Therapists in 66607

Photo of Jessica Barron, Limited Licensed Psychologist, LMLP
Jessica Barron
Limited Licensed Psychologist, LMLP
1 Endorsed
Serves Area
Healing begins with a safe relationship. I believe the most important factor in therapy is the connection between client and therapist - one built on trust, safety, collaboration, and honesty. I have provide therapy for a wide spectrum of disorders including but not limited to those involving anxiety, depression, and behavioral disorders. I provide individual therapy to adolescents and adults.
Healing begins with a safe relationship. I believe the most important factor in therapy is the connection between client and therapist - one built on trust, safety, collaboration, and honesty. I have provide therapy for a wide spectrum of disorders including but not limited to those involving anxiety, depression, and behavioral disorders. I provide individual therapy to adolescents and adults.
(785) 629-4124 View (785) 629-4124
Photo of Ashlee McBee, Licensed Professional Counselor, LPC, LMAC-T
Ashlee McBee
Licensed Professional Counselor, LPC, LMAC-T
1 Endorsed
Serves Area
As a Licensed Professional Counselor and Licensed Master Addiction Counselor, I adopt a holistic and compassionate approach to therapy where you can feel safe, heard, and empowered to make lasting changes. With a deep commitment to fostering personal growth, emotional healing, and cultivating healthier relationships, I focus on a collaborative, person-centered approach to support yourself in realizing your inherent strength, finding resilience in your journey, and healing at your own pace.
As a Licensed Professional Counselor and Licensed Master Addiction Counselor, I adopt a holistic and compassionate approach to therapy where you can feel safe, heard, and empowered to make lasting changes. With a deep commitment to fostering personal growth, emotional healing, and cultivating healthier relationships, I focus on a collaborative, person-centered approach to support yourself in realizing your inherent strength, finding resilience in your journey, and healing at your own pace.
(785) 369-7304 View (785) 369-7304
Photo of Chelsea Shupe, Clinical Social Work/Therapist, LMSW
Chelsea Shupe
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
Are you a tween, teen, or adult overwhelmed by life’s challenges? Whether you're navigating adolescence's complexities or facing adulthood's pressures, I’m here to support you. As a therapist, I offer a safe and nurturing environment to explore your thoughts, feelings, and experiences together. In our sessions, we can work on Understanding the root causes of your difficulties; Developing effective coping strategies for stress and anxiety; Building healthier relationships with yourself and others; and achieving your personal and professional goals.
Are you a tween, teen, or adult overwhelmed by life’s challenges? Whether you're navigating adolescence's complexities or facing adulthood's pressures, I’m here to support you. As a therapist, I offer a safe and nurturing environment to explore your thoughts, feelings, and experiences together. In our sessions, we can work on Understanding the root causes of your difficulties; Developing effective coping strategies for stress and anxiety; Building healthier relationships with yourself and others; and achieving your personal and professional goals.
(785) 264-4586 View (785) 264-4586
Photo of Anissa Pfannenstiel, Clinical Social Work/Therapist, LSCSW
Anissa Pfannenstiel
Clinical Social Work/Therapist, LSCSW
2 Endorsed
Serves Area
Waitlist for new clients
I integrate the spiritual realms into the therapy process. If you are coming to see me for anxiety, depression, trauma, life transitions or feeling stuck with your current situation, when you work with me, you are ready to take action to align your intentions/healing goals with tangible actions. I am ready to challenge you. We will look from various perspectives, the now & soul perspective, generational trauma, and this life's experience seeking to find the why's in order to heal deeply. This work is beautiful, courageous, and if you say "yes" to yourself, can shift your life deeply.
I integrate the spiritual realms into the therapy process. If you are coming to see me for anxiety, depression, trauma, life transitions or feeling stuck with your current situation, when you work with me, you are ready to take action to align your intentions/healing goals with tangible actions. I am ready to challenge you. We will look from various perspectives, the now & soul perspective, generational trauma, and this life's experience seeking to find the why's in order to heal deeply. This work is beautiful, courageous, and if you say "yes" to yourself, can shift your life deeply.
(785) 261-4652 View (785) 261-4652

More Therapists Nearby

Photo of Elizabeth Van Vleck, Counselor, LCPC
Elizabeth Van Vleck
Counselor, LCPC
2 Endorsed
Topeka, KS 66608
Navigating through life can be challenging and stressful. There are so many stressors that cause a person to feel like giving up hope, feeling disconnected, unmotivated, alone, fearful, and even scared. I am passionate about helping people discover and develop skills to address life stressors. I meet the person where he or she is currently at and together we will develop a plan to meet his or her needs.I use a variety of therapeutic techniques including, but not limited to, cognitive behavioral therapy, solution-focused therapy, mindfulness and strengths-based approach.I have extensive experience working with various types of people
Navigating through life can be challenging and stressful. There are so many stressors that cause a person to feel like giving up hope, feeling disconnected, unmotivated, alone, fearful, and even scared. I am passionate about helping people discover and develop skills to address life stressors. I meet the person where he or she is currently at and together we will develop a plan to meet his or her needs.I use a variety of therapeutic techniques including, but not limited to, cognitive behavioral therapy, solution-focused therapy, mindfulness and strengths-based approach.I have extensive experience working with various types of people
(785) 264-4159 View (785) 264-4159
Photo of Ashley D Wiles - Seasons Counseling & Growth, Licensed Professional Counselor, LPC, NCC, GC-C
Seasons Counseling & Growth
Licensed Professional Counselor, LPC, NCC, GC-C
Lawrence, KS 66049
YOU are welcome here. Hi, I’m Ashley. Thank you for reaching out, for trusting me with your journey, your pain, your story. For over 20 years I have had the privilege of holding space for women, children, couples and families seeking a compassionate, empathetic, and insightful counselor. Counseling is a sacred place to share your story, to heal wounds, to find solace. I believe the connection between you and your counselor is at the heart. You are trusting me with the deepest pieces of your soul, and I honor that vulnerability. With warmth and compassion, I listen to your story. I ask questions. I observe patterns. I offer insight.
YOU are welcome here. Hi, I’m Ashley. Thank you for reaching out, for trusting me with your journey, your pain, your story. For over 20 years I have had the privilege of holding space for women, children, couples and families seeking a compassionate, empathetic, and insightful counselor. Counseling is a sacred place to share your story, to heal wounds, to find solace. I believe the connection between you and your counselor is at the heart. You are trusting me with the deepest pieces of your soul, and I honor that vulnerability. With warmth and compassion, I listen to your story. I ask questions. I observe patterns. I offer insight.
(785) 546-6671 View (785) 546-6671
Photo of Jill A. Reese, Clinical Social Work/Therapist, LSCSW, DBT-C
Jill A. Reese
Clinical Social Work/Therapist, LSCSW, DBT-C
1 Endorsed
Lawrence, KS 66044
Do you experience depression, anxiety, mood swings, relationship conflicts or engage in impulsive behaviors? If you've answered yes to any of these questions you are not alone. Finding your way to this moment is your journey, together we can embrace your strengths and work toward the life you have envisioned.
Do you experience depression, anxiety, mood swings, relationship conflicts or engage in impulsive behaviors? If you've answered yes to any of these questions you are not alone. Finding your way to this moment is your journey, together we can embrace your strengths and work toward the life you have envisioned.
(785) 831-4330 View (785) 831-4330
Photo of Cheryl L Nussbaum, Clinical Social Work/Therapist, LSCSW, MSW
Cheryl L Nussbaum
Clinical Social Work/Therapist, LSCSW, MSW
1 Endorsed
Serves Area
After a career of more than thirty years I believe therapy can be an adventure enhancing physical, emotional and spiritual well being. In addition to teaching clients how to determine life goals, and take small steps to reach them, I encourage creative expression through journaling, dream interpretation, the study of Myers-Briggs personality types and the Enneagram. A favorite book of mine is, "Women Who Run With the Wolves," by Clarissa Estes'.
After a career of more than thirty years I believe therapy can be an adventure enhancing physical, emotional and spiritual well being. In addition to teaching clients how to determine life goals, and take small steps to reach them, I encourage creative expression through journaling, dream interpretation, the study of Myers-Briggs personality types and the Enneagram. A favorite book of mine is, "Women Who Run With the Wolves," by Clarissa Estes'.
(360) 526-6122 View (360) 526-6122
Photo of Will DelToro, Clinical Social Work/Therapist, LSCSW
Will DelToro
Clinical Social Work/Therapist, LSCSW
4 Endorsed
Topeka, KS 66614
Life can sometimes feel overwhelming, leaving you feeling stuck, anxious, or disconnected from yourself or others. I provide a supportive, nonjudgmental space where you can speak openly, feel understood, and work toward meaningful change at a pace that feels right for you.
Life can sometimes feel overwhelming, leaving you feeling stuck, anxious, or disconnected from yourself or others. I provide a supportive, nonjudgmental space where you can speak openly, feel understood, and work toward meaningful change at a pace that feels right for you.
(785) 429-4760 View (785) 429-4760
Photo of Juliana Hahn, Clinical Social Work/Therapist, LMSW
Juliana Hahn
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
Life can be hard and everyone deserves a safe place to process, be heard, and learn tools that can help life feel more manageable. I welcome clients from all walks of life who are looking for a safe place to grow and heal. I incorporate a client centered approach with all clients because I believe each client is the expert of their own lives. I care deeply about providing a trauma-informed and culturally aware environment that respects the uniqueness of each client's experience and allows for a collaborative approach to the healing process.
Life can be hard and everyone deserves a safe place to process, be heard, and learn tools that can help life feel more manageable. I welcome clients from all walks of life who are looking for a safe place to grow and heal. I incorporate a client centered approach with all clients because I believe each client is the expert of their own lives. I care deeply about providing a trauma-informed and culturally aware environment that respects the uniqueness of each client's experience and allows for a collaborative approach to the healing process.
(913) 318-3646 View (913) 318-3646
Photo of Daniel Martin, Clinical Social Work/Therapist, LMSW, LMAC-t
Daniel Martin
Clinical Social Work/Therapist, LMSW, LMAC-t
Topeka, KS 66612
As the founder of E.P.I.C. LLC, I am deeply committed to empowering individuals in their communities at pivotal moments. My passion lies in assisting those at a crossroads, ready to embark on a transformative journey toward self-discovery, resilience, and fulfillment. Utilizing an Eclectic therapy approach, I blend techniques from various therapeutic methods to fit your needs. This creates a safe space to explore, understand, and grow. My expertise equips me to guide you toward not just surviving but thriving in a life that's authentically yours. Let's connect if you seek a partner to navigate your path to a joyful, meaningful life.
As the founder of E.P.I.C. LLC, I am deeply committed to empowering individuals in their communities at pivotal moments. My passion lies in assisting those at a crossroads, ready to embark on a transformative journey toward self-discovery, resilience, and fulfillment. Utilizing an Eclectic therapy approach, I blend techniques from various therapeutic methods to fit your needs. This creates a safe space to explore, understand, and grow. My expertise equips me to guide you toward not just surviving but thriving in a life that's authentically yours. Let's connect if you seek a partner to navigate your path to a joyful, meaningful life.
(785) 508-1117 View (785) 508-1117
Photo of Rochelle D Walsh, Clinical Social Work/Therapist, LSCSW
Rochelle D Walsh
Clinical Social Work/Therapist, LSCSW
Topeka, KS 66614
Tired of relying on talk therapy and medication, only to feel stuck in a pattern of chronic distress? I can help you! We offer advanced clinical services to identify the root of the problem and provide real and lasting transformation. I have advanced training in EMDR (Eye Movement Desensitization and Reprocessing) for the treatment of complex trauma, mood and anxiety issues. Also offered in our clinic, is neuro-psych genetic testing and food sensitivity testing. This allows the patient to received individualized recommendation for supplementing and diet tweaks to improve optimal brain and body health!
Tired of relying on talk therapy and medication, only to feel stuck in a pattern of chronic distress? I can help you! We offer advanced clinical services to identify the root of the problem and provide real and lasting transformation. I have advanced training in EMDR (Eye Movement Desensitization and Reprocessing) for the treatment of complex trauma, mood and anxiety issues. Also offered in our clinic, is neuro-psych genetic testing and food sensitivity testing. This allows the patient to received individualized recommendation for supplementing and diet tweaks to improve optimal brain and body health!
(785) 453-8379 View (785) 453-8379
Photo of Holly Watson, Marriage & Family Therapist, MS, LMFT, CCC-SLP
Holly Watson
Marriage & Family Therapist, MS, LMFT, CCC-SLP
Baldwin City, KS 66006
I believe that within us all is a sacrosanct desire to be seen and understood; to know that despite our shortcomings, we are worthy of love and belonging. As a therapist, I strive to provide a deep sense of understanding and empathy, an intentionally non-judgmental presence, and a healthy dose of humor. Above all, I value authenticity. I believe that when we are our most authentic selves, we create a sense of safety for others to be the same. In my therapy room, you will know that can share your whole story and whole self without fear of judgment and trust that together we will find a path forward that is authentic to you.
I believe that within us all is a sacrosanct desire to be seen and understood; to know that despite our shortcomings, we are worthy of love and belonging. As a therapist, I strive to provide a deep sense of understanding and empathy, an intentionally non-judgmental presence, and a healthy dose of humor. Above all, I value authenticity. I believe that when we are our most authentic selves, we create a sense of safety for others to be the same. In my therapy room, you will know that can share your whole story and whole self without fear of judgment and trust that together we will find a path forward that is authentic to you.
(785) 322-9063 View (785) 322-9063
Photo of Jeryn Jamaal Collier, Marriage & Family Therapist, LMFT
Jeryn Jamaal Collier
Marriage & Family Therapist, LMFT
Serves Area
Do you find yourself holding everything together for everyone else, no matter how drained you feel inside? Complex trauma leaves us feeling responsible for peace we didn’t break—strong on the outside, yet quietly anxious or disconnected within. You want to feel grounded in who you are—spiritually, culturally, and emotionally—but deep down you’re tired of surviving. You’re not broken; you’re just ready to feel whole again.
Do you find yourself holding everything together for everyone else, no matter how drained you feel inside? Complex trauma leaves us feeling responsible for peace we didn’t break—strong on the outside, yet quietly anxious or disconnected within. You want to feel grounded in who you are—spiritually, culturally, and emotionally—but deep down you’re tired of surviving. You’re not broken; you’re just ready to feel whole again.
(316) 227-1628 View (316) 227-1628
Photo of Chandler McKinley, Clinical Social Work/Therapist, LSCSW
Chandler McKinley
Clinical Social Work/Therapist, LSCSW
1 Endorsed
Topeka, KS 66614
As a therapist, I'm passionate about empowering individuals to navigate life's challenges, embrace meaningful change, and cultivate lasting growth. My approach is rooted in the belief that everyone possesses an inherent capacity for healing and resilience. I specialize in helping clients address a range of concerns, including the impact of trauma, anxiety, depression, and significant phase-of-life transitions. Together, we'll work to understand your unique experiences and develop practical skills to manage stressors effectively.
As a therapist, I'm passionate about empowering individuals to navigate life's challenges, embrace meaningful change, and cultivate lasting growth. My approach is rooted in the belief that everyone possesses an inherent capacity for healing and resilience. I specialize in helping clients address a range of concerns, including the impact of trauma, anxiety, depression, and significant phase-of-life transitions. Together, we'll work to understand your unique experiences and develop practical skills to manage stressors effectively.
(785) 465-5390 View (785) 465-5390
Photo of Lisa Ellis, Clinical Social Work/Therapist, LSCSW
Lisa Ellis
Clinical Social Work/Therapist, LSCSW
1 Endorsed
Serves Area
Looking for a therapist is the first step! I strongly believe having a positive rapport with your therapist is essential so let me tell you more about myself. I bring 15 years experience as a therapist with the insight of several clinical interventions and use this expertise as I learn the issues at hand. I value providing a safe environment that is accepting, compassionate, and relaxed. I believe therapy begins with understanding who we are, what we want for ourselves, and the journey of how we get there. Those answers are different for everyone but we figure that out together. Truly therapy is just starting a conversation.
Looking for a therapist is the first step! I strongly believe having a positive rapport with your therapist is essential so let me tell you more about myself. I bring 15 years experience as a therapist with the insight of several clinical interventions and use this expertise as I learn the issues at hand. I value providing a safe environment that is accepting, compassionate, and relaxed. I believe therapy begins with understanding who we are, what we want for ourselves, and the journey of how we get there. Those answers are different for everyone but we figure that out together. Truly therapy is just starting a conversation.
(785) 432-5307 View (785) 432-5307
Photo of Raneisha T. Hunter, Marriage & Family Therapist, MS, LCMFT
Raneisha T. Hunter
Marriage & Family Therapist, MS, LCMFT
1 Endorsed
Serves Area
You’ve accomplished so much and carry yourself with such strength, yet deep down, you sometimes feel stuck. The pressure, the questions about your next step, or the old patterns that keep showing up—it can feel heavy. You’re the one people count on, but lately, holding it all together hasn’t been easy. What you really need is space—space to breathe, reflect, and come back home to yourself. And you don’t have to do that alone. Here, you’re safe. Here, you’re seen. I walk alongside women who seem to “have it all together” on the outside, but quietly wrestle with the weight of it all on the inside. Together, we create room for healing,
You’ve accomplished so much and carry yourself with such strength, yet deep down, you sometimes feel stuck. The pressure, the questions about your next step, or the old patterns that keep showing up—it can feel heavy. You’re the one people count on, but lately, holding it all together hasn’t been easy. What you really need is space—space to breathe, reflect, and come back home to yourself. And you don’t have to do that alone. Here, you’re safe. Here, you’re seen. I walk alongside women who seem to “have it all together” on the outside, but quietly wrestle with the weight of it all on the inside. Together, we create room for healing,
(316) 816-1110 View (316) 816-1110
Photo of Shannon Toalson, Registered Psychotherapist, LCP
Shannon Toalson
Registered Psychotherapist, LCP
1 Endorsed
Lawrence, KS 66049
I am a Licensed Clinical Psychotherapist in Lawrence, Kansas, committed to helping people move beyond cycles of avoidance and perfectionism. My goal is to support you in building flexibility, deepening self-awareness, and creating a more intentional, meaningful life. I draw on evidence-based therapies including CBT, IPT, DBT, and provide comprehensive Radically Open DBT (RO-DBT), offering skills groups and coaching. I also provide psychological assessments such as ADHD evaluations and readiness screenings for life changing surgeries. I look forward to the opportunity to meet with you, as you are, with compassion and care.
I am a Licensed Clinical Psychotherapist in Lawrence, Kansas, committed to helping people move beyond cycles of avoidance and perfectionism. My goal is to support you in building flexibility, deepening self-awareness, and creating a more intentional, meaningful life. I draw on evidence-based therapies including CBT, IPT, DBT, and provide comprehensive Radically Open DBT (RO-DBT), offering skills groups and coaching. I also provide psychological assessments such as ADHD evaluations and readiness screenings for life changing surgeries. I look forward to the opportunity to meet with you, as you are, with compassion and care.
(785) 629-3395 View (785) 629-3395
Photo of Margaret Schrader-Ford, Clinical Social Work/Therapist, LMSW
Margaret Schrader-Ford
Clinical Social Work/Therapist, LMSW
Topeka, KS 66611
Child and adolescent psychotherapy
Child and adolescent psychotherapy
(785) 504-1182 View (785) 504-1182
Photo of Brian K Jones, Clinical Social Work/Therapist, Brian Jones, LSCSW, LAC
Brian K Jones
Clinical Social Work/Therapist, Brian Jones, LSCSW, LAC
Topeka, KS 66614
During the journey of life, we will experience many “hills and valleys,” joys and sorrows, hurts and healings. At times, it can be emotionally difficult to navigate through some of life's most challenging journeys. During these moments, you can be left feeling alone, hopeless, anxious and wondering "what do I do next, how do I overcome this, does anyone care?” When experiencing these types of thoughts and emotions, it can be beneficial to find a comforting and competent therapist to help you acquire and develop the cognitive and behavioral coping skills that promote hope, healing and positivity that allow for a harmonious life.
During the journey of life, we will experience many “hills and valleys,” joys and sorrows, hurts and healings. At times, it can be emotionally difficult to navigate through some of life's most challenging journeys. During these moments, you can be left feeling alone, hopeless, anxious and wondering "what do I do next, how do I overcome this, does anyone care?” When experiencing these types of thoughts and emotions, it can be beneficial to find a comforting and competent therapist to help you acquire and develop the cognitive and behavioral coping skills that promote hope, healing and positivity that allow for a harmonious life.
(785) 268-7142 View (785) 268-7142

How does your Therapist compare?

Number of Therapists in 66607

< 10

Therapists in 66607 who prioritize treating:

75% Depression
75% Anxiety
75% Coping Skills
75% Stress
50% Relationship Issues
50% ADHD
50% Behavioral Issues

Average years in practice

25 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
75% Medicaid

How Therapists in 66607 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 66607?

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.