Therapists in Weston, FL

Photo of Melissa Chitiva, Counselor in Weston, FL
Melissa Chitiva
Counselor, LMHC
Verified Verified
2 Endorsed
Weston, FL 33326
Do you have trouble speaking about how you are feeling at times; have you felt overwhelmed, sad, alone, or unheard often? If so, allow me to help you connect with your emotional wellness in order to feel heard, seen and understood. Anxiety and Depression amongst other dynamic issues do not have to be silent battles anymore. As a counselor I strive to deeply connect and understand the many thoughts, behaviors, and emotions we go through in our everyday. You will learn how to cope with life experiences brought on by challenges with behaviors, development, trauma, ongoing family distress and much more.
Do you have trouble speaking about how you are feeling at times; have you felt overwhelmed, sad, alone, or unheard often? If so, allow me to help you connect with your emotional wellness in order to feel heard, seen and understood. Anxiety and Depression amongst other dynamic issues do not have to be silent battles anymore. As a counselor I strive to deeply connect and understand the many thoughts, behaviors, and emotions we go through in our everyday. You will learn how to cope with life experiences brought on by challenges with behaviors, development, trauma, ongoing family distress and much more.
(786) 442-2515 View (786) 442-2515
Photo of Open Mind Psychotherapy & Wellness Center, Counselor in Weston, FL
Open Mind Psychotherapy & Wellness Center
Counselor, MA, BEd, MPsy, LMHC
Verified Verified
1 Endorsed
Weston, FL 33331
My name is Valeria Vilar, Licensed Mental Health Counselor since 2009. I'm Open Mind Clinical Director. I graduated in Argentina as a Licensed Psychologist in 1994 and Psychcopedagogy in 2000. I have been providing psychotherapeutic treatment to individuals, families, couples and groups. I have experience as Guidance Counselor in several schools in US and Argentina. I have been a University Professor in Argentina. I gladly help you to improve the well being in a warm, confidential and professional atmosphere, as you deserve. Because you are unique, the psychotherapeutic tools will be tailored to enhance your strengths and potential.
My name is Valeria Vilar, Licensed Mental Health Counselor since 2009. I'm Open Mind Clinical Director. I graduated in Argentina as a Licensed Psychologist in 1994 and Psychcopedagogy in 2000. I have been providing psychotherapeutic treatment to individuals, families, couples and groups. I have experience as Guidance Counselor in several schools in US and Argentina. I have been a University Professor in Argentina. I gladly help you to improve the well being in a warm, confidential and professional atmosphere, as you deserve. Because you are unique, the psychotherapeutic tools will be tailored to enhance your strengths and potential.
(954) 501-0035 View (954) 501-0035
Photo of Priscila Estep, Registered Mental Health Counselor Intern in Weston, FL
Priscila Estep
Registered Mental Health Counselor Intern, MA
Verified Verified
Weston, FL 33331
Whether you are experiencing relationship distress, life transitions, difficult circumstances, or major trauma, I see the process of therapy as a way to help you gain support, insight, and healing in your journey. My goal is to instill hope and offer a safe space where my clients don’t feel judged. During therapy, I prefer to use different theories and techniques since everyone has unique experiences and personalities.
Whether you are experiencing relationship distress, life transitions, difficult circumstances, or major trauma, I see the process of therapy as a way to help you gain support, insight, and healing in your journey. My goal is to instill hope and offer a safe space where my clients don’t feel judged. During therapy, I prefer to use different theories and techniques since everyone has unique experiences and personalities.
(954) 448-7310 View (954) 448-7310
Photo of Bruce D Forman, Psychologist in Weston, FL
Bruce D Forman
Psychologist
Verified Verified
Weston, FL 33326  (Online Only)
I AM OUT OF THE COUNTRY TILL JANUARY 29, 2024 AND WILL HAVE LIMITED ACCESS TO WIFI. APPOINTMENTS ARE CURRENTLY EXCLUSIVELY BY TELECONFERENCING. I specialize in treating insomnia, sleep disorders, and mood problems. My approach is brief and solution-focused which emphasizes Cognitive Behavior Therapy (CBT) and Cognitive Behavior Therapy for Insomnia (CBT-I) protocols. Both CBT and CBT-I are evidence-based approaches to treatment. In addition to being a licensed psychologist, certified hypnotherapist, and certified trauma professional I am also an ordained member of the clergy (rabbi).
I AM OUT OF THE COUNTRY TILL JANUARY 29, 2024 AND WILL HAVE LIMITED ACCESS TO WIFI. APPOINTMENTS ARE CURRENTLY EXCLUSIVELY BY TELECONFERENCING. I specialize in treating insomnia, sleep disorders, and mood problems. My approach is brief and solution-focused which emphasizes Cognitive Behavior Therapy (CBT) and Cognitive Behavior Therapy for Insomnia (CBT-I) protocols. Both CBT and CBT-I are evidence-based approaches to treatment. In addition to being a licensed psychologist, certified hypnotherapist, and certified trauma professional I am also an ordained member of the clergy (rabbi).
(954) 417-7825 View (954) 417-7825
Photo of Maria Belen Van Thienen, Marriage & Family Therapist in Weston, FL
Maria Belen Van Thienen
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Weston, FL 33331
Are you dealing with anxiety, depression, trauma. stress, family conflict, relationship challenges, grief, divorce or separation? You can create a better life for yourself with the right guidance and support from a seasoned therapist with more than 30 years of experience.
Are you dealing with anxiety, depression, trauma. stress, family conflict, relationship challenges, grief, divorce or separation? You can create a better life for yourself with the right guidance and support from a seasoned therapist with more than 30 years of experience.
(954) 231-1919 View (954) 231-1919
Photo of Orly Doron, Clinical Social Work/Therapist in Weston, FL
Orly Doron
Clinical Social Work/Therapist, LCSW
Verified Verified
Weston, FL 33331
During my years of practice I have confirmed the impact that our thoughts have in our emotions and behaviors. Understanding how we think and learning to change the meaning of things in our lives, will bring positive change for us. This therapeutic model is known as cognitive-behavioral therapy, and it has proven to be highly effective in the treatment of emotional disorders such as anxiety, depression and eating disorders among others. It is also highly recommended for marital and couples therapy. I am a Spanish speaking therapist as well. FREE INITIAL CONSULTATION
During my years of practice I have confirmed the impact that our thoughts have in our emotions and behaviors. Understanding how we think and learning to change the meaning of things in our lives, will bring positive change for us. This therapeutic model is known as cognitive-behavioral therapy, and it has proven to be highly effective in the treatment of emotional disorders such as anxiety, depression and eating disorders among others. It is also highly recommended for marital and couples therapy. I am a Spanish speaking therapist as well. FREE INITIAL CONSULTATION
(954) 654-7930 View (954) 654-7930
Photo of Stephanie J Goossens, Clinical Social Work/Therapist in Weston, FL
Stephanie J Goossens
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Weston, FL 33326  (Online Only)
Thanks for reaching out! I am a Licensed Therapist in the state of FL with a decade of experience working with adolescents and young adults. In the last five years, I have treated a diverse adult population, supporting their healing journeys while processing trauma, life transitions and a wide range of mental health challenges. I use a combination of practical skills and various therapeutic modalities, such as EMDR, CBT, CPT, DBT and eclectic psychotherapy to support you.
Thanks for reaching out! I am a Licensed Therapist in the state of FL with a decade of experience working with adolescents and young adults. In the last five years, I have treated a diverse adult population, supporting their healing journeys while processing trauma, life transitions and a wide range of mental health challenges. I use a combination of practical skills and various therapeutic modalities, such as EMDR, CBT, CPT, DBT and eclectic psychotherapy to support you.
(561) 532-1517 View (561) 532-1517
Photo of Jessica Alpizar, Psychologist in Weston, FL
Jessica Alpizar
Psychologist, PsyD
Verified Verified
1 Endorsed
Weston, FL 33326  (Online Only)
Shame and guilt bogging you down? Dealing with the pain of losing a loved one? Grieving a break-up? Struggling with self-blame and criticism? Do you feel stressed, overwhelmed, and have lost some of your interest in things that once made you feel alive? Or maybe you're feeling stuck and searching for more purpose in life? I offer a safe space to process these feelings. A space where you can feel validated, and understood, but held accountable to begin making meaningful changes.
Shame and guilt bogging you down? Dealing with the pain of losing a loved one? Grieving a break-up? Struggling with self-blame and criticism? Do you feel stressed, overwhelmed, and have lost some of your interest in things that once made you feel alive? Or maybe you're feeling stuck and searching for more purpose in life? I offer a safe space to process these feelings. A space where you can feel validated, and understood, but held accountable to begin making meaningful changes.
(303) 562-1664 View (303) 562-1664
Photo of George Shepeard, Psychologist in Weston, FL
George Shepeard
Psychologist, MS, PsyD
Verified Verified
2 Endorsed
Weston, FL 33331
Sometimes we all can feel overwhelmed, especially these days. I know it can be a difficult decision to reach out to a psychologist. That's why my initial goal is to make the process as comfortable for you as possible because we know that success in therapy is directly related to the connection that develops between the client and therapist.
Sometimes we all can feel overwhelmed, especially these days. I know it can be a difficult decision to reach out to a psychologist. That's why my initial goal is to make the process as comfortable for you as possible because we know that success in therapy is directly related to the connection that develops between the client and therapist.
(954) 859-1308 View (954) 859-1308
Photo of Alexandra Lavado, Registered Mental Health Counselor Intern in Weston, FL
Alexandra Lavado
Registered Mental Health Counselor Intern, RMHCI, MS,
Verified Verified
1 Endorsed
Weston, FL 33326  (Online Only)
Life is filled with challenges and stressors both short-term and long-term, that may cause emotional distress and negatively affect mental health. From academic concerns and occupational stress to family-related problems, people of all ages and ethnicities may face difficulties that may disrupt their daily functioning. Nevertheless, I strongly believe in the transformative power of therapy and its ability to help people learn, grow, and heal. As a bilingual mental health therapist, I aim to aid individuals in their transformative process and help them develop their psychological strengths.
Life is filled with challenges and stressors both short-term and long-term, that may cause emotional distress and negatively affect mental health. From academic concerns and occupational stress to family-related problems, people of all ages and ethnicities may face difficulties that may disrupt their daily functioning. Nevertheless, I strongly believe in the transformative power of therapy and its ability to help people learn, grow, and heal. As a bilingual mental health therapist, I aim to aid individuals in their transformative process and help them develop their psychological strengths.
(754) 254-8707 View (754) 254-8707
Photo of Edelys Mariel Diaz, Marriage & Family Therapist in Weston, FL
Edelys Mariel Diaz
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Weston, FL 33326
Does your child struggle with expressing themselves? Is your child having a hard time with self-regulation? Does your child not know how to manage with big emotions and lacks healthy coping skills? You just landed in the right place! Welcome to play therapy! A place where a child’s mind, heart and soul meet! Play therapy is a fantastic way for kids to develop communication skills, learn coping strategies, and improve emotional regulation. By playing and interacting with others in a safe environment, your child can develop healthy social skills and improve emotional intelligence, all while having fun!
Does your child struggle with expressing themselves? Is your child having a hard time with self-regulation? Does your child not know how to manage with big emotions and lacks healthy coping skills? You just landed in the right place! Welcome to play therapy! A place where a child’s mind, heart and soul meet! Play therapy is a fantastic way for kids to develop communication skills, learn coping strategies, and improve emotional regulation. By playing and interacting with others in a safe environment, your child can develop healthy social skills and improve emotional intelligence, all while having fun!
(786) 305-4679 View (786) 305-4679
Photo of Anne Marie Miller, Counselor in Weston, FL
Anne Marie Miller
Counselor, MS, LMHC, QS
Verified Verified
Weston, FL 33331
Are you struggling emotionally, mentally, or spiritually? If you're reading this, you must be ready for a change. Good for you! The first step in making a change is acknowledging a need for one. It takes courage and strength to seek out a therapist, and I will help you feel comfortable and supported in whatever it is you want to work on. In addition to being a Licensed Therapist, I am also a Certified Life Coach. I can help you change things in a positive direction and help you be a happier and more satisfied person. I collaborate with my clients to find the best treatment for them.
Are you struggling emotionally, mentally, or spiritually? If you're reading this, you must be ready for a change. Good for you! The first step in making a change is acknowledging a need for one. It takes courage and strength to seek out a therapist, and I will help you feel comfortable and supported in whatever it is you want to work on. In addition to being a Licensed Therapist, I am also a Certified Life Coach. I can help you change things in a positive direction and help you be a happier and more satisfied person. I collaborate with my clients to find the best treatment for them.
(954) 231-1191 View (954) 231-1191
Photo of Anabel Espin, Clinical Social Work/Therapist in Weston, FL
Anabel Espin
Clinical Social Work/Therapist, LCSW, QS, EMDR
Verified Verified
Weston, FL 33331
Over 16 years of practice helping my clients overcome their struggles and achieve great results in a shorter period of time. Specialize in trauma PTSD, depression, severe anxiety, self-esteem, mood disorders. Including EMDR, CBT, DBT, Conflict resolution, Psychodynamic, Biodecodification, Holistic approaches. Affordable fees $ and convenient hours.
Over 16 years of practice helping my clients overcome their struggles and achieve great results in a shorter period of time. Specialize in trauma PTSD, depression, severe anxiety, self-esteem, mood disorders. Including EMDR, CBT, DBT, Conflict resolution, Psychodynamic, Biodecodification, Holistic approaches. Affordable fees $ and convenient hours.
(561) 739-4786 View (561) 739-4786
Photo of Hara Wachholder, Counselor in Weston, FL
Hara Wachholder
Counselor, MS, LMHC
Verified Verified
4 Endorsed
Weston, FL 33327  (Online Only)
Not accepting new clients
Oftentimes, there is that inner voice in our head that has become more of a critic instead of a friend. We have trained our minds to overthink, overanalyze, and overcomplicate daily situations. My name is Hara Wachholder and I am a Licensed Mental Health Counselor in the State of Florida. I specialize in working with teens and adults looking to shift their perspective of themselves and the world around them. As an empath myself, my goal is to serve as a guide that will assist you in processing the past, improving the present and creating a more positive future for you and your loved ones.
Oftentimes, there is that inner voice in our head that has become more of a critic instead of a friend. We have trained our minds to overthink, overanalyze, and overcomplicate daily situations. My name is Hara Wachholder and I am a Licensed Mental Health Counselor in the State of Florida. I specialize in working with teens and adults looking to shift their perspective of themselves and the world around them. As an empath myself, my goal is to serve as a guide that will assist you in processing the past, improving the present and creating a more positive future for you and your loved ones.
(954) 231-2563 View (954) 231-2563
Photo of Dr. Lisa Rabinowitz, Psychologist in Weston, FL
Dr. Lisa Rabinowitz
Psychologist, PsyD
Verified Verified
5 Endorsed
Weston, FL 33331  (Online Only)
Offering telehealth! Things happen in everyday life that can be overwhelming at times. Whether its work,partners, kids, or being overwhelmed with everyday tasks and responsibilities. Therapy can be a great solution to help you get through these hurdles in life. Sometimes you don't have someone you can talk to or need another point of view. I want to help people develop coping skills to use when they are going through a stressful situation. Going to therapy doesn't mean you are crazy! You may need support that you are not getting in your current life. Therapy can be that place for that. People often need an outsiders point of view.
Offering telehealth! Things happen in everyday life that can be overwhelming at times. Whether its work,partners, kids, or being overwhelmed with everyday tasks and responsibilities. Therapy can be a great solution to help you get through these hurdles in life. Sometimes you don't have someone you can talk to or need another point of view. I want to help people develop coping skills to use when they are going through a stressful situation. Going to therapy doesn't mean you are crazy! You may need support that you are not getting in your current life. Therapy can be that place for that. People often need an outsiders point of view.
(954) 385-6750 View (954) 385-6750
Photo of Shirley Szajnert, Pre-Licensed Professional in Weston, FL
Shirley Szajnert
Pre-Licensed Professional, RMHCI, MS
Verified Verified
1 Endorsed
Weston, FL 33326
Ever felt like your relationship is like a rollercoaster? Some weeks, there are many highs, and others, many lows. One moment, you're happy and in sync, and the next, you're wondering what went wrong. Was it something I said or chores left undone? This cycle of ups and downs can leave us feeling anxious about the future of our relationship. That's where I come in. As a bilingual mental health therapist, in Weston Florida, I help teens and adults improve their relationships and enjoy the ride!
Ever felt like your relationship is like a rollercoaster? Some weeks, there are many highs, and others, many lows. One moment, you're happy and in sync, and the next, you're wondering what went wrong. Was it something I said or chores left undone? This cycle of ups and downs can leave us feeling anxious about the future of our relationship. That's where I come in. As a bilingual mental health therapist, in Weston Florida, I help teens and adults improve their relationships and enjoy the ride!
(754) 238-2544 View (754) 238-2544
Photo of Josh A Kalman, Psychologist in Weston, FL
Josh A Kalman
Psychologist, PsyD
Verified Verified
Weston, FL 33332  (Online Only)
If you are struggling with a pornography addiction and don’t know where to go for help, please reach out. I am available to help in both individual and group therapy so that you can put this unhealthy habit behind you for good. I specialize in a variety of areas including depression, anxiety, sexual/pornography addiction, marital difficulties, life transitions, anger issues and more.
If you are struggling with a pornography addiction and don’t know where to go for help, please reach out. I am available to help in both individual and group therapy so that you can put this unhealthy habit behind you for good. I specialize in a variety of areas including depression, anxiety, sexual/pornography addiction, marital difficulties, life transitions, anger issues and more.
(904) 675-1902 View (904) 675-1902
Photo of Andrea Santiago, Clinical Social Work/Therapist in Weston, FL
Andrea Santiago
Clinical Social Work/Therapist, LCSW, CST, CDWF
Verified Verified
Weston, FL 33326
Life is hard enough all on its own. It's even harder when you're using all your energy to fight off things like anxiety or depression. The space it takes up in your head is unreal. You do a good job of appearing to have it together but inside your head it's LOUD. Whether the problem is excessive worry, or doubt, it's always there, lurking, waiting to sabotage a decent day. It makes you snap at people and you don't even know why. Maybe it shows up as anger, irritability, social isolation- however it happens it's not doing anything good for you. It interferes with life overall. Living like this is exhausting and unnecessary.
Life is hard enough all on its own. It's even harder when you're using all your energy to fight off things like anxiety or depression. The space it takes up in your head is unreal. You do a good job of appearing to have it together but inside your head it's LOUD. Whether the problem is excessive worry, or doubt, it's always there, lurking, waiting to sabotage a decent day. It makes you snap at people and you don't even know why. Maybe it shows up as anger, irritability, social isolation- however it happens it's not doing anything good for you. It interferes with life overall. Living like this is exhausting and unnecessary.
(954) 906-7245 View (954) 906-7245
Photo of Dr. Michelle R Channing, Psychologist in Weston, FL
Dr. Michelle R Channing
Psychologist, PsyD
Verified Verified
1 Endorsed
Weston, FL 33331
I am offering in person and telehealth sessions. I am a licensed clinical psychologist and business owner. I focus my clinical work with adults in individual therapy. Some of my clients start our work after a specific stressor or trigger in their life. Having an objective person in their life often helps them through these transitions. While others, chose to come to my office for more exploratory work in finding out what makes them tick. The key ingredient is finding the provider that works best for you.
I am offering in person and telehealth sessions. I am a licensed clinical psychologist and business owner. I focus my clinical work with adults in individual therapy. Some of my clients start our work after a specific stressor or trigger in their life. Having an objective person in their life often helps them through these transitions. While others, chose to come to my office for more exploratory work in finding out what makes them tick. The key ingredient is finding the provider that works best for you.
(954) 385-6750 View (954) 385-6750
Photo of Lianet Mendez, Counselor in Weston, FL
Lianet Mendez
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Weston, FL 33326
I believe in creating a collaborative and non-judgmental relationship that can help you achieve long lasting changes in your personal life, your relationships, and your overall well-being. Together, we will discover the causes of your concerns and implement strategies that will help you achieve your goals.
I believe in creating a collaborative and non-judgmental relationship that can help you achieve long lasting changes in your personal life, your relationships, and your overall well-being. Together, we will discover the causes of your concerns and implement strategies that will help you achieve your goals.
(754) 816-1104 View (754) 816-1104

How does your Therapist compare?

Number of Therapists in Weston, FL

200+

Average cost per session

$150

Therapists in Weston, FL who prioritize treating:

94% Anxiety
89% Depression
84% Relationship Issues
84% Self Esteem
73% Coping Skills
71% Stress
68% Family Conflict

Average years in practice

13 Years

Top 3 insurances accepted

82% Aetna
79% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Therapists in Weston, FL see their clients

78% In Person and Online
22% Online Only

Gender breakdown

89% Female
11% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Weston?

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.