Therapists in Dimondale, MI

Photo of Richard H Thornes, PhD, Psychologist
Richard H Thornes
Psychologist, PhD
Verified Verified
1 Endorsed
Dimondale, MI 48821
I provide psychotherapy for individuals, couples, and families with an eclectic approach, emphasizing cognitive-behavioral, Acceptance Commitment Therapy, and Positive Psychology methods and principles. I have over 45 years of experience as a psychotherapist, with experience in a university counseling center, in a community mental health center, with 14 years as an associate professor at Lansing Community College in Michigan, and 38 years in private practice settings.
I provide psychotherapy for individuals, couples, and families with an eclectic approach, emphasizing cognitive-behavioral, Acceptance Commitment Therapy, and Positive Psychology methods and principles. I have over 45 years of experience as a psychotherapist, with experience in a university counseling center, in a community mental health center, with 14 years as an associate professor at Lansing Community College in Michigan, and 38 years in private practice settings.
(517) 826-4439 View (517) 826-4439
Photo of Lindsey Keyser Ball, LPC, Licensed Professional Counselor
Lindsey Keyser Ball
Licensed Professional Counselor, LPC
Verified Verified
Online Only
Having a hard time relaxing and enjoying life? Have a lot to be grateful for but finding yourself getting stuck ruminating on what's missing? Or maybe experiencing the Sunday scaries and not sure how to get over them? Let's talk - I help people connect with their inner sense of self to overcome these challenges, build self-esteem, and feel empowered! I've been there and I know that experiencing anxiety, depression, and all the stress and plethora of symptoms that come with these, issues with appetite, sleep, focus and concentration, managing relationships and self-care, can make it unbearable. Lets get started feeling better.
Having a hard time relaxing and enjoying life? Have a lot to be grateful for but finding yourself getting stuck ruminating on what's missing? Or maybe experiencing the Sunday scaries and not sure how to get over them? Let's talk - I help people connect with their inner sense of self to overcome these challenges, build self-esteem, and feel empowered! I've been there and I know that experiencing anxiety, depression, and all the stress and plethora of symptoms that come with these, issues with appetite, sleep, focus and concentration, managing relationships and self-care, can make it unbearable. Lets get started feeling better.
(517) 760-8522 View (517) 760-8522
Photo of Jacqueline White, MA, LPC, Counselor
Jacqueline White
Counselor, MA, LPC
Verified Verified
1 Endorsed
Online Only
Do you find yourself trapped in a cycle of persistent thoughts and memories, unable to break free? Is happiness slipping through your fingers, overshadowed by feelings of guilt or emptiness? You have the power to reclaim control over your life and steer it toward a more positive direction. Through guided support and personalized strategies, you can break free from limiting beliefs and embrace a life filled with joy, purpose, and contentment. Allow me the opportunity to guide you towards reclaiming your happiness.
Do you find yourself trapped in a cycle of persistent thoughts and memories, unable to break free? Is happiness slipping through your fingers, overshadowed by feelings of guilt or emptiness? You have the power to reclaim control over your life and steer it toward a more positive direction. Through guided support and personalized strategies, you can break free from limiting beliefs and embrace a life filled with joy, purpose, and contentment. Allow me the opportunity to guide you towards reclaiming your happiness.
(989) 200-4751 View (989) 200-4751
Photo of Amy Walker, LLMSW, Clinical Social Work/Therapist
Amy Walker
Clinical Social Work/Therapist, LLMSW
Verified Verified
Dimondale, MI 48821
Are you feeling overwhelmed, anxious, or hopeless? Do you feel as though you are never enough? Life can be difficult at times and can become overwhelming. I am here to let you know there is help in dealing with the struggles in life. You do not have to transition through the phases of life alone. What if you could regain your power, freedom, and confidence? We will work together to find and remove barriers that keep you from healing and finding your true fulfillment, success, and potential!
Are you feeling overwhelmed, anxious, or hopeless? Do you feel as though you are never enough? Life can be difficult at times and can become overwhelming. I am here to let you know there is help in dealing with the struggles in life. You do not have to transition through the phases of life alone. What if you could regain your power, freedom, and confidence? We will work together to find and remove barriers that keep you from healing and finding your true fulfillment, success, and potential!
(517) 459-9670 View (517) 459-9670
Photo of Brigette Thornes, LMSW, Clinical Social Work/Therapist
Brigette Thornes
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Dimondale, MI 48821
I work with teens and adults experiencing anxiety, depression, grief, and/or other life stressors. My clients want to become more aware of how their past experiences and current stressors are affecting their thoughts and behaviors. Their end goal is to develop a loving and compassionate relationship with themselves and to learn boundaries so that their relationships with others are supportive and healthy.
I work with teens and adults experiencing anxiety, depression, grief, and/or other life stressors. My clients want to become more aware of how their past experiences and current stressors are affecting their thoughts and behaviors. Their end goal is to develop a loving and compassionate relationship with themselves and to learn boundaries so that their relationships with others are supportive and healthy.
(517) 225-1891 View (517) 225-1891

More Therapists Nearby

Photo of David Enterline, LMSW, Clinical Social Work/Therapist
David Enterline
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911
David Enterline is a clinical social worker with 18 years of experience in both the inpatient and outpatient setting. David has treated a broad range of diagnoses. Areas of specialty include depression, anxiety, obsessive-compulsive traits, thought disorders, bipolar disorders and post-traumatic stress. David has also treated a diverse background of individuals that has given him experience with trauma survivors, abuse survivors, veterans, those with Traumatic Brain Injuries, and those in the LGBTQ community. David’s pre-graduate work was with children and families.
David Enterline is a clinical social worker with 18 years of experience in both the inpatient and outpatient setting. David has treated a broad range of diagnoses. Areas of specialty include depression, anxiety, obsessive-compulsive traits, thought disorders, bipolar disorders and post-traumatic stress. David has also treated a diverse background of individuals that has given him experience with trauma survivors, abuse survivors, veterans, those with Traumatic Brain Injuries, and those in the LGBTQ community. David’s pre-graduate work was with children and families.
(517) 245-1369 View (517) 245-1369
Photo of Jennifer Rochelle Brundige, MA,  LPC, Counselor
Jennifer Rochelle Brundige
Counselor, MA, LPC
Verified Verified
1 Endorsed
Online Only
You need guidance and a non-judgmental, listening ear. You're already making things happen to the best of your ability - you're not a slacker - but you need a level of support and understanding that you just can't seem to find in your immediate social or family circles. You'd like to talk with someone about past trauma that still haunts you today - might be experiencing nightmares and flashbacks. You'd like to grow and mature in your relationship, or you'd like to move on from it to bigger and better things. You'd simply like to feel better about yourself.
You need guidance and a non-judgmental, listening ear. You're already making things happen to the best of your ability - you're not a slacker - but you need a level of support and understanding that you just can't seem to find in your immediate social or family circles. You'd like to talk with someone about past trauma that still haunts you today - might be experiencing nightmares and flashbacks. You'd like to grow and mature in your relationship, or you'd like to move on from it to bigger and better things. You'd simply like to feel better about yourself.
(517) 624-7623 View (517) 624-7623
Photo of Antanique Thomas, MS, LPC, Counselor
Antanique Thomas
Counselor, MS, LPC
Verified Verified
Lansing, MI 48907
“There is no health, without mental health!”  and “There is hope…even when your brain tells you that it is not!” I am an advocate for mental health awareness and stability and I am dedicated to providing the best care, patience, and support to you and take great joy in helping people meet their therapeutic needs. My specialization is in marriage, family, and couples counseling and I have experience working with individuals as well, from ages 2 and up with a variety of different disorders including autism, schizophrenia, eating disorders, major depression, and anxiety.
“There is no health, without mental health!”  and “There is hope…even when your brain tells you that it is not!” I am an advocate for mental health awareness and stability and I am dedicated to providing the best care, patience, and support to you and take great joy in helping people meet their therapeutic needs. My specialization is in marriage, family, and couples counseling and I have experience working with individuals as well, from ages 2 and up with a variety of different disorders including autism, schizophrenia, eating disorders, major depression, and anxiety.
(947) 217-5073 View (947) 217-5073
Photo of Jennifer Flores, LLPC, MA, Counselor
Jennifer Flores
Counselor, LLPC, MA
Verified Verified
1 Endorsed
Lansing, MI 48917
My name is Jennifer Flores and my passion is being able to assist others in their total healing and repair; mentally, emotionally, and socially. I have extensive knowledge and sensitivity in working with people on self care, grief and loss, relationship difficulties and restoration, substance abuse, parenting challenges, career concerns, anxiety, depression, and stress, including life stressors. I work with an eclectic model using different styles to assist each individual, based on their unique needs.
My name is Jennifer Flores and my passion is being able to assist others in their total healing and repair; mentally, emotionally, and socially. I have extensive knowledge and sensitivity in working with people on self care, grief and loss, relationship difficulties and restoration, substance abuse, parenting challenges, career concerns, anxiety, depression, and stress, including life stressors. I work with an eclectic model using different styles to assist each individual, based on their unique needs.
(517) 883-4386 View (517) 883-4386
Photo of Deborah Mears, LMSW, Clinical Social Work/Therapist
Deborah Mears
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911
Deborah Mears is a Licensed Clinical Social Worker in Michigan who has been practicing since 2007. She has a Master's of Social Worker from Michigan State University. Deborah wants to help her clients become the best version of themselves and sees herself as a supportive resource along their journey. Outside of work, Deborah enjoys being outside as much as possible, running (especially in the winter), and spending time with her family of 5.
Deborah Mears is a Licensed Clinical Social Worker in Michigan who has been practicing since 2007. She has a Master's of Social Worker from Michigan State University. Deborah wants to help her clients become the best version of themselves and sees herself as a supportive resource along their journey. Outside of work, Deborah enjoys being outside as much as possible, running (especially in the winter), and spending time with her family of 5.
(517) 200-3155 View (517) 200-3155
Photo of Dinah Weststrate, LMSW, Clinical Social Work/Therapist
Dinah Weststrate
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911
Dinah Weststrate LMSW, fully licensed clinical social worker with over 10 years of experience. Earning a bachelors in Social Work from Saginaw Valley State University and a masters in Social Work from Michigan State University. Dinah has experience working primarily with adults and some family systems, with chronic mental illness, depression, brain injury, chronic medical conditions, and major life changes.
Dinah Weststrate LMSW, fully licensed clinical social worker with over 10 years of experience. Earning a bachelors in Social Work from Saginaw Valley State University and a masters in Social Work from Michigan State University. Dinah has experience working primarily with adults and some family systems, with chronic mental illness, depression, brain injury, chronic medical conditions, and major life changes.
(517) 948-0871 View (517) 948-0871
Photo of James Loree, LMSW, Clinical Social Work/Therapist
James Loree
Clinical Social Work/Therapist, LMSW
Verified Verified
Lansing, MI 48911
James Loree LMSW is a licensed master social worker who has practiced clinical psychotherapy and mental health counseling since 2003. He graduated from the University of Houston with a Bachelor of Arts degree in psychology and from Michigan State University with a Master of Clinical and Macro Social Work degree. James believes in a non-judgmental, holistic approach to care, empowering adult individuals and couples to release patterns of thinking and behavior that no longer serve them while learning to trust their ability to learn and grow in a safe environment.
James Loree LMSW is a licensed master social worker who has practiced clinical psychotherapy and mental health counseling since 2003. He graduated from the University of Houston with a Bachelor of Arts degree in psychology and from Michigan State University with a Master of Clinical and Macro Social Work degree. James believes in a non-judgmental, holistic approach to care, empowering adult individuals and couples to release patterns of thinking and behavior that no longer serve them while learning to trust their ability to learn and grow in a safe environment.
(517) 236-8124 View (517) 236-8124
Photo of Betsy Davis-Pennington, LLMSW, CADC, Clinical Social Work/Therapist
Betsy Davis-Pennington
Clinical Social Work/Therapist, LLMSW, CADC
Verified Verified
East Lansing, MI 48823
If you are experiencing high anxiety, or just not feeling like yourself or maybe you can't even label the uncomfortable feelings, you're not alone. You know you want to get rid of those feelings but talking to friends, aimlessly scrolling social media, ignoring it or maybe even using substances haven't been quite effective.
If you are experiencing high anxiety, or just not feeling like yourself or maybe you can't even label the uncomfortable feelings, you're not alone. You know you want to get rid of those feelings but talking to friends, aimlessly scrolling social media, ignoring it or maybe even using substances haven't been quite effective.
(517) 252-9790 View (517) 252-9790
Photo of Angela Matthews, LMSW, Clinical Social Work/Therapist
Angela Matthews
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Lansing, MI 48908
Life can be overwhelming even when we have the best of coping skills. Sometimes what has worked no longer serves to help us. I strive to aid in navigating those difficult past and present experiences by providing clients with new tools to aid in their healing process. While I work with ALL populations, I specialize in first responders, medical professionals, veterans/military, and their spouses/families. I provide confidentiality and anonymity to navigate whatever you might be struggling with so we can focus on achieving your treatment goals.
Life can be overwhelming even when we have the best of coping skills. Sometimes what has worked no longer serves to help us. I strive to aid in navigating those difficult past and present experiences by providing clients with new tools to aid in their healing process. While I work with ALL populations, I specialize in first responders, medical professionals, veterans/military, and their spouses/families. I provide confidentiality and anonymity to navigate whatever you might be struggling with so we can focus on achieving your treatment goals.
(517) 329-3993 View (517) 329-3993
Photo of Michelle Nichols - Monarch Counseling LLC, LMSW, Clinical Social Work/Therapist
Monarch Counseling LLC
Clinical Social Work/Therapist, LMSW
Verified Verified
Mason, MI 48854
Hello, and thank you for taking the time and having the courage to seek out a counselor! To help you find your best fit, I work with adults, as individuals, couples, and groups. I work with people dealing with depression, anxiety, relationship conflict, grief/loss, suicide/self-harm, parenting, self-esteem, and abuse/neglect. While I specialize in Christian Counseling, I also work with many people who prefer not to incorporate their faith in the therapeutic process. My style tends to lean toward Cognitive Behavioral Therapy (CBT), helping people overcome self-defeating thought patterns. I’ve been in private practice for 20 years.
Hello, and thank you for taking the time and having the courage to seek out a counselor! To help you find your best fit, I work with adults, as individuals, couples, and groups. I work with people dealing with depression, anxiety, relationship conflict, grief/loss, suicide/self-harm, parenting, self-esteem, and abuse/neglect. While I specialize in Christian Counseling, I also work with many people who prefer not to incorporate their faith in the therapeutic process. My style tends to lean toward Cognitive Behavioral Therapy (CBT), helping people overcome self-defeating thought patterns. I’ve been in private practice for 20 years.
(517) 940-8321 View (517) 940-8321
Photo of Quiana Davis-Lewis - Quiana Davis, Divine Mind Consultation Services, MA, LPC, NCC, Licensed Professional Counselor
Quiana Davis, Divine Mind Consultation Services
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Online Only
Hello, thanks for stopping by- I look forward to serving you. Seeking help is a brave step; Congratulations- you are doing it! I specialize in serving Youth (13-17), Young adults (18-30) & Educators of all ages. I help to address concerns related to anxiety and mood disorders, building a positive self-esteem, goal setting and much more. I work with educators specifically to reduce feelings of burnout & compassion fatigue. Additionally, I offer assistance in career and/or education planning to support ad you journeying through life. I genuinely believe, "If it's not growing, it's dying. So, let's grow together."
Hello, thanks for stopping by- I look forward to serving you. Seeking help is a brave step; Congratulations- you are doing it! I specialize in serving Youth (13-17), Young adults (18-30) & Educators of all ages. I help to address concerns related to anxiety and mood disorders, building a positive self-esteem, goal setting and much more. I work with educators specifically to reduce feelings of burnout & compassion fatigue. Additionally, I offer assistance in career and/or education planning to support ad you journeying through life. I genuinely believe, "If it's not growing, it's dying. So, let's grow together."
(517) 878-9256 View (517) 878-9256
Photo of Abbe J Newman, MA, LPC, NCC, Counselor
Abbe J Newman
Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Lansing, MI 48917
Are you struggling in your relationships? Do you find yourself feeling misunderstood? I’d love to support you in the journey of getting to know yourself better by being a non-judgmental, supportive, and encouraging advocate helping you sift through it all. Working on knowledge of and compassion for yourself can provide clarity and a foundation for change in all aspects of your life. I am also dedicated to working with the LGBTQIA+ community and folx who may not be comfortable in all treatment spaces. I work with adults and couples.
Are you struggling in your relationships? Do you find yourself feeling misunderstood? I’d love to support you in the journey of getting to know yourself better by being a non-judgmental, supportive, and encouraging advocate helping you sift through it all. Working on knowledge of and compassion for yourself can provide clarity and a foundation for change in all aspects of your life. I am also dedicated to working with the LGBTQIA+ community and folx who may not be comfortable in all treatment spaces. I work with adults and couples.
(517) 836-1428 View (517) 836-1428
Photo of Jacqueline Whims, MA LPC, Licensed Professional Counselor
Jacqueline Whims
Licensed Professional Counselor, MA LPC
Verified Verified
Lansing, MI 48917
Welcome! I provide a safe and supportive environment for individuals, couples, and families through balancing acceptance and validation with change strategies. I am trained in Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT). I also offer therapy through a Christian biblical worldview for those seeking to grow spiritually through the healing process.
Welcome! I provide a safe and supportive environment for individuals, couples, and families through balancing acceptance and validation with change strategies. I am trained in Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT). I also offer therapy through a Christian biblical worldview for those seeking to grow spiritually through the healing process.
(517) 225-1795 View (517) 225-1795
Photo of Kellie Vincent, LLMSW, Clinical Social Work/Therapist
Kellie Vincent
Clinical Social Work/Therapist, LLMSW
Verified Verified
Online Only
Taking the first step in getting support is a big one, and you've decided now is the right time. There's something big going on in your life, and is too overwhelming to handle on your own or maybe you just want someone to talk to free of judgement. Having someone safe who listens and can provide perspective, encouragement, feedback and coping skills can really help. Making changes is not easy, but we can go at your own pace, where you lead the conversation and what you'd like to focus on. I'm here to offer support and walk with you on your journey to achieving your goals and jumping over the hurdles life throws your way.
Taking the first step in getting support is a big one, and you've decided now is the right time. There's something big going on in your life, and is too overwhelming to handle on your own or maybe you just want someone to talk to free of judgement. Having someone safe who listens and can provide perspective, encouragement, feedback and coping skills can really help. Making changes is not easy, but we can go at your own pace, where you lead the conversation and what you'd like to focus on. I'm here to offer support and walk with you on your journey to achieving your goals and jumping over the hurdles life throws your way.
(734) 875-8253 View (734) 875-8253
Photo of Sandra Johnson, LMSW, LMFT, ACSW, Clinical Social Work/Therapist
Sandra Johnson
Clinical Social Work/Therapist, LMSW, LMFT, ACSW
Verified Verified
Lansing, MI 48917
I provide counseling to individuals, families, couples, teens and older adults helping to assess and come up with ways to move through life's challenges. Each client presents with unique needs and that is the starting point to assist with a client centered plan to make changes and move forward. I have varied experience; but most clients present with depression, anxiety, trauma, relationship/marital, grief or loss, life changes, challenges of neurodiversity, addictions, and employment concerns. I have worked in the mental health field for 40 years and see how empowerment and guidance can help peoples' lives vastly improve.
I provide counseling to individuals, families, couples, teens and older adults helping to assess and come up with ways to move through life's challenges. Each client presents with unique needs and that is the starting point to assist with a client centered plan to make changes and move forward. I have varied experience; but most clients present with depression, anxiety, trauma, relationship/marital, grief or loss, life changes, challenges of neurodiversity, addictions, and employment concerns. I have worked in the mental health field for 40 years and see how empowerment and guidance can help peoples' lives vastly improve.
(517) 521-7105 View (517) 521-7105

See more therapy options for Dimondale

How does your Therapist compare?

Number of Therapists in Dimondale, MI

< 10

Therapists in Dimondale, MI who prioritize treating:

100% Depression
100% Anxiety
80% Self Esteem
60% Grief
60% Trauma and PTSD
60% Divorce
60% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

100% Aetna
80% BlueCross and BlueShield
80% Cofinity | First Health

How Therapists in Dimondale, MI see their clients

60% In Person and Online
40% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Dimondale?

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.