Therapists in Erie, PA

Photo of William J Krowinski, Clinical Social Work/Therapist in Erie, PA
William J Krowinski
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Erie, PA 16506
Do you wish for more joy, meaning and purpose in your life? Would you like your relationships with friends, partner and family to be more nourishing and loving? Do you want to unlearn old self defeating habits and discover more effective ways of coping with life circumstances and relationship problems? It would be my privilege to assist you in discovering your path and answers on the road of life. I have over 40 years of experience working with individuals, couples and families.
Do you wish for more joy, meaning and purpose in your life? Would you like your relationships with friends, partner and family to be more nourishing and loving? Do you want to unlearn old self defeating habits and discover more effective ways of coping with life circumstances and relationship problems? It would be my privilege to assist you in discovering your path and answers on the road of life. I have over 40 years of experience working with individuals, couples and families.
(814) 499-1911 View (814) 499-1911
Photo of Melissa Bargar, Licensed Professional Counselor in Erie, PA
Melissa Bargar
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Erie, PA 16506
(Accepting clients with daytime availability) Hello! My name is Melissa and I am a National Certified Counselor and LPC. I have 13 years of experience in the mental health field with 8 of those years providing outpatient therapy at a local agency serving primarily children, adolescents, and their families. I enjoy working primarily with adolescents (14+) and adults dealing with life stressors, relationship concerns, anxiety, depression, mood disorders, and emotional regulation issues. Allow me to help you on your journey as you build upon your strengths and learn skills to effectively manage your mental well being.
(Accepting clients with daytime availability) Hello! My name is Melissa and I am a National Certified Counselor and LPC. I have 13 years of experience in the mental health field with 8 of those years providing outpatient therapy at a local agency serving primarily children, adolescents, and their families. I enjoy working primarily with adolescents (14+) and adults dealing with life stressors, relationship concerns, anxiety, depression, mood disorders, and emotional regulation issues. Allow me to help you on your journey as you build upon your strengths and learn skills to effectively manage your mental well being.
(814) 212-5301 View (814) 212-5301
Photo of Rochelle R Youkers, Clinical Social Work/Therapist in Erie, PA
Rochelle R Youkers
Clinical Social Work/Therapist, MSSA, LCSW
Verified Verified
Erie, PA 16509  (Online Only)
Welcome. I am glad you landed here, and I hope you find someone who can offer the support you are looking for. Life is hard and I think for most of us, it feels a lot harder right now. We are living through stressful times and dealing with things we have never experienced before. If you are experiencing depression or anxiety, struggling in your relationships, having difficulty finding purpose and meaning, or moving through a life transition; partnering someone can help you move through these difficult times and support you in developing understanding, develop skills and support you in making changes.
Welcome. I am glad you landed here, and I hope you find someone who can offer the support you are looking for. Life is hard and I think for most of us, it feels a lot harder right now. We are living through stressful times and dealing with things we have never experienced before. If you are experiencing depression or anxiety, struggling in your relationships, having difficulty finding purpose and meaning, or moving through a life transition; partnering someone can help you move through these difficult times and support you in developing understanding, develop skills and support you in making changes.
(814) 485-9227 View (814) 485-9227
Photo of Amy Boxer, Licensed Professional Counselor in Erie, PA
Amy Boxer
Licensed Professional Counselor, NCC
Verified Verified
1 Endorsed
Erie, PA 16508
Looking to start therapy can be challenging. Finding the right therapist for you can seem overwhelming. Using a client-centered approach, I strive to meet each individual where they are and provide them with a safe, trauma-informed environment to help inspire positive change.
Looking to start therapy can be challenging. Finding the right therapist for you can seem overwhelming. Using a client-centered approach, I strive to meet each individual where they are and provide them with a safe, trauma-informed environment to help inspire positive change.
(814) 250-7768 View (814) 250-7768
Photo of Mark B. Morrow, Licensed Professional Counselor in Erie, PA
Mark B. Morrow
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Erie, PA 16506
I'm a National Board Certified and State Licensed Professional Counselor who has been providing professional counseling in the Erie area for 30 years. As long as your not seeking counseling services for small children or serious drug and alcohol addictions, I'm sure that I can help you. I specialize in counseling teenagers, men, women and couples. If you're experiencing depression, grief, anxiety, work stress, career decisions, mid-life difficulties, family problems, or life in general is just beating you down, then admit it, pick up the phone and call me today for a Brighter 2 Morrow.
I'm a National Board Certified and State Licensed Professional Counselor who has been providing professional counseling in the Erie area for 30 years. As long as your not seeking counseling services for small children or serious drug and alcohol addictions, I'm sure that I can help you. I specialize in counseling teenagers, men, women and couples. If you're experiencing depression, grief, anxiety, work stress, career decisions, mid-life difficulties, family problems, or life in general is just beating you down, then admit it, pick up the phone and call me today for a Brighter 2 Morrow.
(814) 203-4069 View (814) 203-4069
Photo of Mental Health Care Associates, Licensed Professional Counselor in Erie, PA
Mental Health Care Associates
Licensed Professional Counselor, MS, EdD, LPC
Verified Verified
Erie, PA 16507  (Online Only)
At Mental Health Care Associates, our clients differ widely in reasons for choosing therapy. Major life changes such as unemployment, divorce, new job, these events can cause anxiety or depression. Others have experienced trauma. When these issues begin to interfere with daily life functioning, we can help. Our goal is a calmer, happier, and more fulfilled life for our clients. Call today. Qualified licensed counselors will work closely with you to identify underlying factors affecting your mental health and work with you to build and pathway to happiness.
At Mental Health Care Associates, our clients differ widely in reasons for choosing therapy. Major life changes such as unemployment, divorce, new job, these events can cause anxiety or depression. Others have experienced trauma. When these issues begin to interfere with daily life functioning, we can help. Our goal is a calmer, happier, and more fulfilled life for our clients. Call today. Qualified licensed counselors will work closely with you to identify underlying factors affecting your mental health and work with you to build and pathway to happiness.
(814) 498-4560 View (814) 498-4560
Photo of April Damond, Licensed Professional Counselor in Erie, PA
April Damond
Licensed Professional Counselor, MS, LPC
Verified Verified
Erie, PA 16504
April Damond was a former trauma nurse for four years with experience in physical and mental well being. She has been a therapist for three years. Areas of interests include anxiety, depression, martial issues, grief and bereavement, and trauma. April is genuine, supportive, and empathic and laid back. April believes in being on equal grounds with all clients. April will be a coach, cheerleader, and teammate to help clients potentially achieve their goals.
April Damond was a former trauma nurse for four years with experience in physical and mental well being. She has been a therapist for three years. Areas of interests include anxiety, depression, martial issues, grief and bereavement, and trauma. April is genuine, supportive, and empathic and laid back. April believes in being on equal grounds with all clients. April will be a coach, cheerleader, and teammate to help clients potentially achieve their goals.
(814) 551-1094 View (814) 551-1094
Photo of Penny Mechley-Porter, Licensed Professional Counselor in Erie, PA
Penny Mechley-Porter
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Erie, PA 16506
I am an individual therapist who treats adults and adolescents. I help clients to find an effective way to balance life's struggles with feelings of success and competence. My experience living and working overseas--in a number of other cultures--allows me to be very open to how each of us is shaped and influenced by our life experiences. I specialize in a variety of issues, including depression and anxiety, self esteem, relationship issues, parenting, family dynamics, adjustment issues, grief and loss, and trauma.
I am an individual therapist who treats adults and adolescents. I help clients to find an effective way to balance life's struggles with feelings of success and competence. My experience living and working overseas--in a number of other cultures--allows me to be very open to how each of us is shaped and influenced by our life experiences. I specialize in a variety of issues, including depression and anxiety, self esteem, relationship issues, parenting, family dynamics, adjustment issues, grief and loss, and trauma.
(814) 281-8812 View (814) 281-8812
Photo of Pensiri Nuk Oden, Licensed Professional Counselor in Erie, PA
Pensiri Nuk Oden
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Erie, PA 16501  (Online Only)
You are not alone if you struggle with anxiety, depression, trauma, or general difficulties in life. Coming to counseling is a vulnerable experience, and I strive to be a therapist that is aware of microaggressions and additional ways that make people feel unwelcomed or othered to ensure that I am not one more obstacle you have to deal with as you work towards better mental health. I am experienced at working with clients who may identify as BIPOC, LGBTQ+, multiracial, multicultural, third-culture kids, transracial adoptees, and adoptees.
You are not alone if you struggle with anxiety, depression, trauma, or general difficulties in life. Coming to counseling is a vulnerable experience, and I strive to be a therapist that is aware of microaggressions and additional ways that make people feel unwelcomed or othered to ensure that I am not one more obstacle you have to deal with as you work towards better mental health. I am experienced at working with clients who may identify as BIPOC, LGBTQ+, multiracial, multicultural, third-culture kids, transracial adoptees, and adoptees.
(814) 501-4481 View (814) 501-4481
Photo of Missy Peck, Licensed Professional Counselor in Erie, PA
Missy Peck
Licensed Professional Counselor, MS, LPC
Verified Verified
Erie, PA 16504
My goal as your therapist will be to challenge you to realize your potential and empower you to achieve your goals. I am supportive, kind and a good listener with a sense of humor. Our sessions will focus on ways you can achieve happiness and balance in your life. I want to help you make a commitment to being a better you!
My goal as your therapist will be to challenge you to realize your potential and empower you to achieve your goals. I am supportive, kind and a good listener with a sense of humor. Our sessions will focus on ways you can achieve happiness and balance in your life. I want to help you make a commitment to being a better you!
(814) 205-0428 View (814) 205-0428
Photo of Counseling Services of Michelle Adler, Licensed Professional Counselor in Erie, PA
Counseling Services of Michelle Adler
Licensed Professional Counselor, MS, LPC
Verified Verified
Erie, PA 16510
Greetings! I am a Licensed Professional Counselor who believes in better mental health through compassion and kindness. I want to partner with you on your journey of recovery. I have worked in the mental health field since 2001 and I have been practicing counseling since 2005. I have worked in various levels of mental health (crisis services, inpatient, outpatient, prison, adult partial hospitalization program, mobile therapy, advocacy for victims, residential treatment facility, private practice) and have learned that people need to be heard, listened to, and treated with appropriate care. My office is private and comfortable.
Greetings! I am a Licensed Professional Counselor who believes in better mental health through compassion and kindness. I want to partner with you on your journey of recovery. I have worked in the mental health field since 2001 and I have been practicing counseling since 2005. I have worked in various levels of mental health (crisis services, inpatient, outpatient, prison, adult partial hospitalization program, mobile therapy, advocacy for victims, residential treatment facility, private practice) and have learned that people need to be heard, listened to, and treated with appropriate care. My office is private and comfortable.
(814) 246-2757 View (814) 246-2757
Photo of Amber Allshouse, Licensed Professional Counselor in Erie, PA
Amber Allshouse
Licensed Professional Counselor, LPC, NCC
Verified Verified
Erie, PA 16506
Life is too short to be unhappy. If you find that you are struggling don't wait to ask for help. Seeking counseling is a sign of strength and courage. The benefits of counseling are significant and often help you gain personal empowerment, hope, overcome social stigmas, increased acceptance, personal insight, life skills, improved wellness, and prevention of future mental health distress. I am currently accepting new patients and would love to be that person to help you navigate through a difficult stage of life.
Life is too short to be unhappy. If you find that you are struggling don't wait to ask for help. Seeking counseling is a sign of strength and courage. The benefits of counseling are significant and often help you gain personal empowerment, hope, overcome social stigmas, increased acceptance, personal insight, life skills, improved wellness, and prevention of future mental health distress. I am currently accepting new patients and would love to be that person to help you navigate through a difficult stage of life.
(814) 247-0569 View (814) 247-0569
Photo of Nicole Knight, Licensed Professional Counselor in Erie, PA
Nicole Knight
Licensed Professional Counselor, MA, LPC
Verified Verified
Erie, PA 16506  (Online Only)
Not accepting new clients
You may appear as if you “have it all together” on the outside but inside feel isolated. You may be noticing patterns in your relationships without understanding why this keeps happening to you. You may carry the weight of your experiences, relationship cycles influenced by previous generations, and the expectations of a society that wants us to be “normal”. You may be on your own for the first time wondering who you are apart from what you’ve learned. Perhaps you’re not sure where your life is heading. Looking inward to reveal our full potential can be a challenge when everyone else has told us who to be.
You may appear as if you “have it all together” on the outside but inside feel isolated. You may be noticing patterns in your relationships without understanding why this keeps happening to you. You may carry the weight of your experiences, relationship cycles influenced by previous generations, and the expectations of a society that wants us to be “normal”. You may be on your own for the first time wondering who you are apart from what you’ve learned. Perhaps you’re not sure where your life is heading. Looking inward to reveal our full potential can be a challenge when everyone else has told us who to be.
(814) 334-3244 View (814) 334-3244
Photo of Carly Frank, Licensed Professional Counselor in Erie, PA
Carly Frank
Licensed Professional Counselor, LPC, MS, NCC
Verified Verified
1 Endorsed
Erie, PA 16506
Starting therapy can be a very overwhelming but rewarding experience, so welcome! I am here to help you get through whatever it is you are currently struggling with. I offer a non-judgmental environment for you to speak freely and to walk beside you during some of these difficult times. I have years of experience working with a variety of individuals and want to assure you that you are not alone in this journey.
Starting therapy can be a very overwhelming but rewarding experience, so welcome! I am here to help you get through whatever it is you are currently struggling with. I offer a non-judgmental environment for you to speak freely and to walk beside you during some of these difficult times. I have years of experience working with a variety of individuals and want to assure you that you are not alone in this journey.
(814) 283-4122 View (814) 283-4122
Photo of Casey Hubbell, Clinical Social Work/Therapist in Erie, PA
Casey Hubbell
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Erie, PA 16506
Waitlist for new clients
Are you a new parent struggling to cope with what feels like never-ending worry or sadness? Maybe everyone around you has made it seem like pregnancy and life with a newborn should be joyous and yet you feel so stuck, so worried, and possibly even struggle to get out of bed. Or, maybe you’ve been a parent for a while and things just don’t seem to be getting any better. How could anyone understand the overwhelming and scary thoughts in your head? And what if everyone thinks you’re crazy? If you’re here reading this today, maybe you’re at the point where you feel desperate to be understood in this part of your life.
Are you a new parent struggling to cope with what feels like never-ending worry or sadness? Maybe everyone around you has made it seem like pregnancy and life with a newborn should be joyous and yet you feel so stuck, so worried, and possibly even struggle to get out of bed. Or, maybe you’ve been a parent for a while and things just don’t seem to be getting any better. How could anyone understand the overwhelming and scary thoughts in your head? And what if everyone thinks you’re crazy? If you’re here reading this today, maybe you’re at the point where you feel desperate to be understood in this part of your life.
(814) 648-6479 View (814) 648-6479
Photo of Terri Peterson, Clinical Social Work/Therapist in Erie, PA
Terri Peterson
Clinical Social Work/Therapist, LCSW
Verified Verified
Erie, PA 16504
If you are having difficulty with issues in your life and like a relaxed and down to earth type of therapist, I can help . I work with clients ages 6 years throughout adulthood, experiencing complications due to ADHD, anxiety disorders, mood disorders, substance abuse, self esteem, life transitions, trauma due to abuse/violence, confidence, relationships and communication problems along with behavior disorders,. I assist clients in finding their strengths, along with creative techniques to teach them how to use it to build their life worth living. I have a special interest in working with female clients of all ages.
If you are having difficulty with issues in your life and like a relaxed and down to earth type of therapist, I can help . I work with clients ages 6 years throughout adulthood, experiencing complications due to ADHD, anxiety disorders, mood disorders, substance abuse, self esteem, life transitions, trauma due to abuse/violence, confidence, relationships and communication problems along with behavior disorders,. I assist clients in finding their strengths, along with creative techniques to teach them how to use it to build their life worth living. I have a special interest in working with female clients of all ages.
(814) 703-4497 View (814) 703-4497
Photo of Jessica Rice, Licensed Professional Counselor in Erie, PA
Jessica Rice
Licensed Professional Counselor, MA, LPC
Verified Verified
Erie, PA 16504
Accepting New Clients! If you're struggling with situational stressors or old wounds that you've kept buried, therapy may be the beginning of the healing process for you. Reaching out for help can be very overwhelming at times. Therapy is about identifying strengths, changing behaviors that aren't working for us, and striving for happiness and fulfillment. It's about learning how to help yourself.
Accepting New Clients! If you're struggling with situational stressors or old wounds that you've kept buried, therapy may be the beginning of the healing process for you. Reaching out for help can be very overwhelming at times. Therapy is about identifying strengths, changing behaviors that aren't working for us, and striving for happiness and fulfillment. It's about learning how to help yourself.
(814) 292-1476 View (814) 292-1476
Photo of Mark Lesniewski, Licensed Professional Counselor in Erie, PA
Mark Lesniewski
Licensed Professional Counselor, LPC, LMHC
Verified Verified
Erie, PA 16505
I help children and young adults experiencing anxiety and behavioral issues. Anxiety is overwhelming and difficult to deal with life when we wonder when the next panic attack might happen and prevent us from doing the things we enjoy or keep us from trying new things. When I individuals and families we get right down to business. For anxiety, I’ll teach you about the physical processes of anxiety. Then explore potential triggers, and then learn about ways to stop anxiety in it’s tracks to be able to live an everyday life.
I help children and young adults experiencing anxiety and behavioral issues. Anxiety is overwhelming and difficult to deal with life when we wonder when the next panic attack might happen and prevent us from doing the things we enjoy or keep us from trying new things. When I individuals and families we get right down to business. For anxiety, I’ll teach you about the physical processes of anxiety. Then explore potential triggers, and then learn about ways to stop anxiety in it’s tracks to be able to live an everyday life.
(814) 200-9211 View (814) 200-9211
Photo of Katelynne Hankins, Licensed Professional Counselor in Erie, PA
Katelynne Hankins
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
Erie, PA 16506  (Online Only)
Being heard is a universal human need. We all have a story or perspective that impacts our behaviors and decisions. Whether you have trauma in your past, experienced ongoing depression and anxiety, or are feeling confused in a life transition, having a qualified professional genuinely hear your perspective can be empowering! I strongly believe in validating the human experience and treating you with compassion and respect. I have worked with clients from many walks of life and have been honored to be part of their healing progress.
Being heard is a universal human need. We all have a story or perspective that impacts our behaviors and decisions. Whether you have trauma in your past, experienced ongoing depression and anxiety, or are feeling confused in a life transition, having a qualified professional genuinely hear your perspective can be empowering! I strongly believe in validating the human experience and treating you with compassion and respect. I have worked with clients from many walks of life and have been honored to be part of their healing progress.
(814) 648-9897 View (814) 648-9897
Photo of Chelsea Curlett, Licensed Professional Counselor in Erie, PA
Chelsea Curlett
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Erie, PA 16508
I am the Owner/LPC at Frame of Mind Counseling, LLC. I have many years of experience working in the mental health field. Throughout my career, I have worked with children, adolescents, adults and families struggling with issues such as ADHD, ODD, mood disorders, depression, anxiety, trauma, adjustment disorders, behavioral concerns and those adjudicated delinquent. I also have been certified in Trauma Focused Therapy, offer ADOS assessments and trained in treating Tic Disorders (CBIT). I look forward to working with and supporting you in making the changes you would like to see for a healthier/happier life for you and your family.
I am the Owner/LPC at Frame of Mind Counseling, LLC. I have many years of experience working in the mental health field. Throughout my career, I have worked with children, adolescents, adults and families struggling with issues such as ADHD, ODD, mood disorders, depression, anxiety, trauma, adjustment disorders, behavioral concerns and those adjudicated delinquent. I also have been certified in Trauma Focused Therapy, offer ADOS assessments and trained in treating Tic Disorders (CBIT). I look forward to working with and supporting you in making the changes you would like to see for a healthier/happier life for you and your family.
(814) 325-9549 View (814) 325-9549

How does your Therapist compare?

Number of Therapists in Erie, PA

200+

Average cost per session

$120

Therapists in Erie, PA who prioritize treating:

91% Anxiety
88% Depression
76% Self Esteem
72% Coping Skills
71% Trauma and PTSD
64% Relationship Issues
58% Grief

Average years in practice

11 Years

Top 3 insurances accepted

90% Optum
88% Highmark
83% UnitedHealthcare UHC | UBH

How Therapists in Erie, PA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

75% Female
24% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Erie?

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.