Therapists in Syosset, NY

Photo of Brian Moriarty, Clinical Social Work/Therapist in Syosset, NY
Brian Moriarty
Clinical Social Work/Therapist, LCSW
Verified Verified
Syosset, NY 11791
At some time in life, everyone feels overwhelmed and looks for a path to a happier, more comfortable day-to-day routine. That is different for everybody, and regardless of your individual needs, I can help you reach your goals. Change is not easy. When change involves mental health including anxiety and depression, substance abuse, or addressing negative behavioral patterns, it is necessary to involve a mental health professional.
At some time in life, everyone feels overwhelmed and looks for a path to a happier, more comfortable day-to-day routine. That is different for everybody, and regardless of your individual needs, I can help you reach your goals. Change is not easy. When change involves mental health including anxiety and depression, substance abuse, or addressing negative behavioral patterns, it is necessary to involve a mental health professional.
(516) 980-3002 View (516) 980-3002
Photo of Melissa Rosenblatt, Psychologist in Syosset, NY
Melissa Rosenblatt
Psychologist, PhD, BCBA-D, LBA
Verified Verified
1 Endorsed
Syosset, NY 11791
Not accepting new clients
Welcome. You've taken the first step by seeking therapy for your child, and this is often the most difficult. I am a Licensed Psychologist and a Board Certified Behavior Analyst (BCBA-D) and specialize in working with young children through adolescents. I work with children struggling with emotional or behavioral challenges, as well as Autism Spectrum Disorders and ADHD. In addition to working directly with your child, I find that treatment is most effective when the parent(s) are involved and we work collaboratively. I also work with families on parenting and developing plans to support concerns at home.
Welcome. You've taken the first step by seeking therapy for your child, and this is often the most difficult. I am a Licensed Psychologist and a Board Certified Behavior Analyst (BCBA-D) and specialize in working with young children through adolescents. I work with children struggling with emotional or behavioral challenges, as well as Autism Spectrum Disorders and ADHD. In addition to working directly with your child, I find that treatment is most effective when the parent(s) are involved and we work collaboratively. I also work with families on parenting and developing plans to support concerns at home.
(917) 382-8759 View (917) 382-8759
Photo of Jaimee Steerman, Clinical Social Work/Therapist in Syosset, NY
Jaimee Steerman
Clinical Social Work/Therapist, LCSW
Verified Verified
Syosset, NY 11791
Do you just want to feel better? Do you want to feel more in control? I get it. You will. I'm here to help you more successfully navigate all the challenges life has to offer, which can feel overwhelming. I help clients to better identify and overcome challenges that prevent personal autonomy and growth. By identifying negative patterns and ineffective habits, we can then drastically improve decision making, better manage anxiety/depression and begin achieving goals. There is no better time then now to start your journey to a more mindful, confident, and centered existence.
Do you just want to feel better? Do you want to feel more in control? I get it. You will. I'm here to help you more successfully navigate all the challenges life has to offer, which can feel overwhelming. I help clients to better identify and overcome challenges that prevent personal autonomy and growth. By identifying negative patterns and ineffective habits, we can then drastically improve decision making, better manage anxiety/depression and begin achieving goals. There is no better time then now to start your journey to a more mindful, confident, and centered existence.
(516) 980-3497 View (516) 980-3497
Photo of Shariva Reed, Pre-Licensed Professional in Syosset, NY
Shariva Reed
Pre-Licensed Professional, MS Ed
Verified Verified
1 Endorsed
Syosset, NY 11791
As your future therapist, my goal is to provide comprehensive support in navigating life's complexities and fostering holistic well-being. Together, we will work on addressing various aspects of your life, including managing transitions, regulating emotions, fostering personal growth, and navigating stress and anxiety. I am committed to helping you enhance your communication skills, creating healthier connections with others. By fostering self-awareness, we can explore the intricate layers of your thoughts and emotions, leading to a deeper understanding of yourself.
As your future therapist, my goal is to provide comprehensive support in navigating life's complexities and fostering holistic well-being. Together, we will work on addressing various aspects of your life, including managing transitions, regulating emotions, fostering personal growth, and navigating stress and anxiety. I am committed to helping you enhance your communication skills, creating healthier connections with others. By fostering self-awareness, we can explore the intricate layers of your thoughts and emotions, leading to a deeper understanding of yourself.
(516) 309-4908 View (516) 309-4908
Photo of Alex James Contino, Clinical Social Work/Therapist in Syosset, NY
Alex James Contino
Clinical Social Work/Therapist, LMSW
Verified Verified
Syosset, NY 11791
My ideal client is someone who has faced life's challenges head-on and is seeking a way to break free from the grips of struggle. They are driven by a desire for change, a longing for a life that is not limited by their past experiences. They want to reclaim their sense of self, find inner peace, and build resilience. They are ready to embark on a journey of self-discovery, eager to confront discomfort and embrace transformation. They seek a supportive and empathetic guide to help them navigate their emotions, thoughts, and behaviors, and are motivated by the belief that life can be more meaningful and fulfilling.
My ideal client is someone who has faced life's challenges head-on and is seeking a way to break free from the grips of struggle. They are driven by a desire for change, a longing for a life that is not limited by their past experiences. They want to reclaim their sense of self, find inner peace, and build resilience. They are ready to embark on a journey of self-discovery, eager to confront discomfort and embrace transformation. They seek a supportive and empathetic guide to help them navigate their emotions, thoughts, and behaviors, and are motivated by the belief that life can be more meaningful and fulfilling.
(516) 613-3609 View (516) 613-3609
Photo of Lauryn S Brady, Clinical Social Work/Therapist in Syosset, NY
Lauryn S Brady
Clinical Social Work/Therapist, LCSW, MS
Verified Verified
Syosset, NY 11791
Are you feeling overwhelmed, struggling with personal challenges, family and or relationship issues? Anxiety and fear can leave you stuck and hold you back from moving forward. By having a safe, nonjudgmental space to talk freely, one can often face new possibilities with ease. I utilize person-centered and strength-based therapeutic practices that are solution-focused and aim to promote individual growth. We will work together to identify and implement the changes you need to meet your life's goals and happiness. Assisting you in creating the life you desire and deserve is my ultimate objective.
Are you feeling overwhelmed, struggling with personal challenges, family and or relationship issues? Anxiety and fear can leave you stuck and hold you back from moving forward. By having a safe, nonjudgmental space to talk freely, one can often face new possibilities with ease. I utilize person-centered and strength-based therapeutic practices that are solution-focused and aim to promote individual growth. We will work together to identify and implement the changes you need to meet your life's goals and happiness. Assisting you in creating the life you desire and deserve is my ultimate objective.
(516) 210-4275 View (516) 210-4275
Photo of Lorraine Baum LCSW, Clinical Social Work/Therapist in Syosset, NY
Lorraine Baum LCSW
Clinical Social Work/Therapist, LCSW, PLLC
Verified Verified
Syosset, NY 11791  (Online Only)
Are you not feeling quite yourself. Maybe you are going through a life transition. The end of a relationship or a life event that hit unexpectedly. Perhaps you are a bit down, not interested in the things that used to excite you. Or maybe you have noticed your mind is crowded with anxious thoughts that interfere with enjoying the good in your life. Is work causing you undue stress. Are you having conflicts with friends or family that are tiring you out. Are you feeling stuck and in need of a change of direction. Do you have unresolved hurts from your past that are interfering with your ability to be present in hour life now.
Are you not feeling quite yourself. Maybe you are going through a life transition. The end of a relationship or a life event that hit unexpectedly. Perhaps you are a bit down, not interested in the things that used to excite you. Or maybe you have noticed your mind is crowded with anxious thoughts that interfere with enjoying the good in your life. Is work causing you undue stress. Are you having conflicts with friends or family that are tiring you out. Are you feeling stuck and in need of a change of direction. Do you have unresolved hurts from your past that are interfering with your ability to be present in hour life now.
(631) 888-6148 View (631) 888-6148
Photo of Elizabeth Axel, Psychologist in Syosset, NY
Elizabeth Axel
Psychologist, PhD
Verified Verified
3 Endorsed
Syosset, NY 11791
I am a licensed Psychologist in New York and specialize in Clinical Neuropsychology. My focus is on the evaluation of children/adolescents who display symptoms of a possible learning disability, dyslexia, attentional disorder (e.g., AD/HD), anxiety or other mood disorder, autistic spectrum disorders, processing disorders, developmental disabilities, or executive functioning difficulties.
I am a licensed Psychologist in New York and specialize in Clinical Neuropsychology. My focus is on the evaluation of children/adolescents who display symptoms of a possible learning disability, dyslexia, attentional disorder (e.g., AD/HD), anxiety or other mood disorder, autistic spectrum disorders, processing disorders, developmental disabilities, or executive functioning difficulties.
(516) 986-4733 View (516) 986-4733
Photo of Michelene Fiedtkou, Pre-Licensed Professional in Syosset, NY
Michelene Fiedtkou
Pre-Licensed Professional, MHC-LP
Verified Verified
Syosset, NY 11791
My experience includes providing counseling to adults struggling with substance use, working with young adults involved in the criminal justice system, assisting families experiencing homelessness, and providing therapy to families. I am an advocate for LGBTQ rights and social justice issues.
My experience includes providing counseling to adults struggling with substance use, working with young adults involved in the criminal justice system, assisting families experiencing homelessness, and providing therapy to families. I am an advocate for LGBTQ rights and social justice issues.
(516) 788-6854 View (516) 788-6854
Photo of Dolores Colgan, Clinical Social Work/Therapist in Syosset, NY
Dolores Colgan
Clinical Social Work/Therapist, LCSW
Verified Verified
Syosset, NY 11791  (Online Only)
Not accepting new clients
I specialize in helping you cope with complex life issues that may have you feeling fearful, overwhelmed, frustrated or alone. Serious and chronic illness, caregiver or workplace stress, strained relationships, veteran's readjustment, and life-stage transitions are some examples. I help you learn skills to change unhealthly thinking or behavior patterns and to understand and adapt to circumstances that affect your self-esteem, relationships and functioning. Anxiety diminishes as you become aware of options and adopt positive strategies.
I specialize in helping you cope with complex life issues that may have you feeling fearful, overwhelmed, frustrated or alone. Serious and chronic illness, caregiver or workplace stress, strained relationships, veteran's readjustment, and life-stage transitions are some examples. I help you learn skills to change unhealthly thinking or behavior patterns and to understand and adapt to circumstances that affect your self-esteem, relationships and functioning. Anxiety diminishes as you become aware of options and adopt positive strategies.
(516) 323-0959 View (516) 323-0959
Photo of Samantha Stein, Licensed Master Social Worker in Syosset, NY
Samantha Stein
Licensed Master Social Worker, LMSW
Verified Verified
Syosset, NY 11791
At Long Island Institute of Sex Therapy (LIIST), Samantha works with individuals facing challenges related to sexual functioning, depression, anxiety, gender and sexual orientation, and relationship skills. She provides support for gender and sexual orientation diverse (LGBTQ+) individuals and helps couples of all types enhance their communication skills. Samantha is also poly-inclusive and kink-aware.
At Long Island Institute of Sex Therapy (LIIST), Samantha works with individuals facing challenges related to sexual functioning, depression, anxiety, gender and sexual orientation, and relationship skills. She provides support for gender and sexual orientation diverse (LGBTQ+) individuals and helps couples of all types enhance their communication skills. Samantha is also poly-inclusive and kink-aware.
(516) 654-8511 View (516) 654-8511
Photo of Jennifer Ryan, Pre-Licensed Professional in Syosset, NY
Jennifer Ryan
Pre-Licensed Professional, MHC-LP
Verified Verified
Syosset, NY 11791
I am a Mental Health Counselor-LP with a background in Psychology and Sociology. I have experience working with adolescents, adults, families, parents, and successfully coordinating with schools. We will target your maladaptive thoughts and behaviors by utilizing techniques tailored to your needs. I am trained in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and Play Therapy. Together we will learn how to manage our emotion regulation and distress tolerance, while building our interpersonal effectiveness and mindfulness skills.
I am a Mental Health Counselor-LP with a background in Psychology and Sociology. I have experience working with adolescents, adults, families, parents, and successfully coordinating with schools. We will target your maladaptive thoughts and behaviors by utilizing techniques tailored to your needs. I am trained in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and Play Therapy. Together we will learn how to manage our emotion regulation and distress tolerance, while building our interpersonal effectiveness and mindfulness skills.
(516) 973-1248 View (516) 973-1248
Photo of Christopher Gray, Pre-Licensed Professional in Syosset, NY
Christopher Gray
Pre-Licensed Professional, MHC-LP
Verified Verified
2 Endorsed
Syosset, NY 11791
I have experience treating depression, anxiety, PTSD, mood disorders, personality disorders and more. I trained using the cognitive-behavioral approach but have incorporated elements of other approaches in order to develop a comprehensive therapeutic style. I have provided counseling for people from all walks of life. I practice with cultural humility meaning I aim to fully understand all the facets of one’s identity and how they interact with the world around them. All clients may have their own stories but they all work towards a similar goal: to lead a happier and healthier life. We will work together to get to that point.
I have experience treating depression, anxiety, PTSD, mood disorders, personality disorders and more. I trained using the cognitive-behavioral approach but have incorporated elements of other approaches in order to develop a comprehensive therapeutic style. I have provided counseling for people from all walks of life. I practice with cultural humility meaning I aim to fully understand all the facets of one’s identity and how they interact with the world around them. All clients may have their own stories but they all work towards a similar goal: to lead a happier and healthier life. We will work together to get to that point.
(516) 774-2256 View (516) 774-2256
Photo of Lisa J Kahn, Clinical Social Work/Therapist in Syosset, NY
Lisa J Kahn
Clinical Social Work/Therapist, LCSW, CCATP
Verified Verified
Syosset, NY 11791  (Online Only)
Are you an adult or adolescent grappling with the challenges of overthinking, feeling overwhelmed, having low self-confidence, or anxiety? Perhaps you also find yourself dealing with symptoms of ADHD, such as struggling with focus, being disorganized, experiencing difficulties with time management, and feeling the burden of anxiety disrupting your overall well-being and quality of life. I am here to offer the guidance and resources to help you break free from these patterns, Just imagine equipping yourself with the necessary tools to navingate lifes's hurdles and achieve a sense of inner peace and balance.
Are you an adult or adolescent grappling with the challenges of overthinking, feeling overwhelmed, having low self-confidence, or anxiety? Perhaps you also find yourself dealing with symptoms of ADHD, such as struggling with focus, being disorganized, experiencing difficulties with time management, and feeling the burden of anxiety disrupting your overall well-being and quality of life. I am here to offer the guidance and resources to help you break free from these patterns, Just imagine equipping yourself with the necessary tools to navingate lifes's hurdles and achieve a sense of inner peace and balance.
(516) 350-3975 View (516) 350-3975
Photo of Amy Rosenberg, Psychologist in Syosset, NY
Amy Rosenberg
Psychologist, PsyD
Verified Verified
Syosset, NY 11791
I am a licensed psychologist who provides individual, couples, family, and group psychotherapy for individuals across the adult lifespan, ranging from young adults to geriatrics. I place emphasis on establishing a safe and trusting therapeutic relationship in an effort to help clients facilitate meaningful life changes, to ease suffering, and to work toward achieving personal goals.
I am a licensed psychologist who provides individual, couples, family, and group psychotherapy for individuals across the adult lifespan, ranging from young adults to geriatrics. I place emphasis on establishing a safe and trusting therapeutic relationship in an effort to help clients facilitate meaningful life changes, to ease suffering, and to work toward achieving personal goals.
(516) 262-5126 View (516) 262-5126
Photo of Sinéad M Kennedy, Clinical Social Work/Therapist in Syosset, NY
Sinéad M Kennedy
Clinical Social Work/Therapist, LCSW
Verified Verified
Syosset, NY 11791  (Online Only)
Whether you are feeling stuck, anxious, overwhelmed, or depressed, I can support and assist you. We will work together to create a safe environment where we will explore and identify what has blocked and held you back from living your best life. While we can't change difficult or painful situations of the past, we can work together to better understand and resolve challenges in your life today.
Whether you are feeling stuck, anxious, overwhelmed, or depressed, I can support and assist you. We will work together to create a safe environment where we will explore and identify what has blocked and held you back from living your best life. While we can't change difficult or painful situations of the past, we can work together to better understand and resolve challenges in your life today.
(516) 619-6878 View (516) 619-6878
Photo of Alexandra Lo Re, Clinical Social Work/Therapist in Syosset, NY
Alexandra Lo Re
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Syosset, NY 11791  (Online Only)
Are you overwhelmed with the feelings brought on by the "quarter-life crisis"? Do you feel disconnected or aimless Or maybe you're surprised by how difficult your 20s or 30s feel? Isn't this supposed to be the time of your life? The reality is that this is a tough chapter for many people (despite what everyone is posting on social media). I have extensive experience working with Millienials and Gen Z, and can help you create a complete and fulfilling life. My specialties include depression, anxiety, and adjusting to life transitions. I use a variety of techniques and strategies to help each individual based on their specific needs.
Are you overwhelmed with the feelings brought on by the "quarter-life crisis"? Do you feel disconnected or aimless Or maybe you're surprised by how difficult your 20s or 30s feel? Isn't this supposed to be the time of your life? The reality is that this is a tough chapter for many people (despite what everyone is posting on social media). I have extensive experience working with Millienials and Gen Z, and can help you create a complete and fulfilling life. My specialties include depression, anxiety, and adjusting to life transitions. I use a variety of techniques and strategies to help each individual based on their specific needs.
(516) 788-8706 View (516) 788-8706
Photo of Natalie DiLascio, Licensed Master Social Worker in Syosset, NY
Natalie DiLascio
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Syosset, NY 11791
I am a licensed social worker committed to supporting children, adolescents, and adults through life's challenges. I establish authentic and powerful therapeutic connections with clients, using warmth, humor, genuine curiosity, and deep empathy. I believe that in order for our children to flourish, they must be able to deal with their emotional world and treat themselves with more compassion. Young people experience more stress than ever before. It is deeply important to find meaning and begin to explore their unique strengths.
I am a licensed social worker committed to supporting children, adolescents, and adults through life's challenges. I establish authentic and powerful therapeutic connections with clients, using warmth, humor, genuine curiosity, and deep empathy. I believe that in order for our children to flourish, they must be able to deal with their emotional world and treat themselves with more compassion. Young people experience more stress than ever before. It is deeply important to find meaning and begin to explore their unique strengths.
(516) 447-3331 View (516) 447-3331
Photo of Fred Krellenstein, Psychologist in Syosset, NY
Fred Krellenstein
Psychologist, PsyD
Verified Verified
Syosset, NY 11791
I specialize in working with both individuals and couples. My goal is to provide maximum relief from your emotional distress as quickly as possible. Towards that end, my treatment methods are aimed at helping you to live real life more happily. You can expect to be asked "What is it that you most want to change about your life?". If you are uncertain about what you want to change then sorting out that uncertainty will be our primary initial goal. I am committed to helping you achieve a deeper understanding and an effective remedy to your problem.
I specialize in working with both individuals and couples. My goal is to provide maximum relief from your emotional distress as quickly as possible. Towards that end, my treatment methods are aimed at helping you to live real life more happily. You can expect to be asked "What is it that you most want to change about your life?". If you are uncertain about what you want to change then sorting out that uncertainty will be our primary initial goal. I am committed to helping you achieve a deeper understanding and an effective remedy to your problem.
(516) 531-6046 View (516) 531-6046
Photo of Iris Passaro, Clinical Social Work/Therapist in Syosset, NY
Iris Passaro
Clinical Social Work/Therapist, LCSW, MCASAC
Verified Verified
1 Endorsed
Syosset, NY 11791
I am a solution focused therapist with over 25 years of experience helping individuals clarify what it is they want out of life and figuring out the way to get there. I have extensive experience in trauma, substance abuse and logic based therapy. I believe therapy should be both productive and enjoyable. Humor is an important part of the healing process and helps to create a powerful dynamic to achieve results.
I am a solution focused therapist with over 25 years of experience helping individuals clarify what it is they want out of life and figuring out the way to get there. I have extensive experience in trauma, substance abuse and logic based therapy. I believe therapy should be both productive and enjoyable. Humor is an important part of the healing process and helps to create a powerful dynamic to achieve results.
(516) 774-4749 View (516) 774-4749

How does your Therapist compare?

Number of Therapists in Syosset, NY

200+

Average cost per session

$150

Therapists in Syosset, NY who prioritize treating:

94% Anxiety
90% Depression
88% Relationship Issues
85% Self Esteem
77% Coping Skills
68% Family Conflict
65% Stress

Average years in practice

15 Years

Top 3 insurances accepted

67% Aetna
62% UnitedHealthcare UHC | UBH
60% Oxford

How Therapists in Syosset, NY see their clients

78% In Person and Online
22% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Syosset?

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.