Therapists in 62206

Photo of Chea Wyatt, Clinical Social Work/Therapist, LSW, PEL, LCSW
Chea Wyatt
Clinical Social Work/Therapist, LSW, PEL, LCSW
Online Only
As I licensed therapist serving clients in Illinois, I specialize in supporting individuals navigating complex emotional landscapes. My centers on helping people heal from trauma, manage anxiety and depression, and develop stronger self-esteem. I bring a compassionate, culturally, responsive approach to therapy , particularly understanding the unique experiences of individuals seeking mental health support.
As I licensed therapist serving clients in Illinois, I specialize in supporting individuals navigating complex emotional landscapes. My centers on helping people heal from trauma, manage anxiety and depression, and develop stronger self-esteem. I bring a compassionate, culturally, responsive approach to therapy , particularly understanding the unique experiences of individuals seeking mental health support.
(618) 729-6062 View (618) 729-6062
Photo of Avia Brown, Clinical Social Work/Therapist, LCSW
Avia Brown
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
My approach to therapy is empowering, participatory, and grounded in genuine connection. I believe clients are the experts of their own lives, and together we work as partners in the healing process. I bring a warm and affirming presence to every session, creating a space where you can speak openly, explore your experiences without judgement, and feel truly heard. While I am compassionate, I am also direct when needed, offering honest insights, clear guidance, and practical tools to support your growth. I remain open-minded and attuned to your unique story to support your emotional well-being.
My approach to therapy is empowering, participatory, and grounded in genuine connection. I believe clients are the experts of their own lives, and together we work as partners in the healing process. I bring a warm and affirming presence to every session, creating a space where you can speak openly, explore your experiences without judgement, and feel truly heard. While I am compassionate, I am also direct when needed, offering honest insights, clear guidance, and practical tools to support your growth. I remain open-minded and attuned to your unique story to support your emotional well-being.
(773) 672-8392 View (773) 672-8392
Photo of Tomeka Slaughter, Clinical Social Work/Therapist, MSW, LCSW
Tomeka Slaughter
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
Do you ever feel like you're just going through the motions, weighed down by a past you can't seem to shake? Past experiences, even small ones, can leave you feeling mentally, emotionally, and physically drained. You might find yourself struggling with relationships, feeling on edge, or just not connecting with the person you know you can be. It's a heavy feeling, and you deserve a safe space to unpack it all.
Do you ever feel like you're just going through the motions, weighed down by a past you can't seem to shake? Past experiences, even small ones, can leave you feeling mentally, emotionally, and physically drained. You might find yourself struggling with relationships, feeling on edge, or just not connecting with the person you know you can be. It's a heavy feeling, and you deserve a safe space to unpack it all.
(314) 582-9355 View (314) 582-9355

More Therapists Nearby

Photo of Jay M Greenberger - Illinois Healing Center for Trauma and Addiction, Clinical Social Work/Therapist
Illinois Healing Center for Trauma and Addiction
Clinical Social Work/Therapist
1 Endorsed
Serves Area
Living with an unresolved or unprocessed trauma, whether it be physical, sexual, emotional, or even relational, can make life seem heavy. Yet, there's hope to transform yourself from a victim to a survivor. Our therapeutic journey will explore the interweaves between negative/deviant compulsive behaviors, unhealthy attachments, as well as general life areas where you find yourself highly anxious or stuck. The goal is to ultimately be able to look yourself in the mirror, smile and say, "I'm OK." You won't be alone in this journey to a healthier more positive life. We will be supporting you as you get to a more satisfying place.
Living with an unresolved or unprocessed trauma, whether it be physical, sexual, emotional, or even relational, can make life seem heavy. Yet, there's hope to transform yourself from a victim to a survivor. Our therapeutic journey will explore the interweaves between negative/deviant compulsive behaviors, unhealthy attachments, as well as general life areas where you find yourself highly anxious or stuck. The goal is to ultimately be able to look yourself in the mirror, smile and say, "I'm OK." You won't be alone in this journey to a healthier more positive life. We will be supporting you as you get to a more satisfying place.
(224) 212-1699 View (224) 212-1699
Photo of August Peterson, Counselor, LPC, MA
August Peterson
Counselor, LPC, MA
3 Endorsed
Belleville, IL 62221
I enjoy supporting children, adolescents, and adults in identity exploration and affirmation. I am passionate about working with folx struggling with neurodivergence, anxiety, depression, and trauma; navigating boundary work; and coping and living with overall difficulties that accompany the human experience. I strive to create a warm and culturally responsive space where you will feel heard, understood, and empowered. I also strive to help clients move from surviving to living.
I enjoy supporting children, adolescents, and adults in identity exploration and affirmation. I am passionate about working with folx struggling with neurodivergence, anxiety, depression, and trauma; navigating boundary work; and coping and living with overall difficulties that accompany the human experience. I strive to create a warm and culturally responsive space where you will feel heard, understood, and empowered. I also strive to help clients move from surviving to living.
(872) 529-3224 View (872) 529-3224
Growspace Mental Health/Behavioral Health
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
Hi there, I admire you for recognizing your courage seek mindful transformation! Our therapists specialize with disorders such as, Traumatic experiences, devastation, grief, anxiety, depression and, Borderline personality disorder. As a member of the NASW, Educator of the Trauma fellowship, Our Group therapists specialize with a variety of specialties using DBT to assist with Borderline,Trauma work ( PTSD), CBT and ACT to process Grief and a variety of other evidence based practices.
Hi there, I admire you for recognizing your courage seek mindful transformation! Our therapists specialize with disorders such as, Traumatic experiences, devastation, grief, anxiety, depression and, Borderline personality disorder. As a member of the NASW, Educator of the Trauma fellowship, Our Group therapists specialize with a variety of specialties using DBT to assist with Borderline,Trauma work ( PTSD), CBT and ACT to process Grief and a variety of other evidence based practices.
(618) 995-8161 View (618) 995-8161
Photo of Kelly Jean Fitzgerald, Licensed Professional Counselor, MEd, LCPC
Kelly Jean Fitzgerald
Licensed Professional Counselor, MEd, LCPC
Swansea, IL 62226
I approach counseling as a team effort. Together we create goals and together we track progress. I believe all healing is self-healing so the importance of finding tools that work for the you is key to your success. Determining how to navigate a specific issue is a good initial objective. Learning how to navigate future issues effectively is the goal. I use a holistic approach, bringing in all the pieces for you to create a life that works.
I approach counseling as a team effort. Together we create goals and together we track progress. I believe all healing is self-healing so the importance of finding tools that work for the you is key to your success. Determining how to navigate a specific issue is a good initial objective. Learning how to navigate future issues effectively is the goal. I use a holistic approach, bringing in all the pieces for you to create a life that works.
(618) 749-6819 View (618) 749-6819
Photo of Carly Caldwell, Art Therapist, MA, LCPC, ATR, LASOP, NCC
Carly Caldwell
Art Therapist, MA, LCPC, ATR, LASOP, NCC
1 Endorsed
Troy, IL 62294
I am dedicated to helping individuals find deeper meaning and purpose in their lives, with a special focus on LGBTQIA+ folks, those seeking support for anxiety or depression, and individuals who have experienced trauma. My therapeutic approach is strengths-based, client-centered, and relational-cultural. I aim to cultivate self-awareness, encourage self-expression, and develop emotional resilience to empower individuals with the tools to develop growth-fostering relationships with themselves and others.
I am dedicated to helping individuals find deeper meaning and purpose in their lives, with a special focus on LGBTQIA+ folks, those seeking support for anxiety or depression, and individuals who have experienced trauma. My therapeutic approach is strengths-based, client-centered, and relational-cultural. I aim to cultivate self-awareness, encourage self-expression, and develop emotional resilience to empower individuals with the tools to develop growth-fostering relationships with themselves and others.
(618) 278-5254 View (618) 278-5254
Photo of Ellie Brown, Pre-Licensed Professional, MA
Ellie Brown
Pre-Licensed Professional, MA
Edwardsville, IL 62025
Ellie works with adolescents, young adults, athletes, and couples who may be feeling overwhelmed by life transitions, relationship challenges, performance pressure, or self-doubt. Many clients come to therapy seeking better communication, emotional balance, confidence, or a deeper sense of connection, with themselves or their partner. Adolescents and young adults may be navigating identity development, academic or athletic stress, and changing relationships, while couples may feel stuck in unhelpful patterns, struggling to feel heard, understood, or connected.
Ellie works with adolescents, young adults, athletes, and couples who may be feeling overwhelmed by life transitions, relationship challenges, performance pressure, or self-doubt. Many clients come to therapy seeking better communication, emotional balance, confidence, or a deeper sense of connection, with themselves or their partner. Adolescents and young adults may be navigating identity development, academic or athletic stress, and changing relationships, while couples may feel stuck in unhelpful patterns, struggling to feel heard, understood, or connected.
(618) 249-4908 View (618) 249-4908
Photo of Jill Schreiber, Clinical Social Work/Therapist, LCSW, PhD
Jill Schreiber
Clinical Social Work/Therapist, LCSW, PhD
2 Endorsed
Edwardsville, IL 62025
Are you looking for some help for yourself or a family member? I would love to talk with you. I enjoy supporting people who are coping with anxiety, depression or ADHD or ASD. My education includes a MS in Developmental Psychology as well as an MSW and PhD in Social Work. I was a tenured professor and chair of my department, so I understand the challenges of the University. Additionally, I have worked in schools, a hospital and at mental health agencies which provides me a good understanding of multiple systems. Along with my professional experience, I am an adoptive and former foster parent.
Are you looking for some help for yourself or a family member? I would love to talk with you. I enjoy supporting people who are coping with anxiety, depression or ADHD or ASD. My education includes a MS in Developmental Psychology as well as an MSW and PhD in Social Work. I was a tenured professor and chair of my department, so I understand the challenges of the University. Additionally, I have worked in schools, a hospital and at mental health agencies which provides me a good understanding of multiple systems. Along with my professional experience, I am an adoptive and former foster parent.
(618) 591-2616 View (618) 591-2616
Photo of Jamie Benson, Marriage & Family Therapist, DMFT, MAMFT, MEd, LMFT
Jamie Benson
Marriage & Family Therapist, DMFT, MAMFT, MEd, LMFT
Swansea, IL 62226
I'm so glad you're here and that you are ready to start this journey with me. I believe real change is possible, and I'm so honored to be able to be your choreographer of change as clients become their best possible selves. The hardest part is taking that first step. Be brave and take that step - so you can live your best life. ​Old patterns or past experiences can keep us stuck; they create obstacles to living presently. Together we will create the space for you to be more present and feel more fulfilled in your life, and reach you goals, bring structure to your life, and improve your relationship with self or others.
I'm so glad you're here and that you are ready to start this journey with me. I believe real change is possible, and I'm so honored to be able to be your choreographer of change as clients become their best possible selves. The hardest part is taking that first step. Be brave and take that step - so you can live your best life. ​Old patterns or past experiences can keep us stuck; they create obstacles to living presently. Together we will create the space for you to be more present and feel more fulfilled in your life, and reach you goals, bring structure to your life, and improve your relationship with self or others.
(618) 657-8576 View (618) 657-8576
Photo of Ebony Cheri Hutchinson - The Community Reach, Clinical Social Work/Therapist, LCSW, LMSW, LPC, PLPC, LSW
The Community Reach
Clinical Social Work/Therapist, LCSW, LMSW, LPC, PLPC, LSW
1 Endorsed
Alton, IL 62002
We are a group of clinicians with mental health practitioners with a wealth of experience and knowledge in field. Our professionals are dedicated to supporting clients on their journey to wellness. Our areas of treatment include: trauma, stress, anxiety, depression, grief, relationships, life transitions, and more. Our services are client centered. We also provide therapy for individuals with limited financial resources through the sliding scale program. We offer free parenting, grief, postpartum, and social skills (Pre K-5th grade) groups
We are a group of clinicians with mental health practitioners with a wealth of experience and knowledge in field. Our professionals are dedicated to supporting clients on their journey to wellness. Our areas of treatment include: trauma, stress, anxiety, depression, grief, relationships, life transitions, and more. Our services are client centered. We also provide therapy for individuals with limited financial resources through the sliding scale program. We offer free parenting, grief, postpartum, and social skills (Pre K-5th grade) groups
(636) 389-8920 View (636) 389-8920
Photo of Stephanie Darche, Licensed Clinical Professional Counselor, MA, LCPC
Stephanie Darche
Licensed Clinical Professional Counselor, MA, LCPC
Swansea, IL 62226
Hello! I’m Stephanie Darche, MA, LCPC. My therapeutic style is empowering, nonjudgmental, warm, genuine and down to earth. I work with children, adolescents, and adults. I have experience in working with clients with concerns related to anxiety, depression, parenting, family conflict, communication, LGBTQI+, child/adolescent adjustment, behavior and mood disorders, trauma, self-harm, suicidal ideation, ADHD, self-esteem, and life transitions.
Hello! I’m Stephanie Darche, MA, LCPC. My therapeutic style is empowering, nonjudgmental, warm, genuine and down to earth. I work with children, adolescents, and adults. I have experience in working with clients with concerns related to anxiety, depression, parenting, family conflict, communication, LGBTQI+, child/adolescent adjustment, behavior and mood disorders, trauma, self-harm, suicidal ideation, ADHD, self-esteem, and life transitions.
(618) 496-6783 View (618) 496-6783
Photo of Jody Lurk, Counselor, LCPC
Jody Lurk
Counselor, LCPC
2 Endorsed
Red Bud, IL 62278
Seeking change in your life can be an immense challenge, one that not many people choose to take on. Choosing to begin counseling can be an intimidating, frightening, and anxiety producing experience. From the moment you walk in to my office, I strive to provide you with a compassionate and understanding environment, where you feel safe to work through issues at your own pace.
Seeking change in your life can be an immense challenge, one that not many people choose to take on. Choosing to begin counseling can be an intimidating, frightening, and anxiety producing experience. From the moment you walk in to my office, I strive to provide you with a compassionate and understanding environment, where you feel safe to work through issues at your own pace.
(618) 230-3874 View (618) 230-3874
Photo of Rachel Kent, Counselor, MA, LCPC
Rachel Kent
Counselor, MA, LCPC
Swansea, IL 62226
I am a Licensed Clinical Professional Counselor and I have lived my entire life in the Metro-east area. I have a profound connection to helping people with emotional and/or psychological issues. Consequently, I received my bachelor’s degree in Psychology from Southern Illinois University in Edwardsville and obtained a dual masters from Lindenwood University in both Clinical and School counseling. My expertise include depression, self-esteem, grief, anxiety, separation anxiety, children, adolescents, Oppositional Defiant Disorder, ADHD parenting and family issues. I am also a Certified First Responder Counselor.
I am a Licensed Clinical Professional Counselor and I have lived my entire life in the Metro-east area. I have a profound connection to helping people with emotional and/or psychological issues. Consequently, I received my bachelor’s degree in Psychology from Southern Illinois University in Edwardsville and obtained a dual masters from Lindenwood University in both Clinical and School counseling. My expertise include depression, self-esteem, grief, anxiety, separation anxiety, children, adolescents, Oppositional Defiant Disorder, ADHD parenting and family issues. I am also a Certified First Responder Counselor.
(618) 205-9341 View (618) 205-9341
Photo of Patty Roosevelt, Licensed Clinical Professional Counselor, MAC, LCPC, LPC
Patty Roosevelt
Licensed Clinical Professional Counselor, MAC, LCPC, LPC
Columbia, IL 62236
Pain. It finds us. Whether it's the result of the loss of love, health, or security, pain finds us, and it can be overwhelming. Licensed in Illinois and Missouri, I offer support to hurting children, adults, and families by providing emotional safety, sharing compassion, and helping my clients to learn and apply new skills as needed. Passionate about issues that have resulted from attachment and relational wounding I have specialized in treating issues of attachment and trauma.
Pain. It finds us. Whether it's the result of the loss of love, health, or security, pain finds us, and it can be overwhelming. Licensed in Illinois and Missouri, I offer support to hurting children, adults, and families by providing emotional safety, sharing compassion, and helping my clients to learn and apply new skills as needed. Passionate about issues that have resulted from attachment and relational wounding I have specialized in treating issues of attachment and trauma.
(618) 221-5341 View (618) 221-5341
Photo of Felicia K Ewing, Licensed Professional Counselor, NCC, CCMHC, LCPC, LSOTP, LSOE
Felicia K Ewing
Licensed Professional Counselor, NCC, CCMHC, LCPC, LSOTP, LSOE
1 Endorsed
Swansea, IL 62226
The path to healing after a trauma is unique to each individual. I believe in helping you discover the best path for you. I am a Licensed Clinical Professional Counselor within a private practice setting. I graduated in 2018 from Wake Forest University with a MA in Clinical Mental Health Counseling. Since then, I have had the opportunity to serve a diverse range of clients in community and private practice settings. I have provided individual, family and group therapy to adults and children. I specialize in working with individuals who have experienced trauma in their life to include children, adolescents, and veterans.
The path to healing after a trauma is unique to each individual. I believe in helping you discover the best path for you. I am a Licensed Clinical Professional Counselor within a private practice setting. I graduated in 2018 from Wake Forest University with a MA in Clinical Mental Health Counseling. Since then, I have had the opportunity to serve a diverse range of clients in community and private practice settings. I have provided individual, family and group therapy to adults and children. I specialize in working with individuals who have experienced trauma in their life to include children, adolescents, and veterans.
(618) 212-8012 View (618) 212-8012
Photo of Allison A Grace, Clinical Social Work/Therapist, MSW, LCSW
Allison A Grace
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Columbia, IL 62236
What would you give to be mentally and emotionally resilient? Can you imagine surfing through life's challenges rather than being pummeled by them? I have been a practising LCSW for 33 years. I've helped people of all ages struggling with emotional regulation, the management of symptoms of depression or anxiety, stress, life transitions, anger management, parenting, and burnout to become the best versions of themselves. Together, we would focus on what is helpful and let go of judging what is right or wrong.
What would you give to be mentally and emotionally resilient? Can you imagine surfing through life's challenges rather than being pummeled by them? I have been a practising LCSW for 33 years. I've helped people of all ages struggling with emotional regulation, the management of symptoms of depression or anxiety, stress, life transitions, anger management, parenting, and burnout to become the best versions of themselves. Together, we would focus on what is helpful and let go of judging what is right or wrong.
(314) 648-8858 View (314) 648-8858
Photo of Aaron Brakhane, Clinical Social Work/Therapist, LCSW
Aaron Brakhane
Clinical Social Work/Therapist, LCSW
1 Endorsed
Maryville, IL 62062
So much of what happens in life feels outside our control. Hard experiences, in childhood or more recently, can start to dominate our outlook on the future. Nothing can erase bad experiences, but my hope for all of my clients is that they are able to integrate all of their experiences, and better know themselves. By doing this, we can start to understand the foundations of our emotional upheavals and unhelpful reactions. With this information in hand, I believe, we are all best equipped to face our own unique challenges.
So much of what happens in life feels outside our control. Hard experiences, in childhood or more recently, can start to dominate our outlook on the future. Nothing can erase bad experiences, but my hope for all of my clients is that they are able to integrate all of their experiences, and better know themselves. By doing this, we can start to understand the foundations of our emotional upheavals and unhelpful reactions. With this information in hand, I believe, we are all best equipped to face our own unique challenges.
(618) 523-9928 View (618) 523-9928
Photo of Yvonne Mccall, Counselor, MA, LCPC
Yvonne Mccall
Counselor, MA, LCPC
Edwardsville, IL 62025
Yvonne is a Masters level Licensed Clinical Professional Counselor with 20+ years experience with individuals, couples and families working in a variety of settings, now focusing on her private practice. She specializes in depression, anxiety (including PTSD), stress management, addictions and life skills development. She combines cognitive behavioral therapy, relaxation training, creativity, guided imagery, journaling, and 12 Step programs to address all facets of personal growth. Yvonne practices creativity in her own life as an exhibiting artist.
Yvonne is a Masters level Licensed Clinical Professional Counselor with 20+ years experience with individuals, couples and families working in a variety of settings, now focusing on her private practice. She specializes in depression, anxiety (including PTSD), stress management, addictions and life skills development. She combines cognitive behavioral therapy, relaxation training, creativity, guided imagery, journaling, and 12 Step programs to address all facets of personal growth. Yvonne practices creativity in her own life as an exhibiting artist.
(618) 494-6159 View (618) 494-6159

See more therapy options for 62206

How does your Therapist compare?

Number of Therapists in 62206

< 10

Therapists in 62206 who prioritize treating:

67% Anger Management
67% Self Esteem
67% Stress
33% Child
33% Relationship Issues
33% ADHD
33% Depression

Average years in practice

6 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Carelon Behavioral Health

How Therapists in 62206 see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 62206?

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.