Therapists in Lakewood, WA

Photo of Dana M. Myers, Psychologist in Lakewood, WA
Dana M. Myers
Psychologist, PsyD
Verified Verified
1 Endorsed
Lakewood, WA 98499
COVID-19 update: We remain open and are following state regulations for healthcare settings. This includes the current mask order 20-03.10 of the Washington State secretary of health. Please cancel your appointment if you are sick. Telehealth sessions available with most insurances, please call for more details.
COVID-19 update: We remain open and are following state regulations for healthcare settings. This includes the current mask order 20-03.10 of the Washington State secretary of health. Please cancel your appointment if you are sick. Telehealth sessions available with most insurances, please call for more details.
(253) 271-4836 View (253) 271-4836
Photo of Destini Kirkwood, Counselor in Lakewood, WA
Destini Kirkwood
Counselor, MS, LMHC, CMHS, PhD Stu
Verified Verified
Lakewood, WA 98499
Now accepting new clients. You've tried everything you can think of but still have difficulty getting to where you would like to be. And, now you feel overwhelmed, but having hope again, even during a difficult time, isn't impossible. Whether you are looking for therapy for yourself or your child, I have spent thousands of hours helping individuals and families identify their desired outcomes and successfully achieve them. My services can be easily accessed at any location in the state of Washington that is comfortable for you, for example, at your home, school, or your office.
Now accepting new clients. You've tried everything you can think of but still have difficulty getting to where you would like to be. And, now you feel overwhelmed, but having hope again, even during a difficult time, isn't impossible. Whether you are looking for therapy for yourself or your child, I have spent thousands of hours helping individuals and families identify their desired outcomes and successfully achieve them. My services can be easily accessed at any location in the state of Washington that is comfortable for you, for example, at your home, school, or your office.
(253) 201-7428 View (253) 201-7428
Photo of Robyn Crout, Clinical Social Work/Therapist in Lakewood, WA
Robyn Crout
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Lakewood, WA 98499
You want to be happy and free, but you keep repeating the same patterns over and over. You can't shake the feeling that you aren't good enough or that you caused the trauma to happen. If these statements describe you, then you might consider EMDR. This psychotherapy can relieve trauma symptoms on a deep, nervous system level and can neutralize the negative beliefs you're holding about yourself. Once you are free of the negative beliefs, EMDR is then used to help you believe something positive about yourself. I have used EMDR with dozens of clients and I love seeing the ways they grow and heal!
You want to be happy and free, but you keep repeating the same patterns over and over. You can't shake the feeling that you aren't good enough or that you caused the trauma to happen. If these statements describe you, then you might consider EMDR. This psychotherapy can relieve trauma symptoms on a deep, nervous system level and can neutralize the negative beliefs you're holding about yourself. Once you are free of the negative beliefs, EMDR is then used to help you believe something positive about yourself. I have used EMDR with dozens of clients and I love seeing the ways they grow and heal!
(253) 338-5343 View (253) 338-5343
Photo of Joshua Chambers, Counselor in Lakewood, WA
Joshua Chambers
Counselor, MA, LMHCA, NCC
Verified Verified
2 Endorsed
Lakewood, WA 98499
I am a therapist of color that is passionate about helping other people thrive in every area of life. Living in a society where we aren't given permission to express our emotions or given the skills to handle them can lead us to a place of feeling stuck, isolated, and confused. Whether it's feeling low or depressed from life circumstances, anger from past trauma and injustices, or just feeling tired of being sick and tired; I have experienced all of these things and want to help you examine and unpack the troubles you are experiencing in life. In my practice, I create a space for you to be the authentic you with no judgment or shame
I am a therapist of color that is passionate about helping other people thrive in every area of life. Living in a society where we aren't given permission to express our emotions or given the skills to handle them can lead us to a place of feeling stuck, isolated, and confused. Whether it's feeling low or depressed from life circumstances, anger from past trauma and injustices, or just feeling tired of being sick and tired; I have experienced all of these things and want to help you examine and unpack the troubles you are experiencing in life. In my practice, I create a space for you to be the authentic you with no judgment or shame
(253) 527-5982 View (253) 527-5982
Photo of A Welcomed Change, Counselor in Lakewood, WA
A Welcomed Change
Counselor, MSW, LICSW, LHMC
Verified Verified
Lakewood, WA 98499
A family crisis, professional upheaval, personal struggle or challenge, conflict, loss, separation, divorce, break-up, parenting challenge, chronic medical condition or flare up of symptoms due to mental health stress, create difficult situations. With a compassionate focus on practical and reachable goals identified by the client, at her or his pace, new insights and skills can be acquired.
A family crisis, professional upheaval, personal struggle or challenge, conflict, loss, separation, divorce, break-up, parenting challenge, chronic medical condition or flare up of symptoms due to mental health stress, create difficult situations. With a compassionate focus on practical and reachable goals identified by the client, at her or his pace, new insights and skills can be acquired.
(253) 236-9188 View (253) 236-9188
Photo of Allie Mattiazzi, Clinical Social Work/Therapist in Lakewood, WA
Allie Mattiazzi
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Lakewood, WA 98498  (Online Only)
Life can be challenging sometimes and focusing time on yourself can be a rare treat. That's what therapy is all about...YOU and the goals YOU set. I am solution-focused and Cognitive Behavioral and Narrative Therapies act as a foundation; Internal Family Systems, DBT, and psychodynamic theories provide some of my favorite therapy Ideas and tools. Through our work together, we will explore the changes you want to make and the best way to make those changes. I believe in you!
Life can be challenging sometimes and focusing time on yourself can be a rare treat. That's what therapy is all about...YOU and the goals YOU set. I am solution-focused and Cognitive Behavioral and Narrative Therapies act as a foundation; Internal Family Systems, DBT, and psychodynamic theories provide some of my favorite therapy Ideas and tools. Through our work together, we will explore the changes you want to make and the best way to make those changes. I believe in you!
(253) 263-1852 View (253) 263-1852
Photo of Patty Swanson, Marriage & Family Therapist in Lakewood, WA
Patty Swanson
Marriage & Family Therapist, MA, LMFT, LMHC, NCC
Verified Verified
1 Endorsed
Lakewood, WA 98499  (Online Only)
Waitlist for new clients
Telehealth/virtual counseling only. I am open: Monday, Tuesday all day. I make time for businesses needing a Critical Incident Stress Management specialist for a traumatic situation in the workplace. I supervise therapists seeking supervision hours for full licensure, and I am an AAMFT Approved Supervisor and Washington state approved supervisor. I help those with relationship issues or adjustments such as divorce, a move in career or home location, losses or kids growing up and leaving home, or struggling to navigate and adjust to chronic illness, and grief and loss, just to name a few topics.
Telehealth/virtual counseling only. I am open: Monday, Tuesday all day. I make time for businesses needing a Critical Incident Stress Management specialist for a traumatic situation in the workplace. I supervise therapists seeking supervision hours for full licensure, and I am an AAMFT Approved Supervisor and Washington state approved supervisor. I help those with relationship issues or adjustments such as divorce, a move in career or home location, losses or kids growing up and leaving home, or struggling to navigate and adjust to chronic illness, and grief and loss, just to name a few topics.
(253) 242-9728 View (253) 242-9728
Photo of Roberta S Paulsen, Counselor in Lakewood, WA
Roberta S Paulsen
Counselor, MA, MHP, LMHC
Verified Verified
1 Endorsed
Lakewood, WA 98499
I am a Licensed Mental Health Therapist and a lover of souls. I work with people of all ages and different cultures. My goal is to meet you right where you're at, establish a trusted relationship, and join with you to help you survive and thrive through life's challenges, and to give you the tools to make the positive changes you are seeking. My clients range from abused women and children to law enforcement and wounded warriors; individuals, families, and couples. As a volunteer first responder chaplain, I am acquainted with grief, trauma, and loss, and am honored and humbled to help people through the worst times of their lives.
I am a Licensed Mental Health Therapist and a lover of souls. I work with people of all ages and different cultures. My goal is to meet you right where you're at, establish a trusted relationship, and join with you to help you survive and thrive through life's challenges, and to give you the tools to make the positive changes you are seeking. My clients range from abused women and children to law enforcement and wounded warriors; individuals, families, and couples. As a volunteer first responder chaplain, I am acquainted with grief, trauma, and loss, and am honored and humbled to help people through the worst times of their lives.
(253) 242-6979 View (253) 242-6979
Photo of Healing Stone Counseling, PLLC, Marriage & Family Therapist in Lakewood, WA
Healing Stone Counseling, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
Lakewood, WA 98499  (Online Only)
Waitlist for new clients
NOT accepting new clients: First; HSC is a queer, trans, and neurodivergent safe space. Second, I want to help people heal from their trauma by utilizing EMDR or Flash. Most people struggle with symptoms they do not understand. I would love the opportunity to gently guide you through your healing journey. You are in charge. We go where you want to go.
NOT accepting new clients: First; HSC is a queer, trans, and neurodivergent safe space. Second, I want to help people heal from their trauma by utilizing EMDR or Flash. Most people struggle with symptoms they do not understand. I would love the opportunity to gently guide you through your healing journey. You are in charge. We go where you want to go.
(253) 600-2947 View (253) 600-2947
Photo of Shannon Rawlings, Clinical Social Work/Therapist in Lakewood, WA
Shannon Rawlings
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Lakewood, WA 98498  (Online Only)
I believe there are times in a person's life when they need a trustworthy ally who offers integrity, understanding, and nonjudgement. I believe this is also someone who can help another person explore the causes of his/her/their thoughts, feelings, or behaviors and develop new ways of thinking, acting and feeling. I am committed to helping individuals, couples, and families achieve these goals in an environment that emphasizes confidentiality, respect, trust, and compassion.
I believe there are times in a person's life when they need a trustworthy ally who offers integrity, understanding, and nonjudgement. I believe this is also someone who can help another person explore the causes of his/her/their thoughts, feelings, or behaviors and develop new ways of thinking, acting and feeling. I am committed to helping individuals, couples, and families achieve these goals in an environment that emphasizes confidentiality, respect, trust, and compassion.
(253) 461-6275 View (253) 461-6275
Photo of Jordan Zollinger, Counselor in Lakewood, WA
Jordan Zollinger
Counselor, MA, LMHCA
Verified Verified
Lakewood, WA 98499
I remember when I showed up to my first counseling appointment as a client. I was nervous, embarrassed, and feeling defeated. In that moment, my physical body carried those emotions in that it felt on edge, almost willing me to get up and leave the counseling center. I also remember the connection I made with my counselor during that first session, and how I knew that is what I needed for that season of life. I understand that for most clients, showing up to their first (or second, or fiftieth..) counseling appointment is terrifying. For many, it feels like they don’t know where else to go, what to do, or who to turn to.
I remember when I showed up to my first counseling appointment as a client. I was nervous, embarrassed, and feeling defeated. In that moment, my physical body carried those emotions in that it felt on edge, almost willing me to get up and leave the counseling center. I also remember the connection I made with my counselor during that first session, and how I knew that is what I needed for that season of life. I understand that for most clients, showing up to their first (or second, or fiftieth..) counseling appointment is terrifying. For many, it feels like they don’t know where else to go, what to do, or who to turn to.
(253) 544-6209 View (253) 544-6209
Photo of Jennifer Lynn Warwick, Clinical Social Work/Therapist in Lakewood, WA
Jennifer Lynn Warwick
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
8 Endorsed
Lakewood, WA 98499  (Online Only)
Please EMAIL for new appointments. I am a clinical social worker with a passion for helping clients tap into their inner strengths and learn skills to lead a healthy, empowered life. I have experience in the areas of self-esteem, depression/anxiety, and general life stress as well as supporting survivors of sexual and intimate partner violence. I use solution-focused, cognitive behavioral approaches that help clients build capacity to address life concerns in accessible, sustainable ways. I also incorporate somatic practices (yoga, breathwork, body awareness) into sessions to help support the holistic wellbeing of clients.
Please EMAIL for new appointments. I am a clinical social worker with a passion for helping clients tap into their inner strengths and learn skills to lead a healthy, empowered life. I have experience in the areas of self-esteem, depression/anxiety, and general life stress as well as supporting survivors of sexual and intimate partner violence. I use solution-focused, cognitive behavioral approaches that help clients build capacity to address life concerns in accessible, sustainable ways. I also incorporate somatic practices (yoga, breathwork, body awareness) into sessions to help support the holistic wellbeing of clients.
(253) 649-6711 View (253) 649-6711
Photo of Cierra Gloeckner, Counselor in Lakewood, WA
Cierra Gloeckner
Counselor, Cierra Gloeckner, MA, LMHCA
Verified Verified
2 Endorsed
Lakewood, WA 98499
Waitlist for new clients
Do you struggle with intrusive thoughts? Thoughts that are so scary you are worried to share them? Has anxiety taken over your life? My couch and my screen have space for you if you are looking for support just for you or your child. Life's transitions can be tough especially if you have just had a baby and maybe are feeling alone. I can be your person.
Do you struggle with intrusive thoughts? Thoughts that are so scary you are worried to share them? Has anxiety taken over your life? My couch and my screen have space for you if you are looking for support just for you or your child. Life's transitions can be tough especially if you have just had a baby and maybe are feeling alone. I can be your person.
(253) 921-2960 View (253) 921-2960
Photo of Ivy Turner, Marriage & Family Therapist Associate in Lakewood, WA
Ivy Turner
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Lakewood, WA 98498
As a therapist, I see my clients as the experts in their own lives. My role is akin to that of a guest—here to build upon the tools you already possess while introducing new ones that align with your life goals. I enjoy guiding clients through challenging life changes and helping them break patterns that no longer serve them. My experience primarily lies in working with teens and adults, including LGBTQIA+ youth and individuals with BIPOC identities.
As a therapist, I see my clients as the experts in their own lives. My role is akin to that of a guest—here to build upon the tools you already possess while introducing new ones that align with your life goals. I enjoy guiding clients through challenging life changes and helping them break patterns that no longer serve them. My experience primarily lies in working with teens and adults, including LGBTQIA+ youth and individuals with BIPOC identities.
(253) 785-9733 View (253) 785-9733
Photo of Mark Duris, Psychologist in Lakewood, WA
Mark Duris
Psychologist, PhD
Verified Verified
Lakewood, WA 98499
Not accepting new clients
As a psychologist, I seek to provide guidance in identifying strategies and solutions for tapping into your inner strengths and capacity for positive change. I have found that a positive therapeutic relationship serves an important role in accessing the resilience, insight, and courage needed to make important lifestyle changes that allow individuals and families to live happier, healthier, and more balanced lives. I approach the therapeutic relationship as a collaborative process where positive change occurs when we work together to identify strategies that will allow you to adaptively manage and overcome difficult life challenges. I strive to create a safe place by providing unconditional support.
As a psychologist, I seek to provide guidance in identifying strategies and solutions for tapping into your inner strengths and capacity for positive change. I have found that a positive therapeutic relationship serves an important role in accessing the resilience, insight, and courage needed to make important lifestyle changes that allow individuals and families to live happier, healthier, and more balanced lives. I approach the therapeutic relationship as a collaborative process where positive change occurs when we work together to identify strategies that will allow you to adaptively manage and overcome difficult life challenges. I strive to create a safe place by providing unconditional support.
(253) 227-9718 View (253) 227-9718
Photo of Gerard Counseling and Consulting, LLC, Clinical Social Work/Therapist in Lakewood, WA
Gerard Counseling and Consulting, LLC
Clinical Social Work/Therapist, ACSW, LICSW
Verified Verified
Lakewood, WA 98498  (Online Only)
Not accepting new clients
I am a licensed clinical social worker with over 20 years of experience. I enjoy being present for others and helping people work through their unique interpersonal challenges and barriers. I have experience working people with situational anxiety, depression, extreme stress, burnout, post-traumatic stress disorder, substance abuse issues, as well as challenges such as unemployment and homelessness. After taking the time to learn about you and your situation, we will work together to identify what your goals are and develop strategies to help you achieve stability and meet your goals.
I am a licensed clinical social worker with over 20 years of experience. I enjoy being present for others and helping people work through their unique interpersonal challenges and barriers. I have experience working people with situational anxiety, depression, extreme stress, burnout, post-traumatic stress disorder, substance abuse issues, as well as challenges such as unemployment and homelessness. After taking the time to learn about you and your situation, we will work together to identify what your goals are and develop strategies to help you achieve stability and meet your goals.
(253) 900-2207 View (253) 900-2207
Photo of Christian Rubio, Counselor in Lakewood, WA
Christian Rubio
Counselor, LMHC, MHP
Verified Verified
Lakewood, WA 98499
I have years of experience in helping people improve their lives, reach their goals and find healing. I excel in rapport building and utilize person centered therapy to guide the therapeutic relationship.
I have years of experience in helping people improve their lives, reach their goals and find healing. I excel in rapport building and utilize person centered therapy to guide the therapeutic relationship.
(253) 528-7415 View (253) 528-7415
Photo of Barbara Ann Bauml, Counselor in Lakewood, WA
Barbara Ann Bauml
Counselor, MEd, MAPS, LMHC
Verified Verified
Lakewood, WA 98499
Reaching out to another is often a courageous 1st step in initiating beneficial change. Everyone has within them an essential wisdom that can be accessed to grow, heal, & fully develop. By exploring current difficulties & concerns in a supportive environment, my clients and I tailor an approach uniquely suited to addressing their needs. As we attune to essential matters, we discover new ways of seeing life situations, communicating, and responding to them. My practice includes individual & relationship counseling in the context of our keen attachment needs for connection & belonging. Authentic, responsive & engaged caring heals.
Reaching out to another is often a courageous 1st step in initiating beneficial change. Everyone has within them an essential wisdom that can be accessed to grow, heal, & fully develop. By exploring current difficulties & concerns in a supportive environment, my clients and I tailor an approach uniquely suited to addressing their needs. As we attune to essential matters, we discover new ways of seeing life situations, communicating, and responding to them. My practice includes individual & relationship counseling in the context of our keen attachment needs for connection & belonging. Authentic, responsive & engaged caring heals.
(253) 248-4507 View (253) 248-4507
Photo of Shamyka SD Sutton, Psychologist in Lakewood, WA
Shamyka SD Sutton
Psychologist, PhD, MSCP, CSOTP, SUDPT
Verified Verified
1 Endorsed
Lakewood, WA 98499
I work with each person through a holistic and integrative lens. Whether I am completing an evaluation or providing therapy, it is not one size fits all. I take a lot of pride when a client tells me, “you’re not like my other therapist.” I’ve heard all sorts of reasons I’m not like others. Most often, I hear appreciation about my ability to validate and push for change at the same time. I provide individual and group therapy; working with older teenage and adult men and women. I also provide evaluation services in various areas, such as behavioral, emotional, personality, cognitive, sexual, and memory domains.
I work with each person through a holistic and integrative lens. Whether I am completing an evaluation or providing therapy, it is not one size fits all. I take a lot of pride when a client tells me, “you’re not like my other therapist.” I’ve heard all sorts of reasons I’m not like others. Most often, I hear appreciation about my ability to validate and push for change at the same time. I provide individual and group therapy; working with older teenage and adult men and women. I also provide evaluation services in various areas, such as behavioral, emotional, personality, cognitive, sexual, and memory domains.
(253) 265-9356 View (253) 265-9356
Photo of Linsey Singleton, Clinical Social Work/Therapist in Lakewood, WA
Linsey Singleton
Clinical Social Work/Therapist, LICSW
Verified Verified
Lakewood, WA 98499  (Online Only)
Updated April 2024: I am accepting clients for the following weekly appointment spots: Wednesdays at 12:10 PM and Thursdays at 3:10 PM. Everyone has a life journey, and no two journeys are the same. The need for counseling arises when, for some reason, known or unknown, we step off our path, and our journey is interrupted. My role as a counselor is to help you navigate back onto your path.
Updated April 2024: I am accepting clients for the following weekly appointment spots: Wednesdays at 12:10 PM and Thursdays at 3:10 PM. Everyone has a life journey, and no two journeys are the same. The need for counseling arises when, for some reason, known or unknown, we step off our path, and our journey is interrupted. My role as a counselor is to help you navigate back onto your path.
(253) 364-6187 View (253) 364-6187

How does your Therapist compare?

Number of Therapists in Lakewood, WA

90+

Average cost per session

$140

Therapists in Lakewood, WA who prioritize treating:

96% Anxiety
93% Depression
75% Trauma and PTSD
74% Relationship Issues
73% Self Esteem
71% Coping Skills
66% Stress

Average years in practice

12 Years

Top 3 insurances accepted

80% Premera
72% Regence
65% First Choice Health | FCH

How Therapists in Lakewood, WA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lakewood?

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.