Therapists in Marietta, GA

Photo of Amanda Shub, Licensed Professional Counselor in Marietta, GA
Amanda Shub
Licensed Professional Counselor, LPC
Verified Verified
Marietta, GA 30062  (Online Only)
Evening Appts Available. Welcome! Starting therapy is a big step that takes courage. These are uncertain times and right now everyone could use support and a safe place. I have over 10 years of experience working with people who are dealing with trauma, anxiety, sadness, life changes & relationship stress. We are all complex & often what feels like it should be a “simple fix” can be frustratingly difficult to change, especially in these stressful times. In therapy, you can get to know yourself more fully and understand what is getting in the way of how you want to be living so that you can live a more congruent and peaceful life.
Evening Appts Available. Welcome! Starting therapy is a big step that takes courage. These are uncertain times and right now everyone could use support and a safe place. I have over 10 years of experience working with people who are dealing with trauma, anxiety, sadness, life changes & relationship stress. We are all complex & often what feels like it should be a “simple fix” can be frustratingly difficult to change, especially in these stressful times. In therapy, you can get to know yourself more fully and understand what is getting in the way of how you want to be living so that you can live a more congruent and peaceful life.
(678) 303-4231 View (678) 303-4231
Photo of Nathan Townsend, Psychologist in Marietta, GA
Nathan Townsend
Psychologist, PsyD
Verified Verified
Marietta, GA 30060
I am a licensed psychologist who practices in Marietta as the executive director of Psychological Affiliates. I specialize in psychological evaluations of emotional functioning, academic and occupational problems, learning disabilities, ADHD, and diagnostic clarification. I provide evaluation and therapy to children and adults and practice from an interpersonal approach. A primary focus of my work is relationship driven, which allows me to provide specific and individualized treatment options. The goal of my work is to assist individuals and families in overcoming obstacles that often hold them back and keep them from reaching the success that they are striving to achieve.
I am a licensed psychologist who practices in Marietta as the executive director of Psychological Affiliates. I specialize in psychological evaluations of emotional functioning, academic and occupational problems, learning disabilities, ADHD, and diagnostic clarification. I provide evaluation and therapy to children and adults and practice from an interpersonal approach. A primary focus of my work is relationship driven, which allows me to provide specific and individualized treatment options. The goal of my work is to assist individuals and families in overcoming obstacles that often hold them back and keep them from reaching the success that they are striving to achieve.
(770) 406-6791 x1 View (770) 406-6791 x1
Photo of Tasia R Harper, Counselor in Marietta, GA
Tasia R Harper
Counselor, MS, LAPC, NCC
Verified Verified
Marietta, GA 30062  (Online Only)
Life is often about transitions and how we seek to find balance in the face of change. We all experience times when those transitions move beyond our coping ability and that is often the time we seek out support. I work to provide an inclusive, socially aware and intersectional environment to support my clients as they navigate those issues. I have a passion for social justice work and bring that perspective to the room with the awareness that society has an impact on our mental and emotional well-being as well as our personal experiences.
Life is often about transitions and how we seek to find balance in the face of change. We all experience times when those transitions move beyond our coping ability and that is often the time we seek out support. I work to provide an inclusive, socially aware and intersectional environment to support my clients as they navigate those issues. I have a passion for social justice work and bring that perspective to the room with the awareness that society has an impact on our mental and emotional well-being as well as our personal experiences.
(404) 649-0282 View (404) 649-0282
Photo of Andy Dishman, Licensed Professional Counselor in Marietta, GA
Andy Dishman
Licensed Professional Counselor, MA, MDiv, LPC
Verified Verified
Marietta, GA 30060
Hi. I’m glad you found your way here. I want you to know that if you and your partner are in need of a little extra help to lovingly and kindly navigate these times of uncertainty, I am available. These days are unprecedented with big and important changes happening moment by moment. It is so important to feel and know we have a space in our most significant relationship where we can share, listen, and be heard. There is no greater time than now to feel like we have a partner who is walking along side us. I would welcome the opportunity to help you do just that. Together, you can get through this.
Hi. I’m glad you found your way here. I want you to know that if you and your partner are in need of a little extra help to lovingly and kindly navigate these times of uncertainty, I am available. These days are unprecedented with big and important changes happening moment by moment. It is so important to feel and know we have a space in our most significant relationship where we can share, listen, and be heard. There is no greater time than now to feel like we have a partner who is walking along side us. I would welcome the opportunity to help you do just that. Together, you can get through this.
(678) 369-3032 View (678) 369-3032
Photo of Nancy Avalone, Licensed Professional Counselor in Marietta, GA
Nancy Avalone
Licensed Professional Counselor, LPC
Verified Verified
Marietta, GA 30064  (Online Only)
Welcome to your journey toward mental and relational wellness! I understand that life's challenges can sometimes feel overwhelming. Whether you're navigating stress, anxiety, depression, issues with addiction, relationship challenges or simply seeking personal growth and guidance, I am dedicated to support you every step of the way.
Welcome to your journey toward mental and relational wellness! I understand that life's challenges can sometimes feel overwhelming. Whether you're navigating stress, anxiety, depression, issues with addiction, relationship challenges or simply seeking personal growth and guidance, I am dedicated to support you every step of the way.
(470) 516-3502 View (470) 516-3502
Photo of Corandle Johnson, Licensed Professional Counselor in Marietta, GA
Corandle Johnson
Licensed Professional Counselor, MHP, NCC, LPC
Verified Verified
Marietta, GA 30060  (Online Only)
3-Sessions or less. Get Ready-Stay Ready. The power is in you.
3-Sessions or less. Get Ready-Stay Ready. The power is in you.
(770) 758-1069 View (770) 758-1069
Photo of Merge Wellness, Licensed Professional Counselor in Marietta, GA
Merge Wellness
Licensed Professional Counselor, PhD, LPC
Verified Verified
Marietta, GA 30060
We help those who are on the path of holistic healing, integrating "whole"-istic health, depth psychology and a compassion based approach to our work. There are many factors that affect emotional and physical well-being, including our culture, society and family in which we were born into. Many of our deep seeded beliefs and patterns are often rooted in ideologies and relationships that are important to us.
We help those who are on the path of holistic healing, integrating "whole"-istic health, depth psychology and a compassion based approach to our work. There are many factors that affect emotional and physical well-being, including our culture, society and family in which we were born into. Many of our deep seeded beliefs and patterns are often rooted in ideologies and relationships that are important to us.
(470) 748-4360 View (470) 748-4360
Photo of Edna Abney, Marriage & Family Therapist in Marietta, GA
Edna Abney
Marriage & Family Therapist, LMFT, RYT, CCTP
Verified Verified
Marietta, GA 30067
Si sientes la necesidad de un cambio en tus relaciones o dentro de ti mismo, ahora es el momento. Mereces un espacio seguro para hablar. Imagine finding yourself at the crossroads of personal growth and relational exploration. If you're feeling the need for change in your relationships or within yourself, now is the time. In the dynamic tapestry of your life, you're navigating shifts in relationships—be it personal or professional. This journey isn't just about understanding those around you; it's about unraveling the layers within yourself. It's about the exploration of identity, purpose, and stories that shape your connections.
Si sientes la necesidad de un cambio en tus relaciones o dentro de ti mismo, ahora es el momento. Mereces un espacio seguro para hablar. Imagine finding yourself at the crossroads of personal growth and relational exploration. If you're feeling the need for change in your relationships or within yourself, now is the time. In the dynamic tapestry of your life, you're navigating shifts in relationships—be it personal or professional. This journey isn't just about understanding those around you; it's about unraveling the layers within yourself. It's about the exploration of identity, purpose, and stories that shape your connections.
(678) 679-0826 View (678) 679-0826
Photo of Darrin D. Payne in Marietta, GA
Darrin D. Payne
MA, APC, BS Min
Verified Verified
1 Endorsed
Marietta, GA 30067
Darrin is a licensed associate professional counselor under supervision trained to work with men, women, adolescents, couples and groups requiring professional help. He realizes that life produces internal storm damages occurring far too often without any damage control or prevention. The causes of moodiness, irritability, restlessness, discontentment, fear, doubt, uncertainty, anger, depression, anxiety, insomnia and addiction all have one thing in common - a lack of holistic wellness. Recovery from the internal/external effects of untreated mental and emotional damages is what he will introduce you to.
Darrin is a licensed associate professional counselor under supervision trained to work with men, women, adolescents, couples and groups requiring professional help. He realizes that life produces internal storm damages occurring far too often without any damage control or prevention. The causes of moodiness, irritability, restlessness, discontentment, fear, doubt, uncertainty, anger, depression, anxiety, insomnia and addiction all have one thing in common - a lack of holistic wellness. Recovery from the internal/external effects of untreated mental and emotional damages is what he will introduce you to.
(678) 263-2087 View (678) 263-2087
Photo of Novo Psychotherapy, LLC, Licensed Professional Counselor in Marietta, GA
Novo Psychotherapy, LLC
Licensed Professional Counselor, MS, LPC, CPCS
Verified Verified
2 Endorsed
Marietta, GA 30068
Novo Psychotherapy is a small, client-centered practice created with the vision of serving clients who are seeking insight, support and personal growth. We are honored & grateful to have been voted BEST MENTAL HEALTH COUNSELING practice 2020, 2021 & 2023 by the Georgia Business Journal. Our aim is to foster a therapeutic bond that will facilitate healthy changes that will align with your goals. We greatly value your courage & ability to take this step towards enhancing your well-being.
Novo Psychotherapy is a small, client-centered practice created with the vision of serving clients who are seeking insight, support and personal growth. We are honored & grateful to have been voted BEST MENTAL HEALTH COUNSELING practice 2020, 2021 & 2023 by the Georgia Business Journal. Our aim is to foster a therapeutic bond that will facilitate healthy changes that will align with your goals. We greatly value your courage & ability to take this step towards enhancing your well-being.
(678) 871-8276 View (678) 871-8276
Photo of Shannon Davy Mimbs, Licensed Professional Counselor in Marietta, GA
Shannon Davy Mimbs
Licensed Professional Counselor, MACMHC, MDiv, LPC, NCC, CAMS
Verified Verified
1 Endorsed
Marietta, GA 30062
To take this step may be one of the greatest investments for you and your family that you could make. Do you wish for more openness, responsiveness & connectivity in your relationships? Are you over anxiety, sadness, shame, or past pain weighing you down? Whether parenting difficulties; relational strain between you and a loved one; or navigating the complexities of being a teenager in a world that doesn’t seem to understand; there is hope for newfound choices, healthier habits and meaningful relationships that lead to joy and contentment.
To take this step may be one of the greatest investments for you and your family that you could make. Do you wish for more openness, responsiveness & connectivity in your relationships? Are you over anxiety, sadness, shame, or past pain weighing you down? Whether parenting difficulties; relational strain between you and a loved one; or navigating the complexities of being a teenager in a world that doesn’t seem to understand; there is hope for newfound choices, healthier habits and meaningful relationships that lead to joy and contentment.
(912) 454-4776 View (912) 454-4776
Photo of Suzanne Stent Hartigan - Attento Counseling, Licensed Professional Counselor in Marietta, GA
Suzanne Stent Hartigan - Attento Counseling
Licensed Professional Counselor, MS, LPC
Verified Verified
Marietta, GA 30067
Waitlist for new clients
I am a client centered therapist, and use therapeutic interventions for positive living and a more fulfilled life. I specialize in women's issues ( parenting, job re-entry, divorce, empty nest, aging parents, post partum depression.) I am experienced working with clients who have anxiety, depression, family issues, divorce and grief . I also enjoy working with teenagers in the areas of anxiety , depression and behavior/lifestyle modification. I am open to working with individuals of all sexual preferences, religions, ethnicities and nationalities. I believe in client knowledge and empowerment through evidence based treatment protocols.
I am a client centered therapist, and use therapeutic interventions for positive living and a more fulfilled life. I specialize in women's issues ( parenting, job re-entry, divorce, empty nest, aging parents, post partum depression.) I am experienced working with clients who have anxiety, depression, family issues, divorce and grief . I also enjoy working with teenagers in the areas of anxiety , depression and behavior/lifestyle modification. I am open to working with individuals of all sexual preferences, religions, ethnicities and nationalities. I believe in client knowledge and empowerment through evidence based treatment protocols.
(678) 990-3174 View (678) 990-3174
Photo of Bill Colombo, Licensed Professional Counselor in Marietta, GA
Bill Colombo
Licensed Professional Counselor, MS, LPC, MAC, NCC
Verified Verified
Marietta, GA 30067
My career in counseling started with inpatient stabilization and treatment settings treating all ages in both mental health and addiction. These experiences combined with my own life experience qualify me to help you learn and grow in a non-judgmental atmosphere that will encourage positive thinking and solution focused change. Wellness is all about removing the obstacles that keep you from your true self. I want you to imagine what it would be like to wake up and feel free of the mental anguish that comes from not knowing how to break the debilitating thinking and behavior patterns that govern your life. Feels pretty great, right?
My career in counseling started with inpatient stabilization and treatment settings treating all ages in both mental health and addiction. These experiences combined with my own life experience qualify me to help you learn and grow in a non-judgmental atmosphere that will encourage positive thinking and solution focused change. Wellness is all about removing the obstacles that keep you from your true self. I want you to imagine what it would be like to wake up and feel free of the mental anguish that comes from not knowing how to break the debilitating thinking and behavior patterns that govern your life. Feels pretty great, right?
(678) 541-8968 View (678) 541-8968
Photo of Sarah Erdman Jordan, Counselor in Marietta, GA
Sarah Erdman Jordan
Counselor, MEd, LPC
Verified Verified
4 Endorsed
Marietta, GA 30067
Connecting with others and with yourself can feel muddy and anxiety provoking, and I would be happy to help you in that journey! My experiences working with complex trauma, medical trauma, anxiety, and depression fuel my passion in working with people navigating their 20s and 30s. I use an interpersonal approach so that you can feel safe to show up exactly how you are, without any fear of judgement. I have extensive experience working with folks in their 20s and 30s in pursuit of provoking insight and understanding into your thoughts, feelings, and behaviors in your past and present.
Connecting with others and with yourself can feel muddy and anxiety provoking, and I would be happy to help you in that journey! My experiences working with complex trauma, medical trauma, anxiety, and depression fuel my passion in working with people navigating their 20s and 30s. I use an interpersonal approach so that you can feel safe to show up exactly how you are, without any fear of judgement. I have extensive experience working with folks in their 20s and 30s in pursuit of provoking insight and understanding into your thoughts, feelings, and behaviors in your past and present.
(678) 303-4404 View (678) 303-4404
Photo of Alexandra K Blizzard, Licensed Professional Counselor in Marietta, GA
Alexandra K Blizzard
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
4 Endorsed
Marietta, GA 30064
"One's destination is never a new place, but a new way of seeing things."--Henry Miller My primary objective as a psychotherapist is to establish a safe environment built on trust and empathetic understanding. I believe that the key to a healthy therapeutic relationship is creating a strong rapport with my clients. My theoretical approach is integrative, utilizing techniques from various theories, depending on my clients’ individualized needs.
"One's destination is never a new place, but a new way of seeing things."--Henry Miller My primary objective as a psychotherapist is to establish a safe environment built on trust and empathetic understanding. I believe that the key to a healthy therapeutic relationship is creating a strong rapport with my clients. My theoretical approach is integrative, utilizing techniques from various theories, depending on my clients’ individualized needs.
(678) 967-3937 View (678) 967-3937
Photo of Dr. Hillary Langley, Psychologist in Marietta, GA
Dr. Hillary Langley
Psychologist, PsyD
Verified Verified
1 Endorsed
Marietta, GA 30060
Difficult life experiences, past relationships, and family patterns have a way of damaging how we view ourselves and interact with the world. Our past can lead to struggles with setting boundaries, self-criticism, avoidance, perfectionism, people pleasing tendencies and other unhealthy coping mechanisms. These challenging experiences may also lead to depression, anxiety, or difficulties regulating your emotions. Many people struggle with these issues alone for years, unsure of how to take the first step. I can help you learn tools to manage your unhealthy ways of coping.
Difficult life experiences, past relationships, and family patterns have a way of damaging how we view ourselves and interact with the world. Our past can lead to struggles with setting boundaries, self-criticism, avoidance, perfectionism, people pleasing tendencies and other unhealthy coping mechanisms. These challenging experiences may also lead to depression, anxiety, or difficulties regulating your emotions. Many people struggle with these issues alone for years, unsure of how to take the first step. I can help you learn tools to manage your unhealthy ways of coping.
(470) 333-7635 View (470) 333-7635
Photo of Brittney Nation, Licensed Professional Counselor in Marietta, GA
Brittney Nation
Licensed Professional Counselor, LPC, NCC
Verified Verified
Marietta, GA 30066  (Online Only)
Are you tired of being the “strong friend”? The one that everyone knows they can depend on, and so rarely experiencing this in return. Are you struggling silently and maybe a bit confused about it all? Do you feel the need to constantly “do better” or “do more”? Even though deep down you know that you are doing so much already, yet for some reason, you continue to feel inadequate or out of place. Are you ready to heal a relationship? Do you feel that there may be a past trauma that is preventing you from your own healing? Are you navigating new life transitions? Are you ready to talk with someone about your depression or anxiety?
Are you tired of being the “strong friend”? The one that everyone knows they can depend on, and so rarely experiencing this in return. Are you struggling silently and maybe a bit confused about it all? Do you feel the need to constantly “do better” or “do more”? Even though deep down you know that you are doing so much already, yet for some reason, you continue to feel inadequate or out of place. Are you ready to heal a relationship? Do you feel that there may be a past trauma that is preventing you from your own healing? Are you navigating new life transitions? Are you ready to talk with someone about your depression or anxiety?
(470) 348-5408 View (470) 348-5408
Photo of Alexis Ealy, Pre-Licensed Professional in Marietta, GA
Alexis Ealy
Pre-Licensed Professional
Verified Verified
Marietta, GA 30067
Are you ready for a journey dedicated to the betterment of yourself? As a marriage and family therapist student intern, I want to introduce you to a space of self-discovery, growth, and healing. Therapy is a safe space to discover who we want to be despite the adversity we have faced. Together we will overcome life’s obstacles as we take the necessary steps towards a more fulfilling and balanced life. I am honored to assist you on your journey of self-discovery and healing.
Are you ready for a journey dedicated to the betterment of yourself? As a marriage and family therapist student intern, I want to introduce you to a space of self-discovery, growth, and healing. Therapy is a safe space to discover who we want to be despite the adversity we have faced. Together we will overcome life’s obstacles as we take the necessary steps towards a more fulfilling and balanced life. I am honored to assist you on your journey of self-discovery and healing.
(470) 684-5786 x703 View (470) 684-5786 x703
Photo of Katherine Peñuela, Marriage & Family Therapist in Marietta, GA
Katherine Peñuela
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Marietta, GA 30067
Suddenly you find yourself riding a roller coaster asking: How did I get here? What happened to us, to me? What went wrong? What changed? All your attempts to ‘fix’ things are confronted with resistance and criticism. Your home feels heavy and uncomfortable, making it hard to want to be home. Now you are at the point where your partner feels more like a roommate.
Suddenly you find yourself riding a roller coaster asking: How did I get here? What happened to us, to me? What went wrong? What changed? All your attempts to ‘fix’ things are confronted with resistance and criticism. Your home feels heavy and uncomfortable, making it hard to want to be home. Now you are at the point where your partner feels more like a roommate.
(678) 578-6314 View (678) 578-6314
Photo of Jenna Elliott, Licensed Professional Counselor in Marietta, GA
Jenna Elliott
Licensed Professional Counselor, MAMFT, LPC
Verified Verified
Marietta, GA 30060
Making the decision to reach out for counseling can be a scary step to take, but it is often times the first step towards a healthy and happy life. You could be struggeling with a broken relationship, life stressors, loss/grief, depression, anxiety, or perhaps you can't describe how you feel, but you know it's just not "right". As a counselor, my goal is to provide a safe and warm environment for you to share your story with me, to work together to set goals, and to set off on a path towards healing and wholeness.
Making the decision to reach out for counseling can be a scary step to take, but it is often times the first step towards a healthy and happy life. You could be struggeling with a broken relationship, life stressors, loss/grief, depression, anxiety, or perhaps you can't describe how you feel, but you know it's just not "right". As a counselor, my goal is to provide a safe and warm environment for you to share your story with me, to work together to set goals, and to set off on a path towards healing and wholeness.
(404) 236-6102 View (404) 236-6102

How does your Therapist compare?

Number of Therapists in Marietta, GA

1,000+

Average cost per session

$140

Therapists in Marietta, GA who prioritize treating:

91% Anxiety
87% Depression
76% Relationship Issues
76% Self Esteem
73% Coping Skills
67% Stress
66% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
75% Cigna and Evernorth
69% BlueCross and BlueShield

How Therapists in Marietta, GA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Marietta?

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.