Therapists in Quincy, MA

Photo of Sarah O'Brien, Pre-Licensed Professional in Quincy, MA
Sarah O'Brien
Pre-Licensed Professional, CI, RC
Verified Verified
Quincy, MA 02169
Sarah is a compassionate Certified Interventionist and Recovery coach with Northeast Addictions Treatment Centers. Sarah has always had a life long passion for helping others, she attended Salve Regina and Simmons to pursue nursing but as someone who dealt with her own personal drug dependencies, she began her own personal recovery journey and found her calling to be a Recovery coach.
Sarah is a compassionate Certified Interventionist and Recovery coach with Northeast Addictions Treatment Centers. Sarah has always had a life long passion for helping others, she attended Salve Regina and Simmons to pursue nursing but as someone who dealt with her own personal drug dependencies, she began her own personal recovery journey and found her calling to be a Recovery coach.
(617) 829-9579 View (617) 829-9579
Photo of Desiree Rivera, Pre-Licensed Professional in Quincy, MA
Desiree Rivera
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Quincy, MA 02169  (Online Only)
Here is another day that you are feeling defeated and tired. All your friends tell you that you should be excited about this news. However, all you can think about is the continued dread and panic that comes to mind with the idea of becoming a brand new parent. You start thinking about the finances needed; you contemplate the notion of how to manage your day to day. It all seems too much and excessively overwhelming. The anxiety is driving you mad. When you talk to family and friends, they all tell you don’t worry about it… but, how can you not worry?
Here is another day that you are feeling defeated and tired. All your friends tell you that you should be excited about this news. However, all you can think about is the continued dread and panic that comes to mind with the idea of becoming a brand new parent. You start thinking about the finances needed; you contemplate the notion of how to manage your day to day. It all seems too much and excessively overwhelming. The anxiety is driving you mad. When you talk to family and friends, they all tell you don’t worry about it… but, how can you not worry?
(857) 370-4537 View (857) 370-4537
Photo of Paula Leech, Marriage & Family Therapist in Quincy, MA
Paula Leech
Marriage & Family Therapist, LMFT, CST-S
Verified Verified
Quincy, MA 02169  (Online Only)
I work with individuals and relationships around a wide variety of sexual concerns including: Common Sexual Dysfunctions (Erectile Dysfunction, Early Ejaculation, Delayed Ejaculation, Sexual Pain, Vaginismus, Difficulty with Orgasm), as well as Low/No Desire, Desire Mismatch in couples, Sexual Trauma, Gender Identity, Sexual Orientation, Pornography or Sex "Addiction," and Kink.
I work with individuals and relationships around a wide variety of sexual concerns including: Common Sexual Dysfunctions (Erectile Dysfunction, Early Ejaculation, Delayed Ejaculation, Sexual Pain, Vaginismus, Difficulty with Orgasm), as well as Low/No Desire, Desire Mismatch in couples, Sexual Trauma, Gender Identity, Sexual Orientation, Pornography or Sex "Addiction," and Kink.
(617) 380-6546 View (617) 380-6546
Photo of Brad Schutzer, Counselor in Quincy, MA
Brad Schutzer
Counselor, LMHC
Verified Verified
1 Endorsed
Quincy, MA 02169  (Online Only)
Therapy can be a great tool, regardless of what you might be going through in life. I understand that each person's story is unique and, therefore, so is his or her therapeutic experience. I am a psychotherapist and coach who will work with you to develop strategies for overcoming barriers in your life. I believe it's very important to have a good connection and rapport with your therapist. Due to this, I work to create a comfortable and safe environment to allow for progress and growth.
Therapy can be a great tool, regardless of what you might be going through in life. I understand that each person's story is unique and, therefore, so is his or her therapeutic experience. I am a psychotherapist and coach who will work with you to develop strategies for overcoming barriers in your life. I believe it's very important to have a good connection and rapport with your therapist. Due to this, I work to create a comfortable and safe environment to allow for progress and growth.
(857) 267-5432 View (857) 267-5432
Photo of Katie McCarty, Counselor in Quincy, MA
Katie McCarty
Counselor, LMHC
Verified Verified
2 Endorsed
Quincy, MA 02169
Waitlist for new clients
I focus on women, specializing in working with those who have been through trauma, difficult life circumstances or feel they are generally not living up to their potential. This may manifest as low self esteem, depression, anxiety, re-occurring relational issues, difficulties with saying "no" to others, and a variety of other bothersome symptoms. I utilize EMDR therapy to process traumatic material, which has been very effective for many people.
I focus on women, specializing in working with those who have been through trauma, difficult life circumstances or feel they are generally not living up to their potential. This may manifest as low self esteem, depression, anxiety, re-occurring relational issues, difficulties with saying "no" to others, and a variety of other bothersome symptoms. I utilize EMDR therapy to process traumatic material, which has been very effective for many people.
(781) 218-3678 View (781) 218-3678
Photo of Mileissa Castellano, Counselor in Quincy, MA
Mileissa Castellano
Counselor, LMHC
Verified Verified
1 Endorsed
Quincy, MA 02169  (Online Only)
Immediate openings, book an appointment 24/7 directly on our website. Do you find yourself grappling with stagnation or feeling adrift? Are relationships, mental well-being, or a sense of purpose leaving you lost? These obstacles hinder the pursuit of a purposeful life. I firmly believe in everyone's potential to be the hero of their journey. With guidance and support, I aim to empower you. Whether it's individual counseling, coaching, or relational support, I'm here to assist in navigating and overcoming these challenges.
Immediate openings, book an appointment 24/7 directly on our website. Do you find yourself grappling with stagnation or feeling adrift? Are relationships, mental well-being, or a sense of purpose leaving you lost? These obstacles hinder the pursuit of a purposeful life. I firmly believe in everyone's potential to be the hero of their journey. With guidance and support, I aim to empower you. Whether it's individual counseling, coaching, or relational support, I'm here to assist in navigating and overcoming these challenges.
(617) 675-4195 View (617) 675-4195
Photo of Jordon Anderson, Clinical Social Work/Therapist in Quincy, MA
Jordon Anderson
Clinical Social Work/Therapist, LICSW, CST
Verified Verified
3 Endorsed
Quincy, MA 02169
I am a Certified Sex Therapist through AASECT. I also do couples, family, and individual therapy. My clients are often people in relationships, families, or collectives who find themselves inside negative patterns and wish to break out. The goal is to help people regain their power and confidence in an alienating world. I help people work through issues that may include gender identity, intergenerational trauma, and sexual challenges. I also work with people who are facing systemic conflicts such as transphobia, fatphobia, racism, and disability.
I am a Certified Sex Therapist through AASECT. I also do couples, family, and individual therapy. My clients are often people in relationships, families, or collectives who find themselves inside negative patterns and wish to break out. The goal is to help people regain their power and confidence in an alienating world. I help people work through issues that may include gender identity, intergenerational trauma, and sexual challenges. I also work with people who are facing systemic conflicts such as transphobia, fatphobia, racism, and disability.
(617) 398-4044 View (617) 398-4044
Photo of Justine O'Leary, LICSW, Clinical Social Work/Therapist in Quincy, MA
Justine O'Leary, LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Quincy, MA 02169
Welcome, If you are reading this, you are probably experiencing some discomfort in your life and wondering, “Can this person help me? Can I trust her? Am I the only one with this problem?” and dozens of other questions. I understand your worries and that is why I encourage you to contact me and find out whether working together would be a good fit.
Welcome, If you are reading this, you are probably experiencing some discomfort in your life and wondering, “Can this person help me? Can I trust her? Am I the only one with this problem?” and dozens of other questions. I understand your worries and that is why I encourage you to contact me and find out whether working together would be a good fit.
(617) 833-3356 View (617) 833-3356
Photo of Christine Hong, Clinical Social Work/Therapist in Quincy, MA
Christine Hong
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Quincy, MA 02169  (Online Only)
Do you need someone to talk to who will take the time to focus on you and listen carefully to your concerns? Do you struggle with worries, persistent sadness, loneliness, low self-esteem, family stressors, relationship difficulties or life changes? I provide therapy framed by safety and respect. The work unfolds uniquely to each client depending on his/her/their needs, strengths, interests, challenges and readiness for change. I will collaborate with you, support you, and help you gain the insight, perspective and skills necessary to feel better and move forward with your life in a way that makes sense to you.
Do you need someone to talk to who will take the time to focus on you and listen carefully to your concerns? Do you struggle with worries, persistent sadness, loneliness, low self-esteem, family stressors, relationship difficulties or life changes? I provide therapy framed by safety and respect. The work unfolds uniquely to each client depending on his/her/their needs, strengths, interests, challenges and readiness for change. I will collaborate with you, support you, and help you gain the insight, perspective and skills necessary to feel better and move forward with your life in a way that makes sense to you.
(857) 371-5201 View (857) 371-5201
Photo of Elizabeth Thrun LADC, CADC, Drug & Alcohol Counselor in Quincy, MA
Elizabeth Thrun LADC, CADC
Drug & Alcohol Counselor, MC, LADC1, CADC, SAP
Verified Verified
Quincy, MA 02169
My goal is to help children, adults, couples, and families identify struggles, strengthen confidence, and enable purposeful thinking. I am dedicated to helping empower individuals by accessing their strengths, reaching happier and healthier thoughts and behaviors. I am a Trauma Informed therapist with specific training in CBT, DBT and Exposure Therapy. I specialize in anxiety disorders and substance use disorders, offering both in-person sessions and virtual. Please email me to schedule a consultation.
My goal is to help children, adults, couples, and families identify struggles, strengthen confidence, and enable purposeful thinking. I am dedicated to helping empower individuals by accessing their strengths, reaching happier and healthier thoughts and behaviors. I am a Trauma Informed therapist with specific training in CBT, DBT and Exposure Therapy. I specialize in anxiety disorders and substance use disorders, offering both in-person sessions and virtual. Please email me to schedule a consultation.
(339) 675-2723 View (339) 675-2723
Photo of Kristen Francisco, Clinical Social Work/Therapist in Quincy, MA
Kristen Francisco
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Quincy, MA 02169  (Online Only)
Immediate openings, book an appointment 24/7. Your house and children are a disaster. There are constant arguments between you and your partner. Your world is chaotic and uncertain. You are rendered clueless between the temper tantrums from your children and the negative behaviors. You thought you and your partner were supposed to be a team, but communication between the two of you has broken down. You say, “No,” but your partner says, “Yes” and the children get the spoils. The happy dynamic you used to have with your partner and your children has turned to ruin. “What is happening to our family?” you ask yourself in bewilderment.
Immediate openings, book an appointment 24/7. Your house and children are a disaster. There are constant arguments between you and your partner. Your world is chaotic and uncertain. You are rendered clueless between the temper tantrums from your children and the negative behaviors. You thought you and your partner were supposed to be a team, but communication between the two of you has broken down. You say, “No,” but your partner says, “Yes” and the children get the spoils. The happy dynamic you used to have with your partner and your children has turned to ruin. “What is happening to our family?” you ask yourself in bewilderment.
(857) 420-6820 View (857) 420-6820
Photo of Alyssa Quann, Counselor in Quincy, MA
Alyssa Quann
Counselor, LMHC
Verified Verified
Quincy, MA 02169
Alyssa Quann is a Licensed Mental Health Therapist with 5 years of experience in mental health. She is committed to helping both individuals and couples navigate the world around them, equipping them with skills to excel in an ever-changing world. She is passionate about creating an authentic therapeutic space and encourages her clients to lean into the discomfort that comes with healing to make room for growth. Alyssa specializes in anxiety, depression, relationship issues, and women's issues. She received her bachelor's degree in psychology from Williams College and her master's degree in clinical psychology from UMASS Dartmouth.
Alyssa Quann is a Licensed Mental Health Therapist with 5 years of experience in mental health. She is committed to helping both individuals and couples navigate the world around them, equipping them with skills to excel in an ever-changing world. She is passionate about creating an authentic therapeutic space and encourages her clients to lean into the discomfort that comes with healing to make room for growth. Alyssa specializes in anxiety, depression, relationship issues, and women's issues. She received her bachelor's degree in psychology from Williams College and her master's degree in clinical psychology from UMASS Dartmouth.
(617) 890-7843 View (617) 890-7843
Photo of Samantha Goldfrad, Clinical Social Work/Therapist in Quincy, MA
Samantha Goldfrad
Clinical Social Work/Therapist, LICSW
Verified Verified
Quincy, MA 02169
Samantha is a Licensed Independent Clinical Social Worker with 6 years of experience in the mental health field. Her clinical experience has focused on helping adults 18+ to work through their fears and develop attainable goals. Her experience treating patients in community health centers, schools, and in-patient facilities has assisted in developing her understanding of how to help her clients work through milestone events. Samantha specializes in anxiety, depression, and substance use, as well as anger and stress management.
Samantha is a Licensed Independent Clinical Social Worker with 6 years of experience in the mental health field. Her clinical experience has focused on helping adults 18+ to work through their fears and develop attainable goals. Her experience treating patients in community health centers, schools, and in-patient facilities has assisted in developing her understanding of how to help her clients work through milestone events. Samantha specializes in anxiety, depression, and substance use, as well as anger and stress management.
(617) 609-1161 View (617) 609-1161
Photo of Kristen Ihde, Psychologist in Quincy, MA
Kristen Ihde
Psychologist, PsyD
Verified Verified
Quincy, MA 02169
I believe first and foremost in the importance of the therapeutic relationship. I understand that beginning the work of psychotherapy can be a challenging and sometimes scary thing. Finding a therapist with whom you can build a trusting relationship is essential to the success of your treatment. Through honest and warm communication I create an environment where clients can feel supported and cared for throughout our work together. My specialties include anxiety disorders, trauma and related disorders, depression and mood disorders, and maternal mental health. I work with adults 18-year-old and older.
I believe first and foremost in the importance of the therapeutic relationship. I understand that beginning the work of psychotherapy can be a challenging and sometimes scary thing. Finding a therapist with whom you can build a trusting relationship is essential to the success of your treatment. Through honest and warm communication I create an environment where clients can feel supported and cared for throughout our work together. My specialties include anxiety disorders, trauma and related disorders, depression and mood disorders, and maternal mental health. I work with adults 18-year-old and older.
(617) 415-4133 View (617) 415-4133
Photo of Ellen Ochs in Quincy, MA
Ellen Ochs
APRN, CNS
Verified Verified
Quincy, MA 02169
If you are struggling with life issues or stressors and would like to talk with someone who can assist you to grow with these challenges or if you have depression or anxiety and aren’t sure if you would benefit from talk psychotherapy and/or medication I would be happy to help you. I have been a Clinical Nurse Specialist in Mental Health for over 35 years. I provide consultation and relational talk psychotherapy to individuals of 14 years and older. Also I provide medication consultation and management for patients who may need medication in addition to therapy. Its important you find someone you are comfortable working with.
If you are struggling with life issues or stressors and would like to talk with someone who can assist you to grow with these challenges or if you have depression or anxiety and aren’t sure if you would benefit from talk psychotherapy and/or medication I would be happy to help you. I have been a Clinical Nurse Specialist in Mental Health for over 35 years. I provide consultation and relational talk psychotherapy to individuals of 14 years and older. Also I provide medication consultation and management for patients who may need medication in addition to therapy. Its important you find someone you are comfortable working with.
(617) 500-6072 View (617) 500-6072
Photo of Melissa Mengel, Counselor in Quincy, MA
Melissa Mengel
Counselor, LMHC
Verified Verified
Quincy, MA 02169  (Online Only)
I am taking new clients. Welcome. I am a Licensed Mental Health Counselor with over 18 years of experience working with children, adolescents and adults. Since graduating from Boston College, I have worked in various settings including in home therapy, office based and as a program director of several therapy programs. My areas of specialty include depression/mood disorders, anxiety disorders, and stress management.
I am taking new clients. Welcome. I am a Licensed Mental Health Counselor with over 18 years of experience working with children, adolescents and adults. Since graduating from Boston College, I have worked in various settings including in home therapy, office based and as a program director of several therapy programs. My areas of specialty include depression/mood disorders, anxiety disorders, and stress management.
(617) 944-5065 View (617) 944-5065
Photo of Mattick Behavioral Health Services, Counselor in Quincy, MA
Mattick Behavioral Health Services
Counselor, LMHC
Verified Verified
Quincy, MA 02169  (Online Only)
I am currently providing service virtually with a desire to go in person soon. I provide individual therapy to clients with mental and behavioral health challenges. My ideal client is the client who is willing to participate in exploring and addressing their individual needs and willing to identify the challenges they are facing in processing the stressors and transitions of daily life. I believe therapy can be life changing. Life is a journey and the client is the leader to the destination that may come with many detours and changes but consistency is the key.
I am currently providing service virtually with a desire to go in person soon. I provide individual therapy to clients with mental and behavioral health challenges. My ideal client is the client who is willing to participate in exploring and addressing their individual needs and willing to identify the challenges they are facing in processing the stressors and transitions of daily life. I believe therapy can be life changing. Life is a journey and the client is the leader to the destination that may come with many detours and changes but consistency is the key.
(617) 539-2781 View (617) 539-2781
Photo of H Suzanne Moon, PhD PC, Psychologist in Quincy, MA
H Suzanne Moon, PhD PC
Psychologist, PhD
Verified Verified
Quincy, MA 02169
Have you been feeling as though you are losing perspectives because of stress, anger, depression or anxiety ? How are you doing with your personal relationships? Do you have difficulty finding that right one? Work life? Been passed over for promotion? Do you sometimes feel life goes on without you? Stuck in a rut? Feeling trapped? Feel like you've missed the "train" & left behind? Chronically stressed? You're not alone. I can help you there to get unstuck, back on train & pursue your personal and professional goals again; Regaining your perspectives, in control & feeling empowered, & taking on life again.
Have you been feeling as though you are losing perspectives because of stress, anger, depression or anxiety ? How are you doing with your personal relationships? Do you have difficulty finding that right one? Work life? Been passed over for promotion? Do you sometimes feel life goes on without you? Stuck in a rut? Feeling trapped? Feel like you've missed the "train" & left behind? Chronically stressed? You're not alone. I can help you there to get unstuck, back on train & pursue your personal and professional goals again; Regaining your perspectives, in control & feeling empowered, & taking on life again.
(617) 312-7818 View (617) 312-7818
Photo of Michael H. Gamsby, Clinical Social Work/Therapist in Quincy, MA
Michael H. Gamsby
Clinical Social Work/Therapist, LICSW, LADCI
Verified Verified
1 Endorsed
Quincy, MA 02169
My expertise is helping individuals struggling with anxiety, depression, substance abuse and life issues. I understand the challenges and difficulties when it comes to altering behaviors and have extensive experience helping people change. Everyone has unique strengths and my focus is helping you feel empowered and motivated to solve the obstacles in your life. I allow you to see what's going well in your life versus focusing on the problems. I work towards solutions while helping you understand the causes of your behaviors. My approach is casual and collaborative and provide an environment that you will find welcoming.
My expertise is helping individuals struggling with anxiety, depression, substance abuse and life issues. I understand the challenges and difficulties when it comes to altering behaviors and have extensive experience helping people change. Everyone has unique strengths and my focus is helping you feel empowered and motivated to solve the obstacles in your life. I allow you to see what's going well in your life versus focusing on the problems. I work towards solutions while helping you understand the causes of your behaviors. My approach is casual and collaborative and provide an environment that you will find welcoming.
(617) 657-2453 View (617) 657-2453
Photo of John J Plunkett, Marriage & Family Therapist in Quincy, MA
John J Plunkett
Marriage & Family Therapist, LMFT
Verified Verified
Quincy, MA 02169
I have been working professionally in the Quincy area since 1979 and have been in private practice since 1983. I work with individuals, couples and families, mostly on an in-person basis. Virtual sessions are available for established clients only. My areas of expertise include couples therapy, assisting clients who are in long-term SUD recovery, men's issues and workplace concerns. The treatment approach is tailored to meet the therapeutic needs of each client.
I have been working professionally in the Quincy area since 1979 and have been in private practice since 1983. I work with individuals, couples and families, mostly on an in-person basis. Virtual sessions are available for established clients only. My areas of expertise include couples therapy, assisting clients who are in long-term SUD recovery, men's issues and workplace concerns. The treatment approach is tailored to meet the therapeutic needs of each client.
(617) 208-4382 View (617) 208-4382

How does your Therapist compare?

Number of Therapists in Quincy, MA

200+

Average cost per session

$150

Therapists in Quincy, MA who prioritize treating:

94% Anxiety
88% Depression
71% Self Esteem
67% Coping Skills
66% Relationship Issues
66% Trauma and PTSD
58% Stress

Average years in practice

11 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
72% UnitedHealthcare UHC | UBH
72% Optum

How Therapists in Quincy, MA see their clients

54% Online Only
46% In Person and Online

Gender breakdown

75% Female
24% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Quincy?

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.