Therapists in Highlands Douglas, Louisville, KY

Photo of Dr. Collin Davidson, PhD, CFT-I, Psychologist
Dr. Collin Davidson
Psychologist, PhD, CFT-I
Verified Verified
5 Endorsed
Highlands Douglas, Louisville, KY 40205
Are you tired of the stress, anxiety, and conflict caused by money? You may spend too much, disagree on financial decisions with a spouse or loved one, or not be able to bring yourself to even look at your finances. While you may understand what needs to change in your financial life, you struggle to make changes that stick. As a psychologist with additional training in financial therapy, I will partner with you to understand what has caused problems in your financial life and to make major shifts in your financial and emotional wellbeing. I’m a husband and father and know how central money can be to creating a fulfilling life.
Are you tired of the stress, anxiety, and conflict caused by money? You may spend too much, disagree on financial decisions with a spouse or loved one, or not be able to bring yourself to even look at your finances. While you may understand what needs to change in your financial life, you struggle to make changes that stick. As a psychologist with additional training in financial therapy, I will partner with you to understand what has caused problems in your financial life and to make major shifts in your financial and emotional wellbeing. I’m a husband and father and know how central money can be to creating a fulfilling life.
(502) 743-4964 View (502) 743-4964
Photo of Kelly Fleischer, MEd, ATR-BC, LPAT, Art Therapist
Kelly Fleischer
Art Therapist, MEd, ATR-BC, LPAT
Verified Verified
1 Endorsed
Highlands Douglas, Louisville, KY 40205
I am an experienced art therapist with a passion for guiding children 5+, teens, and young adults on a journey of self-discovery and healing through art, talk therapy and other expressive modalities such as movement, play, and mindfulness. Clients can expect a safe and nurturing space to explore their emotions, thoughts, and challenges. These clients may be grappling with issues such as anxiety, depression, trauma, self-expression, or communication difficulties.
I am an experienced art therapist with a passion for guiding children 5+, teens, and young adults on a journey of self-discovery and healing through art, talk therapy and other expressive modalities such as movement, play, and mindfulness. Clients can expect a safe and nurturing space to explore their emotions, thoughts, and challenges. These clients may be grappling with issues such as anxiety, depression, trauma, self-expression, or communication difficulties.
(502) 317-1268 View (502) 317-1268
Photo of Cadence Gazo, MEd, LPATA, Art Therapist
Cadence Gazo
Art Therapist, MEd, LPATA
Verified Verified
2 Endorsed
Highlands Douglas, Louisville, KY 40205
I am Cadence Gazo, a Licensed Professional Art Therapist Associate and Trained EMDR Therapist dedicated to guiding and supporting people of all ages on their journey toward healing. I believe in the healing power of creative expression and a holistic approach. It can be difficult to put words to our visual experiences and emotions, especially when trauma has occurred. Expressive Therapies and EMDR can help us to connect these and bring fragmented parts of ourselves together. My goal is to facilitate a space in which you can process the difficulties of life, strengthen resiliency skills, overcome and heal from trauma, and thrive.
I am Cadence Gazo, a Licensed Professional Art Therapist Associate and Trained EMDR Therapist dedicated to guiding and supporting people of all ages on their journey toward healing. I believe in the healing power of creative expression and a holistic approach. It can be difficult to put words to our visual experiences and emotions, especially when trauma has occurred. Expressive Therapies and EMDR can help us to connect these and bring fragmented parts of ourselves together. My goal is to facilitate a space in which you can process the difficulties of life, strengthen resiliency skills, overcome and heal from trauma, and thrive.
(502) 236-5517 View (502) 236-5517
Photo of Megan Meyerhoffer, LCSW, RPT-S, Clinical Social Work/Therapist
Megan Meyerhoffer
Clinical Social Work/Therapist, LCSW, RPT-S
Verified Verified
6 Endorsed
Highlands Douglas, Louisville, KY 40205
I am fortunate and profoundly grateful to have found my passion (which also happens to be my career) in supporting people across the lifespan - children, teens, adults and families through struggles and challenges due to chronic medical conditions, anxiety, trauma, grief, parenting that our lives and our chaotic world present. I use an eclectic approach rooted in neuroscience and relational neurobiology to meet you where you are with what works for you.
I am fortunate and profoundly grateful to have found my passion (which also happens to be my career) in supporting people across the lifespan - children, teens, adults and families through struggles and challenges due to chronic medical conditions, anxiety, trauma, grief, parenting that our lives and our chaotic world present. I use an eclectic approach rooted in neuroscience and relational neurobiology to meet you where you are with what works for you.
(502) 237-5553 View (502) 237-5553
Photo of Jazzmine Golden, MEd, MA, LPCA
Jazzmine Golden
Licensed Professional Counselor Associate , MEd, MA, LPCA
Verified Verified
Highlands Douglas, Louisville, KY 40205
Sometimes life can become complicated, overwhelming, or difficult to manage. Life situations can change suddenly or maybe you have been struggling with an issue for a long time. Regardless of your situation, counseling can help YOU navigate through many things that you may experience. I provide effective counseling and work with you to address your concerns and reach your goals in a safe environment where the focus is on YOU. I take a holistic approach to treatment and believe in establishing individualized treatment plans. I believe that everyone has the ABILITY and POWER to make changes and work through life's challenges.
Sometimes life can become complicated, overwhelming, or difficult to manage. Life situations can change suddenly or maybe you have been struggling with an issue for a long time. Regardless of your situation, counseling can help YOU navigate through many things that you may experience. I provide effective counseling and work with you to address your concerns and reach your goals in a safe environment where the focus is on YOU. I take a holistic approach to treatment and believe in establishing individualized treatment plans. I believe that everyone has the ABILITY and POWER to make changes and work through life's challenges.
(502) 906-6976 View (502) 906-6976
Photo of Dea Wathen, LPCA, CYT 200
Dea Wathen
Licensed Professional Counselor Associate , LPCA, CYT 200
Verified Verified
2 Endorsed
Highlands Douglas, Louisville, KY 40205
My approach is rooted in compassion and devoid of judgment. In my practice, I blend various therapeutic modalities, including art, yoga, movement, and body awareness techniques, alongside Internal Family Systems (IFS) parts work and Acceptance and Commitment Therapy (ACT). As a certified Yoga Teacher, I value mindfulness techniques and breath work. I specialize in grief, addiction, recovery, and those affected by spiritual and religious trauma. I approach each client with an open heart and mind as I recognize the bravery it takes to seek out counseling.
My approach is rooted in compassion and devoid of judgment. In my practice, I blend various therapeutic modalities, including art, yoga, movement, and body awareness techniques, alongside Internal Family Systems (IFS) parts work and Acceptance and Commitment Therapy (ACT). As a certified Yoga Teacher, I value mindfulness techniques and breath work. I specialize in grief, addiction, recovery, and those affected by spiritual and religious trauma. I approach each client with an open heart and mind as I recognize the bravery it takes to seek out counseling.
(502) 628-5070 View (502) 628-5070
Photo of MacKenzie Binkley, LCSW, CCTP, Clinical Social Work/Therapist
MacKenzie Binkley
Clinical Social Work/Therapist, LCSW, CCTP
Verified Verified
2 Endorsed
Highlands Douglas, Louisville, KY 40205
My name is MacKenzie Binkley, Licensed Clinical Social Worker and Certified Clinical Trauma Professional. I am a compassionate and holistic therapist who specializes in trauma work and disorders, such as post-traumatic stress disorder (PTSD) and depression, as well as addictions. With a deep understanding of the mind-body connection and importance of addressing all aspects of well-being, I am committed to guiding clients towards healing and growth. My goal in therapy is to create a safe and nurturing space for clients to explore their experiences, emotions, and beliefs.
My name is MacKenzie Binkley, Licensed Clinical Social Worker and Certified Clinical Trauma Professional. I am a compassionate and holistic therapist who specializes in trauma work and disorders, such as post-traumatic stress disorder (PTSD) and depression, as well as addictions. With a deep understanding of the mind-body connection and importance of addressing all aspects of well-being, I am committed to guiding clients towards healing and growth. My goal in therapy is to create a safe and nurturing space for clients to explore their experiences, emotions, and beliefs.
(502) 743-4821 View (502) 743-4821
Photo of Victoria Serrano, LPCC, LCADC
Victoria Serrano
Licensed Professional Clinical Counselor, LPCC, LCADC
Verified Verified
Highlands Douglas, Louisville, KY 40205  (Online Only)
Welcome! Who doesn’t want more tools for their toolbox? Substance use effecting your life? Struggling to manage mood? Need help setting goals and sticking to them? Unprocessed trauma? Relationship conflict? Taking proactive steps to private therapy means you recognize there are obstacles preventing you from living your best life and you are ready to address them. Good for you! I realize this can sometimes feel scary and confusing. You are not alone. Therapy is a very effective way to feel supported while gaining insight into your obstacles and learn how to resolve and move forward. Keep going!
Welcome! Who doesn’t want more tools for their toolbox? Substance use effecting your life? Struggling to manage mood? Need help setting goals and sticking to them? Unprocessed trauma? Relationship conflict? Taking proactive steps to private therapy means you recognize there are obstacles preventing you from living your best life and you are ready to address them. Good for you! I realize this can sometimes feel scary and confusing. You are not alone. Therapy is a very effective way to feel supported while gaining insight into your obstacles and learn how to resolve and move forward. Keep going!
(502) 325-3375 View (502) 325-3375
Photo of undefined - Thrive Men's Counseling, MSSW, LCSW, Clinical Social Work/Therapist
Thrive Men's Counseling
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Highlands Douglas, Louisville, KY 40205  (Online Only)
Jeff Yocom, LCSW, is the founder of Thrive Men's Counseling. He offers services and resources to help men leverage their strengths and develop new skills as they tackle life's challenges head on. If life has thrown you a curve ball, Jeff can help you take your best swing at it. Feeling more irritable or angry than usual? Has your marriage or relationship hit a rough patch? Are you unmotivated and/or unhappy? Worrying constantly, feeling like something terrible is about to happen? Wondering if you have a problem with alcohol/drug use, porn, or some other hard-to-manage behavior? If so, Jeff wants to help you find a solution.
Jeff Yocom, LCSW, is the founder of Thrive Men's Counseling. He offers services and resources to help men leverage their strengths and develop new skills as they tackle life's challenges head on. If life has thrown you a curve ball, Jeff can help you take your best swing at it. Feeling more irritable or angry than usual? Has your marriage or relationship hit a rough patch? Are you unmotivated and/or unhappy? Worrying constantly, feeling like something terrible is about to happen? Wondering if you have a problem with alcohol/drug use, porn, or some other hard-to-manage behavior? If so, Jeff wants to help you find a solution.
(502) 306-3740 View (502) 306-3740
Photo of Leslie Richardson, Marriage & Family Therapist Associate
Leslie Richardson
Marriage & Family Therapist Associate
Verified Verified
Highlands Douglas, Louisville, KY 40205
My approach to therapy is to meet you where you are at in your life. I view you as the expert. I know from my own life experiences and several years of helping others that to put yourself first and reach out for help can place you in a vulnerable state. Change can take a huge leap of faith. I would welcome the opportunity to be a part of your journey, wherever that may take you.
My approach to therapy is to meet you where you are at in your life. I view you as the expert. I know from my own life experiences and several years of helping others that to put yourself first and reach out for help can place you in a vulnerable state. Change can take a huge leap of faith. I would welcome the opportunity to be a part of your journey, wherever that may take you.
(502) 806-8591 View (502) 806-8591
Photo of Dustin Hawkins, LCSW, Clinical Social Work/Therapist
Dustin Hawkins
Clinical Social Work/Therapist, LCSW
Verified Verified
Highlands Douglas, Louisville, KY 40205  (Online Only)
In a world where you may feel hopeless, invisible, and ignored, finding an experienced therapist who helps you feel heard is essential. Creating a safe therapeutic environment is a priority. I provide a trauma-informed approach to build a space for you to process life's challenges and possibilities.
In a world where you may feel hopeless, invisible, and ignored, finding an experienced therapist who helps you feel heard is essential. Creating a safe therapeutic environment is a priority. I provide a trauma-informed approach to build a space for you to process life's challenges and possibilities.
(760) 819-7710 View (760) 819-7710

Online Therapists

Photo of Tynese Eunee Vinson, LMSW , LCSW , LPN, CHT, Clinical Social Work/Therapist
Tynese Eunee Vinson
Clinical Social Work/Therapist, LMSW , LCSW , LPN, CHT
Verified Verified
Louisville, KY 40291
As a clinical therapist licensed in both Michigan and Kentucky. I have undergone extensive training and education to develop a deep understanding of human behavior, mental health, and social systems. This Knowledge allows me to approach therapy from a holistic perspective, considering the various factors that may be impacting your well-being.
As a clinical therapist licensed in both Michigan and Kentucky. I have undergone extensive training and education to develop a deep understanding of human behavior, mental health, and social systems. This Knowledge allows me to approach therapy from a holistic perspective, considering the various factors that may be impacting your well-being.
(502) 289-5856 View (502) 289-5856
Photo of Megan Meeks, LCSW, Clinical Social Work/Therapist
Megan Meeks
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40223
Hello! I’m Megan. Are you having trouble finding balance in life? Do you find it difficult to make your actions and intentions align? Are you struggling to connect to people in meaningful ways? I help people find more calm, peace and headspace in life. I will always meet you right where you are. As our starting point, we will identify what is keeping you from being the best version of you. I am passionate about integrating mindfulness, yoga and education about our nervous system to develop a stronger relationship with yourself.
Hello! I’m Megan. Are you having trouble finding balance in life? Do you find it difficult to make your actions and intentions align? Are you struggling to connect to people in meaningful ways? I help people find more calm, peace and headspace in life. I will always meet you right where you are. As our starting point, we will identify what is keeping you from being the best version of you. I am passionate about integrating mindfulness, yoga and education about our nervous system to develop a stronger relationship with yourself.
(859) 484-8343 View (859) 484-8343
Photo of Nadeja Wesley, LCSW, Clinical Social Work/Therapist
Nadeja Wesley
Clinical Social Work/Therapist, LCSW
Verified Verified
Louisville, KY 40241
Nadeja Wesley is a licensed clinical social worker who utilizes a treatment modality that emphasizes self-reflection, insight, and empathy to facilitate a restorative and enriching therapeutic experience. She works from a psychodynamic clinical framework which integrates cognitive behavioral therapy (CBT), Trauma-Informed and Harm Reduction, and EMDR techniques. Nadeja has nearly 20 years' experience providing therapeutic treatment to individuals and families across multiple community settings.
Nadeja Wesley is a licensed clinical social worker who utilizes a treatment modality that emphasizes self-reflection, insight, and empathy to facilitate a restorative and enriching therapeutic experience. She works from a psychodynamic clinical framework which integrates cognitive behavioral therapy (CBT), Trauma-Informed and Harm Reduction, and EMDR techniques. Nadeja has nearly 20 years' experience providing therapeutic treatment to individuals and families across multiple community settings.
(502) 610-5037 View (502) 610-5037
Photo of Aysha Tariq, LPCA, Counselor
Aysha Tariq
Counselor, LPCA
Verified Verified
Louisville, KY 40222
Many of us struggle to face the unknown, but change is the only constant in life. I believe that everyone has the ability to embrace change in order to foster growth and progress for themselves. I have experience and a strong compassion for people who wrestle with the problems of addiction and mental health. I am committed to providing personalized care to each client to promote resiliency, recovery, and healing. I have a deep understanding of multicultural and bilingual dynamics.I bring a unique perspective to my practice as I have an awareness of cultural nuances that allow me to connect with clients from various backgrounds.
Many of us struggle to face the unknown, but change is the only constant in life. I believe that everyone has the ability to embrace change in order to foster growth and progress for themselves. I have experience and a strong compassion for people who wrestle with the problems of addiction and mental health. I am committed to providing personalized care to each client to promote resiliency, recovery, and healing. I have a deep understanding of multicultural and bilingual dynamics.I bring a unique perspective to my practice as I have an awareness of cultural nuances that allow me to connect with clients from various backgrounds.
(502) 906-6235 View (502) 906-6235
Photo of Kanise Williams, LPCA, Counselor
Kanise Williams
Counselor, LPCA
Verified Verified
Louisville, KY 40217
Kanise Williams LPCA is mental health professional in the state of Kentucky offering counseling services for depression, anxiety, and parenting concerns.
Kanise Williams LPCA is mental health professional in the state of Kentucky offering counseling services for depression, anxiety, and parenting concerns.
(502) 369-2812 View (502) 369-2812
Photo of Jennifer Webb, LCSW, LCADC, Clinical Social Work/Therapist
Jennifer Webb
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
1 Endorsed
Louisville, KY 40222
You just want the pain, chaos, and emptiness you feel to go away once and for all. Whether it is eating secretly to comfort yourself, having to drink every night to sleep, pushing yourself to achieve, or isolating yourself. Attempting to balance family, work, and your self-care can feel overwhelming and tends to end with you feeling worse about yourself and how you can't get it together. Shame and guilt keep you stationary where you are, and if you had to admit that things were not where you wanted you might actually crumble. Let's figure out a new normal, together.
You just want the pain, chaos, and emptiness you feel to go away once and for all. Whether it is eating secretly to comfort yourself, having to drink every night to sleep, pushing yourself to achieve, or isolating yourself. Attempting to balance family, work, and your self-care can feel overwhelming and tends to end with you feeling worse about yourself and how you can't get it together. Shame and guilt keep you stationary where you are, and if you had to admit that things were not where you wanted you might actually crumble. Let's figure out a new normal, together.
(859) 955-8287 View (859) 955-8287
Photo of Tiara Armstrong, MA, LPCC-S, NCC, Counselor
Tiara Armstrong
Counselor, MA, LPCC-S, NCC
Verified Verified
1 Endorsed
Louisville, KY 40218  (Online Only)
Hello and welcome! My name is Tiara Armstrong and am a holistic-based Licensed Professional Clinical Counselor & Supervisor and an EMDR trained therapist. I specialize in helping women of color overcome intergenerational wounds and cultivate a healthier, more authentic relationship with self. With the use of holistic-based modalities I will cultivate a healing environment for you that leads to self-exploration and growth from within. Addressing the mind-body connection as a focal point of our therapeutic process, I’ll provide you with tools to help you meet your therapeutic wellness goals and create the life you desire.
Hello and welcome! My name is Tiara Armstrong and am a holistic-based Licensed Professional Clinical Counselor & Supervisor and an EMDR trained therapist. I specialize in helping women of color overcome intergenerational wounds and cultivate a healthier, more authentic relationship with self. With the use of holistic-based modalities I will cultivate a healing environment for you that leads to self-exploration and growth from within. Addressing the mind-body connection as a focal point of our therapeutic process, I’ll provide you with tools to help you meet your therapeutic wellness goals and create the life you desire.
View
Photo of undefined - Total Restoration Group, LLC, L, M, F, T, Marriage & Family Therapist
Total Restoration Group, LLC
Marriage & Family Therapist, L, M, F, T
Verified Verified
2 Endorsed
Louisville, KY 40218
Client center and treatment focused! Always working in the client's best interest.
Client center and treatment focused! Always working in the client's best interest.
(502) 443-9215 View (502) 443-9215
Photo of Nancy Leigh Plymale, MA, ATR-BC, LPAT, Art Therapist
Nancy Leigh Plymale
Art Therapist, MA, ATR-BC, LPAT
Not Verified Not Verified
Louisville, KY 40205
I absolutely am passionate about encouraging others to make the time to nurture their mental well being and health, across all ages and populations. Adding the expressive and creative techniques I am trained in accelerates growth and change by tapping into the right part of the brain and provides a fun and creative way to problem solve and engage with each other. The sand tray, storytellling, and expessive arts are for all ages and no talent needed just an open mind. Traditional talk therapy is always an option and I meet each client where they are at for that session.
I absolutely am passionate about encouraging others to make the time to nurture their mental well being and health, across all ages and populations. Adding the expressive and creative techniques I am trained in accelerates growth and change by tapping into the right part of the brain and provides a fun and creative way to problem solve and engage with each other. The sand tray, storytellling, and expessive arts are for all ages and no talent needed just an open mind. Traditional talk therapy is always an option and I meet each client where they are at for that session.
(502) 215-3346 View (502) 215-3346

See more therapy options for Highlands Douglas, Louisville

How does your Therapist compare?

Number of Therapists in Highlands Douglas, Louisville, KY

10+

Average cost per session

$120

Therapists in Highlands Douglas, Louisville, KY who prioritize treating:

100% Anxiety
91% Depression
91% Trauma and PTSD
91% Coping Skills
91% Self Esteem
91% Stress
82% Grief

Average years in practice

7 Years

Top 3 insurances accepted

100% Aetna
50% BlueCross and BlueShield
50% Cigna and Evernorth

How Therapists in Highlands Douglas, Louisville, KY see their clients

73% In Person and Online
27% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Highlands Douglas, Louisville?

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.