Therapists in Harrisonville, MO

Photo of A Balanced Mind, LLC, Clinical Social Work/Therapist in Harrisonville, MO
A Balanced Mind, LLC
Clinical Social Work/Therapist, MSW, LCSW, LSCSW, CCPT
Verified Verified
1 Endorsed
Harrisonville, MO 64701
Aimee established her own private practice in order to provide people a place to feel better. We have two licensed clinical social workers who can provide therapy services at A Balanced Mind. We are open Monday -Thursday 10:00am to 8:00pm. Closed Friday, Saturday and Sunday. Closed Holidays too.
Aimee established her own private practice in order to provide people a place to feel better. We have two licensed clinical social workers who can provide therapy services at A Balanced Mind. We are open Monday -Thursday 10:00am to 8:00pm. Closed Friday, Saturday and Sunday. Closed Holidays too.
(816) 366-5773 View (816) 366-5773
Photo of Jane Henke, Licensed Professional Counselor in Harrisonville, MO
Jane Henke
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Harrisonville, MO 64701  (Online Only)
Hello! I'm Jane, a Licensed Professional Counselor with 20 years of experience providing care to clients who come with a wide variety of life's difficulties and struggles. I have a proven track record of helping clients reach their therapy goals. I specialize in the treatment of grief, trauma, PTSD, C-PTSD, and Religious Trauma, but also enjoy helping clients work through depression, anxiety and various life transitions. I am trained in Mindfulness, EMDR and DBT.
Hello! I'm Jane, a Licensed Professional Counselor with 20 years of experience providing care to clients who come with a wide variety of life's difficulties and struggles. I have a proven track record of helping clients reach their therapy goals. I specialize in the treatment of grief, trauma, PTSD, C-PTSD, and Religious Trauma, but also enjoy helping clients work through depression, anxiety and various life transitions. I am trained in Mindfulness, EMDR and DBT.
(816) 327-9985 View (816) 327-9985
Photo of Andrea Sue Whalen, Licensed Professional Counselor in Harrisonville, MO
Andrea Sue Whalen
Licensed Professional Counselor, MA, LPC
Verified Verified
Harrisonville, MO 64701
Not accepting new clients
Is your child struggling? Are you struggling to be the parent you want to be? Author Virginia Satir points out “So much is asked of parents, and so little is given.” Parents often wish for more support and information on best practices related to child-rearing in the world we live in today. Navigating normal quandaries of school, friendship, self-esteem and more with our children can be scary. Sometimes, we hit bigger bumps in the road of life, like the loss of someone important (divorce, death, a move), health challenges (physical or mental) or circumstances that are unjust (bullying, trauma). Life may begin to feel unmanageable.
Is your child struggling? Are you struggling to be the parent you want to be? Author Virginia Satir points out “So much is asked of parents, and so little is given.” Parents often wish for more support and information on best practices related to child-rearing in the world we live in today. Navigating normal quandaries of school, friendship, self-esteem and more with our children can be scary. Sometimes, we hit bigger bumps in the road of life, like the loss of someone important (divorce, death, a move), health challenges (physical or mental) or circumstances that are unjust (bullying, trauma). Life may begin to feel unmanageable.
(816) 239-2619 View (816) 239-2619
Photo of Danielle Conforti, Licensed Professional Counselor in Harrisonville, MO
Danielle Conforti
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Harrisonville, MO 64701  (Online Only)
I am an LPC (MO) and LCPC (KS) who specializes in trauma, PTSD, anxiety, depression, domestic violence, military and first responder trauma, and LGBTQIA-related issues. Throughout my years as a clinician, I have learned that the best therapy is done when a positive connection and therapeutic trust can be built and maintained. I work to make therapy a safe place for clients to open up and feel supported and valued. Therapy can be intense and hard at times, I work to keep a positive balance between seriousness and humor. I am a person-centered therapist and I believe in encouraging and challenging my clients to grow.
I am an LPC (MO) and LCPC (KS) who specializes in trauma, PTSD, anxiety, depression, domestic violence, military and first responder trauma, and LGBTQIA-related issues. Throughout my years as a clinician, I have learned that the best therapy is done when a positive connection and therapeutic trust can be built and maintained. I work to make therapy a safe place for clients to open up and feel supported and valued. Therapy can be intense and hard at times, I work to keep a positive balance between seriousness and humor. I am a person-centered therapist and I believe in encouraging and challenging my clients to grow.
(816) 306-0937 View (816) 306-0937
Photo of Jesse Anderson, Licensed Professional Counselor in Harrisonville, MO
Jesse Anderson
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
Harrisonville, MO 64701
We all have strengths to build on and opportunities for growth and change. Counseling can be a helpful tool to work toward whatever goals you have or obstacles you may be facing. I am passionate about working with children and families. My goal is for children to feel confident in who they are and what they can do. I also work to build up families to grow closer and stronger together. I have seen how counseling can be a powerful tool in creating positive change for anyone.
We all have strengths to build on and opportunities for growth and change. Counseling can be a helpful tool to work toward whatever goals you have or obstacles you may be facing. I am passionate about working with children and families. My goal is for children to feel confident in who they are and what they can do. I also work to build up families to grow closer and stronger together. I have seen how counseling can be a powerful tool in creating positive change for anyone.
(816) 323-8570 View (816) 323-8570
Photo of Amanda Tompkins, Clinical Social Work/Therapist in Harrisonville, MO
Amanda Tompkins
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Harrisonville, MO 64701  (Online Only)
My name is Amanda Tompkins. I am a Licensed Clinical Social Worker. I have been practicing in-patient, outpatient and telehealth individual and group therapy throughout my career. I am formally trained in Cognitive Behavioral Therapy and Acceptance and Commitment Therapy. The are the primary therapy modalities that I utilize but am also well versed in Dialectical Behavioral Therapy and Internal Family Systems therapy, and others. Our first session will typically consist of you and I getting to know each other and exploring what it is that you would like to achieve in therapy, so that we can create a treatment plan with goals.
My name is Amanda Tompkins. I am a Licensed Clinical Social Worker. I have been practicing in-patient, outpatient and telehealth individual and group therapy throughout my career. I am formally trained in Cognitive Behavioral Therapy and Acceptance and Commitment Therapy. The are the primary therapy modalities that I utilize but am also well versed in Dialectical Behavioral Therapy and Internal Family Systems therapy, and others. Our first session will typically consist of you and I getting to know each other and exploring what it is that you would like to achieve in therapy, so that we can create a treatment plan with goals.
(816) 542-6777 View (816) 542-6777
Photo of Adrienne Devine, Licensed Professional Counselor in Harrisonville, MO
Adrienne Devine
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Harrisonville, MO 64701  (Online Only)
My name is Adrienne Devine, I am a Licensed Professional Counselor in the state of Missouri. I work to guide clients through a variety of life challenges, including trauma, depression, anxiety, and gender transition. I use positive psychology and CBT practices to work with each individual to help them find their own inner strengths. I know that it can be difficult to view life through a more positive and healthier lens and that this work can at times be a vulnerable and intimidating process. I feel it’s important to take your lead and support you in your own work, allowing for flexibility while we work toward your goals.
My name is Adrienne Devine, I am a Licensed Professional Counselor in the state of Missouri. I work to guide clients through a variety of life challenges, including trauma, depression, anxiety, and gender transition. I use positive psychology and CBT practices to work with each individual to help them find their own inner strengths. I know that it can be difficult to view life through a more positive and healthier lens and that this work can at times be a vulnerable and intimidating process. I feel it’s important to take your lead and support you in your own work, allowing for flexibility while we work toward your goals.
(816) 355-5990 View (816) 355-5990
Photo of Alissa L. Keaton, Licensed Professional Counselor in Harrisonville, MO
Alissa L. Keaton
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Harrisonville, MO 64701
Not accepting new clients
Do you feel isolated, lost, or unsure of where you want to go in life? We all want to live happy, fulfilling lives. I can help you overcome the obstacles that are holding you back from having the happiness you deserve.
Do you feel isolated, lost, or unsure of where you want to go in life? We all want to live happy, fulfilling lives. I can help you overcome the obstacles that are holding you back from having the happiness you deserve.
(816) 266-4816 View (816) 266-4816
Photo of Michele Deeter Accepting New Clients, Licensed Professional Counselor in Harrisonville, MO
Michele Deeter Accepting New Clients
Licensed Professional Counselor, MS, LPC
Verified Verified
Harrisonville, MO 64701
I enjoy working with older and younger adults of diverse populations and gender identities dealing with anxiety, depression and trauma. I focus on a person-centered approach to guide each unique client to find the proper tools they need to enrich their lives and help each client become more empowered. You can feel better and you can overcome trauma. I can show you how to harness the power of your own psyche to live a happier, healthier life.
I enjoy working with older and younger adults of diverse populations and gender identities dealing with anxiety, depression and trauma. I focus on a person-centered approach to guide each unique client to find the proper tools they need to enrich their lives and help each client become more empowered. You can feel better and you can overcome trauma. I can show you how to harness the power of your own psyche to live a happier, healthier life.
(816) 208-8899 View (816) 208-8899
Photo of Peter Kilbreth Jones, Clinical Social Work/Therapist in Harrisonville, MO
Peter Kilbreth Jones
Clinical Social Work/Therapist, LCSW, LISW, LSCSW
Verified Verified
Harrisonville, MO 64701
Waitlist for new clients
I work with individuals who have a desire for change with their mental health or are seeking quality of life improvements. Clients who are seeking to improve their lives and are seeking positive change or consultation. Clients issues can range from mental health needs, relationship issues, personal issues, medical disorders or problem-solving life issues. Clients desire long-term or short term change for the issues they are facing. Accountability for goals, desire for change, seek to problem solve, by learning coping strategies or finding solutions to satisfy one’s self-determination.
I work with individuals who have a desire for change with their mental health or are seeking quality of life improvements. Clients who are seeking to improve their lives and are seeking positive change or consultation. Clients issues can range from mental health needs, relationship issues, personal issues, medical disorders or problem-solving life issues. Clients desire long-term or short term change for the issues they are facing. Accountability for goals, desire for change, seek to problem solve, by learning coping strategies or finding solutions to satisfy one’s self-determination.
(913) 379-2016 View (913) 379-2016

More Therapists Nearby

Photo of Kimberly A Martin, Pre-Licensed Professional in Harrisonville, MO
Kimberly A Martin
Pre-Licensed Professional, PLPC, NCC
Verified Verified
Peculiar, MO 64078
Your concerns are unique to you. I am here for you however life looks right now. I would be honored to work with you to resolve problems that burden you or your family. Counseling should provide a safe and non-judgmental space to tell your story and work through your challenges. I genuinely like to listen. As I hear you, we will walk your journey to wellness together.
Your concerns are unique to you. I am here for you however life looks right now. I would be honored to work with you to resolve problems that burden you or your family. Counseling should provide a safe and non-judgmental space to tell your story and work through your challenges. I genuinely like to listen. As I hear you, we will walk your journey to wellness together.
(816) 327-9966 View (816) 327-9966
Photo of Star of Hope Therapeutic Services LLC in Harrisonville, MO
Star of Hope Therapeutic Services LLC
LPC, RPT-S
Verified Verified
2 Endorsed
Peculiar, MO 64078
Are you or your child struggling? Burdened by difficulties? Trapped by anxiety? Stuck in patterns of unhealthy behaviors? Do the days seem more dark than bright or your relationships more of a burden than a joy? Take a deep breath. There is hope. In my office you will find a safe place to grow, heal and change for the better. From toddlers to adults, those who are struggling can come and find the help and support they need.
Are you or your child struggling? Burdened by difficulties? Trapped by anxiety? Stuck in patterns of unhealthy behaviors? Do the days seem more dark than bright or your relationships more of a burden than a joy? Take a deep breath. There is hope. In my office you will find a safe place to grow, heal and change for the better. From toddlers to adults, those who are struggling can come and find the help and support they need.
(816) 484-3912 View (816) 484-3912

Online Therapists

Photo of Centurion Johnson, Counselor in Harrisonville, MO
Centurion Johnson
Counselor, BHS, MHA, LPC, LCPC
Verified Verified
Kansas City, MO 64127
Check out our website for more details! I became a therapist because of a void that has existed for decades. A void that allowed black and brown people to be left to find sometimes inadequate ways of dealing with real mental health issues. As you search you will find very few people that look like me that are in profession of mental health. This is unfortunate. Although my caseload is hugely diverse, what comforts my clients is I represent what in my field is lacking...a representative from a disenfranchised group of people helping to build up the individual, repairing relationships and making families whole.
Check out our website for more details! I became a therapist because of a void that has existed for decades. A void that allowed black and brown people to be left to find sometimes inadequate ways of dealing with real mental health issues. As you search you will find very few people that look like me that are in profession of mental health. This is unfortunate. Although my caseload is hugely diverse, what comforts my clients is I represent what in my field is lacking...a representative from a disenfranchised group of people helping to build up the individual, repairing relationships and making families whole.
(913) 349-9571 View (913) 349-9571
Photo of Ailee Sykes, Clinical Social Work/Therapist in Harrisonville, MO
Ailee Sykes
Clinical Social Work/Therapist, LCSW, LSCSW
Verified Verified
Kansas City, MO 64105
Feeling stuck, apathetic, overwhelmed, angry, worried, depressed, anxious, hopeless, or disconnected is exhausting and isolating. Many of our systems are designed to keep you this way, and you deserve more. I believe every person has an innate resilience, that helps us adapt to an ever changing world. I work to meet people where they are, connecting to the strength, courage, and insight already present and exploring areas for transformation and growth.
Feeling stuck, apathetic, overwhelmed, angry, worried, depressed, anxious, hopeless, or disconnected is exhausting and isolating. Many of our systems are designed to keep you this way, and you deserve more. I believe every person has an innate resilience, that helps us adapt to an ever changing world. I work to meet people where they are, connecting to the strength, courage, and insight already present and exploring areas for transformation and growth.
(816) 653-3740 View (816) 653-3740
Photo of Cheryl Mark, Licensed Professional Counselor in Harrisonville, MO
Cheryl Mark
Licensed Professional Counselor, PhD, MA, LPC, NCC, BCN
Verified Verified
Lees Summit, MO 64064
Most people are doing the best they can in life with the skills they have available. When life becomes overwhelming, unbearable, or unfulfilling, counseling can help you find & experience the joy & love you desire - even in the face of adversity. Counseling can be helpful when you are ready to make changes in your life and when you desire someone to journey with you to realize your best self. In our work together, we will collaborate to set goals that you want to achieve. For some, this may be a change in how you are thinking and feeling. For others, you might be ready to work to find deeper healing through processing your trauma.
Most people are doing the best they can in life with the skills they have available. When life becomes overwhelming, unbearable, or unfulfilling, counseling can help you find & experience the joy & love you desire - even in the face of adversity. Counseling can be helpful when you are ready to make changes in your life and when you desire someone to journey with you to realize your best self. In our work together, we will collaborate to set goals that you want to achieve. For some, this may be a change in how you are thinking and feeling. For others, you might be ready to work to find deeper healing through processing your trauma.
(816) 600-0021 View (816) 600-0021
Photo of Alicia M. Hegarty, Licensed Professional Counselor in Harrisonville, MO
Alicia M. Hegarty
Licensed Professional Counselor, LPC, CTP
Verified Verified
1 Endorsed
Blue Springs, MO 64015  (Online Only)
In a world full of judgment, we need someone we can be vulnerable with. We need someone we can talk to about the uncomfortable thoughts and emotions associated with fears and insecurities. We need someone we can bounce ideas off of to find perspective. In a world full of judgment, we need a nonjudgmental someone who can be kind, empathetic, and psychological educated to help us grow in self and life contentment. My 32 years of cosmetology and services industry work, along with my achievement of honors in both my BA and MA, has allowed me to build acceptance, wisdom, perspective, and awareness in my therapeutic approach.
In a world full of judgment, we need someone we can be vulnerable with. We need someone we can talk to about the uncomfortable thoughts and emotions associated with fears and insecurities. We need someone we can bounce ideas off of to find perspective. In a world full of judgment, we need a nonjudgmental someone who can be kind, empathetic, and psychological educated to help us grow in self and life contentment. My 32 years of cosmetology and services industry work, along with my achievement of honors in both my BA and MA, has allowed me to build acceptance, wisdom, perspective, and awareness in my therapeutic approach.
(816) 338-7345 View (816) 338-7345
Photo of Nicholas Higgins, Counselor in Harrisonville, MO
Nicholas Higgins
Counselor, LPC
Verified Verified
1 Endorsed
Kansas City, MO 64102
I work primarily with clients suffering from the effects of trauma, chronic shame, depression, and anxiety. Finding what you want in a therapist is difficult, a difficult task on top of the difficulties you are already facing. I encourage you to reach out with an email or a phone call for a free consultation so that we can determine how exactly to get you where you want to be.
I work primarily with clients suffering from the effects of trauma, chronic shame, depression, and anxiety. Finding what you want in a therapist is difficult, a difficult task on top of the difficulties you are already facing. I encourage you to reach out with an email or a phone call for a free consultation so that we can determine how exactly to get you where you want to be.
(913) 270-8005 View (913) 270-8005
Photo of Jon Soileau, Licensed Professional Counselor in Harrisonville, MO
Jon Soileau
Licensed Professional Counselor, MA, LCPC, LPC-S, NCC
Verified Verified
14 Endorsed
Kansas City, MO 64105
Knowing we can be loved exactly as we are gives us the best opportunity to grow into the healthiest people. I believe relational psychotherapy helps to restore hope and connection, even during seasons of immense pain and suffering. Having a place where you can be heard and feel known is essential while working through heavy feelings, emotions, thoughts, and processing difficult experiences. As therapy deepens, individuals I work with gain insight into presenting symptoms and patterns of behavior that initially brought them to see me.
Knowing we can be loved exactly as we are gives us the best opportunity to grow into the healthiest people. I believe relational psychotherapy helps to restore hope and connection, even during seasons of immense pain and suffering. Having a place where you can be heard and feel known is essential while working through heavy feelings, emotions, thoughts, and processing difficult experiences. As therapy deepens, individuals I work with gain insight into presenting symptoms and patterns of behavior that initially brought them to see me.
(816) 839-6276 View (816) 839-6276
Photo of Denise Frisella, Clinical Social Work/Therapist in Harrisonville, MO
Denise Frisella
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Kansas City, MO 64113  (Online Only)
I specialize in trauma therapy, navigating the complexities of grief and loss, managing depression and fostering general mental health wellness. My practice is anchored in offering a compassionate space that promotes healing. Together we'll work toward releasing blockages and nurturing your path to recovery as you evolve and deepen your self connection. ​
I specialize in trauma therapy, navigating the complexities of grief and loss, managing depression and fostering general mental health wellness. My practice is anchored in offering a compassionate space that promotes healing. Together we'll work toward releasing blockages and nurturing your path to recovery as you evolve and deepen your self connection. ​
(636) 422-5684 View (636) 422-5684
Photo of Mallorie Shepard Accepting New Clients, Pre-Licensed Professional in Harrisonville, MO
Mallorie Shepard Accepting New Clients
Pre-Licensed Professional, BS, MS, CIT
Verified Verified
1 Endorsed
Lees Summit, MO 64063
Now Accepting New Clients! EMDR Trained! “They overcame everything that was meant to destroy them.” You or your child might be suffering from symptoms of depression, anxiety, grief, PTSD, or relational issues. With a will to get better and a person to support you through it, you too can overcome the things you thought were once meant to destroy you. I offer a free 30 minute consultation and 50 minute sessions for $75 where together we will learn and grow in a non-judgmental, safe space that ultimately brings healing and wholeness.
Now Accepting New Clients! EMDR Trained! “They overcame everything that was meant to destroy them.” You or your child might be suffering from symptoms of depression, anxiety, grief, PTSD, or relational issues. With a will to get better and a person to support you through it, you too can overcome the things you thought were once meant to destroy you. I offer a free 30 minute consultation and 50 minute sessions for $75 where together we will learn and grow in a non-judgmental, safe space that ultimately brings healing and wholeness.
(816) 209-1178 View (816) 209-1178

See more therapy options for Harrisonville

How does your Therapist compare?

Number of Therapists in Harrisonville, MO

10+

Average cost per session

$125

Therapists in Harrisonville, MO who prioritize treating:

90% Anxiety
80% Depression
80% Trauma and PTSD
80% Life Transitions
70% Self Esteem
60% Relationship Issues
60% ADHD

Average years in practice

9 Years

Top 3 insurances accepted

100% Cigna and Evernorth
86% Aetna
86% BlueCross and BlueShield

How Therapists in Harrisonville, MO see their clients

60% In Person and Online
40% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Harrisonville?

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.