Therapists in Kapolei, HI

Photo of Joelle K Branch, Clinical Social Work/Therapist, LCSW
Joelle K Branch
Clinical Social Work/Therapist, LCSW
Kapolei, HI 96707
My name is Joelle Kuʻuleinani Branch, and I have been dedicated to serving my community of Hawaii for many years. My extensive experience provides me the privilege to support children, adolescents, adults, Kupuna, veterans, caregivers, and families dealing with challenges like anxiety, depression, substance abuse, PTSD, life transitions, and much more.
My name is Joelle Kuʻuleinani Branch, and I have been dedicated to serving my community of Hawaii for many years. My extensive experience provides me the privilege to support children, adolescents, adults, Kupuna, veterans, caregivers, and families dealing with challenges like anxiety, depression, substance abuse, PTSD, life transitions, and much more.
(808) 518-3857 View (808) 518-3857
Photo of Joseph DeLorenzo - Transcend Integration, Counselor, LMHC, PsyD, MD
Transcend Integration
Counselor, LMHC, PsyD, MD
2 Endorsed
Kapolei, HI 96707
We have observed a surge in mental health that has been treated by traditional talk therapy since the beginning of psychotherapy. Even with traditional psychotherapy, mental health issues continue to rise, or healing happens slowly. How can we heal better? Is it going to therapy twice a week instead of one? Is it taking multiple medications to feel some relief? Here at Transcend Integration we do not think so.
We have observed a surge in mental health that has been treated by traditional talk therapy since the beginning of psychotherapy. Even with traditional psychotherapy, mental health issues continue to rise, or healing happens slowly. How can we heal better? Is it going to therapy twice a week instead of one? Is it taking multiple medications to feel some relief? Here at Transcend Integration we do not think so.
(808) 746-2005 View (808) 746-2005
Photo of Jenna Chang, Marriage & Family Therapist, LMFT
Jenna Chang
Marriage & Family Therapist, LMFT
Online Only
Aloha! It is my firm belief for everyone to find the right therapist that fits them in order to be comfortable and empowered to be their best version of self. As a licensed Marriage and Family Therapist, I am committed to helping my clients navigate through relational issues, communication approaches, understanding and coping with how ADHD impact their everyday life, and deal with stress or anxiety from significant life changes or events.
Aloha! It is my firm belief for everyone to find the right therapist that fits them in order to be comfortable and empowered to be their best version of self. As a licensed Marriage and Family Therapist, I am committed to helping my clients navigate through relational issues, communication approaches, understanding and coping with how ADHD impact their everyday life, and deal with stress or anxiety from significant life changes or events.
(808) 755-3038 View (808) 755-3038
Photo of Katie Kekeisen - The Nest & Nurture Center , Clinical Social Work/Therapist, LCSW, MSW, PMH-C
The Nest & Nurture Center
Clinical Social Work/Therapist, LCSW, MSW, PMH-C
Kapolei, HI 96707
At Nest & Nurture Center, we hold space for the many paths to parenthood, from the ups and downs of infertility treatments, to the sacred seasons of pregnancy, postpartum, and early parenthood. For those walking the fertility journey, our work might include gentle support through the stress of treatment cycles, soothing the heart after loss or disappointment, navigating relationship challenges, and finding hope and balance when answers feel far away. In our postpartum sessions, your little one is part of the nest, always welcome by your side.
At Nest & Nurture Center, we hold space for the many paths to parenthood, from the ups and downs of infertility treatments, to the sacred seasons of pregnancy, postpartum, and early parenthood. For those walking the fertility journey, our work might include gentle support through the stress of treatment cycles, soothing the heart after loss or disappointment, navigating relationship challenges, and finding hope and balance when answers feel far away. In our postpartum sessions, your little one is part of the nest, always welcome by your side.
(808) 746-9061 View (808) 746-9061
Photo of Dana Lucio, Counselor, LMHC
Dana Lucio
Counselor, LMHC
1 Endorsed
Online Only
Aloha, my name is Dana Lucio. I am a Licensed Mental Health Counselor with over 5 years of therapeutic experience in Hawaii. I am passionate about therapy and I typically alter my clinical approach based on individual needs. I do find additional passion in working with substance abuse, trauma, and emotional regulation. I have a wide range of experience working with diverse ages and diagnoses. I have extended experience working with younger adults (14-24), working with substance use challenges, trauma, and anger management.
Aloha, my name is Dana Lucio. I am a Licensed Mental Health Counselor with over 5 years of therapeutic experience in Hawaii. I am passionate about therapy and I typically alter my clinical approach based on individual needs. I do find additional passion in working with substance abuse, trauma, and emotional regulation. I have a wide range of experience working with diverse ages and diagnoses. I have extended experience working with younger adults (14-24), working with substance use challenges, trauma, and anger management.
(808) 201-3486 View (808) 201-3486
Photo of Dr. Sonya Karlena Boone, Clinical Social Work/Therapist, DBH, MHSA, MSW, MSL, LCSW
Dr. Sonya Karlena Boone
Clinical Social Work/Therapist, DBH, MHSA, MSW, MSL, LCSW
Online Only
Not accepting new clients
I use an integrated and solution-focused approach when providing therapy to my clients, which involves assessing if a client has co-morbid issues such as diabetes and depression or chronic pain and anxiety. I specialize in treating anxiety, including OCD, depression, trauma, sexual abuse, self-esteem issues, PTSD, clients dealing with adjustment problems, grief & loss, and work-related stressors.
I use an integrated and solution-focused approach when providing therapy to my clients, which involves assessing if a client has co-morbid issues such as diabetes and depression or chronic pain and anxiety. I specialize in treating anxiety, including OCD, depression, trauma, sexual abuse, self-esteem issues, PTSD, clients dealing with adjustment problems, grief & loss, and work-related stressors.
(808) 645-4083 View (808) 645-4083
Photo of Ben Sleight, Counselor, LMHC
Ben Sleight
Counselor, LMHC
5 Endorsed
Kapolei, HI 96707
Not accepting new clients
Have you survived sexual violence, physical abuse, or other traumatic events? Has someone told you that you may have Borderline Personality Disorder (BPD) or Post-Traumatic Stress Disorder (PTSD)? You might feel anxious and angry in stores, crowds, or when driving. Maybe your loved ones have told you that they're worried about you.
Have you survived sexual violence, physical abuse, or other traumatic events? Has someone told you that you may have Borderline Personality Disorder (BPD) or Post-Traumatic Stress Disorder (PTSD)? You might feel anxious and angry in stores, crowds, or when driving. Maybe your loved ones have told you that they're worried about you.
(808) 215-4330 View (808) 215-4330
Photo of Krista Leilani Guiteras-Duncan - Krista Guiteras-Duncan Huaka'i Enrichment Svc. INC, Clinical Social Work/Therapist, LCSW
Krista Guiteras-Duncan Huaka'i Enrichment Svc. INC
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
Waitlist for new clients
Are you dealing with fear, pain, conflict, trauma? Depressed with dysfunctional thinking and anxiety? Stressed in relationships or vacillating in your faith? Breakthrough not breakdown! With 20 years of experience working in various populations, my clinical treatment extends grace, peace, love & mastery. I believe through these healing capacities lasting change and wholeness will be yours. In therapy with me, you'll experience groundbreaking strategies and breakthrough in all 4 quadrants. Spiritual, mental, emotional & physical health are entwined, each one influences the other. Therapy is a strategy, it will work if you work it!
Are you dealing with fear, pain, conflict, trauma? Depressed with dysfunctional thinking and anxiety? Stressed in relationships or vacillating in your faith? Breakthrough not breakdown! With 20 years of experience working in various populations, my clinical treatment extends grace, peace, love & mastery. I believe through these healing capacities lasting change and wholeness will be yours. In therapy with me, you'll experience groundbreaking strategies and breakthrough in all 4 quadrants. Spiritual, mental, emotional & physical health are entwined, each one influences the other. Therapy is a strategy, it will work if you work it!
(808) 201-2383 View (808) 201-2383
Malia Cabral
Marriage & Family Therapist, MSCP, LMFT, NCC
2 Endorsed
Kapolei, HI 96707
Waitlist for new clients
Has constant bickering with your partner resulted in resentment & disconnection? After an affair not trusting and on an emotional roller coaster with little support? Feeling unappreciated too exhausted rescuing the relationship? Contemplating separation? Depressed or stressed? If any of these situations relate to you, remember your life does not have to be this way & can be addressed through counseling. Feeling happy about yourself, relationships & life should not be delayed because life is too short. Allow me to help you restore optimism back into your life.
Has constant bickering with your partner resulted in resentment & disconnection? After an affair not trusting and on an emotional roller coaster with little support? Feeling unappreciated too exhausted rescuing the relationship? Contemplating separation? Depressed or stressed? If any of these situations relate to you, remember your life does not have to be this way & can be addressed through counseling. Feeling happy about yourself, relationships & life should not be delayed because life is too short. Allow me to help you restore optimism back into your life.
(808) 784-7973 View (808) 784-7973
Photo of Lori Dadd, Marriage & Family Therapist, MS, LMFT
Lori Dadd
Marriage & Family Therapist, MS, LMFT
Online Only
Accepting new clients! Are you feeling stuck, confused, frustrated, depressed, helpless, or overwhelmed in your personal life, family life, career, or relationship? Do you want to make a change or improvement, but need help beginning and navigating that change? With an emphasis on solution-focused and cognitive-behavioral therapy, we will work together to help you actively progress and move you forward towards your goals. The time is now for YOU to take control and start YOUR forward momentum onward and upward by contacting me today!
Accepting new clients! Are you feeling stuck, confused, frustrated, depressed, helpless, or overwhelmed in your personal life, family life, career, or relationship? Do you want to make a change or improvement, but need help beginning and navigating that change? With an emphasis on solution-focused and cognitive-behavioral therapy, we will work together to help you actively progress and move you forward towards your goals. The time is now for YOU to take control and start YOUR forward momentum onward and upward by contacting me today!
(808) 862-2582 View (808) 862-2582
Photo of Shantelle Aglanao, Counselor, LCMHC
Shantelle Aglanao
Counselor, LCMHC
Online Only
Hi! My name is Shantelle Aglanao. I am a Licensed Mental Health Counselor based in Hawai’i. My goal is to provide a person-centered approach and assist you in navigating through life’s challenges and experiences. I provide a person-centered and eclectic approach through therapy to specifically focus on every individual’s unique needs. In my most recent experiences, I typically worked with adults, but I am open to all ages.
Hi! My name is Shantelle Aglanao. I am a Licensed Mental Health Counselor based in Hawai’i. My goal is to provide a person-centered approach and assist you in navigating through life’s challenges and experiences. I provide a person-centered and eclectic approach through therapy to specifically focus on every individual’s unique needs. In my most recent experiences, I typically worked with adults, but I am open to all ages.
(808) 353-5823 View (808) 353-5823
Photo of Gina Baez, Clinical Social Work/Therapist, LCSW
Gina Baez
Clinical Social Work/Therapist, LCSW
1 Endorsed
Kapolei, HI 96707
Welcome! Do you imagine a life that feels lighter and more free? Would you like to live with more intention and authenticity? If you answered yes to these questions then I invite you to explore the gift of therapy. If this is your first time searching for a therapist or you have been in therapy before, I commend you for taking this courageous step towards introspection and healing and I am so glad that you are here! As a therapist, I am interested in connecting deeply with my clients; I look forward to learning about who you are and hearing your story while working towards your goals!
Welcome! Do you imagine a life that feels lighter and more free? Would you like to live with more intention and authenticity? If you answered yes to these questions then I invite you to explore the gift of therapy. If this is your first time searching for a therapist or you have been in therapy before, I commend you for taking this courageous step towards introspection and healing and I am so glad that you are here! As a therapist, I am interested in connecting deeply with my clients; I look forward to learning about who you are and hearing your story while working towards your goals!
(808) 204-4152 View (808) 204-4152
Photo of Errol Kia'i Lee, Clinical Social Work/Therapist, LCSW, MSW
Errol Kia'i Lee
Clinical Social Work/Therapist, LCSW, MSW
Kapolei, HI 96707
Aloha. I'm a Clinical Social Worker Licensed and Credentialed in Hawai'i. I was raised in Waiʻanae on the island of Oʻahu, and received my social work degrees from the University of Hawaiʻi at Mānoa. With over 20 years of experience serving local communities, I developed an understanding of numerous complex issues affecting the mental health of Hawai'i residents and their families. Therapy allows us to talk with someone about the things that bother us, no matter how big or small. Everyone's healing journey is different, so the way I provide therapy will be unique to you and your needs.
Aloha. I'm a Clinical Social Worker Licensed and Credentialed in Hawai'i. I was raised in Waiʻanae on the island of Oʻahu, and received my social work degrees from the University of Hawaiʻi at Mānoa. With over 20 years of experience serving local communities, I developed an understanding of numerous complex issues affecting the mental health of Hawai'i residents and their families. Therapy allows us to talk with someone about the things that bother us, no matter how big or small. Everyone's healing journey is different, so the way I provide therapy will be unique to you and your needs.
(808) 646-2361 View (808) 646-2361
Photo of Dr. Danielle L Pagat, Psychologist, PsyD
Dr. Danielle L Pagat
Psychologist, PsyD
Online Only
Starting therapy can feel uncertain, but it’s also a meaningful step toward understanding yourself and creating real change. I work with individuals who are feeling stuck, overwhelmed, or unsure how to move forward. My goal is to help you gain clarity, strengthen coping skills, and reconnect with your sense of direction and purpose. My approach is collaborative, compassionate, and grounded in curiosity. Together, we’ll explore what’s been getting in the way, identify your strengths, and develop practical tools to support healing and growth.
Starting therapy can feel uncertain, but it’s also a meaningful step toward understanding yourself and creating real change. I work with individuals who are feeling stuck, overwhelmed, or unsure how to move forward. My goal is to help you gain clarity, strengthen coping skills, and reconnect with your sense of direction and purpose. My approach is collaborative, compassionate, and grounded in curiosity. Together, we’ll explore what’s been getting in the way, identify your strengths, and develop practical tools to support healing and growth.
(808) 435-5434 View (808) 435-5434
Photo of Jessica Wong - Jessica Wong: DaVine Counseling Services, LLC, Clinical Social Work/Therapist
Jessica Wong: DaVine Counseling Services, LLC
Clinical Social Work/Therapist
6 Endorsed
Kapolei, HI 96707
Not accepting new clients
You want to appear strong, but deep down you are crumbling. You may be fed up with your past ruining your relationships and your life. You may feel stuck in old ways and thought patterns no matter what you do, or feeling like you’re “crazy“ or somehow doing it wrong. You might not even remember a time when things didn’t feel this way. But one thing is for sure: you’re ready to get unstuck. You’re ready to feel clear-headed and confident. You’re ready to embrace a new identity. Most of all, you’re ready to be set free from the trauma & the drama that has held you captive. You want to start experiencing that abundant life you desire!
You want to appear strong, but deep down you are crumbling. You may be fed up with your past ruining your relationships and your life. You may feel stuck in old ways and thought patterns no matter what you do, or feeling like you’re “crazy“ or somehow doing it wrong. You might not even remember a time when things didn’t feel this way. But one thing is for sure: you’re ready to get unstuck. You’re ready to feel clear-headed and confident. You’re ready to embrace a new identity. Most of all, you’re ready to be set free from the trauma & the drama that has held you captive. You want to start experiencing that abundant life you desire!
(808) 378-3814 View (808) 378-3814
Photo of Momi DaMate, Marriage & Family Therapist, MS, LMFT
Momi DaMate
Marriage & Family Therapist, MS, LMFT
Kapolei, HI 96707
Waitlist for new clients
Are you unsatisfied in your relationships at home, work, or school? Have you felt down or worried lately? Are you struggling with events from your past? I am here to help! I have experience working with pre-teens, teens, and adults, who are struggling with relationship issues, depression, anxiety, ADHD, trauma, and emotional dysregulation.
Are you unsatisfied in your relationships at home, work, or school? Have you felt down or worried lately? Are you struggling with events from your past? I am here to help! I have experience working with pre-teens, teens, and adults, who are struggling with relationship issues, depression, anxiety, ADHD, trauma, and emotional dysregulation.
(808) 862-6672 View (808) 862-6672
Photo of Jennifer Ramos, Marriage & Family Therapist Associate, AMFT
Jennifer Ramos
Marriage & Family Therapist Associate, AMFT
Kapolei, HI 96707
I am a dedicated Marriage and Family Therapist-Intern at Kapolei Counseling Center with two decades of experience in the social services field. I earned my Master’s Degree in Marriage and Family Therapy from National University and brings a unique cultural perspective from having lived on both the mainland and O’ahu. I integrate Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Emotion-Focused Therapy (EFT), and Person-Centered Therapy into my practice. I also integrate faith into therapy by meeting clients where they are spiritually, using their beliefs.
I am a dedicated Marriage and Family Therapist-Intern at Kapolei Counseling Center with two decades of experience in the social services field. I earned my Master’s Degree in Marriage and Family Therapy from National University and brings a unique cultural perspective from having lived on both the mainland and O’ahu. I integrate Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Emotion-Focused Therapy (EFT), and Person-Centered Therapy into my practice. I also integrate faith into therapy by meeting clients where they are spiritually, using their beliefs.
(808) 698-7774 View (808) 698-7774
Photo of Amanda-Sue Mahuka, Counselor, LMHC
Amanda-Sue Mahuka
Counselor, LMHC
Kapolei, HI 96707
Aloha! My name is Amanda and I am born and raised on the Leeward side of Oahu. I received my undergraduate degree from UH Hilo and my graduate degree from Chaminade University in Honolulu. I utilize various approaches as needed for each individual I work with, including Person centered and individualized solution-focused therapy, goal setting, cognitive behavioral therapy, motivational interviewing, and mindfulness practices.
Aloha! My name is Amanda and I am born and raised on the Leeward side of Oahu. I received my undergraduate degree from UH Hilo and my graduate degree from Chaminade University in Honolulu. I utilize various approaches as needed for each individual I work with, including Person centered and individualized solution-focused therapy, goal setting, cognitive behavioral therapy, motivational interviewing, and mindfulness practices.
(808) 649-3551 View (808) 649-3551
Photo of Megan Denes, Clinical Social Work/Therapist, LCSW
Megan Denes
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social Worker in Hawaii and Florida. I completed my degree in social work at the University of Central Florida. My goal is to create a trusting therapeutic relationship, built on mutual respect and confidentiality, where individuals feel heard, validated, and supported. My approach is rooted in a person-centered therapy, where I believe that each person has unique strengths and abilities to overcome their difficulties. By fostering a non-judgmental and empathetic environment, I work collaboratively with my clients to explore their thoughts, feelings, and behaviors.
I am a Licensed Clinical Social Worker in Hawaii and Florida. I completed my degree in social work at the University of Central Florida. My goal is to create a trusting therapeutic relationship, built on mutual respect and confidentiality, where individuals feel heard, validated, and supported. My approach is rooted in a person-centered therapy, where I believe that each person has unique strengths and abilities to overcome their difficulties. By fostering a non-judgmental and empathetic environment, I work collaboratively with my clients to explore their thoughts, feelings, and behaviors.
(315) 840-1004 View (315) 840-1004
Photo of Michelle Birdsall, Clinical Social Work/Therapist, MSW, LCSW
Michelle Birdsall
Clinical Social Work/Therapist, MSW, LCSW
Online Only
Are you experiencing sadness, anger, or anxiety? Perhaps you're dealing with everyday stressors that are impacting your work and home life. Maybe you're struggling after having a baby, or perhaps a past trauma continues to affect you. Therapy offers a path toward personal growth and healing. My services are geared for teens & adults. I integrate your personal strengths and cultural background into your treatment process. Taking the initial step to reach out to a therapist can be challenging, and I commend you for your courage in considering it.
Are you experiencing sadness, anger, or anxiety? Perhaps you're dealing with everyday stressors that are impacting your work and home life. Maybe you're struggling after having a baby, or perhaps a past trauma continues to affect you. Therapy offers a path toward personal growth and healing. My services are geared for teens & adults. I integrate your personal strengths and cultural background into your treatment process. Taking the initial step to reach out to a therapist can be challenging, and I commend you for your courage in considering it.
(808) 645-4142 View (808) 645-4142

See more therapy options for Kapolei

How does your Therapist compare?

Number of Therapists in Kapolei, HI

100+

Average cost per session

$150

Therapists in Kapolei, HI who prioritize treating:

90% Anxiety
86% Depression
69% Relationship Issues
69% Self Esteem
64% Trauma and PTSD
64% Stress
61% Grief

Average years in practice

11 Years

Top 3 insurances accepted

69% Hawaii Medical Services Association
54% Hawaii Medical Assurance Association
54% University Health Alliance

How Therapists in Kapolei, HI see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Kapolei?

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.