Therapists in 87552

Photo of Meira Petersen - Eldorado Behavioral Health, Counselor, MA, LPCC
Eldorado Behavioral Health
Counselor, MA, LPCC
Serves Area
Eldorado Behavioral Health is a safe place for you to be seen and heard. My clients are always certain they want to feel different and uncertain how to get there. I hope to be a compassionate witness, offer perspective, encouragement, and strengthen your healthy self for your highest good. As humans, we are connected for better or worse. It is possible for you to develop acceptance and compassion; first for yourself then for others. Unconditional acceptance is a practice to be learned, repeated, and refined. Commitment is a conscious choice to be renewed often. I teach concrete skills for optimum mental health.
Eldorado Behavioral Health is a safe place for you to be seen and heard. My clients are always certain they want to feel different and uncertain how to get there. I hope to be a compassionate witness, offer perspective, encouragement, and strengthen your healthy self for your highest good. As humans, we are connected for better or worse. It is possible for you to develop acceptance and compassion; first for yourself then for others. Unconditional acceptance is a practice to be learned, repeated, and refined. Commitment is a conscious choice to be renewed often. I teach concrete skills for optimum mental health.
(505) 594-8844 View (505) 594-8844
Photo of James Kuzava, Clinical Social Work/Therapist, LCSW
James Kuzava
Clinical Social Work/Therapist, LCSW
Serves Area
I have been a practicing psychotherapist since 1982. I have worked in a variety of settings and am comfortable treating individuals, couples, and families. I especially enjoy working with older adolescents/young adults struggling with self-identity issues that can include co-occurring disorders. Strong background in treating substance use disorders. I also specialize in anger related issues with concomitant mood disorders.
I have been a practicing psychotherapist since 1982. I have worked in a variety of settings and am comfortable treating individuals, couples, and families. I especially enjoy working with older adolescents/young adults struggling with self-identity issues that can include co-occurring disorders. Strong background in treating substance use disorders. I also specialize in anger related issues with concomitant mood disorders.
(505) 796-6423 View (505) 796-6423
Photo of Sarah Sammon, Clinical Social Work/Therapist, LMSW
Sarah Sammon
Clinical Social Work/Therapist, LMSW
Serves Area
Waitlist for new clients
My ideal client is someone who feels overwhelmed by life's challenges and is seeking support to navigate their emotional landscape. They may be experiencing issues such as anxiety, depression, relationship difficulties, or struggles with self-esteem. Often, they feel stuck, unsure of how to move forward, and are looking for a safe space to explore their feelings and gain clarity. Their needs include compassionate listening, guidance, and practical tools to manage their emotions and improve their mental well-being. They want to understand themselves better, build resilience, and develop healthier coping strategies. Many are motivate
My ideal client is someone who feels overwhelmed by life's challenges and is seeking support to navigate their emotional landscape. They may be experiencing issues such as anxiety, depression, relationship difficulties, or struggles with self-esteem. Often, they feel stuck, unsure of how to move forward, and are looking for a safe space to explore their feelings and gain clarity. Their needs include compassionate listening, guidance, and practical tools to manage their emotions and improve their mental well-being. They want to understand themselves better, build resilience, and develop healthier coping strategies. Many are motivate
(505) 591-6555 View (505) 591-6555
Photo of Lisa Dian Wooldridge, Counselor, MA, LPCC
Lisa Dian Wooldridge
Counselor, MA, LPCC
1 Endorsed
Serves Area
Not accepting new clients
My patients are usually hard-working adults who have run into some tough times or are experiencing difficult emotional issues such as anxiety, depression, grief, or trauma. I focus on using a relational, skills-based approach, which views each person as an individual with unique strengths and challenges. Using this approach values the person and facilitates a customized treatment plan for the individual. My role is not to judge you or your behaviors, but to act as an independent consultant for improving your mental well-being and quality of life.
My patients are usually hard-working adults who have run into some tough times or are experiencing difficult emotional issues such as anxiety, depression, grief, or trauma. I focus on using a relational, skills-based approach, which views each person as an individual with unique strengths and challenges. Using this approach values the person and facilitates a customized treatment plan for the individual. My role is not to judge you or your behaviors, but to act as an independent consultant for improving your mental well-being and quality of life.
(505) 605-6685 View (505) 605-6685

More Therapists Nearby

Photo of Silvia Stenitzer, Counselor, MA, LPCC
Silvia Stenitzer
Counselor, MA, LPCC
Santa Fe, NM 87505
Coming to therapy is an act of self-love. Being curious about what makes us feel and act the way we do is the most rewarding endeavor, bringing authenticity, creativity, and choice into our lives. Our self-concept and beliefs about the world were formed in infancy and learned in our primary relationships. Unconsciously, these early experiences guide many of our actions in the present time. I am passionate about exploring with you old patterns that do not serve you anymore. I support you in cultivating conscious life-affirming choices and self-caring responses to the inevitable challenging and painful events of life.
Coming to therapy is an act of self-love. Being curious about what makes us feel and act the way we do is the most rewarding endeavor, bringing authenticity, creativity, and choice into our lives. Our self-concept and beliefs about the world were formed in infancy and learned in our primary relationships. Unconsciously, these early experiences guide many of our actions in the present time. I am passionate about exploring with you old patterns that do not serve you anymore. I support you in cultivating conscious life-affirming choices and self-caring responses to the inevitable challenging and painful events of life.
(505) 412-4893 View (505) 412-4893
Photo of Amy Lashway - Solutions Treatment Center, Counselor, MA, LPCC, NCC
Solutions Treatment Center
Counselor, MA, LPCC, NCC
Santa Fe, NM 87505
Everyone has the capacity to heal no matter how profoundly wounded they are. Each individual's path to healing will be unique and for the best chance of long term recovery a person needs to find a healthy balance within their body, mind and spirit. It is my intention to help each client find the unique treatment team to help them achieve this balance. Additionally, I am experienced in affective, eating and personality disorders, substance abuse and trauma. I also understand how each of these interact with one another and can cause even more distress within each person.
Everyone has the capacity to heal no matter how profoundly wounded they are. Each individual's path to healing will be unique and for the best chance of long term recovery a person needs to find a healthy balance within their body, mind and spirit. It is my intention to help each client find the unique treatment team to help them achieve this balance. Additionally, I am experienced in affective, eating and personality disorders, substance abuse and trauma. I also understand how each of these interact with one another and can cause even more distress within each person.
(877) 499-1354 View (877) 499-1354
Photo of Judith Kaplan, Clinical Social Work/Therapist, MSW, ACSW, LISW
Judith Kaplan
Clinical Social Work/Therapist, MSW, ACSW, LISW
Santa Fe, NM 87505
I use an eclectic approach and work with all ages with all kinds of problems. I have been a psychotherapist for over 35 years, and my approach has developed over time. I believe that everyone is different and responds to different forms of treatment. I enjoy working with anyone who wants to learn more about themselves and how to deal with their problems, whether in their families, their work, or their relationships.
I use an eclectic approach and work with all ages with all kinds of problems. I have been a psychotherapist for over 35 years, and my approach has developed over time. I believe that everyone is different and responds to different forms of treatment. I enjoy working with anyone who wants to learn more about themselves and how to deal with their problems, whether in their families, their work, or their relationships.
(505) 337-3395 View (505) 337-3395
Photo of Melody Van Hoose, Counselor, Melody Van Hoose, MS, LPCC
Melody Van Hoose
Counselor, Melody Van Hoose, MS, LPCC
4 Endorsed
Santa Fe, NM 87505
Do you experience symptoms of emotional, relational, or physical pain? Anxiety, fear, hopelessness, and bodily discomfort can linger long after traumatic and destabilizing events. You can learn to navigate these symptoms, regulate them, and walk through the process of fear and immobility back to integrative functioning. My priority is to help you recognize, accept, heal, and integrate the difficulties you are experiencing and become aware of your inner strengths and guiding values through the process. You can find the strength and courage to engage again with life and the passion to not only survive but thrive.
Do you experience symptoms of emotional, relational, or physical pain? Anxiety, fear, hopelessness, and bodily discomfort can linger long after traumatic and destabilizing events. You can learn to navigate these symptoms, regulate them, and walk through the process of fear and immobility back to integrative functioning. My priority is to help you recognize, accept, heal, and integrate the difficulties you are experiencing and become aware of your inner strengths and guiding values through the process. You can find the strength and courage to engage again with life and the passion to not only survive but thrive.
(505) 557-1571 View (505) 557-1571
Photo of Kevin Robert Hennelly - Santa Fe Counseling and Psychotherapy, Counselor, MA, LPCC
Santa Fe Counseling and Psychotherapy
Counselor, MA, LPCC
1 Endorsed
Santa Fe, NM 87505
R. Kevin Hennelly, MA, JD, LPCC holds Masters Degrees in counseling and psychotherapy from The Fielding Institute and Pacifica Graduate Institute, as well as graduate degrees in law and international relations from Georgetown University.
R. Kevin Hennelly, MA, JD, LPCC holds Masters Degrees in counseling and psychotherapy from The Fielding Institute and Pacifica Graduate Institute, as well as graduate degrees in law and international relations from Georgetown University.
(505) 393-4322 View (505) 393-4322
Photo of Savannah Lujan, Counselor, LMHC
Savannah Lujan
Counselor, LMHC
4 Endorsed
Serves Area
I’m passionate about helping individuals navigate life’s challenges and build healthier self-perceptions. I work collaboratively with clients to develop personalized therapy goals that foster a sense of empowerment and safety. Every person’s life experiences are unique, which is why I tailor my approach to meet each individual’s needs, drawing from a variety of therapeutic modalities like Cognitive Behavioral Therapy (CBT) and mindfulness techniques.
I’m passionate about helping individuals navigate life’s challenges and build healthier self-perceptions. I work collaboratively with clients to develop personalized therapy goals that foster a sense of empowerment and safety. Every person’s life experiences are unique, which is why I tailor my approach to meet each individual’s needs, drawing from a variety of therapeutic modalities like Cognitive Behavioral Therapy (CBT) and mindfulness techniques.
(505) 591-0664 View (505) 591-0664
Photo of Felicia J Rivera - Mossy Pine Therapy, LLC, Clinical Social Work/Therapist, MSW, LCSW
Mossy Pine Therapy, LLC
Clinical Social Work/Therapist, MSW, LCSW
Las Vegas, NM 87701
Are you tired of repeating the same patterns in your life? Are you feeling stuck in a relationship, career or other area of your life? Are you struggling with symptoms of depression, anxiety or any challenges that interferes with your ability to function? Are you seeking to expand your awareness and gain the tools and skills to reach your goals?
Are you tired of repeating the same patterns in your life? Are you feeling stuck in a relationship, career or other area of your life? Are you struggling with symptoms of depression, anxiety or any challenges that interferes with your ability to function? Are you seeking to expand your awareness and gain the tools and skills to reach your goals?
(505) 393-3503 View (505) 393-3503
Photo of Carolyn Burns, Marriage & Family Therapist, MA, LMFT
Carolyn Burns
Marriage & Family Therapist, MA, LMFT
Santa Fe, NM 87501
Do you sometimes feel alone and sad even with friends and family? Together, we can explore these feelings, transform them, and increase vitality. We will unravel issues that may be causing suffering or isolation; such as depression and anxiety, loss and grief, trauma, or substance abuse. We will face the dragons of suffering together, and unleash your wise and intuitive self to become empowered and embodied. Our work will allow you to remove the barriers to an emotionally close and satisfying relationship with yourself and others. This allows for a greater sense of joy & aliveness.
Do you sometimes feel alone and sad even with friends and family? Together, we can explore these feelings, transform them, and increase vitality. We will unravel issues that may be causing suffering or isolation; such as depression and anxiety, loss and grief, trauma, or substance abuse. We will face the dragons of suffering together, and unleash your wise and intuitive self to become empowered and embodied. Our work will allow you to remove the barriers to an emotionally close and satisfying relationship with yourself and others. This allows for a greater sense of joy & aliveness.
(505) 926-2017 View (505) 926-2017
Photo of Dr. David Amarel, Psychologist, PhD
Dr. David Amarel
Psychologist, PhD
Santa Fe, NM 87508
I have 25 years experience working productively with people of diverse backgrounds, ages, and sexual orientations. Our job together is to identify dysfunctional patterns that contribute to—even perpetuate—your difficulties. The main focus of therapy is to remove inner and outer obstacles that prevent you from reaching your goals and having better relationships. Please note, after years of counseling and assessment in offices, I‘ve recently moved into a different space: video. Active listening in a safe, private setting is foundational to this work. I’ve learned that the catalytic elements of good therapy can thrive via video too.
I have 25 years experience working productively with people of diverse backgrounds, ages, and sexual orientations. Our job together is to identify dysfunctional patterns that contribute to—even perpetuate—your difficulties. The main focus of therapy is to remove inner and outer obstacles that prevent you from reaching your goals and having better relationships. Please note, after years of counseling and assessment in offices, I‘ve recently moved into a different space: video. Active listening in a safe, private setting is foundational to this work. I’ve learned that the catalytic elements of good therapy can thrive via video too.
(917) 791-1180 View (917) 791-1180
Photo of Saskia Stokhof de Jong, Marriage & Family Therapist, MA, LMFT
Saskia Stokhof de Jong
Marriage & Family Therapist, MA, LMFT
Santa Fe, NM 87505
I hold the belief that all humans have the innate capacity to grow towards greater health and healing. I believe woundings arise to heal when the psyche is ready to embark on the journey. I use an integrative approach that is rooted in psychodynamic and jungian orientation. Jungian work can often hold space in welcoming the unconscious to integrate more with the conscious. It is a dance of integration for the whole self, welcoming in dreams, shadows, archetypes and the like. Psychodynamic work can often look and examine the root of behaviors and woundings, connecting the past with the present.
I hold the belief that all humans have the innate capacity to grow towards greater health and healing. I believe woundings arise to heal when the psyche is ready to embark on the journey. I use an integrative approach that is rooted in psychodynamic and jungian orientation. Jungian work can often hold space in welcoming the unconscious to integrate more with the conscious. It is a dance of integration for the whole self, welcoming in dreams, shadows, archetypes and the like. Psychodynamic work can often look and examine the root of behaviors and woundings, connecting the past with the present.
(505) 399-3786 View (505) 399-3786
Photo of Eliza Skye - The Mountain Center Counseling Services, Clinical Social Work/Therapist, LCSW
The Mountain Center Counseling Services
Clinical Social Work/Therapist, LCSW
Santa Fe, NM 87507
We believe in the power of community. You may be ending a relationship, adjusting to a new home, navigating parenthood or finding stability after a substance use crisis. You don’t have to do it alone. At The Mountain Center, we get that healing isn’t always tidy. Our multigenerational team of clinicians offers both traditional and experiential approaches to support your vision for yourself. Many of us have deep roots in New Mexico and understand the mix of cultures, landscapes, and histories that shape life in our state. We provide a brave space to support your process of stabilization and recovery.
We believe in the power of community. You may be ending a relationship, adjusting to a new home, navigating parenthood or finding stability after a substance use crisis. You don’t have to do it alone. At The Mountain Center, we get that healing isn’t always tidy. Our multigenerational team of clinicians offers both traditional and experiential approaches to support your vision for yourself. Many of us have deep roots in New Mexico and understand the mix of cultures, landscapes, and histories that shape life in our state. We provide a brave space to support your process of stabilization and recovery.
(505) 670-2861 View (505) 670-2861
Photo of John Kohn, Counselor, MA, LPCC
John Kohn
Counselor, MA, LPCC
Santa Fe, NM 87505
I have successfully worked with individual adults, adolescents, couples, parents and children in Santa Fe since 1994. I am no longer seeing children and adolescents. I am deeply respectful of people who seek me out. I am a keen listener and creatively solutions-oriented. My priority is to build a safe space to explore moods, feelings, anxieties, worries, thoughts and thought patterns, relationships and relationship patterns and a wide spectrum of traumatic life experiences that leave their mark on us. Things that are initially difficult to talk about air out and resolve in this collaborative space.
I have successfully worked with individual adults, adolescents, couples, parents and children in Santa Fe since 1994. I am no longer seeing children and adolescents. I am deeply respectful of people who seek me out. I am a keen listener and creatively solutions-oriented. My priority is to build a safe space to explore moods, feelings, anxieties, worries, thoughts and thought patterns, relationships and relationship patterns and a wide spectrum of traumatic life experiences that leave their mark on us. Things that are initially difficult to talk about air out and resolve in this collaborative space.
(505) 240-6501 View (505) 240-6501
Photo of Mary (Mimi) Young Sa, Psychologist, PsyD, MSCP, ABMP
Mary (Mimi) Young Sa
Psychologist, PsyD, MSCP, ABMP
Santa Fe, NM 87505
Working with clients from ethnic minority groups is my passion; especially Brazilians, Latinos and Native Americans. Having experienced being an immigrant myself while living in Brazil, I am very aware of the unique difficulties facing newly arrived immigrants. Individuals needing assistance with school difficulties, parenting concerns, family conflict, marital discord, or functionally impairing mental health symptoms are my ideal client. In addition, I am a licensed prescribing psychologist in the state of NM and am able to prescribe psychotropic medications to individuals who live in NM.
Working with clients from ethnic minority groups is my passion; especially Brazilians, Latinos and Native Americans. Having experienced being an immigrant myself while living in Brazil, I am very aware of the unique difficulties facing newly arrived immigrants. Individuals needing assistance with school difficulties, parenting concerns, family conflict, marital discord, or functionally impairing mental health symptoms are my ideal client. In addition, I am a licensed prescribing psychologist in the state of NM and am able to prescribe psychotropic medications to individuals who live in NM.
(508) 504-1132 View (508) 504-1132
Photo of Gregory Weeks, Counselor, MA, LPCC
Gregory Weeks
Counselor, MA, LPCC
Santa Fe, NM 87505
I work well with clients who are motivated to change their lives. Often, our greatest challenges come during times of major life transitions. Through active listening and genuine empathy, I help my clients focus upon the inherent solutions to their most pressing problems. Motivation to change comes with the willingness to look closely and investigate the stories we tell ourselves. Often I discover with my clients that their oldest and most damaging internal stories are simply not true. By having a fellow human who is open and fully present witness our lives, we can discover the very real possibility for greater health and happiness.
I work well with clients who are motivated to change their lives. Often, our greatest challenges come during times of major life transitions. Through active listening and genuine empathy, I help my clients focus upon the inherent solutions to their most pressing problems. Motivation to change comes with the willingness to look closely and investigate the stories we tell ourselves. Often I discover with my clients that their oldest and most damaging internal stories are simply not true. By having a fellow human who is open and fully present witness our lives, we can discover the very real possibility for greater health and happiness.
(575) 219-6260 View (575) 219-6260
Photo of Wilmaneice Pleasant, Pre-Licensed Professional
Wilmaneice Pleasant
Pre-Licensed Professional
1 Endorsed
Santa Fe, NM 87505
That constant feeling you’re justifying your existence. The exhaustion of code-switching, of making yourself smaller to feel safe, of checking all the right boxes only to feel like you don’t fit in any of them. If you’ve moved through the world with layered identities—as a BIPOC individual, a member of the LGBTQIA+ community, or a survivor of unstable systems—I see you. This is your space to stop performing. My work is dedicated to helping you embrace your own complexity and find healing not by changing who you are, but by becoming more fully yourself. You deserve a place where every part of your story is welcome.
That constant feeling you’re justifying your existence. The exhaustion of code-switching, of making yourself smaller to feel safe, of checking all the right boxes only to feel like you don’t fit in any of them. If you’ve moved through the world with layered identities—as a BIPOC individual, a member of the LGBTQIA+ community, or a survivor of unstable systems—I see you. This is your space to stop performing. My work is dedicated to helping you embrace your own complexity and find healing not by changing who you are, but by becoming more fully yourself. You deserve a place where every part of your story is welcome.
(505) 498-3197 View (505) 498-3197
Photo of Casey Dexter, Clinical Social Work/Therapist, LCSW
Casey Dexter
Clinical Social Work/Therapist, LCSW
Santa Fe, NM 87507
It takes courage to make change in life. If you are searching for that change and trying to find the path to do so I can help. If you are an adolescent, a family, a man, someone in the midst of addiction, a veteran or someone of indigenous roots I can help. If you are dealing with stress, anxiety, shame and guilt, addiction, as well as trauma, I have a range of skills which can assist with this. Please reach out.
It takes courage to make change in life. If you are searching for that change and trying to find the path to do so I can help. If you are an adolescent, a family, a man, someone in the midst of addiction, a veteran or someone of indigenous roots I can help. If you are dealing with stress, anxiety, shame and guilt, addiction, as well as trauma, I have a range of skills which can assist with this. Please reach out.
(505) 557-1482 View (505) 557-1482

How does your Therapist compare?

Number of Therapists in 87552

< 10

Therapists in 87552 who prioritize treating:

100% Depression
100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
75% Relationship Issues
75% Addiction

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Magellan
100% Medicaid

How Therapists in 87552 see their clients

100% In Person and Online

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 87552?

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.