Therapists in Plymouth, MI

Photo of Stefanie M. Paquin, Limited Licensed Psychologist in Plymouth, MI
Stefanie M. Paquin
Limited Licensed Psychologist, LLP, CAADC
Verified Verified
Plymouth, MI 48170  (Online Only)
Waitlist for new clients
I currently have a waiting list and am only offering telehealth appointments. "It's all in your head." "Why can't you just stop?" "Just do something different." Sometimes the people in your life just don't know what to say or how to help you. You feel hurt, you struggle, you feel stuck, and you don't know how to feel better or get yourself out of that rut. Don't give up; NOW is the time to reach out. I will help you learn the tools to feel better and empower yourself to make positive changes in your life.
I currently have a waiting list and am only offering telehealth appointments. "It's all in your head." "Why can't you just stop?" "Just do something different." Sometimes the people in your life just don't know what to say or how to help you. You feel hurt, you struggle, you feel stuck, and you don't know how to feel better or get yourself out of that rut. Don't give up; NOW is the time to reach out. I will help you learn the tools to feel better and empower yourself to make positive changes in your life.
(734) 442-2461 View (734) 442-2461
Photo of Melissa Bradley, Pre-Licensed Professional in Plymouth, MI
Melissa Bradley
Pre-Licensed Professional
Verified Verified
1 Endorsed
Plymouth, MI 48170
Is creating a family not going how you always dreamed it would? Are you feeling stress and anxiety around conceiving a baby? Starting a family can be a very complicated journey for those experiencing infertility. Therapy can allow you to process those feelings, build coping skills to manage your anxiety, and give you an outlet to share to someone with a compassionate ear.
Is creating a family not going how you always dreamed it would? Are you feeling stress and anxiety around conceiving a baby? Starting a family can be a very complicated journey for those experiencing infertility. Therapy can allow you to process those feelings, build coping skills to manage your anxiety, and give you an outlet to share to someone with a compassionate ear.
(734) 442-2430 View (734) 442-2430
Photo of Janet S Kallen, Limited Licensed Psychologist in Plymouth, MI
Janet S Kallen
Limited Licensed Psychologist, MA, LLP, CAADC
Verified Verified
Plymouth, MI 48170  (Online Only)
Do you you suffer from depression or anxiety? Do you struggle in an unhealthy relationship or has anger been an emotion that has controlled your life? Do you drink More than intended or more often than intended or use other drugs? I can help you develop coping skills to manage your life and have the life you deserve. I would enjoy hearing from you.
Do you you suffer from depression or anxiety? Do you struggle in an unhealthy relationship or has anger been an emotion that has controlled your life? Do you drink More than intended or more often than intended or use other drugs? I can help you develop coping skills to manage your life and have the life you deserve. I would enjoy hearing from you.
(734) 212-8175 View (734) 212-8175
Photo of Create Space Therapy , Clinical Social Work/Therapist in Plymouth, MI
Create Space Therapy
Clinical Social Work/Therapist, LMSW
Verified Verified
Plymouth, MI 48170
Searching for the right therapist can be difficult. You may wonder if the therapist you choose will be able to help with the problem you are facing. When they first come to see us, worries or getting stuck in their thoughts take up a lot of space in our clients’ day. They feel like they have to hide behind a smile and pretend everything is okay. We help people let go of self doubt and build a life they are excited to show up for. At Create Space Therapy we see each client as more than the symptoms they come to therapy with. We care about getting to the root of the problem and understanding your full experience.
Searching for the right therapist can be difficult. You may wonder if the therapist you choose will be able to help with the problem you are facing. When they first come to see us, worries or getting stuck in their thoughts take up a lot of space in our clients’ day. They feel like they have to hide behind a smile and pretend everything is okay. We help people let go of self doubt and build a life they are excited to show up for. At Create Space Therapy we see each client as more than the symptoms they come to therapy with. We care about getting to the root of the problem and understanding your full experience.
(734) 415-6733 View (734) 415-6733
Photo of Alexis Ashby, Clinical Social Work/Therapist in Plymouth, MI
Alexis Ashby
Clinical Social Work/Therapist, LMSW
Verified Verified
Plymouth, MI 48170
It is my belief that our lives really are what we make of them. I want to help you find all the peace and beauty out there and most importantly within you. You are capable. You are resilient. You are worthy.
It is my belief that our lives really are what we make of them. I want to help you find all the peace and beauty out there and most importantly within you. You are capable. You are resilient. You are worthy.
(734) 304-5125 View (734) 304-5125
Photo of Hasti Raveau, Psychologist in Plymouth, MI
Hasti Raveau
Psychologist, PhD, LP
Verified Verified
9 Endorsed
Plymouth, MI 48170
Dr. Raveau is a clinical psychologist and founder of Mala Child & Family Institute. She is an expert in treating ADHD/neurodiversity, trauma/PTSD, anxiety/OCD/perfectionism, parenting/co-parenting issues, racial minorities, and family level challenges. She helps clients end intergenerational cycles of trauma, form authentic relationships, embrace their neurodiversity and cultural background, and build authentic lives filled with a sense of abundance and inner peace. Dr. Raveau embraces working with individuals and families who identify with a range of ethnicities, religions, sexual orientations, and gender identities.
Dr. Raveau is a clinical psychologist and founder of Mala Child & Family Institute. She is an expert in treating ADHD/neurodiversity, trauma/PTSD, anxiety/OCD/perfectionism, parenting/co-parenting issues, racial minorities, and family level challenges. She helps clients end intergenerational cycles of trauma, form authentic relationships, embrace their neurodiversity and cultural background, and build authentic lives filled with a sense of abundance and inner peace. Dr. Raveau embraces working with individuals and families who identify with a range of ethnicities, religions, sexual orientations, and gender identities.
(734) 245-2279 View (734) 245-2279
Photo of Michael Bambery, Psychologist in Plymouth, MI
Michael Bambery
Psychologist, PhD, LP
Verified Verified
Plymouth, MI 48170
My clinical work is focused exclusively on psychological/neuropsychological assessment and intervention for children, adolescents, and adults. A thorough assessment seeks to understand, diagnose, and classify to be sure; however, the ultimate benefit is providing a manageable and effective intervention plan that leads to relief from distress and an increased capacity to engage fully in one's life. I would be pleased to meet you for a consultation, so that we may discuss your or your child's situation and have you receive a more detailed sense of my approach.
My clinical work is focused exclusively on psychological/neuropsychological assessment and intervention for children, adolescents, and adults. A thorough assessment seeks to understand, diagnose, and classify to be sure; however, the ultimate benefit is providing a manageable and effective intervention plan that leads to relief from distress and an increased capacity to engage fully in one's life. I would be pleased to meet you for a consultation, so that we may discuss your or your child's situation and have you receive a more detailed sense of my approach.
(734) 719-1464 View (734) 719-1464
Photo of Dr. Jaime Wetzel, Psychologist in Plymouth, MI
Dr. Jaime Wetzel
Psychologist, PhD
Verified Verified
Plymouth, MI 48170
You work hard to manage the stress related to raising a family, focusing on your career, and your own personal growth. Your child may have experienced a traumatic unforeseen event such as the death of a loved one, divorce, or an automobile accident. Family life is rarely perfect. Finding the right support for you or your child, is the key to success and healing. You need to work with someone who can hear your story without judgment and who will provide individualized techniques tailored to you and your family's unique needs.
You work hard to manage the stress related to raising a family, focusing on your career, and your own personal growth. Your child may have experienced a traumatic unforeseen event such as the death of a loved one, divorce, or an automobile accident. Family life is rarely perfect. Finding the right support for you or your child, is the key to success and healing. You need to work with someone who can hear your story without judgment and who will provide individualized techniques tailored to you and your family's unique needs.
(734) 821-4020 View (734) 821-4020
Photo of Katrina Elizabeth DiMango, Clinical Social Work/Therapist in Plymouth, MI
Katrina Elizabeth DiMango
Clinical Social Work/Therapist, LMSW-C
Verified Verified
1 Endorsed
Plymouth, MI 48170
Life can be challenging at times, but you do not have to go it alone. Therapy can help you discover new ways to handle challenging situations that will support your overall health and wellbeing. If you are the type of person who views therapy as a collaboration between yourself and your therapist, then we will likely be a good fit. We would set goals and identify underlying beliefs that may be causing anxiety or depression or troubles in everyday life functioning.
Life can be challenging at times, but you do not have to go it alone. Therapy can help you discover new ways to handle challenging situations that will support your overall health and wellbeing. If you are the type of person who views therapy as a collaboration between yourself and your therapist, then we will likely be a good fit. We would set goals and identify underlying beliefs that may be causing anxiety or depression or troubles in everyday life functioning.
(734) 336-1499 View (734) 336-1499
Photo of Mindful Balance Psychological Wellness LLC, Clinical Social Work/Therapist in Plymouth, MI
Mindful Balance Psychological Wellness LLC
Clinical Social Work/Therapist, LMSW
Verified Verified
Plymouth, MI 48170  (Online Only)
ACCEPTING NEW PATIENTS throughout MI, FL, NY & TX (virtually). Helping you, help yourself! My passion is working with adolescents, and adults to help give you hope for a better tomorrow. Whether you are experiencing depression, anxiety, isolation, family/peer conflict, impaired functioning at school/work, difficulties coping, difficulties managing anger/stress, or struggle to use healthy coping skills, I can help you work through these challenges. I also enjoy working with couples to increase their understanding of self, their partner, and the patterns of interactions to help facilitate change that will enhance their relationship.
ACCEPTING NEW PATIENTS throughout MI, FL, NY & TX (virtually). Helping you, help yourself! My passion is working with adolescents, and adults to help give you hope for a better tomorrow. Whether you are experiencing depression, anxiety, isolation, family/peer conflict, impaired functioning at school/work, difficulties coping, difficulties managing anger/stress, or struggle to use healthy coping skills, I can help you work through these challenges. I also enjoy working with couples to increase their understanding of self, their partner, and the patterns of interactions to help facilitate change that will enhance their relationship.
(734) 605-5120 View (734) 605-5120
Photo of Hannah Cross Getto Abdelhady, Clinical Social Work/Therapist in Plymouth, MI
Hannah Cross Getto Abdelhady
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Plymouth, MI 48170
I love working with children and families. I want to have clear communication with guardians while also creating a safe space that allows children to express themselves with a degree of age-appropriate privacy. I work with children to identify their emotions, learn their emotional triggers, and build a toolkit of coping skills. I also work with you as guardian to build plans of action at home and provide psychoeducation that is research backed so that you feel informed and confident in your parenting. I also recognize that as your family grows and changes you may find it helpful to reach out for support for yourself.
I love working with children and families. I want to have clear communication with guardians while also creating a safe space that allows children to express themselves with a degree of age-appropriate privacy. I work with children to identify their emotions, learn their emotional triggers, and build a toolkit of coping skills. I also work with you as guardian to build plans of action at home and provide psychoeducation that is research backed so that you feel informed and confident in your parenting. I also recognize that as your family grows and changes you may find it helpful to reach out for support for yourself.
(734) 749-8550 View (734) 749-8550
Photo of John Weidman, Limited Licensed Psychologist in Plymouth, MI
John Weidman
Limited Licensed Psychologist, LLPC, MACP, TLLP
Verified Verified
Plymouth, MI 48170
Not accepting new clients
I enjoy helping people who feel stuck in a certain area of their lives to find hope, get free and then find new patterns of living that allow their lives to function well and even to thrive. I have experienced the blessing of therapy in my own life and by God’s grace have been married for over 32 years, have raised 4 children, and have overcome a variety of personal and family crises. I know that people want to live meaningful and productive lives and when problems arise in their personal lives and relationships, it really helps to have someone come alongside of you, listen to you, and explore solutions to those problems together.
I enjoy helping people who feel stuck in a certain area of their lives to find hope, get free and then find new patterns of living that allow their lives to function well and even to thrive. I have experienced the blessing of therapy in my own life and by God’s grace have been married for over 32 years, have raised 4 children, and have overcome a variety of personal and family crises. I know that people want to live meaningful and productive lives and when problems arise in their personal lives and relationships, it really helps to have someone come alongside of you, listen to you, and explore solutions to those problems together.
(248) 817-1966 View (248) 817-1966
Photo of Simply Mindful Counseling, Clinical Social Work/Therapist in Plymouth, MI
Simply Mindful Counseling
Clinical Social Work/Therapist, PhD, LMSW, LLP, LLMSW, NP
Verified Verified
7 Endorsed
Plymouth, MI 48170
We focus is on providing mental health care that is thoughtful, attentive and individualized to your unique needs. We use evidence-based treatment methods that incorporate the mind and body to foster happiness, wholeness, and authentic living. Making mindful changes to self-defeating behavior, challenging negative narratives and learning how to cope with difficult feelings opens you up to life-altering results. Our therapists at Simply Mindful Counseling will join with you to help simplify your journey and to support you in finding your true path. The hardest part is making the decision to embark on the therapeutic journey.
We focus is on providing mental health care that is thoughtful, attentive and individualized to your unique needs. We use evidence-based treatment methods that incorporate the mind and body to foster happiness, wholeness, and authentic living. Making mindful changes to self-defeating behavior, challenging negative narratives and learning how to cope with difficult feelings opens you up to life-altering results. Our therapists at Simply Mindful Counseling will join with you to help simplify your journey and to support you in finding your true path. The hardest part is making the decision to embark on the therapeutic journey.
(734) 206-7271 View (734) 206-7271
Photo of Hadley Huff, Clinical Social Work/Therapist in Plymouth, MI
Hadley Huff
Clinical Social Work/Therapist, LLMSW
Verified Verified
3 Endorsed
Plymouth, MI 48170
As a therapist, I enjoy working with people from all walks of life. I believe anyone can benefit from therapy. During my sessions, I love helping people discover their authentic self, cultivating a safe space where clients feel comfortable, and giving them the tools to deal with the problems they face each day. I desire to help people have healthier relationships, overcome negative emotions, and experience a more full and free life.
As a therapist, I enjoy working with people from all walks of life. I believe anyone can benefit from therapy. During my sessions, I love helping people discover their authentic self, cultivating a safe space where clients feel comfortable, and giving them the tools to deal with the problems they face each day. I desire to help people have healthier relationships, overcome negative emotions, and experience a more full and free life.
(734) 519-6778 View (734) 519-6778
Photo of Anna Rose Vandergriff, Clinical Social Work/Therapist in Plymouth, MI
Anna Rose Vandergriff
Clinical Social Work/Therapist, LLMSW
Verified Verified
Plymouth, MI 48170
It’s human to experience ebb and flow in life: seasons of transition and uncertainty; tilting between self-confidence and self-doubt; shifting levels of energy and productivity, changes in what you need and what you want. Even as a therapist I have sat in your place, and I empathize with the courage it takes to rewrite the words of your own story. In the face of depression, anxiety, and exhaustion, it is easy to forget that we are infinite beings having a human experience and fall instead into seclusion. While working with me I can offer clarity, compassion, and guidance to help in your own understanding of yourself.
It’s human to experience ebb and flow in life: seasons of transition and uncertainty; tilting between self-confidence and self-doubt; shifting levels of energy and productivity, changes in what you need and what you want. Even as a therapist I have sat in your place, and I empathize with the courage it takes to rewrite the words of your own story. In the face of depression, anxiety, and exhaustion, it is easy to forget that we are infinite beings having a human experience and fall instead into seclusion. While working with me I can offer clarity, compassion, and guidance to help in your own understanding of yourself.
(734) 896-5575 View (734) 896-5575
Photo of Damien Riegel, Limited Licensed Psychologist in Plymouth, MI
Damien Riegel
Limited Licensed Psychologist, TLLP
Verified Verified
Plymouth, MI 48170
Hi there! My name's Damien, and I'd love to come alongside you in your life journey. You may be trying to put some pieces back together that don't seem to fit, or trying to make a change that seems just out of reach. Whatever the case, many find that therapy provides the help that they're looking for in those difficult parts of life. My goal for a therapy session is to create an environment where you feel comfortable and understood, so that the steps on your journey may become just a little less daunting.
Hi there! My name's Damien, and I'd love to come alongside you in your life journey. You may be trying to put some pieces back together that don't seem to fit, or trying to make a change that seems just out of reach. Whatever the case, many find that therapy provides the help that they're looking for in those difficult parts of life. My goal for a therapy session is to create an environment where you feel comfortable and understood, so that the steps on your journey may become just a little less daunting.
(248) 986-1974 View (248) 986-1974
Photo of Grace Rowe, Clinical Social Work/Therapist in Plymouth, MI
Grace Rowe
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Plymouth, MI 48170
As a queer, non-binary, and neurodivergent practitioner I personally understand how nerve wracking it can be to start your therapeutic journey with an unknown provider. As a trauma informed therapist I am committed to having a client-centered and collaborative approach catered to your personal growth and healing. I am passionate about working with individuals walking through anxiety, depression, adjustment, PTSD, C-PTSD, as well as queer and gender identity issues. I work with both individuals and couples to meet client determined goals, and hope to create a productive and safe place to heal and grow.
As a queer, non-binary, and neurodivergent practitioner I personally understand how nerve wracking it can be to start your therapeutic journey with an unknown provider. As a trauma informed therapist I am committed to having a client-centered and collaborative approach catered to your personal growth and healing. I am passionate about working with individuals walking through anxiety, depression, adjustment, PTSD, C-PTSD, as well as queer and gender identity issues. I work with both individuals and couples to meet client determined goals, and hope to create a productive and safe place to heal and grow.
View
Photo of Stacy Peterson, Clinical Social Work/Therapist in Plymouth, MI
Stacy Peterson
Clinical Social Work/Therapist, LMSW, ACSW
Verified Verified
2 Endorsed
Plymouth, MI 48170  (Online Only)
Waitlist for new clients
I believe that we are all worthy of dignity, respect and love. This does not mean we have not suffered or experienced shame, guilt and loss-for things we have done and things that have been done to us. With you as the guide and me in a support role, I hope we can explore these issues so that healing and peace will occur. On this sometimes difficult and challenging journey, I hope we can get to work together to find resolution and understanding and come to the place where you are empowered to make new and healthier choices. I am currently unable to take on new clients at this time.
I believe that we are all worthy of dignity, respect and love. This does not mean we have not suffered or experienced shame, guilt and loss-for things we have done and things that have been done to us. With you as the guide and me in a support role, I hope we can explore these issues so that healing and peace will occur. On this sometimes difficult and challenging journey, I hope we can get to work together to find resolution and understanding and come to the place where you are empowered to make new and healthier choices. I am currently unable to take on new clients at this time.
(734) 270-4075 View (734) 270-4075
Photo of Melissa Lees, LPC Intern in Plymouth, MI
Melissa Lees
LPC Intern, BA
Verified Verified
1 Endorsed
Plymouth, MI 48170
The fact that you are here researching therapists means you are already on your way discovering how to use your strengths to overcome your problems. I offer a safe space to sort through the things holding you back and to help empower you to work toward the satisfying future you envision for yourself. I believe in a holistic approach to wellness; having a peaceful mind is vital to overall wellbeing. Whether you are experiencing current problems or would like to focus on personal or relational goals, I would like to support your journey to wellbeing.
The fact that you are here researching therapists means you are already on your way discovering how to use your strengths to overcome your problems. I offer a safe space to sort through the things holding you back and to help empower you to work toward the satisfying future you envision for yourself. I believe in a holistic approach to wellness; having a peaceful mind is vital to overall wellbeing. Whether you are experiencing current problems or would like to focus on personal or relational goals, I would like to support your journey to wellbeing.
(734) 849-3462 View (734) 849-3462
Photo of Superior Center For ADHD, Master Social Worker in Plymouth, MI
Superior Center For ADHD
Master Social Worker, LCSW, ADHD-, CCSP
Verified Verified
1 Endorsed
Plymouth, MI 48170
Do you or your child struggle with organization, gathering your thoughts, and overall slowing things down a bit? Have you or your child been told that you have "so much potential" and yet you cannot seem to keep your focus in check to tap into it? Now more than ever, people with ADHD are feeling overwhelmed and overstimulated by how to take charge of their households, relationships, schooling, and careers.
Do you or your child struggle with organization, gathering your thoughts, and overall slowing things down a bit? Have you or your child been told that you have "so much potential" and yet you cannot seem to keep your focus in check to tap into it? Now more than ever, people with ADHD are feeling overwhelmed and overstimulated by how to take charge of their households, relationships, schooling, and careers.
(248) 558-2241 View (248) 558-2241

How does your Therapist compare?

Number of Therapists in Plymouth, MI

300+

Average cost per session

$150

Therapists in Plymouth, MI who prioritize treating:

93% Anxiety
90% Depression
81% Self Esteem
75% Relationship Issues
73% Coping Skills
73% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

98% BlueCross and BlueShield
64% Blue Care Network
49% Aetna

How Therapists in Plymouth, MI 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 Plymouth?

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.