Therapists in Cinnaminson, NJ

Embracing Hhr
Licensed Professional Counselor
Verified Verified
4 Endorsed
Cinnaminson, NJ 08077
Asking for help is difficult. It can feel frightening to imagine feeling exposed to another, delving into places that are unknown or unwanted. We know what it is like to be brought to your knees. When breathing hurts, and thinking is excruciating. You want help, but at the same time you’re terrified of it. You wonder whether the looking will make the suffering worse. The fear of being vulnerable is overpowering because some part of you is expecting to get hurt.
Asking for help is difficult. It can feel frightening to imagine feeling exposed to another, delving into places that are unknown or unwanted. We know what it is like to be brought to your knees. When breathing hurts, and thinking is excruciating. You want help, but at the same time you’re terrified of it. You wonder whether the looking will make the suffering worse. The fear of being vulnerable is overpowering because some part of you is expecting to get hurt.
(732) 508-3095 View (732) 508-3095
Photo of Luis Virella, Clinical Social Work/Therapist in Cinnaminson, NJ
Luis Virella
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
Cinnaminson, NJ 08077
Welcome! I am Luis Virella. Whether you are seeking counseling services for the first time or have new therapy goals, I am here to help you. Recovery is the process of improving your health, living a self-directed life, and reaching your full potential. Anxiety, depression, stress, and addictions have the ability to rob us of these things. At Recovery First, I will help you learn new tools so that you can begin the recovery process to support a better and stronger mental health.
Welcome! I am Luis Virella. Whether you are seeking counseling services for the first time or have new therapy goals, I am here to help you. Recovery is the process of improving your health, living a self-directed life, and reaching your full potential. Anxiety, depression, stress, and addictions have the ability to rob us of these things. At Recovery First, I will help you learn new tools so that you can begin the recovery process to support a better and stronger mental health.
(609) 853-3035 View (609) 853-3035
Photo of Nadine George-Harrington, Clinical Social Work/Therapist in Cinnaminson, NJ
Nadine George-Harrington
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cinnaminson, NJ 08077
Limited In-person sessions available - Are your children difficult to manage? Difficulty in your relationships? Are you having problems at work or at home? Feeling sad, angry, worried, or depressed? Help is available and change is possible! As a therapist, I focus on creating change that most benefits my clients. It is important for me to focus on the needs of the individual and determine what it is that they wish to accomplish. I use proven treatments and techniques that have helped others to improve. If you want to make change and improve your life, know that change is just a call away...
Limited In-person sessions available - Are your children difficult to manage? Difficulty in your relationships? Are you having problems at work or at home? Feeling sad, angry, worried, or depressed? Help is available and change is possible! As a therapist, I focus on creating change that most benefits my clients. It is important for me to focus on the needs of the individual and determine what it is that they wish to accomplish. I use proven treatments and techniques that have helped others to improve. If you want to make change and improve your life, know that change is just a call away...
(856) 874-8876 View (856) 874-8876
Photo of Mark C Still, Clinical Social Work/Therapist in Cinnaminson, NJ
Mark C Still
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Cinnaminson, NJ 08077
It's time to totally shake it up. Forget what you think you know about therapy or what you need to do to change your life... Making that level of change means confronting Truth and fundamentally changing yourself. I won't sugarcoat it and I certainly won't lie to you: I will tell you what you need to know and guide you toward making the proper choices in your life. And I'll prove it to you right now: I tell you outright that I can't fix you. No one can. The only person that has that sort of power over you IS you. This involves hard choices in learning how to manage your life. And I will stand beside you every step of the way.
It's time to totally shake it up. Forget what you think you know about therapy or what you need to do to change your life... Making that level of change means confronting Truth and fundamentally changing yourself. I won't sugarcoat it and I certainly won't lie to you: I will tell you what you need to know and guide you toward making the proper choices in your life. And I'll prove it to you right now: I tell you outright that I can't fix you. No one can. The only person that has that sort of power over you IS you. This involves hard choices in learning how to manage your life. And I will stand beside you every step of the way.
(609) 912-3031 View (609) 912-3031
Photo of Earnestine Williams Simpson, Clinical Social Work/Therapist in Cinnaminson, NJ
Earnestine Williams Simpson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Cinnaminson, NJ 08077
I am a Licensed Clinical Social Worker with extensive experience working with children and families, utilizing multi-systemic approaches. Experience includes social service agencies, outpatient mental health, partial care, group homes, school counseling and in -home therapeutic services for children and adults. My ideal client seeks to bring balance to their life in a safe, non-threating environment as they address depression, anxiety disorders, relationship, interpersonal concerns, parenting, adjustment issues, anger management, family / children or workplace issues. Therapist provides services to an ethnically diverse population, with specific emphasis on culturally relevant therapy and counseling for families of African descent.
I am a Licensed Clinical Social Worker with extensive experience working with children and families, utilizing multi-systemic approaches. Experience includes social service agencies, outpatient mental health, partial care, group homes, school counseling and in -home therapeutic services for children and adults. My ideal client seeks to bring balance to their life in a safe, non-threating environment as they address depression, anxiety disorders, relationship, interpersonal concerns, parenting, adjustment issues, anger management, family / children or workplace issues. Therapist provides services to an ethnically diverse population, with specific emphasis on culturally relevant therapy and counseling for families of African descent.
(856) 409-5273 View (856) 409-5273
Photo of Faith Iloka, Pre-Licensed Professional in Cinnaminson, NJ
Faith Iloka
Pre-Licensed Professional, LAC
Verified Verified
1 Endorsed
Cinnaminson, NJ 08077
I am a Nigerian Mental Health Counselor who employs a collaborative and client-centered approach in her work with clients. I utilize cognitive behavioral therapy (CBT), mindfulness, art therapy, feminist therapy, multicultural, and trauma-informed interventions to support and empower clients toward increased self-awareness and healthy coping skills.
I am a Nigerian Mental Health Counselor who employs a collaborative and client-centered approach in her work with clients. I utilize cognitive behavioral therapy (CBT), mindfulness, art therapy, feminist therapy, multicultural, and trauma-informed interventions to support and empower clients toward increased self-awareness and healthy coping skills.
(856) 242-7646 View (856) 242-7646
Photo of Sheena Ford, Licensed Professional Counselor in Cinnaminson, NJ
Sheena Ford
Licensed Professional Counselor, MS, LPC
Verified Verified
Cinnaminson, NJ 08077  (Online Only)
As a parent of a struggling teen/ young adult, you often wonder what can be done to help them feel better. You have tried many things yet there has been little to no lasting improvement. Your child’s personality has changed, they have challenges with relationships, their interests have decreased and you worry that things might get worse. You know that your child has great potential to do great things but the way things are going, their future looks bleak. Seeking help can be scary, because you want to make sure that your child has someone they can talk to but feel like even this step is risky.
As a parent of a struggling teen/ young adult, you often wonder what can be done to help them feel better. You have tried many things yet there has been little to no lasting improvement. Your child’s personality has changed, they have challenges with relationships, their interests have decreased and you worry that things might get worse. You know that your child has great potential to do great things but the way things are going, their future looks bleak. Seeking help can be scary, because you want to make sure that your child has someone they can talk to but feel like even this step is risky.
(856) 389-2425 View (856) 389-2425
Photo of Helen V Hicks, Licensed Professional Counselor in Cinnaminson, NJ
Helen V Hicks
Licensed Professional Counselor, MA, MBA, LPC
Verified Verified
Cinnaminson, NJ 08077  (Online Only)
I am on a mission to help parents. As a mother of 5, I believe it is every parents right to enjoy your parenting experience. The two biggest reasons why parents don't currently enjoy their experience is misinformation and personal barriers. I'm here to help you eliminate both. Parenting is easier when you know what to do, why you should do it and what the result should look like. My approach to parenting is guided by two SMART goals - 1) Parents must become the authority figure (earn their child's respect). 2) Children must learn how to make good choices. This results in self-disciplined and emotionally stable children.
I am on a mission to help parents. As a mother of 5, I believe it is every parents right to enjoy your parenting experience. The two biggest reasons why parents don't currently enjoy their experience is misinformation and personal barriers. I'm here to help you eliminate both. Parenting is easier when you know what to do, why you should do it and what the result should look like. My approach to parenting is guided by two SMART goals - 1) Parents must become the authority figure (earn their child's respect). 2) Children must learn how to make good choices. This results in self-disciplined and emotionally stable children.
(866) 727-9184 View (866) 727-9184
Photo of RS Counseling & Wellness Center, Clinical Social Work/Therapist in Cinnaminson, NJ
RS Counseling & Wellness Center
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Cinnaminson, NJ 08077  (Online Only)
We are a group practice with multiple approaches in helping clients recover from anxiety, depression and low self-esteem. We have therapist that have worked in a variety of clinical settings where they received specialized training in the following therapeutic practices: Cognitive Behavioral Therapy, Narrative Theory, Motivational Interviewing, Dialectical Behavioral Therapy and more. We are now accepting new clients for therapist with available space, we have a passion for working with individuals, couples, families and groups to improve their quality of life. Let us join you on your journey of healing and growth.
We are a group practice with multiple approaches in helping clients recover from anxiety, depression and low self-esteem. We have therapist that have worked in a variety of clinical settings where they received specialized training in the following therapeutic practices: Cognitive Behavioral Therapy, Narrative Theory, Motivational Interviewing, Dialectical Behavioral Therapy and more. We are now accepting new clients for therapist with available space, we have a passion for working with individuals, couples, families and groups to improve their quality of life. Let us join you on your journey of healing and growth.
(609) 739-8948 View (609) 739-8948
Photo of Robyn Banker - Handspring Health (Insurance Accepted!), Licensed Professional Counselor in Cinnaminson, NJ
Robyn Banker - Handspring Health (Insurance Accepted!)
Licensed Professional Counselor, LPC
Verified Verified
Cinnaminson, NJ 08077  (Online Only)
Handspring is a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults. We currently serve children ages 10-18 and young adults ages 18-24 who are looking for treatment for anxiety, depression, or behavioral difficulties. Our therapeutic approaches include CBT, DBT, organizational skills training, behavior therapy, exposure & response prevention, and parent management training.
Handspring is a modern mental health clinic that provides personalized, evidence-based behavioral care for children, adolescents, and young adults. We currently serve children ages 10-18 and young adults ages 18-24 who are looking for treatment for anxiety, depression, or behavioral difficulties. Our therapeutic approaches include CBT, DBT, organizational skills training, behavior therapy, exposure & response prevention, and parent management training.
(551) 291-1822 View (551) 291-1822
Photo of Dr. Nina A. Mendez-Diaz, Marriage & Family Therapist in Cinnaminson, NJ
Dr. Nina A. Mendez-Diaz
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Cinnaminson, NJ 08077  (Online Only)
I am very excited that you are taking the next step in your healing journey! My name is Dr. MD and I am a licensed Marriage & Family Therapist with over 15 years of clinical experience and training. I received my family therapy training at Drexel University where I received my doctorate degree. Since then, I have worked in a wide variety of settings, equipping me with a wealth of knowledge and experience helping clients deal with various challenges.
I am very excited that you are taking the next step in your healing journey! My name is Dr. MD and I am a licensed Marriage & Family Therapist with over 15 years of clinical experience and training. I received my family therapy training at Drexel University where I received my doctorate degree. Since then, I have worked in a wide variety of settings, equipping me with a wealth of knowledge and experience helping clients deal with various challenges.
(215) 337-2546 View (215) 337-2546
The Center for Embracing Hope Healing and Renewal
Verified Verified
Cinnaminson, NJ 08077
Do you feel that something is not right and have no one to talk to? We all hit rough patches in our lives! It can be an overwhelming decision to ask for help. There's nothing wrong with seeking out a counselor. There's nothing wrong with you. Together we will listen to what your pain is telling you, what's really important to you, and what is and is not working in your life. We will help you to gain awareness of your personal strengths and find the courage to take an honest look at your personal challenges.
Do you feel that something is not right and have no one to talk to? We all hit rough patches in our lives! It can be an overwhelming decision to ask for help. There's nothing wrong with seeking out a counselor. There's nothing wrong with you. Together we will listen to what your pain is telling you, what's really important to you, and what is and is not working in your life. We will help you to gain awareness of your personal strengths and find the courage to take an honest look at your personal challenges.
(848) 244-8621 View (848) 244-8621
Photo of Lauren Abdill, Clinical Social Work/Therapist in Cinnaminson, NJ
Lauren Abdill
Clinical Social Work/Therapist, MSW, LCSW, PMH-C
Verified Verified
Cinnaminson, NJ 08077  (Online Only)
Has your journey to or experience of motherhood been far from what you envisioned? Has it been filled with trauma or loss or more emotional pain than you can bear? Help is here, in the form of a tall brunette who loves Taylor Swift and wants to walk with you on your healing journey. I work with moms and moms-to-be who are struggling with pregnancy and infant loss, fertility challenges, pregnancy after loss or infertility, birth trauma, and postpartum mental health.
Has your journey to or experience of motherhood been far from what you envisioned? Has it been filled with trauma or loss or more emotional pain than you can bear? Help is here, in the form of a tall brunette who loves Taylor Swift and wants to walk with you on your healing journey. I work with moms and moms-to-be who are struggling with pregnancy and infant loss, fertility challenges, pregnancy after loss or infertility, birth trauma, and postpartum mental health.
(856) 595-4052 View (856) 595-4052
Photo of Ruth A Wright, Licensed Professional Counselor in Cinnaminson, NJ
Ruth A Wright
Licensed Professional Counselor, MFT, LPC
Verified Verified
Cinnaminson, NJ 08077
Are you struggling with depression, anxiety, relationship issues, or PTSD? Are these problems getting in the way of finding happiness in your life? Therapy can help you explore these problems and more. We can look at what is currently happening in your life and delve a little deeper to explore the origins of some of your problems.
Are you struggling with depression, anxiety, relationship issues, or PTSD? Are these problems getting in the way of finding happiness in your life? Therapy can help you explore these problems and more. We can look at what is currently happening in your life and delve a little deeper to explore the origins of some of your problems.
(856) 395-9856 View (856) 395-9856
Photo of Rosa Zenquis-McKoy LLC, Licensed Professional Counselor in Cinnaminson, NJ
Rosa Zenquis-McKoy LLC
Licensed Professional Counselor, MA, LPC, NCC, ACS
Verified Verified
Cinnaminson, NJ 08077
My strength base is client centered therapy. I believe that it is important that the client knows that they play an important role in their recovery. Their feelings and attitudes are a big part to therapy. It is important for both client and counselor to achieve a therapeutic relationship for a successful outcome. I will help clients set goals that are realistic and achievable with treatment. I believe that a strong client/counselor relationship is the groundwork to the healing process. I will create a positive, no judgment and stress-free environment, where the client is able to share openly and expect the best treatment.
My strength base is client centered therapy. I believe that it is important that the client knows that they play an important role in their recovery. Their feelings and attitudes are a big part to therapy. It is important for both client and counselor to achieve a therapeutic relationship for a successful outcome. I will help clients set goals that are realistic and achievable with treatment. I believe that a strong client/counselor relationship is the groundwork to the healing process. I will create a positive, no judgment and stress-free environment, where the client is able to share openly and expect the best treatment.
(609) 604-5720 View (609) 604-5720
Photo of Kate M. Sobon, Licensed Professional Counselor in Cinnaminson, NJ
Kate M. Sobon
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
Cinnaminson, NJ 08077  (Online Only)
Let's Talk Therapy! Do you want to get out of your head and into your life? Do you feel stuck in a spiral of negative thinking and self doubt that seems to be never-ending? Our thoughts have a direct impact on our emotions and behaviors; which can seem like a vicious cycle. I am here to help YOU! I am assertive, interactive and collaborative. I provide tangible action items to implement in your life. I will honor your personal experiences and perspectives, and appropriately provide feedback and insight based upon professional expertise, observations and assessment.
Let's Talk Therapy! Do you want to get out of your head and into your life? Do you feel stuck in a spiral of negative thinking and self doubt that seems to be never-ending? Our thoughts have a direct impact on our emotions and behaviors; which can seem like a vicious cycle. I am here to help YOU! I am assertive, interactive and collaborative. I provide tangible action items to implement in your life. I will honor your personal experiences and perspectives, and appropriately provide feedback and insight based upon professional expertise, observations and assessment.
(215) 795-5305 View (215) 795-5305
Photo of Lisa Marie Mutch, Licensed Professional Counselor in Cinnaminson, NJ
Lisa Marie Mutch
Licensed Professional Counselor, LPC, MA, MS
Verified Verified
Cinnaminson, NJ 08077  (Online Only)
(856) 485-8275 View (856) 485-8275

More Therapists Nearby

Photo of Angela Sandone-Barr in Cinnaminson, NJ
Angela Sandone-Barr
PhD, NCPsyA
Verified Verified
3 Endorsed
Riverton, NJ 08077
I am committed to working with individuals who want to more fully understand themselves and the origins of their personal unhappiness, distress and suffering, their inability to connect more deeply with others and have successful relationships, their struggles in work, and even their inabilities in having fun! The development of a collaborative relationship between you and your therapist is central in any successful therapy, but especially when doing in-depth therapy, where we will be working towards helping you achieve a deeper awareness of the formative experiences of your life, not only intellectually, but also emotionally.
I am committed to working with individuals who want to more fully understand themselves and the origins of their personal unhappiness, distress and suffering, their inability to connect more deeply with others and have successful relationships, their struggles in work, and even their inabilities in having fun! The development of a collaborative relationship between you and your therapist is central in any successful therapy, but especially when doing in-depth therapy, where we will be working towards helping you achieve a deeper awareness of the formative experiences of your life, not only intellectually, but also emotionally.
(609) 928-7992 View (609) 928-7992
Photo of Serkan Ercan, Counselor in Cinnaminson, NJ
Serkan Ercan
Counselor, LAC
Verified Verified
Delran, NJ 08075
As a licensed associate counselor, I am dedicated to guiding individuals to navigate through life's challenges and empowering them to lead fulfilling lives. With a non-judgmental and empathetic approach, I specialize in active listening and cognitive therapy techniques, allowing me to tailor my approach to the unique needs of each individual. As a bilingual therapist fluent in Turkish and English, I have successfully helped clients overcome depression, anxiety, and ADHD. I take an eclectic approach to therapy, incorporating a variety of evidence-based techniques and modalities to help my clients achieve their goals.
As a licensed associate counselor, I am dedicated to guiding individuals to navigate through life's challenges and empowering them to lead fulfilling lives. With a non-judgmental and empathetic approach, I specialize in active listening and cognitive therapy techniques, allowing me to tailor my approach to the unique needs of each individual. As a bilingual therapist fluent in Turkish and English, I have successfully helped clients overcome depression, anxiety, and ADHD. I take an eclectic approach to therapy, incorporating a variety of evidence-based techniques and modalities to help my clients achieve their goals.
(856) 716-5821 View (856) 716-5821
Photo of Jenna L. Cotton, Clinical Social Work/Therapist in Cinnaminson, NJ
Jenna L. Cotton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Delran, NJ 08075
Chances are if you’re reading this, things are getting to be way too much. During times like these it can be difficult to see a clear path forward and it can be challenging to cope. I am here to support and guide you in the process of looking within so you can face things deep inside of yourself. Sometimes this can be challenging work. We will work collaboratively to safely move towards discomfort and make connections between the way your history, thoughts, emotions, and body sensations impact the way you respond to the world. When you’re ready, let’s find ways to honor what you truly need.
Chances are if you’re reading this, things are getting to be way too much. During times like these it can be difficult to see a clear path forward and it can be challenging to cope. I am here to support and guide you in the process of looking within so you can face things deep inside of yourself. Sometimes this can be challenging work. We will work collaboratively to safely move towards discomfort and make connections between the way your history, thoughts, emotions, and body sensations impact the way you respond to the world. When you’re ready, let’s find ways to honor what you truly need.
(609) 201-1001 View (609) 201-1001

How does your Therapist compare?

Number of Therapists in Cinnaminson, NJ

10+

Average cost per session

$135

Therapists in Cinnaminson, NJ who prioritize treating:

100% Depression
100% Anxiety
94% Relationship Issues
88% Grief
82% Coping Skills
82% Self Esteem
76% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

100% Cigna and Evernorth
73% UnitedHealthcare UHC | UBH
73% Horizon Blue Cross and Blue Shield

How Therapists in Cinnaminson, NJ see their clients

53% In Person and Online
47% Online Only

Gender breakdown

86% Female
14% Male

FAQs - About Therapy and Counseling

How can I find a therapist in Cinnaminson?

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.