Therapists in Central, Boston, MA

Photo of Nicholas Whooley, Counselor in Central, Boston, MA
Nicholas Whooley
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Central, Boston, MA 02116
Not accepting new clients
Starting therapy can be a challenge. Untangling difficult thoughts and feelings that have us in knots is never easy. Therapy can also be one of our most healing and cathartic experiences. At its best, therapy is a space to be together in the painful parts of life, cultivate strengths, and find humor in it all along the way. I offer a safe space for you to untangle those knots.
Starting therapy can be a challenge. Untangling difficult thoughts and feelings that have us in knots is never easy. Therapy can also be one of our most healing and cathartic experiences. At its best, therapy is a space to be together in the painful parts of life, cultivate strengths, and find humor in it all along the way. I offer a safe space for you to untangle those knots.
(857) 837-2090 View (857) 837-2090
Photo of Wellworth Therapy, Clinical Social Work/Therapist in Central, Boston, MA
Wellworth Therapy
Clinical Social Work/Therapist, LICSW
Verified Verified
Central, Boston, MA 02110  (Online Only)
At WellWorth Therapy, our guiding philosophy shapes our psychotherapy approach, blending soul (psyche) and healing (therapy). We focus beyond just symptoms, reaching into the essence of human experience to promote growth, healing, and transformation. Recognizing the uniqueness of each journey, we aim to deepen self-awareness and understanding of others, fostering meaningful change.
At WellWorth Therapy, our guiding philosophy shapes our psychotherapy approach, blending soul (psyche) and healing (therapy). We focus beyond just symptoms, reaching into the essence of human experience to promote growth, healing, and transformation. Recognizing the uniqueness of each journey, we aim to deepen self-awareness and understanding of others, fostering meaningful change.
(857) 703-2354 View (857) 703-2354
Photo of Lily Dolyak, Clinical Social Work/Therapist in Central, Boston, MA
Lily Dolyak
Clinical Social Work/Therapist, LICSW
Verified Verified
Central, Boston, MA 02114
My ideal client still chooses to show up regardless of their ambivalence towards their treatment goals. Even if this person is not entirely set on treatment, recovery, whatever it might be, your next steps can decide whether or not that individual returns. If I'm thinking more specifically about my own experience, I think a lot about the individuals I supported who were actively using substances. They could identify the harmful impacts and want recovery but couldn't get through their initial ambivalence. These types of moments and individuals are so important to me.
My ideal client still chooses to show up regardless of their ambivalence towards their treatment goals. Even if this person is not entirely set on treatment, recovery, whatever it might be, your next steps can decide whether or not that individual returns. If I'm thinking more specifically about my own experience, I think a lot about the individuals I supported who were actively using substances. They could identify the harmful impacts and want recovery but couldn't get through their initial ambivalence. These types of moments and individuals are so important to me.
(781) 332-4147 View (781) 332-4147
Photo of Shaundry Swainamer, Counselor in Central, Boston, MA
Shaundry Swainamer
Counselor, LMHC
Verified Verified
Central, Boston, MA 02110
Life can be challenging for many different reasons, and sometimes it feels like everything is happening at once or things just aren't going how we expected. Being vulnerable is difficult, and so is assessing ourselves honestly and kindly. It's overwhelming to look inward to assess the changes that we can make or the standards that we want to set for ourselves. Sometimes it takes an objective perspective to help us realize our reality as well as our potential.
Life can be challenging for many different reasons, and sometimes it feels like everything is happening at once or things just aren't going how we expected. Being vulnerable is difficult, and so is assessing ourselves honestly and kindly. It's overwhelming to look inward to assess the changes that we can make or the standards that we want to set for ourselves. Sometimes it takes an objective perspective to help us realize our reality as well as our potential.
(508) 859-7640 View (508) 859-7640
Photo of Lisa Bastos, Counselor in Central, Boston, MA
Lisa Bastos
Counselor, LMHC
Verified Verified
Central, Boston, MA 02110  (Online Only)
Accepting new clients during the daytime for telehealth sessions. I work with adults needing support with anxiety, depression, parenting/life stressors, career ambivalence, relationship issues, self-esteem, cultural factors, and transition. Is navigating through a life transition or relationship issue bringing up stress, anxiety, insecurities, or impacting your motivation? Is a new obstacle making parenting a challenge? Are cultural expectations affecting your daily functioning, career goals, or desires? By understanding how these triggers can impact symptoms, we can break negative cycles and empower positive change.
Accepting new clients during the daytime for telehealth sessions. I work with adults needing support with anxiety, depression, parenting/life stressors, career ambivalence, relationship issues, self-esteem, cultural factors, and transition. Is navigating through a life transition or relationship issue bringing up stress, anxiety, insecurities, or impacting your motivation? Is a new obstacle making parenting a challenge? Are cultural expectations affecting your daily functioning, career goals, or desires? By understanding how these triggers can impact symptoms, we can break negative cycles and empower positive change.
(617) 533-0537 View (617) 533-0537
Photo of Princess Alston , Counselor in Central, Boston, MA
Princess Alston
Counselor, LMHC, CADC
Verified Verified
Central, Boston, MA 02108
Hi there! My name is Princess Alston, and I am the founder and primary facilitator of Cultivated Core. We specialize in providing therapy and mental performance coaching services to help you achieve holistic wellness and peak performance in your personal life, career, sports, and academics. Our team prioritizes cultural responsiveness and assists clients in overcoming challenges related to self-confidence, decision-making, time management, and mental health issues such as anxiety, depression, trauma, grief, and stress management.
Hi there! My name is Princess Alston, and I am the founder and primary facilitator of Cultivated Core. We specialize in providing therapy and mental performance coaching services to help you achieve holistic wellness and peak performance in your personal life, career, sports, and academics. Our team prioritizes cultural responsiveness and assists clients in overcoming challenges related to self-confidence, decision-making, time management, and mental health issues such as anxiety, depression, trauma, grief, and stress management.
(351) 777-2150 View (351) 777-2150
Photo of Anthony Andreottola, Counselor in Central, Boston, MA
Anthony Andreottola
Counselor, LMHC, LADC 1
Verified Verified
1 Endorsed
Central, Boston, MA 02110
I am currently accepting clients 18+ who are struggling with ongoing substance use, or individuals who are currently in recovery and would like support navigating life stressors. I am both an LMHC and LDAC1 with over 30 years of clinical experience. In my practice, I use a client centered approach combined with motivational interviewing to help adults who are seeking to change behaviors which are having a negative impact on their lives.
I am currently accepting clients 18+ who are struggling with ongoing substance use, or individuals who are currently in recovery and would like support navigating life stressors. I am both an LMHC and LDAC1 with over 30 years of clinical experience. In my practice, I use a client centered approach combined with motivational interviewing to help adults who are seeking to change behaviors which are having a negative impact on their lives.
(617) 744-4614 View (617) 744-4614
Photo of Elizabeth A Willems, Psychologist in Central, Boston, MA
Elizabeth A Willems
Psychologist, PsyD
Verified Verified
Central, Boston, MA 02110
ACCEPTing New Clients. Elizabeth Willems leads the Intercultural Psychological Services (IPS) practice. She focuses on traumatic memories, depression, stress management, relationship problems, and acculturation. Dr. Willems sees residents of CA, NY, MD, MA, FL, USA and select countries via phone/video. She holds a doctorate in Clinical Psychology from Alliant International University. She completed clinical training at the Center for Multicultural Training in Psychology, Harvard Longwood Psychiatry Massachusetts Mental Health Center, BMC Department of Behavioral Medicine, and Casa del Sol as well as other community clinics.
ACCEPTing New Clients. Elizabeth Willems leads the Intercultural Psychological Services (IPS) practice. She focuses on traumatic memories, depression, stress management, relationship problems, and acculturation. Dr. Willems sees residents of CA, NY, MD, MA, FL, USA and select countries via phone/video. She holds a doctorate in Clinical Psychology from Alliant International University. She completed clinical training at the Center for Multicultural Training in Psychology, Harvard Longwood Psychiatry Massachusetts Mental Health Center, BMC Department of Behavioral Medicine, and Casa del Sol as well as other community clinics.
(415) 430-4174 View (415) 430-4174
Photo of Josalin Scott, Clinical Social Work/Therapist in Central, Boston, MA
Josalin Scott
Clinical Social Work/Therapist, LICSW
Verified Verified
Central, Boston, MA 02114
Josalin Scott is a Licensed Independent Clinical Social Worker. Her main area of specialty is helping individuals who are coping with depression, anxiety, ADHD/ADD diagnosis, self-harming, pet loss, family building concerns, and LGBTQ+ matters. Over the years, Josalin has gained experience by working with individuals who are coping with emotional abuse, deportation of family members, death of loved ones, and other painful experiences. She also works with individuals who seek treatment for anger management and stress management.
Josalin Scott is a Licensed Independent Clinical Social Worker. Her main area of specialty is helping individuals who are coping with depression, anxiety, ADHD/ADD diagnosis, self-harming, pet loss, family building concerns, and LGBTQ+ matters. Over the years, Josalin has gained experience by working with individuals who are coping with emotional abuse, deportation of family members, death of loved ones, and other painful experiences. She also works with individuals who seek treatment for anger management and stress management.
(617) 676-0379 View (617) 676-0379
Photo of Healthful Living Way, Clinical Social Work/Therapist in Central, Boston, MA
Healthful Living Way
Clinical Social Work/Therapist
Verified Verified
Central, Boston, MA 02109  (Online Only)
Do you feel depressed, hopeless, or anxious most of the time? Are you feeling overwhelmed with simple tasks in life? Are you wondering if you have what it takes to tackle life transitions? Do you need guidance in deciding what path you should take? Have you experienced suicidal ideation? You are not alone. At some time in our lives, we face difficult situations that seem to be impossible to overcome. True transformational healing occurs holistically through physical, emotional, mental, and spiritual balance. There’s not a one size fits all technique
Do you feel depressed, hopeless, or anxious most of the time? Are you feeling overwhelmed with simple tasks in life? Are you wondering if you have what it takes to tackle life transitions? Do you need guidance in deciding what path you should take? Have you experienced suicidal ideation? You are not alone. At some time in our lives, we face difficult situations that seem to be impossible to overcome. True transformational healing occurs holistically through physical, emotional, mental, and spiritual balance. There’s not a one size fits all technique
(781) 630-4562 View (781) 630-4562
Photo of Donna Massey LMHC, Counselor in Central, Boston, MA
Donna Massey LMHC
Counselor, LMHC, LPC, LPCC
Verified Verified
Central, Boston, MA 02114  (Online Only)
"Happiness is not a destination, it is a journey” (Aristotle). If you have found yourself questioning your own happiness, you may be questioning your journey. Asking for help along the way can sometimes be difficult; however, I can offer you comfort in making that decision and help guide you. Healing takes time, but you don't have to do it alone. If you are looking for growth and deliverance of new and innovative interventions through compassion and understanding, you have found the beginning of a new journey.
"Happiness is not a destination, it is a journey” (Aristotle). If you have found yourself questioning your own happiness, you may be questioning your journey. Asking for help along the way can sometimes be difficult; however, I can offer you comfort in making that decision and help guide you. Healing takes time, but you don't have to do it alone. If you are looking for growth and deliverance of new and innovative interventions through compassion and understanding, you have found the beginning of a new journey.
(508) 466-6331 View (508) 466-6331
Photo of Drew Shegda, Counselor in Central, Boston, MA
Drew Shegda
Counselor, LMHC
Verified Verified
Central, Boston, MA 02110  (Online Only)
Waitlist for new clients
It's an unfortunate reality, but many people never reach their full potential in life; there always seems to be one or more things holding them back. This can be due to past traumatic experiences, a difficult childhood, their own thoughts, etc... the list is endless! As a result, anxiety and depression can set in.
It's an unfortunate reality, but many people never reach their full potential in life; there always seems to be one or more things holding them back. This can be due to past traumatic experiences, a difficult childhood, their own thoughts, etc... the list is endless! As a result, anxiety and depression can set in.
(857) 367-4106 View (857) 367-4106
Photo of Jodi L. Coochise, Psychologist in Central, Boston, MA
Jodi L. Coochise
Psychologist, PhD
Verified Verified
Central, Boston, MA 02110
In my work as a therapist I seek to create an environment that is caring and supportive while allowing us to identify opportunities for growth and healing. My approach emphasizes skill-building, increasing insight and helping you to return to a life that is balanced, healthy and productive. I believe that with the right fit therapy can be rewarding and even life-changing. I work collaboratively with clients to reduce distress and emotional pain related to issues such as depression, anxiety, trauma and relationship concerns among others.
In my work as a therapist I seek to create an environment that is caring and supportive while allowing us to identify opportunities for growth and healing. My approach emphasizes skill-building, increasing insight and helping you to return to a life that is balanced, healthy and productive. I believe that with the right fit therapy can be rewarding and even life-changing. I work collaboratively with clients to reduce distress and emotional pain related to issues such as depression, anxiety, trauma and relationship concerns among others.
(617) 553-1450 View (617) 553-1450
Photo of Amelia Hasbun, Marriage & Family Therapist in Central, Boston, MA
Amelia Hasbun
Marriage & Family Therapist, LMFT
Verified Verified
Central, Boston, MA 02114
I enjoy working with couples, the LGBTQIA+ community, women, people of color, children, families, those of various cultural backgrounds, those with anxiety and depression, and those navigating life stressors or geographic moves. I like working with clients who are ready to work authentically on stated goals.
I enjoy working with couples, the LGBTQIA+ community, women, people of color, children, families, those of various cultural backgrounds, those with anxiety and depression, and those navigating life stressors or geographic moves. I like working with clients who are ready to work authentically on stated goals.
(781) 745-3882 View (781) 745-3882
Photo of Loren Esposito, LICSW, LLC, Clinical Social Work/Therapist in Central, Boston, MA
Loren Esposito, LICSW, LLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
3 Endorsed
Central, Boston, MA 02110
Not accepting new clients
Treatment for: Anxiety, OCD,Grief, self-esteem, relationships, transitions, with CBT, ERP, EMDR, ACT, TIST, Eclectic I have helped many clients thru a variety of treatment needs, goals, issues. I am easy to connect with and offer 20 years of excellent experience to clarify your concerns. Together we identify obstacles and thinking/ behavioral patterns which may or may not be helping. Next we explore treatment goals that you seek to achieve. My training can help you learn skills to help yourself. I offer a supportive, environment for our sessions. I have successfully worked with clients to improve many concerns brought to therapy.
Treatment for: Anxiety, OCD,Grief, self-esteem, relationships, transitions, with CBT, ERP, EMDR, ACT, TIST, Eclectic I have helped many clients thru a variety of treatment needs, goals, issues. I am easy to connect with and offer 20 years of excellent experience to clarify your concerns. Together we identify obstacles and thinking/ behavioral patterns which may or may not be helping. Next we explore treatment goals that you seek to achieve. My training can help you learn skills to help yourself. I offer a supportive, environment for our sessions. I have successfully worked with clients to improve many concerns brought to therapy.
(508) 406-9964 View (508) 406-9964
Photo of Sophia Sgarlat, Clinical Social Work/Therapist in Central, Boston, MA
Sophia Sgarlat
Clinical Social Work/Therapist, LCSW
Verified Verified
Central, Boston, MA 02114
Do you think you may have ADHD or Autism? Have you struggled to assert boundaries at work, with family, & partners? Have you felt curious about exploring different pronouns and gender identity? Do you feel bad that you have a disability and don't know how to tell your friends that you can't do certain activities? You may have goals to tell your friends your preferred pronouns. Goals to get a diagnosis for your disability & curious about medication, goals to reevaluate your relationship with cannabis/alcohol. You may feel shame & anger about your childhood & the way your parents handled your behavior.
Do you think you may have ADHD or Autism? Have you struggled to assert boundaries at work, with family, & partners? Have you felt curious about exploring different pronouns and gender identity? Do you feel bad that you have a disability and don't know how to tell your friends that you can't do certain activities? You may have goals to tell your friends your preferred pronouns. Goals to get a diagnosis for your disability & curious about medication, goals to reevaluate your relationship with cannabis/alcohol. You may feel shame & anger about your childhood & the way your parents handled your behavior.
(617) 958-6340 View (617) 958-6340
Photo of Sarah McGowan, Clinical Social Work/Therapist in Central, Boston, MA
Sarah McGowan
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Central, Boston, MA 02110  (Online Only)
Speaking from experience, therapy is a life changing process to create positive change by increasing understanding of self and identifying strategies that work! Having high value of trusting relationships I hope to create a safe, affirming, and supportive space for you to feel, express and grow as you work towards your goals. I specialize in working with children, teens and young adults with any academic or emotional challenges. I also work with adult women struggling with overwhelm, a lacking a sense of fulfillment, feelings of disconnection, or navigating life transitions, moving, motherhood and beyond.
Speaking from experience, therapy is a life changing process to create positive change by increasing understanding of self and identifying strategies that work! Having high value of trusting relationships I hope to create a safe, affirming, and supportive space for you to feel, express and grow as you work towards your goals. I specialize in working with children, teens and young adults with any academic or emotional challenges. I also work with adult women struggling with overwhelm, a lacking a sense of fulfillment, feelings of disconnection, or navigating life transitions, moving, motherhood and beyond.
(617) 915-2952 View (617) 915-2952
Photo of Comfort Counseling Center, Counselor in Central, Boston, MA
Comfort Counseling Center
Counselor, LMHC, LPC
Verified Verified
Central, Boston, MA 02110  (Online Only)
Are you a black Christian professional tired of feeling stuck and overwhelmed? Do you feel like you're running, but not moving? Do you feel drained by the heaviness of depression and stress? Life has been so hard lately. You're up at night tossing and turning wondering, when will things get better. The toll of being a professional and showing up for yourself and your loved ones is unbearable. Your ability to love, work, and play has declined. You want to ensure you can thrive in corporate America, but it's taking a toll on your health. Our clients struggle like you do. We get it.
Are you a black Christian professional tired of feeling stuck and overwhelmed? Do you feel like you're running, but not moving? Do you feel drained by the heaviness of depression and stress? Life has been so hard lately. You're up at night tossing and turning wondering, when will things get better. The toll of being a professional and showing up for yourself and your loved ones is unbearable. Your ability to love, work, and play has declined. You want to ensure you can thrive in corporate America, but it's taking a toll on your health. Our clients struggle like you do. We get it.
(781) 394-9746 View (781) 394-9746
Photo of Nicole Johnson, Pre-Licensed Professional in Central, Boston, MA
Nicole Johnson
Pre-Licensed Professional
Verified Verified
1 Endorsed
Central, Boston, MA 02109  (Online Only)
Hi, my name is Nicole Johnson. I am currently a Master of Social Work student. I have always been passionate about helping others improve their lives in any way that I can. I have experience working with adults in substance use, domestic violence, and mental health. I am dedicated to providing a safe space for you to be open and honest while expressing yourself. I will utilize a strengths-based approach to help you identify and build on your current strengths. In my spare time, I am typically traveling and exploring new places with my family.
Hi, my name is Nicole Johnson. I am currently a Master of Social Work student. I have always been passionate about helping others improve their lives in any way that I can. I have experience working with adults in substance use, domestic violence, and mental health. I am dedicated to providing a safe space for you to be open and honest while expressing yourself. I will utilize a strengths-based approach to help you identify and build on your current strengths. In my spare time, I am typically traveling and exploring new places with my family.
(857) 420-6853 View (857) 420-6853
Photo of Kimika Watkins-Tashima, Counselor in Central, Boston, MA
Kimika Watkins-Tashima
Counselor, LMHC
Verified Verified
Central, Boston, MA 02109  (Online Only)
Kimika is a licensed mental health counselor (LMHC) with 15+ years of clinical experience partnering with adults, children, families and couples seeking help with a wide variety of issues. She specializes particularly in treating individuals impacted by trauma including but not limited to attachment issues, depression, anxiety, relationship issues, sociocultural issues, addiction, emotion regulation issues, loss, and life transition.
Kimika is a licensed mental health counselor (LMHC) with 15+ years of clinical experience partnering with adults, children, families and couples seeking help with a wide variety of issues. She specializes particularly in treating individuals impacted by trauma including but not limited to attachment issues, depression, anxiety, relationship issues, sociocultural issues, addiction, emotion regulation issues, loss, and life transition.
(508) 406-7522 View (508) 406-7522

See more therapy options for Central, Boston

How does your Therapist compare?

Number of Therapists in Central, Boston, MA

1,000+

Average cost per session

$153

Therapists in Central, Boston, MA who prioritize treating:

93% Anxiety
87% Depression
75% Relationship Issues
73% Self Esteem
71% Stress
68% Trauma and PTSD
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

78% BlueCross and BlueShield
64% Aetna
64% UnitedHealthcare UHC | UBH

How Therapists in Central, Boston, MA see their clients

54% Online Only
46% In Person and Online

Gender breakdown

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

How can I find a therapist in Central, Boston?

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.