Therapists in Normandy, MO

Photo of Cynthia Keesee, Licensed Professional Counselor, LPC
Cynthia Keesee
Licensed Professional Counselor, LPC
Online Only
Life does not come with a manual. Life is hard. Sometimes we just wish there was someone who would just listen. We don't need anyone to take sides. We just need to explain our situation and see if our feelings are valid. Sometimes we are too worried about what others will think of us that we stay in our own heads. Chances are we have judged ourselves enough that we just want to be heard by someone else.
Life does not come with a manual. Life is hard. Sometimes we just wish there was someone who would just listen. We don't need anyone to take sides. We just need to explain our situation and see if our feelings are valid. Sometimes we are too worried about what others will think of us that we stay in our own heads. Chances are we have judged ourselves enough that we just want to be heard by someone else.
(573) 685-4192 View (573) 685-4192
Photo of Ryan Humphres, Clinical Social Work/Therapist, LMSW
Ryan Humphres
Clinical Social Work/Therapist, LMSW
4 Endorsed
Serves Area
Do you feel overwhelmed, or like life has thrown you a curveball that you just aren't sure how to handle? You may be feeling anxious, hopeless, or that you want to take control and make a change in your life. If you’ve made it this far, you’ve already taken an important step, and that matters. We’ll explore what’s weighing you or your relationship down, clarify your goals, and build strategies to help you feel more grounded, empowered, and connected. Whether you’re seeking a safe space to talk or ready to make meaningful changes in how you show up at work, at home, or in your relationship, you’ll have the support you deserve.
Do you feel overwhelmed, or like life has thrown you a curveball that you just aren't sure how to handle? You may be feeling anxious, hopeless, or that you want to take control and make a change in your life. If you’ve made it this far, you’ve already taken an important step, and that matters. We’ll explore what’s weighing you or your relationship down, clarify your goals, and build strategies to help you feel more grounded, empowered, and connected. Whether you’re seeking a safe space to talk or ready to make meaningful changes in how you show up at work, at home, or in your relationship, you’ll have the support you deserve.
(314) 916-6023 View (314) 916-6023
Photo of Lawrence Hudson-Lewis, Clinical Social Work/Therapist, LCSW
Lawrence Hudson-Lewis
Clinical Social Work/Therapist, LCSW
Online Only
My name is Lawrence Hudson-Lewis, and I am a Licensed Clinical Social Worker (LCSW) based in St. Louis, Missouri and collaborating with clients statewide via telehealth. I specialize in depression, anxiety, stress, and trauma utilizing cognitive behavioral approaches to help clients enhance emotional intelligence, interpersonal skills, and develop a life worth living.
My name is Lawrence Hudson-Lewis, and I am a Licensed Clinical Social Worker (LCSW) based in St. Louis, Missouri and collaborating with clients statewide via telehealth. I specialize in depression, anxiety, stress, and trauma utilizing cognitive behavioral approaches to help clients enhance emotional intelligence, interpersonal skills, and develop a life worth living.
(314) 375-4772 View (314) 375-4772
Photo of Lindsay Scheinerman, Licensed Professional Counselor, LPC
Lindsay Scheinerman
Licensed Professional Counselor, LPC
Online Only
Hi, I'm Lindsay. Thank you for taking the time to read my profile. Conflict is an unavoidable part of life. Sometimes we see it slowly building over time, and other times it arrives unexpectedly through a significant life event. These challenges can lead to anxiety, depression, trauma, or a decline in self-esteem. They may affect our relationships, daily functioning, and overall sense of well-being. At times, they can even cause us to seek comfort in unhealthy ways. While conflict is a natural part of life, growth and healing often begin when we are willing to face it.
Hi, I'm Lindsay. Thank you for taking the time to read my profile. Conflict is an unavoidable part of life. Sometimes we see it slowly building over time, and other times it arrives unexpectedly through a significant life event. These challenges can lead to anxiety, depression, trauma, or a decline in self-esteem. They may affect our relationships, daily functioning, and overall sense of well-being. At times, they can even cause us to seek comfort in unhealthy ways. While conflict is a natural part of life, growth and healing often begin when we are willing to face it.
(314) 947-5502 View (314) 947-5502
Photo of Tiffany J Walehwa, Licensed Professional Counselor, MA, LPC
Tiffany J Walehwa
Licensed Professional Counselor, MA, LPC
Serves Area
I am trauma-informed therapist that has experience working with a diverse population that includes children, adolescents and adults. Dedicated to creating an inclusive environment, I continue my training throughout the year to effectively serve marginalized communities, including those related to the LGBTQIA community. Born and raised in St. Louis City, I am aware of some of the treasures and challenges that come from living in the area. However, I remain committed to serving the systemic issues that face the clientele in other states, including California and Texas. I strive to provide a safe, client-focused environment.
I am trauma-informed therapist that has experience working with a diverse population that includes children, adolescents and adults. Dedicated to creating an inclusive environment, I continue my training throughout the year to effectively serve marginalized communities, including those related to the LGBTQIA community. Born and raised in St. Louis City, I am aware of some of the treasures and challenges that come from living in the area. However, I remain committed to serving the systemic issues that face the clientele in other states, including California and Texas. I strive to provide a safe, client-focused environment.
(314) 701-7058 View (314) 701-7058
Photo of Vanessa Cox, Licensed Professional Counselor, MA, LPC, CADC
Vanessa Cox
Licensed Professional Counselor, MA, LPC, CADC
Serves Area
Are you feeling overwhelmed, frustrated or alone? Struggling with increasing stress at work/ home, feelings of sadness or hopelessness? Well you are not alone. EPICS strives to promote personal goal attainment through provision of holistic care, providing individuals with the skills and insight they need to envision and actualize their fullest potential. EPICS will help you build on your existing strengths to expand problem solving and coping skills, improve relationships and decrease symptoms and/or impact of mental health and substance related disorders. As EPICS' lead therapist, it is my personal goal to help every person build positive long lasting change within their lives!
Are you feeling overwhelmed, frustrated or alone? Struggling with increasing stress at work/ home, feelings of sadness or hopelessness? Well you are not alone. EPICS strives to promote personal goal attainment through provision of holistic care, providing individuals with the skills and insight they need to envision and actualize their fullest potential. EPICS will help you build on your existing strengths to expand problem solving and coping skills, improve relationships and decrease symptoms and/or impact of mental health and substance related disorders. As EPICS' lead therapist, it is my personal goal to help every person build positive long lasting change within their lives!
(314) 287-5905 View (314) 287-5905
Photo of Allison Hewitt, Licensed Professional Counselor, MA, LPC
Allison Hewitt
Licensed Professional Counselor, MA, LPC
1 Endorsed
Serves Area
Are you feeling stressed? Dealing with anxiety or depression? Feeling frustrated or stuck? Are you having relationship issues or maybe even struggling with self esteem issues? Do you feel overwhelmed and don't know what to do? I can help! My role as a therapist is to provide support in a safe comfortable environment where clients can begin to figure things out, and gain control of their lives. Through the process of therapy, you can work to identify problems, find solutions, and make decisions that will bring about authentic and lasting changes.
Are you feeling stressed? Dealing with anxiety or depression? Feeling frustrated or stuck? Are you having relationship issues or maybe even struggling with self esteem issues? Do you feel overwhelmed and don't know what to do? I can help! My role as a therapist is to provide support in a safe comfortable environment where clients can begin to figure things out, and gain control of their lives. Through the process of therapy, you can work to identify problems, find solutions, and make decisions that will bring about authentic and lasting changes.
(314) 736-3577 View (314) 736-3577

More Therapists Nearby

Photo of Lauren Robinson, Marriage & Family Therapist, MS, LMFT
Lauren Robinson
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Online Only
You’re the one who “has it together”… until you don’t. You’re overwhelmed, overthinking everything, people-pleasing, or stuck in the same frustrating relationship patterns and wondering why this keeps happening. You’re successful on paper, but internally anxious, exhausted, or disconnected. You’re tired of just coping. You want clarity, boundaries, confidence, and tools that actually work. You’re ready to understand yourself on a deeper level — and finally create change that lasts. I am happy you are here!
You’re the one who “has it together”… until you don’t. You’re overwhelmed, overthinking everything, people-pleasing, or stuck in the same frustrating relationship patterns and wondering why this keeps happening. You’re successful on paper, but internally anxious, exhausted, or disconnected. You’re tired of just coping. You want clarity, boundaries, confidence, and tools that actually work. You’re ready to understand yourself on a deeper level — and finally create change that lasts. I am happy you are here!
(636) 422-5287 View (636) 422-5287
Photo of Sarah Anne Williams, Clinical Social Work/Therapist, LCSW
Sarah Anne Williams
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
What we tolerate, we encourage. Does this statement resonate with you? Do you find yourself facing a major life change? Maybe you are struggling with anxiety and depression, encountering relationship challenges, or navigating substance use issues. I am here to walk with you, learn, and grow with you, whatever your challenge may be.
What we tolerate, we encourage. Does this statement resonate with you? Do you find yourself facing a major life change? Maybe you are struggling with anxiety and depression, encountering relationship challenges, or navigating substance use issues. I am here to walk with you, learn, and grow with you, whatever your challenge may be.
(660) 869-5383 View (660) 869-5383
Photo of Michaela Kearney, Licensed Professional Counselor, LPC
Michaela Kearney
Licensed Professional Counselor, LPC
1 Endorsed
Saint Louis, MO 63139
Whether it be little moments or big ones, it is my belief that we have all experienced some degree of trauma in life. No matter the degree, the impact on us can be significant. In trying to make sense of these experiences, we can all benefit from having witnesses to our experiences and pain. We are not meant to live life alone. For many this leads us to look for a therapist. As a therapist, but also just as a person, it is an honor each time I am invited to bear witness to someone else's story.
Whether it be little moments or big ones, it is my belief that we have all experienced some degree of trauma in life. No matter the degree, the impact on us can be significant. In trying to make sense of these experiences, we can all benefit from having witnesses to our experiences and pain. We are not meant to live life alone. For many this leads us to look for a therapist. As a therapist, but also just as a person, it is an honor each time I am invited to bear witness to someone else's story.
(314) 925-9105 View (314) 925-9105
Photo of Mark G Koch - Mark Koch Transformation Services, Marriage & Family Therapist, MS, MDiv, LMFT
Mark Koch Transformation Services
Marriage & Family Therapist, MS, MDiv, LMFT
Saint Charles, MO 63301
My intention as a therapist is to assist individuals in becoming more effective as they address the challenges and circumstances of their lives. I don't fix people! I equip them to connect directly and compassionately with themselves and others. Living in relationship with family and community is often painful and frightening because we lack sufficient skill or experience. I offer skills to support deep and honest connections that will expand our perspective on the problems that confront us and enable a transformation within us and around us.
My intention as a therapist is to assist individuals in becoming more effective as they address the challenges and circumstances of their lives. I don't fix people! I equip them to connect directly and compassionately with themselves and others. Living in relationship with family and community is often painful and frightening because we lack sufficient skill or experience. I offer skills to support deep and honest connections that will expand our perspective on the problems that confront us and enable a transformation within us and around us.
(636) 341-4242 View (636) 341-4242
Photo of Elizabeth A. Rastberger-Cavin, Licensed Professional Counselor, MEd, LPC
Elizabeth A. Rastberger-Cavin
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Saint Louis, MO 63139
I work with clients in midlife and beyond who are ready to redefine themselves, deepen their relationships, and reconnect with their sense of confidence, desire, and purpose. This season of life can be both liberating and disorienting—your roles shift, priorities evolve, and what once fit may no longer feel right. Whether you’re navigating shifting relationships, exploring emotional or sexual intimacy, or reclaiming confidence after years of putting others first, I’ll walk beside you with honesty, compassion, and a touch of humor.
I work with clients in midlife and beyond who are ready to redefine themselves, deepen their relationships, and reconnect with their sense of confidence, desire, and purpose. This season of life can be both liberating and disorienting—your roles shift, priorities evolve, and what once fit may no longer feel right. Whether you’re navigating shifting relationships, exploring emotional or sexual intimacy, or reclaiming confidence after years of putting others first, I’ll walk beside you with honesty, compassion, and a touch of humor.
(314) 897-4781 View (314) 897-4781
Photo of Emma G Schiller, Clinical Social Work/Therapist, LCSW
Emma G Schiller
Clinical Social Work/Therapist, LCSW
Saint Louis, MO 63101
Hey diva! Do you want to be hot? Hotness is a state of mind. It's not plagued by self-doubt or limiting beliefs, nor does it shrink to become palatable. It’s regulated, self-assured, and magnetic – the full, loud version of you that's been waiting. That's what we're building here. Maybe you've tried therapy before and it didn't quite fit. Maybe the goals felt like someone else's. Maybe you kept hearing "grounded" and "connected to source" and thought — dude what does that even mean? Because SAME. I wanted to feel like myself… but hotter. So I became the therapist I needed – both deeply sincere and deeply unserious.
Hey diva! Do you want to be hot? Hotness is a state of mind. It's not plagued by self-doubt or limiting beliefs, nor does it shrink to become palatable. It’s regulated, self-assured, and magnetic – the full, loud version of you that's been waiting. That's what we're building here. Maybe you've tried therapy before and it didn't quite fit. Maybe the goals felt like someone else's. Maybe you kept hearing "grounded" and "connected to source" and thought — dude what does that even mean? Because SAME. I wanted to feel like myself… but hotter. So I became the therapist I needed – both deeply sincere and deeply unserious.
(636) 213-5053 View (636) 213-5053
Photo of Julie A Atkinson, Licensed Professional Counselor, MA, LPC
Julie A Atkinson
Licensed Professional Counselor, MA, LPC
7 Endorsed
Saint Charles, MO 63301
Therapy isn't just for those in crisis. It's a powerful experience for anyone looking to navigate life's ups and downs more effectively. Think of therapy as a personal investment in your mental health and overall growth. It's a chance to gain valuable insights, awareness and develop a deeper understanding of yourself. Plus, with the support of a trained professional, you don't have to face your challenges alone.
Therapy isn't just for those in crisis. It's a powerful experience for anyone looking to navigate life's ups and downs more effectively. Think of therapy as a personal investment in your mental health and overall growth. It's a chance to gain valuable insights, awareness and develop a deeper understanding of yourself. Plus, with the support of a trained professional, you don't have to face your challenges alone.
(314) 551-9252 View (314) 551-9252
Photo of Jocelyn Swan, Licensed Professional Counselor
Jocelyn Swan
Licensed Professional Counselor
Online Only
Meet Jocelyn Throughout my life, I have experienced and witnessed the healing power of therapy in several different ways. It was through these personal experiences that I learned first hand how instrumental the relationship between a client and a therapist can be in facilitating healing and lasting change. These experiences solidified my desire to help others have similar positive experiences. I believe relationships we have with the people we love most, have a profound impact on our happiness, health and ability to thrive. Life can make it hard to take care of those relationships.
Meet Jocelyn Throughout my life, I have experienced and witnessed the healing power of therapy in several different ways. It was through these personal experiences that I learned first hand how instrumental the relationship between a client and a therapist can be in facilitating healing and lasting change. These experiences solidified my desire to help others have similar positive experiences. I believe relationships we have with the people we love most, have a profound impact on our happiness, health and ability to thrive. Life can make it hard to take care of those relationships.
(314) 937-6073 View (314) 937-6073
Photo of Keana Nwaneri, Licensed Professional Counselor, LPC
Keana Nwaneri
Licensed Professional Counselor, LPC
Online Only
Hi! My name is Keana and I have worked in the mental health field since 2012. I'm a Licensed Professional Counselor (LPC) in Missouri, and I have a Bachelor of Science in Psychology from Tennessee State University and a Master of Science from Lipscomb University in Nashville, TN. I have devoted the past 11 years of my career to working almost exclusively with survivors of domestic violence, intimate partner violence, sexual violence, and PTSD, and I have experience working in community mental health, both outpatient and IOP.
Hi! My name is Keana and I have worked in the mental health field since 2012. I'm a Licensed Professional Counselor (LPC) in Missouri, and I have a Bachelor of Science in Psychology from Tennessee State University and a Master of Science from Lipscomb University in Nashville, TN. I have devoted the past 11 years of my career to working almost exclusively with survivors of domestic violence, intimate partner violence, sexual violence, and PTSD, and I have experience working in community mental health, both outpatient and IOP.
(314) 248-3123 View (314) 248-3123
Photo of Kerri Gallen, Clinical Social Work/Therapist, MSW, LCSW
Kerri Gallen
Clinical Social Work/Therapist, MSW, LCSW
2 Endorsed
Saint Louis, MO 63109
You're doing everything "right" - but still feel on edge, anxious, disconnected, or overwhelmed. You feel like things should be different. You want a place where you don't have to perform, explain, or be strong. You just want real talk, real support. Let me help. I create a warm, safe environment for my clients to explore what's happening around them. I use a person-centered approach, partnering with my clients on their healing journey. Each person I work with has a unique experience, catered to what they need, and feeling the support they crave on their journey to feeling like their best selves.
You're doing everything "right" - but still feel on edge, anxious, disconnected, or overwhelmed. You feel like things should be different. You want a place where you don't have to perform, explain, or be strong. You just want real talk, real support. Let me help. I create a warm, safe environment for my clients to explore what's happening around them. I use a person-centered approach, partnering with my clients on their healing journey. Each person I work with has a unique experience, catered to what they need, and feeling the support they crave on their journey to feeling like their best selves.
(314) 949-5841 View (314) 949-5841
Photo of Kristine Jones, Licensed Professional Counselor, MA, LPC
Kristine Jones
Licensed Professional Counselor, MA, LPC
Serves Area
Life is unpredictable and can be very messy at times. We all have a journey to take, and sometimes along the way we get lost....My path is one of changes, inspiration and hope....I had to start over - maybe you can relate? Whatever the reason that brought you to this point, let's figure it out together. Life is short, so invest in yourself, your relationships and your future!
Life is unpredictable and can be very messy at times. We all have a journey to take, and sometimes along the way we get lost....My path is one of changes, inspiration and hope....I had to start over - maybe you can relate? Whatever the reason that brought you to this point, let's figure it out together. Life is short, so invest in yourself, your relationships and your future!
(854) 946-5116 View (854) 946-5116
Photo of Tanya M Coates-Becoats, Licensed Professional Counselor, MEd, LPC, NCC
Tanya M Coates-Becoats
Licensed Professional Counselor, MEd, LPC, NCC
1 Endorsed
Online Only
Not accepting new clients
As a Licensed Professional Counselor I have the knowledge of fostering mental-behavioral health, wellness and healing. I am knowledgeable of practicing under spiritual based practices. Often times, circumstances occur in life that can make us feel emotionally trapped. The variety of emotions felt are usually a temporary complacency that we are not aware of and are unfamiliar with. I believe that identifying and addressing the inner crisis happening within us, will allow us to no longer tolerate the temporary complacency in life and will allow a chance for personal growth and change for better mental health, wellness and healing.
As a Licensed Professional Counselor I have the knowledge of fostering mental-behavioral health, wellness and healing. I am knowledgeable of practicing under spiritual based practices. Often times, circumstances occur in life that can make us feel emotionally trapped. The variety of emotions felt are usually a temporary complacency that we are not aware of and are unfamiliar with. I believe that identifying and addressing the inner crisis happening within us, will allow us to no longer tolerate the temporary complacency in life and will allow a chance for personal growth and change for better mental health, wellness and healing.
(314) 643-9809 View (314) 643-9809
Photo of Timothy Messer, Licensed Professional Counselor
Timothy Messer
Licensed Professional Counselor
Online Only
My outlook on therapy is the client / therapist relationship is the highest priority. Without a strong connection, the rest is not as effective. I work hard to meet clients where they are at, and think through what kind of goals they want to set and how to get there. I have been practicing since 2019, and have experience working with adults, adolescents, and families. I have worked a great deal with anxiety and depression, and learning how to cope with them and get back to living. Most of my background is using CBT and DBT, but I strive to use whatever tools are going to be most effective for each individual client.
My outlook on therapy is the client / therapist relationship is the highest priority. Without a strong connection, the rest is not as effective. I work hard to meet clients where they are at, and think through what kind of goals they want to set and how to get there. I have been practicing since 2019, and have experience working with adults, adolescents, and families. I have worked a great deal with anxiety and depression, and learning how to cope with them and get back to living. Most of my background is using CBT and DBT, but I strive to use whatever tools are going to be most effective for each individual client.
(314) 350-5492 View (314) 350-5492

How does your Therapist compare?

Number of Therapists in Normandy, MO

< 10

Therapists in Normandy, MO who prioritize treating:

100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
86% Depression
86% Family Conflict
86% Self Esteem

Average years in practice

12 Years

Top 3 insurances accepted

100% Cigna and Evernorth
86% BlueCross and BlueShield
86% Optum

How Therapists in Normandy, MO see their clients

57% In Person and Online
43% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Normandy?

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.