Therapists in Louisville, TN

Photo of Shannon Brown (Prns- X She Any), Clinical Social Work/Therapist, LCSW
Shannon Brown (Prns- X She Any)
Clinical Social Work/Therapist, LCSW
2 Endorsed
Serves Area
Shannon Brown, LCSW is scheduling clients and is devoted to providing a safe space for all queer people living in Tennessee, as well as non-queer people. Shannon provides therapy for adults, couples & families. Shannon has over 20+ years experience working with our entire LGBTQ+ community with a particular focus on our TGNB community.
Shannon Brown, LCSW is scheduling clients and is devoted to providing a safe space for all queer people living in Tennessee, as well as non-queer people. Shannon provides therapy for adults, couples & families. Shannon has over 20+ years experience working with our entire LGBTQ+ community with a particular focus on our TGNB community.
(865) 590-8003 View (865) 590-8003
Photo of Cortnee Lee, Licensed Professional Counselor, LPC
Cortnee Lee
Licensed Professional Counselor, LPC
Online Only
I am a licensed professional counselor and mental health service provider (LPC-MHSP) with 8 years of experience helping individuals improve their mental health and overall quality of life. I work with adults navigating trauma, anxiety, depression, and addiction, and I have extensive experience supporting clients with a wide range of needs in community mental health settings.
I am a licensed professional counselor and mental health service provider (LPC-MHSP) with 8 years of experience helping individuals improve their mental health and overall quality of life. I work with adults navigating trauma, anxiety, depression, and addiction, and I have extensive experience supporting clients with a wide range of needs in community mental health settings.
(339) 244-7023 View (339) 244-7023
Photo of Matt Scheuneman, Licensed Professional Counselor, LPC, MHSP, (S)
Matt Scheuneman
Licensed Professional Counselor, LPC, MHSP, (S)
1 Endorsed
Serves Area
Fred Rogers once said, "All of us, at some time or other, need help. Whether we're giving or receiving help, each one of us has something valuable to bring to this world." My hope is to help others find that value. My focus of work is on those struggling with depression, anxiety, relational concerns, concerns with sexual health, spirituality, OCD in spirituality and stress of life. I am a licensed counselor who works with clients from adolescents to adults, working with individuals, couples, and families. I also provide supervision to counselors seeking licensure.
Fred Rogers once said, "All of us, at some time or other, need help. Whether we're giving or receiving help, each one of us has something valuable to bring to this world." My hope is to help others find that value. My focus of work is on those struggling with depression, anxiety, relational concerns, concerns with sexual health, spirituality, OCD in spirituality and stress of life. I am a licensed counselor who works with clients from adolescents to adults, working with individuals, couples, and families. I also provide supervision to counselors seeking licensure.
(865) 328-4127 View (865) 328-4127
Photo of Sarah Buchanan, Clinical Social Work/Therapist, LCSW
Sarah Buchanan
Clinical Social Work/Therapist, LCSW
Online Only
I am a licensed clinical social worker (LCSW) with over a decade of experience working with diverse populations. I now specialize in empowering women to navigate life transitions with confidence, helping them connect with their inner strength and create purposeful paths forward.
I am a licensed clinical social worker (LCSW) with over a decade of experience working with diverse populations. I now specialize in empowering women to navigate life transitions with confidence, helping them connect with their inner strength and create purposeful paths forward.
(629) 263-4265 View (629) 263-4265
Photo of Sarah Allen, Marriage & Family Therapist, LMFT
Sarah Allen
Marriage & Family Therapist, LMFT
Online Only
I am a Licensed Marriage and Family Therapist. My approach to therapy is providing a safe and comfortable space, where I can join you in becoming your best self. I take a solution-focused approach to struggles, issues, and hang-ups in our lives, and helping you find the best approach for success. I have worked with all ages of clients from 3 to 76. I enjoy working with every age and phase of life!
I am a Licensed Marriage and Family Therapist. My approach to therapy is providing a safe and comfortable space, where I can join you in becoming your best self. I take a solution-focused approach to struggles, issues, and hang-ups in our lives, and helping you find the best approach for success. I have worked with all ages of clients from 3 to 76. I enjoy working with every age and phase of life!
(629) 263-7603 View (629) 263-7603
Photo of Jessica Kyle - Thriveworks Counseling & Therapy Knoxville, Counselor
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
(855) 524-5193 View (855) 524-5193

More Therapists Nearby

Photo of Dr. Pamela Corbin, Licensed Professional Counselor, EdD, LPCMHSP
Dr. Pamela Corbin
Licensed Professional Counselor, EdD, LPCMHSP
1 Endorsed
Online Only
I know that therapy can be scary so I am so glad you stopped by! Are you struggling to find the beauty in life or within yourself? Do you struggle to find yourself happy, joyful or just feel stuck? Do you feel as though you are alone and no-one understands? As someone who has struggled with similar situations, I can assure you that you are not alone and that you are an overcomer, just like me! I have a passion to help guide those who are hurting and to help them heal in a safe space, while restoring a sense of peace through a compassionate, understanding and a non-judgmental lens.
I know that therapy can be scary so I am so glad you stopped by! Are you struggling to find the beauty in life or within yourself? Do you struggle to find yourself happy, joyful or just feel stuck? Do you feel as though you are alone and no-one understands? As someone who has struggled with similar situations, I can assure you that you are not alone and that you are an overcomer, just like me! I have a passion to help guide those who are hurting and to help them heal in a safe space, while restoring a sense of peace through a compassionate, understanding and a non-judgmental lens.
(731) 361-8121 View (731) 361-8121
Photo of Dr. Beth Anderson Walker, Licensed Professional Counselor, PhD, LPCMHSP, NCC, EMDR, RYT-200
Dr. Beth Anderson Walker
Licensed Professional Counselor, PhD, LPCMHSP, NCC, EMDR, RYT-200
Serves Area
Waitlist for new clients
As a counselor and a fellow human, I have found that deepening our awareness of who we are and the struggles we face, within a safe, supportive relationship can help us navigate life’s obstacles in ways that we did not feel were possible on our own. In time, we learn how to nurture and come home to ourselves. Counseling can be an empowering gift to oneself. My therapeutic orientation is trauma, grief, and somatic-informed. I offer creative, mindful, body-centered, and nature-inspired interventions within sessions as ways of attuning to ourselves, understanding our patterns, and cultivating a life we intentionally want to lead.
As a counselor and a fellow human, I have found that deepening our awareness of who we are and the struggles we face, within a safe, supportive relationship can help us navigate life’s obstacles in ways that we did not feel were possible on our own. In time, we learn how to nurture and come home to ourselves. Counseling can be an empowering gift to oneself. My therapeutic orientation is trauma, grief, and somatic-informed. I offer creative, mindful, body-centered, and nature-inspired interventions within sessions as ways of attuning to ourselves, understanding our patterns, and cultivating a life we intentionally want to lead.
(931) 295-0401 View (931) 295-0401
Photo of Aiden Chehade, Licensed Professional Counselor, LPC, MHSP
Aiden Chehade
Licensed Professional Counselor, LPC, MHSP
1 Endorsed
Knoxville, TN 37919
Are you tired of feeling overwhelmed and handling everything by yourself? Maybe you're too stressed, frustrated, and lonely to really enjoy your life. It's tough to maintain motivation when it feels like nothing is getting better, but you know on some level that it doesn't have to be this way. Looking for help can be the first step towards change. I understand how hard it is to deal with these issues, especially if you're used to dealing with things on your own. I want to provide a space where you feel comfortable exploring and addressing these issues at a pace that feels right to you.
Are you tired of feeling overwhelmed and handling everything by yourself? Maybe you're too stressed, frustrated, and lonely to really enjoy your life. It's tough to maintain motivation when it feels like nothing is getting better, but you know on some level that it doesn't have to be this way. Looking for help can be the first step towards change. I understand how hard it is to deal with these issues, especially if you're used to dealing with things on your own. I want to provide a space where you feel comfortable exploring and addressing these issues at a pace that feels right to you.
(865) 276-7746 View (865) 276-7746
Photo of Aaron James, Licensed Professional Counselor, LPC
Aaron James
Licensed Professional Counselor, LPC
Online Only
Hello, I am a Licensed professional counselor from Texas. I received my masters in Mental Health Counseling at the University of Mary-Hardin Baylor in 2018. I have done work in the individual setting, with probation clients and in the prison population. I have worked with people through anxiety, depression, existential angst, identity formation, communication issues, children, adolescents, couples, and groups. I have an undergraduate degree in Director of Christian education with an emphasis in theology from Concordia University in Austin. Through my experiences in these areas my goal is to connect with people in an authentic way.
Hello, I am a Licensed professional counselor from Texas. I received my masters in Mental Health Counseling at the University of Mary-Hardin Baylor in 2018. I have done work in the individual setting, with probation clients and in the prison population. I have worked with people through anxiety, depression, existential angst, identity formation, communication issues, children, adolescents, couples, and groups. I have an undergraduate degree in Director of Christian education with an emphasis in theology from Concordia University in Austin. Through my experiences in these areas my goal is to connect with people in an authentic way.
(865) 424-2238 View (865) 424-2238
Photo of Elizabeth A Woodward, Licensed Professional Counselor, MS, LPCMHSP, ATR-P
Elizabeth A Woodward
Licensed Professional Counselor, MS, LPCMHSP, ATR-P
1 Endorsed
Knoxville, TN 37923
Waitlist for new clients
I work with adults, teens, preteens, and children starting at 6 years old. Many of my clients are looking for coping skills to aid with mood disorders, conduct issues, or impulse-control disorders, such as anxiety, depression, behavior problems, and ADHD. Some want to work through trauma or grief. Others have less common problems. However, all are looking to make a change, but they do not know how to or do not want to do it on their own.
I work with adults, teens, preteens, and children starting at 6 years old. Many of my clients are looking for coping skills to aid with mood disorders, conduct issues, or impulse-control disorders, such as anxiety, depression, behavior problems, and ADHD. Some want to work through trauma or grief. Others have less common problems. However, all are looking to make a change, but they do not know how to or do not want to do it on their own.
(865) 213-7707 View (865) 213-7707
Photo of Lily Winebarger, Pre-Licensed Professional, LPC-A, MS
Lily Winebarger
Pre-Licensed Professional, LPC-A, MS
4 Endorsed
Knoxville, TN 37923
If you spend every day just trying to survive, you've come to the right place. Operating in a world that feels like it's built against you can be exhausting. Let's work together to figure out how to best accommodate your needs and give you the much-needed rest that you deserve, so that you have the energy to do the things you enjoy. My areas of expertise include Autism, ADHD, disability, and LGBTQ+ identities. I use Relational Cultural Theory, Attachment Theory, DBT, and Play Therapy. For those looking for a therapist who shares similar identities/lived experiences, I identify as queer and AuDHD.
If you spend every day just trying to survive, you've come to the right place. Operating in a world that feels like it's built against you can be exhausting. Let's work together to figure out how to best accommodate your needs and give you the much-needed rest that you deserve, so that you have the energy to do the things you enjoy. My areas of expertise include Autism, ADHD, disability, and LGBTQ+ identities. I use Relational Cultural Theory, Attachment Theory, DBT, and Play Therapy. For those looking for a therapist who shares similar identities/lived experiences, I identify as queer and AuDHD.
(865) 390-3166 View (865) 390-3166
Photo of Courtney Ferguson - Aptitude Behavioral Services, LLC, MEd, BCBA, LBA
Aptitude Behavioral Services, LLC
Verified Verified
Serves Area
I started Aptitude Behavioral Services, LLC to service school-age children in the East TN area. I love working with children through pre-teen ages and have also worked with a few higher-functioning teenagers. My typical day involves working with families that face challenges with behavior and working directly with children to decrease these behaviors while building skill deficits. I enjoy including family in my sessions and want to empower caregivers and family members so that they are equipped to handle behavioral challenges.
I started Aptitude Behavioral Services, LLC to service school-age children in the East TN area. I love working with children through pre-teen ages and have also worked with a few higher-functioning teenagers. My typical day involves working with families that face challenges with behavior and working directly with children to decrease these behaviors while building skill deficits. I enjoy including family in my sessions and want to empower caregivers and family members so that they are equipped to handle behavioral challenges.
(423) 438-1372 View (423) 438-1372
Photo of Heather Gerry, Licensed Professional Counselor, LPC
Heather Gerry
Licensed Professional Counselor, LPC
Online Only
Heather Gerry, MA, LPC. My goal is to provide mental health treatment to children, teens, and adults suffering and seeking help. I provide an eclectic approach, allowing me to offer a uniquely adapted treatment options. I utilize the DBT (Dialectical Behavioral Therapy) Model, TF-CBT (Trauma-Focused Cognitive Behavioral Therapy), other trauma informed models, play-based models for young children, and narrative approaches for many ages. I believe a good therapeutic relationship is necessary and the success is a combined effort between the person seeking mental health assistance and the therapist.
Heather Gerry, MA, LPC. My goal is to provide mental health treatment to children, teens, and adults suffering and seeking help. I provide an eclectic approach, allowing me to offer a uniquely adapted treatment options. I utilize the DBT (Dialectical Behavioral Therapy) Model, TF-CBT (Trauma-Focused Cognitive Behavioral Therapy), other trauma informed models, play-based models for young children, and narrative approaches for many ages. I believe a good therapeutic relationship is necessary and the success is a combined effort between the person seeking mental health assistance and the therapist.
(865) 326-3171 View (865) 326-3171
Photo of Matthew Lonski (He They), Counselor, MS Ed, LCPC, LPCMHSP
Matthew Lonski (He They)
Counselor, MS Ed, LCPC, LPCMHSP
1 Endorsed
Online Only
Are you looking for support and guidance on your journey? You don’t have to do it alone. Showing your true colors can feel vulnerable, so it is my intention to hold space in which you can feel safe to be yourself without judgement. My practice is defined by a genuine desire to help you feel comfortable in your own skin. Therapy can act as an anchor, providing the stability and support to explore your identity safely. I will be there every step of the way to support you in forging new paths and helping you discover and build the life you have always imagined.
Are you looking for support and guidance on your journey? You don’t have to do it alone. Showing your true colors can feel vulnerable, so it is my intention to hold space in which you can feel safe to be yourself without judgement. My practice is defined by a genuine desire to help you feel comfortable in your own skin. Therapy can act as an anchor, providing the stability and support to explore your identity safely. I will be there every step of the way to support you in forging new paths and helping you discover and build the life you have always imagined.
View
Photo of Abby Welch, Licensed Professional Counselor, LPC, MHSP, NCC
Abby Welch
Licensed Professional Counselor, LPC, MHSP, NCC
4 Endorsed
Knoxville, TN 37912
I believe that counseling has the biggest impact when the client and counselor are able to work together towards a common goal. I strive to allow the client to lead sessions in the direction that they feel is most important, while balancing our time with therapeutic strategies that fit the client's needs. I prioritize safety, warmth, and openness in my work.
I believe that counseling has the biggest impact when the client and counselor are able to work together towards a common goal. I strive to allow the client to lead sessions in the direction that they feel is most important, while balancing our time with therapeutic strategies that fit the client's needs. I prioritize safety, warmth, and openness in my work.
(865) 346-5325 View (865) 346-5325
Photo of Alicia Stipes, Licensed Professional Counselor, LPCMHSP
Alicia Stipes
Licensed Professional Counselor, LPCMHSP
2 Endorsed
Knoxville, TN 37921
Trauma comes in many forms. I specialize in working with children, teens, and adults who have been impacted by trauma. I believe it is important for clients to have a safe and supportive environment to process their traumatic experiences. I have experience working with clients who have been in the healthcare field or emergency services field as I have been a first responder myself for many years which makes my practice unique. I have a passion for working with first responders, healthcare workers, and their families.
Trauma comes in many forms. I specialize in working with children, teens, and adults who have been impacted by trauma. I believe it is important for clients to have a safe and supportive environment to process their traumatic experiences. I have experience working with clients who have been in the healthcare field or emergency services field as I have been a first responder myself for many years which makes my practice unique. I have a passion for working with first responders, healthcare workers, and their families.
(865) 205-0280 View (865) 205-0280
Photo of Hannah Barnett, Marriage & Family Therapist, PhD, LMFT
Hannah Barnett
Marriage & Family Therapist, PhD, LMFT
Maryville, TN 37804
Waitlist for new clients
I believe therapy is an invaluable tool that can bring healing and help you create meaning around your life experiences. Making the decision to seek extra support for you or your family is brave. I will prioritize your and your child’s comfort as we work towards your goals. I am compassionate and driven by an understanding of the sacred nature of personal struggles. I believe that your perspective and experience creates the framework for treatment and you can experience growth through increased understanding of your past experiences, freedom to express yourself utilizing creativity, and specific tools gained throughout therapy.
I believe therapy is an invaluable tool that can bring healing and help you create meaning around your life experiences. Making the decision to seek extra support for you or your family is brave. I will prioritize your and your child’s comfort as we work towards your goals. I am compassionate and driven by an understanding of the sacred nature of personal struggles. I believe that your perspective and experience creates the framework for treatment and you can experience growth through increased understanding of your past experiences, freedom to express yourself utilizing creativity, and specific tools gained throughout therapy.
(865) 217-0261 View (865) 217-0261
Photo of Leigh Anne Goldstine - Built to Bond, Inc. Attachment Institute, Licensed Professional Counselor, LPCMHSP, BCPC, CTS, CDVC, NCCE
Built to Bond, Inc. Attachment Institute
Licensed Professional Counselor, LPCMHSP, BCPC, CTS, CDVC, NCCE
1 Endorsed
Knoxville, TN 37931
If you are broken and in need of healing from abuse and trauma and/or are trying to parent a "child forgotten" you have come to the right place. Suffering through the aftermath of sexual abuse, domestic violence, emotional abuse, foster care and extreme neglect often makes it nearly impossible to trust others, which is a necessary starting point for healthy relationship formation. Built to Bond, Inc. is designed to enable you to make sense of your trauma and begin the healing process from a Christian perspective through the "Treat PTSD with PTSD to get PTSD" treatment modality.
If you are broken and in need of healing from abuse and trauma and/or are trying to parent a "child forgotten" you have come to the right place. Suffering through the aftermath of sexual abuse, domestic violence, emotional abuse, foster care and extreme neglect often makes it nearly impossible to trust others, which is a necessary starting point for healthy relationship formation. Built to Bond, Inc. is designed to enable you to make sense of your trauma and begin the healing process from a Christian perspective through the "Treat PTSD with PTSD to get PTSD" treatment modality.
(865) 685-5895 View (865) 685-5895
Photo of Claudia Hirsemann, Clinical Social Work/Therapist, LCSW
Claudia Hirsemann
Clinical Social Work/Therapist, LCSW
4 Endorsed
Kodak, TN 37764
Not accepting new clients
Currently not accepting new clients. I treat severe trauma, complex and developmental trauma, toxic relationship trauma, dysfunctions of all types. I am LGBTQIA+ affirming. I work with people 18 years and older (no children). Whether you are dealing with a recent or life long issue your experiences have a great impact on you. Often we are given mixed or untrue messages and labels that follow us throughout life. I want to help you differentiate who You really are from who you have been told you should be. Together we can find your Authentic You. I am here to help you synchronize your life. You may find more info on ebtherapy. org.
Currently not accepting new clients. I treat severe trauma, complex and developmental trauma, toxic relationship trauma, dysfunctions of all types. I am LGBTQIA+ affirming. I work with people 18 years and older (no children). Whether you are dealing with a recent or life long issue your experiences have a great impact on you. Often we are given mixed or untrue messages and labels that follow us throughout life. I want to help you differentiate who You really are from who you have been told you should be. Together we can find your Authentic You. I am here to help you synchronize your life. You may find more info on ebtherapy. org.
(865) 328-7975 View (865) 328-7975

See more therapy options for Louisville

How does your Therapist compare?

Number of Therapists in Louisville, TN

< 10

Therapists in Louisville, TN who prioritize treating:

100% Relationship Issues
100% Stress
83% Depression
83% Anxiety
83% Self Esteem
83% Marriage Counseling
67% Grief

Average years in practice

18 Years

Top 3 insurances accepted

100% Aetna
100% UnitedHealthcare UHC | UBH
100% Optum

How Therapists in Louisville, TN see their clients

50% In Person and Online
50% Online Only

Gender breakdown

60% Female
20% Male
20% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Louisville?

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.