Therapists in Upper Fells Point, Baltimore, MD

Photo of Christina deGraft-Johnson, Licensed Clinical Professional Counselor, LCPC
Christina deGraft-Johnson
Licensed Clinical Professional Counselor, LCPC
3 Endorsed
Upper Fells Point, Baltimore, MD 21231
You might feel overwhelmed by your emotions, stuck in patterns you don’t fully understand, or impacted by experiences that still feel heavy. I believe one of the bravest things you can do is begin to understand your own story. Reaching out to a therapist can be hard—you may worry about being judged or opening up to someone new. I work with teens and young adults navigating trauma, anxiety, and emotional pain, creating a space where you can explore what’s going on and begin experiencing yourself in new ways.
You might feel overwhelmed by your emotions, stuck in patterns you don’t fully understand, or impacted by experiences that still feel heavy. I believe one of the bravest things you can do is begin to understand your own story. Reaching out to a therapist can be hard—you may worry about being judged or opening up to someone new. I work with teens and young adults navigating trauma, anxiety, and emotional pain, creating a space where you can explore what’s going on and begin experiencing yourself in new ways.
(240) 389-4418 View (240) 389-4418
Photo of Nanna Waldroup, Mental Health Counselor, LMHC, LCPC
Nanna Waldroup
Mental Health Counselor, LMHC, LCPC
2 Endorsed
Online Only
You used to have big dreams for yourself, but nothing turned out the way you hoped. You sometimes feel like giving up because you just can’t do it. You doubt yourself and your abilities. You wish you were better. You wish you had accomplished more, but you are worried that it’s too late. You want to feel capable, confident, and ready to take on the world. You want to feel successful and proud. You want to feel like you are moving forward in your life. You’ve come to the right place.
You used to have big dreams for yourself, but nothing turned out the way you hoped. You sometimes feel like giving up because you just can’t do it. You doubt yourself and your abilities. You wish you were better. You wish you had accomplished more, but you are worried that it’s too late. You want to feel capable, confident, and ready to take on the world. You want to feel successful and proud. You want to feel like you are moving forward in your life. You’ve come to the right place.
(929) 207-8128 View (929) 207-8128
Photo of Kris Shoresman, Counselor, LGPC, NCC
Kris Shoresman
Counselor, LGPC, NCC
2 Endorsed
Upper Fells Point, Baltimore, MD 21231
Maybe you’re here because you want to break the cycles in your family. Maybe you’ve done some inner healing on yourself but need more guidance. Maybe this is your first time in therapy, and you’re ready to live more authentically. While life can make you feel trapped in the narratives of your past, I believe therapy can unlock the tools you already have within you. My counseling philosophy focuses on fostering a safe, supportive environment of healing where you can explore your emotions, set boundaries, and discover empowerment.
Maybe you’re here because you want to break the cycles in your family. Maybe you’ve done some inner healing on yourself but need more guidance. Maybe this is your first time in therapy, and you’re ready to live more authentically. While life can make you feel trapped in the narratives of your past, I believe therapy can unlock the tools you already have within you. My counseling philosophy focuses on fostering a safe, supportive environment of healing where you can explore your emotions, set boundaries, and discover empowerment.
(410) 417-8082 View (410) 417-8082
Photo of Lisa Carrier, Clinical Social Work/Therapist, MSW, LCSW-C, PMH-C
Lisa Carrier
Clinical Social Work/Therapist, MSW, LCSW-C, PMH-C
2 Endorsed
Serves Area
I am a Licensed Clinical Social Worker and Grief Recovery Method Specialist with nearly ten years of experience working with people of all ages with varying backgrounds and challenges. I have experience treating a wide range of client concerns including anxiety, depression, sleep issues, crisis due to major life changes, and relationship problems. My areas of greatest expertise include perinatal mental health (conception through postpartum/beyond) grief and loss (including perinatal loss of any kind), trauma/PTSD, attachment difficulties and parenting challenges especially with young children age 0-5.
I am a Licensed Clinical Social Worker and Grief Recovery Method Specialist with nearly ten years of experience working with people of all ages with varying backgrounds and challenges. I have experience treating a wide range of client concerns including anxiety, depression, sleep issues, crisis due to major life changes, and relationship problems. My areas of greatest expertise include perinatal mental health (conception through postpartum/beyond) grief and loss (including perinatal loss of any kind), trauma/PTSD, attachment difficulties and parenting challenges especially with young children age 0-5.
(410) 680-3653 View (410) 680-3653
Photo of Tyrone Obaseki, Licensed Clinical Professional Counselor, MDiv, LPC, LCDC
Tyrone Obaseki
Licensed Clinical Professional Counselor, MDiv, LPC, LCDC
Serves Area
Welcome to Transformative Counseling & Wellness Solutions! We believe in renewing the mind and dealing with the total person! Healing starts with being transparent, and opening up about your life’s journey to your therapist, who responds with compassion, empathy, and wisdom. Our therapeutic relationship can be the building block and the catalyst towards your new life! We provide affordable counseling, traditional & wellness services. If you want to journey beyond life's obstacles, don't hesitate to call. Together we will navigate your path towards freedom, success, and happiness.
Welcome to Transformative Counseling & Wellness Solutions! We believe in renewing the mind and dealing with the total person! Healing starts with being transparent, and opening up about your life’s journey to your therapist, who responds with compassion, empathy, and wisdom. Our therapeutic relationship can be the building block and the catalyst towards your new life! We provide affordable counseling, traditional & wellness services. If you want to journey beyond life's obstacles, don't hesitate to call. Together we will navigate your path towards freedom, success, and happiness.
(410) 896-1453 View (410) 896-1453
Photo of Kelly McCabe, Clinical Social Work/Therapist, LCSW-C
Kelly McCabe
Clinical Social Work/Therapist, LCSW-C
Serves Area
Hi there. If you are here it is likely that you are taking steps towards healing and self discovery. I want to commend your bravery in taking this step on your journey. As your therapist, I will be here to support you in the process of healing and growth and to hold space for you as you increase self awareness and compassion. We will collaborate to achieve your therapy goals. Perhaps you would like to improve interpersonal relationships, develop a self care plan to manage stress, or develop awareness into patterns of overthinking or self sabotage. I am here to support you on your journey.
Hi there. If you are here it is likely that you are taking steps towards healing and self discovery. I want to commend your bravery in taking this step on your journey. As your therapist, I will be here to support you in the process of healing and growth and to hold space for you as you increase self awareness and compassion. We will collaborate to achieve your therapy goals. Perhaps you would like to improve interpersonal relationships, develop a self care plan to manage stress, or develop awareness into patterns of overthinking or self sabotage. I am here to support you on your journey.
(410) 497-8042 View (410) 497-8042
Photo of Julia Mitchell - Therapy Stop LLC, Clinical Social Work/Therapist, LCSW-C
Therapy Stop LLC
Clinical Social Work/Therapist, LCSW-C
Serves Area
I’m a Licensed Clinical Social Worker with extensive experience supporting individuals navigating ADHD, depression, anxiety, OCD, chronic health conditions, and major life transitions. My work across diverse clinical settings has provided me with a broad and adaptable skill set. I draw from a range of evidence-based approaches and collaborate closely with clients, using a team-oriented perspective to help them effectively manage challenges and move toward meaningful change.
I’m a Licensed Clinical Social Worker with extensive experience supporting individuals navigating ADHD, depression, anxiety, OCD, chronic health conditions, and major life transitions. My work across diverse clinical settings has provided me with a broad and adaptable skill set. I draw from a range of evidence-based approaches and collaborate closely with clients, using a team-oriented perspective to help them effectively manage challenges and move toward meaningful change.
(443) 221-6297 View (443) 221-6297
Photo of Vanessa Hawkes, Licensed Clinical Professional Counselor, PhD, LCPC
Vanessa Hawkes
Licensed Clinical Professional Counselor, PhD, LCPC
Serves Area
Growing up as a child, with a parent being diagnosed with a mental health disorder, I experienced at first hand some of the problems that both individuals and family members are faced with. I watched as my parent was admitted over and over into mental health facilities. Not understanding why so many. I only knew that it was affecting my parent in a bad way as well as the family. This experience lead me into the field with the hope of lending a helping hand and a caring heart to help individuals like my parent obtain a sense of wellness.
Growing up as a child, with a parent being diagnosed with a mental health disorder, I experienced at first hand some of the problems that both individuals and family members are faced with. I watched as my parent was admitted over and over into mental health facilities. Not understanding why so many. I only knew that it was affecting my parent in a bad way as well as the family. This experience lead me into the field with the hope of lending a helping hand and a caring heart to help individuals like my parent obtain a sense of wellness.
(410) 656-6522 View (410) 656-6522
Photo of Cat Graves, Clinical Social Work/Therapist, LCSW-C
Cat Graves
Clinical Social Work/Therapist, LCSW-C
2 Endorsed
Serves Area
Choosing to engage in therapy is a courageous choice (even when it doesn’t feel that way). In working with children, teens, and adults, I have appreciated and valued the concept of healing the whole person on all levels - body, mind, and spirit. I feel it also important to acknowledge systems that have impacted your life, am socially conscious in my work with clients— all identities, cultures, and types of relationships are welcome.
Choosing to engage in therapy is a courageous choice (even when it doesn’t feel that way). In working with children, teens, and adults, I have appreciated and valued the concept of healing the whole person on all levels - body, mind, and spirit. I feel it also important to acknowledge systems that have impacted your life, am socially conscious in my work with clients— all identities, cultures, and types of relationships are welcome.
(443) 971-3478 View (443) 971-3478
Photo of Jessica L Miller, Counselor, LCPC
Jessica L Miller
Counselor, LCPC
7 Endorsed
Serves Area
Welcome! I strongly believe in the power of the therapeutic relationship and feel grateful to be able to understand the experiences and raw emotions that clients bring into session. I play an active, non-judgmental role, working collaboratively to find ways to cope with and/or change maladaptive symptoms and life stressors. I meet clients where they are in order to cultivate growth and change.
Welcome! I strongly believe in the power of the therapeutic relationship and feel grateful to be able to understand the experiences and raw emotions that clients bring into session. I play an active, non-judgmental role, working collaboratively to find ways to cope with and/or change maladaptive symptoms and life stressors. I meet clients where they are in order to cultivate growth and change.
(443) 432-2048 View (443) 432-2048
Photo of Abby Donnelly, Pre-Licensed Professional
Abby Donnelly
Pre-Licensed Professional
1 Endorsed
Serves Area
Feeling stuck, emotionally drained, or just unsure of what’s next? You might be navigating a life transition, carrying the weight of stress or anxiety, or trying to figure out who you are in the middle of it all. I offer a supportive space where you can feel seen, heard, and understood. My goal is to walk alongside you as you work toward clarity, healing, and growth.
Feeling stuck, emotionally drained, or just unsure of what’s next? You might be navigating a life transition, carrying the weight of stress or anxiety, or trying to figure out who you are in the middle of it all. I offer a supportive space where you can feel seen, heard, and understood. My goal is to walk alongside you as you work toward clarity, healing, and growth.
(301) 245-2785 View (301) 245-2785
Photo of Courtney Katzenberg, Counselor, LGPC
Courtney Katzenberg
Counselor, LGPC
2 Endorsed
Serves Area
Do you find yourself keeping the peace with others by pushing down what you really want? Did you grow up in a home filled with tension or in a family that navigated divorce? You may have learned early on that smoothing things over was safer than speaking up. That strategy helped you then but left you disconnected from your own needs and wondering "do I even know what love or a healthy relationship even looks like?"
Do you find yourself keeping the peace with others by pushing down what you really want? Did you grow up in a home filled with tension or in a family that navigated divorce? You may have learned early on that smoothing things over was safer than speaking up. That strategy helped you then but left you disconnected from your own needs and wondering "do I even know what love or a healthy relationship even looks like?"
(443) 888-2963 View (443) 888-2963
Photo of Tanea Marlene Couther - Optimal Quality Health Solutions LLC, MS, LCPC
Optimal Quality Health Solutions LLC
Verified Verified
Serves Area
Do you experience persistent worry? Does this worry give you a sense of doom and sadness, anticipating and expecting the worse? Frequent trips to the ER or Primary Care doctor, only to be told "nothing is wrong." Do you avoid people and places because of judgement, and left with ruminating thoughts that for every panic attack I have, this could be the LAST? Hello, my name is Tanea Couther, and at Optimal Quality Health Solutions, I understand that your healing will take flight in the most favorable conditions. Conditions that would allow for one to experience genuineness, unconditional positive regard, acceptance, and empathy.
Do you experience persistent worry? Does this worry give you a sense of doom and sadness, anticipating and expecting the worse? Frequent trips to the ER or Primary Care doctor, only to be told "nothing is wrong." Do you avoid people and places because of judgement, and left with ruminating thoughts that for every panic attack I have, this could be the LAST? Hello, my name is Tanea Couther, and at Optimal Quality Health Solutions, I understand that your healing will take flight in the most favorable conditions. Conditions that would allow for one to experience genuineness, unconditional positive regard, acceptance, and empathy.
(443) 390-7911 View (443) 390-7911
Photo of Kelsie Rae Slaugh - Rae Buchanan, Licensed Clinical Professional Counselor, LCPC
Rae Buchanan
Licensed Clinical Professional Counselor, LCPC
1 Endorsed
Serves Area
Oh, hey! Is trying to find a therapist causing existential dread? Is your executive functioning barely holding it together long enough for you to read ANOTHER therapist description? Look, I’ve got you! Consider me your therapist if you are: -Gay. -ADHD -Traumatized and coping with dark humor -A perfectionist with anxiety right NOW -In a relationship that is messy, sexy, or confusing AF. -Traumatized (but this time with the religious-deconstruction flavor of trauma) -An artist, performer, or in another high-demand career -Needing individual therapy (adults & teens 13+) or couples/relationship counseling (ENM/Poly affirming)
Oh, hey! Is trying to find a therapist causing existential dread? Is your executive functioning barely holding it together long enough for you to read ANOTHER therapist description? Look, I’ve got you! Consider me your therapist if you are: -Gay. -ADHD -Traumatized and coping with dark humor -A perfectionist with anxiety right NOW -In a relationship that is messy, sexy, or confusing AF. -Traumatized (but this time with the religious-deconstruction flavor of trauma) -An artist, performer, or in another high-demand career -Needing individual therapy (adults & teens 13+) or couples/relationship counseling (ENM/Poly affirming)
(443) 348-0964 View (443) 348-0964
Photo of Isabella Carunungan, Licensed Clinical Professional Counselor, LCPC, NCC
Isabella Carunungan
Licensed Clinical Professional Counselor, LCPC, NCC
2 Endorsed
Serves Area
Hi! My name is Isabella Carunungan and I am an LCPC who primarily works with children, adolescents, and teens to navigate anxiety, depression, life transitions, and emotional dysregulation. A significant aspect of my work also includes caregivers who are struggling to connect with their child and maintain a positive and healthy environment in the home.
Hi! My name is Isabella Carunungan and I am an LCPC who primarily works with children, adolescents, and teens to navigate anxiety, depression, life transitions, and emotional dysregulation. A significant aspect of my work also includes caregivers who are struggling to connect with their child and maintain a positive and healthy environment in the home.
(443) 781-6283 View (443) 781-6283
Photo of Kier M Johnson- Marshall, Licensed Clinical Professional Counselor, LCPC, MS, NCC
Kier M Johnson- Marshall
Licensed Clinical Professional Counselor, LCPC, MS, NCC
Serves Area
I believe "Knowledge Is Power"! Knowledge of how to find and apply solutions to deal with confusion, anxiety, depression and other challenging life situations that results in feeling of helplessness or sometimes even hopelessness, is what I have found empowers change. I, your listener, co-pilgrim, and spiritual pastoral counselor am here to facilitate an opportunity for you to regain a sense of understanding self in all of your challenges which will open the doors of love, power and a sound mind!
I believe "Knowledge Is Power"! Knowledge of how to find and apply solutions to deal with confusion, anxiety, depression and other challenging life situations that results in feeling of helplessness or sometimes even hopelessness, is what I have found empowers change. I, your listener, co-pilgrim, and spiritual pastoral counselor am here to facilitate an opportunity for you to regain a sense of understanding self in all of your challenges which will open the doors of love, power and a sound mind!
(443) 213-0152 View (443) 213-0152
Photo of Farah Hasta, Licensed Clinical Professional Counselor, MA, LCPC
Farah Hasta
Licensed Clinical Professional Counselor, MA, LCPC
Serves Area
I believe therapy is a space for self-reflection, curiosity, and connection—a place to feel seen and understood while exploring the parts of yourself that often go unheard. As a Licensed Clinical Professional Counselor (LCPC) with nearly ten years of experience, I offer a warm, collaborative space for growth and self-discovery. My approach is rooted in psychodynamic theory and Internal Family Systems (IFS), and I often integrate creative modalities like narrative and art-based therapy. Together, we’ll explore your inner world and work toward a more grounded, balanced, and authentic life.
I believe therapy is a space for self-reflection, curiosity, and connection—a place to feel seen and understood while exploring the parts of yourself that often go unheard. As a Licensed Clinical Professional Counselor (LCPC) with nearly ten years of experience, I offer a warm, collaborative space for growth and self-discovery. My approach is rooted in psychodynamic theory and Internal Family Systems (IFS), and I often integrate creative modalities like narrative and art-based therapy. Together, we’ll explore your inner world and work toward a more grounded, balanced, and authentic life.
(443) 493-7634 View (443) 493-7634
Photo of Dr. Eileen Griffin, Psychologist, PsyD
Dr. Eileen Griffin
Psychologist, PsyD
3 Endorsed
Serves Area
You’ve had to figure out so much on your own – how to deal with feelings, how to box up your pain and keep going, how to protect yourself. You’ve been carrying your hurt around for YEARS. But now, you’ve hit a wall. Your pain box is bursting open and the “just push through” attitude isn’t working. You may be wondering WHY NOW, since you have already been through so much. You may have found other approaches to alleviate the suffering, but the absence of misery is not the same as thriving. It’s time to stop hiding and address the roots.
You’ve had to figure out so much on your own – how to deal with feelings, how to box up your pain and keep going, how to protect yourself. You’ve been carrying your hurt around for YEARS. But now, you’ve hit a wall. Your pain box is bursting open and the “just push through” attitude isn’t working. You may be wondering WHY NOW, since you have already been through so much. You may have found other approaches to alleviate the suffering, but the absence of misery is not the same as thriving. It’s time to stop hiding and address the roots.
(667) 202-0871 View (667) 202-0871
Photo of Lauren McCaffrey, Clinical Social Work/Therapist, LCSW-C
Lauren McCaffrey
Clinical Social Work/Therapist, LCSW-C
3 Endorsed
Serves Area
Hello, I’m Lauren—an affirming, person-centered, and approachable therapist. My work is grounded in curiosity, warmth, and authenticity; creating a brave, safe, and affirming space for you to show up fully as yourself. Working together, you will not only have a place to be heard, but also an advocate who is genuinely invested in your growth and well-being. I'm deeply committed to trauma-informed care and LGBTQ+ wellness, and I work with children, teens, and adults navigating anxiety, depression, trauma, self-harm, ADHD, stress, and life transitions, helping clients feel understood and empowered toward meaningful and lasting change.
Hello, I’m Lauren—an affirming, person-centered, and approachable therapist. My work is grounded in curiosity, warmth, and authenticity; creating a brave, safe, and affirming space for you to show up fully as yourself. Working together, you will not only have a place to be heard, but also an advocate who is genuinely invested in your growth and well-being. I'm deeply committed to trauma-informed care and LGBTQ+ wellness, and I work with children, teens, and adults navigating anxiety, depression, trauma, self-harm, ADHD, stress, and life transitions, helping clients feel understood and empowered toward meaningful and lasting change.
(410) 498-7221 View (410) 498-7221
Photo of Dr. Estefanía Simich Muñoz, Counselor, PhD, NCC, LCPC, CST, CST-S
Dr. Estefanía Simich Muñoz
Counselor, PhD, NCC, LCPC, CST, CST-S
2 Endorsed
Serves Area
As an immigrant, my passion lies in supporting BIPOC and migrant populations who have experienced violence and sexual trauma, as well as working with relationships from diverse cultural and religious backgrounds. Cultural humility and sensitivity are essential to my practice.
As an immigrant, my passion lies in supporting BIPOC and migrant populations who have experienced violence and sexual trauma, as well as working with relationships from diverse cultural and religious backgrounds. Cultural humility and sensitivity are essential to my practice.
(443) 305-6344 View (443) 305-6344

How does your Therapist compare?

Number of Therapists in Upper Fells Point, Baltimore, MD

60+

Average cost per session

$150

Therapists in Upper Fells Point, Baltimore, MD who prioritize treating:

97% Anxiety
97% Social Anxiety
97% Health Anxiety
97% Driving Anxiety
92% Depression
76% Self Esteem
71% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

73% Cigna and Evernorth
70% CareFirst
64% BlueCross and BlueShield

How Therapists in Upper Fells Point, Baltimore, MD see their clients

52% Online Only
48% In Person and Online

Gender breakdown

88% Female
10% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Upper Fells Point?

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.