Therapists in Frisco, TX

Photo of Caren Zepeda, Pre-Licensed Professional in Frisco, TX
Caren Zepeda
Pre-Licensed Professional, LMFT , Intern
Verified Verified
Frisco, TX 75034
You do not need to wait for life to become unmanageable before seeking help to take the steps to find balance and serenity in your life. Caren prides herself on her ability to see each person as an individual while considering the context of the situations, environments and relationships that make up your stories. Together you and Caren can create a path toward an empowered understanding of your lived experiences and your hopes for the future.
You do not need to wait for life to become unmanageable before seeking help to take the steps to find balance and serenity in your life. Caren prides herself on her ability to see each person as an individual while considering the context of the situations, environments and relationships that make up your stories. Together you and Caren can create a path toward an empowered understanding of your lived experiences and your hopes for the future.
(469) 297-9313 View (469) 297-9313
Photo of Shakina Robinson-Wiggins, Licensed Professional Counselor in Frisco, TX
Shakina Robinson-Wiggins
Licensed Professional Counselor, MS, LPC, CCTP, CCATP, CTMH
Verified Verified
Frisco, TX 75034  (Online Only)
My philosophy supports the notion that mental health is the biggest investment a person can make for themselves. As people, we need to be able to recognize the things you can control, and the things you can't control. I believe if you always maintain a purposeful and positive mindset, no one can stop your journey to happiness, and overall significant wellness. As your counselor, I will do my best to help you find your inner best.
My philosophy supports the notion that mental health is the biggest investment a person can make for themselves. As people, we need to be able to recognize the things you can control, and the things you can't control. I believe if you always maintain a purposeful and positive mindset, no one can stop your journey to happiness, and overall significant wellness. As your counselor, I will do my best to help you find your inner best.
(469) 715-3878 View (469) 715-3878
Photo of Jeanne Lui, Licensed Professional Counselor Associate in Frisco, TX
Jeanne Lui
Licensed Professional Counselor Associate, MA, LPC
Verified Verified
Frisco, TX 75033
Life is not about being perfect. The truth is, none of us are flawless, myself included, and that’s what makes us real. One time, someone called me a licensed stranger. It’s silly, but it’s true! Like any relationship, it takes time. Counseling isn’t a one-size-fits-all experience, but my hope for you is to leave our sessions with a sense of understanding and empowerment to initiate positive changes.
Life is not about being perfect. The truth is, none of us are flawless, myself included, and that’s what makes us real. One time, someone called me a licensed stranger. It’s silly, but it’s true! Like any relationship, it takes time. Counseling isn’t a one-size-fits-all experience, but my hope for you is to leave our sessions with a sense of understanding and empowerment to initiate positive changes.
(469) 694-2326 View (469) 694-2326
Photo of Teresa Vazquez, Licensed Master Social Worker in Frisco, TX
Teresa Vazquez
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Frisco, TX 75034  (Online Only)
Consumed by the mistakes of the past and fears of the future? Feel like you could use some support from someone outside of your inner-circle? If you find yourself in need of someone to support you along your journey who is non-judgmental, honest, and has a sense of humor, you have come to the right place! I will work with you on identifying your strengths and empowering you to seek solutions that are realistic and attainable. If change is something you are truly seeking, and are willing to put in the work it requires, I would love to be part of your journey.
Consumed by the mistakes of the past and fears of the future? Feel like you could use some support from someone outside of your inner-circle? If you find yourself in need of someone to support you along your journey who is non-judgmental, honest, and has a sense of humor, you have come to the right place! I will work with you on identifying your strengths and empowering you to seek solutions that are realistic and attainable. If change is something you are truly seeking, and are willing to put in the work it requires, I would love to be part of your journey.
(469) 960-3521 View (469) 960-3521
Photo of Kim Tanuvasa, Licensed Professional Counselor in Frisco, TX
Kim Tanuvasa
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
1 Endorsed
Frisco, TX 75035
The "get over it" advice is not always helpful. I'm here to help get you unstuck and find relief from impairing panic attacks, suicidal depression, and traumatic memories. Those who seek help face a better outcome. Replace sadness, worry and anger with self-acceptance, inner peace and empowerment.
The "get over it" advice is not always helpful. I'm here to help get you unstuck and find relief from impairing panic attacks, suicidal depression, and traumatic memories. Those who seek help face a better outcome. Replace sadness, worry and anger with self-acceptance, inner peace and empowerment.
(469) 203-4014 View (469) 203-4014
Photo of Alven T. Weathersby, Licensed Professional Counselor in Frisco, TX
Alven T. Weathersby
Licensed Professional Counselor, LPC
Verified Verified
Frisco, TX 75034  (Online Only)
I'm a Licensed Professional Counselor, LPC from MS, residing in TX. That means I have "that southern hospitality" to help you feel at ease. I'm easy going, but passionate about helping others along in their journey. I have 10yrs experience in Mental Health as a Case Manager & Counselor. I've worked w/ ADHD, Schizoaffective, Bipolar, and Depression diagnosis. Being vulnerable can be hard, so I aim to meet you where you are and respect you the way you see fit during this process.
I'm a Licensed Professional Counselor, LPC from MS, residing in TX. That means I have "that southern hospitality" to help you feel at ease. I'm easy going, but passionate about helping others along in their journey. I have 10yrs experience in Mental Health as a Case Manager & Counselor. I've worked w/ ADHD, Schizoaffective, Bipolar, and Depression diagnosis. Being vulnerable can be hard, so I aim to meet you where you are and respect you the way you see fit during this process.
(469) 960-5406 View (469) 960-5406
Photo of Lisa K Fulfor, Clinical Social Work/Therapist in Frisco, TX
Lisa K Fulfor
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
3 Endorsed
Frisco, TX 75034  (Online Only)
Waitlist for new clients
Carl Rogers once said, "When a person realizes he has been deeply heard, his eyes moisten. I think in some real sense he is weeping for joy. It is as though he were saying, "Thank God, somebody heard me. Someone knows what it's like to be me." We all experience times in our lives where we just need to be heard, to be validated, to find some direction. It is my belief that a therapeutic relationship with a genuine therapist who provides an authentic, nonjudgmental, safe environment is the most important factor for growth and positive outcomes.
Carl Rogers once said, "When a person realizes he has been deeply heard, his eyes moisten. I think in some real sense he is weeping for joy. It is as though he were saying, "Thank God, somebody heard me. Someone knows what it's like to be me." We all experience times in our lives where we just need to be heard, to be validated, to find some direction. It is my belief that a therapeutic relationship with a genuine therapist who provides an authentic, nonjudgmental, safe environment is the most important factor for growth and positive outcomes.
(469) 425-2862 View (469) 425-2862
Photo of Lifeologie Counseling North Dallas, Licensed Professional Counselor in Frisco, TX
Lifeologie Counseling North Dallas
Licensed Professional Counselor
Verified Verified
2 Endorsed
Frisco, TX 75034
There is ALWAYS a way out. Whether it’s been an on-going issue or a crisis that turned your life upside down, we can guide you through life’s toughest issues from marital problems, parenting teens, surviving loss, conflict and relationship management, etc. No issue has been brought to us that we did not like nor could not untangle. Our team of therapists collaborate weekly, discussing cases in order to gain the best perspective for each situation. We also provide continual education for our team, because we are life-long learners who want to provide optimal care for our clients. How can we help you?
There is ALWAYS a way out. Whether it’s been an on-going issue or a crisis that turned your life upside down, we can guide you through life’s toughest issues from marital problems, parenting teens, surviving loss, conflict and relationship management, etc. No issue has been brought to us that we did not like nor could not untangle. Our team of therapists collaborate weekly, discussing cases in order to gain the best perspective for each situation. We also provide continual education for our team, because we are life-long learners who want to provide optimal care for our clients. How can we help you?
(469) 414-1192 View (469) 414-1192
Photo of Crissy Cates, LPC-Associate in Frisco, TX
Crissy Cates
LPC-Associate, MS
Verified Verified
1 Endorsed
Frisco, TX 75034  (Online Only)
Struggling with mental health and challenging life circumstances can be all-consuming and overwhelming. You don't have to endure these struggles alone. Clients who want an easy-going, direct, and casual yet professional approach to therapy will enjoy working with me. Positive rapport and trust are established first and foremost. Together we will embark on a journey toward lasting mental health, healing, and happiness. You can show up as you are with no fear of judgment. I will encourage and equip you to leverage what you can control to get what you want and need out of life.
Struggling with mental health and challenging life circumstances can be all-consuming and overwhelming. You don't have to endure these struggles alone. Clients who want an easy-going, direct, and casual yet professional approach to therapy will enjoy working with me. Positive rapport and trust are established first and foremost. Together we will embark on a journey toward lasting mental health, healing, and happiness. You can show up as you are with no fear of judgment. I will encourage and equip you to leverage what you can control to get what you want and need out of life.
(469) 770-7212 View (469) 770-7212
Photo of Kenneth Van Swearingen, Licensed Professional Counselor in Frisco, TX
Kenneth Van Swearingen
Licensed Professional Counselor, MA, MMFT, LPC-S, LCDC, NCC
Verified Verified
Frisco, TX 75034
Therapy is having courageous conversations about our deepest desires. I have spent the last decade helping people discover their truest selves, deepen their relationships, and grow through the meaning that accompanies life transitions, suffering, and mental health issues.
Therapy is having courageous conversations about our deepest desires. I have spent the last decade helping people discover their truest selves, deepen their relationships, and grow through the meaning that accompanies life transitions, suffering, and mental health issues.
(214) 643-8407 View (214) 643-8407
Photo of Zoë Whitmire in Frisco, TX
Zoë Whitmire
MA, LPC, NCC
Verified Verified
1 Endorsed
Frisco, TX 75035
Are you a young adult who is feeling challenged by all that life seems to be throwing your way? As you navigate the transition to adulthood, you might be experiencing concerns related to dating, sexuality, family relationships, anxiety, self-image, perfectionism, and/or your school or work life. This time in your life is full of possibility and change, and I can help you navigate through the stressors that come up for you along the way. I am here to listen and to support you while giving you the tools to face your situation and feel good about yourself and the decisions that you make.
Are you a young adult who is feeling challenged by all that life seems to be throwing your way? As you navigate the transition to adulthood, you might be experiencing concerns related to dating, sexuality, family relationships, anxiety, self-image, perfectionism, and/or your school or work life. This time in your life is full of possibility and change, and I can help you navigate through the stressors that come up for you along the way. I am here to listen and to support you while giving you the tools to face your situation and feel good about yourself and the decisions that you make.
(832) 219-6562 View (832) 219-6562
Photo of Katelyn Braatz, Licensed Professional Counselor in Frisco, TX
Katelyn Braatz
Licensed Professional Counselor, MS, LPC, NCC, LCDC
Verified Verified
Frisco, TX 75034
Whose ready to make a change in their life? My greatest passion is to help individuals overcome any obstacles that prevent them from experiencing an improved quality of life. I help clients, who include adolescents and adults uncover strengths and learn new skills to take on any challenges in life. I'm ready to join you on your journey!
Whose ready to make a change in their life? My greatest passion is to help individuals overcome any obstacles that prevent them from experiencing an improved quality of life. I help clients, who include adolescents and adults uncover strengths and learn new skills to take on any challenges in life. I'm ready to join you on your journey!
(469) 214-6167 View (469) 214-6167
Photo of Dr. Jean Kim, Marriage & Family Therapist in Frisco, TX
Dr. Jean Kim
Marriage & Family Therapist, DMFT, LMFT
Verified Verified
1 Endorsed
Frisco, TX 75034
I have been working with clients of all ages including adolescents, the young adult population, children, and parents throughout my career through clinical interventions for challenging mental health issues, or coaching for the parents to go through the tough time for their teens. I believe that the most powerful thing during the therapy is the person's unique strength and desire for change. Emotional regulation is the key while rebuilding the new neurological pathway for our brain to process difficult life experiences.
I have been working with clients of all ages including adolescents, the young adult population, children, and parents throughout my career through clinical interventions for challenging mental health issues, or coaching for the parents to go through the tough time for their teens. I believe that the most powerful thing during the therapy is the person's unique strength and desire for change. Emotional regulation is the key while rebuilding the new neurological pathway for our brain to process difficult life experiences.
(469) 423-9411 View (469) 423-9411
Photo of Sarah Elizabeth Sumpter, Licensed Professional Counselor in Frisco, TX
Sarah Elizabeth Sumpter
Licensed Professional Counselor, LPC
Verified Verified
Frisco, TX 75035  (Online Only)
Are you needing therapy to fit into your busy lifestyle and would like to see someone on Saturdays or weekday evenings? Maybe you are experiencing stress, burnout, depression, anxiety, or something else that is making you feel off. Are you on the verge of a major life change and trying to figure out your next steps? Looking for support for caregivers, educators, newly diagnosed with a chronic illness or mental health disorders? Do you just need a supportive and encouraging advocate in your corner? We all have different roles and identities often at the same time. Balancing it all can be tricky. Let's work together!
Are you needing therapy to fit into your busy lifestyle and would like to see someone on Saturdays or weekday evenings? Maybe you are experiencing stress, burnout, depression, anxiety, or something else that is making you feel off. Are you on the verge of a major life change and trying to figure out your next steps? Looking for support for caregivers, educators, newly diagnosed with a chronic illness or mental health disorders? Do you just need a supportive and encouraging advocate in your corner? We all have different roles and identities often at the same time. Balancing it all can be tricky. Let's work together!
(214) 225-3912 View (214) 225-3912
Photo of Kayla Allison, Licensed Professional Counselor in Frisco, TX
Kayla Allison
Licensed Professional Counselor, LPC
Verified Verified
Frisco, TX 75033
Kayla is a Licensed Professional Counselor in the State of Texas holding a Master of Art’s degree in Professional Counseling from Amberton University. Amongst Kayla’s area of expertise are the treatment of Adjustment Disorder, Anger Management, Anxiety, Attachment Disorder, ADHD/ ADD, Child Abuse/ Neglect, Communication Skills, Conduct/ Disruptive Disorder, Depression, Gender Identity/ Sexuality – LGBTQIA+, Impulse Disorder, Relationship Skills, Self-Harm, Self-Confidence, Stress Management, Trauma and more. Kayla enjoys working with children from (3-12) years old and adolescents (13-18) year old.
Kayla is a Licensed Professional Counselor in the State of Texas holding a Master of Art’s degree in Professional Counseling from Amberton University. Amongst Kayla’s area of expertise are the treatment of Adjustment Disorder, Anger Management, Anxiety, Attachment Disorder, ADHD/ ADD, Child Abuse/ Neglect, Communication Skills, Conduct/ Disruptive Disorder, Depression, Gender Identity/ Sexuality – LGBTQIA+, Impulse Disorder, Relationship Skills, Self-Harm, Self-Confidence, Stress Management, Trauma and more. Kayla enjoys working with children from (3-12) years old and adolescents (13-18) year old.
(469) 772-6583 View (469) 772-6583
Photo of Kirsten Woods, Licensed Professional Counselor in Frisco, TX
Kirsten Woods
Licensed Professional Counselor, MS, LPC, NCC, CCTSI, LCDC-I
Verified Verified
1 Endorsed
Frisco, TX 75033  (Online Only)
I believe that life is a series of adjustments and living with painful memories or troubling feelings is exhausting. I would love the opportunity to support you and guide you along your journey. The most important piece between the client and therapist is the clinical rapport. I provide a safe and non-judgmental environment. I view psychotherapy as a collective process between client and therapist. I help people who are suffering from anxiety and depression, people who feel stressed and people who have experienced painful and traumatic life events.
I believe that life is a series of adjustments and living with painful memories or troubling feelings is exhausting. I would love the opportunity to support you and guide you along your journey. The most important piece between the client and therapist is the clinical rapport. I provide a safe and non-judgmental environment. I view psychotherapy as a collective process between client and therapist. I help people who are suffering from anxiety and depression, people who feel stressed and people who have experienced painful and traumatic life events.
(469) 217-3461 View (469) 217-3461
Photo of Abigail Leal Scallan, LPC Associate in Frisco, TX
Abigail Leal Scallan
LPC Associate
Verified Verified
Frisco, TX 75034
Couples Therapy: Communication has become stressful instead of safe. Minor annoyances escalate into fights where the same topic gets visited repeatedly with no resolution in sight, The friendship you both once had feels nonexistent. You’re looking for practical tools and safe conversations so you can both HEAR each other again. I offer an objective approach to reframe your dynamics and stabilize your interactions so you can get curious about each other again. Working together, we can map out a direction for your relationship that replenishes rather than exhausts and turns conflict into connection instead of collateral damage.
Couples Therapy: Communication has become stressful instead of safe. Minor annoyances escalate into fights where the same topic gets visited repeatedly with no resolution in sight, The friendship you both once had feels nonexistent. You’re looking for practical tools and safe conversations so you can both HEAR each other again. I offer an objective approach to reframe your dynamics and stabilize your interactions so you can get curious about each other again. Working together, we can map out a direction for your relationship that replenishes rather than exhausts and turns conflict into connection instead of collateral damage.
(469) 871-6011 View (469) 871-6011
Photo of Denise Lucero-Miller, Psychologist in Frisco, TX
Denise Lucero-Miller
Psychologist, PhD
Verified Verified
4 Endorsed
Frisco, TX 75035  (Online Only)
Along the journey of life, we will encounter joy, connection, laughter, and a true zest for living. At times, however, we may also experience pain, heartbreak, and an inability to find our light. As a result, our lives may feel disjointed and difficult to navigate. It is during these times that the support of a knowledgeable and caring professional can assist you in reconnecting with your purpose, inner strength, and potential for embracing a rewarding life. The decision to seek help can feel overwhelming yet also be an opportunity to discover how to break negative patterns and find new solutions.
Along the journey of life, we will encounter joy, connection, laughter, and a true zest for living. At times, however, we may also experience pain, heartbreak, and an inability to find our light. As a result, our lives may feel disjointed and difficult to navigate. It is during these times that the support of a knowledgeable and caring professional can assist you in reconnecting with your purpose, inner strength, and potential for embracing a rewarding life. The decision to seek help can feel overwhelming yet also be an opportunity to discover how to break negative patterns and find new solutions.
(469) 352-2745 View (469) 352-2745
Photo of Tatia Close, Marriage & Family Therapist in Frisco, TX
Tatia Close
Marriage & Family Therapist, MMFT, LMFT, EMDR
Verified Verified
1 Endorsed
Frisco, TX 75035  (Online Only)
You thought you’d have a better grasp on life by now, right? If you’re honest, you’ve grown weary of the merry-go-round of trying & failing to the point that you’ve started recycling those same strategies to no avail. Maybe you’re finally ready to admit that your ability to navigate relationships hasn’t improved despite your efforts & communicating simply feels like standing in the middle of a minefield. It doesn’t have to be this hard. Maybe I can me help! Trauma impedes our ability to accurately filter what we see, hear & experience in life, therefore, inhibiting our ability to function optimally, especially in relationships.
You thought you’d have a better grasp on life by now, right? If you’re honest, you’ve grown weary of the merry-go-round of trying & failing to the point that you’ve started recycling those same strategies to no avail. Maybe you’re finally ready to admit that your ability to navigate relationships hasn’t improved despite your efforts & communicating simply feels like standing in the middle of a minefield. It doesn’t have to be this hard. Maybe I can me help! Trauma impedes our ability to accurately filter what we see, hear & experience in life, therefore, inhibiting our ability to function optimally, especially in relationships.
(469) 336-6720 View (469) 336-6720
Photo of Melanie R Smith, Licensed Professional Counselor in Frisco, TX
Melanie R Smith
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Frisco, TX 75034
I have been providing counseling services to children, adolescents, and their families since 2010. If your child is struggling with behavior, trauma, or mood disorders, I am here to help. I have also worked with children in the educational system and have knowledge in schools and appropriate supports and accommodations. Due to the nature of teletherapy, older children and teens would benefit most from online therapy, as well as their parents/guardians.
I have been providing counseling services to children, adolescents, and their families since 2010. If your child is struggling with behavior, trauma, or mood disorders, I am here to help. I have also worked with children in the educational system and have knowledge in schools and appropriate supports and accommodations. Due to the nature of teletherapy, older children and teens would benefit most from online therapy, as well as their parents/guardians.
(214) 506-2521 View (214) 506-2521

How does your Therapist compare?

Number of Therapists in Frisco, TX

1,000+

Average cost per session

$150

Therapists in Frisco, TX who prioritize treating:

94% Anxiety
88% Depression
79% Self Esteem
75% Relationship Issues
75% Coping Skills
68% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

79% UnitedHealthcare UHC | UBH
78% Aetna
76% BlueCross and BlueShield

How Therapists in Frisco, TX see their clients

73% In Person and Online
27% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Frisco?

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.