Therapists in Manchester, CT

Photo of Shannon Tallon, Clinical Social Work/Therapist in Manchester, CT
Shannon Tallon
Clinical Social Work/Therapist, LCSW
Verified Verified
Manchester, CT 06042  (Online Only)
During our sessions, you will encounter a blend of compassion, warmth and humor conducive to self-discovery and growth. I specialize in working with adults and young adults, facing difficulties relating to anxiety, stress, life transitions, relationship conflicts and grief. Using a mindful, person-centered approach, I aim for my clients to feel heard and understood. As your therapist, I am dedicated to assisting you in navigating challenges by offering an empowering space to reflect and reconnect with yourself. We will work together to develop coping skills that go beyond our sessions and help you engage more fully in your life.
During our sessions, you will encounter a blend of compassion, warmth and humor conducive to self-discovery and growth. I specialize in working with adults and young adults, facing difficulties relating to anxiety, stress, life transitions, relationship conflicts and grief. Using a mindful, person-centered approach, I aim for my clients to feel heard and understood. As your therapist, I am dedicated to assisting you in navigating challenges by offering an empowering space to reflect and reconnect with yourself. We will work together to develop coping skills that go beyond our sessions and help you engage more fully in your life.
(860) 590-9072 View (860) 590-9072
Photo of Corrine R. Winters, Licensed Professional Counselor in Manchester, CT
Corrine R. Winters
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Manchester, CT 06040  (Online Only)
Welcome! Deciding to find a therapist can feel overwhelming so I applaud you in taking that first step. In our world today, it is normal to experience feelings of stress, anxiety, and confusion whether it's due to relationships with others, current events, or your career. As a therapist, I utilize a compassion and strength-based approach to support you in living your most fulfilling life. I provide a safe and non-judgmental space to explore and process your emotions. We will work together to identify your strengths, as well as areas where you would like to grow.
Welcome! Deciding to find a therapist can feel overwhelming so I applaud you in taking that first step. In our world today, it is normal to experience feelings of stress, anxiety, and confusion whether it's due to relationships with others, current events, or your career. As a therapist, I utilize a compassion and strength-based approach to support you in living your most fulfilling life. I provide a safe and non-judgmental space to explore and process your emotions. We will work together to identify your strengths, as well as areas where you would like to grow.
(860) 485-7577 View (860) 485-7577
Photo of Christina Krzywicki, Clinical Social Work/Therapist in Manchester, CT
Christina Krzywicki
Clinical Social Work/Therapist, LCSW
Verified Verified
Manchester, CT 06040
I am a dedicated and compassionate therapist specializing in helping adolescents and adults effectively manage and overcome anxiety and emotional challenges in a warm and non-judgmental space. My role is to help identify and cultivate client strengths through focusing on skills such as emotional regulation, coping strategies, feeling identification and self-advocacy. I am trained in cognitive-behavioral therapy (CBT), exposure and response prevention (ERP), acceptance and commitment therapy (ACT), all proven approaches for treating anxiety and OCD disorders.
I am a dedicated and compassionate therapist specializing in helping adolescents and adults effectively manage and overcome anxiety and emotional challenges in a warm and non-judgmental space. My role is to help identify and cultivate client strengths through focusing on skills such as emotional regulation, coping strategies, feeling identification and self-advocacy. I am trained in cognitive-behavioral therapy (CBT), exposure and response prevention (ERP), acceptance and commitment therapy (ACT), all proven approaches for treating anxiety and OCD disorders.
(860) 846-4317 View (860) 846-4317
Photo of Anne M Patti PhD LLC, Psychologist in Manchester, CT
Anne M Patti PhD LLC
Psychologist, PhD
Verified Verified
Manchester, CT 06040
Not accepting new clients
I have experience working with many different client concerns, including depression, anxiety, bipolar disorder, substance use problems and interpersonal/family conflict. I also have particular expertise working with people who have survived some form of trauma, including childhood abuse, sexual assault, interpersonal violence, military trauma and accidents/injury. The effects of trauma are complicated and clients often request help with many different symptoms, including depression, severe anxiety/fear, substance use problems, sleep disturbances and interpersonal difficulties. Because of the complexity of clients' struggles, I use a variety of approaches in helping clients heal.
I have experience working with many different client concerns, including depression, anxiety, bipolar disorder, substance use problems and interpersonal/family conflict. I also have particular expertise working with people who have survived some form of trauma, including childhood abuse, sexual assault, interpersonal violence, military trauma and accidents/injury. The effects of trauma are complicated and clients often request help with many different symptoms, including depression, severe anxiety/fear, substance use problems, sleep disturbances and interpersonal difficulties. Because of the complexity of clients' struggles, I use a variety of approaches in helping clients heal.
(844) 213-8294 View (844) 213-8294
Photo of Stephanie Vacek, Marriage & Family Therapist in Manchester, CT
Stephanie Vacek
Marriage & Family Therapist, LMFT
Verified Verified
Manchester, CT 06042
As a marriage and family therapist it is my honor to work with individuals and families to work through hardships and explore ways to not only survive life's trials but to thrive. Many people find themselves seeking therapy during a life transition. Transitions can be extremely challenging, whether it is a change in a relationship, employment, a move or a loss. Navigating a new normal can come with pain and uncertainty. Through our work together we will use a variety of techniques and interventions to explore solutions and assist you in developing skills to find joy again.
As a marriage and family therapist it is my honor to work with individuals and families to work through hardships and explore ways to not only survive life's trials but to thrive. Many people find themselves seeking therapy during a life transition. Transitions can be extremely challenging, whether it is a change in a relationship, employment, a move or a loss. Navigating a new normal can come with pain and uncertainty. Through our work together we will use a variety of techniques and interventions to explore solutions and assist you in developing skills to find joy again.
(959) 207-2330 View (959) 207-2330
Photo of Jeanne Francis, Clinical Social Work/Therapist in Manchester, CT
Jeanne Francis
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Manchester, CT 06042
I understand it can be difficult to be vulnerable, and to work up the courage to reach out for help. It takes strength to say yourself, "I can't do this on my own," and take the leap to ask for help. I believe it is important that therapy is a collaborative process and that we work together. I view my role as a non-judgmental listener who can support and assist you in addressing the issues most important to you. I have experience working with clients dealing with depression, anxiety, relationship issues, life transitions, grief, and stress.
I understand it can be difficult to be vulnerable, and to work up the courage to reach out for help. It takes strength to say yourself, "I can't do this on my own," and take the leap to ask for help. I believe it is important that therapy is a collaborative process and that we work together. I view my role as a non-judgmental listener who can support and assist you in addressing the issues most important to you. I have experience working with clients dealing with depression, anxiety, relationship issues, life transitions, grief, and stress.
(860) 385-6129 View (860) 385-6129
Photo of T.R.U.E. Self Counseling LLC (Charlotte), Marriage & Family Therapist Associate in Manchester, CT
T.R.U.E. Self Counseling LLC (Charlotte)
Marriage & Family Therapist Associate, MFT, LSWA
Verified Verified
1 Endorsed
Manchester, CT 06042
No matter what has led you to seeking therapeutic support, a safe and transparent environment will support you in your pursuit of personal growth. Navigating life can be overwhelming even without the pressure and expectations set by social norms. Our own thoughts and ambitions have the ability to keep us up at night. Life does not come with a manual or blueprint. What we do know is that life comes with ups and downs; we are guaranteed a few bumps or bruises along the way. It is my goal to help you develop the tools you need to be successful which include promoting resilience, healthy coping skills as well as personal fulfillment.
No matter what has led you to seeking therapeutic support, a safe and transparent environment will support you in your pursuit of personal growth. Navigating life can be overwhelming even without the pressure and expectations set by social norms. Our own thoughts and ambitions have the ability to keep us up at night. Life does not come with a manual or blueprint. What we do know is that life comes with ups and downs; we are guaranteed a few bumps or bruises along the way. It is my goal to help you develop the tools you need to be successful which include promoting resilience, healthy coping skills as well as personal fulfillment.
(860) 784-7817 View (860) 784-7817
Photo of Rebekah Hafford, Clinical Social Work/Therapist in Manchester, CT
Rebekah Hafford
Clinical Social Work/Therapist, LCSW
Verified Verified
Manchester, CT 06042
Becky Hafford is a Licensed Clinical Social Worker (LCSW) with over 20 years of experience in the mental health field. She specializes in treating concerns and conditions related to PTSD, depression, anxiety, low self-esteem, grief, and trauma. Her clients have all dealt with major tragedies and struggles. She is also fiercely devoted to her field and her clients.
Becky Hafford is a Licensed Clinical Social Worker (LCSW) with over 20 years of experience in the mental health field. She specializes in treating concerns and conditions related to PTSD, depression, anxiety, low self-esteem, grief, and trauma. Her clients have all dealt with major tragedies and struggles. She is also fiercely devoted to her field and her clients.
(860) 979-5610 View (860) 979-5610
Photo of McLean Wellness Group, Inc, Psychologist in Manchester, CT
McLean Wellness Group, Inc
Psychologist, PsyD, LADC
Verified Verified
Manchester, CT 06040
~Accepting referrals for telemedicine~ Coming into therapy can seem scary, and for some, it may even be unclear how therapy can be useful or why you should begin this journey. I create a comfortable environment that is accepting of all people, regardless of the place you are in or the hesitancy you may be feeling about beginning the process of therapy. I work with clients by developing a relationship through genuine and caring interactions, by meeting you in the present moment, and helping identify your strengths. This can help people work through making difficult decisions, supporting life transitions, or managing mental illness.
~Accepting referrals for telemedicine~ Coming into therapy can seem scary, and for some, it may even be unclear how therapy can be useful or why you should begin this journey. I create a comfortable environment that is accepting of all people, regardless of the place you are in or the hesitancy you may be feeling about beginning the process of therapy. I work with clients by developing a relationship through genuine and caring interactions, by meeting you in the present moment, and helping identify your strengths. This can help people work through making difficult decisions, supporting life transitions, or managing mental illness.
(860) 866-5906 View (860) 866-5906
Photo of Kristen Diekmann, Marriage & Family Therapist in Manchester, CT
Kristen Diekmann
Marriage & Family Therapist, MEd, LMFT
Verified Verified
7 Endorsed
Manchester, CT 06040
Waitlist for new clients
Therapy can help to decrease stress or anxiety, improve communication in relationships and make a positive shift in your overall well-being. If you are considering seeing a therapist, it can be difficult to know how to choose one. It makes a big difference to find someone that you feel comfortable talking to and feel that you can trust. I believe that therapy is most effective when it is a collaborative effort. I strive to build on the strengths of my clients and help them to develop plans to achieve their goals.
Therapy can help to decrease stress or anxiety, improve communication in relationships and make a positive shift in your overall well-being. If you are considering seeing a therapist, it can be difficult to know how to choose one. It makes a big difference to find someone that you feel comfortable talking to and feel that you can trust. I believe that therapy is most effective when it is a collaborative effort. I strive to build on the strengths of my clients and help them to develop plans to achieve their goals.
(860) 967-3124 View (860) 967-3124
Photo of TNH Psychotherapy, LLC, Clinical Social Work/Therapist in Manchester, CT
TNH Psychotherapy, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Manchester, CT 06040
Waitlist for new clients
Hi there! For some, the very first step is difficult, but once it is made, each step thereafter becomes easier. There are times when we lose control, feel angry, confused, a loss of direction and even discouraged. These are some of the things that makes us human; we can be vulnerable at any moment. Despite challenges, we are capable of finding resolutions with the right support and guidance.
Hi there! For some, the very first step is difficult, but once it is made, each step thereafter becomes easier. There are times when we lose control, feel angry, confused, a loss of direction and even discouraged. These are some of the things that makes us human; we can be vulnerable at any moment. Despite challenges, we are capable of finding resolutions with the right support and guidance.
(860) 288-8665 View (860) 288-8665
Photo of Jen King - Building Happiness Llc, Clinical Social Work/Therapist in Manchester, CT
Jen King - Building Happiness Llc
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Manchester, CT 06040  (Online Only)
Hey there! I'm Jen, & I'm here to support your journey towards happiness & fulfillment. Life's a rollercoaster, & finding a sense of happiness & gratification can be tough. Whether it's stress, anxiety, depression, neurodiversity, or navigating relationships & identity, I'm here for you. My approach is about empowering you to build stronger connections, both with yourself & with others. Through our work together, you'll gain valuable insights & practical tools to manage your stress, overcome challenges, & create the life you want to live.
Hey there! I'm Jen, & I'm here to support your journey towards happiness & fulfillment. Life's a rollercoaster, & finding a sense of happiness & gratification can be tough. Whether it's stress, anxiety, depression, neurodiversity, or navigating relationships & identity, I'm here for you. My approach is about empowering you to build stronger connections, both with yourself & with others. Through our work together, you'll gain valuable insights & practical tools to manage your stress, overcome challenges, & create the life you want to live.
(860) 864-5692 View (860) 864-5692
Photo of Aide Perez, Licensed Professional Counselor in Manchester, CT
Aide Perez
Licensed Professional Counselor, LPC
Verified Verified
Manchester, CT 06042  (Online Only)
Aide A Perez is a Licensed Practitioner Counselor with experience working with both children and adults. She is passionate about helping people of color to address their unique challenges and live more fulfilled lives. Aide specializes in depression, anxiety, grief, and trauma. Aide completed her Master’s Degree at The Chicago School of Professional Psychology.
Aide A Perez is a Licensed Practitioner Counselor with experience working with both children and adults. She is passionate about helping people of color to address their unique challenges and live more fulfilled lives. Aide specializes in depression, anxiety, grief, and trauma. Aide completed her Master’s Degree at The Chicago School of Professional Psychology.
(860) 891-2958 View (860) 891-2958
Photo of Angela Stachowiak, Licensed Professional Counselor in Manchester, CT
Angela Stachowiak
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Manchester, CT 06040
Not accepting new clients
Creating a therapeutic alliance where individuals are safe to explore the challenges in their lives is the foundation of effective therapy. I offer an authentic, non-judgmental, direct, and empathetic treatment approach that facilitates growth. Together we can explore underlying core belief systems and patterns of thinking that contribute to disruption in our lives, and learn healthier and more effective ways of coping that lead to positive change. I hope to provide the right balance of support and guidance that empowers people to create meaning, practice wellness, and find contentment in their lives.
Creating a therapeutic alliance where individuals are safe to explore the challenges in their lives is the foundation of effective therapy. I offer an authentic, non-judgmental, direct, and empathetic treatment approach that facilitates growth. Together we can explore underlying core belief systems and patterns of thinking that contribute to disruption in our lives, and learn healthier and more effective ways of coping that lead to positive change. I hope to provide the right balance of support and guidance that empowers people to create meaning, practice wellness, and find contentment in their lives.
(860) 200-2158 View (860) 200-2158
Photo of Comfort Counseling and Wellness LLC, Clinical Social Work/Therapist in Manchester, CT
Comfort Counseling and Wellness LLC
Clinical Social Work/Therapist, MPH, LCSW
Verified Verified
Manchester, CT 06040
**Currently Accepting New In Peson Clients** The relationship that we have with ourselves is the most important. We live in a world where many demands are placed on us. Life challenges can sometimes be unpredictable and derive from a multitude of situations and experiences. I am experienced in working with a diverse population including children and adolescents. I provide therapeutic services for individuals and families in a safe, validating and non judgemental environment.
**Currently Accepting New In Peson Clients** The relationship that we have with ourselves is the most important. We live in a world where many demands are placed on us. Life challenges can sometimes be unpredictable and derive from a multitude of situations and experiences. I am experienced in working with a diverse population including children and adolescents. I provide therapeutic services for individuals and families in a safe, validating and non judgemental environment.
(959) 777-5543 View (959) 777-5543
Photo of Alison Schneider, Clinical Social Work/Therapist in Manchester, CT
Alison Schneider
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Manchester, CT 06042
I have 13 years of experience working with adults with various mental health needs. I offer a safe space for you to receive compassion and understanding. This is so important as it can be a challenge to get this from the outside world. I can help you identify your inner strengths and how you can utilize your strengths to overcome your challenges. I have experience helping people learn how to cope with depression and anxiety. Depression and anxiety are not weaknesses and do not define who you are!
I have 13 years of experience working with adults with various mental health needs. I offer a safe space for you to receive compassion and understanding. This is so important as it can be a challenge to get this from the outside world. I can help you identify your inner strengths and how you can utilize your strengths to overcome your challenges. I have experience helping people learn how to cope with depression and anxiety. Depression and anxiety are not weaknesses and do not define who you are!
(860) 937-6022 View (860) 937-6022
Photo of Laurie Pels-Roulier, Licensed Professional Counselor in Manchester, CT
Laurie Pels-Roulier
Licensed Professional Counselor, LPC, LMFT
Verified Verified
Manchester, CT 06040
Waitlist for new clients
I am passionate about helping people push past barriers such as trauma , anxiety or depression that are preventing them from living their fullest life. Many times life's traumas create lifelong negative beliefs that hold people back from how they want to live. I specialize in working with people to help them remove traumatic barriers and create long lasting change in their relationships, careers and life satisfaction. I am dually licensed as a marital and family therapist and use a systemic approach in my treatment of individuals and couples.
I am passionate about helping people push past barriers such as trauma , anxiety or depression that are preventing them from living their fullest life. Many times life's traumas create lifelong negative beliefs that hold people back from how they want to live. I specialize in working with people to help them remove traumatic barriers and create long lasting change in their relationships, careers and life satisfaction. I am dually licensed as a marital and family therapist and use a systemic approach in my treatment of individuals and couples.
(860) 200-2569 View (860) 200-2569
Photo of Heather L. Spada, Licensed Professional Counselor in Manchester, CT
Heather L. Spada
Licensed Professional Counselor, LPC, MA
Verified Verified
Manchester, CT 06040
Counseling and Life Coaching services focus on helping people discover lasting freedom and a transformed life. These services are provided through the lens of Scripture, empowering individuals to confidently pursue their God-given calling by applying truth in daily life, relationships, workplace, church, or ministry. Whether your journey is for healing, growth, or discovery, you will be inspired to learn and apply practical, relevant solutions, as well as address your concerns of the past, present, and future. Lasting change is possible. Solid growth is a reality. A thriving life is attainable.
Counseling and Life Coaching services focus on helping people discover lasting freedom and a transformed life. These services are provided through the lens of Scripture, empowering individuals to confidently pursue their God-given calling by applying truth in daily life, relationships, workplace, church, or ministry. Whether your journey is for healing, growth, or discovery, you will be inspired to learn and apply practical, relevant solutions, as well as address your concerns of the past, present, and future. Lasting change is possible. Solid growth is a reality. A thriving life is attainable.
(860) 200-8013 View (860) 200-8013
Photo of Shontelle Brewster, Marriage & Family Therapist Associate in Manchester, CT
Shontelle Brewster
Marriage & Family Therapist Associate, LMFTA
Verified Verified
2 Endorsed
Manchester, CT 06040
Hi there! You being here means you are taking steps to work on making changes in your life. Are you struggling with past/present situations which have been affecting you? What about struggling with negative and unwanted thoughts? Unhealthy relationships and emotional distress? Allow me to help you explore, unlock and re-invent your unique story to become the most healthy and powerful you.
Hi there! You being here means you are taking steps to work on making changes in your life. Are you struggling with past/present situations which have been affecting you? What about struggling with negative and unwanted thoughts? Unhealthy relationships and emotional distress? Allow me to help you explore, unlock and re-invent your unique story to become the most healthy and powerful you.
(475) 267-1192 View (475) 267-1192
Photo of Grier Stanley, Clinical Social Work/Therapist in Manchester, CT
Grier Stanley
Clinical Social Work/Therapist, LCSW
Verified Verified
Manchester, CT 06040  (Online Only)
Not accepting new clients
Whether you’re someone who has dealt with difficult emotions your entire life or it’s a new feeling for you, I believe everyone deserves the opportunity to have someone meet them where they are at, in that experience.
Whether you’re someone who has dealt with difficult emotions your entire life or it’s a new feeling for you, I believe everyone deserves the opportunity to have someone meet them where they are at, in that experience.
(860) 288-2987 View (860) 288-2987

How does your Therapist compare?

Number of Therapists in Manchester, CT

200+

Average cost per session

$140

Therapists in Manchester, CT who prioritize treating:

91% Anxiety
86% Depression
76% Relationship Issues
76% Self Esteem
73% Trauma and PTSD
71% Coping Skills
68% Stress

Average years in practice

13 Years

Top 3 insurances accepted

79% Husky | CT BHP
72% Cigna and Evernorth
65% Anthem | Elevance

How Therapists in Manchester, CT see their clients

78% In Person and Online
22% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Manchester?

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.