Therapists in McKinney, TX

Photo of Ashley N Jones, Licensed Professional Counselor in McKinney, TX
Ashley N Jones
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
McKinney, TX 75070
Sometimes life may be moving too fast and adjustment to these unexpected changes can be difficult. When these challenges and undesirable stressors occur, we may need a little extra support and clarity. I have worked with children, adolescents, and adults struggling with depression, anxiety, suicidal ideation, abuse histories, issues with self-esteem, and family conflict.
Sometimes life may be moving too fast and adjustment to these unexpected changes can be difficult. When these challenges and undesirable stressors occur, we may need a little extra support and clarity. I have worked with children, adolescents, and adults struggling with depression, anxiety, suicidal ideation, abuse histories, issues with self-esteem, and family conflict.
(469) 789-3548 View (469) 789-3548
Photo of Scott Altamirano, Marriage & Family Therapist in McKinney, TX
Scott Altamirano
Marriage & Family Therapist, LMFT
Verified Verified
McKinney, TX 75072  (Online Only)
Accepting clients Apr 2024. Without judgment, I help clients overcome addictions to alcohol, weed, sex, food, and hard drugs by helping them face the very difficult triggers behind the addictions itself (such as unaddressed depression, trauma, and self esteem, etc; I particularly work with sexual addictions). This approach can be very emotionally difficult, so I recommend only clients who are ready for major life changes apply.
Accepting clients Apr 2024. Without judgment, I help clients overcome addictions to alcohol, weed, sex, food, and hard drugs by helping them face the very difficult triggers behind the addictions itself (such as unaddressed depression, trauma, and self esteem, etc; I particularly work with sexual addictions). This approach can be very emotionally difficult, so I recommend only clients who are ready for major life changes apply.
(512) 890-3603 View (512) 890-3603
Photo of Counseling By Kate, Licensed Professional Counselor in McKinney, TX
Counseling By Kate
Licensed Professional Counselor, JD, MS, LPC, LMHC
Verified Verified
McKinney, TX 75070
LIMITED AVAILABILITY & ONLY ACCEPTING NEW CASH PAY CLIENTS: Individual & Group Counseling, Coparenting, Parent Coach, Parenting Coordination & Collaborative Law. I am dedicating to providing clients with effective counseling methods to meet their personal needs and unleash their potential. Results and positive intervention are my goal in the therapeutic process. Although, my goal is to provide brief therapy, some clients may need more time to achieve the goals they set out for themselves. I will work with clients to achieve the trust, respect, honesty, and warmth that a counseling relationship demands.
LIMITED AVAILABILITY & ONLY ACCEPTING NEW CASH PAY CLIENTS: Individual & Group Counseling, Coparenting, Parent Coach, Parenting Coordination & Collaborative Law. I am dedicating to providing clients with effective counseling methods to meet their personal needs and unleash their potential. Results and positive intervention are my goal in the therapeutic process. Although, my goal is to provide brief therapy, some clients may need more time to achieve the goals they set out for themselves. I will work with clients to achieve the trust, respect, honesty, and warmth that a counseling relationship demands.
(360) 329-2940 View (360) 329-2940
Photo of Deborah Muse, Licensed Professional Counselor in McKinney, TX
Deborah Muse
Licensed Professional Counselor, MA, LPC, LMFT
Verified Verified
McKinney, TX 75070
No matter what someone is going through today, it is my honor to walk alongside those who are struggling with various life challenges and to provide a safe and supportive space, a listening ear, and a non-judgmental heart for individuals to share their struggles, explore their feelings and work toward personal growth and healing, and embrace their innate potential.
No matter what someone is going through today, it is my honor to walk alongside those who are struggling with various life challenges and to provide a safe and supportive space, a listening ear, and a non-judgmental heart for individuals to share their struggles, explore their feelings and work toward personal growth and healing, and embrace their innate potential.
(972) 645-2168 View (972) 645-2168
Photo of Judy Rayburn, Licensed Professional Counselor in McKinney, TX
Judy Rayburn
Licensed Professional Counselor, MA, LPC
Verified Verified
McKinney, TX 75069
Life is all about relationships and how we respond to our environment. I love helping people have better relationships, whether it's with your spouse, children, friends, relatives, or co-workers. I find that when we have good relationships in our life, we are able to better deal with life's stressors and life is much more meaningful. You may be a high functioning person, but a few relationship helps can go a long way to a more fulfilling life. Maybe right now you are not high functioning and need a major overhaul. We will sort that out together.
Life is all about relationships and how we respond to our environment. I love helping people have better relationships, whether it's with your spouse, children, friends, relatives, or co-workers. I find that when we have good relationships in our life, we are able to better deal with life's stressors and life is much more meaningful. You may be a high functioning person, but a few relationship helps can go a long way to a more fulfilling life. Maybe right now you are not high functioning and need a major overhaul. We will sort that out together.
(214) 666-5284 View (214) 666-5284
Photo of Dominguez Psychotherapy and Counseling Center, Licensed Professional Counselor in McKinney, TX
Dominguez Psychotherapy and Counseling Center
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
McKinney, TX 75070
My name is Shanna Dominguez and I am a Licensed Professional Counselor. You may be experiencing worry, fear, anxiety, depression, or a variety of other emotions. Good news, those emotions can be managed, I believe there are two experts in the room: You are the expert of your life and I am the clinical expert. I have had the privilege of working with adults, couples, and adolescents. I use a variety of techniques and theories to guide my work with you depending on what fits your needs. I specialize in CBT and DBT methods. As humans, we not only want to feel understood, but we want to understand ourselves & why we do the things we do
My name is Shanna Dominguez and I am a Licensed Professional Counselor. You may be experiencing worry, fear, anxiety, depression, or a variety of other emotions. Good news, those emotions can be managed, I believe there are two experts in the room: You are the expert of your life and I am the clinical expert. I have had the privilege of working with adults, couples, and adolescents. I use a variety of techniques and theories to guide my work with you depending on what fits your needs. I specialize in CBT and DBT methods. As humans, we not only want to feel understood, but we want to understand ourselves & why we do the things we do
(214) 983-9751 View (214) 983-9751
Photo of Michelle Parra, Licensed Professional Counselor Associate in McKinney, TX
Michelle Parra
Licensed Professional Counselor Associate, LPC-A
Verified Verified
McKinney, TX 75072
Therapy is a safe and nonjudgmental space for self-learning and exploration. My role as a therapist is to provide this space for you and help guide you towards healing and growth. This can look different for everyone. Perhaps you are feeling lost and without purpose or overwhelmed with change and anxiety. In this journey together we can tackle trouble coping, relational issues, building self-esteem and self-compassion, and finding meaning. Let's learn about you and what eases your mind!
Therapy is a safe and nonjudgmental space for self-learning and exploration. My role as a therapist is to provide this space for you and help guide you towards healing and growth. This can look different for everyone. Perhaps you are feeling lost and without purpose or overwhelmed with change and anxiety. In this journey together we can tackle trouble coping, relational issues, building self-esteem and self-compassion, and finding meaning. Let's learn about you and what eases your mind!
(512) 714-3403 View (512) 714-3403
Photo of Gloria Howell, Licensed Professional Counselor in McKinney, TX
Gloria Howell
Licensed Professional Counselor, MA, LPC-S
Verified Verified
McKinney, TX 75070  (Online Only)
Are you struggling in your relationship to find a communication style that creates more intimacy and closeness? Are you depressed and unhappy and cannot find a way out to happiness and inner peace? I see my role as assisting you in understanding your challenges.I assist clients in achieving their goals in becoming emotionally, and physically healthy individuals.
Are you struggling in your relationship to find a communication style that creates more intimacy and closeness? Are you depressed and unhappy and cannot find a way out to happiness and inner peace? I see my role as assisting you in understanding your challenges.I assist clients in achieving their goals in becoming emotionally, and physically healthy individuals.
(512) 649-0296 View (512) 649-0296
Photo of Meredith Magruder, Licensed Professional Counselor in McKinney, TX
Meredith Magruder
Licensed Professional Counselor, MS, LPC, CFRC
Verified Verified
2 Endorsed
McKinney, TX 75070
Not accepting new clients
Does it sometimes seem as if no one gets you anymore? Relationships start to get strained. You feel overwhelmed and might struggle to get through the day - much less the week, the semester, the holidays...You begin to disconnect and feel even more alone. Asking for help is rarely easy. The fact that you are even beginning to explore your options is a brave step! I get it! You are looking for a therapist who can handle your stuff without flinching, where you finally feel safe, heard, and truly understood. Whether you have experienced trauma - seen or unseen - or are just looking to live a fuller life, I can help.
Does it sometimes seem as if no one gets you anymore? Relationships start to get strained. You feel overwhelmed and might struggle to get through the day - much less the week, the semester, the holidays...You begin to disconnect and feel even more alone. Asking for help is rarely easy. The fact that you are even beginning to explore your options is a brave step! I get it! You are looking for a therapist who can handle your stuff without flinching, where you finally feel safe, heard, and truly understood. Whether you have experienced trauma - seen or unseen - or are just looking to live a fuller life, I can help.
(469) 205-9156 View (469) 205-9156
Photo of Coach Wooden in McKinney, TX
Coach Wooden
Verified Verified
McKinney, TX 75072
My primary focus is to assist you in discovering the best way to deal with the challenges you face in your life. I want to help you discover healthier ways to relate and process the challenges of life. I want to create a safe place for you to release old ideas and help open doorways to new opportunities and growth. My practice is shaped by my experiences as a father, former husband, educator/ counselor, and entrepreneur. My varied background allows me to examine life from many angles. I have no predetermined outcomes, but I seek to assist you in finding healthier behaviors and attitudes that fit who you are.
My primary focus is to assist you in discovering the best way to deal with the challenges you face in your life. I want to help you discover healthier ways to relate and process the challenges of life. I want to create a safe place for you to release old ideas and help open doorways to new opportunities and growth. My practice is shaped by my experiences as a father, former husband, educator/ counselor, and entrepreneur. My varied background allows me to examine life from many angles. I have no predetermined outcomes, but I seek to assist you in finding healthier behaviors and attitudes that fit who you are.
(972) 945-1708 View (972) 945-1708
Photo of Victoria Zhang, Licensed Professional Counselor Associate in McKinney, TX
Victoria Zhang
Licensed Professional Counselor Associate, MS, NCC
Verified Verified
McKinney, TX 75072
One of the hardest decisions in life is to seek help. We all encounter challenges and/or disadvantages at some point, and it is easy to feel discouraged and criticize yourself in this process. Although these difficulties can affect you in profound ways, I believe that they are also opportunities to learn about your inner world and reflect upon what is working and what is not. This journey is quite exhausting for one person, so I aim to become a part of your support system. I hope to empower each individual to make personal choices that will allow them to discover confidence, direction, happiness, peace, and healing.
One of the hardest decisions in life is to seek help. We all encounter challenges and/or disadvantages at some point, and it is easy to feel discouraged and criticize yourself in this process. Although these difficulties can affect you in profound ways, I believe that they are also opportunities to learn about your inner world and reflect upon what is working and what is not. This journey is quite exhausting for one person, so I aim to become a part of your support system. I hope to empower each individual to make personal choices that will allow them to discover confidence, direction, happiness, peace, and healing.
(682) 800-5687 View (682) 800-5687
Photo of Katherine Bell (Tx Lic# 71390), Licensed Professional Counselor in McKinney, TX
Katherine Bell (Tx Lic# 71390)
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
McKinney, TX 75072
Healing can mean diving deep into your past. Those depths can be a scary, painful place, but there’s treasure, too. You're created in God’s image, uniquely wired to be like no one else, with gifts and strengths to discover. I welcome you to a safe space to explore yourself. You’re free to be completely, unashamedly YOU... w/out the masks that hide what's beneath the surface. I'll listen, offer validation, show acceptance/grace, & encourage you to take those first steps towards becoming the YOU God intended. Learn to extend grace to yourself as you discover the life you’ve always wanted. Saturday appts available, BCBS accepted.
Healing can mean diving deep into your past. Those depths can be a scary, painful place, but there’s treasure, too. You're created in God’s image, uniquely wired to be like no one else, with gifts and strengths to discover. I welcome you to a safe space to explore yourself. You’re free to be completely, unashamedly YOU... w/out the masks that hide what's beneath the surface. I'll listen, offer validation, show acceptance/grace, & encourage you to take those first steps towards becoming the YOU God intended. Learn to extend grace to yourself as you discover the life you’ve always wanted. Saturday appts available, BCBS accepted.
(972) 441-7374 View (972) 441-7374
Photo of Diane N. Black, Licensed Professional Counselor in McKinney, TX
Diane N. Black
Licensed Professional Counselor, MEd, LPC
Verified Verified
McKinney, TX 75070
Life can be overwhelming, and we all need help at times. I provide a safe, compassionate, and non-judgmental space where we work to resolve difficult situations and past trauma. I gather a comprehensive history to look for past issues that may be affecting your life currently. These events and experiences are processed using the coping skills you have now, and others you learn in therapy. We also look at your goals, your level of self-awareness, your perceptions, your relationships, and whether your needs, in every area of your life, are being met.
Life can be overwhelming, and we all need help at times. I provide a safe, compassionate, and non-judgmental space where we work to resolve difficult situations and past trauma. I gather a comprehensive history to look for past issues that may be affecting your life currently. These events and experiences are processed using the coping skills you have now, and others you learn in therapy. We also look at your goals, your level of self-awareness, your perceptions, your relationships, and whether your needs, in every area of your life, are being met.
(214) 239-1932 View (214) 239-1932
Photo of Bushra M. Iqbal, Marriage & Family Therapist Associate in McKinney, TX
Bushra M. Iqbal
Marriage & Family Therapist Associate, LMFTA, MA, MBBS, EMDR tr
Verified Verified
1 Endorsed
McKinney, TX 75070
We all need connection. In this age of social media and the abundance of information, we can feel isolated and disconnected. I am here to support you in re-establishing authenticity in your relationships, especially your relationship with yourself. I strongly believe that authentic connections with others can lead to positive change. When we learn to create secure bonds with people that we care about, where we are accepted for all parts of our-self (the good/bad/struggles and the repairs), we are able to live life in full color. I am here to see you, to accept you and am honored to walk with you in this stage of your life.
We all need connection. In this age of social media and the abundance of information, we can feel isolated and disconnected. I am here to support you in re-establishing authenticity in your relationships, especially your relationship with yourself. I strongly believe that authentic connections with others can lead to positive change. When we learn to create secure bonds with people that we care about, where we are accepted for all parts of our-self (the good/bad/struggles and the repairs), we are able to live life in full color. I am here to see you, to accept you and am honored to walk with you in this stage of your life.
(972) 779-9181 View (972) 779-9181
Photo of Yakira Miller, Pre-Licensed Professional in McKinney, TX
Yakira Miller
Pre-Licensed Professional, QHMP
Verified Verified
1 Endorsed
McKinney, TX 75070  (Online Only)
I believe that each individual comes with a different story and that it takes time and patience to understand and help them in the best way possible. I assist my clients by incorporating techniques that will best suit their needs. My goal is to ensure that each client gets the most out of every short or long-term session by taking away information needed to help them throughout their lifetime.
I believe that each individual comes with a different story and that it takes time and patience to understand and help them in the best way possible. I assist my clients by incorporating techniques that will best suit their needs. My goal is to ensure that each client gets the most out of every short or long-term session by taking away information needed to help them throughout their lifetime.
(214) 241-4232 View (214) 241-4232
Photo of Samantha Wilson, Psychological Associate in McKinney, TX
Samantha Wilson
Psychological Associate, MS, LPA, BCN
Verified Verified
McKinney, TX 75070  (Online Only)
Samantha Wilson, M.S., LPA, earned her master’s degree in Clinical Psychology with a specialization in Neuropsychology from the University of Texas at Tyler. A clinician offering experience with child (10+), adolescent, adult individual psychotherapy and couples counseling, Samantha specializes in the treatment of trauma, PTSD (Post Traumatic Stress Disorder), depression, bipolar disorder, borderline personality disorder, anxiety, various mood disorders, sexual abuse and relationship concerns. She is well versed in Attention Deficit and Hyperactivity Disorder (ADHD), depression and anxiety due to childhood trauma.
Samantha Wilson, M.S., LPA, earned her master’s degree in Clinical Psychology with a specialization in Neuropsychology from the University of Texas at Tyler. A clinician offering experience with child (10+), adolescent, adult individual psychotherapy and couples counseling, Samantha specializes in the treatment of trauma, PTSD (Post Traumatic Stress Disorder), depression, bipolar disorder, borderline personality disorder, anxiety, various mood disorders, sexual abuse and relationship concerns. She is well versed in Attention Deficit and Hyperactivity Disorder (ADHD), depression and anxiety due to childhood trauma.
(972) 498-1670 View (972) 498-1670
Photo of Scott Altamirano, Marriage & Family Therapist in McKinney, TX
Scott Altamirano
Marriage & Family Therapist, LMFT, MA
Verified Verified
McKinney, TX 75072  (Online Only)
Accepting clients Apr 2024. I help clients have happier and more fulfilling lives by overcoming their anxieties to create happy and healthy relationships. Let me help you learn to invest in yourself and your overall wellbeing through habit building, dating, socializing, and improving our overall self esteem!
Accepting clients Apr 2024. I help clients have happier and more fulfilling lives by overcoming their anxieties to create happy and healthy relationships. Let me help you learn to invest in yourself and your overall wellbeing through habit building, dating, socializing, and improving our overall self esteem!
(323) 433-6354 View (323) 433-6354
Photo of Elizabeth Boudreau Boyer, Marriage & Family Therapist Associate in McKinney, TX
Elizabeth Boudreau Boyer
Marriage & Family Therapist Associate
Verified Verified
4 Endorsed
McKinney, TX 75070
Feeling stuck? You know something that happened in the past is affecting you, but you aren’t sure what to do about it. You’ve tried figuring things out and moving forward on your own. Maybe you’ve even tried therapy before, sorted through things with your friends, or read self-help books. Maybe you’re feeling depressed, anxious, or on-edge and you suspect - or know - that it’s related to something that happened in your past. Are you ready for things to change?
Feeling stuck? You know something that happened in the past is affecting you, but you aren’t sure what to do about it. You’ve tried figuring things out and moving forward on your own. Maybe you’ve even tried therapy before, sorted through things with your friends, or read self-help books. Maybe you’re feeling depressed, anxious, or on-edge and you suspect - or know - that it’s related to something that happened in your past. Are you ready for things to change?
(214) 544-9739 View (214) 544-9739
Photo of Nicole Lee, Clinical Social Work/Therapist in McKinney, TX
Nicole Lee
Clinical Social Work/Therapist, LCSW-S
Verified Verified
McKinney, TX 75070
HABLO ESPANOL! My story is a bit unique as to how I became a psychotherapist. I studied abroad in Costa Rica during college where I learned the Spanish language and where my love of adventure and exploration began. After moving to Los Angeles for several years, I decided to then move to New York City to pursue a career in music which is my first love. I was living in NYC and working for Sony Music on September 11, 2001 which changed my life dramatically. I decided to return to The University of Texas in Austin and obtained my Masters in Social Work in an effort to pursue a career in helping others which is my second love.
HABLO ESPANOL! My story is a bit unique as to how I became a psychotherapist. I studied abroad in Costa Rica during college where I learned the Spanish language and where my love of adventure and exploration began. After moving to Los Angeles for several years, I decided to then move to New York City to pursue a career in music which is my first love. I was living in NYC and working for Sony Music on September 11, 2001 which changed my life dramatically. I decided to return to The University of Texas in Austin and obtained my Masters in Social Work in an effort to pursue a career in helping others which is my second love.
(469) 617-5068 View (469) 617-5068
Photo of Krista-Gay Lingo, Clinical Social Work/Therapist in McKinney, TX
Krista-Gay Lingo
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
McKinney, TX 75069  (Online Only)
Not accepting new clients
Hi, my names Krista and I am a Licensed Master Social Worker in NY /TX. I am a Caribbean first generation college grad and a Christian. I understand the struggle of even acknowledging you need help or feeling like God should be enough.
Hi, my names Krista and I am a Licensed Master Social Worker in NY /TX. I am a Caribbean first generation college grad and a Christian. I understand the struggle of even acknowledging you need help or feeling like God should be enough.
(214) 239-1835 View (214) 239-1835

How does your Therapist compare?

Number of Therapists in McKinney, TX

600+

Average cost per session

$145

Therapists in McKinney, TX who prioritize treating:

93% Anxiety
89% Depression
79% Self Esteem
77% Relationship Issues
73% Coping Skills
72% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
75% BlueCross and BlueShield
71% Cigna and Evernorth

How Therapists in McKinney, TX see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in McKinney?

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.