Therapists in Lynnwood, WA

Photo of Michael Lombard, Marriage & Family Therapist in Lynnwood, WA
Michael Lombard
Marriage & Family Therapist, MS, LMFT
Verified Verified
8 Endorsed
Lynnwood, WA 98037
Hello and welcome! Life often throws us into a whirlwind of societal expectations, dictating how we should live, who we should be friends with, and what our lives should conform to. This constant pressure can leave us feeling overwhelmed and detached from who we actually want to be. Within my practice, I provide a secure space where we can confront and challenge these societal expectations, empowering you to lead life on your own terms.
Hello and welcome! Life often throws us into a whirlwind of societal expectations, dictating how we should live, who we should be friends with, and what our lives should conform to. This constant pressure can leave us feeling overwhelmed and detached from who we actually want to be. Within my practice, I provide a secure space where we can confront and challenge these societal expectations, empowering you to lead life on your own terms.
(425) 532-3375 View (425) 532-3375
Photo of Nina Rhys, Clinical Social Work/Therapist in Lynnwood, WA
Nina Rhys
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Lynnwood, WA 98036  (Online Only)
Have you identified a desire to work toward personal growth and transformation? Is there painful past trauma or events creating obstacles in your life today? Do you perceive a disconnect between what you have accomplished thus far, and what you believe you are capable of? Are interpersonal relationships challenging for you? Is a satisfying and equitable love relationship eluding you? Are you experiencing anxiety and/or depression and looking for solutions to cope with every day living? Do you have a goal to improve your overall wellbeing and happiness? Are you asking for what you need in your life?
Have you identified a desire to work toward personal growth and transformation? Is there painful past trauma or events creating obstacles in your life today? Do you perceive a disconnect between what you have accomplished thus far, and what you believe you are capable of? Are interpersonal relationships challenging for you? Is a satisfying and equitable love relationship eluding you? Are you experiencing anxiety and/or depression and looking for solutions to cope with every day living? Do you have a goal to improve your overall wellbeing and happiness? Are you asking for what you need in your life?
(425) 842-3094 View (425) 842-3094
Photo of Rachel Madding, Counselor in Lynnwood, WA
Rachel Madding
Counselor, MS, LMHC
Verified Verified
Lynnwood, WA 98036  (Online Only)
Something holding you back? Has a loss, divorce or other unexpected life altering experience changed your entire world? Finding yourself in a pattern of numbing out, ignoring your own needs and prioritizing others. Telling yourself that you should have moved on by now or wondering if maybe something is just wrong with you? You are not alone! Watching life go on for others can feel so discouraging when you didn't want your life to change. It may be making you want to isolate and be more self-critical. You deserve to get unstuck. And to find a new way to rebuild or re-engage in a life that you want.
Something holding you back? Has a loss, divorce or other unexpected life altering experience changed your entire world? Finding yourself in a pattern of numbing out, ignoring your own needs and prioritizing others. Telling yourself that you should have moved on by now or wondering if maybe something is just wrong with you? You are not alone! Watching life go on for others can feel so discouraging when you didn't want your life to change. It may be making you want to isolate and be more self-critical. You deserve to get unstuck. And to find a new way to rebuild or re-engage in a life that you want.
(425) 585-2978 View (425) 585-2978
Photo of Kadi Cooke, Counselor in Lynnwood, WA
Kadi Cooke
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Lynnwood, WA 98036  (Online Only)
Life presents its challenges, and in navigating them, having a dedicated space to share your thoughts, emotions, and feelings becomes paramount. My commitment lies in assisting individuals in discovering a sanctuary for self-expression. Whether contending with issues of self-esteem, anxiety, depression, relationships, interpersonal dynamics, or grappling with perceptions of oneself in the external world, the journey can be demanding.
Life presents its challenges, and in navigating them, having a dedicated space to share your thoughts, emotions, and feelings becomes paramount. My commitment lies in assisting individuals in discovering a sanctuary for self-expression. Whether contending with issues of self-esteem, anxiety, depression, relationships, interpersonal dynamics, or grappling with perceptions of oneself in the external world, the journey can be demanding.
(425) 470-6029 View (425) 470-6029
Photo of Ray Gutman-Pazder, Counselor in Lynnwood, WA
Ray Gutman-Pazder
Counselor, MA, MHP, LMHC, CMHS
Verified Verified
Lynnwood, WA 98036
Waitlist for new clients
We each have different values and experiences in our lives, that can shape the people we become and the quality of living we experience. In times of struggle, we may feel lost and lonely as we attempt to live more authentically and with greater joy. Together, we can explore and deepen your own understanding and relationship you have with yourself and others to better navigate through and experience a balanced and healthy living. My goal is to provide a safe and secure environment to support personal growth, deepen insight, increase perspective and give space for self-compassion and acceptance.
We each have different values and experiences in our lives, that can shape the people we become and the quality of living we experience. In times of struggle, we may feel lost and lonely as we attempt to live more authentically and with greater joy. Together, we can explore and deepen your own understanding and relationship you have with yourself and others to better navigate through and experience a balanced and healthy living. My goal is to provide a safe and secure environment to support personal growth, deepen insight, increase perspective and give space for self-compassion and acceptance.
(425) 341-1174 View (425) 341-1174
Photo of Jasmine Batchelder, Marriage & Family Therapist Associate in Lynnwood, WA
Jasmine Batchelder
Marriage & Family Therapist Associate, MS, MHP, LMFTA
Verified Verified
2 Endorsed
Lynnwood, WA 98036  (Online Only)
Hello! I love to help teens ages 16+ & adults with their challenges: AuDHD, anxiety, coming out/dealing with family as LGBTQIA2S+ folx, communication with partners/family/friends, confidence, college/career counseling, & "finding yourself"/big life transitions & all the super fun existential crises we all go through from time to time. We can explore how you see the world/your place in it & how you want to make your life different. Let's chat about your experiences, improve your communication & connection with others, discover yourself, & how to utilize your unique personality, skills, & talents for awesome things!
Hello! I love to help teens ages 16+ & adults with their challenges: AuDHD, anxiety, coming out/dealing with family as LGBTQIA2S+ folx, communication with partners/family/friends, confidence, college/career counseling, & "finding yourself"/big life transitions & all the super fun existential crises we all go through from time to time. We can explore how you see the world/your place in it & how you want to make your life different. Let's chat about your experiences, improve your communication & connection with others, discover yourself, & how to utilize your unique personality, skills, & talents for awesome things!
(206) 558-4488 View (206) 558-4488
Photo of Dr. Stacey Shaw, Clinical Social Work/Therapist in Lynnwood, WA
Dr. Stacey Shaw
Clinical Social Work/Therapist, DSW, LCSW, SUDP
Verified Verified
Lynnwood, WA 98037  (Online Only)
Welcome to Shaw Counseling Services. My name is Stacey and I have been a Licensed Clinical Social Worker & Substance Use Provider delivering therapy services to individuals, families, and communities for over ten years. I aim to provide client centered treatment and focus on the goals/ desires of all those in which I serve. My areas of specialization include mental health, substance abuse, life changes, spiritual exploration and cultural experiences.
Welcome to Shaw Counseling Services. My name is Stacey and I have been a Licensed Clinical Social Worker & Substance Use Provider delivering therapy services to individuals, families, and communities for over ten years. I aim to provide client centered treatment and focus on the goals/ desires of all those in which I serve. My areas of specialization include mental health, substance abuse, life changes, spiritual exploration and cultural experiences.
(425) 475-3578 View (425) 475-3578
Photo of Paulina A Kisselev, Psychologist in Lynnwood, WA
Paulina A Kisselev
Psychologist, PhD
Verified Verified
2 Endorsed
Lynnwood, WA 98036
Anxiety and depression can be debilitating and can interfere with your life. I understand and enjoy helping people who feel this way overcome these obstacles and reach their full potential. In therapy, I use listening, empathy, humor, and interpretation to achieve your goals. It is important to have a good fit with your therapist, so I encourage your to call and come in for one session to see if you feel comfortable working with me.
Anxiety and depression can be debilitating and can interfere with your life. I understand and enjoy helping people who feel this way overcome these obstacles and reach their full potential. In therapy, I use listening, empathy, humor, and interpretation to achieve your goals. It is important to have a good fit with your therapist, so I encourage your to call and come in for one session to see if you feel comfortable working with me.
(425) 780-5985 x106 View (425) 780-5985 x106
Photo of Andrew Dzikowski in Lynnwood, WA
Andrew Dzikowski
ND, LAC, RN
Verified Verified
2 Endorsed
Lynnwood, WA 98036
Not accepting new clients
Accepting new patients struggling with Substance Use Disorder and co-occurring conditions. My treatment approach is multidimensional care, addressing the physical, psychological, and environmental aspects of each patient. Patients are given autonomy in their decisions making and we work together as a team to develop a plan that both meets the patient's goals and feels sustainable and enjoyable.
Accepting new patients struggling with Substance Use Disorder and co-occurring conditions. My treatment approach is multidimensional care, addressing the physical, psychological, and environmental aspects of each patient. Patients are given autonomy in their decisions making and we work together as a team to develop a plan that both meets the patient's goals and feels sustainable and enjoyable.
(425) 224-7188 View (425) 224-7188
Photo of JOSHUA Montoya, Counselor in Lynnwood, WA
JOSHUA Montoya
Counselor, MA, MHP, LMHCA
Verified Verified
Lynnwood, WA 98036
Immediate openings available-I believe that our deepest wounds occur in the context of relationships; so too does our healing. Therapy is a collaborative process - I am committed to bringing both my clinical expertise and my humanity to our work together and my aim is to create a safe-enough space for you to bring your whole self as well. Together we will listen to what brought you here, prioritizing curiosity and support over judgment with the goal of moving from stuck places and hopelessness toward possibility, more authentic living and agency.
Immediate openings available-I believe that our deepest wounds occur in the context of relationships; so too does our healing. Therapy is a collaborative process - I am committed to bringing both my clinical expertise and my humanity to our work together and my aim is to create a safe-enough space for you to bring your whole self as well. Together we will listen to what brought you here, prioritizing curiosity and support over judgment with the goal of moving from stuck places and hopelessness toward possibility, more authentic living and agency.
(425) 510-5289 View (425) 510-5289
Photo of Jane Zerabruk, Clinical Social Work/Therapist in Lynnwood, WA
Jane Zerabruk
Clinical Social Work/Therapist, MSW, LSWA-IC
Verified Verified
1 Endorsed
Lynnwood, WA 98087
Have you ever felt alone or stuck? Like no one understands or care about your problems? I thought for a while about the name "USHER Counseling" and what I wanted it to convey to people interested in counseling. Usher is both a stand alone name but also an acronym. We all have metaphorical bags we carry. Someour back packs dufflebags and others are huge heavy suitcases without wheels. The approach I want in counseling is to develop a welcoming safe place where you can "Unpack" the suitcase or duffle bag, whatever the case, "Share", "Heal", "Empower" and "Repair”
Have you ever felt alone or stuck? Like no one understands or care about your problems? I thought for a while about the name "USHER Counseling" and what I wanted it to convey to people interested in counseling. Usher is both a stand alone name but also an acronym. We all have metaphorical bags we carry. Someour back packs dufflebags and others are huge heavy suitcases without wheels. The approach I want in counseling is to develop a welcoming safe place where you can "Unpack" the suitcase or duffle bag, whatever the case, "Share", "Heal", "Empower" and "Repair”
(425) 475-3525 View (425) 475-3525
Photo of Helen B Hofman, Counselor in Lynnwood, WA
Helen B Hofman
Counselor, MA, LMHC, CSAT, AF-EMDR, IFS
Verified Verified
Lynnwood, WA 98036  (Online Only)
Waitlist for new clients
Life overwhelms us all at times. As a counselor, I meet you in those difficult parts of life, accompany you on your unique journey to redemption, healing and wholeness, helping you secure meaningful and lasting change. Together we name your problems and find their solutions; both the issues and the solutions are unique to you. Often we are pressured to "profile" ourselves-to label or describe ourselves in an way so that allows others to quickly "peg" who we are. But we are much more complex-- each of us has a story to tell. Each narrative has a distinctive trajectory.
Life overwhelms us all at times. As a counselor, I meet you in those difficult parts of life, accompany you on your unique journey to redemption, healing and wholeness, helping you secure meaningful and lasting change. Together we name your problems and find their solutions; both the issues and the solutions are unique to you. Often we are pressured to "profile" ourselves-to label or describe ourselves in an way so that allows others to quickly "peg" who we are. But we are much more complex-- each of us has a story to tell. Each narrative has a distinctive trajectory.
(425) 276-6267 View (425) 276-6267
Photo of Christine Kay Cuhaciyan, Counselor in Lynnwood, WA
Christine Kay Cuhaciyan
Counselor, MA, LMHCA, MHP
Verified Verified
3 Endorsed
Lynnwood, WA 98037
Waitlist for new clients
Are you currently in a relationship where you're not happy but can't seem to get yourself to leave? Maybe you feel emotionally stuck or confused and have tried leaving only to return to the same unhappy relationship where nothing seems to change. On the other hand, you might feel that you keep entering into relationships in which you are treated poorly but can't figure out why. Perhaps you're dating and finding "the one" seems impossible. You feel sad and disappointed, no one seems to understand, and you don't know what else to do to make things better. I'm here to tell you that things can change and I am here to help!
Are you currently in a relationship where you're not happy but can't seem to get yourself to leave? Maybe you feel emotionally stuck or confused and have tried leaving only to return to the same unhappy relationship where nothing seems to change. On the other hand, you might feel that you keep entering into relationships in which you are treated poorly but can't figure out why. Perhaps you're dating and finding "the one" seems impossible. You feel sad and disappointed, no one seems to understand, and you don't know what else to do to make things better. I'm here to tell you that things can change and I am here to help!
(206) 312-2649 View (206) 312-2649
Photo of Judy Karel MA, LMHC, Counselor in Lynnwood, WA
Judy Karel MA, LMHC
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Lynnwood, WA 98036  (Online Only)
I am client centered in my approach. I work with individuals, late adolescents, and families. The foundation of our work will be that of mutual respect and clear expectations. I view the counseling relationship as a collaborative process and believe the role of a therapist can be likened to that of a "coach," one who challenges old ineffective behaviors and beliefs. I provide a confidential and supportive environment for you to share your concerns, and goals. Through dialogue and deep listening, new choices and next steps will be brought to light.
I am client centered in my approach. I work with individuals, late adolescents, and families. The foundation of our work will be that of mutual respect and clear expectations. I view the counseling relationship as a collaborative process and believe the role of a therapist can be likened to that of a "coach," one who challenges old ineffective behaviors and beliefs. I provide a confidential and supportive environment for you to share your concerns, and goals. Through dialogue and deep listening, new choices and next steps will be brought to light.
(206) 535-1631 View (206) 535-1631
Photo of Brian Lundquist, Counselor in Lynnwood, WA
Brian Lundquist
Counselor, MA, LMHC, SUDP
Verified Verified
Lynnwood, WA 98037
If you have anxiety for the future, depression from your past, feeling alienated and other intrusive thoughts I can help you better understand their origin. What drives me is helping you discover the sources for your emotional conundrums and entanglements. These life riddles can be tamed so that they do not continue to rule your days. Isolation with these matters only serves to create more distance between you and managing your life. What I do is give you the tools to cut through the twisted patterns of your life and create the new path.
If you have anxiety for the future, depression from your past, feeling alienated and other intrusive thoughts I can help you better understand their origin. What drives me is helping you discover the sources for your emotional conundrums and entanglements. These life riddles can be tamed so that they do not continue to rule your days. Isolation with these matters only serves to create more distance between you and managing your life. What I do is give you the tools to cut through the twisted patterns of your life and create the new path.
(425) 305-4675 View (425) 305-4675
Photo of Mindy Jones, Counselor in Lynnwood, WA
Mindy Jones
Counselor, MA, LMHCA
Verified Verified
Lynnwood, WA 98036  (Online Only)
I draw on several approaches for treatment including EMDR, mindfulness-based CBT, and traditional talk therapy, tailoring my practice toward the needs of each person. I use a humanistic attachment lens informed by interpersonal neurobiology. I primarily work with people who have complex intersections of identity and those who have experienced trauma. The trauma may surface through symptoms of depression, anxiety, PTSD, or difficulty managing relationships. I work with a lot of individuals who have experienced complex trauma, developmental trauma, a single traumatic event, emotional neglect, and physical neglect.
I draw on several approaches for treatment including EMDR, mindfulness-based CBT, and traditional talk therapy, tailoring my practice toward the needs of each person. I use a humanistic attachment lens informed by interpersonal neurobiology. I primarily work with people who have complex intersections of identity and those who have experienced trauma. The trauma may surface through symptoms of depression, anxiety, PTSD, or difficulty managing relationships. I work with a lot of individuals who have experienced complex trauma, developmental trauma, a single traumatic event, emotional neglect, and physical neglect.
(425) 584-2463 View (425) 584-2463
Photo of Alizia Shook, Counselor in Lynnwood, WA
Alizia Shook
Counselor, MSW, LSWAIC
Verified Verified
1 Endorsed
Lynnwood, WA 98036  (Online Only)
I enjoy helping others by empowering and supporting them through their journey in life. It is inspirational to see how resilient and strong humans can be when faced with adversity. I believe that events shape us but the actions we take each day define who we are. I specialized in child and adolescent mental health. Most of my experience is with depression, anxiety, substance usage, family relationship, and trauma.
I enjoy helping others by empowering and supporting them through their journey in life. It is inspirational to see how resilient and strong humans can be when faced with adversity. I believe that events shape us but the actions we take each day define who we are. I specialized in child and adolescent mental health. Most of my experience is with depression, anxiety, substance usage, family relationship, and trauma.
(425) 689-7108 View (425) 689-7108
Photo of Marlene Bowman Sexton, Marriage & Family Therapist in Lynnwood, WA
Marlene Bowman Sexton
Marriage & Family Therapist, LMFT
Verified Verified
Lynnwood, WA 98037
Feeling better about yourself, your life and others around you are all big steps toward getting healthier. Helping patients get past life-disrupting issues and get back on track to living happier, more fulfilling lives.
Feeling better about yourself, your life and others around you are all big steps toward getting healthier. Helping patients get past life-disrupting issues and get back on track to living happier, more fulfilling lives.
(425) 510-5324 View (425) 510-5324
Photo of Robin Zimpel, Counselor in Lynnwood, WA
Robin Zimpel
Counselor, MA, LMHC, LCPC
Verified Verified
Lynnwood, WA 98036
Not accepting new clients
I have worked with children, adolescents, adults and families. The decision to enter counseling is often a difficult one, but the rewards from a positive and productive experience are life changing. My goal is to create a safe, trusting, and supportive environment in which an individual can examine and clarify the issues that concern them, seek solutions, and create positive change and growth in their lives and relationships.
I have worked with children, adolescents, adults and families. The decision to enter counseling is often a difficult one, but the rewards from a positive and productive experience are life changing. My goal is to create a safe, trusting, and supportive environment in which an individual can examine and clarify the issues that concern them, seek solutions, and create positive change and growth in their lives and relationships.
(206) 829-6434 View (206) 829-6434
Photo of Chami Arachchi -Life of Courage Counseling, Clinical Social Work/Therapist in Lynnwood, WA
Chami Arachchi -Life of Courage Counseling
Clinical Social Work/Therapist, LICSW, CDPt
Verified Verified
Lynnwood, WA 98087  (Online Only)
Evening and weekend hours are available.- Are you seeking a therapist to talk with because you are experiencing anxiety, depression, trauma, suicidality, emotional dysregulation, or relationship difficulties? Do you feel stuck in your unsatisfying emotions and relationship patterns after talking with friends or family? If so, you're in the right place. I will create a nonjudgmental, safe space to explore your feelings, emotions, and intersectionality of identities to find your best self. It takes courage to take this first step. I look forward to connecting with you to help you, no matter your life stage or background.
Evening and weekend hours are available.- Are you seeking a therapist to talk with because you are experiencing anxiety, depression, trauma, suicidality, emotional dysregulation, or relationship difficulties? Do you feel stuck in your unsatisfying emotions and relationship patterns after talking with friends or family? If so, you're in the right place. I will create a nonjudgmental, safe space to explore your feelings, emotions, and intersectionality of identities to find your best self. It takes courage to take this first step. I look forward to connecting with you to help you, no matter your life stage or background.
(425) 587-8696 View (425) 587-8696

How does your Therapist compare?

Number of Therapists in Lynnwood, WA

300+

Average cost per session

$150

Therapists in Lynnwood, WA who prioritize treating:

92% Anxiety
87% Depression
76% Relationship Issues
72% Trauma and PTSD
72% Self Esteem
67% Stress
65% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

89% Premera
78% Regence
66% BlueCross and BlueShield

How Therapists in Lynnwood, WA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Lynnwood?

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.