Therapists in Wheaton, IL

Photo of Joan L Fefferman, Counselor in Wheaton, IL
Joan L Fefferman
Counselor, MS , LCPC, CADC, NCC
Verified Verified
Wheaton, IL 60187
I enjoy helping patients improve their lives. I am a Licensed Clinical Professional Counselor and a Alcohol and Drug Counselor. I specialize in depression and anxiety that stems from relationship issues, peer issues, work problems, and school issues. Through education, life experiences, a family of my own, and a great deal of empathy, I feel that I can offer unique and confidential treatment. I have worked within private practices, hospitals, trauma centers, hospices and schools. Before counseling, I worked in academics, teaching, and financial institutions. I aim to provide my patients with the highest quality of care possible.
I enjoy helping patients improve their lives. I am a Licensed Clinical Professional Counselor and a Alcohol and Drug Counselor. I specialize in depression and anxiety that stems from relationship issues, peer issues, work problems, and school issues. Through education, life experiences, a family of my own, and a great deal of empathy, I feel that I can offer unique and confidential treatment. I have worked within private practices, hospitals, trauma centers, hospices and schools. Before counseling, I worked in academics, teaching, and financial institutions. I aim to provide my patients with the highest quality of care possible.
(630) 315-0945 View (630) 315-0945
Photo of Priscilla E Dean, Counselor in Wheaton, IL
Priscilla E Dean
Counselor, MS, LCPC
Verified Verified
3 Endorsed
Wheaton, IL 60187
Deciding you need therapy can be a tough process. I want you to feel safe to explore emotional issues that feel overwhelming to you. I believe the counseling relationship should be one where you and I form real connection-and that this connection is where the foundation of healing can begin. If you're not feeling the connection with me, please don't give up finding therapeutic help! A good fit is out there.
Deciding you need therapy can be a tough process. I want you to feel safe to explore emotional issues that feel overwhelming to you. I believe the counseling relationship should be one where you and I form real connection-and that this connection is where the foundation of healing can begin. If you're not feeling the connection with me, please don't give up finding therapeutic help! A good fit is out there.
(630) 313-4945 View (630) 313-4945
Photo of Alison Goshgarian, Licensed Professional Counselor in Wheaton, IL
Alison Goshgarian
Licensed Professional Counselor, LPC
Verified Verified
Wheaton, IL 60187
I believe therapy is a space where we explore the pain and the joy of human existence in a deep and meaningful way. My approach tends to be direct but I intentionally leave space for you to feel whatever comes up for you. My therapy room is a space where you and I get to delve into the realness of who you are without shame or judgment. It can be challenging to look at our internal world and acknowledge the reality of our lived experiences, but as someone who has done (and continues to do) that work, I can say this confidently: it is truly life changing to face yourself with courage.
I believe therapy is a space where we explore the pain and the joy of human existence in a deep and meaningful way. My approach tends to be direct but I intentionally leave space for you to feel whatever comes up for you. My therapy room is a space where you and I get to delve into the realness of who you are without shame or judgment. It can be challenging to look at our internal world and acknowledge the reality of our lived experiences, but as someone who has done (and continues to do) that work, I can say this confidently: it is truly life changing to face yourself with courage.
(630) 446-6297 View (630) 446-6297
Photo of Merry Salamida, Clinical Social Work/Therapist in Wheaton, IL
Merry Salamida
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Wheaton, IL 60189  (Online Only)
Currently on maternity leave. I will be accepting new clients in May.
Currently on maternity leave. I will be accepting new clients in May.
(331) 259-9164 View (331) 259-9164
Photo of Amber Beebe, Clinical Social Work/Therapist in Wheaton, IL
Amber Beebe
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wheaton, IL 60189
Waitlist for new clients
I am a licensed clinical social worker, earning a Masters Degree in Social Work from Aurora University. I have provided therapy services in a variety of community, inpatient, and outpatient settings to children and adolescents experiencing a wide range of mental health difficulties, including anxiety, post-traumatic stress disorder, major depression, ADHD, trauma recovery, and self-injury.
I am a licensed clinical social worker, earning a Masters Degree in Social Work from Aurora University. I have provided therapy services in a variety of community, inpatient, and outpatient settings to children and adolescents experiencing a wide range of mental health difficulties, including anxiety, post-traumatic stress disorder, major depression, ADHD, trauma recovery, and self-injury.
(331) 254-4601 x128 View (331) 254-4601 x128
Photo of Sarah Coley, Marriage & Family Therapist in Wheaton, IL
Sarah Coley
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Wheaton, IL 60187
Not accepting new clients
If you’ve been getting stuck in patterns of poor connection, mental struggle, big feelings, numbness, destructive behavior, or stress, relational health offers the opportunity to disrupt the cycle! Young or old, married or single, we all have experiences of family that help us understand who we are, make choices about who we will be, and find direction in life. My expertise is helping equip others with healthy relational skills, easing pain points, and collaboratively navigating changing circumstances that challenge intimate and familial relationships throughout a lifetime in order to support physical and mental wellbeing.
If you’ve been getting stuck in patterns of poor connection, mental struggle, big feelings, numbness, destructive behavior, or stress, relational health offers the opportunity to disrupt the cycle! Young or old, married or single, we all have experiences of family that help us understand who we are, make choices about who we will be, and find direction in life. My expertise is helping equip others with healthy relational skills, easing pain points, and collaboratively navigating changing circumstances that challenge intimate and familial relationships throughout a lifetime in order to support physical and mental wellbeing.
(630) 349-6420 View (630) 349-6420
Photo of Eric Dane Westman, Licensed Professional Counselor in Wheaton, IL
Eric Dane Westman
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Wheaton, IL 60187
Hello! My name is Eric Westman and I am a Licensed Professional Counselor with a Masters in Clinical Mental Health Counseling from Wheaton College. Prior to receiving my Masters degree, I attended Palm Beach Atlantic University where I received my Bachelors degree in Psychology. I am passionate about coming alongside people from all cultures, life stages, and backgrounds, as they work through difficult seasons in their life. Nothing brings me greater happiness than helping my clients feel empowered and fulfilled.
Hello! My name is Eric Westman and I am a Licensed Professional Counselor with a Masters in Clinical Mental Health Counseling from Wheaton College. Prior to receiving my Masters degree, I attended Palm Beach Atlantic University where I received my Bachelors degree in Psychology. I am passionate about coming alongside people from all cultures, life stages, and backgrounds, as they work through difficult seasons in their life. Nothing brings me greater happiness than helping my clients feel empowered and fulfilled.
(630) 491-5346 x301 View (630) 491-5346 x301
Photo of Hezekiah Franklin, Psychologist in Wheaton, IL
Hezekiah Franklin
Psychologist, PsyD
Verified Verified
1 Endorsed
Wheaton, IL 60187  (Online Only)
Living well is an extremely difficult affair. Whether a hard relationship, a traumatic event, or a rough season of life that makes little sense - there is hope. As a lover of stories, I have found that the most potent ones often lie buried beneath layers of pain, guilt, and shame, where they subconsciously influence the way we think, feel, and connect with others. The process of healing can only begin as we tell the very stories that bring us pain and choose to love the parts of ourselves that may seem most frightening. Whatever you're facing, I know having a safe space to better understand your world will make it more manageable.
Living well is an extremely difficult affair. Whether a hard relationship, a traumatic event, or a rough season of life that makes little sense - there is hope. As a lover of stories, I have found that the most potent ones often lie buried beneath layers of pain, guilt, and shame, where they subconsciously influence the way we think, feel, and connect with others. The process of healing can only begin as we tell the very stories that bring us pain and choose to love the parts of ourselves that may seem most frightening. Whatever you're facing, I know having a safe space to better understand your world will make it more manageable.
(630) 653-1717 View (630) 653-1717
Photo of Stefanie Warning-Probst, Psychologist in Wheaton, IL
Stefanie Warning-Probst
Psychologist, PsyD, MS
Verified Verified
Wheaton, IL 60187
Parenthood is challenging. It's even harder when things aren't going quite right for your child. Wondering if your child has Autism, ADHD, or learning challenges can feel lonely, scary, and overwhelming. You've probably spent a lot of time Googling symptoms and even more time worrying about what might be going on. You can feel stuck and like no one fully understands you or your child. You know your child best. I want to partner with you to learn more about your child and give you the best strategies to help. I aim to help children, teens, and young adults struggling with social-emotional, behavioral, and learning challenges.
Parenthood is challenging. It's even harder when things aren't going quite right for your child. Wondering if your child has Autism, ADHD, or learning challenges can feel lonely, scary, and overwhelming. You've probably spent a lot of time Googling symptoms and even more time worrying about what might be going on. You can feel stuck and like no one fully understands you or your child. You know your child best. I want to partner with you to learn more about your child and give you the best strategies to help. I aim to help children, teens, and young adults struggling with social-emotional, behavioral, and learning challenges.
(847) 230-9458 View (847) 230-9458
Photo of Jennifer Duff, Psychologist in Wheaton, IL
Jennifer Duff
Psychologist, PsyD
Verified Verified
Wheaton, IL 60187
I dedicate my practice to the treatment of children, adolescents, young adults, families, college and graduate students. Psychotherapy services are implemented utilizing current research-based concepts and practice models, developed to meet the specific needs of each individual. I work with a wide range of diagnostic concerns including depression, anxiety, attention deficits and adjustment. Additional areas include behavior management, self-esteem, perfectionism, loss and grieving, relationships and divorce.I specialize in comprehensive psychological and psycho-educational evaluations including assessments for cognitive, emotional and personality functioning. I also provide evaluations for gifted children, ADHD and Learning Disabilities.
I dedicate my practice to the treatment of children, adolescents, young adults, families, college and graduate students. Psychotherapy services are implemented utilizing current research-based concepts and practice models, developed to meet the specific needs of each individual. I work with a wide range of diagnostic concerns including depression, anxiety, attention deficits and adjustment. Additional areas include behavior management, self-esteem, perfectionism, loss and grieving, relationships and divorce.I specialize in comprehensive psychological and psycho-educational evaluations including assessments for cognitive, emotional and personality functioning. I also provide evaluations for gifted children, ADHD and Learning Disabilities.
(630) 748-8287 View (630) 748-8287
Photo of Shannon R Gier, Marriage & Family Therapist in Wheaton, IL
Shannon R Gier
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Wheaton, IL 60187
My purpose and passion as a therapist exists in helping my clients face their issues head-on and reassuring them that they're not alone in their fight. I strive to build strong and trusting relationships with my clients because I firmly believe that a collaborative relationship between client and therapist is most effective. It’s important to me to show up for my clients and to be present for them because they have taken that tough first step towards finding healing, and to me, it is an honor to come alongside them on their journey.
My purpose and passion as a therapist exists in helping my clients face their issues head-on and reassuring them that they're not alone in their fight. I strive to build strong and trusting relationships with my clients because I firmly believe that a collaborative relationship between client and therapist is most effective. It’s important to me to show up for my clients and to be present for them because they have taken that tough first step towards finding healing, and to me, it is an honor to come alongside them on their journey.
(312) 728-8298 View (312) 728-8298
Photo of Ines Chen, Counselor in Wheaton, IL
Ines Chen
Counselor, DCoun, LPC
Verified Verified
Wheaton, IL 60187
My dear client, I am glad that you have found me. I understand that life is full of challenges and obstacles. That is why I am here: meeting you where you are and walking together with you through the storm in your life. I will do whatever I can to help you, using all my professional training, experiences, and resources. Please don't give up! I have seen many troubled hearts and lives restored as a result of counseling. There is hope! Together we can ride out your storm!
My dear client, I am glad that you have found me. I understand that life is full of challenges and obstacles. That is why I am here: meeting you where you are and walking together with you through the storm in your life. I will do whatever I can to help you, using all my professional training, experiences, and resources. Please don't give up! I have seen many troubled hearts and lives restored as a result of counseling. There is hope! Together we can ride out your storm!
(888) 725-4642 View (888) 725-4642
Photo of Colleen Watson, Counselor in Wheaton, IL
Colleen Watson
Counselor, MA, LCPC
Verified Verified
Wheaton, IL 60189  (Online Only)
Often times we find barriers in our lives that are interfering with our health and happiness, however, we don’t know where to start in making changes. Maybe the thoughts in your head are limiting you from living your most valued life. Maybe your fears are hindering you from living according to your true values. Maybe this continuous loop has resulted in you feeling like a less vibrant version of yourself. You have tried and hoped for things to be different or to change and the same patterns of thought and behavior are getting in your way.
Often times we find barriers in our lives that are interfering with our health and happiness, however, we don’t know where to start in making changes. Maybe the thoughts in your head are limiting you from living your most valued life. Maybe your fears are hindering you from living according to your true values. Maybe this continuous loop has resulted in you feeling like a less vibrant version of yourself. You have tried and hoped for things to be different or to change and the same patterns of thought and behavior are getting in your way.
(331) 258-1918 View (331) 258-1918
Photo of Bethanie Lee, Counselor in Wheaton, IL
Bethanie Lee
Counselor, MA, LPC
Verified Verified
Wheaton, IL 60187
I welcome you and acknowledge the courageous step in considering seeking counseling. Life can feel difficult or hopeless at various seasons or crossroads of our lives. It has been a privilege to collaborate with individuals on addressing their needs and areas of personal growth and would be a privilege to walk with you on your journey. My clinical work has included inpatient and outpatient care settings addressing a variety of mental health concerns including Depression, Anxiety, Mood Disorders, Psychosis, Adjustment issues, Trauma, Substance/Alcohol Abuse and Grief/Bereavement.
I welcome you and acknowledge the courageous step in considering seeking counseling. Life can feel difficult or hopeless at various seasons or crossroads of our lives. It has been a privilege to collaborate with individuals on addressing their needs and areas of personal growth and would be a privilege to walk with you on your journey. My clinical work has included inpatient and outpatient care settings addressing a variety of mental health concerns including Depression, Anxiety, Mood Disorders, Psychosis, Adjustment issues, Trauma, Substance/Alcohol Abuse and Grief/Bereavement.
(847) 584-1731 View (847) 584-1731
Photo of Patricia Mack, Marriage & Family Therapist in Wheaton, IL
Patricia Mack
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Wheaton, IL 60187  (Online Only)
Are you struggling with important relationships? Are you feeling anxious or depressed and seeking ways to find peace and joy? Are you finding it difficult to cope with the challenges of day to day life, divorce, parenting issues or family conflict? Seeking guidance through therapy is a sign of strength and wisdom.
Are you struggling with important relationships? Are you feeling anxious or depressed and seeking ways to find peace and joy? Are you finding it difficult to cope with the challenges of day to day life, divorce, parenting issues or family conflict? Seeking guidance through therapy is a sign of strength and wisdom.
(630) 949-3860 View (630) 949-3860
Photo of David Seisser, Clinical Social Work/Therapist in Wheaton, IL
David Seisser
Clinical Social Work/Therapist, LCSW
Verified Verified
Wheaton, IL 60187
Hey there, my name is David! My aim is to create a comforting and compassionate space for each of my clients as we walk together toward finding balance physically, mentally, emotionally, and spiritually. Therapy often includes exploring your story and where you have been. Unfortunately, this can be really difficult at times and this is really where I come in. My job is to create a space for you to feel empowered to explore your past, learn from it, and create new ways forwards. You don't have to settle for your old normal. I want to empower you to create a new normal.
Hey there, my name is David! My aim is to create a comforting and compassionate space for each of my clients as we walk together toward finding balance physically, mentally, emotionally, and spiritually. Therapy often includes exploring your story and where you have been. Unfortunately, this can be really difficult at times and this is really where I come in. My job is to create a space for you to feel empowered to explore your past, learn from it, and create new ways forwards. You don't have to settle for your old normal. I want to empower you to create a new normal.
(630) 454-1926 View (630) 454-1926
Photo of Maria S. Ritchey, Counselor in Wheaton, IL
Maria S. Ritchey
Counselor, LCPC, CCATPCA
Verified Verified
5 Endorsed
Wheaton, IL 60187
Everyone hits highs and lows in their lives. We all wish to be heard, understood, and accepted, which is why I value each and every experience shared. I believe in the notion of “putting yourself in ones’ shoes” to fully accept and understand others exactly how they are and what they are experiencing. I am passionate about giving voice to those who struggle making theirs heard and encouraging them to make positive changes in their lives. Each and every individual, child and adult, has the internal power to be the person they wish to be, through understanding, acceptance, and creating their unique meaning and purpose in life.
Everyone hits highs and lows in their lives. We all wish to be heard, understood, and accepted, which is why I value each and every experience shared. I believe in the notion of “putting yourself in ones’ shoes” to fully accept and understand others exactly how they are and what they are experiencing. I am passionate about giving voice to those who struggle making theirs heard and encouraging them to make positive changes in their lives. Each and every individual, child and adult, has the internal power to be the person they wish to be, through understanding, acceptance, and creating their unique meaning and purpose in life.
(630) 454-9238 View (630) 454-9238
Photo of Anne Kellstedt Ramirez, MS, LCPC, Counselor in Wheaton, IL
Anne Kellstedt Ramirez, MS, LCPC
Counselor, MS, LCPC
Verified Verified
1 Endorsed
Wheaton, IL 60187
Anne Kellstedt Ramirez, LCPC is an experienced professional counselor in Wheaton, IL. It is hard to have peace of mind if we're not connecting well with others, or at war within ourselves. When we are nourished in supportive relationships, we are less vulnerable to depression, anxiety and addictions. I've been assisting adults of all ages who are looking to make a change in their lives. It is a deep privilege for me to journey beside my clients as they grow, and my therapeutic style is warm & collaborative. One of my passions is treating mental health professionals, or anyone looking to become more genuinely themselves.
Anne Kellstedt Ramirez, LCPC is an experienced professional counselor in Wheaton, IL. It is hard to have peace of mind if we're not connecting well with others, or at war within ourselves. When we are nourished in supportive relationships, we are less vulnerable to depression, anxiety and addictions. I've been assisting adults of all ages who are looking to make a change in their lives. It is a deep privilege for me to journey beside my clients as they grow, and my therapeutic style is warm & collaborative. One of my passions is treating mental health professionals, or anyone looking to become more genuinely themselves.
(630) 381-6209 x2 View (630) 381-6209 x2
Photo of Courtney Osbourne, Counselor in Wheaton, IL
Courtney Osbourne
Counselor, MA, LCPC, PhD(c)
Verified Verified
Wheaton, IL 60187
As we walk through different seasons of our lives, we may all need caring individuals that can offer interventions, help and/or support during our circumstances. Going further, I believe that we were innately created to be in covenant or relationship with our creator, our family or other social circles that we choose to surround ourselves with. However, it is a very personal choice as to how each one of us chooses to go about this path. My strong belief in this basic aspect of life gave birth to Covenant Intuition Center.
As we walk through different seasons of our lives, we may all need caring individuals that can offer interventions, help and/or support during our circumstances. Going further, I believe that we were innately created to be in covenant or relationship with our creator, our family or other social circles that we choose to surround ourselves with. However, it is a very personal choice as to how each one of us chooses to go about this path. My strong belief in this basic aspect of life gave birth to Covenant Intuition Center.
(224) 223-1178 View (224) 223-1178
Photo of Vanessa Houdek, Psychologist in Wheaton, IL
Vanessa Houdek
Psychologist, PsyD, PMH-C
Verified Verified
Wheaton, IL 60187  (Online Only)
I specialize in "Moms," working mostly with women throughout different phases of motherhood including those trying to conceive, soon-to-be, new and seasoned mothers. Protecting and supporting mental health throughout each phase may look different for each client; however, my approach is always centered on creating a warm, supportive and relatable space. I focus on connection and find space for humor. I normalize so much of what women experience along this journey in becoming "Mom" but also provide real skills to use in daily life.
I specialize in "Moms," working mostly with women throughout different phases of motherhood including those trying to conceive, soon-to-be, new and seasoned mothers. Protecting and supporting mental health throughout each phase may look different for each client; however, my approach is always centered on creating a warm, supportive and relatable space. I focus on connection and find space for humor. I normalize so much of what women experience along this journey in becoming "Mom" but also provide real skills to use in daily life.
(630) 216-8780 View (630) 216-8780

How does your Therapist compare?

Number of Therapists in Wheaton, IL

300+

Average cost per session

$150

Therapists in Wheaton, IL who prioritize treating:

94% Anxiety
90% Depression
79% Relationship Issues
77% Self Esteem
71% Grief
69% Trauma and PTSD
65% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
61% Aetna
48% Cigna and Evernorth

How Therapists in Wheaton, IL see their clients

86% In Person and Online
14% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Wheaton?

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.