Therapists in Andrews County, TX

Photo of Cassie Willis, MEd, LPC-S, Licensed Professional Counselor
Cassie Willis
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
1 Endorsed
Andrews, TX 79714
Do you find yourself struggling with anxiety, depression and unhealthy trauma responses, no matter what you do? These unhealthy responses can keep us feeling stuck, broken and disconnected from our true selves. I would love to walk with you as you heal from past hurts, discover healthy coping, and connect with your true self to create a healthy future where you are able to thrive. We will work to create healing and change by implementing action based therapy so you are able to make the most of your time and finances.
Do you find yourself struggling with anxiety, depression and unhealthy trauma responses, no matter what you do? These unhealthy responses can keep us feeling stuck, broken and disconnected from our true selves. I would love to walk with you as you heal from past hurts, discover healthy coping, and connect with your true self to create a healthy future where you are able to thrive. We will work to create healing and change by implementing action based therapy so you are able to make the most of your time and finances.
(432) 237-4871 View (432) 237-4871
Photo of undefined - Insight Counseling Center, LPC-S, RPT-S, LPC, Licensed Professional Counselor
Insight Counseling Center
Licensed Professional Counselor, LPC-S, RPT-S, LPC
Verified Verified
1 Endorsed
Andrews, TX 79714
Insight Counseling Center offers counseling services to individuals, adolescents, children, couples, families and groups. In order to effectively meet the needs of our diverse clientele, our therapists represent a wide variety of clinical experiences, specializations, and personal backgrounds. In addition to traditional "talk therapy", many of our therapists are trained to employ such techniques as expressive arts therapy, play therapy, sand tray therapy, EMDR, Mindfulness and others, when appropriate and desired by the client. We are committed to providing personalized and quality counseling to the West Texas area.
Insight Counseling Center offers counseling services to individuals, adolescents, children, couples, families and groups. In order to effectively meet the needs of our diverse clientele, our therapists represent a wide variety of clinical experiences, specializations, and personal backgrounds. In addition to traditional "talk therapy", many of our therapists are trained to employ such techniques as expressive arts therapy, play therapy, sand tray therapy, EMDR, Mindfulness and others, when appropriate and desired by the client. We are committed to providing personalized and quality counseling to the West Texas area.
(432) 333-3667 View (432) 333-3667
Photo of Beth Desilets, LPC-S, RPT-S, Licensed Professional Counselor
Beth Desilets
Licensed Professional Counselor, LPC-S, RPT-S
Verified Verified
4 Endorsed
Andrews, TX 79714
I believe counseling is a dynamic process that is different for each individual and family. I view the relationship between therapist and client(s) as one of the most important elements in therapeutic success. I strive to promote wellness and healing in an accepting and peaceful environment where clients can express concerns and share thoughts, feelings, and experiences. I work with adolescents and adults with a wide range of problems such as depression, anxiety, trauma and attachment. I am a certified EMDR clinician.
I believe counseling is a dynamic process that is different for each individual and family. I view the relationship between therapist and client(s) as one of the most important elements in therapeutic success. I strive to promote wellness and healing in an accepting and peaceful environment where clients can express concerns and share thoughts, feelings, and experiences. I work with adolescents and adults with a wide range of problems such as depression, anxiety, trauma and attachment. I am a certified EMDR clinician.
(432) 527-6422 View (432) 527-6422
Photo of Allison H Hartzoge, MA, LPC-S, BCN, NCC, QEEGD, Licensed Professional Counselor
Allison H Hartzoge
Licensed Professional Counselor, MA, LPC-S, BCN, NCC, QEEGD
Verified Verified
Andrews, TX 79714
Waitlist for new clients
At Archway, we offer individual counseling for all ages, as well as couples counseling. We specialize in various biofeedback services, including neurotherapy, EMDR, light therapy and heart rate variability training. Our therapists are board certified and highly trained in multiple state of the art, FDA approved neurotherapy analyses and systems in order to provide customized treatment plans for the individual needs of our clients. I invite you to explore yourself with one of our counselors and discover ways to make choices that allow meaning and purpose in your life.
At Archway, we offer individual counseling for all ages, as well as couples counseling. We specialize in various biofeedback services, including neurotherapy, EMDR, light therapy and heart rate variability training. Our therapists are board certified and highly trained in multiple state of the art, FDA approved neurotherapy analyses and systems in order to provide customized treatment plans for the individual needs of our clients. I invite you to explore yourself with one of our counselors and discover ways to make choices that allow meaning and purpose in your life.
(432) 682-2724 View (432) 682-2724
Photo of Genevia R Slate, MA, LPC, LCDC, Licensed Professional Counselor
Genevia R Slate
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
Andrews, TX 79714
Whether it's life challenges, obstacles or transitions that are prompting you to seek counseling, today you are one step closer to your personal journey of growth and healing. Fear of change is natural, but can prevent us from letting go of old beliefs, behaviors, and ways of being and situations that are no longer beneficial to our wellbeing.
Whether it's life challenges, obstacles or transitions that are prompting you to seek counseling, today you are one step closer to your personal journey of growth and healing. Fear of change is natural, but can prevent us from letting go of old beliefs, behaviors, and ways of being and situations that are no longer beneficial to our wellbeing.
(432) 287-1373 View (432) 287-1373
Photo of Amy Garman, MA, LPC-S, RPT-S, Licensed Professional Counselor
Amy Garman
Licensed Professional Counselor, MA, LPC-S, RPT-S
Verified Verified
1 Endorsed
Andrews, TX 79714
I am committed to helping people move through the trauma that has been, or continues to be in their lives. I believe that a genuine empathetic attitude from me to my clients is the most important thing I can do as a therapist. I use several modalities in my therapeutic approach. I work with adults, adolescents, and children with a wide range of problems such as depression, anxiety, and trauma. I am EMDR trained and I believe that this is an extremely successful way to relieve some of the symptoms associated with PTSD, Depression, Anxiety and disturbances associated with trauma.
I am committed to helping people move through the trauma that has been, or continues to be in their lives. I believe that a genuine empathetic attitude from me to my clients is the most important thing I can do as a therapist. I use several modalities in my therapeutic approach. I work with adults, adolescents, and children with a wide range of problems such as depression, anxiety, and trauma. I am EMDR trained and I believe that this is an extremely successful way to relieve some of the symptoms associated with PTSD, Depression, Anxiety and disturbances associated with trauma.
(432) 214-8046 View (432) 214-8046
Photo of Mark Adams Troschinetz, LCDC, SAP, CART, Drug & Alcohol Counselor
Mark Adams Troschinetz
Drug & Alcohol Counselor, LCDC, SAP, CART
Verified Verified
Andrews, TX 79714
I am a drug counselor that specializes in SAP/DOT return to duty cases and anger resolution skills. I have been in practice for over 15 years and have devoted myself to helping people in need. I am very down to earth and willing to work with clients and their budgets, feel free to call me anytime and get started right way, thanks!
I am a drug counselor that specializes in SAP/DOT return to duty cases and anger resolution skills. I have been in practice for over 15 years and have devoted myself to helping people in need. I am very down to earth and willing to work with clients and their budgets, feel free to call me anytime and get started right way, thanks!
(432) 558-5293 View (432) 558-5293
Photo of Cheryl Willoughby, LPC-S, Licensed Professional Counselor
Cheryl Willoughby
Licensed Professional Counselor, LPC-S
Verified Verified
Andrews, TX 79714
Connection is hard. We are all striving to belong. Belong to ourselves, in our own skin and in relationships with others. For far too many, past hurts keeps us from what we most need- real human connection with another caring human. My office strives to be that place where people can be without judgment or shame. A place to learn real skills to help us feel nurtured and safe. A place to explore hurt in past relationships and how to create, maybe for the first time, the ability to care for and be cared for by others. A place that embodies growth and change with grace and compassion.
Connection is hard. We are all striving to belong. Belong to ourselves, in our own skin and in relationships with others. For far too many, past hurts keeps us from what we most need- real human connection with another caring human. My office strives to be that place where people can be without judgment or shame. A place to learn real skills to help us feel nurtured and safe. A place to explore hurt in past relationships and how to create, maybe for the first time, the ability to care for and be cared for by others. A place that embodies growth and change with grace and compassion.
(432) 302-5676 View (432) 302-5676
Photo of Greg Stephens, MA, LPC, NCC, Licensed Professional Counselor
Greg Stephens
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
2 Endorsed
Andrews, TX 79714
I believe an honest, supportive relationship will give you the tools and strategies to reach your goals. I work with individuals dealing with trauma, depression, anxiety, grief/loss, relationship conflict, anger, addiction, communication difficulties, and couples developing healthy communication and conflict resolution. When you're in my office, you can expect warmth, genuineness, and unconditional positive regard to develop the foundational therapeutic relationship necessary for your journey towards insight and personal growth. Call 7 days a week for appointments available Monday through Friday.
I believe an honest, supportive relationship will give you the tools and strategies to reach your goals. I work with individuals dealing with trauma, depression, anxiety, grief/loss, relationship conflict, anger, addiction, communication difficulties, and couples developing healthy communication and conflict resolution. When you're in my office, you can expect warmth, genuineness, and unconditional positive regard to develop the foundational therapeutic relationship necessary for your journey towards insight and personal growth. Call 7 days a week for appointments available Monday through Friday.
(432) 287-1178 View (432) 287-1178
Photo of undefined - Balance Counseling , LPC-S, RPT-S, Licensed Professional Counselor
Balance Counseling
Licensed Professional Counselor, LPC-S, RPT-S
Verified Verified
1 Endorsed
Andrews, TX 79714
At Balance Counseling, we are invested in healing. Our team of licensed professional counselors and licensed professional counselor associates stay current on the most trauma-informed and attachment-based methods so that we can help you get to the root of your struggles. We are committed to meet clients where they are, and we take a highly individualized, holistic approach to counseling. We treat children, teens and adults experiencing a variety of challenges to their mental health
At Balance Counseling, we are invested in healing. Our team of licensed professional counselors and licensed professional counselor associates stay current on the most trauma-informed and attachment-based methods so that we can help you get to the root of your struggles. We are committed to meet clients where they are, and we take a highly individualized, holistic approach to counseling. We treat children, teens and adults experiencing a variety of challenges to their mental health
(432) 226-7981 View (432) 226-7981

Online Therapists

Photo of undefined - Phoenix Moon Healing, PLLC, LMFT-S, Marriage & Family Therapist
Phoenix Moon Healing, PLLC
Marriage & Family Therapist, LMFT-S
Verified Verified
1 Endorsed
Lubbock, TX 79423
Phoenix Moon Healing is a group counseling office owned by Bethany Luna, M.S., LMFT-S. Our Mission is to provide safety, empathy, and reflections through counseling services, yoga, groups, retreats, and coaching to support clients’ personal empowerment and healing. We currently have 4 full-time counselors who serve a wide range of populations with various modalities. We strive to assist clients in transforming from unworthiness and hopelessness into hope and an internal knowing of unconditional love and acceptance. Our clients are ready and willing to have hard conversations and personally invest in their growth.
Phoenix Moon Healing is a group counseling office owned by Bethany Luna, M.S., LMFT-S. Our Mission is to provide safety, empathy, and reflections through counseling services, yoga, groups, retreats, and coaching to support clients’ personal empowerment and healing. We currently have 4 full-time counselors who serve a wide range of populations with various modalities. We strive to assist clients in transforming from unworthiness and hopelessness into hope and an internal knowing of unconditional love and acceptance. Our clients are ready and willing to have hard conversations and personally invest in their growth.
(806) 203-5631 View (806) 203-5631
Photo of Valerie A Handley, PhD, LMFT, Marriage & Family Therapist
Valerie A Handley
Marriage & Family Therapist, PhD, LMFT
Verified Verified
2 Endorsed
Midland, TX 79701  (Online Only)
Welcome! I offer online therapy for clients who may feel more comfortable attending therapy via their phone/computer. As a marriage and family therapist, I collaborate with my clients to create a safe and supportive environment. My goal is to give my clients the space to process while also helping them reach their goals. I work with clients and their families dealing with a variety of mental health and interpersonal issues. Most common concerns that I work with is anxiety, depression, and communication concerns in a relationship.
Welcome! I offer online therapy for clients who may feel more comfortable attending therapy via their phone/computer. As a marriage and family therapist, I collaborate with my clients to create a safe and supportive environment. My goal is to give my clients the space to process while also helping them reach their goals. I work with clients and their families dealing with a variety of mental health and interpersonal issues. Most common concerns that I work with is anxiety, depression, and communication concerns in a relationship.
(432) 219-2246 View (432) 219-2246
Photo of Camden Hoeffner, LPC, LSOTP, Licensed Professional Counselor
Camden Hoeffner
Licensed Professional Counselor, LPC, LSOTP
Verified Verified
Odessa, TX 79761
Life can be a struggle for anyone and everyone at any given time. Sometimes, we can manage those struggles on our own and other times we need a little help. That's ok! I am here to help in those times of need. I believe that anyone can make positive change in their life if they want to, but sometimes the idea of going it alone is very overwhelming. I work with adults and adolescents alike on issues with depression, anxiety, and interpersonal issues. My goal is to help you be more comfortable in your own skin. After all, today you are you, that is truer than true. There is no one alive who is you-er than YOU (Dr. Seuss).
Life can be a struggle for anyone and everyone at any given time. Sometimes, we can manage those struggles on our own and other times we need a little help. That's ok! I am here to help in those times of need. I believe that anyone can make positive change in their life if they want to, but sometimes the idea of going it alone is very overwhelming. I work with adults and adolescents alike on issues with depression, anxiety, and interpersonal issues. My goal is to help you be more comfortable in your own skin. After all, today you are you, that is truer than true. There is no one alive who is you-er than YOU (Dr. Seuss).
(432) 400-4442 View (432) 400-4442
Photo of Genia Gillaspy, LPC-A
Genia Gillaspy
Licensed Professional Counselor Associate , LPC-A
Verified Verified
1 Endorsed
Midland, TX 79701
I work with all ages! I know sometimes life gets overwhelming and scary, but collaboratively we can work together to clarify needs, issues, and goals. I’m here to guide you as you come up with solutions which fit the problem.
I work with all ages! I know sometimes life gets overwhelming and scary, but collaboratively we can work together to clarify needs, issues, and goals. I’m here to guide you as you come up with solutions which fit the problem.
(432) 526-5088 View (432) 526-5088
Photo of Tammy Martin, MA, LPC, Licensed Professional Counselor
Tammy Martin
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Odessa, TX 79762
Maybe you're not sure when or why, but the emotional burdens you have been carrying became heavier. You've been carrying that pain for a while, hoping you could deal with it by yourself. But now, there's also worry, anger, shame, frustration, grief or exhaustion that you struggle to understand and cope with. Maybe you've started wondering if you're anxious or depressed. You thought about talking to someone, but worried that no one would understand, and maybe even judge you.
Maybe you're not sure when or why, but the emotional burdens you have been carrying became heavier. You've been carrying that pain for a while, hoping you could deal with it by yourself. But now, there's also worry, anger, shame, frustration, grief or exhaustion that you struggle to understand and cope with. Maybe you've started wondering if you're anxious or depressed. You thought about talking to someone, but worried that no one would understand, and maybe even judge you.
(432) 847-4329 View (432) 847-4329
Photo of Gerianne Ontiveros, LPC-A, LMHC
Gerianne Ontiveros
Licensed Professional Counselor Associate, LPC-A, LMHC
Verified Verified
Lubbock, TX 79424
Life is a full of seasons; seasons of struggle and challenges, seasons of processing, and seasons of healing. I am a support system you can use to help navigate your season. Many clients I work with have experienced significant trauma. They seek counseling because they battle with the anxiety, depression, addiction, or PTSD that so commonly follows those events. I am very passionate about supporting my clients in establishing genuine identity and relationship stability. The counseling process can help you develop the emotional and cognitive “muscles” you need to experience freedom and confidence in YOUR world.
Life is a full of seasons; seasons of struggle and challenges, seasons of processing, and seasons of healing. I am a support system you can use to help navigate your season. Many clients I work with have experienced significant trauma. They seek counseling because they battle with the anxiety, depression, addiction, or PTSD that so commonly follows those events. I am very passionate about supporting my clients in establishing genuine identity and relationship stability. The counseling process can help you develop the emotional and cognitive “muscles” you need to experience freedom and confidence in YOUR world.
(806) 608-2355 View (806) 608-2355
Photo of Steven Wright, LCSW, Clinical Social Work/Therapist
Steven Wright
Clinical Social Work/Therapist, LCSW
Verified Verified
Lubbock, TX 79424  (Online Only)
Steven Wright is a Licensed Clinical Social worker with 5 years of experience in the mental health field. He is passionate about helping adolescents, adults, and couples find validation for their lives, learn to experience their emotions comfortably, and not just reduce symptoms to normal but create a life worth living. Steven completed his master’s at the University of Houston downtown. He specializes in relationship issues, mood disorders, and borderline personality disorder.
Steven Wright is a Licensed Clinical Social worker with 5 years of experience in the mental health field. He is passionate about helping adolescents, adults, and couples find validation for their lives, learn to experience their emotions comfortably, and not just reduce symptoms to normal but create a life worth living. Steven completed his master’s at the University of Houston downtown. He specializes in relationship issues, mood disorders, and borderline personality disorder.
(806) 391-7329 View (806) 391-7329
Photo of undefined - Authentic Wellness Counseling Center, Licensed Professional Counselor
Authentic Wellness Counseling Center
Licensed Professional Counselor
Verified Verified
1 Endorsed
Midland, TX 79701
Authentic Wellness Counseling Center offers a variety of services for individuals, couples and families. We are a group of dedicated and inspired licensed therapists, providing a variety of therapeutic modalities to best suit your individual needs, strengths, personalities, and goals. Our purpose is to help people achieve a happy, healthy life. Our therapists enjoy working with clients of all ages and walks of life. We specialize in a wide variety of areas, including trauma approaches such as EMDR, Play therapy, Sand Tray, Relationship approaches such as the Gottman Method as well as traditional talk therapy.
Authentic Wellness Counseling Center offers a variety of services for individuals, couples and families. We are a group of dedicated and inspired licensed therapists, providing a variety of therapeutic modalities to best suit your individual needs, strengths, personalities, and goals. Our purpose is to help people achieve a happy, healthy life. Our therapists enjoy working with clients of all ages and walks of life. We specialize in a wide variety of areas, including trauma approaches such as EMDR, Play therapy, Sand Tray, Relationship approaches such as the Gottman Method as well as traditional talk therapy.
(432) 356-2575 View (432) 356-2575
Photo of Helen Feola, MA, LPC, Licensed Professional Counselor
Helen Feola
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Lubbock, TX 79423
Accepting new clients. If you are reading this right now, your are likely feeling burdened by something. Maybe you are grieving the loss of a special person or a pet. Maybe you have come to a fork in the road and are unsure of what direction to take. Maybe you are feeling overwhelmed by life in general. Regardless of the burdens you face, I believe there is hope in overcoming them.
Accepting new clients. If you are reading this right now, your are likely feeling burdened by something. Maybe you are grieving the loss of a special person or a pet. Maybe you have come to a fork in the road and are unsure of what direction to take. Maybe you are feeling overwhelmed by life in general. Regardless of the burdens you face, I believe there is hope in overcoming them.
(806) 602-8345 View (806) 602-8345
Photo of Jennah Hanson-Daley, MS, Marriage & Family Therapist Associate
Jennah Hanson-Daley
Marriage & Family Therapist Associate, MS
Verified Verified
1 Endorsed
Lubbock, TX 79414
As a relationally trained therapist, I work with individuals, couples, and families by focusing on the full context of their lives. I especially enjoy working with teenagers and their families and have a passion for helping clients heal from trauma. I approach therapy with empathy and believe in the transformative power of building strong therapeutic connections based on trust and compassion. As a therapist, I advocate for social justice by dismantling oppressive structures and amplifying marginalized voices. I welcome clients of all backgrounds and identities!
As a relationally trained therapist, I work with individuals, couples, and families by focusing on the full context of their lives. I especially enjoy working with teenagers and their families and have a passion for helping clients heal from trauma. I approach therapy with empathy and believe in the transformative power of building strong therapeutic connections based on trust and compassion. As a therapist, I advocate for social justice by dismantling oppressive structures and amplifying marginalized voices. I welcome clients of all backgrounds and identities!
(806) 230-6730 View (806) 230-6730

See more therapy options for Andrews County

How does your Therapist compare?

Number of Therapists in Andrews County, TX

10+

Average cost per session

$120

Therapists in Andrews County, TX who prioritize treating:

90% Anxiety
90% Stress
80% Relationship Issues
80% Depression
80% Grief
80% Parenting
80% Trauma and PTSD

Average years in practice

12 Years

How Therapists in Andrews County, TX see their clients

100% In Person and Online

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Andrews County?

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.