Photo of Stephanie Rodenberg-Lewis, LPC, RPT, CSC, NCC, Licensed Professional Counselor
Stephanie Rodenberg-Lewis
Licensed Professional Counselor, LPC, RPT, CSC, NCC
Verified Verified
1 Endorsed
Richmond, TX 77469
Waitlist for new clients
You love your child more than anything and you’d do anything to help them. Lately you are noticing an increase in concerning behaviors. Maybe you’ve noticed that they seem to worry about things that were previously not a problem. Perhaps they have gone through some recent life transitions and they are having difficulty regulating their emotions. Or maybe you’ve started getting phone calls and emails from school. You aren’t sure where to turn but you know that something is “off” with your child. It may be affecting their behavior, their emotions, and even their eating and sleeping habits. You know you need some help.
You love your child more than anything and you’d do anything to help them. Lately you are noticing an increase in concerning behaviors. Maybe you’ve noticed that they seem to worry about things that were previously not a problem. Perhaps they have gone through some recent life transitions and they are having difficulty regulating their emotions. Or maybe you’ve started getting phone calls and emails from school. You aren’t sure where to turn but you know that something is “off” with your child. It may be affecting their behavior, their emotions, and even their eating and sleeping habits. You know you need some help.
(713) 364-1226 View (713) 364-1226
Photo of Nancy L Williams, MA, LPC-S, CART, NMT 1, Licensed Professional Counselor
Nancy L Williams
Licensed Professional Counselor, MA, LPC-S, CART, NMT 1
Verified Verified
Rosenberg, TX 77469
Sometimes people are not sure what they need to help them live a productive, mentally healthy and happy life. That could be from issues of the past or present difficulties they are facing. My goal is to assist them to find the solutions they need to continue on in a healthy manner discovering how to face and conquer the issues of the past and/or of the present and future.
Sometimes people are not sure what they need to help them live a productive, mentally healthy and happy life. That could be from issues of the past or present difficulties they are facing. My goal is to assist them to find the solutions they need to continue on in a healthy manner discovering how to face and conquer the issues of the past and/or of the present and future.
(281) 916-4621 View (281) 916-4621
Photo of Kathleen Rushing, MEd, LPC-S, Licensed Professional Counselor
Kathleen Rushing
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
Richmond, TX 77469
I have had the pleasure of being a Mental Health Specialist and Professional School Counselor in the public school setting for 20 years. I also provide virtual counseling through BetterHelp. I am currently offering supervision to LPC Associates. I bring a wealth of experience by working with students early childhood-12th grade and adults. The school districts closes to my location include Fort Bend ISD, Alief ISD, Houston ISD, and Lamar Consolidated ISD. Please feel free to contact about me about cost and any other need you may have about LPC Supervision.
I have had the pleasure of being a Mental Health Specialist and Professional School Counselor in the public school setting for 20 years. I also provide virtual counseling through BetterHelp. I am currently offering supervision to LPC Associates. I bring a wealth of experience by working with students early childhood-12th grade and adults. The school districts closes to my location include Fort Bend ISD, Alief ISD, Houston ISD, and Lamar Consolidated ISD. Please feel free to contact about me about cost and any other need you may have about LPC Supervision.
(832) 979-5527 View (832) 979-5527
Photo of Dayna K Hawkins, LPC-A
Dayna K Hawkins
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Richmond, TX 77469  (Online Only)
We all need a place to feel heard, validated, and supported. We all struggle with trying to figure it all out and keeping it all together. Changes may be occurring that can be terrifying to face. Life can come with a vast amount of challenges and it can be difficult to know where to start by navigating all that you are feeling. I see you, I am here for you, and I can help you discover you.
We all need a place to feel heard, validated, and supported. We all struggle with trying to figure it all out and keeping it all together. Changes may be occurring that can be terrifying to face. Life can come with a vast amount of challenges and it can be difficult to know where to start by navigating all that you are feeling. I see you, I am here for you, and I can help you discover you.
(720) 613-5590 View (720) 613-5590
Photo of Dr. Valerie Zanders, PhD, LCSW, Clinical Social Work/Therapist
Dr. Valerie Zanders
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Richmond, TX 77469  (Online Only)
Dr. Valerie Zanders specializes in providing trauma-informed care to adolescents and young adults affected by adverse childhood situations, crisis, bereavement, and loss. Dr. Zanders assists with adoption/foster care issues and co-occurring medical conditions.
Dr. Valerie Zanders specializes in providing trauma-informed care to adolescents and young adults affected by adverse childhood situations, crisis, bereavement, and loss. Dr. Zanders assists with adoption/foster care issues and co-occurring medical conditions.
(346) 277-9710 View (346) 277-9710
Photo of undefined - Head Coach LLC, MS, LMFT-A, LPC-A, QMHP-CS, Marriage & Family Therapist Associate
Head Coach LLC
Marriage & Family Therapist Associate, MS, LMFT-A, LPC-A, QMHP-CS
Verified Verified
Richmond, TX 77469
Our practice at Head Coach LLC focuses on searching for solutions when dealing with life's conflicts. Mr. Martin applies an eclectic skill set collected from multiple therapeutic perspectives. He is a therapist with expertise working with children, teenagers, adults, couples, and families to provide psychological treatments. His areas of expertise include serious psychopathology-related life conflicts, parental disputes, relationship/family issues, trauma, stress management, school behavioral problems, and mood stabilization (depression, anxiety, rage, etc.).
Our practice at Head Coach LLC focuses on searching for solutions when dealing with life's conflicts. Mr. Martin applies an eclectic skill set collected from multiple therapeutic perspectives. He is a therapist with expertise working with children, teenagers, adults, couples, and families to provide psychological treatments. His areas of expertise include serious psychopathology-related life conflicts, parental disputes, relationship/family issues, trauma, stress management, school behavioral problems, and mood stabilization (depression, anxiety, rage, etc.).
(832) 957-9449 View (832) 957-9449
Photo of Tasia Hill, LPC, Licensed Professional Counselor
Tasia Hill
Licensed Professional Counselor, LPC
Verified Verified
Richmond, TX 77469
Life is not always simple. Even the people who are the strongest among us occasionally need a little assistance to solve some of life’s most difficult situations. Everyone must face challenges and overcome obstacles from time to time. There is hope for a better tomorrow, regardless of whether you battle anxiety, sadness, low self-esteem, or any other ailment. You might be hesitant to ask for assistance and support for personal issues at first, but once you do, you’ll be glad you did since it’s the first brave step toward becoming a better version of yourself.
Life is not always simple. Even the people who are the strongest among us occasionally need a little assistance to solve some of life’s most difficult situations. Everyone must face challenges and overcome obstacles from time to time. There is hope for a better tomorrow, regardless of whether you battle anxiety, sadness, low self-esteem, or any other ailment. You might be hesitant to ask for assistance and support for personal issues at first, but once you do, you’ll be glad you did since it’s the first brave step toward becoming a better version of yourself.
(832) 864-7182 View (832) 864-7182
Photo of Gabriela Gonzalez-Green, MEd, LPC, Licensed Professional Counselor
Gabriela Gonzalez-Green
Licensed Professional Counselor, MEd, LPC
Verified Verified
Richmond, TX 77469  (Online Only)
I am a bilingual therapist, I work with individuals, couples, and families. I am an integrative therapist who believes in getting to know my clients and finding out where they are in life, allows me to use different techniques that are best suited to each client. Soy una terapista bilingue, trabajo con personas individualmente, parejas, y familias. Me gusta llegar a conocer a mis clientes, de esa manera poder usar el estilo que mas se ajuste al cliente.
I am a bilingual therapist, I work with individuals, couples, and families. I am an integrative therapist who believes in getting to know my clients and finding out where they are in life, allows me to use different techniques that are best suited to each client. Soy una terapista bilingue, trabajo con personas individualmente, parejas, y familias. Me gusta llegar a conocer a mis clientes, de esa manera poder usar el estilo que mas se ajuste al cliente.
(281) 247-6193 View (281) 247-6193
Photo of undefined - Hope Bridge Counseling LLC, MS, LPC, CCTP, Licensed Professional Counselor
Hope Bridge Counseling LLC
Licensed Professional Counselor, MS, LPC, CCTP
Verified Verified
3 Endorsed
Richmond, TX 77469
My ideal client is someone who is open to learning new ways of managing their emotions and life. They might struggle with depression, anxiety, relationship problems, self-acceptance/worth and traumatic histories. They need someone to hear them out and a space to heal and overcome their past trauma and difficulties. They long to improve their relationships, thoughts and emotional responses to stressors. The client wants to be heard and understood.
My ideal client is someone who is open to learning new ways of managing their emotions and life. They might struggle with depression, anxiety, relationship problems, self-acceptance/worth and traumatic histories. They need someone to hear them out and a space to heal and overcome their past trauma and difficulties. They long to improve their relationships, thoughts and emotional responses to stressors. The client wants to be heard and understood.
(832) 402-7974 View (832) 402-7974
Photo of undefined - Covenant Minds, PLLC, LPC, LCDC, NCC, Licensed Professional Counselor
Covenant Minds, PLLC
Licensed Professional Counselor, LPC, LCDC, NCC
Verified Verified
1 Endorsed
Richmond, TX 77469  (Online Only)
Hello, I'm Ms. Staton, life happens, right! And at times can be difficult to navigate on our own. I am no stranger to this struggle. I've worked with various mental health issues, ranging from behavioral issues and mood disorders to trauma, personality disorders, crisis management, and addictive disorders. I adhere to the belief that experiences and core beliefs shape our lives more profoundly than intellectual endeavors. Our lives consist of physical, emotional, intellectual, social, and spiritual components. I strive to utilize all aspects of the human experience to help you navigate life and achieve your goals.
Hello, I'm Ms. Staton, life happens, right! And at times can be difficult to navigate on our own. I am no stranger to this struggle. I've worked with various mental health issues, ranging from behavioral issues and mood disorders to trauma, personality disorders, crisis management, and addictive disorders. I adhere to the belief that experiences and core beliefs shape our lives more profoundly than intellectual endeavors. Our lives consist of physical, emotional, intellectual, social, and spiritual components. I strive to utilize all aspects of the human experience to help you navigate life and achieve your goals.
(346) 658-1517 View (346) 658-1517
Photo of Zareen Bhandara, MEd, LPC, Licensed Professional Counselor
Zareen Bhandara
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Richmond, TX 77469
Not accepting new clients
In a fast-paced world where life is rapidly changing, such changes are likely to produce instability and ongoing feelings of depression, anxiety, and overwhelm in our daily lives. As your potential counselor, I want you to know that you are not alone. I strive to provide a safe and supportive therapeutic environment for you express yourself without fear of judgement. We will work collaboratively together through the therapeutic process as you learn how to cope with and manage various life events. I will help in guiding you through the process of self-discovery; while at the same time, assisting you in recognizing your individuality.
In a fast-paced world where life is rapidly changing, such changes are likely to produce instability and ongoing feelings of depression, anxiety, and overwhelm in our daily lives. As your potential counselor, I want you to know that you are not alone. I strive to provide a safe and supportive therapeutic environment for you express yourself without fear of judgement. We will work collaboratively together through the therapeutic process as you learn how to cope with and manage various life events. I will help in guiding you through the process of self-discovery; while at the same time, assisting you in recognizing your individuality.
(713) 903-7194 View (713) 903-7194
Photo of undefined - Inner-standing Counseling Group, PhD, LCSW, PsyD, Clinical Social Work/Therapist
Inner-standing Counseling Group
Clinical Social Work/Therapist, PhD, LCSW, PsyD
Verified Verified
1 Endorsed
Richmond, TX 77469
I provide support and practical feedback to help you effectively address the challenges you are facing in your life. With compassion and understanding, I work with you to help you build on your strengths and attain the personal growth you are committed to accomplishing. Much of my job is to ask you questions you may not have asked yourself, to help you think about yourself and your problems in a new way, so that you can get "unstuck."
I provide support and practical feedback to help you effectively address the challenges you are facing in your life. With compassion and understanding, I work with you to help you build on your strengths and attain the personal growth you are committed to accomplishing. Much of my job is to ask you questions you may not have asked yourself, to help you think about yourself and your problems in a new way, so that you can get "unstuck."
(281) 519-3355 View (281) 519-3355
Photo of Vanessa Degollado, M Ed, LPC, Licensed Professional Counselor
Vanessa Degollado
Licensed Professional Counselor, M Ed, LPC
Verified Verified
1 Endorsed
Richmond, TX 77469  (Online Only)
It's very easy to feel consumed and trampled by life. Yet here you are, ready to feel in control. Finding the right therapist is a daunting task and I'm here to make it as easy as possible. I believe client motivation and a strong client-therapist bond is essential to handling life's challenges. My experience and education allows me the privilege to aid my clients in a wide range of issues such as: anxiety, depression, stress, trauma, or anger management.
It's very easy to feel consumed and trampled by life. Yet here you are, ready to feel in control. Finding the right therapist is a daunting task and I'm here to make it as easy as possible. I believe client motivation and a strong client-therapist bond is essential to handling life's challenges. My experience and education allows me the privilege to aid my clients in a wide range of issues such as: anxiety, depression, stress, trauma, or anger management.
(832) 979-6371 View (832) 979-6371
Photo of undefined - Gibbs and Associates Counseling Services, MA, LPC-A, LPC Intern
Gibbs and Associates Counseling Services
LPC Intern, MA, LPC-A
Verified Verified
Richmond, TX 77469  (Online Only)
Hello. My name is Aisha Smith-Shoemo. I am an Licensed Professional Counselor- Associate and I am here to help you. This world can feel huge and navigating its everyday tasks can be complex! Are you feeling overwhelmed? Do you feel sad, helpless, numb or angry? Have you run out of advice from family and friends? Are there big changes going on in your life....like a divorce, a chronic illness, death, and/or relationship issues? If you feel as if you have lost control of your emotions or your direction in life, I invite you to come and talk with me. I will help you to navigate the storm and find your way to your best self.
Hello. My name is Aisha Smith-Shoemo. I am an Licensed Professional Counselor- Associate and I am here to help you. This world can feel huge and navigating its everyday tasks can be complex! Are you feeling overwhelmed? Do you feel sad, helpless, numb or angry? Have you run out of advice from family and friends? Are there big changes going on in your life....like a divorce, a chronic illness, death, and/or relationship issues? If you feel as if you have lost control of your emotions or your direction in life, I invite you to come and talk with me. I will help you to navigate the storm and find your way to your best self.
(346) 746-6805 View (346) 746-6805
Photo of Ambreen Rahman, MEd, LPC-A
Ambreen Rahman
LPC Associate, MEd, LPC-A
Verified Verified
2 Endorsed
Richmond, TX 77469
Living your best meaningful life is something everyone desires. Sometimes we need help along the way on our journey. I am a LPC-Associate who can be that person to help you. I have worked with young children and teens as a teacher and have helped develop minds in a safe and positive environment. More recently I've worked with adults in helping them further their personal goals. My goal is to use an approach that specifically caters to you and will help guide you towards a meaningful life. I would love to give you the right tools for your journey in a judge-free environment.
Living your best meaningful life is something everyone desires. Sometimes we need help along the way on our journey. I am a LPC-Associate who can be that person to help you. I have worked with young children and teens as a teacher and have helped develop minds in a safe and positive environment. More recently I've worked with adults in helping them further their personal goals. My goal is to use an approach that specifically caters to you and will help guide you towards a meaningful life. I would love to give you the right tools for your journey in a judge-free environment.
(281) 762-1663 View (281) 762-1663
Photo of Connie Hernandez, LCSW, Clinical Social Work/Therapist
Connie Hernandez
Clinical Social Work/Therapist, LCSW
Verified Verified
Rosenberg, TX 77469  (Online Only)
Do you suffer from trauma due to sexual abuse, abusive relationships, unresolved childhood trauma, and/or generational trauma? We hold on to that trauma in their Physical bodies without knowing. This and the emotional trauma an individual endures show up in our lives even when the action is over. Every relationship is affected as well as how we show up in our lives with work and other activities. This can show up in an abundance of ways. Deep down, we know something is off and want to heal and show up differently; however, we don't know how.
Do you suffer from trauma due to sexual abuse, abusive relationships, unresolved childhood trauma, and/or generational trauma? We hold on to that trauma in their Physical bodies without knowing. This and the emotional trauma an individual endures show up in our lives even when the action is over. Every relationship is affected as well as how we show up in our lives with work and other activities. This can show up in an abundance of ways. Deep down, we know something is off and want to heal and show up differently; however, we don't know how.
(512) 894-8122 View (512) 894-8122
Photo of Jamie Taylor, MEd, LPC, Licensed Professional Counselor
Jamie Taylor
Licensed Professional Counselor, MEd, LPC
Verified Verified
Rosenberg, TX 77469  (Online Only)
I started my career in mental health as a mental health technician for PEAK Behavioral Hospital in 2006. I then became a Qualified Mental Health Professional/Case Manager for Texana Center for 8 years in 2007. I then became a behavioral health counselor at Eating Recovery Center-Houston with clients struggling with various eating disorders, followed by becoming a therapist for two different PHP/IOP programs, one for adults and the other for adolescents. Finally, I have experience working for a private practice and now my own private practice with clients who struggle with stress, domestic violence, parenting, family conflict, etc.
I started my career in mental health as a mental health technician for PEAK Behavioral Hospital in 2006. I then became a Qualified Mental Health Professional/Case Manager for Texana Center for 8 years in 2007. I then became a behavioral health counselor at Eating Recovery Center-Houston with clients struggling with various eating disorders, followed by becoming a therapist for two different PHP/IOP programs, one for adults and the other for adolescents. Finally, I have experience working for a private practice and now my own private practice with clients who struggle with stress, domestic violence, parenting, family conflict, etc.
(915) 221-2597 View (915) 221-2597
Photo of Samantha Elizabeth Coy-Pham, MS, LPC, NCC, Licensed Professional Counselor
Samantha Elizabeth Coy-Pham
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Richmond, TX 77469
Do you ever feel your point is just not getting across to your family or loved ones no matter how hard you try? I can help bridge that gap. My approach to therapy focuses heavily on collaborating with families and individuals, and together working towards coming up with solutions to make life ultimately happier. In a therapeutic setting, problems can be deconstructed and processed more efficiently so the family can learn to work together.
Do you ever feel your point is just not getting across to your family or loved ones no matter how hard you try? I can help bridge that gap. My approach to therapy focuses heavily on collaborating with families and individuals, and together working towards coming up with solutions to make life ultimately happier. In a therapeutic setting, problems can be deconstructed and processed more efficiently so the family can learn to work together.
(281) 247-6857 View (281) 247-6857
Photo of Sally Wendel, MS, LPC, Licensed Professional Counselor
Sally Wendel
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Rosenberg, TX 77469  (Online Only)
Accepting new clients and referrals. Are you feeling overwhelmed? Is your mind and body feeling completely out of balance? Sally Wendel is a Nationally Certified Counselor located in Texas and is an expert in promoting natural health and finding the root cause of chronic issues that may manifest spiritually, mentally, or physically. Her experience and training include working with families, couples, and individuals struggling with mental health issues and physical well-being, and her approach is person-centered, utilizing motivational interviewing and solution-based focused therapy.
Accepting new clients and referrals. Are you feeling overwhelmed? Is your mind and body feeling completely out of balance? Sally Wendel is a Nationally Certified Counselor located in Texas and is an expert in promoting natural health and finding the root cause of chronic issues that may manifest spiritually, mentally, or physically. Her experience and training include working with families, couples, and individuals struggling with mental health issues and physical well-being, and her approach is person-centered, utilizing motivational interviewing and solution-based focused therapy.
(281) 817-6319 View (281) 817-6319
Brenda Riley
Drug & Alcohol Counselor, LCDC
Verified Verified
1 Endorsed
Richmond, TX 77469
At Dutch-Will Assessment Group LLC we are committed to assisting clients get their lives back on track from the disease of substance use disorder. We offer a variety of services including Supportive Outpatient Program (SOP)
At Dutch-Will Assessment Group LLC we are committed to assisting clients get their lives back on track from the disease of substance use disorder. We offer a variety of services including Supportive Outpatient Program (SOP)
(832) 583-2731 View (832) 583-2731

See more therapy options for 77469

How does your Therapist compare?

Number of Therapists in 77469

100+

Average cost per session

$130

Therapists in 77469 who prioritize treating:

92% Depression
92% Anxiety
77% Coping Skills
75% Relationship Issues
75% Self Esteem
68% Trauma and PTSD
65% Family Conflict

Average years in practice

7 Years

Top 3 insurances accepted

85% Aetna
84% Cigna and Evernorth
82% BlueCross and BlueShield

How Therapists in 77469 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 77469?

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.