Therapists in Fort Detrick, MD

Photo of Maia Gemignani, LCSW-C, Clinical Social Work/Therapist
Maia Gemignani
Clinical Social Work/Therapist, LCSW-C
Verified Verified
5 Endorsed
Serves Area
If you're thinking of seeking therapy, listen to that inner voice. Whether it turns out to be some simple problem solving or an adventurous journey of self discovery, a therapeutic experience is always valuable. I love my work and feel honored to share in your journey. My approach is warm, light-hearted and down to earth. I am a clinical social worker and have over 25 years of experience in the mental health field. I work with adults and couples.
If you're thinking of seeking therapy, listen to that inner voice. Whether it turns out to be some simple problem solving or an adventurous journey of self discovery, a therapeutic experience is always valuable. I love my work and feel honored to share in your journey. My approach is warm, light-hearted and down to earth. I am a clinical social worker and have over 25 years of experience in the mental health field. I work with adults and couples.
(240) 813-4552 View (240) 813-4552
Photo of Colleen M Felix, MS, LCPC, SOTC, Counselor
Colleen M Felix
Counselor, MS, LCPC, SOTC
Verified Verified
Online Only
When things are not working out that is when people look for a website like this one. I provide treatment for a variety of mental health issues specializing in anxiety, depression, abuse, abuser intervention and low self-esteem. I believe that everyone has an innate ability to heal. I customize my approach on an individual basis emphasizing an individuals strengths. My view on therapy is that it is a partnership building on the strengths and values or the client to foster growth and wellness.
When things are not working out that is when people look for a website like this one. I provide treatment for a variety of mental health issues specializing in anxiety, depression, abuse, abuser intervention and low self-esteem. I believe that everyone has an innate ability to heal. I customize my approach on an individual basis emphasizing an individuals strengths. My view on therapy is that it is a partnership building on the strengths and values or the client to foster growth and wellness.
(301) 684-8043 View (301) 684-8043
Photo of Helene G. Brenner, PhD, Psychologist
Helene G. Brenner
Psychologist, PhD
Verified Verified
1 Endorsed
Online Only
Do you feel ready for more growth? Maybe you’re dealing with painful unresolved feelings, or navigating a significant life transition. Perhaps you've been in therapy before, but now want to go deeper. If you're like many of my clients, you function well on the outside but still feel unhappy or unfulfilled inside. Even if you can’t put your finger on it, you sense it’s time to make some changes. You have multifaceted emotions you want to work through, and you want a trusted, experienced professional who can help you move through the impasse you’re experiencing so you can fulfill your life potential.
Do you feel ready for more growth? Maybe you’re dealing with painful unresolved feelings, or navigating a significant life transition. Perhaps you've been in therapy before, but now want to go deeper. If you're like many of my clients, you function well on the outside but still feel unhappy or unfulfilled inside. Even if you can’t put your finger on it, you sense it’s time to make some changes. You have multifaceted emotions you want to work through, and you want a trusted, experienced professional who can help you move through the impasse you’re experiencing so you can fulfill your life potential.
(301) 825-9687 View (301) 825-9687
Photo of Christy Van Horn, LCPC
Christy Van Horn
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Serves Area
Christy Van Horn is a seasoned therapist and life coach of 20 years who offers tools and techniques to relax, recenter, and tune into your inner wisdom. Whether it's through traditional talk therapy or a mindful breath practice, Christy's calm presence provides a healing space to uncover your authentic voice.
Christy Van Horn is a seasoned therapist and life coach of 20 years who offers tools and techniques to relax, recenter, and tune into your inner wisdom. Whether it's through traditional talk therapy or a mindful breath practice, Christy's calm presence provides a healing space to uncover your authentic voice.
(301) 888-4606 View (301) 888-4606
Photo of Susie C Stubbs, PhD, LCPC, NCC, Counselor
Susie C Stubbs
Counselor, PhD, LCPC, NCC
Verified Verified
Online Only
Whether you are dealing with a new issue or have been struggling with long term issues, I am focused on helping you heal, and teaching you new ways to deal with issues in your life. I am happy to provide therapy to all ages, from small children to adolescents, older adults, individuals, couples, and families. I have over 15 years of experience in treating depression, anxiety, PTSD, trauma, behavioral, and emotional concerns. You will find that my unconditional positive regard will create a safe and non judgmental environment to help you on your journey of healing.
Whether you are dealing with a new issue or have been struggling with long term issues, I am focused on helping you heal, and teaching you new ways to deal with issues in your life. I am happy to provide therapy to all ages, from small children to adolescents, older adults, individuals, couples, and families. I have over 15 years of experience in treating depression, anxiety, PTSD, trauma, behavioral, and emotional concerns. You will find that my unconditional positive regard will create a safe and non judgmental environment to help you on your journey of healing.
(301) 298-1757 View (301) 298-1757
Photo of Julie Joe Dagenhart - Dagenhart Health And Wellness, LLC, MSN, PMHNP, LCPC, CGT
Dagenhart Health And Wellness, LLC
Licensed Clinical Professional Counselor, MSN, PMHNP, LCPC, CGT
Verified Verified
Serves Area
Our providers are experienced in a broad range of mental health issues and use a variety of therapeutic approaches to compliment the unique needs of each individual. We believe that health comes from treating the whole person. Therefore, we seek to integrate emotional, physical, and spiritual dimensions into the healing process. Our providers will tailor treatment to help meet your specific needs and not to a specific theoretical approach. Our providers will help guide you through the exploration of values, beliefs, thoughts, and feelings to promote increased awareness of self and greater sense of well-being.
Our providers are experienced in a broad range of mental health issues and use a variety of therapeutic approaches to compliment the unique needs of each individual. We believe that health comes from treating the whole person. Therefore, we seek to integrate emotional, physical, and spiritual dimensions into the healing process. Our providers will tailor treatment to help meet your specific needs and not to a specific theoretical approach. Our providers will help guide you through the exploration of values, beliefs, thoughts, and feelings to promote increased awareness of self and greater sense of well-being.
(240) 487-9937 View (240) 487-9937

More Therapists Nearby

Photo of Aimee Ascolese, LCSW-C, Clinical Social Work/Therapist
Aimee Ascolese
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Frederick, MD 21702
My ideal client would put as much effort as they are ready to in that moment, day, or week to continue prioritizing their mental health needs. Over time, I hope to support each person in identifying what is helpful vs. harmful to their overall well-being. I look forward to supporting individuals navigating life transitions, women's issues, those in need of validation and perspective-taking, struggling with anxiety, searching for answers and healing from traumatic experiences, feeling "stuck," and individuals hoping for support with executive functioning challenges, sensory challenges, or complex social interactions.
My ideal client would put as much effort as they are ready to in that moment, day, or week to continue prioritizing their mental health needs. Over time, I hope to support each person in identifying what is helpful vs. harmful to their overall well-being. I look forward to supporting individuals navigating life transitions, women's issues, those in need of validation and perspective-taking, struggling with anxiety, searching for answers and healing from traumatic experiences, feeling "stuck," and individuals hoping for support with executive functioning challenges, sensory challenges, or complex social interactions.
(240) 269-2190 View (240) 269-2190
Photo of Rachel Messar-Hernandez, MS, LCPC, NCC, Licensed Professional Counselor
Rachel Messar-Hernandez
Licensed Professional Counselor, MS, LCPC, NCC
Verified Verified
2 Endorsed
Frederick, MD 21701
Welcome! Thank you for visiting my profile. I have had the privilege of working with children, teens, adults, couples and families on a wide range of issues such as ADHD/ADD, Depression, Anxiety, Trauma/PTSD, Behavioral problems,Self esteem, Family Issues and many others. If you, your child or family member are dealing with a specific problem or any unresolved problem that is making you feel "stuck" in life, I am here to listen and work collaboratively with you to improve your life. ***Now accepting Cigna Insurance! ***Now offering Online therapy!!
Welcome! Thank you for visiting my profile. I have had the privilege of working with children, teens, adults, couples and families on a wide range of issues such as ADHD/ADD, Depression, Anxiety, Trauma/PTSD, Behavioral problems,Self esteem, Family Issues and many others. If you, your child or family member are dealing with a specific problem or any unresolved problem that is making you feel "stuck" in life, I am here to listen and work collaboratively with you to improve your life. ***Now accepting Cigna Insurance! ***Now offering Online therapy!!
(240) 608-6976 View (240) 608-6976
Photo of Kirsten Robinette, LCSW-C, Clinical Social Work/Therapist
Kirsten Robinette
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Online Only
Not accepting new clients
Hi, I'm Kirsten and I'm a licensed social worker in Maryland, D.C., Virginia, and Minnesota! I appreciate you seeking support for yourself or a loved one, and honored you came across my page. I have spent years providing therapeutic support to anyone seeking services in an outpatient mental health clinic and substance use agency, no matter their diagnosis or their reason for seeking support, as well as many years in crisis prevention and intervention. This includes work with children, teens, couples, and adults across the lifespan.
Hi, I'm Kirsten and I'm a licensed social worker in Maryland, D.C., Virginia, and Minnesota! I appreciate you seeking support for yourself or a loved one, and honored you came across my page. I have spent years providing therapeutic support to anyone seeking services in an outpatient mental health clinic and substance use agency, no matter their diagnosis or their reason for seeking support, as well as many years in crisis prevention and intervention. This includes work with children, teens, couples, and adults across the lifespan.
(240) 255-9960 View (240) 255-9960
Photo of Nina Flores, MS, LCPC, Licensed Professional Counselor
Nina Flores
Licensed Professional Counselor, MS, LCPC
Verified Verified
1 Endorsed
Online Only
Hi there, I’m so glad you’re here. I believe in the power of sitting with "our stuff," even when it feels tough. When we allow ourselves to be present with difficult emotions, rather than avoiding them, we give ourselves the chance to explore what’s beneath the surface—why we act the way we do, what triggers those emotions, and how they might be tied to past experiences or unmet needs. This deeper understanding helps us build resilience, so that when life gets hard (as it inevitably does), we have what we need to support ourselves.
Hi there, I’m so glad you’re here. I believe in the power of sitting with "our stuff," even when it feels tough. When we allow ourselves to be present with difficult emotions, rather than avoiding them, we give ourselves the chance to explore what’s beneath the surface—why we act the way we do, what triggers those emotions, and how they might be tied to past experiences or unmet needs. This deeper understanding helps us build resilience, so that when life gets hard (as it inevitably does), we have what we need to support ourselves.
View
Photo of Casey Bennett, MS, LCPC, Counselor
Casey Bennett
Counselor, MS, LCPC
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
I’m Casey and I am glad you found my page. I am a compassionate listener who is here to provide support and guidance to individuals so they can have healthy, fulfilling lives. I use a person-centered-approach: I strive to understand your point of view and take a non-judgmental stance. I have experience working with clients with depression, anxiety, life transitions, stress, and ADHD.
I’m Casey and I am glad you found my page. I am a compassionate listener who is here to provide support and guidance to individuals so they can have healthy, fulfilling lives. I use a person-centered-approach: I strive to understand your point of view and take a non-judgmental stance. I have experience working with clients with depression, anxiety, life transitions, stress, and ADHD.
(410) 873-9382 View (410) 873-9382
Photo of Janay Taylor, LCSW-C, Clinical Social Work/Therapist
Janay Taylor
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Germantown, MD 20874
I am Janay Taylor, a Licensed Certified Social Worker-Clinical (LCSW-C) with experience working with children and adults across a wide range of mental health concerns. I specialize in helping clients with depression, anxiety, parenting challenges, communication issues, and relationship difficulties. I completed both my Bachelor of Social Work and my Master of Social Work (MSW) at Salisbury University. With a background in child welfare, I have worked extensively with families, helping guide them through the process of reunifying children with their birth families. This experience has provided me with valuable insight to help you.
I am Janay Taylor, a Licensed Certified Social Worker-Clinical (LCSW-C) with experience working with children and adults across a wide range of mental health concerns. I specialize in helping clients with depression, anxiety, parenting challenges, communication issues, and relationship difficulties. I completed both my Bachelor of Social Work and my Master of Social Work (MSW) at Salisbury University. With a background in child welfare, I have worked extensively with families, helping guide them through the process of reunifying children with their birth families. This experience has provided me with valuable insight to help you.
(240) 376-5013 View (240) 376-5013
Photo of Katie Frazee, MS, LCPC, NCC, MAC
Katie Frazee
Licensed Clinical Professional Counselor, MS, LCPC, NCC, MAC
Verified Verified
2 Endorsed
Frederick, MD 21703
The primary goal of counseling is to provide the most effective therapeutic experience available to you. The purpose is to help facilitate behavior change by improving the client's ability to establish and maintain relationships, enhancing the client's effectiveness and ability to cope, promoting the decision-making process, and facilitating client potential and development. Clinicians cannot fix other people's problems; our job is to provide a safe and supportive environment that allows the individual an opportunity to build the necessary skills needed to make better choices in their life.
The primary goal of counseling is to provide the most effective therapeutic experience available to you. The purpose is to help facilitate behavior change by improving the client's ability to establish and maintain relationships, enhancing the client's effectiveness and ability to cope, promoting the decision-making process, and facilitating client potential and development. Clinicians cannot fix other people's problems; our job is to provide a safe and supportive environment that allows the individual an opportunity to build the necessary skills needed to make better choices in their life.
(240) 356-2416 View (240) 356-2416
Photo of Brittany Mills, LCSW-C, Clinical Social Work/Therapist
Brittany Mills
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Online Only
Telehealth Only/Insurance Not Accepted - Welcome! I enjoy working with teenagers (age 13+) and adults across the lifespan. I specialize in treating anxiety and depressive disorders, as well as helping clients navigate life changes and everyday stressors. I am particularly passionate about supporting women in finding balance amidst life's demands. This includes overcoming sports-related anxiety, adjusting to secondary and higher education stressors, navigating parenting and family issues, coping with career challenges, managing self-esteem struggles, and adapting to life postpartum.
Telehealth Only/Insurance Not Accepted - Welcome! I enjoy working with teenagers (age 13+) and adults across the lifespan. I specialize in treating anxiety and depressive disorders, as well as helping clients navigate life changes and everyday stressors. I am particularly passionate about supporting women in finding balance amidst life's demands. This includes overcoming sports-related anxiety, adjusting to secondary and higher education stressors, navigating parenting and family issues, coping with career challenges, managing self-esteem struggles, and adapting to life postpartum.
(410) 469-8038 View (410) 469-8038
Photo of Brandi M Strader - Better Mental Health Services, LCPC, NCC, Counselor
Better Mental Health Services
Counselor, LCPC, NCC
Verified Verified
Rockville, MD 20850
Multiple openings in Frederick & Rockville with new therapists... Welcome! I’m so glad you're here. I believe most people can benefit from the support of a nurturing, therapeutic environment. I’ve never met anyone who has said they have too much support in their life. I would be honored if you allow me into your life, and we can work toward developing the support you need.
Multiple openings in Frederick & Rockville with new therapists... Welcome! I’m so glad you're here. I believe most people can benefit from the support of a nurturing, therapeutic environment. I’ve never met anyone who has said they have too much support in their life. I would be honored if you allow me into your life, and we can work toward developing the support you need.
(202) 779-3916 View (202) 779-3916
Photo of Philip Pollock, Clinical Social Work/Therapist
Philip Pollock
Clinical Social Work/Therapist
Verified Verified
Online Only
Hello! My name is Phil Pollock, LCSW-C. I have experience working with clients virtually and in-person, at multiple levels of care, to treat depression, anxiety, bipolar, PTSD, grief and loss, and other mental health challenges. I have a strong track record of helping people achieve their therapeutic goals by seeking to understand their unique personality and history, affirming their strengths, and encouraging them to make practical changes in line with their values. I have also helped couples and families work through difficulties in relationships using the same affirming, positive approach.
Hello! My name is Phil Pollock, LCSW-C. I have experience working with clients virtually and in-person, at multiple levels of care, to treat depression, anxiety, bipolar, PTSD, grief and loss, and other mental health challenges. I have a strong track record of helping people achieve their therapeutic goals by seeking to understand their unique personality and history, affirming their strengths, and encouraging them to make practical changes in line with their values. I have also helped couples and families work through difficulties in relationships using the same affirming, positive approach.
(240) 771-3785 View (240) 771-3785
Photo of Joey Sheffield, LMSW, Clinical Social Work/Therapist
Joey Sheffield
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Frederick, MD 21702
Are you consumed with disturbing automatic thoughts, and spending hours chasing, analyzing, reviewing, and giving meaning to the intrusive thoughts? As someone that’s been in your shoes, there is hope and recovery to overcome OCD. I will teach you how to change your relationship with anxiety by looking it in the face and walking towards it instead of walking away. It is easy to stay trapped and believe the false messages that your OCD feeds you. I will teach you how to rewire your brain into no longer believing those false threats that your brain is torturing you with. My treatment approach teaches you how to stop competing
Are you consumed with disturbing automatic thoughts, and spending hours chasing, analyzing, reviewing, and giving meaning to the intrusive thoughts? As someone that’s been in your shoes, there is hope and recovery to overcome OCD. I will teach you how to change your relationship with anxiety by looking it in the face and walking towards it instead of walking away. It is easy to stay trapped and believe the false messages that your OCD feeds you. I will teach you how to rewire your brain into no longer believing those false threats that your brain is torturing you with. My treatment approach teaches you how to stop competing
(240) 363-9651 View (240) 363-9651
Photo of Leana Thurm, LMSW, Clinical Social Work/Therapist
Leana Thurm
Clinical Social Work/Therapist, LMSW
Verified Verified
Serves Area
Hello, I'm Leana! My goal is to help you become the best version of yourself possible. If your personal struggles are negatively effecting your life, I would like to work with you to better understand them and help you learn how best to deal with them.
Hello, I'm Leana! My goal is to help you become the best version of yourself possible. If your personal struggles are negatively effecting your life, I would like to work with you to better understand them and help you learn how best to deal with them.
(410) 431-1620 View (410) 431-1620
Photo of Benjamin Hurlburt, Counselor
Benjamin Hurlburt
Counselor
Verified Verified
Frederick, MD 21701
Immediate openings as of 2/1/25. Hi, I'm Ben! Do you often feel down, unmotivated, numb? Experienced an event/series of events that impacted your relationships, sleep or work/school? Do you frequently criticize your body, under or over-eat when stressed? I work with adults, teens & kids who want help with 1) trauma or painful childhood or adult experiences, 2) body image or challenges with eating, including those wondering if they have bulimia, anorexia. AFRID- PANS/PANDAS clients welcome and 3) underlying depression 4) couples concerns. I use techniques such as CBT, DBT, EMDR & CPT, & body positivity (Health at Every Size).
Immediate openings as of 2/1/25. Hi, I'm Ben! Do you often feel down, unmotivated, numb? Experienced an event/series of events that impacted your relationships, sleep or work/school? Do you frequently criticize your body, under or over-eat when stressed? I work with adults, teens & kids who want help with 1) trauma or painful childhood or adult experiences, 2) body image or challenges with eating, including those wondering if they have bulimia, anorexia. AFRID- PANS/PANDAS clients welcome and 3) underlying depression 4) couples concerns. I use techniques such as CBT, DBT, EMDR & CPT, & body positivity (Health at Every Size).
(240) 692-3769 View (240) 692-3769
Photo of Luna Hammond, MEd, MS, Counselor
Luna Hammond
Counselor, MEd, MS
Verified Verified
3 Endorsed
Online Only
Why do most people come to a therapist in the first place? Because they want a better life. It's a brave thing to do- to realize that you want more for yourself and to take the step to begin making that wish a reality. Sometimes people come to me with a specific problem, and sometimes just because they're tired of feeling disappointed with life. Whatever the reason, we begin the process by sitting down together and looking at what is bothering you.
Why do most people come to a therapist in the first place? Because they want a better life. It's a brave thing to do- to realize that you want more for yourself and to take the step to begin making that wish a reality. Sometimes people come to me with a specific problem, and sometimes just because they're tired of feeling disappointed with life. Whatever the reason, we begin the process by sitting down together and looking at what is bothering you.
(443) 406-4775 View (443) 406-4775

See more therapy options for Fort Detrick

How does your Therapist compare?

Number of Therapists in Fort Detrick, MD

< 10

Therapists in Fort Detrick, MD who prioritize treating:

100% Anxiety
100% Grief
100% Coping Skills
83% Relationship Issues
83% Depression
83% Life Coaching
83% Divorce

Average years in practice

22 Years

Top 3 insurances accepted

100% Cigna and Evernorth
75% BlueCross and BlueShield
75% Magellan

How Therapists in Fort Detrick, MD see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Fort Detrick?

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.