Therapists in Bixby Knolls, Long Beach, CA

Dr. David Godot
Psychologist, PsyD
1 Endorsed
Bixby Knolls, Long Beach, CA 90807
I'm the chief psychologist at Psych Lab, a private mental health practice focused on using careful assessment and depth-oriented psychotherapy to help you achieve total health. Not just symptom relief - real mental health and well-being. Joy. Happiness. Fulfillment. Therapy at Psych Lab begins with an in-depth screening process that reveals a lot of personal strengths, needs, and personality aspects that other therapists will never even find out about. Then, you'll receive an in-depth, one-on-one evaluation to help develop that understanding into something actionable. What do we need to -do- to help you get un-stuck?
I'm the chief psychologist at Psych Lab, a private mental health practice focused on using careful assessment and depth-oriented psychotherapy to help you achieve total health. Not just symptom relief - real mental health and well-being. Joy. Happiness. Fulfillment. Therapy at Psych Lab begins with an in-depth screening process that reveals a lot of personal strengths, needs, and personality aspects that other therapists will never even find out about. Then, you'll receive an in-depth, one-on-one evaluation to help develop that understanding into something actionable. What do we need to -do- to help you get un-stuck?
(323) 553-7040 View (323) 553-7040
Ashley Kretzschmar
Marriage & Family Therapist, MA, LMFT
3 Endorsed
Bixby Knolls, Long Beach, CA 90807
Welcome! I help my clients find hope and purpose, resolve current emotional struggles, and create an abundant, thriving life. Anxiety, depression, marital distress and disconnection; worries, confusion, exhaustion, hopelessness...these are a few of the concerns that bring clients into my office. Together, we can understand these problems and find solutions to create a life of joy and meaning. My training has been in mood disorders, marital therapy, substance use and codependency, and trauma. I love helping clients reach their goals - great mental health, successful relationships, healthy boundaries, you name it!
Welcome! I help my clients find hope and purpose, resolve current emotional struggles, and create an abundant, thriving life. Anxiety, depression, marital distress and disconnection; worries, confusion, exhaustion, hopelessness...these are a few of the concerns that bring clients into my office. Together, we can understand these problems and find solutions to create a life of joy and meaning. My training has been in mood disorders, marital therapy, substance use and codependency, and trauma. I love helping clients reach their goals - great mental health, successful relationships, healthy boundaries, you name it!
(310) 307-3627 View (310) 307-3627
Rebecca Portney Child & Family Therapy
Marriage & Family Therapist, MA, LMFT
Bixby Knolls, Long Beach, CA 90807
I specialize in working with neurodiversity (Autism Spectrum Disorder, ADHD, developmental disabilities) and/or trauma, but I have expertise in working with a wide variety of mental health concerns including anxiety, depression, and grief.
I specialize in working with neurodiversity (Autism Spectrum Disorder, ADHD, developmental disabilities) and/or trauma, but I have expertise in working with a wide variety of mental health concerns including anxiety, depression, and grief.
(562) 469-5076 View (562) 469-5076
Tanya Montgomery
Marriage & Family Therapist, MA
1 Endorsed
Bixby Knolls, Long Beach, CA 90807
Are you ready to embrace your authentic self, messy parts and all? Whether you're battling addiction, navigating relationship challenges, healing from trauma, or seeking to understand your neurodivergent child better, I'm here to support you with empathy, creativity, and humor. Together, we'll find ways for you to dance with the challenges in your life instead of struggling against them. As a sex-positive, LGBTQ+-affirming therapist, I specialize in helping individuals and couples forge new, more fulfilling paths forward.
Are you ready to embrace your authentic self, messy parts and all? Whether you're battling addiction, navigating relationship challenges, healing from trauma, or seeking to understand your neurodivergent child better, I'm here to support you with empathy, creativity, and humor. Together, we'll find ways for you to dance with the challenges in your life instead of struggling against them. As a sex-positive, LGBTQ+-affirming therapist, I specialize in helping individuals and couples forge new, more fulfilling paths forward.
(562) 620-3912 View (562) 620-3912
Veronica Williams
Marriage & Family Therapist, LMFT
Bixby Knolls, Long Beach, CA 90807
You're successful on the outside, but something still feels off. Navigating a high-pressure career, major life transitions, or relationship struggles? Beneath the external stability, past trauma or conflicting feelings may leave you disconnected from your true self. I provide a supportive space to heal old wounds, process life's complexities, and move toward a more authentic, balanced life.
You're successful on the outside, but something still feels off. Navigating a high-pressure career, major life transitions, or relationship struggles? Beneath the external stability, past trauma or conflicting feelings may leave you disconnected from your true self. I provide a supportive space to heal old wounds, process life's complexities, and move toward a more authentic, balanced life.
(562) 524-1898 View (562) 524-1898
Holt Consulting LLC
Marriage & Family Therapist, LMFT, CCSP
3 Endorsed
Bixby Knolls, Long Beach, CA 90807
My specialties include: Depression, Anxiety, Trauma, Individual and couple's therapy, Parenting, Self-Esteem, Personal Growth, Stress Management and ADHD interventions. As a trained EFT therapist, I strive to guide couples struggling with connection and intimacy issues through a road to a healthier more fulfilling security they may not have thought possible. It is a privilege to work with my clients in utilizing their strengths to safely and compassionately discover a path towards healing and resolution.
My specialties include: Depression, Anxiety, Trauma, Individual and couple's therapy, Parenting, Self-Esteem, Personal Growth, Stress Management and ADHD interventions. As a trained EFT therapist, I strive to guide couples struggling with connection and intimacy issues through a road to a healthier more fulfilling security they may not have thought possible. It is a privilege to work with my clients in utilizing their strengths to safely and compassionately discover a path towards healing and resolution.
(562) 539-4298 View (562) 539-4298
Aimee McCaffrey Brasher
Marriage & Family Therapist, MS, MFT
1 Endorsed
Bixby Knolls, Long Beach, CA 90807
Finding a therapist you connect with is a journey that requires patience and courage. I see my role as your collaborative partner, working alongside you to build a space where you feel truly heard and understood. Together, we will explore your experiences and develop personalized tools to manage life’s stressors. My goal is to help you gain the insight and resilience needed to heal and grow in a way that is as unique as you are. I was born and raised in Southern California, providing mental health services in Long Beach, Bixby area for over 25 years.
Finding a therapist you connect with is a journey that requires patience and courage. I see my role as your collaborative partner, working alongside you to build a space where you feel truly heard and understood. Together, we will explore your experiences and develop personalized tools to manage life’s stressors. My goal is to help you gain the insight and resilience needed to heal and grow in a way that is as unique as you are. I was born and raised in Southern California, providing mental health services in Long Beach, Bixby area for over 25 years.
(562) 354-8634 View (562) 354-8634
Oscar Sermeno
Marriage & Family Therapist Associate, MA
1 Endorsed
Bixby Knolls, Long Beach, CA 90807
Does it ever feel like no one truly sees what you're going through? In my therapy work, I create a sanctuary where you can finally let your guard down. I'll help you understand and accept yourself, opening up to the people and experiences you want most. As a trauma-informed therapist from an immigrant family, I understand the strain of balancing conflicting cultural demands. I've seen how early trauma can make life's joys feel out of reach. I'm experienced in helping people recover from domestic violence, sexual abuse, military trauma, and addictions. Think of my approach as building a bridge between your past and your potential.
Does it ever feel like no one truly sees what you're going through? In my therapy work, I create a sanctuary where you can finally let your guard down. I'll help you understand and accept yourself, opening up to the people and experiences you want most. As a trauma-informed therapist from an immigrant family, I understand the strain of balancing conflicting cultural demands. I've seen how early trauma can make life's joys feel out of reach. I'm experienced in helping people recover from domestic violence, sexual abuse, military trauma, and addictions. Think of my approach as building a bridge between your past and your potential.
(562) 667-3524 View (562) 667-3524
Rachel Barraza
Clinical Social Work/Therapist, LCSW
1 Endorsed
Bixby Knolls, Long Beach, CA 90807
Imagine a life where your emotions empower rather than overwhelm you. As a DBT-trained, attachment-based therapist, I'm like a skilled navigator — helping adolescents and adults chart a course through the stormy seas of intense feelings and impulsive behaviors. Drawing on mindfulness techniques and a deep appreciation for cultural diversity, I create a safe space for you to explore your inner world and develop new ways of relating to yourself and others. My clients have said our sessions were like finally finding a lighthouse in the darkness: illuminating, guiding, and ultimately transformative.
Imagine a life where your emotions empower rather than overwhelm you. As a DBT-trained, attachment-based therapist, I'm like a skilled navigator — helping adolescents and adults chart a course through the stormy seas of intense feelings and impulsive behaviors. Drawing on mindfulness techniques and a deep appreciation for cultural diversity, I create a safe space for you to explore your inner world and develop new ways of relating to yourself and others. My clients have said our sessions were like finally finding a lighthouse in the darkness: illuminating, guiding, and ultimately transformative.
(562) 545-4954 View (562) 545-4954
Nicolette Zangari
Psychologist, PhD
1 Endorsed
Bixby Knolls, Long Beach, CA 90807
Feeling lost in the maze of your own experiences? I'll help you navigate trauma, identity, and relationships — illuminating paths to healing you might not see alone. With a background in clinical research on gender and sexuality issues, and extensive clinical experience helping veterans reclaim their lives from PTSD, I bring a unique blend of expertise and genuine care to our work together. I've worked with the most severe cases of psychosis and personality disorder, all the way to ordinary grief, anxiety, and questions of meaning.
Feeling lost in the maze of your own experiences? I'll help you navigate trauma, identity, and relationships — illuminating paths to healing you might not see alone. With a background in clinical research on gender and sexuality issues, and extensive clinical experience helping veterans reclaim their lives from PTSD, I bring a unique blend of expertise and genuine care to our work together. I've worked with the most severe cases of psychosis and personality disorder, all the way to ordinary grief, anxiety, and questions of meaning.
(562) 393-6581 View (562) 393-6581
Sana Psychotherapy Co.
Marriage & Family Therapist, MS, LMFT
10 Endorsed
Bixby Knolls, Long Beach, CA 90807
Our psyche is a wonderfully deep and complex place. Shaped by our experiences, early connections, and impacting our day to day lives and relationships, often times keeping us from living the life we want. I hope to help you walk through fear, notice patterns, know yourself, hold space for all the scary uncomfortable feelings we tend to avoid, acknowledge what arises internally that keeps you from making space for your experience, and to help you create more of a life you desire. You have the answers inside of you; your feelings are speaking to you, and I want to help you listen so we can come to know what’s next.
Our psyche is a wonderfully deep and complex place. Shaped by our experiences, early connections, and impacting our day to day lives and relationships, often times keeping us from living the life we want. I hope to help you walk through fear, notice patterns, know yourself, hold space for all the scary uncomfortable feelings we tend to avoid, acknowledge what arises internally that keeps you from making space for your experience, and to help you create more of a life you desire. You have the answers inside of you; your feelings are speaking to you, and I want to help you listen so we can come to know what’s next.
(949) 649-2356 View (949) 649-2356
Wendy N. Block
Clinical Social Work/Therapist, LCSW
Bixby Knolls, Long Beach, CA 90807
I have been a psychotherapist for over 25 years, and have developed a practical, effective approach to treatment, using both short and longer term models of therapy. Through my work, I have seen many people improve their lives and feel better about themselves. I work with individuals and couples experiencing varying levels of disruption and crisis, and those searching for a greater sense of calm, meaning and life purpose. You will find that I am warm, down-to-earth and compassionate. The most rewarding part of my work is to see people change, move on and reach their full potential.
I have been a psychotherapist for over 25 years, and have developed a practical, effective approach to treatment, using both short and longer term models of therapy. Through my work, I have seen many people improve their lives and feel better about themselves. I work with individuals and couples experiencing varying levels of disruption and crisis, and those searching for a greater sense of calm, meaning and life purpose. You will find that I am warm, down-to-earth and compassionate. The most rewarding part of my work is to see people change, move on and reach their full potential.
(562) 655-8668 View (562) 655-8668
Ivory Rose Wellness Counseling
Clinical Social Work/Therapist, LCSW
1 Endorsed
Bixby Knolls, Long Beach, CA 90807
Many children and adolescents have a challenging time as they develop their identities/personalities. These youths are facing obstacles that are unique to their generation, and so they may be struggling with finding and using their voices, understanding their thoughts and feelings, and feeling confident as they maneuver from one day to the next. Many may struggle with internal and external triggers that they do not know how to tackle. But how can they tackle something that they have not learned?
Many children and adolescents have a challenging time as they develop their identities/personalities. These youths are facing obstacles that are unique to their generation, and so they may be struggling with finding and using their voices, understanding their thoughts and feelings, and feeling confident as they maneuver from one day to the next. Many may struggle with internal and external triggers that they do not know how to tackle. But how can they tackle something that they have not learned?
(562) 207-5471 View (562) 207-5471
Diana Kang
Psychologist, PsyD
Bixby Knolls, Long Beach, CA 90807
Dr. Diana Cho Kang is a licensed Psychologist and comes to Roots Through Recovery with a strong clinical background specializing in all levels of care in various settings. Dr. Kang has managed and developed several programs for both residential and outpatient programs. Most recently, she served as the Chief Clinical Officer for a nonprofit organization and has treated and overseen the clinical services for clients with substance use disorders, co-occurring disorders, mood disorders, psychotic disorders and personality disorders.
Dr. Diana Cho Kang is a licensed Psychologist and comes to Roots Through Recovery with a strong clinical background specializing in all levels of care in various settings. Dr. Kang has managed and developed several programs for both residential and outpatient programs. Most recently, she served as the Chief Clinical Officer for a nonprofit organization and has treated and overseen the clinical services for clients with substance use disorders, co-occurring disorders, mood disorders, psychotic disorders and personality disorders.
(562) 991-6753 x106 View (562) 991-6753 x106
Joshua Pannell
Drug & Alcohol Counselor, CATCIII
Bixby Knolls, Long Beach, CA 90807
After over 15 years battling addiction and experiencing trauma, seeking relief from my own pain, I found a new way of life. Leaving the corporate world, I set on a path of service, connecting to individuals and families seeking healing of their own. Over the last two and a half decades on both sides, I gained invaluable experience working with several organizations in admissions, case management, counseling, aftercare and intervention as well as volunteering time whenever possible. Recovery is about finding healing for the individual and family while learning to communicate in a new way.
After over 15 years battling addiction and experiencing trauma, seeking relief from my own pain, I found a new way of life. Leaving the corporate world, I set on a path of service, connecting to individuals and families seeking healing of their own. Over the last two and a half decades on both sides, I gained invaluable experience working with several organizations in admissions, case management, counseling, aftercare and intervention as well as volunteering time whenever possible. Recovery is about finding healing for the individual and family while learning to communicate in a new way.
(562) 222-0485 View (562) 222-0485
Sara Medina
Associate Clinical Social Worker, MA, ASW
Bixby Knolls, Long Beach, CA 90807
Hi there! I am a therapist who is adept at cultivating a warm and secure environment for my clients, allowing them space to safely explore and process difficult thoughts, feelings, and behavioral patterns. Through genuine rapport, a sensitivity to the unique needs of each client, and deep clinical expertise, I assists my clients to develop healthy and productive coping skills, communicate effectively with others, and establish a positive and gratifying self-concept. I have specialized training in trauma, anxiety, depression, and grief.
Hi there! I am a therapist who is adept at cultivating a warm and secure environment for my clients, allowing them space to safely explore and process difficult thoughts, feelings, and behavioral patterns. Through genuine rapport, a sensitivity to the unique needs of each client, and deep clinical expertise, I assists my clients to develop healthy and productive coping skills, communicate effectively with others, and establish a positive and gratifying self-concept. I have specialized training in trauma, anxiety, depression, and grief.
(562) 837-0021 View (562) 837-0021
Irene Lara - Integrative Therapy
Clinical Social Work/Therapist, PsyD, LCSW, MSW
3 Endorsed
Bixby Knolls, Long Beach, CA 90807
All is Possible, with Gentleness. -Todo es posible con paciencia.- I am so glad that you are making a big difference in your life. What a courageous and honorable decision. Would you like to call me? Let's have a conversation, & see if we are a good fit. Allow me to embark with you on this journey. Want better sleep? Oxygenate the body. Plus, Breath-Body-Mind meditation taught: Improve Creativity, have more internal Mental, Emotional, Financial Stability, increase Focus and concentration, eliminate trauma, improve Confidence and Relationships. Hope to speak soon. - - Favor de llamarme para tener una conversacion mas profunda.
All is Possible, with Gentleness. -Todo es posible con paciencia.- I am so glad that you are making a big difference in your life. What a courageous and honorable decision. Would you like to call me? Let's have a conversation, & see if we are a good fit. Allow me to embark with you on this journey. Want better sleep? Oxygenate the body. Plus, Breath-Body-Mind meditation taught: Improve Creativity, have more internal Mental, Emotional, Financial Stability, increase Focus and concentration, eliminate trauma, improve Confidence and Relationships. Hope to speak soon. - - Favor de llamarme para tener una conversacion mas profunda.
(323) 739-7975 View (323) 739-7975
Kira Xiong
Marriage & Family Therapist Associate, MS
1 Endorsed
Bixby Knolls, Long Beach, CA 90807
Feeling lost in the shadows of life? As someone who's navigated the darkness of physical disabilities and identity crises, I understand the weight of feeling stuck. Together, we'll illuminate your path to self-discovery and healing. My approach blends attachment-based psychotherapy with mindfulness techniques, creating a safe space for you to explore your deepest fears and greatest hopes. Whether you're grappling with trauma, relationship issues, or a sense of purposelessness, I'm here to guide you towards the life you deserve.
Feeling lost in the shadows of life? As someone who's navigated the darkness of physical disabilities and identity crises, I understand the weight of feeling stuck. Together, we'll illuminate your path to self-discovery and healing. My approach blends attachment-based psychotherapy with mindfulness techniques, creating a safe space for you to explore your deepest fears and greatest hopes. Whether you're grappling with trauma, relationship issues, or a sense of purposelessness, I'm here to guide you towards the life you deserve.
(562) 554-6101 View (562) 554-6101
Hailey Hause
Marriage & Family Therapist, MS
2 Endorsed
Bixby Knolls, Long Beach, CA 90807
Does it feel like your inner voice is your worst enemy? I'll help you overcome self-doubt and learn to enjoy the present moment. How? By helping repair the wounds of the past, making way for self-respect and appreciation. There are plenty of reasons you might be so hard on yourself. Maybe you grew up feeling "not good enough." So now that shows up in relationships as insecurity and fear of abandonment. At work, you pressure yourself to be "perfect." And now you're looking for therapy (likely feeling pressure to find just the right therapist so you don't fall short in your personal growth and reinforce all of those self-doubts.)
Does it feel like your inner voice is your worst enemy? I'll help you overcome self-doubt and learn to enjoy the present moment. How? By helping repair the wounds of the past, making way for self-respect and appreciation. There are plenty of reasons you might be so hard on yourself. Maybe you grew up feeling "not good enough." So now that shows up in relationships as insecurity and fear of abandonment. At work, you pressure yourself to be "perfect." And now you're looking for therapy (likely feeling pressure to find just the right therapist so you don't fall short in your personal growth and reinforce all of those self-doubts.)
(562) 451-8391 View (562) 451-8391
Esther Rosales
Marriage & Family Therapist, MA, LMFT
Bixby Knolls, Long Beach, CA 90807
Hi, my name is Esther Rosales and I am licensed Marriage & Family Therapist. I bring a fresh approach to psychotherapy and invite you to call me for a free consultation. I provide services to families, couples, and adults in the Los Angeles area. We will work together to overcome whatever challenge you may be struggling with. My experience includes working with those navigating challenges in Grief & Loss, Relationships, depression, anxiety, trauma, and interpersonal difficulties. Hola, mi nombre es Esther Rosales, ofrezco un enfoque refrescante a la psicoterapia. Llama me para una consulta gratuita.
Hi, my name is Esther Rosales and I am licensed Marriage & Family Therapist. I bring a fresh approach to psychotherapy and invite you to call me for a free consultation. I provide services to families, couples, and adults in the Los Angeles area. We will work together to overcome whatever challenge you may be struggling with. My experience includes working with those navigating challenges in Grief & Loss, Relationships, depression, anxiety, trauma, and interpersonal difficulties. Hola, mi nombre es Esther Rosales, ofrezco un enfoque refrescante a la psicoterapia. Llama me para una consulta gratuita.
(323) 680-5986 View (323) 680-5986

How does your Therapist compare?

Number of Therapists in Bixby Knolls, Long Beach, CA

80+

Average cost per session

$175

Therapists in Bixby Knolls, Long Beach, CA who prioritize treating:

91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
84% Depression
76% Relationship Issues
74% Self Esteem

Average years in practice

13 Years

Top 3 insurances accepted

84% Aetna
56% Cigna and Evernorth
47% Anthem

How Therapists in Bixby Knolls, Long Beach, CA see their clients

53% Online Only
47% In Person and Online

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bixby Knolls?

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.