Therapists in 75218

Photo of Andy Thompson, Licensed Professional Counselor Associate, MA, ThM, LPC-A, LCDC
Andy Thompson
Licensed Professional Counselor Associate, MA, ThM, LPC-A, LCDC
Dallas, TX 75218
You haven't been yourself lately and have been struggling to understand why. You have been suffering and experiencing symptoms that you know may be trying to tell you something about your life but you are struggling to put the pieces together and find a way forward. You know that there is more to life than suffering but you feel immobilized by your pain, depression, anxiety, and relational conflicts.
You haven't been yourself lately and have been struggling to understand why. You have been suffering and experiencing symptoms that you know may be trying to tell you something about your life but you are struggling to put the pieces together and find a way forward. You know that there is more to life than suffering but you feel immobilized by your pain, depression, anxiety, and relational conflicts.
(469) 277-9015 View (469) 277-9015
Photo of Lee Tipton, Licensed Professional Counselor, MS, BSN, LPC
Lee Tipton
Licensed Professional Counselor, MS, BSN, LPC
Dallas, TX 75218
In 1993 I became a licensed Professional Counselor. I have since been associated with a small group of like-minded therapists creating a people-friendly environment. My office is like a "living area" for private conversations. I enjoy helping individuals, couples and families who seek to move through seemingly intimidating, hopelessly discouraging or simply perplexing life stages. Common themes - job loss, rejection, betrayal of trust, letting go, shame, guilt and self-acceptance - even old emotional scars limiting part of one's personality are all compelling challenges. I will face them with you.
In 1993 I became a licensed Professional Counselor. I have since been associated with a small group of like-minded therapists creating a people-friendly environment. My office is like a "living area" for private conversations. I enjoy helping individuals, couples and families who seek to move through seemingly intimidating, hopelessly discouraging or simply perplexing life stages. Common themes - job loss, rejection, betrayal of trust, letting go, shame, guilt and self-acceptance - even old emotional scars limiting part of one's personality are all compelling challenges. I will face them with you.
(214) 935-3824 x101 View (214) 935-3824 x101
Photo of Rhonda L Wright - Rhonda Lee Wright, Drug & Alcohol Counselor, MA, MTS, LCDC
Rhonda Lee Wright
Drug & Alcohol Counselor, MA, MTS, LCDC
1 Endorsed
Dallas, TX 75218
I am deeply committed to supporting individuals who struggle with substance use and co-occurring mental health disorders. My approach is grounded in empathy, respect, and evidence-based practices that recognize the unique challenges each person faces. I strive to create a safe and nonjudgmental space where clients feel empowered to share their experiences and take an active role in their recovery. Through individualized treatment planning, I help clients address both substance use and underlying mental health concerns, understanding that these issues are often interconnected. I utilize a combination of therapeutic techniques,
I am deeply committed to supporting individuals who struggle with substance use and co-occurring mental health disorders. My approach is grounded in empathy, respect, and evidence-based practices that recognize the unique challenges each person faces. I strive to create a safe and nonjudgmental space where clients feel empowered to share their experiences and take an active role in their recovery. Through individualized treatment planning, I help clients address both substance use and underlying mental health concerns, understanding that these issues are often interconnected. I utilize a combination of therapeutic techniques,
(469) 689-7437 View (469) 689-7437
Photo of Pam Mesker Pierce, MA, MS, LMSW
Pam Mesker Pierce
Verified Verified
2 Endorsed
Dallas, TX 75218
The clients that work best with me are ready to identify obstacles that are preventing them from living a fulfilling life. I guide my clients to empower themselves and be survivors, not victims. I assign frequent homework and will not work harder than you. I will most often tell you what you don't want to hear, in a loving, kind way. I use a variety of treatment modalities in any given session. I also have extensive knowlege and resources regarding the 12 steps. If requested, I can counsel from a Christian perspective.
The clients that work best with me are ready to identify obstacles that are preventing them from living a fulfilling life. I guide my clients to empower themselves and be survivors, not victims. I assign frequent homework and will not work harder than you. I will most often tell you what you don't want to hear, in a loving, kind way. I use a variety of treatment modalities in any given session. I also have extensive knowlege and resources regarding the 12 steps. If requested, I can counsel from a Christian perspective.
(469) 208-6767 View (469) 208-6767
Photo of Louis Daniel Whatley, Counselor, MS, LPC-S
Louis Daniel Whatley
Counselor, MS, LPC-S
Dallas, TX 75218
I offer services in life skills, depression and anxiety, time-management and overthinking from an overactive brain which can exacerbate feelings of depression, anxiety/stress. I assist in helping to resolve and explore healing from past difficulties, and to grow into the future with a new sense of self and independence. Also offer help for men who struggle in their relationships, low self-confidence, loss sense of self in their identity as well as working on futuristic goals to prepare for success. In addition, I offer services for adolescents and teens who struggle with depression, anxiety, overthinking, body issues and bullying.
I offer services in life skills, depression and anxiety, time-management and overthinking from an overactive brain which can exacerbate feelings of depression, anxiety/stress. I assist in helping to resolve and explore healing from past difficulties, and to grow into the future with a new sense of self and independence. Also offer help for men who struggle in their relationships, low self-confidence, loss sense of self in their identity as well as working on futuristic goals to prepare for success. In addition, I offer services for adolescents and teens who struggle with depression, anxiety, overthinking, body issues and bullying.
(469) 436-6325 View (469) 436-6325
Photo of Kristin Simpson, Licensed Professional Counselor, LPC, ATR
Kristin Simpson
Licensed Professional Counselor, LPC, ATR
Dallas, TX 75218
If you are struggling with grief, anxiety, trauma, or other major life transitions, you are in the right place. I truly believe that healing happens in relationships and that it is important to take the time to find a therapist that you feel you can connect with. I work from a trauma informed and collaborative perspective utilizing discussion, art therapy, and EMDR to assist you as you begin to identify your priorities and find the balance that you are looking for.
If you are struggling with grief, anxiety, trauma, or other major life transitions, you are in the right place. I truly believe that healing happens in relationships and that it is important to take the time to find a therapist that you feel you can connect with. I work from a trauma informed and collaborative perspective utilizing discussion, art therapy, and EMDR to assist you as you begin to identify your priorities and find the balance that you are looking for.
(469) 916-5210 View (469) 916-5210
Photo of Stacy Quiroz Vernon, Counselor, MS, LPC, NCC
Stacy Quiroz Vernon
Counselor, MS, LPC, NCC
Dallas, TX 75218
I am a counselor who considers the development of a strong therapeutic relationship to be the centerpiece of my treatment. I provide both short-term and long-term counseling to a diverse group of clients. My priority is to help clients experience relief from their most distressing symptoms and then to address the roots of those symptoms so that healing is long-lasting.
I am a counselor who considers the development of a strong therapeutic relationship to be the centerpiece of my treatment. I provide both short-term and long-term counseling to a diverse group of clients. My priority is to help clients experience relief from their most distressing symptoms and then to address the roots of those symptoms so that healing is long-lasting.
(972) 885-6122 View (972) 885-6122
Photo of Summer Greenlee, Licensed Professional Counselor, LPC
Summer Greenlee
Licensed Professional Counselor, LPC
2 Endorsed
Dallas, TX 75218
Trauma disrupts the whole person. It can leave you feeling detached from yourself and disconnected from those around you. With the extensive variety of symptoms trauma leaves in its wake, it’s also common for survivors to feel misunderstood by others. My goal is to create the space you need to begin feeling safe being you. My passion is for trauma survivors who desire to pursue a life of greater peace, genuineness, and fulfillment. I specialize in working with narcissistic abuse, emotional neglect, CPTSD, mood disorders, anxiety disorders, personality disorders, and dissociative disorders, including Dissociative Identity Disorder.
Trauma disrupts the whole person. It can leave you feeling detached from yourself and disconnected from those around you. With the extensive variety of symptoms trauma leaves in its wake, it’s also common for survivors to feel misunderstood by others. My goal is to create the space you need to begin feeling safe being you. My passion is for trauma survivors who desire to pursue a life of greater peace, genuineness, and fulfillment. I specialize in working with narcissistic abuse, emotional neglect, CPTSD, mood disorders, anxiety disorders, personality disorders, and dissociative disorders, including Dissociative Identity Disorder.
(469) 489-5216 View (469) 489-5216
Photo of Angela Prior - AP Counseling and Yoga, Clinical Social Work/Therapist, LCSW-S, RYT
AP Counseling and Yoga
Clinical Social Work/Therapist, LCSW-S, RYT
Dallas, TX 75218
Feeling unseen or unheard in your journey toward healing? Feeling stuck with your growth? At AP Counseling and Yoga, we truly see you. We offer a compassionate and collaborative space that honors your unique story as you navigate trauma, body image challenges, eating disorders, anxiety, and grief. We ditch the diet culture and embrace an inclusive, body-honoring approach to mental wellness. By integrating powerful, evidence-based therapies like Brainspotting and EMDR with deeply relational practices, we gently explore the roots of yo
Feeling unseen or unheard in your journey toward healing? Feeling stuck with your growth? At AP Counseling and Yoga, we truly see you. We offer a compassionate and collaborative space that honors your unique story as you navigate trauma, body image challenges, eating disorders, anxiety, and grief. We ditch the diet culture and embrace an inclusive, body-honoring approach to mental wellness. By integrating powerful, evidence-based therapies like Brainspotting and EMDR with deeply relational practices, we gently explore the roots of yo
(469) 817-5417 View (469) 817-5417
Photo of Kiersten Rapstine, Licensed Professional Counselor, LPC-S, CEDS-S
Kiersten Rapstine
Licensed Professional Counselor, LPC-S, CEDS-S
2 Endorsed
Dallas, TX 75218
Hello. As a therapist practicing for over 20 years I consider it an honor to walk beside my clients as they approach their struggles. Life is hard. It's sad, lonely, aggravating and completely relentless sometimes. We all need a nonjudgmental ear to aid in our own understanding of what might have us seemingly stuck.
Hello. As a therapist practicing for over 20 years I consider it an honor to walk beside my clients as they approach their struggles. Life is hard. It's sad, lonely, aggravating and completely relentless sometimes. We all need a nonjudgmental ear to aid in our own understanding of what might have us seemingly stuck.
(940) 242-4928 View (940) 242-4928
Photo of Margaret Crites Barrett, LPC Intern, LPC-A
Margaret Crites Barrett
LPC Intern, LPC-A
Dallas, TX 75218
As a therapist in Dallas, it is my mission to help you connect with yourself and others in meaningful ways. You may feel like you can’t be fully yourself, like you’re trapped inside your own mind or body. You may not be sure you know who you are anymore. You might be trapped in the expectations others have of you, or you are stuck in negative cycles. My clients come to me when they feel confused and disconnected, and I help them reconnect with emotions, understand themselves, and work towards the courage they need to live an authentic and empowered life.
As a therapist in Dallas, it is my mission to help you connect with yourself and others in meaningful ways. You may feel like you can’t be fully yourself, like you’re trapped inside your own mind or body. You may not be sure you know who you are anymore. You might be trapped in the expectations others have of you, or you are stuck in negative cycles. My clients come to me when they feel confused and disconnected, and I help them reconnect with emotions, understand themselves, and work towards the courage they need to live an authentic and empowered life.
(817) 803-1395 View (817) 803-1395
Photo of Amy Goins, Licensed Professional Counselor, LPC, MS
Amy Goins
Licensed Professional Counselor, LPC, MS
2 Endorsed
Dallas, TX 75218
You’re juggling a million things—kids, work, life—and somewhere in there, you’re trying to do the inner work. You’ve faced losses, big or small, or maybe just feel the weight of old wounds that never quite left. You want to show up fully for your family, for yourself, and maybe even for the parts of life that feel joyful again—but doing that while keeping all the balls in the air? Exhausting. And honestly, you don’t have to do it alone.
You’re juggling a million things—kids, work, life—and somewhere in there, you’re trying to do the inner work. You’ve faced losses, big or small, or maybe just feel the weight of old wounds that never quite left. You want to show up fully for your family, for yourself, and maybe even for the parts of life that feel joyful again—but doing that while keeping all the balls in the air? Exhausting. And honestly, you don’t have to do it alone.
(972) 843-9940 View (972) 843-9940
Photo of Morgan Myers, Licensed Professional Counselor, MS, LPC
Morgan Myers
Licensed Professional Counselor, MS, LPC
1 Endorsed
Dallas, TX 75218
At East Dallas Therapy, we know that facing your own pain can be scary, but we believe that you can grow beyond those places where you are stuck. You may want to work on coping with stress or loneliness from a place of peace. Or you might need to process your faith and doubt or have a more fulfilling relationship. We’ll help you find a way to get un-stuck in your life. Whatever you come in with, we will discover together what is holding you back so that you can grow into a satisfying and hopeful life. We see women, men, couples, teens and kids.
At East Dallas Therapy, we know that facing your own pain can be scary, but we believe that you can grow beyond those places where you are stuck. You may want to work on coping with stress or loneliness from a place of peace. Or you might need to process your faith and doubt or have a more fulfilling relationship. We’ll help you find a way to get un-stuck in your life. Whatever you come in with, we will discover together what is holding you back so that you can grow into a satisfying and hopeful life. We see women, men, couples, teens and kids.
(469) 871-8161 View (469) 871-8161
Photo of Diana Lugg-Brown, Marriage & Family Therapist, MMFT, LMFT
Diana Lugg-Brown
Marriage & Family Therapist, MMFT, LMFT
2 Endorsed
Dallas, TX 75218
Are you experiencing conflicts, trauma, or a lack of commitment within your family system? Or do you feel like you are about to lose a significant relationship? Do you feel defeated when battling negative emotions due to a traumatic life experience? Looking here means you are taking the first step to overcoming the challenges that seem to cripple us. I will work in partnership with you in a safe and non-judgmental environment. Accomplishing your pursuit of happiness is possible because being emotionally healthy is achievable. Let us work together to conquer the lies from the past and create the healthy family system you desire.
Are you experiencing conflicts, trauma, or a lack of commitment within your family system? Or do you feel like you are about to lose a significant relationship? Do you feel defeated when battling negative emotions due to a traumatic life experience? Looking here means you are taking the first step to overcoming the challenges that seem to cripple us. I will work in partnership with you in a safe and non-judgmental environment. Accomplishing your pursuit of happiness is possible because being emotionally healthy is achievable. Let us work together to conquer the lies from the past and create the healthy family system you desire.
(469) 423-9726 View (469) 423-9726
Photo of Olivia Smith, Licensed Master Social Worker, LMSW, MDiv
Olivia Smith
Licensed Master Social Worker, LMSW, MDiv
2 Endorsed
Dallas, TX 75218
You’re doing everything “right,” but it still feels like you're drowning. Maybe you’re the rock in the storm—the achiever, the peacekeeper, the one holding it all together for everyone else. But underneath that, you're fighting to stay afloat because it's easier to be there for everyone else than focus on what's going on for you internally. Whether you’re navigating life transitions, wading through complex trauma, wrangling ADHD, or just trying to get to know yourself better, I offer a space where you can pause, breathe, and be seen.
You’re doing everything “right,” but it still feels like you're drowning. Maybe you’re the rock in the storm—the achiever, the peacekeeper, the one holding it all together for everyone else. But underneath that, you're fighting to stay afloat because it's easier to be there for everyone else than focus on what's going on for you internally. Whether you’re navigating life transitions, wading through complex trauma, wrangling ADHD, or just trying to get to know yourself better, I offer a space where you can pause, breathe, and be seen.
(469) 689-8693 View (469) 689-8693
Photo of Courtney Nelson - Oakhouse Counseling PLLC, PhD
Oakhouse Counseling PLLC
Verified Verified
Dallas, TX 75218
Oakhouse Counseling meets people in their scariest, most difficult moments. You can get better. There is hope in your darkness - we will find it together. We believe that adversity and pain can push us to grow new roots that stabilize us and make us so much stronger. As men and women in the middle of great struggles, we need to remember the longer view of our lives. We will be 'great oaks' and be a safe shelter for others we care about.
Oakhouse Counseling meets people in their scariest, most difficult moments. You can get better. There is hope in your darkness - we will find it together. We believe that adversity and pain can push us to grow new roots that stabilize us and make us so much stronger. As men and women in the middle of great struggles, we need to remember the longer view of our lives. We will be 'great oaks' and be a safe shelter for others we care about.
(214) 919-3732 View (214) 919-3732
Photo of Rachel Burleson, Licensed Professional Counselor, MS, LPC
Rachel Burleson
Licensed Professional Counselor, MS, LPC
1 Endorsed
Dallas, TX 75218
You’re great at holding it all together. That is until you’re not. Underneath the achievements, accolades and the carefully curated calm, there’s a part of you that’s totally exhausted. You’re trying to be everything to everyone and quietly wondering if this is just what life is supposed to feel like: stressful, overwhelming, and kind of... lonely. Maybe you’ve been labeled “anxious,” or maybe you’ve started to wonder if there’s more going on—like undiagnosed ADHD, sensory sensitivity or other forms of neurodivergence that haven’t been on your radar until recently. Either way, something’s not working. And you’re ready for a reset.
You’re great at holding it all together. That is until you’re not. Underneath the achievements, accolades and the carefully curated calm, there’s a part of you that’s totally exhausted. You’re trying to be everything to everyone and quietly wondering if this is just what life is supposed to feel like: stressful, overwhelming, and kind of... lonely. Maybe you’ve been labeled “anxious,” or maybe you’ve started to wonder if there’s more going on—like undiagnosed ADHD, sensory sensitivity or other forms of neurodivergence that haven’t been on your radar until recently. Either way, something’s not working. And you’re ready for a reset.
(972) 885-3707 View (972) 885-3707
Photo of Angela Prior, Clinical Social Work/Therapist, LCSW-S, RYT
Angela Prior
Clinical Social Work/Therapist, LCSW-S, RYT
1 Endorsed
Dallas, TX 75218
Are you feeling the pull of generational patterns, that endless chase for perfection, and the constant urge to put everyone else first, please know you're not alone. You're ready for intentional change, to gently explore those feelings you've been holding back, and to lovingly reclaim your body and your life. You're longing for a sense of peace in the midst of the chaos. You're ready to step off the exhausting cycle of disordered eating, and to find a soft landing from those panic attacks that dim your light.
Are you feeling the pull of generational patterns, that endless chase for perfection, and the constant urge to put everyone else first, please know you're not alone. You're ready for intentional change, to gently explore those feelings you've been holding back, and to lovingly reclaim your body and your life. You're longing for a sense of peace in the midst of the chaos. You're ready to step off the exhausting cycle of disordered eating, and to find a soft landing from those panic attacks that dim your light.
(214) 225-7257 View (214) 225-7257
Photo of Vianka V Davila - Journey with Pegasus Therapy PLLC, Licensed Professional Counselor, MS, LPC
Journey with Pegasus Therapy PLLC
Licensed Professional Counselor, MS, LPC
1 Endorsed
Dallas, TX 75218
Let's create a safe place for you to be able to explore; whether you need to explore your anxiety, self-esteem, or even past trauma. I enjoy helping others work on understanding and learning how to manage anxiety. I have insight within the Latinx community and enjoy working on stopping generational trauma. Trauma is a difficult journey to work through, however, it is not impossible. We will begin this journey by allowing yourself to be open and curious throughout this process. Let's set realistic goals and take one step at a time.
Let's create a safe place for you to be able to explore; whether you need to explore your anxiety, self-esteem, or even past trauma. I enjoy helping others work on understanding and learning how to manage anxiety. I have insight within the Latinx community and enjoy working on stopping generational trauma. Trauma is a difficult journey to work through, however, it is not impossible. We will begin this journey by allowing yourself to be open and curious throughout this process. Let's set realistic goals and take one step at a time.
(214) 367-5021 View (214) 367-5021
Photo of Elaine Ferguson Coleman, Counselor, MS, LPC
Elaine Ferguson Coleman
Counselor, MS, LPC
1 Endorsed
Dallas, TX 75218
You’re high-functioning, but your body never turns off. You’re doing everything ‘right,’ yet you still feel on edge, numb, or exhausted. You’ve talked about this before, you understand it intellectually, but nothing actually feels different. You have a desire for more balance and grounding. You may feel disconnected from joy. If you want to change these patterns, I can help children, teens, and adults.
You’re high-functioning, but your body never turns off. You’re doing everything ‘right,’ yet you still feel on edge, numb, or exhausted. You’ve talked about this before, you understand it intellectually, but nothing actually feels different. You have a desire for more balance and grounding. You may feel disconnected from joy. If you want to change these patterns, I can help children, teens, and adults.
(214) 239-0153 View (214) 239-0153

See more therapy options for 75218

How does your Therapist compare?

Number of Therapists in 75218

90+

Average cost per session

$150

Therapists in 75218 who prioritize treating:

98% Anxiety
90% Depression
78% Relationship Issues
74% Stress
73% Self Esteem
69% Trauma and PTSD
59% Grief

Average years in practice

13 Years

Top 3 insurances accepted

96% Aetna
78% BlueCross and BlueShield
76% Cigna and Evernorth

How Therapists in 75218 see their clients

59% In Person and Online
41% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 75218?

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.