Therapists in Kootenai County, ID

View cities in Kootenai County
Photo of Esteem Counseling, Counselor in Kootenai County, ID
Esteem Counseling
Counselor, LCPC, LMHC
Verified Verified
1 Endorsed
Post Falls, ID 83854  (Online Only)
Now offering Mental Health Evaluations for court purposes. I provide counseling to teens, adults, first responders, couples and families in Idaho and Washington. If you are looking to learn about your mental health and find a safe space to heal or improve your overall wellness, you are in the right place. I enjoy working with trauma, depression, anxiety, and stress. I am only offering telehealth counseling, using confidential video calling to provide you with counseling from the comfort of your own home. I also offer clinical supervision and business consultation to professionals.
Now offering Mental Health Evaluations for court purposes. I provide counseling to teens, adults, first responders, couples and families in Idaho and Washington. If you are looking to learn about your mental health and find a safe space to heal or improve your overall wellness, you are in the right place. I enjoy working with trauma, depression, anxiety, and stress. I am only offering telehealth counseling, using confidential video calling to provide you with counseling from the comfort of your own home. I also offer clinical supervision and business consultation to professionals.
(208) 400-5717 View (208) 400-5717
Photo of Jadyn Sargent, Clinical Social Work/Therapist in Kootenai County, ID
Jadyn Sargent
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Coeur d'Alene, ID 83814
Hi there, I am Jadyn and I am currently accepting new clients. I provide counseling services to adolescents and adults. My purpose as a therapist is to support clients on their journey toward healing, and personal growth, guiding them to evolve into the individuals they aspire to be. I am dedicated to supporting individuals in discovering and fulfilling their life purposeI specialize in providing therapy for individuals dealing with anxiety, depression, relationship difficulties, trauma recovery, attachemnet issues, work-life balance challenges, idenitity development, and Christian counseling upon request.
Hi there, I am Jadyn and I am currently accepting new clients. I provide counseling services to adolescents and adults. My purpose as a therapist is to support clients on their journey toward healing, and personal growth, guiding them to evolve into the individuals they aspire to be. I am dedicated to supporting individuals in discovering and fulfilling their life purposeI specialize in providing therapy for individuals dealing with anxiety, depression, relationship difficulties, trauma recovery, attachemnet issues, work-life balance challenges, idenitity development, and Christian counseling upon request.
(208) 502-2970 View (208) 502-2970
Photo of Jennie Keane, Pre-Licensed Professional in Kootenai County, ID
Jennie Keane
Pre-Licensed Professional, LPC, MEd, eMBA
Verified Verified
Coeur d'Alene, ID 83814
At some point everyone faces difficult times. The unpredictability of emotions we experience when facing uncertainty and change can sometimes leave us feeling overwhelmed and unsure of how to manage things. At times, feelings related to depression, overwhelming anxiety, loneliness, and overall confusion can just stop us in our tracks. Our identity and roles in career and businesses may change or need improvement. Our relationships can sometimes become strained struggling with communication and connection to the people and groups we must find solutions with to maintain healthy connections. My job is to help in these areas.
At some point everyone faces difficult times. The unpredictability of emotions we experience when facing uncertainty and change can sometimes leave us feeling overwhelmed and unsure of how to manage things. At times, feelings related to depression, overwhelming anxiety, loneliness, and overall confusion can just stop us in our tracks. Our identity and roles in career and businesses may change or need improvement. Our relationships can sometimes become strained struggling with communication and connection to the people and groups we must find solutions with to maintain healthy connections. My job is to help in these areas.
(208) 647-3244 View (208) 647-3244
Photo of Waves of Hope Counseling PLLC, Marriage & Family Therapist Intern in Kootenai County, ID
Waves of Hope Counseling PLLC
Marriage & Family Therapist Intern, MFTI
Verified Verified
Coeur d'Alene, ID 83814
Welcome to my Psychology Today profile; my name is Bonnie Martinez. I am a pre-licensed MFTI at Waves of Hope Counseling. I am a dedicated and compassionate therapist with a strong commitment to helping individuals navigate their mental health challenges and achieve personal growth. With a Master's degree in Counseling Psychology, over a year of direct experience in the field, and numerous years of experience with faith-based counseling in the church, I am equipped with the knowledge and skills to provide effective therapy to my clients.
Welcome to my Psychology Today profile; my name is Bonnie Martinez. I am a pre-licensed MFTI at Waves of Hope Counseling. I am a dedicated and compassionate therapist with a strong commitment to helping individuals navigate their mental health challenges and achieve personal growth. With a Master's degree in Counseling Psychology, over a year of direct experience in the field, and numerous years of experience with faith-based counseling in the church, I am equipped with the knowledge and skills to provide effective therapy to my clients.
(208) 987-1190 View (208) 987-1190
Photo of Beverly Oh, Licensed Professional Counselor in Kootenai County, ID
Beverly Oh
Licensed Professional Counselor, MS, MEd, LPC
Verified Verified
1 Endorsed
Coeur d'Alene, ID 83814
Many events and circumstances unfold beyond our control, the power lies in how we interpret those experiences. The way we perceive and interpret events determines the emotional and psychological impact they have on us. By framing an experience in a positive light, we empower ourselves to find meaning, resilience, and personal growth in the face of adversity. On the other hand, a negative or disempowering view can contribute to feelings of helplessness, frustration, and hopelessness, hindering our ability to move forward.
Many events and circumstances unfold beyond our control, the power lies in how we interpret those experiences. The way we perceive and interpret events determines the emotional and psychological impact they have on us. By framing an experience in a positive light, we empower ourselves to find meaning, resilience, and personal growth in the face of adversity. On the other hand, a negative or disempowering view can contribute to feelings of helplessness, frustration, and hopelessness, hindering our ability to move forward.
(208) 886-5708 View (208) 886-5708
Photo of Trent Taggart, Clinical Social Work/Therapist in Kootenai County, ID
Trent Taggart
Clinical Social Work/Therapist, LMSW
Verified Verified
Post Falls, ID 83854
Waitlist for new clients
I am a licensed master social worker. I have experience working with adolescents, adults, couples and families. My speciality is in marriage/couples counseling. When compared to all other types of relationships marriage and otherwise romantic relationships are very unique. With this being the case it stands to reason that different rules apply. Sadly, many people either don't know, or don't fully understand these rules that build and foster romantic intimacy and cohesion.
I am a licensed master social worker. I have experience working with adolescents, adults, couples and families. My speciality is in marriage/couples counseling. When compared to all other types of relationships marriage and otherwise romantic relationships are very unique. With this being the case it stands to reason that different rules apply. Sadly, many people either don't know, or don't fully understand these rules that build and foster romantic intimacy and cohesion.
(208) 449-1995 View (208) 449-1995
Photo of Teri Hansen, Licensed Professional Counselor in Kootenai County, ID
Teri Hansen
Licensed Professional Counselor, LCPC, LMHC, MA
Verified Verified
1 Endorsed
Coeur d'Alene, ID 83814
Not accepting new clients
I specialize in working with couples in all stages of their relationships - from those who are dating or engaged, to newly married or navigating life with children or facing issues related to blended families, to those who have been together for decades. I also work with individuals navigating divorce, helping them process the challenges that come with that journey so they can come out on the other side in a healthy way. When clients arrive at the first session nervous or ambivalent about whether counseling can really help, I focus on putting them at ease and building confidence in their own ability to create the change they want.
I specialize in working with couples in all stages of their relationships - from those who are dating or engaged, to newly married or navigating life with children or facing issues related to blended families, to those who have been together for decades. I also work with individuals navigating divorce, helping them process the challenges that come with that journey so they can come out on the other side in a healthy way. When clients arrive at the first session nervous or ambivalent about whether counseling can really help, I focus on putting them at ease and building confidence in their own ability to create the change they want.
(208) 205-9916 View (208) 205-9916
Photo of Dr. Lonnie Stapp, Counselor in Kootenai County, ID
Dr. Lonnie Stapp
Counselor, LCPC
Verified Verified
Coeur d'Alene, ID 83814
I have deep respect for all of my patients. Therapy involves change, openness, and willingness, and is a personal investment. For these reasons, I believe that the treatment you receive should be effective, and I use a blend of established research and your personal goals to ensure that it is.
I have deep respect for all of my patients. Therapy involves change, openness, and willingness, and is a personal investment. For these reasons, I believe that the treatment you receive should be effective, and I use a blend of established research and your personal goals to ensure that it is.
(208) 826-1836 View (208) 826-1836
Photo of Desirae Britton, Counselor in Kootenai County, ID
Desirae Britton
Counselor, MEd, LCPC
Verified Verified
1 Endorsed
Hayden, ID 83835  (Online Only)
Welcome to my practice! I am Desirae Britton, a compassionate and dedicated therapist committed to helping individuals overcome anxiety, depression, and relationship struggles to lead a joyous, more fulfilling life. With over 18 years of experience in counseling , I offer evidence based therapies tailored to meet the unique needs of each client. I believe in creating a non-judgmental environment where clients feel safe to explore their thoughts, feelings, and experiences, I empower clients to develop practical coping strategies and build resilience against life’s challenges.
Welcome to my practice! I am Desirae Britton, a compassionate and dedicated therapist committed to helping individuals overcome anxiety, depression, and relationship struggles to lead a joyous, more fulfilling life. With over 18 years of experience in counseling , I offer evidence based therapies tailored to meet the unique needs of each client. I believe in creating a non-judgmental environment where clients feel safe to explore their thoughts, feelings, and experiences, I empower clients to develop practical coping strategies and build resilience against life’s challenges.
(208) 273-9743 View (208) 273-9743
Photo of Northwest Counseling - Katie Linnemeyer, Clinical Social Work/Therapist in Kootenai County, ID
Northwest Counseling - Katie Linnemeyer
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Coeur d'Alene, ID 83814
A positive therapist-client relationship is crucial to the success of therapy. I treat each client with respect, cultural sensitivity, and a strong sense of professional ethics. During therapy, we actively work together to explore your unique concerns, struggles, and strengths. I use my expertise to highlight key patterns in your life that may be keeping you stuck, and to present alternative perspectives and strategies to help achieve your goals.
A positive therapist-client relationship is crucial to the success of therapy. I treat each client with respect, cultural sensitivity, and a strong sense of professional ethics. During therapy, we actively work together to explore your unique concerns, struggles, and strengths. I use my expertise to highlight key patterns in your life that may be keeping you stuck, and to present alternative perspectives and strategies to help achieve your goals.
(208) 315-6537 View (208) 315-6537
Photo of Kalila Johnson, Pre-Licensed Professional in Kootenai County, ID
Kalila Johnson
Pre-Licensed Professional
Verified Verified
2 Endorsed
Coeur d'Alene, ID 83814
Life is a continuous learning and growing process, one where we sometimes need a trusted person to walk alongside us, to listen when we need it most, to truly hear us and see us. Therapy can be that place, a safe place to share our worries and celebrate our wins. Whether you suffer due to childhood trauma, day-to-day anxiety, life-long depression, postpartum depression/anxiety, relational struggles or difficulties in parenting, I can offer support and walk beside you in your journey to wellness.
Life is a continuous learning and growing process, one where we sometimes need a trusted person to walk alongside us, to listen when we need it most, to truly hear us and see us. Therapy can be that place, a safe place to share our worries and celebrate our wins. Whether you suffer due to childhood trauma, day-to-day anxiety, life-long depression, postpartum depression/anxiety, relational struggles or difficulties in parenting, I can offer support and walk beside you in your journey to wellness.
(833) 839-7020 View (833) 839-7020
Photo of Shannon Hurd, Counselor in Kootenai County, ID
Shannon Hurd
Counselor, MA, LCPC
Verified Verified
Coeur d'Alene, ID 83814  (Online Only)
Waitlist for new clients
My ideal client is a person or couple who knows that there are hard questions to be asked and is seeking a neutral, caring, and engaging third party to offer authentic insights and ask the hard questions. The goal is to help the client acknowledge, accept, and lift whatever is blocked and help validate what is seeking validation. This may be someone stuck in a pattern or a couple unable to see their strengths while navigating their weaknesses. An ideal client may want someone to hold the space and trust that the clinician will also know when to move forward. My ideal client is open to a variety of modalities for healing.
My ideal client is a person or couple who knows that there are hard questions to be asked and is seeking a neutral, caring, and engaging third party to offer authentic insights and ask the hard questions. The goal is to help the client acknowledge, accept, and lift whatever is blocked and help validate what is seeking validation. This may be someone stuck in a pattern or a couple unable to see their strengths while navigating their weaknesses. An ideal client may want someone to hold the space and trust that the clinician will also know when to move forward. My ideal client is open to a variety of modalities for healing.
(208) 877-4470 View (208) 877-4470
Photo of Sandra Marie Gunn, Marriage & Family Therapist in Kootenai County, ID
Sandra Marie Gunn
Marriage & Family Therapist, MA, LMFT
Verified Verified
Coeur d'Alene, ID 83814  (Online Only)
My name is Sandra Gunn and I am a Licensed Marriage Family Therapist in Idaho. I have worked extensively with families, children and couples for many years in private practice. I have also worked in the Non Profit sector advocating for children's safety and strong family systems. My many years as a business owner has given me hands on life experiences, both with managing children, work, and relationships. I believe that the key to a fulfilled life is to keep it simple as is my view on change and therapy- focus on our strengths with positive affirmations, and make small attainable goals and trust me change will follow.
My name is Sandra Gunn and I am a Licensed Marriage Family Therapist in Idaho. I have worked extensively with families, children and couples for many years in private practice. I have also worked in the Non Profit sector advocating for children's safety and strong family systems. My many years as a business owner has given me hands on life experiences, both with managing children, work, and relationships. I believe that the key to a fulfilled life is to keep it simple as is my view on change and therapy- focus on our strengths with positive affirmations, and make small attainable goals and trust me change will follow.
(208) 469-4887 View (208) 469-4887
Photo of Rachel Jones, Counselor in Kootenai County, ID
Rachel Jones
Counselor, LCPC
Verified Verified
1 Endorsed
Coeur d'Alene, ID 83814
Waitlist for new clients
My office has moved to 2005 Ironwood Parkway Suite 120, Coeur d'Alene. I provide a non-judgmental space for older teens and adults to adjust to life's changes, find a way out of depression and/or anxious cycles, reprocess trauma, and more effectively cope in the world. I assist in clarifying, setting, and enforcing your boundaries. I provide an honest, empathic, and curious approach to who you are and who you seek to be in the world.
My office has moved to 2005 Ironwood Parkway Suite 120, Coeur d'Alene. I provide a non-judgmental space for older teens and adults to adjust to life's changes, find a way out of depression and/or anxious cycles, reprocess trauma, and more effectively cope in the world. I assist in clarifying, setting, and enforcing your boundaries. I provide an honest, empathic, and curious approach to who you are and who you seek to be in the world.
(208) 747-0600 View (208) 747-0600
Photo of Nathan Henry Berghorst, Marriage & Family Therapist in Kootenai County, ID
Nathan Henry Berghorst
Marriage & Family Therapist, LMFT, MA
Verified Verified
2 Endorsed
Coeur d'Alene, ID 83814
I am a Marriage and Family Therapist, licensed by the Idaho Department of Occupational Licensing. I have been in private practice since 2012. My passion is the restoration of the marriage relationship, even when it may seem that all is lost (especially as it relates to infidelity and trust). I am well-versed in the treatment of most mental health issues (especially depression and anxiety). I also am now providing EMDR therapy.
I am a Marriage and Family Therapist, licensed by the Idaho Department of Occupational Licensing. I have been in private practice since 2012. My passion is the restoration of the marriage relationship, even when it may seem that all is lost (especially as it relates to infidelity and trust). I am well-versed in the treatment of most mental health issues (especially depression and anxiety). I also am now providing EMDR therapy.
(208) 268-6759 View (208) 268-6759
Photo of Whitney Wollweber, Licensed Professional Counselor in Kootenai County, ID
Whitney Wollweber
Licensed Professional Counselor, LPC
Verified Verified
Coeur d'Alene, ID 83814
I use a relational, holistic, and integrative approach to facilitate healing and change to help clients reach their goals. I work with a wide range of mental health concerns from anxiety and depression, autism and ADHD, to deeper issues with meaning, identity, purpose, and motivation. I enjoy working with individuals who have a history of residential treatment, students, athletes, career minded individuals, those going through life transitions, and those coping with injuries or disabilities. Whatever you are going through and wherever you’re at in life - I prioritize meeting you there and working collaboratively.
I use a relational, holistic, and integrative approach to facilitate healing and change to help clients reach their goals. I work with a wide range of mental health concerns from anxiety and depression, autism and ADHD, to deeper issues with meaning, identity, purpose, and motivation. I enjoy working with individuals who have a history of residential treatment, students, athletes, career minded individuals, those going through life transitions, and those coping with injuries or disabilities. Whatever you are going through and wherever you’re at in life - I prioritize meeting you there and working collaboratively.
(208) 742-4728 View (208) 742-4728
Photo of Westslope Counseling Pllc - Cortney Edwards, Counselor in Kootenai County, ID
Westslope Counseling Pllc - Cortney Edwards
Counselor, MS, LCPC
Verified Verified
Coeur d'Alene, ID 83814  (Online Only)
You are the expert of your own life; however, we all need some support at different times in our lives. I have a passion for working with teens and adults to process and heal from tough experiences, achieve goals and navigate life transitions. I'm going to meet you where you are without judgment and offer the best support that I can.
You are the expert of your own life; however, we all need some support at different times in our lives. I have a passion for working with teens and adults to process and heal from tough experiences, achieve goals and navigate life transitions. I'm going to meet you where you are without judgment and offer the best support that I can.
(208) 644-8850 View (208) 644-8850
Photo of Chris Andrew Garrett, Clinical Social Work/Therapist in Kootenai County, ID
Chris Andrew Garrett
Clinical Social Work/Therapist, LCSW, MBA
Verified Verified
Hayden, ID 83835
Chris is a LCSW with over 15 years experience working with adolescents and adults in residential, inpatient and outpatient settings. Chris received his Bachelor degree in Social Work from Lewis Clark State College and received his Master of Social Work from Boise State University in 2011. More recently Chris completed his Masters in Business Administration with a healthcare leadership emphasis from Boise State University. Chris has worked in a variety of settings in the field of mental health. These settings include residential treatment, Emergency Department, community health and outpatient services as both a clinician and admin.
Chris is a LCSW with over 15 years experience working with adolescents and adults in residential, inpatient and outpatient settings. Chris received his Bachelor degree in Social Work from Lewis Clark State College and received his Master of Social Work from Boise State University in 2011. More recently Chris completed his Masters in Business Administration with a healthcare leadership emphasis from Boise State University. Chris has worked in a variety of settings in the field of mental health. These settings include residential treatment, Emergency Department, community health and outpatient services as both a clinician and admin.
(888) 681-8587 View (888) 681-8587
Photo of Bodhicitta Counseling, LLC, Licensed Clinical Professional Counselor in Kootenai County, ID
Bodhicitta Counseling, LLC
Licensed Clinical Professional Counselor, LCPC, LMHC, MAC
Verified Verified
Coeur d'Alene, ID 83814
Currently No Wait List - Are you struggling with unresolved issues from childhood? Using substances to cope? Maybe you are a veteran who has been to combat or a first responder dealing with trauma? If you want to live a more enriched and fulfilling life then maybe it is time to see someone. I am in process for insurance credentialing
Currently No Wait List - Are you struggling with unresolved issues from childhood? Using substances to cope? Maybe you are a veteran who has been to combat or a first responder dealing with trauma? If you want to live a more enriched and fulfilling life then maybe it is time to see someone. I am in process for insurance credentialing
(208) 366-8064 View (208) 366-8064
Photo of Ericka Day, Licensed Professional Counselor in Kootenai County, ID
Ericka Day
Licensed Professional Counselor, LPC, PhD
Verified Verified
1 Endorsed
Coeur d'Alene, ID 83815  (Online Only)
Waitlist for new clients
I want to empower men and women to feel confident and in control of their lives and have the courage to do what they want in life. To feel loved and admired for who they actually are and not just what they do for others. When my Clients leave therapy, I want them to be filled with hope, joy, purpose and drive!
I want to empower men and women to feel confident and in control of their lives and have the courage to do what they want in life. To feel loved and admired for who they actually are and not just what they do for others. When my Clients leave therapy, I want them to be filled with hope, joy, purpose and drive!
(208) 618-3975 View (208) 618-3975

See more therapy options for Kootenai County

How does your Therapist compare?

Number of Therapists in Kootenai County, ID

200+

Average cost per session

$125

Therapists in Kootenai County, ID who prioritize treating:

91% Anxiety
87% Depression
79% Trauma and PTSD
78% Relationship Issues
74% Self Esteem
69% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

65% Blue Cross
63% BlueCross and BlueShield
59% Regence

How Therapists in Kootenai County, ID see their clients

75% In Person and Online
25% Online Only

Gender breakdown

73% Female
26% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Kootenai County?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.