Therapists in South Tabor, Portland, OR

Photo of Anna Belle Marin, PhD, MA, LPC, Licensed Professional Counselor
Anna Belle Marin
Licensed Professional Counselor, PhD, MA, LPC
Verified Verified
South Tabor, Portland, OR 97206
Not accepting new clients
Are you out of balance? Not fully present: stuck in the past or dread the future? Do you want to feel comfortable with yourself and live authentically so you enjoy time alone and with others? I can help you move beyond talk therapy and learn to communicate with your timeless, internal wisdom; to integrate your body, heart and soul so you respond rather than react to life situations. Therapies I offer include Somatic Experiencing and EMDR (Eye Movement Densisitization Reprocessing) for trauma healing, depth psychology and dream work to uncover your unconscious strengths to navigate life with purpose and joy.
Are you out of balance? Not fully present: stuck in the past or dread the future? Do you want to feel comfortable with yourself and live authentically so you enjoy time alone and with others? I can help you move beyond talk therapy and learn to communicate with your timeless, internal wisdom; to integrate your body, heart and soul so you respond rather than react to life situations. Therapies I offer include Somatic Experiencing and EMDR (Eye Movement Densisitization Reprocessing) for trauma healing, depth psychology and dream work to uncover your unconscious strengths to navigate life with purpose and joy.
(503) 451-6113 View (503) 451-6113
Photo of Keith Powrie - Keith Powrie, LCSW, LLC, LCSW, Clinical Social Work/Therapist
Keith Powrie, LCSW, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My practice is focused on helping those struggling with concerns like excessive worry, low mood, life transitions and stress management. I find joy in helping others to more deeply understand themselves and in working together to untangle new ways to move forward. I am always flexible to my clients’ needs but tend to be “in the middle” around directiveness in sessions, often finding a balance between introducing new tools and leaving room for responding to what the week brings.
My practice is focused on helping those struggling with concerns like excessive worry, low mood, life transitions and stress management. I find joy in helping others to more deeply understand themselves and in working together to untangle new ways to move forward. I am always flexible to my clients’ needs but tend to be “in the middle” around directiveness in sessions, often finding a balance between introducing new tools and leaving room for responding to what the week brings.
(503) 974-0065 View (503) 974-0065
Photo of Megan Bier, MS, NCC
Megan Bier
Professional Counselor Associate, MS, NCC
Verified Verified
South Tabor, Portland, OR 97206
I primarily work with clients who are experiencing OCD, anxiety, eating disorders, and are navigating various life transitions. My approach may vary slightly depending on your presentation, but one thing that stays consistent is my belief that the relationship between client and therapist is a huge catalyst to healing and growth. Active listening, unconditional positive regard, and challenging/highlighting unhelpful patterns when necessary are a few ways I help my clients become aligned with themselves and heal. I believe that the therapist/client relationship leads to new insights, and therefore lasting change for the client.
I primarily work with clients who are experiencing OCD, anxiety, eating disorders, and are navigating various life transitions. My approach may vary slightly depending on your presentation, but one thing that stays consistent is my belief that the relationship between client and therapist is a huge catalyst to healing and growth. Active listening, unconditional positive regard, and challenging/highlighting unhelpful patterns when necessary are a few ways I help my clients become aligned with themselves and heal. I believe that the therapist/client relationship leads to new insights, and therefore lasting change for the client.
(503) 461-7934 View (503) 461-7934
Photo of Jenette A. Arellano, MS, NCC
Jenette A. Arellano
Professional Counselor Associate, MS, NCC
Verified Verified
Online Only
My clients are mostly adults in individual and couples therapy who are navigating the stressors of relationships, adulthood, life transitions, communication, dating, anxiety, and attachment. You may be someone who is struggling to live in the uncertainty that life often brings, or maybe you are navigating boundaries in your relationships - all things that bring about anxiety and fear for many people. Despite what it may be, I am here to support you and talk through it with you. I can offer support in areas of anxiety, depression, grief, family/relationship/dating challenges, identity formation, sexuality, and personal growth.
My clients are mostly adults in individual and couples therapy who are navigating the stressors of relationships, adulthood, life transitions, communication, dating, anxiety, and attachment. You may be someone who is struggling to live in the uncertainty that life often brings, or maybe you are navigating boundaries in your relationships - all things that bring about anxiety and fear for many people. Despite what it may be, I am here to support you and talk through it with you. I can offer support in areas of anxiety, depression, grief, family/relationship/dating challenges, identity formation, sexuality, and personal growth.
(503) 782-9152 View (503) 782-9152
Photo of Robyn Migliorini, PhD, Psychologist
Robyn Migliorini
Psychologist, PhD
Verified Verified
Online Only
I specialize in telehealth therapy for adult ADHD, executive functioning concerns, and anxiety. As a neuropsychologist, I appreciate the complex interactions between our brains, our behaviors, and our environments. I view symptoms and their potential remedies through a scientific lens, with a focus on evidence-based strategies -- practical tools that can make a difference in your everyday life. I also believe treatment should be collaborative, creative, and tailored for your specific needs. I try to approach therapy with curiosity, determination, openness, and humor, and I invite my clients to do the same.
I specialize in telehealth therapy for adult ADHD, executive functioning concerns, and anxiety. As a neuropsychologist, I appreciate the complex interactions between our brains, our behaviors, and our environments. I view symptoms and their potential remedies through a scientific lens, with a focus on evidence-based strategies -- practical tools that can make a difference in your everyday life. I also believe treatment should be collaborative, creative, and tailored for your specific needs. I try to approach therapy with curiosity, determination, openness, and humor, and I invite my clients to do the same.
(781) 288-5141 View (781) 288-5141
Photo of Samantha Hynes, LMFT, MEd, EdS, Marriage & Family Therapist
Samantha Hynes
Marriage & Family Therapist, LMFT, MEd, EdS
Verified Verified
Online Only
I am a telehealth therapist located in Portland, Oregon but also serving individuals in Florida, Utah and Colorado with primary treatment focuses on disordered eating and body image, obsessive-compulsive and related disorders, and anxiety disorders. In my work with individuals struggling with disordered eating and eating disorders, I take a Health at Every Size approach, and work with individuals to develop skills of intuitive eating, mindfulness, building self-acceptance, and learning who you are outside of your body image struggles.
I am a telehealth therapist located in Portland, Oregon but also serving individuals in Florida, Utah and Colorado with primary treatment focuses on disordered eating and body image, obsessive-compulsive and related disorders, and anxiety disorders. In my work with individuals struggling with disordered eating and eating disorders, I take a Health at Every Size approach, and work with individuals to develop skills of intuitive eating, mindfulness, building self-acceptance, and learning who you are outside of your body image struggles.
(503) 386-0626 View (503) 386-0626
Photo of Kara Busse, LCSW, Clinical Social Work/Therapist
Kara Busse
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Waitlist for new clients
Reaching out for support is a strength and it brings me great joy to offer my support to you. I bring compassion, curiosity, and heartfelt acceptance to our work together. Depression, anxiety, stress, self esteem, break ups, healing unresolved trauma, relationship challenges, grief and loss, parenting, self realization and difficulty navigating life transitions are common themes clients bring in. Together we aim to identify concerns,develop healthy coping skills, build inner trust, and address and integrate trauma with care. Clients notice reduced stress, more agency, energy, improved self esteem and more fulfilling relationships.
Reaching out for support is a strength and it brings me great joy to offer my support to you. I bring compassion, curiosity, and heartfelt acceptance to our work together. Depression, anxiety, stress, self esteem, break ups, healing unresolved trauma, relationship challenges, grief and loss, parenting, self realization and difficulty navigating life transitions are common themes clients bring in. Together we aim to identify concerns,develop healthy coping skills, build inner trust, and address and integrate trauma with care. Clients notice reduced stress, more agency, energy, improved self esteem and more fulfilling relationships.
(971) 216-5904 View (971) 216-5904
Photo of Kevin Govro, LPC, Licensed Professional Counselor
Kevin Govro
Licensed Professional Counselor, LPC
Verified Verified
South Tabor, Portland, OR 97206
Asking for help is hard to do so I give all of you credit who are looking for a therapist. I feel like if you are motivated to make positive changes in your life and/or want to heal from past trauma/other issues that we will work well together. I believe that everyone can achieve a higher level of life satisfaction and effectiveness by working through their personal challenges. I work from the perspective of a focus on progress and know that nobody goes from a place of struggling to their goal overnight. It is important to be patient with yourself and know that consistent effort will add up in the end to the change you want.
Asking for help is hard to do so I give all of you credit who are looking for a therapist. I feel like if you are motivated to make positive changes in your life and/or want to heal from past trauma/other issues that we will work well together. I believe that everyone can achieve a higher level of life satisfaction and effectiveness by working through their personal challenges. I work from the perspective of a focus on progress and know that nobody goes from a place of struggling to their goal overnight. It is important to be patient with yourself and know that consistent effort will add up in the end to the change you want.
(503) 749-9993 View (503) 749-9993
Photo of Heather Washburn, MA, LPC, Licensed Professional Counselor
Heather Washburn
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
Waitlist for new clients
Are you seeking a safe, supportive connection to help you address what is interfering with achievement of your full potential, healing and growth? My focus is to build positive therapeutic relationships with my clients, support and guide you to identify your strengths, with intention of creating constructive solutions that promote balance and hope. There are times in our lives where getting additional support can help address life's painful events, transitions, issues and/or patterns that are no longer serving us.
Are you seeking a safe, supportive connection to help you address what is interfering with achievement of your full potential, healing and growth? My focus is to build positive therapeutic relationships with my clients, support and guide you to identify your strengths, with intention of creating constructive solutions that promote balance and hope. There are times in our lives where getting additional support can help address life's painful events, transitions, issues and/or patterns that are no longer serving us.
(971) 273-5946 View (971) 273-5946
Photo of Christine Anderson, LPC, LMHC, Licensed Professional Counselor
Christine Anderson
Licensed Professional Counselor, LPC, LMHC
Verified Verified
South Tabor, Portland, OR 97206
Waitlist for new clients
You have found your way to my profile because you are seeking relief— from body dissatisfaction and chronic dieting, anxiety, or from feeling exhausted of chasing perfection and always playing by the "rules" of life. On the outside your life may appear totally put together, but deep down you are yearning to feel more deeply connected to yourself and others. I commonly work with young and mid-life adults who are navigating challenges with perfectionism, food and body issues, and gender and sexuality related concerns.
You have found your way to my profile because you are seeking relief— from body dissatisfaction and chronic dieting, anxiety, or from feeling exhausted of chasing perfection and always playing by the "rules" of life. On the outside your life may appear totally put together, but deep down you are yearning to feel more deeply connected to yourself and others. I commonly work with young and mid-life adults who are navigating challenges with perfectionism, food and body issues, and gender and sexuality related concerns.
(503) 905-9660 View (503) 905-9660
Photo of Eden Swartz, MA, LPC Intern
Eden Swartz
LPC Intern, MA
Verified Verified
4 Endorsed
South Tabor, Portland, OR 97206
Not accepting new clients
My favorite thing to do is support people. Being human can feel difficult and confusing at times. Communication can feel even trickier. I support my clients with lovingkindness and unlimited compassion. I am vibrant and down-to-earth. I definitely want all of my clients to feel safe, heard, and grounded. I specialize in transitions, anxiety, depression, sex, couples, parenting, divorce, insecurities, etc. I have a special place in my heart for the perinatal community. I have been working with new families for almost 20 years.
My favorite thing to do is support people. Being human can feel difficult and confusing at times. Communication can feel even trickier. I support my clients with lovingkindness and unlimited compassion. I am vibrant and down-to-earth. I definitely want all of my clients to feel safe, heard, and grounded. I specialize in transitions, anxiety, depression, sex, couples, parenting, divorce, insecurities, etc. I have a special place in my heart for the perinatal community. I have been working with new families for almost 20 years.
(503) 470-4753 View (503) 470-4753
Photo of Kathryn F Weymouth, PhD
Kathryn F Weymouth
PhD
Verified Verified
South Tabor, Portland, OR 97206
My clients are high functioning individuals who want help getting unstuck in some area of their lives, are seeking direction, and want help in alleviating pain, whether it is physical, emotional, psychological, relational, or spiritual. It's not unusual for them to have tried different therapies before coming to me, and most find that the combination of approaches that I use creates a healing synergy that they have not found elsewhere. In fact, my business card says "Deep Healing for Body, Mind, and Spirit." See my website at kweymouth.com for details.
My clients are high functioning individuals who want help getting unstuck in some area of their lives, are seeking direction, and want help in alleviating pain, whether it is physical, emotional, psychological, relational, or spiritual. It's not unusual for them to have tried different therapies before coming to me, and most find that the combination of approaches that I use creates a healing synergy that they have not found elsewhere. In fact, my business card says "Deep Healing for Body, Mind, and Spirit." See my website at kweymouth.com for details.
(503) 376-8719 View (503) 376-8719
Photo of Robert Colpean, MSW, CSWA
Robert Colpean
Clinical Social Work Associate, MSW, CSWA
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
The decision to seek therapy is an incredibly brave step. If you're ready to make some meaningful changes, do away with unwanted patterns, or create an overall healthier outlook, I would be honored to work with you to reach these goals. I have spent 20 years as a mental health professional, assisting folks from all walks of life striving to make their time in this world more enjoyable & rewarding. I would appreciate the opportunity to use my skillset to assist you in overcoming obstacles that you've already identified or those we discover together.
The decision to seek therapy is an incredibly brave step. If you're ready to make some meaningful changes, do away with unwanted patterns, or create an overall healthier outlook, I would be honored to work with you to reach these goals. I have spent 20 years as a mental health professional, assisting folks from all walks of life striving to make their time in this world more enjoyable & rewarding. I would appreciate the opportunity to use my skillset to assist you in overcoming obstacles that you've already identified or those we discover together.
(971) 328-3324 View (971) 328-3324
Photo of Claudia M Brown, PCA, Pre-Licensed Professional
Claudia M Brown
Pre-Licensed Professional, PCA
Verified Verified
South Tabor, Portland, OR 97206
Not accepting new clients
Are you navigating the challenges of living outside the norm and finding it hard to feel understood? Whether you’re a member of the LGBTQ2SIA+ community, nonmonogamous, kinky, neurodivergent or just someone who’s seeking a space to feel fully accepted, I’m here to support and facilitate your goals. I’m here to offer a non-judgmental, compassionate space where you can explore your unique experiences, process challenges, and work toward your personal goals. Together, we can build a path that honors your identity and values while fostering resilience and self-acceptance.
Are you navigating the challenges of living outside the norm and finding it hard to feel understood? Whether you’re a member of the LGBTQ2SIA+ community, nonmonogamous, kinky, neurodivergent or just someone who’s seeking a space to feel fully accepted, I’m here to support and facilitate your goals. I’m here to offer a non-judgmental, compassionate space where you can explore your unique experiences, process challenges, and work toward your personal goals. Together, we can build a path that honors your identity and values while fostering resilience and self-acceptance.
(971) 545-4425 View (971) 545-4425
Photo of Sonya Strickland - Sonya Strickland, LCSW, LCSW, Clinical Social Work/Therapist
Sonya Strickland, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
(503) 917-3357 View (503) 917-3357

Online Therapists

Photo of Megan Pow Sheldon, PCC, CPCC, MEd
Megan Pow Sheldon
PCC, CPCC, MEd
Verified Verified
Online Only
Are you stressed by ADHD-like symptoms? Do you crave practical, strengths-based and non-pathologizing approaches to address "under-performing"? Let's talk! Go to www.meganpowcoaching.com to see if we're an ideal fit. I support high-functioning college students and adults who want to feel better in our academic, professional, and emotional lives. Together we'll de-shame executive function challenges, situate these skills in larger social contexts, build on your specific strengths, and develop a holistic personal toolkit of creative, pleasure-centered productivity habits. Do what matters most - by your own definition.
Are you stressed by ADHD-like symptoms? Do you crave practical, strengths-based and non-pathologizing approaches to address "under-performing"? Let's talk! Go to www.meganpowcoaching.com to see if we're an ideal fit. I support high-functioning college students and adults who want to feel better in our academic, professional, and emotional lives. Together we'll de-shame executive function challenges, situate these skills in larger social contexts, build on your specific strengths, and develop a holistic personal toolkit of creative, pleasure-centered productivity habits. Do what matters most - by your own definition.
(802) 755-2876 View (802) 755-2876
Photo of Ash Soeller, CSWA
Ash Soeller
Clinical Social Work Associate, CSWA
Verified Verified
1 Endorsed
Portland, OR 97204
As a therapist, my goal is to create a warm and safe space where you can explore your story, connect with the various parts of yourself, and ultimately cultivate a deeper understanding of who you are and what you need. I welcome folks from all walks of life, and specialize in working with members of the LGBTQIA2S+ community, first responders, and farmers, understanding some of the unique challenges faced by these communities.
As a therapist, my goal is to create a warm and safe space where you can explore your story, connect with the various parts of yourself, and ultimately cultivate a deeper understanding of who you are and what you need. I welcome folks from all walks of life, and specialize in working with members of the LGBTQIA2S+ community, first responders, and farmers, understanding some of the unique challenges faced by these communities.
(971) 443-1465 View (971) 443-1465
Photo of Dustin Kerrone, LMFT, Marriage & Family Therapist
Dustin Kerrone
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Love. Joy. Ecstasy. Awe. In my 18 years of clinical experience, I’ve discovered that we each have far more capacity for these expansive feelings than we often realize. Whether you are contending with many challenges, or feel ready to fly through the stars, I can work with you collaboratively to shape a life that fulfills your highest dreams, and maybe even soars beyond them. I’m eager to share what I’ve learned about our abilities to break out of old patterns of pain, fear, and shame into fruitful creativity and communion with the most inspiring aspects of being alive.
Love. Joy. Ecstasy. Awe. In my 18 years of clinical experience, I’ve discovered that we each have far more capacity for these expansive feelings than we often realize. Whether you are contending with many challenges, or feel ready to fly through the stars, I can work with you collaboratively to shape a life that fulfills your highest dreams, and maybe even soars beyond them. I’m eager to share what I’ve learned about our abilities to break out of old patterns of pain, fear, and shame into fruitful creativity and communion with the most inspiring aspects of being alive.
(971) 251-4823 View (971) 251-4823
Photo of Jordan Valentine, MA, LPC Intern
Jordan Valentine
LPC Intern, MA
Verified Verified
Online Only
Hello my name is Jordan and I am currently accepting new clients. I specialize in treating teens 14 and older, and adults who are experiencing anxiety, depression, trauma symptoms, chronic pain/illness, neurodivergent issues, and LGBTQ support. My professional lens is guided by the belief that all individuals have the ability to heal when they have the tools and safe space to do so. I recognize people as experts of their own lives, and work in collaboration with clients in accessing empowerment. I work from an anti-oppressive world view and offer a strength-based approach.
Hello my name is Jordan and I am currently accepting new clients. I specialize in treating teens 14 and older, and adults who are experiencing anxiety, depression, trauma symptoms, chronic pain/illness, neurodivergent issues, and LGBTQ support. My professional lens is guided by the belief that all individuals have the ability to heal when they have the tools and safe space to do so. I recognize people as experts of their own lives, and work in collaboration with clients in accessing empowerment. I work from an anti-oppressive world view and offer a strength-based approach.
(503) 832-6646 View (503) 832-6646
Photo of Ann Kafoury, MA, LPC, Licensed Professional Counselor
Ann Kafoury
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97210
With over 35 years of experience as a psychotherapist, I work with clients in a collaborative manner. We will explore your strengths as well as what you need and want in life that is not currently present. We will talk about how to create the life you want within the limitations that you might be experiencing. We will explore ways to step into aging with respect, dignity, and reverence.
With over 35 years of experience as a psychotherapist, I work with clients in a collaborative manner. We will explore your strengths as well as what you need and want in life that is not currently present. We will talk about how to create the life you want within the limitations that you might be experiencing. We will explore ways to step into aging with respect, dignity, and reverence.
(503) 306-0703 View (503) 306-0703

See more therapy options for South Tabor, Portland

How does your Therapist compare?

Number of Therapists in South Tabor, Portland, OR

10+

Average cost per session

$150

Therapists in South Tabor, Portland, OR who prioritize treating:

100% Anxiety
87% Life Transitions
80% Relationship Issues
73% Depression
73% Coping Skills
73% Self Esteem
73% Stress

Average years in practice

8 Years

Top 3 insurances accepted

77% PacificSource
54% BlueCross and BlueShield
46% Oregon Health Plan (OHP)

How Therapists in South Tabor, Portland, OR see their clients

53% Online Only
47% In Person and Online

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in South Tabor, Portland?

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.