Therapists in Citra, FL

Photo of Joshua L. Sarmiento - Ignite Community Counseling & Resource Center, LMHC, MCAP, SAP, CTT, NCC, Counselor
Ignite Community Counseling & Resource Center
Counselor, LMHC, MCAP, SAP, CTT, NCC
Verified Verified
1 Endorsed
Citra, FL 32113
Ignite Community Counseling and Resource Center provides a wide range of Outpatient and In-Home Psychotherapy services to help people of all ages and ethnicities, identify and modify behaviors, learn positive coping mechanisms and find healthy outlets for expressing feelings.
Ignite Community Counseling and Resource Center provides a wide range of Outpatient and In-Home Psychotherapy services to help people of all ages and ethnicities, identify and modify behaviors, learn positive coping mechanisms and find healthy outlets for expressing feelings.
(352) 436-6012 View (352) 436-6012
Photo of Ruth Jean Jacques, LMFT, Marriage & Family Therapist
Ruth Jean Jacques
Marriage & Family Therapist, LMFT
Verified Verified
Citra, FL 32113
Hello, my name is Ruthie Jacques I am a licensed Marriage and Family Therapist. I have a strong background in working with individuals, couples, and families struggling with a wealth of issues. I believe that you are the expert in your own life. I am simply a qualified friend who walks you through a myriad of issues. There is no such thing as an expert! I am here to help. I have been in the field for many years and have a wealth of experience and comfort working with family conflict, couple's issues, addiction, adolescents, and life transitions.
Hello, my name is Ruthie Jacques I am a licensed Marriage and Family Therapist. I have a strong background in working with individuals, couples, and families struggling with a wealth of issues. I believe that you are the expert in your own life. I am simply a qualified friend who walks you through a myriad of issues. There is no such thing as an expert! I am here to help. I have been in the field for many years and have a wealth of experience and comfort working with family conflict, couple's issues, addiction, adolescents, and life transitions.
(954) 398-5978 View (954) 398-5978
Photo of Alyssa Koch, LCSW, Clinical Social Work/Therapist
Alyssa Koch
Clinical Social Work/Therapist, LCSW
Verified Verified
Citra, FL 32113
Hello! I'm Alyssa Koch, Clinical Social Work/Therapist, LCSW. I am dedicated to helping clients develop the skills needed to reach their goals. I use an empowering, supportive, and collaborative approach in therapy. With over 15 years of experience in the treatment of substance dependency, I am well-versed in working with dually diagnosed individuals. I am passionate about my work with individuals on a journey to deeper self-discovery and satisfaction with life.
Hello! I'm Alyssa Koch, Clinical Social Work/Therapist, LCSW. I am dedicated to helping clients develop the skills needed to reach their goals. I use an empowering, supportive, and collaborative approach in therapy. With over 15 years of experience in the treatment of substance dependency, I am well-versed in working with dually diagnosed individuals. I am passionate about my work with individuals on a journey to deeper self-discovery and satisfaction with life.
(321) 386-6440 View (321) 386-6440

More Therapists Nearby

Photo of Leigh-Anne Husted, LCSW, Clinical Social Work/Therapist
Leigh-Anne Husted
Clinical Social Work/Therapist, LCSW
Verified Verified
Ocala, FL 34475
Taking the first step to seek help is the most important. As a Licensed Clinical Social Worker I support taking the time to focus on you and your mental health. I've been working with clients and families for the last 12 years focusing on the needs of the clients I am working with.
Taking the first step to seek help is the most important. As a Licensed Clinical Social Worker I support taking the time to focus on you and your mental health. I've been working with clients and families for the last 12 years focusing on the needs of the clients I am working with.
(352) 656-7787 View (352) 656-7787
Photo of Grace Moran, LMHC, Counselor
Grace Moran
Counselor, LMHC
Verified Verified
Anthony, FL 32617
My name is Grace Moran and I am a Licensed Mental Health and Rehabilitation Counselor with 20 years of experience working with adults, children, couples and families with a wide variety of mental health concerns and needs. I also have specialized experience in treating trauma-based mental illnesses and injuries and have provided mental health and vocational rehabilitation services to many agencies including the local foster care system, the Department of Veterans Affairs, and domestic violence, and sexual violence agencies. My therapeutic approach matches specific diagnoses and gold standard treatments for those diagnoses.
My name is Grace Moran and I am a Licensed Mental Health and Rehabilitation Counselor with 20 years of experience working with adults, children, couples and families with a wide variety of mental health concerns and needs. I also have specialized experience in treating trauma-based mental illnesses and injuries and have provided mental health and vocational rehabilitation services to many agencies including the local foster care system, the Department of Veterans Affairs, and domestic violence, and sexual violence agencies. My therapeutic approach matches specific diagnoses and gold standard treatments for those diagnoses.
(904) 615-9097 View (904) 615-9097
Photo of J D Gold, PhD, Psychologist
J D Gold
Psychologist, PhD
Verified Verified
1 Endorsed
Reddick, FL 32686
My focus is on immediate, practical help to solve your problems. I do not require examination of old issues or searching for reasons "Why". As a clinical psychologist with over 45 years experience working in civilian, military, trauma management, addiction and medical settings, I appreciate and value your time. I offer single-session, short, intermediate and long-term psychotherapy. Together, we will address the emotional, social, professional, health and interpersonal difficulties you are facing. I am in the shopping center at intersection of N. US HWY 27 and NW 70TH AVE - 2 miles north of the World Equestrian Center.
My focus is on immediate, practical help to solve your problems. I do not require examination of old issues or searching for reasons "Why". As a clinical psychologist with over 45 years experience working in civilian, military, trauma management, addiction and medical settings, I appreciate and value your time. I offer single-session, short, intermediate and long-term psychotherapy. Together, we will address the emotional, social, professional, health and interpersonal difficulties you are facing. I am in the shopping center at intersection of N. US HWY 27 and NW 70TH AVE - 2 miles north of the World Equestrian Center.
(352) 502-3525 View (352) 502-3525
Photo of Ashley Miller, LCMHC, Counselor
Ashley Miller
Counselor, LCMHC
Verified Verified
Reddick, FL 32686
Hello! My name is Ashley Miller. I am a Licensed Mental Health Counselor with over 10 years of experience. I have worked with individuals of varying ages, gender, race, ethnicity, sexual orientation, religion, and personality style addressing a wide range of issues (including but not limited to stress, addiction, anxiety, depression, relationship problems, ADHD, PTSD, grief/loss, codependency, self-esteem, and anger management.) Through an empathic, supportive, and collaborative therapeutic approach, I strive to help you develop awareness and authenticity, which will activate your innate potential to live a happier, fulfilling life.
Hello! My name is Ashley Miller. I am a Licensed Mental Health Counselor with over 10 years of experience. I have worked with individuals of varying ages, gender, race, ethnicity, sexual orientation, religion, and personality style addressing a wide range of issues (including but not limited to stress, addiction, anxiety, depression, relationship problems, ADHD, PTSD, grief/loss, codependency, self-esteem, and anger management.) Through an empathic, supportive, and collaborative therapeutic approach, I strive to help you develop awareness and authenticity, which will activate your innate potential to live a happier, fulfilling life.
(954) 231-1694 View (954) 231-1694
Photo of Don Wanner, LMHC, NBCC, Counselor
Don Wanner
Counselor, LMHC, NBCC
Verified Verified
1 Endorsed
Anthony, FL 32617  (Online Only)
The client I am most able to assist is one who is willing to invest in a therapeutic relationship, and who is able to open up in ways that support growth & the resolution of problems. Under these circumstances a client has the opportunity to work on their relationships, conflicts & symptoms, as well as their goals & aspirations - supported by an affirming environment that encourages constructive change.
The client I am most able to assist is one who is willing to invest in a therapeutic relationship, and who is able to open up in ways that support growth & the resolution of problems. Under these circumstances a client has the opportunity to work on their relationships, conflicts & symptoms, as well as their goals & aspirations - supported by an affirming environment that encourages constructive change.
(352) 578-2514 View (352) 578-2514
Photo of Joseph LoCicero, LMHC
Joseph LoCicero
Mental Health Counselor, LMHC
Verified Verified
Reddick, FL 32686
Hi, my name is Joe. I have nearly 30 years of counseling experience working with the developmentally disabled, the elderly, and students. My specific treatment areas include depression, anxiety, behavioral issues, anger control, and impulse control disorders. I use cognitive behavioral therapy (CBT), applied behavioral analysis, grief therapy, family therapy, and solution-focused brief therapy (SFBT). The care I provide is based on my experience and knowledge of providing these services for nearly 30 years. I believe that I can help you with my experience.
Hi, my name is Joe. I have nearly 30 years of counseling experience working with the developmentally disabled, the elderly, and students. My specific treatment areas include depression, anxiety, behavioral issues, anger control, and impulse control disorders. I use cognitive behavioral therapy (CBT), applied behavioral analysis, grief therapy, family therapy, and solution-focused brief therapy (SFBT). The care I provide is based on my experience and knowledge of providing these services for nearly 30 years. I believe that I can help you with my experience.
(352) 644-9348 View (352) 644-9348
Photo of Jonathan Pawson, LCMHC, Counselor
Jonathan Pawson
Counselor, LCMHC
Verified Verified
Anthony, FL 32617
Jonathan Pawson LMHC. My typical treatment plan involves a collaborative, personalized approach, focusing on your unique needs, values, and goals. I work with a wide range of clients, each presenting unique experiences and challenges. My primary areas of specialty lie in treating various forms of trauma disorders, such as Post-Traumatic Stress Disorder (PTSD), Complex-PTSD, and Acute Stress Disorder. Additionally, I am proficient in working with clients dealing with attachment issues, both adults and children.
Jonathan Pawson LMHC. My typical treatment plan involves a collaborative, personalized approach, focusing on your unique needs, values, and goals. I work with a wide range of clients, each presenting unique experiences and challenges. My primary areas of specialty lie in treating various forms of trauma disorders, such as Post-Traumatic Stress Disorder (PTSD), Complex-PTSD, and Acute Stress Disorder. Additionally, I am proficient in working with clients dealing with attachment issues, both adults and children.
(904) 441-5260 View (904) 441-5260

Online Therapists

Photo of Alissa Myatt, LCSW, Clinical Social Work/Therapist
Alissa Myatt
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32210  (Online Only)
Alissa Myatt is a Licensed Clinical Social Worker (LCSW) who has years of experience working with children, youth, young adults, individuals, couples, and families. She specializes in treating grief, bereavement, substance use, anxiety, depression, and much more.
Alissa Myatt is a Licensed Clinical Social Worker (LCSW) who has years of experience working with children, youth, young adults, individuals, couples, and families. She specializes in treating grief, bereavement, substance use, anxiety, depression, and much more.
(904) 830-9406 View (904) 830-9406
Photo of Elizabeth Carey, MS, CCHT
Elizabeth Carey
MS, CCHT
Verified Verified
Maitland, FL 32751
I’m Elizabeth, of Elizabeth Carey Clinical Hypnotherapy. I started this extension of my personal and leadership development business because I saw a missing piece in the world today. Real, sustainable help in relieving life’s struggles in a way that is practical and makes sense for real people, in their real lives. Everyone has some or a few life struggles that limit them in some way. And, more than likely they have tried many things to resolve these issues. I promise you this combination of coaching, counseling and clinical hypnotherapy will work and fast! Insomnia, Anxiety, Depression, Grief, OCD are a few of my specialties!
I’m Elizabeth, of Elizabeth Carey Clinical Hypnotherapy. I started this extension of my personal and leadership development business because I saw a missing piece in the world today. Real, sustainable help in relieving life’s struggles in a way that is practical and makes sense for real people, in their real lives. Everyone has some or a few life struggles that limit them in some way. And, more than likely they have tried many things to resolve these issues. I promise you this combination of coaching, counseling and clinical hypnotherapy will work and fast! Insomnia, Anxiety, Depression, Grief, OCD are a few of my specialties!
(407) 565-7428 View (407) 565-7428
Photo of Suzanne Wright, LCSW, Clinical Social Work/Therapist
Suzanne Wright
Clinical Social Work/Therapist, LCSW
Verified Verified
Orlando, FL 32835
Suzanne Wright is a Licensed Clinical Social Worker (LCSW) with 7 years of experience. She comes from a multi-cultural background and it has allowed her to see things in all different lights and spaces. It has allowed her to observe and be present in ways not many people get to experience. She enjoys working with individuals and assisting them in their challenges. Suzanne specializes in anxiety, depression, trauma, domestic violence, and chronic illness.
Suzanne Wright is a Licensed Clinical Social Worker (LCSW) with 7 years of experience. She comes from a multi-cultural background and it has allowed her to see things in all different lights and spaces. It has allowed her to observe and be present in ways not many people get to experience. She enjoys working with individuals and assisting them in their challenges. Suzanne specializes in anxiety, depression, trauma, domestic violence, and chronic illness.
(407) 638-8711 View (407) 638-8711
Photo of Rickey Walters, LCSW, Clinical Social Work/Therapist
Rickey Walters
Clinical Social Work/Therapist, LCSW
Verified Verified
Jacksonville, FL 32258
Whatever you are dealing with does not define who you are! Sometimes life throws us in unforeseen directions and your mental state doesn't have to pin you down. I provide an open, safe space to work together as a team. My primary experience surrounds depression, anxiety, and trauma. Together we will figure out your goals and ways to help get you back to where you want to be.
Whatever you are dealing with does not define who you are! Sometimes life throws us in unforeseen directions and your mental state doesn't have to pin you down. I provide an open, safe space to work together as a team. My primary experience surrounds depression, anxiety, and trauma. Together we will figure out your goals and ways to help get you back to where you want to be.
(904) 601-1037 View (904) 601-1037
Photo of Cindy L Nelson, LMHC, EMDR, Counselor
Cindy L Nelson
Counselor, LMHC, EMDR
Verified Verified
1 Endorsed
Orange City, FL 32763
BE THE AUTHOR OF YOUR OWN STORY! Everyone goes through difficult times, but you can choose how to navigate through them, by making your life count with the meaning you give to your experiences. Change is possible, but it does require recognition of what isn’t working, focus, and hard work. While therapy can sometimes be difficult, it can also be very rewarding, and inspiring. I incorporate creative problem solution techniques, which will allow you to discover your inner strengths, while helping you reach peaceful resolutions with your emotional blockages.
BE THE AUTHOR OF YOUR OWN STORY! Everyone goes through difficult times, but you can choose how to navigate through them, by making your life count with the meaning you give to your experiences. Change is possible, but it does require recognition of what isn’t working, focus, and hard work. While therapy can sometimes be difficult, it can also be very rewarding, and inspiring. I incorporate creative problem solution techniques, which will allow you to discover your inner strengths, while helping you reach peaceful resolutions with your emotional blockages.
(386) 204-8911 View (386) 204-8911
Photo of Samantha Storch, MA, LMHC, Counselor
Samantha Storch
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Winter Garden, FL 34787  (Online Only)
Are you constantly on edge and worried? Does it feel like life is moving too fast and you can't keep up? Is it hard to get through the day or manage even the simplest tasks? You are not alone. The individuals I work with are often seeking help for anxiety, stress, or depression while others are looking for guidance on how to cope with everyday stressors, challenging relationships, or adjusting to major life transitions. I provide a safe, nonjudgmental space where you can be unapologetically you. Our sessions will empower you to explore your concerns, learn how to manage them, and create opportunities to move forward feeling better.
Are you constantly on edge and worried? Does it feel like life is moving too fast and you can't keep up? Is it hard to get through the day or manage even the simplest tasks? You are not alone. The individuals I work with are often seeking help for anxiety, stress, or depression while others are looking for guidance on how to cope with everyday stressors, challenging relationships, or adjusting to major life transitions. I provide a safe, nonjudgmental space where you can be unapologetically you. Our sessions will empower you to explore your concerns, learn how to manage them, and create opportunities to move forward feeling better.
(407) 863-3658 View (407) 863-3658
Photo of Cynthia Ann Johnson - Play Heal Grow Counseling Services , LCSW, RPT, SPT, Clinical Social Work/Therapist
Play Heal Grow Counseling Services
Clinical Social Work/Therapist, LCSW, RPT, SPT
Verified Verified
Lutz, FL 33548
I am a Licensed Clinical Social Worker and Registered Play Therapist with a master’s degree in Social Work, a postgraduate certificate in Play Therapy and Equine Assisted Mental Health. For the past 20 years, I have worked with children as a counselor, case manager, elementary school teacher, and now a play therapist. Child-centered and Synergetic Play Therapy, Instinctual Trauma Response method and Child-Parent Relationship Therapy are my biggest influences. I believe that when children are given a chance to lead, explore, and demonstrate their own resiliency—they are given the opportunity to grow, heal, and change from within.
I am a Licensed Clinical Social Worker and Registered Play Therapist with a master’s degree in Social Work, a postgraduate certificate in Play Therapy and Equine Assisted Mental Health. For the past 20 years, I have worked with children as a counselor, case manager, elementary school teacher, and now a play therapist. Child-centered and Synergetic Play Therapy, Instinctual Trauma Response method and Child-Parent Relationship Therapy are my biggest influences. I believe that when children are given a chance to lead, explore, and demonstrate their own resiliency—they are given the opportunity to grow, heal, and change from within.
(727) 761-3550 View (727) 761-3550
Photo of Aleksandr Zverinskiy - Brave Health, MD, MSW, LCSW, FNP-C, PhD
Brave Health
MD, MSW, LCSW, FNP-C, PhD
Verified Verified
Orlando, FL 32839  (Online Only)
Brave Health is a virtual mental health provider dedicated to helping people thrive by engaging them in high-quality, affordable, and easily accessible mental health care. Our diverse clinical staff includes licensed psychiatrists, nurse practitioners, and therapists with expertise in treating mental health and substance use disorders. One size doesn’t fit all when it comes to your health. We’ll work together to create a customized treatment plan for your needs. Our programs are evidence-based, drawing on approaches to treatment that are clinically proven to be effective.
Brave Health is a virtual mental health provider dedicated to helping people thrive by engaging them in high-quality, affordable, and easily accessible mental health care. Our diverse clinical staff includes licensed psychiatrists, nurse practitioners, and therapists with expertise in treating mental health and substance use disorders. One size doesn’t fit all when it comes to your health. We’ll work together to create a customized treatment plan for your needs. Our programs are evidence-based, drawing on approaches to treatment that are clinically proven to be effective.
(502) 237-4418 View (502) 237-4418
Photo of Yanet Vanegas, PsyD, PMH-C, Psychologist
Yanet Vanegas
Psychologist, PsyD, PMH-C
Verified Verified
Tampa, FL 33612  (Online Only)
Hello, I'm Dr. Yanet Vanegas, and I understand that seeking support for mental well-being can be a challenging journey. I'm a child and adolescent psychologist and a perinatal mental health certified provider. My approach goes beyond merely treating symptoms. It’s about sparking lasting change and fostering personal growth. I create personalized treatment plans using the latest therapeutic techniques, including CBT, Exposure Response Prevention (ERP) therapy for OCD, and DBT.
Hello, I'm Dr. Yanet Vanegas, and I understand that seeking support for mental well-being can be a challenging journey. I'm a child and adolescent psychologist and a perinatal mental health certified provider. My approach goes beyond merely treating symptoms. It’s about sparking lasting change and fostering personal growth. I create personalized treatment plans using the latest therapeutic techniques, including CBT, Exposure Response Prevention (ERP) therapy for OCD, and DBT.
(813) 535-5368 View (813) 535-5368
Photo of Micki Nodurft-Luck, LCSW, Clinical Social Work/Therapist
Micki Nodurft-Luck
Clinical Social Work/Therapist, LCSW
Verified Verified
Gainesville, FL 32607
There may be times that your life just doesn't seem to be working despite your best efforts and intentions. This may show up in a variety of ways, such as, a sense of meaninglessness or feelings of being stuck in a dead-end job, relationship or destructive habit. Repetitive patterns of thinking and the idea that you should know what to do frequently "holds you in place". In my experience, the fresh insights you are seeking to move you forward in your life can often be discovered when you are given the space, time and support to hear them.
There may be times that your life just doesn't seem to be working despite your best efforts and intentions. This may show up in a variety of ways, such as, a sense of meaninglessness or feelings of being stuck in a dead-end job, relationship or destructive habit. Repetitive patterns of thinking and the idea that you should know what to do frequently "holds you in place". In my experience, the fresh insights you are seeking to move you forward in your life can often be discovered when you are given the space, time and support to hear them.
(352) 519-1537 View (352) 519-1537

See more therapy options for Citra

How does your Therapist compare?

Number of Therapists in Citra, FL

< 10

Therapists in Citra, FL who prioritize treating:

100% Depression
100% Anxiety
100% Addiction
100% ADHD
100% Anger Management
100% Behavioral Issues
100% Emotional Disturbance

Average years in practice

25 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Citra, FL see their clients

100% In Person and Online

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Citra?

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.