Therapists in Menlo Park, CA

Photo of Zarina Jadwet, Clinical Social Work/Therapist in Menlo Park, CA
Zarina Jadwet
Clinical Social Work/Therapist, LCSW
Verified Verified
Menlo Park, CA 94025  (Online Only)
Through my experiences, I have gained skills to support my clients by building strong relationships, providing empathy and support, and most importantly creating a safe space. I became a therapist due to my own personal experiences. Initially, it was very difficult for me to seek mental health support, but once I did, I found confidence and healing through therapy. It was that positive experience that led me to pursue a career in this field.
Through my experiences, I have gained skills to support my clients by building strong relationships, providing empathy and support, and most importantly creating a safe space. I became a therapist due to my own personal experiences. Initially, it was very difficult for me to seek mental health support, but once I did, I found confidence and healing through therapy. It was that positive experience that led me to pursue a career in this field.
(510) 822-8083 View (510) 822-8083
Photo of Philip B. Rahm, Marriage & Family Therapist in Menlo Park, CA
Philip B. Rahm
Marriage & Family Therapist, PhD, LMFT
Verified Verified
2 Endorsed
Menlo Park, CA 94025
Are you struggling with issues of depression and or anxiety? Do you know you have a problem with alcohol and or drugs and need experienced, effective and compassionate care? Are you feeling stuck in a relationship where one or both of you are unhappy and it seems that no matter what you try, the relationship just does not get better? My name is Dr. Philip Rahm and I am a Licensed Marriage and Family therapist who has been helping individuals, couples, families and adolescents work through and successfully resolve their difficulties for over 30 years.
Are you struggling with issues of depression and or anxiety? Do you know you have a problem with alcohol and or drugs and need experienced, effective and compassionate care? Are you feeling stuck in a relationship where one or both of you are unhappy and it seems that no matter what you try, the relationship just does not get better? My name is Dr. Philip Rahm and I am a Licensed Marriage and Family therapist who has been helping individuals, couples, families and adolescents work through and successfully resolve their difficulties for over 30 years.
(650) 800-5530 View (650) 800-5530
Photo of Roger Grossman, Marriage & Family Therapist in Menlo Park, CA
Roger Grossman
Marriage & Family Therapist, LMFT
Verified Verified
Menlo Park, CA 94025  (Online Only)
My name is Roger Grossman I literally wrote to book on how to have a successful marriage: "Making Marriage Work: A User’s Guide To A Successful Marriage" by Roger Grossman, I Am Not The Smile and Nod Therapist. I roll up my sleeves and get in there with you. I have a great BS detector. I’ll call you on your stuff. We’ll laugh (a lot).
My name is Roger Grossman I literally wrote to book on how to have a successful marriage: "Making Marriage Work: A User’s Guide To A Successful Marriage" by Roger Grossman, I Am Not The Smile and Nod Therapist. I roll up my sleeves and get in there with you. I have a great BS detector. I’ll call you on your stuff. We’ll laugh (a lot).
(858) 533-2684 View (858) 533-2684
Photo of Laticia Rodriguez, Marriage & Family Therapist in Menlo Park, CA
Laticia Rodriguez
Marriage & Family Therapist, LMFT
Verified Verified
Menlo Park, CA 94025
Hi, I'm Laticia Rodriguez (She/Her) and I am a License Marriage and Family Therapist based in Southern California working with clients statewide via Telehealth. If you're feeling stuck in a negative cycle with anxiety, depression, trauma responses, ADHD, or even within your relationship, I'm here to help you experience the change, relief, and lightness you're looking for. I'm a therapist with a passion for change work that makes a real difference in the lives of individuals (adolescents through adults), families, and couples that I see.
Hi, I'm Laticia Rodriguez (She/Her) and I am a License Marriage and Family Therapist based in Southern California working with clients statewide via Telehealth. If you're feeling stuck in a negative cycle with anxiety, depression, trauma responses, ADHD, or even within your relationship, I'm here to help you experience the change, relief, and lightness you're looking for. I'm a therapist with a passion for change work that makes a real difference in the lives of individuals (adolescents through adults), families, and couples that I see.
(650) 643-5549 View (650) 643-5549
Photo of Denise Lee, Marriage & Family Therapist in Menlo Park, CA
Denise Lee
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
Menlo Park, CA 94025  (Online Only)
Clients have described me as warm, nurturing, and also direct. I tend to engage in more of a collaborative approach identifying what you would like to accomplish and then exploring how we can get you there.
Clients have described me as warm, nurturing, and also direct. I tend to engage in more of a collaborative approach identifying what you would like to accomplish and then exploring how we can get you there.
(510) 288-9436 View (510) 288-9436
Photo of Melissa Beacham Kelley, Marriage & Family Therapist in Menlo Park, CA
Melissa Beacham Kelley
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Menlo Park, CA 94025  (Online Only)
I am particularly effective in working with bright and highly sensitive teens. During this pandemic, I believe that our most perceptive, sensitive adolescents are having the biggest mental health challenges with not seeing friends, family, and teachers on a more regular basis. I have extensive experience as a School Counselor in both private and public schools in the SF Bay Area. I also have designed and taught Social and Emotional Learning at several private schools. My ideal client is a teen facing the obstacles of anxiety, depression, learning challenges or social skills challenges at school or home.
I am particularly effective in working with bright and highly sensitive teens. During this pandemic, I believe that our most perceptive, sensitive adolescents are having the biggest mental health challenges with not seeing friends, family, and teachers on a more regular basis. I have extensive experience as a School Counselor in both private and public schools in the SF Bay Area. I also have designed and taught Social and Emotional Learning at several private schools. My ideal client is a teen facing the obstacles of anxiety, depression, learning challenges or social skills challenges at school or home.
(650) 297-6607 View (650) 297-6607
Photo of Leslie Krusinski, Marriage & Family Therapist in Menlo Park, CA
Leslie Krusinski
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Menlo Park, CA 94025  (Online Only)
Are you feeling stuck? Do you wonder why you keep making the same mistakes? Have you felt like the family you grew up in possibly (or definitely) has something to do with why you keep acting this way? Do you just want to figure out what in the world is going on? You’re not alone; Leslie Krusinski works with individuals who wrestle with these questions. She is focused on helping others work through relationship issues, personal growth, anxiety, depression, life transitions, and self-esteem. Leslie has experience working with teens, adults, couples and families of various ethnicities and cultures for a variety of reasons.
Are you feeling stuck? Do you wonder why you keep making the same mistakes? Have you felt like the family you grew up in possibly (or definitely) has something to do with why you keep acting this way? Do you just want to figure out what in the world is going on? You’re not alone; Leslie Krusinski works with individuals who wrestle with these questions. She is focused on helping others work through relationship issues, personal growth, anxiety, depression, life transitions, and self-esteem. Leslie has experience working with teens, adults, couples and families of various ethnicities and cultures for a variety of reasons.
(669) 271-7602 View (669) 271-7602
Photo of Wendy Justus, Clinical Social Work/Therapist in Menlo Park, CA
Wendy Justus
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Menlo Park, CA 94025
Not accepting new clients
I am a licensed psychotherapist and EMDR provider who specializes in trauma, depression, addiction, life change and attachment issues. I work with adults and older adolescents. I can help with the anxiety and painful feelings that proliferate when coping with challenging life experiences. I am certified to provide EMDR, (Eye Movement Desensitization and Reprocessing) a powerful and highly effective trauma treatment which can greatly improve therapeutic outcome and expedite recovery time. EMDR works with major trauma as well as repetitive, "small t" trauma like that experienced growing up in a dysfunctional home.
I am a licensed psychotherapist and EMDR provider who specializes in trauma, depression, addiction, life change and attachment issues. I work with adults and older adolescents. I can help with the anxiety and painful feelings that proliferate when coping with challenging life experiences. I am certified to provide EMDR, (Eye Movement Desensitization and Reprocessing) a powerful and highly effective trauma treatment which can greatly improve therapeutic outcome and expedite recovery time. EMDR works with major trauma as well as repetitive, "small t" trauma like that experienced growing up in a dysfunctional home.
(650) 437-8597 View (650) 437-8597
Photo of Abby Haile, Psychologist in Menlo Park, CA
Abby Haile
Psychologist, PsyD
Verified Verified
2 Endorsed
Menlo Park, CA 94025
The human spirit is stronger than anything that can happen to it. -C.C. Scott. We all go through challenges in life, and at times they can seem bigger than our ability to manage. In therapy, we can work together to cultivate the life you want through reducing the grip of depression, anxiety, and stress; healing from grief, loss, past abuse or trauma; regulating your nervous system; developing effective coping skills; improving relationships and communication; and building on your personal strengths. I want to help you to engage with life more fully and to support you in pursuing what you value most.
The human spirit is stronger than anything that can happen to it. -C.C. Scott. We all go through challenges in life, and at times they can seem bigger than our ability to manage. In therapy, we can work together to cultivate the life you want through reducing the grip of depression, anxiety, and stress; healing from grief, loss, past abuse or trauma; regulating your nervous system; developing effective coping skills; improving relationships and communication; and building on your personal strengths. I want to help you to engage with life more fully and to support you in pursuing what you value most.
(650) 646-5541 View (650) 646-5541
Photo of Keara Valentine, Psychologist in Menlo Park, CA
Keara Valentine
Psychologist, PsyD
Verified Verified
Menlo Park, CA 94025  (Online Only)
​I wholeheartedly believe that we are all doing the best we can with what we have at any given moment. I also believe that being a human is hard and at times we need to do something different. Whether it’s changing unhelpful thoughts or behaviors, facing fears, gaining increased insight as to why we do those things humans do, or accepting something that might be difficult or painful to accept, I firmly believe it is worth the work. So let’s laugh together, yell together, play together, and cry together as we embark on a journey of growth and humanness. You’re worth it.
​I wholeheartedly believe that we are all doing the best we can with what we have at any given moment. I also believe that being a human is hard and at times we need to do something different. Whether it’s changing unhelpful thoughts or behaviors, facing fears, gaining increased insight as to why we do those things humans do, or accepting something that might be difficult or painful to accept, I firmly believe it is worth the work. So let’s laugh together, yell together, play together, and cry together as we embark on a journey of growth and humanness. You’re worth it.
(650) 648-6629 View (650) 648-6629
Photo of Alex J Basche, Marriage & Family Therapist in Menlo Park, CA
Alex J Basche
Marriage & Family Therapist, LMFT, IGDC
Verified Verified
Menlo Park, CA 94025
I use a strength-based approach to foster genuine self-acceptance & to support clients in finding meaning. My philosophy centers around building & harnessing connections between the body, emotions, thoughts & behaviors to create healing & growth. This is an active, evidence-based approach that addresses the whole person. Treatment is uniquely individualized & with over a decade of clinical experience, I am competent in helping clients to not only heal but to make real gains. This can involve setting/tracking measurable goals for therapy to help guide our work and offer insight into obstacles along the way.
I use a strength-based approach to foster genuine self-acceptance & to support clients in finding meaning. My philosophy centers around building & harnessing connections between the body, emotions, thoughts & behaviors to create healing & growth. This is an active, evidence-based approach that addresses the whole person. Treatment is uniquely individualized & with over a decade of clinical experience, I am competent in helping clients to not only heal but to make real gains. This can involve setting/tracking measurable goals for therapy to help guide our work and offer insight into obstacles along the way.
(669) 222-7872 View (669) 222-7872
Photo of Laura Hamilton, Clinical Social Work/Therapist in Menlo Park, CA
Laura Hamilton
Clinical Social Work/Therapist, LCSW
Verified Verified
Menlo Park, CA 94025
The burning question: "Should I be concerned by my child's behavior, lack of communication, or new friends... or is this just a phase"? There are many variables as to why children/adolescents begin acting differently and sometimes this is just a natural progression in your child becoming their own individual. However, other times these are warning signs that something problematic is involved and you are correct to be concerned.
The burning question: "Should I be concerned by my child's behavior, lack of communication, or new friends... or is this just a phase"? There are many variables as to why children/adolescents begin acting differently and sometimes this is just a natural progression in your child becoming their own individual. However, other times these are warning signs that something problematic is involved and you are correct to be concerned.
(650) 209-7632 View (650) 209-7632
Photo of Kamailia Williams, Marriage & Family Therapist in Menlo Park, CA
Kamailia Williams
Marriage & Family Therapist, LMFT
Verified Verified
Menlo Park, CA 94025  (Online Only)
I have worked with diverse populations of all ages. I believe that everyone deserves to live their best life, use their voice, and be free in their body. As humans, our sense of self is shaped by family stories, the environment we grew up and live in, relationships, past traumas, and socio-political-economic and cultural influences, that may have clouded our vision of ourselves or who we want to be. My joy as a therapist is to provide space for you to speak your truth, find your way back to yourself, reinvent, and rediscover who you are. Change is a moment-by-moment process.
I have worked with diverse populations of all ages. I believe that everyone deserves to live their best life, use their voice, and be free in their body. As humans, our sense of self is shaped by family stories, the environment we grew up and live in, relationships, past traumas, and socio-political-economic and cultural influences, that may have clouded our vision of ourselves or who we want to be. My joy as a therapist is to provide space for you to speak your truth, find your way back to yourself, reinvent, and rediscover who you are. Change is a moment-by-moment process.
(415) 549-1171 View (415) 549-1171
Photo of James Hutt, Marriage & Family Therapist in Menlo Park, CA
James Hutt
Marriage & Family Therapist, PhD, MFT
Verified Verified
Menlo Park, CA 94025
Do you experience difficulty managing conflict in your relationship? Maybe one of you has an anger problem, or you withdraw during conflict. Maybe it's time to re-light the flame. Perhaps parenting struggles, particularly with teenagers, are wearing you out. Or, you cannot agree on parenting techniques. Maybe substance abuse is hurting you or a loved one, and you want help addressing it. I have 30 years experience dealing with couple/marital, parenting and substance abuse issues. Learn practical solutions that can help reduce these, and other stressors in your life.
Do you experience difficulty managing conflict in your relationship? Maybe one of you has an anger problem, or you withdraw during conflict. Maybe it's time to re-light the flame. Perhaps parenting struggles, particularly with teenagers, are wearing you out. Or, you cannot agree on parenting techniques. Maybe substance abuse is hurting you or a loved one, and you want help addressing it. I have 30 years experience dealing with couple/marital, parenting and substance abuse issues. Learn practical solutions that can help reduce these, and other stressors in your life.
(650) 918-5875 View (650) 918-5875
Photo of Azra Kim, Clinical Social Work/Therapist in Menlo Park, CA
Azra Kim
Clinical Social Work/Therapist, LCSW, LMSW, PMH-C
Verified Verified
1 Endorsed
Menlo Park, CA 94025  (Online Only)
Do you experience intense stress, worry, or panic? Does anxiety hold you back from pursuing your personal and professional goals? I can help you learn strategies to overcome your fears and help you live a more meaningful and fulfilling life. I enjoy working with clients who are struggling with worry, stress, or perfectionism, as well as specific anxiety disorders such as Obsessive Compulsive Disorder, Panic Disorder, and Social Anxiety Disorder. I also treat Body Focused Repetitive Behaviors (e.g. hair pulling, skin picking).
Do you experience intense stress, worry, or panic? Does anxiety hold you back from pursuing your personal and professional goals? I can help you learn strategies to overcome your fears and help you live a more meaningful and fulfilling life. I enjoy working with clients who are struggling with worry, stress, or perfectionism, as well as specific anxiety disorders such as Obsessive Compulsive Disorder, Panic Disorder, and Social Anxiety Disorder. I also treat Body Focused Repetitive Behaviors (e.g. hair pulling, skin picking).
(650) 665-5117 View (650) 665-5117
Photo of Peter Aston, Psychologist in Menlo Park, CA
Peter Aston
Psychologist, PsyD
Verified Verified
Menlo Park, CA 94025  (Online Only)
I’m a licensed clinical psychologist (PSY32050) who provides individual psychotherapy and performance consultation to adults. I specialize in working with high-performance athletes and professionals, and in cognitive behavioral therapy (CBT) for anxiety disorders, OCD, depression, stress and trauma.
I’m a licensed clinical psychologist (PSY32050) who provides individual psychotherapy and performance consultation to adults. I specialize in working with high-performance athletes and professionals, and in cognitive behavioral therapy (CBT) for anxiety disorders, OCD, depression, stress and trauma.
(408) 547-2418 View (408) 547-2418
Photo of Margaret Li, Psychologist in Menlo Park, CA
Margaret Li
Psychologist, PsyD, CST
Verified Verified
1 Endorsed
Menlo Park, CA 94025
Are you struggling with intimacy or sexual concerns and not sure how to improve the situation? Sex therapy is a form of therapy intended to help individuals and couples resolve sexual difficulties, such as performance anxiety or relationship problems. It’s normal for clients to feel anxious when seeing a sex therapist, especially for the first time. Many people have trouble talking about sex at all, so discussing it with me as a stranger may feel awkward. I provide a safe space in exploring your sexual concerns, reducing the pain, and reaching desirable goals. I am one of the few Asian American AASECT certified therapists across US.
Are you struggling with intimacy or sexual concerns and not sure how to improve the situation? Sex therapy is a form of therapy intended to help individuals and couples resolve sexual difficulties, such as performance anxiety or relationship problems. It’s normal for clients to feel anxious when seeing a sex therapist, especially for the first time. Many people have trouble talking about sex at all, so discussing it with me as a stranger may feel awkward. I provide a safe space in exploring your sexual concerns, reducing the pain, and reaching desirable goals. I am one of the few Asian American AASECT certified therapists across US.
View
Photo of Karla Amanda Brown, Marriage & Family Therapist in Menlo Park, CA
Karla Amanda Brown
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Menlo Park, CA 94025
It is time for you to get unstuck - feel stronger and live life in control. Do you feel hurt and betrayed by someone who was supposed to love you? If your current relationship is causing you pain, you are in the right place. Fear does not have to rule your every move. Together, you and I will address what has been keeping you frozen so that you can open the door to a life of possibility and begin enjoying yourself while feeling secure and confident.
It is time for you to get unstuck - feel stronger and live life in control. Do you feel hurt and betrayed by someone who was supposed to love you? If your current relationship is causing you pain, you are in the right place. Fear does not have to rule your every move. Together, you and I will address what has been keeping you frozen so that you can open the door to a life of possibility and begin enjoying yourself while feeling secure and confident.
(650) 297-3259 View (650) 297-3259
Photo of Silicon Valley Marriage Counseling Center, Marriage & Family Therapist in Menlo Park, CA
Silicon Valley Marriage Counseling Center
Marriage & Family Therapist, LMFT
Verified Verified
Menlo Park, CA 94025  (Online Only)
I am a Licensed Marriage Family Therapist working in Silicon Valley area, and specializing in Couples Therapy, Infidelity, Sexuality, Pre-Marital, anxiety and Male Depression. Marriage is hard work but it is possible, not only to make it work, but have the passion and the spark to last. Couple Counseling has helped hundreds of thousands of couples move past obstacles to reach a point of openness and honesty in their relationship. I enable clients to overcome all kinds of hurdles in their relationships that take a toll on their mental health and emotional wellbeing.
I am a Licensed Marriage Family Therapist working in Silicon Valley area, and specializing in Couples Therapy, Infidelity, Sexuality, Pre-Marital, anxiety and Male Depression. Marriage is hard work but it is possible, not only to make it work, but have the passion and the spark to last. Couple Counseling has helped hundreds of thousands of couples move past obstacles to reach a point of openness and honesty in their relationship. I enable clients to overcome all kinds of hurdles in their relationships that take a toll on their mental health and emotional wellbeing.
(650) 206-9973 View (650) 206-9973
Photo of Cheryl Chin, Marriage & Family Therapist in Menlo Park, CA
Cheryl Chin
Marriage & Family Therapist, LMFT
Verified Verified
Menlo Park, CA 94025  (Online Only)
My style is that I meet the clients where they currently are, using strength-based and empirically-driven approaches. I want to understand my clients holistically and consider the mind-body connection in helping my clients live a higher quality of life or make positive transformations.
My style is that I meet the clients where they currently are, using strength-based and empirically-driven approaches. I want to understand my clients holistically and consider the mind-body connection in helping my clients live a higher quality of life or make positive transformations.
(408) 617-8993 View (408) 617-8993

How does your Therapist compare?

Number of Therapists in Menlo Park, CA

300+

Average cost per session

$225

Therapists in Menlo Park, CA who prioritize treating:

94% Anxiety
87% Depression
76% Relationship Issues
71% Self Esteem
66% Stress
63% Trauma and PTSD
62% Grief

Average years in practice

14 Years

Top 3 insurances accepted

67% Aetna
44% Cigna and Evernorth
44% Anthem | Elevance

How Therapists in Menlo Park, CA see their clients

62% In Person and Online
38% Online Only

Gender breakdown

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

How can I find a therapist in Menlo Park?

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.