Therapists in Holly Springs, NC

Photo of Rebecca Knowles Floyd, Licensed Professional Counselor in Holly Springs, NC
Rebecca Knowles Floyd
Licensed Professional Counselor, MEd, LCMHC
Verified Verified
Holly Springs, NC 27540
I am old enough to know that life does not always lend itself to simplistic answers. At various periods we all find ourselves in difficult circumstances that feel overwhelming, sometimes related to life changing tragedies like death, divorce, new medical diagnosis like cancer, job loss, or catastrophic injury. In these situations your life changes in an instant. There is an avalanche of distressing emotions and life no longer feels solid or stable. As a therapist who has experienced some serious, life changing tragedies, I understand those feelings and am specifically trained in grief and trauma.
I am old enough to know that life does not always lend itself to simplistic answers. At various periods we all find ourselves in difficult circumstances that feel overwhelming, sometimes related to life changing tragedies like death, divorce, new medical diagnosis like cancer, job loss, or catastrophic injury. In these situations your life changes in an instant. There is an avalanche of distressing emotions and life no longer feels solid or stable. As a therapist who has experienced some serious, life changing tragedies, I understand those feelings and am specifically trained in grief and trauma.
(919) 689-4380 View (919) 689-4380
Photo of Karen C Pandey, Lic Clinical Mental Health Counselor Associate in Holly Springs, NC
Karen C Pandey
Lic Clinical Mental Health Counselor Associate, LCMCH, LCAS, NCC
Verified Verified
Holly Springs, NC 27540
Waitlist for new clients
Karen Pandey has worked with individuals and families in addictions and mental health for over 15 years. She specializes in working with adults and adolescents with addiction, ADHD, anger management, anxiety, depression, PTSD, self-esteem, self-harm, or trauma. She also enjoys working with individuals who want to improve their communication skills, intimate relationships, and/or parenting skills using attachment theories.
Karen Pandey has worked with individuals and families in addictions and mental health for over 15 years. She specializes in working with adults and adolescents with addiction, ADHD, anger management, anxiety, depression, PTSD, self-esteem, self-harm, or trauma. She also enjoys working with individuals who want to improve their communication skills, intimate relationships, and/or parenting skills using attachment theories.
(984) 363-8642 View (984) 363-8642
Photo of Denise Steele, Clinical Social Work/Therapist in Holly Springs, NC
Denise Steele
Clinical Social Work/Therapist, LCSW
Verified Verified
Holly Springs, NC 27540
Have things happened to you in life that you struggle getting over? There's hope. I'm Denise, a trauma informed therapist welcoming new clients Sometimes things in your past affect how you act and feel in the present. Let's change your future. Do thoughts that you are not good enough, strong enough, or capable enough stop you from even trying? Let's change that together.
Have things happened to you in life that you struggle getting over? There's hope. I'm Denise, a trauma informed therapist welcoming new clients Sometimes things in your past affect how you act and feel in the present. Let's change your future. Do thoughts that you are not good enough, strong enough, or capable enough stop you from even trying? Let's change that together.
(919) 296-0769 View (919) 296-0769
Photo of Renee Landtroop, Lic Clinical Mental Health Counselor Associate in Holly Springs, NC
Renee Landtroop
Lic Clinical Mental Health Counselor Associate, MA, NCC, LCMHCA
Verified Verified
1 Endorsed
Holly Springs, NC 27540
I provide a safe, non-judgmental environment where clients are able to express their thoughts, feelings, and emotions. I place heavy importance on developing a supportive and collaborative therapeutic relationship to encourage clients to develop better coping skills that empower them to reach their therapeutic goals. I enjoy working with individuals ages 16 and up, in all stages of life. My areas of focus include grief and loss, anxiety, depression and other mood disorders, attachment issues, stress management and coping techniques, social issues/peer pressure, adjustment and transition issues, body image and self-esteem issues.
I provide a safe, non-judgmental environment where clients are able to express their thoughts, feelings, and emotions. I place heavy importance on developing a supportive and collaborative therapeutic relationship to encourage clients to develop better coping skills that empower them to reach their therapeutic goals. I enjoy working with individuals ages 16 and up, in all stages of life. My areas of focus include grief and loss, anxiety, depression and other mood disorders, attachment issues, stress management and coping techniques, social issues/peer pressure, adjustment and transition issues, body image and self-esteem issues.
(919) 635-4094 View (919) 635-4094
Photo of Dakota Tuggle, LCSW Associate in Holly Springs, NC
Dakota Tuggle
LCSW Associate, LCSWA
Verified Verified
2 Endorsed
Holly Springs, NC 27540
I would love to assist you on your therapeutic journey towards a more fulfilled life. With me, clients can feel free to express themselves while discovering ways to achieve their version of happiness, stability, and success.
I would love to assist you on your therapeutic journey towards a more fulfilled life. With me, clients can feel free to express themselves while discovering ways to achieve their version of happiness, stability, and success.
(919) 980-9531 View (919) 980-9531
Photo of DeNome Alliances Counseling Center, Clinical Social Work/Therapist in Holly Springs, NC
DeNome Alliances Counseling Center
Clinical Social Work/Therapist, MSW, LCSW
Not Verified Not Verified
Holly Springs, NC 27540
Choosing a therapist can be an intimidating and overwhelming process. Finding a comfortable fit for you and/or your loved one is an important factor in the therapeutic process. Thus, we offer a free consultation to help relieve any anxieties, answer any questions, and allow you to find out if the therapist on our team would be the right fit for your needs and preferences. We view our role as a guide to assist, empower, and equip you with the skills (tools) utilizing your own strengths, finding strengths that may be hidden, and teaching ways to develop new skills to assist in overcoming life's challenges.
Choosing a therapist can be an intimidating and overwhelming process. Finding a comfortable fit for you and/or your loved one is an important factor in the therapeutic process. Thus, we offer a free consultation to help relieve any anxieties, answer any questions, and allow you to find out if the therapist on our team would be the right fit for your needs and preferences. We view our role as a guide to assist, empower, and equip you with the skills (tools) utilizing your own strengths, finding strengths that may be hidden, and teaching ways to develop new skills to assist in overcoming life's challenges.
(984) 230-9024 View (984) 230-9024
Photo of Shannon Staiger, Licensed Professional Counselor in Holly Springs, NC
Shannon Staiger
Licensed Professional Counselor, MA, LCMHCS, CHC
Verified Verified
1 Endorsed
Holly Springs, NC 27540  (Online Only)
I am currently taking new clients for virtual sessions. I am a Licensed Clinical Mental Health Counselor (Supervisor) and also a Certified Health Coach. I have been working in the mental health field for over 10 years. I especially enjoy working with adolescents, adults and couples. I have worked with individuals on a wide array of issues such as, but not limited to, family issues, divorce, depression, anxiety, mood disorders, personality disorders, self-esteem issues, woman’s issues, parenting skills and health and wellness related concerns. I also provide LCMHCA supervision and currently have openings to provide supervision.
I am currently taking new clients for virtual sessions. I am a Licensed Clinical Mental Health Counselor (Supervisor) and also a Certified Health Coach. I have been working in the mental health field for over 10 years. I especially enjoy working with adolescents, adults and couples. I have worked with individuals on a wide array of issues such as, but not limited to, family issues, divorce, depression, anxiety, mood disorders, personality disorders, self-esteem issues, woman’s issues, parenting skills and health and wellness related concerns. I also provide LCMHCA supervision and currently have openings to provide supervision.
(984) 207-1907 View (984) 207-1907
Photo of James L. Machado Workman, Marriage & Family Therapist in Holly Springs, NC
James L. Machado Workman
Marriage & Family Therapist, MDiv, MA, BCC, LMFT
Verified Verified
6 Endorsed
Holly Springs, NC 27540
My approach to therapy is a culmination of my life's work with people in a variety of settings. My philosophy of therapy grows out of my many years as an interfaith pastoral care giver. I have worked with trauma at Albert Einstein Medical Center (Philadelphia, PA). I am a Veteran with combat experience as a Chaplain during Operation Iraqi Freedom. I have served as a clinical, interfaith, spiritual care provider at Pitt County Memorial Hospital (Greenville, NC), Duke HomeCare and Hospice (Durham, NC), and Rex Hospital (Raleigh, NC). I believe that people are "living human documents" continually under revision.
My approach to therapy is a culmination of my life's work with people in a variety of settings. My philosophy of therapy grows out of my many years as an interfaith pastoral care giver. I have worked with trauma at Albert Einstein Medical Center (Philadelphia, PA). I am a Veteran with combat experience as a Chaplain during Operation Iraqi Freedom. I have served as a clinical, interfaith, spiritual care provider at Pitt County Memorial Hospital (Greenville, NC), Duke HomeCare and Hospice (Durham, NC), and Rex Hospital (Raleigh, NC). I believe that people are "living human documents" continually under revision.
(919) 428-7746 View (919) 428-7746
Photo of Nancy A Smyth, Clinical Social Work/Therapist in Holly Springs, NC
Nancy A Smyth
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Holly Springs, NC 27540
I work with couples who are struggling to repair and renew their relationship. Your relationship is fragile and just not working. Together, we will identify the obstacles that keep getting in the way! Listening without judgment and sharing without criticism are necessary skills that promote communication and set a new course. You will leave with the tools you need to enjoy a beautiful new relationship!
I work with couples who are struggling to repair and renew their relationship. Your relationship is fragile and just not working. Together, we will identify the obstacles that keep getting in the way! Listening without judgment and sharing without criticism are necessary skills that promote communication and set a new course. You will leave with the tools you need to enjoy a beautiful new relationship!
(919) 750-8632 View (919) 750-8632
Photo of Kristina Briggs-Clark, Clinical Social Work/Therapist in Holly Springs, NC
Kristina Briggs-Clark
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Holly Springs, NC 27540
Your story is important. We all give meaning to our own experiences, and sometimes our attempts to "make sense of it all" leave us feeling hopeless, inadequate, confused, lost, or angry. The "reasons" we act or feel the way we do are not always clear, and it can take a little digging to get to the root of things. The negative thoughts and feelings that exist within us can become draining and exhausting when we don't know what to do with them. Sometimes, because of the way we feel about ourselves, we struggle to feel secure in our own identity. As a therapist, I am interested in your story - as you see it through your own lens.
Your story is important. We all give meaning to our own experiences, and sometimes our attempts to "make sense of it all" leave us feeling hopeless, inadequate, confused, lost, or angry. The "reasons" we act or feel the way we do are not always clear, and it can take a little digging to get to the root of things. The negative thoughts and feelings that exist within us can become draining and exhausting when we don't know what to do with them. Sometimes, because of the way we feel about ourselves, we struggle to feel secure in our own identity. As a therapist, I am interested in your story - as you see it through your own lens.
(984) 204-7043 View (984) 204-7043
Photo of Christina Richardson, Marriage & Family Therapist in Holly Springs, NC
Christina Richardson
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
Holly Springs, NC 27540
Waitlist for new clients
When anxiety, grief, depression and intense emotions take over, we can have a hard time forming real connections with our loved ones around us. Regardless of what has happened in your life or what has contributed to how you feel right now, my goal is to provide a safe space to explore and process your experience.
When anxiety, grief, depression and intense emotions take over, we can have a hard time forming real connections with our loved ones around us. Regardless of what has happened in your life or what has contributed to how you feel right now, my goal is to provide a safe space to explore and process your experience.
(984) 217-4617 View (984) 217-4617
Photo of Tara Parker, Clinical Social Work/Therapist in Holly Springs, NC
Tara Parker
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Holly Springs, NC 27540
Tara has an energetic laugh that puts clients at ease and enjoys playfully incorporating her love of sarcasm into her work with her clients. She has been known to lovingly call people out on their “bologna” when she hears it and is a great accountability partner. Tara is also incredibly empathetic and provides a warm and safe environment and a quiet listening ear when the situation calls for it. Noticing and reading nonverbal communication and body language is a skill Tara possesses in spades so she often learns a lot even from things that go unsaid. Tara is judgement free and she encourages you to be genuine and authentic.
Tara has an energetic laugh that puts clients at ease and enjoys playfully incorporating her love of sarcasm into her work with her clients. She has been known to lovingly call people out on their “bologna” when she hears it and is a great accountability partner. Tara is also incredibly empathetic and provides a warm and safe environment and a quiet listening ear when the situation calls for it. Noticing and reading nonverbal communication and body language is a skill Tara possesses in spades so she often learns a lot even from things that go unsaid. Tara is judgement free and she encourages you to be genuine and authentic.
(919) 276-8375 View (919) 276-8375
Photo of Olive Dove Counseling, PLLC, Clinical Social Work/Therapist in Holly Springs, NC
Olive Dove Counseling, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Holly Springs, NC 27540  (Online Only)
I love working with people and helping them "grow" through the things of life that they "go" through. A quote that I love to share with clients and live by personally is to remember not to focus on your purpose but to live your life purposely. As a military social worker my background is specific to first responders, but most importantly individuals that are learning their new "normal" after traumatic life events that have unexpectedly shaped them.
I love working with people and helping them "grow" through the things of life that they "go" through. A quote that I love to share with clients and live by personally is to remember not to focus on your purpose but to live your life purposely. As a military social worker my background is specific to first responders, but most importantly individuals that are learning their new "normal" after traumatic life events that have unexpectedly shaped them.
(919) 289-8406 View (919) 289-8406
Photo of Kellianne Dubbin, Clinical Social Work/Therapist in Holly Springs, NC
Kellianne Dubbin
Clinical Social Work/Therapist, LCSWA
Verified Verified
2 Endorsed
Holly Springs, NC 27540
I was once a young person sitting in a therapist's office and I found the experience to be stale, impersonal, and hurried. As a direct reaction, I am passionate about creating an environment that is fun, goofy, creative, interactive, and YOU-centered. While you are here, no matter your age or what we are working through, we can play games, read books, and make art. We'll learn somatic techniques; we'll create resources that are tailored to your needs; and we will work together to figure it (whatever "it" is) out.
I was once a young person sitting in a therapist's office and I found the experience to be stale, impersonal, and hurried. As a direct reaction, I am passionate about creating an environment that is fun, goofy, creative, interactive, and YOU-centered. While you are here, no matter your age or what we are working through, we can play games, read books, and make art. We'll learn somatic techniques; we'll create resources that are tailored to your needs; and we will work together to figure it (whatever "it" is) out.
View
Photo of Jodi Hulstedt, Marriage & Family Therapist in Holly Springs, NC
Jodi Hulstedt
Marriage & Family Therapist, MA, LMFT
Verified Verified
Holly Springs, NC 27540
Are you feeling stuck and not experiencing joy and peace? My heart is to come alongside those seeking freedom from any type of bondage. As a Licensed Marriage and Family Therapist with over fifteen years of professional and pastoral counseling, it is my joy and honor to provide a safe place for couples, families and individuals to work through their challenges, discover strength, and navigate away from past pain towards hope, healing, wholeness and health. While integrative, my therapeutic approach leans towards Cognitive-Behavioral, Family Systems, Emotionally Focused, Gottman, Immanuel Method, and SOZO Prayer.
Are you feeling stuck and not experiencing joy and peace? My heart is to come alongside those seeking freedom from any type of bondage. As a Licensed Marriage and Family Therapist with over fifteen years of professional and pastoral counseling, it is my joy and honor to provide a safe place for couples, families and individuals to work through their challenges, discover strength, and navigate away from past pain towards hope, healing, wholeness and health. While integrative, my therapeutic approach leans towards Cognitive-Behavioral, Family Systems, Emotionally Focused, Gottman, Immanuel Method, and SOZO Prayer.
(919) 892-6835 View (919) 892-6835
Photo of Rita Schabel, Licensed Clinical Mental Health Counselor in Holly Springs, NC
Rita Schabel
Licensed Clinical Mental Health Counselor, LCMHC, NCC, MA, MBA
Verified Verified
Holly Springs, NC 27540
I specialize in helping you build strong relationships with your partners, work colleagues, and family. I firmly believe that the foundation to building warm, honest relationships is communication, direct but effective communication. I want to work with you when life hurts you and it becomes hard to believe in oneself, I hope I can be a guide to your recovery and growth.
I specialize in helping you build strong relationships with your partners, work colleagues, and family. I firmly believe that the foundation to building warm, honest relationships is communication, direct but effective communication. I want to work with you when life hurts you and it becomes hard to believe in oneself, I hope I can be a guide to your recovery and growth.
(919) 582-5069 View (919) 582-5069
Photo of Geoffrey Stagg, Clinical Social Work/Therapist in Holly Springs, NC
Geoffrey Stagg
Clinical Social Work/Therapist, MSW, LCSW, ADHD-, CCSP
Verified Verified
Holly Springs, NC 27540
I am looking to help any individual who expresses a want, or a desire, for a change in their life. I want to be able to assist others on their journey towards growth and happiness. To be able to work together to identify what helps the individual as it relates to their specific self.
I am looking to help any individual who expresses a want, or a desire, for a change in their life. I want to be able to assist others on their journey towards growth and happiness. To be able to work together to identify what helps the individual as it relates to their specific self.
(919) 346-0080 x4 View (919) 346-0080 x4
Photo of Keanna Capnerhurst, Licensed Clinical Mental Health Counselor in Holly Springs, NC
Keanna Capnerhurst
Licensed Clinical Mental Health Counselor, MA, LCMHC, CSAT, CMAT
Verified Verified
Holly Springs, NC 27540
Not accepting new clients
You are scared and wondering how that behavior got so out of hand. You get stressed and then turn to sexualized behaviors to help you not feel so bad - if only for a couple of minutes. You feel like an imposter with your partner and they are scared and freaked out because you accidentally didn't sign out of your email account. And now they know what you've been up to. But they don't know that what they found is only the tip of the iceberg. Both of you are anxious, depressed, and fearful but arguments, threats, and despair hang between you. Is it possible to get through this pain without losing your mind? Yes, it is.
You are scared and wondering how that behavior got so out of hand. You get stressed and then turn to sexualized behaviors to help you not feel so bad - if only for a couple of minutes. You feel like an imposter with your partner and they are scared and freaked out because you accidentally didn't sign out of your email account. And now they know what you've been up to. But they don't know that what they found is only the tip of the iceberg. Both of you are anxious, depressed, and fearful but arguments, threats, and despair hang between you. Is it possible to get through this pain without losing your mind? Yes, it is.
(919) 800-0745 View (919) 800-0745
Photo of Kellye McKendree, Licensed Professional Counselor in Holly Springs, NC
Kellye McKendree
Licensed Professional Counselor, LCMHCS, NCC, BC-TMH
Verified Verified
Holly Springs, NC 27540
Not accepting new clients
I have extensive experience working with individuals who are experiencing crisis as a result of life changes and mood disorders, i.e. depression, anxiety and loss. My goal is to treat individuals, couples and parents in a supportive environment where personal responsibility and active decision making are encouraged. I am also a Divorce Mediator and Certified Grief Recovery Therapist. I believe my experience in these areas also contribute to the knowledge base I have regarding life transitions.
I have extensive experience working with individuals who are experiencing crisis as a result of life changes and mood disorders, i.e. depression, anxiety and loss. My goal is to treat individuals, couples and parents in a supportive environment where personal responsibility and active decision making are encouraged. I am also a Divorce Mediator and Certified Grief Recovery Therapist. I believe my experience in these areas also contribute to the knowledge base I have regarding life transitions.
(984) 985-2627 View (984) 985-2627
Photo of Emery Paige Pulido, Pre-Licensed Professional in Holly Springs, NC
Emery Paige Pulido
Pre-Licensed Professional, LCMHC , Intern
Verified Verified
1 Endorsed
Holly Springs, NC 27540
Depression, anxiety, bad lifestyle habits, inability to forgive oneself, or thinking you do not deserve better in life, can all be too big of a weight to carry alone. Perhaps you want to live a fulfilled life and enjoy the present moment but aren't sure how to get there. The first step is to share your story and invite someone into your world.
Depression, anxiety, bad lifestyle habits, inability to forgive oneself, or thinking you do not deserve better in life, can all be too big of a weight to carry alone. Perhaps you want to live a fulfilled life and enjoy the present moment but aren't sure how to get there. The first step is to share your story and invite someone into your world.
(919) 887-9674 View (919) 887-9674

See more therapy options for Holly Springs

How does your Therapist compare?

Number of Therapists in Holly Springs, NC

100+

Average cost per session

$135

Therapists in Holly Springs, NC who prioritize treating:

97% Anxiety
92% Depression
86% Self Esteem
84% Relationship Issues
77% Coping Skills
72% Stress
70% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
76% Aetna
54% Cigna and Evernorth

How Therapists in Holly Springs, NC see their clients

73% In Person and Online
27% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Holly Springs?

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.