Photo of Cynthia Fecchia, Clinical Social Work/Therapist in 66049, KS
Cynthia Fecchia
Clinical Social Work/Therapist, LSCSW
Verified Verified
Lawrence, KS 66049
Congratulations on taking the FIRST courageous step toward dealing with your PAIN that is no longer working for you; or perhaps you like to grow and learn more about yourself; or you want to achieve HEALING from grief/loss related to major life changes. Painful symptoms related to trauma, abuse, anxiety, depression, or relational issues are tough to tackle by yourself. By giving a non-judgmental and an empathetic therapist a CHANCE and Therapy time, change IS possible. I am dually licensed in Kansas and Missouri.
Congratulations on taking the FIRST courageous step toward dealing with your PAIN that is no longer working for you; or perhaps you like to grow and learn more about yourself; or you want to achieve HEALING from grief/loss related to major life changes. Painful symptoms related to trauma, abuse, anxiety, depression, or relational issues are tough to tackle by yourself. By giving a non-judgmental and an empathetic therapist a CHANCE and Therapy time, change IS possible. I am dually licensed in Kansas and Missouri.
(785) 264-4081 View (785) 264-4081
Photo of Leigh Jordan, Clinical Social Work/Therapist in 66049, KS
Leigh Jordan
Clinical Social Work/Therapist, LCSW
Verified Verified
Lawrence, KS 66049
Welcome! I’m Leigh Jordan, a clinical social worker with 18 years of experience in the field. I have a passion for helping people improve their lives, achieve their goals and determine their own futures. I help clients navigate the complexities of their thoughts, and feelings, gain insight, reconcile past experiences, improve relationships and enhance personal growth. My approach to therapy utilizes Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT), and the strengths perspective allowing for a holistic and empowering journey towards healing and self-discovery.
Welcome! I’m Leigh Jordan, a clinical social worker with 18 years of experience in the field. I have a passion for helping people improve their lives, achieve their goals and determine their own futures. I help clients navigate the complexities of their thoughts, and feelings, gain insight, reconcile past experiences, improve relationships and enhance personal growth. My approach to therapy utilizes Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT), and the strengths perspective allowing for a holistic and empowering journey towards healing and self-discovery.
(785) 491-7282 View (785) 491-7282
Photo of Jennifer Groene, Marriage & Family Therapist in 66049, KS
Jennifer Groene
Marriage & Family Therapist, MA, LCMFT
Verified Verified
1 Endorsed
Lawrence, KS 66049
I am so glad you have visited my profile! I would glad to provide you with professional, confidential, and compassionate services. Sometimes life's journey takes us to unexpected places. We desire to love well and to be loved by all. It isn't always easy.Life is constantly changing. Changes can bring hurt and fear. I can help you get past your fears and find freedom to live again. Life is never predictable, but life can be good!
I am so glad you have visited my profile! I would glad to provide you with professional, confidential, and compassionate services. Sometimes life's journey takes us to unexpected places. We desire to love well and to be loved by all. It isn't always easy.Life is constantly changing. Changes can bring hurt and fear. I can help you get past your fears and find freedom to live again. Life is never predictable, but life can be good!
(785) 214-4202 View (785) 214-4202
Photo of Susan Elizabeth Weimer, Clinical Social Work/Therapist in 66049, KS
Susan Elizabeth Weimer
Clinical Social Work/Therapist, PhD, LSCSW
Verified Verified
Lawrence, KS 66049
I earned my MSW degree from Fordham University, New York City, and doctorate in Clinical Social Work from Smith College School for Social Work. I have almost 40 years of both clinical practice and teaching experience. I am a strong believer in the power of each person to effect change in their own lives, given the tools with which to work. My goal is to help clients clearly see what obstacles impede their growth or functioning; acknowledge and accept limitations; plant their own seeds for stability and further growth, and move forward.
I earned my MSW degree from Fordham University, New York City, and doctorate in Clinical Social Work from Smith College School for Social Work. I have almost 40 years of both clinical practice and teaching experience. I am a strong believer in the power of each person to effect change in their own lives, given the tools with which to work. My goal is to help clients clearly see what obstacles impede their growth or functioning; acknowledge and accept limitations; plant their own seeds for stability and further growth, and move forward.
(785) 693-6957 View (785) 693-6957
Photo of Adrian Zelvy, Counselor in 66049, KS
Adrian Zelvy
Counselor, LCPC
Verified Verified
8 Endorsed
Lawrence, KS 66049
I have worked in the Lawrence community providing mental health services for more than 15 years. I primarily work with adolescents and adults. Therapy is a process of identifying and initiating small shifts in thought, feelings and behaviors that lead to healthier patterns of living with ourselves and others. I work with individuals and families to identify a path to improving your quality of life, relationships, and functioning. I have extensive experience treating ADHD, depression, anxiety, working through co-parenting, high conflict divorce, family conflicts, and supporting the transition to work, college, and life after college.
I have worked in the Lawrence community providing mental health services for more than 15 years. I primarily work with adolescents and adults. Therapy is a process of identifying and initiating small shifts in thought, feelings and behaviors that lead to healthier patterns of living with ourselves and others. I work with individuals and families to identify a path to improving your quality of life, relationships, and functioning. I have extensive experience treating ADHD, depression, anxiety, working through co-parenting, high conflict divorce, family conflicts, and supporting the transition to work, college, and life after college.
(785) 915-0309 View (785) 915-0309
Photo of Joy Dayton, Clinical Social Work/Therapist in 66049, KS
Joy Dayton
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Lawrence, KS 66049
Life can be chaotic and sometimes we need help navigating the challenges that beset us. I am here to provide a non-judgmental and caring space wherein you, your child, or your teenager can sort out your thoughts, feelings, beliefs, and values. Whether you are seeking treatment for Autism or ADHD, or just needing a trusted therapist to visit with your child, I will do my best to make a connection and help out. Everyone deserves a helping hand, no matter what you or your child are facing.
Life can be chaotic and sometimes we need help navigating the challenges that beset us. I am here to provide a non-judgmental and caring space wherein you, your child, or your teenager can sort out your thoughts, feelings, beliefs, and values. Whether you are seeking treatment for Autism or ADHD, or just needing a trusted therapist to visit with your child, I will do my best to make a connection and help out. Everyone deserves a helping hand, no matter what you or your child are facing.
(785) 509-2762 View (785) 509-2762
Photo of Emily Kyle, Licensed Professional Counselor in 66049, KS
Emily Kyle
Licensed Professional Counselor, LCPC
Verified Verified
2 Endorsed
Lawrence, KS 66049
Not accepting new clients
There is a Swedish proverb that reads, “shared joy is double joy; shared sorrow is half sorrow”. At some point in our lives, everyone needs someone to create space for them. A space to celebrate our joy. A space for our sorrow to be gently held. I believe therapy can be that place for you. Through counseling you can become a happier, healthier version of yourself with time, effort, and support. Showing up for yourself is perhaps one of the best gifts you can ever give yourself and it can also be intimidating to take that first step. Know that you are not alone.
There is a Swedish proverb that reads, “shared joy is double joy; shared sorrow is half sorrow”. At some point in our lives, everyone needs someone to create space for them. A space to celebrate our joy. A space for our sorrow to be gently held. I believe therapy can be that place for you. Through counseling you can become a happier, healthier version of yourself with time, effort, and support. Showing up for yourself is perhaps one of the best gifts you can ever give yourself and it can also be intimidating to take that first step. Know that you are not alone.
(785) 264-4278 View (785) 264-4278
Photo of Becky Cheek-King, Counselor in 66049, KS
Becky Cheek-King
Counselor, LCP
Verified Verified
Lawrence, KS 66049
Life often brings us stressors, challenges, and difficulties. Sometimes we don't know which direction to go. Therapy gets you going in a healthy direction, builds your confidence in your life choices, and reminds you to smell the roses along the way. With over 30 years of experience in the mental health field, Becky understands the challenges that many people face everyday. A graduate of Vanderbilt University, she received a masters in clinical psychology from the University of Tulsa. Becky worked for years at community mental health centers and a group private practice, gaining experience treating a variety of clinical issues.
Life often brings us stressors, challenges, and difficulties. Sometimes we don't know which direction to go. Therapy gets you going in a healthy direction, builds your confidence in your life choices, and reminds you to smell the roses along the way. With over 30 years of experience in the mental health field, Becky understands the challenges that many people face everyday. A graduate of Vanderbilt University, she received a masters in clinical psychology from the University of Tulsa. Becky worked for years at community mental health centers and a group private practice, gaining experience treating a variety of clinical issues.
(785) 856-0676 View (785) 856-0676
Photo of Family Psychological Services, LLC, Psychologist in 66049, KS
Family Psychological Services, LLC
Psychologist, PhD, ABPP, CST
Verified Verified
1 Endorsed
Lawrence, KS 66049
We're proud to be the largest private mental health clinic in Douglas County and the surrounding area. This affords us a broad array of services, client types, and approaches to treatment.
We're proud to be the largest private mental health clinic in Douglas County and the surrounding area. This affords us a broad array of services, client types, and approaches to treatment.
(785) 829-4532 View (785) 829-4532
Photo of Dahlia Trauma & Wellness Center, Clinical Social Work/Therapist in 66049, KS
Dahlia Trauma & Wellness Center
Clinical Social Work/Therapist, LSCSW, LCAC
Verified Verified
Lawrence, KS 66049
I am a Licensed Specialist Clinical Social Worker & Licensed Clinical Addiction Counselor, with over 20 years of experience in the behavioral health field. I received my Level I & Level II EMDR trauma treatment training through the EMDR Institute, & have been practicing EMDR since 2012. I am a member of the professional association EMDR Therapists of Greater Kansas City. I am also trained in Brainspotting as an additional specialized trauma treatment.
I am a Licensed Specialist Clinical Social Worker & Licensed Clinical Addiction Counselor, with over 20 years of experience in the behavioral health field. I received my Level I & Level II EMDR trauma treatment training through the EMDR Institute, & have been practicing EMDR since 2012. I am a member of the professional association EMDR Therapists of Greater Kansas City. I am also trained in Brainspotting as an additional specialized trauma treatment.
(785) 322-9393 View (785) 322-9393
Photo of Amber Zewert, Licensed Professional Counselor in 66049, KS
Amber Zewert
Licensed Professional Counselor, MS, LPC, ATR-P
Verified Verified
2 Endorsed
Lawrence, KS 66049
I am currently accepting new clients at the Lawrence and Leawood offices! I understand that everyone is struggling in some capacity to heal from past hurts, process life transitions, or learn how to feel confident about oneself. I enjoy working with teens, college-aged young adults, and adults. I have experience working with clients who experience anxiety, depression, self-harm, low-self esteem/confidence issues, and trauma. Want to learn more? Just send an email and one of our client care team members will reach out to you about scheduling a consultation with me!
I am currently accepting new clients at the Lawrence and Leawood offices! I understand that everyone is struggling in some capacity to heal from past hurts, process life transitions, or learn how to feel confident about oneself. I enjoy working with teens, college-aged young adults, and adults. I have experience working with clients who experience anxiety, depression, self-harm, low-self esteem/confidence issues, and trauma. Want to learn more? Just send an email and one of our client care team members will reach out to you about scheduling a consultation with me!
(913) 386-6079 View (913) 386-6079
Photo of Rosa Knowlton, Clinical Social Work/Therapist in 66049, KS
Rosa Knowlton
Clinical Social Work/Therapist, LSCSW
Verified Verified
2 Endorsed
Lawrence, KS 66049
Success in therapy starts with building a strong connection with you. It's important to work together in order to achieve your goals.
Success in therapy starts with building a strong connection with you. It's important to work together in order to achieve your goals.
(785) 453-3878 View (785) 453-3878
Photo of Justin Modrell, Clinical Social Work/Therapist in 66049, KS
Justin Modrell
Clinical Social Work/Therapist, LSCSW
Verified Verified
Lawrence, KS 66049
As a therapist, I specialize in helping individuals live intentionally while effectively managing life's stressors. Together, we'll tap into your internal resources and develop strategies, drawing from Acceptance & Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and Internal Family Systems (IFS). Let's identify your core values and cultivate healthy thoughts and behaviors that align with your true character. I also utilize Accelerated Resolution Therapy (ART) in helping individuals experience healing and resilience by processing distressing memories through eye movements and visualization.
As a therapist, I specialize in helping individuals live intentionally while effectively managing life's stressors. Together, we'll tap into your internal resources and develop strategies, drawing from Acceptance & Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and Internal Family Systems (IFS). Let's identify your core values and cultivate healthy thoughts and behaviors that align with your true character. I also utilize Accelerated Resolution Therapy (ART) in helping individuals experience healing and resilience by processing distressing memories through eye movements and visualization.
(785) 425-0290 View (785) 425-0290
Photo of Jerry Floersch, Clinical Social Work/Therapist in 66049, KS
Jerry Floersch
Clinical Social Work/Therapist, PhD, MSW, LCSW, LSCSW
Verified Verified
1 Endorsed
Lawrence, KS 66049
I see individuals and couples in psychotherapy (adolescents, young adults, and adults) for a wide range of relationship and everyday struggles with feelings of anxiety, depression, and all life transitions. My goal is to help you understand yourself and assist you in finding thoughtful, emotional, and behavioral (taking action in new ways) solutions to your everyday problems. For a detailed description of my practice go to: www.triangle-psychotherapy.com/jerry-floersch.
I see individuals and couples in psychotherapy (adolescents, young adults, and adults) for a wide range of relationship and everyday struggles with feelings of anxiety, depression, and all life transitions. My goal is to help you understand yourself and assist you in finding thoughtful, emotional, and behavioral (taking action in new ways) solutions to your everyday problems. For a detailed description of my practice go to: www.triangle-psychotherapy.com/jerry-floersch.
(785) 335-9516 View (785) 335-9516
Photo of Sunnie Dreu Shedd, Clinical Social Work/Therapist in 66049, KS
Sunnie Dreu Shedd
Clinical Social Work/Therapist, LSCSW , LMAC
Verified Verified
3 Endorsed
Lawrence, KS 66049  (Online Only)
Not accepting new clients
There is no arriving, only becoming. You have taken the first steps to arrive here where together, we can begin the deep inner work towards becoming your most connected self. We can develop a treatment plan collaboratively that would allow you to learn skills and identify patterns that are creating a disconnect in your life. 
There is no arriving, only becoming. You have taken the first steps to arrive here where together, we can begin the deep inner work towards becoming your most connected self. We can develop a treatment plan collaboratively that would allow you to learn skills and identify patterns that are creating a disconnect in your life. 
(785) 264-4322 View (785) 264-4322
Photo of Kelly Hughes, Clinical Social Work/Therapist in 66049, KS
Kelly Hughes
Clinical Social Work/Therapist, LSCSW
Verified Verified
4 Endorsed
Lawrence, KS 66049
Change can be difficult, whether it's a change you choose or not. Therapy provides support as you adapt to life's countless changes. As a clinical social worker, I have spent time working alongside of teens, young adults, and adults as they work through issues varying from typical developmental struggles to having to adjust following major life traumas. I am grounded in a strengths-based approach, and incorporate Cognitive Behavior Therapy, Dialectical Behavior Therapy, and Internal Family Systems to address issues surrounding anxiety, depression, mood disorders, trauma, eating disorders, grief and loss, sexuality, and anger.
Change can be difficult, whether it's a change you choose or not. Therapy provides support as you adapt to life's countless changes. As a clinical social worker, I have spent time working alongside of teens, young adults, and adults as they work through issues varying from typical developmental struggles to having to adjust following major life traumas. I am grounded in a strengths-based approach, and incorporate Cognitive Behavior Therapy, Dialectical Behavior Therapy, and Internal Family Systems to address issues surrounding anxiety, depression, mood disorders, trauma, eating disorders, grief and loss, sexuality, and anger.
(785) 336-5026 View (785) 336-5026
Laura A. VanSickle-Deavours
MA, LCP
Verified Verified
1 Endorsed
Lawrence, KS 66049
Not accepting new clients
I have specialized in working with different ages over the past almost 3 decades and now get to work with them ALL. I creatively engage children/adolescents with interventions tailored to individual needs. I equip & support my clients' parents/guardians from a parent and clinician perspective. My favorite job of all time was directing a college counseling center as young adulthood is an ideal time for intervention to build resiliency and equip for the future. I want to meet adult clients in the midst of their challenges, crises, mental health struggles, and just plain life.
I have specialized in working with different ages over the past almost 3 decades and now get to work with them ALL. I creatively engage children/adolescents with interventions tailored to individual needs. I equip & support my clients' parents/guardians from a parent and clinician perspective. My favorite job of all time was directing a college counseling center as young adulthood is an ideal time for intervention to build resiliency and equip for the future. I want to meet adult clients in the midst of their challenges, crises, mental health struggles, and just plain life.
(785) 261-0427 View (785) 261-0427
Photo of Mark Wm Smith, Counselor in 66049, KS
Mark Wm Smith
Counselor, Mark Wm Smith, MA, LCPC
Verified Verified
Lawrence, KS 66049
I am a compassionate and experienced therapist dedicated to helping individuals navigate life’s challenges. With a non-judgmental approach and a focus on fostering self-awareness, I provide a safe space for clients to explore their emotions and develop healthier coping strategies. I am committed to helping my clients achieve their goals and reach their full potential. As your therapist, you can expect a collaborative and personalized treatment plan that integrates CBT, mindfulness techniques, early maladaptive schema theory, as well as ADHD and trauma-focused interventions.
I am a compassionate and experienced therapist dedicated to helping individuals navigate life’s challenges. With a non-judgmental approach and a focus on fostering self-awareness, I provide a safe space for clients to explore their emotions and develop healthier coping strategies. I am committed to helping my clients achieve their goals and reach their full potential. As your therapist, you can expect a collaborative and personalized treatment plan that integrates CBT, mindfulness techniques, early maladaptive schema theory, as well as ADHD and trauma-focused interventions.
(785) 829-4604 View (785) 829-4604
Photo of Danielle M Rowley, Clinical Social Work/Therapist in 66049, KS
Danielle M Rowley
Clinical Social Work/Therapist, LSCSW, MHCL
Verified Verified
3 Endorsed
Lawrence, KS 66049
I enjoy assisting people of all ages adjusting to life transitions or dealing with such broad issues as: trauma, interpersonal distress, depression, anxiety, grief, parental conflict, divorce, confidence, self-esteem concerns, socioemotional and behavioral difficulties. Using empowerment and strengths, I'm passionate about assisting clients in finding their voice, determining their wants and needs, and developing confidence in making effective changes. You can contact me through the psychology today links or through my website below.
I enjoy assisting people of all ages adjusting to life transitions or dealing with such broad issues as: trauma, interpersonal distress, depression, anxiety, grief, parental conflict, divorce, confidence, self-esteem concerns, socioemotional and behavioral difficulties. Using empowerment and strengths, I'm passionate about assisting clients in finding their voice, determining their wants and needs, and developing confidence in making effective changes. You can contact me through the psychology today links or through my website below.
(785) 626-8120 View (785) 626-8120
Photo of Kendall Heiman, Clinical Social Work/Therapist in 66049, KS
Kendall Heiman
Clinical Social Work/Therapist, LCAC, LSCSW
Verified Verified
Lawrence, KS 66049
Kendall provides a dynamic, relationally focused, integrated approach to the treatment of substance-related disorders, addiction, and other commonly co-occurring disorders. She believes that the duality that has historically existed in the substance abuse/addiction field and the broader mental health field impedes client outcomes. She aids clients in gaining insight into the function of addiction in their lives, enhancing distress tolerance, and developing adaptive coping mechanisms. She emphasizes the ongoing cultivation of supportive, differentiated, interpersonal relationships to enhance prognosis for long-term recovery.
Kendall provides a dynamic, relationally focused, integrated approach to the treatment of substance-related disorders, addiction, and other commonly co-occurring disorders. She believes that the duality that has historically existed in the substance abuse/addiction field and the broader mental health field impedes client outcomes. She aids clients in gaining insight into the function of addiction in their lives, enhancing distress tolerance, and developing adaptive coping mechanisms. She emphasizes the ongoing cultivation of supportive, differentiated, interpersonal relationships to enhance prognosis for long-term recovery.
(785) 693-2011 View (785) 693-2011

See more therapy options for 66049

How does your Therapist compare?

Number of Therapists in 66049

100+

Average cost per session

$150

Therapists in 66049 who prioritize treating:

94% Anxiety
91% Depression
76% Self Esteem
73% Relationship Issues
73% Trauma and PTSD
72% Life Transitions
67% Stress

Average years in practice

15 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
51% Aetna
45% UnitedHealthcare UHC | UBH

How Therapists in 66049 see their clients

88% In Person and Online
12% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 66049?

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.