Therapists in Ojai, CA

Photo of Joseph P Clark, Marriage & Family Therapist in Ojai, CA
Joseph P Clark
Marriage & Family Therapist, PhD, CHT, LMFT
Verified Verified
2 Endorsed
Ojai, CA 93024  (Online Only)
I am an Internal Family Systems Institute (IFS) trained therapist. My therapeutic approach is based on the core principles of the therapies that make up my eclectic background. The core principles are (1) the assertion that each person possesses a healthy inner core, a deeper connection to the Self, and (2) that sharing one's inner qualities with others allows one to discover the benefits of this connection to the Self. And (3) that while fulfillment and happiness are not guaranteed in life, meaning and a sense of purpose are available regardless of circumstances.
I am an Internal Family Systems Institute (IFS) trained therapist. My therapeutic approach is based on the core principles of the therapies that make up my eclectic background. The core principles are (1) the assertion that each person possesses a healthy inner core, a deeper connection to the Self, and (2) that sharing one's inner qualities with others allows one to discover the benefits of this connection to the Self. And (3) that while fulfillment and happiness are not guaranteed in life, meaning and a sense of purpose are available regardless of circumstances.
(805) 669-9871 View (805) 669-9871
Photo of Melinda Meeks, Marriage & Family Therapist in Ojai, CA
Melinda Meeks
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Ojai, CA 93023
Not accepting new clients
I honor your first step in seeking the extra support and guidance you may be desiring at this time. I can offer specific skills and strategies that strengthen your confidence in handling whatever life experiences you are encountering right now. And equally important, I offer a safe and compassionate space as you begin the path of exploration into yourself and your life goals.
I honor your first step in seeking the extra support and guidance you may be desiring at this time. I can offer specific skills and strategies that strengthen your confidence in handling whatever life experiences you are encountering right now. And equally important, I offer a safe and compassionate space as you begin the path of exploration into yourself and your life goals.
(805) 921-7067 View (805) 921-7067
Photo of Kimberly Sampson, Marriage & Family Therapist in Ojai, CA
Kimberly Sampson
Marriage & Family Therapist, MS, LMFT
Verified Verified
Ojai, CA 93023
You are feeling alone, confused, stressed-out. You feel like you have tried everything, but things are still the same. Maybe you are really good at acting like everything is fine on the outside, but you are falling apart on the inside. Your relationships are suffering and your quality of life is being impacted. I’ve been there too. You deserve so much more! Investing in ourselves is one of the most important things we can do to feel healthy and balanced in our lives.
You are feeling alone, confused, stressed-out. You feel like you have tried everything, but things are still the same. Maybe you are really good at acting like everything is fine on the outside, but you are falling apart on the inside. Your relationships are suffering and your quality of life is being impacted. I’ve been there too. You deserve so much more! Investing in ourselves is one of the most important things we can do to feel healthy and balanced in our lives.
(805) 749-2427 View (805) 749-2427
Photo of Katie Black, Clinical Social Work/Therapist in Ojai, CA
Katie Black
Clinical Social Work/Therapist, LCSW
Verified Verified
Ojai, CA 93023
I help people who want to live authentic and creative lives. They know there is more to their existence and are struggling to clarify their path. Life may be consumed by past trauma, relationship issues, protective behaviors, beliefs and/or feelings. Together we can support an uncovering of what is getting in the way and what works to support truth and understanding. The intention is to guide people to trust and experience their inner knowing and unique path. Together we can support you to take steps that help reveal clarity!
I help people who want to live authentic and creative lives. They know there is more to their existence and are struggling to clarify their path. Life may be consumed by past trauma, relationship issues, protective behaviors, beliefs and/or feelings. Together we can support an uncovering of what is getting in the way and what works to support truth and understanding. The intention is to guide people to trust and experience their inner knowing and unique path. Together we can support you to take steps that help reveal clarity!
(805) 272-7901 View (805) 272-7901
Photo of Jennifer Ollestad, Marriage & Family Therapist in Ojai, CA
Jennifer Ollestad
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
Ojai, CA 93023
I am a licensed MFT with offices in Santa Monica and Ojai. For the past twenty + years I have been working as a therapist with adolescents, adults and families. I am also a clinical supervisor to interns in my private practice, and I provide psychotherapy for therapists in training. My work as a therapist focuses on relationships of all kinds. For my clients, I hope to be an agent of positive change by working with them towards an understanding of the dynamics that keep them from moving forward and then by mentoring them to co-create bigger lives for themselves.
I am a licensed MFT with offices in Santa Monica and Ojai. For the past twenty + years I have been working as a therapist with adolescents, adults and families. I am also a clinical supervisor to interns in my private practice, and I provide psychotherapy for therapists in training. My work as a therapist focuses on relationships of all kinds. For my clients, I hope to be an agent of positive change by working with them towards an understanding of the dynamics that keep them from moving forward and then by mentoring them to co-create bigger lives for themselves.
(424) 570-3246 View (424) 570-3246
Photo of Matianna Baldassari, Marriage & Family Therapist in Ojai, CA
Matianna Baldassari
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Ojai, CA 93023  (Online Only)
Have you ever had a not-so-great therapy experience? Maybe you left a session feeling more misunderstood, judged, or alone than when you walked in. The therapist may have made assumptions that proved they didn't get you at all - or tried to make decisions for you. With 15 years of experience, one of my highest values is to listen carefully to my clients and treat you with the utmost respect. I do my best to leave my prior assumptions at the door and believe clients are the experts in their lives. Don't know where to begin?
Have you ever had a not-so-great therapy experience? Maybe you left a session feeling more misunderstood, judged, or alone than when you walked in. The therapist may have made assumptions that proved they didn't get you at all - or tried to make decisions for you. With 15 years of experience, one of my highest values is to listen carefully to my clients and treat you with the utmost respect. I do my best to leave my prior assumptions at the door and believe clients are the experts in their lives. Don't know where to begin?
(805) 765-8630 View (805) 765-8630
Photo of Heidi Ann Hanson, Marriage & Family Therapist in Ojai, CA
Heidi Ann Hanson
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Ojai, CA 93023
I am honored to be a part of our beautiful Central Coast, characterized by care and community. My client-centered, humanistic approach is a balance of compassion, empathy and open-mindedness. I have been honored to share this healing space with children as young as 3 years, families, adolescents, young and middle-aged adults, and the healthy aging population, who have become willing to explore their experiences of change, grief, suffering, trauma, depression, separation and anxiety. Hope and empowerment grow through the process of healing and recovery. It is a collaborative experience where alternative ways of being occur.
I am honored to be a part of our beautiful Central Coast, characterized by care and community. My client-centered, humanistic approach is a balance of compassion, empathy and open-mindedness. I have been honored to share this healing space with children as young as 3 years, families, adolescents, young and middle-aged adults, and the healthy aging population, who have become willing to explore their experiences of change, grief, suffering, trauma, depression, separation and anxiety. Hope and empowerment grow through the process of healing and recovery. It is a collaborative experience where alternative ways of being occur.
(805) 283-6985 View (805) 283-6985
Photo of Robin Balchen, Clinical Social Work/Therapist in Ojai, CA
Robin Balchen
Clinical Social Work/Therapist, MSW, LCSW, Eco-Psy
Verified Verified
1 Endorsed
Ojai, CA 93023
If you or your child are struggling with stress, anxiety, grief, or trauma, I can help. I offer individual sessions in the outdoors, where we take peaceful and mindful walks talking alongside each other, or via phone/video sessions for those who feel more comfortable in their own home. For those needing support and/or guidance getting through a difficult transition (relationships, work, school, crisis, medical), we can work together to get you on the road to peace and security.
If you or your child are struggling with stress, anxiety, grief, or trauma, I can help. I offer individual sessions in the outdoors, where we take peaceful and mindful walks talking alongside each other, or via phone/video sessions for those who feel more comfortable in their own home. For those needing support and/or guidance getting through a difficult transition (relationships, work, school, crisis, medical), we can work together to get you on the road to peace and security.
(805) 669-9453 View (805) 669-9453
Photo of Robert Duff, Psychologist in Ojai, CA
Robert Duff
Psychologist, PhD
Verified Verified
Ojai, CA 93023
My name is Robert and it would be an honor to be your therapist. The biggest complaint that I hear from people about their previous experiences with therapy is that their therapist didn't DO anything. That's not me. I have a very active, solution-focused approach. Not only do I want to be there for you as an empathetic listener and learn to speak your emotional language, but I also want to help you take ACTION. To me, that means helping you identify the problem and find skills and strategies to make an immediate impact on your situation. My approach is down-to-earth and grounded in reality.
My name is Robert and it would be an honor to be your therapist. The biggest complaint that I hear from people about their previous experiences with therapy is that their therapist didn't DO anything. That's not me. I have a very active, solution-focused approach. Not only do I want to be there for you as an empathetic listener and learn to speak your emotional language, but I also want to help you take ACTION. To me, that means helping you identify the problem and find skills and strategies to make an immediate impact on your situation. My approach is down-to-earth and grounded in reality.
(805) 633-3118 View (805) 633-3118
Photo of Lisa Ruth Garber, Clinical Social Work/Therapist in Ojai, CA
Lisa Ruth Garber
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Ojai, CA 93023
You are unique, sometimes quirky with an inner world that requires management. Your pain is about being able to express what matters most, both to yourself and others. You usually manage well, but life events have become over-whelming. Currently you are feeling, lost, uncertain and the past has risen up in memory, or action to haunt the day to day. The desire to make meaning of the present and cope more efficiently, while finding joy in the current circumstance motivates you. Perhaps it is death, relationship, work or health problem that brings you to seek therapy at this time.
You are unique, sometimes quirky with an inner world that requires management. Your pain is about being able to express what matters most, both to yourself and others. You usually manage well, but life events have become over-whelming. Currently you are feeling, lost, uncertain and the past has risen up in memory, or action to haunt the day to day. The desire to make meaning of the present and cope more efficiently, while finding joy in the current circumstance motivates you. Perhaps it is death, relationship, work or health problem that brings you to seek therapy at this time.
(323) 515-8790 View (323) 515-8790
Photo of Alexandre Muise, Pre-Licensed Professional in Ojai, CA
Alexandre Muise
Pre-Licensed Professional, ASW
Verified Verified
Ojai, CA 93023
As a queer identifying therapist, I hope to provide support to LGBTQIA+ and other individuals who are seeking care for general mental health issues, relationship issues and issues regarding the LGBTQ and intersectional minority communities.
As a queer identifying therapist, I hope to provide support to LGBTQIA+ and other individuals who are seeking care for general mental health issues, relationship issues and issues regarding the LGBTQ and intersectional minority communities.
(805) 608-2074 View (805) 608-2074
Photo of Kimberly A Fouche', Marriage & Family Therapist in Ojai, CA
Kimberly A Fouche'
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Ojai, CA 93023  (Online Only)
The changes in the world today can be unbalancing and having a guide to help one find ways to re-balance is important to one's well-being. I Have had life experience in dealing with trauma which guided me to become engaged in the study of psychology. I saw the need for more understanding of the mind and the human experience. Anxiety and depression affect the whole person: psycho-spiritually, physically, mentally, and physiologically. The signs and symptoms of anxiety and depression will manifest at every level. Imagine working together to find your own therapeutic tune to your life song…
The changes in the world today can be unbalancing and having a guide to help one find ways to re-balance is important to one's well-being. I Have had life experience in dealing with trauma which guided me to become engaged in the study of psychology. I saw the need for more understanding of the mind and the human experience. Anxiety and depression affect the whole person: psycho-spiritually, physically, mentally, and physiologically. The signs and symptoms of anxiety and depression will manifest at every level. Imagine working together to find your own therapeutic tune to your life song…
(805) 742-4577 View (805) 742-4577
Photo of Micheal Frances Smith, Marriage & Family Therapist in Ojai, CA
Micheal Frances Smith
Marriage & Family Therapist, LMFT
Verified Verified
Ojai, CA 93023
Choosing a therapist is not like choosing other medical professionals: there are some specific questions you must ask yourself. Do you feel comfortable in sharing your life with the therapist? Do you feel heard and understood by the therapist? Do you trust the therapist? These are questions a person should ask before deciding who to trust with their life story. I find that it's important to meet in advance to determine if we could make progress together, and I encourage you to ask the above questions of yourself as you speak to me, or any other licensed therapist.
Choosing a therapist is not like choosing other medical professionals: there are some specific questions you must ask yourself. Do you feel comfortable in sharing your life with the therapist? Do you feel heard and understood by the therapist? Do you trust the therapist? These are questions a person should ask before deciding who to trust with their life story. I find that it's important to meet in advance to determine if we could make progress together, and I encourage you to ask the above questions of yourself as you speak to me, or any other licensed therapist.
(805) 751-7814 View (805) 751-7814
Photo of Shana Creyssels, Marriage & Family Therapist in Ojai, CA
Shana Creyssels
Marriage & Family Therapist
Verified Verified
Ojai, CA 93023
Hi! My name is Shana Creyssels and I am a Licensed Marriage and Family Therapist in California with over twelve years of experience. I celebrate you in taking your first step, which is a huge strength. I believe that you are the expert of you. My goal is to create a safe space that is non-judgmental, inclusive and empowering where we can work collaboratively to achieve what success means to you. Seeking support during difficult times can be a challenge. Life is an incredible journey that comes with experiences that shape who we are or serves as a driving point to where we want to go or who we want to become.
Hi! My name is Shana Creyssels and I am a Licensed Marriage and Family Therapist in California with over twelve years of experience. I celebrate you in taking your first step, which is a huge strength. I believe that you are the expert of you. My goal is to create a safe space that is non-judgmental, inclusive and empowering where we can work collaboratively to achieve what success means to you. Seeking support during difficult times can be a challenge. Life is an incredible journey that comes with experiences that shape who we are or serves as a driving point to where we want to go or who we want to become.
(805) 793-1263 View (805) 793-1263
Photo of Caroline Berlin Psychotherapist Hypnotherapist, Marriage & Family Therapist in Ojai, CA
Caroline Berlin Psychotherapist Hypnotherapist
Marriage & Family Therapist, MA, LMFT
Verified Verified
Ojai, CA 93023
How do you speak to yourself? This makes us feel the way we do. (We treat others the way we treat ourself.) Learn how to use and align your words, thoughts even, with your own positive intentions. Get rid of whatever is in the way. The brain can't tell the difference between an imagined experience and a real one. You don't have to reinvent the wheel to feel difficult feelings to completion. Mistakes are opportunities for getting what you want. With gentle patience and respect, I can show you how to allow feelings to be fully felt. Change beliefs and align with what you really want. It's a lot simpler than it sounds.
How do you speak to yourself? This makes us feel the way we do. (We treat others the way we treat ourself.) Learn how to use and align your words, thoughts even, with your own positive intentions. Get rid of whatever is in the way. The brain can't tell the difference between an imagined experience and a real one. You don't have to reinvent the wheel to feel difficult feelings to completion. Mistakes are opportunities for getting what you want. With gentle patience and respect, I can show you how to allow feelings to be fully felt. Change beliefs and align with what you really want. It's a lot simpler than it sounds.
(805) 272-7960 View (805) 272-7960
Photo of Crystal Reeves, Marriage & Family Therapist in Ojai, CA
Crystal Reeves
Marriage & Family Therapist, LMFT
Verified Verified
Ojai, CA 93023
I believe everyone needs a listening ear to help get through difficult times. Why not let that listening ear be a trained professional. As your clinician I will provide a safe therapeutic environment to help you get through your current life challenges. I work with adults who are struggling with depression, anxiety, substance use, relationship concerns, life adjustments, and poor emotional regulations skills.
I believe everyone needs a listening ear to help get through difficult times. Why not let that listening ear be a trained professional. As your clinician I will provide a safe therapeutic environment to help you get through your current life challenges. I work with adults who are struggling with depression, anxiety, substance use, relationship concerns, life adjustments, and poor emotional regulations skills.
(661) 215-6101 View (661) 215-6101
Photo of Kathy Leary-Wilde, Marriage & Family Therapist in Ojai, CA
Kathy Leary-Wilde
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
Ojai, CA 93023
I truly enjoy the process of collaboration and sense of discovery as we form a therapeutic alliance. I love working with adults, both young and old, male and female. Establishing the relationship is foundational to our work together. Trust develops naturally as our connection grows. The pace is always determined by your comfort level and readiness. I can offer new coping skills and join with you to form therapy goals. As an experienced EMDR therapist I sometimes utilize Flash and EMDR to reduce and clear triggering remnants of the past. The result is greater ease and joy in your life.
I truly enjoy the process of collaboration and sense of discovery as we form a therapeutic alliance. I love working with adults, both young and old, male and female. Establishing the relationship is foundational to our work together. Trust develops naturally as our connection grows. The pace is always determined by your comfort level and readiness. I can offer new coping skills and join with you to form therapy goals. As an experienced EMDR therapist I sometimes utilize Flash and EMDR to reduce and clear triggering remnants of the past. The result is greater ease and joy in your life.
(805) 424-5432 View (805) 424-5432
Photo of Joy Thornhill, Marriage & Family Therapist in Ojai, CA
Joy Thornhill
Marriage & Family Therapist, MA, LMFT, APCC
Verified Verified
Ojai, CA 93023
Parents, are you finding yourself exhausted from having yet another argument with your spouse about what to do with your children who continue to behave poorly? Or perhaps you look around at your family and feel sad that you aren’t connecting the way you used to. Your child may be moody, anxious, or seem depressed and you don’t know why or how it came to be this way. You would like support and some extra tools in your toolbox to handle the family stress and are in dire need of some relief.
Parents, are you finding yourself exhausted from having yet another argument with your spouse about what to do with your children who continue to behave poorly? Or perhaps you look around at your family and feel sad that you aren’t connecting the way you used to. Your child may be moody, anxious, or seem depressed and you don’t know why or how it came to be this way. You would like support and some extra tools in your toolbox to handle the family stress and are in dire need of some relief.
(805) 429-4562 View (805) 429-4562
Photo of Dr. Angela Taylor, Clinical Social Work/Therapist in Ojai, CA
Dr. Angela Taylor
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Ojai, CA 93023
I guide people through shadow, shame, and trauma to live sacred, soulful lives. Many of us struggle in our lives because we are unconsciously stuck with a perspective that helped us survive in the past, but that no longer serves us in. We're afraid of our own shadow. We hide from the parts we most dislike. This hiding keeps us stuck, guarded and fearful. Using mindfulness to creatively, compassionately and courageously look into your emotional, behavioral and relational patterns can help you move into a more mindful, creative, healthy and fulfilling life.
I guide people through shadow, shame, and trauma to live sacred, soulful lives. Many of us struggle in our lives because we are unconsciously stuck with a perspective that helped us survive in the past, but that no longer serves us in. We're afraid of our own shadow. We hide from the parts we most dislike. This hiding keeps us stuck, guarded and fearful. Using mindfulness to creatively, compassionately and courageously look into your emotional, behavioral and relational patterns can help you move into a more mindful, creative, healthy and fulfilling life.
(818) 457-6968 View (818) 457-6968
Photo of Robyn L Posin, Psychologist in Ojai, CA
Robyn L Posin
Psychologist, PhD
Verified Verified
Ojai, CA 93024
My commitment is to creating safe space in which to help people (re)connect with and honor the wisdom and guidance of their inner knowing selves so that they may live more sanely in this crazy-making, invalidating world. Essential to this process is transforming our inner critics into allies, learning to move only as fast as the slowest part of us feels safe to go, developing the capacity to be tender, gentle and accepting with all the ways that we are (even as we work to change some of those ways) and reclaiming rest as a sacred act.
My commitment is to creating safe space in which to help people (re)connect with and honor the wisdom and guidance of their inner knowing selves so that they may live more sanely in this crazy-making, invalidating world. Essential to this process is transforming our inner critics into allies, learning to move only as fast as the slowest part of us feels safe to go, developing the capacity to be tender, gentle and accepting with all the ways that we are (even as we work to change some of those ways) and reclaiming rest as a sacred act.
(805) 633-1577 View (805) 633-1577

How does your Therapist compare?

Number of Therapists in Ojai, CA

100+

Average cost per session

$170

Therapists in Ojai, CA who prioritize treating:

90% Anxiety
85% Depression
82% Relationship Issues
76% Self Esteem
71% Grief
71% Trauma and PTSD
66% Life Transitions

Average years in practice

15 Years

Top 3 insurances accepted

56% Aetna
44% Cigna and Evernorth
42% UnitedHealthcare UHC | UBH

How Therapists in Ojai, CA see their clients

79% In Person and Online
21% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Ojai?

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.