Photo of Pat Bramlett, Licensed Professional Counselor in 77494, TX
Pat Bramlett
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Katy, TX 77494
Do you experience hurt or pain in marriage or other relationships that leave you feeling unheard or invalidated? You may experience loneliness even in the midst of ongoing relationships. The pain and grief in the loss of a loved one can be difficult to navigate. As a woman you have unwanted and repetitive thoughts, need to be perfect, or crippling negative self talk that can leave you exhausted and confused.
Do you experience hurt or pain in marriage or other relationships that leave you feeling unheard or invalidated? You may experience loneliness even in the midst of ongoing relationships. The pain and grief in the loss of a loved one can be difficult to navigate. As a woman you have unwanted and repetitive thoughts, need to be perfect, or crippling negative self talk that can leave you exhausted and confused.
(346) 423-3522 View (346) 423-3522
Photo of Kristyn Crowder, Marriage & Family Therapist Associate in 77494, TX
Kristyn Crowder
Marriage & Family Therapist Associate, MS, LMFT A
Verified Verified
4 Endorsed
Katy, TX 77494
Join me on a journey to better understand yourself, use your voice, and lead a more fulfilling life. Life's uncertainties can throw us off balance, causing challenges with depression and anxiety. Through therapy, you can effectively navigate these challenges. Specializing in supporting couples, my focus includes addressing communication hurdles, recovering from infidelity, and managing obstacles with life changes. I also offer a unique opportunity for you and your friends to attend therapy together, addressing any friendship challenges you may be facing.
Join me on a journey to better understand yourself, use your voice, and lead a more fulfilling life. Life's uncertainties can throw us off balance, causing challenges with depression and anxiety. Through therapy, you can effectively navigate these challenges. Specializing in supporting couples, my focus includes addressing communication hurdles, recovering from infidelity, and managing obstacles with life changes. I also offer a unique opportunity for you and your friends to attend therapy together, addressing any friendship challenges you may be facing.
(346) 567-7808 View (346) 567-7808
Photo of Michael Weinberger, Licensed Professional Counselor in 77494, TX
Michael Weinberger
Licensed Professional Counselor, MS, LPC-S
Verified Verified
Katy, TX 77494
If you are feeling overwhelmed with emotions, depression, anxiety, frustration or anger, it is my hope that we can work together as a team to help you achieve a more happy and fulfilling life. I can assist you by providing an atmosphere of unconditional acceptance, as we work together on any issues, goals and changes you desire. I strongly believe everyone has the right to choose the path they want to follow in life.
If you are feeling overwhelmed with emotions, depression, anxiety, frustration or anger, it is my hope that we can work together as a team to help you achieve a more happy and fulfilling life. I can assist you by providing an atmosphere of unconditional acceptance, as we work together on any issues, goals and changes you desire. I strongly believe everyone has the right to choose the path they want to follow in life.
(832) 234-9570 View (832) 234-9570
Photo of Kathy Carter, Licensed Master Social Worker in 77494, TX
Kathy Carter
Licensed Master Social Worker, LMSW, LCDC, CTP, CCST, CAGCS
Verified Verified
2 Endorsed
Katy, TX 77494
Trauma and PTSD leaves us feeling broken, damaged, and disconnected from our true selves. It also often leads us to self-medicate with alcohol, drugs, or other substances. You're someone who takes care of others, but still finding yourself falling short, feeling exhausted and unsure what to do. You work hard and thrive in many areas of your life, yet peace escapes you, you feel empty and sometimes hopeless. But you are ready to make a change. You're ready to feel empowered and hopeful. You're ready to work hard and take your life back. My extensive training in trauma, EMDR and substance abuse will help you heal!
Trauma and PTSD leaves us feeling broken, damaged, and disconnected from our true selves. It also often leads us to self-medicate with alcohol, drugs, or other substances. You're someone who takes care of others, but still finding yourself falling short, feeling exhausted and unsure what to do. You work hard and thrive in many areas of your life, yet peace escapes you, you feel empty and sometimes hopeless. But you are ready to make a change. You're ready to feel empowered and hopeful. You're ready to work hard and take your life back. My extensive training in trauma, EMDR and substance abuse will help you heal!
(281) 915-0486 View (281) 915-0486
Photo of Phillips & Alford Psychological Associates, Psychologist in 77494, TX
Phillips & Alford Psychological Associates
Psychologist, PhD
Verified Verified
2 Endorsed
Katy, TX 77494
Our goal is to provide practical, research-based strategies to parents of children experiencing significant emotional and behavioral difficulties. Similarly, we utilize effective, research-based cognitive-behavioral strategies when working with child and adolescent clients experiencing social, emotional, or behavioral challenges.
Our goal is to provide practical, research-based strategies to parents of children experiencing significant emotional and behavioral difficulties. Similarly, we utilize effective, research-based cognitive-behavioral strategies when working with child and adolescent clients experiencing social, emotional, or behavioral challenges.
(281) 698-7792 View (281) 698-7792
Photo of Sara M Ali, Licensed Professional Counselor in 77494, TX
Sara M Ali
Licensed Professional Counselor, LPC, MS
Verified Verified
1 Endorsed
Katy, TX 77494  (Online Only)
Discover the transformative power of counseling. I am passionate about supporting and empowering you to overcome challenges and achieve personal growth. Together, we will embark on a collaborative journey to unlock your inner strengths, resilience, and potential. My counseling approach is tailored to meet your unique needs and preferences. Whether you seek assistance with anxiety, depression, relationships, grief, trauma, or other concerns, I will work with you to develop a personalized treatment plan aligned with your goals for positive change.
Discover the transformative power of counseling. I am passionate about supporting and empowering you to overcome challenges and achieve personal growth. Together, we will embark on a collaborative journey to unlock your inner strengths, resilience, and potential. My counseling approach is tailored to meet your unique needs and preferences. Whether you seek assistance with anxiety, depression, relationships, grief, trauma, or other concerns, I will work with you to develop a personalized treatment plan aligned with your goals for positive change.
(832) 532-6783 View (832) 532-6783
Photo of Justin Perry, Marriage & Family Therapist Associate in 77494, TX
Justin Perry
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Katy, TX 77494
Adjusting to raising a teenager is incredibly difficult. The relationship often changes from one of closeness to one where you no longer recognize who they are. The tension, the disrespect, the shutting out, the anxiety, the depression can contribute to an immense amount of stress for a family. Books have been read and methods have been tried, but nothing seems to work. You want your family to be close again, but don't know how.
Adjusting to raising a teenager is incredibly difficult. The relationship often changes from one of closeness to one where you no longer recognize who they are. The tension, the disrespect, the shutting out, the anxiety, the depression can contribute to an immense amount of stress for a family. Books have been read and methods have been tried, but nothing seems to work. You want your family to be close again, but don't know how.
(281) 609-3376 View (281) 609-3376
Photo of John M Adams, Licensed Professional Counselor in 77494, TX
John M Adams
Licensed Professional Counselor, MA, LPC, LCDC-I
Verified Verified
6 Endorsed
Katy, TX 77494
I work with individuals, couples, and groups whose lives have been disrupted by anxiety, depression, relationship difficulties, traumatic events, substance abuse, and sexual addiction. My goal is to accept clients unconditionally, where they are, as they are. I provide a safe, non-judgmental atmosphere in which my clients can explore, process and find freedom from the issues that hinder them from fulfilling their God-given roles. To best meet the needs of my clients, I use a variety of modalities including EMDR, Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy (SFT), DBT, Somatic focused, and Mindfulness strategies.
I work with individuals, couples, and groups whose lives have been disrupted by anxiety, depression, relationship difficulties, traumatic events, substance abuse, and sexual addiction. My goal is to accept clients unconditionally, where they are, as they are. I provide a safe, non-judgmental atmosphere in which my clients can explore, process and find freedom from the issues that hinder them from fulfilling their God-given roles. To best meet the needs of my clients, I use a variety of modalities including EMDR, Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy (SFT), DBT, Somatic focused, and Mindfulness strategies.
(832) 426-3963 View (832) 426-3963
Photo of Dr. Mary Lyles, Clinical Social Work/Therapist in 77494, TX
Dr. Mary Lyles
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Katy, TX 77494
Are you struggling with challenges in your life? You are not alone! You can expect compassionate, nonjudgmental, professional attention based on proven therapeutic care. Adults, couples, teens & children of all ages are welcome! I see people for a variety of concerns, including, but not limited to, mood problems, anger issues, marital challenges, parenting, grief, trauma, & abuse. I will work with you toward your personal goals in therapy. My services combine the best in time-tested help with belief in your potential for healing, faith in the human spirit, & deep respect for you. Call for an appointment. Evening hours available.
Are you struggling with challenges in your life? You are not alone! You can expect compassionate, nonjudgmental, professional attention based on proven therapeutic care. Adults, couples, teens & children of all ages are welcome! I see people for a variety of concerns, including, but not limited to, mood problems, anger issues, marital challenges, parenting, grief, trauma, & abuse. I will work with you toward your personal goals in therapy. My services combine the best in time-tested help with belief in your potential for healing, faith in the human spirit, & deep respect for you. Call for an appointment. Evening hours available.
(832) 323-1942 View (832) 323-1942
Photo of Kendal Allsop, Clinical Social Work/Therapist in 77494, TX
Kendal Allsop
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Katy, TX 77494
Are you or a family member struggling with issues related to anxiety, depression, trauma, grief, addiction, or significant life changes? There comes a time when we need help from a certified professional to help cope with many of life’s challenges. I’m a licensed Mental Health Therapist, and I’d love to help you on your journey toward healing and self-discovery, either in person or virtually. I am Licensed in Texas, Utah, and Idaho for virtual or in-person sessions in the Katy, Texas, area.
Are you or a family member struggling with issues related to anxiety, depression, trauma, grief, addiction, or significant life changes? There comes a time when we need help from a certified professional to help cope with many of life’s challenges. I’m a licensed Mental Health Therapist, and I’d love to help you on your journey toward healing and self-discovery, either in person or virtually. I am Licensed in Texas, Utah, and Idaho for virtual or in-person sessions in the Katy, Texas, area.
(832) 621-4313 View (832) 621-4313
Photo of Kris Kerlin, Licensed Professional Counselor in 77494, TX
Kris Kerlin
Licensed Professional Counselor, LPC-S
Verified Verified
Katy, TX 77494
If you are dealing with a health issue that has changed your life or are caring for someone with cancer or a serious illness, you don't have to do it alone. Dealing with an illness is a whole person, whole family event and can be an emotional rollercoaster. Seeking professional support when your life is impacted by a health issue can reduce the stress and isolation of trying to figure out how to cope on your own. With more than twenty years of experience working in the cancer community and helping people facing illness, I can help you discover your path through this experience.
If you are dealing with a health issue that has changed your life or are caring for someone with cancer or a serious illness, you don't have to do it alone. Dealing with an illness is a whole person, whole family event and can be an emotional rollercoaster. Seeking professional support when your life is impacted by a health issue can reduce the stress and isolation of trying to figure out how to cope on your own. With more than twenty years of experience working in the cancer community and helping people facing illness, I can help you discover your path through this experience.
(281) 699-2833 View (281) 699-2833
Photo of Danielle Cooper, Psychologist in 77494, TX
Danielle Cooper
Psychologist, PhD
Verified Verified
Katy, TX 77494
Welcome! Life can often feel challenging - I strive to help restore hope for adults, children, and adolescents who may be going through a difficult time. Parenting a child or adolescent who is struggling can feel especially overwhelming and exhausting. Does your child or teen struggle with behavioral or academic challenges? Or maybe you are concerned they are showing signs of depressed mood, anxiety, increased irritability, or difficulties paying attention and staying organized. Parenting is one of the most important things that we will do in our lives, yet much of the information available to parents is conflicting or confusing.
Welcome! Life can often feel challenging - I strive to help restore hope for adults, children, and adolescents who may be going through a difficult time. Parenting a child or adolescent who is struggling can feel especially overwhelming and exhausting. Does your child or teen struggle with behavioral or academic challenges? Or maybe you are concerned they are showing signs of depressed mood, anxiety, increased irritability, or difficulties paying attention and staying organized. Parenting is one of the most important things that we will do in our lives, yet much of the information available to parents is conflicting or confusing.
(832) 734-7475 View (832) 734-7475
Photo of Crystal Cowen, Licensed Professional Counselor in 77494, TX
Crystal Cowen
Licensed Professional Counselor, LPC
Verified Verified
Katy, TX 77494
Crystal Cowen is a Licensed Therapist (LT) with 3 years of experience with adults, children, adolescents, couples, and families. She is passionate about supporting couples, individuals, and families by improving communication, relationships, and a healthier sense of self. Crystal is well-versed in addressing traumas, life changes, body and sex issues, depression, anxiety, cultural assimilation struggles, and more. Crystal received her Master's degree in Counseling Psychology from John F. Kennedy University.
Crystal Cowen is a Licensed Therapist (LT) with 3 years of experience with adults, children, adolescents, couples, and families. She is passionate about supporting couples, individuals, and families by improving communication, relationships, and a healthier sense of self. Crystal is well-versed in addressing traumas, life changes, body and sex issues, depression, anxiety, cultural assimilation struggles, and more. Crystal received her Master's degree in Counseling Psychology from John F. Kennedy University.
(346) 660-2321 View (346) 660-2321
Photo of Chrishelle Bryant, Licensed Professional Counselor Associate in 77494, TX
Chrishelle Bryant
Licensed Professional Counselor Associate, MEd, LPC-A
Verified Verified
1 Endorsed
Katy, TX 77494
Chrishelle is dedicated to providing compassionate and effective counseling services to individuals, couples, and families.
Chrishelle is dedicated to providing compassionate and effective counseling services to individuals, couples, and families.
(832) 864-5090 View (832) 864-5090
Photo of Lauren L Barron, Psychologist in 77494, TX
Lauren L Barron
Psychologist, PhD, LP, LMFT-S
Verified Verified
4 Endorsed
Katy, TX 77494  (Online Only)
Have you been feeling like everyone else seems to be handling life and stress better than you? Life is just plain hard sometimes, and often through no fault of our own. I have lived with a disability myself for over 25 years and I understand how challenging life can be at times. Maybe for you it is anxiety/worry that keeps you up at night, or maybe it's a feeling of hopelessness or helplessness because life hasn't turned out how you thought it might have. I know you have what it takes to overcome life's challenges, and I would love to walk along side you on your path to resilience.
Have you been feeling like everyone else seems to be handling life and stress better than you? Life is just plain hard sometimes, and often through no fault of our own. I have lived with a disability myself for over 25 years and I understand how challenging life can be at times. Maybe for you it is anxiety/worry that keeps you up at night, or maybe it's a feeling of hopelessness or helplessness because life hasn't turned out how you thought it might have. I know you have what it takes to overcome life's challenges, and I would love to walk along side you on your path to resilience.
(832) 862-8315 View (832) 862-8315
Photo of Deonte Dwayne Broussard, Licensed Professional Counselor in 77494, TX
Deonte Dwayne Broussard
Licensed Professional Counselor, LPC
Verified Verified
Katy, TX 77494
Welcome to Change!Life can be a very difficult thing to happen to a person, even more difficult when you're facing it alone.Greeting my name is Deonte Broussard born and raised here in Houston, TX. I've experience the burden and strain that addiction can place on a family.Like most, I've dealt with grief and loss first hand.I can confidently say that there is no issue that WE can't work through.I look forward to working with you!!
Welcome to Change!Life can be a very difficult thing to happen to a person, even more difficult when you're facing it alone.Greeting my name is Deonte Broussard born and raised here in Houston, TX. I've experience the burden and strain that addiction can place on a family.Like most, I've dealt with grief and loss first hand.I can confidently say that there is no issue that WE can't work through.I look forward to working with you!!
(832) 772-4786 View (832) 772-4786
Photo of Damitra Smith, Licensed Professional Counselor in 77494, TX
Damitra Smith
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
Katy, TX 77494  (Online Only)
Are you ready to embark on a transformative journey towards healing, growth, and freedom from life’s challenges? As a compassionate and non-traditional therapist, I believe in honoring your unique path and providing the guidance you need to overcome the obstacles holding you back. Whether you're struggling with anxiety, ADHD, depression, codependency, chemical dependency, or sexual trauma, I offer a compassionate approach that embraces your individuality.
Are you ready to embark on a transformative journey towards healing, growth, and freedom from life’s challenges? As a compassionate and non-traditional therapist, I believe in honoring your unique path and providing the guidance you need to overcome the obstacles holding you back. Whether you're struggling with anxiety, ADHD, depression, codependency, chemical dependency, or sexual trauma, I offer a compassionate approach that embraces your individuality.
(832) 981-1109 View (832) 981-1109
Photo of Monica K. DeLeon, Licensed Professional Counselor in 77494, TX
Monica K. DeLeon
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Katy, TX 77494  (Online Only)
Life can be hard when we least expect it. I believe it's important for individuals to be able to recognize when there comes a time to ask for help. Counseling is a transformational process. I believe when you make time and invest the energy to allowing yourself to grow, succeed, and acknowledge all that you are capable of, it is priceless. I want to help you feel empowered to live your life with an abundance of confidence, strength, and peace. You deserve it because taking care of you matters. "We must always change, renew, rejuvenate ourselves; otherwise we harden." - Johann von Goethe
Life can be hard when we least expect it. I believe it's important for individuals to be able to recognize when there comes a time to ask for help. Counseling is a transformational process. I believe when you make time and invest the energy to allowing yourself to grow, succeed, and acknowledge all that you are capable of, it is priceless. I want to help you feel empowered to live your life with an abundance of confidence, strength, and peace. You deserve it because taking care of you matters. "We must always change, renew, rejuvenate ourselves; otherwise we harden." - Johann von Goethe
(346) 245-5069 View (346) 245-5069
Photo of Tanisha Belvin, Pre-Licensed Professional in 77494, TX
Tanisha Belvin
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Katy, TX 77494
Are you feeling weighed down by past experiences or overwhelmed by emotions? Are you struggling to break free from old patterns of thinking and behavior? You've come to the right place. I offer a compassionate and nonjudgmental space for you to explore your thoughts, feelings, and experiences. Together, we'll work to identify the barriers holding you back and empower you to overcome them. I am dedicated to helping individuals heal from past traumas, manage anxiety, and navigate life's transitions. A student intern who has worked with diverse client populations and committed to providing personalized support tailored to your needs.
Are you feeling weighed down by past experiences or overwhelmed by emotions? Are you struggling to break free from old patterns of thinking and behavior? You've come to the right place. I offer a compassionate and nonjudgmental space for you to explore your thoughts, feelings, and experiences. Together, we'll work to identify the barriers holding you back and empower you to overcome them. I am dedicated to helping individuals heal from past traumas, manage anxiety, and navigate life's transitions. A student intern who has worked with diverse client populations and committed to providing personalized support tailored to your needs.
(346) 522-4708 View (346) 522-4708
Photo of Amy Oxener, Clinical Social Work/Therapist in 77494, TX
Amy Oxener
Clinical Social Work/Therapist, MSW, LCSW-S, RPT™
Verified Verified
2 Endorsed
Katy, TX 77494
You're parenting a child with behavior problems and you feel helpless. You have a wildly energetic child who doesn't "turn off", you're getting phone calls from daycare/preschool/school that your child is hitting, biting, being aggressive, or your child has anxiety and having a hard time separating from you. Anxiety, ADHD, and trauma can have lasting impacts on your child and I want to partner with you and your child to explore their feelings, needs, experiences, and thoughts through play therapy by identifying what's underneath their behavior, providing education, and learning applicable tools.
You're parenting a child with behavior problems and you feel helpless. You have a wildly energetic child who doesn't "turn off", you're getting phone calls from daycare/preschool/school that your child is hitting, biting, being aggressive, or your child has anxiety and having a hard time separating from you. Anxiety, ADHD, and trauma can have lasting impacts on your child and I want to partner with you and your child to explore their feelings, needs, experiences, and thoughts through play therapy by identifying what's underneath their behavior, providing education, and learning applicable tools.
(281) 214-6125 View (281) 214-6125

How does your Therapist compare?

Number of Therapists in 77494

300+

Average cost per session

$147

Therapists in 77494 who prioritize treating:

94% Anxiety
87% Depression
80% Self Esteem
77% Coping Skills
70% Relationship Issues
66% Stress
65% Grief

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
78% Cigna and Evernorth
76% UnitedHealthcare UHC | UBH

How Therapists in 77494 see their clients

68% In Person and Online
32% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 77494?

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.