Therapists in Highland Park, NJ

Photo of Jeffrey Axelbank, Psychologist in Highland Park, NJ
Jeffrey Axelbank
Psychologist, PsyD
Verified Verified
1 Endorsed
Highland Park, NJ 08904
People are helped most by considering all aspects of their lives, their strengths as well as the areas giving them problems. Therefore, I will treat you as a whole person, not just as a diagnosis. We will work together to understand how your past is affecting your current situation, and get to the bottom of your issues, for achieving deep, lasting changes. Speaking freely and without inhibitions with your therapist is essential and I work to provide a warm, safe environment for you to do so. I also offer group therapy, which is very effective when combined with individual sessions.
People are helped most by considering all aspects of their lives, their strengths as well as the areas giving them problems. Therefore, I will treat you as a whole person, not just as a diagnosis. We will work together to understand how your past is affecting your current situation, and get to the bottom of your issues, for achieving deep, lasting changes. Speaking freely and without inhibitions with your therapist is essential and I work to provide a warm, safe environment for you to do so. I also offer group therapy, which is very effective when combined with individual sessions.
(732) 703-7235 View (732) 703-7235
Photo of Janet Chiorello-Ellis, Clinical Social Work/Therapist in Highland Park, NJ
Janet Chiorello-Ellis
Clinical Social Work/Therapist, LCSW
Verified Verified
Highland Park, NJ 08904
I'am a clinician with more than 20 years of experience assisting children and adults with many of life's challenges. I look forward to providing a safe, gentle and genuine place for you to address your anxiety, depression and interpersonal issues. You will identify ways to solve the problems you face and develop the motivation and energy you need to reach your goals in every area of your life.
I'am a clinician with more than 20 years of experience assisting children and adults with many of life's challenges. I look forward to providing a safe, gentle and genuine place for you to address your anxiety, depression and interpersonal issues. You will identify ways to solve the problems you face and develop the motivation and energy you need to reach your goals in every area of your life.
(732) 831-7616 View (732) 831-7616
Photo of Zoe E Blanchard, Clinical Social Work/Therapist in Highland Park, NJ
Zoe E Blanchard
Clinical Social Work/Therapist, MSW, LSW
Not Verified Not Verified
1 Endorsed
Highland Park, NJ 08904  (Online Only)
The things we experience affect us more than we think. Maybe you felt neglected as a child, are experiencing bullying, lost a family member, or are in an emotionally and/or physically abusive relationship. Maybe you have signs of unhealed trauma (depression, anxiety, low self-worth, relationship trouble, substance abuse, etc.) but don't realize you've experienced trauma. You could feel uncertain about why you feel this way and want to explore that. Trauma is very subjective. Every person is affected by and reacts to adverse events differently. This can lead you to feeling hopeless for the future and can be incredibly isolating.
The things we experience affect us more than we think. Maybe you felt neglected as a child, are experiencing bullying, lost a family member, or are in an emotionally and/or physically abusive relationship. Maybe you have signs of unhealed trauma (depression, anxiety, low self-worth, relationship trouble, substance abuse, etc.) but don't realize you've experienced trauma. You could feel uncertain about why you feel this way and want to explore that. Trauma is very subjective. Every person is affected by and reacts to adverse events differently. This can lead you to feeling hopeless for the future and can be incredibly isolating.
(732) 627-1301 View (732) 627-1301
Photo of Jeremy Lichtman, Psychologist in Highland Park, NJ
Jeremy Lichtman
Psychologist, PsyD
Verified Verified
3 Endorsed
Highland Park, NJ 08904
Waitlist for new clients
As a psychologist with expertise in CBT and DBT, I care deeply about providing the very best treatment to my clients. My therapy approach utilizes research-supported techniques to treat clients according to their individualized needs, making sure to collaborate with parents, school personnel, and medical providers. I support my clients by providing them with straightforward feedback and a clear plan, and by helping them develop skills to improve their lives.
As a psychologist with expertise in CBT and DBT, I care deeply about providing the very best treatment to my clients. My therapy approach utilizes research-supported techniques to treat clients according to their individualized needs, making sure to collaborate with parents, school personnel, and medical providers. I support my clients by providing them with straightforward feedback and a clear plan, and by helping them develop skills to improve their lives.
(848) 233-3476 View (848) 233-3476
Photo of Sarah Wilson-Leslie, Marriage & Family Therapist Associate in Highland Park, NJ
Sarah Wilson-Leslie
Marriage & Family Therapist Associate, MS, LAMFT
Verified Verified
1 Endorsed
Highland Park, NJ 08904  (Online Only)
Hello, my name is Sarah, and I am a licensed associate marriage and family therapist. I have experience with supporting individuals, couples, and families in improving communication, setting boundaries, and managing challenging life transitions. I am passionate about helping clients explore complex family dynamics, as well as the impact those dynamics have on their physical and mental health. I strive to support clients by providing them with the tools needed to create healthy and long-lasting relationships with both themselves and others.
Hello, my name is Sarah, and I am a licensed associate marriage and family therapist. I have experience with supporting individuals, couples, and families in improving communication, setting boundaries, and managing challenging life transitions. I am passionate about helping clients explore complex family dynamics, as well as the impact those dynamics have on their physical and mental health. I strive to support clients by providing them with the tools needed to create healthy and long-lasting relationships with both themselves and others.
(732) 641-8631 View (732) 641-8631
Photo of Institute for Personal Growth (Sex Therapy), Psychologist in Highland Park, NJ
Institute for Personal Growth (Sex Therapy)
Psychologist, PhD, LCSW, LPC, LMFT
Verified Verified
Highland Park, NJ 08904
Thinking of therapy? Ask for the for the first session free. IPG has 3 offices throughout New Jersey (Highland Park, Jersey City, and Freehold), with almost 30 therapists, many of whom are experts in sex therapy. Because many sexual problems affect relationships, not just individuals, our sex therapists also have extensive training in various forms of couples therapy, so we are ideally equipped to handle relationship problems with a sexual component. Whether your concern is primarily a sexual issue or part of a larger marital issue, we are the right choice. We also work of course with individuals for various sex-related concerns.
Thinking of therapy? Ask for the for the first session free. IPG has 3 offices throughout New Jersey (Highland Park, Jersey City, and Freehold), with almost 30 therapists, many of whom are experts in sex therapy. Because many sexual problems affect relationships, not just individuals, our sex therapists also have extensive training in various forms of couples therapy, so we are ideally equipped to handle relationship problems with a sexual component. Whether your concern is primarily a sexual issue or part of a larger marital issue, we are the right choice. We also work of course with individuals for various sex-related concerns.
(866) 948-7629 View (866) 948-7629
Photo of Theresa Messineo, Clinical Social Work/Therapist in Highland Park, NJ
Theresa Messineo
Clinical Social Work/Therapist, LCSW, LCADC, CCTP, CCS
Verified Verified
Highland Park, NJ 08904
I welcome all clients who would like to improve their well being and their family, intimate, or work relationships. I will help you gain greater insight into your behaviors and feelings so that you may ultimately make choices to live a more free, fulfilled, happy life.
I welcome all clients who would like to improve their well being and their family, intimate, or work relationships. I will help you gain greater insight into your behaviors and feelings so that you may ultimately make choices to live a more free, fulfilled, happy life.
(908) 386-4541 View (908) 386-4541
Photo of Vanessa Daza-Heck, Clinical Social Work/Therapist in Highland Park, NJ
Vanessa Daza-Heck
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Highland Park, NJ 08904  (Online Only)
I am a bilingual Licensed Clinical Social Worker who has trained in the United States and abroad. I have worked with individuals who may be coping with depression, anxiety, post traumatic stress disorder, complex post traumatic stress disorder, bipolar disorder, borderline personality disorder, and/or other chronic mental illness. My primary focus in individual sessions is to empower my clients with a mixture of empathy and humor to work together in defining and reaching their goals.
I am a bilingual Licensed Clinical Social Worker who has trained in the United States and abroad. I have worked with individuals who may be coping with depression, anxiety, post traumatic stress disorder, complex post traumatic stress disorder, bipolar disorder, borderline personality disorder, and/or other chronic mental illness. My primary focus in individual sessions is to empower my clients with a mixture of empathy and humor to work together in defining and reaching their goals.
(732) 374-3918 View (732) 374-3918
Photo of Tiffany Zhu, Clinical Social Work/Therapist in Highland Park, NJ
Tiffany Zhu
Clinical Social Work/Therapist, LMSW, LSW, MSW
Verified Verified
1 Endorsed
Highland Park, NJ 08904  (Online Only)
Not accepting new clients
If you're reading this, I invite you to take a moment and breathe. May you receive this affirmation: "I am glad that you are here." It may have been a long journey: painful and lonely, confusing and frustating, and maybe even scary and hopeless. That you have made it here, is something to uplift. It is not easy to be known by those around you, and sometimes most of all, to be known to yourself.
If you're reading this, I invite you to take a moment and breathe. May you receive this affirmation: "I am glad that you are here." It may have been a long journey: painful and lonely, confusing and frustating, and maybe even scary and hopeless. That you have made it here, is something to uplift. It is not easy to be known by those around you, and sometimes most of all, to be known to yourself.
(732) 605-6003 View (732) 605-6003
Photo of Brett Sheldon, Clinical Social Work/Therapist in Highland Park, NJ
Brett Sheldon
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Highland Park, NJ 08904
Imagine you're in a brightly lit, comfortable and spacious room with lots of natural light pouring in. It's very easy to see and feel safe. Suddenly the windows go black blocking the sun light, the lights in the room go off and you can't see a thing. The sense of spaciousness gives way to pitch black darkness and you since you can't see you're too scared to move. The first thing you need to do is calm down if you feel fear or anger. If you feel paralyzed you need to start believing in yourself. Once you can think straight, you can start taking steps towards finding a way to create light and dispel the darkness.
Imagine you're in a brightly lit, comfortable and spacious room with lots of natural light pouring in. It's very easy to see and feel safe. Suddenly the windows go black blocking the sun light, the lights in the room go off and you can't see a thing. The sense of spaciousness gives way to pitch black darkness and you since you can't see you're too scared to move. The first thing you need to do is calm down if you feel fear or anger. If you feel paralyzed you need to start believing in yourself. Once you can think straight, you can start taking steps towards finding a way to create light and dispel the darkness.
(848) 244-8171 View (848) 244-8171
Photo of Elissa Rozov, Psychologist in Highland Park, NJ
Elissa Rozov
Psychologist, PhD
Verified Verified
Highland Park, NJ 08904
I believe that stress affects us on all levels: mind, body, and spirit. Whether it is depression, anxiety, relationship struggles, loss, or life transitions, a person needs to be treated on all levels. Additionally, each person experiences the interaction between the three in a unique way, and treatment must reflect that difference between clients. In addition to a doctorate in clinical psychology, I have advanced training in Sensorimotor Psychotherapy (www.sensorimotorpsychotherapy.org) and EMDR (www.emdr.com), both mind/body psychotherapies.
I believe that stress affects us on all levels: mind, body, and spirit. Whether it is depression, anxiety, relationship struggles, loss, or life transitions, a person needs to be treated on all levels. Additionally, each person experiences the interaction between the three in a unique way, and treatment must reflect that difference between clients. In addition to a doctorate in clinical psychology, I have advanced training in Sensorimotor Psychotherapy (www.sensorimotorpsychotherapy.org) and EMDR (www.emdr.com), both mind/body psychotherapies.
(732) 853-1122 View (732) 853-1122
Photo of Nathalie Clavijo, Clinical Social Work/Therapist in Highland Park, NJ
Nathalie Clavijo
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Highland Park, NJ 08904  (Online Only)
Hi there! My name is Nathalie. At a young age I knew I wanted to pursue a career in helping others, specifically in a therapeutic setting. So, let me tell you a little bit of my background. I have a bachelor’s degree in psychology from Kean university and a master’s degree in clinical social work from Rutgers university.
Hi there! My name is Nathalie. At a young age I knew I wanted to pursue a career in helping others, specifically in a therapeutic setting. So, let me tell you a little bit of my background. I have a bachelor’s degree in psychology from Kean university and a master’s degree in clinical social work from Rutgers university.
(732) 702-5813 View (732) 702-5813
Photo of Wendy Eisenberg, Clinical Social Work/Therapist in Highland Park, NJ
Wendy Eisenberg
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Highland Park, NJ 08904
Life often presents us with many challenges, most of which are unexpected. If you are feeling stressed, anxious, or sad, because of your life circumstances, you don't have to suffer alone. While reaching out for help can be difficult, you may feel comforted in knowing that most people feel some apprehension in taking this first step.
Life often presents us with many challenges, most of which are unexpected. If you are feeling stressed, anxious, or sad, because of your life circumstances, you don't have to suffer alone. While reaching out for help can be difficult, you may feel comforted in knowing that most people feel some apprehension in taking this first step.
(732) 691-4542 View (732) 691-4542
Photo of Doug Martinson, Counselor in Highland Park, NJ
Doug Martinson
Counselor, LAC
Verified Verified
1 Endorsed
Highland Park, NJ 08904  (Online Only)
Hello! Taking the first step into therapy can be a difficult one, and I want to commend you for taking that first step. We all face many different stressors in our lives. Between work, school, our friends and families and other relationships, it can become overwhelming to deal with it all. As we learn and grow, we may also discover new emotions or parts of ourselves that we are unfamiliar with, or we may recognize issues and struggles we have pushed off for far too long.
Hello! Taking the first step into therapy can be a difficult one, and I want to commend you for taking that first step. We all face many different stressors in our lives. Between work, school, our friends and families and other relationships, it can become overwhelming to deal with it all. As we learn and grow, we may also discover new emotions or parts of ourselves that we are unfamiliar with, or we may recognize issues and struggles we have pushed off for far too long.
(732) 652-9466 View (732) 652-9466
Photo of Susan Millner, Clinical Social Work/Therapist in Highland Park, NJ
Susan Millner
Clinical Social Work/Therapist, MSW, LCSW, ACSW
Verified Verified
1 Endorsed
Highland Park, NJ 08904
Life can be challenging. We all go through difficult times, get confused, feel stressed, experience loss. Some of us seek therapy because we suffer from depression, anxiety, illness and relationship problems; others may simply feel 'stuck" in some way. As a therapist with over 30 years of experience, my goal is to create a safe and supportive environment to guide clients to explore their needs, identify their strengths, gain a better understanding of what is and is not working in their lives, and to provide strategies to help them solve problems and achieve a more satisfying and fulfilling life.
Life can be challenging. We all go through difficult times, get confused, feel stressed, experience loss. Some of us seek therapy because we suffer from depression, anxiety, illness and relationship problems; others may simply feel 'stuck" in some way. As a therapist with over 30 years of experience, my goal is to create a safe and supportive environment to guide clients to explore their needs, identify their strengths, gain a better understanding of what is and is not working in their lives, and to provide strategies to help them solve problems and achieve a more satisfying and fulfilling life.
(732) 372-0414 View (732) 372-0414
Photo of Institute for Personal Growth, Psychologist in Highland Park, NJ
Institute for Personal Growth
Psychologist, LCSW, LPC, LMFT
Verified Verified
1 Endorsed
Highland Park, NJ 08904
Thinking of therapy? Ask us for the first session free, for a limited time. IPG has roughly 30 therapists over three NJ offices: Highland Park, Freehold, and Jersey City. Since 1983 we've combined compassionate care with high-level expertise. We provide individual, family, child, and relationship counseling for concerns ranging from depression to life transitions to marital strife. We have a special focus on the LGBTQ community, including transgender/GNC youth, but we see clients from all walks of life. We also have many other niche specialties such as sex therapy, ketamine-assisted psychotherapy, and eating disorders.
Thinking of therapy? Ask us for the first session free, for a limited time. IPG has roughly 30 therapists over three NJ offices: Highland Park, Freehold, and Jersey City. Since 1983 we've combined compassionate care with high-level expertise. We provide individual, family, child, and relationship counseling for concerns ranging from depression to life transitions to marital strife. We have a special focus on the LGBTQ community, including transgender/GNC youth, but we see clients from all walks of life. We also have many other niche specialties such as sex therapy, ketamine-assisted psychotherapy, and eating disorders.
(732) 487-3688 View (732) 487-3688
Photo of Rachel Samet, Clinical Social Work/Therapist in Highland Park, NJ
Rachel Samet
Clinical Social Work/Therapist, LSW, LMSW
Verified Verified
1 Endorsed
Highland Park, NJ 08904  (Online Only)
As a Licensed Social Worker and certified Trauma therapist, I aim to support my clients in navigating life's challenges, fostering a transformative experience that promotes inner purpose and resilience. Seeing primarily adults, my focus is on creating a safe and empowering environment through a client-centered and strength-based approach.
As a Licensed Social Worker and certified Trauma therapist, I aim to support my clients in navigating life's challenges, fostering a transformative experience that promotes inner purpose and resilience. Seeing primarily adults, my focus is on creating a safe and empowering environment through a client-centered and strength-based approach.
(732) 652-9453 View (732) 652-9453
Photo of David N Panzer, Psychologist in Highland Park, NJ
David N Panzer
Psychologist, PsyD
Verified Verified
Highland Park, NJ 08904
My passions are about collaboration. Whether I am working with individuals, clients or groups, as a psychotherapist, consultant or educator my process is about working together. Working together to uncover what gets in the way of your success and happiness, working together to uncover what gets in the way of satisfying relations and working together to discover how to work most effectively in you career endeavors. As an interpersonally oriented clinician my interest is helping you see how your relationships are the at the heart of your life's gratifications
My passions are about collaboration. Whether I am working with individuals, clients or groups, as a psychotherapist, consultant or educator my process is about working together. Working together to uncover what gets in the way of your success and happiness, working together to uncover what gets in the way of satisfying relations and working together to discover how to work most effectively in you career endeavors. As an interpersonally oriented clinician my interest is helping you see how your relationships are the at the heart of your life's gratifications
(732) 410-6539 x1 View (732) 410-6539 x1
Photo of Jason Wasser, Marriage & Family Therapist in Highland Park, NJ
Jason Wasser
Marriage & Family Therapist, LMFT
Verified Verified
Highland Park, NJ 08904
I have been licensed in Florida since 2005 and now offer services in NJ. I partner with clients who are looking for something different than the "more of the same old school" approach. There is no " how does that make you feel", instead I use a collaborative partnership with you to make effective change and aim to make this process as exciting as possible. I work with individuals, children, couples and families & a wide variety of challenges. My goal is to work with my clients to rapidly achieve their goals and have them "fire me" as soon as possible! Want a taste of how I work, check out my You Winning Life Podcast!
I have been licensed in Florida since 2005 and now offer services in NJ. I partner with clients who are looking for something different than the "more of the same old school" approach. There is no " how does that make you feel", instead I use a collaborative partnership with you to make effective change and aim to make this process as exciting as possible. I work with individuals, children, couples and families & a wide variety of challenges. My goal is to work with my clients to rapidly achieve their goals and have them "fire me" as soon as possible! Want a taste of how I work, check out my You Winning Life Podcast!
(732) 838-6404 View (732) 838-6404
Photo of Carol D. Church, Clinical Social Work/Therapist in Highland Park, NJ
Carol D. Church
Clinical Social Work/Therapist, LCSW
Verified Verified
Highland Park, NJ 08904
Not accepting new clients
Feeling unhappy, overwhelmed, or in pain about your life? Do you wish you could feel more confident, happier, and at peace with yourself and in your relationships? Fears, losses, limiting beliefs, and stress can block us from having the balanced, connected life we desire. In over 25 years as a therapist, I have helped many women, men and adolescents become more accepting, resourceful, and resilient. Here, you will find a warm and compassionate environment where you can voice your needs, develop skills to create emotional healing, and enliven your relationships. My approach is holistic and tailored to your needs.
Feeling unhappy, overwhelmed, or in pain about your life? Do you wish you could feel more confident, happier, and at peace with yourself and in your relationships? Fears, losses, limiting beliefs, and stress can block us from having the balanced, connected life we desire. In over 25 years as a therapist, I have helped many women, men and adolescents become more accepting, resourceful, and resilient. Here, you will find a warm and compassionate environment where you can voice your needs, develop skills to create emotional healing, and enliven your relationships. My approach is holistic and tailored to your needs.
(732) 853-1086 View (732) 853-1086

See more therapy options for Highland Park

How does your Therapist compare?

Number of Therapists in Highland Park, NJ

100+

Average cost per session

$175

Therapists in Highland Park, NJ who prioritize treating:

92% Anxiety
86% Depression
80% Relationship Issues
70% Self Esteem
64% Trauma and PTSD
63% Grief
62% Coping Skills

Average years in practice

17 Years

Top 3 insurances accepted

64% Aetna
48% Cigna and Evernorth
48% Horizon Blue Cross and Blue Shield

How Therapists in Highland Park, NJ see their clients

75% In Person and Online
25% Online Only

Gender breakdown

72% Female
25% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Highland Park?

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.