Photo of Amie Keys Block, Clinical Social Work/Therapist in 10013, NY
Amie Keys Block
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10013
Therapy is a privileged partnership that is built upon the primary human developmental milestone of trust. This relationship between therapist and patient is crucial to the success of treatment. Therapy is a vehicle to uncover and explore the aspects of life that impede or interfere with one's growth. I believe it is a crucial vehicle in promoting one's sound emotional and psychological health. Whether you are in pain or simply want to learn more about yourself, I am fully committed to my role in this relationship.
Therapy is a privileged partnership that is built upon the primary human developmental milestone of trust. This relationship between therapist and patient is crucial to the success of treatment. Therapy is a vehicle to uncover and explore the aspects of life that impede or interfere with one's growth. I believe it is a crucial vehicle in promoting one's sound emotional and psychological health. Whether you are in pain or simply want to learn more about yourself, I am fully committed to my role in this relationship.
(718) 569-8634 x15 View (718) 569-8634 x15
Photo of Beth Kutis, Clinical Social Work/Therapist in 10013, NY
Beth Kutis
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10013  (Online Only)
With a caring and non judgmental approach, I work with clients to help them achieve the deep satisfaction and joy missing from their lives. Many circumstances have brought you to the point where anxiety, depression, low self esteem or frustration have made it difficult for you to live your best life. Together we embark on a journey which helps you to better understand yourself and then implement changes so that you are in charge again
With a caring and non judgmental approach, I work with clients to help them achieve the deep satisfaction and joy missing from their lives. Many circumstances have brought you to the point where anxiety, depression, low self esteem or frustration have made it difficult for you to live your best life. Together we embark on a journey which helps you to better understand yourself and then implement changes so that you are in charge again
(646) 760-1586 View (646) 760-1586
Photo of Wendoline Vargas, Clinical Social Work/Therapist in 10013, NY
Wendoline Vargas
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10013  (Online Only)
Wendoline Vargas (she/her), is a first generation, Latinx, bilingual, licensed clinical social worker. Wendoline was born and raised in Los Angeles, earning an undergraduate degree from University of California, Santa Barbara, and a Masters in Social Work from New York University. Wendoline is a fierce advocate for social justice and passionate about working with BIPOC women/young adults, & individuals with marginalized identities, and helping to empower them to reach their fullest potential.
Wendoline Vargas (she/her), is a first generation, Latinx, bilingual, licensed clinical social worker. Wendoline was born and raised in Los Angeles, earning an undergraduate degree from University of California, Santa Barbara, and a Masters in Social Work from New York University. Wendoline is a fierce advocate for social justice and passionate about working with BIPOC women/young adults, & individuals with marginalized identities, and helping to empower them to reach their fullest potential.
(646) 632-1550 View (646) 632-1550
Photo of Paige T. Keren, Clinical Social Work/Therapist in 10013, NY
Paige T. Keren
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10013  (Online Only)
I am warm, attentive, and solutions-focused therapist who specializes in working with young adults and adults through life transitions. I integrate traditional psychotherapy with cognitive-behavioral therapy techniques to allow each client to discover their own inner strength and make positive and desired changes in their lives. I tailor my approach to each individual's needs, beliefs and goals, and work collaboratively with each client. I hope to support and challenge my client’s to make adjustments that better their emotional state and goals.
I am warm, attentive, and solutions-focused therapist who specializes in working with young adults and adults through life transitions. I integrate traditional psychotherapy with cognitive-behavioral therapy techniques to allow each client to discover their own inner strength and make positive and desired changes in their lives. I tailor my approach to each individual's needs, beliefs and goals, and work collaboratively with each client. I hope to support and challenge my client’s to make adjustments that better their emotional state and goals.
(347) 970-2675 View (347) 970-2675
Photo of Gabriela Sposito, Clinical Social Work/Therapist in 10013, NY
Gabriela Sposito
Clinical Social Work/Therapist
Verified Verified
New York, NY 10013  (Online Only)
Whether it's your first time seeking therapy or you're not new to the experience, searching for support for your mental health is a brave and important first step. Maybe you are feeling overwhelmed navigating a life transition or are encountering relationship challenges or are trying to process trauma. Whatever is bringing you to therapy, you deserve a safe, accepting space to explore and talk about these topics.
Whether it's your first time seeking therapy or you're not new to the experience, searching for support for your mental health is a brave and important first step. Maybe you are feeling overwhelmed navigating a life transition or are encountering relationship challenges or are trying to process trauma. Whatever is bringing you to therapy, you deserve a safe, accepting space to explore and talk about these topics.
(929) 560-4524 View (929) 560-4524
Photo of Joseph Mauch, Psychologist in 10013, NY
Joseph Mauch
Psychologist, PhD
Verified Verified
1 Endorsed
New York, NY 10013  (Online Only)
I’m a clinical psychologist and I specialize in therapy for adults. If you’re here, I’m guessing it’s because you are struggling with something in your life and feel like you need help. I know how hard it can be to reach out and ask for help, and I’m glad that you’ve made it this far. Therapy doesn’t have to be daunting and mysterious. At the most basic level, therapy is just two people relating with one another in a relaxed, safe, and supportive atmosphere. What makes it different from other relationships is that we keep the focus on you, and I have specialized training that enables me to foster the conditions necessary for change.
I’m a clinical psychologist and I specialize in therapy for adults. If you’re here, I’m guessing it’s because you are struggling with something in your life and feel like you need help. I know how hard it can be to reach out and ask for help, and I’m glad that you’ve made it this far. Therapy doesn’t have to be daunting and mysterious. At the most basic level, therapy is just two people relating with one another in a relaxed, safe, and supportive atmosphere. What makes it different from other relationships is that we keep the focus on you, and I have specialized training that enables me to foster the conditions necessary for change.
(646) 956-4338 View (646) 956-4338
Photo of Yu-Ying Chen, Art Therapist in 10013, NY
Yu-Ying Chen
Art Therapist, PhD, LCAT, MT-BC
Verified Verified
1 Endorsed
New York, NY 10013
I am a creative arts therapist, trained in Psychological Counseling, Expressive Therapies, and Music Therapy. I have been working with clients in different settings, including inpatient psychiatric care, school, and private practice. I use music, the arts, talk therapies, and mindfulness practices to help my clients deal with depression, anxiety, relationship problems, life transition, grief and loss. Through my empathetic and client-centered counseling programs, I will help you find inner growth, self-awareness, focus and structure in your life.
I am a creative arts therapist, trained in Psychological Counseling, Expressive Therapies, and Music Therapy. I have been working with clients in different settings, including inpatient psychiatric care, school, and private practice. I use music, the arts, talk therapies, and mindfulness practices to help my clients deal with depression, anxiety, relationship problems, life transition, grief and loss. Through my empathetic and client-centered counseling programs, I will help you find inner growth, self-awareness, focus and structure in your life.
(347) 834-9367 View (347) 834-9367
Photo of Skye Dina Ross, Clinical Social Work/Therapist in 10013, NY
Skye Dina Ross
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10013  (Online Only)
Have you been setting personal goals, but finding it difficult to stay motivated or overcome challenges on your own? Are you facing a big life transition? Maybe you've noticed that you're dragging in the morning or you're feeling disconnected from the people you love. Congratulations on making the important step of searching for a therapist! Let me help you find yourself again. As your therapist, I will work alongside you to give voice to your experiences and identify strategies that work for you. I offer you a judgement-free space to explore your desires, successes, and struggles.
Have you been setting personal goals, but finding it difficult to stay motivated or overcome challenges on your own? Are you facing a big life transition? Maybe you've noticed that you're dragging in the morning or you're feeling disconnected from the people you love. Congratulations on making the important step of searching for a therapist! Let me help you find yourself again. As your therapist, I will work alongside you to give voice to your experiences and identify strategies that work for you. I offer you a judgement-free space to explore your desires, successes, and struggles.
(347) 751-6916 View (347) 751-6916
Photo of James Polsky, Licensed Psychoanalyst in 10013, NY
James Polsky
Licensed Psychoanalyst, JD, LP
Verified Verified
New York, NY 10013
In life, there is no obvious roadmap to finding happiness and satisfaction. The mission of therapy is to explore your inner world so that you can find meaning in the world outside. Our work will be to get you on a path to living a life in which you can be fulfilled and about which you can feel proud. The hardest step to take is the first one into the consulting room, and people often feel tremendous relief when they do. Therapy can be the one place in the world where your issues are front and center, you need not compete with others to be heard, and the only agenda is your self-improvement. If done well, it is life-changing.
In life, there is no obvious roadmap to finding happiness and satisfaction. The mission of therapy is to explore your inner world so that you can find meaning in the world outside. Our work will be to get you on a path to living a life in which you can be fulfilled and about which you can feel proud. The hardest step to take is the first one into the consulting room, and people often feel tremendous relief when they do. Therapy can be the one place in the world where your issues are front and center, you need not compete with others to be heard, and the only agenda is your self-improvement. If done well, it is life-changing.
(646) 760-3570 View (646) 760-3570
Photo of Mary Vu, Clinical Social Work/Therapist in 10013, NY
Mary Vu
Clinical Social Work/Therapist, LCSW, OSW-C
Verified Verified
2 Endorsed
New York, NY 10013  (Online Only)
Therapy is a two way street. Not only do you have to put in the effort and work, but you also have to find a therapist who will do the same with you. You need to click with your therapist and find someone who will help you grow. I believe in creating safe spaces for you to be yourself and to be vulnerable.
Therapy is a two way street. Not only do you have to put in the effort and work, but you also have to find a therapist who will do the same with you. You need to click with your therapist and find someone who will help you grow. I believe in creating safe spaces for you to be yourself and to be vulnerable.
(347) 344-6737 View (347) 344-6737
Photo of Alex Penaloza, Counselor in 10013, NY
Alex Penaloza
Counselor, MEd, LPC, LMHC, LPCC, NCC
Verified Verified
New York, NY 10013  (Online Only)
Are you ready to embark on a transformative journey towards improved emotional well-being? As a board-certified bilingual therapist, I've dedicated over a decade to nurturing emotional health. Taking the courageous step towards therapy is a profound act of self-care, and I'm committed to providing you with a safe space where you can openly explore your thoughts and emotions. Together, we'll embark on a journey of self-discovery and growth while providing you with valuable insights that will enable you to make lasting changes.
Are you ready to embark on a transformative journey towards improved emotional well-being? As a board-certified bilingual therapist, I've dedicated over a decade to nurturing emotional health. Taking the courageous step towards therapy is a profound act of self-care, and I'm committed to providing you with a safe space where you can openly explore your thoughts and emotions. Together, we'll embark on a journey of self-discovery and growth while providing you with valuable insights that will enable you to make lasting changes.
(332) 895-5982 View (332) 895-5982
Photo of Tori Eigner in 10013, NY
Tori Eigner
LCSW
Verified Verified
2 Endorsed
New York, NY 10013  (Online Only)
Not accepting new clients
It takes courage to open up and come to therapy. My approach is to meet you where you are at, and go from there. Most people feel they are only ready for therapy when in crisis or suffering. I am here to tell you that therapy is ready for you whenever you need it. My style is warm, honest, and compassionate.
It takes courage to open up and come to therapy. My approach is to meet you where you are at, and go from there. Most people feel they are only ready for therapy when in crisis or suffering. I am here to tell you that therapy is ready for you whenever you need it. My style is warm, honest, and compassionate.
(347) 380-9721 View (347) 380-9721
Photo of Reyna Ramirez-Guest, Clinical Social Work/Therapist in 10013, NY
Reyna Ramirez-Guest
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
New York, NY 10013  (Online Only)
Waitlist for new clients
Looking for an affirming, safe, nonjudgmental space where you can be yourself? Together we can work through whatever challenges you are facing to meet goals that have seemed difficult to attain. My intention is to pave the way toward healing, acceptance of your full authentic self, and long-term growth. Drawing on knowledge from queer, and critical race theory, we will work collaboratively to help you navigate systemic issues and its impact on your intersecting identities.
Looking for an affirming, safe, nonjudgmental space where you can be yourself? Together we can work through whatever challenges you are facing to meet goals that have seemed difficult to attain. My intention is to pave the way toward healing, acceptance of your full authentic self, and long-term growth. Drawing on knowledge from queer, and critical race theory, we will work collaboratively to help you navigate systemic issues and its impact on your intersecting identities.
(718) 215-9109 View (718) 215-9109
Photo of Joseph R. Madonia, Clinical Social Work/Therapist in 10013, NY
Joseph R. Madonia
Clinical Social Work/Therapist, LCSW-R, CASAC
Verified Verified
New York, NY 10013
I am a Licensed Clinical Social Worker and Addiction Specialist with over 25 years of experience in the field. Through a cognitive behavioral treatment approach I provide my patients with a safe, trusting and comfortable environment that allows them the space to reflect, process and strategize ways to enhance their lives to live to their fullest potential. I currently serve on the faculty of the NYU Graduate School of Social Work as a Clinical Professor and advisor, and also provide clinical supervision to those clinicians seeking NYS licensure. I also work very closely with the NYC based court system.
I am a Licensed Clinical Social Worker and Addiction Specialist with over 25 years of experience in the field. Through a cognitive behavioral treatment approach I provide my patients with a safe, trusting and comfortable environment that allows them the space to reflect, process and strategize ways to enhance their lives to live to their fullest potential. I currently serve on the faculty of the NYU Graduate School of Social Work as a Clinical Professor and advisor, and also provide clinical supervision to those clinicians seeking NYS licensure. I also work very closely with the NYC based court system.
(347) 835-4284 View (347) 835-4284
Photo of Minnie Berman, Counselor in 10013, NY
Minnie Berman
Counselor, MS, LMHC
Verified Verified
New York, NY 10013  (Online Only)
With over 25 years of professional experience, I provide assistance to clients dealing with relationship issues, family conflicts, motivation, self-esteem, confidence, and career challenges. My aim is to foster an open and safe space where clients can share their thoughts and emotions without fear of judgment. Clients can anticipate being fully listened to and treated with respect and dignity. You will be encouraged to express all your concerns, doubts, fears, and hopes. The objective of the sessions is to explore, clarify, and uncover workable solutions and deeper insights into yourself and others.
With over 25 years of professional experience, I provide assistance to clients dealing with relationship issues, family conflicts, motivation, self-esteem, confidence, and career challenges. My aim is to foster an open and safe space where clients can share their thoughts and emotions without fear of judgment. Clients can anticipate being fully listened to and treated with respect and dignity. You will be encouraged to express all your concerns, doubts, fears, and hopes. The objective of the sessions is to explore, clarify, and uncover workable solutions and deeper insights into yourself and others.
(929) 930-6587 View (929) 930-6587
Photo of Lauren Dobbs, Psychologist in 10013, NY
Lauren Dobbs
Psychologist, PsyD
Verified Verified
New York, NY 10013
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
View
Photo of Laura A Jacobs, Clinical Social Work/Therapist in 10013, NY
Laura A Jacobs
Clinical Social Work/Therapist, LCSW-R
Verified Verified
New York, NY 10013  (Online Only)
We can all live rewarding, empowered lives. As someone with multiple intersecting identities, I understand the horrific effects of trauma, stigma, and mental/emotional health. I seek to establish a comfortable environment in which we can safely ask questions to help you make empowered decisions while we simultaneously investigate questions of meaning. I never require a client ‘prove’ their identity to me.
We can all live rewarding, empowered lives. As someone with multiple intersecting identities, I understand the horrific effects of trauma, stigma, and mental/emotional health. I seek to establish a comfortable environment in which we can safely ask questions to help you make empowered decisions while we simultaneously investigate questions of meaning. I never require a client ‘prove’ their identity to me.
(845) 304-7915 View (845) 304-7915
Photo of Safi Lynch Wilson, Clinical Social Work/Therapist in 10013, NY
Safi Lynch Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
New York, NY 10013  (Online Only)
Do you find yourself struggling with depression, anxiety, or constantly feeling “stuck”? Are you tired of feeling sad, lonely, and not having people who truly understand your struggles? Did you grow up in a community that stigmatized mental health and discouraged seeking support outside of your home or religion? Are you worried that someone might judge or consider you “weak” if you ask for help? Let me reassure you that there is absolutely nothing wrong with you, and you are not weak. There is no shame in seeking support. There is no shame in wanting a better life for yourself. There is certainly no shame in seeking happiness.
Do you find yourself struggling with depression, anxiety, or constantly feeling “stuck”? Are you tired of feeling sad, lonely, and not having people who truly understand your struggles? Did you grow up in a community that stigmatized mental health and discouraged seeking support outside of your home or religion? Are you worried that someone might judge or consider you “weak” if you ask for help? Let me reassure you that there is absolutely nothing wrong with you, and you are not weak. There is no shame in seeking support. There is no shame in wanting a better life for yourself. There is certainly no shame in seeking happiness.
(347) 508-6641 View (347) 508-6641
Photo of Debra Baxter, Clinical Social Work/Therapist in 10013, NY
Debra Baxter
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10013  (Online Only)
Hi! I am excited for the possibility of getting to know you. I have been working in the Human Service field for over 24 years. I received a Master of Social Work degree in 2009 and have worked in various case management and clinical settings in both rural and urban areas. Since 2020, I have been providing Telehealth services. I enjoy developing a working relationship that provides you with a listening ear, caring heart, and skills to help you succeed. At this time, I am only able to accept New York State residents. Feel free to call or email me. Talk soon!
Hi! I am excited for the possibility of getting to know you. I have been working in the Human Service field for over 24 years. I received a Master of Social Work degree in 2009 and have worked in various case management and clinical settings in both rural and urban areas. Since 2020, I have been providing Telehealth services. I enjoy developing a working relationship that provides you with a listening ear, caring heart, and skills to help you succeed. At this time, I am only able to accept New York State residents. Feel free to call or email me. Talk soon!
(315) 675-1656 View (315) 675-1656
Photo of Nikita Fernandes - Sex Therapist And Psychotherapist, Pre-Licensed Professional in 10013, NY
Nikita Fernandes - Sex Therapist And Psychotherapist
Pre-Licensed Professional, MHC-LP, MA
Verified Verified
5 Endorsed
New York, NY 10013
For oppressed people to intentionally cultivate pleasure is an act of resistance - Ingrid LaFleur. I specialize in providing culturally sensitive, trauma-informed, poly & kink-friendly, and queer-affirming therapy. My journey as a queer, non-monogamous South Asian neurodivergent woman, along with the experiences of those close to me, deeply shape my approach. I draw on my first-hand knowledge of navigating kink/sex-positive environments. It's important to me to approach therapy with a sense of curiosity and openness so that I can better understand and support my clients.
For oppressed people to intentionally cultivate pleasure is an act of resistance - Ingrid LaFleur. I specialize in providing culturally sensitive, trauma-informed, poly & kink-friendly, and queer-affirming therapy. My journey as a queer, non-monogamous South Asian neurodivergent woman, along with the experiences of those close to me, deeply shape my approach. I draw on my first-hand knowledge of navigating kink/sex-positive environments. It's important to me to approach therapy with a sense of curiosity and openness so that I can better understand and support my clients.
(332) 263-3731 View (332) 263-3731

How does your Therapist compare?

Number of Therapists in 10013

700+

Average cost per session

$200

Therapists in 10013 who prioritize treating:

95% Anxiety
89% Depression
88% Relationship Issues
81% Self Esteem
69% Stress
68% Life Transitions
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

77% Aetna
62% Cigna and Evernorth
61% UnitedHealthcare UHC | UBH

How Therapists in 10013 see their clients

57% In Person and Online
43% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 10013?

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.