Therapists in Scotch Plains, NJ

Photo of Christine Mahoney, Licensed Professional Counselor in Scotch Plains, NJ
Christine Mahoney
Licensed Professional Counselor, MA, LPC, ACS
Verified Verified
Scotch Plains, NJ 07076
Feeling unhappy or overwhelmed happens to all of us and life is full of challenges. Is now the time to address concerns and feel better about your life and yourself? The right supportive non-judgmental person can offer support, hope and encouragement. Counseling can also help increase self awareness, offer coping strategies and communication skills, improve self care and decision making. While life can be difficult and often takes unexpected turns, counseling can provide some of the relief and assistance you need to feel more hopeful and content, improve relationships and lead to less stress and generally happier healthy living.
Feeling unhappy or overwhelmed happens to all of us and life is full of challenges. Is now the time to address concerns and feel better about your life and yourself? The right supportive non-judgmental person can offer support, hope and encouragement. Counseling can also help increase self awareness, offer coping strategies and communication skills, improve self care and decision making. While life can be difficult and often takes unexpected turns, counseling can provide some of the relief and assistance you need to feel more hopeful and content, improve relationships and lead to less stress and generally happier healthy living.
(732) 387-6801 View (732) 387-6801
Photo of Marie Moise Fevrier, Licensed Professional Counselor in Scotch Plains, NJ
Marie Moise Fevrier
Licensed Professional Counselor, EdD, LPC, LCADC, ACS
Verified Verified
4 Endorsed
Scotch Plains, NJ 07076
Healing is a mind, body and soul interaction that results in wholeness. Mental illness or stress of any kind takes a toll on the mind and one's overall wellbeing, causing great dissatisfaction and living in a state of existence instead of living fully. I can help with navigating through these issues and walking with you through your path of healing. I am a Licensed Professional Counselor (LPC) with over fifteen years of experience. I utilize an integrative approach to therapy and have been in private practice for the past twelve years. I look forward to beginning a healing journey with you.
Healing is a mind, body and soul interaction that results in wholeness. Mental illness or stress of any kind takes a toll on the mind and one's overall wellbeing, causing great dissatisfaction and living in a state of existence instead of living fully. I can help with navigating through these issues and walking with you through your path of healing. I am a Licensed Professional Counselor (LPC) with over fifteen years of experience. I utilize an integrative approach to therapy and have been in private practice for the past twelve years. I look forward to beginning a healing journey with you.
(201) 632-3989 View (201) 632-3989
Photo of Lorraine Gahles-Kildow, Psychologist in Scotch Plains, NJ
Lorraine Gahles-Kildow
Psychologist, PhD
Verified Verified
1 Endorsed
Scotch Plains, NJ 07076
Life can be hard, it can bring distress, loss, transition, and obstacles. But, we can survive and even thrive by being aware of our thoughts, emotions, behavior and bodily reactions. Processing and changing brings about healing and growth. Do a deep dive into yourself and discover the richness there.
Life can be hard, it can bring distress, loss, transition, and obstacles. But, we can survive and even thrive by being aware of our thoughts, emotions, behavior and bodily reactions. Processing and changing brings about healing and growth. Do a deep dive into yourself and discover the richness there.
(908) 799-0575 View (908) 799-0575
Photo of Jessica De Sousa, Marriage & Family Therapist Associate in Scotch Plains, NJ
Jessica De Sousa
Marriage & Family Therapist Associate, LAMFT
Verified Verified
Scotch Plains, NJ 07076
Are you feeling out of touch with who you are or who you want to be? Are your fears, anxieties, or self-defeating thoughts getting in the way of accomplishing your goals? Are you overwhelmed by all the demands life is throwing at you and not sure how to achieve balance? If you answered yes to any of these questions please know that you are not alone.
Are you feeling out of touch with who you are or who you want to be? Are your fears, anxieties, or self-defeating thoughts getting in the way of accomplishing your goals? Are you overwhelmed by all the demands life is throwing at you and not sure how to achieve balance? If you answered yes to any of these questions please know that you are not alone.
(908) 373-5732 View (908) 373-5732
Photo of Ashley Moy, Clinical Social Work/Therapist in Scotch Plains, NJ
Ashley Moy
Clinical Social Work/Therapist, MSW, SSW, LCSW
Verified Verified
Scotch Plains, NJ 07076
Not accepting new clients
I work with children, adolescents and their families to address a multitude of emotional needs including, but not limited to, anxiety, coping skills, anger management, depression, self-esteem and life stressors. Working as a collaborative team, we will address the areas in which you would like to see growth and improvement, while discovering and enhancing your strengths.
I work with children, adolescents and their families to address a multitude of emotional needs including, but not limited to, anxiety, coping skills, anger management, depression, self-esteem and life stressors. Working as a collaborative team, we will address the areas in which you would like to see growth and improvement, while discovering and enhancing your strengths.
(844) 993-0969 View (844) 993-0969
Photo of Restored Hope Psychological Services, LLC, Psychologist in Scotch Plains, NJ
Restored Hope Psychological Services, LLC
Psychologist, PhD
Verified Verified
2 Endorsed
Scotch Plains, NJ 07076
Many of us often feel constrained and emotionally overwhelmed by life challenges. As a licensed and experienced psychologist, I can provide you with a confidential space to help ease your emotional pain and offer guidance as you regain control over your circumstances. My areas of specialty include, but is not limited to, depression, anxiety, bereavement, and relationship discord. I generally work from a multicultural lens and use evidence-based styles that consist of an interpersonal psychotherapy (IPT) approach infused with cognitive behavioral techniques (CBT).
Many of us often feel constrained and emotionally overwhelmed by life challenges. As a licensed and experienced psychologist, I can provide you with a confidential space to help ease your emotional pain and offer guidance as you regain control over your circumstances. My areas of specialty include, but is not limited to, depression, anxiety, bereavement, and relationship discord. I generally work from a multicultural lens and use evidence-based styles that consist of an interpersonal psychotherapy (IPT) approach infused with cognitive behavioral techniques (CBT).
(862) 666-3241 View (862) 666-3241
Photo of Angela Campbell-Osbourne, Licensed Professional Counselor in Scotch Plains, NJ
Angela Campbell-Osbourne
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Scotch Plains, NJ 07076
Hi, I am a Licensed Professional Counselor (LPC) in the State of New Jersey who is a compassionate advocate for the emancipation of individuals' minds. I have worked twenty-one (21) years in the mental health service field, impacting the lives of individuals with emotional and mental issues, including anxiety, depression, addiction, developmental & learning disabilities, behavioral challenges, and mental health illnesses. I offer counseling services to youth, adults, couples, and families. I am a Christian who strives to honor and practice Christ's Commandments of loving the Lord and my fellow human being by showing warmth.
Hi, I am a Licensed Professional Counselor (LPC) in the State of New Jersey who is a compassionate advocate for the emancipation of individuals' minds. I have worked twenty-one (21) years in the mental health service field, impacting the lives of individuals with emotional and mental issues, including anxiety, depression, addiction, developmental & learning disabilities, behavioral challenges, and mental health illnesses. I offer counseling services to youth, adults, couples, and families. I am a Christian who strives to honor and practice Christ's Commandments of loving the Lord and my fellow human being by showing warmth.
(908) 498-7857 View (908) 498-7857
Photo of Estelle Janiec, Licensed Professional Counselor in Scotch Plains, NJ
Estelle Janiec
Licensed Professional Counselor, PhD, LPC
Verified Verified
Scotch Plains, NJ 07076
Some of the problems I treat in individual psychotherapy include anxiety and stress, depression, grief and loss and the myriad challenges that come with any life transition. I currently focus my practice on working with adults, both individually and as couples. When working with couples I include practical information on exactly what the research has to say on what makes relationships succeed in general. I then focus on the deeper and more personal factors that that are helping or hindering a couple in finding their way to each other and to greater relationship satisfaction. I can help you live your life better.
Some of the problems I treat in individual psychotherapy include anxiety and stress, depression, grief and loss and the myriad challenges that come with any life transition. I currently focus my practice on working with adults, both individually and as couples. When working with couples I include practical information on exactly what the research has to say on what makes relationships succeed in general. I then focus on the deeper and more personal factors that that are helping or hindering a couple in finding their way to each other and to greater relationship satisfaction. I can help you live your life better.
(908) 388-9473 View (908) 388-9473
Photo of Judy Waweru, Counselor in Scotch Plains, NJ
Judy Waweru
Counselor, LAC
Verified Verified
1 Endorsed
Scotch Plains, NJ 07076  (Online Only)
Hi! I'm Judy, a licensed associate counselor (LAC). Often times our own internal issues such as our mindsets, behaviors, emotions & our past, can hinder us from reaching our fullest potential, both relationally & professionally. Well, I am here to help & partner with you on your journey to overcome these obstacles. Additionally, born from immigrant parents, raised in both a predominantly African American neighborhood and later a Caucasian one, & often traveling to Kenya, gave me exposure to different cultures.This privilege has given me a level of understanding that can help me support & connect with clients of different backgrounds
Hi! I'm Judy, a licensed associate counselor (LAC). Often times our own internal issues such as our mindsets, behaviors, emotions & our past, can hinder us from reaching our fullest potential, both relationally & professionally. Well, I am here to help & partner with you on your journey to overcome these obstacles. Additionally, born from immigrant parents, raised in both a predominantly African American neighborhood and later a Caucasian one, & often traveling to Kenya, gave me exposure to different cultures.This privilege has given me a level of understanding that can help me support & connect with clients of different backgrounds
(856) 699-5351 View (856) 699-5351
Photo of Cynthia Velasquez, Marriage & Family Therapist Associate in Scotch Plains, NJ
Cynthia Velasquez
Marriage & Family Therapist Associate, LAMFT
Verified Verified
Scotch Plains, NJ 07076
Hi! My name is Cynthia Velasquez, LAMFT (Licensed Associate Marriage and Family Therapist). I specialize in helping individuals, couples and families who struggle with issues in communication, lack of distress tolerance skills, wanting to cope appropriately and prioritizing wanting a better understanding of how to have a solution focused mindset to fix their issues. This has been my passion for many years and I am excited to finally provide a safe space for all!
Hi! My name is Cynthia Velasquez, LAMFT (Licensed Associate Marriage and Family Therapist). I specialize in helping individuals, couples and families who struggle with issues in communication, lack of distress tolerance skills, wanting to cope appropriately and prioritizing wanting a better understanding of how to have a solution focused mindset to fix their issues. This has been my passion for many years and I am excited to finally provide a safe space for all!
(908) 975-1560 View (908) 975-1560
Photo of Wei-Ting Lu, Licensed Professional Counselor in Scotch Plains, NJ
Wei-Ting Lu
Licensed Professional Counselor, LPC
Verified Verified
Scotch Plains, NJ 07076
Wei-Tng has experience working with adolescents, adults, couples and families in both the group and individual settings. She works with clients on a wide range of concerns including depression, anxiety, grief and loss, substance abuse, trauma, relational issues, and family challenges.
Wei-Tng has experience working with adolescents, adults, couples and families in both the group and individual settings. She works with clients on a wide range of concerns including depression, anxiety, grief and loss, substance abuse, trauma, relational issues, and family challenges.
(908) 388-9382 View (908) 388-9382
Photo of Jessica Perrella, Clinical Social Work/Therapist in Scotch Plains, NJ
Jessica Perrella
Clinical Social Work/Therapist, MSW, MEd, LCSW, CST
Verified Verified
Scotch Plains, NJ 07076  (Online Only)
Waitlist for new clients
Hi! I'm Jess. Starting therapy can be REALLY hard! Making yourself vulnerable to a perfect stranger can feel uncomfortable - especially if you're dealing with sexuality or relationship concerns. I bring my most authentic self to the session, in the hope that you will, too. My hope is that our work together can improve your ability to manage big feelings, empower you with tools to handle life's challenges, and improve communication in your relationships.
Hi! I'm Jess. Starting therapy can be REALLY hard! Making yourself vulnerable to a perfect stranger can feel uncomfortable - especially if you're dealing with sexuality or relationship concerns. I bring my most authentic self to the session, in the hope that you will, too. My hope is that our work together can improve your ability to manage big feelings, empower you with tools to handle life's challenges, and improve communication in your relationships.
(732) 355-3392 View (732) 355-3392
Photo of Theresa Lotano, Clinical Social Work/Therapist in Scotch Plains, NJ
Theresa Lotano
Clinical Social Work/Therapist, LCSW
Verified Verified
Scotch Plains, NJ 07076
Theresa is experienced working with children, adolescents, individual adults, and families who are struggling with a range of challenges. Some treatment issues Theresa specializes in include, but are not limited to: anxiety, depression, anger management, trauma, adjustment issues/life transitions, self-harm, parenting skills/parent-child dynamics, and grief/loss.
Theresa is experienced working with children, adolescents, individual adults, and families who are struggling with a range of challenges. Some treatment issues Theresa specializes in include, but are not limited to: anxiety, depression, anger management, trauma, adjustment issues/life transitions, self-harm, parenting skills/parent-child dynamics, and grief/loss.
(908) 237-7313 View (908) 237-7313
Photo of Lori Genung, Clinical Social Work/Therapist in Scotch Plains, NJ
Lori Genung
Clinical Social Work/Therapist, LCSW
Verified Verified
Scotch Plains, NJ 07076
Lori is a Licensed Clinical Social Worker who works with children, adolescents, adults, grandparents, and couples in one on one sessions or in groups. She can help with a variety of issues including anxiety, depression, life transitions, family problems, marital/relationship, and ADHD among other issues.
Lori is a Licensed Clinical Social Worker who works with children, adolescents, adults, grandparents, and couples in one on one sessions or in groups. She can help with a variety of issues including anxiety, depression, life transitions, family problems, marital/relationship, and ADHD among other issues.
(908) 650-8155 View (908) 650-8155
Photo of Erika Ferrie, Clinical Social Work/Therapist in Scotch Plains, NJ
Erika Ferrie
Clinical Social Work/Therapist, LCSW, SSW
Verified Verified
1 Endorsed
Scotch Plains, NJ 07076
I work with children, adolescents, and adults utilizing an empathetic approach to help clients through difficult times as well as achieve maximum success in order to reach their personal goals. Together we will uncover and build on your strengths while addressing areas where improvement is desired.Trained in Dialectical Behavioral Therapy (DBT) which focuses on reducing emotional suffering through mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. These strategies may be particularly helpful for first responders, people experiencing PTSD, and any person aiming to reduce distress.
I work with children, adolescents, and adults utilizing an empathetic approach to help clients through difficult times as well as achieve maximum success in order to reach their personal goals. Together we will uncover and build on your strengths while addressing areas where improvement is desired.Trained in Dialectical Behavioral Therapy (DBT) which focuses on reducing emotional suffering through mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. These strategies may be particularly helpful for first responders, people experiencing PTSD, and any person aiming to reduce distress.
(973) 532-5294 View (973) 532-5294
Photo of Jay Serrano, Counselor in Scotch Plains, NJ
Jay Serrano
Counselor, LAC
Verified Verified
Scotch Plains, NJ 07076
Jay has field experience working with adults re-adjusting back into the community as they overcome mental, physical, and emotional disabilities. Jay has been working with children and adolescents for the past 5 years in a partial hospitalization program, providing group, individual and family therapy across different roles and modalities. Jay has encountered those who are working through depression, anxiety, trauma, ADHD, ODD, parenting challenges, cultural conflicts, and Autism. Jay takes on a person-centered, nurtured heart approach that allows the client to build a safe and nurturing environment during the therapeutic process.
Jay has field experience working with adults re-adjusting back into the community as they overcome mental, physical, and emotional disabilities. Jay has been working with children and adolescents for the past 5 years in a partial hospitalization program, providing group, individual and family therapy across different roles and modalities. Jay has encountered those who are working through depression, anxiety, trauma, ADHD, ODD, parenting challenges, cultural conflicts, and Autism. Jay takes on a person-centered, nurtured heart approach that allows the client to build a safe and nurturing environment during the therapeutic process.
(908) 443-9486 View (908) 443-9486
Photo of Alex Lesaski, Licensed Professional Counselor in Scotch Plains, NJ
Alex Lesaski
Licensed Professional Counselor, LPC, LCADC
Verified Verified
Scotch Plains, NJ 07076
Alex has clinical experience with people seeking therapy for substance abuse issues, co-occurring mental health issues, adjustment and life transitions, relationship issues, family issues, and personal/professional growth and development. He has experience working with adults of all ages in individual and group therapy. Alex believes it is important for the client to feel supported, heard, and understood but also challenged to figure out their own path through the therapeutic process. He believes addressing issues in therapy can help people make real changes in their lives and gain more insight and awareness in who they are.
Alex has clinical experience with people seeking therapy for substance abuse issues, co-occurring mental health issues, adjustment and life transitions, relationship issues, family issues, and personal/professional growth and development. He has experience working with adults of all ages in individual and group therapy. Alex believes it is important for the client to feel supported, heard, and understood but also challenged to figure out their own path through the therapeutic process. He believes addressing issues in therapy can help people make real changes in their lives and gain more insight and awareness in who they are.
(908) 663-5816 View (908) 663-5816
Photo of Joseph A. DeMeyer, PhD, PC & Associates, Psychologist in Scotch Plains, NJ
Joseph A. DeMeyer, PhD, PC & Associates
Psychologist, PhD
Verified Verified
Scotch Plains, NJ 07076
to examine deeply and thoroughly motivations, emotions and behavior, especially interpersonal; focused on positive changes leading to long-lasting existential and transformational life improvements and increased self-awareness; responsible in accepting that these changes will affect-for the better- lives of loved ones, friends and other significant persons (including those that are not yet around) ; increased openness towards life-changes ; to take calculated, rational risks, mindful of other persons; serious commitment to longer-term therapy when indicated to be necessary, in order to achieve the above desired results.
to examine deeply and thoroughly motivations, emotions and behavior, especially interpersonal; focused on positive changes leading to long-lasting existential and transformational life improvements and increased self-awareness; responsible in accepting that these changes will affect-for the better- lives of loved ones, friends and other significant persons (including those that are not yet around) ; increased openness towards life-changes ; to take calculated, rational risks, mindful of other persons; serious commitment to longer-term therapy when indicated to be necessary, in order to achieve the above desired results.
(973) 528-7504 View (973) 528-7504
Photo of Rosanne C Tobey, Licensed Professional Counselor in Scotch Plains, NJ
Rosanne C Tobey
Licensed Professional Counselor, LPC, NCC
Verified Verified
Scotch Plains, NJ 07076
Do feel like you struggle with the same problem over and over again? Does it sometimes feel as if there are no answers, you've tried everything? Are you worrying about yourself or your children? There is help, and their are answers. At Calm and Sense Therapy, we treat Anxiety and Panic, Depression, Adjustment, Grief and Loss and more. Our therapists specialize in individual therapy. We are a team of kind and compassionate professionals who work with adults, adolescents, and children.
Do feel like you struggle with the same problem over and over again? Does it sometimes feel as if there are no answers, you've tried everything? Are you worrying about yourself or your children? There is help, and their are answers. At Calm and Sense Therapy, we treat Anxiety and Panic, Depression, Adjustment, Grief and Loss and more. Our therapists specialize in individual therapy. We are a team of kind and compassionate professionals who work with adults, adolescents, and children.
(908) 219-6844 View (908) 219-6844
Photo of Jane Smith, Counselor in Scotch Plains, NJ
Jane Smith
Counselor, LAC
Verified Verified
Scotch Plains, NJ 07076
Jane has worked with substance use and co-occurring disorders at the partial-hospitalization and intensive-outpatient levels of care, then transitioned to a long-term residential setting prior to joining the Calm and Sense Therapy team. Jane strives to combine her knowledge and experience from her prior careers and education to provide the highest level of care to individuals with a variety of clinical needs utilizing a holistic and personalized approach. Areas of special interest include mood disorders, substance use disorders, and chronic pain/illness management.
Jane has worked with substance use and co-occurring disorders at the partial-hospitalization and intensive-outpatient levels of care, then transitioned to a long-term residential setting prior to joining the Calm and Sense Therapy team. Jane strives to combine her knowledge and experience from her prior careers and education to provide the highest level of care to individuals with a variety of clinical needs utilizing a holistic and personalized approach. Areas of special interest include mood disorders, substance use disorders, and chronic pain/illness management.
(908) 663-5390 View (908) 663-5390

See more therapy options for Scotch Plains

How does your Therapist compare?

Number of Therapists in Scotch Plains, NJ

200+

Average cost per session

$185

Therapists in Scotch Plains, NJ who prioritize treating:

95% Anxiety
92% Depression
78% Relationship Issues
70% Self Esteem
69% Coping Skills
64% Grief
64% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

85% Aetna
79% BlueCross and BlueShield
78% Cigna and Evernorth

How Therapists in Scotch Plains, NJ see their clients

91% In Person and Online
9% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Scotch Plains?

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.