Photo of Cara Floyd, Marriage & Family Therapist in 98004, WA
Cara Floyd
Marriage & Family Therapist, MA, LMFT, MHP
Verified Verified
Bellevue, WA 98004
Life is such a journey. Sometimes the journey takes you in expected and unexpected directions. Trying to navigate your way through all life's challenges alone can be overwhelming. Let me be a part of your journey and help you find direction and the skills needed to move forward. I specialize in working with children, teens, adults, and families struggling with issues related to parenting, communication, family relationships, challenging behaviors, family and life cycle adjustments, anxiety, depression, and trauma. We will work together in order to help you or your family reach the destination you are looking for.
Life is such a journey. Sometimes the journey takes you in expected and unexpected directions. Trying to navigate your way through all life's challenges alone can be overwhelming. Let me be a part of your journey and help you find direction and the skills needed to move forward. I specialize in working with children, teens, adults, and families struggling with issues related to parenting, communication, family relationships, challenging behaviors, family and life cycle adjustments, anxiety, depression, and trauma. We will work together in order to help you or your family reach the destination you are looking for.
(425) 549-9713 View (425) 549-9713
Photo of Brian Ellez, Counselor in 98004, WA
Brian Ellez
Counselor, MA ABS, LMHC, EMMHS
Verified Verified
Bellevue, WA 98004
As a therapist, I work to develop a relationship of collaboration and attunement to support clients in realizing the change they seek in their lives. I have extensive experience with adults and teens working through trauma, anxiety, and depression, as well as family and other relational issues, work stress and life transitions. I use a variety of practical, skills-based techniques nested in larger life-contexts of family and culture, to explore solutions and rediscover hope. I take an active approach giving feedback, suggesting actions, and assigning homework. Ultimately the client is in charge of his/her own life decisions.
As a therapist, I work to develop a relationship of collaboration and attunement to support clients in realizing the change they seek in their lives. I have extensive experience with adults and teens working through trauma, anxiety, and depression, as well as family and other relational issues, work stress and life transitions. I use a variety of practical, skills-based techniques nested in larger life-contexts of family and culture, to explore solutions and rediscover hope. I take an active approach giving feedback, suggesting actions, and assigning homework. Ultimately the client is in charge of his/her own life decisions.
(425) 230-3634 View (425) 230-3634
Photo of Lara Symonds, Marriage & Family Therapist in 98004, WA
Lara Symonds
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Bellevue, WA 98004
Good for you for taking the first step to a better life, a better relationship, and a better you! Are you are wanting to feel happy and satisfied in your relationships? Do you want to have a more positive outlook on life? Do you want to feel at peace in mind and body? Are you looking to have more energy, motivation, and happiness in your life? Perhaps you really want to enjoy your kids more. We, at OptimalLife Wellness Center, are ready to help you get where you want to be in life.
Good for you for taking the first step to a better life, a better relationship, and a better you! Are you are wanting to feel happy and satisfied in your relationships? Do you want to have a more positive outlook on life? Do you want to feel at peace in mind and body? Are you looking to have more energy, motivation, and happiness in your life? Perhaps you really want to enjoy your kids more. We, at OptimalLife Wellness Center, are ready to help you get where you want to be in life.
(425) 321-0227 x1 View (425) 321-0227 x1
Photo of Rebecca Liu, Counselor in 98004, WA
Rebecca Liu
Counselor, MA, LMHCA
Verified Verified
3 Endorsed
Bellevue, WA 98004
Are you struggling with feelings of depression, anxiety, loneliness, dissatisfaction, feeling lost or trapped, despite doing your best? It’s painful and exhausting to feel inadequate at life. And it’s OK to not know what to do. Sometimes we just need professional help, and that’s what I’m here for.
Are you struggling with feelings of depression, anxiety, loneliness, dissatisfaction, feeling lost or trapped, despite doing your best? It’s painful and exhausting to feel inadequate at life. And it’s OK to not know what to do. Sometimes we just need professional help, and that’s what I’m here for.
(206) 222-1875 View (206) 222-1875
Photo of Shar Kunovsky, Counselor in 98004, WA
Shar Kunovsky
Counselor, JD, MA, LMHC
Verified Verified
Bellevue, WA 98004  (Online Only)
**NEW CLIENTS - Please email me** No one deserves to live in pain. For therapy to work, you need three things: curiosity about yourself and your interactions with others, an authentic connection with your therapist, and concrete, practical tools and skills to promote real and lasting change. My job is to facilitate an understanding of what is causing you pain and getting in your way of creating your best life. As your therapist, I don’t “just listen.” I use an integrative approach, combining several modalities to create the most effective treatment for each client. I practice remote therapy with individual adults.
**NEW CLIENTS - Please email me** No one deserves to live in pain. For therapy to work, you need three things: curiosity about yourself and your interactions with others, an authentic connection with your therapist, and concrete, practical tools and skills to promote real and lasting change. My job is to facilitate an understanding of what is causing you pain and getting in your way of creating your best life. As your therapist, I don’t “just listen.” I use an integrative approach, combining several modalities to create the most effective treatment for each client. I practice remote therapy with individual adults.
(425) 264-8713 View (425) 264-8713
Photo of Carol E Larsen, Counselor in 98004, WA
Carol E Larsen
Counselor, MA, LMHC
Verified Verified
Bellevue, WA 98004
Not accepting new clients
When depression, anxiety, relationship problems, or current and past trauma are affecting your life, finding a counselor who "fits" you can be an additional challenge. My approach begins with establishing a relationship of trust with you as the foundation of working together to find a path through life's difficulties. My goal is to provide a safe, respectful and accepting space in which you can move, with your own wisdom, toward healing, growth, or change. I enjoy working with clients from diverse backgrounds: teens, adults, couples and families in Spanish or English.
When depression, anxiety, relationship problems, or current and past trauma are affecting your life, finding a counselor who "fits" you can be an additional challenge. My approach begins with establishing a relationship of trust with you as the foundation of working together to find a path through life's difficulties. My goal is to provide a safe, respectful and accepting space in which you can move, with your own wisdom, toward healing, growth, or change. I enjoy working with clients from diverse backgrounds: teens, adults, couples and families in Spanish or English.
(425) 967-8757 View (425) 967-8757
Photo of Lauren A Crockett, Counselor in 98004, WA
Lauren A Crockett
Counselor, MS, LMHC, NCC
Verified Verified
4 Endorsed
Bellevue, WA 98004
I work with individuals who feel anxious, unfulfilled, and stuck. They are looking for support around life dissatisfaction and recurring patterns that keep getting in the way. I have over 15 years of experience offering empathic and reflective counseling for those in search of clarity, direction, healing, and growth. Through our work together, you will rediscover your core strengths and potential. We will examine how past experiences may have shaped current situations and what you would like to see change. When we have a greater insight, it often leads us to increased self-worth, confidence, and personal growth.
I work with individuals who feel anxious, unfulfilled, and stuck. They are looking for support around life dissatisfaction and recurring patterns that keep getting in the way. I have over 15 years of experience offering empathic and reflective counseling for those in search of clarity, direction, healing, and growth. Through our work together, you will rediscover your core strengths and potential. We will examine how past experiences may have shaped current situations and what you would like to see change. When we have a greater insight, it often leads us to increased self-worth, confidence, and personal growth.
View
Photo of Ma'ayan Levhar-Ardon, Clinical Social Work/Therapist in 98004, WA
Ma'ayan Levhar-Ardon
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Bellevue, WA 98004
Not accepting new clients
Modalities that I currently practice such as Play Therapy, Creative Arts, and sensory-based activities serve as powerful tools in my work with children. Through play-based activities, children learn to regulate their emotions and discover better ways to cope with their different struggles.
Modalities that I currently practice such as Play Therapy, Creative Arts, and sensory-based activities serve as powerful tools in my work with children. Through play-based activities, children learn to regulate their emotions and discover better ways to cope with their different struggles.
(425) 225-4724 View (425) 225-4724
M.Pinedo,PhD & Associates
Marriage & Family Therapist, LMHC, LMFT, SOTP
Verified Verified
Bellevue, WA 98004
I am dedicated to providing supportive, healthy, caring services for people in pain. I understand that betrayal, trauma, abandonment create a deep emotional wound that is frightening to explore and distressing to consider. It is possible to heal by finding you own integrity and peace. I believe that the true aim of healing is to assist the client in bringing harmony to their soul, mind, and body. Servicios por gente que hablan Espanol que preferian obtener ayuda de personas Latinas. Creo que cual quier persona deben de ser tradados con respeto.
I am dedicated to providing supportive, healthy, caring services for people in pain. I understand that betrayal, trauma, abandonment create a deep emotional wound that is frightening to explore and distressing to consider. It is possible to heal by finding you own integrity and peace. I believe that the true aim of healing is to assist the client in bringing harmony to their soul, mind, and body. Servicios por gente que hablan Espanol que preferian obtener ayuda de personas Latinas. Creo que cual quier persona deben de ser tradados con respeto.
(425) 610-9971 View (425) 610-9971
Photo of Joseph Shaub, Marriage & Family Therapist in 98004, WA
Joseph Shaub
Marriage & Family Therapist, MA, JD
Verified Verified
Bellevue, WA 98004
For years, I assisted people in dissolving their marriages humanely through mediation. However, I found that too many couples who separate can repair and strengthen their relationships. So, today, I apply my therapeutic skills to support couples in healing their relationships. My primary approach is Emotionally Focused Couples Therapy. I also work with people who want to work on their intimate relationships as well as those trying to adjust to divorce.
For years, I assisted people in dissolving their marriages humanely through mediation. However, I found that too many couples who separate can repair and strengthen their relationships. So, today, I apply my therapeutic skills to support couples in healing their relationships. My primary approach is Emotionally Focused Couples Therapy. I also work with people who want to work on their intimate relationships as well as those trying to adjust to divorce.
(425) 598-0304 View (425) 598-0304
Photo of Adam Johnson, Counselor in 98004, WA
Adam Johnson
Counselor, MA, LPC
Verified Verified
2 Endorsed
Bellevue, WA 98004  (Online Only)
Are you struggling with your mood or ADHD? Do you think your partner is not listening to you, not understanding you, or not considering you? Are you struggling with hope or your identity? Well I am here to help. If you find you having issues with controlling you emotions, negative thoughts about yourself or what is going on around you, or can not seem to do the things you want, then reach out now so you can start improving today. Do you find you have issues with accountability, discipline, or self-awareness, which impacts your everyday life? If these are issues that impact you, if you are not sure what to do, please reach out.
Are you struggling with your mood or ADHD? Do you think your partner is not listening to you, not understanding you, or not considering you? Are you struggling with hope or your identity? Well I am here to help. If you find you having issues with controlling you emotions, negative thoughts about yourself or what is going on around you, or can not seem to do the things you want, then reach out now so you can start improving today. Do you find you have issues with accountability, discipline, or self-awareness, which impacts your everyday life? If these are issues that impact you, if you are not sure what to do, please reach out.
(206) 567-1397 View (206) 567-1397
Photo of Kelly Mark, Psychologist in 98004, WA
Kelly Mark
Psychologist, PsyD
Verified Verified
2 Endorsed
Bellevue, WA 98004
My guess is that you’re searching for a therapist because either you or someone you love is feeling stuck—and you’re searching for a way to get unstuck. Feeling stuck is a really helpless feeling—and it can be painful when we feel alone in our stuck-ness. I believe that that pain speaks to our human design for relationship—for a life of connection with God and others. We were created to be in relationship, but unfortunately, our beautiful, yet flawed humanness makes it difficult for us to fulfill this design.
My guess is that you’re searching for a therapist because either you or someone you love is feeling stuck—and you’re searching for a way to get unstuck. Feeling stuck is a really helpless feeling—and it can be painful when we feel alone in our stuck-ness. I believe that that pain speaks to our human design for relationship—for a life of connection with God and others. We were created to be in relationship, but unfortunately, our beautiful, yet flawed humanness makes it difficult for us to fulfill this design.
(425) 230-5806 View (425) 230-5806
Photo of Anusree Gupta, Licensed Mental Health Counselor in 98004, WA
Anusree Gupta
Licensed Mental Health Counselor, MEd, LMHC, LPC, NCC
Verified Verified
Bellevue, WA 98004  (Online Only)
Do you prioritize other people's needs over your own? Do you avoid expressing your needs and feelings, have self-doubt, imposter syndrome, have difficulty setting boundaries, find yourself in toxic relationships and very easily slip into a caretaker's role? You might have had difficult experiences growing up that shaped your understanding of people and relationships. Childhood trauma can affect the choices we make as adults resulting in loneliness, anxiety and depression. If you are tired of these patterns, want to take charge of your life and are ready to form healthy reciprocal relationships then you have come to the right place.
Do you prioritize other people's needs over your own? Do you avoid expressing your needs and feelings, have self-doubt, imposter syndrome, have difficulty setting boundaries, find yourself in toxic relationships and very easily slip into a caretaker's role? You might have had difficult experiences growing up that shaped your understanding of people and relationships. Childhood trauma can affect the choices we make as adults resulting in loneliness, anxiety and depression. If you are tired of these patterns, want to take charge of your life and are ready to form healthy reciprocal relationships then you have come to the right place.
(425) 585-2989 View (425) 585-2989
Photo of Phoenix (Yanjin) Li, Mental Health Counselor in 98004, WA
Phoenix (Yanjin) Li
Mental Health Counselor, MEd, MA, LMHC
Verified Verified
1 Endorsed
Bellevue, WA 98004
Do you feel lost in life, not knowing what you want or who you want to be? And you hope to find joy and peace in just being yourself. Do you feel trapped in the past, the pain is overwhelming sometimes and you feel you are still back there, not here. And you want to leave the past behind and move forward. Are you a natural care taker for others but have a hard time caring for your own needs? And you hope to receive love and support without feeling guilty? If any of these is your story, I may be a good fit for you.
Do you feel lost in life, not knowing what you want or who you want to be? And you hope to find joy and peace in just being yourself. Do you feel trapped in the past, the pain is overwhelming sometimes and you feel you are still back there, not here. And you want to leave the past behind and move forward. Are you a natural care taker for others but have a hard time caring for your own needs? And you hope to receive love and support without feeling guilty? If any of these is your story, I may be a good fit for you.
(425) 230-6573 View (425) 230-6573
Photo of Beth L Murphy, Psychologist in 98004, WA
Beth L Murphy
Psychologist, PsyD
Verified Verified
Bellevue, WA 98004
Not accepting new clients
I have worked with a wide variety of clients, all of whom have been in different stages of change readiness. I work with all ages as young as 6 years of age to over 60 years of age. My clients struggle with a variety of issues including depression, anxiety, stress, PTSD, ADHD, relationship issues, grief and loss due to illness, injury, death and life transitions, as well as adjustments to positive transitions, such as job promotion, new business, or marriage. Whatever the issue we will work together to find the client's best solution.
I have worked with a wide variety of clients, all of whom have been in different stages of change readiness. I work with all ages as young as 6 years of age to over 60 years of age. My clients struggle with a variety of issues including depression, anxiety, stress, PTSD, ADHD, relationship issues, grief and loss due to illness, injury, death and life transitions, as well as adjustments to positive transitions, such as job promotion, new business, or marriage. Whatever the issue we will work together to find the client's best solution.
(425) 610-7848 View (425) 610-7848
Photo of Sumi Garg, Marriage & Family Therapist Associate in 98004, WA
Sumi Garg
Marriage & Family Therapist Associate, MA, LMFTA, PMH-C
Verified Verified
2 Endorsed
Bellevue, WA 98004
I am a Perinatal and Family Therapist, dedicated to guiding my clients through significant life changes such as beginning a family, supporting couples on the edge, and the ups and downs of the teen years. Sometimes it feels like everything is happening all at once and you don't have the emotional bandwidth to cope. I offer a safe environment to process and untangle the environmental, emotional, physical, and relational stressors impacting your current situation.
I am a Perinatal and Family Therapist, dedicated to guiding my clients through significant life changes such as beginning a family, supporting couples on the edge, and the ups and downs of the teen years. Sometimes it feels like everything is happening all at once and you don't have the emotional bandwidth to cope. I offer a safe environment to process and untangle the environmental, emotional, physical, and relational stressors impacting your current situation.
(425) 517-1639 View (425) 517-1639
Christopher Nelson
Psychologist, PhD
Verified Verified
Bellevue, WA 98004
Clinical Psychology practice with an emphasis on clinical interviewing, psychological and neuropsychological assessment, diagnosis, as well as evidence-based therapies for teens and adults suffering from depression, social anxiety, excessive worry, low self-esteem, insomnia, relationship difficulties, and attention-deficit/hyperactivity. Therapeutic approach combines action with an emphasis on making changes in how one thinks and acts and insight with an emphasis on gaining a greater understanding of the motivations underlying one's thoughts, feelings, and relationship patterns.
Clinical Psychology practice with an emphasis on clinical interviewing, psychological and neuropsychological assessment, diagnosis, as well as evidence-based therapies for teens and adults suffering from depression, social anxiety, excessive worry, low self-esteem, insomnia, relationship difficulties, and attention-deficit/hyperactivity. Therapeutic approach combines action with an emphasis on making changes in how one thinks and acts and insight with an emphasis on gaining a greater understanding of the motivations underlying one's thoughts, feelings, and relationship patterns.
(253) 220-6267 View (253) 220-6267
Photo of Laura Franco, Counselor in 98004, WA
Laura Franco
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Bellevue, WA 98004
Are you feeling stuck, unsure who to talk to,and wondering if talking to a counselor will help? Personal issues can be really tough to deal with when it feels like no one understands or you don't have enough support. I provide a safe and confidential environment for you to examine your issues and figure out ways that you would like to deal with them. I enjoy working with adults, youth, and families and helping them on their journey to greater self confidence, happier relationships, and generally improved sense of well-being.
Are you feeling stuck, unsure who to talk to,and wondering if talking to a counselor will help? Personal issues can be really tough to deal with when it feels like no one understands or you don't have enough support. I provide a safe and confidential environment for you to examine your issues and figure out ways that you would like to deal with them. I enjoy working with adults, youth, and families and helping them on their journey to greater self confidence, happier relationships, and generally improved sense of well-being.
(425) 502-1678 View (425) 502-1678
Photo of Claire Olson, Counselor in 98004, WA
Claire Olson
Counselor, MA, LMHCA
Verified Verified
Bellevue, WA 98004
Waitlist for new clients
Life is inevitably full of questions and ‘what ifs.’ However, struggling with Obsessive Compulsive Disorder (OCD) and anxiety make those questions spiral even more out of control, and you’re often left feeling stuck, overwhelmed or confused. I am goal-oriented therapist that specializes in OCD and anxiety, utilizing evidenced based treatments such as CBT/ERP to help you learn how to take charge of your life again. Intrusive thoughts and other worries often latch onto things that matter to us and make you doubt yourself, and I am here to help you return to your true self and build a life you love.
Life is inevitably full of questions and ‘what ifs.’ However, struggling with Obsessive Compulsive Disorder (OCD) and anxiety make those questions spiral even more out of control, and you’re often left feeling stuck, overwhelmed or confused. I am goal-oriented therapist that specializes in OCD and anxiety, utilizing evidenced based treatments such as CBT/ERP to help you learn how to take charge of your life again. Intrusive thoughts and other worries often latch onto things that matter to us and make you doubt yourself, and I am here to help you return to your true self and build a life you love.
(425) 584-1413 View (425) 584-1413
Photo of Becky J Morehead, Counselor in 98004, WA
Becky J Morehead
Counselor, MA, LMHC
Verified Verified
Bellevue, WA 98004  (Online Only)
If you are a woman who is accommodating others and not feeling seen or heard, it is possible to feel connected and alive. Women wanting to make a shift in their life -personal or professional are my ideal client. I specialize in depression, anxiety, avoidance, dissociation, chronic illness, personal and professional relationship issues. Transitions in career, relationships or working through trauma and loss are my areas of expertise. I am intuitive with an innate ability to assist people in focusing on their potential and helping them to make that shift and resolve traumas.
If you are a woman who is accommodating others and not feeling seen or heard, it is possible to feel connected and alive. Women wanting to make a shift in their life -personal or professional are my ideal client. I specialize in depression, anxiety, avoidance, dissociation, chronic illness, personal and professional relationship issues. Transitions in career, relationships or working through trauma and loss are my areas of expertise. I am intuitive with an innate ability to assist people in focusing on their potential and helping them to make that shift and resolve traumas.
(206) 557-6432 View (206) 557-6432

How does your Therapist compare?

Number of Therapists in 98004

700+

Average cost per session

$160

Therapists in 98004 who prioritize treating:

94% Anxiety
87% Depression
80% Relationship Issues
78% Self Esteem
71% Stress
70% Trauma and PTSD
68% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

80% Premera
52% Regence
51% Aetna

How Therapists in 98004 see their clients

58% In Person and Online
42% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98004?

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.