Therapists in Munhall, PA

Alyssa Sullinger
Licensed Professional Counselor, LPC
Online Only
You love God—but your relationships still feel anxious, consuming, and confusing. You overthink texts, feel deeply affected by someone’s mood or distance, and find yourself giving more than you receive. You’ve prayed about it, tried to “have more faith,” and told yourself to just trust God—but the anxiety keeps showing up anyway. If this sounds familiar, you’re not broken—and you’re not lacking faith. You may be stuck in patterns of anxious attachment and codependency that keep you feeling insecure, even when you desire healthy, God-centered relationships.
You love God—but your relationships still feel anxious, consuming, and confusing. You overthink texts, feel deeply affected by someone’s mood or distance, and find yourself giving more than you receive. You’ve prayed about it, tried to “have more faith,” and told yourself to just trust God—but the anxiety keeps showing up anyway. If this sounds familiar, you’re not broken—and you’re not lacking faith. You may be stuck in patterns of anxious attachment and codependency that keep you feeling insecure, even when you desire healthy, God-centered relationships.
(412) 275-5418 View (412) 275-5418
Shante Talley
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
You are my ideal client because you are seeking support! You might be feeling overwhelmed, stuck, or unsure how to move forward. I'm here with you! I have served children, adolescents, adults, and families facing depression, anxiety, OCD, eating disorders, and life stressors by offering compassionate support, practical skills, and a space where my clients can build insight, strengthen coping, and find their innate strength to face life’s challenges with more confidence and resilience.
You are my ideal client because you are seeking support! You might be feeling overwhelmed, stuck, or unsure how to move forward. I'm here with you! I have served children, adolescents, adults, and families facing depression, anxiety, OCD, eating disorders, and life stressors by offering compassionate support, practical skills, and a space where my clients can build insight, strengthen coping, and find their innate strength to face life’s challenges with more confidence and resilience.
(412) 634-8743 View (412) 634-8743
Joseph Marsh
Licensed Professional Counselor, MA, LPC, NCC
Online Only
Is the current state of the world wearing on you? Are you struggling to make sense of it all? It’s hard out there right now. Therapy can be a place for you to explore these feelings and find a means of coping through this hellscape. Let’s create a space for you to navigate through all this and work towards that light at the end of the tunnel. My goal is to assist you through all of this, as well as any other life experiences you may be having, such as depression, anxiety, life transitions, relationship issues, intersectional struggles, or self-esteem issues. I am especially sensitive to those impacted by LGBTQ issues.
Is the current state of the world wearing on you? Are you struggling to make sense of it all? It’s hard out there right now. Therapy can be a place for you to explore these feelings and find a means of coping through this hellscape. Let’s create a space for you to navigate through all this and work towards that light at the end of the tunnel. My goal is to assist you through all of this, as well as any other life experiences you may be having, such as depression, anxiety, life transitions, relationship issues, intersectional struggles, or self-esteem issues. I am especially sensitive to those impacted by LGBTQ issues.
(412) 226-4125 View (412) 226-4125
Krystal Gibbs
Licensed Professional Counselor, MA, LPC
Online Only
We cannot fully embrace joy without understanding pain. Growth emerges through struggle, revealing our truest selves. Whether you’re facing anxiety, depression, PTSD, or performance anxiety in life or sports, you can become stronger and more resilient. I specialize in helping clients build the mental skills to perform confidently under pressure. True healing begins with self-exploration and mental toughness—especially when past experiences or thought patterns hold us back.
We cannot fully embrace joy without understanding pain. Growth emerges through struggle, revealing our truest selves. Whether you’re facing anxiety, depression, PTSD, or performance anxiety in life or sports, you can become stronger and more resilient. I specialize in helping clients build the mental skills to perform confidently under pressure. True healing begins with self-exploration and mental toughness—especially when past experiences or thought patterns hold us back.
(412) 360-8586 View (412) 360-8586
Kathleen D Hays
Licensed Professional Counselor, BA, MS, CCTP, NCC, LPC
2 Endorsed
Munhall, PA 15120
Waitlist for new clients
When individuals encounter stress, trauma, mental health disorders, or significant life challenges, seeking therapeutic support is essential for personal well-being. Professional counseling provides guidance and promotes healing for individuals, couples, and families. Clients are encouraged & supported in their pursuit of spiritual, emotional, and physical wellness. Counseling equips clients with the necessary skills to address difficult experiences and foster a healthy, fulfilling lifestyle. The commitment remains focused on assisting each client each client in achieving their greatest potential.
When individuals encounter stress, trauma, mental health disorders, or significant life challenges, seeking therapeutic support is essential for personal well-being. Professional counseling provides guidance and promotes healing for individuals, couples, and families. Clients are encouraged & supported in their pursuit of spiritual, emotional, and physical wellness. Counseling equips clients with the necessary skills to address difficult experiences and foster a healthy, fulfilling lifestyle. The commitment remains focused on assisting each client each client in achieving their greatest potential.
(412) 743-9894 View (412) 743-9894
Kathleen Hays
Licensed Professional Counselor, LPC
Munhall, PA 15120
Life experience can lead to stress & transition, trauma, depression, anxiety, grief & loss, and which inadvertently develop into life crises that lead to feelings of being overwhelmed, frustrated, and confused. We owe it to ourselves and those we care about to seek out help. I provide hope and healing to individuals, couples, and families through counseling and informative psychoeducation. Clients are empowered to achieve spiritual, emotional, and physical well-being. You can gain the skills to process through painful challenges and live a healthy, fulfilling life. I am committed to helping you become your best self!
Life experience can lead to stress & transition, trauma, depression, anxiety, grief & loss, and which inadvertently develop into life crises that lead to feelings of being overwhelmed, frustrated, and confused. We owe it to ourselves and those we care about to seek out help. I provide hope and healing to individuals, couples, and families through counseling and informative psychoeducation. Clients are empowered to achieve spiritual, emotional, and physical well-being. You can gain the skills to process through painful challenges and live a healthy, fulfilling life. I am committed to helping you become your best self!
(412) 547-5488 View (412) 547-5488
Erin K Montgomery
Licensed Professional Counselor, LPC, M.S.Ed
1 Endorsed
Online Only
I enjoy and have experience working with people of all ages, including children/adolescents, young adults, and adults. Life can be extremely challenging, and I am here to offer direct support to my clients with a range of issues like depression, anxiety, emotional dysregulation, familial or social issues, and stress management. I feel it is important to collaborate with my clients to identify their strengths, perceived barriers, and to set goals/interventions to work towards their desired results. I am hopeful that with my support, my clients can work toward enhanced well-being and perceived life functioning.
I enjoy and have experience working with people of all ages, including children/adolescents, young adults, and adults. Life can be extremely challenging, and I am here to offer direct support to my clients with a range of issues like depression, anxiety, emotional dysregulation, familial or social issues, and stress management. I feel it is important to collaborate with my clients to identify their strengths, perceived barriers, and to set goals/interventions to work towards their desired results. I am hopeful that with my support, my clients can work toward enhanced well-being and perceived life functioning.
(412) 301-9660 View (412) 301-9660
Jennifer Koehler Fandray
Licensed Professional Counselor, MEd, CRC, LPC
2 Endorsed
Munhall, PA 15120
Sometimes the demands of life are too much to handle on your own. I will work with you to accept and change what you can about your life. I offer sessions in my office and online. I have 30 years of post-masters degree counseling experience, working in both the physical rehabilitation and counseling fields. Experienced in adjustment to disability counseling, grief therapy, life coaching, mental health counseling, teaching relaxation and mindfulness, cognitive behavioral therapy, and career counseling. I will work with you on your individual goals and devise a therapeutic plan. My goal is to help you achieve happiness in life!
Sometimes the demands of life are too much to handle on your own. I will work with you to accept and change what you can about your life. I offer sessions in my office and online. I have 30 years of post-masters degree counseling experience, working in both the physical rehabilitation and counseling fields. Experienced in adjustment to disability counseling, grief therapy, life coaching, mental health counseling, teaching relaxation and mindfulness, cognitive behavioral therapy, and career counseling. I will work with you on your individual goals and devise a therapeutic plan. My goal is to help you achieve happiness in life!
(412) 376-4010 View (412) 376-4010
Dolores A Justice
Licensed Professional Counselor, MA, LPC
Serves Area
I believe everyone has the need to be seen and heard- everyone has a story to tell. I can support you with finding and using your voice. Maybe you are questioning past or present decisions or have “unfinished business.” Feeling overwhelmed with sadness due to a death or loss of a relationship, pet, job, or health and feeling stuck and alone. Feeling anxious because of excessive worry- feeling frozen in fear. Maybe you realize the ways you try to cope no longer serve you. Together we can collaborate, identify ways for you to self-support and develop a plan to mobilize so that you can begin healing and live a more fulfilling life.
I believe everyone has the need to be seen and heard- everyone has a story to tell. I can support you with finding and using your voice. Maybe you are questioning past or present decisions or have “unfinished business.” Feeling overwhelmed with sadness due to a death or loss of a relationship, pet, job, or health and feeling stuck and alone. Feeling anxious because of excessive worry- feeling frozen in fear. Maybe you realize the ways you try to cope no longer serve you. Together we can collaborate, identify ways for you to self-support and develop a plan to mobilize so that you can begin healing and live a more fulfilling life.
(412) 324-6738 View (412) 324-6738
Dane R Franko
Licensed Professional Counselor, MA, LPC, NCC
1 Endorsed
Serves Area
Do you feel like your isolated, stuck, out-of-control, depressed, anxious, having difficulty relating to others, drinking/using substances too much, or just lacking a sense of direction/purpose? Do you get the sense that the world is against you or that whatever you do it’s not enough? For 20 years, I have honed my style to support personal growth by helping individuals honor/understand his/her/their style as necessary for survival, while promoting development of newer/adaptive styles that enable meaningful relationships, enhanced self-confidence, meet challenges of aging, life-transitions, grief/loss, trauma, and anger management.
Do you feel like your isolated, stuck, out-of-control, depressed, anxious, having difficulty relating to others, drinking/using substances too much, or just lacking a sense of direction/purpose? Do you get the sense that the world is against you or that whatever you do it’s not enough? For 20 years, I have honed my style to support personal growth by helping individuals honor/understand his/her/their style as necessary for survival, while promoting development of newer/adaptive styles that enable meaningful relationships, enhanced self-confidence, meet challenges of aging, life-transitions, grief/loss, trauma, and anger management.
(412) 503-7551 View (412) 503-7551
Michael Connelly
Licensed Professional Counselor, LPC
Online Only
I am a Licensed Professional Counselor in Pennsylvania and New Jersey with over 20 years of experience specializing in co-occurring mental health and substance use disorders. My background includes private practice, forensic evaluation, and leadership of a state-licensed treatment program. I work with adults navigating anxiety, depression, OCD, anger issues, life transitions, and mens issues. I believe effective therapy requires both insight and action.
I am a Licensed Professional Counselor in Pennsylvania and New Jersey with over 20 years of experience specializing in co-occurring mental health and substance use disorders. My background includes private practice, forensic evaluation, and leadership of a state-licensed treatment program. I work with adults navigating anxiety, depression, OCD, anger issues, life transitions, and mens issues. I believe effective therapy requires both insight and action.
(412) 504-7790 View (412) 504-7790
Amy L Saunier
Licensed Professional Counselor, MS, LPC
Online Only
Currently accepting! Hi, I'm Amy. With over 20 years of counseling experience, I support courageous men and women navigating trauma, betrayal, and life transitions. Many of my clients are healing from narcissistic abuse, painful breakups or custody battles, and deep emotional wounds. They long for peace, clarity, and to feel whole again. My gentle, trauma-informed approach honors your pace and helps you reconnect to your sacred worth-with compassion, faith, and self-love guiding the way. Together, we'll unlearn patterns of codependency, release perfectionism, and begin to shine like the bright, authentic stars we truly are.
Currently accepting! Hi, I'm Amy. With over 20 years of counseling experience, I support courageous men and women navigating trauma, betrayal, and life transitions. Many of my clients are healing from narcissistic abuse, painful breakups or custody battles, and deep emotional wounds. They long for peace, clarity, and to feel whole again. My gentle, trauma-informed approach honors your pace and helps you reconnect to your sacred worth-with compassion, faith, and self-love guiding the way. Together, we'll unlearn patterns of codependency, release perfectionism, and begin to shine like the bright, authentic stars we truly are.
(412) 754-5876 View (412) 754-5876

More Therapists Nearby

Deidre Folk
Clinical Social Work/Therapist, LCSW
Online Only
Each person brings a unique set of experiences and challenges. I partner with you to meet you where you are and help you achieve the personal or professional goals that matter most. Whether you’re managing stress and anxiety, feelings of depression, ADHD, or navigating life transitions, I combine empathic listening with practical strategies and a touch of humor to make growth both meaningful and manageable. Many of my clients are ambitious professionals and individuals who are accustomed to striving for excellence while privately carrying stress, self-doubt, or a relentless pressure to do more.
Each person brings a unique set of experiences and challenges. I partner with you to meet you where you are and help you achieve the personal or professional goals that matter most. Whether you’re managing stress and anxiety, feelings of depression, ADHD, or navigating life transitions, I combine empathic listening with practical strategies and a touch of humor to make growth both meaningful and manageable. Many of my clients are ambitious professionals and individuals who are accustomed to striving for excellence while privately carrying stress, self-doubt, or a relentless pressure to do more.
(610) 510-8739 View (610) 510-8739
Sophie Rondeau
Pre-Licensed Professional, M.Ed., LAPC, NCC
Pittsburgh, PA 15221
Waitlist for new clients
I believe that change and growth are possible, even when you feel stuck in thoughts, patterns, or behaviors that no longer serve you. My goal is to offer a warm, compassionate, and collaborative therapy space where we can better understand what you are carrying and work toward meaningful, sustainable change. I work with people navigating anxiety, depression, trauma, substance use, co-occurring mental health concerns, grief and loss, relationship difficulties, and life transitions. I also have a passion for working with couples navigating relationship distress or seeking to deepen their relationship.
I believe that change and growth are possible, even when you feel stuck in thoughts, patterns, or behaviors that no longer serve you. My goal is to offer a warm, compassionate, and collaborative therapy space where we can better understand what you are carrying and work toward meaningful, sustainable change. I work with people navigating anxiety, depression, trauma, substance use, co-occurring mental health concerns, grief and loss, relationship difficulties, and life transitions. I also have a passion for working with couples navigating relationship distress or seeking to deepen their relationship.
(412) 365-4764 x714 View (412) 365-4764 x714
Juliana Collins
Clinical Social Work/Therapist, MSW, LCSW
4 Endorsed
Online Only
Waitlist for new clients
You're struggling to manage the impact of trauma or grief, and are tired of pretending you're fine. You often feel stuck and overwhelmed by your thoughts. You may be a gender minority or person of color feeling the weight of the current world. Many of the people I support are coping with anxiety, PTSD, or prolonged grief, and this often contributes to struggles with boundaries, perfectionism, low self-worth, and regulating emotions. Things can change for you! My treatment emphasizes strengths and person-centered approaches, committed to creating a safe environment that supports long-term growth and change.
You're struggling to manage the impact of trauma or grief, and are tired of pretending you're fine. You often feel stuck and overwhelmed by your thoughts. You may be a gender minority or person of color feeling the weight of the current world. Many of the people I support are coping with anxiety, PTSD, or prolonged grief, and this often contributes to struggles with boundaries, perfectionism, low self-worth, and regulating emotions. Things can change for you! My treatment emphasizes strengths and person-centered approaches, committed to creating a safe environment that supports long-term growth and change.
View
Cheri Ledbetter
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
T.D. Jake’s said, "If you always do what you’ve always done, you’ll always be where you’ve always been." My passion lies in assisting young adults navigating life transitions such as entering college or the workforce, entering marriage, and parenthood. Through a blend of my educational background and extensive fieldwork, I specialize in providing support and guidance to help individuals overcome challenges during pivotal periods in their lives. My goal is to foster personal growth, resilience, and a positive self-image, enabling my clients to confidently embrace the changes and transformations that come with life's journey.
T.D. Jake’s said, "If you always do what you’ve always done, you’ll always be where you’ve always been." My passion lies in assisting young adults navigating life transitions such as entering college or the workforce, entering marriage, and parenthood. Through a blend of my educational background and extensive fieldwork, I specialize in providing support and guidance to help individuals overcome challenges during pivotal periods in their lives. My goal is to foster personal growth, resilience, and a positive self-image, enabling my clients to confidently embrace the changes and transformations that come with life's journey.
(412) 571-8741 View (412) 571-8741
Bennett Minchen
Licensed Professional Counselor, LPC
1 Endorsed
Serves Area
Thanks for visiting my profile! As someone who has gone through the therapeutic journey himself, I know it can be very intimidating to make the decision to start the counseling journey. My primary focus is to take a relational approach to therapy, learning the story and life experiences that have impacted each client. I believe that change happens when people feel safe, seen and heard, and I strive to create that environment while inviting people into the process of healing. My approach is to address problems with a systemic lens, assessing all factors of that person’s life and the impact they have on wellbeing and functioning.
Thanks for visiting my profile! As someone who has gone through the therapeutic journey himself, I know it can be very intimidating to make the decision to start the counseling journey. My primary focus is to take a relational approach to therapy, learning the story and life experiences that have impacted each client. I believe that change happens when people feel safe, seen and heard, and I strive to create that environment while inviting people into the process of healing. My approach is to address problems with a systemic lens, assessing all factors of that person’s life and the impact they have on wellbeing and functioning.
(724) 246-6988 View (724) 246-6988
Abigail Yanek
Licensed Professional Counselor, MS, LPC
1 Endorsed
White Oak, PA 15131
I'm a Licensed Professional Counselor who helps children, teens, and adults manage anxiety, depression, ADHD, Autism, and behavioral challenges. My ideal client wants to feel understood, build coping skills, and create healthier relationships. I use a warm, person-centered approach with CBT and play therapy to support emotional growth, social skills, and self-confidence. Whether you're navigating life transitions or seeking support for your child, I’ll meet you where you are with compassion and practical strategies.
I'm a Licensed Professional Counselor who helps children, teens, and adults manage anxiety, depression, ADHD, Autism, and behavioral challenges. My ideal client wants to feel understood, build coping skills, and create healthier relationships. I use a warm, person-centered approach with CBT and play therapy to support emotional growth, social skills, and self-confidence. Whether you're navigating life transitions or seeking support for your child, I’ll meet you where you are with compassion and practical strategies.
(412) 472-7902 View (412) 472-7902
Marcella Krance
Clinical Social Work/Therapist, LCSW
Online Only
I am a licensed clinical social worker (LCSW) in Pennsylvania with 20 years of professional experience. I help clients cope with grief and loss, medical diagnoses, and parenting challenges. I’ve worked with children and families in medical settings for over two decades and have supported many affected by cancer. Clients often seek therapy during illness, loss, stress, or major transitions, looking for a compassionate space to feel understood and regain stability. Many are resilient yet overwhelmed, and benefit from practical coping tools and support.
I am a licensed clinical social worker (LCSW) in Pennsylvania with 20 years of professional experience. I help clients cope with grief and loss, medical diagnoses, and parenting challenges. I’ve worked with children and families in medical settings for over two decades and have supported many affected by cancer. Clients often seek therapy during illness, loss, stress, or major transitions, looking for a compassionate space to feel understood and regain stability. Many are resilient yet overwhelmed, and benefit from practical coping tools and support.
(724) 968-4466 View (724) 968-4466
Nicole Mendicino
Clinical Social Work/Therapist, LCSW, CCTP, LMSW
3 Endorsed
Online Only
Welcome! I commend you for taking this first step towards your mental wellness. Speaking of which, do your thoughts ever get the better of you? Are you feeling unsettled, tense, or like you've lost yourself? You may be experiencing the unwanted effects of anxiety, chronic pain, or ongoing stress. These can feel debilitating when we do not know what to do with it all. Collaboratively, let's work towards reclaiming the life I believe you truly deserve! To learn more about my practice, please click on the "My website" button.
Welcome! I commend you for taking this first step towards your mental wellness. Speaking of which, do your thoughts ever get the better of you? Are you feeling unsettled, tense, or like you've lost yourself? You may be experiencing the unwanted effects of anxiety, chronic pain, or ongoing stress. These can feel debilitating when we do not know what to do with it all. Collaboratively, let's work towards reclaiming the life I believe you truly deserve! To learn more about my practice, please click on the "My website" button.
(973) 671-3048 View (973) 671-3048

How does your Therapist compare?

Number of Therapists in Munhall, PA

10+

Average cost per session

$125

Therapists in Munhall, PA who prioritize treating:

100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
83% Depression
83% Self Esteem
67% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

100% Cigna and Evernorth
83% Highmark
67% BlueCross and BlueShield

How Therapists in Munhall, PA see their clients

58% Online Only
42% In Person and Online

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Munhall?

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.