Therapists in Maryville, TN

Photo of Amanda Lin Mills, LCSW, Clinical Social Work/Therapist
Amanda Lin Mills
Clinical Social Work/Therapist, LCSW
Verified Verified
Maryville, TN 37804
Life is not easy. Your feelings matter; you matter and you were not meant to do everything alone. You are here looking at my profile for a reason. I can help hold space for you and listen. I work with people of all ages with grief and loss (including pregnancy, anticipatory, etc), anxiety, depression, trauma (childhood, adult, medical, etc) and bonding/attachment. Therapy is a place where we can explore how to make life less heavy. Sessions are conducted online via a HIPPA compliant platform. I also provide LCSW supervision for those going into this field.
Life is not easy. Your feelings matter; you matter and you were not meant to do everything alone. You are here looking at my profile for a reason. I can help hold space for you and listen. I work with people of all ages with grief and loss (including pregnancy, anticipatory, etc), anxiety, depression, trauma (childhood, adult, medical, etc) and bonding/attachment. Therapy is a place where we can explore how to make life less heavy. Sessions are conducted online via a HIPPA compliant platform. I also provide LCSW supervision for those going into this field.
(865) 328-1045 View (865) 328-1045
Photo of Wendy Pitts Reeves, LCSW, Clinical Social Work/Therapist
Wendy Pitts Reeves
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Maryville, TN 37802
Hello! I'm glad you're here. I think it was John Lennon who said, "Life is what happens while we're making other plans." As a woman leader at mid-life, you may be coping with transitions that are harder than expected. A challenging career. A big move. Getting used to an empty nest or helping aging parents. Even managing success can be pretty tough - right? Sometimes, it gets to the best of us. We find ourselves overwhelmed, burned out or just a little lost. But know this: you can get help. You will find your footing again. And this is a good place to start.
Hello! I'm glad you're here. I think it was John Lennon who said, "Life is what happens while we're making other plans." As a woman leader at mid-life, you may be coping with transitions that are harder than expected. A challenging career. A big move. Getting used to an empty nest or helping aging parents. Even managing success can be pretty tough - right? Sometimes, it gets to the best of us. We find ourselves overwhelmed, burned out or just a little lost. But know this: you can get help. You will find your footing again. And this is a good place to start.
(865) 518-2692 View (865) 518-2692
Photo of Taylor Booth, LMSW, RYT
Taylor Booth
LMSW, RYT
Verified Verified
Maryville, TN 37801
Now accepting new clients! I am passionate about working with clients of all ages and walks of life. Whether you're a young person navigating the challenges of adolescence and young adulthood or an individual at a later stage of life I am here to support you on your journey. Creating a safe and welcoming environment is at the heart of my practice. I want each person who walks through my door to feel heard, understood, and supported, regardless of their age or life circumstances. Each stage of life brings its own unique experiences and struggles, and my goal is to help you navigate through them with grace and resilience.
Now accepting new clients! I am passionate about working with clients of all ages and walks of life. Whether you're a young person navigating the challenges of adolescence and young adulthood or an individual at a later stage of life I am here to support you on your journey. Creating a safe and welcoming environment is at the heart of my practice. I want each person who walks through my door to feel heard, understood, and supported, regardless of their age or life circumstances. Each stage of life brings its own unique experiences and struggles, and my goal is to help you navigate through them with grace and resilience.
(865) 737-1565 View (865) 737-1565
Photo of Elena Galvez, MS, Pre-Licensed Professional
Elena Galvez
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Maryville, TN 37801
I am a dedicated, goal-oriented therapist specializing in supporting children (starting at age 8), teens, and adults as they overcome barriers, build resilience, and navigate life’s challenges. My therapeutic approach is flexible and responsive to each client’s unique needs, grounded in evidence-based methods that promote real, lasting change. Through honest conversation, practical tools, and a strengths-based approach, we’ll explore ways to build confidence, improve relationships, and tackle obstacles with intention.
I am a dedicated, goal-oriented therapist specializing in supporting children (starting at age 8), teens, and adults as they overcome barriers, build resilience, and navigate life’s challenges. My therapeutic approach is flexible and responsive to each client’s unique needs, grounded in evidence-based methods that promote real, lasting change. Through honest conversation, practical tools, and a strengths-based approach, we’ll explore ways to build confidence, improve relationships, and tackle obstacles with intention.
(865) 355-9785 View (865) 355-9785
Photo of Eden Batista, LMSW, Clinical Social Work/Therapist
Eden Batista
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Maryville, TN 37801
I find that I work best with those who are looking for a change from the extremely clinical-feeling approach to therapy. I believe therapy shouldn't feel hierarchical, nor alienating- you and I are on the same level here. We’re collaborating to help you reach a point in your life where you feel stable and content. I’m not here to judge you or tell you what to do, but rather to work as a friendly voice to help you connect missing pieces and wade through life’s challenges with more confidence.
I find that I work best with those who are looking for a change from the extremely clinical-feeling approach to therapy. I believe therapy shouldn't feel hierarchical, nor alienating- you and I are on the same level here. We’re collaborating to help you reach a point in your life where you feel stable and content. I’m not here to judge you or tell you what to do, but rather to work as a friendly voice to help you connect missing pieces and wade through life’s challenges with more confidence.
(865) 224-6005 View (865) 224-6005
Photo of Patricia L Wharton - Patricia Wharton, LADAC2, LADACII, Drug & Alcohol Counselor
Patricia Wharton, LADAC2
Drug & Alcohol Counselor, LADACII
Verified Verified
1 Endorsed
Maryville, TN 37801
If you need a Substance Abuse Disorder Assessment or Alcohol & Drug Education/Counseling as required by the court or your work place, I can help with that. If you are a parent who is fearful about your child's choices, I am here to help. In any of these situations, think of me as a professional who has been in the field for 18 years. I am equipped to help reduce your suffering just by offering you understanding, compassion, knowledge and guidance.
If you need a Substance Abuse Disorder Assessment or Alcohol & Drug Education/Counseling as required by the court or your work place, I can help with that. If you are a parent who is fearful about your child's choices, I am here to help. In any of these situations, think of me as a professional who has been in the field for 18 years. I am equipped to help reduce your suffering just by offering you understanding, compassion, knowledge and guidance.
(865) 999-0243 View (865) 999-0243
Photo of Angela Goins, LPC-, MHSP, Licensed Professional Counselor
Angela Goins
Licensed Professional Counselor, LPC-, MHSP
Verified Verified
Online Only
I am accepting new clients and would love to talk more about how I can help you with whatever challenges you are facing. Life can be tough but having someone who is trained to help you navigate all of life’s twists and turns is invaluable. Whether you are struggling with seemingly small issues or larger life changing issues-if it matters to YOU it matters to ME.
I am accepting new clients and would love to talk more about how I can help you with whatever challenges you are facing. Life can be tough but having someone who is trained to help you navigate all of life’s twists and turns is invaluable. Whether you are struggling with seemingly small issues or larger life changing issues-if it matters to YOU it matters to ME.
(865) 505-8053 View (865) 505-8053
Photo of Meagan Green, LMSW, Clinical Social Work/Therapist
Meagan Green
Clinical Social Work/Therapist, LMSW
Verified Verified
Maryville, TN 37801
Les Brown once said, "I believe that life is a journey, often difficult and sometimes incredibly cruel, but we are well equipped for it if only we tap into our talents and gifts and allow them to blossom." As we navigate life, it can often feel like we are doing this alone and can feel overwhelmed by the hard things, which can impact how we see ourselves (self-esteem, anxiety, depression, substance use, anger, etc.), our relationships (conflict or co-dependency), and the world. The truth is, though, we don't actually have to do any of it alone!
Les Brown once said, "I believe that life is a journey, often difficult and sometimes incredibly cruel, but we are well equipped for it if only we tap into our talents and gifts and allow them to blossom." As we navigate life, it can often feel like we are doing this alone and can feel overwhelmed by the hard things, which can impact how we see ourselves (self-esteem, anxiety, depression, substance use, anger, etc.), our relationships (conflict or co-dependency), and the world. The truth is, though, we don't actually have to do any of it alone!
(865) 568-5815 View (865) 568-5815
Photo of Jo Clark, LPC, MHSP, Licensed Professional Counselor
Jo Clark
Licensed Professional Counselor, LPC, MHSP
Verified Verified
1 Endorsed
Maryville, TN 37804
Waitlist for new clients
I have worked for the past 19 years with adults, adolescents and children, addressing a variety of issues to include behavioral concerns, a variety of mental health diagnoses, trauma, addiction, self-harm, depression, anxiety, family issues, and more. I have also worked with adults in a variety of settings to address marriage and family concerns as well as addiction, trauma, and parenting skills.
I have worked for the past 19 years with adults, adolescents and children, addressing a variety of issues to include behavioral concerns, a variety of mental health diagnoses, trauma, addiction, self-harm, depression, anxiety, family issues, and more. I have also worked with adults in a variety of settings to address marriage and family concerns as well as addiction, trauma, and parenting skills.
(865) 290-2026 View (865) 290-2026
Photo of Katrise Thompson, MEd, LPC, MHSP, Licensed Professional Counselor
Katrise Thompson
Licensed Professional Counselor, MEd, LPC, MHSP
Verified Verified
1 Endorsed
Maryville, TN 37801
Ready to take the first step toward a healthier, more empowered you? Breaking the stigma of mental health begins with choosing to invest in yourself. Trusting someone with your story can feel daunting, but vulnerability is a strength, not a weakness. I’m passionate about helping you create a safe, supportive space where you can be your authentic self. Every person has a unique story, and I want to help you understand yours, bringing clarity and empower you to thrive. With experience in domestic violence, trauma, anxiety, depression, and personality disorders, I’m ready to support you on your journey to healing and growth.
Ready to take the first step toward a healthier, more empowered you? Breaking the stigma of mental health begins with choosing to invest in yourself. Trusting someone with your story can feel daunting, but vulnerability is a strength, not a weakness. I’m passionate about helping you create a safe, supportive space where you can be your authentic self. Every person has a unique story, and I want to help you understand yours, bringing clarity and empower you to thrive. With experience in domestic violence, trauma, anxiety, depression, and personality disorders, I’m ready to support you on your journey to healing and growth.
(865) 217-2546 View (865) 217-2546
Photo of Katie Peterson, MA, LPC, Licensed Professional Counselor
Katie Peterson
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Online Only
Adjusting to life changes can be hard to do on your own. Whether it is work stress, relationship challenges, or finding your new normal after trauma, I am here to help. Working with trauma survivors and the families of survivors is a passion of mine. Stress and trauma can have a debilitating effect on a person's physical and mental well being, causing them to feel unable to cultivate the lifestyle they wish to achieve. I can help give you the tools needed to bring mental stability into your day to day life.
Adjusting to life changes can be hard to do on your own. Whether it is work stress, relationship challenges, or finding your new normal after trauma, I am here to help. Working with trauma survivors and the families of survivors is a passion of mine. Stress and trauma can have a debilitating effect on a person's physical and mental well being, causing them to feel unable to cultivate the lifestyle they wish to achieve. I can help give you the tools needed to bring mental stability into your day to day life.
(865) 217-0510 View (865) 217-0510
Photo of Hannah Barnett, PhD, LMFT, Marriage & Family Therapist
Hannah Barnett
Marriage & Family Therapist, PhD, LMFT
Verified Verified
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 Alison Mistak, LCSW, Clinical Social Work/Therapist
Alison Mistak
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Maryville, TN 37804
Waitlist for new clients
Seeing a counselor doesn't mean you are "crazy" or weak. We all have times in our lives when we feel stuck and need help in getting ourselves or our family out of the patterns that aren't working for us. I strive to provide a personal, comfortable experience for my clients where they can learn to utilize their own strengths to develop the life and relationships they want. I hope to help people gain a better understanding of how their thoughts and experiences are influencing their emotions and provide practical feedback to guide you towards the life you want.
Seeing a counselor doesn't mean you are "crazy" or weak. We all have times in our lives when we feel stuck and need help in getting ourselves or our family out of the patterns that aren't working for us. I strive to provide a personal, comfortable experience for my clients where they can learn to utilize their own strengths to develop the life and relationships they want. I hope to help people gain a better understanding of how their thoughts and experiences are influencing their emotions and provide practical feedback to guide you towards the life you want.
View
Photo of Emma Poole, LMFT, MS, Marriage & Family Therapist
Emma Poole
Marriage & Family Therapist, LMFT, MS
Verified Verified
3 Endorsed
Maryville, TN 37801
Waitlist for new clients
Hi there! I specialize in working with adults who have had difficult relationship experiences throughout their lives. You may have had a difficult childhood and are looking to heal generational cycles. You and your partner may feel disconnected and may be looking to rebuild emotional intimacy. You may have a difficult time trusting yourself or others because of painful experiences in your past. Whatever the case, I am here to support you and your closest relationships.
Hi there! I specialize in working with adults who have had difficult relationship experiences throughout their lives. You may have had a difficult childhood and are looking to heal generational cycles. You and your partner may feel disconnected and may be looking to rebuild emotional intimacy. You may have a difficult time trusting yourself or others because of painful experiences in your past. Whatever the case, I am here to support you and your closest relationships.
(865) 498-9041 View (865) 498-9041
Photo of Sharon Sitler, MA, LPC, NCC, Licensed Professional Counselor
Sharon Sitler
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Maryville, TN 37803
I enjoy working with people from all walks of life, encouraging them and giving them hope. I believe in balanced living and looking at how issues are affecting us emotionally, mentally, physically and spiritually. I believe in looking at things from a Christian Worldview but work with people from all viewpoints. I used to work in the corporate world so can identify with people from all walks of life and many different life experiences. I started counseling individuals in Florida as an intern many years ago. Graduated in 1997 and am licensed both in Florida and Tennessee. My family moved to Tennessee 16 years ago, we love Tennessee.
I enjoy working with people from all walks of life, encouraging them and giving them hope. I believe in balanced living and looking at how issues are affecting us emotionally, mentally, physically and spiritually. I believe in looking at things from a Christian Worldview but work with people from all viewpoints. I used to work in the corporate world so can identify with people from all walks of life and many different life experiences. I started counseling individuals in Florida as an intern many years ago. Graduated in 1997 and am licensed both in Florida and Tennessee. My family moved to Tennessee 16 years ago, we love Tennessee.
(865) 409-1334 View (865) 409-1334
Photo of Mekenzie Russell, LPCMHSP, Licensed Professional Counselor
Mekenzie Russell
Licensed Professional Counselor, LPCMHSP
Verified Verified
1 Endorsed
Maryville, TN 37801
As a therapist, I believe in meeting my clients exactly where they are in their healing journey. Ultimately, I enjoy working with individuals who are experiencing grief or other life transitions that are having trouble navigating new terrain. I also work with those who may be experiencing anxiety and depression and need assistance in creating coping skills. Additionally, I love to help men and women explore their own attachment style and work through early trauma.
As a therapist, I believe in meeting my clients exactly where they are in their healing journey. Ultimately, I enjoy working with individuals who are experiencing grief or other life transitions that are having trouble navigating new terrain. I also work with those who may be experiencing anxiety and depression and need assistance in creating coping skills. Additionally, I love to help men and women explore their own attachment style and work through early trauma.
(865) 401-6453 View (865) 401-6453
Photo of Tina Magnus, LMFT, Marriage & Family Therapist
Tina Magnus
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Maryville, TN 37804
I am not currently accepting couples or families at this time. Life can be challenging for all of us. I am here to help and support you through your unique individual challenges that you are currently experiencing. In addition to processing your experiences in therapy sessions, I will also help teach you valuable tools. If applicable to you we can also address emotional regulation so that you are able to handle your current and future challenges in a more healthy manner.
I am not currently accepting couples or families at this time. Life can be challenging for all of us. I am here to help and support you through your unique individual challenges that you are currently experiencing. In addition to processing your experiences in therapy sessions, I will also help teach you valuable tools. If applicable to you we can also address emotional regulation so that you are able to handle your current and future challenges in a more healthy manner.
(865) 276-8832 View (865) 276-8832
Photo of Shay L Groenewold, PhD, Psychologist
Shay L Groenewold
Psychologist, PhD
Verified Verified
Online Only
Making the decision to seek therapy is not an easy one, and choosing the right therapist to meet your needs can be even more daunting! As a licensed clinical psychologist, I have had the great fortune of supporting individuals from all walks of life who are working to make peace with their past, to connect with their present, and to build hope about their future. I strive to provide tailored support for my clients as they address issues like anxiety, depression, addiction, past trauma, communication issues, anger management, symptoms of serious mental illness, adjustment and decision-making issues, and relationship problems.
Making the decision to seek therapy is not an easy one, and choosing the right therapist to meet your needs can be even more daunting! As a licensed clinical psychologist, I have had the great fortune of supporting individuals from all walks of life who are working to make peace with their past, to connect with their present, and to build hope about their future. I strive to provide tailored support for my clients as they address issues like anxiety, depression, addiction, past trauma, communication issues, anger management, symptoms of serious mental illness, adjustment and decision-making issues, and relationship problems.
(865) 269-6834 View (865) 269-6834
Photo of Meghan O'Nyon, MS, LMFT, Marriage & Family Therapist
Meghan O'Nyon
Marriage & Family Therapist, MS, LMFT
Verified Verified
Maryville, TN 37804
Not accepting new clients
You look around and ask yourself “Is this really my life right now?” Some days are okay, some are uncomfortable, and others are intolerable. In the tough moments, the things you've tried before don't seem to work. Treading water was fine for a while, but you’re ready to swim. Maybe someone you cared about died. Maybe that inner critic voice is louder or more persistent than it has been before. Maybe your child’s thoughts and feelings are too big for them to handle.
You look around and ask yourself “Is this really my life right now?” Some days are okay, some are uncomfortable, and others are intolerable. In the tough moments, the things you've tried before don't seem to work. Treading water was fine for a while, but you’re ready to swim. Maybe someone you cared about died. Maybe that inner critic voice is louder or more persistent than it has been before. Maybe your child’s thoughts and feelings are too big for them to handle.
(865) 344-2481 View (865) 344-2481
Photo of Lauren Shockley, MS, Pre-Licensed Professional
Lauren Shockley
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Maryville, TN 37801
It can be incredibly challenging to acknowledge the need for help and take that first step. Whether you’re dealing with stress, anxiety, depression, relationship issues, or any other life challenges, it takes immense courage to seek support, and I admire your bravery! My role as a therapist is to work alongside you as a guide. I strive to create a safe and supportive space where you feel comfortable, heard, and respected while navigating your inner world. Together, we will focus on your unique needs and explore meaningful changes you would like to see in your life.
It can be incredibly challenging to acknowledge the need for help and take that first step. Whether you’re dealing with stress, anxiety, depression, relationship issues, or any other life challenges, it takes immense courage to seek support, and I admire your bravery! My role as a therapist is to work alongside you as a guide. I strive to create a safe and supportive space where you feel comfortable, heard, and respected while navigating your inner world. Together, we will focus on your unique needs and explore meaningful changes you would like to see in your life.
(865) 419-7912 View (865) 419-7912
1

How does your Therapist compare?

Number of Therapists in Maryville, TN

100+

Average cost per session

$128

Therapists in Maryville, TN who prioritize treating:

94% Anxiety
89% Depression
77% Stress
76% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Grief

Average years in practice

12 Years

Top 3 insurances accepted

74% UnitedHealthcare UHC | UBH
67% BlueCross and BlueShield
66% Optum

How Therapists in Maryville, TN see their clients

89% In Person and Online
11% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Maryville?

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.