Therapists in Clayton, NC

Photo of Judy Holland, MA, LCMHC, EMDR, AAI, NPT-C, Counselor
Judy Holland
Counselor, MA, LCMHC, EMDR, AAI, NPT-C
Verified Verified
Clayton, NC 27527  (Online Only)
I believe that each person is unique and I am flexible in my approach to each client's needs. I specialize in trauma and trauma related disorders. This includes PTSD, crisis, anxiety, grief, loss, child sexual abuse, low self-esteem, low self-worth, and other trauma related symptoms. I especially enjoy working with emergency service workers who are exposed to repeated trauma in their jobs, however I do not limit my practice to those workers. It can be hard to admit needing help, but sometimes we do. Call for help today and get the help you deserve from a caring compassionate counselor.
I believe that each person is unique and I am flexible in my approach to each client's needs. I specialize in trauma and trauma related disorders. This includes PTSD, crisis, anxiety, grief, loss, child sexual abuse, low self-esteem, low self-worth, and other trauma related symptoms. I especially enjoy working with emergency service workers who are exposed to repeated trauma in their jobs, however I do not limit my practice to those workers. It can be hard to admit needing help, but sometimes we do. Call for help today and get the help you deserve from a caring compassionate counselor.
(919) 583-6282 View (919) 583-6282
Photo of Claire Hayes - Healing with Hayes, PLLC, MEd, LCMHC, LPC, LCAS, Counselor
Healing with Hayes, PLLC
Counselor, MEd, LCMHC, LPC, LCAS
Verified Verified
2 Endorsed
Clayton, NC 27527  (Online Only)
Life is hard. Have you tried dealing with life your way and ready to try a new way? My clients are looking to be heard and to learn how to live life the way they want to. Talking with a counselor has numerous benefits, such as having a place to have your experience validated, while discussing topics of your choice. If you need an passionate counselor, who will support you through it, I'm the counselor for you! If you feel stuck, challenged by stress, feel free to contact me and set up a consultation.
Life is hard. Have you tried dealing with life your way and ready to try a new way? My clients are looking to be heard and to learn how to live life the way they want to. Talking with a counselor has numerous benefits, such as having a place to have your experience validated, while discussing topics of your choice. If you need an passionate counselor, who will support you through it, I'm the counselor for you! If you feel stuck, challenged by stress, feel free to contact me and set up a consultation.
(984) 223-0378 View (984) 223-0378
Photo of Taria Bonaparte, MA, LCMHC
Taria Bonaparte
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
5 Endorsed
Clayton, NC 27520
Making the decision to seek therapy can be hard and can take time. I’m here to say you are doing well today by taking this step. If you allow, my staff and I can be a guide for you to address what has led you here. We can help you learn how to manage emotions you are struggling with, decisions you are afraid to make, and work through other barriers you decide to share. We work with adults that experience depression, anxiety, trauma, interpersonal/marital conflict, and anger. Therapy can become an essential part of your life, whether short-term or long-term. Follow the link to schedule an intake. www.therapyportal.com/p/mindful27577/
Making the decision to seek therapy can be hard and can take time. I’m here to say you are doing well today by taking this step. If you allow, my staff and I can be a guide for you to address what has led you here. We can help you learn how to manage emotions you are struggling with, decisions you are afraid to make, and work through other barriers you decide to share. We work with adults that experience depression, anxiety, trauma, interpersonal/marital conflict, and anger. Therapy can become an essential part of your life, whether short-term or long-term. Follow the link to schedule an intake. www.therapyportal.com/p/mindful27577/
(919) 375-0740 View (919) 375-0740
Photo of Suzanne Puckett, MAEd, LCMHC, AutPlay, EMDR, Licensed Professional Counselor
Suzanne Puckett
Licensed Professional Counselor, MAEd, LCMHC, AutPlay, EMDR
Verified Verified
Clayton, NC 27520
Not accepting new clients
When you are overwhelmed and not sure that you are giving your best to your work, relationships and family, the self doubt can be overwhelming. Maybe you feel misunderstood. Through, the "Gentle Listening" of therapy I provide, you can feel cared for and decrease your anxiety, as you face difficult decisions. In time, you can again find joy in the little things, feel love in your relationships, satisfaction in your career and peace with your children. I believe we all have our own answers, but sometimes we need to have someone help us find them. I am always honored when I am that person.
When you are overwhelmed and not sure that you are giving your best to your work, relationships and family, the self doubt can be overwhelming. Maybe you feel misunderstood. Through, the "Gentle Listening" of therapy I provide, you can feel cared for and decrease your anxiety, as you face difficult decisions. In time, you can again find joy in the little things, feel love in your relationships, satisfaction in your career and peace with your children. I believe we all have our own answers, but sometimes we need to have someone help us find them. I am always honored when I am that person.
(984) 205-6732 View (984) 205-6732
Photo of Fakira Wahid, MA, LCMHC, Counselor
Fakira Wahid
Counselor, MA, LCMHC
Verified Verified
Clayton, NC 27527
I am a Licensed Clinical Mental Health Counselor with thousands of hours of counseling and related experience. I hold a Masters Degree in Professional Counseling from Liberty University. I have experience working with men, women, and children of all ages. My professional experience includes individual counseling, couples counseling, family counseling, and group counseling. I practice from an eclectic style with an emphasis on the Cognitive Behavioral Therapy (CBT) modality. I am an action-oriented clinician who believes outcomes speak for themselves. Visit www.ashaycounselingagency.com for more information.
I am a Licensed Clinical Mental Health Counselor with thousands of hours of counseling and related experience. I hold a Masters Degree in Professional Counseling from Liberty University. I have experience working with men, women, and children of all ages. My professional experience includes individual counseling, couples counseling, family counseling, and group counseling. I practice from an eclectic style with an emphasis on the Cognitive Behavioral Therapy (CBT) modality. I am an action-oriented clinician who believes outcomes speak for themselves. Visit www.ashaycounselingagency.com for more information.
(919) 343-9961 View (919) 343-9961
Photo of Phillip C. Smith, LMFT, CCATP, Marriage & Family Therapist
Phillip C. Smith
Marriage & Family Therapist, LMFT, CCATP
Verified Verified
2 Endorsed
Clayton, NC 27520  (Online Only)
HEALING is available NOW...if you choose to accept it! Today, so many people are dealing with hurts that constantly impact their daily lives. Some struggle silently while others lash out looking for relief. Well, you can find that healing relief here. Therapy will allow you a safe place to express yourself while learning valuable skills to help you live a more balanced, enjoyable life.
HEALING is available NOW...if you choose to accept it! Today, so many people are dealing with hurts that constantly impact their daily lives. Some struggle silently while others lash out looking for relief. Well, you can find that healing relief here. Therapy will allow you a safe place to express yourself while learning valuable skills to help you live a more balanced, enjoyable life.
(984) 646-5617 View (984) 646-5617
Photo of Antoinette Shareece Fobbs, LCSW-C, Clinical Social Work/Therapist
Antoinette Shareece Fobbs
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Clayton, NC 27527  (Online Only)
Their goals involve emotional well-being, personal growth, and improved relationships. They seek not just relief but a deeper understanding of themselves and their emotions. This client values a therapeutic connection built on trust and collaboration, aspiring for a holistic approach to mental health. In essence, your ideal client is motivated to embark on a journey of self-discovery, resilience, and empowerment. They want a therapist who can provide support, tools, and insights, fostering a transformative process toward a more fulfilling and balanced life.
Their goals involve emotional well-being, personal growth, and improved relationships. They seek not just relief but a deeper understanding of themselves and their emotions. This client values a therapeutic connection built on trust and collaboration, aspiring for a holistic approach to mental health. In essence, your ideal client is motivated to embark on a journey of self-discovery, resilience, and empowerment. They want a therapist who can provide support, tools, and insights, fostering a transformative process toward a more fulfilling and balanced life.
(919) 925-5747 View (919) 925-5747
Photo of Mari Flatt - Sunshine Counseling, MA, LCMHC, Licensed Professional Counselor
Sunshine Counseling
Licensed Professional Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Clayton, NC 27520  (Online Only)
A great deal of my work has been in the areas of anxiety, depression, stress management, grief, and relationships. I guide clients in utilizing a goal-oriented and strength-based approach to impact symptoms for measurable improvement and growth. I will help you build your tool box of coping skills to help now and in the future. To see insurances accepted in the states I'm licensed (NC, CT, CO) please use the link for my website. You can also search me via Alma or Headway.
A great deal of my work has been in the areas of anxiety, depression, stress management, grief, and relationships. I guide clients in utilizing a goal-oriented and strength-based approach to impact symptoms for measurable improvement and growth. I will help you build your tool box of coping skills to help now and in the future. To see insurances accepted in the states I'm licensed (NC, CT, CO) please use the link for my website. You can also search me via Alma or Headway.
(720) 776-6032 View (720) 776-6032
Photo of Katie Catton, MSW, LCSW, Clinical Social Work/Therapist
Katie Catton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Clayton, NC 27520
I'm a Licensed Clinical Social Worker and am currently providing outpatient therapy virtually and in person in Clayton, NC. I received my Masters in Social Work from the University of North Carolina at Chapel Hill in 2018, and my Masters in Sociology from the University of North Carolina at Greensboro in 2014. I have around 14 years of experience helping adults, teens and families in crisis. My passion lies with helping clients believe that no matter their past, they are worthy of love and a positive future.
I'm a Licensed Clinical Social Worker and am currently providing outpatient therapy virtually and in person in Clayton, NC. I received my Masters in Social Work from the University of North Carolina at Chapel Hill in 2018, and my Masters in Sociology from the University of North Carolina at Greensboro in 2014. I have around 14 years of experience helping adults, teens and families in crisis. My passion lies with helping clients believe that no matter their past, they are worthy of love and a positive future.
(984) 265-8549 View (984) 265-8549
Photo of Elaine K Hicks, LCSW, PhD, Clinical Social Work/Therapist
Elaine K Hicks
Clinical Social Work/Therapist, LCSW, PhD
Verified Verified
Clayton, NC 27527
My strengths include a warm and relational manner and a compassionate nature along with experience and intuition, I can help people with relationship issues, including, individuals, couples, families and work related problems. I provide support at all life-stages.I am eclectic while taking into account the particular psycho-dynamics of the individual.I also work extensively with anxiety and depression. I studied at the Harvard Mind and Body Institute. I combine this information into mind body work for anxiety and depression.I have what is most important that is to listen to others with my mind and my heart.
My strengths include a warm and relational manner and a compassionate nature along with experience and intuition, I can help people with relationship issues, including, individuals, couples, families and work related problems. I provide support at all life-stages.I am eclectic while taking into account the particular psycho-dynamics of the individual.I also work extensively with anxiety and depression. I studied at the Harvard Mind and Body Institute. I combine this information into mind body work for anxiety and depression.I have what is most important that is to listen to others with my mind and my heart.
(609) 283-2205 View (609) 283-2205
Photo of Danielle Sennert, MA, LCMHCS, CIMHP
Danielle Sennert
Lic Clinical Mental Health Counselor Supervisor, MA, LCMHCS, CIMHP
Verified Verified
Clayton, NC 27520  (Online Only)
Therapy is a great way to explore and organize past hurts, areas of misperception, and blind spots and find change and healing so that we can begin to truly feel alive and free again. If you are ready to find confidence and empowerment to move forward, make those changes, grow in some area of your life, or let go of old habits or hurts, I want to walk along side you and encourage you in this season! I have worked with clients from all walks of life who struggle with anxiety, depression, trauma, grief, interpersonal issues, and major life transitions. Let's get started!
Therapy is a great way to explore and organize past hurts, areas of misperception, and blind spots and find change and healing so that we can begin to truly feel alive and free again. If you are ready to find confidence and empowerment to move forward, make those changes, grow in some area of your life, or let go of old habits or hurts, I want to walk along side you and encourage you in this season! I have worked with clients from all walks of life who struggle with anxiety, depression, trauma, grief, interpersonal issues, and major life transitions. Let's get started!
(984) 314-5292 View (984) 314-5292
Photo of Betsy Newsome Moody, Pre-Licensed Professional
Betsy Newsome Moody
Pre-Licensed Professional
Verified Verified
1 Endorsed
Clayton, NC 27527
Waitlist for new clients
Do you have something you need to talk about? Trudging through life with stress, grief, anxiety, or other burdens can feel lonely and exhausting. Address your mental health needs through conversation and engage in therapeutic interventions to bring positive change in your life. Exploring how your mental health has negative impacts on your body and your daily life will improve your well-being.
Do you have something you need to talk about? Trudging through life with stress, grief, anxiety, or other burdens can feel lonely and exhausting. Address your mental health needs through conversation and engage in therapeutic interventions to bring positive change in your life. Exploring how your mental health has negative impacts on your body and your daily life will improve your well-being.
(919) 372-0687 View (919) 372-0687
Photo of Karen Tremblay, MSW, LCSW, Clinical Social Work/Therapist
Karen Tremblay
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Clayton, NC 27520  (Online Only)
My name is Karen Tremblay, I am a licensed clinical social worker. I believe in providing goal-directed collaborative therapy focusing on change as constant and certain. You are the expert of your life experiences and have the resources and strengths to overcome barriers to your wellness. I assist clients with learning skills that assist with managing and tolerating challenging and uncomfortable situations, identifying and developing achievable goals, and improving and enhancing personal resilience.
My name is Karen Tremblay, I am a licensed clinical social worker. I believe in providing goal-directed collaborative therapy focusing on change as constant and certain. You are the expert of your life experiences and have the resources and strengths to overcome barriers to your wellness. I assist clients with learning skills that assist with managing and tolerating challenging and uncomfortable situations, identifying and developing achievable goals, and improving and enhancing personal resilience.
(254) 892-4536 View (254) 892-4536
Photo of Rob Young, LPMHC, LCAS
Rob Young
LPMHC, LCAS
Verified Verified
Clayton, NC 27527
Coming into therapy is a bold move, usually preceded by trying other things first to address the problem(s). I’m curious about those things, and what examination of those efforts might do to reveal your own strengths in problem solving. I’m also curious about who matters to you, and what those relationships are like; how they provide support on a day to day basis, and during times of high stress. Perhaps exploring these topcis together can assist in establishing a positive direction for change, and add and ally for making those changes.
Coming into therapy is a bold move, usually preceded by trying other things first to address the problem(s). I’m curious about those things, and what examination of those efforts might do to reveal your own strengths in problem solving. I’m also curious about who matters to you, and what those relationships are like; how they provide support on a day to day basis, and during times of high stress. Perhaps exploring these topcis together can assist in establishing a positive direction for change, and add and ally for making those changes.
(919) 335-5365 View (919) 335-5365
Photo of Ashley Henley, LCSW-C, Clinical Social Work/Therapist
Ashley Henley
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Clayton, NC 27520  (Online Only)
I’m so happy you came across my profile and I am excited at the chance to walk in this journey to mental wellness with you! Whether you’ve been in therapy before and are looking for a fresh perspective, or are taking a leap and seeking support for the first time, we are going to do great work together! As a licensed therapist for more than 10 years, I have experience working with children, adolescents, adults, and couples in urban areas and with diverse cultural backgrounds.
I’m so happy you came across my profile and I am excited at the chance to walk in this journey to mental wellness with you! Whether you’ve been in therapy before and are looking for a fresh perspective, or are taking a leap and seeking support for the first time, we are going to do great work together! As a licensed therapist for more than 10 years, I have experience working with children, adolescents, adults, and couples in urban areas and with diverse cultural backgrounds.
(919) 849-3546 View (919) 849-3546
Photo of Autumn Schoonover, MSW, LCSW, Clinical Social Work/Therapist
Autumn Schoonover
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Clayton, NC 27520
I enjoy working with children, teens, and young adults facing various concerns, including but not limited to trauma, anxiety, depression, self-esteem concerns, adjustment, and changes. I aim to walk alongside you as you seek support and guidance in reaching your goals.
I enjoy working with children, teens, and young adults facing various concerns, including but not limited to trauma, anxiety, depression, self-esteem concerns, adjustment, and changes. I aim to walk alongside you as you seek support and guidance in reaching your goals.
(984) 223-8537 View (984) 223-8537
Photo of Tracie Hilsman, LCSW, Clinical Social Work/Therapist
Tracie Hilsman
Clinical Social Work/Therapist, LCSW
Verified Verified
Clayton, NC 27520  (Online Only)
Welcome to a space tailored specifically for women navigating life's challenges. As a therapist specializing in women's issues, I understand the unique challenges that come with significant life changes such as caregiving, menopause, empty nesting, grief, and issues with interpersonal relationships. Women often juggle multiple roles and responsibilities, which can lead to feelings of overwhelm, stress, or a sense of losing oneself amidst the demands of daily life.
Welcome to a space tailored specifically for women navigating life's challenges. As a therapist specializing in women's issues, I understand the unique challenges that come with significant life changes such as caregiving, menopause, empty nesting, grief, and issues with interpersonal relationships. Women often juggle multiple roles and responsibilities, which can lead to feelings of overwhelm, stress, or a sense of losing oneself amidst the demands of daily life.
(984) 206-3811 View (984) 206-3811
Photo of Lauren Fail, MS, LCMHC
Lauren Fail
Licensed Clinical Mental Health Counselor, MS, LCMHC
Verified Verified
Clayton, NC 27520  (Online Only)
Is life getting to be a bit too much to handle? The balance may seem off and emotions coming up out of nowhere? You’re not alone and there can be relief! Now is the perfect time to deal with any part of life that's been suppressed because inner feelings are likely surfacing. I’m here to help you find peace in your current situation and let go of what you cannot control. You can have joy, renewal in your family, relationships with others, and relationship with yourself.
Is life getting to be a bit too much to handle? The balance may seem off and emotions coming up out of nowhere? You’re not alone and there can be relief! Now is the perfect time to deal with any part of life that's been suppressed because inner feelings are likely surfacing. I’m here to help you find peace in your current situation and let go of what you cannot control. You can have joy, renewal in your family, relationships with others, and relationship with yourself.
(984) 205-4247 View (984) 205-4247
Photo of Rachel Lewis - Salt & Light Christian Counseling Services, LCMHC, NCC
Salt & Light Christian Counseling Services
LCMHC, NCC
Verified Verified
2 Endorsed
Clayton, NC 27527  (Online Only)
Waitlist for new clients
I enjoy learning about clients and their lives through an empathetic, person-centered approach and hearing what they're saying in a world where there is so much chaos. I've met people from all over the world and have learned about many cultures and religions which allows me to understand various perspectives. I believe in working with people to help them see their potential and assist them in releasing emotions that are difficult to process. If you’re here trying to figure out this adulting thing, let me help you navigate these rough waters and find the calm in the midst of a raging sea.
I enjoy learning about clients and their lives through an empathetic, person-centered approach and hearing what they're saying in a world where there is so much chaos. I've met people from all over the world and have learned about many cultures and religions which allows me to understand various perspectives. I believe in working with people to help them see their potential and assist them in releasing emotions that are difficult to process. If you’re here trying to figure out this adulting thing, let me help you navigate these rough waters and find the calm in the midst of a raging sea.
(919) 726-0736 View (919) 726-0736
Photo of Ashley Couch Lanier - Extra Peace Counseling PLLC, LCMHC, LCASA
Extra Peace Counseling PLLC
LCMHC, LCASA
Verified Verified
Clayton, NC 27520  (Online Only)
My ideal client would be someone that would like to work on achieving their goals to discover more about themselves. They may of struggled with other mental health professionals and felt like their needs weren't met. They would want to learn more about themselves as a person and discover a more clear diagnosis. If you are questioning ADHD or Autism diagnosis I can help guide you. I work with people in helping professions like first responders who may want to learn how to cope with the job or cope with retiring from the profession.
My ideal client would be someone that would like to work on achieving their goals to discover more about themselves. They may of struggled with other mental health professionals and felt like their needs weren't met. They would want to learn more about themselves as a person and discover a more clear diagnosis. If you are questioning ADHD or Autism diagnosis I can help guide you. I work with people in helping professions like first responders who may want to learn how to cope with the job or cope with retiring from the profession.
(919) 200-6431 View (919) 200-6431
1

How does your Therapist compare?

Number of Therapists in Clayton, NC

100+

Average cost per session

$125

Therapists in Clayton, NC who prioritize treating:

91% Depression
91% Anxiety
83% Self Esteem
82% Relationship Issues
77% Coping Skills
71% Trauma and PTSD
69% Stress

Average years in practice

9 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
81% Aetna
69% Cigna and Evernorth

How Therapists in Clayton, NC see their clients

68% In Person and Online
32% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Clayton?

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.