Therapists in Richland, MI

Photo of Amanda J Everett, LMSW, CCTP, Clinical Social Work/Therapist
Amanda J Everett
Clinical Social Work/Therapist, LMSW, CCTP
Verified Verified
1 Endorsed
Richland, MI 49083
Not accepting new clients
As a therapist, I believe that change happens in therapy when there is an authentic relationship that yields a safe place for people to explore and address their feelings in a non-judgmental and comfortable way. I feel I am gifted in building true connections through empathy. In my practice, I meet people where they are in life & work to ensure that client's feel valued and empowered in the therapy process. God designs people beautifully & individually. It is my desire to help each of my clients explore that within themselves and to discover the true joy that comes when we can see life in this light.
As a therapist, I believe that change happens in therapy when there is an authentic relationship that yields a safe place for people to explore and address their feelings in a non-judgmental and comfortable way. I feel I am gifted in building true connections through empathy. In my practice, I meet people where they are in life & work to ensure that client's feel valued and empowered in the therapy process. God designs people beautifully & individually. It is my desire to help each of my clients explore that within themselves and to discover the true joy that comes when we can see life in this light.
(269) 215-2902 View (269) 215-2902
Photo of Christine Schram, LMSW, EMDR, Clinical Social Work/Therapist
Christine Schram
Clinical Social Work/Therapist, LMSW, EMDR
Verified Verified
Richland, MI 49083
Hello, are you wanting someone in your corner who understands you without judgement or bias. I enjoy building positive & empathetic relationships with my clients. I will support you in your growth. I offer a holistic approach to therapy, focusing on each of my clients' unique needs & goals. I meet my clients where they are & collaborate with you to determine the most effective therapy for your journey. You have the opportunity to tap into your potential, resilience & self-worth.
Hello, are you wanting someone in your corner who understands you without judgement or bias. I enjoy building positive & empathetic relationships with my clients. I will support you in your growth. I offer a holistic approach to therapy, focusing on each of my clients' unique needs & goals. I meet my clients where they are & collaborate with you to determine the most effective therapy for your journey. You have the opportunity to tap into your potential, resilience & self-worth.
(269) 520-7852 x1 View (269) 520-7852 x1
Photo of Christy Lynn Southerland, MA, LPC, Licensed Professional Counselor
Christy Lynn Southerland
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
You are successful in many areas of life, but often you feel like you're living behind a mask. The family and friends mask makes you look happy and carefree, while the work mask hides your insecurities and makes you look confident. You don't know why you feel like an imposter in your own life, but you've been juggling masks for so long, it's just automatic now. Are you ready to heal from past wounds and learn how to embrace who you are, instead of who you thought you had to be in order to please others and protect yourself? I'll provide a safe place to discover, heal, and get excited about who you are now, no masks required.
You are successful in many areas of life, but often you feel like you're living behind a mask. The family and friends mask makes you look happy and carefree, while the work mask hides your insecurities and makes you look confident. You don't know why you feel like an imposter in your own life, but you've been juggling masks for so long, it's just automatic now. Are you ready to heal from past wounds and learn how to embrace who you are, instead of who you thought you had to be in order to please others and protect yourself? I'll provide a safe place to discover, heal, and get excited about who you are now, no masks required.
(269) 448-1920 View (269) 448-1920
Photo of Kelene Rogers, MS,  LPC, IFS, ADS, Licensed Professional Counselor
Kelene Rogers
Licensed Professional Counselor, MS, LPC, IFS, ADS
Verified Verified
7 Endorsed
Richland, MI 49083
During challenging times, seeking extra support can be essential. As a therapist, my goal is to offer a safe, relaxed, and non-judgmental environment where we can work together to achieve your goals. In today's climate of uncertainty and fear, my office is a safe space where you can be yourself without fear, and be open and honest. I believe in utilizing your strengths through creative interventions to empower you and guide your path to success. Together, we will find practical and realistic solutions for your needs. I provide individual, parent/caregiver, and family therapy in an LGBTQ+ affirming practice with a maternal approach.
During challenging times, seeking extra support can be essential. As a therapist, my goal is to offer a safe, relaxed, and non-judgmental environment where we can work together to achieve your goals. In today's climate of uncertainty and fear, my office is a safe space where you can be yourself without fear, and be open and honest. I believe in utilizing your strengths through creative interventions to empower you and guide your path to success. Together, we will find practical and realistic solutions for your needs. I provide individual, parent/caregiver, and family therapy in an LGBTQ+ affirming practice with a maternal approach.
(269) 421-5059 View (269) 421-5059
Photo of Kristen Harris, LMSW, CAADC, ADS, EMDR T, CFNC, Clinical Social Work/Therapist
Kristen Harris
Clinical Social Work/Therapist, LMSW, CAADC, ADS, EMDR T, CFNC
Verified Verified
2 Endorsed
Richland, MI 49083
My ideal client faces anxiety, PTSD, trauma, eating disorders, relationship struggles, perfectionism, self-esteem issues, life transitions, co-dependency, and self-sabotage concerns. They seek stability, calmness, independence, and control over their lives. This client wants a no-BS approach that’s refreshing and clear. With my interactive style, they’re engaged in active, two-way conversations that cut through vague advice and focus on tangible change. Ready to confront their challenges, they value practical, realistic strategies, aiming to feel grounded, resilient, and empowered in their daily lives.
My ideal client faces anxiety, PTSD, trauma, eating disorders, relationship struggles, perfectionism, self-esteem issues, life transitions, co-dependency, and self-sabotage concerns. They seek stability, calmness, independence, and control over their lives. This client wants a no-BS approach that’s refreshing and clear. With my interactive style, they’re engaged in active, two-way conversations that cut through vague advice and focus on tangible change. Ready to confront their challenges, they value practical, realistic strategies, aiming to feel grounded, resilient, and empowered in their daily lives.
(269) 301-6055 View (269) 301-6055
Photo of Matthew Gamble, Pre-Licensed Professional
Matthew Gamble
Pre-Licensed Professional
Verified Verified
2 Endorsed
Richland, MI 49083
Counseling is vital because it provides a safe, confidential, and non-judgmental space to explore thoughts, feelings, and behaviors. Counseling offers the support needed to work through issues that are meant to weigh us down. My approach to counseling involves addressing problems, assessing personal growth, and encouraging self-reflection. Choosing counseling is an act of self-care and empowerment, helping individuals overcome challenges and emerge stronger, more resilient, and more in tune with their true selves.
Counseling is vital because it provides a safe, confidential, and non-judgmental space to explore thoughts, feelings, and behaviors. Counseling offers the support needed to work through issues that are meant to weigh us down. My approach to counseling involves addressing problems, assessing personal growth, and encouraging self-reflection. Choosing counseling is an act of self-care and empowerment, helping individuals overcome challenges and emerge stronger, more resilient, and more in tune with their true selves.
(269) 421-6133 View (269) 421-6133
Photo of Carol Harvey, LMSW, Clinical Social Work/Therapist
Carol Harvey
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Richland, MI 49083
Helping people is my passion and I feel honored that God has placed me in a position to help those find hope and healing through the counsel I offer. I create a safe place for you to share your story and the challenges you face. My hope is that you feel compassion from me as I journey with you to healing and wholeness. It is a process and my commitment is to walk alongside you at your pace.
Helping people is my passion and I feel honored that God has placed me in a position to help those find hope and healing through the counsel I offer. I create a safe place for you to share your story and the challenges you face. My hope is that you feel compassion from me as I journey with you to healing and wholeness. It is a process and my commitment is to walk alongside you at your pace.
(269) 280-4088 View (269) 280-4088
Photo of Travis Ericksen, MA, LPC, Licensed Professional Counselor
Travis Ericksen
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Richland, MI 49083
Courage is not the absence of fear. Rather, it is a mindset of moving forward despite the fear because something else is more important. You are reading this page because you already realized your wellbeing is more important than whatever emotions or challenges are trying to hold you back from your full potential. You taking this first step of seeking help is truly a courageous act and a sign of inner strength. As your counselor, I will help you develop a new mindset of courage and resilience to confidently face life’s challenges. My goal is to create a safe place for you to reevaluate your lived experiences, emotions, and thinking.
Courage is not the absence of fear. Rather, it is a mindset of moving forward despite the fear because something else is more important. You are reading this page because you already realized your wellbeing is more important than whatever emotions or challenges are trying to hold you back from your full potential. You taking this first step of seeking help is truly a courageous act and a sign of inner strength. As your counselor, I will help you develop a new mindset of courage and resilience to confidently face life’s challenges. My goal is to create a safe place for you to reevaluate your lived experiences, emotions, and thinking.
(269) 257-2162 View (269) 257-2162
Photo of Kelly Psotka, MA, LPC, Counselor
Kelly Psotka
Counselor, MA, LPC
Verified Verified
4 Endorsed
Richland, MI 49083
Life experiences, both old and new, can bring about a variety of feelings, thoughts, and obstacles that can be difficult to navigate on your own. Sometimes these experiences can trigger past trauma, lead to an overwhelming amount of anxiety, or even contribute to feeling depressed and defeated. As a therapist, I will provide a safe and non-judgmental environment where we can explore your experiences and work towards getting you the hope and healing you deserve. In therapy, my goal is to aid clients in uncovering and working through the roots of their thoughts and feelings, as a means to bring about lasting change and progress.
Life experiences, both old and new, can bring about a variety of feelings, thoughts, and obstacles that can be difficult to navigate on your own. Sometimes these experiences can trigger past trauma, lead to an overwhelming amount of anxiety, or even contribute to feeling depressed and defeated. As a therapist, I will provide a safe and non-judgmental environment where we can explore your experiences and work towards getting you the hope and healing you deserve. In therapy, my goal is to aid clients in uncovering and working through the roots of their thoughts and feelings, as a means to bring about lasting change and progress.
(269) 210-8164 View (269) 210-8164
Photo of Melanie Bugnaski, MA, LLPC, Licensed Professional Counselor
Melanie Bugnaski
Licensed Professional Counselor, MA, LLPC
Verified Verified
1 Endorsed
Richland, MI 49083
Have you ever felt alone and like people don't understand you? Or have you ever struggled with, am I making the right choices in parenting for my children? My passion in counseling is helping clients understand who they are, to gain skills that help them meet their goals, and to provide educational opportunities for growth. Together WE define your goals and set obtainable objectives to meet those goals... you are the expert of you! Think of me as your helper or guide...
Have you ever felt alone and like people don't understand you? Or have you ever struggled with, am I making the right choices in parenting for my children? My passion in counseling is helping clients understand who they are, to gain skills that help them meet their goals, and to provide educational opportunities for growth. Together WE define your goals and set obtainable objectives to meet those goals... you are the expert of you! Think of me as your helper or guide...
(269) 373-7134 View (269) 373-7134

More Therapists Nearby

Photo of Marissa Cooney, LMSW, Clinical Social Work/Therapist
Marissa Cooney
Clinical Social Work/Therapist, LMSW
Verified Verified
Portage, MI 49002
I know that taking the first step toward mental wellness is often not easy and I'm so thrilled that you have considered me to be a part of that journey. I believe that therapy is a powerful tool for creating positive change and can serve as a source of hope if you're feeling discouraged. Hi, I’m Marissa, I am a licensed clinical social worker living in West Michigan with over 8 years of experience providing mental health services to adults based in both Michigan and Washington state. I have training in Prolonged Exposure for PTSD, Cognitive Behavioral Therapy and have completed Level 1 Training in Gottman Method Couples Therapy.
I know that taking the first step toward mental wellness is often not easy and I'm so thrilled that you have considered me to be a part of that journey. I believe that therapy is a powerful tool for creating positive change and can serve as a source of hope if you're feeling discouraged. Hi, I’m Marissa, I am a licensed clinical social worker living in West Michigan with over 8 years of experience providing mental health services to adults based in both Michigan and Washington state. I have training in Prolonged Exposure for PTSD, Cognitive Behavioral Therapy and have completed Level 1 Training in Gottman Method Couples Therapy.
(269) 241-3951 View (269) 241-3951
Photo of April Davenport, LMSW, CDP, Clinical Social Work/Therapist
April Davenport
Clinical Social Work/Therapist, LMSW, CDP
Verified Verified
1 Endorsed
Online Only
Are you experiencing caregiver stress or burn-out? Are you experiencing mood changes related to aging or chronic illness? If so, I would love to offer you therapeutic support. I work collaboratively with clients to meet their goals of care. As a social worker, I believe in the importance of identifying and utilizing each individual’s unique strengths.
Are you experiencing caregiver stress or burn-out? Are you experiencing mood changes related to aging or chronic illness? If so, I would love to offer you therapeutic support. I work collaboratively with clients to meet their goals of care. As a social worker, I believe in the importance of identifying and utilizing each individual’s unique strengths.
(269) 399-3667 View (269) 399-3667
Photo of Karen Joyce Bailey - Pacific Wellness, LLC, LCSW, LMSW, Clinical Social Work/Therapist
Pacific Wellness, LLC
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Kalamazoo, MI 49004
My clients tend to be experiencing stress and want to find connections between past experiences, patterns of response, strong emotions and current life circumstances. Life transitions can feel overwhelming and loss can become a catalyst for change. This is often the beginning of an opportunity to gain greater understanding of our selves and the meaning we make in our lives.
My clients tend to be experiencing stress and want to find connections between past experiences, patterns of response, strong emotions and current life circumstances. Life transitions can feel overwhelming and loss can become a catalyst for change. This is often the beginning of an opportunity to gain greater understanding of our selves and the meaning we make in our lives.
(734) 212-8742 View (734) 212-8742
Photo of Erik Wittrup, LMSW, Clinical Social Work/Therapist
Erik Wittrup
Clinical Social Work/Therapist, LMSW
Verified Verified
4 Endorsed
Portage, MI 49002
Navigating through life can be difficult at times. As a therapist, it is important to me that you are supported. After 16 years in the field of social work, I am a firm believer in working together as a team in therapy. My objective is to provide a safe and nonjudgmental environment for us to talk about your hopes, concerns, and goals. I hope to meet you where you are currently and help you to remove barriers from reaching your goals.
Navigating through life can be difficult at times. As a therapist, it is important to me that you are supported. After 16 years in the field of social work, I am a firm believer in working together as a team in therapy. My objective is to provide a safe and nonjudgmental environment for us to talk about your hopes, concerns, and goals. I hope to meet you where you are currently and help you to remove barriers from reaching your goals.
(269) 218-6157 View (269) 218-6157
Photo of Sara Furgeson, LLMSW, QMHP, Clinical Social Work/Therapist
Sara Furgeson
Clinical Social Work/Therapist, LLMSW, QMHP
Verified Verified
1 Endorsed
Online Only
My goal is to help you feel better. I help clients find potential areas for growth through self awareness of what is most important to them. Learning who your authentic self is takes courage and determination and there is no shame in asking for help. I can help guide you along your journey, but you choose which path we take to reach your goals.
My goal is to help you feel better. I help clients find potential areas for growth through self awareness of what is most important to them. Learning who your authentic self is takes courage and determination and there is no shame in asking for help. I can help guide you along your journey, but you choose which path we take to reach your goals.
(269) 575-6680 View (269) 575-6680
Photo of Stephanie Hyer, MA,  LPC, Licensed Professional Counselor
Stephanie Hyer
Licensed Professional Counselor, MA, LPC
Verified Verified
Portage, MI 49024
I am a Licensed Professional Counselor and have been working in the mental health field and as a clinical school counselor for over 29 years. With a passion for working with youth,I am dedicated to creating a nurturing and non-judgmental environment where young minds can thrive. I use a variety of child friendly techniques, personalized approaches and evidence-based techniques to help children explore their emotions. I enjoy helping youth develop goals around how they can continue to learn and grow into better versions of themselves throughout their childhood. I am committed to providing compassionate support every step of the way.
I am a Licensed Professional Counselor and have been working in the mental health field and as a clinical school counselor for over 29 years. With a passion for working with youth,I am dedicated to creating a nurturing and non-judgmental environment where young minds can thrive. I use a variety of child friendly techniques, personalized approaches and evidence-based techniques to help children explore their emotions. I enjoy helping youth develop goals around how they can continue to learn and grow into better versions of themselves throughout their childhood. I am committed to providing compassionate support every step of the way.
(269) 247-4585 View (269) 247-4585
Photo of Britany Vance, MA, LPC, Licensed Professional Counselor
Britany Vance
Licensed Professional Counselor, MA, LPC
Verified Verified
Portage, MI 49002
At the heart of effective counseling is a connection between the counselor and client. I strive to build that connection with you by providing a safe and affirming space where you feel validated, empowered, and comfortable sharing your story during your healing process. Whether you are experiencing daily life stressors, mood instability, or trauma, we can work together towards developing coping strategies, managing stress, and healing emotional wounds sustained over time.
At the heart of effective counseling is a connection between the counselor and client. I strive to build that connection with you by providing a safe and affirming space where you feel validated, empowered, and comfortable sharing your story during your healing process. Whether you are experiencing daily life stressors, mood instability, or trauma, we can work together towards developing coping strategies, managing stress, and healing emotional wounds sustained over time.
(269) 247-7657 View (269) 247-7657
Photo of Kimberly Koll, LPC, LMHC, NCC, Counselor
Kimberly Koll
Counselor, LPC, LMHC, NCC
Verified Verified
1 Endorsed
Online Only
I have immediate openings! I specialize with those who are struggling with living their best lives, with no hope or remedy in sight. I help those who feel like they are drowning with grief, anxiety, and/or depression. Feel like you are not motivated to do basic tasks, and life is just not the same anymore without your loved one here? I am here to help. I specialize in grief and loss, trauma, and life transitions. I was a hospice counselor for over 4.5 years and been doing grief and loss counseling for over a decade. I have helped hundreds of people in the last decade navigate their grief journey and "new normal" to find value.
I have immediate openings! I specialize with those who are struggling with living their best lives, with no hope or remedy in sight. I help those who feel like they are drowning with grief, anxiety, and/or depression. Feel like you are not motivated to do basic tasks, and life is just not the same anymore without your loved one here? I am here to help. I specialize in grief and loss, trauma, and life transitions. I was a hospice counselor for over 4.5 years and been doing grief and loss counseling for over a decade. I have helped hundreds of people in the last decade navigate their grief journey and "new normal" to find value.
(972) 640-9202 View (972) 640-9202
Photo of Tomario Bell, LLMSW, Clinical Social Work/Therapist
Tomario Bell
Clinical Social Work/Therapist, LLMSW
Verified Verified
2 Endorsed
Online Only
Finding the right therapist is a bit like finding the right fit—you've got to try a few to see what fits just right. Hey! I'm Tomario, a master 's-level therapist with a focus on helping teens, adults, and couples tackle challenges such as anxiety, mood disorders, addiction, depression, anger, self-discovery, and relationship or family conflicts. I'm all about teaming up with you to develop effective strategies for dealing with whatever life throws your way.
Finding the right therapist is a bit like finding the right fit—you've got to try a few to see what fits just right. Hey! I'm Tomario, a master 's-level therapist with a focus on helping teens, adults, and couples tackle challenges such as anxiety, mood disorders, addiction, depression, anger, self-discovery, and relationship or family conflicts. I'm all about teaming up with you to develop effective strategies for dealing with whatever life throws your way.
(734) 275-2414 View (734) 275-2414
Photo of Amanda Walker, MA, LLP, CAADC, Limited Licensed Psychologist
Amanda Walker
Limited Licensed Psychologist, MA, LLP, CAADC
Verified Verified
Online Only
I view therapy as a collaborate space where it is safe to share life’s difficulties. I find joy in working together to learn to cope with stressors and develop healthy habits for better managing relationships, mental health concerns, and whatever situation might be important in that moment. I enjoy working with adults and couples. My primary areas of expertise include treating mood disorders such as depression and anxiety, as well as working with adjustment disorders and substance use disorders. Therapy is about helping people through situational life stressors or relationship conflicts.
I view therapy as a collaborate space where it is safe to share life’s difficulties. I find joy in working together to learn to cope with stressors and develop healthy habits for better managing relationships, mental health concerns, and whatever situation might be important in that moment. I enjoy working with adults and couples. My primary areas of expertise include treating mood disorders such as depression and anxiety, as well as working with adjustment disorders and substance use disorders. Therapy is about helping people through situational life stressors or relationship conflicts.
(616) 201-1399 View (616) 201-1399

See more therapy options for Richland

How does your Therapist compare?

Number of Therapists in Richland, MI

10+

Average cost per session

$165

Therapists in Richland, MI who prioritize treating:

100% Relationship Issues
100% Anxiety
100% Coping Skills
90% Depression
90% Family Conflict
90% Self Esteem
90% Stress

Average years in practice

10 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
78% UnitedHealthcare UHC | UBH
78% Priority Health

How Therapists in Richland, MI see their clients

90% In Person and Online
10% Online Only

Gender breakdown

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

How can I find a therapist in Richland?

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.