Therapists in Wayne, PA

Photo of Jackie Cohen, LCSW Merion, PA 19066, Clinical Social Work/Therapist in Wayne, PA
Jackie Cohen, LCSW Merion, PA 19066
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Wayne, PA 19087
I have been a therapist for over 30 years, seeing individuals, couples, and families. My goal as a therapist is to connect with what you're going through so that I can help you understand and empower yourself more completely. Managing transitions and huge life shifts can create feelings of anxiety and loss of identity - like having the rug pulled out from under us. Despite living in unpredictable times, we can still find our strength and resilience. There is a way to feel safe while being in touch with your natural vulnerability.
I have been a therapist for over 30 years, seeing individuals, couples, and families. My goal as a therapist is to connect with what you're going through so that I can help you understand and empower yourself more completely. Managing transitions and huge life shifts can create feelings of anxiety and loss of identity - like having the rug pulled out from under us. Despite living in unpredictable times, we can still find our strength and resilience. There is a way to feel safe while being in touch with your natural vulnerability.
(610) 898-3186 View (610) 898-3186
Photo of Amanda Gigante in Wayne, PA
Amanda Gigante
LCSW, MSW, MSS, RYT-200
Verified Verified
4 Endorsed
Wayne, PA 19087  (Online Only)
I'm a licensed psychotherapist in PA and NJ, and the founder of Be Here Now Psychotherapy. I'm experienced in helping adult children with narcissistic parents, and those recovering from abusive romantic relationships. I specialize in treating Borderline Personality Disorder (BPD), using psychodynamic therapy, IFS and TIST. My overarching area of expertise is trauma, complex trauma and PTSD. I hold a certificate in Integrative Somatic Trauma Therapy. I believe healing is a holistic endeavor, and depth psychology can be integrated with somatic work to unite body and mind to help us get to know ourselves on on many levels.
I'm a licensed psychotherapist in PA and NJ, and the founder of Be Here Now Psychotherapy. I'm experienced in helping adult children with narcissistic parents, and those recovering from abusive romantic relationships. I specialize in treating Borderline Personality Disorder (BPD), using psychodynamic therapy, IFS and TIST. My overarching area of expertise is trauma, complex trauma and PTSD. I hold a certificate in Integrative Somatic Trauma Therapy. I believe healing is a holistic endeavor, and depth psychology can be integrated with somatic work to unite body and mind to help us get to know ourselves on on many levels.
(267) 668-2994 View (267) 668-2994
Photo of Joanne Lang, Counselor in Wayne, PA
Joanne Lang
Counselor, LPC
Verified Verified
1 Endorsed
Wayne, PA 19087
I believe that at some point in most people's lives, therapy can be beneficial. Whether you are dealing with an unusual amount of anxiety, depression or grief related to a specific event or relationship, or you just have a general sense that these emotions have been holding you back from the kind of life and relationships you would like to have, counseling can be helpful.
I believe that at some point in most people's lives, therapy can be beneficial. Whether you are dealing with an unusual amount of anxiety, depression or grief related to a specific event or relationship, or you just have a general sense that these emotions have been holding you back from the kind of life and relationships you would like to have, counseling can be helpful.
(215) 610-0068 View (215) 610-0068
Photo of Leona Pierce, Clinical Social Work/Therapist in Wayne, PA
Leona Pierce Pierce
Clinical Social Work/Therapist, LCSW
Verified Verified
Wayne, PA 19087
Leona Pierce is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2012. She has a BA in Psychology from Northeastern University and a Social Policy and Practice MSW from University of Pennsylvania. Leona utilizes cognitive behavioral therapy, mindfulness based cognitive therapy, and other evidence-based therapy frameworks to promote healing, develop insight, and find clarity. Leona helps individuals gain confidence, develop insight, and discover sources of strength from within to overcome challenges, and celebrate self-discovery.
Leona Pierce is a Licensed Clinical Social Worker in Pennsylvania who has been practicing since 2012. She has a BA in Psychology from Northeastern University and a Social Policy and Practice MSW from University of Pennsylvania. Leona utilizes cognitive behavioral therapy, mindfulness based cognitive therapy, and other evidence-based therapy frameworks to promote healing, develop insight, and find clarity. Leona helps individuals gain confidence, develop insight, and discover sources of strength from within to overcome challenges, and celebrate self-discovery.
(267) 710-8549 View (267) 710-8549
Photo of Rabab Alma, Marriage & Family Therapist in Wayne, PA
Rabab Alma
Marriage & Family Therapist, MBA, MA, LMFT, CCTP, CCATP
Verified Verified
4 Endorsed
Wayne, PA 19087
Whether moving from one life phase to another or one culture to another or one job to another, learning new roles or assuming new career can be difficult and lonely. It can feel like nobody really understands what you're going through. You want more from your future but you aren't sure where to start. You feel like you're facing your problems or new experiences alone and like you have no place. You're nervous. You feel overwhelmed. Your world has been shaken and you don't know how to survive in this one. You just want some peace- where you can be yourself, Wherever that is.
Whether moving from one life phase to another or one culture to another or one job to another, learning new roles or assuming new career can be difficult and lonely. It can feel like nobody really understands what you're going through. You want more from your future but you aren't sure where to start. You feel like you're facing your problems or new experiences alone and like you have no place. You're nervous. You feel overwhelmed. Your world has been shaken and you don't know how to survive in this one. You just want some peace- where you can be yourself, Wherever that is.
(484) 681-5207 View (484) 681-5207
Photo of Jill M Ripkin, Licensed Professional Counselor in Wayne, PA
Jill M Ripkin
Licensed Professional Counselor, LPC, CADC, RN, MS
Verified Verified
Wayne, PA 19087
I am fortunate to work with individuals facing the challenges which arise in life's unpredictable way...separation, divorce, loss, relationship conflicts, parenting issues and substance use. Guiding and uncovering with them, their insight and motivation to resolve and heal from these uninvited events. I have developed special expertise in addressing the turbulence of addiction, trauma recovery and healing. As well as skills in meditation and mindfulness.
I am fortunate to work with individuals facing the challenges which arise in life's unpredictable way...separation, divorce, loss, relationship conflicts, parenting issues and substance use. Guiding and uncovering with them, their insight and motivation to resolve and heal from these uninvited events. I have developed special expertise in addressing the turbulence of addiction, trauma recovery and healing. As well as skills in meditation and mindfulness.
(610) 440-4704 View (610) 440-4704
Photo of Tara Duffy, Clinical Social Work/Therapist in Wayne, PA
Tara Duffy
Clinical Social Work/Therapist, LCSW
Verified Verified
Wayne, PA 19087
It is my belief that if you are seeking help in any area of your life, you are showing strength and courage. At some point in all of our lives we will need help. It is a part of being human, that we often try to avoid at great cost to our own well-being. My approach to therapy is strengths based. Each of us is unique in our own way, therefore treatment will look a little different for every individual or couple. I am a supportive, honest, and caring therapist who will strive to help you to see your own strengths and work with you to find the best tools to manage the many stressors and challenges you may be experiencing.
It is my belief that if you are seeking help in any area of your life, you are showing strength and courage. At some point in all of our lives we will need help. It is a part of being human, that we often try to avoid at great cost to our own well-being. My approach to therapy is strengths based. Each of us is unique in our own way, therefore treatment will look a little different for every individual or couple. I am a supportive, honest, and caring therapist who will strive to help you to see your own strengths and work with you to find the best tools to manage the many stressors and challenges you may be experiencing.
(215) 974-0415 View (215) 974-0415
Photo of Ruth Han, Licensed Professional Counselor in Wayne, PA
Ruth Han
Licensed Professional Counselor, LPC, NCC
Verified Verified
Wayne, PA 19087  (Online Only)
I work with men and women who struggle with anger, bitterness, and/or resentment. These issues have caused them to damage many of their relationships. If you want to change and work toward healing yourself and those you hurt, I can help with the process.
I work with men and women who struggle with anger, bitterness, and/or resentment. These issues have caused them to damage many of their relationships. If you want to change and work toward healing yourself and those you hurt, I can help with the process.
(484) 430-3484 View (484) 430-3484
Photo of Vincent James Morello, Psychologist in Wayne, PA
Vincent James Morello
Psychologist, PhD
Verified Verified
Wayne, PA 19087
Not accepting new clients
I will help you to feel comfortable from the moment you arrive in my office. In my work I employ more traditional family-of-origin methods as well as newer modalities such as EMDR and Emotional Freedom Techniques. I work with individuals only, over the age of 21. I have expertise in Anxiety, Depression, Attention Deficit Disorder, Parent-Child, Work and Relationship Issues. I work with numerous mid-career individuals with work stress or those seeking to change career. Finally, I do enjoy pursuing spiritual and existential issues of life. See my website: www.Freedomineverymoment.com for more detailed information.
I will help you to feel comfortable from the moment you arrive in my office. In my work I employ more traditional family-of-origin methods as well as newer modalities such as EMDR and Emotional Freedom Techniques. I work with individuals only, over the age of 21. I have expertise in Anxiety, Depression, Attention Deficit Disorder, Parent-Child, Work and Relationship Issues. I work with numerous mid-career individuals with work stress or those seeking to change career. Finally, I do enjoy pursuing spiritual and existential issues of life. See my website: www.Freedomineverymoment.com for more detailed information.
(717) 945-0761 View (717) 945-0761
Photo of Jeffrey Erikson, Drug & Alcohol Counselor in Wayne, PA
Jeffrey Erikson
Drug & Alcohol Counselor, CRS
Verified Verified
1 Endorsed
Wayne, PA 19087
Jeff is a Certified Recovery Specialist (also called a Recovery Coach) with formal substance use disorder and recovery training from Villanova University. Jeff spent over 25 years as a corporate executive, has a recovery story of his own, and has dedicated the next chapter of his life to helping those who suffer (like he has) from alcohol and/or drug addiction. Jeff understands the the pain and hardships addiction brings and is now focused on helping others live a healthy, happy, sober life.
Jeff is a Certified Recovery Specialist (also called a Recovery Coach) with formal substance use disorder and recovery training from Villanova University. Jeff spent over 25 years as a corporate executive, has a recovery story of his own, and has dedicated the next chapter of his life to helping those who suffer (like he has) from alcohol and/or drug addiction. Jeff understands the the pain and hardships addiction brings and is now focused on helping others live a healthy, happy, sober life.
(484) 549-9880 View (484) 549-9880
Photo of Julie Simonson, Clinical Social Work/Therapist in Wayne, PA
Julie Simonson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Wayne, PA 19087
I became a psychotherapist because my own therapy and therapist was so incredibly impactful. It is the greatest honor and privilege to bear witness to my clients' lives. I have an egalitarian approach; we partner together to give you the support needed to make whatever changes you are seeking in your life.
I became a psychotherapist because my own therapy and therapist was so incredibly impactful. It is the greatest honor and privilege to bear witness to my clients' lives. I have an egalitarian approach; we partner together to give you the support needed to make whatever changes you are seeking in your life.
(267) 888-2944 View (267) 888-2944
Photo of Brynn Cicippio, LMFT & Associates, Marriage & Family Therapist in Wayne, PA
Brynn Cicippio, LMFT & Associates
Marriage & Family Therapist, LMFT, CAADC
Verified Verified
3 Endorsed
Wayne, PA 19087
Addiction, Anxiety. Depression. Trauma. Parenting. Teens. Relationships. Affairs. Miscommunication. We understand the challenges and complexities of life that you didn't sign up for. You want to stop the patterns, stop the stress. You want to sleep at night and feel connected and heard in your relationships. You want to heal from the past and move forward with confidence, grace, and purpose. Our expert therapists are here to help you. Our group therapy practice is comprised of therapists with specific education and training, making them an expert in their focus.
Addiction, Anxiety. Depression. Trauma. Parenting. Teens. Relationships. Affairs. Miscommunication. We understand the challenges and complexities of life that you didn't sign up for. You want to stop the patterns, stop the stress. You want to sleep at night and feel connected and heard in your relationships. You want to heal from the past and move forward with confidence, grace, and purpose. Our expert therapists are here to help you. Our group therapy practice is comprised of therapists with specific education and training, making them an expert in their focus.
(610) 915-8357 View (610) 915-8357
Photo of Lori Lorraine, Licensed Professional Counselor in Wayne, PA
Lori Lorraine
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Wayne, PA 19087
Tired of hurting? Frustrated with others giving well-meaning but unhelpful advice? Do you long to be heard? You're certainly not alone. We all ache for different reasons including deep sadness, anxiety, relationship issues, trauma, job challenges and addiction. Often, what we need is for someone to truly listen and help us sort through our thoughts and feelings to gain understanding about the situation and ourselves. I believe in the therapeutic process because I know that it's effective. It involves no longer avoiding what is painful, confusing or scary and, with help, walking through it to find both insight and relief.
Tired of hurting? Frustrated with others giving well-meaning but unhelpful advice? Do you long to be heard? You're certainly not alone. We all ache for different reasons including deep sadness, anxiety, relationship issues, trauma, job challenges and addiction. Often, what we need is for someone to truly listen and help us sort through our thoughts and feelings to gain understanding about the situation and ourselves. I believe in the therapeutic process because I know that it's effective. It involves no longer avoiding what is painful, confusing or scary and, with help, walking through it to find both insight and relief.
(215) 987-6760 View (215) 987-6760
Photo of Suzanne Carlin, Licensed Professional Counselor in Wayne, PA
Suzanne Carlin
Licensed Professional Counselor, MS, LPC
Verified Verified
Wayne, PA 19087
There is nothing more important than the relationships we have with both ourselves and others! Without a healthy feeling of belonging and connection to others, problems will exist. Be it parent/child conflicts, problems at school, adolescent issues, marital/premarital, substance abuse, anxiety, depression, and/or issues with life transitions, I can help you! .
There is nothing more important than the relationships we have with both ourselves and others! Without a healthy feeling of belonging and connection to others, problems will exist. Be it parent/child conflicts, problems at school, adolescent issues, marital/premarital, substance abuse, anxiety, depression, and/or issues with life transitions, I can help you! .
(610) 624-8338 View (610) 624-8338
Photo of Lenore C. Perrott, Psychologist in Wayne, PA
Lenore C. Perrott
Psychologist, MS, CPCC
Verified Verified
Wayne, PA 19087
Throughout our life each of us will be faced with a variety of challenges the outcome of which may profoundly affect us and those we love. As a licensed psychologist it is my privilege to give clients hope that as they resolve their personal and relationship issues they will begin to truly live the life they were meant to live - one filled with joy, confidence, enthusiasm and purpose.
Throughout our life each of us will be faced with a variety of challenges the outcome of which may profoundly affect us and those we love. As a licensed psychologist it is my privilege to give clients hope that as they resolve their personal and relationship issues they will begin to truly live the life they were meant to live - one filled with joy, confidence, enthusiasm and purpose.
(484) 546-4566 View (484) 546-4566
Photo of Miriah Rutledge, Marriage & Family Therapist in Wayne, PA
Miriah Rutledge
Marriage & Family Therapist, MA, LMFT
Verified Verified
13 Endorsed
Wayne, PA 19087
I am a licensed marriage and family therapist who believes in the resilience of others. I believe that life is entirely relational, and that working within the context of relationships helps ensure long-term treatment success. Relationships can take effort; however they are also our greatest source of happiness. When we feel understood, valued, and loved in our relationships, our self-confidence increases. I work with individuals, families and couples that are working on healthy communication, divorce recovery, dating, infidelity recovery, domestic violence, recovering from narcissistic or sociopathic abuse, and self-esteem.
I am a licensed marriage and family therapist who believes in the resilience of others. I believe that life is entirely relational, and that working within the context of relationships helps ensure long-term treatment success. Relationships can take effort; however they are also our greatest source of happiness. When we feel understood, valued, and loved in our relationships, our self-confidence increases. I work with individuals, families and couples that are working on healthy communication, divorce recovery, dating, infidelity recovery, domestic violence, recovering from narcissistic or sociopathic abuse, and self-esteem.
(267) 440-6962 View (267) 440-6962
Photo of Christina Hopkins, Psychologist in Wayne, PA
Christina Hopkins
Psychologist, PhD
Verified Verified
1 Endorsed
Wayne, PA 19087
I specialize in the treatment of trauma, including recovery from acute traumatic events, experiences of chronic neglect or abandonment, and navigating long-term reactions to painful situations. I also specialize in treatment of eating disorders (e.g., BED, BN), emotional eating, body image concerns, weight-based stigma, and post-bariatric support. I treat mood disorders and anxiety, and have completed advanced certification for the treatment of trauma (i.e., Cognitive Processing Therapy, Prolonged Exposure). I tailor my treatment to each patient's unique needs, with a focus on building a valued & meaningful life.
I specialize in the treatment of trauma, including recovery from acute traumatic events, experiences of chronic neglect or abandonment, and navigating long-term reactions to painful situations. I also specialize in treatment of eating disorders (e.g., BED, BN), emotional eating, body image concerns, weight-based stigma, and post-bariatric support. I treat mood disorders and anxiety, and have completed advanced certification for the treatment of trauma (i.e., Cognitive Processing Therapy, Prolonged Exposure). I tailor my treatment to each patient's unique needs, with a focus on building a valued & meaningful life.
(610) 688-4147 x3 View (610) 688-4147 x3
Photo of Victoria Webb, Psychologist in Wayne, PA
Victoria Webb
Psychologist, PhD
Verified Verified
Wayne, PA 19087
Waitlist for new clients
I help clients build rich, meaningful lives that are physically and psychologically more healthful. I specialize in weight management, eating behavior, and health behavior change (including sleep). I regularly treat concerns related to weight, body image, and eating (including binge eating and emotional or mindless eating). I can support patients pre- and post- bariatric surgery and those using weight loss medications. I also deliver short-term behavioral treatments for sleep problems such as insomnia. In addition, I treat depression, anxiety, and difficulties adjusting to life transitions and medical conditions.
I help clients build rich, meaningful lives that are physically and psychologically more healthful. I specialize in weight management, eating behavior, and health behavior change (including sleep). I regularly treat concerns related to weight, body image, and eating (including binge eating and emotional or mindless eating). I can support patients pre- and post- bariatric surgery and those using weight loss medications. I also deliver short-term behavioral treatments for sleep problems such as insomnia. In addition, I treat depression, anxiety, and difficulties adjusting to life transitions and medical conditions.
(484) 214-2491 View (484) 214-2491
Photo of Deborah Miller, Psychologist in Wayne, PA
Deborah Miller
Psychologist, PhD
Verified Verified
Wayne, PA 19087
I have a collaborative approach; where actively working together to deeply understand you and your issues is the first step. Working together to understand and not judge the thoughts, feelings, beliefs and experiences that are contributing to your patterns is essential. Decreasing shame, and increasing self esteem, acceptance, and compassion, are integral aspects to therapy I offer, and necessary to reducing the internal conflict which so often fuels the problems and patterns. For therapy to be effective, it calls for a very active effort on your part, as well as mine.
I have a collaborative approach; where actively working together to deeply understand you and your issues is the first step. Working together to understand and not judge the thoughts, feelings, beliefs and experiences that are contributing to your patterns is essential. Decreasing shame, and increasing self esteem, acceptance, and compassion, are integral aspects to therapy I offer, and necessary to reducing the internal conflict which so often fuels the problems and patterns. For therapy to be effective, it calls for a very active effort on your part, as well as mine.
(484) 652-8209 View (484) 652-8209
Photo of Tracy van der Zwan, Clinical Social Work/Therapist in Wayne, PA
Tracy van der Zwan
Clinical Social Work/Therapist, MBA, MSS, LCSW
Verified Verified
Wayne, PA 19087
Life can be challenging and full of ups and downs. I work with teens, adults, couples, and families to help them identify and explore difficult feelings, thoughts and maladaptive behaviors in a safe, supportive and nonjudgmental space. As a therapist and clinical social worker, I take a holistic approach in building understanding in the problem-solving process by providing empathic listening, validation, and insightful questions using curiosity, compassion, and connection.
Life can be challenging and full of ups and downs. I work with teens, adults, couples, and families to help them identify and explore difficult feelings, thoughts and maladaptive behaviors in a safe, supportive and nonjudgmental space. As a therapist and clinical social worker, I take a holistic approach in building understanding in the problem-solving process by providing empathic listening, validation, and insightful questions using curiosity, compassion, and connection.
(484) 261-1270 View (484) 261-1270

How does your Therapist compare?

Number of Therapists in Wayne, PA

200+

Average cost per session

$150

Therapists in Wayne, PA who prioritize treating:

94% Anxiety
86% Depression
75% Relationship Issues
75% Self Esteem
64% Coping Skills
63% Stress
62% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

74% Aetna
64% Highmark
52% Other

How Therapists in Wayne, PA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

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

How can I find a therapist in Wayne?

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.