Therapists in Dwight, New Haven, CT

Photo of Trip Hartigan, Licensed Professional Counselor, LPC, NCC
Trip Hartigan
Licensed Professional Counselor, LPC, NCC
Dwight, New Haven, CT 06511
Welcome to my counseling practice. I know that it can take a lot of strength to make that initial call and I especially enjoy working with those who are new to therapy. I am a licensed professional counselor with more than twenty years of experience working collaboratively with clients to provide assistance with a number of concerns, including anxiety, depression, grief, addiction, life transitions, and health and aging issues. Using an integrative mix of evidenced-based therapies, I offer in-person sessions at my office in downtown New Haven, and online telehealth services to clients throughout Connecticut via the Doxy.me platform.
Welcome to my counseling practice. I know that it can take a lot of strength to make that initial call and I especially enjoy working with those who are new to therapy. I am a licensed professional counselor with more than twenty years of experience working collaboratively with clients to provide assistance with a number of concerns, including anxiety, depression, grief, addiction, life transitions, and health and aging issues. Using an integrative mix of evidenced-based therapies, I offer in-person sessions at my office in downtown New Haven, and online telehealth services to clients throughout Connecticut via the Doxy.me platform.
(959) 207-8542 View (959) 207-8542
Photo of Mikaela Rivera-Irizarry, Clinical Social Work/Therapist, LCSW
Mikaela Rivera-Irizarry
Clinical Social Work/Therapist, LCSW
1 Endorsed
Dwight, New Haven, CT 06511
We all deserve a safe space to be seen, heard and supported. I am an open-minded and compassionate therapist who tailors therapy to fit your needs! I am well versed in many therapeutic styles, and can move at whatever pace you feel comfortable with. Together, we can process past hurt, find the strength to move forward, and discover how to enjoy life again!
We all deserve a safe space to be seen, heard and supported. I am an open-minded and compassionate therapist who tailors therapy to fit your needs! I am well versed in many therapeutic styles, and can move at whatever pace you feel comfortable with. Together, we can process past hurt, find the strength to move forward, and discover how to enjoy life again!
(475) 405-2232 View (475) 405-2232
Photo of Wayne Kossman, Licensed Professional Counselor, LPC
Wayne Kossman
Licensed Professional Counselor, LPC
1 Endorsed
Dwight, New Haven, CT 06501
Compassionate online therapy for growth and healing. LGBTQ+ affirming, EMDR-trained, and sex-positive. I provide secure online therapy sessions to adults throughout Connecticut—including New Haven, Hartford, Stamford, Norwalk, Bridgeport, and nearby areas. I’m a Licensed Professional Counselor offering warm, affirming, insight-oriented support to clients navigating trauma, anxiety, depression, life transitions, relationship stress, and emotional healing related to intimacy, connection, sexual wellness, and personal growth. My practice is kink-affirming, HIV+ allied, and rooted in authenticity, safety, and genuine respect.
Compassionate online therapy for growth and healing. LGBTQ+ affirming, EMDR-trained, and sex-positive. I provide secure online therapy sessions to adults throughout Connecticut—including New Haven, Hartford, Stamford, Norwalk, Bridgeport, and nearby areas. I’m a Licensed Professional Counselor offering warm, affirming, insight-oriented support to clients navigating trauma, anxiety, depression, life transitions, relationship stress, and emotional healing related to intimacy, connection, sexual wellness, and personal growth. My practice is kink-affirming, HIV+ allied, and rooted in authenticity, safety, and genuine respect.
(475) 255-6430 View (475) 255-6430
Photo of Isaiah D Dockett, Drug & Alcohol Counselor, LADC, CAC
Isaiah D Dockett
Drug & Alcohol Counselor, LADC, CAC
Dwight, New Haven, CT 06511
My ideal client stands at life’s crossroads, weighed down by real struggles—trauma, addiction, or a clouded future—but still clinging to hope. They aren’t just surviving; they’re seeking to thrive, wanting guidance to break through barriers. Their needs are raw—support, a path forward. They’re ready to redefine themselves, tired of being limited by their struggles. They seek to reconnect with purpose, find strength in vulnerability, and rewrite their story. They want transformation, willing to do the hard work for lasting change, making them the perfect partner for deep, meaningful growth. They’re determined to move beyond the past
My ideal client stands at life’s crossroads, weighed down by real struggles—trauma, addiction, or a clouded future—but still clinging to hope. They aren’t just surviving; they’re seeking to thrive, wanting guidance to break through barriers. Their needs are raw—support, a path forward. They’re ready to redefine themselves, tired of being limited by their struggles. They seek to reconnect with purpose, find strength in vulnerability, and rewrite their story. They want transformation, willing to do the hard work for lasting change, making them the perfect partner for deep, meaningful growth. They’re determined to move beyond the past
(475) 253-3424 View (475) 253-3424
Photo of Sara Elisabeth Okereke - Sankofa Counseling LLC, Drug & Alcohol Counselor, MSW, LADC
Sankofa Counseling LLC
Drug & Alcohol Counselor, MSW, LADC
1 Endorsed
Dwight, New Haven, CT 06511
At Sankofa Counseling we believe that a strength based, client centered foundation combined with unconditional positive regard are the keys to change and healing. I obtained my Master’s degree in Social Work from the University in Connecticut. As a licensed drug and alcohol counselor (LADC,) my primary focus is to work with individuals who suffer from substance use disorders. I have worked with various populations and am committed to providing continuous support, substance use education and relapse prevention.
At Sankofa Counseling we believe that a strength based, client centered foundation combined with unconditional positive regard are the keys to change and healing. I obtained my Master’s degree in Social Work from the University in Connecticut. As a licensed drug and alcohol counselor (LADC,) my primary focus is to work with individuals who suffer from substance use disorders. I have worked with various populations and am committed to providing continuous support, substance use education and relapse prevention.
(475) 263-4686 View (475) 263-4686
Jackson Monarca
Licensed Professional Counselor, LPC
Dwight, New Haven, CT 06511
My name is Jackson and I am a transgender man working as a licensed professional counselor (LPC) in Connecticut. I specialize in working with the LGBT+ community and those with complex trauma. Other topics relevant to my experience include crisis/suicidality, HIV, homelessness, substance use/addiction, harm reduction, and neurodivergence. I enjoy working with clients who are looking for an affirming space to be themselves and work towards realistic goals to improve their quality of life.
My name is Jackson and I am a transgender man working as a licensed professional counselor (LPC) in Connecticut. I specialize in working with the LGBT+ community and those with complex trauma. Other topics relevant to my experience include crisis/suicidality, HIV, homelessness, substance use/addiction, harm reduction, and neurodivergence. I enjoy working with clients who are looking for an affirming space to be themselves and work towards realistic goals to improve their quality of life.
(475) 291-4385 View (475) 291-4385
Photo of Karen Tyson, Drug & Alcohol Counselor, LADC, ICAADC, AADC, MA
Karen Tyson
Drug & Alcohol Counselor, LADC, ICAADC, AADC, MA
Dwight, New Haven, CT 06511
Karen’s own life experiences have provided her with a greater ability and understanding of demonstrating unconditional positive regard, as she works passionately in her ministry of treating, educating and encouraging you to break free from the chains of addiction and prosper into a healthy fulfilling life. She has helped people become more successful in all areas of life; to identify and/or surpass their goals, overcome obstacles, meet challenges and feel more alive. Karen work with individuals to support addiction recovery, changing negative habits, improving relationships and overcoming life challenges.
Karen’s own life experiences have provided her with a greater ability and understanding of demonstrating unconditional positive regard, as she works passionately in her ministry of treating, educating and encouraging you to break free from the chains of addiction and prosper into a healthy fulfilling life. She has helped people become more successful in all areas of life; to identify and/or surpass their goals, overcome obstacles, meet challenges and feel more alive. Karen work with individuals to support addiction recovery, changing negative habits, improving relationships and overcoming life challenges.
(475) 224-4626 View (475) 224-4626
Photo of Tenee Ricks - The Healing Spa'T, Pre-Licensed Professional, LMSW
The Healing Spa'T
Pre-Licensed Professional, LMSW
Dwight, New Haven, CT 06511
Here at The Healing Spa't we would like for our clients to become your best self. It doesn't matter about your imperfections or lacks, healing revolves around moving forward even when we can't see the "good" in our situations. Grasp onto your "why", challenge yourself to become whole and watch how one decision can change your life. Again, Welcome, to your journey and to your healing.
Here at The Healing Spa't we would like for our clients to become your best self. It doesn't matter about your imperfections or lacks, healing revolves around moving forward even when we can't see the "good" in our situations. Grasp onto your "why", challenge yourself to become whole and watch how one decision can change your life. Again, Welcome, to your journey and to your healing.
(203) 872-0180 View (203) 872-0180
Photo of Mariyah Charlton, Licensed Professional Counselor
Mariyah Charlton
Licensed Professional Counselor
Dwight, New Haven, CT 06511
Life’s demands can leave you feeling overwhelmed, anxious, and stuck in survival mode. But it doesn’t have to stay that way! I work with individuals who are ready to break cycles of burnout, manage their emotions with confidence, and create space for calm, joy, and balance again. If you’ve been showing up for everyone else but feel like you’ve lost yourself in the process, I want you to know there’s a way back to peace.
Life’s demands can leave you feeling overwhelmed, anxious, and stuck in survival mode. But it doesn’t have to stay that way! I work with individuals who are ready to break cycles of burnout, manage their emotions with confidence, and create space for calm, joy, and balance again. If you’ve been showing up for everyone else but feel like you’ve lost yourself in the process, I want you to know there’s a way back to peace.
(475) 256-5875 View (475) 256-5875
Photo of Karen Tyson - Prosperity Community Services, Drug & Alcohol Counselor, LADC, APRN, LPCA
Prosperity Community Services
Drug & Alcohol Counselor, LADC, APRN, LPCA
Dwight, New Haven, CT 06511
It is our mission to empower individuals in resolving their problems with different life challenges. With our holistic and personalized services, we aim to guide them in understanding their issues and finding healthier and more effective ways of dealing with them. Prosperity Counseling, LLC provides a structured experience of evidence-based strategies that are designed to promote self-sufficiency as a basis for a transformed life. We specialize in Addiction, Individual, Couples/Family, and Adolescent/Children counseling. We also offer Medication Management, and other Addiction specific resources.
It is our mission to empower individuals in resolving their problems with different life challenges. With our holistic and personalized services, we aim to guide them in understanding their issues and finding healthier and more effective ways of dealing with them. Prosperity Counseling, LLC provides a structured experience of evidence-based strategies that are designed to promote self-sufficiency as a basis for a transformed life. We specialize in Addiction, Individual, Couples/Family, and Adolescent/Children counseling. We also offer Medication Management, and other Addiction specific resources.
(203) 275-0957 x200 View (203) 275-0957 x200
Photo of Porsche Collins, Clinical Social Work/Therapist, LCSW, CCM
Porsche Collins
Clinical Social Work/Therapist, LCSW, CCM
Dwight, New Haven, CT 06511
I'm a Licensed Clinical Social Worker practicing in NC, SC, GA, CT, MA and IN, and the sole therapist at Empathic Hues Counseling and Consultation, PLLC. My practice aims to support adults dealing with depression, anxiety, and life changes. I strive to help individuals find the peace needed to gain control over their lives and confidently overcome challenges. My goal is to assist you in understanding yourself while focusing on developing your internal and external strengths. Let’s work together to create a fulfilling and balanced life.
I'm a Licensed Clinical Social Worker practicing in NC, SC, GA, CT, MA and IN, and the sole therapist at Empathic Hues Counseling and Consultation, PLLC. My practice aims to support adults dealing with depression, anxiety, and life changes. I strive to help individuals find the peace needed to gain control over their lives and confidently overcome challenges. My goal is to assist you in understanding yourself while focusing on developing your internal and external strengths. Let’s work together to create a fulfilling and balanced life.
(704) 755-3253 View (704) 755-3253
Photo of Tasha Chimbila - Sankofa Counseling LLC, Clinical Social Work/Therapist, LMSW, CDP
Sankofa Counseling LLC
Clinical Social Work/Therapist, LMSW, CDP
Online Only
I'm Tasha Chimbila, an LMSW at Sankofa Counseling. We believe that a strength-based, person-centered foundation combined with unconditional positive regard is essential to change and healing.
I'm Tasha Chimbila, an LMSW at Sankofa Counseling. We believe that a strength-based, person-centered foundation combined with unconditional positive regard is essential to change and healing.
(475) 348-8041 View (475) 348-8041
Photo of Christina Polk - Christina Cares Counseling, LLC - Christina Polk, Clinical Social Work/Therapist, LCSW, LICSW
Christina Cares Counseling, LLC - Christina Polk
Clinical Social Work/Therapist, LCSW, LICSW
2 Endorsed
Online Only
At Christina Cares Counseling, therapy is about connection, growth, and feeling truly seen. I take time to understand where you are right now, the challenges, transitions, or patterns that have you feeling stuck, and together we create a plan to help you move forward with clarity and confidence.
At Christina Cares Counseling, therapy is about connection, growth, and feeling truly seen. I take time to understand where you are right now, the challenges, transitions, or patterns that have you feeling stuck, and together we create a plan to help you move forward with clarity and confidence.
(203) 819-7134 View (203) 819-7134
Photo of Christine Shore Canapinno, Professional Counselor Associate, MS, LPC-A
Christine Shore Canapinno
Professional Counselor Associate, MS, LPC-A
Online Only
If you’re living with chronic illness or disability, you’re in the right place. I specialize in supporting adults navigating the unique challenges of these experiences, including grief, trauma, anxiety, loss, and the daily stress of living in a body that doesn’t always cooperate. I also work with clients managing depression, anxiety disorders, life transitions, and severe mental illness. My approach is eclectic, blending person-centered therapy, motivational interviewing, compassion-focused therapy, and CBT. I bring warmth, empathy, and humor to the work.
If you’re living with chronic illness or disability, you’re in the right place. I specialize in supporting adults navigating the unique challenges of these experiences, including grief, trauma, anxiety, loss, and the daily stress of living in a body that doesn’t always cooperate. I also work with clients managing depression, anxiety disorders, life transitions, and severe mental illness. My approach is eclectic, blending person-centered therapy, motivational interviewing, compassion-focused therapy, and CBT. I bring warmth, empathy, and humor to the work.
(475) 256-6090 View (475) 256-6090
Photo of Julia Tomoyasu Silveira, Clinical Social Work/Therapist, LCSW
Julia Tomoyasu Silveira
Clinical Social Work/Therapist, LCSW
Online Only
I work with adults navigating cultural identity, intergenerational conflict, and life transitions. Many of my clients come to me feeling anxious, stuck, or overwhelmed. Together, we slow down in a safe and intentional way—making room for mixed emotions, self-discovery, and meaningful change.
I work with adults navigating cultural identity, intergenerational conflict, and life transitions. Many of my clients come to me feeling anxious, stuck, or overwhelmed. Together, we slow down in a safe and intentional way—making room for mixed emotions, self-discovery, and meaningful change.
(475) 303-5790 View (475) 303-5790
Photo of Jessica R Vanderberg, Clinical Social Work/Therapist, LCSW, MEd, CD, CLC, CCCE
Jessica R Vanderberg
Clinical Social Work/Therapist, LCSW, MEd, CD, CLC, CCCE
Online Only
I believe that to understand yourself, you need to look at the bigger picture; how your family, community, and the world around you have shaped who you are. Once we do that, we can honor the whole you, not just focus on fixing problems. I help women untangle life’s chaos, whether you’re juggling early adulthood, motherhood, or midlife plot twists. We’ll dive into talk therapy with a sprinkle of body-mind-feelings magic. Together, we’ll sift through your past, sketch your future, and figure out how to navigate life’s rollercoasters. TL;DR: We’ll get you feeling more you.
I believe that to understand yourself, you need to look at the bigger picture; how your family, community, and the world around you have shaped who you are. Once we do that, we can honor the whole you, not just focus on fixing problems. I help women untangle life’s chaos, whether you’re juggling early adulthood, motherhood, or midlife plot twists. We’ll dive into talk therapy with a sprinkle of body-mind-feelings magic. Together, we’ll sift through your past, sketch your future, and figure out how to navigate life’s rollercoasters. TL;DR: We’ll get you feeling more you.
(475) 323-6437 View (475) 323-6437

Online Therapists

Photo of Carl S. Hovey, Psychologist, PsyD, MA
Carl S. Hovey
Psychologist, PsyD, MA
New Haven, CT 06511
It is often difficult to identify why we are unhappy. It can feel like something has disconnected us from the sense of spontaneous creativity and joy which defines a good life. Instead of freedom and self-determination, we feel trapped and pressured by society's demands, unsatisfying relationships, or feelings that we don't know how to address. I would work with you in therapy to reconnect with your own place of authenticity, power, and creative engagement. To accomplish this, I utilize a collaborative approach which closely examines unconscious patterns so that we can work together to change them.
It is often difficult to identify why we are unhappy. It can feel like something has disconnected us from the sense of spontaneous creativity and joy which defines a good life. Instead of freedom and self-determination, we feel trapped and pressured by society's demands, unsatisfying relationships, or feelings that we don't know how to address. I would work with you in therapy to reconnect with your own place of authenticity, power, and creative engagement. To accomplish this, I utilize a collaborative approach which closely examines unconscious patterns so that we can work together to change them.
(646) 859-2359 View (646) 859-2359
Photo of Dinesh Perera, Marriage & Family Therapist, LMFT
Dinesh Perera
Marriage & Family Therapist, LMFT
New Haven, CT 06515
Does your life experience contain unwanted problems and pain? Do the same patterns keep repeating? Would you like to feel more empowered to create a better life? After helping hundreds of people over the past 20 years, I can offer an approach that goes far beyond just talk therapy. I began my career as a Yale family therapist, which gave me a big-picture understanding of how a person's challenges during their growing-up years in their family can turn into difficulties that keep repeating in their adulthood. As your therapist, I accept you as you are and as we work together to empower you to unleash your best self.
Does your life experience contain unwanted problems and pain? Do the same patterns keep repeating? Would you like to feel more empowered to create a better life? After helping hundreds of people over the past 20 years, I can offer an approach that goes far beyond just talk therapy. I began my career as a Yale family therapist, which gave me a big-picture understanding of how a person's challenges during their growing-up years in their family can turn into difficulties that keep repeating in their adulthood. As your therapist, I accept you as you are and as we work together to empower you to unleash your best self.
(475) 323-6853 View (475) 323-6853
Photo of Angels Gonzalez, PhD, Psy
Angels Gonzalez
Verified Verified
New Haven, CT 06511
I am PhD in Clinical Psychology and I am offering my psychological and coaching services (life, psychology and recovery coaching) for clients who want to reach a higher level of satisfaction or learning and to bring greater fulfillment in life. I am using the holistic and integrative approach, considering the whole person and the whole situation. My clients enjoy the vitality and well-being that results from their positive lifestyle changes, and are motivated to continue this process throughout their lives. I am bilingual in English and Spanish and I provide culturally appropriate services to the diversity of Latino/a community.
I am PhD in Clinical Psychology and I am offering my psychological and coaching services (life, psychology and recovery coaching) for clients who want to reach a higher level of satisfaction or learning and to bring greater fulfillment in life. I am using the holistic and integrative approach, considering the whole person and the whole situation. My clients enjoy the vitality and well-being that results from their positive lifestyle changes, and are motivated to continue this process throughout their lives. I am bilingual in English and Spanish and I provide culturally appropriate services to the diversity of Latino/a community.
(203) 409-8686 View (203) 409-8686
Photo of Abby Adis, Clinical Social Work/Therapist, LCSW
Abby Adis
Clinical Social Work/Therapist, LCSW
New Haven, CT 06511
I use all of my experience, knowledge and talent to help my clients to reach their goals. Clients describe me as warm, relatable and insightful in my approach as we confront life challenges and emotional struggles. My years of experience and extensive training in contemporary trauma and relational treatments have helped those overwhelmed by depression, anxiety, trauma, relationship conflicts and poor self esteem. We embark together towards developing a positive sense of self and a happier life. I strive to transform painful experiences into opportunities for healing and growth.
I use all of my experience, knowledge and talent to help my clients to reach their goals. Clients describe me as warm, relatable and insightful in my approach as we confront life challenges and emotional struggles. My years of experience and extensive training in contemporary trauma and relational treatments have helped those overwhelmed by depression, anxiety, trauma, relationship conflicts and poor self esteem. We embark together towards developing a positive sense of self and a happier life. I strive to transform painful experiences into opportunities for healing and growth.
(203) 916-4062 View (203) 916-4062

How does your Therapist compare?

Number of Therapists in Dwight, New Haven, CT

10+

Average cost per session

$150

Therapists in Dwight, New Haven, CT who prioritize treating:

88% Depression
88% Anxiety
81% Relationship Issues
81% Coping Skills
81% Self Esteem
75% Trauma and PTSD
63% Substance Use

Average years in practice

7 Years

Top 3 insurances accepted

93% Cigna and Evernorth
79% Aetna
71% BlueCross and BlueShield

How Therapists in Dwight, New Haven, CT see their clients

69% In Person and Online
31% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Dwight, New Haven?

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.