Therapists in Charleroi, PA

Photo of Lu Ann Prah, MEd, LPC, Counselor
Lu Ann Prah
Counselor, MEd, LPC
Verified Verified
Charleroi, PA 15022  (Online Only)
Hi there I am Lu Ann and I am a Licensed Professional Counselor and have been so for 12 years in private practice. I have worked with children, adolescents, and adults experiencing many different types of mental issues, such as, anxiety, depression, career issues, divorce trauma just to name a few. I use Family Systems Theory, Person-Centered and CBT theoretical approaches but others can be incorporated as needed. Christian based counseling is also offered if requested.
Hi there I am Lu Ann and I am a Licensed Professional Counselor and have been so for 12 years in private practice. I have worked with children, adolescents, and adults experiencing many different types of mental issues, such as, anxiety, depression, career issues, divorce trauma just to name a few. I use Family Systems Theory, Person-Centered and CBT theoretical approaches but others can be incorporated as needed. Christian based counseling is also offered if requested.
(724) 801-3936 View (724) 801-3936
Photo of undefined - Christian Counseling Associates of Western PA, Licensed Professional Counselor
Christian Counseling Associates of Western PA
Licensed Professional Counselor
Verified Verified
Charleroi, PA 15022
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
(724) 558-8028 View (724) 558-8028
Photo of undefined - Eric L. Wilcox, LCSW, LLC, Clinical Social Work/Therapist
Eric L. Wilcox
Clinical Social Work/Therapist, LCSW, LLC
Verified Verified
Charleroi, PA 15022
I believe that true mastery of ourselves is within each and every one of us. Each person is unique and this means they have something to offer the world. Sometimes it is a matter of getting out of your own way to see just how unique you really are. I have many years of experience working with people with a wide range of challenges. We will collaboratively work to utilize your strengths and enhance your coping skills. I work with each individual in addressing their primary challenges by constructing an individual goal plan that is in accordance with conquering your biggest challenges and becoming the best version of yourself.
I believe that true mastery of ourselves is within each and every one of us. Each person is unique and this means they have something to offer the world. Sometimes it is a matter of getting out of your own way to see just how unique you really are. I have many years of experience working with people with a wide range of challenges. We will collaboratively work to utilize your strengths and enhance your coping skills. I work with each individual in addressing their primary challenges by constructing an individual goal plan that is in accordance with conquering your biggest challenges and becoming the best version of yourself.
(215) 600-1479 View (215) 600-1479
Photo of Jennifer Melnick Carota, MS, LPC, NCC, CHC, Licensed Professional Counselor
Jennifer Melnick Carota
Licensed Professional Counselor, MS, LPC, NCC, CHC
Verified Verified
Charleroi, PA 15022  (Online Only)
Are you anxious...tired...exhausted? Are you so busy that you've forgotten who you are and what makes you happy? What are you putting off until tomorrow that you'd like to start today? New diet? New career? New adventure? New relationship? If you find yourself living on autopilot and forgetting what "happiness and joy" might feel like, let's connect and work together toward a more authentic and enriched life. Life is not a dress rehearsal. You can begin again!
Are you anxious...tired...exhausted? Are you so busy that you've forgotten who you are and what makes you happy? What are you putting off until tomorrow that you'd like to start today? New diet? New career? New adventure? New relationship? If you find yourself living on autopilot and forgetting what "happiness and joy" might feel like, let's connect and work together toward a more authentic and enriched life. Life is not a dress rehearsal. You can begin again!
(412) 906-9250 View (412) 906-9250
Photo of Virginia Spindler, MS, NCC, LPC, Licensed Professional Counselor
Virginia Spindler
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Charleroi, PA 15022
I am a Licensed Professional Counselor with experience helping individuals with a variety of difficulties. I have a positive wellness approach and focus on individual strengths. I believe in the innate worth of every human being. We are all striving to be the very best that we can with the resources we have. We may not all be responsible for our problems or current situation, but we have to be the ones to solve them anyway. I view counseling from a holistic and strength based perspective and believe total wellness is the balance of mind, body and spirit.
I am a Licensed Professional Counselor with experience helping individuals with a variety of difficulties. I have a positive wellness approach and focus on individual strengths. I believe in the innate worth of every human being. We are all striving to be the very best that we can with the resources we have. We may not all be responsible for our problems or current situation, but we have to be the ones to solve them anyway. I view counseling from a holistic and strength based perspective and believe total wellness is the balance of mind, body and spirit.
(724) 972-0974 View (724) 972-0974
Photo of Stacy Dubina, MS, NCC, LPC, Licensed Professional Counselor
Stacy Dubina
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
Charleroi, PA 15022
I recognize that if you are seeking therapy, you are trusting me with either you or your loved ones mental health. It is important for me to create a comfortable and welcoming environment to help facilitate insight, change and growth. I am committed to using my training and experience to help each of my clients to the best of my ability. I value your time and your story and will work with you or your loved one to help meet your treatment goals.
I recognize that if you are seeking therapy, you are trusting me with either you or your loved ones mental health. It is important for me to create a comfortable and welcoming environment to help facilitate insight, change and growth. I am committed to using my training and experience to help each of my clients to the best of my ability. I value your time and your story and will work with you or your loved one to help meet your treatment goals.
(724) 558-6601 View (724) 558-6601
Photo of undefined - Jasmine Counseling and Wellness, LLC, MS, NCC, LPC, Licensed Professional Counselor
Jasmine Counseling and Wellness, LLC
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Charleroi, PA 15022  (Online Only)
Appointments available as soon as 3/27! You don’t need to face the challenges of life alone. My goal is to help you embrace your unique strengths and find a balance in all facets of your life. As a licensed professional counselor, I have helped individuals work through a variety of experiences (grief, trauma, life transitions, improved emotional regulation and coping, and more). I believe that everyone deserves to have a safe place to help them become the best version of themselves.
Appointments available as soon as 3/27! You don’t need to face the challenges of life alone. My goal is to help you embrace your unique strengths and find a balance in all facets of your life. As a licensed professional counselor, I have helped individuals work through a variety of experiences (grief, trauma, life transitions, improved emotional regulation and coping, and more). I believe that everyone deserves to have a safe place to help them become the best version of themselves.
(724) 558-8515 View (724) 558-8515
Photo of Paulann Thomas, MS, NCC, LPC, Licensed Professional Counselor
Paulann Thomas
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
Charleroi, PA 15022
Hi! I'm Paulann and I provide counseling to adults at WholeLife Integrative Therapy, LLC. I understand that the decision to start therapy can be difficult but I belief that life’s challenges can create beautiful opportunities for growth and transformation. My goal is to create an environment to help you feel safe and comfortable to help that change to occur. I have a skills-based approach to therapy, meaning that I not only want you to feel better through conversation and insight, but I will also teach you skills and resouces to use outside of sessions to manage your mood and mental health.
Hi! I'm Paulann and I provide counseling to adults at WholeLife Integrative Therapy, LLC. I understand that the decision to start therapy can be difficult but I belief that life’s challenges can create beautiful opportunities for growth and transformation. My goal is to create an environment to help you feel safe and comfortable to help that change to occur. I have a skills-based approach to therapy, meaning that I not only want you to feel better through conversation and insight, but I will also teach you skills and resouces to use outside of sessions to manage your mood and mental health.
(878) 213-4918 View (878) 213-4918

More Therapists Nearby

Photo of Cara Lindsey Kalakewich, MA, LMFT, Marriage & Family Therapist
Cara Lindsey Kalakewich
Marriage & Family Therapist, MA, LMFT
Verified Verified
Monongahela, PA 15063
Is your relationship struggling to thrive or are you realizing that intimacy with you and your partner is non-existent? Is this affecting your ability to relate to your partner or have there been years of disconnect? Do you feel that your relationship is hopeless and have even considered splitting or a divorce? Do you wonder if this relationship will ever improve and hence, life will continue to feel meaningless and lonely? So often, couples feel intimidated by their relationship issues that they stay stuck in their current patterns and can’t find a solid and effective solution.
Is your relationship struggling to thrive or are you realizing that intimacy with you and your partner is non-existent? Is this affecting your ability to relate to your partner or have there been years of disconnect? Do you feel that your relationship is hopeless and have even considered splitting or a divorce? Do you wonder if this relationship will ever improve and hence, life will continue to feel meaningless and lonely? So often, couples feel intimidated by their relationship issues that they stay stuck in their current patterns and can’t find a solid and effective solution.
(724) 948-0762 View (724) 948-0762
Photo of undefined - Best Life Counseling and Wellness, MA, LPC, NCC, BC-TMH, Licensed Professional Counselor
Best Life Counseling and Wellness
Licensed Professional Counselor, MA, LPC, NCC, BC-TMH
Verified Verified
Brownsville, PA 15417
Not accepting new clients
**Same day and next day appointments may be available. Virtual and in office sessions.** As a licensed professional counselor in private practice my goal is to help you uncover your true potential and lead a life worth celebrating. While we can't change the difficult situations from your past, we can work together to better understand them and resolve the current challenges in your life. If depression, anxiety, conflict, fear or low self-esteem are holding you back, or if you're looking for extra support and guidance through a challenging situation, or you're just ready to move in a new direction, I look forward to working with you.
**Same day and next day appointments may be available. Virtual and in office sessions.** As a licensed professional counselor in private practice my goal is to help you uncover your true potential and lead a life worth celebrating. While we can't change the difficult situations from your past, we can work together to better understand them and resolve the current challenges in your life. If depression, anxiety, conflict, fear or low self-esteem are holding you back, or if you're looking for extra support and guidance through a challenging situation, or you're just ready to move in a new direction, I look forward to working with you.
(724) 255-8801 View (724) 255-8801
Photo of Beth Phillips, MA AT, Pre-Licensed Professional
Beth Phillips
Pre-Licensed Professional, MA AT
Verified Verified
Eighty Four, PA 15330
Beth focuses on helping each individual to restore peace, balance, and calm by accessing the strengths, resources, and creativity that already exist within them. As a trained Art Therapist, Beth believes that art and accessing one’s creativity can be restorative when stress, anxiety, depression, or life experiences are weighing them down. Utilizing a person-centered, holistic, and down to earth approach, Beth helps clients to focus on quieting their inner critic and feeling more centered as they navigate through their journey.
Beth focuses on helping each individual to restore peace, balance, and calm by accessing the strengths, resources, and creativity that already exist within them. As a trained Art Therapist, Beth believes that art and accessing one’s creativity can be restorative when stress, anxiety, depression, or life experiences are weighing them down. Utilizing a person-centered, holistic, and down to earth approach, Beth helps clients to focus on quieting their inner critic and feeling more centered as they navigate through their journey.
(412) 566-8565 View (412) 566-8565
Photo of undefined - Dr. Dawn Marie Friend & Associates, PsyD, Psychologist
Dr. Dawn Marie Friend & Associates
Psychologist, PsyD
Verified Verified
3 Endorsed
Finleyville, PA 15332
I have been helping clients of all ages, races, and backgrounds live more fulfilling, rewarding, hopeful lives for as long as I can remember. It was natural for me to become a psychologist and make my mark on the world by doing exactly what I loved to do. Although my clients continually tell me how much they are helped by therapy, I can honestly say that I am the one who is truly changed by helping others. No matter what your difficulties are, I can assure you that you will be changed in some way by entering therapy. There is no difficulty too great or too small to work on in therapy. The only constant in life is change.
I have been helping clients of all ages, races, and backgrounds live more fulfilling, rewarding, hopeful lives for as long as I can remember. It was natural for me to become a psychologist and make my mark on the world by doing exactly what I loved to do. Although my clients continually tell me how much they are helped by therapy, I can honestly say that I am the one who is truly changed by helping others. No matter what your difficulties are, I can assure you that you will be changed in some way by entering therapy. There is no difficulty too great or too small to work on in therapy. The only constant in life is change.
(412) 924-8276 View (412) 924-8276
Photo of Alecia V. Denillo, MSCP, LPC, Licensed Professional Counselor
Alecia V. Denillo
Licensed Professional Counselor, MSCP, LPC
Verified Verified
2 Endorsed
Scenery Hill, PA 15360
Are you feeling the weight of the world on your shoulders? Are you overwhelmed by stress, anxiety, depression, substance use, and/or weight? Is this your first time considering counseling? You have already made a courageous step towards healing and change. I provide a calm and compassionate space where you can know yourself on a deeper level. With this new awareness, you will be empowered to look at different ways to manage life's challenges. I will join you on the journey towards a more fulfilling life of choice and empowerment. I utilize techniques from a variety of clinical perspectives and tailor my approach to each individual
Are you feeling the weight of the world on your shoulders? Are you overwhelmed by stress, anxiety, depression, substance use, and/or weight? Is this your first time considering counseling? You have already made a courageous step towards healing and change. I provide a calm and compassionate space where you can know yourself on a deeper level. With this new awareness, you will be empowered to look at different ways to manage life's challenges. I will join you on the journey towards a more fulfilling life of choice and empowerment. I utilize techniques from a variety of clinical perspectives and tailor my approach to each individual
(724) 717-2449 View (724) 717-2449
Harry a Ritter
Clinical Social Work/Therapist, LCSW
Verified Verified
Monongahela, PA 15063
I am oriented towards psychodynamic therapy. I have been in private practice in the mon valley for 14 years.
I am oriented towards psychodynamic therapy. I have been in private practice in the mon valley for 14 years.
(724) 638-2072 View (724) 638-2072
Robert Matthew Ross
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
California, PA 15419
I have 31 years of experience providing counseling. I use cognitive behavioral therapy, stressing that what we think determines what we feel and what we do. For many reasons, people learn unrealistic or destructive thoughts that cause them problems in their lives. Therapy works towards more realistic thinking, and avoiding old and destructive thinking. As I like to say, therapy is a conversation with a destination, and realistic thinking is that destination.
I have 31 years of experience providing counseling. I use cognitive behavioral therapy, stressing that what we think determines what we feel and what we do. For many reasons, people learn unrealistic or destructive thoughts that cause them problems in their lives. Therapy works towards more realistic thinking, and avoiding old and destructive thinking. As I like to say, therapy is a conversation with a destination, and realistic thinking is that destination.
(724) 538-7196 View (724) 538-7196
Photo of undefined - Christian Counseling Associates of Western PA, Counselor
Christian Counseling Associates of Western PA
Counselor
Verified Verified
Elrama, PA 15038
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
Christian Counseling Associates (CCA) provides individual, marriage, and family counseling. We serve Christians who want their faith integrated into the counseling process and those holding any beliefs or attitudes toward spirituality. Our counselors will help you identify the core issues that have caused your emotional and personal problems, and immediately develop strategies to resolve these issues. CCA is able to provide a full range of clinical services. Please visit our website at www.ccawpa.com for a complete description of our faith based counseling services, locations, and counseling staff.
(724) 216-0332 View (724) 216-0332
Photo of Victoria Pickford, MS, NCC, Pre-Licensed Professional
Victoria Pickford
Pre-Licensed Professional, MS, NCC
Verified Verified
Finleyville, PA 15332
Not accepting new clients
As a counselor, I want to build a safe space for you to come to me with concerns about all aspects of your life. Whether you are having problems at your job, or questioning your relationship, I am here to listen and help you find the next step that makes you happy. I believe a counseling relationship should be non-judgmental, while collaborating with you to reach your goals. Life can be overwhelming and as a counselor, I will provide a supportive and accepting environment for you to be able to navigate the challenges you may be facing and the emotional changes that may come with them.
As a counselor, I want to build a safe space for you to come to me with concerns about all aspects of your life. Whether you are having problems at your job, or questioning your relationship, I am here to listen and help you find the next step that makes you happy. I believe a counseling relationship should be non-judgmental, while collaborating with you to reach your goals. Life can be overwhelming and as a counselor, I will provide a supportive and accepting environment for you to be able to navigate the challenges you may be facing and the emotional changes that may come with them.
(724) 286-4788 View (724) 286-4788
Photo of Jess Storm, LCSW, Clinical Social Work/Therapist
Jess Storm
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
California, PA 15419  (Online Only)
Waitlist for new clients
You wake up exhausted, dreading the day ahead before you’ve even opened your eyes. You can’t tell if you’re hungry or sad or anxious or mad–maybe you’re all of those at once. You hide your truest self in exchange for acceptance and love. You struggle to say “no,” even when you know you need to, because the cost of disappointing others is greater than the cost of disappointing yourself. The world feels overwhelming–too fast, too bright, too unpredictable. Your brain tells you that if only you were stronger, tried harder, were less sensitive–the list goes on and on. If only–then maybe, if you were different, life would be easier.
You wake up exhausted, dreading the day ahead before you’ve even opened your eyes. You can’t tell if you’re hungry or sad or anxious or mad–maybe you’re all of those at once. You hide your truest self in exchange for acceptance and love. You struggle to say “no,” even when you know you need to, because the cost of disappointing others is greater than the cost of disappointing yourself. The world feels overwhelming–too fast, too bright, too unpredictable. Your brain tells you that if only you were stronger, tried harder, were less sensitive–the list goes on and on. If only–then maybe, if you were different, life would be easier.
(724) 997-4259 View (724) 997-4259
Photo of undefined - Common Sense Lifestyle LLC, MS, NCC, LPC, Licensed Professional Counselor
Common Sense Lifestyle LLC
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
California, PA 15419
I have 31 years of experience providing counseling. I use cognitive behavioral therapy, stressing that what we think determines what we feel and what we do. For many reasons, people learn unrealistic or destructive thoughts that cause them problems in their lives. Therapy works towards more realistic thinking, and avoiding old and destructive thinking. As I like to say, therapy is a conversation with a destination, and realistic thinking is that destination.
I have 31 years of experience providing counseling. I use cognitive behavioral therapy, stressing that what we think determines what we feel and what we do. For many reasons, people learn unrealistic or destructive thoughts that cause them problems in their lives. Therapy works towards more realistic thinking, and avoiding old and destructive thinking. As I like to say, therapy is a conversation with a destination, and realistic thinking is that destination.
(570) 257-4554 View (570) 257-4554
Photo of Brandi Lee Szabo, MSW, LSW, LCSW, Clinical Social Work/Therapist
Brandi Lee Szabo
Clinical Social Work/Therapist, MSW, LSW, LCSW
Verified Verified
1 Endorsed
Brownsville, PA 15417
I'm here to assist in making life better. Relationship issues, depressed mood, anxiety, behavioral issues, dealing with grief and loss and debilitating or terminal diagnoses are all issues we can work on together. Having personally experienced cancer, I also work well with those struggling with the diagnoses, disease, and disease process.
I'm here to assist in making life better. Relationship issues, depressed mood, anxiety, behavioral issues, dealing with grief and loss and debilitating or terminal diagnoses are all issues we can work on together. Having personally experienced cancer, I also work well with those struggling with the diagnoses, disease, and disease process.
(724) 201-3714 View (724) 201-3714

See more therapy options for Charleroi

How does your Therapist compare?

Number of Therapists in Charleroi, PA

< 10

Therapists in Charleroi, PA who prioritize treating:

100% Depression
100% Anxiety
88% Coping Skills
88% Self Esteem
75% Relationship Issues
75% Grief
75% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

88% Aetna
88% BlueCross and BlueShield
88% UnitedHealthcare UHC | UBH

How Therapists in Charleroi, PA see their clients

63% In Person and Online
37% Online Only

Gender breakdown

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

How can I find a therapist in Charleroi?

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.