Therapists in Hoboken, NJ

Photo of Jessica L Larsen, Psychologist in Hoboken, NJ
Jessica L Larsen
Psychologist, PhD
Verified Verified
1 Endorsed
Hoboken, NJ 07030
If you are struggling with anxiety, sadness, grief, excessive worry, obsessional thinking? Do you feel your challenges are overwhelming? Do you wish you could just enjoy your life again? I work with clients with a range of troubles and challenges to overcome their difficulties and reclaim their lives. I am specialized to work with both adults and children using Cognitive Behavioral Therapy (CBT). CBT is a science based approach, which means it is proven to help you feel better and get on with living your life. I am a warm, personable, humorous, compassionate psychologist here to support you through your most difficult of times.
If you are struggling with anxiety, sadness, grief, excessive worry, obsessional thinking? Do you feel your challenges are overwhelming? Do you wish you could just enjoy your life again? I work with clients with a range of troubles and challenges to overcome their difficulties and reclaim their lives. I am specialized to work with both adults and children using Cognitive Behavioral Therapy (CBT). CBT is a science based approach, which means it is proven to help you feel better and get on with living your life. I am a warm, personable, humorous, compassionate psychologist here to support you through your most difficult of times.
(551) 258-8928 View (551) 258-8928
Photo of AYD Therapy, Clinical Social Work/Therapist in Hoboken, NJ
AYD Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Hoboken, NJ 07030  (Online Only)
Telehealth only at this time. Hopelessness, stress & burnout, overwhelming worry, grief, trauma; whether it be due to unexpected loss, transitions or biological issues — can leave you feeling paralyzed or spiraling out of control. I provide psychoeducation, strategies, & tools to increase client insight into faulty patterns — and increased confidence to cope and thrive.
Telehealth only at this time. Hopelessness, stress & burnout, overwhelming worry, grief, trauma; whether it be due to unexpected loss, transitions or biological issues — can leave you feeling paralyzed or spiraling out of control. I provide psychoeducation, strategies, & tools to increase client insight into faulty patterns — and increased confidence to cope and thrive.
(201) 561-8472 View (201) 561-8472
Photo of Liat Zilberstein, Psychologist in Hoboken, NJ
Liat Zilberstein
Psychologist, PsyD
Verified Verified
Hoboken, NJ 07030
I am a licensed psychologist with extensive experience working with children, teens, adults, parents, and families. I provide both psychotherapy and parent consultation and conduct neuropsychological and psychoeducational evaluations. My style is collaborative, empathic, and direct. I work with a range of clinical issues, including anxiety, OCD, depression, relationship concerns, parenting, family stress, life transitions, and behavioral, attention and learning problems. I am passionate about working with individuals and parents to strengthen resilience in coping with life's challenges and enhancing quality of life.
I am a licensed psychologist with extensive experience working with children, teens, adults, parents, and families. I provide both psychotherapy and parent consultation and conduct neuropsychological and psychoeducational evaluations. My style is collaborative, empathic, and direct. I work with a range of clinical issues, including anxiety, OCD, depression, relationship concerns, parenting, family stress, life transitions, and behavioral, attention and learning problems. I am passionate about working with individuals and parents to strengthen resilience in coping with life's challenges and enhancing quality of life.
(551) 266-4308 View (551) 266-4308
Photo of Vanessa Filmonor, Counselor in Hoboken, NJ
Vanessa Filmonor
Counselor, NCC, LAC
Verified Verified
Hoboken, NJ 07030
I am a Nationally Certified Counselor (NCC) and a Licensed Associate Counselor (LAC) who earned my Master of Arts in Clinical Mental Health Counseling from Northwestern University. I use an integrative approach, where I combine contemporary psychodynamic and mindfulness-based therapy practices. I believe that acknowledging our pasts and obtaining tools of mindful awareness can stabilize our present and empower us to build a better future. I am also passionate and committed to deliver trauma-informed and culturally appropriate counseling to diverse and marginalized communities.
I am a Nationally Certified Counselor (NCC) and a Licensed Associate Counselor (LAC) who earned my Master of Arts in Clinical Mental Health Counseling from Northwestern University. I use an integrative approach, where I combine contemporary psychodynamic and mindfulness-based therapy practices. I believe that acknowledging our pasts and obtaining tools of mindful awareness can stabilize our present and empower us to build a better future. I am also passionate and committed to deliver trauma-informed and culturally appropriate counseling to diverse and marginalized communities.
(201) 347-0550 View (201) 347-0550
Photo of Jada Bradberry, Clinical Social Work/Therapist in Hoboken, NJ
Jada Bradberry
Clinical Social Work/Therapist, LMSW
Verified Verified
Hoboken, NJ 07030
Therapy is an opportunity to explore oneself and make positive changes to improve your life. My ideal client is someone struggling with their thoughts and emotions. Many of my clients come to therapy burdened with excessive worry, sadness, fear, or guilt. As a therapist, I provide the safety of a supportive, non-judgmental relationship to explore one's challenges. Together, we explore how past and present life experiences contribute to current perceptions, thoughts, beliefs and patterns of behavior. Therapy with me focuses on empowerment, as I work to help my clients embrace their cultural identity and find areas of strength.
Therapy is an opportunity to explore oneself and make positive changes to improve your life. My ideal client is someone struggling with their thoughts and emotions. Many of my clients come to therapy burdened with excessive worry, sadness, fear, or guilt. As a therapist, I provide the safety of a supportive, non-judgmental relationship to explore one's challenges. Together, we explore how past and present life experiences contribute to current perceptions, thoughts, beliefs and patterns of behavior. Therapy with me focuses on empowerment, as I work to help my clients embrace their cultural identity and find areas of strength.
(646) 828-8903 View (646) 828-8903
Photo of Suruchi Saini, Licensed Professional Counselor in Hoboken, NJ
Suruchi Saini
Licensed Professional Counselor, MA, LPC, NCC, CCTP
Verified Verified
3 Endorsed
Hoboken, NJ 07030  (Online Only)
Waitlist for new clients
I am a Board Certified Counselor & TeleMental Health Provider. I am here to help & empower you to safely get you through challenges! Are your relationships, personal/professional issues causing stress, anxiety, unexplained sadness, self-doubt, restlessness, impulsiveness & feelings of hopelessness? Do you feel that you need to change these uncomfortable feelings/behaviors? Let's work together. I see you as an expert on your own life, and offer my expertise to achieve your goals to make positive & lasting changes. I will actively support & guide you to explore the obstacles you face & the old thought/behavioral patterns that undermine your happiness.
I am a Board Certified Counselor & TeleMental Health Provider. I am here to help & empower you to safely get you through challenges! Are your relationships, personal/professional issues causing stress, anxiety, unexplained sadness, self-doubt, restlessness, impulsiveness & feelings of hopelessness? Do you feel that you need to change these uncomfortable feelings/behaviors? Let's work together. I see you as an expert on your own life, and offer my expertise to achieve your goals to make positive & lasting changes. I will actively support & guide you to explore the obstacles you face & the old thought/behavioral patterns that undermine your happiness.
(908) 842-0053 View (908) 842-0053
Photo of Joelle Mora, Licensed Professional Counselor in Hoboken, NJ
Joelle Mora
Licensed Professional Counselor, LPC
Verified Verified
Hoboken, NJ 07030  (Online Only)
My counseling style is client-centered and collaborative. I believe that therapy is a partnership, and an important aspect of that partnership is feeling a supportive, trusting rapport with your clinician. I like to apply different techniques and aspects into therapy based on what each specific client presents with and would be helped by.
My counseling style is client-centered and collaborative. I believe that therapy is a partnership, and an important aspect of that partnership is feeling a supportive, trusting rapport with your clinician. I like to apply different techniques and aspects into therapy based on what each specific client presents with and would be helped by.
(201) 975-6284 View (201) 975-6284
Photo of Dayle A. Brenner Wild, LCSW-R, Clinical Social Work/Therapist in Hoboken, NJ
Dayle A. Brenner Wild, LCSW-R
Clinical Social Work/Therapist, LCSW-R, CCPS- C
Verified Verified
1 Endorsed
Hoboken, NJ 07030  (Online Only)
I have 20+ yrs experience. The first 10 yrs my emphasis was on eating disorders. I shifted to counseling adults who are considering or in the midst of ending a romantic partnership. It is common to feel stuck, experience emotional polarity and/or indecision. I have counseled many individuals at this juncture, offering objectivity, compassion and guidance. In addition, I am in process towards Certification with the esteemed Association of Partners of Sex Addicts Trauma Specialists (APSATS). Together, we will work towards restoring your confidence, increasing clarity, and the achievement of your desired outcome.
I have 20+ yrs experience. The first 10 yrs my emphasis was on eating disorders. I shifted to counseling adults who are considering or in the midst of ending a romantic partnership. It is common to feel stuck, experience emotional polarity and/or indecision. I have counseled many individuals at this juncture, offering objectivity, compassion and guidance. In addition, I am in process towards Certification with the esteemed Association of Partners of Sex Addicts Trauma Specialists (APSATS). Together, we will work towards restoring your confidence, increasing clarity, and the achievement of your desired outcome.
(201) 379-6702 View (201) 379-6702
Photo of Clark Thompson, Clinical Social Work/Therapist in Hoboken, NJ
Clark Thompson
Clinical Social Work/Therapist, LCSW
Verified Verified
Hoboken, NJ 07030  (Online Only)
I am a licensed clinical social worker who has been in practice for over 20 years translating practice into meaningful change for clients. It is my aim to teach clients effective coping skills that builds their self-confidence and eliminates self-doubt.
I am a licensed clinical social worker who has been in practice for over 20 years translating practice into meaningful change for clients. It is my aim to teach clients effective coping skills that builds their self-confidence and eliminates self-doubt.
(201) 503-3860 View (201) 503-3860
Photo of Penny Spector-Shleifer, Clinical Social Work/Therapist in Hoboken, NJ
Penny Spector-Shleifer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Hoboken, NJ 07030
The world we live in is complicated. Many of us are faced with uncertainty and harsh demands. It's often hard to function under so much pressure. My aim is to provide you with a nonjudgmental, supportive environment and to help you understand and face your challenges. I am a licensed clinical social worker with a Masters degree from the university of Southern California. I have over 15 years of experience working with families and adults of all ages. I work with a wide array of clinical issues including depression, anxiety, adjustment disorder, and relational difficulties.
The world we live in is complicated. Many of us are faced with uncertainty and harsh demands. It's often hard to function under so much pressure. My aim is to provide you with a nonjudgmental, supportive environment and to help you understand and face your challenges. I am a licensed clinical social worker with a Masters degree from the university of Southern California. I have over 15 years of experience working with families and adults of all ages. I work with a wide array of clinical issues including depression, anxiety, adjustment disorder, and relational difficulties.
(917) 924-4235 View (917) 924-4235
Photo of Danielle Fokschner, Counselor in Hoboken, NJ
Danielle Fokschner
Counselor, LMHC, LAC
Verified Verified
Hoboken, NJ 07030
I specialize in working with you on your journey to achieving greater wellness. I believe that the relationship between therapist and client is one of the most important parts of the therapeutic experience and strives to maintain an honest, safe, and transformative space for all of her clients. I especially enjoy working with young professionals, college-aged students, couples, and teens. I operate with a cross cultural perspective and is LGBTQ+ affirming. With my couples, I use the Gottman method.
I specialize in working with you on your journey to achieving greater wellness. I believe that the relationship between therapist and client is one of the most important parts of the therapeutic experience and strives to maintain an honest, safe, and transformative space for all of her clients. I especially enjoy working with young professionals, college-aged students, couples, and teens. I operate with a cross cultural perspective and is LGBTQ+ affirming. With my couples, I use the Gottman method.
(908) 402-3844 View (908) 402-3844
Photo of Brittany Santiago, Counselor in Hoboken, NJ
Brittany Santiago
Counselor, MA, LAC
Verified Verified
1 Endorsed
Hoboken, NJ 07030
Life’s struggles do not have to be weathered alone. Each individual seeking therapy has different needs that I assist clients in uncovering. I view therapy as a collaborative process, meeting clients where they are to help guide them toward seeing the change they want in their lives. For those who need to look within, I assist them on their journey toward self-fulfillment. My aim as a therapist is to create an environment that is free of judgment, in which clients experience a genuine, authentic therapeutic relationship that allows them to feel free to explore the issues they seek to resolve.
Life’s struggles do not have to be weathered alone. Each individual seeking therapy has different needs that I assist clients in uncovering. I view therapy as a collaborative process, meeting clients where they are to help guide them toward seeing the change they want in their lives. For those who need to look within, I assist them on their journey toward self-fulfillment. My aim as a therapist is to create an environment that is free of judgment, in which clients experience a genuine, authentic therapeutic relationship that allows them to feel free to explore the issues they seek to resolve.
(908) 975-1853 View (908) 975-1853
Photo of Steven D. Chen, Clinical Social Work/Therapist in Hoboken, NJ
Steven D. Chen
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Hoboken, NJ 07030
I am a dual licensed clinical social worker and licensed clinical addiction and drug counselor (LCSW and LCADC) with experience working with children, adolescents, adults and families in various care level and treatment environments. I strongly believe in the potential of the mind, body and spirit that empower each person to regain a balanced life, healthier relationship with others and the world. I am passionate in encouraging and empowering clients to learn and grow using various approaches meeting the unique needs of each client to resolve their issues.
I am a dual licensed clinical social worker and licensed clinical addiction and drug counselor (LCSW and LCADC) with experience working with children, adolescents, adults and families in various care level and treatment environments. I strongly believe in the potential of the mind, body and spirit that empower each person to regain a balanced life, healthier relationship with others and the world. I am passionate in encouraging and empowering clients to learn and grow using various approaches meeting the unique needs of each client to resolve their issues.
(201) 479-9760 View (201) 479-9760
Photo of Guiding Transformations, Clinical Social Work/Therapist in Hoboken, NJ
Guiding Transformations
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Hoboken, NJ 07030  (Online Only)
Engaging in therapy can be challenging for various reasons, and it's normal to have concerns that may make the process seem overwhelming. However, seeking help for your mental well-being is a sign of inner strength and resilience, which makes it all the more worthwhile. Whether your goal is to address concerns like anxiety, depression, life transitions, or trauma, we are dedicated to assisting you in your pursuit of healing. Our approach to therapy is holistic and person-centered, which means we prioritize your well-being and provide a safe space for self-discovery. We'll be there every step of the way, offering empathy and support.
Engaging in therapy can be challenging for various reasons, and it's normal to have concerns that may make the process seem overwhelming. However, seeking help for your mental well-being is a sign of inner strength and resilience, which makes it all the more worthwhile. Whether your goal is to address concerns like anxiety, depression, life transitions, or trauma, we are dedicated to assisting you in your pursuit of healing. Our approach to therapy is holistic and person-centered, which means we prioritize your well-being and provide a safe space for self-discovery. We'll be there every step of the way, offering empathy and support.
(908) 808-4442 View (908) 808-4442
Photo of Uttara Desai, Licensed Professional Counselor in Hoboken, NJ
Uttara Desai
Licensed Professional Counselor, LPC
Verified Verified
Hoboken, NJ 07030  (Online Only)
I am dedicated to helping individuals feel empowered and develop healthy growth-fostering connections through mutual empathy, authenticity, and genuineness. Within the therapeutic space, I strive to create an environment that is built on trust and safety. I strongly believe that the relationship between client and counselor is an agent of change and one of the most important alliances that can be created in a therapeutic relationship.
I am dedicated to helping individuals feel empowered and develop healthy growth-fostering connections through mutual empathy, authenticity, and genuineness. Within the therapeutic space, I strive to create an environment that is built on trust and safety. I strongly believe that the relationship between client and counselor is an agent of change and one of the most important alliances that can be created in a therapeutic relationship.
(201) 719-9783 View (201) 719-9783
Photo of Emily Henning, Licensed Professional Counselor in Hoboken, NJ
Emily Henning
Licensed Professional Counselor, LPC, CCTP
Verified Verified
1 Endorsed
Hoboken, NJ 07030
There is never a wrong, time, reason, or explanation to come see a therapist. I am ready to hear your stories of resilience and support you on this journey of self-exploration and growth! I have experience working with individuals, couples, and families in various mental health settings and various age groups. My specialties include eating disorders, anxiety, depression, relationship issues, life transitions, career stress, trauma, and body image concerns.
There is never a wrong, time, reason, or explanation to come see a therapist. I am ready to hear your stories of resilience and support you on this journey of self-exploration and growth! I have experience working with individuals, couples, and families in various mental health settings and various age groups. My specialties include eating disorders, anxiety, depression, relationship issues, life transitions, career stress, trauma, and body image concerns.
(201) 462-3948 View (201) 462-3948
Photo of Wellness Counseling, Licensed Professional Counselor in Hoboken, NJ
Wellness Counseling
Licensed Professional Counselor, PhD, LCSW, LPC
Verified Verified
Hoboken, NJ 07030
If you are struggling with depression, anxiety, feelings of low self-worth or want to make changes in your life we are here to help you. We will support you on your counseling journey but also challenge you and bring insight into your situation to show you where blindspots may occur. If you are in a new relationship and don't want to sabotage where things are going or are newly engaged or married we are here to help you transition to the next stage of your life. Our office works with a lot of clients experiencing a quarter life crisis figuring out the many challenges that happen after college into a work life balance.
If you are struggling with depression, anxiety, feelings of low self-worth or want to make changes in your life we are here to help you. We will support you on your counseling journey but also challenge you and bring insight into your situation to show you where blindspots may occur. If you are in a new relationship and don't want to sabotage where things are going or are newly engaged or married we are here to help you transition to the next stage of your life. Our office works with a lot of clients experiencing a quarter life crisis figuring out the many challenges that happen after college into a work life balance.
(551) 266-5518 View (551) 266-5518
Stephanie K Patten
Psychologist, PhD
Verified Verified
Hoboken, NJ 07030
I am a NJ licensed psychologist with over 20 years experience. I work with adults, couples, geriatrics and adolescents. I specialize in Women's Issues and personal problems related to anxiety, depression, relationship issues, life transitions and family of origin problems. I work within a psychodynamic/eclectic framework to resolve personal problems.
I am a NJ licensed psychologist with over 20 years experience. I work with adults, couples, geriatrics and adolescents. I specialize in Women's Issues and personal problems related to anxiety, depression, relationship issues, life transitions and family of origin problems. I work within a psychodynamic/eclectic framework to resolve personal problems.
(732) 255-4747 View (732) 255-4747
Photo of Alyson Smith, Marriage & Family Therapist in Hoboken, NJ
Alyson Smith
Marriage & Family Therapist, LMFT
Verified Verified
Hoboken, NJ 07030
Our life is composed of relationships. Whether romantic, platonic or familial, the dynamics of those connections often elucidate and define who we are. As a licensed Marriage and Family therapist, I work from a systemic framework to help you understand how your patterns of relating were developed, and how to overcome dysfunctional behaviors.
Our life is composed of relationships. Whether romantic, platonic or familial, the dynamics of those connections often elucidate and define who we are. As a licensed Marriage and Family therapist, I work from a systemic framework to help you understand how your patterns of relating were developed, and how to overcome dysfunctional behaviors.
(201) 279-6844 View (201) 279-6844
Photo of Roceny Gille, Licensed Professional Counselor in Hoboken, NJ
Roceny Gille
Licensed Professional Counselor, LPC
Verified Verified
Hoboken, NJ 07030  (Online Only)
Waitlist for new clients
I am invested in providing a safe and compassionate space for you to begin a journey of healing and self-discovery. As a therapist, I understand that seeing a therapist can be both terrifying but also liberating. It is my honor to guide you through this process with unconditional positive regard, respect, and no judgement. My experience (residential, hospital, schools, in-community) has shaped my deep appreciation for the uniqueness of each person; I tailor my therapeutic techniques to suit your specific needs and goals.
I am invested in providing a safe and compassionate space for you to begin a journey of healing and self-discovery. As a therapist, I understand that seeing a therapist can be both terrifying but also liberating. It is my honor to guide you through this process with unconditional positive regard, respect, and no judgement. My experience (residential, hospital, schools, in-community) has shaped my deep appreciation for the uniqueness of each person; I tailor my therapeutic techniques to suit your specific needs and goals.
(551) 345-5511 View (551) 345-5511

How does your Therapist compare?

Number of Therapists in Hoboken, NJ

500+

Average cost per session

$175

Therapists in Hoboken, NJ who prioritize treating:

96% Anxiety
89% Depression
78% Relationship Issues
78% Self Esteem
73% Stress
69% Life Transitions
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

84% Aetna
66% Cigna and Evernorth
60% UnitedHealthcare UHC | UBH

How Therapists in Hoboken, NJ see their clients

51% Online Only
49% In Person and Online

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Hoboken?

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.