Therapists in New York Mills, NY

Photo of Alisha Crawford, Clinical Social Work/Therapist, LCSW, CASAC
Alisha Crawford
Clinical Social Work/Therapist, LCSW, CASAC
1 Endorsed
Online Only
Hi, I’m Alisha Crawford, LCSW, CASAC, dedicated to helping individuals navigate life’s challenges with compassion, empathy, and practical support. My approach is collaborative, trauma-informed, and person-centered, creating a safe space for you to explore your experiences, emotions, and goals at your own pace.
Hi, I’m Alisha Crawford, LCSW, CASAC, dedicated to helping individuals navigate life’s challenges with compassion, empathy, and practical support. My approach is collaborative, trauma-informed, and person-centered, creating a safe space for you to explore your experiences, emotions, and goals at your own pace.
(516) 399-0195 View (516) 399-0195
Photo of Mark Allen Madry - Metanoia Behavioral Services, Clinical Social Work/Therapist, LCSW
Metanoia Behavioral Services
Clinical Social Work/Therapist, LCSW
Online Only
I am licensed with 50 years of professional work experience. I have experience in treating clients with stress and anxiety, trauma and abuse, coping with grief and loss, & depression. I believe in treating everyone with respect, sensitivity, and compassion using strength building tools. I will a safe sense of rapport in order to tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support empower and challenge you in your journey of healing and achieving your life goals.
I am licensed with 50 years of professional work experience. I have experience in treating clients with stress and anxiety, trauma and abuse, coping with grief and loss, & depression. I believe in treating everyone with respect, sensitivity, and compassion using strength building tools. I will a safe sense of rapport in order to tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support empower and challenge you in your journey of healing and achieving your life goals.
(332) 296-3357 View (332) 296-3357

More Therapists Nearby

Photo of Joseph Anthony Abbott, Clinical Social Work/Therapist, LCSW
Joseph Anthony Abbott
Clinical Social Work/Therapist, LCSW
Oneida, NY 13421
Hello, my name is Joseph Abbott. Over the past 24 years the journey in my career in Social Work has led me down a path of supporting clients in becoming happier, and healthier; leading to living more fulfilling lives. When doing so, the most important aspects to achieving and attaining happiness and stable mental health are, promoting the well-being of clients, allowing self-determination, giving informed consent, being competent, being culturally aware, understanding and practicing social diversity, and maintaining client confidentiality.
Hello, my name is Joseph Abbott. Over the past 24 years the journey in my career in Social Work has led me down a path of supporting clients in becoming happier, and healthier; leading to living more fulfilling lives. When doing so, the most important aspects to achieving and attaining happiness and stable mental health are, promoting the well-being of clients, allowing self-determination, giving informed consent, being competent, being culturally aware, understanding and practicing social diversity, and maintaining client confidentiality.
(315) 306-3456 View (315) 306-3456
Photo of Thane Green, Marriage & Family Therapist, LMFT
Thane Green
Marriage & Family Therapist, LMFT
8 Endorsed
Serves Area
I’m a Child and Family Therapist who supports children of all ages and their families in building connection, resilience, and emotional awareness. I help children recognize what’s happening inside, understand their triggers, and use new, effective coping tools during stressful moments. I also work closely with parents through joint and family sessions to strengthen support at home and develop strategies that promote growth and healing for the whole family.
I’m a Child and Family Therapist who supports children of all ages and their families in building connection, resilience, and emotional awareness. I help children recognize what’s happening inside, understand their triggers, and use new, effective coping tools during stressful moments. I also work closely with parents through joint and family sessions to strengthen support at home and develop strategies that promote growth and healing for the whole family.
(315) 537-3935 View (315) 537-3935
Photo of Arielle Krule, Clinical Social Work/Therapist, LCSW
Arielle Krule
Clinical Social Work/Therapist, LCSW
Online Only
I work with adults who feel stuck, overwhelmed, or out of alignment, even though they’ve done a lot of reflecting already. You might be navigating anxiety, a major life transition, relationship challenges, recovery, or a deeper question about meaning or direction. On the outside, things may look “fine,” but internally something doesn’t feel settled. Many of the people I work with are thoughtful, capable, and self-aware. They often know what their patterns are, but need help understanding why they keep showing up—and how to change them in a way that actually lasts.
I work with adults who feel stuck, overwhelmed, or out of alignment, even though they’ve done a lot of reflecting already. You might be navigating anxiety, a major life transition, relationship challenges, recovery, or a deeper question about meaning or direction. On the outside, things may look “fine,” but internally something doesn’t feel settled. Many of the people I work with are thoughtful, capable, and self-aware. They often know what their patterns are, but need help understanding why they keep showing up—and how to change them in a way that actually lasts.
(929) 674-5718 View (929) 674-5718
Photo of Tanya Peterson Sexologist, Occupational Therapist, MS, OTR/L, ABS
Tanya Peterson Sexologist
Occupational Therapist, MS, OTR/L, ABS
1 Endorsed
Oneida, NY 13421
Waitlist for new clients
If you’ve been feeling stuck in your relationship... If the spark is gone. If communication feels hard. If intimacy feels more like pressure than pleasure. This isn’t your fault. This is what happens when your nervous system is protecting you. This is what trauma, disconnection, and unmet needs can quietly build over time. This is what no one teaches us how to heal. Then it’s time for something different. Then you deserve a space where you don’t have to perform or pretend. Then you’re ready for a therapist who understands the language of the body and the heart.
If you’ve been feeling stuck in your relationship... If the spark is gone. If communication feels hard. If intimacy feels more like pressure than pleasure. This isn’t your fault. This is what happens when your nervous system is protecting you. This is what trauma, disconnection, and unmet needs can quietly build over time. This is what no one teaches us how to heal. Then it’s time for something different. Then you deserve a space where you don’t have to perform or pretend. Then you’re ready for a therapist who understands the language of the body and the heart.
(315) 847-4195 View (315) 847-4195
Photo of Erin C Hayes, Clinical Social Work/Therapist, LCSW
Erin C Hayes
Clinical Social Work/Therapist, LCSW
Online Only
If you are a woman ready to tap into your inner strength and move in a new direction in life, I would be honored to walk alongside you on that journey. My name is Erin C. Hayes, and I am a Licensed Clinical Social Worker with a Master of Science in Social Work from Columbia University (2003). My passion and mission are centered on empowering women of all ages to recognize their strengths, overcome challenges, and build the confidence they need to navigate the stressors of everyday life. I believe that every woman has the ability to create meaningful change in her life with the right support and tools.
If you are a woman ready to tap into your inner strength and move in a new direction in life, I would be honored to walk alongside you on that journey. My name is Erin C. Hayes, and I am a Licensed Clinical Social Worker with a Master of Science in Social Work from Columbia University (2003). My passion and mission are centered on empowering women of all ages to recognize their strengths, overcome challenges, and build the confidence they need to navigate the stressors of everyday life. I believe that every woman has the ability to create meaningful change in her life with the right support and tools.
(631) 502-4021 View (631) 502-4021
Photo of Rhiannon Samantha Hickox - Rhiannon Hickox, LCSW, Clinical Social Work/Therapist, LCSW
Rhiannon Hickox, LCSW
Clinical Social Work/Therapist, LCSW
1 Endorsed
Boonville, NY 13309
Waitlist for new clients
Taking care of your mental health is essential for having emotional, psychological and social well-being. Finding the right therapist to help guide you through challenges is necessary for change to occur. My name is Rhiannon Hickox, and I am a Licensed Clinical Social Worker with 12 years of experience working as a psychotherapist. My practice is aimed towards helping individuals become their best self and achieve optimal wellness. My approach to therapy will enable you to feel validated, supported and empowered.
Taking care of your mental health is essential for having emotional, psychological and social well-being. Finding the right therapist to help guide you through challenges is necessary for change to occur. My name is Rhiannon Hickox, and I am a Licensed Clinical Social Worker with 12 years of experience working as a psychotherapist. My practice is aimed towards helping individuals become their best self and achieve optimal wellness. My approach to therapy will enable you to feel validated, supported and empowered.
(315) 922-5991 View (315) 922-5991
Photo of Katavia DeLong, Counselor, LMHC
Katavia DeLong
Counselor, LMHC
Serves Area
How many times have you sat to research therapists in your area? Perhaps extensively pouring through biographies and specialties only for the next day to decide “I can manage” or “things are a little better today”? Does this seem to be the point in your therapy journey you’ve found yourself in? Maybe several times? Let’s meet where you’re at.
How many times have you sat to research therapists in your area? Perhaps extensively pouring through biographies and specialties only for the next day to decide “I can manage” or “things are a little better today”? Does this seem to be the point in your therapy journey you’ve found yourself in? Maybe several times? Let’s meet where you’re at.
(607) 208-7734 View (607) 208-7734
Photo of Mackenzie Heinrich, Clinical Social Work/Therapist, LCSW
Mackenzie Heinrich
Clinical Social Work/Therapist, LCSW
Utica, NY 13501
I offer a judgement free environment for clients to feel safe with the concerns they are presenting. I value my clients rights to self determination and collaborative goal setting. I aim to provide a space for clients to grow through their journey while offering a confidential and safe space for that growth.
I offer a judgement free environment for clients to feel safe with the concerns they are presenting. I value my clients rights to self determination and collaborative goal setting. I aim to provide a space for clients to grow through their journey while offering a confidential and safe space for that growth.
(315) 909-6710 View (315) 909-6710
Photo of Anna Boynton, Clinical Social Work/Therapist, LCSW
Anna Boynton
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Hello and welcome! I'm glad you here. If you choose to work with me, I will be honored to be a part of your story. I specialize in working with people with a life long history of trauma (complex trauma), but I also love treating addiction, OCD, borderline personality disorder, and depression and anxiety. I do this work as part of my commitment to building a more just world, and integrate understanding the impact of systemic racism and economic oppression into my approach. If you are ready to learn new skills and to explore your story in a new way, I hope you reach out!
Hello and welcome! I'm glad you here. If you choose to work with me, I will be honored to be a part of your story. I specialize in working with people with a life long history of trauma (complex trauma), but I also love treating addiction, OCD, borderline personality disorder, and depression and anxiety. I do this work as part of my commitment to building a more just world, and integrate understanding the impact of systemic racism and economic oppression into my approach. If you are ready to learn new skills and to explore your story in a new way, I hope you reach out!
(929) 416-6874 View (929) 416-6874
Photo of Nicole Rotundo, Clinical Social Work/Therapist, LCSW
Nicole Rotundo
Clinical Social Work/Therapist, LCSW
New Hartford, NY 13413
Finding the right therapist can feel overwhelming—especially when you’re already carrying a lot. My goal is to offer a space where you feel heard, supported, and empowered to move forward at a pace that feels right for you. I am a Licensed Clinical Social Worker (LCSW) with experience supporting adults who are navigating anxiety, depression, life transitions, relationship challenges, trauma, and stress related to work or caregiving. I work collaboratively with my clients, helping them better understand patterns that may be holding them back while building practical tools for emotional regulation, self-compassion, and resilience.
Finding the right therapist can feel overwhelming—especially when you’re already carrying a lot. My goal is to offer a space where you feel heard, supported, and empowered to move forward at a pace that feels right for you. I am a Licensed Clinical Social Worker (LCSW) with experience supporting adults who are navigating anxiety, depression, life transitions, relationship challenges, trauma, and stress related to work or caregiving. I work collaboratively with my clients, helping them better understand patterns that may be holding them back while building practical tools for emotional regulation, self-compassion, and resilience.
(315) 743-5582 View (315) 743-5582
Photo of Kathy Koller, Counselor, LMHC
Kathy Koller
Counselor, LMHC
1 Endorsed
Online Only
Seeking support with challenges that have started to feel overwhelming. You don’t have to face it alone. I work with adults managing anxiety, depression, ADHD, burnout, creativity issues and life transitions. I provide practical tools and strategies to help you feel steadier, more focused, and regain a sense of control in your daily life. My approach is warm, collaborative, and down-to-earth. Together, we create a safe space to slow down, explore what’s happening beneath the surface, and move forward with greater clarity, confidence, and self-trust. Therapy can be a place for growth, insight, and lasting change.
Seeking support with challenges that have started to feel overwhelming. You don’t have to face it alone. I work with adults managing anxiety, depression, ADHD, burnout, creativity issues and life transitions. I provide practical tools and strategies to help you feel steadier, more focused, and regain a sense of control in your daily life. My approach is warm, collaborative, and down-to-earth. Together, we create a safe space to slow down, explore what’s happening beneath the surface, and move forward with greater clarity, confidence, and self-trust. Therapy can be a place for growth, insight, and lasting change.
(646) 921-4482 View (646) 921-4482
Photo of Hannah Greene, Clinical Social Work/Therapist, LCSW, C-DBT, CYMHS, CCTP
Hannah Greene
Clinical Social Work/Therapist, LCSW, C-DBT, CYMHS, CCTP
Online Only
I am a Licensed Clinical Social Worker in Upstate New York specializing in sports and performance psychology, anxiety, and adolescent mental health. I work with youth athletes, equestrian riders, competitive teens, and high-performing adults navigating performance anxiety, confidence struggles, burnout, injury recovery, and pressure to succeed. Athletes today face intense expectations — from club sports to recruiting and social media. I help clients build emotional regulation, focus, resilience, and pre-performance routines so they can compete with clarity and confidence. I also help those with anxiety, depression and trauma.
I am a Licensed Clinical Social Worker in Upstate New York specializing in sports and performance psychology, anxiety, and adolescent mental health. I work with youth athletes, equestrian riders, competitive teens, and high-performing adults navigating performance anxiety, confidence struggles, burnout, injury recovery, and pressure to succeed. Athletes today face intense expectations — from club sports to recruiting and social media. I help clients build emotional regulation, focus, resilience, and pre-performance routines so they can compete with clarity and confidence. I also help those with anxiety, depression and trauma.
(315) 871-5091 View (315) 871-5091
Photo of Sarah Law, Clinical Social Work/Therapist, LCSW
Sarah Law
Clinical Social Work/Therapist, LCSW
Waterville, NY 13480
Not accepting new clients
The relationship between a Client and their Therapist is a partnership based on trust, respect and the continued belief that people can make meaningful and lasting change in their lives. I approach my practice with positivity and humor, with an understanding that we are all doing our best to feel and do better. I am seeking clients that are motivated and ready to put steps into action. I aim to act as a coach and guide as you embark on the changes you hope to see in your life, whether it be addressing feelings of depression and anxiety, or by developing behaviors that support your continued growth and recovery.
The relationship between a Client and their Therapist is a partnership based on trust, respect and the continued belief that people can make meaningful and lasting change in their lives. I approach my practice with positivity and humor, with an understanding that we are all doing our best to feel and do better. I am seeking clients that are motivated and ready to put steps into action. I aim to act as a coach and guide as you embark on the changes you hope to see in your life, whether it be addressing feelings of depression and anxiety, or by developing behaviors that support your continued growth and recovery.
(315) 220-9982 View (315) 220-9982
Photo of Elizabeth A Alvarado, Clinical Social Work/Therapist, LCSW
Elizabeth A Alvarado
Clinical Social Work/Therapist, LCSW
Online Only
Therapy doesn't have to feel like a chore. If you're seeking a space that's as engaging as it is healing, you've found it. I'm not your typical therapist—I bring warmth, humor, and a fresh perspective to each session, ensuring you feel seen, heard, and even inspired. I believe that therapy should be a collaborative and dynamic process. Our sessions will be tailored to your unique experiences and goals, fostering a sense of empowerment and personal growth. By creating a safe and supportive environment, we can explore challenges, celebrate successes, and navigate the complexities of life through conversation.
Therapy doesn't have to feel like a chore. If you're seeking a space that's as engaging as it is healing, you've found it. I'm not your typical therapist—I bring warmth, humor, and a fresh perspective to each session, ensuring you feel seen, heard, and even inspired. I believe that therapy should be a collaborative and dynamic process. Our sessions will be tailored to your unique experiences and goals, fostering a sense of empowerment and personal growth. By creating a safe and supportive environment, we can explore challenges, celebrate successes, and navigate the complexities of life through conversation.
(716) 671-4154 View (716) 671-4154
Photo of Emma Norton, Pre-Licensed Professional, MA
Emma Norton
Pre-Licensed Professional, MA
3 Endorsed
Serves Area
Do you have moments in your life when you feel stuck and hopeless about the reality of where you are mentally and relationally? Do you wake up feeling exhausted, overwhelmed, or anxious? Are you noticing that this is impacting your family and other relationships, your sense of self, or your career? Now more than ever, people are feeling anxious and overwhelmed by life circumstances and unfulfilled and unseen in their relationships. I believe there is hope to living a more fulfilled life and it starts with support.
Do you have moments in your life when you feel stuck and hopeless about the reality of where you are mentally and relationally? Do you wake up feeling exhausted, overwhelmed, or anxious? Are you noticing that this is impacting your family and other relationships, your sense of self, or your career? Now more than ever, people are feeling anxious and overwhelmed by life circumstances and unfulfilled and unseen in their relationships. I believe there is hope to living a more fulfilled life and it starts with support.
(315) 840-3196 View (315) 840-3196
Photo of Tina J Iacovissi - New Horizons Marriage and Family Therapy PLLC, Marriage & Family Therapist, MA, LMFT-D, CCPT
New Horizons Marriage and Family Therapy PLLC
Marriage & Family Therapist, MA, LMFT-D, CCPT
2 Endorsed
Rome, NY 13440
You’re doing your best, but life feels heavy. It’s exhausting to navigate struggles alone, and it’s hard to know where to start. You want peace, connection, and clarity—but getting there feels overwhelming. Maybe you feel stuck in sadness, worry, or the pain of past trauma or your child is anxious, your teen seems withdrawn. Perhaps your relationship is weighed down by conflict or the fallout of an affair.
You’re doing your best, but life feels heavy. It’s exhausting to navigate struggles alone, and it’s hard to know where to start. You want peace, connection, and clarity—but getting there feels overwhelming. Maybe you feel stuck in sadness, worry, or the pain of past trauma or your child is anxious, your teen seems withdrawn. Perhaps your relationship is weighed down by conflict or the fallout of an affair.
(315) 306-3797 View (315) 306-3797
Photo of Rachael Gibney - Rachael Gibney - Couple Therapy, Marriage & Family Therapist, LMFT
Rachael Gibney - Couple Therapy
Marriage & Family Therapist, LMFT
Online Only
I help busy, driven couples in long-term relationships reconnect when they’ve lost touch. By utilizing creative, experiential therapy we will restore closeness and ease even during the most challenging relationship seasons, such as welcoming a new baby, parenting young children, difficulty with intimacy or repairing after a betrayal. Therapy with me is playful and relational, blending research based methods with art and movement to facilitate meaningful change that unfolds naturally. My clients tend to be curious, open to trying new things, and willing to explore one another’s inner worlds with presence, courage, and care.
I help busy, driven couples in long-term relationships reconnect when they’ve lost touch. By utilizing creative, experiential therapy we will restore closeness and ease even during the most challenging relationship seasons, such as welcoming a new baby, parenting young children, difficulty with intimacy or repairing after a betrayal. Therapy with me is playful and relational, blending research based methods with art and movement to facilitate meaningful change that unfolds naturally. My clients tend to be curious, open to trying new things, and willing to explore one another’s inner worlds with presence, courage, and care.
(929) 810-1139 View (929) 810-1139
Photo of Tessa Peters, Counselor, LMHC
Tessa Peters
Counselor, LMHC
1 Endorsed
Serves Area
A school based therapist by day, I engage in private practice in the evening/weekend with a small caseload of children, families, and adults. I am comfortable working within a range of mental health concerns from children seeking play therapy, ADHD, anger, addiction in the family, maternal mental health, trauma, depression, grief, and other life transition. Offering a comfortable environment for you and your family. Our trusted team are available for you to establish care. If you would like to schedule your appt at the same time as your child, please let us know.
A school based therapist by day, I engage in private practice in the evening/weekend with a small caseload of children, families, and adults. I am comfortable working within a range of mental health concerns from children seeking play therapy, ADHD, anger, addiction in the family, maternal mental health, trauma, depression, grief, and other life transition. Offering a comfortable environment for you and your family. Our trusted team are available for you to establish care. If you would like to schedule your appt at the same time as your child, please let us know.
(315) 599-3118 View (315) 599-3118

See more therapy options for New York Mills

How does your Therapist compare?

Number of Therapists in New York Mills, NY

< 10

Therapists in New York Mills, NY who prioritize treating:

100% Relationship Issues
100% Anxiety
100% Trauma and PTSD
100% Anger Management
100% Codependency
100% Stress
50% Depression

Average years in practice

42 Years

Top 3 insurances accepted

100% Aetna
100% Anthem
100% Carelon Behavioral Health

How Therapists in New York Mills, NY see their clients

100% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in New York Mills?

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.