Therapists in Arkansas

View cities and counties in Arkansas
Photo of Life Springs Christian Counseling, Inc, Pastoral Counselor in Arkansas
Life Springs Christian Counseling, Inc
Pastoral Counselor, DMin, LCPC-AC, CTC, PLC
Verified Verified
Blytheville, AR 72315
Have you been struggling with past events, Present life issues, relationship, or decisions in your life? Are you searching for someone to listen, accept you as you are, and offer positive, practical, spiritual answers? Do you want to improve yourself, discover your uniqueness? We will guide you to Biblical answers to Life issues. We offer Premarital Coaching, divorce recovery, life Coaching, Pastoral Coaching, grief coaching, stress, anger, depression, abandonment, rejection, spiritual coaching. We are here to help you heal. "We Can Help"
Have you been struggling with past events, Present life issues, relationship, or decisions in your life? Are you searching for someone to listen, accept you as you are, and offer positive, practical, spiritual answers? Do you want to improve yourself, discover your uniqueness? We will guide you to Biblical answers to Life issues. We offer Premarital Coaching, divorce recovery, life Coaching, Pastoral Coaching, grief coaching, stress, anger, depression, abandonment, rejection, spiritual coaching. We are here to help you heal. "We Can Help"
(870) 512-6345 View (870) 512-6345
Photo of Gem E. Moore, Psychologist in Arkansas
Gem E. Moore
Psychologist, PhD
Verified Verified
1 Endorsed
Little Rock, AR 72227
Communication? Where do you learn it? Not at school. More likely from your family, friends; and other important people. Is it working? If not' relationships are my specialty, and I see both couples and individuals. Let me help you develop the skills and awareness you need to improve the relationships in your life. As a psychologist with 35+ years of a wide variety of training and experience, I provide my clients with high-level, expert care and feedback. Options in life provide more choices and increased awareness addresses opening unseen possibilities for you.
Communication? Where do you learn it? Not at school. More likely from your family, friends; and other important people. Is it working? If not' relationships are my specialty, and I see both couples and individuals. Let me help you develop the skills and awareness you need to improve the relationships in your life. As a psychologist with 35+ years of a wide variety of training and experience, I provide my clients with high-level, expert care and feedback. Options in life provide more choices and increased awareness addresses opening unseen possibilities for you.
(501) 251-1869 View (501) 251-1869
Photo of Melissa Harrison, Clinical Social Work/Therapist in Arkansas
Melissa Harrison
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Conway, AR 72034
I am so glad that you are taking the important first step in reaching out for the help that you deserve! My name is Melissa Harrison, and I am a Licensed Certified Social Worker with over 5 years of experience providing therapy to children, teens, and adults in Central Arkansas. I work with clients experiencing a number of concerns, such as anxiety, depression, PTSD, and many others. I am especially passionate about working with clients to heal trauma, find purpose, and adjust to life’s stressors and changes.
I am so glad that you are taking the important first step in reaching out for the help that you deserve! My name is Melissa Harrison, and I am a Licensed Certified Social Worker with over 5 years of experience providing therapy to children, teens, and adults in Central Arkansas. I work with clients experiencing a number of concerns, such as anxiety, depression, PTSD, and many others. I am especially passionate about working with clients to heal trauma, find purpose, and adjust to life’s stressors and changes.
(501) 300-2618 View (501) 300-2618
Photo of Peace of Mind Counseling Centers PLLC, Licensed Professional Counselor in Arkansas
Peace of Mind Counseling Centers PLLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Greenbrier, AR 72058
We believe there is hope and positive change possible for each individual and family. Through faith-based counseling, we strive to empower clients to find Peace of Mind, knowing that many individual and family burdens can be relieved through the collaborative relationship working with a trained counselor. Our team has worked to obtain certificates in trauma assessment & interventions as well as acute stress, grief, loss, complex trauma, relational issues, religious wounding, substance abuse and crisis. These extra trainings have included specific measures that are necessary for work with the veteran and active military community.
We believe there is hope and positive change possible for each individual and family. Through faith-based counseling, we strive to empower clients to find Peace of Mind, knowing that many individual and family burdens can be relieved through the collaborative relationship working with a trained counselor. Our team has worked to obtain certificates in trauma assessment & interventions as well as acute stress, grief, loss, complex trauma, relational issues, religious wounding, substance abuse and crisis. These extra trainings have included specific measures that are necessary for work with the veteran and active military community.
(501) 242-5438 View (501) 242-5438
Photo of Tod Billings, Licensed Professional Counselor in Arkansas
Tod Billings
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Little Rock, AR 72205  (Online Only)
Helping another person find hope when they'd had none, replace self-doubt with confidence and despair with fulfillment, to cope and function better in life: these kinds of things are what drive my existence. With over 15 years of experience in the mental health field, I would love to help you in any or all of these areas. I treat the most common problems such as mood disorders, anxiety disorders, and psychosis, but I am particularly passionate about helping people who are leery about seeking therapy out of fear or judgment of embarrassment. I am also drive to help those with trauma and abuse-related problems.
Helping another person find hope when they'd had none, replace self-doubt with confidence and despair with fulfillment, to cope and function better in life: these kinds of things are what drive my existence. With over 15 years of experience in the mental health field, I would love to help you in any or all of these areas. I treat the most common problems such as mood disorders, anxiety disorders, and psychosis, but I am particularly passionate about helping people who are leery about seeking therapy out of fear or judgment of embarrassment. I am also drive to help those with trauma and abuse-related problems.
(501) 214-7926 View (501) 214-7926
Photo of Michele Clark, Licensed Professional Counselor in Arkansas
Michele Clark
Licensed Professional Counselor, LPC, LMFT, MS
Verified Verified
1 Endorsed
Little Rock, AR 72205
Shame is a minefield. It can steal our joy, kill our belief that we're worthy of healthy relationships and destroy who we see in the mirror. I've fought those battles in my own life and I know how easily they can leave you feeling hopeless, stuck, and resigned to destructive patterns. Together, we'll tackle the lies that life's traumatic moments have used to shape your story. We'll dig through the depression and reclaim your identity. We'll stand together against the anxiety and craft a plan for forward motion. Most importantly, we'll find hope that the change you need is possible.
Shame is a minefield. It can steal our joy, kill our belief that we're worthy of healthy relationships and destroy who we see in the mirror. I've fought those battles in my own life and I know how easily they can leave you feeling hopeless, stuck, and resigned to destructive patterns. Together, we'll tackle the lies that life's traumatic moments have used to shape your story. We'll dig through the depression and reclaim your identity. We'll stand together against the anxiety and craft a plan for forward motion. Most importantly, we'll find hope that the change you need is possible.
(501) 289-5416 View (501) 289-5416
Photo of Karen Weimer, Licensed Professional Counselor in Arkansas
Karen Weimer
Licensed Professional Counselor, LPC
Verified Verified
Farmington, AR 72730
Do you feel like you're stuck in the same negative thought patterns that keep you from progessing in life? Are you looking for a therapist who helps you feel comfortable to talk about the really hard things? Are you looking for a judgement free zone to promote the highest level of personal growth? Karen's approach to therapy is based on respecting the sanctity of the therapeutic relationship and building trust in order to promote positive change in your life. Karen uses cognitive behavioral therapy which focuses on how our thoughts and feelings about a situation affect our behavior.
Do you feel like you're stuck in the same negative thought patterns that keep you from progessing in life? Are you looking for a therapist who helps you feel comfortable to talk about the really hard things? Are you looking for a judgement free zone to promote the highest level of personal growth? Karen's approach to therapy is based on respecting the sanctity of the therapeutic relationship and building trust in order to promote positive change in your life. Karen uses cognitive behavioral therapy which focuses on how our thoughts and feelings about a situation affect our behavior.
Photo of Rob Carney, Licensed Professional Counselor in Arkansas
Rob Carney
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Springdale, AR 72762
We all face struggles in life and need help figuring out how to move forward. My goal is to provide a safe environment to allow my clients to explore and work through whatever challenge they are facing. In my years of clinical experience I have been blessed to work with children, teens, adults, and families facing a variety of life’s struggles. I have worked with clients dealing with issues including depression, anxiety, anger, addiction, trauma, relationship struggles, and a variety of other challenges we face in life.
We all face struggles in life and need help figuring out how to move forward. My goal is to provide a safe environment to allow my clients to explore and work through whatever challenge they are facing. In my years of clinical experience I have been blessed to work with children, teens, adults, and families facing a variety of life’s struggles. I have worked with clients dealing with issues including depression, anxiety, anger, addiction, trauma, relationship struggles, and a variety of other challenges we face in life.
(479) 349-3633 View (479) 349-3633
Photo of Cody Bryan, Counselor in Arkansas
Cody Bryan
Counselor, MS, LAC
Verified Verified
1 Endorsed
Bentonville, AR 72712
Are you bearing the weight of past wounds, passed down through generations, manifesting as stress, anxiety, addiction? Are you battling feelings of shame, guilt, and profound unworthiness, exacerbated by societal stigma due to your Adult ADHD and/or Autism? Are you recognizing the impact your challenges have on your relationships, career, and well-being? Are you seeking solace and guidance, hoping to find a therapist who offers a space of empathy and understanding—a safe harbor for unraveling the tangled web of your trauma? Whether it is addiction, relationship, and/or neurodivergent challenges, I believe you can find healing.
Are you bearing the weight of past wounds, passed down through generations, manifesting as stress, anxiety, addiction? Are you battling feelings of shame, guilt, and profound unworthiness, exacerbated by societal stigma due to your Adult ADHD and/or Autism? Are you recognizing the impact your challenges have on your relationships, career, and well-being? Are you seeking solace and guidance, hoping to find a therapist who offers a space of empathy and understanding—a safe harbor for unraveling the tangled web of your trauma? Whether it is addiction, relationship, and/or neurodivergent challenges, I believe you can find healing.
(479) 323-2897 View (479) 323-2897
Photo of Jeremy Ducker, Licensed Professional Counselor in Arkansas
Jeremy Ducker
Licensed Professional Counselor, LPC
Verified Verified
Jonesboro, AR 72401
I am passionate about helping others and enjoy helping them navigate through their daily life challenges no matter how serious they may seem. I work to create a comfortable atmosphere where clients can feel safe to process their emotions and work together with them to develop new and healthy coping skills to accomplish whatever goals they may have. I utilize treatment modalities such as Cognitive Behavior Therapy, Cognitive Processing, Solution Focused Therapy, Trauma Focused Cognitive Behavior Therapy, Behavior Modification as well as Theraplay Principals.
I am passionate about helping others and enjoy helping them navigate through their daily life challenges no matter how serious they may seem. I work to create a comfortable atmosphere where clients can feel safe to process their emotions and work together with them to develop new and healthy coping skills to accomplish whatever goals they may have. I utilize treatment modalities such as Cognitive Behavior Therapy, Cognitive Processing, Solution Focused Therapy, Trauma Focused Cognitive Behavior Therapy, Behavior Modification as well as Theraplay Principals.
(870) 729-8365 View (870) 729-8365
Photo of Kellye A Gautier, Marriage & Family Therapist in Arkansas
Kellye A Gautier
Marriage & Family Therapist, MS, LPC, LMFT
Verified Verified
2 Endorsed
Bentonville, AR 72712
Not accepting new clients
Pain pushes us to change, and comes in many forms; depression, anxiety symptoms, feelings of inadequacy, grief, anger, fear, or hopelessness. How we respond to change will ultimately put us on a healing journey, or keep us standing still. As your therapist, I offer you a safe environment to tell your truth, and explore thoughts, feelings, and experiences without judgment. If you’ve experienced physical/sexual trauma, anxiety, depression, PTSD, complicated trauma, and/or anger issues, let’s talk! I have worked with children, adolescents and adults. I am a graduate of John Brown University in Siloam Springs, AR with dual licensure.
Pain pushes us to change, and comes in many forms; depression, anxiety symptoms, feelings of inadequacy, grief, anger, fear, or hopelessness. How we respond to change will ultimately put us on a healing journey, or keep us standing still. As your therapist, I offer you a safe environment to tell your truth, and explore thoughts, feelings, and experiences without judgment. If you’ve experienced physical/sexual trauma, anxiety, depression, PTSD, complicated trauma, and/or anger issues, let’s talk! I have worked with children, adolescents and adults. I am a graduate of John Brown University in Siloam Springs, AR with dual licensure.
(479) 668-3436 View (479) 668-3436
Photo of Stephanie Bentley, Counselor in Arkansas
Stephanie Bentley
Counselor, LAC, NCC, EdS
Verified Verified
Rogers, AR 72756
I am a caring counselor with 15 years of experience working with children of all ages and backgrounds. I have helped kids through life changes such as their parents’ divorce or the loss of a loved one, all types of anxiety, and behavioral concerns such as anger management and ADHD. Treating the child with respect and dignity and meeting them where they are are the heart of my practice. I use play, bibliotherapy, and expressive arts to connect with your child, help them share their thoughts and feelings, and explore coping skills that work for them. Take that first step on behalf of your child. Call and set up an appointment with me.
I am a caring counselor with 15 years of experience working with children of all ages and backgrounds. I have helped kids through life changes such as their parents’ divorce or the loss of a loved one, all types of anxiety, and behavioral concerns such as anger management and ADHD. Treating the child with respect and dignity and meeting them where they are are the heart of my practice. I use play, bibliotherapy, and expressive arts to connect with your child, help them share their thoughts and feelings, and explore coping skills that work for them. Take that first step on behalf of your child. Call and set up an appointment with me.
(479) 239-9330 View (479) 239-9330
Photo of Jinny Richards, Counselor in Arkansas
Jinny Richards
Counselor, MS, LAC
Verified Verified
Conway, AR 72034
Are you currently in a hard season of life? Are you feeling alone, empty, hurt, or confused? Your feelings and experiences matter and we can find meaning in the pain together. Jinny is an Arkansas native who graduated from John Brown University in 2009 with dual Masters degrees in Marriage and Family Therapy and Counseling. Jinny believes it is a privilege and honor to walk alongside you in your healing journey! She will take your relationship seriously and believes a therapeutic relationship is based on trust, which she will strive to build with you.
Are you currently in a hard season of life? Are you feeling alone, empty, hurt, or confused? Your feelings and experiences matter and we can find meaning in the pain together. Jinny is an Arkansas native who graduated from John Brown University in 2009 with dual Masters degrees in Marriage and Family Therapy and Counseling. Jinny believes it is a privilege and honor to walk alongside you in your healing journey! She will take your relationship seriously and believes a therapeutic relationship is based on trust, which she will strive to build with you.
(501) 474-6511 View (501) 474-6511
Photo of Alex Gackle, Counselor in Arkansas
Alex Gackle
Counselor, MS, LPC
Verified Verified
1 Endorsed
Fayetteville, AR 72701
Being a human is hard sometimes! We all experience pain, stress, and trauma. Through safety, connection, and new experiences, our hearts can mend and we can create beautiful new things. We all need each other. My goal as a therapist is to create a safe space for you to feel seen, safe, and secure to share your authentic self. My desire is to meet you right where you are in your pain while helping you feel free to be fully you.
Being a human is hard sometimes! We all experience pain, stress, and trauma. Through safety, connection, and new experiences, our hearts can mend and we can create beautiful new things. We all need each other. My goal as a therapist is to create a safe space for you to feel seen, safe, and secure to share your authentic self. My desire is to meet you right where you are in your pain while helping you feel free to be fully you.
(479) 210-2040 View (479) 210-2040
Photo of Jeremiah Dillehay, Counselor in Arkansas
Jeremiah Dillehay
Counselor, LPC, EdS
Verified Verified
Bradford, AR 72020  (Online Only)
I currently work with clients around the world with positions in the UN, NGOs, and corporate opportunities. I also help clients here in the states and abroad with the immense challenges of tackling a neurotypical world while being neurodivergent due to some ADHD or mild autism spectrum traits.
I currently work with clients around the world with positions in the UN, NGOs, and corporate opportunities. I also help clients here in the states and abroad with the immense challenges of tackling a neurotypical world while being neurodivergent due to some ADHD or mild autism spectrum traits.
(501) 596-6947 View (501) 596-6947
Photo of Ally Sabados Smolinski, Clinical Social Work/Therapist in Arkansas
Ally Sabados Smolinski
Clinical Social Work/Therapist, LCSW
Verified Verified
Bentonville, AR 72712
Hi there! I'm a licensed clinical therapist & owner of The Therapy Lounge. My goal as your clinician is to assist you in your journey of personal growth. Self-awareness is a key part of healing & my style of therapy is tailored to assist you in identifying stuck points, exploring self-defeating patterns/thoughts, improving emotional regulation, and building personal insight. I specialize in the areas of depression, anxiety, family of origin issues, adjusting through life transitions, relational issues, & trauma. My ideal clients are adults who have self-curiosity & wish to dive more deeply into the root causes of their symptoms.
Hi there! I'm a licensed clinical therapist & owner of The Therapy Lounge. My goal as your clinician is to assist you in your journey of personal growth. Self-awareness is a key part of healing & my style of therapy is tailored to assist you in identifying stuck points, exploring self-defeating patterns/thoughts, improving emotional regulation, and building personal insight. I specialize in the areas of depression, anxiety, family of origin issues, adjusting through life transitions, relational issues, & trauma. My ideal clients are adults who have self-curiosity & wish to dive more deeply into the root causes of their symptoms.
(479) 239-8961 View (479) 239-8961
Photo of Hazel Moon, Licensed Professional Counselor in Arkansas
Hazel Moon
Licensed Professional Counselor, MS
Verified Verified
Russellville, AR 72801
The biggest issue I often see is disconnection from mind body connection and reintegrating our natural response to emote and shake old emotions out of the body through somatic practices and processing experiences in a safe environment where we can be authentic with what we are experiencing without guilt or shame. Reconnecting to something bigger that's guiding us all home.
The biggest issue I often see is disconnection from mind body connection and reintegrating our natural response to emote and shake old emotions out of the body through somatic practices and processing experiences in a safe environment where we can be authentic with what we are experiencing without guilt or shame. Reconnecting to something bigger that's guiding us all home.
(479) 269-9661 View (479) 269-9661
Photo of Mindy Wilkerson, Clinical Social Work/Therapist in Arkansas
Mindy Wilkerson
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Fayetteville, AR 72701
My approach to therapy begins with a belief that we are all wired for connection. Connection happens when we are heard and understood in relationship to others. I engage our work through compassion, curiosity, humor, perspective, and honesty. I believe that creating a space to slow down and tune into our emotions, beliefs, and responses is a primary way to heal, grow, and authentically relate to others. My passion in counseling is to create a relationship built on safety, trust, and hope, where people feel accepted and challenged to grow in new and meaningful ways. .
My approach to therapy begins with a belief that we are all wired for connection. Connection happens when we are heard and understood in relationship to others. I engage our work through compassion, curiosity, humor, perspective, and honesty. I believe that creating a space to slow down and tune into our emotions, beliefs, and responses is a primary way to heal, grow, and authentically relate to others. My passion in counseling is to create a relationship built on safety, trust, and hope, where people feel accepted and challenged to grow in new and meaningful ways. .
(312) 465-5622 View (312) 465-5622
Photo of Amanda Hardison, Licensed Professional Counselor in Arkansas
Amanda Hardison
Licensed Professional Counselor, LPC, EdS
Verified Verified
Searcy, AR 72143
I believe everyone who walks into my office matters and I am honored for the chance to walk alongside them and hear their story. I use a Cognitive Behavioral approach to help my clients identify areas where negative thoughts and beliefs have taken root and equip them to replace those beliefs with truth in a way that allows them to move forward as their healthiest self.
I believe everyone who walks into my office matters and I am honored for the chance to walk alongside them and hear their story. I use a Cognitive Behavioral approach to help my clients identify areas where negative thoughts and beliefs have taken root and equip them to replace those beliefs with truth in a way that allows them to move forward as their healthiest self.
(501) 285-9167 View (501) 285-9167
Photo of Jennifer S Payne, Licensed Professional Counselor in Arkansas
Jennifer S Payne
Licensed Professional Counselor, LAMFT
Verified Verified
I offer a variety of counseling services for individuals, couples, and families. My focus is on helping people improve their lives by building stronger relationships.
I offer a variety of counseling services for individuals, couples, and families. My focus is on helping people improve their lives by building stronger relationships.
(844) 307-0410 View (844) 307-0410

How does your Therapist compare?

Average cost per session

$150

Therapists in Arkansas who prioritize treating:

91% Anxiety
89% Depression
74% Self Esteem
73% Trauma and PTSD
72% Relationship Issues
69% Coping Skills
69% Stress

Average years in practice

11 Years

Top 3 insurances accepted

83% BlueCross and BlueShield
69% Ambetter
53% QualChoice

How Therapists in Arkansas see their clients

86% In Person and Online
14% Online Only

Gender breakdown

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

How can I find a therapist in Arkansas?

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.