Therapists in Dallas, TX

View neighborhoods in Dallas
Photo of Wendy Bates, Psychologist in Dallas, TX
Wendy Bates
Psychologist, PsyD
Verified Verified
5 Endorsed
Dallas, TX 75206
Dallas Therapy Associates was founded by Dr. Bates in 2019. We are a group of psychologists who specialize in the treatment of individuals, couples, and families. As a group we consider the study of human development, the mind and human interactions our passion. Individually we are well versed in a variety of treatment approaches and have a diverse clinical background.
Dallas Therapy Associates was founded by Dr. Bates in 2019. We are a group of psychologists who specialize in the treatment of individuals, couples, and families. As a group we consider the study of human development, the mind and human interactions our passion. Individually we are well versed in a variety of treatment approaches and have a diverse clinical background.
(972) 445-9560 View (972) 445-9560
Photo of Leslie Laws-Burley, Licensed Professional Counselor in Dallas, TX
Leslie Laws-Burley
Licensed Professional Counselor, PhD, MS, LPC-S
Verified Verified
1 Endorsed
Dallas, TX 75206  (Online Only)
Not accepting new clients
I provide individual counseling and premarital counseling for couples using the Prepare and Enrich Program by David Olsen. For the past 23 years, I have counseled adolescents, children, and parents in the school setting. Away from the school, my practice focused on clients of all ages who were encountering anger, anxiety, grief, depression, and low self-esteem. By attending counseling and through much encouragement, clients were able to better focus and resolve their mental issues.
I provide individual counseling and premarital counseling for couples using the Prepare and Enrich Program by David Olsen. For the past 23 years, I have counseled adolescents, children, and parents in the school setting. Away from the school, my practice focused on clients of all ages who were encountering anger, anxiety, grief, depression, and low self-esteem. By attending counseling and through much encouragement, clients were able to better focus and resolve their mental issues.
(214) 307-9534 View (214) 307-9534
Photo of Jill Clark, Clinical Social Work/Therapist in Dallas, TX
Jill Clark
Clinical Social Work/Therapist, LCSW
Verified Verified
Dallas, TX 75217
I am a Licensed Clinical Social Worker with over 15 years of experience providing mental health support to individuals of all ages. I am genuine and down-to-earth, offering a safe and accepting environment. I provide counseling support on issues such as depression, anxiety, life transitions, self-esteem, setting boundaries, relationship issues, abuse, and trauma.
I am a Licensed Clinical Social Worker with over 15 years of experience providing mental health support to individuals of all ages. I am genuine and down-to-earth, offering a safe and accepting environment. I provide counseling support on issues such as depression, anxiety, life transitions, self-esteem, setting boundaries, relationship issues, abuse, and trauma.
(469) 966-1565 View (469) 966-1565
Photo of Laurie DeMarco, Clinical Social Work/Therapist in Dallas, TX
Laurie DeMarco
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Dallas, TX 75209
I have a psychotherapy practice in the Lovers/Inwood area of Dallas. I also offer services via teletherapy. I work with children, adolescents, and adults in need of guidance and support with difficulties arising from life changing events, family/relationship conflicts, traumatic experiences, academic and behavioral concerns, or grief and loss issues. I provide an initial phone consultation at no charge, so that together we can determine whether I am the right therapist for you and/or your family. My hours are flexible, and include early mornings, evenings, and weekends. Visit my website for more information www.lauriedemarco.com
I have a psychotherapy practice in the Lovers/Inwood area of Dallas. I also offer services via teletherapy. I work with children, adolescents, and adults in need of guidance and support with difficulties arising from life changing events, family/relationship conflicts, traumatic experiences, academic and behavioral concerns, or grief and loss issues. I provide an initial phone consultation at no charge, so that together we can determine whether I am the right therapist for you and/or your family. My hours are flexible, and include early mornings, evenings, and weekends. Visit my website for more information www.lauriedemarco.com
(214) 833-9851 View (214) 833-9851
Photo of Rosalinda Weisz, Counselor in Dallas, TX
Rosalinda Weisz
Counselor, LPC-S
Verified Verified
Dallas, TX 75244
Rosalinda Weisz believes that what makes us suffer is what we do not know about ourselves. Being aware of those hidden parts of ourselves allows us to make better choices, based on reality and without the distortions triggered by painful experiences and irrational beliefs. Mrs. Weisz believes that every person is a unique individual and she strives to understand and respect the particular world view offered by every patient in a gentle, honest and positive manner. The most important factor in every treatment is the development of a patient-therapist relationship that offers a safe context for change.
Rosalinda Weisz believes that what makes us suffer is what we do not know about ourselves. Being aware of those hidden parts of ourselves allows us to make better choices, based on reality and without the distortions triggered by painful experiences and irrational beliefs. Mrs. Weisz believes that every person is a unique individual and she strives to understand and respect the particular world view offered by every patient in a gentle, honest and positive manner. The most important factor in every treatment is the development of a patient-therapist relationship that offers a safe context for change.
(972) 348-0244 View (972) 348-0244
Photo of Heidi Fixler-Verges, Clinical Social Work/Therapist in Dallas, TX
Heidi Fixler-Verges
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Dallas, TX 75225
Have you been searching for a therapist who truly connects with you or your teen? You’ve tried different things, but the communication, relationships, and interactions in your family are just discouraging and frustrating. You’ve tried therapy before, and even considered more intensive treatment options for yourself or your child. You don’t know what else to do. You are not alone. It is possible to establish changes intra-personally and within relationships. Family harmony can be a reality.
Have you been searching for a therapist who truly connects with you or your teen? You’ve tried different things, but the communication, relationships, and interactions in your family are just discouraging and frustrating. You’ve tried therapy before, and even considered more intensive treatment options for yourself or your child. You don’t know what else to do. You are not alone. It is possible to establish changes intra-personally and within relationships. Family harmony can be a reality.
(469) 551-4244 View (469) 551-4244
Photo of Melanie Adams, Clinical Social Work/Therapist in Dallas, TX
Melanie Adams
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Dallas, TX 75219  (Online Only)
At The Empowering Space, our purpose is to provide a non-judgmental, encouraging space to help you feel rejuvenated, recharged and empowered. With compassion and understanding, we specialize in working with clients through emotional issues and times of transition, and help them cultivate their own inner wisdom and inherent strength towards personal growth.
At The Empowering Space, our purpose is to provide a non-judgmental, encouraging space to help you feel rejuvenated, recharged and empowered. With compassion and understanding, we specialize in working with clients through emotional issues and times of transition, and help them cultivate their own inner wisdom and inherent strength towards personal growth.
(254) 232-5481 View (254) 232-5481
Photo of Marci Orr, Licensed Professional Counselor in Dallas, TX
Marci Orr
Licensed Professional Counselor, MS, LPC-S
Verified Verified
7 Endorsed
Dallas, TX 75247
Are you feeling stuck? Do you want to Heal, Grow, or Transform your life? Are you ready to create a life that you no longer want to escape from?
Are you feeling stuck? Do you want to Heal, Grow, or Transform your life? Are you ready to create a life that you no longer want to escape from?
(214) 989-4459 View (214) 989-4459
Photo of Connecting the Pieces LLC, Clinical Social Work/Therapist in Dallas, TX
Connecting the Pieces LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Dallas, TX 75201  (Online Only)
Not accepting new clients
Are you feeling stuck? Is it hard to take the next step forward? Do you have an overwhelming sense of being flawed or defective and can't figure out why? Many people come to therapy overlooking the difficult memories and experiences that have shaped how they see themselves, others, and their world outlook. Whether you are an adolescent or a senior, I can help you connect the pieces of your life, forging a clearer path to healing and recovery.
Are you feeling stuck? Is it hard to take the next step forward? Do you have an overwhelming sense of being flawed or defective and can't figure out why? Many people come to therapy overlooking the difficult memories and experiences that have shaped how they see themselves, others, and their world outlook. Whether you are an adolescent or a senior, I can help you connect the pieces of your life, forging a clearer path to healing and recovery.
(860) 956-3013 View (860) 956-3013
Photo of Amanda Steed, Clinical Social Work/Therapist in Dallas, TX
Amanda Steed
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Dallas, TX 75203  (Online Only)
My ideal client is ready to get the root of the challenges they find themselves facing day to day. Maybe you’ve tried other therapies in the past, or you’re a helping professional yourself - I typically work with people who have tried different approaches with no luck, and they’re ready to move toward healing in a measurable way. After working with me, clients tend to understand their systems in a new way, and are able to have more compassion for themselves and others, while still holding their boundaries with self respect. I believe therapy is about building a trusting relationship that leads toward healing and wholeness.
My ideal client is ready to get the root of the challenges they find themselves facing day to day. Maybe you’ve tried other therapies in the past, or you’re a helping professional yourself - I typically work with people who have tried different approaches with no luck, and they’re ready to move toward healing in a measurable way. After working with me, clients tend to understand their systems in a new way, and are able to have more compassion for themselves and others, while still holding their boundaries with self respect. I believe therapy is about building a trusting relationship that leads toward healing and wholeness.
(214) 624-6266 View (214) 624-6266
Photo of Angela Belton, LPC. A Beautiful Mind Counseling, Licensed Professional Counselor in Dallas, TX
Angela Belton, LPC. A Beautiful Mind Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
Dallas, TX 75230
Supporting your Well-Being! Counseling is beneficial to individuals who are looking to strengthen their emotional health in all stages of their lives. I can help you overcome life struggles and guide you through the process of healing. My 15 years of experience enables me to offer effective outpatient, individualized, psychotherapy care. I assist individuals with a number of mental health disorders/life situations and I provide a natural and spiritual approach to individuals, families, and couples.
Supporting your Well-Being! Counseling is beneficial to individuals who are looking to strengthen their emotional health in all stages of their lives. I can help you overcome life struggles and guide you through the process of healing. My 15 years of experience enables me to offer effective outpatient, individualized, psychotherapy care. I assist individuals with a number of mental health disorders/life situations and I provide a natural and spiritual approach to individuals, families, and couples.
(214) 380-3805 View (214) 380-3805
Photo of Deanna Kasten, M. A, LPC, LMFT, Marriage & Family Therapist in Dallas, TX
Deanna Kasten, M. A, LPC, LMFT
Marriage & Family Therapist, MA, LPC, LMFT
Verified Verified
1 Endorsed
Dallas, TX 75230
Are you having trouble communicating effectively in your relationships? Do you wish you had the words to say what you want? Are you fearful of offending others if you say what you think?You can become more authentic and therefore happier if you learn effective ways to communicate. I work with couples who want to improve their relationship, as well as with individual issues, such as anxiety, depression, and lack of goals and energy. Change for the better can happen sooner than you may think. I am a seasoned therapist with many years of experience. I help clients find the words to express what they want to say clearly and peacefully.
Are you having trouble communicating effectively in your relationships? Do you wish you had the words to say what you want? Are you fearful of offending others if you say what you think?You can become more authentic and therefore happier if you learn effective ways to communicate. I work with couples who want to improve their relationship, as well as with individual issues, such as anxiety, depression, and lack of goals and energy. Change for the better can happen sooner than you may think. I am a seasoned therapist with many years of experience. I help clients find the words to express what they want to say clearly and peacefully.
(972) 441-7798 View (972) 441-7798
Photo of Lauren Elizabeth Rothstein, Psychologist in Dallas, TX
Lauren Elizabeth Rothstein
Psychologist, PhD, LP
Verified Verified
1 Endorsed
Dallas, TX 75231
Does this sound like you? No matter how hard you try, negative thoughts fill your head, swimming around, taking over your day. You try so hard, but everything you do feels wrong, imperfect, and uncomfortable. Sometimes you may feel full of energy and then crash or become tearful and sad or angry and irritable. Sometimes you may have nightmares or flashbacks or lose time just sitting and thinking. Perhaps you have felt this way and gone through the same behavior patterns your whole life. Or maybe, these feelings are brand new, and you have never felt this way before. For whatever reason, you are seeking help and I am glad you are.
Does this sound like you? No matter how hard you try, negative thoughts fill your head, swimming around, taking over your day. You try so hard, but everything you do feels wrong, imperfect, and uncomfortable. Sometimes you may feel full of energy and then crash or become tearful and sad or angry and irritable. Sometimes you may have nightmares or flashbacks or lose time just sitting and thinking. Perhaps you have felt this way and gone through the same behavior patterns your whole life. Or maybe, these feelings are brand new, and you have never felt this way before. For whatever reason, you are seeking help and I am glad you are.
View
Photo of Rozan Christian, Licensed Professional Counselor in Dallas, TX
Rozan Christian
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
Dallas, TX 75206
Life after loss can include JOY. With 18 years experience, including extensive research related to near-death experiences, I help clients process their grief and trauma (e.g., death, job loss, serious illness, financial problems). Ultimately, I help them become more hopeful about their lives moving forward. With compassion and empathy, I am prepared to help you heal emotionally following your loss. I understand that grief can affect each of us in ways that we cannot process by ourselves. I will assist you on your journey by providing a safe place in which you can grieve in healthy ways.
Life after loss can include JOY. With 18 years experience, including extensive research related to near-death experiences, I help clients process their grief and trauma (e.g., death, job loss, serious illness, financial problems). Ultimately, I help them become more hopeful about their lives moving forward. With compassion and empathy, I am prepared to help you heal emotionally following your loss. I understand that grief can affect each of us in ways that we cannot process by ourselves. I will assist you on your journey by providing a safe place in which you can grieve in healthy ways.
(972) 885-6080 View (972) 885-6080
Photo of Christopher 'Chris' Jones, Licensed Professional Counselor in Dallas, TX
Christopher 'Chris' Jones
Licensed Professional Counselor, MSEd, LPC-S, EMDR
Verified Verified
Dallas, TX 75201
If I'm not the perfect fit, I'll help find a counselor that is. I work with many issues faced by people age 20-60. I specialize in PTSD, complex , complex anxieties and depression often using EMDR as an adjunct to traditional solution focused talk therapy. It's an approach often helpful for survivors of abuse, chaotic childhoods, and first responders. I work with teenagers and adults that feel anxious or depressed or just stressed out. This includes clients that are suicidal, self-injure and mismanage anger.
If I'm not the perfect fit, I'll help find a counselor that is. I work with many issues faced by people age 20-60. I specialize in PTSD, complex , complex anxieties and depression often using EMDR as an adjunct to traditional solution focused talk therapy. It's an approach often helpful for survivors of abuse, chaotic childhoods, and first responders. I work with teenagers and adults that feel anxious or depressed or just stressed out. This includes clients that are suicidal, self-injure and mismanage anger.
(214) 506-0419 View (214) 506-0419
Photo of Tera Rattler, Licensed Professional Counselor in Dallas, TX
Tera Rattler
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Dallas, TX 75254  (Online Only)
Hey there! I'm Tera! I am a Licensed Professional Counselor (LPC) in the state of Texas and Louisiana. I received my MA from Louisiana Tech University in Clinical Mental Health Counseling. I have worked in the mental health field since 2016 and have enjoyed assisting others find ways to improve their lives. Also in 2016, I discovered fitness and nutrition through bodybuilding. Through my experience, I think it is optimal to explore the connection of mental health and overall wellness through mind and body. I also provide medical marijuana consultations for Louisiana clients only. Let's talk soon!
Hey there! I'm Tera! I am a Licensed Professional Counselor (LPC) in the state of Texas and Louisiana. I received my MA from Louisiana Tech University in Clinical Mental Health Counseling. I have worked in the mental health field since 2016 and have enjoyed assisting others find ways to improve their lives. Also in 2016, I discovered fitness and nutrition through bodybuilding. Through my experience, I think it is optimal to explore the connection of mental health and overall wellness through mind and body. I also provide medical marijuana consultations for Louisiana clients only. Let's talk soon!
(214) 225-8891 View (214) 225-8891
Photo of Antoinette Marie Martinez, Licensed Professional Counselor in Dallas, TX
Antoinette Marie Martinez
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
6 Endorsed
Dallas, TX 75214
Waitlist for new clients
Hello! My name is Antoinette Martinez. I founded Nourish Play Therapy LLC in 2015 to give children, teens, and their families a safe place to move towards social and emotional health and wellness. I combine play therapy with art, mindfulness, EMDR Therapy, and SandPlay to help children understand their thoughts, feelings, impulses, and needs. I also help kiddos discover their strengths and grow in self-control and responsibility. I have experience in treating life changes, trauma, abuse, neglect, self-injurious behaviors, anxiety, depression, grief and loss, adhd, autism spectrum, developmental delays, school adjustment, divorce and separation, and other behavioral concerns.
Hello! My name is Antoinette Martinez. I founded Nourish Play Therapy LLC in 2015 to give children, teens, and their families a safe place to move towards social and emotional health and wellness. I combine play therapy with art, mindfulness, EMDR Therapy, and SandPlay to help children understand their thoughts, feelings, impulses, and needs. I also help kiddos discover their strengths and grow in self-control and responsibility. I have experience in treating life changes, trauma, abuse, neglect, self-injurious behaviors, anxiety, depression, grief and loss, adhd, autism spectrum, developmental delays, school adjustment, divorce and separation, and other behavioral concerns.
(214) 646-1168 View (214) 646-1168
Photo of Michael Ashenfelter, Licensed Professional Counselor in Dallas, TX
Michael Ashenfelter
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Dallas, TX 75240
Many of the physical ailments we experience can be linked to our emotional health and well-being. My hope for you, through behavioral health counseling/coaching, is to develop and implement the necessary skills to reach both physical and emotional wellness.
Many of the physical ailments we experience can be linked to our emotional health and well-being. My hope for you, through behavioral health counseling/coaching, is to develop and implement the necessary skills to reach both physical and emotional wellness.
(469) 844-9313 View (469) 844-9313
Photo of James Benton, Licensed Professional Counselor in Dallas, TX
James Benton
Licensed Professional Counselor, MS, LPC
Verified Verified
Dallas, TX 75244
Retirees exploring life after a career, young adults trying to find their way, people struggling with feelings of depression and anxiety, and people searching for meaning: these are just some groups I enjoy working with. Nobody is immune to life's difficulties, and everybody faces trials such as stress and anxiety, among many others. The COVID pandemic has been a significant trial for everyone. You're not alone in your struggle to adjust. The fact that you're reading this means that you've already taken the first step to managing and improving your life.
Retirees exploring life after a career, young adults trying to find their way, people struggling with feelings of depression and anxiety, and people searching for meaning: these are just some groups I enjoy working with. Nobody is immune to life's difficulties, and everybody faces trials such as stress and anxiety, among many others. The COVID pandemic has been a significant trial for everyone. You're not alone in your struggle to adjust. The fact that you're reading this means that you've already taken the first step to managing and improving your life.
(972) 905-9750 View (972) 905-9750
Photo of Nikki Easter, Licensed Professional Counselor in Dallas, TX
Nikki Easter
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75206
Nikki Easter is a Licensed Professional Counselor in Texas who has been practicing since 2012. She has a B.A. in Journalism and a M. A. in Community Counseling. Nikki's experience has been working with people of all ages using Cognitive Behavioral Therapy (CBT) and a strength-based model to help clients change their thinking patterns. With this method, Nikki also teaches mindfulness, distress tolerance, coping skills, and anger management. Nikki primarily uses CBT, but she is skilled in many modalities such as interpersonal, integrative, and trauma focused.
Nikki Easter is a Licensed Professional Counselor in Texas who has been practicing since 2012. She has a B.A. in Journalism and a M. A. in Community Counseling. Nikki's experience has been working with people of all ages using Cognitive Behavioral Therapy (CBT) and a strength-based model to help clients change their thinking patterns. With this method, Nikki also teaches mindfulness, distress tolerance, coping skills, and anger management. Nikki primarily uses CBT, but she is skilled in many modalities such as interpersonal, integrative, and trauma focused.
(469) 848-3173 View (469) 848-3173

How does your Therapist compare?

Number of Therapists in Dallas, TX

3,000+

Average cost per session

$140

Therapists in Dallas, TX who prioritize treating:

92% Anxiety
88% Depression
75% Self Esteem
71% Relationship Issues
70% Coping Skills
67% Trauma and PTSD
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Aetna
77% UnitedHealthcare UHC | UBH
73% BlueCross and BlueShield

How Therapists in Dallas, TX see their clients

53% In Person and Online
47% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Dallas?

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.