based on years of well-established evidence-based effective treatments.
For support in managing difficulties in your personal & professional lives caused by unresolved traumas or conflict, therapy can help. I work with individuals, couples, & families to help collaboratively tackle the challenges they are facing, through creating a new insight & forming an action, solution plan. Additionally, I practice EMDR therapy, AEDP, Brainspotting and Neurofeedback and find it powerful in healing a range of psychological concerns including depression, anxiety, shame and trauma and areas where clients experience "being stuck". My practice is based on years of well-established evidence-based effective treatments.
(651) 760-5407 View (651) 760-5407
Photo of Ju-Ping Huang, PhD, LP, Psychologist
Ju-Ping Huang
Psychologist, PhD, LP
Verified Verified
3 Endorsed
Not accepting new clients
Life can be challenging and stressful. Often our busy life prevents us from caring for ourselves. Psychotherapy is a space to address your needs and concerns and build self-harmony. In a safe and trusting relationship, we will identify strengths and unearth resiliency while working on your struggles. In therapy, I tailor my therapeutic approach to your needs and pay attention to your context (environment, spirituality, culture, and multiple identities).
Life can be challenging and stressful. Often our busy life prevents us from caring for ourselves. Psychotherapy is a space to address your needs and concerns and build self-harmony. In a safe and trusting relationship, we will identify strengths and unearth resiliency while working on your struggles. In therapy, I tailor my therapeutic approach to your needs and pay attention to your context (environment, spirituality, culture, and multiple identities).
(763) 645-5990 View (763) 645-5990
Photo of Madeline Grubb, BS, LPC Intern
Madeline Grubb
LPC Intern, BS
Verified Verified
1 Endorsed
St Anthony, MN 55421
Happy to meet you! I know this “therapy” thing can feel intimidating, trust and believe you will find no judgment from me. My goal is to give you a space where you can share your whole story, and know you are being listened to. I believe therapy works best when the client plays an equally if not more active role - you are the main character, I am your loyal companion on the road to your goals. I make space to process the present and explore the past. I enjoy getting creative and experimental while making space for humor - this road can be rough, let's appreciate the small moments of joy! Additionally, I now offer Brainspotting.
Happy to meet you! I know this “therapy” thing can feel intimidating, trust and believe you will find no judgment from me. My goal is to give you a space where you can share your whole story, and know you are being listened to. I believe therapy works best when the client plays an equally if not more active role - you are the main character, I am your loyal companion on the road to your goals. I make space to process the present and explore the past. I enjoy getting creative and experimental while making space for humor - this road can be rough, let's appreciate the small moments of joy! Additionally, I now offer Brainspotting.
(651) 448-7669 View (651) 448-7669
1

See more therapy options for 55421

How does your Therapist compare?

Number of Therapists in 55421

30+

Average cost per session

$160

Therapists in 55421 who prioritize treating:

100% Anxiety
92% Depression
84% Relationship Issues
84% Self Esteem
76% Trauma and PTSD
76% Coping Skills
76% Stress

Average years in practice

9 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
77% UCare
74% HealthPartners of MN and WI

How Therapists in 55421 see their clients

84% In Person and Online
16% Online Only

Gender breakdown

83% Female
15% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 55421?

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.