Therapists in Kentfield, CA

Photo of Christine Hamill, Marriage & Family Therapist in Kentfield, CA
Christine Hamill
Marriage & Family Therapist, MS, LMFT
Verified Verified
Kentfield, CA 94904
I believe you are the expert in your own experiences and the therapist's role is to guide you towards accessing the part of yourself that already knows the answer. Therapy is an opportunity to sit in a nurturing environment where anything can be said with acceptance. The gift of therapy provides a chance to hone your coping skills and bolster your resilience in your own time and at your own pace. In our work together I will meet you where you're at in your healing journey. You will have the opportunity to learn to activate your natural resiliency and self-acceptance to let go of shame, anger, or guilt that may be holding you back.
I believe you are the expert in your own experiences and the therapist's role is to guide you towards accessing the part of yourself that already knows the answer. Therapy is an opportunity to sit in a nurturing environment where anything can be said with acceptance. The gift of therapy provides a chance to hone your coping skills and bolster your resilience in your own time and at your own pace. In our work together I will meet you where you're at in your healing journey. You will have the opportunity to learn to activate your natural resiliency and self-acceptance to let go of shame, anger, or guilt that may be holding you back.
(415) 450-6878 View (415) 450-6878
Photo of Jane M Jacobs, Marriage & Family Therapist in Kentfield, CA
Jane M Jacobs
Marriage & Family Therapist, MA, LMFT
Verified Verified
Kentfield, CA 94904
Getting professional assistance works, but it's not easy to ask for help. In practice for over 25 years, I find that many emotionally challenging problems can be treated with insight, support, and education. In a confidential and discreet setting, together we can look honestly at what's going on and find personalized solutions for you. Whether you're struggling with a life transition, a family problem, an addiction or a health challenge, together, we'll get you moving in the direction you desire.
Getting professional assistance works, but it's not easy to ask for help. In practice for over 25 years, I find that many emotionally challenging problems can be treated with insight, support, and education. In a confidential and discreet setting, together we can look honestly at what's going on and find personalized solutions for you. Whether you're struggling with a life transition, a family problem, an addiction or a health challenge, together, we'll get you moving in the direction you desire.
(415) 483-4239 View (415) 483-4239
Photo of Leila Zwelling, Clinical Social Work/Therapist in Kentfield, CA
Leila Zwelling
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Kentfield, CA 94904
Specializing in women's mental health across the lifespan, with a focus on the reproductive years, relationships, and trauma. Focus areas include infertility & loss; single women childless not by choice; LGBT family building; pregnancy & postpartum. I also work with clients who are experiencing depression, anxiety and healing from trauma. While I specialize in women's mental health, I welcome clients who identify throughout the gender identity spectrum.
Specializing in women's mental health across the lifespan, with a focus on the reproductive years, relationships, and trauma. Focus areas include infertility & loss; single women childless not by choice; LGBT family building; pregnancy & postpartum. I also work with clients who are experiencing depression, anxiety and healing from trauma. While I specialize in women's mental health, I welcome clients who identify throughout the gender identity spectrum.
(415) 991-7762 View (415) 991-7762
Photo of Robert P. Reiser, Psychologist in Kentfield, CA
Robert P. Reiser
Psychologist, PhD
Verified Verified
Kentfield, CA 94904
I provide compassionate and caring evidence based treatment using Cognitive Behavioral Therapy (CBT). I treat problems including generalized anxiety disorder, depression, panic, PTSD and OCD, bipolar disorder, and schizophrenia. I work primarily with adults, older adults, adolescents (ages 16+) and their families. Cognitive therapy is active, directive, and structured- each session focuses on a specific set of problems. I am especially interested in helping young adults who are experiencing more complex and serious mental illnesses (such as bipolar disorder, psychotic disorders) and their families.
I provide compassionate and caring evidence based treatment using Cognitive Behavioral Therapy (CBT). I treat problems including generalized anxiety disorder, depression, panic, PTSD and OCD, bipolar disorder, and schizophrenia. I work primarily with adults, older adults, adolescents (ages 16+) and their families. Cognitive therapy is active, directive, and structured- each session focuses on a specific set of problems. I am especially interested in helping young adults who are experiencing more complex and serious mental illnesses (such as bipolar disorder, psychotic disorders) and their families.
(415) 967-5270 View (415) 967-5270
Photo of Diane Hough, Marriage & Family Therapist in Kentfield, CA
Diane Hough
Marriage & Family Therapist, MA, LMFT
Verified Verified
Kentfield, CA 94914
I have been licensed as a Marriage Family Therapist and life coach for over 27 years. I see a client's issues in the context of the unfolding of the whole person. Making life changes can be a powerfully transformative experience. I offer a highly personalized approach tailored to my clients needs and interests, depending on whether you are more interested counseling or coaching, individual or couple's work. I offer a complimentary phone con to determine whether we may be a good fit. I offer a nonjudgmental and safe space to explore your concerns while also wanting to get you results. My style is supportive, and direct.
I have been licensed as a Marriage Family Therapist and life coach for over 27 years. I see a client's issues in the context of the unfolding of the whole person. Making life changes can be a powerfully transformative experience. I offer a highly personalized approach tailored to my clients needs and interests, depending on whether you are more interested counseling or coaching, individual or couple's work. I offer a complimentary phone con to determine whether we may be a good fit. I offer a nonjudgmental and safe space to explore your concerns while also wanting to get you results. My style is supportive, and direct.
(415) 312-0744 View (415) 312-0744
Photo of Carla Clements, Marriage & Family Therapist in Kentfield, CA
Carla Clements
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Kentfield, CA 94904
I believe that feeling safe is the most necessary factor for us to create change in our lives. Each of us deserves to feel valued for who we are. Often our life experiences, beginning in childhood, have convinced us we are undeserving of happiness and good things. How can we create the life we long for if we don't believe we deserve it? Sometimes it is necessary to unlearn some of the distorted messages that came out of childhood. I can help you uncover what is in your way and help you to heal.
I believe that feeling safe is the most necessary factor for us to create change in our lives. Each of us deserves to feel valued for who we are. Often our life experiences, beginning in childhood, have convinced us we are undeserving of happiness and good things. How can we create the life we long for if we don't believe we deserve it? Sometimes it is necessary to unlearn some of the distorted messages that came out of childhood. I can help you uncover what is in your way and help you to heal.
(415) 702-3431 View (415) 702-3431
Photo of Linda Boghrati, Marriage & Family Therapist in Kentfield, CA
Linda Boghrati
Marriage & Family Therapist, MS, LMFT
Verified Verified
Kentfield, CA 94904
Personal struggle can be an opportunity. I'm certain you have heard this before. The question is how to find the opportunity in your struggle. Finding answers requires asking the right questions and sometimes those are hard to come up with alone, especially when feeling overwhelmed and unsure of which way to turn. I am committed to creating a welcoming, safe and collaborative environment where we can explore and consider possible solutions. I am dedicated to helping you find your path forward by better understanding your relationship with yourself and with others.
Personal struggle can be an opportunity. I'm certain you have heard this before. The question is how to find the opportunity in your struggle. Finding answers requires asking the right questions and sometimes those are hard to come up with alone, especially when feeling overwhelmed and unsure of which way to turn. I am committed to creating a welcoming, safe and collaborative environment where we can explore and consider possible solutions. I am dedicated to helping you find your path forward by better understanding your relationship with yourself and with others.
(415) 449-8392 View (415) 449-8392
Photo of Rina Sharfstein, Psychologist in Kentfield, CA
Rina Sharfstein
Psychologist, PsyD
Verified Verified
Kentfield, CA 94904
Sometimes things are not quite working as we had hoped in our lives or relationships, or we feel stuck, confused or sad and we’re not sure what to do about it. Perhaps you’ve contemplated speaking to a therapist about your struggles or considered couples therapy with your partner but, naturally, feel hesitant. Reaching out to a psychologist is a big step that can have a positive impact on our current challenges, our relationships and on our lives as a whole. While we can do some part of untangling our conflicts on our own or with thoughtful friends, a deep healing process is one that often requires an experienced professional.
Sometimes things are not quite working as we had hoped in our lives or relationships, or we feel stuck, confused or sad and we’re not sure what to do about it. Perhaps you’ve contemplated speaking to a therapist about your struggles or considered couples therapy with your partner but, naturally, feel hesitant. Reaching out to a psychologist is a big step that can have a positive impact on our current challenges, our relationships and on our lives as a whole. While we can do some part of untangling our conflicts on our own or with thoughtful friends, a deep healing process is one that often requires an experienced professional.
(415) 226-4015 View (415) 226-4015
Photo of Lisa Hamilton, Licensed Professional Clinical Counselor in Kentfield, CA
Lisa Hamilton
Licensed Professional Clinical Counselor, MC, LPCC
Verified Verified
Kentfield, CA 94904
No matter what you’re going through, you can transform your life. And you don’t have to do it alone. If you’re struggling with anxiety, feeling down about yourself or your life, not sure how to handle relationship problems, or working through the impacts of trauma, I can help you better understand your circumstances and find your way forward.
No matter what you’re going through, you can transform your life. And you don’t have to do it alone. If you’re struggling with anxiety, feeling down about yourself or your life, not sure how to handle relationship problems, or working through the impacts of trauma, I can help you better understand your circumstances and find your way forward.
(415) 322-1606 View (415) 322-1606
Photo of Chloe Martin, Psychologist in Kentfield, CA
Chloe Martin
Psychologist, PhD
Verified Verified
Kentfield, CA 94904
Not accepting new clients
Living with medical illness can bring stress and suffering on many levels, to the patient and caregivers. I work with my clients, consulting with their medical team as appropriate, to address this suffering in a holistic manner, keeping the client's priorities and definition of quality of life front and center.
Living with medical illness can bring stress and suffering on many levels, to the patient and caregivers. I work with my clients, consulting with their medical team as appropriate, to address this suffering in a holistic manner, keeping the client's priorities and definition of quality of life front and center.
(415) 275-6593 View (415) 275-6593
Photo of Laura Tabak, Psychologist in Kentfield, CA
Laura Tabak
Psychologist, PsyD
Verified Verified
2 Endorsed
Kentfield, CA 94904
I am a licensed clinical psychologist who helps people address a range of concerns, including: self-esteem issues, unsatisfying relationships, work stress, self-destructive behaviors, trauma, and grief/loss. I have a special interest in working with individuals who are going through significant life transitions such as launching a career after college, reentering the workforce, navigating new relationships, and transition to parenthood.
I am a licensed clinical psychologist who helps people address a range of concerns, including: self-esteem issues, unsatisfying relationships, work stress, self-destructive behaviors, trauma, and grief/loss. I have a special interest in working with individuals who are going through significant life transitions such as launching a career after college, reentering the workforce, navigating new relationships, and transition to parenthood.
(415) 483-7925 View (415) 483-7925
Photo of Dr. Myra Gueco Bernecker, Psychologist in Kentfield, CA
Dr. Myra Gueco Bernecker
Psychologist, PhD
Verified Verified
6 Endorsed
Kentfield, CA 94904
I work with adult individuals: professionals, students, stay at home and single parents. My practice welcomes people who are BIPOC, LGBTQIA+, and/or from other cultures. All face their own set of challenges and each has her/his/their own set of unique experiences. Common issues addressed are: relationships, anxiety, stress, life transitions, depression, grief and loss.
I work with adult individuals: professionals, students, stay at home and single parents. My practice welcomes people who are BIPOC, LGBTQIA+, and/or from other cultures. All face their own set of challenges and each has her/his/their own set of unique experiences. Common issues addressed are: relationships, anxiety, stress, life transitions, depression, grief and loss.
(415) 354-4241 View (415) 354-4241
Photo of Sarah Alexander, Marriage & Family Therapist in Kentfield, CA
Sarah Alexander
Marriage & Family Therapist, MA, LMFT
Verified Verified
Kentfield, CA 94904
I hold a deeply calm, present, and nurturing space for your brightest dreams and your darkest wounds. Whatever your concerns, you will feel sincerely heard, held, and guided in a safe and constructive way. You will be supported in discovering and reclaiming hidden or submerged parts of your fullest self, as well as the positive and promising reasons behind the challenges that you face. Together, we will creatively explore new and vital directions for you, internally and dynamically, into the world. My commitment is for your purpose to become more grounded, more meaningful, more genuinely alive.
I hold a deeply calm, present, and nurturing space for your brightest dreams and your darkest wounds. Whatever your concerns, you will feel sincerely heard, held, and guided in a safe and constructive way. You will be supported in discovering and reclaiming hidden or submerged parts of your fullest self, as well as the positive and promising reasons behind the challenges that you face. Together, we will creatively explore new and vital directions for you, internally and dynamically, into the world. My commitment is for your purpose to become more grounded, more meaningful, more genuinely alive.
(415) 801-0119 View (415) 801-0119
Photo of Julianne Guida, Psychologist in Kentfield, CA
Julianne Guida
Psychologist, PsyD
Verified Verified
1 Endorsed
Kentfield, CA 94904
I believe everything has meaning, even pain. Oftentimes, the function of such suffering feels unclear or arbitrary. My approach to the work seeks to understand the motives and desires (both conscious and unconscious) that are maintaining painful patterns that feel hard to break. Through embarking on this journey together, it becomes easier to face uncomfortable truths that have stifled your growth in some way while gaining new tools for deeper fulfillment. I hope to provide an opportunity to increase insight while relating to yourself and others in a new way that allows for more authenticity, playfulness and connection in your life.
I believe everything has meaning, even pain. Oftentimes, the function of such suffering feels unclear or arbitrary. My approach to the work seeks to understand the motives and desires (both conscious and unconscious) that are maintaining painful patterns that feel hard to break. Through embarking on this journey together, it becomes easier to face uncomfortable truths that have stifled your growth in some way while gaining new tools for deeper fulfillment. I hope to provide an opportunity to increase insight while relating to yourself and others in a new way that allows for more authenticity, playfulness and connection in your life.
(415) 521-2568 View (415) 521-2568
Photo of Diane E Donnelly, Psychologist in Kentfield, CA
Diane E Donnelly
Psychologist, PhD
Verified Verified
Kentfield, CA 94904
Therapy can be a source of tremendous relief and gratification. Unhappiness and anxiety that feel unbearable can lessen and disappear when you have someone who can help you understand the reasons for your suffering. A good therapist can also help you more easily get your mind off upsetting thoughts that preoccupy you. Or if you find yourself acting in self-defeating ways, studying it with a therapist can be of enormous help. Ideally, you will leave an initial consultation with a new way of thinking about the problem that brought you in.
Therapy can be a source of tremendous relief and gratification. Unhappiness and anxiety that feel unbearable can lessen and disappear when you have someone who can help you understand the reasons for your suffering. A good therapist can also help you more easily get your mind off upsetting thoughts that preoccupy you. Or if you find yourself acting in self-defeating ways, studying it with a therapist can be of enormous help. Ideally, you will leave an initial consultation with a new way of thinking about the problem that brought you in.
(415) 702-3387 View (415) 702-3387
Photo of Patricia F Ross, Marriage & Family Therapist in Kentfield, CA
Patricia F Ross
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Kentfield, CA 94904  (Online Only)
Do you suffer from depression, anxiety, relationship or job-related issues? Psychotherapy can be extremely helpful. For 25 years I've worked with people struggling with these problems as well as substance abuse, recovery, women's issues and aging. "Patricia Ross is one of the smartest, warmest, most thoughtful, present, and trustworthy therapists it's been my pleasure to teach. She is real. From her experiences in living (as a wife, mother, musician, and lifelong learner) she has gained a significant measure of wisdom. I have referred patients to her before and will do so again." David Wallin, PhD (Author of Attachment in Psychotherapy)
Do you suffer from depression, anxiety, relationship or job-related issues? Psychotherapy can be extremely helpful. For 25 years I've worked with people struggling with these problems as well as substance abuse, recovery, women's issues and aging. "Patricia Ross is one of the smartest, warmest, most thoughtful, present, and trustworthy therapists it's been my pleasure to teach. She is real. From her experiences in living (as a wife, mother, musician, and lifelong learner) she has gained a significant measure of wisdom. I have referred patients to her before and will do so again." David Wallin, PhD (Author of Attachment in Psychotherapy)
(415) 702-0932 View (415) 702-0932
Photo of Patricia (Tish) Rutledge, Associate Professional Clinical Counselor in Kentfield, CA
Patricia (Tish) Rutledge
Associate Professional Clinical Counselor, MS, APCC
Verified Verified
Kentfield, CA 94904
Hello and a warm welcome to my page! I'm an Associate Professional Clinical Counselor specializing in co-occurring mental health and substance use disorders, depression, anxiety, trauma and grief for individual clients. I am a compassionate person-centered therapist who believes in results. My style is warm and directive, which means I play an active role in helping my clients learn to solve their problems. I value humor and warm smiles, and interject these when appropriate. I am also in recovery and am grateful to help clients find sobriety, peace and happiness as I have found.
Hello and a warm welcome to my page! I'm an Associate Professional Clinical Counselor specializing in co-occurring mental health and substance use disorders, depression, anxiety, trauma and grief for individual clients. I am a compassionate person-centered therapist who believes in results. My style is warm and directive, which means I play an active role in helping my clients learn to solve their problems. I value humor and warm smiles, and interject these when appropriate. I am also in recovery and am grateful to help clients find sobriety, peace and happiness as I have found.
(415) 842-1123 View (415) 842-1123
Photo of Wendy Quickel, Marriage & Family Therapist in Kentfield, CA
Wendy Quickel
Marriage & Family Therapist, MA, LMFT
Verified Verified
Kentfield, CA 94904  (Online Only)
I work with individual and couples who want to see and FEEL a shift in their lives. Some clients start therapy with a clear idea of what they want to work on including feelings of depression, anxiety, communication, infertility, somatic symptoms, trauma, etc. Others come to therapy describing that something just feels "off", and we discover the roadmap together. It's my role to help you establish clear goals for therapy which I will track over our time together. I value collaboration, authenticity, curiosity and safety in the therapeutic process, and work well with people who are open to exploring different techniques.
I work with individual and couples who want to see and FEEL a shift in their lives. Some clients start therapy with a clear idea of what they want to work on including feelings of depression, anxiety, communication, infertility, somatic symptoms, trauma, etc. Others come to therapy describing that something just feels "off", and we discover the roadmap together. It's my role to help you establish clear goals for therapy which I will track over our time together. I value collaboration, authenticity, curiosity and safety in the therapeutic process, and work well with people who are open to exploring different techniques.
(341) 888-7943 View (341) 888-7943
Photo of Jen Bees, Marriage & Family Therapist Associate in Kentfield, CA
Jen Bees
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Kentfield, CA 94904
I specialize in working with couples. Whether you come to therapy in crisis, or from a desire to bring a relationship from good to great, I will meet you where you are at and help bring about tangible changes in your relationship. Each course of therapy is unique, but we will often explore each of your hopes and dreams, investigate and transform the negative cycles that keep repeating in your relationship, and delve more deeply into each partner’s past experiences and how those may be impacting the current dynamic.
I specialize in working with couples. Whether you come to therapy in crisis, or from a desire to bring a relationship from good to great, I will meet you where you are at and help bring about tangible changes in your relationship. Each course of therapy is unique, but we will often explore each of your hopes and dreams, investigate and transform the negative cycles that keep repeating in your relationship, and delve more deeply into each partner’s past experiences and how those may be impacting the current dynamic.
(415) 429-3227 View (415) 429-3227
Photo of Melissa Perry, Marriage & Family Therapist in Kentfield, CA
Melissa Perry
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Kentfield, CA 94904  (Online Only)
Welcome! I work with anxiety, depression, trauma, life transitions, and grief. Healing isn't easy, but with the right support and information, you can learn how to encourage your own healing and begin to feel better. In addition to traditional in-office sessions, I work remotely and outdoors. I value the process of helping my clients prioritize themselves and their needs as they navigate difficult times and connect to a stronger sense of well-being.
Welcome! I work with anxiety, depression, trauma, life transitions, and grief. Healing isn't easy, but with the right support and information, you can learn how to encourage your own healing and begin to feel better. In addition to traditional in-office sessions, I work remotely and outdoors. I value the process of helping my clients prioritize themselves and their needs as they navigate difficult times and connect to a stronger sense of well-being.
(415) 687-2327 View (415) 687-2327

How does your Therapist compare?

Number of Therapists in Kentfield, CA

100+

Average cost per session

$200

Therapists in Kentfield, CA who prioritize treating:

95% Anxiety
90% Depression
85% Relationship Issues
73% Self Esteem
69% Grief
67% Parenting
58% Family Conflict

Average years in practice

18 Years

Top 3 insurances accepted

57% Other
39% Aetna
26% UnitedHealthcare UHC | UBH

How Therapists in Kentfield, CA see their clients

87% In Person and Online
13% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Kentfield?

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.