Colleen Sebastian, LMFT Sebastian Family Therapy
Marriage & Family Therapist, MC, LMFT
Verified Verified
Not accepting new clients
Is your child struggling with anxiety, low self-esteem, or difficulty expressing emotions safely? Are they having a difficult time coping with a trauma or loss? Maybe you want to strengthen your relationship with your child. Play is the natural way that children express themselves, and they need a special environment filled with toys and games to help them with the hard work of learning new skills and addressing unpleasant memories. Play and art therapy can be used to resolve trauma, teach and practice coping skills, increase emotional regulation, decrease anxiety and enhance attachments.
Is your child struggling with anxiety, low self-esteem, or difficulty expressing emotions safely? Are they having a difficult time coping with a trauma or loss? Maybe you want to strengthen your relationship with your child. Play is the natural way that children express themselves, and they need a special environment filled with toys and games to help them with the hard work of learning new skills and addressing unpleasant memories. Play and art therapy can be used to resolve trauma, teach and practice coping skills, increase emotional regulation, decrease anxiety and enhance attachments.
(805) 779-0903 View (805) 779-0903
Photo of Brittany Boveé, LCSW, Clinical Social Work/Therapist
Brittany Boveé
Clinical Social Work/Therapist, LCSW
Verified Verified
Sometimes life, our feelings, and our minds can become overwhelming. Many of us have been through things that make it difficult to understand our own thoughts and actions. My vast experience with a broad spectrum of human challenges has led me to develop a keen intuition. I am a Neurodiversity affirming therapist and I strive to connect with my clients' inner world. Many clients tell me that they feel like I am "the first person that really understands" them. Working together, I will endeavor to accurately conceptualize the various aspects of your life in order to increase self awareness and maximize personal growth.
Sometimes life, our feelings, and our minds can become overwhelming. Many of us have been through things that make it difficult to understand our own thoughts and actions. My vast experience with a broad spectrum of human challenges has led me to develop a keen intuition. I am a Neurodiversity affirming therapist and I strive to connect with my clients' inner world. Many clients tell me that they feel like I am "the first person that really understands" them. Working together, I will endeavor to accurately conceptualize the various aspects of your life in order to increase self awareness and maximize personal growth.
(424) 343-2029 View (424) 343-2029
Photo of Julia Byl, MA , LMFT, Marriage & Family Therapist
Julia Byl
Marriage & Family Therapist, MA , LMFT
Verified Verified
Online Only
Deciding to pursue therapy for your child, teen, yourself, or your family is a difficult yet rewarding decision. It is not often that we give ourselves the time and attention to focus on our feelings, frustrations and desires, but doing so can change our perceptions of ourselves and the world around us. My theoretical orientation integrates Mindfulness and solution-focused therapy with cognitive behavioral interventions that will reduce stress immediately.
Deciding to pursue therapy for your child, teen, yourself, or your family is a difficult yet rewarding decision. It is not often that we give ourselves the time and attention to focus on our feelings, frustrations and desires, but doing so can change our perceptions of ourselves and the world around us. My theoretical orientation integrates Mindfulness and solution-focused therapy with cognitive behavioral interventions that will reduce stress immediately.
(805) 623-4387 View (805) 623-4387
Photo of Denise Bila Seastrunk, RN, CNS, PhD, CTP
Denise Bila Seastrunk
RN, CNS, PhD, CTP
Verified Verified
I treat clients who are experiencing depression, anxiety, life stressors and transitions. I enjoy working with adults and couples who are experiencing all types of issues. Dealing with parenting and adolescence can be challenging, but these are the types of challenges I embrace. Whatever your issues or goals are in therapy, I can provide an integrated way of helping you due to my educational background and varied life experiences.
I treat clients who are experiencing depression, anxiety, life stressors and transitions. I enjoy working with adults and couples who are experiencing all types of issues. Dealing with parenting and adolescence can be challenging, but these are the types of challenges I embrace. Whatever your issues or goals are in therapy, I can provide an integrated way of helping you due to my educational background and varied life experiences.
(805) 244-6785 View (805) 244-6785
Photo of Megan Krause, AMFT, Pre-Licensed Professional
Megan Krause
Pre-Licensed Professional, AMFT
Verified Verified
1 Endorsed
I am a therapist who cares deeply about meeting each client where they are, taking time to honor their story and find ways towards healing and clarity. By using “Walk and Talk” therapy we are able to break free from the confines of a traditional therapy office, inviting movement to be included in the therapy process. During a session we can walk side by side, allowing the physical activity to help release endorphins and the natural surroundings provide a calming and grounding effect. My goal is for you to feel supported, challenged and encouraged in our work together.
I am a therapist who cares deeply about meeting each client where they are, taking time to honor their story and find ways towards healing and clarity. By using “Walk and Talk” therapy we are able to break free from the confines of a traditional therapy office, inviting movement to be included in the therapy process. During a session we can walk side by side, allowing the physical activity to help release endorphins and the natural surroundings provide a calming and grounding effect. My goal is for you to feel supported, challenged and encouraged in our work together.
(805) 793-1309 View (805) 793-1309
Photo of Tricia E Parido - Turning Leaves Recovery Life & Wellness Coaching, BsPsych, IMAC, CATCIII, NCIP, NCFAC, Drug & Alcohol Counselor
Turning Leaves Recovery Life & Wellness Coaching
Drug & Alcohol Counselor, BsPsych, IMAC, CATCIII, NCIP, NCFAC
Verified Verified
4 Endorsed
Online Only
Craving freedom from relentless internal battles? It's time to envision a journey of self-discovery with a certified recovery specialist. Tired of the drain from habits like drinking, dieting, and the emotional struggle? Longing for liberation from trauma, substance abuse, and anxiety with the guidance of an addiction coach? Life's too short for anything less. Beyond societal norms, your struggles delve into control needs, eating disorders, and abandonment issues—find support from a mental health coach ready to assist. It's more than chemical—it's reclaiming control, overcoming trauma, and embracing holistic well-being.
Craving freedom from relentless internal battles? It's time to envision a journey of self-discovery with a certified recovery specialist. Tired of the drain from habits like drinking, dieting, and the emotional struggle? Longing for liberation from trauma, substance abuse, and anxiety with the guidance of an addiction coach? Life's too short for anything less. Beyond societal norms, your struggles delve into control needs, eating disorders, and abandonment issues—find support from a mental health coach ready to assist. It's more than chemical—it's reclaiming control, overcoming trauma, and embracing holistic well-being.
(805) 556-4033 View (805) 556-4033
Photo of Pamela Kremza Andersen, MA, LMFT, Marriage & Family Therapist
Pamela Kremza Andersen
Marriage & Family Therapist, MA, LMFT
Verified Verified
You are here to feel better, so let's begin. I use EMDR for most of my clients. Emotional pain can lead to unwanted behaviors, ruin relationships, and make life feel rather miserable. EMDR helps clear away those painful, repeating thoughts and eliminates future fears. EMDR is a feel good therapy as we transform the problems, abuse, self hate or traumatic events into the past. You can significantly reduce anxiety, build confidence, improve body image, and become excited about the future. The goal is for you to launch a new strength, enjoy relationships, feel love and appreciate yourself. It is possible to get the results you desire.
You are here to feel better, so let's begin. I use EMDR for most of my clients. Emotional pain can lead to unwanted behaviors, ruin relationships, and make life feel rather miserable. EMDR helps clear away those painful, repeating thoughts and eliminates future fears. EMDR is a feel good therapy as we transform the problems, abuse, self hate or traumatic events into the past. You can significantly reduce anxiety, build confidence, improve body image, and become excited about the future. The goal is for you to launch a new strength, enjoy relationships, feel love and appreciate yourself. It is possible to get the results you desire.
(805) 243-2148 View (805) 243-2148
Photo of Ronald D Uggla, MS, LMFT, Marriage & Family Therapist
Ronald D Uggla
Marriage & Family Therapist, MS, LMFT
Verified Verified
Online Only
Sometimes life can feel overwhelming and life events begin to impact your joy, fulfillment; your ability to do the things you need to do. You may be struggling with work, engaging in meaningful activities, parenting effectively, or spending quality time with family and friends. Seeking out help and support through therapy can be a great way to help you find your way back to self-confidence, energy, and the motivation to get back to living a happy, fulfilling life.
Sometimes life can feel overwhelming and life events begin to impact your joy, fulfillment; your ability to do the things you need to do. You may be struggling with work, engaging in meaningful activities, parenting effectively, or spending quality time with family and friends. Seeking out help and support through therapy can be a great way to help you find your way back to self-confidence, energy, and the motivation to get back to living a happy, fulfilling life.
(805) 800-8932 View (805) 800-8932
Photo of Eileen Wright, MS, LMFT, Marriage & Family Therapist
Eileen Wright
Marriage & Family Therapist, MS, LMFT
Verified Verified
Online Only
Things have been hard for people lately. You are not alone if you have been feeling stretched too thin. Relationships can be challenging; learning communication skills to express yourself authentically to your partner is what I can offer couples. Understanding your own feelings first, learning emotional language to communicate those feelings, and learning how to listen and be heard in your relationship is the basis of what I do when working with couples. For parents, I help you see your child as a whole person from birth, and assist you in becoming a confident leader, developing healthy attachments, and fostering emotional security.
Things have been hard for people lately. You are not alone if you have been feeling stretched too thin. Relationships can be challenging; learning communication skills to express yourself authentically to your partner is what I can offer couples. Understanding your own feelings first, learning emotional language to communicate those feelings, and learning how to listen and be heard in your relationship is the basis of what I do when working with couples. For parents, I help you see your child as a whole person from birth, and assist you in becoming a confident leader, developing healthy attachments, and fostering emotional security.
(562) 732-4419 View (562) 732-4419
Photo of Lacey Consuelo McPhetridge, MS, RPA, Psychological Associate
Lacey Consuelo McPhetridge
Psychological Associate, MS, RPA
Verified Verified
If you are looking for a therapist that understands the neurodivergent mind, then I may be the right match for you. I aim to aide clients in understanding that how their brain works doesn't mean they are broken. I work collaboratively with my clients to identify strategies that will help them reach their personal goals. If you are looking for a therapist that will support your unique qualities while helping you achieve your personal goals, then I'd love to meet with you.
If you are looking for a therapist that understands the neurodivergent mind, then I may be the right match for you. I aim to aide clients in understanding that how their brain works doesn't mean they are broken. I work collaboratively with my clients to identify strategies that will help them reach their personal goals. If you are looking for a therapist that will support your unique qualities while helping you achieve your personal goals, then I'd love to meet with you.
(805) 973-0076 View (805) 973-0076
Photo of Silvia Ortiz, PhD, Psychologist
Silvia Ortiz
Psychologist, PhD
Verified Verified
Online Only
During my 31 years as a psychologist, I have worked with a wide range of conditions. I particularly focus on Depression, Anxiety Disorders, Post Traumatic Stress Disorder, Substance Abuse, Grief, Domestic Abuse, Obesity, and Self Esteem. I provide services to adults and elderly individuals. When indicated I collaborate with Doctors and Psychiatrists to ensure effective treatment.
During my 31 years as a psychologist, I have worked with a wide range of conditions. I particularly focus on Depression, Anxiety Disorders, Post Traumatic Stress Disorder, Substance Abuse, Grief, Domestic Abuse, Obesity, and Self Esteem. I provide services to adults and elderly individuals. When indicated I collaborate with Doctors and Psychiatrists to ensure effective treatment.
(805) 256-1174 View (805) 256-1174
Photo of Brianna Larsen, LMFT, Marriage & Family Therapist
Brianna Larsen
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Each person is unique and has experienced their own set of challenges, trauma and adversities yet we are all bound by human commonalities. We get hurt, we feel anxious or depressed, we feel anger and we can feel hopeless. If you want to find joy, meaning or take control over your life, I am here to help guide you and provide you support. I am here to acknowledge the pain while finding things that bring happiness. We all need a safe place to get support when we are struggling to find our voice, figuring out how communicate ours needs or dealing with the emotional pain caused by everyday stressors, trauma or relationship issues.
Each person is unique and has experienced their own set of challenges, trauma and adversities yet we are all bound by human commonalities. We get hurt, we feel anxious or depressed, we feel anger and we can feel hopeless. If you want to find joy, meaning or take control over your life, I am here to help guide you and provide you support. I am here to acknowledge the pain while finding things that bring happiness. We all need a safe place to get support when we are struggling to find our voice, figuring out how communicate ours needs or dealing with the emotional pain caused by everyday stressors, trauma or relationship issues.
(805) 738-6594 View (805) 738-6594
Photo of Tim Connely, MS, LMFT, MEd, Marriage & Family Therapist
Tim Connely
Marriage & Family Therapist, MS, LMFT, MEd
Verified Verified
There are things about relationships that all of us find challenging. Communication with your spouse, partner, or children for some. Trauma experienced by yourself or someone close to you. We could insert 100 other examples here, but no one should have to try to figure it out on their own. There is someone out there that can support you on your journey, and I hope that person is me.
There are things about relationships that all of us find challenging. Communication with your spouse, partner, or children for some. Trauma experienced by yourself or someone close to you. We could insert 100 other examples here, but no one should have to try to figure it out on their own. There is someone out there that can support you on your journey, and I hope that person is me.
(805) 270-7273 View (805) 270-7273
Photo of Valerie Harris-Reamer, MS, MFT, Marriage & Family Therapist
Valerie Harris-Reamer
Marriage & Family Therapist, MS, MFT
Verified Verified
1 Endorsed
Online Only
Do you turn to food, alcohol, or drugs to deal with feeling lonely or rejected, or to cope with added stress and anxiety? Have you lost the joyful feelings that you used to have in life? Do you feel fear stricken, even in the “comfort” of your own home? Do you feel like there are so many things to manage and your forever growing “to do list” leaves you feeling completely overwhelmed? I work with women who have experienced tough stuff in their childhood and feel like they have lost their way. Sometimes we turn to food, alcohol, and drugs or, we withdraw from friends and family, just to cope. Does this sound like you?
Do you turn to food, alcohol, or drugs to deal with feeling lonely or rejected, or to cope with added stress and anxiety? Have you lost the joyful feelings that you used to have in life? Do you feel fear stricken, even in the “comfort” of your own home? Do you feel like there are so many things to manage and your forever growing “to do list” leaves you feeling completely overwhelmed? I work with women who have experienced tough stuff in their childhood and feel like they have lost their way. Sometimes we turn to food, alcohol, and drugs or, we withdraw from friends and family, just to cope. Does this sound like you?
(805) 519-8716 View (805) 519-8716
Photo of Liza Roth, Marriage & Family Therapist Associate
Liza Roth
Marriage & Family Therapist Associate
Verified Verified
1 Endorsed
Liza Roth takes an integrative technique to therapy, leading with a client-centered and interpersonal approach. She recognizes the courage it takes to walk through the door to begin therapy and she focuses on welcoming you exactly as you are. The first step toward growth is viewing yourself with kindness and compassion. Only then can you understand what shaped you into the person that you are today and how to become who you truly intend to be.
Liza Roth takes an integrative technique to therapy, leading with a client-centered and interpersonal approach. She recognizes the courage it takes to walk through the door to begin therapy and she focuses on welcoming you exactly as you are. The first step toward growth is viewing yourself with kindness and compassion. Only then can you understand what shaped you into the person that you are today and how to become who you truly intend to be.
(805) 590-5239 View (805) 590-5239
Photo of Lisa Jimenez, MSW, LCSW, Clinical Social Work/Therapist
Lisa Jimenez
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
I want to extend a warm and empathetic welcome to you as you consider taking this important step toward healing and growth. Obtaining therapy can facilitate a safe environment in which you can freely express your inner thoughts and emotions, learn to see life through a different lense, and develop the necessary skills to own your journey. Quiero brindarle una cálida y empática bienvenida mientras considera dar este importante paso terapeutico hacia la sanacion y el desarrollo de las habilidades necesarias para ser dueño de su viaje de vida.
I want to extend a warm and empathetic welcome to you as you consider taking this important step toward healing and growth. Obtaining therapy can facilitate a safe environment in which you can freely express your inner thoughts and emotions, learn to see life through a different lense, and develop the necessary skills to own your journey. Quiero brindarle una cálida y empática bienvenida mientras considera dar este importante paso terapeutico hacia la sanacion y el desarrollo de las habilidades necesarias para ser dueño de su viaje de vida.
(805) 919-8141 View (805) 919-8141
Photo of Rachel Van Wickle, LMFT, Marriage & Family Therapist
Rachel Van Wickle
Marriage & Family Therapist, LMFT
Verified Verified
You feel like you've been hijacked by what you've experienced. Sometimes your body is in panic mode- racing heart, sweaty palms, flashbacks, and hyper-vigilance. Other times you feel completely disconnected- numbing out through technology, emotionless, and exhausted. You can't seem to make sense of what you're supposed to do to feel better. You feel broken, alone, and helpless. As a certified clinical trauma professional (CCTP) I have experience working with individuals just like you. I specialize in survivors of sexual trauma and medical professionals who have experienced trauma (and/or vicarious trauma).
You feel like you've been hijacked by what you've experienced. Sometimes your body is in panic mode- racing heart, sweaty palms, flashbacks, and hyper-vigilance. Other times you feel completely disconnected- numbing out through technology, emotionless, and exhausted. You can't seem to make sense of what you're supposed to do to feel better. You feel broken, alone, and helpless. As a certified clinical trauma professional (CCTP) I have experience working with individuals just like you. I specialize in survivors of sexual trauma and medical professionals who have experienced trauma (and/or vicarious trauma).
(805) 870-8852 View (805) 870-8852
Photo of Holly Whall, LCSW, MPH, Clinical Social Work/Therapist
Holly Whall
Clinical Social Work/Therapist, LCSW, MPH
Verified Verified
1 Endorsed
Have you outgrown some aspect of your current life and either longing for change, or had change hit you over the head? When you come to a crossroads, there is an invitation to step into a new stage of development which is uncertain, unfamiliar and feels risky. You may have a hard time trusting yourself to make the "right" decisions, and feelings of anxiety, grief, sadness and self-doubt may remind you of painful, early life experiences you've tried to forget. Although challenging, life transitions present a huge opportunity for healing and growth by waking us up out of our trance, and begging us to explore what matters most.
Have you outgrown some aspect of your current life and either longing for change, or had change hit you over the head? When you come to a crossroads, there is an invitation to step into a new stage of development which is uncertain, unfamiliar and feels risky. You may have a hard time trusting yourself to make the "right" decisions, and feelings of anxiety, grief, sadness and self-doubt may remind you of painful, early life experiences you've tried to forget. Although challenging, life transitions present a huge opportunity for healing and growth by waking us up out of our trance, and begging us to explore what matters most.
(805) 209-0206 View (805) 209-0206
Photo of Carie Randolph, MA, LMFT, Marriage & Family Therapist
Carie Randolph
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
It's important to find a therapist with whom you can connect and feel safe. With empathy and compassion, my focus is to creat a safe environment so that you are able to share that which is most vulnerable and I hold the space, a positive attitude, that focuses on your ability to grow and heal. Whether you come as a family, couple, individual, my goal is to help you to get past the stuck places, learn new skills, help you connect with your feelings with more depth and help you to make the changes that will enrich your life.
It's important to find a therapist with whom you can connect and feel safe. With empathy and compassion, my focus is to creat a safe environment so that you are able to share that which is most vulnerable and I hold the space, a positive attitude, that focuses on your ability to grow and heal. Whether you come as a family, couple, individual, my goal is to help you to get past the stuck places, learn new skills, help you connect with your feelings with more depth and help you to make the changes that will enrich your life.
(805) 285-3907 View (805) 285-3907
Photo of Jaime Cruz, AMFT, Pre-Licensed Professional
Jaime Cruz
Pre-Licensed Professional, AMFT
Verified Verified
I am committed to helping individuals and families overcome trauma and adversity through a compassionate, straightforward approach. Having immigrated from Mexico and grown up in South Central Los Angeles, I understand the challenges that come with hardship and resilience. With over 10 years of experience, I specialize in working with youth and families, helping them build strength, process trauma and navigate complex issues.
I am committed to helping individuals and families overcome trauma and adversity through a compassionate, straightforward approach. Having immigrated from Mexico and grown up in South Central Los Angeles, I understand the challenges that come with hardship and resilience. With over 10 years of experience, I specialize in working with youth and families, helping them build strength, process trauma and navigate complex issues.
(805) 303-8152 View (805) 303-8152

How does your Therapist compare?

Number of Therapists in 93420

100+

Average cost per session

$150

Therapists in 93420 who prioritize treating:

97% Anxiety
94% Depression
87% Relationship Issues
82% Self Esteem
79% Trauma and PTSD
77% Coping Skills
71% Stress

Average years in practice

14 Years

Top 3 insurances accepted

52% Aetna
39% Other
29% UnitedHealthcare UHC | UBH

How Therapists in 93420 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 93420?

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.