Therapists in 92210

Photo of Sylvia Ann Trapuzzano, Marriage & Family Therapist, PsyD, LMFT, MA
Sylvia Ann Trapuzzano
Marriage & Family Therapist, PsyD, LMFT, MA
Indian Wells, CA 92210
I work primarily with individuals, couples, and families to address the issues underlying communication differences. I also enjoy assisting couples with learning the art of fighting fair, reclaiming love within their marriages, and working on co-parenting skills when there are children from a previous marriage/ relationship. In addition, I offer affairs counseling regardless of whether you are the hurt partner or the unfaithful partner. I especially enjoy working with couples who are planning to get married by empowering each partner with knowledge and tools for a strong relationship foundation.
I work primarily with individuals, couples, and families to address the issues underlying communication differences. I also enjoy assisting couples with learning the art of fighting fair, reclaiming love within their marriages, and working on co-parenting skills when there are children from a previous marriage/ relationship. In addition, I offer affairs counseling regardless of whether you are the hurt partner or the unfaithful partner. I especially enjoy working with couples who are planning to get married by empowering each partner with knowledge and tools for a strong relationship foundation.
(760) 657-4018 View (760) 657-4018
Photo of Sophie Bain-Tohl, Marriage & Family Therapist, MA, LMFT
Sophie Bain-Tohl
Marriage & Family Therapist, MA, LMFT
3 Endorsed
Indian Wells, CA 92210
Parenthood: the wild ride no one warned you about (unless they did and you just didn’t think they meant it). One minute you're Googling the best stroller, the next you're crying in the car because your toddler won’t nap and you haven’t peed alone in three days. Or maybe you're still in the thick of fertility treatments, holding your breath between appointments and wondering how much hope your heart can take. Wherever you are, IVF, pregnancy, postpartum, toddler tornado, you’re not doing it wrong, and you’re not alone.
Parenthood: the wild ride no one warned you about (unless they did and you just didn’t think they meant it). One minute you're Googling the best stroller, the next you're crying in the car because your toddler won’t nap and you haven’t peed alone in three days. Or maybe you're still in the thick of fertility treatments, holding your breath between appointments and wondering how much hope your heart can take. Wherever you are, IVF, pregnancy, postpartum, toddler tornado, you’re not doing it wrong, and you’re not alone.
(310) 496-2505 View (310) 496-2505
Photo of Lilia Escobedo - A Healing Light Family Counseling, Marriage & Family Therapist, LMFT
A Healing Light Family Counseling
Marriage & Family Therapist, LMFT
Indian Wells, CA 92210
Life has its struggles and at times we need someone other than a family member or friend to talk to. I use various types of approaches such as Cognitive Behavioral Therapy, Solution Focused Therapy, Motivational Interviewing, a strength based and integrative approach. Extensive experience working with depression, anxiety, adjustment disorder, stress management, pain management and chronic illness. I am a bilingual (Spanish) LMFT and have worked in the field for over 15 years. I have extensive experience working with children, adolescents and adults with different backgrounds and orientations.
Life has its struggles and at times we need someone other than a family member or friend to talk to. I use various types of approaches such as Cognitive Behavioral Therapy, Solution Focused Therapy, Motivational Interviewing, a strength based and integrative approach. Extensive experience working with depression, anxiety, adjustment disorder, stress management, pain management and chronic illness. I am a bilingual (Spanish) LMFT and have worked in the field for over 15 years. I have extensive experience working with children, adolescents and adults with different backgrounds and orientations.
(760) 274-0009 View (760) 274-0009
Photo of Keith Daniel Nesbitt, Marriage & Family Therapist, MS, LMFT
Keith Daniel Nesbitt
Marriage & Family Therapist, MS, LMFT
Indian Wells, CA 92210
I have eighteen years of clinical expertise in the field of psychology. I have been a crisis clinician much of that time helping ease the pain in the most acute psychiatric situations. This also includes being a program director in a psychiatric facility. I am a loyal and supportive advocate in your journey to living a better life. We will work together to have a more fulfilling life and accomplishing the goals and positive future that you deserve.
I have eighteen years of clinical expertise in the field of psychology. I have been a crisis clinician much of that time helping ease the pain in the most acute psychiatric situations. This also includes being a program director in a psychiatric facility. I am a loyal and supportive advocate in your journey to living a better life. We will work together to have a more fulfilling life and accomplishing the goals and positive future that you deserve.
(760) 642-5533 View (760) 642-5533
Photo of Gabriel Arroyo - Soaring Families Counseling, LMFT
Soaring Families Counseling
Verified Verified
1 Endorsed
Online Only
Are you struggling with relationship issues or challenges within your marriage? Struggling with depression, anxiety, and daily stressors? If you are facing any of the challenges, now may be the time to start with a therapist that specializes in these areas. We can work together to rebuild skills to reconnect in your relationship by rebuilding communication, intimacy, and trust. Or growing coping skills to manage the stressors daily life can throw at us. Continue reading below to see if this would be the best fit for your needs or feel free to call.
Are you struggling with relationship issues or challenges within your marriage? Struggling with depression, anxiety, and daily stressors? If you are facing any of the challenges, now may be the time to start with a therapist that specializes in these areas. We can work together to rebuild skills to reconnect in your relationship by rebuilding communication, intimacy, and trust. Or growing coping skills to manage the stressors daily life can throw at us. Continue reading below to see if this would be the best fit for your needs or feel free to call.
(951) 499-4331 View (951) 499-4331
Photo of Sherry Ellison, Psychologist, PhD
Sherry Ellison
Psychologist, PhD
Serves Area
If you you feeling overwhelmed, depressed or stressed out and are having difficulty mananging your everyday life there are positive solutions to move forward. My approach is Solution Focused and Positive Psychology. What that means is: We focus on the present, collaborate to develop a plan of how to address the issues, then work towards resolving the difficulties you are experiencing in your life. Verbalization precedes resolution. I have been treating individuals with depression, anxiety, Bi Polar disorder and substance abuse for 20 yrs. I enjoy working with all types of individuals and their unique challenges.
If you you feeling overwhelmed, depressed or stressed out and are having difficulty mananging your everyday life there are positive solutions to move forward. My approach is Solution Focused and Positive Psychology. What that means is: We focus on the present, collaborate to develop a plan of how to address the issues, then work towards resolving the difficulties you are experiencing in your life. Verbalization precedes resolution. I have been treating individuals with depression, anxiety, Bi Polar disorder and substance abuse for 20 yrs. I enjoy working with all types of individuals and their unique challenges.
(760) 237-4312 View (760) 237-4312
Photo of Kimberly Esse, Clinical Social Work/Therapist
Kimberly Esse
Clinical Social Work/Therapist
Online Only
I am a Licensed Clinical Social Worker with over 20 years of experience, specializing in depression, anxiety, spiritual counseling, chronic and end-stage health issues, and culturally competent care for people of color. My compassionate approach is rooted in a deep commitment to my clients’ overall well-being. I am passionate about helping the hopeless rediscover their resilience, regain their faith, and embrace their optimal level of functioning.
I am a Licensed Clinical Social Worker with over 20 years of experience, specializing in depression, anxiety, spiritual counseling, chronic and end-stage health issues, and culturally competent care for people of color. My compassionate approach is rooted in a deep commitment to my clients’ overall well-being. I am passionate about helping the hopeless rediscover their resilience, regain their faith, and embrace their optimal level of functioning.
(909) 324-2021 View (909) 324-2021
Photo of Caroline Redmon, Marriage & Family Therapist, LMFT
Caroline Redmon
Marriage & Family Therapist, LMFT
Serves Area
I work with depth psycho-therapy to help you come to self acceptance and wholeness working through depression and anxiety . We work as a team to set goals by focusing on dreams, imagination, and your core values. I use external world perspectives such as music, movies, and art which can be beneficial in helping you get in touch with hard to reach emotions as well as working through relationship issues. The goal is to help you move toward personal awareness by tapping into your creativity and finding balance. All this can lead to inner wisdom and a higher consciousness. I work with individuals, couples, and families.
I work with depth psycho-therapy to help you come to self acceptance and wholeness working through depression and anxiety . We work as a team to set goals by focusing on dreams, imagination, and your core values. I use external world perspectives such as music, movies, and art which can be beneficial in helping you get in touch with hard to reach emotions as well as working through relationship issues. The goal is to help you move toward personal awareness by tapping into your creativity and finding balance. All this can lead to inner wisdom and a higher consciousness. I work with individuals, couples, and families.
(760) 278-4151 View (760) 278-4151
Photo of Alia Paula - alia paula | a private practice, Marriage & Family Therapist, LMFT
alia paula | a private practice
Marriage & Family Therapist, LMFT
Online Only
Are you walking on eggshells or saying, “it’s my fault... if only I ... I'm unworthy?” Does hearing, “you’re so sensitive...you don’t make sense...if it wasn’t for you I wouldn’t …”? Do other forms of name calling and gaslighting trigger intense feelings of anxiety, depression, and stress? Have you been described as 'codependent'? Are you in a relationship with a narcissist? Is your goal to find your voice and take back your life – the life you want – not the life imposed on you? Let’s collaborate. I’m here to support you in finding your voice and taking back your life – the life you want - the voice that is yours!
Are you walking on eggshells or saying, “it’s my fault... if only I ... I'm unworthy?” Does hearing, “you’re so sensitive...you don’t make sense...if it wasn’t for you I wouldn’t …”? Do other forms of name calling and gaslighting trigger intense feelings of anxiety, depression, and stress? Have you been described as 'codependent'? Are you in a relationship with a narcissist? Is your goal to find your voice and take back your life – the life you want – not the life imposed on you? Let’s collaborate. I’m here to support you in finding your voice and taking back your life – the life you want - the voice that is yours!
(760) 456-8924 View (760) 456-8924
Photo of Britney Wong, Marriage & Family Therapist, LMFT, LPCC
Britney Wong
Marriage & Family Therapist, LMFT, LPCC
Online Only
Maybe you’ve been feeling overwhelmed by big emotions, stuck in patterns that don’t make sense, or unsure how to support your child through something hard. Whether you’re a young adult navigating growing pressures, a teen trying to make sense of your world, or a parent holding more than your share, it can feel like no one really gets it. I’ve been there too—in the messy, complicated parts of life where just having someone truly listen can make all the difference.
Maybe you’ve been feeling overwhelmed by big emotions, stuck in patterns that don’t make sense, or unsure how to support your child through something hard. Whether you’re a young adult navigating growing pressures, a teen trying to make sense of your world, or a parent holding more than your share, it can feel like no one really gets it. I’ve been there too—in the messy, complicated parts of life where just having someone truly listen can make all the difference.
(858) 463-4228 View (858) 463-4228
Photo of Daniel Watson, Psychologist, PhD, MS
Daniel Watson
Psychologist, PhD, MS
Online Only
I work very well with clients who feel nervous, anxious or very depressed. By calming them and getting them to recognize their positive potentialities, I quickly assist them to bring about change. I have confidence that my clients will again find purpose, peace and learn how to achieve what they strive to accomplish. I relate well to teens and children. I have been very successful in changing behavioral patterns, increasing school performance and reducing conflicts with parents and sibs. With over 34 years experience, I have worked with most disabling conditions and use positive strategies to bring change.
I work very well with clients who feel nervous, anxious or very depressed. By calming them and getting them to recognize their positive potentialities, I quickly assist them to bring about change. I have confidence that my clients will again find purpose, peace and learn how to achieve what they strive to accomplish. I relate well to teens and children. I have been very successful in changing behavioral patterns, increasing school performance and reducing conflicts with parents and sibs. With over 34 years experience, I have worked with most disabling conditions and use positive strategies to bring change.
(760) 513-6568 View (760) 513-6568
Photo of Deborah Meints-Pierson, Marriage & Family Therapist, LMFT
Deborah Meints-Pierson
Marriage & Family Therapist, LMFT
2 Endorsed
Serves Area
As a licensed therapist for thirty years, Director of the Coachella Valley's most successful counseling center, and host of "It's A Family Affair" on Time Warner Television for ten years, I've helped people with a wide range of personal challenges. I see individuals on a path of spiritual growth and personal transformation. Many of my clients have experienced trauma and are seeking higher answers to life's most difficult questions.
As a licensed therapist for thirty years, Director of the Coachella Valley's most successful counseling center, and host of "It's A Family Affair" on Time Warner Television for ten years, I've helped people with a wide range of personal challenges. I see individuals on a path of spiritual growth and personal transformation. Many of my clients have experienced trauma and are seeking higher answers to life's most difficult questions.
(760) 498-1439 View (760) 498-1439
Photo of Cara Wilkerson, Marriage & Family Therapist, MA, LMFT
Cara Wilkerson
Marriage & Family Therapist, MA, LMFT
Serves Area
I am an EMDRIA and Brainspotting Specialty Workshop provider and Consultant as well as certified in Brainspotting, EMDR (Eye Movement Desensitization Reprocessing), and the Eagala model of psychotherapy. I specialize in trauma, anxiety, depression, and disassociation. I incorporate parts and somatic approaches, as well as animal assisted psychotherapies. I encourage curiosity, compassion, self respect, and self love while exploring and processing the complexity of each individual. I am client centered and directed, and follow the client's changing needs throughout their healing process.
I am an EMDRIA and Brainspotting Specialty Workshop provider and Consultant as well as certified in Brainspotting, EMDR (Eye Movement Desensitization Reprocessing), and the Eagala model of psychotherapy. I specialize in trauma, anxiety, depression, and disassociation. I incorporate parts and somatic approaches, as well as animal assisted psychotherapies. I encourage curiosity, compassion, self respect, and self love while exploring and processing the complexity of each individual. I am client centered and directed, and follow the client's changing needs throughout their healing process.
(760) 648-4466 View (760) 648-4466
Photo of Katy Michaels, Clinical Social Work/Therapist, LCSW
Katy Michaels
Clinical Social Work/Therapist, LCSW
Serves Area
Congratulations on your decision to make a change in your life. You have taken the first step to feel better about yourself and your life. Many of my clients who first come to therapy are in pain and they don't know why. They may have turned to alcohol, drugs, food or have unresolved grief, anxiety, depression or never been able to look at past trauma. We all deserve to be loved, experience joy and have a sense of belonging. My role as a therapist is to help guide you on your path as you make healthier choices. If you feel ready to make some changes and continue on your path schedule a consultation.
Congratulations on your decision to make a change in your life. You have taken the first step to feel better about yourself and your life. Many of my clients who first come to therapy are in pain and they don't know why. They may have turned to alcohol, drugs, food or have unresolved grief, anxiety, depression or never been able to look at past trauma. We all deserve to be loved, experience joy and have a sense of belonging. My role as a therapist is to help guide you on your path as you make healthier choices. If you feel ready to make some changes and continue on your path schedule a consultation.
(760) 825-6755 View (760) 825-6755
Photo of Petra Schoning, Marriage & Family Therapist, MA, LMFT, BCC
Petra Schoning
Marriage & Family Therapist, MA, LMFT, BCC
Online Only
It takes vulnerability and courage to reach out and ask for support. Simply being a human being means that we will, at times, be challenged, overwhelmed, frustrated, confused, anxious and/or scared. This is normal and it is true for everyone. It is part of the human experience. Often we are able to navigate life challenges on our own. However, there are times where reaching out for support and guidance is the best decision we can possibly make. Times where we feel stuck and unable to find our way through life's difficulties. Times where we want to get back to our best selves as soon as possible.
It takes vulnerability and courage to reach out and ask for support. Simply being a human being means that we will, at times, be challenged, overwhelmed, frustrated, confused, anxious and/or scared. This is normal and it is true for everyone. It is part of the human experience. Often we are able to navigate life challenges on our own. However, there are times where reaching out for support and guidance is the best decision we can possibly make. Times where we feel stuck and unable to find our way through life's difficulties. Times where we want to get back to our best selves as soon as possible.
(760) 895-4332 View (760) 895-4332
Photo of Satish Reese, Marriage & Family Therapist, LMFT
Satish Reese
Marriage & Family Therapist, LMFT
Serves Area
I am a Licensed Marriage & Family Therapist located in Palm Desert, CA. In my practice I provide therapy to adolescents, families including blended families, young adults and couples. I am passionate about working with teens on their journey to figuring out life. My office is a safe space for clients to work through past trauma, find their voice, improve relationships, and get a better understanding of who they are. I include the parents throughout the process as I find it important to strengthen the family bond, break old habits that don’t work, and together create new ones that do.
I am a Licensed Marriage & Family Therapist located in Palm Desert, CA. In my practice I provide therapy to adolescents, families including blended families, young adults and couples. I am passionate about working with teens on their journey to figuring out life. My office is a safe space for clients to work through past trauma, find their voice, improve relationships, and get a better understanding of who they are. I include the parents throughout the process as I find it important to strengthen the family bond, break old habits that don’t work, and together create new ones that do.
(760) 237-0090 View (760) 237-0090
Photo of Joseph H. Share, Psychologist, PhD
Joseph H. Share
Psychologist, PhD
Serves Area
Dr. Share taught educators how to work with special needs & gifted kids. He was a School Psychologist and then Director of Psychological Services for a school district. He supervised college students completing their Marriage/Family, and or Psychologist License. He developed programs in parenting skills, marital improvement, reducing depression, assisting dysfunctional families and dealing with daily life stressors. Dr. Share taught classes as an Assistant Professor with the University of California, Los Angeles. Courses were in parenting, working with ADD/ADHD, learning/behavioral, & emotional issues of children and adults.
Dr. Share taught educators how to work with special needs & gifted kids. He was a School Psychologist and then Director of Psychological Services for a school district. He supervised college students completing their Marriage/Family, and or Psychologist License. He developed programs in parenting skills, marital improvement, reducing depression, assisting dysfunctional families and dealing with daily life stressors. Dr. Share taught classes as an Assistant Professor with the University of California, Los Angeles. Courses were in parenting, working with ADD/ADHD, learning/behavioral, & emotional issues of children and adults.
(442) 282-6474 View (442) 282-6474
Photo of Diana Seeb Ph.d., Psychologist, PhD
Diana Seeb Ph.d.
Psychologist, PhD
Serves Area
Whether the distress you are experiencing emanates from internal or external factors, psychotherapy can help. In my many years of practice, it has been my privilege to work hand in hand with my patients to find new pathways of understanding and new options for moving forward. Reaching out for some assistance is not a sign of weakness but rather of courage - the courage to face what is troubling and to take the sometimes difficult steps to regroup.
Whether the distress you are experiencing emanates from internal or external factors, psychotherapy can help. In my many years of practice, it has been my privilege to work hand in hand with my patients to find new pathways of understanding and new options for moving forward. Reaching out for some assistance is not a sign of weakness but rather of courage - the courage to face what is troubling and to take the sometimes difficult steps to regroup.
(760) 856-8512 View (760) 856-8512
Photo of Blair Bohuny - Blair Bohuny - Expansive Therapy , APCC
Blair Bohuny - Expansive Therapy
Verified Verified
8 Endorsed
Serves Area
I believe healing requires a holistic approach that addresses all aspects of the human experience. I am interested in understanding the many layers that shape one’s beliefs and personal stories, striving to understand the connection between the mind, body, and spirit. Developing inner trust and self-acceptance is a vital part of the therapeutic process. I hope to encourage and guide clients to listen to their innate wisdom and collaborate with them in their journey to reconnect with the most authentic version of themselves.
I believe healing requires a holistic approach that addresses all aspects of the human experience. I am interested in understanding the many layers that shape one’s beliefs and personal stories, striving to understand the connection between the mind, body, and spirit. Developing inner trust and self-acceptance is a vital part of the therapeutic process. I hope to encourage and guide clients to listen to their innate wisdom and collaborate with them in their journey to reconnect with the most authentic version of themselves.
(914) 745-7822 View (914) 745-7822
Photo of Jamye Jesser, Psychologist, PsyD
Jamye Jesser
Psychologist, PsyD
Serves Area
Everyone goes through stressful situations requiring support. Therapy and assessment can empower you, your adolescent and your family to go through these challenges.I have been a licensed clinical psychologist for over 25 years and have worked with children, adolescents, adults, and couples in individual, marital, family, and group therapy.I like creating an atmosphere of warmth and support in which people can reach their maximum potential in terms of emotional, social cognitive, behavioral and spiritual functioning.
Everyone goes through stressful situations requiring support. Therapy and assessment can empower you, your adolescent and your family to go through these challenges.I have been a licensed clinical psychologist for over 25 years and have worked with children, adolescents, adults, and couples in individual, marital, family, and group therapy.I like creating an atmosphere of warmth and support in which people can reach their maximum potential in terms of emotional, social cognitive, behavioral and spiritual functioning.
(760) 642-5307 View (760) 642-5307

See more therapy options for 92210

How does your Therapist compare?

Number of Therapists in 92210

30+

Average cost per session

$175

Therapists in 92210 who prioritize treating:

89% Anxiety
87% Depression
84% Relationship Issues
74% Coping Skills
74% Self Esteem
71% Family Conflict
71% Stress

Average years in practice

16 Years

Top 3 insurances accepted

55% Aetna
55% Cigna and Evernorth
50% Other

How Therapists in 92210 see their clients

63% In Person and Online
37% Online Only

Gender breakdown

71% Female
29% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 92210?

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.