Photo of Sara Carter, Counselor in 98105, WA
Sara Carter
Counselor, MA Ed, LMHCA
Verified Verified
2 Endorsed
Seattle, WA 98105
Do you outwardly appear to hold it all together? Yet on the inside, are there numerous life circumstances that challenge your ability to cope, manage everyday stressors, and feel in control? As a school counselor and learning specialist with 27 years experience working with adolescents and young adults, I bring a unique perspective of empathy, compassion, optimism, and humor to my counseling practice. I hold a safe space in which adolescents and young adults can address and navigate stress, anxiety, attentional and executive function challenges, social, familial and societal expectations and the myriad transitions life presents us.
Do you outwardly appear to hold it all together? Yet on the inside, are there numerous life circumstances that challenge your ability to cope, manage everyday stressors, and feel in control? As a school counselor and learning specialist with 27 years experience working with adolescents and young adults, I bring a unique perspective of empathy, compassion, optimism, and humor to my counseling practice. I hold a safe space in which adolescents and young adults can address and navigate stress, anxiety, attentional and executive function challenges, social, familial and societal expectations and the myriad transitions life presents us.
(206) 238-0476 View (206) 238-0476
Photo of Misty Noster, Marriage & Family Therapist in 98105, WA
Misty Noster
Marriage & Family Therapist, MS, LMFT
Verified Verified
4 Endorsed
Seattle, WA 98105  (Online Only)
On the outside it might look like you’ve got everything together. You are well liked, you know how to get the job done, you know what to say- but what people might not know is how much you are struggling with perfectionism and not feeling good enough. You often feel crushed by your own standards. It might not even matter how many items you checked off your list that day- it just never feels enough. If you are an anxious perfectionist you may: struggle with rejection, have the tendency to take things personally, have extreme anxiety about making mistakes and any sudden changes stress you the F out. Any of this sound familiar?
On the outside it might look like you’ve got everything together. You are well liked, you know how to get the job done, you know what to say- but what people might not know is how much you are struggling with perfectionism and not feeling good enough. You often feel crushed by your own standards. It might not even matter how many items you checked off your list that day- it just never feels enough. If you are an anxious perfectionist you may: struggle with rejection, have the tendency to take things personally, have extreme anxiety about making mistakes and any sudden changes stress you the F out. Any of this sound familiar?
(206) 486-4228 View (206) 486-4228
Photo of Salomé Valencia-Bohné, Clinical Social Work/Therapist in 98105, WA
Salomé Valencia-Bohné
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98105  (Online Only)
I am focused on helping adults successfully navigate both new and chronic stressors in their lives. These stressors may be anxiety, grief and loss, traumatic experiences, new diagnoses, ongoing health conditions, caregiver stress, and life transitions. We will all encounter difficulties in our lives and my goal is to help you work through the things you are struggling with. I am able to hold your stories with compassion.
I am focused on helping adults successfully navigate both new and chronic stressors in their lives. These stressors may be anxiety, grief and loss, traumatic experiences, new diagnoses, ongoing health conditions, caregiver stress, and life transitions. We will all encounter difficulties in our lives and my goal is to help you work through the things you are struggling with. I am able to hold your stories with compassion.
(206) 487-3880 View (206) 487-3880
Photo of Aimee Horn Counseling & Consultation, PLLC, Counselor in 98105, WA
Aimee Horn Counseling & Consultation, PLLC
Counselor, MEd, LMHC, NCC
Verified Verified
Seattle, WA 98105  (Online Only)
I specialize in working with teens (17+) and adults who have (or are suspicious of having) ADHD, anxiety, depression, OCD, bipolar and executive function deficits. I have worked with many college age students as well as professionals in various fields such as tech, education, and medicine. I truly understand the demands and expectations of these careers and how mental health challenges can impact productivity and work life balance. I also have an extensive background in school-based supports, such as 504 and IEP writing, as well as consultation and recommendations for accommodations in school or the workplace. ​
I specialize in working with teens (17+) and adults who have (or are suspicious of having) ADHD, anxiety, depression, OCD, bipolar and executive function deficits. I have worked with many college age students as well as professionals in various fields such as tech, education, and medicine. I truly understand the demands and expectations of these careers and how mental health challenges can impact productivity and work life balance. I also have an extensive background in school-based supports, such as 504 and IEP writing, as well as consultation and recommendations for accommodations in school or the workplace. ​
(206) 429-6376 View (206) 429-6376
Photo of Jill Seo, Counselor in 98105, WA
Jill Seo
Counselor, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98105
I believe therapy is a collaborative process where narratives can be explored and embodied, and placed within a cultural context to support healing, growth, and liberation. I have experience working with adults experiencing depression, anxiety, complex racial and ethnic identity work, grief, separation & loss, and life transitions. My therapeutic approach is client-centered and informed by an integrative orientation based upon my training background in intersectional feminist therapy, existential therapy, and relational cultural theory.
I believe therapy is a collaborative process where narratives can be explored and embodied, and placed within a cultural context to support healing, growth, and liberation. I have experience working with adults experiencing depression, anxiety, complex racial and ethnic identity work, grief, separation & loss, and life transitions. My therapeutic approach is client-centered and informed by an integrative orientation based upon my training background in intersectional feminist therapy, existential therapy, and relational cultural theory.
(206) 203-1911 View (206) 203-1911
Photo of John Ferraro, Counselor in 98105, WA
John Ferraro
Counselor, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98105
Everyone has a story to tell. I want to create a safe, supportive, and non-judgmental space where clients can tell their story, reflect on where they have been, and make intentional choices that will get them closer to where they want to be. It's important to me to work with the whole person and to acknowledge the interconnected systems that we move through every day that affect us, our relationships, and our environment. Through trust, curiosity, and reflection, I am excited to work with clients to tell their own story the way they want to tell it.
Everyone has a story to tell. I want to create a safe, supportive, and non-judgmental space where clients can tell their story, reflect on where they have been, and make intentional choices that will get them closer to where they want to be. It's important to me to work with the whole person and to acknowledge the interconnected systems that we move through every day that affect us, our relationships, and our environment. Through trust, curiosity, and reflection, I am excited to work with clients to tell their own story the way they want to tell it.
(206) 222-6712 View (206) 222-6712
Photo of Jill Cole, Clinical Social Work/Therapist in 98105, WA
Jill Cole
Clinical Social Work/Therapist, DSW, LICSW
Verified Verified
Seattle, WA 98105
I am a licensed clinical social worker (with a doctorate from Columbia University) with over 40 years of practice experience with children, families, couples, and adults. My approach to our work is "psychodynamic" and I believe in the power of the therapeutic relationship. I am open to consultation, crisis intervention, short term therapy, and more intensive, insight oriented treatment. The "ideal client" is the one who is willing to work hard. So am I!
I am a licensed clinical social worker (with a doctorate from Columbia University) with over 40 years of practice experience with children, families, couples, and adults. My approach to our work is "psychodynamic" and I believe in the power of the therapeutic relationship. I am open to consultation, crisis intervention, short term therapy, and more intensive, insight oriented treatment. The "ideal client" is the one who is willing to work hard. So am I!
(855) 463-3711 View (855) 463-3711
Photo of Jeanne Thomas, Counselor in 98105, WA
Jeanne Thomas
Counselor, LMHCA
Verified Verified
Seattle, WA 98105
I view therapy as an opportunity for growth and self-discovery. As humans, we have an innate drive toward wellness, and my task is to help facilitate that drive and help clear out the obstacles that are keeping you stuck. I walk alongside you, helping you to reach the outcomes you desire. My desire is to help you uncover the maladaptive coping patterns that have been developed over the years, and learn not to just to cope with your life circumstances, but to come to a place of thriving.
I view therapy as an opportunity for growth and self-discovery. As humans, we have an innate drive toward wellness, and my task is to help facilitate that drive and help clear out the obstacles that are keeping you stuck. I walk alongside you, helping you to reach the outcomes you desire. My desire is to help you uncover the maladaptive coping patterns that have been developed over the years, and learn not to just to cope with your life circumstances, but to come to a place of thriving.
(206) 337-3471 View (206) 337-3471
Photo of Charlie Todaro, Pre-Licensed Professional in 98105, WA
Charlie Todaro
Pre-Licensed Professional, PsyD, MA
Verified Verified
Seattle, WA 98105
My desire to support others and a lifelong passion for sports are the core reasons why I entered the fields of clinical and sport psychology. I believe in collaborative care - you drive the bus and I am a passenger providing support along the way. I utilize a relational approach, bringing a genuine sense of self in supporting clients openly and authentically. I am practical and integrative, make room for trial and error, and strive to help clients build skills that work for their needs. My goal is to understand your experience, learn your needs, and provide a supportive space for growth and change.
My desire to support others and a lifelong passion for sports are the core reasons why I entered the fields of clinical and sport psychology. I believe in collaborative care - you drive the bus and I am a passenger providing support along the way. I utilize a relational approach, bringing a genuine sense of self in supporting clients openly and authentically. I am practical and integrative, make room for trial and error, and strive to help clients build skills that work for their needs. My goal is to understand your experience, learn your needs, and provide a supportive space for growth and change.
(512) 675-1304 View (512) 675-1304
Photo of Michelle Punt, Counselor in 98105, WA
Michelle Punt
Counselor, RN, MA, LMHC
Verified Verified
Seattle, WA 98105  (Online Only)
Binge eating, compulsive eating, emotional overeating - when food seems to be in charge, life can be miserable. Healing is possible using a mindful approach that helps to reconnect eating and food choices with physical needs, while also taking care of our emotional needs. Together we will explore the effects that food and eating have on your thoughts, emotions, physical appearance, body image, and personal relationships, and set mindful goals that will help you increase your well-being at deeper levels. Discover renewed hope and quality of life that relates to your unique situation and personal resources. Welcome to Deep Well-Being.
Binge eating, compulsive eating, emotional overeating - when food seems to be in charge, life can be miserable. Healing is possible using a mindful approach that helps to reconnect eating and food choices with physical needs, while also taking care of our emotional needs. Together we will explore the effects that food and eating have on your thoughts, emotions, physical appearance, body image, and personal relationships, and set mindful goals that will help you increase your well-being at deeper levels. Discover renewed hope and quality of life that relates to your unique situation and personal resources. Welcome to Deep Well-Being.
(206) 866-6058 View (206) 866-6058
Photo of Candice M Small, Psychologist in 98105, WA
Candice M Small
Psychologist, PhD
Verified Verified
Seattle, WA 98105
Candice M. Small, PhD, is a licensed psychologist specializing in providing evidence-based treatments for anxiety, depression, and trauma exposure in children and adolescents. She strives to work collaboratively with caregivers and families to identify strengths and challenges in order to help every child succeed. Dr. Small also specializes in comprehensive therapeutic psychological assessment, including diagnostic assessment for Mood Disorders, Learning Disabilities, Attention-Deficit/Hyperactivity Disorder (ADHD), and other learning or executive functioning concerns.
Candice M. Small, PhD, is a licensed psychologist specializing in providing evidence-based treatments for anxiety, depression, and trauma exposure in children and adolescents. She strives to work collaboratively with caregivers and families to identify strengths and challenges in order to help every child succeed. Dr. Small also specializes in comprehensive therapeutic psychological assessment, including diagnostic assessment for Mood Disorders, Learning Disabilities, Attention-Deficit/Hyperactivity Disorder (ADHD), and other learning or executive functioning concerns.
(206) 258-6957 View (206) 258-6957
Photo of Barbara G. O'Brien, Clinical Social Work/Therapist in 98105, WA
Barbara G. O'Brien
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98105
Through my experience of being a therapist, I have come to believe that people change and grow through acceptance of where they are coupled with increasing awareness of areas in their lives that concern and/or constrain them. I work by listening carefully to my clients, seeking to understand their experience, and assisting them to be who they are while also helping them to shed or work with habits and patterns which are limiting them. I believe I am well-suited to being a therapist and I find the work very fulfilling.
Through my experience of being a therapist, I have come to believe that people change and grow through acceptance of where they are coupled with increasing awareness of areas in their lives that concern and/or constrain them. I work by listening carefully to my clients, seeking to understand their experience, and assisting them to be who they are while also helping them to shed or work with habits and patterns which are limiting them. I believe I am well-suited to being a therapist and I find the work very fulfilling.
(206) 397-0895 View (206) 397-0895
Photo of Stephanie Neilson, Counselor in 98105, WA
Stephanie Neilson
Counselor, MA, LMHC, NCC
Verified Verified
Seattle, WA 98105
I see therapy as healing through understanding. Understanding of your hopes and how to bolster and nourish them, your suffering and how to be with or relieve it. I strive to listen holistically, with humility, and to provide a nonjudgmental space in which the layers of your identity and life contexts can be safely explored. My clinical thinking is psychodynamically-based and is also informed by my background in the arts and my practices in meditation and yoga.
I see therapy as healing through understanding. Understanding of your hopes and how to bolster and nourish them, your suffering and how to be with or relieve it. I strive to listen holistically, with humility, and to provide a nonjudgmental space in which the layers of your identity and life contexts can be safely explored. My clinical thinking is psychodynamically-based and is also informed by my background in the arts and my practices in meditation and yoga.
(206) 593-4364 View (206) 593-4364
Photo of Dr. Alice Huang, Psychologist in 98105, WA
Dr. Alice Huang
Psychologist, PhD
Verified Verified
Seattle, WA 98105  (Online Only)
Welcoming couples clients! Relationship problems are common, and you have taken a courageous step by seeking therapy. As one of the few psychologists specializing in couple therapy, I have supported hundreds of couples by providing effective, evidence-based treatments that scientific research has shown to bring significant and lasting improvement. My own research on relationships has been published in peer-reviewed journals, and featured here in Psychology Today, international media outlets such as Business Insider Germany and New York Times Best Seller Atlas of the Heart by Brené Brown.
Welcoming couples clients! Relationship problems are common, and you have taken a courageous step by seeking therapy. As one of the few psychologists specializing in couple therapy, I have supported hundreds of couples by providing effective, evidence-based treatments that scientific research has shown to bring significant and lasting improvement. My own research on relationships has been published in peer-reviewed journals, and featured here in Psychology Today, international media outlets such as Business Insider Germany and New York Times Best Seller Atlas of the Heart by Brené Brown.
(425) 906-7157 View (425) 906-7157
Photo of Elizabeth Rae Larson, Counselor in 98105, WA
Elizabeth Rae Larson
Counselor, MS, DHS, ABS, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98105  (Online Only)
Free telephone consultation for the general public and helping professionals, M-F, 9 - 10 AM Pacific Time. Certified/licensed clinicians/educators serve couples and individuals with diverse sexuality concerns: loss of desire; obsessive sexual behavior; erection/ejaculation difficulties; sexual identity; orgasm; vaginismus (contractions of the vagina that prevent penetration); pain; trauma; paraphilias; and conflicts over sexual values, attitudes, or behaviors. We help clients make informed choices and change outmoded patterns of thinking and behavior to support their goals. VM 24/7. Appointments are scheduled by telephone.
Free telephone consultation for the general public and helping professionals, M-F, 9 - 10 AM Pacific Time. Certified/licensed clinicians/educators serve couples and individuals with diverse sexuality concerns: loss of desire; obsessive sexual behavior; erection/ejaculation difficulties; sexual identity; orgasm; vaginismus (contractions of the vagina that prevent penetration); pain; trauma; paraphilias; and conflicts over sexual values, attitudes, or behaviors. We help clients make informed choices and change outmoded patterns of thinking and behavior to support their goals. VM 24/7. Appointments are scheduled by telephone.
(206) 855-3466 View (206) 855-3466
Photo of Annalise Alphenaar, Pre-Licensed Professional in 98105, WA
Annalise Alphenaar
Pre-Licensed Professional
Verified Verified
1 Endorsed
Seattle, WA 98105  (Online Only)
Life is hard and sometimes it sucks, especially if we are feeling alone. I believe that healing can begin when we are able to tell our stories to a kind, listening ear. If we decide to collaborate on your therapeutic journey together, my hope is that it might suck less. My passion is to empower people to navigate all the complexities of their lives and establish balance, connection and build their skills. I particularly enjoy supporting those identifying as LGBTQ+, BIPOC folx or those who have experienced feeling like they are living in the margins.
Life is hard and sometimes it sucks, especially if we are feeling alone. I believe that healing can begin when we are able to tell our stories to a kind, listening ear. If we decide to collaborate on your therapeutic journey together, my hope is that it might suck less. My passion is to empower people to navigate all the complexities of their lives and establish balance, connection and build their skills. I particularly enjoy supporting those identifying as LGBTQ+, BIPOC folx or those who have experienced feeling like they are living in the margins.
(206) 752-2273 View (206) 752-2273
Photo of Kat Chen, Clinical Social Work/Therapist in 98105, WA
Kat Chen
Clinical Social Work/Therapist
Verified Verified
Seattle, WA 98105
I work with individuals aged 16 and up, and I am committed to creating a collaborative and empowering therapeutic relationship. I believe that working together means uncovering your strengths, confronting challenges, and developing strategies that enhance your well-being and quality of life. Whether you're struggling with the pressures of school/family/society, the weight of past traumas, or the challenges of adapting to a new environment, I offer a personalized approach to help you navigate in the face of change.
I work with individuals aged 16 and up, and I am committed to creating a collaborative and empowering therapeutic relationship. I believe that working together means uncovering your strengths, confronting challenges, and developing strategies that enhance your well-being and quality of life. Whether you're struggling with the pressures of school/family/society, the weight of past traumas, or the challenges of adapting to a new environment, I offer a personalized approach to help you navigate in the face of change.
(206) 429-6798 View (206) 429-6798
Photo of Renee Jackman, Counselor in 98105, WA
Renee Jackman
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98105
My practice is rooted in the idea that symptoms such as anxiety, disruption, or discontent can guide us in life if we step beyond formulas and certainties, toward a more curious and imaginative mode of being. By artfully seeking to understand emotional suffering, and through deepening relational connection, we can arrive at relief and healing. Uncovering and accommodating what has been previously outside of awareness releases meaning and allows for greater freedom of thought, self-expression, and wholeness.
My practice is rooted in the idea that symptoms such as anxiety, disruption, or discontent can guide us in life if we step beyond formulas and certainties, toward a more curious and imaginative mode of being. By artfully seeking to understand emotional suffering, and through deepening relational connection, we can arrive at relief and healing. Uncovering and accommodating what has been previously outside of awareness releases meaning and allows for greater freedom of thought, self-expression, and wholeness.
(206) 279-7539 View (206) 279-7539
Photo of Laura W. Groshong, Clinical Social Work/Therapist in 98105, WA
Laura W. Groshong
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98105
Thank you for reviewing my practice information. Clients working with me have had success in getting through emotional crisis, dealing with longstanding emotional distress, as well as making changes in what helps them feel worthwhile. If you are in distress due to a loss, a conflict with others, or a conflict within, I may be able to help. My 42 years of practice have given me a broad understanding of the emotional problems that my clients face. I look forward to meeting you.
Thank you for reviewing my practice information. Clients working with me have had success in getting through emotional crisis, dealing with longstanding emotional distress, as well as making changes in what helps them feel worthwhile. If you are in distress due to a loss, a conflict with others, or a conflict within, I may be able to help. My 42 years of practice have given me a broad understanding of the emotional problems that my clients face. I look forward to meeting you.
(206) 745-0619 View (206) 745-0619
Photo of Hive & Honeycomb Counseling, Counselor in 98105, WA
Hive & Honeycomb Counseling
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98105
We believe you are remarkable, working hard to juggle relationships, work, and life while also desiring to create a more fruit-filled world with your unique goodness. You've got some struggles and some questions you're committed to exploring. With curiosity and a courageous determination, you're looking for support. Welcome! We bless your resilience and are ready to help.
We believe you are remarkable, working hard to juggle relationships, work, and life while also desiring to create a more fruit-filled world with your unique goodness. You've got some struggles and some questions you're committed to exploring. With curiosity and a courageous determination, you're looking for support. Welcome! We bless your resilience and are ready to help.
(206) 487-1774 View (206) 487-1774

How does your Therapist compare?

Number of Therapists in 98105

400+

Average cost per session

$155

Therapists in 98105 who prioritize treating:

94% Anxiety
87% Depression
81% Relationship Issues
77% Self Esteem
70% Trauma and PTSD
70% Stress
70% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

82% Premera
54% LifeWise
44% First Choice Health | FCH

How Therapists in 98105 see their clients

61% In Person and Online
39% Online Only

Gender breakdown

79% Female
18% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98105?

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.