Therapists in Laguna Hills, CA

Photo of Bryce Ezrre, Associate Clinical Social Worker in Laguna Hills, CA
Bryce Ezrre
Associate Clinical Social Worker, ACSW
Verified Verified
Laguna Hills, CA 92653  (Online Only)
As an associate clinical social worker, I bring a unique blend of personal experience and professional dedication to my practice. My journey as a white queer individual has cultivated a deep understanding of the intricacies surrounding identity, making me acutely aware of the importance of an all-inclusive therapeutic approach. Drawing from psychodynamic principles, my work focuses on guiding individuals through the process of healing from trauma, while placing a special emphasis on nurturing their inner child.
As an associate clinical social worker, I bring a unique blend of personal experience and professional dedication to my practice. My journey as a white queer individual has cultivated a deep understanding of the intricacies surrounding identity, making me acutely aware of the importance of an all-inclusive therapeutic approach. Drawing from psychodynamic principles, my work focuses on guiding individuals through the process of healing from trauma, while placing a special emphasis on nurturing their inner child.
(949) 828-5209 View (949) 828-5209
Photo of Suzanne Koch Eckenrode, Marriage & Family Therapist in Laguna Hills, CA
Suzanne Koch Eckenrode
Marriage & Family Therapist, LMFT, BACC, ICGC-II, CCGC-II
Verified Verified
Laguna Hills, CA 92653
Are you anxious, overwhelmed, or out of control? I can help you take back your life & find serenity through dealing with your or your loved ones gambling problem, co-dependency, trauma, anxiety & depression. Through therapy, you will find relief from the struggles that impede your creating the life & relationships you want & deserve. I can also help you take your recovery to the next level And, I work with family members to understand & deal with addictions & high functioning ASD in adults while finding peace, strength, tools & support to care for themselves.
Are you anxious, overwhelmed, or out of control? I can help you take back your life & find serenity through dealing with your or your loved ones gambling problem, co-dependency, trauma, anxiety & depression. Through therapy, you will find relief from the struggles that impede your creating the life & relationships you want & deserve. I can also help you take your recovery to the next level And, I work with family members to understand & deal with addictions & high functioning ASD in adults while finding peace, strength, tools & support to care for themselves.
(619) 405-6180 View (619) 405-6180
Photo of Carla Naragon, Marriage & Family Therapist in Laguna Hills, CA
Carla Naragon
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Laguna Hills, CA 92653
Not accepting new clients
I specialize in helping adult survivors of sexually related trauma, child abuse, and other traumatic experiences, overcome their painful past (no matter how long ago it happened). While it's true that we cannot undo history, it's also true that you don't have to stay stuck living in the past. There is a path you can take to reach that beautiful light at the end of the tunnel. If you let me, I'll help you find the strength, wisdom and courage to find it, walk it, and transform your life.
I specialize in helping adult survivors of sexually related trauma, child abuse, and other traumatic experiences, overcome their painful past (no matter how long ago it happened). While it's true that we cannot undo history, it's also true that you don't have to stay stuck living in the past. There is a path you can take to reach that beautiful light at the end of the tunnel. If you let me, I'll help you find the strength, wisdom and courage to find it, walk it, and transform your life.
(714) 978-4857 View (714) 978-4857
Photo of George Tyler Duarte, Marriage & Family Therapist in Laguna Hills, CA
George Tyler Duarte
Marriage & Family Therapist, AMFT
Verified Verified
Laguna Hills, CA 92653
Having a healthy relationship with yourself and others is not always easy. There are times when it can be challenging to embody the positive support you need, rather than that inner critic that is not always helpful. I believe that improving your sense of self-worth and self-esteem through self-acceptance, compassion and appropriate boundaries, with yourself and others, is necessary to maintaining healthy relationships and imperative when working through life stressors that impact your quality of life.
Having a healthy relationship with yourself and others is not always easy. There are times when it can be challenging to embody the positive support you need, rather than that inner critic that is not always helpful. I believe that improving your sense of self-worth and self-esteem through self-acceptance, compassion and appropriate boundaries, with yourself and others, is necessary to maintaining healthy relationships and imperative when working through life stressors that impact your quality of life.
(949) 997-2638 View (949) 997-2638
Photo of Dr. Elaine Montag, Psychologist in Laguna Hills, CA
Dr. Elaine Montag
Psychologist, BA, MA, PsyD, CCC
Verified Verified
Laguna Hills, CA 92653
If you are in emotional pain you can find relief in our first session. Most clients have drastic improvement in 4-8 weeks. My work is non-judging and compassionate. I am directive, specific, goal oriented and incorporate a variety of tools customized to your needs. This includes: EMDR, Cognitive Work, Meditative work, supplements to improve mood, Energy work in our healing room, Intuitive knowing of core patterns, prayer, healing grief. I offer a holistic approach to healing on all levels. About Me: I enjoy meditation, spiritual contemplation, sports, animals, nature, hiking, reading and lots of laughter.
If you are in emotional pain you can find relief in our first session. Most clients have drastic improvement in 4-8 weeks. My work is non-judging and compassionate. I am directive, specific, goal oriented and incorporate a variety of tools customized to your needs. This includes: EMDR, Cognitive Work, Meditative work, supplements to improve mood, Energy work in our healing room, Intuitive knowing of core patterns, prayer, healing grief. I offer a holistic approach to healing on all levels. About Me: I enjoy meditation, spiritual contemplation, sports, animals, nature, hiking, reading and lots of laughter.
(949) 347-5886 View (949) 347-5886
Photo of Arturo Trujillo, Marriage & Family Therapist in Laguna Hills, CA
Arturo Trujillo
Marriage & Family Therapist, LMFT
Verified Verified
Laguna Hills, CA 92653  (Online Only)
I’ve had training in various modalities but ultimately use an eclectic approach emphasizing cognitive behavior therapy. I operate from the position that our thoughts strongly influence our moods and actions. My clients will gain a more intuitive understanding of themselves, better process their situation and consider which course of action makes the most sense. With some flexibility, a healthier perspective, and the right support, clients find that they are much more resilient and that situations don’t have to be as detrimental. My goal as your therapist is to support you on your path called life.
I’ve had training in various modalities but ultimately use an eclectic approach emphasizing cognitive behavior therapy. I operate from the position that our thoughts strongly influence our moods and actions. My clients will gain a more intuitive understanding of themselves, better process their situation and consider which course of action makes the most sense. With some flexibility, a healthier perspective, and the right support, clients find that they are much more resilient and that situations don’t have to be as detrimental. My goal as your therapist is to support you on your path called life.
(510) 650-1969 View (510) 650-1969
Photo of Brittney Christie, Marriage & Family Therapist in Laguna Hills, CA
Brittney Christie
Marriage & Family Therapist, MS, LMFT
Verified Verified
6 Endorsed
Laguna Hills, CA 92653
Deciding to start therapy takes bravery and courage. Acknowledging that racing thoughts, anxious feelings, chronic arguing with a significant other, and mood swings are signaling that something is not right is the first step towards really taking care of yourself. If you are experiencing anxiety, depression, chronic worry, or have recently experienced a difficult life event, you don’t have to face these things alone. I am honored to accompany you through this process of working through difficult life situations and negative feelings, to achieve relief and healing.
Deciding to start therapy takes bravery and courage. Acknowledging that racing thoughts, anxious feelings, chronic arguing with a significant other, and mood swings are signaling that something is not right is the first step towards really taking care of yourself. If you are experiencing anxiety, depression, chronic worry, or have recently experienced a difficult life event, you don’t have to face these things alone. I am honored to accompany you through this process of working through difficult life situations and negative feelings, to achieve relief and healing.
(714) 591-0018 View (714) 591-0018
Photo of Kriss Murphy, Marriage & Family Therapist in Laguna Hills, CA
Kriss Murphy
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
Thank you for taking the first step toward change in your life! Challenging habits can be very scary. It is possible you have been practicing these habits for so long you have forgotten where they began. Many people view their symptoms as their identity. My passion is to work with you to empower that part of you that is hoping for more from your life and relationships. Please know you are not alone in this journey. Our job together is to work to identify the core issues driving those symptoms and find healthier ways of living the life you want.
Thank you for taking the first step toward change in your life! Challenging habits can be very scary. It is possible you have been practicing these habits for so long you have forgotten where they began. Many people view their symptoms as their identity. My passion is to work with you to empower that part of you that is hoping for more from your life and relationships. Please know you are not alone in this journey. Our job together is to work to identify the core issues driving those symptoms and find healthier ways of living the life you want.
(949) 565-4609 View (949) 565-4609
Photo of Cathy Conway, Clinical Social Work/Therapist in Laguna Hills, CA
Cathy Conway
Clinical Social Work/Therapist, LCSW
Verified Verified
Laguna Hills, CA 92653  (Online Only)
My approach to therapy is down to earth, warm yet direct. My primary task is to get to know you, your challenges, strengths, and goals so that together we can find ways to build more joy into your life. I find it helpful to work with clients to understand lifelong patterns and also to seek out specific ways to experience personal growth.
My approach to therapy is down to earth, warm yet direct. My primary task is to get to know you, your challenges, strengths, and goals so that together we can find ways to build more joy into your life. I find it helpful to work with clients to understand lifelong patterns and also to seek out specific ways to experience personal growth.
(510) 726-8242 View (510) 726-8242
Photo of Marci Myer, Licensed Professional Clinical Counselor in Laguna Hills, CA
Marci Myer
Licensed Professional Clinical Counselor, MA, LPCC, AMFT
Verified Verified
2 Endorsed
Laguna Hills, CA 92653
Do you feel overwhelmed by your thoughts, emotions, or day-to-day stress? Are you looking for assistance in navigating your relationships, any conflicts that might arise, or learning better ways to communicate? Would you like to better connect with yourself, and get to know your wants, needs, and desires?
Do you feel overwhelmed by your thoughts, emotions, or day-to-day stress? Are you looking for assistance in navigating your relationships, any conflicts that might arise, or learning better ways to communicate? Would you like to better connect with yourself, and get to know your wants, needs, and desires?
(949) 203-7920 View (949) 203-7920
Photo of Heidi A Berman, Marriage & Family Therapist in Laguna Hills, CA
Heidi A Berman
Marriage & Family Therapist, PhD, MFCT
Verified Verified
Laguna Hills, CA 92653  (Online Only)
Do you or someone close to you have noticeable mood changes or periods of anxiety & depression that are interfering with your life? Is your child not the same youngster he/she used to be? I am a highly experienced PhD. with specializations in Mood Disorders (e.g. Bipolar, Depression), Anxiety Disorders, Eating Disorders, and all Addictions. Additionally, I have substantial experience in virtually all areas of mental health. I work hard for you to make the therapy process both comfortable and rewarding. My practice is open to adults,teens, children, couples and families. Phone consultation (therapy) is available during or after-hours.
Do you or someone close to you have noticeable mood changes or periods of anxiety & depression that are interfering with your life? Is your child not the same youngster he/she used to be? I am a highly experienced PhD. with specializations in Mood Disorders (e.g. Bipolar, Depression), Anxiety Disorders, Eating Disorders, and all Addictions. Additionally, I have substantial experience in virtually all areas of mental health. I work hard for you to make the therapy process both comfortable and rewarding. My practice is open to adults,teens, children, couples and families. Phone consultation (therapy) is available during or after-hours.
(949) 390-9274 x1 View (949) 390-9274 x1
Photo of Jill Boultinghouse, Marriage & Family Therapist in Laguna Hills, CA
Jill Boultinghouse
Marriage & Family Therapist, MA, LMFT, EMDR
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
I have over 20 years of experience as a therapist. I truly understand how difficult it can be to ask for help. Many feel uncomfortable & anxious when seeking help from a counselor about such sensitive & personal issues. It takes courage and faith to reach out. I believe together we will find real solutions to your struggles.
I have over 20 years of experience as a therapist. I truly understand how difficult it can be to ask for help. Many feel uncomfortable & anxious when seeking help from a counselor about such sensitive & personal issues. It takes courage and faith to reach out. I believe together we will find real solutions to your struggles.
(949) 258-9739 View (949) 258-9739
Photo of David Reed & Associates, Psychologist in Laguna Hills, CA
David Reed & Associates
Psychologist, PhD, CEAP
Verified Verified
Laguna Hills, CA 92653
Our office will again have availability for individual adult patients starting in June 2024. We are unable to accept teens, couples, or families. With many years of working with persons of Asian or Hispanic/Latinx decent, Dr. Reed has a deep understanding for the role that diversity and culture play in one's overall well-being. His involvement with the LGBTQ community spans decades including early research regarding manager's attitudes regarding person's with HIV in the workplace. Dr. Reed is easy to talk with and provides useful information as part of the affirmative counseling services he offers.
Our office will again have availability for individual adult patients starting in June 2024. We are unable to accept teens, couples, or families. With many years of working with persons of Asian or Hispanic/Latinx decent, Dr. Reed has a deep understanding for the role that diversity and culture play in one's overall well-being. His involvement with the LGBTQ community spans decades including early research regarding manager's attitudes regarding person's with HIV in the workplace. Dr. Reed is easy to talk with and provides useful information as part of the affirmative counseling services he offers.
(949) 353-5642 View (949) 353-5642
Photo of Brandon Vazirian, Marriage & Family Therapist in Laguna Hills, CA
Brandon Vazirian
Marriage & Family Therapist, MS, MFT
Verified Verified
2 Endorsed
Laguna Hills, CA 92653
The resiliency of people is always something that inspires me. It is my belief that each person is unique and has the potential to grow and change, all it takes is the desire and the commitment to do the work. As a therapist I have had the privilege of walking along side people and see these changes first hand, whether it's through an awaking of insight, breaking patterns of behavior, lifting of anxiety/depression, or deepening of relationships. Therapy is an intimate, empowering experience, and it is truly a beautiful thing to see people meet their goals and lead the lives they always wanted. Lets begin that journey together today.
The resiliency of people is always something that inspires me. It is my belief that each person is unique and has the potential to grow and change, all it takes is the desire and the commitment to do the work. As a therapist I have had the privilege of walking along side people and see these changes first hand, whether it's through an awaking of insight, breaking patterns of behavior, lifting of anxiety/depression, or deepening of relationships. Therapy is an intimate, empowering experience, and it is truly a beautiful thing to see people meet their goals and lead the lives they always wanted. Lets begin that journey together today.
(714) 989-6973 View (714) 989-6973
Photo of Rooz Khosh in Laguna Hills, CA
Rooz Khosh
MBA, PCC
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
As a Life Coach who also specializes in ADHD, I want you to know that you are not alone in your journey. I can help you manage and improve on: impulsively, distraction, emotional self-regulation, focus, decision-making, time management, procrastination, self-negative talk, low self-confidence, and anxiety. These challenges can create a negative thought that you can not accomplish your life, family, education, or career goals. As a team, we collaborate to improve your awareness and identify challenges and habits that have stalled your life, career, family, or personal relationship.
As a Life Coach who also specializes in ADHD, I want you to know that you are not alone in your journey. I can help you manage and improve on: impulsively, distraction, emotional self-regulation, focus, decision-making, time management, procrastination, self-negative talk, low self-confidence, and anxiety. These challenges can create a negative thought that you can not accomplish your life, family, education, or career goals. As a team, we collaborate to improve your awareness and identify challenges and habits that have stalled your life, career, family, or personal relationship.
(760) 227-5311 View (760) 227-5311
Photo of Kim Moberly, Marriage & Family Therapist in Laguna Hills, CA
Kim Moberly
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
Not accepting new clients
Making changes to ones life can be both uncomfortable and exciting. I am here to help you get through the toughest parts so that you may live a life that you feel good about. I strive to provide a safe and supportive space to help you heal past wounds, overcome difficulties, and cope more effectively with painful emotions. If you desire and are open to growing and changing, I can assist with teaching you new ways to cope, think, feel, and be in the world.
Making changes to ones life can be both uncomfortable and exciting. I am here to help you get through the toughest parts so that you may live a life that you feel good about. I strive to provide a safe and supportive space to help you heal past wounds, overcome difficulties, and cope more effectively with painful emotions. If you desire and are open to growing and changing, I can assist with teaching you new ways to cope, think, feel, and be in the world.
(657) 298-8290 View (657) 298-8290
Photo of Mahsa Hojat, Clinical Social Work/Therapist in Laguna Hills, CA
Mahsa Hojat
Clinical Social Work/Therapist, PhD, LCSW, CCTP
Verified Verified
1 Endorsed
Laguna Hills, CA 92653
My experience includes 12 years of helping people improve and repair their relationships. I also assist with individuals and couples with overcoming anxiety, sadness, fear, isolation, inability to trust or build meaningful relationships. If you are having distresses due to relationships at home, work, with the family or being unable to connect with others, I look forward to the opportunity to be of assistance. Very often, we struggle with sadness, difficulty with life transitions or obstacles in relationships. You are in charge and I will act as a guide, collaborator and help you pursue your dreams.
My experience includes 12 years of helping people improve and repair their relationships. I also assist with individuals and couples with overcoming anxiety, sadness, fear, isolation, inability to trust or build meaningful relationships. If you are having distresses due to relationships at home, work, with the family or being unable to connect with others, I look forward to the opportunity to be of assistance. Very often, we struggle with sadness, difficulty with life transitions or obstacles in relationships. You are in charge and I will act as a guide, collaborator and help you pursue your dreams.
(562) 269-1373 View (562) 269-1373
Photo of Marco Zahedi in Laguna Hills, CA
Marco Zahedi
MD, MPH
Verified Verified
Laguna Hills, CA 92653
we specialize in working with mental health and addiction clients and address addictions ranging from benzodiazepine use to opioid withdrawals, we have an outpatient clinic that focuses on what our clients needs are and working on underlying traumas that caused there use or mental health disorder.
we specialize in working with mental health and addiction clients and address addictions ranging from benzodiazepine use to opioid withdrawals, we have an outpatient clinic that focuses on what our clients needs are and working on underlying traumas that caused there use or mental health disorder.
(714) 515-7919 View (714) 515-7919
Photo of Sunny Hills Medical Center, Clinical Social Work/Therapist in Laguna Hills, CA
Sunny Hills Medical Center
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Laguna Hills, CA 92653
I practice a style of therapy that is both strengths based and solution focused. It is my belief that people have within themselves and the environment the ability and resources to heal and lead meaningful lives. Traumatic life events have the potential to keep individuals feeling stuck. It can prevent us from realizing our full potential and maintaining a healthy self -esteem. During the course of treatment EMDR therapy may be utilized to resolve those issues and facilitate solutions that work best for you based on your own life experience, beliefs and personal strengths.
I practice a style of therapy that is both strengths based and solution focused. It is my belief that people have within themselves and the environment the ability and resources to heal and lead meaningful lives. Traumatic life events have the potential to keep individuals feeling stuck. It can prevent us from realizing our full potential and maintaining a healthy self -esteem. During the course of treatment EMDR therapy may be utilized to resolve those issues and facilitate solutions that work best for you based on your own life experience, beliefs and personal strengths.
(714) 294-2960 View (714) 294-2960
Photo of Stefanie Zargarbashi in Laguna Hills, CA
Stefanie Zargarbashi
LCSW
Verified Verified
Laguna Hills, CA 92637  (Online Only)
Welcome! Are you finding your feelings overwhelmed with different emotions and feeling the physical symptoms of stress? Are you having difficulties controlling your worries and having sleep disturbances? Are the feelings currently impacting how you feel about yourself and your relationship and everyday life? Are you ready to start working on yourself and making impactful changes to improve your life? Is your goal to be able to learn how to manage your emotions, regain strength within, and live a more fuller life? You have taken the first step in your journey to healing and happiness.
Welcome! Are you finding your feelings overwhelmed with different emotions and feeling the physical symptoms of stress? Are you having difficulties controlling your worries and having sleep disturbances? Are the feelings currently impacting how you feel about yourself and your relationship and everyday life? Are you ready to start working on yourself and making impactful changes to improve your life? Is your goal to be able to learn how to manage your emotions, regain strength within, and live a more fuller life? You have taken the first step in your journey to healing and happiness.
(949) 881-5679 View (949) 881-5679

See more therapy options for Laguna Hills

How does your Therapist compare?

Number of Therapists in Laguna Hills, CA

100+

Average cost per session

$175

Therapists in Laguna Hills, CA who prioritize treating:

95% Anxiety
93% Depression
79% Relationship Issues
76% Trauma and PTSD
74% Self Esteem
68% Coping Skills
66% Grief

Average years in practice

12 Years

Top 3 insurances accepted

64% Aetna
63% Cigna and Evernorth
38% MHN | Health Net

How Therapists in Laguna Hills, CA see their clients

79% In Person and Online
21% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Laguna Hills?

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.