Photo of Joanna de Leon, MA, AMFT
Joanna de Leon
Associate Marriage & Family Therapist, MA, AMFT
Verified Verified
1 Endorsed
Sacramento, CA 95816  (Online Only)
The last few years have been tough. While the world is seemingly back to “normal,” you feel far from it. From the outside, it looks like you've got it all figured out, but internally you know something's missing. You long to make meaningful connections, but feel disconnected from yourself and struggle to let others in. You might even feel like it's safer to keep others at a distance. But there's also a part of you that deeply desires connection and healing. You can have the life and relationships you want! Schedule with me today at www.lovehealgrow.com.
The last few years have been tough. While the world is seemingly back to “normal,” you feel far from it. From the outside, it looks like you've got it all figured out, but internally you know something's missing. You long to make meaningful connections, but feel disconnected from yourself and struggle to let others in. You might even feel like it's safer to keep others at a distance. But there's also a part of you that deeply desires connection and healing. You can have the life and relationships you want! Schedule with me today at www.lovehealgrow.com.
(530) 489-5645 View (530) 489-5645
Photo of Stephen Bryant Walker, LMFT, Marriage & Family Therapist
Stephen Bryant Walker
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Sacramento, CA 95816
As a licensed psychotherapist and Buddhist teacher, clients receive compassionate support and encouragement to bring mindfulness and kindness to their problems, issues and life goals. Traditional psychotherapy is complementary to the meditative traditions which emphasize non-judgmental awareness, energy and the cultivation of positive emotions. Stephen graduated from the Professional School of Psychology in 1992. He has had specialized training in Buddhist Psychology, Gestalt, EMDR, Hypnotherapy and Dialectical Behavior Therapy. He teaches core mindfulness skills and meditation in daily life.
As a licensed psychotherapist and Buddhist teacher, clients receive compassionate support and encouragement to bring mindfulness and kindness to their problems, issues and life goals. Traditional psychotherapy is complementary to the meditative traditions which emphasize non-judgmental awareness, energy and the cultivation of positive emotions. Stephen graduated from the Professional School of Psychology in 1992. He has had specialized training in Buddhist Psychology, Gestalt, EMDR, Hypnotherapy and Dialectical Behavior Therapy. He teaches core mindfulness skills and meditation in daily life.
(916) 251-9986 View (916) 251-9986
Photo of Courtney Kim Morgan, LPCC, ATR
Courtney Kim Morgan
Licensed Professional Clinical Counselor, LPCC, ATR
Verified Verified
1 Endorsed
Sacramento, CA 95816
Audre Lorde wrote, “There is no such thing as a single-issue struggle because we do not live single-issue lives”. I believe and practice from this framework. We are relational beings connected to each other and society. At the intersections of ourselves and community, we may meet Depression, Anxiety, Trauma, and complex Relationships. Getting to know these Problems helps us to understand their origins and find solutions.
Audre Lorde wrote, “There is no such thing as a single-issue struggle because we do not live single-issue lives”. I believe and practice from this framework. We are relational beings connected to each other and society. At the intersections of ourselves and community, we may meet Depression, Anxiety, Trauma, and complex Relationships. Getting to know these Problems helps us to understand their origins and find solutions.
(916) 571-6839 View (916) 571-6839
Photo of Joanne Nichols Kuchera, LCSW, Clinical Social Work/Therapist
Joanne Nichols Kuchera
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95816
As a practicing therapist for over 20 years, I have the privilege of working collaboratively with my clients to assist them in finding solutions to their problems and learning how to live life more authentically and with greater joy. Whatever your circumstance, if you're struggling to make changes, therapy and developing greater insight, may be just the energy you need to make the change you want. I believe that everyone has capacity for positive change and personal development, and that working together we can synergistically accomplish greater things than on our own.
As a practicing therapist for over 20 years, I have the privilege of working collaboratively with my clients to assist them in finding solutions to their problems and learning how to live life more authentically and with greater joy. Whatever your circumstance, if you're struggling to make changes, therapy and developing greater insight, may be just the energy you need to make the change you want. I believe that everyone has capacity for positive change and personal development, and that working together we can synergistically accomplish greater things than on our own.
(916) 713-5014 View (916) 713-5014
Photo of undefined - Monique VandenBos Parts Work and EMDR, MA, LMFT, Marriage & Family Therapist
Monique VandenBos Parts Work and EMDR
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Sacramento, CA 95816  (Online Only)
I provide therapy in Midtown Sacramento, currently all therapy is through video/telehealth. My approach to therapy is interactive, playful, and compassionate. I believe that therapy can open us to feel more connected to ourselves and our relationships and lead more intentional lives. I respect the vulnerability of each of in reaching out for therapy and look forward to empowering you.
I provide therapy in Midtown Sacramento, currently all therapy is through video/telehealth. My approach to therapy is interactive, playful, and compassionate. I believe that therapy can open us to feel more connected to ourselves and our relationships and lead more intentional lives. I respect the vulnerability of each of in reaching out for therapy and look forward to empowering you.
(916) 943-4604 View (916) 943-4604
Photo of Graham Sargent, CADCIII, ICADC , IS, SAP, Drug & Alcohol Counselor
Graham Sargent
Drug & Alcohol Counselor, CADCIII, ICADC , IS, SAP
Verified Verified
Sacramento, CA 95816  (Online Only)
Not accepting new clients
You don't have to stay stuck. Let's get you back on track! Substance abuse robs us of our potential, and creates layers of problems in our lives. It is overwhelming to figure out how, and where to start looking for a solution. Navigating this process is difficult and I am here to help. My goal is to assist you in developing a personalized plan to sustain long-term recovery, on your terms. I want to help you get you to place where you don't need a professional, and are utilizing new tools to build the best foundation for your growth and positive change. There are many paths to recovery, and many ways to start the journey.
You don't have to stay stuck. Let's get you back on track! Substance abuse robs us of our potential, and creates layers of problems in our lives. It is overwhelming to figure out how, and where to start looking for a solution. Navigating this process is difficult and I am here to help. My goal is to assist you in developing a personalized plan to sustain long-term recovery, on your terms. I want to help you get you to place where you don't need a professional, and are utilizing new tools to build the best foundation for your growth and positive change. There are many paths to recovery, and many ways to start the journey.
(833) 436-8727 View (833) 436-8727
Photo of Karen Fox, APCC
Karen Fox
Associate Professional Clinical Counselor, APCC
Verified Verified
4 Endorsed
Sacramento, CA 95816
If you feel like a fish tasked with climbing a tree and you just can’t seem to ever get it right, it would make sense that our besties, Anxiety, Overwhelm, and that gnawing sensation of Not-Enoughness, tend to show up to the party. They can be exhausting, but you don’t have to manage them alone. Healing happens when we feel seen and understood by another, which can ease the path towards greater self-acceptance, joy, authenticity, and a deeper connection with yourself and others.
If you feel like a fish tasked with climbing a tree and you just can’t seem to ever get it right, it would make sense that our besties, Anxiety, Overwhelm, and that gnawing sensation of Not-Enoughness, tend to show up to the party. They can be exhausting, but you don’t have to manage them alone. Healing happens when we feel seen and understood by another, which can ease the path towards greater self-acceptance, joy, authenticity, and a deeper connection with yourself and others.
(916) 666-6347 View (916) 666-6347
Photo of Flin Oshun, MSW, ASW, Pre-Licensed Professional
Flin Oshun
Pre-Licensed Professional, MSW, ASW
Verified Verified
3 Endorsed
Sacramento, CA 95816  (Online Only)
Our wounds have openings into some of the best parts of us. Whether it's a loss, depression, relationship change or anxiety, life can cause deep wounds that feel unbearable to endure. Having a safe space to explore your fears, insecurities, doubt, hurt, mental brain fog, apathy, anger and pain in therapy is the first step in healing those wounds.
Our wounds have openings into some of the best parts of us. Whether it's a loss, depression, relationship change or anxiety, life can cause deep wounds that feel unbearable to endure. Having a safe space to explore your fears, insecurities, doubt, hurt, mental brain fog, apathy, anger and pain in therapy is the first step in healing those wounds.
(916) 426-0581 View (916) 426-0581
Photo of Michael Lysaght, MA, LMFT, Marriage & Family Therapist
Michael Lysaght
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Sacramento, CA 95816
Waitlist for new clients
I offer teletherapy to clients in California, Nevada, Oregon and Colorado. I offer in-office visits in Sacramento. Sometimes we expect far too much from ourselves. Each client is invited into a space where there is no expectation and where they are free to be themselves, without fear of judgement or misunderstanding. Adults can sometimes struggle to find space to hold compassion for themselves. Couples (and all variants of relationship structure) can also use a nonjudgmental time and space to feel heard, while building tools for communication.
I offer teletherapy to clients in California, Nevada, Oregon and Colorado. I offer in-office visits in Sacramento. Sometimes we expect far too much from ourselves. Each client is invited into a space where there is no expectation and where they are free to be themselves, without fear of judgement or misunderstanding. Adults can sometimes struggle to find space to hold compassion for themselves. Couples (and all variants of relationship structure) can also use a nonjudgmental time and space to feel heard, while building tools for communication.
(415) 723-4141 View (415) 723-4141
Photo of Dr. Chanin Hardwick, PhD, MA-MFT, LPCC, C-IAYT, Counselor
Dr. Chanin Hardwick
Counselor, PhD, MA-MFT, LPCC, C-IAYT
Verified Verified
Sacramento, CA 95816  (Online Only)
Transition, trauma, and transformation are my specialties. Life transition, career transition, transition in relationships, racial trauma, the trauma of loss, sexual assault trauma, imposter syndrome, and personal transformation. Much comes with each and using the mind, body, soul connection I support you in finding healing, and a new sense of being. Healing is done in connection with others through embodied connection, awareness, and meaning or faith. Together through connection, you can bring healing into your life.
Transition, trauma, and transformation are my specialties. Life transition, career transition, transition in relationships, racial trauma, the trauma of loss, sexual assault trauma, imposter syndrome, and personal transformation. Much comes with each and using the mind, body, soul connection I support you in finding healing, and a new sense of being. Healing is done in connection with others through embodied connection, awareness, and meaning or faith. Together through connection, you can bring healing into your life.
(916) 318-3850 View (916) 318-3850
Photo of Peter-Nam Hoang Dinh, LMFT, Marriage & Family Therapist
Peter-Nam Hoang Dinh
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Sacramento, CA 95816
It’s okay! Things will be alright! (>‿◠) Meet me at my mid-town Sacramento counseling office for a chill, judgment-free space to have a friendly, casual little talk about what’s going on.
It’s okay! Things will be alright! (>‿◠) Meet me at my mid-town Sacramento counseling office for a chill, judgment-free space to have a friendly, casual little talk about what’s going on.
(279) 201-0727 View (279) 201-0727
Photo of Nicole Greenwood, LMFT, APCC, RYT200, Marriage & Family Therapist
Nicole Greenwood
Marriage & Family Therapist, LMFT, APCC, RYT200
Verified Verified
5 Endorsed
Sacramento, CA 95816
Not accepting new clients
I believe that each of us deserves to feel seen, heard, and valued. I believe that each client has a story that deserves to be heard; I aim to develop a safe dynamic to build upon their story. I hope to support my clients develop clear values and establish practices to support their values. I also support my clients reflect on their development, childhood and life experiences in order to actualize into their authenticity.
I believe that each of us deserves to feel seen, heard, and valued. I believe that each client has a story that deserves to be heard; I aim to develop a safe dynamic to build upon their story. I hope to support my clients develop clear values and establish practices to support their values. I also support my clients reflect on their development, childhood and life experiences in order to actualize into their authenticity.
(530) 212-7057 View (530) 212-7057
Photo of Natalie M. Delfin, LCSW, Clinical Social Work/Therapist
Natalie M. Delfin
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 95816
Need support with communication, sex, relationships, or anxiety? I love supporting LGBTQIA as well as CisHet adults who are ready to feel more confident in themselves and their relationships - you deserve joy, connection, and pleasure in your life! We will navigate what you are experiencing with compassion and skill so that you can create the life & relationships you crave. We will use evidence-based therapy skills AND fun & laughter to make therapy a helpful space. Visit lovehealgrow.com to schedule and learn more. I can't wait to get started!
Need support with communication, sex, relationships, or anxiety? I love supporting LGBTQIA as well as CisHet adults who are ready to feel more confident in themselves and their relationships - you deserve joy, connection, and pleasure in your life! We will navigate what you are experiencing with compassion and skill so that you can create the life & relationships you crave. We will use evidence-based therapy skills AND fun & laughter to make therapy a helpful space. Visit lovehealgrow.com to schedule and learn more. I can't wait to get started!
(530) 539-1509 View (530) 539-1509
Photo of Lauren Ash, AMFT
Lauren Ash
Associate Marriage & Family Therapist, AMFT
Verified Verified
1 Endorsed
Sacramento, CA 95816
You feel like you’ve lost a part of yourself, and nobody seems to get it. Maybe you went through a friend “breakup,” and your friends and family don’t understand why you can’t just get over it. Maybe your beloved pet passed away and you were given the advice to get a new pet to replace them, but that doesn’t feel right. Maybe you recently moved to a new place, and the grief you feel for leaving your old home is overwhelming. You’re sad, confused, frustrated, numb, sometimes angry or guilty for not being yourself. You’re exhausted to your core, but you still can’t sleep. You’re worried that you’re doomed to feel like this forever.
You feel like you’ve lost a part of yourself, and nobody seems to get it. Maybe you went through a friend “breakup,” and your friends and family don’t understand why you can’t just get over it. Maybe your beloved pet passed away and you were given the advice to get a new pet to replace them, but that doesn’t feel right. Maybe you recently moved to a new place, and the grief you feel for leaving your old home is overwhelming. You’re sad, confused, frustrated, numb, sometimes angry or guilty for not being yourself. You’re exhausted to your core, but you still can’t sleep. You’re worried that you’re doomed to feel like this forever.
(530) 628-9841 View (530) 628-9841
Photo of Sophia Miller, PsyD, Pre-Licensed Professional
Sophia Miller
Pre-Licensed Professional, PsyD
Verified Verified
1 Endorsed
Sacramento, CA 95816
My specialties include OCD and anxiety disorders and working with the LGBTQ+ population. I believe that therapy should be a safe space free of judgment and it is important to me that my clients feel accepted and understood. I strive to form strong relationships with all of my clients so that we have a solid foundation to do the hard work that comes with therapy.
My specialties include OCD and anxiety disorders and working with the LGBTQ+ population. I believe that therapy should be a safe space free of judgment and it is important to me that my clients feel accepted and understood. I strive to form strong relationships with all of my clients so that we have a solid foundation to do the hard work that comes with therapy.
(916) 623-7320 View (916) 623-7320
Photo of Ivy Griffin, MA, LMFT, Marriage & Family Therapist
Ivy Griffin
Marriage & Family Therapist, MA, LMFT
Verified Verified
13 Endorsed
Sacramento, CA 95816
Do you worry that you're "too sensitive," too easily overwhelmed, or that you need to "toughen up"? You often feel like there's something wrong with you that needs to be fixed. You may be struggling to come to terms with past wounds or traumas and then get angry and irritated with yourself for not "getting over it" already. You wonder why other people are able to brush things off so easily, but you still feel depressed, anxious, and stuck. Dealing with all these feelings means you're not your best self at work, in school, or with your loved ones, which really bothers you because you care so much about not letting anyone down.
Do you worry that you're "too sensitive," too easily overwhelmed, or that you need to "toughen up"? You often feel like there's something wrong with you that needs to be fixed. You may be struggling to come to terms with past wounds or traumas and then get angry and irritated with yourself for not "getting over it" already. You wonder why other people are able to brush things off so easily, but you still feel depressed, anxious, and stuck. Dealing with all these feelings means you're not your best self at work, in school, or with your loved ones, which really bothers you because you care so much about not letting anyone down.
(916) 436-7484 View (916) 436-7484
Photo of Laurie Beth Richardson, MA, Marriage & Family Therapist
Laurie Beth Richardson
Marriage & Family Therapist, MA
Verified Verified
1 Endorsed
Sacramento, CA 95816
The idea that one learns by experiencing and is truly capable of making the necessary shifts in their lives is a mantra I live by. When one person mirrors another with gentle listening, others are able to clearly see what no longer works in their lives. Ingrained habits coming from difficult childhoods could be the very source of havoc, that with conscious awareness, can shift. Perhaps the way one communicates is keeping love from flowing in your life. Maybe parenting a child who reminds you of yourself means confronting yourself on a deeply personal level. Or perhaps it is simply a life transition that is simply too much.
The idea that one learns by experiencing and is truly capable of making the necessary shifts in their lives is a mantra I live by. When one person mirrors another with gentle listening, others are able to clearly see what no longer works in their lives. Ingrained habits coming from difficult childhoods could be the very source of havoc, that with conscious awareness, can shift. Perhaps the way one communicates is keeping love from flowing in your life. Maybe parenting a child who reminds you of yourself means confronting yourself on a deeply personal level. Or perhaps it is simply a life transition that is simply too much.
(916) 249-5182 View (916) 249-5182
Photo of Karen Miller, PhD, Psychologist
Karen Miller
Psychologist, PhD
Verified Verified
Sacramento, CA 95816
I am a licensed psychologist who specializes in working with people experiencing anxiety, depression, eating disorders, life transitions, career issues, grief/bereavement, gains and losses, self-esteem and body image issues, and trauma. I work collaboratively with clients in order to empower them to be their best selves. I use a client-centered approach to counsel and address clients’ unique challenges from developmental, cultural, and psychological viewpoints. I help clients to see what is in their control to change and where it may help to practice acceptance.
I am a licensed psychologist who specializes in working with people experiencing anxiety, depression, eating disorders, life transitions, career issues, grief/bereavement, gains and losses, self-esteem and body image issues, and trauma. I work collaboratively with clients in order to empower them to be their best selves. I use a client-centered approach to counsel and address clients’ unique challenges from developmental, cultural, and psychological viewpoints. I help clients to see what is in their control to change and where it may help to practice acceptance.
(916) 237-9569 View (916) 237-9569
Photo of Dr. Zoe Ross-Nash, PsyD, Psychologist
Dr. Zoe Ross-Nash
Psychologist, PsyD
Verified Verified
1 Endorsed
Sacramento, CA 95816  (Online Only)
Dr. Ross-Nash provides clinical services to individuals, couples, and families. She specializes in and treats various situations and disorders, including trauma, eating disorders, depression, anxiety, and relationship concerns. Dr. Ross-Nash seeks to understand what happened to her clients in context of their histories and identities, not what is wrong with them.
Dr. Ross-Nash provides clinical services to individuals, couples, and families. She specializes in and treats various situations and disorders, including trauma, eating disorders, depression, anxiety, and relationship concerns. Dr. Ross-Nash seeks to understand what happened to her clients in context of their histories and identities, not what is wrong with them.
(916) 398-3601 View (916) 398-3601
Photo of Jason Baynes, MA, LMFT, Marriage & Family Therapist
Jason Baynes
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Sacramento, CA 95816
You are human. And if you are reading this you are somewhere in the middle of living out a great story - your life. Epics like these have been written for thousands of years, and we find ourselves existing, uniquely, in a long lineage of dramas, tragedies, romances, and comedies. But writing our own stories can be, and most often is, difficult. We can get stuck in chapters that seem to have no endings, desperately wanting to turn the page, but feeling, somehow, stuck and trapped. In our modern age, symptoms become characters that speak to us. Depression, Anger, Despair, and Anxiety, to name a few, start to fill our story.
You are human. And if you are reading this you are somewhere in the middle of living out a great story - your life. Epics like these have been written for thousands of years, and we find ourselves existing, uniquely, in a long lineage of dramas, tragedies, romances, and comedies. But writing our own stories can be, and most often is, difficult. We can get stuck in chapters that seem to have no endings, desperately wanting to turn the page, but feeling, somehow, stuck and trapped. In our modern age, symptoms become characters that speak to us. Depression, Anger, Despair, and Anxiety, to name a few, start to fill our story.
(916) 318-5501 View (916) 318-5501

How does your Therapist compare?

Number of Therapists in 95816

300+

Average cost per session

$160

Therapists in 95816 who prioritize treating:

94% Anxiety
88% Relationship Issues
88% Depression
78% Self Esteem
77% Trauma and PTSD
71% Grief
68% Stress

Average years in practice

11 Years

Top 3 insurances accepted

45% UnitedHealthcare UHC | UBH
43% Optum
42% Cigna and Evernorth

How Therapists in 95816 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 95816?

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.