Therapists in Mount Vernon, WA

Photo of Barbara Johnson, Marriage & Family Therapist in Mount Vernon, WA
Barbara Johnson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Mount Vernon, WA 98274
Updated pic coming soon! I CAN HELP YOU! I enjoy a wonderful reputation of 30 years. I am a warm and compassionate interactive therapist, with keen intuition. I love my work! I seek to reconcile people with important people in their lives, and to themselves, as well as alter the false beliefs they hold about themselves, others, the world and God, so that they can enjoy good self esteem and rewarding relationships. I will work with you to attain your goals, and will help you to set goals if you are unsure as to what they are. You will find acceptance & understanding in a non-shaming environment .
Updated pic coming soon! I CAN HELP YOU! I enjoy a wonderful reputation of 30 years. I am a warm and compassionate interactive therapist, with keen intuition. I love my work! I seek to reconcile people with important people in their lives, and to themselves, as well as alter the false beliefs they hold about themselves, others, the world and God, so that they can enjoy good self esteem and rewarding relationships. I will work with you to attain your goals, and will help you to set goals if you are unsure as to what they are. You will find acceptance & understanding in a non-shaming environment .
(425) 954-5903 View (425) 954-5903
Photo of Sandarah Abrahamson-Amun, Licensed Professional Counselor in Mount Vernon, WA
Sandarah Abrahamson-Amun
Licensed Professional Counselor, MA, LMHC
Verified Verified
1 Endorsed
Mount Vernon, WA 98273  (Online Only)
These are trying times and therapy can help you navigate them and get out of overwhelm. If you want to change the direction of your life, I can help. If you need help identifying your next steps, I'm here for that too.
These are trying times and therapy can help you navigate them and get out of overwhelm. If you want to change the direction of your life, I can help. If you need help identifying your next steps, I'm here for that too.
(360) 228-3322 View (360) 228-3322
Photo of Marla Johns, Counselor in Mount Vernon, WA
Marla Johns
Counselor, MS, MHP, LMHC
Verified Verified
Mount Vernon, WA 98273
Limited availability . . . schedule today. Here at "A New Tomorrow Therapy", I believe that life is a journey that no one is meant to walk through alone. So together, we can tackle whatever life has thrown your way. Whether you find yourself dealing with anxiety, depression, life transitions, grief, loss, parenting, family challenges, and/or any other major life difficulty; I am here to help you reach whatever your goals may be. Together, we will work to identify your own personal targets and a plan for how to get there.
Limited availability . . . schedule today. Here at "A New Tomorrow Therapy", I believe that life is a journey that no one is meant to walk through alone. So together, we can tackle whatever life has thrown your way. Whether you find yourself dealing with anxiety, depression, life transitions, grief, loss, parenting, family challenges, and/or any other major life difficulty; I am here to help you reach whatever your goals may be. Together, we will work to identify your own personal targets and a plan for how to get there.
(360) 230-1284 View (360) 230-1284
Photo of Mary Rice at Soft Landings Counseling, PLLC, Counselor in Mount Vernon, WA
Mary Rice at Soft Landings Counseling, PLLC
Counselor, LMHC
Verified Verified
1 Endorsed
Mount Vernon, WA 98273  (Online Only)
If you are someone in a difficult transition, feeling stuck, overwhelmed or hopeless, then you are in good company. Maybe you are able to function well in your life and hold it all together, but sense that if you keep going without getting help you will eventually reach a crisis point. With the right guidance you can release old patterns of behavior, belief systems and stories. Soft Landings seeks to provide a space for you to feel safe, to experience acceptance without judgment and to find healing, growth and transformation.
If you are someone in a difficult transition, feeling stuck, overwhelmed or hopeless, then you are in good company. Maybe you are able to function well in your life and hold it all together, but sense that if you keep going without getting help you will eventually reach a crisis point. With the right guidance you can release old patterns of behavior, belief systems and stories. Soft Landings seeks to provide a space for you to feel safe, to experience acceptance without judgment and to find healing, growth and transformation.
(360) 614-2065 View (360) 614-2065
Photo of Louis Vetri, Counselor in Mount Vernon, WA
Louis Vetri
Counselor, LMHCA, MFT, M Div
Verified Verified
Mount Vernon, WA 98273
Accepting new clients as of 03/14/23 for in-person and online sessions. Over the last 35 years, as a therapist, community social justice advocate/ activist and educator and as a Pastor; I have witnessed pain and healing occur around a number of life issues, a diverse level of formats and from a variety of different perspectives. Through stories, symbols and skills, we’ll work together to both uncover and anchor new learnings. You’ll have the opportunity to explore and engage your specific and unique gifts, challenges, vulnerabilities and strengths.
Accepting new clients as of 03/14/23 for in-person and online sessions. Over the last 35 years, as a therapist, community social justice advocate/ activist and educator and as a Pastor; I have witnessed pain and healing occur around a number of life issues, a diverse level of formats and from a variety of different perspectives. Through stories, symbols and skills, we’ll work together to both uncover and anchor new learnings. You’ll have the opportunity to explore and engage your specific and unique gifts, challenges, vulnerabilities and strengths.
(360) 872-6687 View (360) 872-6687
Photo of Melinda Boonstra, Clinical Social Work/Therapist in Mount Vernon, WA
Melinda Boonstra
Clinical Social Work/Therapist, LICSW
Verified Verified
Mount Vernon, WA 98273
Your thoughts are filled with constant worries. You plan everything perfectly to avoid the worst from coming true. You have been balancing too many plates and they are starting to crash. Maybe you have been crying without knowing why, irritable and impatient, and not sleeping well. You may also be having intrusive thoughts and panic attacks that are limiting what you can do. You need a change in your life; I can help. There is HOPE for a life with greater PEACE without constant worries, ruminations, or intrusive thoughts.
Your thoughts are filled with constant worries. You plan everything perfectly to avoid the worst from coming true. You have been balancing too many plates and they are starting to crash. Maybe you have been crying without knowing why, irritable and impatient, and not sleeping well. You may also be having intrusive thoughts and panic attacks that are limiting what you can do. You need a change in your life; I can help. There is HOPE for a life with greater PEACE without constant worries, ruminations, or intrusive thoughts.
(360) 531-6693 View (360) 531-6693
Photo of Emilee Draney, Marriage & Family Therapist Intern in Mount Vernon, WA
Emilee Draney
Marriage & Family Therapist Intern
Verified Verified
Mount Vernon, WA 98273
Currently accepting new clients. Life can be messy, traumatic, and hard; however, people are resilient and capable. Humans are complex and relationships can be a roller-coaster, but through it all, there is beauty found within the journey of life. Our sessions will be a place of warmth, compassion, connection, and authenticity where you will be validated and understood. I will meet you right where you are. Together, we will process through your story.
Currently accepting new clients. Life can be messy, traumatic, and hard; however, people are resilient and capable. Humans are complex and relationships can be a roller-coaster, but through it all, there is beauty found within the journey of life. Our sessions will be a place of warmth, compassion, connection, and authenticity where you will be validated and understood. I will meet you right where you are. Together, we will process through your story.
(360) 526-8763 View (360) 526-8763
Photo of Morgan Randall, Counselor in Mount Vernon, WA
Morgan Randall
Counselor, MA, LMHC
Verified Verified
Mount Vernon, WA 98273
Feeling hopeless too much of the time? Frustrated, angry or just plain sad? Wish you could communicate more successfully in relationship? No one must suffer, but sometimes it's hard to get things to change for the better without guidance and support. Pat yourself on the back for checking out this website. Next? Look around the Bodymind Counseling website for more info. Or if you're ready for change, just call and we'll chat. You can always just try one session to see if counseling with Morgan is the right move for you.
Feeling hopeless too much of the time? Frustrated, angry or just plain sad? Wish you could communicate more successfully in relationship? No one must suffer, but sometimes it's hard to get things to change for the better without guidance and support. Pat yourself on the back for checking out this website. Next? Look around the Bodymind Counseling website for more info. Or if you're ready for change, just call and we'll chat. You can always just try one session to see if counseling with Morgan is the right move for you.
(360) 930-6923 View (360) 930-6923
Photo of Hannah Smith, Counselor in Mount Vernon, WA
Hannah Smith
Counselor, MA, LMHC, CGP
Verified Verified
3 Endorsed
Mount Vernon, WA 98273
Not accepting new clients
Hello! I'm glad you're here! If you struggle with the effects of trauma, anxiety, or any other kind of emotional dysregulation & you are ready for change, let's talk! My groups will help you learn the skills you need to manage emotions, make wise decisions & build the abundant life you want! Please contact me for a free 15-minute consult to discuss this. The world is changing and you want to change with it - Group is one of the most powerful methods of therapy out there...and working in my groups gives you LOTS of extras. Check it out!
Hello! I'm glad you're here! If you struggle with the effects of trauma, anxiety, or any other kind of emotional dysregulation & you are ready for change, let's talk! My groups will help you learn the skills you need to manage emotions, make wise decisions & build the abundant life you want! Please contact me for a free 15-minute consult to discuss this. The world is changing and you want to change with it - Group is one of the most powerful methods of therapy out there...and working in my groups gives you LOTS of extras. Check it out!
(425) 947-2261 View (425) 947-2261
Photo of Sex Addiction Counseling, Chris Hebron, Marriage & Family Therapist in Mount Vernon, WA
Sex Addiction Counseling, Chris Hebron
Marriage & Family Therapist, MS, LMFT, SUDP, CSAT, EMDR
Verified Verified
Mount Vernon, WA 98274  (Online Only)
Coping with sex or porn addiction often feels shameful and painful. The clients I work with share that they struggled alone for many years before reaching out to me. If you are feeling lost and overwhelmed with out of control sexual behaviors that are hurting you or someone you love, I am here to help. With nearly a decade of experience as a licensed therapist and certified sex addiction therapist I use specific tools to help you focus on moving past the grip of sexually destructive behavior. Please believe you can heal, rebuild trust with your loved ones, and create a healthy life with loving relationships.
Coping with sex or porn addiction often feels shameful and painful. The clients I work with share that they struggled alone for many years before reaching out to me. If you are feeling lost and overwhelmed with out of control sexual behaviors that are hurting you or someone you love, I am here to help. With nearly a decade of experience as a licensed therapist and certified sex addiction therapist I use specific tools to help you focus on moving past the grip of sexually destructive behavior. Please believe you can heal, rebuild trust with your loved ones, and create a healthy life with loving relationships.
(360) 941-5185 View (360) 941-5185
Photo of Heather Moselle, Counselor in Mount Vernon, WA
Heather Moselle
Counselor, MS, LMHCA, NCC
Verified Verified
2 Endorsed
Mount Vernon, WA 98273  (Online Only)
Providing compassionate, non-judgmental, and highly-collaborative mental health care for each client or couple. Whether you have a clear problem, or your challenges feel too broad to narrow down- we'll explore these together. My aim is to help you gain deeper insight, problem-solve, and develop an actionable plan to move through life in a way that is congruent with your own values/beliefs.
Providing compassionate, non-judgmental, and highly-collaborative mental health care for each client or couple. Whether you have a clear problem, or your challenges feel too broad to narrow down- we'll explore these together. My aim is to help you gain deeper insight, problem-solve, and develop an actionable plan to move through life in a way that is congruent with your own values/beliefs.
(206) 678-0239 View (206) 678-0239
Photo of Lori Lubbers Counseling, Clinical Social Work/Therapist in Mount Vernon, WA
Lori Lubbers Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Mount Vernon, WA 98273
Do relationships stress you out? Are you lonely, angry, misunderstood, depressed, worried and afraid? Have you lost your sense of purpose and worry that life is hopeless or out of control? Do you doubt the things that you once held sacred? Are you exhausted trying to juggle all of the obligations in your life? Have your friends, family, or coworkers noticed that your struggles are suffocating your capacity for joy? Are you ready to begin the work of making healthy changes and living an abundant life?
Do relationships stress you out? Are you lonely, angry, misunderstood, depressed, worried and afraid? Have you lost your sense of purpose and worry that life is hopeless or out of control? Do you doubt the things that you once held sacred? Are you exhausted trying to juggle all of the obligations in your life? Have your friends, family, or coworkers noticed that your struggles are suffocating your capacity for joy? Are you ready to begin the work of making healthy changes and living an abundant life?
(360) 230-7784 View (360) 230-7784
Photo of Elizabeth Ellis, Clinical Social Work/Therapist in Mount Vernon, WA
Elizabeth Ellis
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Mount Vernon, WA 98273
I became a therapist because I saw the importance of sharing our stories without fear of judgment. It’s because of this understanding that I strive to create a space for you to feel safe to be your true self no matter where you are in your mental health journey. When working together, we will focus on your individual needs and goals–these could include anxiety, depression, life transitions, family conflict, or trauma just to name a few. Overall, my goal is to provide support in whatever area you're seeking therapy for.
I became a therapist because I saw the importance of sharing our stories without fear of judgment. It’s because of this understanding that I strive to create a space for you to feel safe to be your true self no matter where you are in your mental health journey. When working together, we will focus on your individual needs and goals–these could include anxiety, depression, life transitions, family conflict, or trauma just to name a few. Overall, my goal is to provide support in whatever area you're seeking therapy for.
(360) 502-7312 View (360) 502-7312
Photo of H Roksan Biktimir, Counselor in Mount Vernon, WA
H Roksan Biktimir
Counselor, PhD, LMHC, CTTS
Verified Verified
Mount Vernon, WA 98273
Not accepting new clients
It is a given that by being human we must deal with challenges in life. How we do that depends on the skills learned and adaptations made during our growing up years. We establish patterns of behavior and thinking that often interfere with our relationships and happiness. My goal in therapy is to help others identify their problem-causing patterns and learn to use effective life-management skills. My specialty is working with the present-day effects of childhood traumatic experiences, with a primary focus on relationship management skills.
It is a given that by being human we must deal with challenges in life. How we do that depends on the skills learned and adaptations made during our growing up years. We establish patterns of behavior and thinking that often interfere with our relationships and happiness. My goal in therapy is to help others identify their problem-causing patterns and learn to use effective life-management skills. My specialty is working with the present-day effects of childhood traumatic experiences, with a primary focus on relationship management skills.
(855) 844-5383 View (855) 844-5383
Photo of Jolanta Czaicka, Marriage & Family Therapist Associate in Mount Vernon, WA
Jolanta Czaicka
Marriage & Family Therapist Associate, MA, LMFTA, LMHCA, CCTP II, EMDR-C
Verified Verified
Mount Vernon, WA 98274  (Online Only)
Do you feel isolated and overwhelmed working from home? Would you like to improve the relationships in your life? Are you ashamed or embarrassed about your body? Through a therapeutic relationship, I will create a safe and confidential space to begin your exploration into healing. I am here not to teach you but to listen and help you discover your potential and build resiliency. I provide relational and individual therapy for couples, families, and individuals. With my experience working in Crisis and Suicide Prevention and Clinical Certification in Trauma Treatment, I am prepared to listen to complex and painful stories.
Do you feel isolated and overwhelmed working from home? Would you like to improve the relationships in your life? Are you ashamed or embarrassed about your body? Through a therapeutic relationship, I will create a safe and confidential space to begin your exploration into healing. I am here not to teach you but to listen and help you discover your potential and build resiliency. I provide relational and individual therapy for couples, families, and individuals. With my experience working in Crisis and Suicide Prevention and Clinical Certification in Trauma Treatment, I am prepared to listen to complex and painful stories.
(360) 504-4713 View (360) 504-4713
Photo of Skagit Psychotherapy , Counselor in Mount Vernon, WA
Skagit Psychotherapy
Counselor, MA, LMHC
Verified Verified
Mount Vernon, WA 98273
You’re on a unique journey. Your struggle matters. If you are reading this chances are you may be struggling in a particular area of life or with patterns of thinking, behaving and relating that are no longer serving your deeper intentions. When we are no longer aligned with our deeper intentions we can start to feel anxious or depressed or our relationships can suffer. Often outdated modes of coping learned early in life can become counterproductive. When we can increase positive coping, better regulate our emotions, and understand what our emotions are trying to tell us, we have increased success in all areas of life.
You’re on a unique journey. Your struggle matters. If you are reading this chances are you may be struggling in a particular area of life or with patterns of thinking, behaving and relating that are no longer serving your deeper intentions. When we are no longer aligned with our deeper intentions we can start to feel anxious or depressed or our relationships can suffer. Often outdated modes of coping learned early in life can become counterproductive. When we can increase positive coping, better regulate our emotions, and understand what our emotions are trying to tell us, we have increased success in all areas of life.
(360) 226-7387 View (360) 226-7387
Photo of Ryan Mathis, Counselor in Mount Vernon, WA
Ryan Mathis
Counselor, LMHC
Verified Verified
Mount Vernon, WA 98273
At certain points in life you will be presented with challenges that temporally overwhelm your ability to cope. Anxiety, depression, post-traumatic distress and other emotional and interpersonal problems are common responses to being overwhelmed.
At certain points in life you will be presented with challenges that temporally overwhelm your ability to cope. Anxiety, depression, post-traumatic distress and other emotional and interpersonal problems are common responses to being overwhelmed.
(360) 685-1329 View (360) 685-1329
Photo of Marcie Klevens, Counselor in Mount Vernon, WA
Marcie Klevens
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Mount Vernon, WA 98273  (Online Only)
I am trained in both EMDR and clinical hypnotherapy, which provide me with excellent tools to help you to discover the deeper meanings of the issues you are currently dealing with. These modalities enable my clients to see the bigger picture and are excellent tools for releasing trauma, desensitizing old pain and triggers and envisioning a new future. Real and lasting change can only happen when you heal the wound at its source, which can sometimes be deep inside the unconscious mind.
I am trained in both EMDR and clinical hypnotherapy, which provide me with excellent tools to help you to discover the deeper meanings of the issues you are currently dealing with. These modalities enable my clients to see the bigger picture and are excellent tools for releasing trauma, desensitizing old pain and triggers and envisioning a new future. Real and lasting change can only happen when you heal the wound at its source, which can sometimes be deep inside the unconscious mind.
(206) 607-2709 View (206) 607-2709
Photo of Marianne Shapiro, Counselor in Mount Vernon, WA
Marianne Shapiro
Counselor, MA, LMHC, TEP
Verified Verified
Mount Vernon, WA 98273
Not accepting new clients
I tend to be intuitive, supportive, flexible, challenging, creative and practical. I wonder, "How are you with yourself right now?" How can we now be with "what is" in a way that helpful? Big questions, good explorations. I have both creative and traditional methods to help you access hidden, healing aspects of yourself. I am willing and able to explore rough, soft, and complex terrain with you. I feel that all life is sacred and that we are here to help each other. I believe that when we are isolated from others and from ourselves, we are in trouble. Groups, individuals, and couples. I also train others in group work.
I tend to be intuitive, supportive, flexible, challenging, creative and practical. I wonder, "How are you with yourself right now?" How can we now be with "what is" in a way that helpful? Big questions, good explorations. I have both creative and traditional methods to help you access hidden, healing aspects of yourself. I am willing and able to explore rough, soft, and complex terrain with you. I feel that all life is sacred and that we are here to help each other. I believe that when we are isolated from others and from ourselves, we are in trouble. Groups, individuals, and couples. I also train others in group work.
(360) 972-3619 View (360) 972-3619
Photo of Merrie Day, Marriage & Family Therapist in Mount Vernon, WA
Merrie Day
Marriage & Family Therapist, PhD, MA, LMFT
Verified Verified
Mount Vernon, WA 98273  (Online Only)
Is life a struggle? Are your relationships causing you distress? Do you feel anxious, sad, or angry too much of the time. Do you want help in creating change that is lasting? Often we remain unaware of the limitations we place on ourselves and need a trained outside observer to help us recognize and change behaviors that keep us stuck.Together in therapy we focus on what you need to create a fulfilling life where you can feel connected and present with others and yourself. I will help you claim your happiness and emotional well being.
Is life a struggle? Are your relationships causing you distress? Do you feel anxious, sad, or angry too much of the time. Do you want help in creating change that is lasting? Often we remain unaware of the limitations we place on ourselves and need a trained outside observer to help us recognize and change behaviors that keep us stuck.Together in therapy we focus on what you need to create a fulfilling life where you can feel connected and present with others and yourself. I will help you claim your happiness and emotional well being.
(425) 954-5847 View (425) 954-5847

See more therapy options for Mount Vernon

How does your Therapist compare?

Number of Therapists in Mount Vernon, WA

100+

Average cost per session

$140

Therapists in Mount Vernon, WA who prioritize treating:

91% Anxiety
82% Depression
78% Relationship Issues
78% Self Esteem
73% Grief
72% Coping Skills
70% Stress

Average years in practice

11 Years

Top 3 insurances accepted

87% Premera
69% Regence
54% Aetna

How Therapists in Mount Vernon, WA see their clients

74% In Person and Online
26% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mount Vernon?

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.