Therapists in Omaha, NE

View neighborhoods in Omaha
Photo of Laurie St. Patrick, MA, LIMHP, PC, RWP, Counselor
Laurie St. Patrick
Counselor, MA, LIMHP, PC, RWP
Verified Verified
Omaha, NE 68154
Connection and relationships are what make humans unique and beautiful. Struggles within relationships can indicate areas of struggles within oneself. My approach incorporates creating a safe space for you to explore areas where you want to change, with knowledge and support that guides you in your to healing journey. Better understanding how our behaviors are directly connected not only to our thoughts, but also our feelings, we are better able to engage in healthy patterns, which often includes setting appropriate boundaries for thriving relationships.
Connection and relationships are what make humans unique and beautiful. Struggles within relationships can indicate areas of struggles within oneself. My approach incorporates creating a safe space for you to explore areas where you want to change, with knowledge and support that guides you in your to healing journey. Better understanding how our behaviors are directly connected not only to our thoughts, but also our feelings, we are better able to engage in healthy patterns, which often includes setting appropriate boundaries for thriving relationships.
(402) 518-5731 View (402) 518-5731
Photo of Liz Tolliver, PhD, LIMHP, NCC, Counselor
Liz Tolliver
Counselor, PhD, LIMHP, NCC
Verified Verified
2 Endorsed
Omaha, NE 68144
The truth is we all could use some counseling. Whether it is for a specific concern, or a safe space to process ongoing events, I am honored to be part of the process with those I work with. I am committed to supporting clients in removing barriers that keep them from living the fulfilling life they deserve. I work with clients to cultivate a safe space for processing and check in often to ensure we are on the same trajectory. I believe clients and counselors must work together. Clients bring with them their own worldview which has been shaped by their experiences, therefore counseling is directed by the needs of the client.
The truth is we all could use some counseling. Whether it is for a specific concern, or a safe space to process ongoing events, I am honored to be part of the process with those I work with. I am committed to supporting clients in removing barriers that keep them from living the fulfilling life they deserve. I work with clients to cultivate a safe space for processing and check in often to ensure we are on the same trajectory. I believe clients and counselors must work together. Clients bring with them their own worldview which has been shaped by their experiences, therefore counseling is directed by the needs of the client.
(402) 524-5612 View (402) 524-5612
Photo of Albert Todd Sparks, LIMHP, Counselor
Albert Todd Sparks
Counselor, LIMHP
Verified Verified
1 Endorsed
Omaha, NE 68105
“A step may be the beginning of a great journey” In life the first step is always the most difficult for people, the same can be said about therapy. Introducing oneself to someone they just met, trusting a stranger with their thoughts and feelings can be a truly intimidating experience. The purpose of therapy is to provide a safe space for a person to take the first step on the journey of healing and the personal growth that follows. Therapy is fluidic and follows an integrative, and adaptable path determined by the client’s goals.
“A step may be the beginning of a great journey” In life the first step is always the most difficult for people, the same can be said about therapy. Introducing oneself to someone they just met, trusting a stranger with their thoughts and feelings can be a truly intimidating experience. The purpose of therapy is to provide a safe space for a person to take the first step on the journey of healing and the personal growth that follows. Therapy is fluidic and follows an integrative, and adaptable path determined by the client’s goals.
(402) 698-4627 View (402) 698-4627
Photo of Alisha Gentry - Innerwork Counseling and Consulting, LLC, LIMHP, CPC, IRT, Counselor
Innerwork Counseling and Consulting, LLC
Counselor, LIMHP, CPC, IRT
Verified Verified
Omaha, NE 68127
Innerwork Counseling desires to partner with you as you take a journey inward that leads to self-awareness, understanding, and growth. We believe honest introspection and reflection combined with a safe, trusting relationship is what what we need to begin your healing process. We understand that with healing comes change, and for most of us, change can be uncomfortable. We ensure to make it more manageable by not pressuring you to make changes you’re not ready for, or move at a pace that feels unsafe. Our priority will always be YOU and utilizing an approach supportive of safety and trust.
Innerwork Counseling desires to partner with you as you take a journey inward that leads to self-awareness, understanding, and growth. We believe honest introspection and reflection combined with a safe, trusting relationship is what what we need to begin your healing process. We understand that with healing comes change, and for most of us, change can be uncomfortable. We ensure to make it more manageable by not pressuring you to make changes you’re not ready for, or move at a pace that feels unsafe. Our priority will always be YOU and utilizing an approach supportive of safety and trust.
(531) 201-8715 View (531) 201-8715
Photo of Lisa Merz, LIMHP, LICSW, Clinical Social Work/Therapist
Lisa Merz
Clinical Social Work/Therapist, LIMHP, LICSW
Verified Verified
Omaha, NE 68144
Beginning therapy can be a vulnerable time for someone. Therapy provides a safe space to work on healing, increase feelings of hope and gain support. I provide therapy to children, teens and adults who are experiencing stress, life transitions/changes or who have experienced trauma. I have experience in working in the areas of grief and loss, anxiety, depression, divorce, abuse, neglect, domestic violence, sexual abuse and adoption. I also enjoy working with women on relationships, stress and fertility struggles.
Beginning therapy can be a vulnerable time for someone. Therapy provides a safe space to work on healing, increase feelings of hope and gain support. I provide therapy to children, teens and adults who are experiencing stress, life transitions/changes or who have experienced trauma. I have experience in working in the areas of grief and loss, anxiety, depression, divorce, abuse, neglect, domestic violence, sexual abuse and adoption. I also enjoy working with women on relationships, stress and fertility struggles.
(531) 233-3176 View (531) 233-3176
Photo of Jessica N Becker, MS, PLMHP, NCC, Counselor
Jessica N Becker
Counselor, MS, PLMHP, NCC
Verified Verified
2 Endorsed
Omaha, NE 68124
If you need someone safe and competent to help you process your current struggles and heal from your past wounds, I will strive to earn your trust through our professional counseling relationship and will provide you with tools and skills to empower you for a better future.
If you need someone safe and competent to help you process your current struggles and heal from your past wounds, I will strive to earn your trust through our professional counseling relationship and will provide you with tools and skills to empower you for a better future.
(402) 542-5472 View (402) 542-5472
Photo of Helena Sanchez, LIMHP, PLADC, NCC, Counselor
Helena Sanchez
Counselor, LIMHP, PLADC, NCC
Verified Verified
Omaha, NE 68127
Everyone deserves help, including you. It can be beneficial to talk with someone who has an independent perspective. My previous work experience includes conducting individual, family and group therapy at all correctional centers in Nebraska and within the emergency department at CHI Health Center - Immanuel. I have experience working with addictions and substance abuse issues as well as clients whose gender identity, socioeconomic class, race, or ethnicity have historically been marginalized.
Everyone deserves help, including you. It can be beneficial to talk with someone who has an independent perspective. My previous work experience includes conducting individual, family and group therapy at all correctional centers in Nebraska and within the emergency department at CHI Health Center - Immanuel. I have experience working with addictions and substance abuse issues as well as clients whose gender identity, socioeconomic class, race, or ethnicity have historically been marginalized.
(402) 206-0974 View (402) 206-0974
Photo of Natasha Gartin, MA, LMHP, LPC, Licensed Professional Counselor
Natasha Gartin
Licensed Professional Counselor, MA, LMHP, LPC
Verified Verified
1 Endorsed
Omaha, NE 68114
I enjoy working with older adolescents, young adults, and adults in an individual counseling setting. I am a neurodivergent affirming provider and strive to support each client as an individual based on their unique circumstances and needs. I believe a strong therapeutic relationship is the foundation of a successful counseling experience and enjoy building these relationships with my clients. My goal is to engage you in the process of positive change by establishing the skills needed to manage and heal from life's challenging situations. I work to understand your experiences and empower you to achieve and maintain your goals.
I enjoy working with older adolescents, young adults, and adults in an individual counseling setting. I am a neurodivergent affirming provider and strive to support each client as an individual based on their unique circumstances and needs. I believe a strong therapeutic relationship is the foundation of a successful counseling experience and enjoy building these relationships with my clients. My goal is to engage you in the process of positive change by establishing the skills needed to manage and heal from life's challenging situations. I work to understand your experiences and empower you to achieve and maintain your goals.
(402) 207-9741 View (402) 207-9741
Photo of Brandi Stalzer, LIMHP, LPCC, BC-TMH, Counselor
Brandi Stalzer
Counselor, LIMHP, LPCC, BC-TMH
Verified Verified
Online Only
Are you struggling with food or your body? The people I work with typically struggle with symptoms like binge eating, overeating, irregular eating patterns, or poor body image. I help people find relief from eating disorders. Often, I hear people express how their eating patterns have impaired their relationships, mood, and daily activities. They may be experiencing mood or anxiety-related issues, in addition, to their food struggles. Most people I work with say that their work with me is their first time conceptualizing their concerns as a mental health issue and are seeking treatment for the first time.
Are you struggling with food or your body? The people I work with typically struggle with symptoms like binge eating, overeating, irregular eating patterns, or poor body image. I help people find relief from eating disorders. Often, I hear people express how their eating patterns have impaired their relationships, mood, and daily activities. They may be experiencing mood or anxiety-related issues, in addition, to their food struggles. Most people I work with say that their work with me is their first time conceptualizing their concerns as a mental health issue and are seeking treatment for the first time.
(531) 201-6882 View (531) 201-6882
Photo of Jeanna Karloff, LMHP, CMSW, Clinical Social Work/Therapist
Jeanna Karloff
Clinical Social Work/Therapist, LMHP, CMSW
Verified Verified
2 Endorsed
Omaha, NE 68130
As a previous Employee Assistance Counselor and having a masters degree in social work for over 20 years, I am well versed in supporting adult clients who are struggling with work life balance, life transitions, goal setting, depression, or anxiety. I am known as a compassionate listener dedicated towards helping clients grow to be the best version of themselves. My work in the school systems has given me extensive experience in problem solving and collaboration, both of those traits important in the therapeutic partnership.
As a previous Employee Assistance Counselor and having a masters degree in social work for over 20 years, I am well versed in supporting adult clients who are struggling with work life balance, life transitions, goal setting, depression, or anxiety. I am known as a compassionate listener dedicated towards helping clients grow to be the best version of themselves. My work in the school systems has given me extensive experience in problem solving and collaboration, both of those traits important in the therapeutic partnership.
(402) 809-9473 View (402) 809-9473
Photo of Deborah Osmanson, MA, LMHP, LIMHP, Counselor
Deborah Osmanson
Counselor, MA, LMHP, LIMHP
Verified Verified
Omaha, NE 68154
Waitlist for new clients
Going to a counselor can be pretty frightening; my goal is to make it as comfortable as possible. I believe that we all need help at times to work through difficult issues in our lives. I count it a privilege to help clients with the stresses of life. Beginning therapy can be a big step toward being the healthiest version of yourself and living the best life possible-no matter what challenges you may be facing. Through therapy, you can change self-destructive behaviors and habits, resolve painful feelings, improve your relationships, and more.
Going to a counselor can be pretty frightening; my goal is to make it as comfortable as possible. I believe that we all need help at times to work through difficult issues in our lives. I count it a privilege to help clients with the stresses of life. Beginning therapy can be a big step toward being the healthiest version of yourself and living the best life possible-no matter what challenges you may be facing. Through therapy, you can change self-destructive behaviors and habits, resolve painful feelings, improve your relationships, and more.
(402) 951-9935 View (402) 951-9935
Photo of John Michael Turnquist, LMHP, LPC, RYT, Counselor
John Michael Turnquist
Counselor, LMHP, LPC, RYT
Verified Verified
Omaha, NE 68114
I definitely understand that reaching out for therapy can cause anxious uncertainty and emotional discomfort. If this is the case, I'm SO GLAD you are making this courageous decision. Regarding my personality and therapeutic style, you will notice this immediately: I am warm, genuine, personable, light-hearted, and easy to connect with. You will also notice I am passionate about understanding your unique life story, including the personal struggles for which you are seeking professional care. I desire to relate to you as an equal, whole person rather than someone who "has all the answers." In sessions with me, you will know I care.
I definitely understand that reaching out for therapy can cause anxious uncertainty and emotional discomfort. If this is the case, I'm SO GLAD you are making this courageous decision. Regarding my personality and therapeutic style, you will notice this immediately: I am warm, genuine, personable, light-hearted, and easy to connect with. You will also notice I am passionate about understanding your unique life story, including the personal struggles for which you are seeking professional care. I desire to relate to you as an equal, whole person rather than someone who "has all the answers." In sessions with me, you will know I care.
(402) 513-3441 View (402) 513-3441
Photo of Michelle Lee Bourdo, MSAT, ATR, PLMHP, Counselor
Michelle Lee Bourdo
Counselor, MSAT, ATR, PLMHP
Verified Verified
1 Endorsed
Online Only
Creating a life of healthy living is possible. If you have found yourself here, asking if it is time to get you mental health on track, the answer is yes! Through the use of art therapy, I can help you design, sculpt and create the best version of you, for you. I am excited to stand beside you as you process your story and mend your heart and mind. Through the use of telehealth and experiential art making, we will practice new life skills and facilitate meaningful living for you. Give me a call and let's get started today.
Creating a life of healthy living is possible. If you have found yourself here, asking if it is time to get you mental health on track, the answer is yes! Through the use of art therapy, I can help you design, sculpt and create the best version of you, for you. I am excited to stand beside you as you process your story and mend your heart and mind. Through the use of telehealth and experiential art making, we will practice new life skills and facilitate meaningful living for you. Give me a call and let's get started today.
(402) 256-6642 x08 View (402) 256-6642 x08
Photo of Maddelyn Bal, MS, PLMHP
Maddelyn Bal
Provisional Mental Health Practitioner, MS, PLMHP
Verified Verified
Omaha, NE 68124
Growth, change, and struggle are a part of life and seeking professional services is a beautiful gift you can give yourself. I enjoy working with adolescents and adults dealing with anxiety, depression, life changes, and relationship issues. I am passionate about working with those in the LGBTQ+ community and their families. I believe all humans have a right to live authentically and express themselves.
Growth, change, and struggle are a part of life and seeking professional services is a beautiful gift you can give yourself. I enjoy working with adolescents and adults dealing with anxiety, depression, life changes, and relationship issues. I am passionate about working with those in the LGBTQ+ community and their families. I believe all humans have a right to live authentically and express themselves.
(402) 809-9246 View (402) 809-9246
Photo of Andrea Degner, LICSW, LIMHP, MSW
Andrea Degner
Independent Mental Health Practitioner, LICSW, LIMHP, MSW
Verified Verified
1 Endorsed
Omaha, NE 68154
Real change comes from the work we do within ourselves. I truly believe you have the answers you are seeking within yourself, but may need help to find them. The work we will be doing together is important, and I want you to have the utmost confidence and trust in the therapeutic relationship we build. In our sessions, I like to take a positive approach to build that working relationship to set useful and attainable goals towards a mentally healthy lifestyle. By utilizing motivational interviewing, interpersonal therapy, and cognitive behavioral therapy strategies, I know we can make progress towards that final goal.
Real change comes from the work we do within ourselves. I truly believe you have the answers you are seeking within yourself, but may need help to find them. The work we will be doing together is important, and I want you to have the utmost confidence and trust in the therapeutic relationship we build. In our sessions, I like to take a positive approach to build that working relationship to set useful and attainable goals towards a mentally healthy lifestyle. By utilizing motivational interviewing, interpersonal therapy, and cognitive behavioral therapy strategies, I know we can make progress towards that final goal.
(402) 238-1431 View (402) 238-1431
Photo of Becky Baruth, PLMHP, PMH-C
Becky Baruth
Provisional Mental Health Practitioner, PLMHP, PMH-C
Verified Verified
Omaha, NE 68127
Are you navigating a significant life change or transition, such as becoming a new parent, receiving a major medical diagnosis, experiencing the loss of a loved one, or struggling with a significant relationship? You may be feeling overwhelmed, constantly worried, and unsure of how to cope, despite your best efforts to find solutions. In the past, you may have been able to manage challenges logically, but now it may seem difficult to stop the worry or emotional overwhelm. Whether this is your first time considering professional support or something you've been thinking about for a while, help is available.
Are you navigating a significant life change or transition, such as becoming a new parent, receiving a major medical diagnosis, experiencing the loss of a loved one, or struggling with a significant relationship? You may be feeling overwhelmed, constantly worried, and unsure of how to cope, despite your best efforts to find solutions. In the past, you may have been able to manage challenges logically, but now it may seem difficult to stop the worry or emotional overwhelm. Whether this is your first time considering professional support or something you've been thinking about for a while, help is available.
(531) 202-3860 View (531) 202-3860
Photo of Genevieve Sanchez-Hidalgo, LIMHP, MS, Counselor
Genevieve Sanchez-Hidalgo
Counselor, LIMHP, MS
Verified Verified
Omaha, NE 68116
If you're ready to make change in your life or even if you only have the desire to make change, therapy can help. Let me help you find hope and motivation to make your life better. As one famous author has stated, "You can't go back and change the beginning but you can start where you are and change the ending."
If you're ready to make change in your life or even if you only have the desire to make change, therapy can help. Let me help you find hope and motivation to make your life better. As one famous author has stated, "You can't go back and change the beginning but you can start where you are and change the ending."
(402) 625-3495 View (402) 625-3495
Photo of Tatem Miller, PLMHP, Counselor
Tatem Miller
Counselor, PLMHP
Verified Verified
3 Endorsed
Omaha, NE 68144
Seeking out care & help for your mental health can be daunting & scary, but I applaud you for taking the brave, first step. Lots of people have been where you are now & have improved their quality of life by addressing their mental health needs by coming to counseling. When you come to my office you will be met with empathy, respect & a safe space. I utilize an approach that is tailored specifically to you & your needs. I operate from an strengths based, integrative, & multicultural approach that is driven by goal oriented (Solution-Focused), client driven (Client-Centered) & thought challenging (Cognitive Behavioral) principles.
Seeking out care & help for your mental health can be daunting & scary, but I applaud you for taking the brave, first step. Lots of people have been where you are now & have improved their quality of life by addressing their mental health needs by coming to counseling. When you come to my office you will be met with empathy, respect & a safe space. I utilize an approach that is tailored specifically to you & your needs. I operate from an strengths based, integrative, & multicultural approach that is driven by goal oriented (Solution-Focused), client driven (Client-Centered) & thought challenging (Cognitive Behavioral) principles.
(402) 538-8760 View (402) 538-8760
Photo of Amanda Wells, MS, LIMHP, NCC, HCC, Counselor
Amanda Wells
Counselor, MS, LIMHP, NCC, HCC
Verified Verified
3 Endorsed
Omaha, NE 68144
Exploring therapy is usually a pretty good indication that you're not feeling great right now. You may feel overwhelmed with the day to day, or the holidays, or have something that happened recently that has triggered significant emotions or challenges. You might be looking to add some tools to your toolbox, discovering new insights about yourself, etc. I am so glad you found this page and would love to be part of your support and healing journey!
Exploring therapy is usually a pretty good indication that you're not feeling great right now. You may feel overwhelmed with the day to day, or the holidays, or have something that happened recently that has triggered significant emotions or challenges. You might be looking to add some tools to your toolbox, discovering new insights about yourself, etc. I am so glad you found this page and would love to be part of your support and healing journey!
(531) 233-2658 View (531) 233-2658
Photo of Anne M Marquardt - Anne M. Marquardt, MS, LIMHP, LMHP, LPC, Counselor
Anne M. Marquardt
Counselor, MS, LIMHP, LMHP, LPC
Verified Verified
Omaha, NE 68154
I love the concept of developing "grit". Learning how to overcome the obstacles and emotions that stand in our way. Let me help you deal with the inevitable anxiety and frustrations we face and develop the skills that help you deal with them. Perseverance, flexibility and adaptability gets us farther than intelligence, skill and luck ever will or ever have. If you are sick and tired of being sick and tired...I can help. Some days we need a cheerleader with pom poms; some days, we may need a "kick in the butt" or a nudge. All days we want to feel understood, accepted and validated. I am known as being both direct and kind.
I love the concept of developing "grit". Learning how to overcome the obstacles and emotions that stand in our way. Let me help you deal with the inevitable anxiety and frustrations we face and develop the skills that help you deal with them. Perseverance, flexibility and adaptability gets us farther than intelligence, skill and luck ever will or ever have. If you are sick and tired of being sick and tired...I can help. Some days we need a cheerleader with pom poms; some days, we may need a "kick in the butt" or a nudge. All days we want to feel understood, accepted and validated. I am known as being both direct and kind.
(402) 316-7370 View (402) 316-7370
1
...

How does your Therapist compare?

Number of Therapists in Omaha, NE

1,000+

Average cost per session

$150

Therapists in Omaha, NE who prioritize treating:

92% Anxiety
89% Depression
74% Relationship Issues
74% Trauma and PTSD
74% Self Esteem
72% Coping Skills
68% Stress

Average years in practice

10 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
73% UnitedHealthcare UHC | UBH
72% Aetna

How Therapists in Omaha, NE see their clients

81% In Person and Online
19% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Omaha?

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.