Therapists in 79414

Photo of Kris Perez, Clinical Social Work/Therapist in 79414, TX
Kris Perez
Clinical Social Work/Therapist, LCSW
Verified
Lubbock, TX 79414
Waitlist for new clients
My ideal client is one that is tired of just surviving. They are wanting to change, but don’t know how. They are barely able to function day to day and just want to find joy again. They just want to be happy.
My ideal client is one that is tired of just surviving. They are wanting to change, but don’t know how. They are barely able to function day to day and just want to find joy again. They just want to be happy.
(806) 583-0734 View (806) 583-0734
Photo of Jon Sebastian Martinez, Licensed Professional Counselor in 79414, TX
Jon Sebastian Martinez
Licensed Professional Counselor, MEd
Verified
1 Endorsed
Lubbock, TX 79414
Welcome! My name is Jon Martinez. I am a board certified Licensed Professional Counselor, from Lubbock, TX, who works with gamers, adults and adolescents, and provides care for patients who struggle with anxiety, depression, or feel that they are stuck in life. Sometimes in life, we grow complacent and begin to feel lost in our journey of life. We lose sight of what brings us joy. Therefore, let’s take that first step and forge together the path towards your self-discovery expedition!
Welcome! My name is Jon Martinez. I am a board certified Licensed Professional Counselor, from Lubbock, TX, who works with gamers, adults and adolescents, and provides care for patients who struggle with anxiety, depression, or feel that they are stuck in life. Sometimes in life, we grow complacent and begin to feel lost in our journey of life. We lose sight of what brings us joy. Therefore, let’s take that first step and forge together the path towards your self-discovery expedition!
(806) 605-0051 View (806) 605-0051
Photo of Divine Counseling Services, Licensed Professional Counselor in 79414, TX
Divine Counseling Services
Licensed Professional Counselor, MEd, LPC-S, RPT-S
Verified
Lubbock, TX 79414
As a Licensed Professional Counselor (LPC) who specializes in helping clients grow into better people, I also focus on addressing emotional wounds and past trauma. Through being in practice for more than twenty years, I learned how to aid individuals in developing mental, emotional, and spiritual maturity. I use a holistic approach to guide my clients down a path of self-discovery and healing. I am trained in trauma specific therapies, such as TFCBT (trauma focused cognitive behavioral therapy) and EMDR as well as play therapy.
As a Licensed Professional Counselor (LPC) who specializes in helping clients grow into better people, I also focus on addressing emotional wounds and past trauma. Through being in practice for more than twenty years, I learned how to aid individuals in developing mental, emotional, and spiritual maturity. I use a holistic approach to guide my clients down a path of self-discovery and healing. I am trained in trauma specific therapies, such as TFCBT (trauma focused cognitive behavioral therapy) and EMDR as well as play therapy.
(806) 513-3616 View (806) 513-3616
Photo of Valerie Loewen, Licensed Professional Counselor in 79414, TX
Valerie Loewen
Licensed Professional Counselor, MEd
Verified
Lubbock, TX 79414
Life is crazy and I am happy to meet you at whatever stage of life you are in. Taking care of yourself is priority and I am grateful for the opportunity to be on your side. Let our time together be a time of healing and growth.
Life is crazy and I am happy to meet you at whatever stage of life you are in. Taking care of yourself is priority and I am grateful for the opportunity to be on your side. Let our time together be a time of healing and growth.
(325) 308-6207 View (325) 308-6207
Photo of J. Rae Brockman, Licensed Professional Counselor in 79414, TX
J. Rae Brockman
Licensed Professional Counselor, LCDC, LPC-S
Verified
2 Endorsed
Lubbock, TX 79414
Not accepting new clients
I have 17 years experience in working with those with depression, anxiety, relationship issues and substance abuse and almost 8 years experience working directly with law enforcement and first responders.
I have 17 years experience in working with those with depression, anxiety, relationship issues and substance abuse and almost 8 years experience working directly with law enforcement and first responders.
(806) 686-3294 View (806) 686-3294
Photo of Flatland Counseling & Consulting, Clinical Social Work/Therapist in 79414, TX
Flatland Counseling & Consulting
Clinical Social Work/Therapist, MSW, LCSW-S
Verified
1 Endorsed
Lubbock, TX 79414
Everyone has challenges in life, and reaching out when you need help is a sign of strength, not weakness. Flatland Counseling & Consulting offers counselors to assist you in meeting your goals. Courtney's passion in counseling is to help empower you to overcome obstacles in their life, process through trauma, and learn to move forward with your goals without the restraint of past hurt or fear. Courtney has experience in crisis intervention and outpatient therapy. She’s worked with children, adolescents, adults and aging populations. Therapy is a great way to invest in yourself and improve your future.
Everyone has challenges in life, and reaching out when you need help is a sign of strength, not weakness. Flatland Counseling & Consulting offers counselors to assist you in meeting your goals. Courtney's passion in counseling is to help empower you to overcome obstacles in their life, process through trauma, and learn to move forward with your goals without the restraint of past hurt or fear. Courtney has experience in crisis intervention and outpatient therapy. She’s worked with children, adolescents, adults and aging populations. Therapy is a great way to invest in yourself and improve your future.
(806) 513-5566 View (806) 513-5566
Photo of Patricia Clemmons-Crow, Licensed Professional Counselor in 79414, TX
Patricia Clemmons-Crow
Licensed Professional Counselor, MEd, LPC
Verified
Lubbock, TX 79414
I work with children, adolescents, and young adults who may be experiencing things that are difficult to cope with. My goal is to help young people identify and talk about their feelings, work through problems, and learn new ways to cope. I often use various techniques, and I try to match my style of therapy to my client’s personality. Therapy is not always easy, so it is my goal to form a trusting relationship with my client by building on their interests and skills during our sessions. It is important to me for every person I serve to have a voice whether it is through play, art, sand tray, music, or traditional talk therapy.
I work with children, adolescents, and young adults who may be experiencing things that are difficult to cope with. My goal is to help young people identify and talk about their feelings, work through problems, and learn new ways to cope. I often use various techniques, and I try to match my style of therapy to my client’s personality. Therapy is not always easy, so it is my goal to form a trusting relationship with my client by building on their interests and skills during our sessions. It is important to me for every person I serve to have a voice whether it is through play, art, sand tray, music, or traditional talk therapy.
(806) 203-5770 View (806) 203-5770
Photo of McKaley Jackson supervised by Carol Kent LPC-S, Licensed Professional Counselor Associate in 79414, TX
McKaley Jackson supervised by Carol Kent LPC-S
Licensed Professional Counselor Associate, MS
Verified
2 Endorsed
Lubbock, TX 79414
My goal is to partner with you in discovering your own, unique, ability to heal. I believe that hope, wholeness, and peace are all possible, but that sometimes we need assistance in finding them. Coping with the reality of our story can be difficult when it is not as we originally wished it to be. Together we can make meaning of your story and find the strength that lies within it. My approach to therapy is to assist you in doing the difficult work of uncovering your true, fully-alive self, amidst this present pain.
My goal is to partner with you in discovering your own, unique, ability to heal. I believe that hope, wholeness, and peace are all possible, but that sometimes we need assistance in finding them. Coping with the reality of our story can be difficult when it is not as we originally wished it to be. Together we can make meaning of your story and find the strength that lies within it. My approach to therapy is to assist you in doing the difficult work of uncovering your true, fully-alive self, amidst this present pain.
(806) 256-8472 View (806) 256-8472
Photo of Next Level Counseling PLLC, Licensed Professional Counselor in 79414, TX
Next Level Counseling PLLC
Licensed Professional Counselor, MA, LPC
Verified
3 Endorsed
Lubbock, TX 79414
Happy New Year from Next Level Counseling! 2023 was a great year for us and we are looking forward to an even better 2024! We are currently accepting new clients and are accepting Traditional Medicaid, Superior, First Care as well as most private insurances! We currently have low to no wait times for new clients! We are also offering free 15 minute phone consultations to all new and prospective clients. Next Level Counseling provides a safe place to open up to discuss sensitive topics such as relationship issues, behavioral issues, and anxiety & depression. All ages welcome!
Happy New Year from Next Level Counseling! 2023 was a great year for us and we are looking forward to an even better 2024! We are currently accepting new clients and are accepting Traditional Medicaid, Superior, First Care as well as most private insurances! We currently have low to no wait times for new clients! We are also offering free 15 minute phone consultations to all new and prospective clients. Next Level Counseling provides a safe place to open up to discuss sensitive topics such as relationship issues, behavioral issues, and anxiety & depression. All ages welcome!
(806) 491-1581 View (806) 491-1581
Photo of Kate Pennington, LPC Associate in 79414, TX
Kate Pennington
LPC Associate, MEd
Verified
1 Endorsed
Lubbock, TX 79414  (Online Only)
We all have what we need already inside ourselves, but sometimes we struggle to know and utilize those strengths in difficult situations. Ego state therapy and “parts work” can help you tap into a set of tools many of us don’t even know we have. As we work together, I will help you get to know yourself in a more meaningful way, understand and heal your traumas, break out of dysfunctional patterns, and strengthen your connection to the powerful helpers and skills you have within your own brain. My life has been changed by this creative and empowering therapy and I hope to do the same with the clients and couples in my care.
We all have what we need already inside ourselves, but sometimes we struggle to know and utilize those strengths in difficult situations. Ego state therapy and “parts work” can help you tap into a set of tools many of us don’t even know we have. As we work together, I will help you get to know yourself in a more meaningful way, understand and heal your traumas, break out of dysfunctional patterns, and strengthen your connection to the powerful helpers and skills you have within your own brain. My life has been changed by this creative and empowering therapy and I hope to do the same with the clients and couples in my care.
(806) 779-4882 View (806) 779-4882
Photo of Britni Huntley, Licensed Professional Counselor Associate in 79414, TX
Britni Huntley
Licensed Professional Counselor Associate, LPC-A
Verified
2 Endorsed
Lubbock, TX 79414
As a person who has had experience sitting in the client’s chair, I understand how hard it can be to reach out for help sometimes. I approach clients by meeting them where they are with genuine acceptance. I encourage clients to develop greater self-awareness and mental health through processing their experiences and learning new ways to approach and process life’s challenges. I understand each person's situation is unique and requires unique solutions. I provide support as we address a variety of issues and identify effective ways to cope and achieve goals.
As a person who has had experience sitting in the client’s chair, I understand how hard it can be to reach out for help sometimes. I approach clients by meeting them where they are with genuine acceptance. I encourage clients to develop greater self-awareness and mental health through processing their experiences and learning new ways to approach and process life’s challenges. I understand each person's situation is unique and requires unique solutions. I provide support as we address a variety of issues and identify effective ways to cope and achieve goals.
(806) 835-5853 View (806) 835-5853
Photo of Kaymi Franco, Licensed Professional Counselor Associate in 79414, TX
Kaymi Franco
Licensed Professional Counselor Associate, MEd
Verified
1 Endorsed
Lubbock, TX 79414
In person only offered in Lubbock, TX - If you grew up with a lot of familial conflict, had mental health or behavioral issues, experienced poverty, abuse, or neglect, and continue to see generational patterns show up in your everyday life, we might be a good fit for each other. If you’re a parent seeking help for your out of control child or teen and you can’t seem to figure out what to do with them, I might be a good fit for them. If you or a family member has been impacted by the criminal justice system or had negative experiences in the education system, I may be able to help you process those complex experiences.
In person only offered in Lubbock, TX - If you grew up with a lot of familial conflict, had mental health or behavioral issues, experienced poverty, abuse, or neglect, and continue to see generational patterns show up in your everyday life, we might be a good fit for each other. If you’re a parent seeking help for your out of control child or teen and you can’t seem to figure out what to do with them, I might be a good fit for them. If you or a family member has been impacted by the criminal justice system or had negative experiences in the education system, I may be able to help you process those complex experiences.
(806) 591-4270 View (806) 591-4270
Photo of Krystal Muniz, Licensed Professional Counselor in 79414, TX
Krystal Muniz
Licensed Professional Counselor, LPC, LCDC
Verified
1 Endorsed
Lubbock, TX 79414
Now accepting new clients as of 02/06/24. A helping hand offers support during the best or worst of times. My approach to counseling is to be supportive and to empower you to be the best version of yourself. Understanding the journey may be difficult, challenging, and uncertain, as I have learned with many different groups of people. It has made my worldview more understanding of different needs
Now accepting new clients as of 02/06/24. A helping hand offers support during the best or worst of times. My approach to counseling is to be supportive and to empower you to be the best version of yourself. Understanding the journey may be difficult, challenging, and uncertain, as I have learned with many different groups of people. It has made my worldview more understanding of different needs
(806) 552-9929 View (806) 552-9929
Photo of Katie Nunez, Licensed Professional Counselor in 79414, TX
Katie Nunez
Licensed Professional Counselor, LPC, LSOTP
Verified
Lubbock, TX 79414
I am a Licensed Professional Counselor, a trained EMDR therapist, and a Sex Offender Treatment Provider. My background includes working with individuals that need help with trauma, relationship issues, sexual issues, anxiety, and depression. My primary approach to treatment is integrating Person-Centered Therapy, Cognitive Behavioral Therapy, and Schema Therapy, as well as EMDR therapy for trauma specific treatment. I also integrate other modalities to fit the client's needs and treatment goals. I am committed to helping people learn how to solve their problems and live their healthiest lives.
I am a Licensed Professional Counselor, a trained EMDR therapist, and a Sex Offender Treatment Provider. My background includes working with individuals that need help with trauma, relationship issues, sexual issues, anxiety, and depression. My primary approach to treatment is integrating Person-Centered Therapy, Cognitive Behavioral Therapy, and Schema Therapy, as well as EMDR therapy for trauma specific treatment. I also integrate other modalities to fit the client's needs and treatment goals. I am committed to helping people learn how to solve their problems and live their healthiest lives.
(806) 557-1616 View (806) 557-1616
Photo of Laura Jennings, Licensed Professional Counselor in 79414, TX
Laura Jennings
Licensed Professional Counselor, LPC
Verified
1 Endorsed
Lubbock, TX 79414  (Online Only)
Current morning, daytime, afternoon, and evening openings! I have a master’s degree in professional counseling and have been practicing since 2019. I currently work with youth and adults ages 12 and up. I am a Certified Clinical Trauma Professional. I offer therapy for anxiety, depression, bipolar disorder, schizophrenia, phobias, trauma and a myriad of other mental health issues. I also have extensive knowledge regarding the treatment of addiction and substance abuse disorders with co-occurring psychiatric disorders. I believe that when there is a strong collaboration between counselor and client, anything is possible.
Current morning, daytime, afternoon, and evening openings! I have a master’s degree in professional counseling and have been practicing since 2019. I currently work with youth and adults ages 12 and up. I am a Certified Clinical Trauma Professional. I offer therapy for anxiety, depression, bipolar disorder, schizophrenia, phobias, trauma and a myriad of other mental health issues. I also have extensive knowledge regarding the treatment of addiction and substance abuse disorders with co-occurring psychiatric disorders. I believe that when there is a strong collaboration between counselor and client, anything is possible.
(806) 603-3932 View (806) 603-3932
Photo of Cristy Martinez, Licensed Professional Counselor in 79414, TX
Cristy Martinez
Licensed Professional Counselor, MA, LPC
Verified
3 Endorsed
Lubbock, TX 79414
Relationships affect every aspect of our lives whether it be marital or partner-related, interpersonal, familial, or parental. When we have conflict with those that we care about it can bring about a feeling of helplessness or frustration, it becomes tiring on the soul. If the goal of the individual is to improve their interactions with the people they love, it is important that they first understand their relationship with themselves. Therapy is an incredible tool for self-discovery and improvement.
Relationships affect every aspect of our lives whether it be marital or partner-related, interpersonal, familial, or parental. When we have conflict with those that we care about it can bring about a feeling of helplessness or frustration, it becomes tiring on the soul. If the goal of the individual is to improve their interactions with the people they love, it is important that they first understand their relationship with themselves. Therapy is an incredible tool for self-discovery and improvement.
(806) 203-6091 x702 View (806) 203-6091 x702
Photo of Paul B Ingram, Psychologist in 79414, TX
Paul B Ingram
Psychologist, PhD
Verified
Lubbock, TX 79414
**I am in Lubbock but am not accepting new clients** Are you looking to discover solutions and to make changes in your life to feel better? There are times when life becomes difficult and I believe that asking for help is a sign of strength and bravery. It takes a lot of courage to change your life. Therapy is a collaborative process where you should feel safe to express, explore, and challenge your perceptions and experiences. I approach each client with empathy and genuineness. Feeling safe and trustful of the therapy relationship is important for you to explore emotions and thoughts that may have never been shared before this.
**I am in Lubbock but am not accepting new clients** Are you looking to discover solutions and to make changes in your life to feel better? There are times when life becomes difficult and I believe that asking for help is a sign of strength and bravery. It takes a lot of courage to change your life. Therapy is a collaborative process where you should feel safe to express, explore, and challenge your perceptions and experiences. I approach each client with empathy and genuineness. Feeling safe and trustful of the therapy relationship is important for you to explore emotions and thoughts that may have never been shared before this.
(785) 390-9743 View (785) 390-9743
Photo of Kristina Luera, Licensed Professional Counselor in 79414, TX
Kristina Luera
Licensed Professional Counselor, MA, LPC , LSOTP
Verified
1 Endorsed
Lubbock, TX 79414
I am a Licensed Professional Counselor and SOTP Counselor. I have experience working with clients who have Relationship/sexual issues, Anxiety, Depression, Substance abuse, Grief, and trauma. I understand that life can feel overwhelming and emotionally challenging, especially when you feel like you're alone or your just too afraid. I would like to hear your story, understand your journey, and offer a trusting environment for you to find growth and transformation. I offer a free 30 min. consultation, book an appointment today. Now Accepting New Clients!
I am a Licensed Professional Counselor and SOTP Counselor. I have experience working with clients who have Relationship/sexual issues, Anxiety, Depression, Substance abuse, Grief, and trauma. I understand that life can feel overwhelming and emotionally challenging, especially when you feel like you're alone or your just too afraid. I would like to hear your story, understand your journey, and offer a trusting environment for you to find growth and transformation. I offer a free 30 min. consultation, book an appointment today. Now Accepting New Clients!
(806) 809-4661 View (806) 809-4661
Photo of Jonathan Counseling , Licensed Professional Counselor in 79414, TX
Jonathan Counseling
Licensed Professional Counselor, MEd, LPC, CPS
Verified
Lubbock, TX 79414  (Online Only)
onathan is a Licensed Professional Counselor, a Certified Prevention Specialist, and a co-founder of a publishing company. He has a Masters Degree in Counseling from Texas Tech University. Jonathan has experience working with counseling teens, incarcerated adults and youth who have been in the foster care system. He has a passion for helping individuals to take the necessary steps forward in their personnel development. In session, Jonathan likes to create a judgement free zone in order to create a safe environment for clients to share their concerns.
onathan is a Licensed Professional Counselor, a Certified Prevention Specialist, and a co-founder of a publishing company. He has a Masters Degree in Counseling from Texas Tech University. Jonathan has experience working with counseling teens, incarcerated adults and youth who have been in the foster care system. He has a passion for helping individuals to take the necessary steps forward in their personnel development. In session, Jonathan likes to create a judgement free zone in order to create a safe environment for clients to share their concerns.
(806) 304-6167 View (806) 304-6167
Photo of Brianna Dorris, Licensed Professional Counselor Associate in 79414, TX
Brianna Dorris
Licensed Professional Counselor Associate, MA, NCC
Verified
1 Endorsed
Lubbock, TX 79414  (Online Only)
Hi there. Life is hard. All of us deserve someone in our corner helping us navigate it. That is my hope to be for you. I offer trauma-informed therapy to a wide range of populations and ages. My focus is working with those with complex PTSD, chronic suicidal ideation, dissociative disorders, relationship dysfunction, and chronic illnesses. I've been honored to have clinical experience working with combat veterans and their spouses, first responders, teen survivors of sex trafficking, and victims of childhood abuse. In addition to providing virtual therapy, I work in the Mental Health department at a county jail.
Hi there. Life is hard. All of us deserve someone in our corner helping us navigate it. That is my hope to be for you. I offer trauma-informed therapy to a wide range of populations and ages. My focus is working with those with complex PTSD, chronic suicidal ideation, dissociative disorders, relationship dysfunction, and chronic illnesses. I've been honored to have clinical experience working with combat veterans and their spouses, first responders, teen survivors of sex trafficking, and victims of childhood abuse. In addition to providing virtual therapy, I work in the Mental Health department at a county jail.
(936) 245-8417 View (936) 245-8417

See more therapy options for 79414

How does your Therapist compare?

Number of Therapists in 79414

50+

Average cost per session

$110

Therapists in 79414 who prioritize treating:

93% Anxiety
89% Depression
81% Self Esteem
75% Relationship Issues
75% Grief
74% Coping Skills
72% Trauma and PTSD

Average years in practice

6 Years

Top 3 insurances accepted

88% Aetna
88% UnitedHealthcare UHC | UBH
64% BlueCross and BlueShield

How Therapists in 79414 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

74% Female
26% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 79414?

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.