Therapists in Pike Road, AL

Photo of Fightress Aaron, Licensed Professional Counselor, MS, LPC, NCC
Fightress Aaron
Licensed Professional Counselor, MS, LPC, NCC
4 Endorsed
Pike Road, AL 36064
You should know that I don’t see you as a diagnosis or a checklist of symptoms. I see the woman who has been strong for everyone else — and may not have had space to fall apart safely. Your well-being is not just a priority; it’s the foundation of our work. I am deeply committed to creating a space where you do not have to perform, minimize, or prove your pain. You won’t be rushed, judged, or asked to “just cope better.” My approach is grounded in trauma-informed care, cultural responsiveness, and nervous-system healing. I balance empathy with clarity and structure. That means you’ll feel supported — and you’ll also gain insight,
You should know that I don’t see you as a diagnosis or a checklist of symptoms. I see the woman who has been strong for everyone else — and may not have had space to fall apart safely. Your well-being is not just a priority; it’s the foundation of our work. I am deeply committed to creating a space where you do not have to perform, minimize, or prove your pain. You won’t be rushed, judged, or asked to “just cope better.” My approach is grounded in trauma-informed care, cultural responsiveness, and nervous-system healing. I balance empathy with clarity and structure. That means you’ll feel supported — and you’ll also gain insight,
(334) 487-1129 View (334) 487-1129
Photo of Dawn A Ellis-Murray - Innovative Enterprises, LLC dba Novative Associate, Clinical Social Work/Therapist, MSW, LICSW, PIP
Innovative Enterprises, LLC dba Novative Associate
Clinical Social Work/Therapist, MSW, LICSW, PIP
Online Only
Are you an individual who struggles navigating Serious Mental Illnesses such as Bipolar Disorder, Schizophrenia, Anxiety, Major Depression, PTSD and other Traumas, Eating Disorders, etc.. Are you searching to regain focus and the capability to self-manage your day to day life? Are you committed to take an active role in your recovery? Together, we can work to build the stability, resilience, and improved sense of self necessary to improve your quality of life. Healing is possible - and you don't have to do it alone. Let's take the next steps together - allow me to become a support for your recovery journey.
Are you an individual who struggles navigating Serious Mental Illnesses such as Bipolar Disorder, Schizophrenia, Anxiety, Major Depression, PTSD and other Traumas, Eating Disorders, etc.. Are you searching to regain focus and the capability to self-manage your day to day life? Are you committed to take an active role in your recovery? Together, we can work to build the stability, resilience, and improved sense of self necessary to improve your quality of life. Healing is possible - and you don't have to do it alone. Let's take the next steps together - allow me to become a support for your recovery journey.
(334) 490-7743 View (334) 490-7743
Photo of Shelby Nunnelee, Counselor, MA, ALC
Shelby Nunnelee
Counselor, MA, ALC
1 Endorsed
Pike Road, AL 36064
Hi there, I’m Shelby. I am passionate about working with adults, teens, couples, families, various cultural and religious backgrounds, and members of the LGBTQIA community. No matter your background, I strive to create a therapeutic environment where you feel safe to be your true, authentic self. When we encounter ourselves as we are, then true healing can begin! The therapy process can help you explore your values and goals and learn new strategies for living a happier, more fulfilling life.
Hi there, I’m Shelby. I am passionate about working with adults, teens, couples, families, various cultural and religious backgrounds, and members of the LGBTQIA community. No matter your background, I strive to create a therapeutic environment where you feel safe to be your true, authentic self. When we encounter ourselves as we are, then true healing can begin! The therapy process can help you explore your values and goals and learn new strategies for living a happier, more fulfilling life.
(334) 835-9684 View (334) 835-9684
Photo of Grace Sherman White, Licensed Professional Counselor, LPC, MEd, EdS
Grace Sherman White
Licensed Professional Counselor, LPC, MEd, EdS
Pike Road, AL 36064
Hello, I'm Grace Sherman-White, a Licensed Professional Counselor (LPC) dedicated to helping individuals build stronger foundations for a more fulfilling life. Driven by a passion for service, I transitioned to counseling after 16+ years in audiology. My experience supporting people with hearing and speech challenges instilled in me a deep empathy and a desire to help others find healing medically and mentally.
Hello, I'm Grace Sherman-White, a Licensed Professional Counselor (LPC) dedicated to helping individuals build stronger foundations for a more fulfilling life. Driven by a passion for service, I transitioned to counseling after 16+ years in audiology. My experience supporting people with hearing and speech challenges instilled in me a deep empathy and a desire to help others find healing medically and mentally.
(334) 603-1427 x1 View (334) 603-1427 x1
Photo of Alesha Kozlowski, Licensed Professional Counselor, MS, LPC
Alesha Kozlowski
Licensed Professional Counselor, MS, LPC
1 Endorsed
Online Only
Hi! I’m so glad you’re here! My approach to therapy is compassionate, thoughtful, and centered on helping you navigate life’s challenges while fostering healing and growth. I believe the foundation of effective therapy is a strong, trusting relationship, so I make it a priority to create a safe, welcoming space where you feel truly heard and supported.
Hi! I’m so glad you’re here! My approach to therapy is compassionate, thoughtful, and centered on helping you navigate life’s challenges while fostering healing and growth. I believe the foundation of effective therapy is a strong, trusting relationship, so I make it a priority to create a safe, welcoming space where you feel truly heard and supported.
(334) 589-5905 View (334) 589-5905
Photo of Mindy Landrum - Pike Road Counseling, LLC, Licensed Professional Counselor, MA, LPC
Pike Road Counseling, LLC
Licensed Professional Counselor, MA, LPC
1 Endorsed
Pike Road, AL 36064
Hello! Thank you for taking the time to learn more information about Pike Road Counseling. At PRC, we strive to create a warm, welcoming, and therapeutic environment for everyone. Our goal is that when you come, you experience a sense of peace and hope, and leave feeling refreshed, with renewed energy to tackle whatever you are going through. We want to help you feel more equipped for positive change in all areas of your life. It is our JOY to walk with you on the journey!
Hello! Thank you for taking the time to learn more information about Pike Road Counseling. At PRC, we strive to create a warm, welcoming, and therapeutic environment for everyone. Our goal is that when you come, you experience a sense of peace and hope, and leave feeling refreshed, with renewed energy to tackle whatever you are going through. We want to help you feel more equipped for positive change in all areas of your life. It is our JOY to walk with you on the journey!
(334) 605-8643 View (334) 605-8643
Photo of Patricia Ford, Clinical Social Work/Therapist, DSW, LICSW
Patricia Ford
Clinical Social Work/Therapist, DSW, LICSW
Serves Area
I am a licensed mental health therapist that specializes in providing individual therapy for a variety of mental health issues including depression, anxiety, post traumatic stress disorder, grief/bereavement, and loss. My approach to therapy is grounded in evidence-based practices, such as culturally responsive cognitive behavioral therapy, dialectical behavior therapy, and mindfulness-based therapies. I work with my clients to identify the underlying cause of their symptoms and develop an individualized treatment plan that is tailored to their specific needs and goals.
I am a licensed mental health therapist that specializes in providing individual therapy for a variety of mental health issues including depression, anxiety, post traumatic stress disorder, grief/bereavement, and loss. My approach to therapy is grounded in evidence-based practices, such as culturally responsive cognitive behavioral therapy, dialectical behavior therapy, and mindfulness-based therapies. I work with my clients to identify the underlying cause of their symptoms and develop an individualized treatment plan that is tailored to their specific needs and goals.
(706) 420-4919 View (706) 420-4919
Photo of Delta C. Sullivan, Counselor, MS, LPC, NCC
Delta C. Sullivan
Counselor, MS, LPC, NCC
2 Endorsed
Serves Area
Waitlist for new clients
Our stories contain many chapters, and often those chapters are very difficult. I work with many people who find themselves with life stories that include times of trauma, depression, anxiety, loneliness, grief, shame, difficult relationships or just feeling stuck. It is a privilege for me to hear your story, hold hope for you, and walk with you in whatever chapter you find yourself in, to find wholeness, healing and health.
Our stories contain many chapters, and often those chapters are very difficult. I work with many people who find themselves with life stories that include times of trauma, depression, anxiety, loneliness, grief, shame, difficult relationships or just feeling stuck. It is a privilege for me to hear your story, hold hope for you, and walk with you in whatever chapter you find yourself in, to find wholeness, healing and health.
(334) 344-7081 View (334) 344-7081
Photo of LeTerrica Gibbs, Licensed Professional Counselor, LPC
LeTerrica Gibbs
Licensed Professional Counselor, LPC
Online Only
I am a licensed professional counselor (LPC) with 9 years of experience supporting individuals, couples, and families navigating relationship challenges, life transitions, anxiety, depression, and family conflict. I specialize in marriage and family dynamics, helping clients strengthen communication, rebuild trust, and foster healthier connections in their personal and relational lives. My clinical work is grounded in evidence-based, systemic approaches that consider the impact of family patterns and relational systems.
I am a licensed professional counselor (LPC) with 9 years of experience supporting individuals, couples, and families navigating relationship challenges, life transitions, anxiety, depression, and family conflict. I specialize in marriage and family dynamics, helping clients strengthen communication, rebuild trust, and foster healthier connections in their personal and relational lives. My clinical work is grounded in evidence-based, systemic approaches that consider the impact of family patterns and relational systems.
(334) 378-4431 View (334) 378-4431
Photo of Lasha D Perine, Counselor, M Ed, LPC
Lasha D Perine
Counselor, M Ed, LPC
1 Endorsed
Serves Area
Starting therapy is a brave step, and I believe that healing happens within safe, supportive relationships. As Licensed Professional Counselor, I work with individuals navigating life transitions, anxiety, depression, and relationship challenges. My goal is to create a space where you feel seen, heard, and empowered to grow at your own pace.
Starting therapy is a brave step, and I believe that healing happens within safe, supportive relationships. As Licensed Professional Counselor, I work with individuals navigating life transitions, anxiety, depression, and relationship challenges. My goal is to create a space where you feel seen, heard, and empowered to grow at your own pace.
(334) 666-6638 View (334) 666-6638
Photo of Brandon Gantt, Counselor, MA, LPC, CSAT
Brandon Gantt
Counselor, MA, LPC, CSAT
2 Endorsed
Serves Area
Brandon’s focus is to create a safe place for clients to look at their story. The hard places in our stories cause us to be disconnected from God, ourselves, and others. Our past wounds and trauma prevent us from flourishing in our marriages, parenting relationships, friendships and daily work. The safety of a therapeutic relationship allows the client to look below the surface, at the unhealed places in our story, and begin to reconnect, heal and grow.
Brandon’s focus is to create a safe place for clients to look at their story. The hard places in our stories cause us to be disconnected from God, ourselves, and others. Our past wounds and trauma prevent us from flourishing in our marriages, parenting relationships, friendships and daily work. The safety of a therapeutic relationship allows the client to look below the surface, at the unhealed places in our story, and begin to reconnect, heal and grow.
(334) 489-1506 View (334) 489-1506
Photo of Heather Smith - Auburn Therapy Associates, Marriage & Family Therapist, LMFT
Auburn Therapy Associates
Marriage & Family Therapist, LMFT
3 Endorsed
Serves Area
At ATA, our goal is to help you grow, heal, and change for the better. We offer in-person & virtual sessions and work with things like anxiety, depression, trauma/PTSD, relationship issues, life transitions, estrangement, and more. We see ages 11+, and work with individuals, couples, & families. Our therapists use evidence-based models like EMDR, TF-CBT, EFT, and the Gottman method tailored to your specific situation and needs. We use a variety of techniques and skills, with human connection and compassion at the heart of it all.
At ATA, our goal is to help you grow, heal, and change for the better. We offer in-person & virtual sessions and work with things like anxiety, depression, trauma/PTSD, relationship issues, life transitions, estrangement, and more. We see ages 11+, and work with individuals, couples, & families. Our therapists use evidence-based models like EMDR, TF-CBT, EFT, and the Gottman method tailored to your specific situation and needs. We use a variety of techniques and skills, with human connection and compassion at the heart of it all.
(334) 471-3013 View (334) 471-3013
Photo of Laura B Young, Marriage & Family Therapist, MS, LMFT, CCH
Laura B Young
Marriage & Family Therapist, MS, LMFT, CCH
Serves Area
Anxiety Disorders left untreated can lead to problems as Depression, Chronic Stress, Physical Health Issues,with heart disease and gastrointestinal problems topping the list.Any level Anxiety interferes with quality of life. Prevalent types of Anxiety, certainly treatable, are Generalized Anxiety, Panic Disorder,Social Anxiety and Specific Phobias, all having common as well as distinctive features in levels of distress and kinds of treatment. Time does not lessen the problem. I can help bring you peace in troubled times. Now! Call Today A Free 20 minute consultation call 334-277-7955 (no texts) leave convenient time for a call.
Anxiety Disorders left untreated can lead to problems as Depression, Chronic Stress, Physical Health Issues,with heart disease and gastrointestinal problems topping the list.Any level Anxiety interferes with quality of life. Prevalent types of Anxiety, certainly treatable, are Generalized Anxiety, Panic Disorder,Social Anxiety and Specific Phobias, all having common as well as distinctive features in levels of distress and kinds of treatment. Time does not lessen the problem. I can help bring you peace in troubled times. Now! Call Today A Free 20 minute consultation call 334-277-7955 (no texts) leave convenient time for a call.
(334) 651-0938 View (334) 651-0938
Photo of Tamekia Cathright - Honest Counseling and Psychological Medicine
Honest Counseling and Psychological Medicine
Verified Verified
Serves Area
Our doctors and counselors are empathetic to your needs and allow you the space to have honest conversations about matters that impact your mental health. Ever felt like you were a hamster on a never-ending wheel? Have you ever felt stuck? Are you always blaming everyone else for the problems in your life? Have you ever felt like everyone is always criticizing you? These are just examples of common issues that people attribute to their struggle. Here at Honest Counseling & Psychological Medicine you gain the inspiration to discover unknown or repressed answers while learning healthy coping skills that work just for you.
Our doctors and counselors are empathetic to your needs and allow you the space to have honest conversations about matters that impact your mental health. Ever felt like you were a hamster on a never-ending wheel? Have you ever felt stuck? Are you always blaming everyone else for the problems in your life? Have you ever felt like everyone is always criticizing you? These are just examples of common issues that people attribute to their struggle. Here at Honest Counseling & Psychological Medicine you gain the inspiration to discover unknown or repressed answers while learning healthy coping skills that work just for you.
(334) 336-0522 View (334) 336-0522
Photo of Jessica Barton, Pre-Licensed Professional
Jessica Barton
Pre-Licensed Professional
3 Endorsed
Serves Area
Transitioning into adulthood can bring along feelings of stress, anxiety, and confusion. During this time, we are challenged to find our footing and make sense of the world around us. When stress and anxiety make themselves known, so do other symptoms such as burnout, difficulty concentrating, and irritability. These issues do not define you. When envisioning my ideal client, it is someone who envisions a more fulfilling life, free of stress and anxiety, and who is open to putting the work in to achieve this.
Transitioning into adulthood can bring along feelings of stress, anxiety, and confusion. During this time, we are challenged to find our footing and make sense of the world around us. When stress and anxiety make themselves known, so do other symptoms such as burnout, difficulty concentrating, and irritability. These issues do not define you. When envisioning my ideal client, it is someone who envisions a more fulfilling life, free of stress and anxiety, and who is open to putting the work in to achieve this.
(334) 319-9071 View (334) 319-9071
Photo of Erin Cooper, Marriage & Family Therapist Associate, PhD, LMFTA
Erin Cooper
Marriage & Family Therapist Associate, PhD, LMFTA
4 Endorsed
Serves Area
My ideal client longs to feel more embodied, authentic, and rooted in love and community. They may carry old wounds from childhood trauma, family conflict, or difficult relationships, or find themselves feeling held back by anxiety, depression, disconnection, or unhelpful coping strategies. They want a place to learn and understand how the past has shaped them while also practicing new ways of living and relating to others.
My ideal client longs to feel more embodied, authentic, and rooted in love and community. They may carry old wounds from childhood trauma, family conflict, or difficult relationships, or find themselves feeling held back by anxiety, depression, disconnection, or unhelpful coping strategies. They want a place to learn and understand how the past has shaped them while also practicing new ways of living and relating to others.
(334) 402-2484 View (334) 402-2484
Photo of Patrick Cagle, Counselor, MS, ALC, CSAT-C, IFS, PSAP
Patrick Cagle
Counselor, MS, ALC, CSAT-C, IFS, PSAP
Serves Area
Do you feel like something’s missing in your life but can’t figure out what it is? Maybe you’re stuck in self-destructive patterns you can’t break, or your spouse has urged you to get help, leaving you unsure where to begin. Whatever brought you here, you don’t have to face it alone. I provide a compassionate, judgment-free space where you can uncover what’s holding you back, make sense of your struggles, and rediscover clarity, confidence, and purpose. Let’s work together to help you live the fulfilling, authentic life you deserve.
Do you feel like something’s missing in your life but can’t figure out what it is? Maybe you’re stuck in self-destructive patterns you can’t break, or your spouse has urged you to get help, leaving you unsure where to begin. Whatever brought you here, you don’t have to face it alone. I provide a compassionate, judgment-free space where you can uncover what’s holding you back, make sense of your struggles, and rediscover clarity, confidence, and purpose. Let’s work together to help you live the fulfilling, authentic life you deserve.
(334) 602-4112 View (334) 602-4112
Photo of Garrett Irby - Hope House Counseling and Education, Licensed Professional Counselor, MA, MDiv, LPC
Hope House Counseling and Education
Licensed Professional Counselor, MA, MDiv, LPC
1 Endorsed
Online Only
Have you just found out that your spouse or significant other has been engaging in sexual behaviors and lying about it? Maybe it was sexting, an emotional affair, pornography, or other sexual behaviors. Whatever it was, it was kept from you and you feel lied to, betrayed, and fooled. Or maybe you are the one engaging in sexual behaviors that you have tried to stop but, no matter how much effort you put into stopping, you return to that same behavior over and over. Maybe you are grieving a relationship loss, trying to figure out how to parent now that things have changed or you just feel stuck in the same old patterns.
Have you just found out that your spouse or significant other has been engaging in sexual behaviors and lying about it? Maybe it was sexting, an emotional affair, pornography, or other sexual behaviors. Whatever it was, it was kept from you and you feel lied to, betrayed, and fooled. Or maybe you are the one engaging in sexual behaviors that you have tried to stop but, no matter how much effort you put into stopping, you return to that same behavior over and over. Maybe you are grieving a relationship loss, trying to figure out how to parent now that things have changed or you just feel stuck in the same old patterns.
(205) 273-2280 View (205) 273-2280
Photo of Nathan Smith, Marriage & Family Therapist Associate, MS, LMFT-A
Nathan Smith
Marriage & Family Therapist Associate, MS, LMFT-A
11 Endorsed
Serves Area
Starting therapy can feel overwhelming — you may be carrying stress, grief, or old patterns that no longer serve you. Maybe you’re navigating a life transition, struggling with past hurts, or feeling stuck in your relationships. Perhaps you want clarity, connection, and to be understood. You may long for change but aren't sure where to start.
Starting therapy can feel overwhelming — you may be carrying stress, grief, or old patterns that no longer serve you. Maybe you’re navigating a life transition, struggling with past hurts, or feeling stuck in your relationships. Perhaps you want clarity, connection, and to be understood. You may long for change but aren't sure where to start.
(334) 539-0150 View (334) 539-0150
Photo of Beth Long - Works of Wonder Therapy, Licensed Professional Counselor, PhD
Works of Wonder Therapy
Licensed Professional Counselor, PhD
2 Endorsed
Serves Area
Our ideal client is someone who is ready to move toward meaningful change! We are here to offer support, foster growth, and help you find healing and clarity in the midst of the circumstances you are facing. Even if it’s hard to believe right now, we know that excellent therapeutic support truly makes a difference and we want to help you transition from surviving to thriving. With 11 providers specializing in a wide range of therapeutic approaches, our clinic offers therapy to individuals, couples, families, and groups of people facing similar challenges.
Our ideal client is someone who is ready to move toward meaningful change! We are here to offer support, foster growth, and help you find healing and clarity in the midst of the circumstances you are facing. Even if it’s hard to believe right now, we know that excellent therapeutic support truly makes a difference and we want to help you transition from surviving to thriving. With 11 providers specializing in a wide range of therapeutic approaches, our clinic offers therapy to individuals, couples, families, and groups of people facing similar challenges.
(334) 310-5883 View (334) 310-5883

See more therapy options for Pike Road

How does your Therapist compare?

Number of Therapists in Pike Road, AL

30+

Average cost per session

$150

Therapists in Pike Road, AL who prioritize treating:

97% Anxiety
97% Social Anxiety
97% Health Anxiety
97% Driving Anxiety
87% Depression
84% Trauma and PTSD
84% Complex PTSD

Average years in practice

9 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
50% Optum
45% UnitedHealthcare UHC | UBH

How Therapists in Pike Road, AL see their clients

74% In Person and Online
26% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Pike Road?

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.