Therapists in Oakland Ave-Harrison St, Oakland, CA

Photo of Emily Vogel, Psychologist, PsyD
Emily Vogel
Psychologist, PsyD
Oakland Ave-Harrison St, Oakland, CA 94610
I work with folks with a range of concerns, including challenges with anxiety, perfectionism, self-criticism and self-doubt, difficulty with emotion regulation, relationship concerns and challenging life transitions. I also have specialized training in evidence-based treatments for eating disorders and trauma-related disorders, and enjoy working with folks who are seeking to "take back" control from the ways disordered eating and/or trauma has impacted their lives.
I work with folks with a range of concerns, including challenges with anxiety, perfectionism, self-criticism and self-doubt, difficulty with emotion regulation, relationship concerns and challenging life transitions. I also have specialized training in evidence-based treatments for eating disorders and trauma-related disorders, and enjoy working with folks who are seeking to "take back" control from the ways disordered eating and/or trauma has impacted their lives.
(650) 383-1753 View (650) 383-1753
Photo of Alissa Vannet, Psychologist, PsyD
Alissa Vannet
Psychologist, PsyD
Oakland Ave-Harrison St, Oakland, CA 94610
I have a profound commitment to support individuals and families through complex emotional and psychological challenges. My approach is grounded in creating a compassionate, safe, and healing environment where every individual is seen, heard, and understood. I work with teens, young adults, adults, couples, and families. I offer individual and family sessions, as well as parent coaching and co-parent counseling. For co-parenting counseling my goal is to keep your child's needs front and center when creating a parenting plan.
I have a profound commitment to support individuals and families through complex emotional and psychological challenges. My approach is grounded in creating a compassionate, safe, and healing environment where every individual is seen, heard, and understood. I work with teens, young adults, adults, couples, and families. I offer individual and family sessions, as well as parent coaching and co-parent counseling. For co-parenting counseling my goal is to keep your child's needs front and center when creating a parenting plan.
(415) 449-9641 View (415) 449-9641
Photo of Lauren Chester, Art Therapist, ATR-BC, LCAT
Lauren Chester
Art Therapist, ATR-BC, LCAT
Oakland Ave-Harrison St, Oakland, CA 94610
Lauren Chester (she/they) is a registered and board-certified art therapist (ATR-BC) who is passionate about cultivating environments where people can practice sharing their whole selves. Lauren believes in the process of art as a conduit for communication and expression and is passionate about the use of art to encourage meaningful conversations. Lauren’s practice of Art Therapy has been heavily influenced by the Disability Justice and Healing Justice movements and is non-hierarchical, co-creative, and gender-affirming.
Lauren Chester (she/they) is a registered and board-certified art therapist (ATR-BC) who is passionate about cultivating environments where people can practice sharing their whole selves. Lauren believes in the process of art as a conduit for communication and expression and is passionate about the use of art to encourage meaningful conversations. Lauren’s practice of Art Therapy has been heavily influenced by the Disability Justice and Healing Justice movements and is non-hierarchical, co-creative, and gender-affirming.
(510) 369-4820 View (510) 369-4820
Photo of Tonia Herrero - East Bay Art Therapy, Art Therapist, MPS, ATR-BC, LCAT, ATCS
East Bay Art Therapy
Art Therapist, MPS, ATR-BC, LCAT, ATCS
6 Endorsed
Oakland Ave-Harrison St, Oakland, CA 94610
Have you always felt like a square peg in a round hole? Does the world not feel safe to just be you? Or maybe it's your child that's not getting anywhere in talk therapy because they just don't feel like talking? Art Therapy may be the answer! We help you gain a new perspective and see your problems with fresh eyes. The creative process is a powerful form of expression enabling you to release the tension and stress in your body, look at the tangible object you created, and learn about yourself on a deeper level. It is this insight that empowers you to step into the the most authentic version of yourself and live your best life!
Have you always felt like a square peg in a round hole? Does the world not feel safe to just be you? Or maybe it's your child that's not getting anywhere in talk therapy because they just don't feel like talking? Art Therapy may be the answer! We help you gain a new perspective and see your problems with fresh eyes. The creative process is a powerful form of expression enabling you to release the tension and stress in your body, look at the tangible object you created, and learn about yourself on a deeper level. It is this insight that empowers you to step into the the most authentic version of yourself and live your best life!
(510) 350-3061 View (510) 350-3061
Photo of Alexandra Katsarelis, Psychologist, PsyD
Alexandra Katsarelis
Psychologist, PsyD
Oakland Ave-Harrison St, Oakland, CA 94610
I love working with individual adults and couples facing challenges related to anxiety, trauma, self-compassion, perinatal mental health, sexual wellbeing, and relationship dynamics. In therapy we will create a compassionate and collaborative space in which we can examine roadblocks to your wellbeing and help you move towards the life that you would like to lead. Together we will highlight your innate strengths and resilience, as well as develop new skills and insight.
I love working with individual adults and couples facing challenges related to anxiety, trauma, self-compassion, perinatal mental health, sexual wellbeing, and relationship dynamics. In therapy we will create a compassionate and collaborative space in which we can examine roadblocks to your wellbeing and help you move towards the life that you would like to lead. Together we will highlight your innate strengths and resilience, as well as develop new skills and insight.
(650) 648-2078 View (650) 648-2078
Photo of Tatiana Stewart, Clinical Social Work/Therapist, LCSW
Tatiana Stewart
Clinical Social Work/Therapist, LCSW
Oakland Ave-Harrison St, Oakland, CA 94611
I’m Tatiana G. Stewart, LCSW, a trauma‑informed clinician with 20 years of community and clinical leadership. I’m currently accepting new clients. I support teens, adults, women, and families navigating trauma, anxiety, grief, life transitions, relationship stress, and emotional overwhelm. I have a strong background working with foster care, community mental health, and underserved families. My goal is to create a space where you feel seen, heard, valued, and supported without judgment while working through life’s challenges at your own pace.
I’m Tatiana G. Stewart, LCSW, a trauma‑informed clinician with 20 years of community and clinical leadership. I’m currently accepting new clients. I support teens, adults, women, and families navigating trauma, anxiety, grief, life transitions, relationship stress, and emotional overwhelm. I have a strong background working with foster care, community mental health, and underserved families. My goal is to create a space where you feel seen, heard, valued, and supported without judgment while working through life’s challenges at your own pace.
(510) 591-5094 View (510) 591-5094
Photo of Dr. Erica Suzanne Pool - Peninsula Behavioral Health, Psychologist, PsyD
Peninsula Behavioral Health
Psychologist, PsyD
Oakland Ave-Harrison St, Oakland, CA 94610
Working together, we will co-create markers of success on the path towards your therapeutic goals, anchoring our work both in the evidence base and the stories and realities of each of our lived experiences. I am trained in modern trauma-informed and culturally-affirming behavioral therapies, including ACT, CBT, DBT, MBSR, and schema-based work.
Working together, we will co-create markers of success on the path towards your therapeutic goals, anchoring our work both in the evidence base and the stories and realities of each of our lived experiences. I am trained in modern trauma-informed and culturally-affirming behavioral therapies, including ACT, CBT, DBT, MBSR, and schema-based work.
(650) 770-1914 View (650) 770-1914
Photo of Sahil Sharma, Psychologist, PsyD
Sahil Sharma
Psychologist, PsyD
1 Endorsed
Oakland Ave-Harrison St, Oakland, CA 94610
Psychotherapy is an intimately personal endeavor, that can provide a safe space for curiosity, exploration, and meaning-making of our lives and histories. I approach therapy through a relational psychodynamic lens, which means that I view mental health and well-being as being deeply interconnected with our relationships, experiences, and cultural identities. Each individual seeks therapy for unique reasons and carries a complex personal history, I tailor each treatment to meet your specific needs, goals, strengths, and cultural background.
Psychotherapy is an intimately personal endeavor, that can provide a safe space for curiosity, exploration, and meaning-making of our lives and histories. I approach therapy through a relational psychodynamic lens, which means that I view mental health and well-being as being deeply interconnected with our relationships, experiences, and cultural identities. Each individual seeks therapy for unique reasons and carries a complex personal history, I tailor each treatment to meet your specific needs, goals, strengths, and cultural background.
(510) 756-2302 View (510) 756-2302
Photo of LaToya Braxton, Marriage & Family Therapist, LMFT, MEd, EdS
LaToya Braxton
Marriage & Family Therapist, LMFT, MEd, EdS
Oakland Ave-Harrison St, Oakland, CA 94610
What would it be like to be understood? No really?! The journey truly starts when we first seek to understand ourselves. Through personalized, identity affirming intervention and an unconditional judge-free zone, I implement healthy relationship building with each one of my clients first. As a result, trust can be established and influences you to be empowered yet vulnerable, ultimately leading to healthy behavior modification and a deeper awareness of how to thrive even through adversity.
What would it be like to be understood? No really?! The journey truly starts when we first seek to understand ourselves. Through personalized, identity affirming intervention and an unconditional judge-free zone, I implement healthy relationship building with each one of my clients first. As a result, trust can be established and influences you to be empowered yet vulnerable, ultimately leading to healthy behavior modification and a deeper awareness of how to thrive even through adversity.
(510) 380-7541 View (510) 380-7541
Photo of Kate Ekman, Psychologist, PsyD
Kate Ekman
Psychologist, PsyD
Oakland Ave-Harrison St, Oakland, CA 94610
Could your child use some help with managing big feelings and impulses? Are these difficulties interfering with their functioning at school, home, or with friends? Does your child struggle with constant worrying or anxious ruminations? Are their fears getting in the way of their ability to enjoy life? My therapeutic skills groups are designed for kids who could use work on emotional regulation, social skills, and managing anxiety. Confidence Club can help your child master those skills and build confidence for life! Kids' groups are 12 week modules. Teen anxiety support group accepting ongoing referrals.
Could your child use some help with managing big feelings and impulses? Are these difficulties interfering with their functioning at school, home, or with friends? Does your child struggle with constant worrying or anxious ruminations? Are their fears getting in the way of their ability to enjoy life? My therapeutic skills groups are designed for kids who could use work on emotional regulation, social skills, and managing anxiety. Confidence Club can help your child master those skills and build confidence for life! Kids' groups are 12 week modules. Teen anxiety support group accepting ongoing referrals.
(510) 694-2514 View (510) 694-2514
Photo of Zaina Berger, Pre-Licensed Professional, AMFT, ATR-P
Zaina Berger
Pre-Licensed Professional, AMFT, ATR-P
Oakland Ave-Harrison St, Oakland, CA 94610
Are you struggling with anxiety, depression, or identity struggles? Are you navigating a transitional phase in your life and overwhelmed with stress, pressure, or grief? Is your child or teen experiencing school stress, self-esteems issues or problems with peer relationships? Using a strength based informed approach, we will work collaboratively and creatively to meet your goals. I will help you access coping skills and hold space for emotional expression. I specialize in identity struggles, perfectionism, social media pressure, body image concerns, disordered eating, and trauma.
Are you struggling with anxiety, depression, or identity struggles? Are you navigating a transitional phase in your life and overwhelmed with stress, pressure, or grief? Is your child or teen experiencing school stress, self-esteems issues or problems with peer relationships? Using a strength based informed approach, we will work collaboratively and creatively to meet your goals. I will help you access coping skills and hold space for emotional expression. I specialize in identity struggles, perfectionism, social media pressure, body image concerns, disordered eating, and trauma.
(510) 390-7014 View (510) 390-7014
Photo of Lily Krutel, Clinical Social Work/Therapist, LCSW
Lily Krutel
Clinical Social Work/Therapist, LCSW
3 Endorsed
Oakland Ave-Harrison St, Oakland, CA 94606
Experiencing harm from caregivers, family of origin, or partners can wound us deeply. The painful memories continue to overshadow your daily life. You find yourself in similar relationships, making yourself small in order to get some semblance of love or safety. You spend so much energy anticipating and attending to others’ emotions and needs, that yours are overlooked. You feel like you have abandoned yourself. Whether you are recovering from an unhealthy or abusive relationship, or seeking to more fully embody your lived gender, you’re ready to work with a specialist who can help you heal and embrace your full, authentic self.
Experiencing harm from caregivers, family of origin, or partners can wound us deeply. The painful memories continue to overshadow your daily life. You find yourself in similar relationships, making yourself small in order to get some semblance of love or safety. You spend so much energy anticipating and attending to others’ emotions and needs, that yours are overlooked. You feel like you have abandoned yourself. Whether you are recovering from an unhealthy or abusive relationship, or seeking to more fully embody your lived gender, you’re ready to work with a specialist who can help you heal and embrace your full, authentic self.
(510) 626-0215 View (510) 626-0215
Photo of Meaghan McVeigh, Marriage & Family Therapist, MA, LMFT
Meaghan McVeigh
Marriage & Family Therapist, MA, LMFT
Oakland Ave-Harrison St, Oakland, CA 94612
Hi! Im Meaghan, I’m a somatic and attachment-focused therapist with 14+ years of experience helping individuals, teens, and families heal from anxiety, trauma, depression, grief, and more. I work holistically — not just with your thoughts and feelings, but with your body and nervous system — the place where trauma and past experiences is stored. If you feel stuck, maybe you seem fine from the outside, but you're still repeating the same patterns, somatic therapy might be the missing piece. Let’s connect and see if it’s a good fit!
Hi! Im Meaghan, I’m a somatic and attachment-focused therapist with 14+ years of experience helping individuals, teens, and families heal from anxiety, trauma, depression, grief, and more. I work holistically — not just with your thoughts and feelings, but with your body and nervous system — the place where trauma and past experiences is stored. If you feel stuck, maybe you seem fine from the outside, but you're still repeating the same patterns, somatic therapy might be the missing piece. Let’s connect and see if it’s a good fit!
(510) 241-4259 View (510) 241-4259
Photo of Ron Perry, Psychologist, PsyD, NCC
Ron Perry
Psychologist, PsyD, NCC
4 Endorsed
Oakland Ave-Harrison St, Oakland, CA 94610
Waitlist for new clients
I have a strong background in both clinical and counseling psychology and extensive experience treating a wide range of issues, including depression, anxiety, grief, trauma, relational problems, and life transitions. I also specialize in treating addictions. I work with adults, adolescents, couples, and families. I place a strong emphasis on treating all clients with acceptance and respect, and all are welcome in my practice, regardless of ethnicity, gender, sexual orientation, spiritual/religious beliefs, or personal history.
I have a strong background in both clinical and counseling psychology and extensive experience treating a wide range of issues, including depression, anxiety, grief, trauma, relational problems, and life transitions. I also specialize in treating addictions. I work with adults, adolescents, couples, and families. I place a strong emphasis on treating all clients with acceptance and respect, and all are welcome in my practice, regardless of ethnicity, gender, sexual orientation, spiritual/religious beliefs, or personal history.
(510) 926-8552 View (510) 926-8552
Photo of Kathleen 'kk' Cowan, Marriage & Family Therapist, LMFT
Kathleen 'kk' Cowan
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
I love working with originals and weirdos, especially queer and neurodivergent kids, teens, and adults who may have grown up feeling like “the problem,” and are ready to explore a different way of understanding themselves. Many of my clients come in feeling overwhelmed, stuck, or hard on themselves, often navigating anxiety, depression, trauma, eating concerns, or substance use alongside ADHD or executive functioning challenges. Together, we slow things down, get curious, and begin to make sense of how your experiences have shaped you so you can start relating to yourself with more clarity and compassion.
I love working with originals and weirdos, especially queer and neurodivergent kids, teens, and adults who may have grown up feeling like “the problem,” and are ready to explore a different way of understanding themselves. Many of my clients come in feeling overwhelmed, stuck, or hard on themselves, often navigating anxiety, depression, trauma, eating concerns, or substance use alongside ADHD or executive functioning challenges. Together, we slow things down, get curious, and begin to make sense of how your experiences have shaped you so you can start relating to yourself with more clarity and compassion.
(628) 203-1529 View (628) 203-1529
Photo of Ian Rosenthal, Marriage & Family Therapist, LMFT
Ian Rosenthal
Marriage & Family Therapist, LMFT
Online Only
I am passionate about helping people be the best versions of themselves. I am excited to help people find the tools to reach their personal goals along with processing the events and situations that come up in life as they arise. I have worked with clients from all walks of life and in low to high acuity environments. The tools that I support clients with can save lives and dramatically change people's quality of life. I try to meet every client where they are at in each session, exploring the things that matter to them.
I am passionate about helping people be the best versions of themselves. I am excited to help people find the tools to reach their personal goals along with processing the events and situations that come up in life as they arise. I have worked with clients from all walks of life and in low to high acuity environments. The tools that I support clients with can save lives and dramatically change people's quality of life. I try to meet every client where they are at in each session, exploring the things that matter to them.
(510) 319-2802 View (510) 319-2802
Photo of Kara Vesely, Marriage & Family Therapist, LMFT
Kara Vesely
Marriage & Family Therapist, LMFT
Online Only
I love being able to combine my passions for helping others, creativity, and understanding why people think, feel, and behave as they do! I believe therapy should be a collaborative relationship where we are working together on an issue, rather than me being The Expert. Instead, you are the expert on what it is like to be you in your life. I may share my perspective on what I believe may be going on and ask you to reflect on its accuracy and relevance to your experience.
I love being able to combine my passions for helping others, creativity, and understanding why people think, feel, and behave as they do! I believe therapy should be a collaborative relationship where we are working together on an issue, rather than me being The Expert. Instead, you are the expert on what it is like to be you in your life. I may share my perspective on what I believe may be going on and ask you to reflect on its accuracy and relevance to your experience.
(510) 250-7534 View (510) 250-7534
Photo of Irma J. Pérez, Licensed Professional Counselor, LPCC
Irma J. Pérez
Licensed Professional Counselor, LPCC
Online Only
Bienvenidos! I’m a dedicated and compassionate clinical counselor specializing in queer mental health. With a deep understanding of the unique challenges and experiences faced by the queer community, I am committed to providing inclusive and affirming therapeutic support. Through a collaborative and client-centered approach, I strive to empower individuals to navigate their mental health journeys and foster personal growth.
Bienvenidos! I’m a dedicated and compassionate clinical counselor specializing in queer mental health. With a deep understanding of the unique challenges and experiences faced by the queer community, I am committed to providing inclusive and affirming therapeutic support. Through a collaborative and client-centered approach, I strive to empower individuals to navigate their mental health journeys and foster personal growth.
(510) 630-2492 View (510) 630-2492
Photo of Dr. Shaïna L Joseph, Psychologist, PsyD
Dr. Shaïna L Joseph
Psychologist, PsyD
Online Only
Hello, and thank you for considering me as a part of you and your family's journey toward healing and growth. I’m Dr. Shaïna L. Joseph, PsyD, a licensed psychologist specializing in working with children and adolescents. My approach to therapy can be summarized using a famous quote: We see things as not they are, but as we are. Essentially this means that I believe in the importance of every person's unique perspectives and lived experiences.
Hello, and thank you for considering me as a part of you and your family's journey toward healing and growth. I’m Dr. Shaïna L. Joseph, PsyD, a licensed psychologist specializing in working with children and adolescents. My approach to therapy can be summarized using a famous quote: We see things as not they are, but as we are. Essentially this means that I believe in the importance of every person's unique perspectives and lived experiences.
(510) 983-7057 View (510) 983-7057
Photo of Kristi Anderson Wilson, Licensed Professional Clinical Counselor, PC
Kristi Anderson Wilson
Licensed Professional Clinical Counselor, PC
Online Only
After working in the developmental disability and mental health field for many years I decided to pursue an education to become a therapist. I wanted to support people with improving their quality of life regarding relationship problems, life transition difficulties, self-esteem struggles, and emotional healing from past and current trauma. I have been working in the developmental disability and mental health field for over 20 years and I've always felt a strong passion to do this work. My educational background includes a BA in Education from the University of Akron and a M.Ed. in Community Counseling from Kent State University.
After working in the developmental disability and mental health field for many years I decided to pursue an education to become a therapist. I wanted to support people with improving their quality of life regarding relationship problems, life transition difficulties, self-esteem struggles, and emotional healing from past and current trauma. I have been working in the developmental disability and mental health field for over 20 years and I've always felt a strong passion to do this work. My educational background includes a BA in Education from the University of Akron and a M.Ed. in Community Counseling from Kent State University.
(510) 906-3033 View (510) 906-3033

See more therapy options for Oakland Ave-Harrison St, Oakland

How does your Therapist compare?

Number of Therapists in Oakland Ave-Harrison St, Oakland, CA

20+

Average cost per session

$180

Therapists in Oakland Ave-Harrison St, Oakland, CA who prioritize treating:

100% Depression
96% Anxiety
96% Social Anxiety
96% Health Anxiety
96% Driving Anxiety
81% Relationship Issues
81% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

93% Aetna
64% Cigna and Evernorth
64% UnitedHealthcare UHC | UBH

How Therapists in Oakland Ave-Harrison St, Oakland, CA see their clients

54% In Person and Online
46% Online Only

Gender breakdown

76% Female
12% Male
12% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Oakland Ave-Harrison St?

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.