Therapists in Brownsville, TX

Photo of Keely Rodriguez, Licensed Professional Counselor in Brownsville, TX
Keely Rodriguez
Licensed Professional Counselor, LPC, MEd, NCC, EMDRIA, LCDC
Verified Verified
3 Endorsed
Brownsville, TX 78520
Open for NEW clients! Feeling stressed these days is pretty common, but when it begins to impact your relationships, makes stepping out the door a challenge, or starts interfering with work or school, it's a clear signal to consider seeking support. Perhaps you're feeling stuck in the past, unable to move forward – that's a definite cue that it's time for some assistance. If you're noticing changes such as 'overthinking' everything, feeling angry, drinking or smoking more, avoiding friends & family, or experiencing physical symptoms due to anxiety, seeking help is incredibly important
Open for NEW clients! Feeling stressed these days is pretty common, but when it begins to impact your relationships, makes stepping out the door a challenge, or starts interfering with work or school, it's a clear signal to consider seeking support. Perhaps you're feeling stuck in the past, unable to move forward – that's a definite cue that it's time for some assistance. If you're noticing changes such as 'overthinking' everything, feeling angry, drinking or smoking more, avoiding friends & family, or experiencing physical symptoms due to anxiety, seeking help is incredibly important
(956) 275-3232 View (956) 275-3232
Photo of Sharee Traskauskas Calming Minds Wellness, Licensed Professional Counselor in Brownsville, TX
Sharee Traskauskas Calming Minds Wellness
Licensed Professional Counselor, MEdLPC,
Verified Verified
1 Endorsed
Brownsville, TX 78520
Are you feeling lost, conflicted or stuck? Life is full of difficult twists and turns, ups and downs that can often lead us down unwanted paths. Sometimes life has a hard way of teaching us lessons…lessons that test our strength, our very existence and our faith. We come to believe we are too different, not good enough, or hopeless and often lose sight on where to begin. Well...I'm here to tell you Resiliency is where it begins. What I’ve learned on my own journey of resiliency, is that when you are honest with yourself, the real healing begins. Together we will explore your truth and help you reconnect with your authentic self.
Are you feeling lost, conflicted or stuck? Life is full of difficult twists and turns, ups and downs that can often lead us down unwanted paths. Sometimes life has a hard way of teaching us lessons…lessons that test our strength, our very existence and our faith. We come to believe we are too different, not good enough, or hopeless and often lose sight on where to begin. Well...I'm here to tell you Resiliency is where it begins. What I’ve learned on my own journey of resiliency, is that when you are honest with yourself, the real healing begins. Together we will explore your truth and help you reconnect with your authentic self.
(956) 758-1754 View (956) 758-1754
Photo of David James Grenn, Licensed Professional Counselor in Brownsville, TX
David James Grenn
Licensed Professional Counselor, EdS, NCC, LPC, CADC
Verified Verified
Brownsville, TX 78521
I have been working with individuals struggling with posttraumatic stress disorder, substance use, sexual addiction and mental health challenges for the past ten years. I have a real heart to walk alongside to encourage, support, and empower you to move forward in your recovery needs. I graduated from Liberty University in 2014 with a MA in Professional Counseling and completing a Doctoral level specialization in Community Care and Counseling specializing in treating trauma-related challenges. I approach recovery through the eyes of motivational interviewing and cognitive-behavioral therapy.
I have been working with individuals struggling with posttraumatic stress disorder, substance use, sexual addiction and mental health challenges for the past ten years. I have a real heart to walk alongside to encourage, support, and empower you to move forward in your recovery needs. I graduated from Liberty University in 2014 with a MA in Professional Counseling and completing a Doctoral level specialization in Community Care and Counseling specializing in treating trauma-related challenges. I approach recovery through the eyes of motivational interviewing and cognitive-behavioral therapy.
(956) 395-2279 View (956) 395-2279
Photo of Colón Counseling, PLLC, Licensed Professional Counselor in Brownsville, TX
Colón Counseling, PLLC
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Brownsville, TX 78521
Whether one is suffering from a chronic mental disorder, or the "worried well", I tailor therapeutic needs for each individual client. I use multiple theoretic approaches and the most up-to-date techniques to help individuals gain insight into their issues, decrease their symptoms, and to uncover the underlying issues that cause their distress. My goal is to help individuals reach their full potential, and to improve their daily functioning in a compassionate, personalized, and private setting.
Whether one is suffering from a chronic mental disorder, or the "worried well", I tailor therapeutic needs for each individual client. I use multiple theoretic approaches and the most up-to-date techniques to help individuals gain insight into their issues, decrease their symptoms, and to uncover the underlying issues that cause their distress. My goal is to help individuals reach their full potential, and to improve their daily functioning in a compassionate, personalized, and private setting.
(956) 287-3549 View (956) 287-3549
Photo of Ana Garcia, Licensed Professional Counselor in Brownsville, TX
Ana Garcia
Licensed Professional Counselor, MEd, LPC
Verified Verified
Brownsville, TX 78526  (Online Only)
As a dedicated therapist, I have a passion for helping individuals navigate life's challenges and acheive personal growth. I strive to create a safe and non-judgmental space for my clients to explore their emotions and cultivate self-awareness.
As a dedicated therapist, I have a passion for helping individuals navigate life's challenges and acheive personal growth. I strive to create a safe and non-judgmental space for my clients to explore their emotions and cultivate self-awareness.
(956) 395-3247 View (956) 395-3247
Photo of Tina M Torres, Drug & Alcohol Counselor in Brownsville, TX
Tina M Torres
Drug & Alcohol Counselor
Verified Verified
Brownsville, TX 78521
I am a Licensed Chemical Dependency Counselor for the residents of Texas. I have a true passion for helping those and their families who are struggling with Substance Abuse. I also can help with anxiety, depression, anger, grief, and loss. I aim to help individuals and families reach their goals and live their best lives!
I am a Licensed Chemical Dependency Counselor for the residents of Texas. I have a true passion for helping those and their families who are struggling with Substance Abuse. I also can help with anxiety, depression, anger, grief, and loss. I aim to help individuals and families reach their goals and live their best lives!
(956) 955-6330 View (956) 955-6330
Photo of Natividad C. Leal, Licensed Professional Counselor in Brownsville, TX
Natividad C. Leal
Licensed Professional Counselor, MEd, LPC, CSC
Verified Verified
Brownsville, TX 78526  (Online Only)
Hello, my name is Nati Leal and I have a passion for helping others. I believe that a trusting relationship can help others heal and find wellness.
Hello, my name is Nati Leal and I have a passion for helping others. I believe that a trusting relationship can help others heal and find wellness.
(956) 474-3469 View (956) 474-3469
Photo of Teresita D Silguero, Licensed Professional Counselor in Brownsville, TX
Teresita D Silguero
Licensed Professional Counselor, LPC
Verified Verified
Brownsville, TX 78520
Are you feeling a bit unmotivated, sad, and/or struggling to cope with everyday tasks? Perhaps you have been wanting to start therapy for years but have not found reasons enough to do so. We all have difficult moments in our lives, and I am here to help you. Together, we will figure out a way to overcome what has you feeling stuck. I will provide the tools to cope effectively with your challenges and help you learn about yourself in the process. Let this be the year you begin your healing journey and know that I am here to help. Call today to set an appointment!
Are you feeling a bit unmotivated, sad, and/or struggling to cope with everyday tasks? Perhaps you have been wanting to start therapy for years but have not found reasons enough to do so. We all have difficult moments in our lives, and I am here to help you. Together, we will figure out a way to overcome what has you feeling stuck. I will provide the tools to cope effectively with your challenges and help you learn about yourself in the process. Let this be the year you begin your healing journey and know that I am here to help. Call today to set an appointment!
(956) 628-4059 View (956) 628-4059
Photo of Vanessa Villarreal, Licensed Professional Counselor in Brownsville, TX
Vanessa Villarreal
Licensed Professional Counselor, LPC-S, NCC, EMDR
Verified Verified
1 Endorsed
Brownsville, TX 78520
I use Cognitive Behavior Therapy (CBT) to challenge and change maladaptive cognitive distortions and behaviors which have negatively impacted ones life, and provide tools to improve emotion regulation, and the development of personal coping strategies to effectively problem solve independently. I am also certified in Eye Movement Desensitization Reprocessing (EMDR), which is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences stemming from a variety of stressors, most notably: trauma, depression, anxiety, panic, disturbing memories, and PTSD.
I use Cognitive Behavior Therapy (CBT) to challenge and change maladaptive cognitive distortions and behaviors which have negatively impacted ones life, and provide tools to improve emotion regulation, and the development of personal coping strategies to effectively problem solve independently. I am also certified in Eye Movement Desensitization Reprocessing (EMDR), which is a psychotherapy that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences stemming from a variety of stressors, most notably: trauma, depression, anxiety, panic, disturbing memories, and PTSD.
(956) 435-7118 View (956) 435-7118
Photo of Marcos Kito Holtzman, Licensed Professional Counselor in Brownsville, TX
Marcos Kito Holtzman
Licensed Professional Counselor, MEd, LPC-S, LCDC
Verified Verified
1 Endorsed
Brownsville, TX 78520
Over the last 20 years working as a psychotherapist, I have found that, we all long to be truly seen, heard, and understood; to experience real connection and be known by others. When these needs are not adequately met, it affects us deeply and may manifest as depression, anxiety, and many times addiction. Sometimes traumatic events occur in our lives, and we have difficulties creating or maintaining relationships. I'm here to help clear the trauma of the past or guide you through challenges of the present. I will help guide you in a way that is collaborative and centered on your goals and desires.
Over the last 20 years working as a psychotherapist, I have found that, we all long to be truly seen, heard, and understood; to experience real connection and be known by others. When these needs are not adequately met, it affects us deeply and may manifest as depression, anxiety, and many times addiction. Sometimes traumatic events occur in our lives, and we have difficulties creating or maintaining relationships. I'm here to help clear the trauma of the past or guide you through challenges of the present. I will help guide you in a way that is collaborative and centered on your goals and desires.
(512) 729-7544 View (512) 729-7544
Photo of Jennifer Collins, Marriage & Family Therapist in Brownsville, TX
Jennifer Collins
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Brownsville, TX 78526
Waitlist for new clients
Have the events in your life started to impact your day to day decisions? Have your relationships started to feel off or are they disappearing all together? When we have experienced trauma, be them major trauma or smaller events, it can impact us in many ways. If you have experienced a trauma and have not been able to process the event (s) I am here for you. I work with clients who have had various types of trauma to reprocess and make sense these events so that they can regain control.
Have the events in your life started to impact your day to day decisions? Have your relationships started to feel off or are they disappearing all together? When we have experienced trauma, be them major trauma or smaller events, it can impact us in many ways. If you have experienced a trauma and have not been able to process the event (s) I am here for you. I work with clients who have had various types of trauma to reprocess and make sense these events so that they can regain control.
(956) 948-7302 View (956) 948-7302
Photo of Carlos Daniel Beltran Del Angel, Licensed Professional Counselor in Brownsville, TX
Carlos Daniel Beltran Del Angel
Licensed Professional Counselor, LPC
Verified Verified
Brownsville, TX 78520  (Online Only)
Symptoms of Depression and/or Anxiety can stem from a variety of sources, including grief, trauma, or daily stressors. You and I can work together at identifying the main perceived problem to develop a comprehensive treatment plan. Once we have developed such treatment plan and you agree, we can begin our episode of care focused on attaining desired goals. While I work with you, I will promote a safe environment for you, which is empathic and judgement free. I will be assisting you while solely focusing on your well-being and overall wellness. I will encourage you to trust in our therapeutic relationship.
Symptoms of Depression and/or Anxiety can stem from a variety of sources, including grief, trauma, or daily stressors. You and I can work together at identifying the main perceived problem to develop a comprehensive treatment plan. Once we have developed such treatment plan and you agree, we can begin our episode of care focused on attaining desired goals. While I work with you, I will promote a safe environment for you, which is empathic and judgement free. I will be assisting you while solely focusing on your well-being and overall wellness. I will encourage you to trust in our therapeutic relationship.
(956) 280-4687 View (956) 280-4687
Photo of Jennifer Moore, Marriage & Family Therapist Associate in Brownsville, TX
Jennifer Moore
Marriage & Family Therapist Associate, LMFT-A, MEd
Verified Verified
1 Endorsed
Brownsville, TX 78526
After being a teacher for many years, I decided to transition into counseling. The two are actually very similar. I enjoy not only working with our youth, but helping couples navigate their relationships, and individuals who need guidance to make the best choices for their life.
After being a teacher for many years, I decided to transition into counseling. The two are actually very similar. I enjoy not only working with our youth, but helping couples navigate their relationships, and individuals who need guidance to make the best choices for their life.
(956) 579-2346 View (956) 579-2346
Photo of Dr. James F. Whittenberg, Licensed Professional Counselor in Brownsville, TX
Dr. James F. Whittenberg
Licensed Professional Counselor, PhD, LPC-S, LCDC, NCC, ACS
Verified Verified
4 Endorsed
Brownsville, TX 78526  (Online Only)
Some people fear therapy as intimidating. You can be assured that it is just a conversation, and I want to hear your story. You have the strength and resources to achieve any goals that you set in life, with just a little guidance. You can enjoy the process of therapy and learn to love yourself at a deeper level. Calling a therapist can create a little bit of anxiety, but few therapists are as down-to-earth as me. Just take a slow, deep breath and give me a call at (956) 271-8487 or visit our website at inmindout.com
Some people fear therapy as intimidating. You can be assured that it is just a conversation, and I want to hear your story. You have the strength and resources to achieve any goals that you set in life, with just a little guidance. You can enjoy the process of therapy and learn to love yourself at a deeper level. Calling a therapist can create a little bit of anxiety, but few therapists are as down-to-earth as me. Just take a slow, deep breath and give me a call at (956) 271-8487 or visit our website at inmindout.com
(956) 271-8487 View (956) 271-8487
Photo of Nataly Sanchez, Licensed Professional Counselor in Brownsville, TX
Nataly Sanchez
Licensed Professional Counselor, M Ed, LPC
Verified Verified
1 Endorsed
Brownsville, TX 78521
Therapy on your terms when you’re ready! Are you struggling with doubt, guilt or overthinking? Do you feel stuck in certain areas of your life? Or perhaps you want to learn ways to create a healthier life balance. I strive to help you understand yourself better, improve self esteem and process painful experiences.
Therapy on your terms when you’re ready! Are you struggling with doubt, guilt or overthinking? Do you feel stuck in certain areas of your life? Or perhaps you want to learn ways to create a healthier life balance. I strive to help you understand yourself better, improve self esteem and process painful experiences.
(956) 300-2562 View (956) 300-2562
Photo of Aileen Lonergan, Licensed Professional Counselor in Brownsville, TX
Aileen Lonergan
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Brownsville, TX 78521  (Online Only)
My ideal client seeks support for common mental health challenges such as anxiety, depression, and stress. They grapple with parenting concerns, motivation, low self-esteem, and a desire for improved confidence. Their needs revolve around creating coping strategies, fostering resilience, and gaining emotional well-being. Their goals include developing effective stress management, enhancing self-esteem, and achieving a more positive mindset. They seek a compassionate ally to navigate their journey, aiming for a fulfilling and happier life grounded in self-empowerment and personal growth.
My ideal client seeks support for common mental health challenges such as anxiety, depression, and stress. They grapple with parenting concerns, motivation, low self-esteem, and a desire for improved confidence. Their needs revolve around creating coping strategies, fostering resilience, and gaining emotional well-being. Their goals include developing effective stress management, enhancing self-esteem, and achieving a more positive mindset. They seek a compassionate ally to navigate their journey, aiming for a fulfilling and happier life grounded in self-empowerment and personal growth.
(956) 474-3492 View (956) 474-3492
Dr. Elizabeth G Tamez
Psychologist, PsyD, LP, LPC-S
Verified Verified
Brownsville, TX 78520
Hi! I am a clinical psychologist licensed in the state of Texas. I have been working in the field of mental health for 18 years as a school counselor, a licensed professional counselor, and as a licensed psychologist. I am fluent in Spanish and am able provide services in-person and via Telehealth.
Hi! I am a clinical psychologist licensed in the state of Texas. I have been working in the field of mental health for 18 years as a school counselor, a licensed professional counselor, and as a licensed psychologist. I am fluent in Spanish and am able provide services in-person and via Telehealth.
(956) 305-0775 View (956) 305-0775
Photo of Pragmatic Solutions Therapy LLC, Owner-Monica Pina, Licensed Professional Counselor in Brownsville, TX
Pragmatic Solutions Therapy LLC, Owner-Monica Pina
Licensed Professional Counselor, LPC, NBCC, LPHA, LMHC
Verified Verified
Brownsville, TX 78521  (Online Only)
Hello Friend! My name is Monica Pina, owner of Pragmatic Solutions Therapy PLLC, a telehealth practice in TX. I serve adults and teens (15 years and older). I specialize in helping those dealing with anxiety, grief, trauma, depression, mood disorders, adjustment issues, anxiety, life transitions and health-related challenges. I use specific modalities specific to the client such as: Solutions Focused Therapy, Cognitive Behavioral Therapy, Mindfulness-Based Cognitive, Biofeedback, Humanistic, Acceptance Commitment therapy and a modified version of EMDR. I welcome ALL who are searching for solutions to address their life issues.
Hello Friend! My name is Monica Pina, owner of Pragmatic Solutions Therapy PLLC, a telehealth practice in TX. I serve adults and teens (15 years and older). I specialize in helping those dealing with anxiety, grief, trauma, depression, mood disorders, adjustment issues, anxiety, life transitions and health-related challenges. I use specific modalities specific to the client such as: Solutions Focused Therapy, Cognitive Behavioral Therapy, Mindfulness-Based Cognitive, Biofeedback, Humanistic, Acceptance Commitment therapy and a modified version of EMDR. I welcome ALL who are searching for solutions to address their life issues.
(956) 420-6335 View (956) 420-6335
Photo of Rio Sana Counseling, Licensed Professional Counselor in Brownsville, TX
Rio Sana Counseling
Licensed Professional Counselor, LPC
Verified Verified
Brownsville, TX 78520
Accepting new clients! There's a reason they say "It takes a village to raise a child." Let's be honest, raising little humans is one of life's biggest challenges. I proudly serve children (3-17 yrs old) who may be struggling with big emotions & behaviors, developmental transitions, or child/adult mental health issues. Using a playful, client-centered & attachment-based approach, I can begin to understand & communicate with your child. I can actively support & guide them as s/he/they make sense of their feelings and behaviors.
Accepting new clients! There's a reason they say "It takes a village to raise a child." Let's be honest, raising little humans is one of life's biggest challenges. I proudly serve children (3-17 yrs old) who may be struggling with big emotions & behaviors, developmental transitions, or child/adult mental health issues. Using a playful, client-centered & attachment-based approach, I can begin to understand & communicate with your child. I can actively support & guide them as s/he/they make sense of their feelings and behaviors.
(956) 476-2905 View (956) 476-2905
Photo of Sylvia Chelf, Licensed Professional Counselor in Brownsville, TX
Sylvia Chelf
Licensed Professional Counselor, MEd, LPC, LCDC, NCC
Verified Verified
Brownsville, TX 78526
Feeling depressed, anxious, or struggling to cope with everyday life challenges? Or perhaps, you just need assistance in prioritizing your mental health. If so, I can help. I have a wealth of experience treating a myriad of mental health issues. Voted Top 3 Best Rated Therapist, at Priority Counseling, I provide you with the tools necessary to cope with these challenges, and will help you live the life you deserve. I can help you develop resiliency and help you to focus on what matters most in life. Call me today to schedule an appointment at (956) 224-9505. I am currently accepting new clients.
Feeling depressed, anxious, or struggling to cope with everyday life challenges? Or perhaps, you just need assistance in prioritizing your mental health. If so, I can help. I have a wealth of experience treating a myriad of mental health issues. Voted Top 3 Best Rated Therapist, at Priority Counseling, I provide you with the tools necessary to cope with these challenges, and will help you live the life you deserve. I can help you develop resiliency and help you to focus on what matters most in life. Call me today to schedule an appointment at (956) 224-9505. I am currently accepting new clients.
(956) 446-0264 View (956) 446-0264

How does your Therapist compare?

Number of Therapists in Brownsville, TX

70+

Average cost per session

$120

Therapists in Brownsville, TX who prioritize treating:

86% Depression
86% Anxiety
74% Self Esteem
70% Coping Skills
68% Trauma and PTSD
67% Grief
66% Stress

Average years in practice

9 Years

Top 3 insurances accepted

89% UnitedHealthcare UHC | UBH
80% BlueCross and BlueShield
78% Aetna

How Therapists in Brownsville, TX see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Brownsville?

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.