Therapists in Round Rock, TX

Photo of Dayne Otto, Licensed Professional Counselor in Round Rock, TX
Dayne Otto
Licensed Professional Counselor, MEd, LPC
Verified Verified
Round Rock, TX 78681
Our stories matter. Relationships reveal a lot about how we carry and tell our story. Life experiences create chapters of great joy, deep sorrow and everything in between. Trauma, disappointment, loss - may create an open book, or a closely guarded manuscript. As a student of you, I come alongside and hold gentle, caring emotional space for you to untangle your story, gain insight and find freedom, peace and hope. My own invaluable journey in therapy enables me to reassure you that living in emotional freedom is possible.
Our stories matter. Relationships reveal a lot about how we carry and tell our story. Life experiences create chapters of great joy, deep sorrow and everything in between. Trauma, disappointment, loss - may create an open book, or a closely guarded manuscript. As a student of you, I come alongside and hold gentle, caring emotional space for you to untangle your story, gain insight and find freedom, peace and hope. My own invaluable journey in therapy enables me to reassure you that living in emotional freedom is possible.
(512) 601-5150 View (512) 601-5150
Photo of Stephanie Mooneyham, Clinical Social Work/Therapist in Round Rock, TX
Stephanie Mooneyham
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Round Rock, TX 78681
I believe therapy is a place for healing, change and growth and that all of this can happen most deeply within the context of a safe and supportive environment. As a therapist, I strive to create safety by focusing on the therapeutic relationship, being empathetic, non-judgemental and inclusive, practicing cultural humility and seeing each client as a whole person. We are more than just what brings us to therapy. My hope is that our time together is a place where you can be free to bring all parts of who you are, while feeling encouraged and building greater capacity to experience a more connected and authentic life.
I believe therapy is a place for healing, change and growth and that all of this can happen most deeply within the context of a safe and supportive environment. As a therapist, I strive to create safety by focusing on the therapeutic relationship, being empathetic, non-judgemental and inclusive, practicing cultural humility and seeing each client as a whole person. We are more than just what brings us to therapy. My hope is that our time together is a place where you can be free to bring all parts of who you are, while feeling encouraged and building greater capacity to experience a more connected and authentic life.
(512) 714-3403 View (512) 714-3403
Photo of Mandy Goerger, Licensed Professional Counselor in Round Rock, TX
Mandy Goerger
Licensed Professional Counselor, LPC
Verified Verified
Round Rock, TX 78681
I am a Licensed Professional Counselor (LPC) and have been providing mental health therapy services for 5+ years in outpatient settings. I see Individuals, Couples, Groups, and Families. Some of the matters we may address in our sessions are Substance Use Disorder (SUD), Anger Management, PTSD, Depression, Generalized Anxiety Disorder, Grief and Trauma. I aspire to foster a warm and safe therapeutic environment in order for us to build a rapport of trust as we journey together.
I am a Licensed Professional Counselor (LPC) and have been providing mental health therapy services for 5+ years in outpatient settings. I see Individuals, Couples, Groups, and Families. Some of the matters we may address in our sessions are Substance Use Disorder (SUD), Anger Management, PTSD, Depression, Generalized Anxiety Disorder, Grief and Trauma. I aspire to foster a warm and safe therapeutic environment in order for us to build a rapport of trust as we journey together.
(512) 645-1058 View (512) 645-1058
Photo of Brandon Willis, Clinical Social Work/Therapist in Round Rock, TX
Brandon Willis
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
Round Rock, TX 78681
Are you currently struggling to live your best life as your best you? Are you in need of a life reset? Does it appear to others that you have it all together but inside you are struggling with feeling inadequate and unworthy? Chances are you’ve tried to resolve these issues by yourself and you feel like it’s the end of the road. The time has come to change the narrative from hopeless to happiness, on your terms! Clinicians at The Empowering Space would love to help you explore the obstacles in your life, identify methods and behaviors to overcome them, and discover a path to your own place of hope, joy and peace.
Are you currently struggling to live your best life as your best you? Are you in need of a life reset? Does it appear to others that you have it all together but inside you are struggling with feeling inadequate and unworthy? Chances are you’ve tried to resolve these issues by yourself and you feel like it’s the end of the road. The time has come to change the narrative from hopeless to happiness, on your terms! Clinicians at The Empowering Space would love to help you explore the obstacles in your life, identify methods and behaviors to overcome them, and discover a path to your own place of hope, joy and peace.
(737) 373-2296 View (737) 373-2296
Photo of Angela R Viesca, Clinical Social Work/Therapist in Round Rock, TX
Angela R Viesca
Clinical Social Work/Therapist, LCSW-S, CCM, C-ASWCM, CCFP, CART
Verified Verified
3 Endorsed
Round Rock, TX 78681
I specialize in adult mental health and have worked in settings including inpatient acute care hospitals and outpatient community based counseling centers. I have extensive knowledge of the managed care industry and feel this has enhanced my patient advocacy skills, increasing my ability to help members navigate today's complex health care system. I am passionate about working with mental health and medical professionals on their own healing journey and am an experienced trauma therapist and EMDR Approved Consultant. Also offering Deep Brain Reorienting Therapy and Ketamine Assisted Psychotherapy.
I specialize in adult mental health and have worked in settings including inpatient acute care hospitals and outpatient community based counseling centers. I have extensive knowledge of the managed care industry and feel this has enhanced my patient advocacy skills, increasing my ability to help members navigate today's complex health care system. I am passionate about working with mental health and medical professionals on their own healing journey and am an experienced trauma therapist and EMDR Approved Consultant. Also offering Deep Brain Reorienting Therapy and Ketamine Assisted Psychotherapy.
(512) 489-3120 View (512) 489-3120
Photo of Elisabeth Davies in Round Rock, TX
Elisabeth Davies
MC
Verified Verified
Round Rock, TX 78665
I would be honored to help you become who you desire to be and live a life of freedom from negative self-beliefs, fears, compulsive behaviors, poor choices, unhealed trauma or sabotaging behavior. By getting the support, effective skills and encouragement you need, you can see better results knowing I'm on your team in helping you acquire your desired, realistic goals.
I would be honored to help you become who you desire to be and live a life of freedom from negative self-beliefs, fears, compulsive behaviors, poor choices, unhealed trauma or sabotaging behavior. By getting the support, effective skills and encouragement you need, you can see better results knowing I'm on your team in helping you acquire your desired, realistic goals.
(737) 345-3640 View (737) 345-3640
Photo of Joseph Cameron Pinzon, Marriage & Family Therapist Associate in Round Rock, TX
Joseph Cameron Pinzon
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Round Rock, TX 78665
Do you and your partner feel incompatible? Are words being said, but not heard? You are not alone, in fact many experience this in their romantic relationships. Oftentimes there are even more problems that extend to the family as well. But not to worry, healing can be achieved in any of these areas of your life. You may wonder what you and your family would get out of counseling. Better understanding, communication, mindfulness, and problem management. These are among the many ways you, your partner, and your family can enrich your lives.
Do you and your partner feel incompatible? Are words being said, but not heard? You are not alone, in fact many experience this in their romantic relationships. Oftentimes there are even more problems that extend to the family as well. But not to worry, healing can be achieved in any of these areas of your life. You may wonder what you and your family would get out of counseling. Better understanding, communication, mindfulness, and problem management. These are among the many ways you, your partner, and your family can enrich your lives.
(512) 648-4763 View (512) 648-4763
Photo of Jeffrey Baker, Licensed Professional Counselor Associate in Round Rock, TX
Jeffrey Baker
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Round Rock, TX 78665  (Online Only)
My approach to counseling is rooted in psychoanalytic, person-centerd, and feminist theories with a core of understanding change begins with awareness. I creates a safe and non-judgemental space where gentleness, humor, and creativity are important parts of the process. Every person is different, and I approach every client with that in mind. We work to understand your needs and goals, and how I can help you get there. It's all about you, and what I can do to help.
My approach to counseling is rooted in psychoanalytic, person-centerd, and feminist theories with a core of understanding change begins with awareness. I creates a safe and non-judgemental space where gentleness, humor, and creativity are important parts of the process. Every person is different, and I approach every client with that in mind. We work to understand your needs and goals, and how I can help you get there. It's all about you, and what I can do to help.
(737) 258-2307 View (737) 258-2307
Photo of Michael Thomas Ota in Round Rock, TX
Michael Thomas Ota
MEd, MA, BCBA, LBA
Verified Verified
Round Rock, TX 78681
I have been an educator (both general and special education), behavioral analyst, editor, author, and consultant for over 20 years. Having experience in secondary and college-level classrooms and behavioral clinics from Pre-K-12, my current pursuits are on behavioral intervention in both the educational and community settings. A unique mix of training and graduate education in technology integration and autism spectrum disorders affords me the tools in providing innovative solutions to challenging situations while allowing for practical, successful implementation.
I have been an educator (both general and special education), behavioral analyst, editor, author, and consultant for over 20 years. Having experience in secondary and college-level classrooms and behavioral clinics from Pre-K-12, my current pursuits are on behavioral intervention in both the educational and community settings. A unique mix of training and graduate education in technology integration and autism spectrum disorders affords me the tools in providing innovative solutions to challenging situations while allowing for practical, successful implementation.
(512) 714-2971 View (512) 714-2971
Photo of Cat Logrip, Licensed Professional Counselor in Round Rock, TX
Cat Logrip
Licensed Professional Counselor, LPC-A
Verified Verified
Round Rock, TX 78681
I specialize in working with kids and families who are experiencing difficulties regulating emotions, ADHD/living with someone who has ADHD, Autism, school refusal, difficulty sleeping and much more. My background in education offers me a wealth of knowledge that I can use to help you navigate the school system, IEPs and ARD meetings. If you are looking for a playful approach to addressing your serious issues, please reach out today.
I specialize in working with kids and families who are experiencing difficulties regulating emotions, ADHD/living with someone who has ADHD, Autism, school refusal, difficulty sleeping and much more. My background in education offers me a wealth of knowledge that I can use to help you navigate the school system, IEPs and ARD meetings. If you are looking for a playful approach to addressing your serious issues, please reach out today.
(512) 812-8256 View (512) 812-8256
Photo of Renee Thanos, MA, LPC, Licensed Professional Counselor in Round Rock, TX
Renee Thanos, MA, LPC
Licensed Professional Counselor
Verified Verified
Round Rock, TX 78664
You may be struggling with stress, anxiety, depression, relationship issues, loss or adjusting to recent changes in your life. Let's work together in a collaborative relationship to identify the challenges you face and problem solve how to create more space and energy for joy in your life. I will provide compassionate support in a safe space to guide you in reaching your personal goals.
You may be struggling with stress, anxiety, depression, relationship issues, loss or adjusting to recent changes in your life. Let's work together in a collaborative relationship to identify the challenges you face and problem solve how to create more space and energy for joy in your life. I will provide compassionate support in a safe space to guide you in reaching your personal goals.
(512) 213-2974 View (512) 213-2974
Photo of Empower Therapy, Licensed Professional Counselor in Round Rock, TX
Empower Therapy
Licensed Professional Counselor
Verified Verified
Round Rock, TX 78664
Choosing a therapist is a very personal decision. Finding a safe, confidential, and collaborative experience in counseling is our goal. Here at Empower Therapy, we strive to meet clients where they are in their journey and provide skills needed to move forward.
Choosing a therapist is a very personal decision. Finding a safe, confidential, and collaborative experience in counseling is our goal. Here at Empower Therapy, we strive to meet clients where they are in their journey and provide skills needed to move forward.
(737) 258-9665 View (737) 258-9665
Photo of Becca M. Wassmuth, Marriage & Family Therapist Associate in Round Rock, TX
Becca M. Wassmuth
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
3 Endorsed
Round Rock, TX 78681
Are you looking for your best self in relation to your life journey and in relationships with others? Are you stuck, finding life meaningless or struggling with a life transition? I offer work that can take you on a truthful self-exploration and understanding of how our inner child and trauma responses might be keeping us stuck in the present. I also work with those who are experiencing parenting struggles at any life stage of parenting and those seeking better relationships with themselves and others in their life personally and/or professionally.
Are you looking for your best self in relation to your life journey and in relationships with others? Are you stuck, finding life meaningless or struggling with a life transition? I offer work that can take you on a truthful self-exploration and understanding of how our inner child and trauma responses might be keeping us stuck in the present. I also work with those who are experiencing parenting struggles at any life stage of parenting and those seeking better relationships with themselves and others in their life personally and/or professionally.
(512) 862-0309 View (512) 862-0309
Photo of Ellen Payne, Clinical Social Work/Therapist in Round Rock, TX
Ellen Payne
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Round Rock, TX 78665
I believe that your past does not define you and everyone deserves to heal and feel better. No one should have to go through life's toughest moments alone. The people I work with usually want something about themselves or their life to be different. Painful and overwhelming experiences tend to impact who they are, how they feel about themselves, and effect their relationships with others. Healing usually includes caring for wounds, learning lots, and doing things a little differently than before. People feel better about themselves - stronger, more secure, calmer, and more peaceful - as a result of therapy and healing work.
I believe that your past does not define you and everyone deserves to heal and feel better. No one should have to go through life's toughest moments alone. The people I work with usually want something about themselves or their life to be different. Painful and overwhelming experiences tend to impact who they are, how they feel about themselves, and effect their relationships with others. Healing usually includes caring for wounds, learning lots, and doing things a little differently than before. People feel better about themselves - stronger, more secure, calmer, and more peaceful - as a result of therapy and healing work.
(512) 881-8673 View (512) 881-8673
Photo of Barbara Fountain, Licensed Professional Counselor in Round Rock, TX
Barbara Fountain
Licensed Professional Counselor, MAHS, LPC
Verified Verified
Round Rock, TX 78681
Greetings! I am Barbara Fountain a Licensed Professional Counselor-Supervisor with 15 years of counseling experience. I have a passion: for providing counseling to adults, children/adolescents, & families.Successful therapeutic outcomes depend on a good working relationship! A collaborative approach that includes therapist and client working together to reach the client's identified goals. My approach is an integrated psychotherapy style where I attempt to meet the unique individual treatment needs of each client In a warm, positive environment. I provide culturally appropriate services that empower & equip clients with skills necessary to succeed! My motto is:" Strengthening Families to Succeed."
Greetings! I am Barbara Fountain a Licensed Professional Counselor-Supervisor with 15 years of counseling experience. I have a passion: for providing counseling to adults, children/adolescents, & families.Successful therapeutic outcomes depend on a good working relationship! A collaborative approach that includes therapist and client working together to reach the client's identified goals. My approach is an integrated psychotherapy style where I attempt to meet the unique individual treatment needs of each client In a warm, positive environment. I provide culturally appropriate services that empower & equip clients with skills necessary to succeed! My motto is:" Strengthening Families to Succeed."
(512) 598-9793 View (512) 598-9793
Photo of Tonea Smith, Licensed Professional Counselor in Round Rock, TX
Tonea Smith
Licensed Professional Counselor
Verified Verified
1 Endorsed
Round Rock, TX 78665  (Online Only)
I'm so glad you found me! I specialize in couples counseling with an emphasis on conflict resolution and affair/betrayal recovery. I also thoroughly enjoy helping adults who struggle with anxiety. Anxiety isn't just fear/nervousness. Anxiety happens when we aren't willing to process difficult emotions. Anxiety can present itself through anger/projection, isolation, busyness, and being unusually overwhelmed. As I operate within the Bowen Family Systems theory, a safe space is created that promotes the ability to process these undesired emotions lending the ability to promote emotional resiliency, maturity and balance!
I'm so glad you found me! I specialize in couples counseling with an emphasis on conflict resolution and affair/betrayal recovery. I also thoroughly enjoy helping adults who struggle with anxiety. Anxiety isn't just fear/nervousness. Anxiety happens when we aren't willing to process difficult emotions. Anxiety can present itself through anger/projection, isolation, busyness, and being unusually overwhelmed. As I operate within the Bowen Family Systems theory, a safe space is created that promotes the ability to process these undesired emotions lending the ability to promote emotional resiliency, maturity and balance!
(512) 548-8733 View (512) 548-8733
Photo of Heather Curry, Licensed Professional Counselor in Round Rock, TX
Heather Curry
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Round Rock, TX 78664
Welcome! I help people stuck in an exhausting web of anxiety, sadness, perfectionism, and self-doubt. I also work with people who manage chronic health conditions like endometriosis, PCOS, pelvic pain, and other chronic conditions. Many of my clients have experienced traumatic events and relationships and we are working to help them process and heal. It is my privilege to be part of this process and I love this work.
Welcome! I help people stuck in an exhausting web of anxiety, sadness, perfectionism, and self-doubt. I also work with people who manage chronic health conditions like endometriosis, PCOS, pelvic pain, and other chronic conditions. Many of my clients have experienced traumatic events and relationships and we are working to help them process and heal. It is my privilege to be part of this process and I love this work.
(512) 543-2950 View (512) 543-2950
Photo of Sarah Kathleen Cairns, Psychologist in Round Rock, TX
Sarah Kathleen Cairns
Psychologist, PsyD, MA
Verified Verified
9 Endorsed
Round Rock, TX 78681
Are you looking to change how you experience your day to day life, how you show up in your life, or change reactions and behavior patterns that feel out of your control? Historical trauma can present in present day in many ways; anxiety, depression, difficulties in relationships, sleep problems, fears, avoidance, feelings of being out of control, and more. There is hope for change! I work with trauma as a primary focus in my practice. Trauma can influence all of our experiences; often creating reactions instead of allowing us to feel that we are in control and making choices.
Are you looking to change how you experience your day to day life, how you show up in your life, or change reactions and behavior patterns that feel out of your control? Historical trauma can present in present day in many ways; anxiety, depression, difficulties in relationships, sleep problems, fears, avoidance, feelings of being out of control, and more. There is hope for change! I work with trauma as a primary focus in my practice. Trauma can influence all of our experiences; often creating reactions instead of allowing us to feel that we are in control and making choices.
(737) 210-4463 View (737) 210-4463
Photo of Kelly Nowotny, Licensed Professional Counselor in Round Rock, TX
Kelly Nowotny
Licensed Professional Counselor, LPC
Verified Verified
Round Rock, TX 78664
Kelly Nowotny is a Licensed Professional Counselor in Texas who has been practicing since 2010. Her undergraduate degree is in Psychology from the University of Texas at Austin and her Master's is in Professional Counseling: Marriage & Family Therapy from Texas State University in San Marcos. Kelly offers extensive therapeutic knowledge from 13 years of experience as a Licensed Professional Counselor.
Kelly Nowotny is a Licensed Professional Counselor in Texas who has been practicing since 2010. Her undergraduate degree is in Psychology from the University of Texas at Austin and her Master's is in Professional Counseling: Marriage & Family Therapy from Texas State University in San Marcos. Kelly offers extensive therapeutic knowledge from 13 years of experience as a Licensed Professional Counselor.
(737) 510-4174 View (737) 510-4174
Photo of Bela K Quinn, Licensed Professional Counselor in Round Rock, TX
Bela K Quinn
Licensed Professional Counselor, MA, LPC, LSSP, RYT200
Verified Verified
Round Rock, TX 78665
We are not meant to figure everything out in life on our own. Sometimes we get lost, or overwhelmed or stuck, and we need some help. I believe that there is nothing “wrong” with any of us. You’re not broken; you don’t need to be fixed. It is part of the human condition to experience pain and suffering – and there are times, throughout life, we all lose contact with pieces of ourselves. When we get stuck in a cycle of harmful thoughts and ineffective coping strategies, it prevents us from accessing and experiencing positive events in the here-and-now.
We are not meant to figure everything out in life on our own. Sometimes we get lost, or overwhelmed or stuck, and we need some help. I believe that there is nothing “wrong” with any of us. You’re not broken; you don’t need to be fixed. It is part of the human condition to experience pain and suffering – and there are times, throughout life, we all lose contact with pieces of ourselves. When we get stuck in a cycle of harmful thoughts and ineffective coping strategies, it prevents us from accessing and experiencing positive events in the here-and-now.
(737) 232-6180 View (737) 232-6180

How does your Therapist compare?

Number of Therapists in Round Rock, TX

700+

Average cost per session

$145

Therapists in Round Rock, TX who prioritize treating:

95% Anxiety
90% Depression
75% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
67% Coping Skills
64% Grief

Average years in practice

11 Years

Top 3 insurances accepted

78% UnitedHealthcare UHC | UBH
77% Aetna
70% BlueCross and BlueShield

How Therapists in Round Rock, TX see their clients

71% In Person and Online
29% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Round Rock?

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.