Therapists in Evans County, GA

Photo of Mariah Shandri, LCSW, Clinical Social Work/Therapist
Mariah Shandri
Clinical Social Work/Therapist, LCSW
Verified Verified
Claxton, GA 30417
Thank you for reaching out! I am Mariah Shandri, BSW, MSW, LCSW, Therapist with over 8 years of clinical experience working with children, adolescents, adults, couples, and families. My warm, attentive approach nurtures sincere support for issues such as Addiction, Anxiety, Dual Diagnosis, Depression, and Relationship Issues. I use a mix of Acceptance and Commitment (ACT), Cognitive Behavioral (CBT), Dialectical (DBT), Emotionally Focused Therapy (EFT), and Strength-Based therapies. I have much respect and compassion for my clients, choosing to process present overwhelming thoughts, emotions, and reactions.
Thank you for reaching out! I am Mariah Shandri, BSW, MSW, LCSW, Therapist with over 8 years of clinical experience working with children, adolescents, adults, couples, and families. My warm, attentive approach nurtures sincere support for issues such as Addiction, Anxiety, Dual Diagnosis, Depression, and Relationship Issues. I use a mix of Acceptance and Commitment (ACT), Cognitive Behavioral (CBT), Dialectical (DBT), Emotionally Focused Therapy (EFT), and Strength-Based therapies. I have much respect and compassion for my clients, choosing to process present overwhelming thoughts, emotions, and reactions.
(770) 343-3349 View (770) 343-3349
Photo of Kwame Frimpong, LPC, Counselor
Kwame Frimpong
Counselor, LPC
Verified Verified
Claxton, GA 30417
Hi there, I’m Dr. Kwame! My name is Dr. Kwame Frimpong, and I am a Licensed Professional Counselor (LPC) based in Atlanta, Georgia, and working with clients statewide via telehealth. I work with Couples and those who are dating and specialize porn addiction, infidelity, building trust, intimacy, communication, and conflict resolution, using Prepare-enriched, Gottman method and symbols for relationship enrichments, Cognitive Behavioral Therapy, and EMDR to help my clients make progress and start feeling better.
Hi there, I’m Dr. Kwame! My name is Dr. Kwame Frimpong, and I am a Licensed Professional Counselor (LPC) based in Atlanta, Georgia, and working with clients statewide via telehealth. I work with Couples and those who are dating and specialize porn addiction, infidelity, building trust, intimacy, communication, and conflict resolution, using Prepare-enriched, Gottman method and symbols for relationship enrichments, Cognitive Behavioral Therapy, and EMDR to help my clients make progress and start feeling better.
(470) 570-5542 View (470) 570-5542
Photo of Destiny Thomas Huff, LPC, Counselor
Destiny Thomas Huff
Counselor, LPC
Verified Verified
Claxton, GA 30417
Hi, I am Destiny Huff, MS, LPC, CPCS is a Licensed Professional Counselor and Certified Professional Counselor Supervisor. My approach to therapy is that this is your journey, your process, and your safe space. Choosing to come to therapy is not easy but it's important that you recognize the strength in asking for help and gaining the tools that you need to grow. I'm here to help you do that! Destiny uses a person centered and cognitive behavioral approach with a multicultural and trauma lens to assist clients who may need extra help navigating life's stressors and transitions or assistance implementing new coping skills.
Hi, I am Destiny Huff, MS, LPC, CPCS is a Licensed Professional Counselor and Certified Professional Counselor Supervisor. My approach to therapy is that this is your journey, your process, and your safe space. Choosing to come to therapy is not easy but it's important that you recognize the strength in asking for help and gaining the tools that you need to grow. I'm here to help you do that! Destiny uses a person centered and cognitive behavioral approach with a multicultural and trauma lens to assist clients who may need extra help navigating life's stressors and transitions or assistance implementing new coping skills.
(770) 404-9607 View (770) 404-9607
Photo of Shequita Moxey, LPC, Licensed Professional Counselor
Shequita Moxey
Licensed Professional Counselor, LPC
Verified Verified
Claxton, GA 30417
My name is Shequita Moxey. My preferred name is Paige Moxey. I am a licensed professional counselor with a national certification in counseling (NCC) in Georgia. I have nine years of experience as a therapist and mental health assessor. I have worked in community mental health agencies and a mental health hospital. As for my communication style, I like to present an assertive style. My tone of voice is calm and relaxed. I am able to build rapport with you effectively. You will be able to open up and feel comfortable sharing your life stories.
My name is Shequita Moxey. My preferred name is Paige Moxey. I am a licensed professional counselor with a national certification in counseling (NCC) in Georgia. I have nine years of experience as a therapist and mental health assessor. I have worked in community mental health agencies and a mental health hospital. As for my communication style, I like to present an assertive style. My tone of voice is calm and relaxed. I am able to build rapport with you effectively. You will be able to open up and feel comfortable sharing your life stories.
(470) 683-6755 View (470) 683-6755
Photo of Lukman Adebayo, LCSW, Clinical Social Work/Therapist
Lukman Adebayo
Clinical Social Work/Therapist, LCSW
Verified Verified
Claxton, GA 30417
Hello! I am a Licensed Clinical Social Worker with over 7 years of experience in the field. I specialize in working with clients in areas of anxiety, behavioral issues, coping skills, depression, panic attacks, racial identity, relationship issues, and self-esteem. I use Cognitive Behavioral Therapy (CBT) as well as eclectic & multicultural approaches, as I believe that no two situations are exactly the same. I am an active and empathetic communicator and work to better understand clients and find solutions together.
Hello! I am a Licensed Clinical Social Worker with over 7 years of experience in the field. I specialize in working with clients in areas of anxiety, behavioral issues, coping skills, depression, panic attacks, racial identity, relationship issues, and self-esteem. I use Cognitive Behavioral Therapy (CBT) as well as eclectic & multicultural approaches, as I believe that no two situations are exactly the same. I am an active and empathetic communicator and work to better understand clients and find solutions together.
(470) 408-6896 View (470) 408-6896
Photo of Mindy Czech, LPC, Licensed Professional Counselor
Mindy Czech
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Claxton, GA 30417
Hey there! I'm Mindy Czech, and I'm here to be your partner on this journey toward a happier, more resilient you. With my background in Counselor Education and my heart set on helping adults tackle anxiety, grief, and trauma, I'm all about empowering you to navigate life's twists and turns with confidence.
Hey there! I'm Mindy Czech, and I'm here to be your partner on this journey toward a happier, more resilient you. With my background in Counselor Education and my heart set on helping adults tackle anxiety, grief, and trauma, I'm all about empowering you to navigate life's twists and turns with confidence.
(912) 616-4892 View (912) 616-4892

Online Therapists

Photo of Enid Otero Aguilar, LPC, Licensed Professional Counselor
Enid Otero Aguilar
Licensed Professional Counselor, LPC
Verified Verified
Augusta, GA 30901  (Online Only)
Hi I'm Enid! I am licensed professional counselor in the state of GA with years of experience. I make sure to work with you to create an open and safe environment where thoughts and feelings can be shared without fear of judgement. También soy bilingüe! Español es mi primer leguaje y me encanta ayudar a las personas de mi comunidad.
Hi I'm Enid! I am licensed professional counselor in the state of GA with years of experience. I make sure to work with you to create an open and safe environment where thoughts and feelings can be shared without fear of judgement. También soy bilingüe! Español es mi primer leguaje y me encanta ayudar a las personas de mi comunidad.
(762) 231-0768 View (762) 231-0768
Photo of Crystal Malloy - Progressive and Innovative Counseling Services, PhD, LPC, Licensed Professional Counselor
Progressive and Innovative Counseling Services
Licensed Professional Counselor, PhD, LPC
Verified Verified
Savannah, GA 31405
Located in the historic and welcoming city of Savannah, Georgia, Malloy Psychological Services is a cornerstone of compassionate and comprehensive mental health care. Under the guidance of Dr. Malloy, PhD, LPC, MAC, CEAP, a seasoned clinical psychologist with a deep-rooted connection to military and civilian mental health, our practice offers a nurturing environment for individuals seeking clarity, healing, and strength in their mental health journey.
Located in the historic and welcoming city of Savannah, Georgia, Malloy Psychological Services is a cornerstone of compassionate and comprehensive mental health care. Under the guidance of Dr. Malloy, PhD, LPC, MAC, CEAP, a seasoned clinical psychologist with a deep-rooted connection to military and civilian mental health, our practice offers a nurturing environment for individuals seeking clarity, healing, and strength in their mental health journey.
(912) 231-7061 View (912) 231-7061
Photo of Abby Lucas, PsyD, Pre-Licensed Professional
Abby Lucas
Pre-Licensed Professional, PsyD
Verified Verified
Augusta, GA 30901
I am a pre-licensed postdoctoral fellow practicing in the CSRA. I completed my Bachelor of Science in Psychology from Georgia Southern University (GSU), and two Master's degrees in Psychology, one from Augusta University and another from GSU. Then I concluded my educational journey by completing my Doctorate of Psychology at GSU. I am also a graduate of the Medical College of Georgia's predoctoral psychology internship and am now practicing under supervision at Comprehensive Assessment Solutions in Augusta. I have worked with people across the lifespan and with a variety of concerns for over eight years.
I am a pre-licensed postdoctoral fellow practicing in the CSRA. I completed my Bachelor of Science in Psychology from Georgia Southern University (GSU), and two Master's degrees in Psychology, one from Augusta University and another from GSU. Then I concluded my educational journey by completing my Doctorate of Psychology at GSU. I am also a graduate of the Medical College of Georgia's predoctoral psychology internship and am now practicing under supervision at Comprehensive Assessment Solutions in Augusta. I have worked with people across the lifespan and with a variety of concerns for over eight years.
(762) 248-5860 View (762) 248-5860
Photo of Cassie Thompson, LPC, CAADC, NCC, Counselor
Cassie Thompson
Counselor, LPC, CAADC, NCC
Verified Verified
Savannah, GA 31405
I love helping people bounce back from challenging times in their lives. I believe strongly in balancing self, family, and work and enjoy helping people find their own balance!
I love helping people bounce back from challenging times in their lives. I believe strongly in balancing self, family, and work and enjoy helping people find their own balance!
(912) 513-5243 View (912) 513-5243
Photo of Cherlisa Jackson, Licensed Professional Counselor
Cherlisa Jackson
Licensed Professional Counselor
Verified Verified
Augusta, GA 30906  (Online Only)
I operate intersectionally as a Doctor of Health Education and Promotion, certified as a health education specialist, and operate as a Licensed Therapist nationally certified, running my solo private practice in Atlanta. The specializations that have become my framework revolve around relationships (romantically and socially), boosting self-esteem, and enhancing sexual decisions.
I operate intersectionally as a Doctor of Health Education and Promotion, certified as a health education specialist, and operate as a Licensed Therapist nationally certified, running my solo private practice in Atlanta. The specializations that have become my framework revolve around relationships (romantically and socially), boosting self-esteem, and enhancing sexual decisions.
(770) 758-2016 View (770) 758-2016
Photo of Theresa Fillingim, MDiv, LPC, CACII, APP, EPP, Licensed Professional Counselor
Theresa Fillingim
Licensed Professional Counselor, MDiv, LPC, CACII, APP, EPP
Verified Verified
Augusta, GA 30901  (Online Only)
Clients who are struggling with addiction, trauma, anxiety and depression. Clients who want to feel happier and healthier and are willing to learn coping skills to experiences wellness emotionally, mentally, physically and spiritually. Clients who struggle with their faith. Clients who are wanting to improve their relationships with themselves, with their bodies in order to feel more balanced, more energetic, feeling happier, with better decision making skills. Clients who are wanting to improve interpersonal relationships by developing healthy boundaries with others and developing a spiritual connection.
Clients who are struggling with addiction, trauma, anxiety and depression. Clients who want to feel happier and healthier and are willing to learn coping skills to experiences wellness emotionally, mentally, physically and spiritually. Clients who struggle with their faith. Clients who are wanting to improve their relationships with themselves, with their bodies in order to feel more balanced, more energetic, feeling happier, with better decision making skills. Clients who are wanting to improve interpersonal relationships by developing healthy boundaries with others and developing a spiritual connection.
(470) 745-4609 View (470) 745-4609
Photo of Lauren Hilton, MA, Pre-Licensed Professional
Lauren Hilton
Pre-Licensed Professional, MA
Verified Verified
Pooler, GA 31322
Do you ever feel like you are just going through the motions of life and have lost your passion, your fight to keep going? Do you feel like the weight of the world is on your back? Well, I am here to let you know that you are not alone. I believe that happiness is located at the center of each and everyone one of our lives, we just have to dig deep, get rid of some things so that we can find our happy place. I truly believe that happiness in the mind can change your situation that is causing you stress and anxiety. Our goal here at Building Blocks Family Counseling is to help families and individuals navigate through their issues.
Do you ever feel like you are just going through the motions of life and have lost your passion, your fight to keep going? Do you feel like the weight of the world is on your back? Well, I am here to let you know that you are not alone. I believe that happiness is located at the center of each and everyone one of our lives, we just have to dig deep, get rid of some things so that we can find our happy place. I truly believe that happiness in the mind can change your situation that is causing you stress and anxiety. Our goal here at Building Blocks Family Counseling is to help families and individuals navigate through their issues.
(912) 493-3626 View (912) 493-3626
Photo of Eboni Robinson, LPC, Licensed Professional Counselor
Eboni Robinson
Licensed Professional Counselor, LPC
Verified Verified
Kingsland, GA 31548  (Online Only)
Eboni received both her Bachelor’s (B.S. Psychology) and Master’s (M.Ed. Community Counseling) degrees from the University of Georgia. She has been a Licensed Professional Counselor since 2014 and obtained her Certified Professional Counselor Supervisor (CPCS) in 2020, allowing her to provide clinical supervision to master's level therapists.
Eboni received both her Bachelor’s (B.S. Psychology) and Master’s (M.Ed. Community Counseling) degrees from the University of Georgia. She has been a Licensed Professional Counselor since 2014 and obtained her Certified Professional Counselor Supervisor (CPCS) in 2020, allowing her to provide clinical supervision to master's level therapists.
(470) 684-2261 View (470) 684-2261
Photo of Shannon Jones, LPC, NCC, Licensed Professional Counselor
Shannon Jones
Licensed Professional Counselor, LPC, NCC
Verified Verified
Guyton, GA 31312
Hello! I am Shannon Jones, a Licensed Professional Counselor, and National Certified Counselor. I have a Bachelors degree in Psychology and a Masters degree in Clinical Mental Health Counseling. I believe every client is unique and capable of overcoming challenges with the right tools and support. I am here to encourage you as we work together.
Hello! I am Shannon Jones, a Licensed Professional Counselor, and National Certified Counselor. I have a Bachelors degree in Psychology and a Masters degree in Clinical Mental Health Counseling. I believe every client is unique and capable of overcoming challenges with the right tools and support. I am here to encourage you as we work together.
(912) 572-0820 View (912) 572-0820
Photo of Derek Collins - Alcohol and Drug Evaluations , MEd, CADC-II, SAP , Drug & Alcohol Counselor
Alcohol and Drug Evaluations
Drug & Alcohol Counselor, MEd, CADC-II, SAP
Verified Verified
4 Endorsed
Savannah, GA 31401
We provide court approved substance use, anger management and psychological testing and evaluation services. We are a trusted provider offering a comprehensive range of court mandated and employer mandated services. These services include alcohol and drug evaluations, anger management evaluations, SAP Evaluations, mental health evaluations, anger management classes, shoplifting prevention classes, MRT, substance abuse classes, ASAM Level treatment, victim impact panel, and alcohol and drug awareness.
We provide court approved substance use, anger management and psychological testing and evaluation services. We are a trusted provider offering a comprehensive range of court mandated and employer mandated services. These services include alcohol and drug evaluations, anger management evaluations, SAP Evaluations, mental health evaluations, anger management classes, shoplifting prevention classes, MRT, substance abuse classes, ASAM Level treatment, victim impact panel, and alcohol and drug awareness.
(912) 642-4752 View (912) 642-4752
Photo of Regina Sewell, LPC, Licensed Professional Counselor
Regina Sewell
Licensed Professional Counselor, LPC
Verified Verified
Augusta, GA 30901  (Online Only)
Sometimes it feels like you’ve been pursuing a career and a life that’s not your own. You may feel like society doesn’t value your culture, your sensitivity, and your expression. Your experiences have led to feeling stressed, anxious, and depressed. If this sounds like you, welcome to your return to joy. As a therapist specializing in empathetic and liberation-focused work, I am dedicated to supporting Black individuals from all gender identities. For the past eight years, I have provided individual and group therapy for multicultural populations in inpatient and outpatient settings.
Sometimes it feels like you’ve been pursuing a career and a life that’s not your own. You may feel like society doesn’t value your culture, your sensitivity, and your expression. Your experiences have led to feeling stressed, anxious, and depressed. If this sounds like you, welcome to your return to joy. As a therapist specializing in empathetic and liberation-focused work, I am dedicated to supporting Black individuals from all gender identities. For the past eight years, I have provided individual and group therapy for multicultural populations in inpatient and outpatient settings.
(762) 225-4999 View (762) 225-4999
Photo of LAKEYA Nichole Mitchell - Transfigurations Counseling LLC, LPC, Licensed Professional Counselor
Transfigurations Counseling LLC
Licensed Professional Counselor, LPC
Verified Verified
Savannah, GA 31405
"I am so elated that you are ready to go on a journey with me. If you are looking for counseling services look no further. At Transfigurations, LLC, we develop effective plans to help adolescents, adults, couples, and families work through life’s many hurdles. We are here to assist you with all your counseling needs. As the founder and CEO, I am committed to providing a life-changing experience to each client who is dealing with trauma, addiction, anxiety, abuse, depression, PTSD, marriage challenges and family challenges. At Transfigurations, LLC, we are all about promoting Self Love."
"I am so elated that you are ready to go on a journey with me. If you are looking for counseling services look no further. At Transfigurations, LLC, we develop effective plans to help adolescents, adults, couples, and families work through life’s many hurdles. We are here to assist you with all your counseling needs. As the founder and CEO, I am committed to providing a life-changing experience to each client who is dealing with trauma, addiction, anxiety, abuse, depression, PTSD, marriage challenges and family challenges. At Transfigurations, LLC, we are all about promoting Self Love."
(912) 214-4382 View (912) 214-4382
Photo of Cynthia Williams, Licensed Professional Counselor
Cynthia Williams
Licensed Professional Counselor
Verified Verified
Rincon, GA 31326  (Online Only)
Mrs. Cynthia Washington Williams is a Licensed Professional Counselor, Licensed Addictions Counselor, National Certified Counselor and a Certified Employee Assistance Professional, licensed in Florida, Georgia, North Carolina and South Carolina. She has been in the Human Services filed for over 30 years and a Private Practitioner for over 25 years specializing in counseling with adolescents, adults, couples, families, management and work place stressors and issues. Mrs. Williams has been a Department of Defense contractor since 2007.
Mrs. Cynthia Washington Williams is a Licensed Professional Counselor, Licensed Addictions Counselor, National Certified Counselor and a Certified Employee Assistance Professional, licensed in Florida, Georgia, North Carolina and South Carolina. She has been in the Human Services filed for over 30 years and a Private Practitioner for over 25 years specializing in counseling with adolescents, adults, couples, families, management and work place stressors and issues. Mrs. Williams has been a Department of Defense contractor since 2007.
(866) 738-3081 View (866) 738-3081
Photo of Debbie Ruth Johnson, LPC, Licensed Professional Counselor
Debbie Ruth Johnson
Licensed Professional Counselor, LPC
Verified Verified
Grovetown, GA 30813
I am a Licensed Professional Counselor (LPC) dedicated to helping individuals and families achieve emotional well-being and balance through a non-judgmental, person-centered therapeutic approach. There is hope. You don't have to continue living with constant stress, depression, or anxiety. Your relationship does not have to remain unfulfilling or even toxic. You can regain the balance you need to thrive. And what's even better...you don't have to do it on your own. Let me help you find your voice and own your power. Everybody hurts...sometimes. It does not have to be forever.
I am a Licensed Professional Counselor (LPC) dedicated to helping individuals and families achieve emotional well-being and balance through a non-judgmental, person-centered therapeutic approach. There is hope. You don't have to continue living with constant stress, depression, or anxiety. Your relationship does not have to remain unfulfilling or even toxic. You can regain the balance you need to thrive. And what's even better...you don't have to do it on your own. Let me help you find your voice and own your power. Everybody hurts...sometimes. It does not have to be forever.
(706) 203-3911 View (706) 203-3911

See more therapy options for Evans County

How does your Therapist compare?

Number of Therapists in Evans County, GA

< 10

Therapists in Evans County, GA who prioritize treating:

83% Anxiety
67% Anger Management
67% Life Transitions
50% Depression
50% Child
50% Parenting
50% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

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

How Therapists in Evans County, GA see their clients

100% In Person and Online

Gender breakdown

60% Female
40% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Evans County?

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.