Therapists in Exeter, NH

Photo of Aloft Integrated Wellness LLC, Counselor in Exeter, NH
Aloft Integrated Wellness LLC
Counselor, LICSW
Verified Verified
Exeter, NH 03833
We have immediate openings for Nutrition Counseling and limited openings for psychotherapy depending on the provider and area of need. Please complete the Request Services form on our websitehttps://www.aloftnh.com/request-services . Aloft Integrated Wellness LLC offers integrated therapeutic and wellness services in a compassionate, informed setting. We are systems thinkers and have designed a space and services to promote adjustment, healing, resilience and joy. Our mission is to bridge the gap between mental health and wellness services. Services include: Psychotherapy, Nutrition Counseling.
We have immediate openings for Nutrition Counseling and limited openings for psychotherapy depending on the provider and area of need. Please complete the Request Services form on our websitehttps://www.aloftnh.com/request-services . Aloft Integrated Wellness LLC offers integrated therapeutic and wellness services in a compassionate, informed setting. We are systems thinkers and have designed a space and services to promote adjustment, healing, resilience and joy. Our mission is to bridge the gap between mental health and wellness services. Services include: Psychotherapy, Nutrition Counseling.
(603) 865-7868 View (603) 865-7868
Photo of Scott D. Singleton, Counselor in Exeter, NH
Scott D. Singleton
Counselor, LCMHC, LMHC, MEd
Verified Verified
Exeter, NH 03833
They Say "It takes a Village" Do you ever worry that you're just not getting through to your child? Does it seem like no matter what you try, nothing seems to work? Some families don't have a "village" to help them with all the different struggles kids face today. I have worked in many different settings; hospitals, group homes, schools, residential treatment centers, and clinical outpatient offices. I have helped lots of children of all age ranges and their families with similar situations that you're probably facing.
They Say "It takes a Village" Do you ever worry that you're just not getting through to your child? Does it seem like no matter what you try, nothing seems to work? Some families don't have a "village" to help them with all the different struggles kids face today. I have worked in many different settings; hospitals, group homes, schools, residential treatment centers, and clinical outpatient offices. I have helped lots of children of all age ranges and their families with similar situations that you're probably facing.
(603) 605-1218 View (603) 605-1218
Photo of Jesse Schram, Clinical Social Work/Therapist in Exeter, NH
Jesse Schram
Clinical Social Work/Therapist, LICSW
Verified Verified
Exeter, NH 03833
Waitlist for new clients
My priority is to make the therapeutic process feel both interactive and collaborative. I recognize that asking for help can be difficult, but my goal is to create a non-judgmental environment to promote mental wellness and healthy behaviors that align with your goals. I have extensive experience working with adolescents and adults who struggle with anxiety, depression, confidence, and performance issues.
My priority is to make the therapeutic process feel both interactive and collaborative. I recognize that asking for help can be difficult, but my goal is to create a non-judgmental environment to promote mental wellness and healthy behaviors that align with your goals. I have extensive experience working with adolescents and adults who struggle with anxiety, depression, confidence, and performance issues.
(855) 930-0607 View (855) 930-0607
Photo of John Robert Mahoney, Pre-Licensed Professional in Exeter, NH
John Robert Mahoney
Pre-Licensed Professional
Verified Verified
Exeter, NH 03833
Clients between the ages of 6 to 26 all and their families. My specialties include skill building to support clients experiencing anxiety, depression, anger management, emotional regulation, bullying, relationship issues, and other mental health symptoms. I love working with children of blended families, those going through divorce, and individuals who have experienced loss. I have found success building rapport by incorporating elements of pop culture, video games, board games, Legos, & movies. I utilize various expressive art modalities to help them express themselves. I believe there is no “One size fits all” with treatment.
Clients between the ages of 6 to 26 all and their families. My specialties include skill building to support clients experiencing anxiety, depression, anger management, emotional regulation, bullying, relationship issues, and other mental health symptoms. I love working with children of blended families, those going through divorce, and individuals who have experienced loss. I have found success building rapport by incorporating elements of pop culture, video games, board games, Legos, & movies. I utilize various expressive art modalities to help them express themselves. I believe there is no “One size fits all” with treatment.
(508) 317-4436 View (508) 317-4436
Photo of Jennifer Cogan, Counselor in Exeter, NH
Jennifer Cogan
Counselor, LCMHC
Verified Verified
Exeter, NH 03833  (Online Only)
Waitlist for new clients
Are you feeling anxious, overwhelmed, or sad? Perhaps you are grieving a loss. Therapy is a way to learn to cope better, discover new skills, improve your relationships and communication, and change your thinking or behaviors. It is also helpful in processing grief after experiencing a loss in your life.
Are you feeling anxious, overwhelmed, or sad? Perhaps you are grieving a loss. Therapy is a way to learn to cope better, discover new skills, improve your relationships and communication, and change your thinking or behaviors. It is also helpful in processing grief after experiencing a loss in your life.
(603) 945-5458 View (603) 945-5458
Photo of Deborah Addario, Clinical Social Work/Therapist in Exeter, NH
Deborah Addario
Clinical Social Work/Therapist, LICSW
Verified Verified
Exeter, NH 03833
I work with adopted children and children who are in the foster care system. Treatment focuses on Attachment Theory and addresses trauma, abuse, loss, abandonment, and grief. This is a family centered approach and actively involves the child’s attachment figure(s) in treatment. I work with adolescents who are struggling with peers relationships, conflict with parents, transition issues, anxiety, stress, depression, self worth and self-esteem challenges. I also work with adults who are struggling with mood disorders, relationship difficulties, employment stress, and parenting issues.
I work with adopted children and children who are in the foster care system. Treatment focuses on Attachment Theory and addresses trauma, abuse, loss, abandonment, and grief. This is a family centered approach and actively involves the child’s attachment figure(s) in treatment. I work with adolescents who are struggling with peers relationships, conflict with parents, transition issues, anxiety, stress, depression, self worth and self-esteem challenges. I also work with adults who are struggling with mood disorders, relationship difficulties, employment stress, and parenting issues.
(603) 932-5696 View (603) 932-5696
Photo of Stephanie Santora, Clinical Social Work/Therapist in Exeter, NH
Stephanie Santora
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Exeter, NH 03833
I am a clinical social worker with 20 years of experience working with couples and individuals with an array of difficulties. It is very important to me that I develop a caring and collaborative relationship with my clients so that they are able to achieve their goals and can make the changes important to them. I specialize primarily in treating anxiety and depression with the use of both a strength and cognitive behavioral approach.
I am a clinical social worker with 20 years of experience working with couples and individuals with an array of difficulties. It is very important to me that I develop a caring and collaborative relationship with my clients so that they are able to achieve their goals and can make the changes important to them. I specialize primarily in treating anxiety and depression with the use of both a strength and cognitive behavioral approach.
(603) 777-5055 View (603) 777-5055
Photo of Nadine Thompson, Clinical Social Work/Therapist in Exeter, NH
Nadine Thompson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Exeter, NH 03833
Empowering individuals and families to explore, reframe, and share their narratives. As a LICSW (Smith College SSW) with over 30 years of experience, I help clients overcome challenges like anxiety, depression, and relationship issues. My approach emphasizes empowerment and storytelling, building healthy coping mechanisms, and fostering communication skills. I enjoy working with adults, particularly those navigating young adulthood, mid-life transitions and couples navigating their relationships and coping with loss and inevitable change. Are you ready to start your new chapter?
Empowering individuals and families to explore, reframe, and share their narratives. As a LICSW (Smith College SSW) with over 30 years of experience, I help clients overcome challenges like anxiety, depression, and relationship issues. My approach emphasizes empowerment and storytelling, building healthy coping mechanisms, and fostering communication skills. I enjoy working with adults, particularly those navigating young adulthood, mid-life transitions and couples navigating their relationships and coping with loss and inevitable change. Are you ready to start your new chapter?
(603) 810-8605 View (603) 810-8605
Photo of Allison Miller, Psychologist in Exeter, NH
Allison Miller
Psychologist, PhD
Verified Verified
Exeter, NH 03833
Waitlist for new clients
GROUP & CLASS openings only. No Availability for 1:1 right now. You may feel stuck, repeat patterns that no longer serve you, or feel at a loss regarding how to change. You may have forgotten, or never realized, your purpose. You may be anxious about the future, or the past. In our work together my aim is to help you develop clarity, compassion & curiosity about the true sources of suffering in your life. Through compassionate self-inquiry we explore what gives your life meaning, & what's missing. Integrating insight-oriented therapy, internal family systems, CBT tools, somatic mindfulness, yoga, nutrition, & time in nature.
GROUP & CLASS openings only. No Availability for 1:1 right now. You may feel stuck, repeat patterns that no longer serve you, or feel at a loss regarding how to change. You may have forgotten, or never realized, your purpose. You may be anxious about the future, or the past. In our work together my aim is to help you develop clarity, compassion & curiosity about the true sources of suffering in your life. Through compassionate self-inquiry we explore what gives your life meaning, & what's missing. Integrating insight-oriented therapy, internal family systems, CBT tools, somatic mindfulness, yoga, nutrition, & time in nature.
(351) 200-3466 View (351) 200-3466
Photo of Kristen Vogelaar, Pre-Licensed Professional in Exeter, NH
Kristen Vogelaar
Pre-Licensed Professional, MACO
Verified Verified
Exeter, NH 03833
I have experience working with a wide range of clients with a diversity of needs and challenges, but all have had this in common: the human need to be understood, accepted, and known. Psychologist Carl Rogers said, “The curious paradox is that when I accept myself, just as I am, then I can change.” The people I work with are no more "broken" than others, though it may feel that way and that's a real experience. I work with people who are ready to embark on their own journey and come to know, understand, love and respect themselves and their experiences on the way, and discover the change that can grow out of that.
I have experience working with a wide range of clients with a diversity of needs and challenges, but all have had this in common: the human need to be understood, accepted, and known. Psychologist Carl Rogers said, “The curious paradox is that when I accept myself, just as I am, then I can change.” The people I work with are no more "broken" than others, though it may feel that way and that's a real experience. I work with people who are ready to embark on their own journey and come to know, understand, love and respect themselves and their experiences on the way, and discover the change that can grow out of that.
(603) 691-2458 View (603) 691-2458
Photo of Jim Michaels, Counselor in Exeter, NH
Jim Michaels
Counselor, LCMHC
Verified Verified
Exeter, NH 03833
Jim Michaels is a Licensed Clinical Mental Health Counselor and Master Licensed Alcohol and Drug Counselor in New Hampshire who has his Doctorate in Theology and has been practicing since 2011. Jim believes that every person should live their best possible lives, and at times this requires that someone walks with us to grow and flourish. Jim is trained in multiple evidence-based interventions to help others attain their goals. As a U. S. Marine, Jim understands the unique mindset that military veterans and their families face.
Jim Michaels is a Licensed Clinical Mental Health Counselor and Master Licensed Alcohol and Drug Counselor in New Hampshire who has his Doctorate in Theology and has been practicing since 2011. Jim believes that every person should live their best possible lives, and at times this requires that someone walks with us to grow and flourish. Jim is trained in multiple evidence-based interventions to help others attain their goals. As a U. S. Marine, Jim understands the unique mindset that military veterans and their families face.
(603) 952-3098 View (603) 952-3098
Photo of Sujeong Shin, Clinical Social Work/Therapist in Exeter, NH
Sujeong Shin
Clinical Social Work/Therapist, MSW , LICSW, EMDR
Verified Verified
Exeter, NH 03833  (Online Only)
Not accepting new clients
Feeling overwhelmed? Maybe you’re sad all the time or your thoughts won’t stop racing. Maybe you’re angry and frustrated by a relationship. Maybe you’ve suffered a loss and don’t feel like your “normal” self.
Feeling overwhelmed? Maybe you’re sad all the time or your thoughts won’t stop racing. Maybe you’re angry and frustrated by a relationship. Maybe you’ve suffered a loss and don’t feel like your “normal” self.
(603) 932-6836 View (603) 932-6836
Photo of Crystal McKenna Counseling, LLC, Counselor in Exeter, NH
Crystal McKenna Counseling, LLC
Counselor, LCMHC, NCC, CCMHC
Verified Verified
1 Endorsed
Exeter, NH 03833
Not accepting new clients
I provide a calm, relaxed, supportive, & compassionate environment for (adult/18+) clients to feel trusted, & heard. I support clients on their journey of healing, focusing on life balance, emotional well-being, self empowerment, & self love. I believe you hold the answers within yourself & my job is to assist where you may feel stuck. I support clients by encouraging you to sit with & push through discomfort, while gently challenging distorted self talk & inner dialogue. As an EMDR, & trauma therapist I hope to support you in finding internal strength, to help create balance & re-discover or re-create your own meaning of happiness.
I provide a calm, relaxed, supportive, & compassionate environment for (adult/18+) clients to feel trusted, & heard. I support clients on their journey of healing, focusing on life balance, emotional well-being, self empowerment, & self love. I believe you hold the answers within yourself & my job is to assist where you may feel stuck. I support clients by encouraging you to sit with & push through discomfort, while gently challenging distorted self talk & inner dialogue. As an EMDR, & trauma therapist I hope to support you in finding internal strength, to help create balance & re-discover or re-create your own meaning of happiness.
(603) 605-1191 View (603) 605-1191
Photo of Margot Walker, Drug & Alcohol Counselor in Exeter, NH
Margot Walker
Drug & Alcohol Counselor, LADC
Verified Verified
Exeter, NH 03833
Therapy is a collaboration between me and you, where we both participate in helping you feel better. It is not a quick process, but I am dedicated to putting in the time and effort you deserve. I became a therapist because I believe there is always hope in difficult situations. There are many different things that can make life hard; addiction, divorce, death, trauma, relationships, loss, mental illness, parenting a teen, simply being a teenager. My specialties are working with teenagers, adults, and people affected by addiction as well as anxiety and depression. I also help parents develop skills to support their teen.
Therapy is a collaboration between me and you, where we both participate in helping you feel better. It is not a quick process, but I am dedicated to putting in the time and effort you deserve. I became a therapist because I believe there is always hope in difficult situations. There are many different things that can make life hard; addiction, divorce, death, trauma, relationships, loss, mental illness, parenting a teen, simply being a teenager. My specialties are working with teenagers, adults, and people affected by addiction as well as anxiety and depression. I also help parents develop skills to support their teen.
(844) 267-9307 View (844) 267-9307
Photo of Cara Casey, Clinical Social Work/Therapist in Exeter, NH
Cara Casey
Clinical Social Work/Therapist, LICSW
Verified Verified
Exeter, NH 03833
Cara Casey is a Licensed Independent Clinical Social Worker in New Hampshire. Cara has experience in treating children, adolescents, young adults, and families struggling with a range of emotional and behavioral challenges. She specializes in working with Posttraumatic Stress Disorder, Bereavement, Depression, Anxiety, Obsessive Compulsive Disorder, and Conduct Disorders. She has worked in outpatient community mental health, residential treatment programs, and within multiple school districts. Cara also taught seminars for the Child Impact Program to support parents going through divorce.
Cara Casey is a Licensed Independent Clinical Social Worker in New Hampshire. Cara has experience in treating children, adolescents, young adults, and families struggling with a range of emotional and behavioral challenges. She specializes in working with Posttraumatic Stress Disorder, Bereavement, Depression, Anxiety, Obsessive Compulsive Disorder, and Conduct Disorders. She has worked in outpatient community mental health, residential treatment programs, and within multiple school districts. Cara also taught seminars for the Child Impact Program to support parents going through divorce.
(603) 420-2130 View (603) 420-2130
Photo of Mary Fieler, Counselor in Exeter, NH
Mary Fieler
Counselor, MA, LCMHC, BHC
Verified Verified
Exeter, NH 03833
Waitlist for new clients
Have you been struggling with life? Having difficulty functioning like you want to? Is the pandemic and social unrest overwhelming you? While there are some things you can't change in life, you can change how you respond. Your circumstances, fears, stressors and thoughts don't have to define you. If you are ready, I can help you move forward in life. I can teach you skills to manage anxiety and depression that can help you function and enjoy life. Your relationships can become more balanced and fulfilling. You can engage life with hope and confidence again. You can reconnect with your purpose, find meaning and even joy.
Have you been struggling with life? Having difficulty functioning like you want to? Is the pandemic and social unrest overwhelming you? While there are some things you can't change in life, you can change how you respond. Your circumstances, fears, stressors and thoughts don't have to define you. If you are ready, I can help you move forward in life. I can teach you skills to manage anxiety and depression that can help you function and enjoy life. Your relationships can become more balanced and fulfilling. You can engage life with hope and confidence again. You can reconnect with your purpose, find meaning and even joy.
(603) 608-3187 View (603) 608-3187
Photo of Rachel Armstrong, Psychologist in Exeter, NH
Rachel Armstrong
Psychologist, PsyD
Verified Verified
1 Endorsed
Exeter, NH 03833
As a clinical psychologist, I help adults make meaningful changes in their life and address roadblocks that lie in their way. Whether you are struggling with issues related to relationships, illness, family, work, stress, or other life changes, I can help you find your way.
As a clinical psychologist, I help adults make meaningful changes in their life and address roadblocks that lie in their way. Whether you are struggling with issues related to relationships, illness, family, work, stress, or other life changes, I can help you find your way.
(603) 505-8270 View (603) 505-8270
Photo of Donna McDermott, Clinical Social Work/Therapist in Exeter, NH
Donna McDermott
Clinical Social Work/Therapist, LICSW
Verified Verified
Exeter, NH 03833
Donna McDermott is a Licensed Independent Clinical Social Worker practicing in the seacoast area of New Hampshire. She graduated from The University of New Hampshire with a masters of social work. Donna is known for providing a safe, non-judgmental and compassionate space for individuals. Donna integrates her professional training with her life experience to help others heal and grow. Her main areas of of focus include depression, anxiety, attachment, divorce and trauma. Donna specializes in Dialectical Behavioral Therapy, Solution Focused Therapy and Mindfulness-Based Stress Reduction.
Donna McDermott is a Licensed Independent Clinical Social Worker practicing in the seacoast area of New Hampshire. She graduated from The University of New Hampshire with a masters of social work. Donna is known for providing a safe, non-judgmental and compassionate space for individuals. Donna integrates her professional training with her life experience to help others heal and grow. Her main areas of of focus include depression, anxiety, attachment, divorce and trauma. Donna specializes in Dialectical Behavioral Therapy, Solution Focused Therapy and Mindfulness-Based Stress Reduction.
(888) 290-2808 View (888) 290-2808
Photo of Phyllis Craig, Psychologist in Exeter, NH
Phyllis Craig
Psychologist, PhD
Verified Verified
Exeter, NH 03833
Not accepting new clients
Are you a person who wishes to work through relationship difficulties, trauma, anxiety, depression or self-esteem issues in a practical and compassionate way? Are you interested in a more holistic approach that addresses emotions, cognitions, body armor and inner spiritual resources? If so, we can collaborate to release old patterns and access creative energy, build confidence and insight and enhance work and relationships. Trauma, mood disorders, transitions, grief and loss, sexual identity issues, and family issues are common areas of concern that can transform through a positive, strengths-based approach.
Are you a person who wishes to work through relationship difficulties, trauma, anxiety, depression or self-esteem issues in a practical and compassionate way? Are you interested in a more holistic approach that addresses emotions, cognitions, body armor and inner spiritual resources? If so, we can collaborate to release old patterns and access creative energy, build confidence and insight and enhance work and relationships. Trauma, mood disorders, transitions, grief and loss, sexual identity issues, and family issues are common areas of concern that can transform through a positive, strengths-based approach.
(603) 932-5760 View (603) 932-5760
Photo of Bernadette M. Blake, Clinical Social Work/Therapist in Exeter, NH
Bernadette M. Blake
Clinical Social Work/Therapist, MA, LICSW
Verified Verified
Exeter, NH 03833
Conveniently located in historic downtown Exeter, I am a clinician who enjoys working with adults going through major life transitions. Sometimes when a relationship ends, career decisions need to be made, or parenting becomes challenging, it helps to have extra support. Often transitions in life bring significant emotional changes and therapy can sort these out and help someone move forward.
Conveniently located in historic downtown Exeter, I am a clinician who enjoys working with adults going through major life transitions. Sometimes when a relationship ends, career decisions need to be made, or parenting becomes challenging, it helps to have extra support. Often transitions in life bring significant emotional changes and therapy can sort these out and help someone move forward.
(603) 606-9525 View (603) 606-9525

How does your Therapist compare?

Number of Therapists in Exeter, NH

100+

Average cost per session

$150

Therapists in Exeter, NH who prioritize treating:

90% Anxiety
83% Depression
76% Relationship Issues
72% Self Esteem
65% Grief
62% Life Transitions
61% Stress

Average years in practice

16 Years

Top 3 insurances accepted

72% UnitedHealthcare UHC | UBH
70% Optum
65% BlueCross and BlueShield

How Therapists in Exeter, NH see their clients

82% In Person and Online
18% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Exeter?

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.