Therapists in 68022

Photo of Caitlyn Glissmeyer, Counselor in 68022, NE
Caitlyn Glissmeyer
Counselor, MS, PLMHP
Verified Verified
Elkhorn, NE 68022
Are you overwhelmed with current life circumstances? When you look at your life, do you see a history of pain, difficult relationships or a long search for purpose? As a Marriage and Family Therapist, I have experience working with individuals, couples, and families who have felt similarly. As a therapist, I believe that all of my clients have strengths and the ability to find joy, work through pain, and engage in fulfilling relationships.
Are you overwhelmed with current life circumstances? When you look at your life, do you see a history of pain, difficult relationships or a long search for purpose? As a Marriage and Family Therapist, I have experience working with individuals, couples, and families who have felt similarly. As a therapist, I believe that all of my clients have strengths and the ability to find joy, work through pain, and engage in fulfilling relationships.
(402) 256-7923 x5 View (402) 256-7923 x5
Photo of Deb Maas, Counselor in 68022, NE
Deb Maas
Counselor, MA, LMHP, LPC
Verified Verified
Elkhorn, NE 68022
So, is your relationship a bit of a mess? Do you feel anxious, lost or alone? Are you struggling with how to help your child, strengthen you marriage or build healthy connections in you family? Let's face it, most of us at some point go through adversity and could benefit from help navigating challenges in our lives.
So, is your relationship a bit of a mess? Do you feel anxious, lost or alone? Are you struggling with how to help your child, strengthen you marriage or build healthy connections in you family? Let's face it, most of us at some point go through adversity and could benefit from help navigating challenges in our lives.
(531) 228-4803 View (531) 228-4803
Photo of Arick Grinberg, Counselor in 68022, NE
Arick Grinberg
Counselor, LMHP
Verified Verified
1 Endorsed
Elkhorn, NE 68022
Life can be overwhelming. Therapy should be a place where the worries of each day are met with compassion, patience, and an optimistic spirit. Through a combination of CBT, DBT, behavioral modification, and solution focused therapy, I aim to help clients discover their best qualities, explore the barriers that impede their progress, and develop a plan to take practical steps toward making their goals a reality.
Life can be overwhelming. Therapy should be a place where the worries of each day are met with compassion, patience, and an optimistic spirit. Through a combination of CBT, DBT, behavioral modification, and solution focused therapy, I aim to help clients discover their best qualities, explore the barriers that impede their progress, and develop a plan to take practical steps toward making their goals a reality.
(531) 204-2744 View (531) 204-2744
Photo of Eliticia Vieyra, Counselor in 68022, NE
Eliticia Vieyra
Counselor, LICSW
Verified Verified
Elkhorn, NE 68022
Do life's challenges feel overwhelming or confusing? Are you feeling alone or misunderstood? If so, I would like to invite you to partner with me as we work together to provide a platform and space for your story to be heard. Although working towards creating a plan to meet your goals is important, my focus is on establishing an understanding of who you are and how you envision our partnership as we move forward in the conversation. Understanding that this journey can be difficult, I aim to provide a relaxing, non-judgmental environment that welcomes conversation and opportunities based on what is important to you.
Do life's challenges feel overwhelming or confusing? Are you feeling alone or misunderstood? If so, I would like to invite you to partner with me as we work together to provide a platform and space for your story to be heard. Although working towards creating a plan to meet your goals is important, my focus is on establishing an understanding of who you are and how you envision our partnership as we move forward in the conversation. Understanding that this journey can be difficult, I aim to provide a relaxing, non-judgmental environment that welcomes conversation and opportunities based on what is important to you.
(402) 600-0976 View (402) 600-0976
Photo of Liz Wollmann, Clinical Social Work/Therapist in 68022, NE
Liz Wollmann
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Elkhorn, NE 68022
My passion is supporting and helping individuals normalize, accept, and find solutions to their personal or relationship struggles. That may look like repairing what has been broken, determining whether to divorce, or, if newly divorced, helping make this transition—and, perhaps, co-parenting—as amicable as possible. Additionally, I love helping women with the everyday issues that affect us in our roles as partners, parents, and professionals.
My passion is supporting and helping individuals normalize, accept, and find solutions to their personal or relationship struggles. That may look like repairing what has been broken, determining whether to divorce, or, if newly divorced, helping make this transition—and, perhaps, co-parenting—as amicable as possible. Additionally, I love helping women with the everyday issues that affect us in our roles as partners, parents, and professionals.
(402) 741-4323 x901 View (402) 741-4323 x901
Photo of Carrie Lynn Pease, Counselor in 68022, NE
Carrie Lynn Pease
Counselor, LMHP, LIMHP, NCC
Verified Verified
Elkhorn, NE 68022  (Online Only)
Hello there! Thank you for taking the time to connect. There are definitely unexpected events that take us by surprise in our lives. Sometimes the moments feel like a gift or blessing while others leave us gasping for air and completely overwhelmed. Taking the first step to set up an appointment with a therapist can be a hard call to make, but sometimes the hardest things we do in our lives turn out to be the most meaningful. Take the time to invest in you! Your future self deserves it! Please feel free to call or email me. I am here to help.
Hello there! Thank you for taking the time to connect. There are definitely unexpected events that take us by surprise in our lives. Sometimes the moments feel like a gift or blessing while others leave us gasping for air and completely overwhelmed. Taking the first step to set up an appointment with a therapist can be a hard call to make, but sometimes the hardest things we do in our lives turn out to be the most meaningful. Take the time to invest in you! Your future self deserves it! Please feel free to call or email me. I am here to help.
(402) 566-5351 View (402) 566-5351
Photo of Roxana Muilenburg, Counselor in 68022, NE
Roxana Muilenburg
Counselor, MS, LMHP, CIMHP
Verified Verified
3 Endorsed
Elkhorn, NE 68022
“Change your mind, Change your life” -Joe Dispenza. Reaching out for mental health services is one of the bravest things you can do for yourself. I am a holistic therapist, looking at you as a whole: mind, body, and spirit. There is so much more to you than just your symptoms and struggles. You can indeed change your life from within. It starts with you. I can assist in reaching your full potential and overcoming life’s ‘speed bumps.’ My practice is intended to provide a space where you can feel comfortable, allow yourself to be YOU, a space free of judgment, and where you can give yourself permission to be vulnerable.
“Change your mind, Change your life” -Joe Dispenza. Reaching out for mental health services is one of the bravest things you can do for yourself. I am a holistic therapist, looking at you as a whole: mind, body, and spirit. There is so much more to you than just your symptoms and struggles. You can indeed change your life from within. It starts with you. I can assist in reaching your full potential and overcoming life’s ‘speed bumps.’ My practice is intended to provide a space where you can feel comfortable, allow yourself to be YOU, a space free of judgment, and where you can give yourself permission to be vulnerable.
(402) 698-4161 View (402) 698-4161
Photo of Noelle C Phillips, Counselor in 68022, NE
Noelle C Phillips
Counselor, LICSW, PMH-C
Verified Verified
Elkhorn, NE 68022
Asking for help and admitting something in our life is bigger than us can be difficult and scary. Afterall, we all like to do things on our own. Or are you that person who finds yourself taking care of everyone else and ending up with an empty cup when it comes to your needs? If you find yourself struggling with managing life's challenges, I am here and ready to help. I consider it a privilege to hear each individual's story when they come to see me. Change is hard but not impossible. A better you is just a phone call away.
Asking for help and admitting something in our life is bigger than us can be difficult and scary. Afterall, we all like to do things on our own. Or are you that person who finds yourself taking care of everyone else and ending up with an empty cup when it comes to your needs? If you find yourself struggling with managing life's challenges, I am here and ready to help. I consider it a privilege to hear each individual's story when they come to see me. Change is hard but not impossible. A better you is just a phone call away.
(402) 833-6916 View (402) 833-6916
Photo of Rhonda (Susie) Finch, Counselor in 68022, NE
Rhonda (Susie) Finch
Counselor, MAMFT, LIMHP, CPC
Verified Verified
Elkhorn, NE 68022
Welcome-I am very happy you are here! I'm licensed in the states of Nebraska (In Person & Telehealth), Missouri (Telehealth), and Oklahoma (Telehealth). My belief as a clinician holds that the most useful tool in therapy is the collaborative relationship between therapist and client. I operate from what is often referred to as a psychodynamic or relational psychodynamic approach. In therapy our tasks are to build a trusting relationship, to discover and understand your beliefs/feelings on their deepest levels, to discover how your history and experiences have shaped your beliefs, and then to address how these beliefs have helped you
Welcome-I am very happy you are here! I'm licensed in the states of Nebraska (In Person & Telehealth), Missouri (Telehealth), and Oklahoma (Telehealth). My belief as a clinician holds that the most useful tool in therapy is the collaborative relationship between therapist and client. I operate from what is often referred to as a psychodynamic or relational psychodynamic approach. In therapy our tasks are to build a trusting relationship, to discover and understand your beliefs/feelings on their deepest levels, to discover how your history and experiences have shaped your beliefs, and then to address how these beliefs have helped you
(402) 207-9958 x4 View (402) 207-9958 x4
Photo of Rebecca Ryan, Counselor in 68022, NE
Rebecca Ryan
Counselor, LIMHP
Verified Verified
Elkhorn, NE 68022  (Online Only)
I've been a licensed independent mental health practitioner in Nebraska for 12 years, a licensed professional counselor in Texas for over 8 years and a licensed professional counselor in Michigan for over a year. I offer virtual mental health therapy, coaching, consultation, and assessment. Virtual appointment scheduling and availability at: www.therapyportal.com/p/rjryan/
I've been a licensed independent mental health practitioner in Nebraska for 12 years, a licensed professional counselor in Texas for over 8 years and a licensed professional counselor in Michigan for over a year. I offer virtual mental health therapy, coaching, consultation, and assessment. Virtual appointment scheduling and availability at: www.therapyportal.com/p/rjryan/
(402) 744-6310 View (402) 744-6310
Photo of Kristi Meints, Clinical Social Work/Therapist in 68022, NE
Kristi Meints
Clinical Social Work/Therapist, LICSW
Verified Verified
Elkhorn, NE 68022
Life can be unpredictable with situations to navigate, relationships to mange, and emotions to gain control over. Upon entering my office, you can expect to be welcomed with compassion and a desire to understand. I find the most success with clients when I can meet them where they are, meaning I am ready to hear your perspective as we work together on a plan for success. My primary experience includes working with individuals with anxiety, depression, self-esteem, and identity concerns. I am passionate about empowering clients of many ages, from pre- teens to adolescents and adults.
Life can be unpredictable with situations to navigate, relationships to mange, and emotions to gain control over. Upon entering my office, you can expect to be welcomed with compassion and a desire to understand. I find the most success with clients when I can meet them where they are, meaning I am ready to hear your perspective as we work together on a plan for success. My primary experience includes working with individuals with anxiety, depression, self-esteem, and identity concerns. I am passionate about empowering clients of many ages, from pre- teens to adolescents and adults.
(402) 524-5918 View (402) 524-5918
Photo of Kristine R. Pratt, Marriage & Family Therapist in 68022, NE
Kristine R. Pratt
Marriage & Family Therapist, MS, LIMHP, CMFT
Verified Verified
1 Endorsed
Elkhorn, NE 68022
I am a Marriage and Family Therapist. I started in the addiction field and treated substance abuse, eating disorders, and problematic sexual behaviors. I have 17 years experience and have worked with many individuals, couples, families. I can help you with anything from marital issues to individual concerns like depression and anxiety. I have also worked with clients who have experienced trauma in their life from physical, emotional, or sexual abuse. I love the process of getting to assist people in becoming their best self and watching healing and growth.
I am a Marriage and Family Therapist. I started in the addiction field and treated substance abuse, eating disorders, and problematic sexual behaviors. I have 17 years experience and have worked with many individuals, couples, families. I can help you with anything from marital issues to individual concerns like depression and anxiety. I have also worked with clients who have experienced trauma in their life from physical, emotional, or sexual abuse. I love the process of getting to assist people in becoming their best self and watching healing and growth.
(402) 395-8889 x2 View (402) 395-8889 x2
Photo of Brittany Martinez, Counselor in 68022, NE
Brittany Martinez
Counselor, LIMHP, LPC
Verified Verified
Elkhorn, NE 68022
Have you found yourself feeling lost recently? Perhaps navigating daily tasks has become increasingly difficult due to various hurdles. Or maybe feeling overwhelmed and could benefit from some support. I want to reassure you that you are not facing this alone. Together we'll work to identify and remove unhealthy patterns, while fostering personal growth. As a dedicated therapist, I will collaborate closely with you to create meaningful goals and pathways towards your full potential. I offer an empathetic safe space to navigate life's challenges, while empowering you to overcome struggles, manage anxiety, and embrace positive change.
Have you found yourself feeling lost recently? Perhaps navigating daily tasks has become increasingly difficult due to various hurdles. Or maybe feeling overwhelmed and could benefit from some support. I want to reassure you that you are not facing this alone. Together we'll work to identify and remove unhealthy patterns, while fostering personal growth. As a dedicated therapist, I will collaborate closely with you to create meaningful goals and pathways towards your full potential. I offer an empathetic safe space to navigate life's challenges, while empowering you to overcome struggles, manage anxiety, and embrace positive change.
(402) 226-1954 View (402) 226-1954
Photo of Karen E. Baumstark, Psychologist in 68022, NE
Karen E. Baumstark
Psychologist, PhD, CMHIMP, CTACC
Verified Verified
1 Endorsed
Elkhorn, NE 68022
You want to make changes in your life. You want to break out of the old patterns and problems that are holding you back. But you're not sure what to do. I can help you access and develop your inner and outer resources to create better relationships and a more satisfying life. With over 41 years experience as a counselor and therapist, I am an effective life-change partner for you. We will work together to understand the root causes of your problems, so you can make real, lasting, and significant changes in the aspects of your life that are making you unhappy.
You want to make changes in your life. You want to break out of the old patterns and problems that are holding you back. But you're not sure what to do. I can help you access and develop your inner and outer resources to create better relationships and a more satisfying life. With over 41 years experience as a counselor and therapist, I am an effective life-change partner for you. We will work together to understand the root causes of your problems, so you can make real, lasting, and significant changes in the aspects of your life that are making you unhappy.
(402) 881-0993 View (402) 881-0993
Photo of Center for Counseling & Psychotherapy, Clinical Social Work/Therapist in 68022, NE
Center for Counseling & Psychotherapy
Clinical Social Work/Therapist, LCSW, LMHP
Verified Verified
Elkhorn, NE 68022
As a therapist I enjoy working with a variety of groups. I do individual, family and couples therapy, but particularly enjoy working with teens and young women. I enjoy empowering youth while they transition through their developmental tasks and into adulthood. I enjoy working with individuals interested in overcoming obstacles and developing their true potential. I utilize a combination of psychodynamic and cognitive-behavioral approaches to meet the needs of my clients. With unconditional support, we can examine ourselves and learn to move forward to meet our personal goals.
As a therapist I enjoy working with a variety of groups. I do individual, family and couples therapy, but particularly enjoy working with teens and young women. I enjoy empowering youth while they transition through their developmental tasks and into adulthood. I enjoy working with individuals interested in overcoming obstacles and developing their true potential. I utilize a combination of psychodynamic and cognitive-behavioral approaches to meet the needs of my clients. With unconditional support, we can examine ourselves and learn to move forward to meet our personal goals.
(402) 786-8056 View (402) 786-8056
Photo of Shelly Gray, Counselor in 68022, NE
Shelly Gray
Counselor, MS, LMHP, NCC
Verified Verified
Elkhorn, NE 68022
Waitlist for new clients
Feeling stuck, at a crossroad? Sometimes you're not even sure what is wrong but you just feel off. Everyone experiences difficulty in their life. Even the strongest of us can feel lost, unsure, ambivalent or unhappy at times. You don't have to be on life's journey alone. As a counselor I can help you understand and manage whatever life throws at you, and how to do it successfully. I utilize the art and science of counseling to create a safe and accepting environment in developing a trusting partnership with you to help you in your journey.
Feeling stuck, at a crossroad? Sometimes you're not even sure what is wrong but you just feel off. Everyone experiences difficulty in their life. Even the strongest of us can feel lost, unsure, ambivalent or unhappy at times. You don't have to be on life's journey alone. As a counselor I can help you understand and manage whatever life throws at you, and how to do it successfully. I utilize the art and science of counseling to create a safe and accepting environment in developing a trusting partnership with you to help you in your journey.
(402) 608-2879 View (402) 608-2879
Photo of Leslie A. Epstein, Counselor in 68022, NE
Leslie A. Epstein
Counselor, MA, LMHP, LPC
Verified Verified
3 Endorsed
Elkhorn, NE 68022
Are you depressed, stressed-out, feeling like life is out of control, and sometimes just like giving up on it all? You CAN live a happier and more fulfilling life. There is hope--at times like this, it's important to have someone calm, supportive and understanding to help you work things out. I have 2 Master's degrees and have been practicing gender-affirming therapy for over 25 years. Specializing in transgender issues, my style is both collaborative and compassionate. Together we can solve problems to help you and your loved ones lead a better life.
Are you depressed, stressed-out, feeling like life is out of control, and sometimes just like giving up on it all? You CAN live a happier and more fulfilling life. There is hope--at times like this, it's important to have someone calm, supportive and understanding to help you work things out. I have 2 Master's degrees and have been practicing gender-affirming therapy for over 25 years. Specializing in transgender issues, my style is both collaborative and compassionate. Together we can solve problems to help you and your loved ones lead a better life.
(402) 517-0533 View (402) 517-0533
Photo of Adrian Martin, Counselor in 68022, NE
Adrian Martin
Counselor, MS, LIMFT
Verified Verified
Elkhorn, NE 68022
Are you looking to get help with your relationship or get relief from your own personal distress? I specialize in working with couples on their relationship issues and take a differentiation based approach to helping individuals and couples resolve their conflict, increase their intimacy and work towards reaching their full potential. I offer intensive couples therapy, using multiple-hour sessions, including half-day (3 hour) intensives and a multiple-day approach which is particularly aimed at couples who wish to travel to the Omaha area. Please visit my website: www.OmahaCouplesClinic.com for more information.
Are you looking to get help with your relationship or get relief from your own personal distress? I specialize in working with couples on their relationship issues and take a differentiation based approach to helping individuals and couples resolve their conflict, increase their intimacy and work towards reaching their full potential. I offer intensive couples therapy, using multiple-hour sessions, including half-day (3 hour) intensives and a multiple-day approach which is particularly aimed at couples who wish to travel to the Omaha area. Please visit my website: www.OmahaCouplesClinic.com for more information.
(402) 577-0727 View (402) 577-0727
Photo of Connie Lofgreen, Clinical Social Work/Therapist in 68022, NE
Connie Lofgreen
Clinical Social Work/Therapist, MSW, CSAT, LCSW
Verified Verified
Elkhorn, NE 68022
Many people are experiencing the devastation of iporn-online pornography, chat rooms, escort and massage services- and other compulsive sexual behaviors. These compulsive behaviors can cause impotence, relationship crisis, depression and anxiety, job loss and legal problems. As a Certified Sex Addiction Therapist and Marriage and Family Therapist, I can help you overcome sex addiction and get your life back on track. See my book, The Storm of Sex Addiction available at www.amazon.com for more information about iPorn and sex addiction and details about my outpatient treatment program- STARPRO and other relationships services.
Many people are experiencing the devastation of iporn-online pornography, chat rooms, escort and massage services- and other compulsive sexual behaviors. These compulsive behaviors can cause impotence, relationship crisis, depression and anxiety, job loss and legal problems. As a Certified Sex Addiction Therapist and Marriage and Family Therapist, I can help you overcome sex addiction and get your life back on track. See my book, The Storm of Sex Addiction available at www.amazon.com for more information about iPorn and sex addiction and details about my outpatient treatment program- STARPRO and other relationships services.
(402) 509-3078 View (402) 509-3078
Photo of Krista Anderson, Counselor in 68022, NE
Krista Anderson
Counselor, LIMHP
Verified Verified
1 Endorsed
Elkhorn, NE 68022
"You don't have to be great to start, but you have to start to be great." When life seems overwhelming, sometimes the hardest part is just getting started. Working with an experienced and dedicated therapist can enhance your quality of life and provide a foundation for positive growth in all areas of life.
"You don't have to be great to start, but you have to start to be great." When life seems overwhelming, sometimes the hardest part is just getting started. Working with an experienced and dedicated therapist can enhance your quality of life and provide a foundation for positive growth in all areas of life.
(402) 513-3395 View (402) 513-3395

See more therapy options for 68022

How does your Therapist compare?

Number of Therapists in 68022

100+

Average cost per session

$150

Therapists in 68022 who prioritize treating:

96% Anxiety
90% Depression
85% Relationship Issues
83% Self Esteem
75% Coping Skills
74% Trauma and PTSD
73% Stress

Average years in practice

12 Years

Top 3 insurances accepted

97% BlueCross and BlueShield
72% Midlands Choice
64% Aetna

How Therapists in 68022 see their clients

96% In Person and Online
4% Online Only

Gender breakdown

85% Female
15% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 68022?

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.