Therapists in Ponte Vedra Beach, FL

Photo of Katherine Falwell, PhD , Psychologist
Katherine Falwell
Psychologist, PhD
Verified Verified
Ponte Vedra Beach, FL 32082
My mission is to improve the lives of the families with whom I work. I utilize a variety of techniques to improve functioning and strengthen both individual and family relations. Treatment modalities such as cognitive behavior therapy, systems therapy, and solution-focused therapy are used to help my clients cope with a variety of challenges. I also enjoy working with adults experiencing life transitions such as career changes, relationship issues, or marital struggles.
My mission is to improve the lives of the families with whom I work. I utilize a variety of techniques to improve functioning and strengthen both individual and family relations. Treatment modalities such as cognitive behavior therapy, systems therapy, and solution-focused therapy are used to help my clients cope with a variety of challenges. I also enjoy working with adults experiencing life transitions such as career changes, relationship issues, or marital struggles.
(904) 621-1690 View (904) 621-1690
Photo of Jaime Ostendorf Masotti, LCMHC, Counselor
Jaime Ostendorf Masotti
Counselor, LCMHC
Verified Verified
Ponte Vedra Beach, FL 32082  (Online Only)
Hi - let's work together! I have been a licensed mental health counselor since 2008. Much of my experience includes anxiety, depressed mood, parenting challenges, and relationship concerns. Feel free to reach out with your questions - I will respond to your request within 24 hours. Currently offering all virtual sessions to clients in North Carolina, Florida, and Massachusetts.
Hi - let's work together! I have been a licensed mental health counselor since 2008. Much of my experience includes anxiety, depressed mood, parenting challenges, and relationship concerns. Feel free to reach out with your questions - I will respond to your request within 24 hours. Currently offering all virtual sessions to clients in North Carolina, Florida, and Massachusetts.
(904) 906-3860 View (904) 906-3860
Photo of Macy Grim, MS, LMHC, Counselor
Macy Grim
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Ponte Vedra Beach, FL 32082
As both a therapist and professor at the University of North Florida, I specialize in young children and parenting. I help families facilitate a healthy, loving relationship with each other while helping children learn how to feel, process, and communicate feelings. This leads to more connection and understanding of themselves and others. As a parenting and play therapist specialist, I work with children of divorce, anger, tantrums, trauma, sibling rivalry, anxiety, depression, academic difficulties, and self esteem issues.
As both a therapist and professor at the University of North Florida, I specialize in young children and parenting. I help families facilitate a healthy, loving relationship with each other while helping children learn how to feel, process, and communicate feelings. This leads to more connection and understanding of themselves and others. As a parenting and play therapist specialist, I work with children of divorce, anger, tantrums, trauma, sibling rivalry, anxiety, depression, academic difficulties, and self esteem issues.
(904) 736-7734 View (904) 736-7734
Photo of Alison Leapley-Williams, MS, LMHC
Alison Leapley-Williams
Licensed Mental Health Counselor, MS, LMHC
Verified Verified
1 Endorsed
Ponte Vedra Beach, FL 32082
Have a lot on your plate? Feeling stressed and unable to find balance in your life? Feeling stuck or are you feeling you aren't living up to your potential? Sometimes life feels overwhelming and you are drowning in responsibilities which can cause anxiety, depression and irritability. Let's work together to sort them out and achieve your goals to live a life you are excited about. Don't know what that looks like? Let's work together to explore that too! I offer traditional Talk Therapy, Equine Therapy, Walk and Talk therapy and Mental Performance coaching (Sports Psychology) to athletes 12 years and older.
Have a lot on your plate? Feeling stressed and unable to find balance in your life? Feeling stuck or are you feeling you aren't living up to your potential? Sometimes life feels overwhelming and you are drowning in responsibilities which can cause anxiety, depression and irritability. Let's work together to sort them out and achieve your goals to live a life you are excited about. Don't know what that looks like? Let's work together to explore that too! I offer traditional Talk Therapy, Equine Therapy, Walk and Talk therapy and Mental Performance coaching (Sports Psychology) to athletes 12 years and older.
(904) 574-5882 View (904) 574-5882
Photo of Tierney Shaffer, MSW, LCSW, EMDR, Clinical Social Work/Therapist
Tierney Shaffer
Clinical Social Work/Therapist, MSW, LCSW, EMDR
Verified Verified
Ponte Vedra Beach, FL 32081
Currently accepting new clients! EMDR Certified. Today we live in a challenging world and the experience of feeling stressed and overwhelmed is a familiar state. It’s important to find a therapist that you can connect with and feel safe. I have over 19 years of experience and training in mental health, working with individuals, families, and couples to help process and manage trauma, anxiety, depression and adjustment. I have experience/specialized training working with PTSD, Veterans, TBI, Domestic Violence, sexual abuse, Substance Use Disorder, Anxiety and Depression.
Currently accepting new clients! EMDR Certified. Today we live in a challenging world and the experience of feeling stressed and overwhelmed is a familiar state. It’s important to find a therapist that you can connect with and feel safe. I have over 19 years of experience and training in mental health, working with individuals, families, and couples to help process and manage trauma, anxiety, depression and adjustment. I have experience/specialized training working with PTSD, Veterans, TBI, Domestic Violence, sexual abuse, Substance Use Disorder, Anxiety and Depression.
(904) 906-3073 View (904) 906-3073
Photo of Valerie Paige Brink, LMHC, PA, Counselor
Valerie Paige Brink
Counselor, LMHC, PA
Verified Verified
2 Endorsed
Ponte Vedra Beach, FL 32082
My practice focuses on the most precious of all people, your children. From resolving family crises to empowering your child through life transitions, I guide the way in a nurturing environment. Counseling is a fun, playful process where your kids learn the skills they need to successfully navigate life.
My practice focuses on the most precious of all people, your children. From resolving family crises to empowering your child through life transitions, I guide the way in a nurturing environment. Counseling is a fun, playful process where your kids learn the skills they need to successfully navigate life.
(904) 478-8564 View (904) 478-8564
Photo of Barbara Dulaney Bishop, LMFT, LMHC, CCMHC, Marriage & Family Therapist
Barbara Dulaney Bishop
Marriage & Family Therapist, LMFT, LMHC, CCMHC
Verified Verified
Ponte Vedra Beach, FL 32082
For more than 30 years I have had the privilege of offering guidance to individuals, couples and families who want to make responsible changes in their lives. Whether you are experiencing anxiety * depression * marital stress * divorce * grief * illness * trauma * substance abuse * difficult parent-child relationships; we will work as a team to deal with sources of problems and design strategies for healthier approaches. Our goal is to transform distress and challenges into valuable life lessons. In addition, I was the first licensed mental health professional in NE Florida to teach Mindfulness-Based Stress Reduction classes.
For more than 30 years I have had the privilege of offering guidance to individuals, couples and families who want to make responsible changes in their lives. Whether you are experiencing anxiety * depression * marital stress * divorce * grief * illness * trauma * substance abuse * difficult parent-child relationships; we will work as a team to deal with sources of problems and design strategies for healthier approaches. Our goal is to transform distress and challenges into valuable life lessons. In addition, I was the first licensed mental health professional in NE Florida to teach Mindfulness-Based Stress Reduction classes.
(904) 647-1694 View (904) 647-1694
Photo of Katharine Marie Nicodemus, PsyD, HSP, Psychologist
Katharine Marie Nicodemus
Psychologist, PsyD, HSP
Verified Verified
Ponte Vedra Beach, FL 32082  (Online Only)
I believe that when a patient comes to see a therapist, they often ask these questions. "Will I feel safe, will I be heard without judgment and can this unknown person be trusted?" The therapeutic relationship is the most profound, protected, and valuable asset created between the psychologist and the patient. I am in awe of my patients courage and their ability to trust, so that the issues grappled with can be explored and understood, and that ultimately they can begin to heal and grow in ways that are both needed and desired.
I believe that when a patient comes to see a therapist, they often ask these questions. "Will I feel safe, will I be heard without judgment and can this unknown person be trusted?" The therapeutic relationship is the most profound, protected, and valuable asset created between the psychologist and the patient. I am in awe of my patients courage and their ability to trust, so that the issues grappled with can be explored and understood, and that ultimately they can begin to heal and grow in ways that are both needed and desired.
(904) 474-5190 View (904) 474-5190
Photo of Laurence(Larry) Schulman, LCSW, SAP, SAE, Clinical Social Work/Therapist
Laurence(Larry) Schulman
Clinical Social Work/Therapist, LCSW, SAP, SAE
Verified Verified
Ponte Vedra Beach, FL 32082  (Online Only)
I see all my clients as products of their life experiences, the families they come from and the world they live in. Everyone has a story of change yet to be written
I see all my clients as products of their life experiences, the families they come from and the world they live in. Everyone has a story of change yet to be written
(904) 395-2809 View (904) 395-2809
Photo of undefined - Gentle Therapy Place, MS, LMHC, EMDRIA, CFTP, CCTP, Counselor
Gentle Therapy Place
Counselor, MS, LMHC, EMDRIA, CFTP, CCTP
Verified Verified
1 Endorsed
Ponte Vedra Beach, FL 32082
I like to use a gentle, caring, non-judgmental approach. I am certified in EMDR (EMDRIA) and use many of its protocols, as well as other trauma-informed, creative and energy modalities to help clients achieve their treatment goals. I also facilitate coaching sessions, using goal setting, visualization and sensory techniques to facilitate a new you, whether personally or professionally.
I like to use a gentle, caring, non-judgmental approach. I am certified in EMDR (EMDRIA) and use many of its protocols, as well as other trauma-informed, creative and energy modalities to help clients achieve their treatment goals. I also facilitate coaching sessions, using goal setting, visualization and sensory techniques to facilitate a new you, whether personally or professionally.
(904) 785-3019 View (904) 785-3019
Photo of undefined - Ellie Mental Health Ponte Vedra, Marriage & Family Therapist
Ellie Mental Health Ponte Vedra
Marriage & Family Therapist
Verified Verified
Ponte Vedra Beach, FL 32082
Our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in every community. And while we know that caring for your mental health and being vulnerable with someone you just met can seem scary, we do everything that we can to make each Ellie appointment as comfortable and as fun as possible. We aim to walk along this journey with you and provide you with a comfortable place to talk, decompress, do the work, and heal.
Our mission is to compassionately transform the culture of mental health care by providing creative solutions that make wellness accessible in every community. And while we know that caring for your mental health and being vulnerable with someone you just met can seem scary, we do everything that we can to make each Ellie appointment as comfortable and as fun as possible. We aim to walk along this journey with you and provide you with a comfortable place to talk, decompress, do the work, and heal.
(904) 822-8303 View (904) 822-8303
Photo of Jessi Holesko - Rivers Of Hope Counseling, LMFT, MS, Marriage & Family Therapist
Jessi Holesko - Rivers Of Hope Counseling
Marriage & Family Therapist, LMFT, MS
Verified Verified
1 Endorsed
Ponte Vedra Beach, FL 32082  (Online Only)
Hi! My name is Jessi and I am here for all of your therapeutic needs! Many of our current ‘issues’ are deep rooted within ourselves, coming from relationships and environments from long ago, and up until today. Together we can explore this and figure out the best way for you to move forward. There is never any judgement here, I have worked with people of all ages, backgrounds, faiths, lifestyles, and classes. I like to keep things positive, many of my clients have said that therapy with me feels more comfortable and easier than they expected.
Hi! My name is Jessi and I am here for all of your therapeutic needs! Many of our current ‘issues’ are deep rooted within ourselves, coming from relationships and environments from long ago, and up until today. Together we can explore this and figure out the best way for you to move forward. There is never any judgement here, I have worked with people of all ages, backgrounds, faiths, lifestyles, and classes. I like to keep things positive, many of my clients have said that therapy with me feels more comfortable and easier than they expected.
(904) 872-8468 View (904) 872-8468
Photo of Cindy L Richetti, MS, LMHC
Cindy L Richetti
Licensed Mental Health Counselor, MS, LMHC
Verified Verified
2 Endorsed
Ponte Vedra Beach, FL 32082  (Online Only)
Resilience, joy, gratitude. Want more of them? Happiness and peace can be found, even in difficult circumstances. If you experience annoying thoughts, you'll learn completely new strategies. Anxiety, grief, illness, serious challenges...all can be handled with grace and even humor, if we put our minds to it. It's my goal to treat people of all ages and situations with the utmost respect and put them at ease. Whatever brings you to my practice, I believe you'll leave feeling optimistic, confident, and refreshed.
Resilience, joy, gratitude. Want more of them? Happiness and peace can be found, even in difficult circumstances. If you experience annoying thoughts, you'll learn completely new strategies. Anxiety, grief, illness, serious challenges...all can be handled with grace and even humor, if we put our minds to it. It's my goal to treat people of all ages and situations with the utmost respect and put them at ease. Whatever brings you to my practice, I believe you'll leave feeling optimistic, confident, and refreshed.
(904) 647-4949 View (904) 647-4949
Photo of Edna Lippi Brown, LMHC, MA, Counselor
Edna Lippi Brown
Counselor, LMHC, MA
Verified Verified
Ponte Vedra Beach, FL 32081  (Online Only)
My passion is working with individuals experiencing depression, anxiety, OCD, trauma, grief and chronic mental and physical illness. Navigating life's most difficult chapters can take all of your emotional resources and still leave you feeling unfulfilled, anxious, and exhausted. I work with my clients to help them reflect and gain insight into how they can create behavioral and thought patterns, as well as relationship dynamics, that better serve them. Let's work together to build a road map and a skill set towards attaining a healthier, more fulfilling relationship with yourself, your loved ones, and your life goals.
My passion is working with individuals experiencing depression, anxiety, OCD, trauma, grief and chronic mental and physical illness. Navigating life's most difficult chapters can take all of your emotional resources and still leave you feeling unfulfilled, anxious, and exhausted. I work with my clients to help them reflect and gain insight into how they can create behavioral and thought patterns, as well as relationship dynamics, that better serve them. Let's work together to build a road map and a skill set towards attaining a healthier, more fulfilling relationship with yourself, your loved ones, and your life goals.
(386) 832-1236 View (386) 832-1236
Stephen T Capista
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Ponte Vedra Beach, FL 32082
If you're struggling with uncertainty, feeling overwhelmed, or having difficulty with change, know that you are not alone. I am a dedicated and supportive therapist who believes in the transformative power of self-evaluation, authenticity, and ownership of outcomes. Through a combination of cognitive behavioral therapy and solution-focused therapy, I help clients discover their ability to live a more balanced and fulfilling life.
If you're struggling with uncertainty, feeling overwhelmed, or having difficulty with change, know that you are not alone. I am a dedicated and supportive therapist who believes in the transformative power of self-evaluation, authenticity, and ownership of outcomes. Through a combination of cognitive behavioral therapy and solution-focused therapy, I help clients discover their ability to live a more balanced and fulfilling life.
(904) 595-9623 View (904) 595-9623
Photo of Zack Larson, LMHC, Counselor
Zack Larson
Counselor, LMHC
Verified Verified
Ponte Vedra Beach, FL 32082
If it seems like every day is just a chore to endure, leaving you feeling helpless, hopeless, unable to experience joy or even find a reason to get out of bed, please reach out to me. Being down in this pit can bring about overwhelming feelings of worthlessness and self-loathing. It’s a given that life will have its “ups and downs,” but if you are finding the “ups” to be like you’re barely keeping your head above water, please realize that it doesn’t have to be this way. No matter how stuck you feel right now, there is hope. I want to hear your story and what you've experienced or are experiencing.
If it seems like every day is just a chore to endure, leaving you feeling helpless, hopeless, unable to experience joy or even find a reason to get out of bed, please reach out to me. Being down in this pit can bring about overwhelming feelings of worthlessness and self-loathing. It’s a given that life will have its “ups and downs,” but if you are finding the “ups” to be like you’re barely keeping your head above water, please realize that it doesn’t have to be this way. No matter how stuck you feel right now, there is hope. I want to hear your story and what you've experienced or are experiencing.
(904) 439-7978 View (904) 439-7978
Photo of Erin Tyson, MEd, NCC, LPC Intern
Erin Tyson
LPC Intern, MEd, NCC
Verified Verified
Ponte Vedra Beach, FL 32082
As a National Certified Counselor, I believe in a comprehensive approach to wellness. All aspects of our lives influence one another and shape who we are. I put you at the center of treatment, integrating physical, mental, and emotional components through a wholistic model of wellness. Starting with a person-centered approach, I use a variety of techniques to meet you where you are and achieve your goals together. Through treatment modalities such as acceptance and commitment therapy and a strength-based approach, we can work together to improve relationships, make decisions, and work through transitions.
As a National Certified Counselor, I believe in a comprehensive approach to wellness. All aspects of our lives influence one another and shape who we are. I put you at the center of treatment, integrating physical, mental, and emotional components through a wholistic model of wellness. Starting with a person-centered approach, I use a variety of techniques to meet you where you are and achieve your goals together. Through treatment modalities such as acceptance and commitment therapy and a strength-based approach, we can work together to improve relationships, make decisions, and work through transitions.
(904) 664-2628 View (904) 664-2628
Photo of Rachel Hillegass, LCSW, MSW, Clinical Social Work/Therapist
Rachel Hillegass
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
2 Endorsed
Ponte Vedra Beach, FL 32082
Hello! I'm Rachel Hillegass, an experienced and compassionate licensed clinical social worker (LCSW) with a commitment to guiding individuals through life's transitions. My educational foundation along with two decades of clinical experience, have enabled me to be well-equipped to provide support and understanding during times of change. I have had the privilege of working in various settings and with different populations. My passion extends to helping adolescents navigate the journey of self discovery, offering them guidance and support as they grapple with the complexities of finding their true selves.
Hello! I'm Rachel Hillegass, an experienced and compassionate licensed clinical social worker (LCSW) with a commitment to guiding individuals through life's transitions. My educational foundation along with two decades of clinical experience, have enabled me to be well-equipped to provide support and understanding during times of change. I have had the privilege of working in various settings and with different populations. My passion extends to helping adolescents navigate the journey of self discovery, offering them guidance and support as they grapple with the complexities of finding their true selves.
(904) 593-2369 View (904) 593-2369
Photo of Polly Bauer, MSW, LCSW, Clinical Social Work/Therapist
Polly Bauer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Ponte Vedra Beach, FL 32082
Do you feel ruled by your thoughts or emotions, lonely, out of touch with who you want to be, or as though your life goals seem to be drifting just beyond your reach? Life can frequently feel overwhelming; family, business, and personal relationships can present endless challenges leading us to feel frustrated, anxious, alone, or grasping to control the world around us. As our life changes, simultaneous feelings of joy and grief may overwhelm us. Adjusting to change can be difficult in all stages of life regardless of our age and sometimes we need help getting back on course.
Do you feel ruled by your thoughts or emotions, lonely, out of touch with who you want to be, or as though your life goals seem to be drifting just beyond your reach? Life can frequently feel overwhelming; family, business, and personal relationships can present endless challenges leading us to feel frustrated, anxious, alone, or grasping to control the world around us. As our life changes, simultaneous feelings of joy and grief may overwhelm us. Adjusting to change can be difficult in all stages of life regardless of our age and sometimes we need help getting back on course.
(904) 606-1821 View (904) 606-1821
Photo of Janice Wachtel, PhD, Psychologist
Janice Wachtel
Psychologist, PhD
Verified Verified
Ponte Vedra Beach, FL 32082
Waitlist for new clients
Entering into therapy is a big step, and I feel that an important aspect of helping you to comfortably make this step is providing a safe and supportive therapeutic environment. People begin counseling because they want something to shift or change in their lives. I facilitate positive change by encouraging exploration, processing relevant issues with you, and helping you to identify healthy and unhealthy coping mechanisms in your life with the purpose of changing those that are not adaptive.
Entering into therapy is a big step, and I feel that an important aspect of helping you to comfortably make this step is providing a safe and supportive therapeutic environment. People begin counseling because they want something to shift or change in their lives. I facilitate positive change by encouraging exploration, processing relevant issues with you, and helping you to identify healthy and unhealthy coping mechanisms in your life with the purpose of changing those that are not adaptive.
(904) 567-3862 View (904) 567-3862

See more therapy options for Ponte Vedra Beach

How does your Therapist compare?

Number of Therapists in Ponte Vedra Beach, FL

100+

Average cost per session

$150

Therapists in Ponte Vedra Beach, FL who prioritize treating:

95% Anxiety
88% Depression
80% Relationship Issues
78% Self Esteem
77% Coping Skills
67% Stress
66% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

72% UnitedHealthcare UHC | UBH
67% Aetna
60% Cigna and Evernorth

How Therapists in Ponte Vedra Beach, FL see their clients

79% In Person and Online
21% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Ponte Vedra Beach?

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.