Therapists in Saint Charles, IL
Cherry Weber
Psychologist, PhD
Verified Verified
Saint Charles, IL 60174
I consider myself to be a professional problem solver. When clients contact my office, I work with them to identify what is causing them distress if they do not already know and help them learn new coping strategies to deal more effectively with problems in the future. I treat each client's problems on an individual basis and believe in treating clients with respect. I know it is difficult to contact a professional with a problem which is causing distress and try to make the process a good experience. It is possible to live a happy life.
I consider myself to be a professional problem solver. When clients contact my office, I work with them to identify what is causing them distress if they do not already know and help them learn new coping strategies to deal more effectively with problems in the future. I treat each client's problems on an individual basis and believe in treating clients with respect. I know it is difficult to contact a professional with a problem which is causing distress and try to make the process a good experience. It is possible to live a happy life.
Katie Siadak
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Saint Charles, IL 60174
I believe that therapy works best as a process of uncovering our truest selves. Oftentimes life hands us burdens of stress, anxiety, grief, trauma, and pain that weigh us down and make it difficult to encounter the world in ways that we would like. I believe each individual has a unique and important story to tell, and I find joy in walking alongside clients as they begin to peel away the layers of life’s burdens to uncover the light of their authentic selves. I strive to offer a safe space for clients to author a personal narrative that feels genuine, and I operate from a gentle, trauma-informed, strengths-based perspective.
I believe that therapy works best as a process of uncovering our truest selves. Oftentimes life hands us burdens of stress, anxiety, grief, trauma, and pain that weigh us down and make it difficult to encounter the world in ways that we would like. I believe each individual has a unique and important story to tell, and I find joy in walking alongside clients as they begin to peel away the layers of life’s burdens to uncover the light of their authentic selves. I strive to offer a safe space for clients to author a personal narrative that feels genuine, and I operate from a gentle, trauma-informed, strengths-based perspective.
Maggie Lassar
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Saint Charles, IL 60174 (Online Only)
My belief is the foundation of therapy is a safe, trusting, and authentic therapeutic relationship. I walk alongside my clients throughout the process of self-exploration and healing. Although therapy can be hard, scary, and extremely messy, my hope is that we can muddle through it together!
My belief is the foundation of therapy is a safe, trusting, and authentic therapeutic relationship. I walk alongside my clients throughout the process of self-exploration and healing. Although therapy can be hard, scary, and extremely messy, my hope is that we can muddle through it together!
Buffy Cramer-Hammann
Psychologist, PsyD
Verified Verified
Saint Charles, IL 60174
For over a decade I have worked with Adult and Adolescent Patients coping with various Life Challenges. I maintain a supportive and collaborative therapeutic relationship with my Patients as they negotiate their identified challenge areas. Specific areas of focus within my practice are Life Stage Challenges; Grief and Loss; Fertility and Postpartum; and Anxiety and Depression. Over the last five years, I have incorporated Animal Assisted Psychotherapy with my Canine Co-therapists. While not all sessions are appropriate for Animal Assisted Psychotherapy, the addition of Canine Co-therapists has been met with positive feedback.
For over a decade I have worked with Adult and Adolescent Patients coping with various Life Challenges. I maintain a supportive and collaborative therapeutic relationship with my Patients as they negotiate their identified challenge areas. Specific areas of focus within my practice are Life Stage Challenges; Grief and Loss; Fertility and Postpartum; and Anxiety and Depression. Over the last five years, I have incorporated Animal Assisted Psychotherapy with my Canine Co-therapists. While not all sessions are appropriate for Animal Assisted Psychotherapy, the addition of Canine Co-therapists has been met with positive feedback.
Erin Olszewski @ St. Charles Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Saint Charles, IL 60174
I work with individuals and couples both in person and online, via telehealth. I've worked frequently with trauma and have received EMDR and Gottman Level 1 training. I believe in the power of perspective and utilizing internal strengths to overcome life’s difficulties and hardships. Therapy is a great way to explore what has been holding you back in life and find new pathways to changes in your life that you desire. I know this process can be difficult and I work hard to ensure that my office is a judgment-free safe space where you can explore yourself and the process.
I work with individuals and couples both in person and online, via telehealth. I've worked frequently with trauma and have received EMDR and Gottman Level 1 training. I believe in the power of perspective and utilizing internal strengths to overcome life’s difficulties and hardships. Therapy is a great way to explore what has been holding you back in life and find new pathways to changes in your life that you desire. I know this process can be difficult and I work hard to ensure that my office is a judgment-free safe space where you can explore yourself and the process.
Samantha Wagner
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Charles, IL 60174
I am a Licensed Professional Counselor who specializes in a range of mood disorders, anxiety disorders, perinatal mental health, as well as general stress management, conflict resolution and adjustment disorders. I work with adolescents, adults, couples and families. I practice from a client-centered approach adding in cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) skills based activities to create an individual and tailored approach to my clients.
I am a Licensed Professional Counselor who specializes in a range of mood disorders, anxiety disorders, perinatal mental health, as well as general stress management, conflict resolution and adjustment disorders. I work with adolescents, adults, couples and families. I practice from a client-centered approach adding in cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) skills based activities to create an individual and tailored approach to my clients.
Steve Geati
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Charles, IL 60174
Are you struggling with stress, anxiety, depression, relationship issues, ADHD, or other issues men face? Steve currently practices as a high school social worker working with students with IEPs and general education students. Steve currently works with adolescents, families and adults with a range of mental health concerns including ADHD, depression, anxiety, autism spectrum, obsessions, anger management, and interpersonal conflicts. He works with individuals who have experienced significant life stressors and are looking for positive ways of coping.
Are you struggling with stress, anxiety, depression, relationship issues, ADHD, or other issues men face? Steve currently practices as a high school social worker working with students with IEPs and general education students. Steve currently works with adolescents, families and adults with a range of mental health concerns including ADHD, depression, anxiety, autism spectrum, obsessions, anger management, and interpersonal conflicts. He works with individuals who have experienced significant life stressors and are looking for positive ways of coping.
Agnieszka (Aga) Dabrowska
Licensed Clinical Professional Counselor, MA, LCPC
Not Verified Not Verified
Saint Charles, IL 60174
Are you a parent of a youth who struggles with behavioral difficulties, anxiety, sadness, low self-esteem or concentration? I am here to support you and guide your family from frustration and power struggles to emotionally balanced, calm & well connected family who laughs together. I believe that the healing process starts by building and restoring healthy connections, boundaries, trust and playfulness. Keeping these four elements in mind, my clinical focus is on guiding children and their parents, who have experienced balance disturbing events in life (trauma, grief, divorce, stress, change of schools), into well being again.
Are you a parent of a youth who struggles with behavioral difficulties, anxiety, sadness, low self-esteem or concentration? I am here to support you and guide your family from frustration and power struggles to emotionally balanced, calm & well connected family who laughs together. I believe that the healing process starts by building and restoring healthy connections, boundaries, trust and playfulness. Keeping these four elements in mind, my clinical focus is on guiding children and their parents, who have experienced balance disturbing events in life (trauma, grief, divorce, stress, change of schools), into well being again.
Amy E Ford
Pre-Licensed Professional, MS
Verified Verified
Saint Charles, IL 60175
Therapy looks different for everyone, and together we will identify your strengths, work through your areas of concern, and collaborate on goals as you heal. I have experience working with individuals from elementary school through adulthood. I specialize in anxiety and stress management, depression, trauma, women's issues, and students with needs related to the educational environment. Through a personalized approach, you will become empowered with the tools and skills needed to grow into a healthier space.
Therapy looks different for everyone, and together we will identify your strengths, work through your areas of concern, and collaborate on goals as you heal. I have experience working with individuals from elementary school through adulthood. I specialize in anxiety and stress management, depression, trauma, women's issues, and students with needs related to the educational environment. Through a personalized approach, you will become empowered with the tools and skills needed to grow into a healthier space.
Alisha Rybicki Barnum
Counselor, MA, LCPC, NCC
Verified Verified
4 Endorsed
Saint Charles, IL 60174 (Online Only)
The invisible load of motherhood can be overwhelming... endless tasks, appointments, and management of activities. Feeling out-touched and exhausted all the time. The “mom guilt.” You are not alone! If you are looking for strategies to help reduce the frustration or overwhelm that you feel, then you've come to the right place! I help you to find techniques that can help you to regain control over your life and parent without guilt!
The invisible load of motherhood can be overwhelming... endless tasks, appointments, and management of activities. Feeling out-touched and exhausted all the time. The “mom guilt.” You are not alone! If you are looking for strategies to help reduce the frustration or overwhelm that you feel, then you've come to the right place! I help you to find techniques that can help you to regain control over your life and parent without guilt!
Cheryl Davidson
Counselor, MA , LCPC
Verified Verified
1 Endorsed
Saint Charles, IL 60174
l work with persons dealing with Depression, Anxiety, Trauma, Grief and Loss, Bipolar Disorder, Anger Management, Stress Management, Self Esteem, Relationship Communications, Co-Dependency, and Divorce. The therapeutic strategies that I utilize are evidence-based such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy. Along with client input, I help you to develop coping strategies and new skills to mitigate current stressors, improve self-compassion, cultivate a sense of self-value and increase resiliency.
l work with persons dealing with Depression, Anxiety, Trauma, Grief and Loss, Bipolar Disorder, Anger Management, Stress Management, Self Esteem, Relationship Communications, Co-Dependency, and Divorce. The therapeutic strategies that I utilize are evidence-based such as Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy. Along with client input, I help you to develop coping strategies and new skills to mitigate current stressors, improve self-compassion, cultivate a sense of self-value and increase resiliency.
15 Second Videos
Erin Olszewski @ St. Charles Counseling
Alisha Rybicki Barnum
Shawn Léon Nowotnik
Crystal Villegas @ St. Charles Counseling
Ashley M Starwood
Deanna J Chrones
Nancy Kuhn
Michael Peila
Karissa Tobey
Bridgette Maurino @ Calming Corner Therapy
Linnea @ Calming Corner Therapy Favela
Danielle Slyder
Anita Funkhouser @ Calming Corner Therapy
Nancy Robin Krtek
Ken Kuhn at St Charles Counseling
Karen Hammond
Alexis Siegmann @ St. Charles Counseling
Caitlin S. Lowry
Jeff Lange
Katrina Muenster
Randall E Bennett
Rob Castillo
Marie S. Egeland
Kimberly K Boatner
Adam L Chunn
Kelly Huggins
Missy Hem- Peaks and Valleys Perinatal Counseling
Kimberleigh Hagar
Pamela S Allen
Jennifer DuBose
Aubrey Benton
Shawn Léon Nowotnik
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Charles, IL 60175
Making the decision to seek help can be a monumental task and selecting the right therapist can be challenging. I can provide you with a therapeutic relationship that will feel safe and collaborative so that it can serve as the basis for healing. My goal is to work with you in assessing your strengths, exploring challenges, working to overcome barriers, and returning you to a peaceful and productive state. I will work with you to create a treatment plan that suits your personality and needs. Sometimes, all you need are the right words at the right time to change how you see the world…including yourself.
Making the decision to seek help can be a monumental task and selecting the right therapist can be challenging. I can provide you with a therapeutic relationship that will feel safe and collaborative so that it can serve as the basis for healing. My goal is to work with you in assessing your strengths, exploring challenges, working to overcome barriers, and returning you to a peaceful and productive state. I will work with you to create a treatment plan that suits your personality and needs. Sometimes, all you need are the right words at the right time to change how you see the world…including yourself.
Blue Lavender Clinical Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Charles, IL 60175
As a combat Veteran I know that service to others doesn’t end once the term of enlistment expires. As a Licensed Clinical Social Worker (LCSW), I would like to extend my service by providing focused mental health treatment to those suffering with PTSD, anxiety, stress, bereavement, moral injury, and other trauma-related experiences. I also am of particular service to current and former military, police, firefighter, and EMT personnel.
As a combat Veteran I know that service to others doesn’t end once the term of enlistment expires. As a Licensed Clinical Social Worker (LCSW), I would like to extend my service by providing focused mental health treatment to those suffering with PTSD, anxiety, stress, bereavement, moral injury, and other trauma-related experiences. I also am of particular service to current and former military, police, firefighter, and EMT personnel.
Karen M Bridwell
Counselor, MA, LCPC
Verified Verified
Saint Charles, IL 60175
There are varieties of reasons why people seek counseling, but no matter what the motivation, I believe they want and need to be accepted right where they are. I approach each person's unique story from a nonjudgmental position, as I seek to understand their perspective in an effort to help them overcome their challenges. Developing a therapeutic relationship is important as the client and I work together in deciding, developing, and pursuing agreed upon objectives. I consider it a privilege to serve others and help them for a time on their life's journey.
There are varieties of reasons why people seek counseling, but no matter what the motivation, I believe they want and need to be accepted right where they are. I approach each person's unique story from a nonjudgmental position, as I seek to understand their perspective in an effort to help them overcome their challenges. Developing a therapeutic relationship is important as the client and I work together in deciding, developing, and pursuing agreed upon objectives. I consider it a privilege to serve others and help them for a time on their life's journey.
Dr. Sandra Lee Kakacek
Counselor, LCPC
Verified Verified
Saint Charles, IL 60174
I am a Licensed Clinical Professional Counselor. I have been practicing as a psychotherapist for over forty years of which twenty-one years have included working as an Animal-Assisted therapist in counseling (equines, dogs, cats, pigs, ducks, donkeys, and a lamb). My expertise ranges from counseling individuals, children, adolescents, adults, couples, families, and organizations with various issues, including anxiety, trauma, PTSD, ADHD, and so forth. I practice from a strengths-based theoretical orientation. My goal is always to help clients recognize and utilize internal strengths for growth and change.
I am a Licensed Clinical Professional Counselor. I have been practicing as a psychotherapist for over forty years of which twenty-one years have included working as an Animal-Assisted therapist in counseling (equines, dogs, cats, pigs, ducks, donkeys, and a lamb). My expertise ranges from counseling individuals, children, adolescents, adults, couples, families, and organizations with various issues, including anxiety, trauma, PTSD, ADHD, and so forth. I practice from a strengths-based theoretical orientation. My goal is always to help clients recognize and utilize internal strengths for growth and change.
Marquita Crudup
Licensed Professional Counselor, LPC, NCC, MS
Verified Verified
1 Endorsed
Saint Charles, IL 60174
Marquita has experience working with children, teens, and adults with a variety of backgrounds and concerns. Her experience includes working with anxiety, depression, ADHD, PTSD, LGBTQ+, military, couples, family, grief, personality disorders, and eating disorders. Her resume includes volunteer work as a sexual assault crisis advocate- assisting victims of sexual assault in local county hospitals, as well as, counseling survivors of domestic violence.
Marquita has experience working with children, teens, and adults with a variety of backgrounds and concerns. Her experience includes working with anxiety, depression, ADHD, PTSD, LGBTQ+, military, couples, family, grief, personality disorders, and eating disorders. Her resume includes volunteer work as a sexual assault crisis advocate- assisting victims of sexual assault in local county hospitals, as well as, counseling survivors of domestic violence.
Sara Lee
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Charles, IL 60174
Life can be hard and we are so busy living our lives that it can be difficult to take a pause to see and do something different. That is where therapy can be extremely beneficial. Therapy can assist you in caring for your whole self to promote a healthy you so you can continue to thrive in your life. Therapy can remind you of your worth, potential and hope. It can be a place to unwind, to explore, to process and to grow. Therapy is a journey and I'm excited you have started on your journey!
Life can be hard and we are so busy living our lives that it can be difficult to take a pause to see and do something different. That is where therapy can be extremely beneficial. Therapy can assist you in caring for your whole self to promote a healthy you so you can continue to thrive in your life. Therapy can remind you of your worth, potential and hope. It can be a place to unwind, to explore, to process and to grow. Therapy is a journey and I'm excited you have started on your journey!
Consider Yourself Counseling Services
Counselor, LCPC, CADC, BCPC, MS
Verified Verified
Saint Charles, IL 60174
Our mission is to help individuals improve their emotions, thoughts, and physical state to grow in a safe, positive direction while improving lifestyle and relationships. This is accomplished through working together with other family members and medical providers if necessary. We believe in customizing types of therapy and techniques according to individual unique life circumstances. Most importantly, we respect the belief that each person is empowered and has the ability to heal or find the way to happiness. Our role is to assist you in finding your "best" self. Thus, the saying "Consider Yourself!"
Our mission is to help individuals improve their emotions, thoughts, and physical state to grow in a safe, positive direction while improving lifestyle and relationships. This is accomplished through working together with other family members and medical providers if necessary. We believe in customizing types of therapy and techniques according to individual unique life circumstances. Most importantly, we respect the belief that each person is empowered and has the ability to heal or find the way to happiness. Our role is to assist you in finding your "best" self. Thus, the saying "Consider Yourself!"
Carol Elendt
Licensed Professional Counselor, LPC, NCC, MA
Verified Verified
Saint Charles, IL 60175
Waitlist for new clients
It takes courage to begin therapy, and I would be honored to step into this process with you. My desire is to provide empathic therapy for adults, adolescents, and children who are experiencing depression, anxiety, trauma symptoms, or relationship issues. For people experiencing loss, you will find a safe space to grieve. I enjoy working with clients who have diverse beliefs and also offer a Christian perspective for those seeking a faith-focused therapist.
It takes courage to begin therapy, and I would be honored to step into this process with you. My desire is to provide empathic therapy for adults, adolescents, and children who are experiencing depression, anxiety, trauma symptoms, or relationship issues. For people experiencing loss, you will find a safe space to grieve. I enjoy working with clients who have diverse beliefs and also offer a Christian perspective for those seeking a faith-focused therapist.
Prem Nikoniuk
Counselor, LCPC, LPC, NCC, NCMHC, MA
Verified Verified
Saint Charles, IL 60175 (Online Only)
What's on your mind? Are you experiencing relationship problems, family troubles, money issues, health concerns? Do you feel anxious, scared, sad or stressed? Whatever it may be - it is, likely, consuming you; you are feeling out of touch, lost; as if your entire world is spinning out of control! What if you were to, for a moment, forget the destination you believe your life is headed and instead, focus on your journey? For only in the process of living your life completely and meaningfully, will you come to find its true purpose, joy, and fulfillment.
What's on your mind? Are you experiencing relationship problems, family troubles, money issues, health concerns? Do you feel anxious, scared, sad or stressed? Whatever it may be - it is, likely, consuming you; you are feeling out of touch, lost; as if your entire world is spinning out of control! What if you were to, for a moment, forget the destination you believe your life is headed and instead, focus on your journey? For only in the process of living your life completely and meaningfully, will you come to find its true purpose, joy, and fulfillment.
See more therapy options for Saint Charles
Nearby Searches for Saint Charles
- Bartlett
- Batavia
- Elburn
- Elgin
- Geneva
- Hanover Park
- North Aurora
- South Elgin
- Streamwood
- Warrenville
- West Chicago
- Winfield
How does your Therapist compare?
Number of Therapists in Saint Charles, IL
200+
Average cost per session
$150
Therapists in Saint Charles, IL who prioritize treating:
94% | Anxiety |
90% | Depression |
77% | Relationship Issues |
74% | Self Esteem |
71% | Coping Skills |
70% | Trauma and PTSD |
64% | Grief |
Average years in practice
13 Years
Top 3 insurances accepted
98% | BlueCross and BlueShield |
71% | Aetna |
64% | Cigna and Evernorth |
How Therapists in Saint Charles, IL see their clients
85% | In Person and Online | |
15% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Saint Charles?
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
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.
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.
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.