Therapists in Cochiti Lake, NM

Photo of Sylvie Eyral, LCSW, SEP, Clinical Social Work/Therapist
Sylvie Eyral
Clinical Social Work/Therapist, LCSW, SEP
Verified Verified
Cochiti Lake, NM 87083  (Online Only)
Would you like to live life more fully? You can. Together, we will help you discover that there is more to you than states of dys-regulation, depression, stress or anxiety. Stress and trauma come from many sources. You may have lived through - or been witness to -something that occurred too fast or lasted too long (medical interventions, childhood abuse or neglect, grief & loss).
Would you like to live life more fully? You can. Together, we will help you discover that there is more to you than states of dys-regulation, depression, stress or anxiety. Stress and trauma come from many sources. You may have lived through - or been witness to -something that occurred too fast or lasted too long (medical interventions, childhood abuse or neglect, grief & loss).
(505) 369-3940 View (505) 369-3940

Online Therapists

Photo of Ya'el Chaikind, MPH, MA, LPCC, Counselor
Ya'el Chaikind
Counselor, MPH, MA, LPCC
Verified Verified
1 Endorsed
Santa Fe, NM 87504
Typically we put our self-care last on the list, only to pay a heavy price later. Can you imagine looking back a year from now and saying, “Wow, that truly doesn’t bother me any more.” Or, “I finally got to the next level.” Or, “I feel more myself now.” I am right here with you, every step of the journey, to help you meet your ultimate goal: Living Your Best Life. My therapeutic approach is direct, supportive, and collaborative. I provide sanctuary, a safe, non-judgmental space where you can spill out your heart and mind and begin to make sense of things. You’ll feel seen, heard, and acknowledged in a whole new way.
Typically we put our self-care last on the list, only to pay a heavy price later. Can you imagine looking back a year from now and saying, “Wow, that truly doesn’t bother me any more.” Or, “I finally got to the next level.” Or, “I feel more myself now.” I am right here with you, every step of the journey, to help you meet your ultimate goal: Living Your Best Life. My therapeutic approach is direct, supportive, and collaborative. I provide sanctuary, a safe, non-judgmental space where you can spill out your heart and mind and begin to make sense of things. You’ll feel seen, heard, and acknowledged in a whole new way.
(505) 295-6340 View (505) 295-6340
Photo of Rachel Michele Tombaugh, MA, LPC, Counselor
Rachel Michele Tombaugh
Counselor, MA, LPC
Verified Verified
4 Endorsed
Albuquerque, NM 87101
Imagine life with joy again! I am excited to partner with you to help you find hope, develop effective ways to cope with anxiety, and to live a life with connection, purpose, and meaning. I specialize in the treatment of anxiety, panic disorder, trauma/PTSD, and Obsessive Compulsive Disorder (OCD). My goal for each client with whom I work is to help them find joy in life and to be able to approach challenges with confidence and courage! My humor, compassion, and warmth will immediately set you at ease.
Imagine life with joy again! I am excited to partner with you to help you find hope, develop effective ways to cope with anxiety, and to live a life with connection, purpose, and meaning. I specialize in the treatment of anxiety, panic disorder, trauma/PTSD, and Obsessive Compulsive Disorder (OCD). My goal for each client with whom I work is to help them find joy in life and to be able to approach challenges with confidence and courage! My humor, compassion, and warmth will immediately set you at ease.
(480) 508-9254 View (480) 508-9254
Photo of Samari Rodriguez Rios, PhD , LMHC, Counselor
Samari Rodriguez Rios
Counselor, PhD , LMHC
Verified Verified
Santa Fe, NM 87505  (Online Only)
You have become a mom, your child is not older than 3, and you feel lost, sad, alone, rageful, misunderstood or even feel you don't know who you are anymore. Nobody told you that motherhood could be so overwhelming. However, you are certain that you don't want to hurt your child in the same ways you were hurt as a kid. All you want is to become the mother you anticipated to be for your child, but how?
You have become a mom, your child is not older than 3, and you feel lost, sad, alone, rageful, misunderstood or even feel you don't know who you are anymore. Nobody told you that motherhood could be so overwhelming. However, you are certain that you don't want to hurt your child in the same ways you were hurt as a kid. All you want is to become the mother you anticipated to be for your child, but how?
(505) 636-5569 View (505) 636-5569
Photo of Miranda Chicklis, LPCC, Counselor
Miranda Chicklis
Counselor, LPCC
Verified Verified
Santa Fe, NM 87505  (Online Only)
I enjoy supporting adults with self-discovery, increasing self-worth and creating more fulfilling relationships. I specialize in the treatment of sexuality, including sexual trauma, sexual compulsion, sexual difficulties, improving intimacy and enhancing sexual pleasure. I have extensive experience working with PTSD and trauma related symptoms, such as anxiety, depression, flashbacks and shame.
I enjoy supporting adults with self-discovery, increasing self-worth and creating more fulfilling relationships. I specialize in the treatment of sexuality, including sexual trauma, sexual compulsion, sexual difficulties, improving intimacy and enhancing sexual pleasure. I have extensive experience working with PTSD and trauma related symptoms, such as anxiety, depression, flashbacks and shame.
(505) 591-4248 View (505) 591-4248
Photo of Vanessa Palmer, LCSW, Clinical Social Work/Therapist
Vanessa Palmer
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Albuquerque, NM 87111
Waitlist for new clients
Hi! I am a Native New Mexican and love New Mexico’s rich culture. I have a masters and bachelors in social work, so I am well versed in the theory of person in environment. I ensure the knowledge I have acquired reinforces my morals, values, and professional experiences with the individuals and families I support. Social work is a way of life not just a profession which I practice daily.
Hi! I am a Native New Mexican and love New Mexico’s rich culture. I have a masters and bachelors in social work, so I am well versed in the theory of person in environment. I ensure the knowledge I have acquired reinforces my morals, values, and professional experiences with the individuals and families I support. Social work is a way of life not just a profession which I practice daily.
(505) 587-5816 View (505) 587-5816
Photo of Dana G Darrow - Dana Darrow, LCSW, LCSW, Clinical Social Work/Therapist
Dana Darrow, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87106
I have been a practicing psychotherapist since 1992. As one can imagine, my treatment approach has changed and evolved during that period of time. I am a depth, existential therapist, and work with adults who are experiencing a life crisis or transitional phase in their lives. My hope is that clients who enter my office will feel a sense of calm and acceptance, and find a place where they can express their deepest truths and concerns without judgement. I incorporate dreamwork in my practice, and have attended Pacifica Graduate Institute in Santa Barbara furthering my training in dreamwork.
I have been a practicing psychotherapist since 1992. As one can imagine, my treatment approach has changed and evolved during that period of time. I am a depth, existential therapist, and work with adults who are experiencing a life crisis or transitional phase in their lives. My hope is that clients who enter my office will feel a sense of calm and acceptance, and find a place where they can express their deepest truths and concerns without judgement. I incorporate dreamwork in my practice, and have attended Pacifica Graduate Institute in Santa Barbara furthering my training in dreamwork.
(505) 209-2034 View (505) 209-2034
Photo of Travis Scott, LCSW, Clinical Social Work/Therapist
Travis Scott
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87107  (Online Only)
We change every day. Sometimes those changes are big and leave us feeling uncertain or knocked down. And sometimes they are so small, we barely notice them. My clients are often looking for help to resolve old changes they haven't embraced or struggling with current or future change. Whether a new career, retiring, losing a loved one, moving to a new place, or making an identity transition, change can be upsetting and frightening! I help my clients understand the change process, and to settle into their strength so they can take back control of their lives, leading to better mood, less anxiety, and greater life satisfaction.
We change every day. Sometimes those changes are big and leave us feeling uncertain or knocked down. And sometimes they are so small, we barely notice them. My clients are often looking for help to resolve old changes they haven't embraced or struggling with current or future change. Whether a new career, retiring, losing a loved one, moving to a new place, or making an identity transition, change can be upsetting and frightening! I help my clients understand the change process, and to settle into their strength so they can take back control of their lives, leading to better mood, less anxiety, and greater life satisfaction.
(505) 394-8037 View (505) 394-8037
Photo of Jaysa P Jones, BUS, MSW, LCSW, Clinical Social Work/Therapist
Jaysa P Jones
Clinical Social Work/Therapist, BUS, MSW, LCSW
Verified Verified
Albuquerque, NM 87107
Proud to be a Trans-Identified Provider serving the Transgender and Gender-Expansive community in Albuquerque and the surrounding areas. I am a clinical social worker specializing in mental/behavioral health. I incorporate my knowledge of Traditional Medicine and Clinical Social Work to provide a holistic approach to each individual I work with. As a trans-identified provider, I strive to create more access and choices for my LGBQ and Trans family to help eliminate any barriers associated with care. My extensive 10+ years in the field lends well to serving all person seeking therapy, not just LGBTQ clients!!
Proud to be a Trans-Identified Provider serving the Transgender and Gender-Expansive community in Albuquerque and the surrounding areas. I am a clinical social worker specializing in mental/behavioral health. I incorporate my knowledge of Traditional Medicine and Clinical Social Work to provide a holistic approach to each individual I work with. As a trans-identified provider, I strive to create more access and choices for my LGBQ and Trans family to help eliminate any barriers associated with care. My extensive 10+ years in the field lends well to serving all person seeking therapy, not just LGBTQ clients!!
(505) 832-3387 View (505) 832-3387
Photo of Jessica Salgado, LCSW, Clinical Social Work/Therapist
Jessica Salgado
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87108
Interested and committed to understanding yourself on a deep level? Eager to feel more comfortable, at ease, and confident in your relationships? Early life experiences may have disrupted our sense of self, our ability to regulate our emotions, and our ability to have successful relationships. Engaging in therapy can be a supportive, validating, and empowering experience where we can learn about our emotions, identify patterns that are decreasing the quality of our life, and learn to do something different to live the life we desire.
Interested and committed to understanding yourself on a deep level? Eager to feel more comfortable, at ease, and confident in your relationships? Early life experiences may have disrupted our sense of self, our ability to regulate our emotions, and our ability to have successful relationships. Engaging in therapy can be a supportive, validating, and empowering experience where we can learn about our emotions, identify patterns that are decreasing the quality of our life, and learn to do something different to live the life we desire.
(505) 591-6219 View (505) 591-6219
Photo of Tiannon Schmitt, MA, LPCC, LPAT, Counselor
Tiannon Schmitt
Counselor, MA, LPCC, LPAT
Verified Verified
Santa Fe, NM 87508  (Online Only)
Life has a way of bringing us into the curriculum of our soul. Often this can happen through a crisis, challenge, or disorienting dilemma of some kind. We find ourselves questioning, or attempting to solve with the mind a problem that has been designed for us to grow and deepen into a true self. We need a sacred place to process and dialogue in order to relate to our experiences from a place of cooperation and empowerment. Love is the way through to freedom from anxiety, depression, anger, judging and confusions.
Life has a way of bringing us into the curriculum of our soul. Often this can happen through a crisis, challenge, or disorienting dilemma of some kind. We find ourselves questioning, or attempting to solve with the mind a problem that has been designed for us to grow and deepen into a true self. We need a sacred place to process and dialogue in order to relate to our experiences from a place of cooperation and empowerment. Love is the way through to freedom from anxiety, depression, anger, judging and confusions.
(505) 391-3768 View (505) 391-3768
Photo of Charlene McGinnis, LCSW , Clinical Social Work/Therapist
Charlene McGinnis
Clinical Social Work/Therapist, LCSW
Verified Verified
Albuquerque, NM 87107
Have you ever wondered what therapy is all about? Is it for you? Do you experience: angry outbursts, complete shut down, anxiety, depression, panic attacks, suicidal ideation, or issues with impulse control. Understanding the role that being in a regulated state is the cornerstone to mental health. The mission of my practice is to teach every person, in a group or individual setting, the foundations of regulation and how to connect to it within their own body.
Have you ever wondered what therapy is all about? Is it for you? Do you experience: angry outbursts, complete shut down, anxiety, depression, panic attacks, suicidal ideation, or issues with impulse control. Understanding the role that being in a regulated state is the cornerstone to mental health. The mission of my practice is to teach every person, in a group or individual setting, the foundations of regulation and how to connect to it within their own body.
(505) 594-8327 View (505) 594-8327
Photo of Michael Crozier, LPCC, MA, NCC, Counselor
Michael Crozier
Counselor, LPCC, MA, NCC
Verified Verified
11 Endorsed
Albuquerque, NM 87110  (Online Only)
Therapy is a strange and uniquely wonderful thing that can be intimidating. However, I believe that through a holistic approach that takes into account the bio-psycho-social aspects of the individual, we can decrease the discomfort. I practice in using evidence-based treatment modalities while striving for a direct and transparent working relationship.
Therapy is a strange and uniquely wonderful thing that can be intimidating. However, I believe that through a holistic approach that takes into account the bio-psycho-social aspects of the individual, we can decrease the discomfort. I practice in using evidence-based treatment modalities while striving for a direct and transparent working relationship.
(505) 257-4896 View (505) 257-4896
Photo of Thomas Mondragon, LMFT, Marriage & Family Therapist
Thomas Mondragon
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Santa Fe, NM 87508  (Online Only)
Knowing there are times in life where emotional pain, confusion or stress can bring you to a standstill, my aim is to help you untangle roadblocks that can affect your daily life, how you feel about yourself, and that might disrupt your relationships with others. Together we will find ways to navigate difficult situations and challenges to alleviate emotional distress and suffering, to cope with isolation and loneliness, and to bring hope and purpose back into your life. As a gay person of color, I honor your unique individuality as well as all diverse rich backgrounds to bring about greater empowerment and satisfaction in life.
Knowing there are times in life where emotional pain, confusion or stress can bring you to a standstill, my aim is to help you untangle roadblocks that can affect your daily life, how you feel about yourself, and that might disrupt your relationships with others. Together we will find ways to navigate difficult situations and challenges to alleviate emotional distress and suffering, to cope with isolation and loneliness, and to bring hope and purpose back into your life. As a gay person of color, I honor your unique individuality as well as all diverse rich backgrounds to bring about greater empowerment and satisfaction in life.
(310) 896-8926 View (310) 896-8926
Photo of Korie Leigh, PhD, CCLS, CT, FMCHC
Korie Leigh
PhD, CCLS, CT, FMCHC
Verified Verified
1 Endorsed
Santa Fe, NM 87505  (Online Only)
Have you experienced the death of your baby or child? Are you experiencing a pregnancy related loss of miscarriage, TFMR, or stillbirth? Do you have living children and don't know how to talk with them about death? Have your children experienced the death of a parent, sibling, or loved one? Are you parenting a child with a medically complex or life limiting condition? If so, you have come to the right place.
Have you experienced the death of your baby or child? Are you experiencing a pregnancy related loss of miscarriage, TFMR, or stillbirth? Do you have living children and don't know how to talk with them about death? Have your children experienced the death of a parent, sibling, or loved one? Are you parenting a child with a medically complex or life limiting condition? If so, you have come to the right place.
(505) 209-8826 View (505) 209-8826
Photo of Holly Davis Borrero, MS, LPCC, LMFT, LMHC, Counselor
Holly Davis Borrero
Counselor, MS, LPCC, LMFT, LMHC
Verified Verified
6 Endorsed
Santa Fe, NM 87505  (Online Only)
I am an Individual, Marriage/Couple, and Family therapist offering evidence-based tele-health "Zoom" counseling sessions for New Mexicans and Washingtonians. My focus on resilience invites clients to utilize and develop their own internal strengths. As they begin to build skills, resolve conflict, improve communication, address challenges in their relationships, and reduce symptoms like anxiety and depression, many of my clients heal emotional trauma, relieve angst, find hope, and ultimately flourish.
I am an Individual, Marriage/Couple, and Family therapist offering evidence-based tele-health "Zoom" counseling sessions for New Mexicans and Washingtonians. My focus on resilience invites clients to utilize and develop their own internal strengths. As they begin to build skills, resolve conflict, improve communication, address challenges in their relationships, and reduce symptoms like anxiety and depression, many of my clients heal emotional trauma, relieve angst, find hope, and ultimately flourish.
(206) 944-6548 View (206) 944-6548
Photo of Dr. Christina Barber-Addis, PsyD, Psychologist
Dr. Christina Barber-Addis
Psychologist, PsyD
Verified Verified
Albuquerque, NM 87111
You are exhausted from the constant stress and anxiety. The anxious and negative thoughts seem to be on a constant loop in your head. It feels endless and out of your control. You are a strong, successful person but can't seem to find a way out of this. Work is no longer an escape and the stress and anxiety seem to be impacting your work performance. You are noticing physical symptoms as a result and are desperate for relief.
You are exhausted from the constant stress and anxiety. The anxious and negative thoughts seem to be on a constant loop in your head. It feels endless and out of your control. You are a strong, successful person but can't seem to find a way out of this. Work is no longer an escape and the stress and anxiety seem to be impacting your work performance. You are noticing physical symptoms as a result and are desperate for relief.
(505) 594-4255 View (505) 594-4255
Photo of Debbie Sand, MS, LPCC, Counselor
Debbie Sand
Counselor, MS, LPCC
Verified Verified
Rio Rancho, NM 87124
I use a non-judgmental, non-directive approach to empower people to better navigate challenges and improve their circumstances. I'm committed to providing a welcoming and safe place for healing and growth, and I'll meet you right where you are on your counseling journey. Primarily, my experience has been with adults impacted by anxiety, depression, alcohol & substance use, self-esteem issues, relationship difficulties, disruptive behaviors, negative thinking patterns, and legal troubles.
I use a non-judgmental, non-directive approach to empower people to better navigate challenges and improve their circumstances. I'm committed to providing a welcoming and safe place for healing and growth, and I'll meet you right where you are on your counseling journey. Primarily, my experience has been with adults impacted by anxiety, depression, alcohol & substance use, self-esteem issues, relationship difficulties, disruptive behaviors, negative thinking patterns, and legal troubles.
(505) 806-2305 View (505) 806-2305
Photo of Truth Berenson, LCSW, Clinical Social Work/Therapist
Truth Berenson
Clinical Social Work/Therapist, LCSW
Verified Verified
Santa Fe, NM 87501
I work with both individuals and relationships. My work is rooted in developing a strong therapeutic relationship. I invite clients to explore relational dynamics and to safely become more honest with themselves and others. I support clients to clearly identify boundaries, honor desires, and expand their capacity to tap into innate resources. My approach is informed by psychodynamic theory, somatic experiential interventions, spiritual and archetypal counseling, parts work, creative arts therapy, and goal-oriented coaching. Together we will facilitate changes that are both radical and sustainable.
I work with both individuals and relationships. My work is rooted in developing a strong therapeutic relationship. I invite clients to explore relational dynamics and to safely become more honest with themselves and others. I support clients to clearly identify boundaries, honor desires, and expand their capacity to tap into innate resources. My approach is informed by psychodynamic theory, somatic experiential interventions, spiritual and archetypal counseling, parts work, creative arts therapy, and goal-oriented coaching. Together we will facilitate changes that are both radical and sustainable.
(646) 992-2296 View (646) 992-2296
Photo of Alejandra Biehl - DulceSalado Therapeutic Services, LLC, LCSW, LMSW, LPCC, LMHC, PhD, Clinical Social Work/Therapist
DulceSalado Therapeutic Services, LLC
Clinical Social Work/Therapist, LCSW, LMSW, LPCC, LMHC, PhD
Verified Verified
Albuquerque, NM 87107
Life is a combination of both pleasant and unpleasant experiences. It's like having sweet and salty memories. We understand that maintaining a healthy life requires a balance between the good and the bad experiences. We also acknowledge that there is no such thing as a perfect life. We don't claim that therapy can magically solve all your problems. Rather, our approach aims to teach you how to coexist with conflicts and navigate through life's challenges. That's why we are DulceSalado. We are here to help you navigate this journey.
Life is a combination of both pleasant and unpleasant experiences. It's like having sweet and salty memories. We understand that maintaining a healthy life requires a balance between the good and the bad experiences. We also acknowledge that there is no such thing as a perfect life. We don't claim that therapy can magically solve all your problems. Rather, our approach aims to teach you how to coexist with conflicts and navigate through life's challenges. That's why we are DulceSalado. We are here to help you navigate this journey.
(505) 557-2230 View (505) 557-2230

How does your Therapist compare?

Number of Therapists in Cochiti Lake, NM

< 10

Therapists in Cochiti Lake, NM who prioritize treating:

100% Depression
100% Anxiety
100% Grief
100% Spirituality
100% Trauma and PTSD
100% Other
100% Bipolar Disorder

Top 3 insurances accepted

100% BlueCross and BlueShield
100% Medicaid
100% Presbyterian

How Therapists in Cochiti Lake, NM see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Cochiti Lake?

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.