Therapists in Hawi, HI

Photo of Ilea Bain, PsyD, Psychologist
Ilea Bain
Psychologist, PsyD
Verified Verified
Hawi, HI 96719
Waitlist for new clients
I aim to work with individuals who are interested in change and growth from a holistic perspective and are ready to do the challenging and rewarding work of reclaiming and mastering themselves. I am also available for clinical supervision and consultation and truly love working with and mentoring early career clinicians.
I aim to work with individuals who are interested in change and growth from a holistic perspective and are ready to do the challenging and rewarding work of reclaiming and mastering themselves. I am also available for clinical supervision and consultation and truly love working with and mentoring early career clinicians.
(662) 667-6073 View (662) 667-6073
Photo of Alyssa S Kratz, LSW, BA, Pre-Licensed Professional
Alyssa S Kratz
Pre-Licensed Professional, LSW, BA
Verified Verified
1 Endorsed
Serves Area
Alyssa Kratz, LSW, received her Master’s Degree in Social Work with an emphasis in Behavioral Mental Health from the University of Hawaiʻi at Manoa. Alyssa is passionate about mental health & wellness. She believes that vast healing potential lies within each individual, and that given tools and a supportive, safe environment, one's unique potential can thrive. Her work is client-centered and trauma focused. Alyssa works with adults on various mental health experiences including addictions, codependency, anxiety, depression, mood disorders, grief and loss, self-harm, PTSD, trauma, abuse, and relational difficulties.
Alyssa Kratz, LSW, received her Master’s Degree in Social Work with an emphasis in Behavioral Mental Health from the University of Hawaiʻi at Manoa. Alyssa is passionate about mental health & wellness. She believes that vast healing potential lies within each individual, and that given tools and a supportive, safe environment, one's unique potential can thrive. Her work is client-centered and trauma focused. Alyssa works with adults on various mental health experiences including addictions, codependency, anxiety, depression, mood disorders, grief and loss, self-harm, PTSD, trauma, abuse, and relational difficulties.
(808) 201-5393 View (808) 201-5393

More Therapists Nearby

Photo of Mariana Sampaio, LMHC, MSW, Counselor
Mariana Sampaio
Counselor, LMHC, MSW
Verified Verified
1 Endorsed
Online Only
Our goal is to walk the path of personal growth with you. We focus on supporting teens and adults to explore their lives' experiences and to become the version of themselves they most desire. Every human being is unique and worthy, hence, we draw from different Evidence-Based Treatment modalities to best fit the needs of each client. These include Cognitive Behavioral Therapy (CBT) and Trauma-Focused CBT, Radically Open Dialectical Behavioral Therapy (RO-DBT), Dialectical Behavioral Therapy (DBT), among other modalities.
Our goal is to walk the path of personal growth with you. We focus on supporting teens and adults to explore their lives' experiences and to become the version of themselves they most desire. Every human being is unique and worthy, hence, we draw from different Evidence-Based Treatment modalities to best fit the needs of each client. These include Cognitive Behavioral Therapy (CBT) and Trauma-Focused CBT, Radically Open Dialectical Behavioral Therapy (RO-DBT), Dialectical Behavioral Therapy (DBT), among other modalities.
(808) 556-5541 View (808) 556-5541
Photo of Candace Uilani Kauahi - Hamakua Kohala Health, CSAC, Drug & Alcohol Counselor
Hamakua Kohala Health
Drug & Alcohol Counselor, CSAC
Verified Verified
Honokaa, HI 96727
Healing starts with each individual discovering their strengths and understanding it lies within. Let the healing is an intention...
Healing starts with each individual discovering their strengths and understanding it lies within. Let the healing is an intention...
(808) 731-1732 View (808) 731-1732
Photo of Julius Phillip Jones, LCMHC, Counselor
Julius Phillip Jones
Counselor, LCMHC
Verified Verified
Waimea, HI 96743
Aloha, I'm Phillip My name is Phillip Jones and I'm a licensed mental health counselor in the state of Hawaii. Over the years I've worked with young adults, couples, middle-aged and our elders going through life transitions, amidst the crises and opportunities of life. My passion is helping people to find their calm and strong inner identity and move into the next phase of their life, career, or relationships with confidence in themselves and their personal strengths. I find that depression and anxiety are very prevalent in our society, and often are the foundation for other emotional and behavioral health issues that arise.
Aloha, I'm Phillip My name is Phillip Jones and I'm a licensed mental health counselor in the state of Hawaii. Over the years I've worked with young adults, couples, middle-aged and our elders going through life transitions, amidst the crises and opportunities of life. My passion is helping people to find their calm and strong inner identity and move into the next phase of their life, career, or relationships with confidence in themselves and their personal strengths. I find that depression and anxiety are very prevalent in our society, and often are the foundation for other emotional and behavioral health issues that arise.
(618) 621-2077 View (618) 621-2077
Photo of Ki Eun Jeon, MA, LMHC, LPCC, Counselor
Ki Eun Jeon
Counselor, MA, LMHC, LPCC
Verified Verified
Serves Area
KiEun holds a Master’s Degree in Clinical Mental Health Counseling from Gonzaga University in Spokane, Washington. After earning her degree, she moved to Hawaii, where she is now licensed as a counselor. Before settling on the Big Island, KiEun worked internationally for 20 years as a counseling trainer. (한국어 환영해요!) KiEun has extensive training and experience in addressing cross-cultural issues for both individuals and families, including immigrant families (such as Asian Americans) and blended families. She is committed to helping these families become healthier, stronger in love, and more functional and mature.
KiEun holds a Master’s Degree in Clinical Mental Health Counseling from Gonzaga University in Spokane, Washington. After earning her degree, she moved to Hawaii, where she is now licensed as a counselor. Before settling on the Big Island, KiEun worked internationally for 20 years as a counseling trainer. (한국어 환영해요!) KiEun has extensive training and experience in addressing cross-cultural issues for both individuals and families, including immigrant families (such as Asian Americans) and blended families. She is committed to helping these families become healthier, stronger in love, and more functional and mature.
(808) 862-6726 View (808) 862-6726
Photo of Mary Kay Lowe, LMFT, Marriage & Family Therapist
Mary Kay Lowe
Marriage & Family Therapist, LMFT
Verified Verified
Waimea, HI 96743
My name is Mary Kay. I am a seasoned Licensed Marriage and Family Therapist, who is passionate about helping my clients overcome, heal and grow from experiences and challenges they face. This provider resides in Hawaii. I typically work with clients motivated to work on areas they identify when entering therapy. These areas might include anxiety, depression, trauma-related experiences, verbal, physical, and or sexual abuse, spirituality, family issues, and building relationships with others. I work best with clients who prefer to work with a seasoned female therapist.
My name is Mary Kay. I am a seasoned Licensed Marriage and Family Therapist, who is passionate about helping my clients overcome, heal and grow from experiences and challenges they face. This provider resides in Hawaii. I typically work with clients motivated to work on areas they identify when entering therapy. These areas might include anxiety, depression, trauma-related experiences, verbal, physical, and or sexual abuse, spirituality, family issues, and building relationships with others. I work best with clients who prefer to work with a seasoned female therapist.
(606) 357-2175 View (606) 357-2175
Photo of Leah Sue Weiss, MA, LMFT, R-DMT, RYI-500, Marriage & Family Therapist
Leah Sue Weiss
Marriage & Family Therapist, MA, LMFT, R-DMT, RYI-500
Verified Verified
Online Only
Are you experiencing a "dark night of the soul" and feeling hopeless? Do you need to change a relationship, behavior or thought pattern? Pause. Change can happen in a single moment of insight. You have taken the first step toward self-empowerment and transformation. When we deepen our awareness within a positive, supportive and safe environment, we can find tools to navigate life’s obstacles. Let's have a conversation! Sessions focus are a collaboration toward growth and transformation. I provide holistic and integrative counseling for the body, mind and spirit, with 35 years of experience in the healing arts professions.
Are you experiencing a "dark night of the soul" and feeling hopeless? Do you need to change a relationship, behavior or thought pattern? Pause. Change can happen in a single moment of insight. You have taken the first step toward self-empowerment and transformation. When we deepen our awareness within a positive, supportive and safe environment, we can find tools to navigate life’s obstacles. Let's have a conversation! Sessions focus are a collaboration toward growth and transformation. I provide holistic and integrative counseling for the body, mind and spirit, with 35 years of experience in the healing arts professions.
(831) 231-2660 View (831) 231-2660
Photo of Sandra Pickard, DCSW, LCSW, Clinical Social Work/Therapist
Sandra Pickard
Clinical Social Work/Therapist, DCSW, LCSW
Verified Verified
Serves Area
If you are struggling with past, present or future stress, I can help you find your balance. Together, we’ll explore your reasons for seeking therapy and create a plan that meets your needs. With your age and stage of life in mind, we’ll choose the most effective strategies for you. I offer a safe place to process trauma and grief. I offer you acceptance, skillful assistance, encouragement and compassion.
If you are struggling with past, present or future stress, I can help you find your balance. Together, we’ll explore your reasons for seeking therapy and create a plan that meets your needs. With your age and stage of life in mind, we’ll choose the most effective strategies for you. I offer a safe place to process trauma and grief. I offer you acceptance, skillful assistance, encouragement and compassion.
(808) 518-4447 View (808) 518-4447
Photo of Dr. Noelani Rodrigues, PhD, MSCP, PMH-C, Psychologist
Dr. Noelani Rodrigues
Psychologist, PhD, MSCP, PMH-C
Verified Verified
Online Only
Aloha! E Komo Mai! Do you ever feel like you have lost your way - that nothing feels quite right - or that the past seems to be repeating itself? My humanistic view is that we all begin from a place of wholeness, but we sometimes lose belief in ourselves along the way. I have the depth of professional and life experience to see and work with you as a unique individual. Let me be a support and guide as you navigate the journey to your true potential. My expertise includes a broad range of issues including traumas, emotional difficulties, relationship, and coping with life's challenges.
Aloha! E Komo Mai! Do you ever feel like you have lost your way - that nothing feels quite right - or that the past seems to be repeating itself? My humanistic view is that we all begin from a place of wholeness, but we sometimes lose belief in ourselves along the way. I have the depth of professional and life experience to see and work with you as a unique individual. Let me be a support and guide as you navigate the journey to your true potential. My expertise includes a broad range of issues including traumas, emotional difficulties, relationship, and coping with life's challenges.
(808) 938-9971 View (808) 938-9971
Photo of Ho Yin Cheh - Wilson Cheh Counseling Services, LMFT, LPCC, MAC, Marriage & Family Therapist
Wilson Cheh Counseling Services
Marriage & Family Therapist, LMFT, LPCC, MAC
Verified Verified
1 Endorsed
Serves Area
Aloha! I am a bi-cultural engineer-turned-therapist with experience in several clinical specialties that enables me to provide effective, high impact, outcome-focused services to my clients. I welcome opportunities in supporting adults, young adults, couples & families to navigate through tough seasons of feeling overwhelmed, experiencing loss in transitions, or dealing with painful/complex circumstances. I tend to digest & integrate a wide range of information along with having a sensitivity to generational, cultural, & racial influences. My style is both conversational & experiential, advocating for empowerment & hope.
Aloha! I am a bi-cultural engineer-turned-therapist with experience in several clinical specialties that enables me to provide effective, high impact, outcome-focused services to my clients. I welcome opportunities in supporting adults, young adults, couples & families to navigate through tough seasons of feeling overwhelmed, experiencing loss in transitions, or dealing with painful/complex circumstances. I tend to digest & integrate a wide range of information along with having a sensitivity to generational, cultural, & racial influences. My style is both conversational & experiential, advocating for empowerment & hope.
(928) 550-6736 View (928) 550-6736
Photo of Rae Sandler Simon, PsyD, BBA, Psychologist
Rae Sandler Simon
Psychologist, PsyD, BBA
Verified Verified
6 Endorsed
Kamuela, HI 96743
Have you tried everything but sadness, loneliness or your relationship stays the same? You don’t have to suffer any longer. I understand the courage it takes to ask for help. Together, we'll transform pain and isolation into meaningful insight, self-love, connection and powerful, emotional strength. I’m a couples’ therapy expert and adult wellness specialist. I help heal relationships with parenting difficulties, affairs, religious or financial differences, intimacy issues and family conflict. I also specialize in helping adults navigating life transitions, and experiencing anxiety or depression.
Have you tried everything but sadness, loneliness or your relationship stays the same? You don’t have to suffer any longer. I understand the courage it takes to ask for help. Together, we'll transform pain and isolation into meaningful insight, self-love, connection and powerful, emotional strength. I’m a couples’ therapy expert and adult wellness specialist. I help heal relationships with parenting difficulties, affairs, religious or financial differences, intimacy issues and family conflict. I also specialize in helping adults navigating life transitions, and experiencing anxiety or depression.
(720) 821-1849 View (720) 821-1849
Photo of Cassandra J Castillo, LCSW, Clinical Social Work/Therapist
Cassandra J Castillo
Clinical Social Work/Therapist, LCSW
Verified Verified
Waimea, HI 96743
Hello! My name is Cassandra "Cassie" Castillo and I am a Licensed Clinical Social Worker who's goal is to create a space where you can feel heard and validated. I use a person-centered approach that looks at you as a whole person. I believe healing starts first and foremost with yourself. Using collaboration within the therapeutic relationship, my approach helps to guide you to becoming more aware of the best version that you can be.
Hello! My name is Cassandra "Cassie" Castillo and I am a Licensed Clinical Social Worker who's goal is to create a space where you can feel heard and validated. I use a person-centered approach that looks at you as a whole person. I believe healing starts first and foremost with yourself. Using collaboration within the therapeutic relationship, my approach helps to guide you to becoming more aware of the best version that you can be.
(516) 973-0768 View (516) 973-0768
Photo of Hallie Scott, MA, LMFT, Marriage & Family Therapist
Hallie Scott
Marriage & Family Therapist, MA, LMFT
Verified Verified
Waimea, HI 96743
I am encouraged that you have taken the first step to feeling better. Therapy is really hard work ~ and absolutely worth it. Feeling stuck is not a way of life ~ together we can get you moving again. I provide a safe, grace-filled environment to deal with life's challenges. I would love to walk alongside you to uncover your authentic life.
I am encouraged that you have taken the first step to feeling better. Therapy is really hard work ~ and absolutely worth it. Feeling stuck is not a way of life ~ together we can get you moving again. I provide a safe, grace-filled environment to deal with life's challenges. I would love to walk alongside you to uncover your authentic life.
(714) 485-0626 View (714) 485-0626
Photo of John Mascaro, PhD, LMFT, OIX, Marriage & Family Therapist
John Mascaro
Marriage & Family Therapist, PhD, LMFT, OIX
Verified Verified
5 Endorsed
Kamuela, HI 96743
Not accepting new clients
I believe that each of us has the ability to achieve our highest potential despite whatever path life has taken us. We move forward despite the difficulties presented to us along the way. Sometimes along this path we are faced with circumstances that make it difficult to cope. There are times when childhood experiences, hurtful interactions with others or horrific events can interrupt our present day functioning to create stress in our day-to-day living. For these and many other reasons, we lose our way and find ourselves off-track from the path that could lead us to our highest and best selves.
I believe that each of us has the ability to achieve our highest potential despite whatever path life has taken us. We move forward despite the difficulties presented to us along the way. Sometimes along this path we are faced with circumstances that make it difficult to cope. There are times when childhood experiences, hurtful interactions with others or horrific events can interrupt our present day functioning to create stress in our day-to-day living. For these and many other reasons, we lose our way and find ourselves off-track from the path that could lead us to our highest and best selves.
(808) 419-3563 View (808) 419-3563
Photo of Lisa Marcelino, LMFT, Marriage & Family Therapist
Lisa Marcelino
Marriage & Family Therapist, LMFT
Verified Verified
Waimea, HI 96743
My name is Lisa Marcelino, PhD, LMFT. I am a Certified Clinical Trauma Professional (CCTP). I primarily use solution-focused and emotion-focused modalities to help clients suffering from trauma, depression, anxiety, OCD, PTSD, and bipolar disorder. I love helping others and making a difference. I have extensive experience working with individuals, couples, and families suffering from trauma, depression, anxiety, OCD, PTSD, Bipolar Disorder, and relational issues.
My name is Lisa Marcelino, PhD, LMFT. I am a Certified Clinical Trauma Professional (CCTP). I primarily use solution-focused and emotion-focused modalities to help clients suffering from trauma, depression, anxiety, OCD, PTSD, and bipolar disorder. I love helping others and making a difference. I have extensive experience working with individuals, couples, and families suffering from trauma, depression, anxiety, OCD, PTSD, Bipolar Disorder, and relational issues.
(754) 208-0260 View (754) 208-0260
Photo of Anna Elisabeth Herman, LPC, Licensed Professional Counselor
Anna Elisabeth Herman
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Waimea, HI 96743
Somatic therapy for the sensitive, highly self-aware soul; healing the root of complex trauma, perfectionism, and relationship patterns. You’ve talked about your patterns in therapy, but actual change still feels out of reach. You still snap at loved ones, choke back tears, and walk through life on edge. In relationships, you fear abandonment, struggle to trust, or wonder if your partner is really the one. You’ve accomplished so much, but success never feels like enough. You still scroll social media, comparing yourself to others. Together, we’ll uncover the love you long for, find beauty in imperfection, & quiet the inner fight.
Somatic therapy for the sensitive, highly self-aware soul; healing the root of complex trauma, perfectionism, and relationship patterns. You’ve talked about your patterns in therapy, but actual change still feels out of reach. You still snap at loved ones, choke back tears, and walk through life on edge. In relationships, you fear abandonment, struggle to trust, or wonder if your partner is really the one. You’ve accomplished so much, but success never feels like enough. You still scroll social media, comparing yourself to others. Together, we’ll uncover the love you long for, find beauty in imperfection, & quiet the inner fight.
(267) 500-9130 View (267) 500-9130
Photo of Scott Ginoza, LMHC, Counselor
Scott Ginoza
Counselor, LMHC
Verified Verified
Waimea, HI 96743
I was born and raised on Oahu. I studied psychology at the University of Hawaii at Manoa and received my master’s in counseling from Chaminade University. I been licensed as a counselor in the state of Hawaii since 2011. I realize that no two people are the same and as such I tailor my therapy to meet the specific needs of my clients. Whether you are struggling with anxiety, depression or another issue, I hope to help clients find a healthier way of living.
I was born and raised on Oahu. I studied psychology at the University of Hawaii at Manoa and received my master’s in counseling from Chaminade University. I been licensed as a counselor in the state of Hawaii since 2011. I realize that no two people are the same and as such I tailor my therapy to meet the specific needs of my clients. Whether you are struggling with anxiety, depression or another issue, I hope to help clients find a healthier way of living.
(516) 689-7774 View (516) 689-7774
Photo of Sze Nga Lam, LMFT, Marriage & Family Therapist
Sze Nga Lam
Marriage & Family Therapist, LMFT
Verified Verified
Waimea, HI 96743
I work with clients statewide via telehealth and have had over 15 years of clinical experience working with adults, couples, families, and adolescents. I specialize in depression, anxiety, stress, life-cycle transitions, trauma, and grief. I strive to create a safe, non-judgmental, and nurturing space where my clients can explore and embrace their authentic selves.
I work with clients statewide via telehealth and have had over 15 years of clinical experience working with adults, couples, families, and adolescents. I specialize in depression, anxiety, stress, life-cycle transitions, trauma, and grief. I strive to create a safe, non-judgmental, and nurturing space where my clients can explore and embrace their authentic selves.
(567) 280-5995 View (567) 280-5995
Photo of Ashley Aaron, MA , LMHC, Counselor
Ashley Aaron
Counselor, MA , LMHC
Verified Verified
2 Endorsed
Kamuela, HI 96743
Greetings! Chances are, if you're reading this, you are stuck in some form of suffering from which you cannot find a way out. The fact that you've made it here means that you have already taken the bravest, hardest steps on the journey toward change; recognizing that you need help, and finding the willingness to ask for it. I firmly believe that the answers you need are already within you; in my role as therapist, I act as a mirror through which you are able to connect to your own strengths, heal, and create a life worth living.
Greetings! Chances are, if you're reading this, you are stuck in some form of suffering from which you cannot find a way out. The fact that you've made it here means that you have already taken the bravest, hardest steps on the journey toward change; recognizing that you need help, and finding the willingness to ask for it. I firmly believe that the answers you need are already within you; in my role as therapist, I act as a mirror through which you are able to connect to your own strengths, heal, and create a life worth living.
(808) 201-7093 View (808) 201-7093

See more therapy options for Hawi

How does your Therapist compare?

Number of Therapists in Hawi, HI

< 10

Therapists in Hawi, HI who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Trauma and PTSD
100% Behavioral Issues
100% Family Conflict

Average years in practice

4 Years

Top 3 insurances accepted

100% Hawaii Medical Services Association
50% BlueCross and BlueShield
50% Cigna and Evernorth

How Therapists in Hawi, HI see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Hawi?

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.