Therapists in Ashland, NH

Photo of Kristin Emery, Pre-Licensed Professional, MA, LCMHC
Kristin Emery
Pre-Licensed Professional, MA, LCMHC
1 Endorsed
Ashland, NH 03217
I provide healing in wellness as you navigate your mental health issues. Whether you are someone who needs a lot of help or just someone who needs to process daily stressors, I am here to help. My focus is to help heal and build confidence within oneself and provide a positive experience where you see real change and real results. I focus on listening to my clients and what they believe they need and creating realistic goals you can achieve. Every client is different and I will help you create an individualized plan that works for you and your lifestyle. I help you by listening intently to your struggles while being there for you.
I provide healing in wellness as you navigate your mental health issues. Whether you are someone who needs a lot of help or just someone who needs to process daily stressors, I am here to help. My focus is to help heal and build confidence within oneself and provide a positive experience where you see real change and real results. I focus on listening to my clients and what they believe they need and creating realistic goals you can achieve. Every client is different and I will help you create an individualized plan that works for you and your lifestyle. I help you by listening intently to your struggles while being there for you.
(844) 655-4977 View (844) 655-4977
Photo of Leah Sharps, Pre-Licensed Professional, MS, CMHC
Leah Sharps
Pre-Licensed Professional, MS, CMHC
1 Endorsed
Ashland, NH 03217
Are you looking for support to work through anxiety, depression, overwhelm, grief, relationship struggles? Would you like to gain some tools to manage the various obstacles life can present? Together we can address the challenging thoughts, behaviors, and emotions that are preventing you from achieving the life experience you want and deserve.
Are you looking for support to work through anxiety, depression, overwhelm, grief, relationship struggles? Would you like to gain some tools to manage the various obstacles life can present? Together we can address the challenging thoughts, behaviors, and emotions that are preventing you from achieving the life experience you want and deserve.
(603) 634-8933 View (603) 634-8933
Photo of Stephanie L Sylvia, Pre-Licensed Professional, MA
Stephanie L Sylvia
Pre-Licensed Professional, MA
1 Endorsed
Ashland, NH 03217
With a focus on relationships and helping you understand why you are the way you are; I help couples and families increase communication and feelings of connection. I support veterans, first responders, neurodivergent individuals, individuals in the LGBTQ+ community, individuals struggling with Substance Abuse, parents & children. If you are struggling with work/life balance, open communication and feeling loved by your family, working with a family therapist can help you increase your feelings of connection to yourself and your loved ones.
With a focus on relationships and helping you understand why you are the way you are; I help couples and families increase communication and feelings of connection. I support veterans, first responders, neurodivergent individuals, individuals in the LGBTQ+ community, individuals struggling with Substance Abuse, parents & children. If you are struggling with work/life balance, open communication and feeling loved by your family, working with a family therapist can help you increase your feelings of connection to yourself and your loved ones.
(844) 748-4142 View (844) 748-4142
Photo of Leah DuBois, Clinical Social Work/Therapist, LICSW
Leah DuBois
Clinical Social Work/Therapist, LICSW
1 Endorsed
Ashland, NH 03217
In private practice, my ideal client is someone who values a supportive, confidential space where they can work toward personal growth and emotional well-being. They may be a child with behavioral or emotional challenges, a teenager experiencing anxiety, depression, or identity-related concerns, an adult facing life stressors, relationship difficulties, or mood disorders, or a family seeking greater harmony and communication. Many individuals identify feeling overwhelmed by emotions, difficulty coping with stress, or struggling with negative thought patterns and behaviors that are impacting their daily life and relationships.
In private practice, my ideal client is someone who values a supportive, confidential space where they can work toward personal growth and emotional well-being. They may be a child with behavioral or emotional challenges, a teenager experiencing anxiety, depression, or identity-related concerns, an adult facing life stressors, relationship difficulties, or mood disorders, or a family seeking greater harmony and communication. Many individuals identify feeling overwhelmed by emotions, difficulty coping with stress, or struggling with negative thought patterns and behaviors that are impacting their daily life and relationships.
(802) 432-2857 View (802) 432-2857
Photo of Mikayla A Brace, Social Worker, MSW
Mikayla A Brace
Social Worker, MSW
1 Endorsed
Ashland, NH 03217
You deserve to live a life that leaves you excited to wake up every morning and I am ready to help achieve that! Life is full of challenging situations and can leave you feeling lost and anxious, but you don't have to navigate these feelings alone. Working through challenging times can be overwhelming, I can help you better understand and process these challenges and the feelings that may be hard to navigate. I am currently accepting new clients including toddlers, children, teens, adolescents, adults, and couples.
You deserve to live a life that leaves you excited to wake up every morning and I am ready to help achieve that! Life is full of challenging situations and can leave you feeling lost and anxious, but you don't have to navigate these feelings alone. Working through challenging times can be overwhelming, I can help you better understand and process these challenges and the feelings that may be hard to navigate. I am currently accepting new clients including toddlers, children, teens, adolescents, adults, and couples.
(888) 480-2710 View (888) 480-2710
Photo of Amanda Goodwin - Goodwin Counseling Services LLC, Counselor, LCMHC, LICSW, LMFT, MLADC
Goodwin Counseling Services LLC
Counselor, LCMHC, LICSW, LMFT, MLADC
1 Endorsed
Ashland, NH 03217
We have 17 Therapists who are accepting new patients at both our Franklin and Ashland location. Sessions can be both in person and Telehealth. See our website bio's to find the best fit for you! Our Group Practice: Goodwin Counseling offers a variety of counseling services to help clients get the most out of their life’s journey. We work with children, adults, couples, and families and a number of mental health disorders both in person and through tele-health sessions.
We have 17 Therapists who are accepting new patients at both our Franklin and Ashland location. Sessions can be both in person and Telehealth. See our website bio's to find the best fit for you! Our Group Practice: Goodwin Counseling offers a variety of counseling services to help clients get the most out of their life’s journey. We work with children, adults, couples, and families and a number of mental health disorders both in person and through tele-health sessions.
(802) 523-3517 View (802) 523-3517
Photo of Emma Van Ness, Counselor, PhD, LCMHC
Emma Van Ness
Counselor, PhD, LCMHC
Serves Area
I am a feminist and existentialist clinical mental health counselor dedicated to supporting survivors as they navigate the complex effects of trauma, including post-traumatic stress disorder (PTSD), anxiety, depression, anger, and identity concerns. I provide a compassionate and grounded therapeutic environment for women, individuals in the perinatal period, and members of the LGBTQ community
I am a feminist and existentialist clinical mental health counselor dedicated to supporting survivors as they navigate the complex effects of trauma, including post-traumatic stress disorder (PTSD), anxiety, depression, anger, and identity concerns. I provide a compassionate and grounded therapeutic environment for women, individuals in the perinatal period, and members of the LGBTQ community
(888) 250-6022 View (888) 250-6022
Photo of Lorraine Jones, Counselor, LCMHC, NCC
Lorraine Jones
Counselor, LCMHC, NCC
Serves Area
Every life event can be a learning experience, one that you don't have to go through alone. I am a compassionate, solutions-oriented therapist who is dedicated to providing caring, sensitive therapeutic counseling opportunities for adults, adolescents, and children for a variety of emotional and mental health issues. I have had a record of success working with diverse client populations in individual therapy, process groups, and couples therapy. My training includes CBT, Behavioral, and Reality Therapy. I would welcome the opportunity to assist you on your journey. Please give me a call for a free telephone consultation.
Every life event can be a learning experience, one that you don't have to go through alone. I am a compassionate, solutions-oriented therapist who is dedicated to providing caring, sensitive therapeutic counseling opportunities for adults, adolescents, and children for a variety of emotional and mental health issues. I have had a record of success working with diverse client populations in individual therapy, process groups, and couples therapy. My training includes CBT, Behavioral, and Reality Therapy. I would welcome the opportunity to assist you on your journey. Please give me a call for a free telephone consultation.
(603) 821-9507 View (603) 821-9507

More Therapists Nearby

Photo of Gabriel Jose Vega - Gabriel Vega Counseling, PLLC, Counselor, MS, LCMHC
Gabriel Vega Counseling, PLLC
Counselor, MS, LCMHC
Online Only
Sometimes life presents us with experiences that leave a lasting mark - moments that are too painful, too fast, or too overwhelming. Gabriel Vega Counseling, PLLC, strives to meet the virtual, trauma-informed, therapeutic needs of marginalized and disenfranchised individuals in New Hampshire and Vermont. ​My specialties include treating Post-Traumatic Stress Disorder (PTSD), Dissociative Disorders, and symptoms related to complex developmental trauma. I specifically provide virtual Eye Movement Desensitization and Reprocessing (EMDR) therapy and Deep Brain Reorienting (DBR) therapy for adolescents ages 13 to 17 and adults 18+.
Sometimes life presents us with experiences that leave a lasting mark - moments that are too painful, too fast, or too overwhelming. Gabriel Vega Counseling, PLLC, strives to meet the virtual, trauma-informed, therapeutic needs of marginalized and disenfranchised individuals in New Hampshire and Vermont. ​My specialties include treating Post-Traumatic Stress Disorder (PTSD), Dissociative Disorders, and symptoms related to complex developmental trauma. I specifically provide virtual Eye Movement Desensitization and Reprocessing (EMDR) therapy and Deep Brain Reorienting (DBR) therapy for adolescents ages 13 to 17 and adults 18+.
(603) 207-8323 View (603) 207-8323
Photo of Dr. Stephen Gibson, Pre-Licensed Professional, PharmD, BCPP, RPH
Dr. Stephen Gibson
Pre-Licensed Professional, PharmD, BCPP, RPH
3 Endorsed
Serves Area
Hello, I'm Stephen, a Doctor of Pharmacy, and I earned my PharmD at MCPHS University. I am Board Certified Psychiatric Pharmacist (BCPP), 1 of 6 in the state of NH. I am the founder and Director of Psychopharmacology at Comprehensive Collaborative Care. Mental health and substance abuse are deeply personal for me due to a tragic loss—my older brother fell victim to Depression and Opioid Use Disorder. I've committed my career to mental health and substance abuse, with a focus on minimizing polypharmacy and adverse drug effects. If you are struggling with finding the correct medication regiment for you, our practice is here for you.
Hello, I'm Stephen, a Doctor of Pharmacy, and I earned my PharmD at MCPHS University. I am Board Certified Psychiatric Pharmacist (BCPP), 1 of 6 in the state of NH. I am the founder and Director of Psychopharmacology at Comprehensive Collaborative Care. Mental health and substance abuse are deeply personal for me due to a tragic loss—my older brother fell victim to Depression and Opioid Use Disorder. I've committed my career to mental health and substance abuse, with a focus on minimizing polypharmacy and adverse drug effects. If you are struggling with finding the correct medication regiment for you, our practice is here for you.
(603) 606-9357 View (603) 606-9357
LifeStance Health
Clinical Social Work/Therapist, LICSW
Loudon, NH 03307
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(877) 445-7818 View (877) 445-7818
Photo of Andrea Rothberg, Marriage & Family Therapist, MS, LMFT
Andrea Rothberg
Marriage & Family Therapist, MS, LMFT
Loudon, NH 03307
Andrea is a licensed Marital and Family Therapist in the State of New Hampshire. She graduated from the University of New Hampshire with a Master's of Science in Marital and Family Therapy. She has experience working with children, adolescents, and adults in both individual and family therapy modalities. She specializes in couples and family therapy, and addiction treatment, and has experience working with individuals and families with depression, anxiety, AD/HD, and trauma.
Andrea is a licensed Marital and Family Therapist in the State of New Hampshire. She graduated from the University of New Hampshire with a Master's of Science in Marital and Family Therapy. She has experience working with children, adolescents, and adults in both individual and family therapy modalities. She specializes in couples and family therapy, and addiction treatment, and has experience working with individuals and families with depression, anxiety, AD/HD, and trauma.
(833) 970-1993 View (833) 970-1993
Photo of Joseph Brown - Bridgeway Counseling, Licensed Clinical Mental Health Counselor, LCMHC
Bridgeway Counseling
Licensed Clinical Mental Health Counselor, LCMHC
1 Endorsed
Wolfeboro, NH 03894
At Bridgeway Counseling, we believe that everyone has the capacity for growth and change, and we are here to support our clients on their journey towards healing and self-discovery. Our therapists are empathetic, non-judgmental, and committed to creating a safe and supportive space for our clients while using evidence-based approaches which include CBT, DBT, Exposure and Response Prevention, Play Therapy, EMDR, Emotion Focused, Parent Couching, Behaviorism, TF-CBT, Art Therapy, Sand Tray Therapy, Solution Focused Therapy, and more.
At Bridgeway Counseling, we believe that everyone has the capacity for growth and change, and we are here to support our clients on their journey towards healing and self-discovery. Our therapists are empathetic, non-judgmental, and committed to creating a safe and supportive space for our clients while using evidence-based approaches which include CBT, DBT, Exposure and Response Prevention, Play Therapy, EMDR, Emotion Focused, Parent Couching, Behaviorism, TF-CBT, Art Therapy, Sand Tray Therapy, Solution Focused Therapy, and more.
(888) 409-2535 View (888) 409-2535
Photo of Henry Hernandez-Torres, Counselor, MPsy, LMHC, LCMHC, LCPC
Henry Hernandez-Torres
Counselor, MPsy, LMHC, LCMHC, LCPC
1 Endorsed
Online Only
I am a bilingual (English–Spanish) clinical mental health counselor with 14 years in the field and provide individual and couples therapy provide to clients residing in Massachusetts, New Hampshire, and Kansas. I work with adolescents and adults facing life transitions, anxiety, depression, trauma, or relationship challenges. My clients seek relief from stress, clarity about their emotions, and the confidence to create lasting change.
I am a bilingual (English–Spanish) clinical mental health counselor with 14 years in the field and provide individual and couples therapy provide to clients residing in Massachusetts, New Hampshire, and Kansas. I work with adolescents and adults facing life transitions, anxiety, depression, trauma, or relationship challenges. My clients seek relief from stress, clarity about their emotions, and the confidence to create lasting change.
(316) 776-4701 View (316) 776-4701
Photo of Andrea M Ackerly, MS, NCC, CBT-CLC
Andrea M Ackerly
Verified Verified
Wolfeboro, NH 03894
Empowering all youth by helping them find their purpose and become happier humans. Is your child struggling with mental health concerns, withdrawn, retreating from you and presenting like they need someone to talk to? I offer a unique approach where I take clients out of the office setting and we spend time outdoors, moving and learning emotional management and self-regulation strategies. As a Life Coach I offer more forward thinking approaches as well as teaching kids & teens tools to help them be more positive & motivated.I use a combination of positive psychology, solution focused and mindfulness methods with youth of all ages.
Empowering all youth by helping them find their purpose and become happier humans. Is your child struggling with mental health concerns, withdrawn, retreating from you and presenting like they need someone to talk to? I offer a unique approach where I take clients out of the office setting and we spend time outdoors, moving and learning emotional management and self-regulation strategies. As a Life Coach I offer more forward thinking approaches as well as teaching kids & teens tools to help them be more positive & motivated.I use a combination of positive psychology, solution focused and mindfulness methods with youth of all ages.
(833) 366-2871 View (833) 366-2871
Photo of Rex L Bunnell, Drug & Alcohol Counselor, MA, MLADC
Rex L Bunnell
Drug & Alcohol Counselor, MA, MLADC
Wolfeboro, NH 03894
My name is Rex L. Bunnell, a master's level licensed alcohol and drug counselor at Wallastook Counseling. I have over 25 years of experience working in the addictions field. I not only understand the entire process of how recovery unfolds, but I also have a personal connection with recovery. Our first meeting gives the client and clinician an opportunity to develop a therapeutic alliance and presents the client with an opportunity to explore what his needs and goals are in counseling. Issues such as isolation, relationship conflicts, emotional dysregulation, and cognitive distortions all lead to alcohol and drug abuse.
My name is Rex L. Bunnell, a master's level licensed alcohol and drug counselor at Wallastook Counseling. I have over 25 years of experience working in the addictions field. I not only understand the entire process of how recovery unfolds, but I also have a personal connection with recovery. Our first meeting gives the client and clinician an opportunity to develop a therapeutic alliance and presents the client with an opportunity to explore what his needs and goals are in counseling. Issues such as isolation, relationship conflicts, emotional dysregulation, and cognitive distortions all lead to alcohol and drug abuse.
(603) 945-0189 View (603) 945-0189
Photo of Anthony Saddy, Pre-Licensed Professional, MS
Anthony Saddy
Pre-Licensed Professional, MS
7 Endorsed
Online Only
Hi, I'm Anthony. I am here to assist you in your journey toward total wellness and inner harmony, helping you evolve and embrace a balanced, empowered life. Struggling with trauma, anxiety, or depression can often feel like an isolating journey, but you don't have to walk it alone. Imagine a space where you're supported in finding meaning and purpose, where your well-being is the priority. As a behavioral and mental health specialist, my role is to guide you towards a life of quality and fulfillment.
Hi, I'm Anthony. I am here to assist you in your journey toward total wellness and inner harmony, helping you evolve and embrace a balanced, empowered life. Struggling with trauma, anxiety, or depression can often feel like an isolating journey, but you don't have to walk it alone. Imagine a space where you're supported in finding meaning and purpose, where your well-being is the priority. As a behavioral and mental health specialist, my role is to guide you towards a life of quality and fulfillment.
(603) 326-4994 View (603) 326-4994
Photo of Jenna Rogato, Counselor, LCMHC, R-DMT
Jenna Rogato
Counselor, LCMHC, R-DMT
1 Endorsed
Gilford, NH 03249
Waitlist for new clients
Hey I'm Jenna. I specialize in trauma and I am ready to help you get some relief from your trauma symptoms. Rather than treating symptoms, I look to treat the root cause and facilitate healing that so that symptoms are no longer present. I provide in person sessions so there is a comfortable space for you to process. I have experience with men and women of all ages and if you're ready, I'm ready. I don't believe that therapy has to have a stuffy feel, I encourage you to allow your personality to come through as we work together to get you where you want to be.
Hey I'm Jenna. I specialize in trauma and I am ready to help you get some relief from your trauma symptoms. Rather than treating symptoms, I look to treat the root cause and facilitate healing that so that symptoms are no longer present. I provide in person sessions so there is a comfortable space for you to process. I have experience with men and women of all ages and if you're ready, I'm ready. I don't believe that therapy has to have a stuffy feel, I encourage you to allow your personality to come through as we work together to get you where you want to be.
(855) 570-8646 View (855) 570-8646
Photo of Julie Mayer Norvilas, Marriage & Family Therapist, LMFT
Julie Mayer Norvilas
Marriage & Family Therapist, LMFT
Online Only
Offering couples therapy, family therapy, and individual therapy. As a relationship therapist, rooted in systems theory, I am passionate and committed to helping my clients explore their growth potential, both in relationships and individually through a collaborative process. By nurturing insight and providing consistent support, you can move at your own pace and work through issues that you feel are preventing you from progressing. I offer online and in-person therapy, in addition to walk-and-talk therapy to individuals, couples, and families.
Offering couples therapy, family therapy, and individual therapy. As a relationship therapist, rooted in systems theory, I am passionate and committed to helping my clients explore their growth potential, both in relationships and individually through a collaborative process. By nurturing insight and providing consistent support, you can move at your own pace and work through issues that you feel are preventing you from progressing. I offer online and in-person therapy, in addition to walk-and-talk therapy to individuals, couples, and families.
(215) 593-2329 View (215) 593-2329
Photo of Stephanie Lewis, Counselor, LCMHC
Stephanie Lewis
Counselor, LCMHC
1 Endorsed
Online Only
Specialized training in Dialectical Behavioral Therapy (DBT), serving adolescents and families, having participated and co-facilitated mindfulness and distress tolerance group sessions. A true believer that individuals are doing the best they can, and they can do better. Focusing on one's strengths enables an individual to pull upon the characteristics and skills they already possess, serving them for the better, creating a mindset of strength, faith and hope.
Specialized training in Dialectical Behavioral Therapy (DBT), serving adolescents and families, having participated and co-facilitated mindfulness and distress tolerance group sessions. A true believer that individuals are doing the best they can, and they can do better. Focusing on one's strengths enables an individual to pull upon the characteristics and skills they already possess, serving them for the better, creating a mindset of strength, faith and hope.
(603) 367-3382 View (603) 367-3382

How does your Therapist compare?

Number of Therapists in Ashland, NH

< 10

Therapists in Ashland, NH who prioritize treating:

100% Anxiety
100% Trauma and PTSD
100% Family Conflict
88% Depression
75% Relationship Issues
75% Parenting
75% Coping Skills

Average years in practice

6 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Anthem
75% Aetna

How Therapists in Ashland, NH see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Ashland?

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.