Therapists in North Palm Beach, FL

Photo of Melissa Stacey, Marriage & Family Therapist in North Palm Beach, FL
Melissa Stacey
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
North Palm Beach, FL 33408
As a therapist I strive to create a safe, collaborative, and authentic healing environment, where I can assist individuals, couples, and families work through life’s challenges. In therapy, I utilize an integrative approach, that is heavily rooted in Solution Focused Therapy, Cognitive (CBT) and Narrative Therapy models, that nurture the mental, emotional, physical, and spiritual parts of the self while working to eliminate any obstacles that stand in the way of attaining your goals. I believe wholeheartedly in the therapeutic process through a collaborative relationship with my clients.
As a therapist I strive to create a safe, collaborative, and authentic healing environment, where I can assist individuals, couples, and families work through life’s challenges. In therapy, I utilize an integrative approach, that is heavily rooted in Solution Focused Therapy, Cognitive (CBT) and Narrative Therapy models, that nurture the mental, emotional, physical, and spiritual parts of the self while working to eliminate any obstacles that stand in the way of attaining your goals. I believe wholeheartedly in the therapeutic process through a collaborative relationship with my clients.
(561) 303-2972 View (561) 303-2972
Photo of Anna S Travers, Counselor in North Palm Beach, FL
Anna S Travers
Counselor, MS, LMHC
Verified Verified
1 Endorsed
North Palm Beach, FL 33408
Are there changes you are going through making you feel stressed, stuck and unhappy..? As a Licensed Therapist I have extensive experience working with anxiety, low self-esteem, depression and relationship issues and the importance of healthy communication.
Are there changes you are going through making you feel stressed, stuck and unhappy..? As a Licensed Therapist I have extensive experience working with anxiety, low self-esteem, depression and relationship issues and the importance of healthy communication.
(561) 922-9914 View (561) 922-9914
Photo of Justin H McManus, Clinical Social Work/Therapist in North Palm Beach, FL
Justin H McManus
Clinical Social Work/Therapist, LCSW, CAP, SATP, CSAT
Verified Verified
6 Endorsed
North Palm Beach, FL 33408
Waitlist for new clients
You're not sure how things got so out of control with your unwanted sexual behavior. You have tried time and again to stop acting out sexually only to end up falling again. Maybe your wife caught you and the marriage is in serious danger or possibly you're single and have struggled to have a healthy, fulfilling relationship because of your sexual habits. Either way, you have come to the realization that you can't do this alone.
You're not sure how things got so out of control with your unwanted sexual behavior. You have tried time and again to stop acting out sexually only to end up falling again. Maybe your wife caught you and the marriage is in serious danger or possibly you're single and have struggled to have a healthy, fulfilling relationship because of your sexual habits. Either way, you have come to the realization that you can't do this alone.
(561) 515-5091 View (561) 515-5091
Photo of Sandra (Sandy) L Perkins, Clinical Social Work/Therapist in North Palm Beach, FL
Sandra (Sandy) L Perkins
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
North Palm Beach, FL 33408  (Online Only)
You're not sure how things got so out of control with your relationship with your teenage child. You tried to connect, set limits, and find compromise, but nothing seems to work. The relationship remains difficult or perhaps even volatile. Maybe your child doesn’t listen or actively seek your advice or trust. Perhaps they have left the house and not returned for hours at a time, nor have they returned your calls or texts, and now you’re really worried. Either way, you have come to the realization that you can not do this alone.
You're not sure how things got so out of control with your relationship with your teenage child. You tried to connect, set limits, and find compromise, but nothing seems to work. The relationship remains difficult or perhaps even volatile. Maybe your child doesn’t listen or actively seek your advice or trust. Perhaps they have left the house and not returned for hours at a time, nor have they returned your calls or texts, and now you’re really worried. Either way, you have come to the realization that you can not do this alone.
(561) 872-2606 View (561) 872-2606
Photo of Heather Miller, Clinical Social Work/Therapist in North Palm Beach, FL
Heather Miller
Clinical Social Work/Therapist, MSW, LCSW, CCPT
Verified Verified
2 Endorsed
North Palm Beach, FL 33408  (Online Only)
Are you questioning how things have gotten so out of control? Maybe you’re struggling to cope with betrayal, trauma, maladaptive patterns of behavior, depression or anxiety? Have you come to the realization that you can't do this alone?
Are you questioning how things have gotten so out of control? Maybe you’re struggling to cope with betrayal, trauma, maladaptive patterns of behavior, depression or anxiety? Have you come to the realization that you can't do this alone?
(561) 623-3402 View (561) 623-3402
Photo of Brandi Cooprider, Counselor in North Palm Beach, FL
Brandi Cooprider
Counselor, MS, LMHC, CPP
Verified Verified
North Palm Beach, FL 33408
My name is Brandi, and I'm passionate about helping individuals navigate the complexities of anxiety and attachment issues. I offer virtual and in-person sessions. My journey into mental health advocacy began with my own experiences, where I discovered the transformative power of therapy. This personal insight fuels my commitment to guiding others on their healing journeys. My goal is to help “Just One person every day”. When I'm not in the therapy office, you'll often find me spending time with friends at the gym, enjoying my chef skills, practicing mindfulness, or enjoying quality time outside and with loved ones.
My name is Brandi, and I'm passionate about helping individuals navigate the complexities of anxiety and attachment issues. I offer virtual and in-person sessions. My journey into mental health advocacy began with my own experiences, where I discovered the transformative power of therapy. This personal insight fuels my commitment to guiding others on their healing journeys. My goal is to help “Just One person every day”. When I'm not in the therapy office, you'll often find me spending time with friends at the gym, enjoying my chef skills, practicing mindfulness, or enjoying quality time outside and with loved ones.
(561) 279-3979 View (561) 279-3979
Photo of Margaret (Mary) Stanley, Pre-Licensed Professional in North Palm Beach, FL
Margaret (Mary) Stanley
Pre-Licensed Professional, MSW, MCAP, EMDR
Verified Verified
1 Endorsed
North Palm Beach, FL 33408
Are you struggling with addiction, anxiety depression after receiving treatment. EMDR can assist with underlying unresolved issues and help in your journey forward. Everyone can obtain personal growth and positive change in ways that are most comfortable to them. Working closely with all clients ensures a specific treatment approach is developed based on your unique needs and therapy goals. The therapy experience will aid in learning about oneself, relationships, and how to strive towards positive changes.
Are you struggling with addiction, anxiety depression after receiving treatment. EMDR can assist with underlying unresolved issues and help in your journey forward. Everyone can obtain personal growth and positive change in ways that are most comfortable to them. Working closely with all clients ensures a specific treatment approach is developed based on your unique needs and therapy goals. The therapy experience will aid in learning about oneself, relationships, and how to strive towards positive changes.
(561) 440-1346 x704 View (561) 440-1346 x704
Photo of Jeanette O'Flaherty, Marriage & Family Therapist Intern in North Palm Beach, FL
Jeanette O'Flaherty
Marriage & Family Therapist Intern, MS, RMHCI, RMFTI
Verified Verified
3 Endorsed
North Palm Beach, FL 33408  (Online Only)
Are you tired of therapists who just stare back at you and don't give you any feedback? Just a heads up, I'm not that type of therapist. Maybe therapy seems like something you don't "need," but you're sick of venting to your friends and feeling like a burden. Your typical coping skills aren't cutting it and you know something needs to change. You just want to feel better and get some relief, but you're not sure how to get there. You've probably never tried this therapy thing before and didn't like it or you totally don't know what to expect. I get it, I've been there.
Are you tired of therapists who just stare back at you and don't give you any feedback? Just a heads up, I'm not that type of therapist. Maybe therapy seems like something you don't "need," but you're sick of venting to your friends and feeling like a burden. Your typical coping skills aren't cutting it and you know something needs to change. You just want to feel better and get some relief, but you're not sure how to get there. You've probably never tried this therapy thing before and didn't like it or you totally don't know what to expect. I get it, I've been there.
(561) 375-5534 View (561) 375-5534
Photo of Moira Howard, Counselor in North Palm Beach, FL
Moira Howard
Counselor, CAP, LMHC
Verified Verified
10 Endorsed
North Palm Beach, FL 33408
Who am I? "I am Moira Howard a Licensed Mental Health Counselor. I have been working as a therapist since 2009 specializing in addictions and dual diagnosis. During my years of study, I also trained in EMDR therapy which is proven to reduce symptoms related to trauma. Another style of therapy I use is Psychodrama. This unique style helps break the ice for individuals who feel anxious about traditional talk therapy. I also am a Yoga instructor and I love to integrate this knowledge into helping individuals heal."
Who am I? "I am Moira Howard a Licensed Mental Health Counselor. I have been working as a therapist since 2009 specializing in addictions and dual diagnosis. During my years of study, I also trained in EMDR therapy which is proven to reduce symptoms related to trauma. Another style of therapy I use is Psychodrama. This unique style helps break the ice for individuals who feel anxious about traditional talk therapy. I also am a Yoga instructor and I love to integrate this knowledge into helping individuals heal."
(561) 419-9185 View (561) 419-9185
Photo of Dr. Sasha (Alexandra) Grigorian, Psychologist in North Palm Beach, FL
Dr. Sasha (Alexandra) Grigorian
Psychologist, PsyD
Verified Verified
North Palm Beach, FL 33408
Mental health is equally important to address as our physical health. If we sustained a physical injury or developed a condition, obtaining appropriate treatment would allow for effective recovery and remission. Similarly, experiencing mental health symptoms can profoundly impact many aspects of our lives (e.g., functional impairment, emotional distress). Whether you are experiencing symptoms of a condition or struggling with life stressors, treatment can address these concerns and allow for effective and sustained recovery.
Mental health is equally important to address as our physical health. If we sustained a physical injury or developed a condition, obtaining appropriate treatment would allow for effective recovery and remission. Similarly, experiencing mental health symptoms can profoundly impact many aspects of our lives (e.g., functional impairment, emotional distress). Whether you are experiencing symptoms of a condition or struggling with life stressors, treatment can address these concerns and allow for effective and sustained recovery.
(561) 763-9101 View (561) 763-9101
Photo of Martin Thompson, Clinical Social Work/Therapist in North Palm Beach, FL
Martin Thompson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
North Palm Beach, FL 33408
We all struggle from time to time. Everyone needs help at some point. I know what it's like to need a hand and how important it is to find it from a non-judgmental source. One of the key elements in the way I work with you is to listen to your story. Each of us is unique, each story is different so I take great care to listen and understand how you see things and what is important to you. My goal is "to walk in your shoes".
We all struggle from time to time. Everyone needs help at some point. I know what it's like to need a hand and how important it is to find it from a non-judgmental source. One of the key elements in the way I work with you is to listen to your story. Each of us is unique, each story is different so I take great care to listen and understand how you see things and what is important to you. My goal is "to walk in your shoes".
(561) 600-9279 View (561) 600-9279
Photo of Kim Jeluso LCSW, LLC, Clinical Social Work/Therapist in North Palm Beach, FL
Kim Jeluso LCSW, LLC
Clinical Social Work/Therapist, LCSW, ACHP-SW, QS
Verified Verified
North Palm Beach, FL 33408
I am a Licensed Clinical Social Worker with over 26 years of diverse clinical experience. I I have worked in a variety of settings providing group and individual therapy with adults suffering from depression, anxiety, anger management, chronic illnesses, caregiver role strain, grief, loss, relationship issues and so much more. I understand the range of emotional, behavioral, and life experiences that bring a client into treatment and I am dedicated to support guide, and challenge my client into deepened insight and awareness, and healthy coping through an open and supporting environment.
I am a Licensed Clinical Social Worker with over 26 years of diverse clinical experience. I I have worked in a variety of settings providing group and individual therapy with adults suffering from depression, anxiety, anger management, chronic illnesses, caregiver role strain, grief, loss, relationship issues and so much more. I understand the range of emotional, behavioral, and life experiences that bring a client into treatment and I am dedicated to support guide, and challenge my client into deepened insight and awareness, and healthy coping through an open and supporting environment.
(561) 945-8576 View (561) 945-8576
Photo of Startliving, Clinical Social Work/Therapist in North Palm Beach, FL
Startliving
Clinical Social Work/Therapist, DSW, LCSW, MCAP, Eng
Verified Verified
North Palm Beach, FL 33408
If you are struggling with feelings of depression, anxiety, racing thoughts, lack of purpose, substance use, or just need to process life circumstances, please contact me 561-543-1028.
If you are struggling with feelings of depression, anxiety, racing thoughts, lack of purpose, substance use, or just need to process life circumstances, please contact me 561-543-1028.
(561) 448-6539 View (561) 448-6539
Photo of Nina Babat Kessel, Psychologist in North Palm Beach, FL
Nina Babat Kessel
Psychologist, PsyD
Verified Verified
1 Endorsed
North Palm Beach, FL 33408
If you are experiencing difficulties adapting to the inevitable life changes and transitions that are part of the human experience, it may be the right time to seek the guidance of a psychologist. My overall goal is to help my clients attain balance and a healthier level of functioning through the development of insight, self awareness, coping skills and stress management strategies. By creating a safe and supportive environment for this learning to occur, clients improve their ability to deal with everyday stressors and ultimately increase their overall quality of life.
If you are experiencing difficulties adapting to the inevitable life changes and transitions that are part of the human experience, it may be the right time to seek the guidance of a psychologist. My overall goal is to help my clients attain balance and a healthier level of functioning through the development of insight, self awareness, coping skills and stress management strategies. By creating a safe and supportive environment for this learning to occur, clients improve their ability to deal with everyday stressors and ultimately increase their overall quality of life.
(561) 571-8647 View (561) 571-8647
Photo of Sally J Dorpfeld, Counselor in North Palm Beach, FL
Sally J Dorpfeld
Counselor, LMHC, LPC, MCAP, ICADC
Verified Verified
North Palm Beach, FL 33408
Sally Dorpfeld(She/Her) LMHC, LPC, Master Level Addiction Professional, Florida Telehealth Provider, Licensed Mental Health Counselor , Licensed Professional Counselor Location: 537 US HWY 1, Suite 2, North Palm Beach, FL 33408. In-person sessions & Virtual sessions Specializing in: Anxiety, Depression, Substance Use/Addiction, Mood disorders, and Trauma Great to meet you! I am 52 years old, married, and have two adult children, 1 almost 18 year old, and one brand new granddaughter. I have an MS in Licensed Professional Counseling, am a Licensed LMHC in FL, and have MCAP and ICADC certifications in FL.
Sally Dorpfeld(She/Her) LMHC, LPC, Master Level Addiction Professional, Florida Telehealth Provider, Licensed Mental Health Counselor , Licensed Professional Counselor Location: 537 US HWY 1, Suite 2, North Palm Beach, FL 33408. In-person sessions & Virtual sessions Specializing in: Anxiety, Depression, Substance Use/Addiction, Mood disorders, and Trauma Great to meet you! I am 52 years old, married, and have two adult children, 1 almost 18 year old, and one brand new granddaughter. I have an MS in Licensed Professional Counseling, am a Licensed LMHC in FL, and have MCAP and ICADC certifications in FL.
(561) 556-8210 View (561) 556-8210
Photo of Debra V Davis, Clinical Social Work/Therapist in North Palm Beach, FL
Debra V Davis
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
North Palm Beach, FL 33408  (Online Only)
You are not broken or damaged! You are a work in progress, learning and growing on life's journey... Do you have trauma from childhood that is affecting your adult relationships? Are you isolating and feeling disconnected? Maybe you have been doing all the “right” things, such as working hard, or starting a family, but still feel like you are "not good enough". Whatever it is that you’re experiencing, you’re ready for some relief. You’re ready to enjoy healthy relationships without your past getting in the way. You’re ready to feel more present, connected, and joyful. Most of all, you’re ready to love yourself and your life.
You are not broken or damaged! You are a work in progress, learning and growing on life's journey... Do you have trauma from childhood that is affecting your adult relationships? Are you isolating and feeling disconnected? Maybe you have been doing all the “right” things, such as working hard, or starting a family, but still feel like you are "not good enough". Whatever it is that you’re experiencing, you’re ready for some relief. You’re ready to enjoy healthy relationships without your past getting in the way. You’re ready to feel more present, connected, and joyful. Most of all, you’re ready to love yourself and your life.
(561) 658-1927 View (561) 658-1927
Photo of Behavior Shapes in North Palm Beach, FL
Behavior Shapes
MS, BCBA, IBA
Verified Verified
North Palm Beach, FL 33408
Hello there! My name is Sara Bookspan and I am a Board Certified Behavior Analyst and parent coach. I provide high quality uniquely tailored behavior supports for families looking to build a more harmonious home life.
Hello there! My name is Sara Bookspan and I am a Board Certified Behavior Analyst and parent coach. I provide high quality uniquely tailored behavior supports for families looking to build a more harmonious home life.
(561) 556-5917 View (561) 556-5917
Photo of Mary K Tatum, Counselor in North Palm Beach, FL
Mary K Tatum
Counselor, LMHC
Verified Verified
North Palm Beach, FL 33408
Do you ever wonder how some people seem to genuinely enjoy life while you may struggle just to make it through the day? Are you feeling overwhelmed or even trapped by your current circumstances? Do you have goals for yourself but struggle to muster up enough motivation just to make it through the work day? Perhaps you are confused with knowing how to best help a loved one who is struggling? What if there was a way to feel like you were in control of your life and goals rather than feeling like your daily responsibilities and stress control you?
Do you ever wonder how some people seem to genuinely enjoy life while you may struggle just to make it through the day? Are you feeling overwhelmed or even trapped by your current circumstances? Do you have goals for yourself but struggle to muster up enough motivation just to make it through the work day? Perhaps you are confused with knowing how to best help a loved one who is struggling? What if there was a way to feel like you were in control of your life and goals rather than feeling like your daily responsibilities and stress control you?
(561) 935-6281 View (561) 935-6281
Photo of Jasmyne A. Duval, Psychologist in North Palm Beach, FL
Jasmyne A. Duval
Psychologist, PsyD
Verified Verified
North Palm Beach, FL 33408
We all desire to be loved and accepted, to feel safe and secure, to achieve our goals and fulfill our purpose, and to like who we see in the mirror. Unfortunately, life has a way of placing obstacles on our path that can potentially impair our ability to function at our greatest level. For some of us, these events are so painful that all hope seems to be lost. In order for healing to begin, we need a safe and supportive environment where our thoughts and feelings are validated, where we are able to process and heal from painful experiences, and where we are able to identify our most important needs and meet them in healthy ways.
We all desire to be loved and accepted, to feel safe and secure, to achieve our goals and fulfill our purpose, and to like who we see in the mirror. Unfortunately, life has a way of placing obstacles on our path that can potentially impair our ability to function at our greatest level. For some of us, these events are so painful that all hope seems to be lost. In order for healing to begin, we need a safe and supportive environment where our thoughts and feelings are validated, where we are able to process and heal from painful experiences, and where we are able to identify our most important needs and meet them in healthy ways.
(561) 264-6531 View (561) 264-6531
Photo of Jennifer J Hume, Counselor in North Palm Beach, FL
Jennifer J Hume
Counselor, MEd, LMHC, LPC, MCAP
Verified Verified
North Palm Beach, FL 33408
I have been counseling professionally since 1999 and offer my clients expertise in treating anxiety, OCD, depression, stress, and trauma, as well as creating more ease, safety, worthiness, and satisfying connections with others. I am a certified EMDR therapist & use EMDR to resolve traumatic or upsetting events from clients' pasts that continue to intrude into their present-day lives. I have trained in parts work (Internal Family Systems, ego state work, parts of self) since 2005, and use it to help people resolve inner conflicts that keep them stuck, and lower their automatic defenses that keep them isolated, angry or avoidant.
I have been counseling professionally since 1999 and offer my clients expertise in treating anxiety, OCD, depression, stress, and trauma, as well as creating more ease, safety, worthiness, and satisfying connections with others. I am a certified EMDR therapist & use EMDR to resolve traumatic or upsetting events from clients' pasts that continue to intrude into their present-day lives. I have trained in parts work (Internal Family Systems, ego state work, parts of self) since 2005, and use it to help people resolve inner conflicts that keep them stuck, and lower their automatic defenses that keep them isolated, angry or avoidant.
(561) 449-2349 View (561) 449-2349

See more therapy options for North Palm Beach

How does your Therapist compare?

Number of Therapists in North Palm Beach, FL

100+

Average cost per session

$150

Therapists in North Palm Beach, FL who prioritize treating:

89% Anxiety
79% Depression
77% Self Esteem
76% Coping Skills
72% Relationship Issues
72% Trauma and PTSD
63% Grief

Average years in practice

13 Years

Top 3 insurances accepted

76% Aetna
73% UnitedHealthcare UHC | UBH
71% Cigna and Evernorth

How Therapists in North Palm Beach, FL see their clients

82% In Person and Online
18% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in North Palm Beach?

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.