Therapists in New Braunfels, TX

Photo of Tommy Saathoff, Licensed Professional Counselor, MA, LPC
Tommy Saathoff
Licensed Professional Counselor, MA, LPC
1 Endorsed
New Braunfels, TX 78132
I am a Licensed Professional Counselor and reside in Texas, I am also licensed in Colorado, Florida, Utah, South Carolina, and Vermont. I offer Faith-based counseling for those who wish to incorporate this as a key component in their lives. I specialize in helping you identify and overcome issues that hinder your day-to-day enjoyment of life and/or interfere with progress toward your goals. In over thirty years of private practice counseling and life coaching, I have learned to meet clients’ needs not only with continued education and research but also through a multitude of life experiences.
I am a Licensed Professional Counselor and reside in Texas, I am also licensed in Colorado, Florida, Utah, South Carolina, and Vermont. I offer Faith-based counseling for those who wish to incorporate this as a key component in their lives. I specialize in helping you identify and overcome issues that hinder your day-to-day enjoyment of life and/or interfere with progress toward your goals. In over thirty years of private practice counseling and life coaching, I have learned to meet clients’ needs not only with continued education and research but also through a multitude of life experiences.
(830) 402-6350 View (830) 402-6350
Photo of Corrie Perkins, Marriage & Family Therapist, MA, LMFT
Corrie Perkins
Marriage & Family Therapist, MA, LMFT
Online Only
Welcome. Seeking help involves great courage. At times, we all feel a little off, unbalanced and in need of some support. If you’re reading this because: you’re struggling with life in the military, you’ve experienced a trauma or grief that has you stuck, life is feeling overwhelming, you can’t seem to relax or control your worrisome thoughts, or maybe you and your partner aren’t able to connect or communicate emotionally or intimately, I’m here to help. I can support you in feeling heard while processing the uncomfortable thoughts and feelings, all without judgment. Together let's find healthy balance, new coping skills and growth.
Welcome. Seeking help involves great courage. At times, we all feel a little off, unbalanced and in need of some support. If you’re reading this because: you’re struggling with life in the military, you’ve experienced a trauma or grief that has you stuck, life is feeling overwhelming, you can’t seem to relax or control your worrisome thoughts, or maybe you and your partner aren’t able to connect or communicate emotionally or intimately, I’m here to help. I can support you in feeling heard while processing the uncomfortable thoughts and feelings, all without judgment. Together let's find healthy balance, new coping skills and growth.
(830) 293-3789 View (830) 293-3789
Photo of Tiffany Newkirk, Licensed Professional Counselor, LPC
Tiffany Newkirk
Licensed Professional Counselor, LPC
Online Only
Welcome! I'm Tiffany Newkirk. I applaud you taking the first step towards bettering your mental health because, let's be honest - starting therapy can be empowering, confusing, or scary, all at the same time. I strive to create a safe and welcoming environment that allows clients to explore obstacles with concerns related to anxiety, depression, and/or self-care. I focus on helping clients develop assertive communication & boundaries with themselves and those around them that can help improve their quality of life.
Welcome! I'm Tiffany Newkirk. I applaud you taking the first step towards bettering your mental health because, let's be honest - starting therapy can be empowering, confusing, or scary, all at the same time. I strive to create a safe and welcoming environment that allows clients to explore obstacles with concerns related to anxiety, depression, and/or self-care. I focus on helping clients develop assertive communication & boundaries with themselves and those around them that can help improve their quality of life.
(830) 283-6325 View (830) 283-6325
Photo of Courtney D Schmidt, Licensed Professional Counselor Associate, MS, LPC-A, NCC
Courtney D Schmidt
Licensed Professional Counselor Associate, MS, LPC-A, NCC
1 Endorsed
New Braunfels, TX 78130
You don’t have to carry it all alone. If you’re feeling overwhelmed by anxiety, stress, trauma, grief, relationship challenges, or just feeling stuck, you are not alone; support is available. I offer a warm, supportive space where you can show up as you are, without judgment or pressure. In our work together, we’ll move at your pace to help you gain clarity, strengthen coping skills, and create more balance in your life. You deserve to feel heard and understood. You deserve healing, and you don’t have to navigate this journey alone. If you’re ready to take the next step, I’d be honored to support you in your healing journey.
You don’t have to carry it all alone. If you’re feeling overwhelmed by anxiety, stress, trauma, grief, relationship challenges, or just feeling stuck, you are not alone; support is available. I offer a warm, supportive space where you can show up as you are, without judgment or pressure. In our work together, we’ll move at your pace to help you gain clarity, strengthen coping skills, and create more balance in your life. You deserve to feel heard and understood. You deserve healing, and you don’t have to navigate this journey alone. If you’re ready to take the next step, I’d be honored to support you in your healing journey.
(830) 243-5990 View (830) 243-5990
Photo of Gabrielle DeHoyos - Gabrielle DeHoyos supervised by James Whittenberg, Licensed Professional Counselor Associate, MS, CYMHS
Gabrielle DeHoyos supervised by James Whittenberg
Licensed Professional Counselor Associate, MS, CYMHS
2 Endorsed
New Braunfels, TX 78130
Not sure where to turn? You might be a young adult or college student trying to find steady ground—learning how to manage anxiety, pressure, relationships, or the lingering impact of past experiences. Or perhaps you’re a parent noticing your child or teen struggling with emotions they can’t quite name.
Not sure where to turn? You might be a young adult or college student trying to find steady ground—learning how to manage anxiety, pressure, relationships, or the lingering impact of past experiences. Or perhaps you’re a parent noticing your child or teen struggling with emotions they can’t quite name.
(830) 460-6048 View (830) 460-6048
Photo of Lauren Shimer, Licensed Professional Counselor, LPC
Lauren Shimer
Licensed Professional Counselor, LPC
1 Endorsed
New Braunfels, TX 78130
I love making space for... Those of us who can't seem to turn off anxiety or feel overwhelmed by the never ending "what ifs" and looping thoughts. Those of us who feel lost and confused about who we are, what we believe or how to love ourselves. The one who has experienced pain, hurt, or trauma and doesn't know what to do next to experience some relief.
I love making space for... Those of us who can't seem to turn off anxiety or feel overwhelmed by the never ending "what ifs" and looping thoughts. Those of us who feel lost and confused about who we are, what we believe or how to love ourselves. The one who has experienced pain, hurt, or trauma and doesn't know what to do next to experience some relief.
(512) 548-4227 View (512) 548-4227
Photo of Misael Rivera Pagan, Licensed Professional Counselor Associate, LPC- A, LCDC-I, NCC
Misael Rivera Pagan
Licensed Professional Counselor Associate, LPC- A, LCDC-I, NCC
1 Endorsed
New Braunfels, TX 78132
Misael is a LPC-Associate with a Master of Science in Clinical Mental Health Counseling, he is dedicated to assisting others through the unexpected challenges of life in an often humorous and empathetic way. Misael’s approach to counseling incorporates a Solution Focused stance that moves from fixating on the problem towards identifying solutions to improve our quality of life. Additionally, as an openly queer (gay) cis-gendered male, Misael encourages and advocates for authenticity and being your genuine self. His passions include assisting others through creating a safe, inclusive, and affirming environment to be themselves.
Misael is a LPC-Associate with a Master of Science in Clinical Mental Health Counseling, he is dedicated to assisting others through the unexpected challenges of life in an often humorous and empathetic way. Misael’s approach to counseling incorporates a Solution Focused stance that moves from fixating on the problem towards identifying solutions to improve our quality of life. Additionally, as an openly queer (gay) cis-gendered male, Misael encourages and advocates for authenticity and being your genuine self. His passions include assisting others through creating a safe, inclusive, and affirming environment to be themselves.
(830) 289-4102 View (830) 289-4102
Photo of Heather Mastrianno - InMindOut Emotional Wellness Centers, Psychologist, PsyD, BCB, BCN
InMindOut Emotional Wellness Centers
Psychologist, PsyD, BCB, BCN
3 Endorsed
New Braunfels, TX 78130
Dr. Heather Ingram, originally from Chicago, obtained her doctorate in Clinical Psychology at Argosy University in Schaumburg, Illinois. Throughout her training, Dr. Ingram worked in a variety of settings around Chicago including Elgin Mental Health Center on the Unfit to Stand Trial Unit, Bridge View-Challenger Therapeutic Day School, Women In Need Growing Stronger domestic violence shelter, and Gateway Foundation residential substance abuse treatment center. During her work in Boston, Dr. Ingram worked at Walden Behavioral Care eating disorder clinic, where she worked in inpatient, residential, partial hospitalization, and intensive outpatient levels of care.
Dr. Heather Ingram, originally from Chicago, obtained her doctorate in Clinical Psychology at Argosy University in Schaumburg, Illinois. Throughout her training, Dr. Ingram worked in a variety of settings around Chicago including Elgin Mental Health Center on the Unfit to Stand Trial Unit, Bridge View-Challenger Therapeutic Day School, Women In Need Growing Stronger domestic violence shelter, and Gateway Foundation residential substance abuse treatment center. During her work in Boston, Dr. Ingram worked at Walden Behavioral Care eating disorder clinic, where she worked in inpatient, residential, partial hospitalization, and intensive outpatient levels of care.
(830) 469-4884 View (830) 469-4884
Photo of Tiffany Newkirk, Licensed Professional Counselor, LPC
Tiffany Newkirk
Licensed Professional Counselor, LPC
Online Only
Welcome! I'm Tiffany Newkirk. I applaud you for taking the first step towards bettering your mental health because, let's be honest - starting therapy can be empowering, confusing, or scary, all at the same time. I strive to create a safe and welcoming environment that allows clients to explore obstacles. I focus on helping clients develop assertive communication & boundaries with themselves and those around them that can help improve their quality of life. Therapy can foster personal development in whatever way you may be seeking and help build the life you want!
Welcome! I'm Tiffany Newkirk. I applaud you for taking the first step towards bettering your mental health because, let's be honest - starting therapy can be empowering, confusing, or scary, all at the same time. I strive to create a safe and welcoming environment that allows clients to explore obstacles. I focus on helping clients develop assertive communication & boundaries with themselves and those around them that can help improve their quality of life. Therapy can foster personal development in whatever way you may be seeking and help build the life you want!
(346) 273-2728 View (346) 273-2728
Photo of Christine Fatherree, Clinical Social Work/Therapist, LCSW
Christine Fatherree
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social Worker with over 25 years of experience in the mental health field, working in various capacities. I am dedicated to helping those seeking insight and change, and I strive to be highly attuned to my clients, their concerns, and their goals. Many people come to therapy searching for answers about their lives, and I believe that addressing these matters can lead to significant personal transformation. I work with individuals experiencing depression, grief, life transitions, and trauma, tailoring my approach to meet your specific therapeutic needs.
I am a Licensed Clinical Social Worker with over 25 years of experience in the mental health field, working in various capacities. I am dedicated to helping those seeking insight and change, and I strive to be highly attuned to my clients, their concerns, and their goals. Many people come to therapy searching for answers about their lives, and I believe that addressing these matters can lead to significant personal transformation. I work with individuals experiencing depression, grief, life transitions, and trauma, tailoring my approach to meet your specific therapeutic needs.
(210) 866-8672 View (210) 866-8672
Photo of Sophia Bordon, Clinical Social Work/Therapist, LCSW
Sophia Bordon
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
I am so glad you are here! I help adults and teenagers navigate anxiety, depression, grief, life transitions, relationship challenges, stress, and overwhelming emotions so they can feel more balanced, confident, and connected. Many of my clients come to therapy feeling stuck, exhausted, disconnected from themselves, or unsure how to cope with the challenges they are facing. Some are navigating significant life changes, while others are struggling with patterns that no longer serve them.
I am so glad you are here! I help adults and teenagers navigate anxiety, depression, grief, life transitions, relationship challenges, stress, and overwhelming emotions so they can feel more balanced, confident, and connected. Many of my clients come to therapy feeling stuck, exhausted, disconnected from themselves, or unsure how to cope with the challenges they are facing. Some are navigating significant life changes, while others are struggling with patterns that no longer serve them.
(830) 289-3865 View (830) 289-3865
Photo of Ashlee N Albart, Licensed Professional Counselor, MS, LPC-S, NCC
Ashlee N Albart
Licensed Professional Counselor, MS, LPC-S, NCC
1 Endorsed
New Braunfels, TX 78130
Do you need help in achieving greater self-acceptance, changing negative thinking, and improving your self-esteem? Do you struggle in managing your emotions more effectively? Every person's world view is unique to them, and Ashlee utilizes a variety of treatment methods to encourage clients to become a more active participant in their own well-being.
Do you need help in achieving greater self-acceptance, changing negative thinking, and improving your self-esteem? Do you struggle in managing your emotions more effectively? Every person's world view is unique to them, and Ashlee utilizes a variety of treatment methods to encourage clients to become a more active participant in their own well-being.
(830) 261-3248 View (830) 261-3248
Photo of Vikki Vanderhoeven, Marriage & Family Therapist, MA, LMFT
Vikki Vanderhoeven
Marriage & Family Therapist, MA, LMFT
1 Endorsed
New Braunfels, TX 78130
I am passionate about helping women and men who feel stuck in their relationships. For many reasons we find ourselves longing for more and tired of the negative cycles that continue to repeat and leave us feeling lonely, hopeless and frustrated. I truly believe that life and love can and will improve with a little help! I have advanced training in Emotionally Focused Therapy, which is an evidenced based practice for couples to restore a connection and intimacy in your marriage or relationship. I am equally passionate about helping clients heal from various kinds of trauma through utilizing EMDR.
I am passionate about helping women and men who feel stuck in their relationships. For many reasons we find ourselves longing for more and tired of the negative cycles that continue to repeat and leave us feeling lonely, hopeless and frustrated. I truly believe that life and love can and will improve with a little help! I have advanced training in Emotionally Focused Therapy, which is an evidenced based practice for couples to restore a connection and intimacy in your marriage or relationship. I am equally passionate about helping clients heal from various kinds of trauma through utilizing EMDR.
(830) 580-2905 View (830) 580-2905
Photo of Veronica Garza, Licensed Professional Counselor, LPC
Veronica Garza
Licensed Professional Counselor, LPC
Online Only
Hello, I am a Licensed Professional Counselor in the state of Texas. I have 11 years experience providing therapy to individuals seeking mental health support . Establishing rapport and building a strong, reliable therapeutic connection is important to me. I work to make clients feel valued, seen, and heard. My goal is to help individuals build self- awareness, feel informed, and empowered to handle challenges that present themselves while navigating relationships, work and life changes. In working with me, many are able to strengthen relationships with self, family, friends and/or partners.
Hello, I am a Licensed Professional Counselor in the state of Texas. I have 11 years experience providing therapy to individuals seeking mental health support . Establishing rapport and building a strong, reliable therapeutic connection is important to me. I work to make clients feel valued, seen, and heard. My goal is to help individuals build self- awareness, feel informed, and empowered to handle challenges that present themselves while navigating relationships, work and life changes. In working with me, many are able to strengthen relationships with self, family, friends and/or partners.
(830) 356-2965 View (830) 356-2965
Photo of Michelle Stephan, LPC Associate, LPC-A
Michelle Stephan
LPC Associate, LPC-A
1 Endorsed
New Braunfels, TX 78130
My goal as a Licensed Professional Counselor Associate is to nurture a welcoming and affirming environment where individuals, couples, and families can feel safe to explore their struggles and grow in meaningful ways.
My goal as a Licensed Professional Counselor Associate is to nurture a welcoming and affirming environment where individuals, couples, and families can feel safe to explore their struggles and grow in meaningful ways.
(830) 541-7515 View (830) 541-7515
Photo of Mallory Hall, Licensed Professional Counselor, MS, LPC
Mallory Hall
Licensed Professional Counselor, MS, LPC
New Braunfels, TX 78130
I work with a variety of clients: children, teens and adults. Issues that I work with are: anxiety, depression, coping with moving and other transitional life situations. I also work with clients on communication and relaxation techniques.
I work with a variety of clients: children, teens and adults. Issues that I work with are: anxiety, depression, coping with moving and other transitional life situations. I also work with clients on communication and relaxation techniques.
View
Photo of Ashleigh Holley-Butler, Licensed Professional Counselor Associate, MA, LPC-A
Ashleigh Holley-Butler
Licensed Professional Counselor Associate, MA, LPC-A
2 Endorsed
New Braunfels, TX 78130
Waitlist for new clients
I love making space for individuals who have experienced any form of relational trauma and are ready to heal, establish healthy boundaries, and reclaim a sense of self-worth. I also welcome women who are feeling judged, overwhelmed, or anxious while navigating motherhood, and who may be seeking understanding, support, and a space free from pressure or expectation. Additionally, I enjoy working with anyone who is pursuing self-discovery and seeking clarity, growth, and healthier ways of being. I am happy to integrate a Christian framework that offers biblical perspectives to support the healing and growth process.
I love making space for individuals who have experienced any form of relational trauma and are ready to heal, establish healthy boundaries, and reclaim a sense of self-worth. I also welcome women who are feeling judged, overwhelmed, or anxious while navigating motherhood, and who may be seeking understanding, support, and a space free from pressure or expectation. Additionally, I enjoy working with anyone who is pursuing self-discovery and seeking clarity, growth, and healthier ways of being. I am happy to integrate a Christian framework that offers biblical perspectives to support the healing and growth process.
(830) 429-5065 View (830) 429-5065
Photo of Delight M. Renken, Licensed Professional Counselor, MA, LPC-S, S
Delight M. Renken
Licensed Professional Counselor, MA, LPC-S, S
1 Endorsed
New Braunfels, TX 78132
I offer individual, couples, and family counseling. Are you wondering how counseling can help you? Sometimes life throws us a curve ball and a specific issue comes up. You and I would consider short term, solution-focused counseling as a strategy to work on your concern. Is there a relationship in your life that feels strained? Our counseling process would likely include working to improve communication patterns and re-discovering the needs of all concerned. For more chronic issues like depression and anxiety, developing coping skills and improving self-talk and self-image can create significant relief in your life.
I offer individual, couples, and family counseling. Are you wondering how counseling can help you? Sometimes life throws us a curve ball and a specific issue comes up. You and I would consider short term, solution-focused counseling as a strategy to work on your concern. Is there a relationship in your life that feels strained? Our counseling process would likely include working to improve communication patterns and re-discovering the needs of all concerned. For more chronic issues like depression and anxiety, developing coping skills and improving self-talk and self-image can create significant relief in your life.
(830) 715-4420 View (830) 715-4420
Photo of Maria Fatherree, Clinical Social Work/Therapist, LCSW
Maria Fatherree
Clinical Social Work/Therapist, LCSW
Online Only
Hello! I am a Licensed Clinical Social Worker. My practice is in Texas and New Mexico. My Master’s Degree is from the University of Texas at Austin. I have worked in the Mental Health in Austin and surrounding communities for over 20 years. This platform gives me the opportunity to connect with anyone in Texas and New Mexico wanting therapy. My primary focus is life transitions and depression. I bring different techniques to address your unique experiences.
Hello! I am a Licensed Clinical Social Worker. My practice is in Texas and New Mexico. My Master’s Degree is from the University of Texas at Austin. I have worked in the Mental Health in Austin and surrounding communities for over 20 years. This platform gives me the opportunity to connect with anyone in Texas and New Mexico wanting therapy. My primary focus is life transitions and depression. I bring different techniques to address your unique experiences.
(830) 376-0945 View (830) 376-0945
Photo of Jennifer Brietzke, Clinical Social Work/Therapist, LCSW
Jennifer Brietzke
Clinical Social Work/Therapist, LCSW
1 Endorsed
New Braunfels, TX 78130
You are feeling depressed or anxious, maybe overwhelmed and at a loss for finding direction and purpose. You are struggling to feel empowered and often make unhealthy decisions. Your life feels out of control and your relationships are not satisfying. You may be struggling to manage school/work responsibilities due to stress or anxiety. It feels like life is so very hard and feels impossible to have compassion for yourself or to feel connected to others in a healthy way.
You are feeling depressed or anxious, maybe overwhelmed and at a loss for finding direction and purpose. You are struggling to feel empowered and often make unhealthy decisions. Your life feels out of control and your relationships are not satisfying. You may be struggling to manage school/work responsibilities due to stress or anxiety. It feels like life is so very hard and feels impossible to have compassion for yourself or to feel connected to others in a healthy way.
(512) 540-3242 View (512) 540-3242

See more therapy options for New Braunfels

How does your Therapist compare?

Number of Therapists in New Braunfels, TX

300+

Average cost per session

$130

Therapists in New Braunfels, TX who prioritize treating:

91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
88% Depression
73% Self Esteem
70% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

91% Aetna
85% BlueCross and BlueShield
75% Cigna and Evernorth

How Therapists in New Braunfels, TX see their clients

65% In Person and Online
35% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New Braunfels?

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.