Therapists in Zumbrota, MN

Photo of Allison Patnaude, Licensed Professional Clinical Counselor, MA, LPCC, LADC
Allison Patnaude
Licensed Professional Clinical Counselor, MA, LPCC, LADC
Online Only
You're exhausted. Constantly putting out emotional fires. Thoughts of never "good enough," churn through your mind. You avoid these thoughts and emotions with substances, distractions, or just plain, "pushing them down." You learned these survival strategies early in life, but now, it feels impossible to imagine another way. While most of us know we want to feel differently, it's pretty common that we can't put a finger on what we need to change. Therapy will start with a thorough evaluation of your current life circumstances and how your symptoms and coping skills have worked in the past.
You're exhausted. Constantly putting out emotional fires. Thoughts of never "good enough," churn through your mind. You avoid these thoughts and emotions with substances, distractions, or just plain, "pushing them down." You learned these survival strategies early in life, but now, it feels impossible to imagine another way. While most of us know we want to feel differently, it's pretty common that we can't put a finger on what we need to change. Therapy will start with a thorough evaluation of your current life circumstances and how your symptoms and coping skills have worked in the past.
(507) 669-7160 View (507) 669-7160
Photo of Brian K. Flick, Clinical Social Work/Therapist, MSW, LICSW
Brian K. Flick
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
Waitlist for new clients
Licensed Independent Clinical Social Worker who specializes in working with individuals experiencing mental illness and addiction problems. Often patients seek therapy to develop ways to improve their relationships, better manage stress/negative emotions, and to work through traumatic experiences.
Licensed Independent Clinical Social Worker who specializes in working with individuals experiencing mental illness and addiction problems. Often patients seek therapy to develop ways to improve their relationships, better manage stress/negative emotions, and to work through traumatic experiences.
(507) 335-2345 View (507) 335-2345

More Therapists Nearby

Photo of Staci Beto, Clinical Social Work/Therapist, LICSW
Staci Beto
Clinical Social Work/Therapist, LICSW
Serves Area
I am experienced in trauma-focused therapy, bereavement counseling, and mindfulness. I have an eclectic style and use a combination of evidence-based practices to tailor treatment to your needs. I utilize Cognitive Behavioral Therapy (CBT), Relational-Cultural Therapy (RCT), and Accelerated Resolution Therapy (ART), employing a client-focused, strengths-based approach.
I am experienced in trauma-focused therapy, bereavement counseling, and mindfulness. I have an eclectic style and use a combination of evidence-based practices to tailor treatment to your needs. I utilize Cognitive Behavioral Therapy (CBT), Relational-Cultural Therapy (RCT), and Accelerated Resolution Therapy (ART), employing a client-focused, strengths-based approach.
(218) 514-4917 View (218) 514-4917
Photo of Amber Teubert - Serenity Therapy, Counselor, LPC-WI, LMHC-IA, LPCC-MN, LCPC-IL, CCMHC
Serenity Therapy
Counselor, LPC-WI, LMHC-IA, LPCC-MN, LCPC-IL, CCMHC
1 Endorsed
Online Only
Feel Less Anxious. Feel More Like Yourself. Life can feel heavy when you’re overwhelmed yet still holding everything together. Maybe you tell yourself you should be able to “just handle it,” but inside you’re exhausted. You want relief, clarity, and someone who truly understands. Many of my clients are high-achievers, caregivers, and deeply capable people. They are strong and overwhelmed; competent on the outside, drained on the inside. They’ve spent years putting themselves last, questioning their needs, and wondering why it still feels this hard. Therapy here helps you slow down, feel grounded, and reconnect with yourself.
Feel Less Anxious. Feel More Like Yourself. Life can feel heavy when you’re overwhelmed yet still holding everything together. Maybe you tell yourself you should be able to “just handle it,” but inside you’re exhausted. You want relief, clarity, and someone who truly understands. Many of my clients are high-achievers, caregivers, and deeply capable people. They are strong and overwhelmed; competent on the outside, drained on the inside. They’ve spent years putting themselves last, questioning their needs, and wondering why it still feels this hard. Therapy here helps you slow down, feel grounded, and reconnect with yourself.
(563) 239-3044 View (563) 239-3044
Photo of Kayla Schilling, Clinical Social Work/Therapist, LICSW
Kayla Schilling
Clinical Social Work/Therapist, LICSW
Online Only
Hi! I am a Licensed Clinical Social Worker who provides individual therapy using a strengths-based and client-centered approach. I have spent the past six years working as a School Social Worker with middle school students experiencing symptoms of Anxiety, Depression, ADHD, and Autism. I practice with cultural humility and strive to meet clients where they are, creating a supportive and welcoming space for people of all backgrounds. I believe everyone deserves a space where they feel seen, respected, and able to show up as their authentic self.
Hi! I am a Licensed Clinical Social Worker who provides individual therapy using a strengths-based and client-centered approach. I have spent the past six years working as a School Social Worker with middle school students experiencing symptoms of Anxiety, Depression, ADHD, and Autism. I practice with cultural humility and strive to meet clients where they are, creating a supportive and welcoming space for people of all backgrounds. I believe everyone deserves a space where they feel seen, respected, and able to show up as their authentic self.
(763) 247-4649 View (763) 247-4649
Photo of Shelia Ransom Jenkins, Clinical Social Work/Therapist, LCSW, LICSW
Shelia Ransom Jenkins
Clinical Social Work/Therapist, LCSW, LICSW
Online Only
Life can feel overwhelming, and it’s easy to lose yourself while managing everything. You may be struggling with anxiety, depression, or relationship challenges and want to feel supported and understood. My approach is compassionate and collaborative, helping you heal, find balance, and build healthier coping skills. Together, we’ll create a safe space for growth, self-discovery, and lasting change.
Life can feel overwhelming, and it’s easy to lose yourself while managing everything. You may be struggling with anxiety, depression, or relationship challenges and want to feel supported and understood. My approach is compassionate and collaborative, helping you heal, find balance, and build healthier coping skills. Together, we’ll create a safe space for growth, self-discovery, and lasting change.
(507) 665-7713 View (507) 665-7713
Photo of Cristina Ramin, Marriage & Family Therapist, MA, LMFT
Cristina Ramin
Marriage & Family Therapist, MA, LMFT
3 Endorsed
Rochester, MN 55904
Need somewhere safe to process life and all it's challenges? Feeling overwhelmed by recent events or conflicts? Feeling unsure about your own goals and journey through life? I may be able to help! I am a marriage and family therapist with about nine years of experience in providing guidance and support to children, adolescents, their families, young adults, and victims of domestic violence. I also help navigate parental and family dynamic challenges through both individual and family sessions.
Need somewhere safe to process life and all it's challenges? Feeling overwhelmed by recent events or conflicts? Feeling unsure about your own goals and journey through life? I may be able to help! I am a marriage and family therapist with about nine years of experience in providing guidance and support to children, adolescents, their families, young adults, and victims of domestic violence. I also help navigate parental and family dynamic challenges through both individual and family sessions.
(952) 522-8084 View (952) 522-8084
Photo of Harry Edwards-Kuehnle, Clinical Social Work/Therapist, LISW
Harry Edwards-Kuehnle
Clinical Social Work/Therapist, LISW
5 Endorsed
Serves Area
“Survival is insufficient” is my favorite quote, which comes from Emily St. John Mandel's book Station Eleven. I want to help identify and embrace how your strengths make you unique. Then you can not only survive but also fully engage in your life. I identify as a member of the LGBTQIA+ community and I understand, personally and professionally, how difficult it can be to feel like you fit. My personal experiences as someone who has often felt "different" are a part of what led me into this field, and my education and training in evidence-based practice helps me to help you feel welcomed, affirmed, and capable of overcoming barriers.
“Survival is insufficient” is my favorite quote, which comes from Emily St. John Mandel's book Station Eleven. I want to help identify and embrace how your strengths make you unique. Then you can not only survive but also fully engage in your life. I identify as a member of the LGBTQIA+ community and I understand, personally and professionally, how difficult it can be to feel like you fit. My personal experiences as someone who has often felt "different" are a part of what led me into this field, and my education and training in evidence-based practice helps me to help you feel welcomed, affirmed, and capable of overcoming barriers.
(319) 308-5615 View (319) 308-5615
Photo of Kiki Burgdorf, Pre-Licensed Professional, MTS
Kiki Burgdorf
Pre-Licensed Professional, MTS
2 Endorsed
Northfield, MN 55057
I understand that sometimes, life can feel like too much to handle, and I recognize the courage it takes to begin therapy. No matter our age or life stage, when we’re overwhelmed with stress, grief, or unmet needs, we all need a safe space to pause, process, and feel deeply seen and heard. I truly believe you are the expert of your own story. My role is to help you release the narratives that are no longer serving you and connect with the coping skills, innate strengths, interpersonal strategies, and core beliefs that create a scaffolding of wellness in your mind, body, and relationships.
I understand that sometimes, life can feel like too much to handle, and I recognize the courage it takes to begin therapy. No matter our age or life stage, when we’re overwhelmed with stress, grief, or unmet needs, we all need a safe space to pause, process, and feel deeply seen and heard. I truly believe you are the expert of your own story. My role is to help you release the narratives that are no longer serving you and connect with the coping skills, innate strengths, interpersonal strategies, and core beliefs that create a scaffolding of wellness in your mind, body, and relationships.
(507) 707-8841 View (507) 707-8841
Photo of Adam Lee, Marriage & Family Therapist, LMFT, LADC
Adam Lee
Marriage & Family Therapist, LMFT, LADC
1 Endorsed
Rochester, MN 55902
Are you feeling your life or relationships are off? That there is a way to make it better just around the corner but you don't know how to get there? I know exactly how you're feeling: frustrated in what you have tried, not where you want to be, feeling stuck, and ready to throw it all away. Being stuck can lead to depression, anxiety, or irritability. I don't want you to suffer any more. I look forward to teaching you how therapy can provide direction and help you take your life back.
Are you feeling your life or relationships are off? That there is a way to make it better just around the corner but you don't know how to get there? I know exactly how you're feeling: frustrated in what you have tried, not where you want to be, feeling stuck, and ready to throw it all away. Being stuck can lead to depression, anxiety, or irritability. I don't want you to suffer any more. I look forward to teaching you how therapy can provide direction and help you take your life back.
(507) 565-6617 View (507) 565-6617
Photo of Michael Kris Anderson, Clinical Social Work/Therapist, MSW, LICSW
Michael Kris Anderson
Clinical Social Work/Therapist, MSW, LICSW
Online Only
Life is a journey toward self-discovery and we are faced with many challenges on that journey. In my role as both guide & companion along the way, I offer insight, increased understanding, & the skills to navigate through the obstacles on your path. I believe we all have a gift. As Picasso stated: “The meaning of life is to find your gift. The purpose of life is to give it away”. My passion is guiding others toward that journey of continued self-discovery: working through the impasses, the resistance to personal growth. Understanding that we do grow, not inspite of those issues, but because of them: relying on inner resilience.
Life is a journey toward self-discovery and we are faced with many challenges on that journey. In my role as both guide & companion along the way, I offer insight, increased understanding, & the skills to navigate through the obstacles on your path. I believe we all have a gift. As Picasso stated: “The meaning of life is to find your gift. The purpose of life is to give it away”. My passion is guiding others toward that journey of continued self-discovery: working through the impasses, the resistance to personal growth. Understanding that we do grow, not inspite of those issues, but because of them: relying on inner resilience.
(218) 231-6099 View (218) 231-6099
Photo of Claire LeMay, Clinical Social Work/Therapist, LICSW, IADC
Claire LeMay
Clinical Social Work/Therapist, LICSW, IADC
Online Only
Everyone deserves to feel they can express themselves in whatever way they feel most secure and empowered. You deserve a therapist who fully accepts you for who you are and what you stand for. Whether you need a safe space to discuss the thoughts and feelings you have been having or are looking for someone to help you process the trauma you have experienced, Claire has the skills and compassion to meet you were you are with the situation you have now. You deserve an affirming, direct, supportive, and empowering therapist to help you sort through these intense emotions and create strategies to manage the stress and fear.
Everyone deserves to feel they can express themselves in whatever way they feel most secure and empowered. You deserve a therapist who fully accepts you for who you are and what you stand for. Whether you need a safe space to discuss the thoughts and feelings you have been having or are looking for someone to help you process the trauma you have experienced, Claire has the skills and compassion to meet you were you are with the situation you have now. You deserve an affirming, direct, supportive, and empowering therapist to help you sort through these intense emotions and create strategies to manage the stress and fear.
(651) 705-2181 View (651) 705-2181
Photo of Katie M Gilmer, Counselor, MS, LPCC, LADC
Katie M Gilmer
Counselor, MS, LPCC, LADC
Byron, MN 55920
Katie's areas of interest include, and not limited to, substance use disorders, trauma, strengths and personal meaning exploration, depression, and anxiety.
Katie's areas of interest include, and not limited to, substance use disorders, trauma, strengths and personal meaning exploration, depression, and anxiety.
(507) 419-3887 x733 View (507) 419-3887 x733
Photo of Kim Céspedes Torres, Clinical Social Work/Therapist, MSW, LICSW
Kim Céspedes Torres
Clinical Social Work/Therapist, MSW, LICSW
Rochester, MN 55904
I'm a bilingual (Spanish/English) therapist licensed in Minnesota and Nevada who believes healing begins when people feel seen, respected, and emotionally safe. I specialize in helping adults navigate anxiety, depression, trauma, life transitions, relationship challenges, emotional dysregulation, burnout, and identity concerns. My background includes community mental health, medical social work, crisis intervention, DBT, and trauma-informed care. As an immigrant, I understand the challenges of major life transitions and strive to provide a compassionate, culturally responsive space where clients feel supported and empowered.
I'm a bilingual (Spanish/English) therapist licensed in Minnesota and Nevada who believes healing begins when people feel seen, respected, and emotionally safe. I specialize in helping adults navigate anxiety, depression, trauma, life transitions, relationship challenges, emotional dysregulation, burnout, and identity concerns. My background includes community mental health, medical social work, crisis intervention, DBT, and trauma-informed care. As an immigrant, I understand the challenges of major life transitions and strive to provide a compassionate, culturally responsive space where clients feel supported and empowered.
(507) 764-0318 View (507) 764-0318
Photo of Daniel James Lindenfeld, Licensed Professional Clinical Counselor, MS, NCC, LPCC
Daniel James Lindenfeld
Licensed Professional Clinical Counselor, MS, NCC, LPCC
1 Endorsed
Rochester, MN 55906
Hello, and thanks for viewing my profile! Whether this is your first time seeking assistance with life and relationship challenges or if you have previous experience with a mental health provider, I offer my professional and personal perspectives to help you become a more effective agent of change in your life's journey. My therapeutic approaches include the use of empathic and supportive listening, mindfulness, therapeutic hypnosis, role plays, metaphors, and even music to help you feel hopeful and empowered. In working with me as a client, you can expect me to be supportive, respectful, honest, and direct with you.
Hello, and thanks for viewing my profile! Whether this is your first time seeking assistance with life and relationship challenges or if you have previous experience with a mental health provider, I offer my professional and personal perspectives to help you become a more effective agent of change in your life's journey. My therapeutic approaches include the use of empathic and supportive listening, mindfulness, therapeutic hypnosis, role plays, metaphors, and even music to help you feel hopeful and empowered. In working with me as a client, you can expect me to be supportive, respectful, honest, and direct with you.
(507) 687-6860 View (507) 687-6860
Photo of Katelyn Connolly, Clinical Social Work/Therapist, LICSW
Katelyn Connolly
Clinical Social Work/Therapist, LICSW
Online Only
I am a Licensed Independent Clinical Social Worker offering services to individuals who are adolescents (ages 13+) and adults. I utilize various therapy models and treatment techniques tailored to the patients I meet with. Every person is different including their goals and motivations my focus is to build a plan together with them to approach the problem in a manner that is as unique as they are. Working in various settings including with with individuals involved in the legal system and the hospital allows me a unique insight to bring to the table.
I am a Licensed Independent Clinical Social Worker offering services to individuals who are adolescents (ages 13+) and adults. I utilize various therapy models and treatment techniques tailored to the patients I meet with. Every person is different including their goals and motivations my focus is to build a plan together with them to approach the problem in a manner that is as unique as they are. Working in various settings including with with individuals involved in the legal system and the hospital allows me a unique insight to bring to the table.
(507) 203-2836 View (507) 203-2836
Photo of Nikki Rose McCane, Clinical Social Work/Therapist, LCSW, LICSW
Nikki Rose McCane
Clinical Social Work/Therapist, LCSW, LICSW
1 Endorsed
Online Only
Not accepting new clients
Book with me now by clicking on my linked website! Welcome, I’m Nikki, a Clinical Social Worker dedicated to helping adolescents and adults navigate many of life's challenges. I feel passionately that people experiencing mental illness can be successful and live fulfilling lives with proper care and treatment. I believe that mental health is connected to everything in our lives—our sense of self, our capacity to respond to stress, the ability to have meaningful and healthy relationships, and maintaining our physical wellness. By caring for our mental health, we begin to see positive ripple effects in every aspect of our lives.
Book with me now by clicking on my linked website! Welcome, I’m Nikki, a Clinical Social Worker dedicated to helping adolescents and adults navigate many of life's challenges. I feel passionately that people experiencing mental illness can be successful and live fulfilling lives with proper care and treatment. I believe that mental health is connected to everything in our lives—our sense of self, our capacity to respond to stress, the ability to have meaningful and healthy relationships, and maintaining our physical wellness. By caring for our mental health, we begin to see positive ripple effects in every aspect of our lives.
(929) 209-5521 View (929) 209-5521
Photo of Rachel Greene - Intuitive Therapy & Consulting, LLC, Marriage & Family Therapist, MA, LMFT
Intuitive Therapy & Consulting, LLC
Marriage & Family Therapist, MA, LMFT
8 Endorsed
Serves Area
Immediate openings in Golden Valley and via telehealth. Intuitive Therapy & Consulting is a mindful and holistic counseling clinic. Our therapists are empathic professionals who are trained to treat a variety of symptoms and presenting concerns from a collaborative and whole-person approach. Our goal is to partner with you to assist in identifying and understanding the important issues in your life that are creating struggles for you. Our holistic approach is to work to resolve the presenting concerns while identifying and addressing the underlying patterns. We strive to work together to offer ways to cope that work for you.
Immediate openings in Golden Valley and via telehealth. Intuitive Therapy & Consulting is a mindful and holistic counseling clinic. Our therapists are empathic professionals who are trained to treat a variety of symptoms and presenting concerns from a collaborative and whole-person approach. Our goal is to partner with you to assist in identifying and understanding the important issues in your life that are creating struggles for you. Our holistic approach is to work to resolve the presenting concerns while identifying and addressing the underlying patterns. We strive to work together to offer ways to cope that work for you.
(651) 760-5223 View (651) 760-5223
Photo of Jason Hoffman, Counselor, MS, LPCC, LADC
Jason Hoffman
Counselor, MS, LPCC, LADC
1 Endorsed
Serves Area
I work in a field that I have thoroughly enjoyed for over 25 years. I appreciate and feel honored when others allow me to assist them in finding solutions to challenging and difficult issues in their life.
I work in a field that I have thoroughly enjoyed for over 25 years. I appreciate and feel honored when others allow me to assist them in finding solutions to challenging and difficult issues in their life.
(507) 607-4704 View (507) 607-4704
Photo of Dr. Joanna Woo, Pre-Licensed Professional, PsyD, MBA
Dr. Joanna Woo
Pre-Licensed Professional, PsyD, MBA
Northfield, MN 55057
If you’re feeling emotionally exhausted, stuck in patterns that no longer serve you, or simply unsure of what you need—therapy can be a space to pause, reflect, and begin again with intention. I work with clients navigating a wide range of life transitions and inner struggles—whether rooted in personal history, identity, relationships, or external pressures. Many of the people I support are college students, young adults, first-generation professionals, high-achieving students, or BIPOC individuals. They’re often juggling a lot—trying to grow, to show up for others, and to stay connected to who they are in the process.
If you’re feeling emotionally exhausted, stuck in patterns that no longer serve you, or simply unsure of what you need—therapy can be a space to pause, reflect, and begin again with intention. I work with clients navigating a wide range of life transitions and inner struggles—whether rooted in personal history, identity, relationships, or external pressures. Many of the people I support are college students, young adults, first-generation professionals, high-achieving students, or BIPOC individuals. They’re often juggling a lot—trying to grow, to show up for others, and to stay connected to who they are in the process.
(507) 608-5044 View (507) 608-5044

How does your Therapist compare?

Number of Therapists in Zumbrota, MN

< 10

Therapists in Zumbrota, MN who prioritize treating:

100% Anxiety
100% Trauma and PTSD
100% Bipolar Disorder
100% Psychosis
100% Borderline Personality (BPD)
100% Social Anxiety
100% Complex PTSD

Average years in practice

14 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Medica

How Therapists in Zumbrota, MN see their clients

50% In Person and Online
50% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Zumbrota?

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.