Therapists in Sterlington, LA

Photo of Kasey Gentry Witherington - Kasey Witherington Counseling @ Tower Place, MEd, LPC, Licensed Professional Counselor
Kasey Witherington Counseling @ Tower Place
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Sterlington, LA 71280
Are you living the best version of "you"? Is what you are doing each day working to build a better life? What's holding you back from changing? These are questions I might ask during our first session. I approach therapy from a collaborative viewpoint. Together the client and therapist will build a therapeutic relationship that will produce positive solutions. I also encourage the client to become mentally and physically empowered by recognizing and changing their unconscious thoughts and ideas.
Are you living the best version of "you"? Is what you are doing each day working to build a better life? What's holding you back from changing? These are questions I might ask during our first session. I approach therapy from a collaborative viewpoint. Together the client and therapist will build a therapeutic relationship that will produce positive solutions. I also encourage the client to become mentally and physically empowered by recognizing and changing their unconscious thoughts and ideas.
(318) 381-4317 View (318) 381-4317
Photo of Dr. Gayberyl Shyne, LCSW, LAC CCS, SAP, CCGC, LMLC, Clinical Social Work/Therapist
Dr. Gayberyl Shyne
Clinical Social Work/Therapist, LCSW, LAC CCS, SAP, CCGC, LMLC
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
Have you encountered a violation related to alcohol or prohibited drugs under the Department of Transportation (DOT) regulations? When a DOT-regulated employee violates DOT alcohol and drug regulations it is necessary to remove them from any safety-sensitive duties to ensure their safety and the safety of others. SAPs conduct thorough evaluations of employees who have violated DOT drug and alcohol regulations. Based on the evaluation, SAPs provide treatment recommendations, monitor employee compliance to treatment plan, and complete follow-up evaluations to determine employee's readiness to return to safety-sensitive positions.
Have you encountered a violation related to alcohol or prohibited drugs under the Department of Transportation (DOT) regulations? When a DOT-regulated employee violates DOT alcohol and drug regulations it is necessary to remove them from any safety-sensitive duties to ensure their safety and the safety of others. SAPs conduct thorough evaluations of employees who have violated DOT drug and alcohol regulations. Based on the evaluation, SAPs provide treatment recommendations, monitor employee compliance to treatment plan, and complete follow-up evaluations to determine employee's readiness to return to safety-sensitive positions.
(318) 889-1967 View (318) 889-1967
Photo of Marlo Gazzo Shepard, MA, MEd, LMFT, Marriage & Family Therapist
Marlo Gazzo Shepard
Marriage & Family Therapist, MA, MEd, LMFT
Verified Verified
Sterlington, LA 71280
Find Fulfillment! My ultimate goal as a therapist is to help the individual client or the familial unit I am seeing do just that! I truly believe that so many of us experience a lack of fulfillment, being with emotional expectations, social relationships, personal goals or professional path to list, that issues inevitably arise. These issues can manifest themselves as anxiety or depression, emotional dysregulation, substance use disorder, or behavioral problems and the list could continue. This can change though! With intentionality and perspective, we can become the hopes we have for ourselves, living wholly fulfilled lives.
Find Fulfillment! My ultimate goal as a therapist is to help the individual client or the familial unit I am seeing do just that! I truly believe that so many of us experience a lack of fulfillment, being with emotional expectations, social relationships, personal goals or professional path to list, that issues inevitably arise. These issues can manifest themselves as anxiety or depression, emotional dysregulation, substance use disorder, or behavioral problems and the list could continue. This can change though! With intentionality and perspective, we can become the hopes we have for ourselves, living wholly fulfilled lives.
(318) 392-9716 View (318) 392-9716
Photo of Janna Carroll McMasters, MA, LPC, Licensed Professional Counselor
Janna Carroll McMasters
Licensed Professional Counselor, MA, LPC
Verified Verified
5 Endorsed
Sterlington, LA 71280
Not accepting new clients
I have a heart to help people who are hurting and looking for relief, change, and hope. Maybe you're looking at life right now and it looks bleak, but you don't know what's wrong and much less how to fix it, or maybe you know exactly what your problem is, but you don’t know what to do about it or you just need an unbiased ear to sit with you, listen to you, and walk through the struggle with you as we work to find a solution. Regardless of your situation, I would love to help.
I have a heart to help people who are hurting and looking for relief, change, and hope. Maybe you're looking at life right now and it looks bleak, but you don't know what's wrong and much less how to fix it, or maybe you know exactly what your problem is, but you don’t know what to do about it or you just need an unbiased ear to sit with you, listen to you, and walk through the struggle with you as we work to find a solution. Regardless of your situation, I would love to help.
(318) 531-6157 View (318) 531-6157
Photo of Sheryl Ford, MA, PLMFT, PLPC, Pre-Licensed Professional
Sheryl Ford
Pre-Licensed Professional, MA, PLMFT, PLPC
Verified Verified
Sterlington, LA 71280
If you have experienced relational, sexual, religious, or other trauma(s), there is opportunity for healing and freedom available to you. I work with individuals and couples struggling to overcome these difficulties, offering research-based interventions to assist in the healing process. Whether it is one session, or many, I enjoy partnering with clients throughout the therapy process. I always strive to create a safe and calming space for all, regardless of gender or sexual identity, lifestyle choices, issues discussed, etc.
If you have experienced relational, sexual, religious, or other trauma(s), there is opportunity for healing and freedom available to you. I work with individuals and couples struggling to overcome these difficulties, offering research-based interventions to assist in the healing process. Whether it is one session, or many, I enjoy partnering with clients throughout the therapy process. I always strive to create a safe and calming space for all, regardless of gender or sexual identity, lifestyle choices, issues discussed, etc.
(318) 702-9731 View (318) 702-9731

More Therapists Nearby

Photo of Lesley Lowman, MA, LPC, Licensed Professional Counselor
Lesley Lowman
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Monroe, LA 71201
Life can feel overwhelming sometimes. It could be losing a loved one, a job or some other major life change. Maybe there’s conflict within your family or other close relationships. Sometimes you just feel sad, lonely, or confused about what to do next. And for others, there is something devastating from the past that feels impossible to move beyond. This is when counseling can help. It’s important to realize that you’re not alone and that help can be found, you just have to be willing to take that first scary step in asking for it.
Life can feel overwhelming sometimes. It could be losing a loved one, a job or some other major life change. Maybe there’s conflict within your family or other close relationships. Sometimes you just feel sad, lonely, or confused about what to do next. And for others, there is something devastating from the past that feels impossible to move beyond. This is when counseling can help. It’s important to realize that you’re not alone and that help can be found, you just have to be willing to take that first scary step in asking for it.
(318) 232-4576 View (318) 232-4576
Photo of Alyssa Tamburo, MA, LPC, Licensed Professional Counselor
Alyssa Tamburo
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Monroe, LA 71201
There are so many obstacles life can throw at you. It is exhausting, crippling, and overwhelming. It can leave you feeling like you are caught in a tidal wave and drowning. How do you get to a place where you feel like you can breathe again? Take my hand and let me help pull you out of the crashing waves. My ultimate goal as a therapist is to create a safe, non-judgmental space for my clients to speak freely in. I believe in establishing caring, trustworthy relationships with my clients. Through love, compassion, and understanding we can work together to conquer the struggles that are impacting your life. You are not alone in this.
There are so many obstacles life can throw at you. It is exhausting, crippling, and overwhelming. It can leave you feeling like you are caught in a tidal wave and drowning. How do you get to a place where you feel like you can breathe again? Take my hand and let me help pull you out of the crashing waves. My ultimate goal as a therapist is to create a safe, non-judgmental space for my clients to speak freely in. I believe in establishing caring, trustworthy relationships with my clients. Through love, compassion, and understanding we can work together to conquer the struggles that are impacting your life. You are not alone in this.
(318) 600-5175 View (318) 600-5175
Photo of Shannon Boyce - Shannon Boyce (Choosing Change Counseling LLC.), MA, LPC-S, NCC, BCST, BCCH, Licensed Professional Counselor
Shannon Boyce (Choosing Change Counseling LLC.)
Licensed Professional Counselor, MA, LPC-S, NCC, BCST, BCCH
Verified Verified
Monroe, LA 71203
Sex therapy is a form of counseling that is for couples as well as individuals to resolve sexual difficulties, such as performance anxieties or relationship problems. It is a specialized type of psychotherapy, which means you are treating a mental health issue by going to a mental health professional. Sex therapy can help you improve your current or future relationships, overcome sexual and physical difficulties, and help gain a better understanding of yourself and your sexuality. We provide a safe and relaxing environment, along with professional care, and understand the difficulty you are struggling with.
Sex therapy is a form of counseling that is for couples as well as individuals to resolve sexual difficulties, such as performance anxieties or relationship problems. It is a specialized type of psychotherapy, which means you are treating a mental health issue by going to a mental health professional. Sex therapy can help you improve your current or future relationships, overcome sexual and physical difficulties, and help gain a better understanding of yourself and your sexuality. We provide a safe and relaxing environment, along with professional care, and understand the difficulty you are struggling with.
(318) 342-5970 View (318) 342-5970
Photo of Catherine H Price, LPC-S, NCC, Licensed Professional Counselor
Catherine H Price
Licensed Professional Counselor, LPC-S, NCC
Verified Verified
West Monroe, LA 71291
I have substantial experience providing individual, couple, family, and group therapy in areas of addiction, mental health, trauma, grief, anger, relationship issues, and other life and family issues.
I have substantial experience providing individual, couple, family, and group therapy in areas of addiction, mental health, trauma, grief, anger, relationship issues, and other life and family issues.
(318) 386-4854 View (318) 386-4854
Photo of Jessi Andrews, MA, LPC, Licensed Professional Counselor
Jessi Andrews
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
West Monroe, LA 71291
I believe that what’s needed to overcome life’s challenges lies within all of us. It’s my job to help you tap into those inner strengths while advocating for you every step of the way. I feel passionate about helping people live an authentic and fulfilling life and believe that everyone deserves that. You are worthy and deserve to be seen, no matter what life has brought your way. I feel that one of the most important pieces of counseling is the relationship between the counselor and the client.
I believe that what’s needed to overcome life’s challenges lies within all of us. It’s my job to help you tap into those inner strengths while advocating for you every step of the way. I feel passionate about helping people live an authentic and fulfilling life and believe that everyone deserves that. You are worthy and deserve to be seen, no matter what life has brought your way. I feel that one of the most important pieces of counseling is the relationship between the counselor and the client.
(318) 497-7006 View (318) 497-7006
Photo of Robert D Hanser, PhD, LPC-SA, Licensed Professional Counselor
Robert D Hanser
Licensed Professional Counselor, PhD, LPC-SA
Verified Verified
West Monroe, LA 71291
My approach to counseling goes from being person-centered (while means using quite a bit of reflective listening) to more directive feedback, depending on what the individual requests. I do work that includes delving into the subconscious as well as typical cognitive-behavioral work. First and foremost, I will tailor my approach to your requested desires and needs.
My approach to counseling goes from being person-centered (while means using quite a bit of reflective listening) to more directive feedback, depending on what the individual requests. I do work that includes delving into the subconscious as well as typical cognitive-behavioral work. First and foremost, I will tailor my approach to your requested desires and needs.
(318) 248-1444 View (318) 248-1444
Photo of Briann Berlier, MA, LPC, Licensed Professional Counselor
Briann Berlier
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Ruston, LA 71270
I am a Licensed Professional Counselor who has experience working with children, adolescents, adults, and families. I specialize in treating anxiety, depression, trauma, behavioral issues in children, and parent-child relationships. I am trained in Play Therapy, Sand tray Therapy, Cognitive Behavioral Therapy, and School Based Mental Health Counseling.
I am a Licensed Professional Counselor who has experience working with children, adolescents, adults, and families. I specialize in treating anxiety, depression, trauma, behavioral issues in children, and parent-child relationships. I am trained in Play Therapy, Sand tray Therapy, Cognitive Behavioral Therapy, and School Based Mental Health Counseling.
(318) 697-7209 View (318) 697-7209
Photo of Andrew LeBlanc, LCSW, Clinical Social Work/Therapist
Andrew LeBlanc
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am Andrew LeBlanc, a Licensed Clinical Social Worker with a long history in mental health and a wide range of experience. I have been in this field since 1993, even before becoming a social worker, and have worked with many different populations, from young adults to the senior community. I received my Master's of Social Work from SUNO School of Social Work.
I am Andrew LeBlanc, a Licensed Clinical Social Worker with a long history in mental health and a wide range of experience. I have been in this field since 1993, even before becoming a social worker, and have worked with many different populations, from young adults to the senior community. I received my Master's of Social Work from SUNO School of Social Work.
(318) 702-1059 View (318) 702-1059
Photo of Constance Ash, Black, Female, Anxiety, Burnout, Stress, Licensed Professional Counselor
Constance Ash
Licensed Professional Counselor, Black, Female, Anxiety, Burnout, Stress
Verified Verified
1 Endorsed
Online Only
You're a high-achieving, professional woman or college student, Therapist, Doctor, Nurse, Police-Woman, Teacher, Professor, Mother, or simply a Woman who is tired of being sick and tired. If you're struggling with anxiety, stress, and the pressures of balancing career, family, social life, and self-care, I can help. You may feel trapped in cycles of anxiety, burnout, and self-doubt, constantly feeling like you're not good enough. If you're ready to take off the "Superwoman" cape and learn simple, effective solutions, consider scheduling a free 20-minute video consultation with me.
You're a high-achieving, professional woman or college student, Therapist, Doctor, Nurse, Police-Woman, Teacher, Professor, Mother, or simply a Woman who is tired of being sick and tired. If you're struggling with anxiety, stress, and the pressures of balancing career, family, social life, and self-care, I can help. You may feel trapped in cycles of anxiety, burnout, and self-doubt, constantly feeling like you're not good enough. If you're ready to take off the "Superwoman" cape and learn simple, effective solutions, consider scheduling a free 20-minute video consultation with me.
(318) 353-8063 View (318) 353-8063
Photo of Shawanda Gayton, LPC-S, Licensed Professional Counselor
Shawanda Gayton
Licensed Professional Counselor, LPC-S
Verified Verified
Online Only
I am Shawanda, a Licensed Professional Counselor Supervisor in Louisiana with over 10 years of experience in mental health counseling. I have worked with clients facing a wide range of concerns, including depression, anxiety, anger management, behavioral issues, relationship issues, parenting challenges, and family conflict. I tailor our dialogue and treatment plan to meet your unique and specific needs because I believe that no one is a better expert on your life than YOU. My role is to offer you a different perspective, with the goal of helping you discover the best path forward for your life.
I am Shawanda, a Licensed Professional Counselor Supervisor in Louisiana with over 10 years of experience in mental health counseling. I have worked with clients facing a wide range of concerns, including depression, anxiety, anger management, behavioral issues, relationship issues, parenting challenges, and family conflict. I tailor our dialogue and treatment plan to meet your unique and specific needs because I believe that no one is a better expert on your life than YOU. My role is to offer you a different perspective, with the goal of helping you discover the best path forward for your life.
(318) 824-4167 View (318) 824-4167
Photo of Navjot Redpath, LPC, Licensed Professional Counselor
Navjot Redpath
Licensed Professional Counselor, LPC
Verified Verified
Online Only
I am a Licensed Professional Counselor in the state of Louisiana with over 15 years of experience counseling children and adults who are struggling with depression, anxiety, personal issues, attention deficit hyperactivity disorder (ADHD), behavioral issues, self-esteem, and grief and loss. I completed my Bachelor's in Psychology and my Master's in Education, focusing on Human Services Counseling, both at the University of New Orleans.
I am a Licensed Professional Counselor in the state of Louisiana with over 15 years of experience counseling children and adults who are struggling with depression, anxiety, personal issues, attention deficit hyperactivity disorder (ADHD), behavioral issues, self-esteem, and grief and loss. I completed my Bachelor's in Psychology and my Master's in Education, focusing on Human Services Counseling, both at the University of New Orleans.
(318) 217-8376 View (318) 217-8376
Photo of Valerie Williams, PLPC, Pre-Licensed Professional
Valerie Williams
Pre-Licensed Professional, PLPC
Verified Verified
1 Endorsed
Online Only
Valerie Williams is a highly skilled and compassionate Counselor at Wells of Life Counseling, specializing in providing support and guidance to individuals of all walks of life. With a firm belief that one can conquer all things through faith in God, Valerie Williams strives to empower individuals to develop a positive mindset and overcome any obstacles they may face.
Valerie Williams is a highly skilled and compassionate Counselor at Wells of Life Counseling, specializing in providing support and guidance to individuals of all walks of life. With a firm belief that one can conquer all things through faith in God, Valerie Williams strives to empower individuals to develop a positive mindset and overcome any obstacles they may face.
(318) 353-4998 View (318) 353-4998
Photo of Christy Ticheli, DSW, LCSW, BACS, Clinical Social Work/Therapist
Christy Ticheli
Clinical Social Work/Therapist, DSW, LCSW, BACS
Verified Verified
1 Endorsed
Monroe, LA 71201
Are you feeling overwhelmed by anxiety, depression, or grief? Do you find yourself struggling to maintain a sense of self-worth amidst life's challenges? Perhaps you've recently faced a significant life transition, leaving you feeling disconnected and unsure of your path forward. If you're nodding along, know that you're not alone. I understand the weight of these emotions and the toll they can take on your daily life: ignoring your own needs can have lasting effects on your mental and physical well-being. But there is hope.
Are you feeling overwhelmed by anxiety, depression, or grief? Do you find yourself struggling to maintain a sense of self-worth amidst life's challenges? Perhaps you've recently faced a significant life transition, leaving you feeling disconnected and unsure of your path forward. If you're nodding along, know that you're not alone. I understand the weight of these emotions and the toll they can take on your daily life: ignoring your own needs can have lasting effects on your mental and physical well-being. But there is hope.
(318) 498-6061 View (318) 498-6061
Photo of Dr. Alisha Diggs, PhD, LPC-S, Licensed Professional Counselor
Dr. Alisha Diggs
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
Online Only
With over 12 years of experience, counseling, for me, isn't just about problem-solving; it's a beautiful dance of understanding, trust, and growth. Together, we'll embark on a journey of exploring your present challenges and crafting a vision for the life you deserve. In our safe counseling space, your thoughts and feelings take center stage. I'm here to listen, support, and guide you through the twists and turns of your unique story with respect, sensitivity, and compassion.
With over 12 years of experience, counseling, for me, isn't just about problem-solving; it's a beautiful dance of understanding, trust, and growth. Together, we'll embark on a journey of exploring your present challenges and crafting a vision for the life you deserve. In our safe counseling space, your thoughts and feelings take center stage. I'm here to listen, support, and guide you through the twists and turns of your unique story with respect, sensitivity, and compassion.
(225) 396-9430 View (225) 396-9430
Photo of Dr. Brian K Wise, PhD, LPC, NCC, AASECT, Licensed Professional Counselor
Dr. Brian K Wise
Licensed Professional Counselor, PhD, LPC, NCC, AASECT
Verified Verified
Monroe, LA 71201
A sex therapist plays a crucial role in helping individuals navigate challenges related to sexual health and intimacy. While I don't treat physical issues directly, most often, there are other nonphysical matters leading to sexual dysfunction. This includes psychological concerns related to sexual performance, erectile dysfunction, delayed or premature ejaculation, relationship issues, opposing sex drives (libidos), open and closed relationships, coming out, issues around porn use, lack of desire/interests, etc. We will work together to regain a more satisfying level of sexual health and function.
A sex therapist plays a crucial role in helping individuals navigate challenges related to sexual health and intimacy. While I don't treat physical issues directly, most often, there are other nonphysical matters leading to sexual dysfunction. This includes psychological concerns related to sexual performance, erectile dysfunction, delayed or premature ejaculation, relationship issues, opposing sex drives (libidos), open and closed relationships, coming out, issues around porn use, lack of desire/interests, etc. We will work together to regain a more satisfying level of sexual health and function.
(719) 414-8261 View (719) 414-8261

See more therapy options for Sterlington

How does your Therapist compare?

Number of Therapists in Sterlington, LA

< 10

Therapists in Sterlington, LA who prioritize treating:

100% Depression
100% Anxiety
100% Coping Skills
100% Stress
80% Relationship Issues
80% Trauma and PTSD
80% Family Conflict

Average years in practice

13 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% UnitedHealthcare UHC | UBH
100% Vantage Health Plan

How Therapists in Sterlington, LA see their clients

80% In Person and Online
20% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Sterlington?

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.