Therapists in 81521

Photo of Hannah Yinhar, Clinical Social Work/Therapist, MSW
Hannah Yinhar
Clinical Social Work/Therapist, MSW
1 Endorsed
Fruita, CO 81521
If you're here looking for support and relief through pregnancy, postpartum, and beyond, I'm here for you. Whether the baby blues are lasting more than a few weeks, your anxiety or intrusive thoughts are running the show, you're struggling to be present with your kiddos, or you need space to process through a perinatal trauma, Brainspotting therapy can help bring you ease and create space to be the mom (and person!) you want to be.
If you're here looking for support and relief through pregnancy, postpartum, and beyond, I'm here for you. Whether the baby blues are lasting more than a few weeks, your anxiety or intrusive thoughts are running the show, you're struggling to be present with your kiddos, or you need space to process through a perinatal trauma, Brainspotting therapy can help bring you ease and create space to be the mom (and person!) you want to be.
(970) 598-0737 View (970) 598-0737
Photo of Hannah Yinhar (Book Directly On Site), Licensed Social Worker, MSW, LSW
Hannah Yinhar (Book Directly On Site)
Licensed Social Worker, MSW, LSW
1 Endorsed
Fruita, CO 81521
Schedule with me instantly through my website link in my profile! Hannah has advanced training in Brainspotting and draws on her own experience of receiving this therapy during her perinatal period. Her areas of focus include pregnancy and postpartum, perinatal loss and birth trauma, and supporting parents in the transition to parenthood.
Schedule with me instantly through my website link in my profile! Hannah has advanced training in Brainspotting and draws on her own experience of receiving this therapy during her perinatal period. Her areas of focus include pregnancy and postpartum, perinatal loss and birth trauma, and supporting parents in the transition to parenthood.
(720) 438-4424 View (720) 438-4424
Photo of Hannah Yinhar (Book Instantly On Website), Licensed Social Worker, MSW, LSW
Hannah Yinhar (Book Instantly On Website)
Licensed Social Worker, MSW, LSW
1 Endorsed
Fruita, CO 81521
Hannah has advanced training in Brainspotting and draws on her own experience of receiving this therapy during her perinatal period. Her areas of focus include pregnancy and postpartum, perinatal loss and birth trauma, and supporting parents in the transition to parenthood.
Hannah has advanced training in Brainspotting and draws on her own experience of receiving this therapy during her perinatal period. Her areas of focus include pregnancy and postpartum, perinatal loss and birth trauma, and supporting parents in the transition to parenthood.
(833) 958-2989 View (833) 958-2989
Photo of Dawn Glenn, Licensed Professional Counselor, MA, LPC
Dawn Glenn
Licensed Professional Counselor, MA, LPC
1 Endorsed
Fruita, CO 81521
I am a Licensed Professional Counselor who works with children, adolescents, couples, individuals and families. We have all experienced difficult times in our life. Are you or your teen struggling with anxiety, depression, grief, school or work? I work with clients to identify strengths which can help lead healthier and happier lives. Every person and family is unique. I believe the therapy process needs to adapt to fit every client. Working together we can move forward on a path toward self-awareness, joy and a fulfilling life.
I am a Licensed Professional Counselor who works with children, adolescents, couples, individuals and families. We have all experienced difficult times in our life. Are you or your teen struggling with anxiety, depression, grief, school or work? I work with clients to identify strengths which can help lead healthier and happier lives. Every person and family is unique. I believe the therapy process needs to adapt to fit every client. Working together we can move forward on a path toward self-awareness, joy and a fulfilling life.
(970) 315-9011 View (970) 315-9011
Photo of Kymberly Maestas, Licensed Professional Counselor, MA, LPC, CCTP, CAS NCC
Kymberly Maestas
Licensed Professional Counselor, MA, LPC, CCTP, CAS NCC
1 Endorsed
Fruita, CO 81521
You may be feeling overwhelmed by anxiety, navigating trauma, struggling with substance use, or facing major life changes—and you're not alone. Therapy can be a place to process difficult emotions, rebuild confidence, and create lasting change. I offer a supportive, judgment-free space where we can work together to understand what’s holding you back and help you move forward with clarity, strength, and purpose.
You may be feeling overwhelmed by anxiety, navigating trauma, struggling with substance use, or facing major life changes—and you're not alone. Therapy can be a place to process difficult emotions, rebuild confidence, and create lasting change. I offer a supportive, judgment-free space where we can work together to understand what’s holding you back and help you move forward with clarity, strength, and purpose.
(970) 649-4178 View (970) 649-4178
Photo of Jerred Endsley - Mountain Mindfulness, Clinical Social Work/Therapist, LCSW
Mountain Mindfulness
Clinical Social Work/Therapist, LCSW
2 Endorsed
Fruita, CO 81521
For over a decade, I’ve supported people through anxiety, trauma, burnout, and major life transitions in hospital, VA, university, and private practice settings. I focus on adults who have carried a lot in caregiving, service, student, spiritual, and high-responsibility roles (including other therapists). My work blends evidence-based therapy with grounded mindfulness and compassion, helping you steady the nervous system, understand your patterns, and reconnect with what matters most in your life, work, and relationships in a way that respects your pace, history, and lived experience.
For over a decade, I’ve supported people through anxiety, trauma, burnout, and major life transitions in hospital, VA, university, and private practice settings. I focus on adults who have carried a lot in caregiving, service, student, spiritual, and high-responsibility roles (including other therapists). My work blends evidence-based therapy with grounded mindfulness and compassion, helping you steady the nervous system, understand your patterns, and reconnect with what matters most in your life, work, and relationships in a way that respects your pace, history, and lived experience.
(970) 533-8716 View (970) 533-8716
Photo of Maegan Hayes, Clinical Social Work/Therapist, MSSW, LCSW
Maegan Hayes
Clinical Social Work/Therapist, MSSW, LCSW
Serves Area
Offering focused personal 1-3 day therapy intensives. Do you have difficulty finding motivation to get out of bed in the mornings? Is it hard to allow yourself to rest and relax? You might even find yourself stuck between these situations without a middle ground. Perhaps you experience poor sleep, flashbacks, jumpiness, or difficulty concentrating? These symptoms can make it difficult to function. Imagine, for a moment, you have a crystal ball and see the the best version of yourself. Perhaps you would feel confident, hopeful, or even be experiencing true happiness and acceptance.
Offering focused personal 1-3 day therapy intensives. Do you have difficulty finding motivation to get out of bed in the mornings? Is it hard to allow yourself to rest and relax? You might even find yourself stuck between these situations without a middle ground. Perhaps you experience poor sleep, flashbacks, jumpiness, or difficulty concentrating? These symptoms can make it difficult to function. Imagine, for a moment, you have a crystal ball and see the the best version of yourself. Perhaps you would feel confident, hopeful, or even be experiencing true happiness and acceptance.
(970) 363-8337 View (970) 363-8337
Photo of Tricia Carsten - Live In Freedom, Licensed Professional Counselor, MA, NCC, LPC
Live In Freedom
Licensed Professional Counselor, MA, NCC, LPC
3 Endorsed
Serves Area
Accepting New Clients, and I accept Medicaid. Navigating through life can sometimes feel overwhelming. Life can kick us in the gut and making it hard to catch our breath. Sometimes feelings are overwhelming without a reason. Reaching out for help seems like one more thing. It sometimes feels like you are shattered into a billion pieces. I get it, we've all been there. I work mostly with teens, having been a troubled and angry depressed teen myself. I have seen people take the broken pieces of their lives and create beauty. I can walk with you on that journey to healing.
Accepting New Clients, and I accept Medicaid. Navigating through life can sometimes feel overwhelming. Life can kick us in the gut and making it hard to catch our breath. Sometimes feelings are overwhelming without a reason. Reaching out for help seems like one more thing. It sometimes feels like you are shattered into a billion pieces. I get it, we've all been there. I work mostly with teens, having been a troubled and angry depressed teen myself. I have seen people take the broken pieces of their lives and create beauty. I can walk with you on that journey to healing.
(970) 465-8752 View (970) 465-8752
Photo of Autumn Holmes, Licensed Professional Counselor, MS, NCC, LPC
Autumn Holmes
Licensed Professional Counselor, MS, NCC, LPC
5 Endorsed
Serves Area
Hi there! I understand that seeking help can be a big step, and I'm glad you took it. I believe that everyone is capable of change with the right support, tools, and willingness to invest in themselves. I work with people experiencing symptoms of anxiety, depression, low self-esteem, body image issues, OCD, grief, relationship conflict, mood disorders, and trauma. I also offer couples counseling that focuses on healthy communication, attachment styles, and conflict-resolution skills. As a therapist at Autumn Mind, I hope we can work as a team to reach your goals and find solutions to the concerns that brought you into therapy.
Hi there! I understand that seeking help can be a big step, and I'm glad you took it. I believe that everyone is capable of change with the right support, tools, and willingness to invest in themselves. I work with people experiencing symptoms of anxiety, depression, low self-esteem, body image issues, OCD, grief, relationship conflict, mood disorders, and trauma. I also offer couples counseling that focuses on healthy communication, attachment styles, and conflict-resolution skills. As a therapist at Autumn Mind, I hope we can work as a team to reach your goals and find solutions to the concerns that brought you into therapy.
(970) 610-6406 View (970) 610-6406
Photo of Bethany Kiser, Licensed Professional Counselor, MA, LPC
Bethany Kiser
Licensed Professional Counselor, MA, LPC
Serves Area
Hello there! I am a Licensed Professional Counselor with over ten years of experience. My main areas of specialty are treating children, trauma and parenting. I have certifications in Child Parent Psychotherapy, Trauma Focused Cognitive Behavioral Therapy and Circle of Security Parenting. Both Child Parent Psychotherapy and Trauma Focused Cognitive Behavioral Therapy are top rated evidence based treatments for children who have experienced trauma. Trauma could include many things such as child abuse or neglect, death of a parent, witnessing domestic violence or any number of other scary events that can occur for children.
Hello there! I am a Licensed Professional Counselor with over ten years of experience. My main areas of specialty are treating children, trauma and parenting. I have certifications in Child Parent Psychotherapy, Trauma Focused Cognitive Behavioral Therapy and Circle of Security Parenting. Both Child Parent Psychotherapy and Trauma Focused Cognitive Behavioral Therapy are top rated evidence based treatments for children who have experienced trauma. Trauma could include many things such as child abuse or neglect, death of a parent, witnessing domestic violence or any number of other scary events that can occur for children.
(970) 296-8291 View (970) 296-8291
Photo of Ashley Carter, Counselor, MA, LPC
Ashley Carter
Counselor, MA, LPC
5 Endorsed
Serves Area
Are you feeling lonely in your relationship? Have you tried everything to reconnect with your spouse and still feeling unable to rekindle the intimacy in your relationship? My approach is rooted in evidence-based practices, tailored to foster healing, understanding, and growth. I guide clients in exploring their feelings, recognizing triggers, and developing coping strategies. My goal is to empower you to reclaim your narratives and foster resilience in the face of adversity.
Are you feeling lonely in your relationship? Have you tried everything to reconnect with your spouse and still feeling unable to rekindle the intimacy in your relationship? My approach is rooted in evidence-based practices, tailored to foster healing, understanding, and growth. I guide clients in exploring their feelings, recognizing triggers, and developing coping strategies. My goal is to empower you to reclaim your narratives and foster resilience in the face of adversity.
(970) 289-5114 View (970) 289-5114
Photo of Alissa A Singh, Licensed Professional Counselor, MA, LPC, NCC
Alissa A Singh
Licensed Professional Counselor, MA, LPC, NCC
6 Endorsed
Serves Area
Do you feel like life is just giving it to you, and won’t let up? Are you feeling overwhelmed, unseen, invalidated, or just beat down? Maybe you just tragically lost someone special, your whole world is upside down, and your emotions have taken control. Maybe something unexpected and outside of your control happened, and you feel unsafe and unable to be. Maybe you feel numb. Maybe rage has taken over, a rage that scares the important people in your life, and honestly even scares you. Maybe the negative self talk seems constant, and you no longer have the energy to fight it. Maybe life just does not seem as bright at it once did.
Do you feel like life is just giving it to you, and won’t let up? Are you feeling overwhelmed, unseen, invalidated, or just beat down? Maybe you just tragically lost someone special, your whole world is upside down, and your emotions have taken control. Maybe something unexpected and outside of your control happened, and you feel unsafe and unable to be. Maybe you feel numb. Maybe rage has taken over, a rage that scares the important people in your life, and honestly even scares you. Maybe the negative self talk seems constant, and you no longer have the energy to fight it. Maybe life just does not seem as bright at it once did.
(970) 822-0485 View (970) 822-0485
Photo of Caroline Dohm, Licensed Professional Counselor, MA, NCC, LPC
Caroline Dohm
Licensed Professional Counselor, MA, NCC, LPC
1 Endorsed
Serves Area
My goal is to create a safe, supportive environment in which together we will take a look at what is going on that has you deciding to seek counseling now. You and I will view your behavior (thoughts, emotions, actions/inaction) with compassion, as they have served an underlying purpose for you. There are straightforward tools available to help you create new ways of interacting with your self and world. I look forward to working with you.
My goal is to create a safe, supportive environment in which together we will take a look at what is going on that has you deciding to seek counseling now. You and I will view your behavior (thoughts, emotions, actions/inaction) with compassion, as they have served an underlying purpose for you. There are straightforward tools available to help you create new ways of interacting with your self and world. I look forward to working with you.
(970) 241-1913 View (970) 241-1913
Photo of Alexzis Vazquez, Licensed Professional Counselor, MA, LPC, NCC
Alexzis Vazquez
Licensed Professional Counselor, MA, LPC, NCC
1 Endorsed
Serves Area
Note: Please email me if you are interested in getting on my waitlist. It's the best way to reach me to schedule a consult call. I work with individuals, couples, and families with attachment concerns and complex trauma histories using EMDR, IFS, Gestalt Therapy and Polyvagal Theory. I am sex-positive and welcoming to LGBTQIA+ clients. I feel confident working with individuals who, are or already have, deconstructed their religious beliefs while remaining open to spirituality. When I meet with you, you can expect to be heard, empathized with, and challenged.
Note: Please email me if you are interested in getting on my waitlist. It's the best way to reach me to schedule a consult call. I work with individuals, couples, and families with attachment concerns and complex trauma histories using EMDR, IFS, Gestalt Therapy and Polyvagal Theory. I am sex-positive and welcoming to LGBTQIA+ clients. I feel confident working with individuals who, are or already have, deconstructed their religious beliefs while remaining open to spirituality. When I meet with you, you can expect to be heard, empathized with, and challenged.
(970) 676-2398 View (970) 676-2398
Photo of Katrina Henson, Clinical Social Work/Therapist, LCSW
Katrina Henson
Clinical Social Work/Therapist, LCSW
Serves Area
Have you been struggling with parenting and need help managing your own triggers? Do you feel anxious and overwhelmed? I have worked with families and adults to heal from their childhood trauma to have more meaningful relationships as adults and be better parents/partners. I'm here to help you through these hard life changes and work together to co-regulate and heal. I use Cognitive Behavioral Therapy (CBT) and have a trauma-focused lens. I also use mindfulness and neurological practices to increase executive function and decrease trauma responses. Modalities also include ACT, art, solution-focused brief therapy, and DBT.
Have you been struggling with parenting and need help managing your own triggers? Do you feel anxious and overwhelmed? I have worked with families and adults to heal from their childhood trauma to have more meaningful relationships as adults and be better parents/partners. I'm here to help you through these hard life changes and work together to co-regulate and heal. I use Cognitive Behavioral Therapy (CBT) and have a trauma-focused lens. I also use mindfulness and neurological practices to increase executive function and decrease trauma responses. Modalities also include ACT, art, solution-focused brief therapy, and DBT.
(844) 395-0094 View (844) 395-0094
Photo of Erik J Petersen, Counselor, LPC
Erik J Petersen
Counselor, LPC
2 Endorsed
Serves Area
You’ve been strong for a long time. You hold it together at work, show up for your family, keep moving forward — but something inside feels heavy, disconnected, or tired. Maybe it’s grief that won’t let go, anxiety that won’t quiet down, or a relationship that feels more distant than close. You want relief, yes — but more than that, you want to feel like yourself again. You want peace, clarity, connection. You want to know you're not broken — and that healing is possible.
You’ve been strong for a long time. You hold it together at work, show up for your family, keep moving forward — but something inside feels heavy, disconnected, or tired. Maybe it’s grief that won’t let go, anxiety that won’t quiet down, or a relationship that feels more distant than close. You want relief, yes — but more than that, you want to feel like yourself again. You want peace, clarity, connection. You want to know you're not broken — and that healing is possible.
(970) 475-8688 View (970) 475-8688
Photo of Gaylene Ludwig, Licensed Professional Counselor, LPC, MA
Gaylene Ludwig
Licensed Professional Counselor, LPC, MA
3 Endorsed
Serves Area
Pivotal moments in our lives reveal to us how we feel about ourselves in the lives we are living. Feeling stuck can be one of those revealing moments and while you might be unsure why you even feel this way, this can motivate you making those needed changes even while feeling unsure where to start. As a professional eager to hear your story and encourage you in your healthy changes, I am here to work with you in a compassionate, empathetic fashion.
Pivotal moments in our lives reveal to us how we feel about ourselves in the lives we are living. Feeling stuck can be one of those revealing moments and while you might be unsure why you even feel this way, this can motivate you making those needed changes even while feeling unsure where to start. As a professional eager to hear your story and encourage you in your healthy changes, I am here to work with you in a compassionate, empathetic fashion.
(970) 695-0780 View (970) 695-0780
Photo of Amber Pitts, Licensed Professional Counselor, MA, LPC
Amber Pitts
Licensed Professional Counselor, MA, LPC
1 Endorsed
Serves Area
I am a Licensed Professional Counselor and have worked in the mental health field for over 10 years. Working in a variety of settings; including inpatient/residential treatment for eating disorders, community mental health and with students at CMU; has enabled me to gather a wide range of experience and knowledge. My clinical interests include working with adolescents and adults to overcome eating disorders, depression, anxiety, PTSD symptoms and relationship problems.
I am a Licensed Professional Counselor and have worked in the mental health field for over 10 years. Working in a variety of settings; including inpatient/residential treatment for eating disorders, community mental health and with students at CMU; has enabled me to gather a wide range of experience and knowledge. My clinical interests include working with adolescents and adults to overcome eating disorders, depression, anxiety, PTSD symptoms and relationship problems.
(970) 329-8727 View (970) 329-8727
Photo of Faith Elizabeth Piotrowski - Faith Holistic Ventures LLC, RN, BSN, Reiki 2, CEN
Faith Holistic Ventures LLC
Verified Verified
Serves Area
Neurofeedback and Reiki sessions are powerful medication-free modalities that ease symptoms of anxiety/depression/ADHD/ADD/insomia/PTSD/autism/social anxiety and chronic pain. Clients have found relief, even when traditional talk therapy and medications have failed. Multiple services are provided by Faith Piotrowski, a Registered Nurse of 10 years including neurofeedback, reiki and breathwork therapies.
Neurofeedback and Reiki sessions are powerful medication-free modalities that ease symptoms of anxiety/depression/ADHD/ADD/insomia/PTSD/autism/social anxiety and chronic pain. Clients have found relief, even when traditional talk therapy and medications have failed. Multiple services are provided by Faith Piotrowski, a Registered Nurse of 10 years including neurofeedback, reiki and breathwork therapies.
(970) 557-1556 View (970) 557-1556
Photo of Erin Ellington, Clinical Social Work/Therapist, SWC
Erin Ellington
Clinical Social Work/Therapist, SWC
1 Endorsed
Serves Area
If you're feeling overwhelmed, stuck, or tired of repeating the same painful patterns, you're not alone—and you don’t have to navigate it alone. I help clients explore the roots of their pain while building tools for healing; I love helping people feel more secure in their minds and bodies, and more connected to their inherent value. Grounded in warmth and compassion, I offer a safe space to process trauma, anxiety, depression, and self-worth challenges. My approach is flexible, strengths-based, and focused on helping you reconnect with your resilience and sense of self.
If you're feeling overwhelmed, stuck, or tired of repeating the same painful patterns, you're not alone—and you don’t have to navigate it alone. I help clients explore the roots of their pain while building tools for healing; I love helping people feel more secure in their minds and bodies, and more connected to their inherent value. Grounded in warmth and compassion, I offer a safe space to process trauma, anxiety, depression, and self-worth challenges. My approach is flexible, strengths-based, and focused on helping you reconnect with your resilience and sense of self.
(970) 717-1827 View (970) 717-1827

See more therapy options for 81521

How does your Therapist compare?

Number of Therapists in 81521

40+

Average cost per session

$135

Therapists in 81521 who prioritize treating:

91% Anxiety
84% Depression
80% Trauma and PTSD
80% Self Esteem
73% Relationship Issues
68% Grief
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

86% Aetna
78% UnitedHealthcare UHC | UBH
75% Cigna and Evernorth

How Therapists in 81521 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

88% Female
10% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 81521?

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.