Therapists in Groveton, NH

Photo of Megan Littlehale, LCMHC, Counselor
Megan Littlehale
Counselor, LCMHC
Verified Verified
Groveton, NH 03582  (Online Only)
Megan knew at a young age that her life must include art! Seeking to address social and emotional issues through the arts she attended Plymouth State University in 2008, earning a bachelor degree in Art Education, with a minor in psychology and ceramics. She then graduated Lesley University in 2013 with a Master’s degree in Expressive Therapies with a specialization in Art Therapy and Mental Health Counseling. Megan is currently working as a Licensed Mental Health Counselor in Northern New Hampshire.
Megan knew at a young age that her life must include art! Seeking to address social and emotional issues through the arts she attended Plymouth State University in 2008, earning a bachelor degree in Art Education, with a minor in psychology and ceramics. She then graduated Lesley University in 2013 with a Master’s degree in Expressive Therapies with a specialization in Art Therapy and Mental Health Counseling. Megan is currently working as a Licensed Mental Health Counselor in Northern New Hampshire.
(603) 605-0887 View (603) 605-0887

More Therapists Nearby

Photo of Linda Stanger, LCSW, Clinical Social Work/Therapist
Linda Stanger
Clinical Social Work/Therapist, LCSW
Verified Verified
Lancaster, NH 03584  (Online Only)
I integrate both Western and Eastern techniques and provide clinical tools that connect the mind and body and promote wellness and healing. I take a holistic approach and work collaboratively with you on your journey toward self discovery, growth and healing. I focus on building on your personal strengths, explore balance, self compassion and peace in all areas of life. I use a client-centered, strengths- focused therapeutic approach. I work with adults, children (age 3 and up), adolescents, families and couples.
I integrate both Western and Eastern techniques and provide clinical tools that connect the mind and body and promote wellness and healing. I take a holistic approach and work collaboratively with you on your journey toward self discovery, growth and healing. I focus on building on your personal strengths, explore balance, self compassion and peace in all areas of life. I use a client-centered, strengths- focused therapeutic approach. I work with adults, children (age 3 and up), adolescents, families and couples.
(814) 200-6996 View (814) 200-6996
Photo of Jeannette Hook, LCMHC, MLADC, Counselor
Jeannette Hook
Counselor, LCMHC, MLADC
Verified Verified
1 Endorsed
Lancaster, NH 03584  (Online Only)
Depression, anxiety, trauma and substance use can leave you feeling lost and alone. As an experienced and passionate licensed mental health counselor and master licensed alcohol and drug counselor, I understand the challenges and fears you may be facing. My approach combines motivational interviewing and cognitive behavioral therapy, anchored in a person-centered, solution-focused framework. Whether you're seeking individual or couples support, I'm here to guide you toward recovery and empowerment. Let's work together to find the path that leads you back to yourself. Reach out today to start your healing journey.
Depression, anxiety, trauma and substance use can leave you feeling lost and alone. As an experienced and passionate licensed mental health counselor and master licensed alcohol and drug counselor, I understand the challenges and fears you may be facing. My approach combines motivational interviewing and cognitive behavioral therapy, anchored in a person-centered, solution-focused framework. Whether you're seeking individual or couples support, I'm here to guide you toward recovery and empowerment. Let's work together to find the path that leads you back to yourself. Reach out today to start your healing journey.
(603) 605-8495 View (603) 605-8495
Photo of Angelique Fortin (Angie), MS, LCMHC, Counselor
Angelique Fortin (Angie)
Counselor, MS, LCMHC
Verified Verified
Lancaster, NH 03584
Not accepting new clients
As a therapist, I recognize the importance that therapy has in providing a space for people to process their thoughts, feeling, and struggles in a confidential and safe environment. Therapy can be especially helpful to those who are seeking an opportunity to better understand their personal situation, symptoms and strategize ways to overcome them.
As a therapist, I recognize the importance that therapy has in providing a space for people to process their thoughts, feeling, and struggles in a confidential and safe environment. Therapy can be especially helpful to those who are seeking an opportunity to better understand their personal situation, symptoms and strategize ways to overcome them.
(833) 699-1127 View (833) 699-1127
Photo of Katarina Kadar, MA, CMHC, LCPC-C, Pre-Licensed Professional
Katarina Kadar
Pre-Licensed Professional, MA, CMHC, LCPC-C
Verified Verified
1 Endorsed
Lancaster, NH 03584  (Online Only)
Katarina is an experienced mental health clinician, case manager, and CPS worker, giving her a broad spectrum of experiences. She works with children, adults, and families from varying cultures and backgrounds and a variety of mental health and social issues. Katarina particularly enjoys integrating holistic and alternative healing methods into evidenced-based counseling approaches, including visualization, energy work, meditation and mindfulness-based skills.  She enjoys working with individuals who seek to learn more about themselves and have the desire to learn, grow, and evolve.
Katarina is an experienced mental health clinician, case manager, and CPS worker, giving her a broad spectrum of experiences. She works with children, adults, and families from varying cultures and backgrounds and a variety of mental health and social issues. Katarina particularly enjoys integrating holistic and alternative healing methods into evidenced-based counseling approaches, including visualization, energy work, meditation and mindfulness-based skills.  She enjoys working with individuals who seek to learn more about themselves and have the desire to learn, grow, and evolve.
(603) 836-8549 View (603) 836-8549

Online Therapists

Photo of Jeanette Nogales, LCMHC, MEd, CAGS, Counselor
Jeanette Nogales
Counselor, LCMHC, MEd, CAGS
Verified Verified
1 Endorsed
West Lebanon, NH 03784  (Online Only)
Struggling with OCD, anxiety, body-focused repetitive behaviors, or mood-related challenges can be scary to navigate on your own and can get in the way of the life you want to live. I work with people to provide specialized treatment and education to learn what's holding you back from a fulfilling and meaningful life. Together in a compassionate and non-judgmental space, we will work to identify how your thoughts and stories about yourself and life get in your way, how to make room for human experiences in the present moment, and how to act in the service of your values.
Struggling with OCD, anxiety, body-focused repetitive behaviors, or mood-related challenges can be scary to navigate on your own and can get in the way of the life you want to live. I work with people to provide specialized treatment and education to learn what's holding you back from a fulfilling and meaningful life. Together in a compassionate and non-judgmental space, we will work to identify how your thoughts and stories about yourself and life get in your way, how to make room for human experiences in the present moment, and how to act in the service of your values.
(603) 691-2486 View (603) 691-2486
Photo of undefined - Counseling Associates of Plymouth, LCMHC, Pre-Licensed Professional
Counseling Associates of Plymouth
Pre-Licensed Professional, LCMHC
Verified Verified
Plymouth, NH 03264
At Counseling Associates we take a strengths-based counseling approach to assist you in moving toward your goals and opening doors to new possibilities. With multiple clinicians and areas of expertise, we are able to offer comprehensive, specialized services for adults, children, adolescents, couples and families. It is common for those new to therapy to feel both eager to get going and uncomfortable about starting the process of therapy. Do not let some awkwardness keep you from beginning what you know will be in your long-term best interest. We look forward to working with you.
At Counseling Associates we take a strengths-based counseling approach to assist you in moving toward your goals and opening doors to new possibilities. With multiple clinicians and areas of expertise, we are able to offer comprehensive, specialized services for adults, children, adolescents, couples and families. It is common for those new to therapy to feel both eager to get going and uncomfortable about starting the process of therapy. Do not let some awkwardness keep you from beginning what you know will be in your long-term best interest. We look forward to working with you.
(603) 865-1321 View (603) 865-1321
Photo of Holly Clause, MAET, LCMHC, Counselor
Holly Clause
Counselor, MAET, LCMHC
Verified Verified
Wolfeboro, NH 03894
Because we are unique and complex people I choose a holistic and individualized counseling approach. I am both a traditional "talk therapist" and an expressive arts therapist specializing in art therapy. I have 20 years of experience in the mental health field working in various treatment setting with teens and adults. I help people gain insight, awareness, emotional release, problem solving and coping skills. I have considerable experience in treating emotional disturbances, trauma, anxiety, depression, mood disorders and anxiety. I am trained in cognitive behavioral therapy, art therapy and psychodynamics; I use both approaches.
Because we are unique and complex people I choose a holistic and individualized counseling approach. I am both a traditional "talk therapist" and an expressive arts therapist specializing in art therapy. I have 20 years of experience in the mental health field working in various treatment setting with teens and adults. I help people gain insight, awareness, emotional release, problem solving and coping skills. I have considerable experience in treating emotional disturbances, trauma, anxiety, depression, mood disorders and anxiety. I am trained in cognitive behavioral therapy, art therapy and psychodynamics; I use both approaches.
(603) 207-8427 View (603) 207-8427
Photo of Kathleen Hall, LCMHC, ATR, Counselor
Kathleen Hall
Counselor, LCMHC, ATR
Verified Verified
Concord, NH 03301
I am committed and passionate about helping individuals improve their quality of life. Sometimes we have such uncomfortable feelings that we don't know how we will make it through the day. Sometimes really bad things happen to us and around that we might not know how to manage. Sometimes our bodies and minds take over and we feel like we have no control over our lives. We try to understand and control the symptoms: the anxiety, depression, anger, headaches, insomnia, stomach pain and fatigue. Sound familiar? I believe that understanding the mind-body connection is the first step to improving your mental health and well-being.
I am committed and passionate about helping individuals improve their quality of life. Sometimes we have such uncomfortable feelings that we don't know how we will make it through the day. Sometimes really bad things happen to us and around that we might not know how to manage. Sometimes our bodies and minds take over and we feel like we have no control over our lives. We try to understand and control the symptoms: the anxiety, depression, anger, headaches, insomnia, stomach pain and fatigue. Sound familiar? I believe that understanding the mind-body connection is the first step to improving your mental health and well-being.
(603) 207-4002 View (603) 207-4002
Robin E Winter-Weber
Counselor, MA, LCMHC, ATR
Verified Verified
North Conway, NH 03860
I work collaboratively with clients. Together we explore their thoughts, feelings, and behaviors, to aid in improving the wellness of their whole being. A non-judgemental safe and warm atmosphere is offered to all persons. Stress, anxiety, interpersonal challenges, and life situations can impact our internal and external worlds in detrimental ways. Seeking an understanding of patterns that do not work, and improving the effectiveness of change, in a trusting relationship, allows clients to gain self-esteem and personal growth.
I work collaboratively with clients. Together we explore their thoughts, feelings, and behaviors, to aid in improving the wellness of their whole being. A non-judgemental safe and warm atmosphere is offered to all persons. Stress, anxiety, interpersonal challenges, and life situations can impact our internal and external worlds in detrimental ways. Seeking an understanding of patterns that do not work, and improving the effectiveness of change, in a trusting relationship, allows clients to gain self-esteem and personal growth.
(877) 838-8217 View (877) 838-8217
Photo of Nicole Mancino Emdr And Somatic Therapy, MA, MS, LCMHC, NCC, Counselor
Nicole Mancino Emdr And Somatic Therapy
Counselor, MA, MS, LCMHC, NCC
Verified Verified
New London, NH 03257
This is your life. Are you who you want to be? Do you ever get glimpses of the person you want to be but feel stuck in a moment, failure, struggle, experience, or belief you can’t get out of? I am passionate about helping people get unstuck and move towards the discovery of becoming who they want to be. I strive to help clients experience freedom, discover their strengths, and to be able to progress towards their maximum potential. You may have to step over muddy waters and journey through rugged terrain, but transformation is possible.
This is your life. Are you who you want to be? Do you ever get glimpses of the person you want to be but feel stuck in a moment, failure, struggle, experience, or belief you can’t get out of? I am passionate about helping people get unstuck and move towards the discovery of becoming who they want to be. I strive to help clients experience freedom, discover their strengths, and to be able to progress towards their maximum potential. You may have to step over muddy waters and journey through rugged terrain, but transformation is possible.
(603) 207-3451 View (603) 207-3451
Photo of Andrew M. Prokopis, PsyD, Psychologist
Andrew M. Prokopis
Psychologist, PsyD
Verified Verified
Sanbornton, NH 03269  (Online Only)
At this point, I am seeking clients who want to work via online sessions. My practice includes providing psychotherapy for adolescents and adults. I provide individual, group, couples and conjoint therapy. I work primarily within the Internal Family Sytems (IFS) model. This includes working with your unique gifts and potentials, your deepest fears, conflicts and concerns, your past history, your present situations, your relationships, your future goals and dreams, and, if relevant to you, your spiritual self.
At this point, I am seeking clients who want to work via online sessions. My practice includes providing psychotherapy for adolescents and adults. I provide individual, group, couples and conjoint therapy. I work primarily within the Internal Family Sytems (IFS) model. This includes working with your unique gifts and potentials, your deepest fears, conflicts and concerns, your past history, your present situations, your relationships, your future goals and dreams, and, if relevant to you, your spiritual self.
(603) 952-3778 View (603) 952-3778
Photo of Danielle Van Dusen, LCMHC, C-DBT, Counselor
Danielle Van Dusen
Counselor, LCMHC, C-DBT
Verified Verified
Concord, NH 03301  (Online Only)
Waitlist for new clients
Everyone's journey in counseling is unique. I believe healthy relationships are fundamental to our emotional well-being and fulfillment as humans and this includes relationship to self. I am passionate about addressing systemic barriers to care through social justice work and maintain an ongoing education focused on trauma-informed practices and cultural competence.
Everyone's journey in counseling is unique. I believe healthy relationships are fundamental to our emotional well-being and fulfillment as humans and this includes relationship to self. I am passionate about addressing systemic barriers to care through social justice work and maintain an ongoing education focused on trauma-informed practices and cultural competence.
(323) 438-2868 View (323) 438-2868
Photo of Patty Driscoll, MS, CHMC, Pre-Licensed Professional
Patty Driscoll
Pre-Licensed Professional, MS, CHMC
Verified Verified
New London, NH 03257
I am a recent Masters's Level Graduate. I have been with the practice throughout my internship level, and have joined as a Candidate for licensure. I am really excited to be staying on and continuing to work with diverse clients. I have experience working with individuals with anxiety and depression. During, my time as Counseling Associate's I have had the opportunity to work with neurodivergent adults and work with them to navigate their specific challenges.
I am a recent Masters's Level Graduate. I have been with the practice throughout my internship level, and have joined as a Candidate for licensure. I am really excited to be staying on and continuing to work with diverse clients. I have experience working with individuals with anxiety and depression. During, my time as Counseling Associate's I have had the opportunity to work with neurodivergent adults and work with them to navigate their specific challenges.
(603) 451-6775 View (603) 451-6775
Photo of Victoria Roach, MSW, LICSW, CSAM, CSTIP, Clinical Social Work/Therapist
Victoria Roach
Clinical Social Work/Therapist, MSW, LICSW, CSAM, CSTIP
Verified Verified
3 Endorsed
Concord, NH 03301
Email is best- Navigating life’s challenges can be overwhelming and can leave us feeling discouraged, anxious, and depressed. Don’t struggle alone. I believe the therapeutic relationship is the foundation for change. I aim to create a collaborative therapeutic relationship in a safe and welcoming environment where you feel heard and respected. My approach is compassionate and nonjudgmental. I strive to understand you, what is important to you, what your strengths are, what your unique concerns are, as well as what your ideal future entails.
Email is best- Navigating life’s challenges can be overwhelming and can leave us feeling discouraged, anxious, and depressed. Don’t struggle alone. I believe the therapeutic relationship is the foundation for change. I aim to create a collaborative therapeutic relationship in a safe and welcoming environment where you feel heard and respected. My approach is compassionate and nonjudgmental. I strive to understand you, what is important to you, what your strengths are, what your unique concerns are, as well as what your ideal future entails.
(603) 945-4678 View (603) 945-4678
Photo of undefined - Crescent Counseling, MS, LCMHC, PhD, Counselor
Crescent Counseling
Counselor, MS, LCMHC, PhD
Verified Verified
Concord, NH 03301
You do not need to live with depression and anxiety! They are treatable!! I specialize in high profile cases and first responders. I am a certified trauma specialist. I use real life examples to help you move forward. My favorite day at work is when a client tells me "I feel great!" It is up to the two of us to get you better and not keep you stuck. Over the years I've had many clients tell me "you're the first counselor I've ever had that I don't feel like I need to edit myself in front of" I'm honored that so many people are so comfortable with me.
You do not need to live with depression and anxiety! They are treatable!! I specialize in high profile cases and first responders. I am a certified trauma specialist. I use real life examples to help you move forward. My favorite day at work is when a client tells me "I feel great!" It is up to the two of us to get you better and not keep you stuck. Over the years I've had many clients tell me "you're the first counselor I've ever had that I don't feel like I need to edit myself in front of" I'm honored that so many people are so comfortable with me.
(678) 786-2119 View (678) 786-2119
Photo of Susan Dalen, MA, CMHC, Pre-Licensed Professional
Susan Dalen
Pre-Licensed Professional, MA, CMHC
Verified Verified
Hanover, NH 03755
Susan came to Counseling Associates as a clinical mental health counselor candidate with most recent experience working with adolescents and young adults with anxiety, depression, and OCD. Susan also has experience working with individuals and families through a trauma-focused lens.
Susan came to Counseling Associates as a clinical mental health counselor candidate with most recent experience working with adolescents and young adults with anxiety, depression, and OCD. Susan also has experience working with individuals and families through a trauma-focused lens.
(603) 709-2452 View (603) 709-2452
Photo of undefined - Compass of Hope Counseling , LCMHC, MA
Compass of Hope Counseling
Clinical Mental Health Counselor, LCMHC, MA
Verified Verified
1 Endorsed
Concord, NH 03301
Immediate openings for medication management and our new office in Hampton, NH! We are now serving Maine clients by telehealth too! Are you tired of the past taking control of your present? At Compass of Hope, we are here to help you get from where you are to where you want to be. We believe an inner compass guides you through life. When we feel lost, we lose sight of this and therapy can help with finding direction again. To gain this guidance involves digging up the roots of your beliefs, values and morals and working through past emotionally charged experiences. Self-exploration is the key to growth within ourselves.
Immediate openings for medication management and our new office in Hampton, NH! We are now serving Maine clients by telehealth too! Are you tired of the past taking control of your present? At Compass of Hope, we are here to help you get from where you are to where you want to be. We believe an inner compass guides you through life. When we feel lost, we lose sight of this and therapy can help with finding direction again. To gain this guidance involves digging up the roots of your beliefs, values and morals and working through past emotionally charged experiences. Self-exploration is the key to growth within ourselves.
(603) 803-6682 View (603) 803-6682
Photo of Nathaniel Burrow, PhD, LCMHC, Psychologist
Nathaniel Burrow
Psychologist, PhD, LCMHC
Verified Verified
Concord, NH 03301
Hello and Welcome! If you are reading this and thinking about finding help, thank you for taking the first step. I am a psychologist who has specialized in predominantly working with young children, adolescents, and their families since 2014. I can also work with adults, especially within the ages of 18 to 30; however, most of my work has been with people under the age of 18. While I started my career as a case manager for runaway and homeless youth, I began my first clinical position as a Functional Family Therapist (FFT).
Hello and Welcome! If you are reading this and thinking about finding help, thank you for taking the first step. I am a psychologist who has specialized in predominantly working with young children, adolescents, and their families since 2014. I can also work with adults, especially within the ages of 18 to 30; however, most of my work has been with people under the age of 18. While I started my career as a case manager for runaway and homeless youth, I began my first clinical position as a Functional Family Therapist (FFT).
(888) 491-5017 View (888) 491-5017
Photo of Linda M Brewer, LICSW, MLADC, Clinical Social Work/Therapist
Linda M Brewer
Clinical Social Work/Therapist, LICSW, MLADC
Verified Verified
1 Endorsed
Meredith, NH 03253
I utilize evidence based practices that emphasize changing maladaptive ways of thinking and behaving as key factors in reducing stress, anxiety, depression and self-defeating behavior patterns. I am dually licensed as an Independent Clinical Social Worker and Masters Level Alcohol and other Drug Counselor. I am an approved Clinical Supervisor for individuals seeking licensure through the New Hampshire Board of Mental Health and the NH Board of Alcohol and other Drug Use Professionals for LADC/MLADC licensure.
I utilize evidence based practices that emphasize changing maladaptive ways of thinking and behaving as key factors in reducing stress, anxiety, depression and self-defeating behavior patterns. I am dually licensed as an Independent Clinical Social Worker and Masters Level Alcohol and other Drug Counselor. I am an approved Clinical Supervisor for individuals seeking licensure through the New Hampshire Board of Mental Health and the NH Board of Alcohol and other Drug Use Professionals for LADC/MLADC licensure.
(603) 764-7584 View (603) 764-7584

How does your Therapist compare?

Number of Therapists in Groveton, NH

< 10

Therapists in Groveton, NH who prioritize treating:

100% Depression
100% Anxiety
100% Child
100% ADHD
100% Grief
100% Obsessive-Compulsive (OCD)
100% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

100% AmeriHealth
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Groveton, NH see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Groveton?

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.