Therapists in San Angelo, TX

Photo of Carrie Elkins, Licensed Professional Counselor, MS, LPC
Carrie Elkins
Licensed Professional Counselor, MS, LPC
Online Only
You may be feeling overwhelmed by how difficult life feels. Maybe you struggle with anxiety or trauma responses (physical symptoms, fear, re-living the past, perfectionism, people pleasing, avoidance). You might be experiencing depression symptoms (numb, loss of energy/motivation, irritability, isolating, loss of interest) or perhaps your relationships are suffering. Maybe you're here because you find yourself engaging in self-sabotaging behaviors. If you're searching for clarity, relief, and a sense of empowerment—because you want to manage your life in a healthier way- you've come to the right place.
You may be feeling overwhelmed by how difficult life feels. Maybe you struggle with anxiety or trauma responses (physical symptoms, fear, re-living the past, perfectionism, people pleasing, avoidance). You might be experiencing depression symptoms (numb, loss of energy/motivation, irritability, isolating, loss of interest) or perhaps your relationships are suffering. Maybe you're here because you find yourself engaging in self-sabotaging behaviors. If you're searching for clarity, relief, and a sense of empowerment—because you want to manage your life in a healthier way- you've come to the right place.
(325) 312-5977 View (325) 312-5977
Photo of Savannah Torres, Licensed Professional Counselor Associate, MS, LPC-A
Savannah Torres
Licensed Professional Counselor Associate, MS, LPC-A
Online Only
I value authenticity and honesty in session as we team up to address the unique challenges you're facing. The goal is to collaboratively create meaningful change and growth in your life that aligns with your treatment goals and personal values. It’s never too late or too early to start the journey toward the change you've been considering.
I value authenticity and honesty in session as we team up to address the unique challenges you're facing. The goal is to collaboratively create meaningful change and growth in your life that aligns with your treatment goals and personal values. It’s never too late or too early to start the journey toward the change you've been considering.
(325) 423-8365 View (325) 423-8365
Photo of Maggie Smith, Licensed Professional Counselor, MS, LPC
Maggie Smith
Licensed Professional Counselor, MS, LPC
5 Endorsed
San Angelo, TX 76901
Green Cardigan Counseling is a Supportive Space. Being a person is hard. Talking about our feelings is hard. Some experiences have a way of magnifying all of this, making it easy to feel bogged down and hopeless. As your therapist, I will hold space for all of it: hope, hard truths, grief, sadness, happiness, yucky feelings, humor (esp. dark humor!), joy, success, failure, disappointment, that thing you really want to get off your chest but are afraid to say because it's scary to talk about. I got you! In addition to being an LPC Associate, I'm also a RYT200 yoga instructor & a Level II Reiki practitioner.
Green Cardigan Counseling is a Supportive Space. Being a person is hard. Talking about our feelings is hard. Some experiences have a way of magnifying all of this, making it easy to feel bogged down and hopeless. As your therapist, I will hold space for all of it: hope, hard truths, grief, sadness, happiness, yucky feelings, humor (esp. dark humor!), joy, success, failure, disappointment, that thing you really want to get off your chest but are afraid to say because it's scary to talk about. I got you! In addition to being an LPC Associate, I'm also a RYT200 yoga instructor & a Level II Reiki practitioner.
(325) 266-1557 View (325) 266-1557
Photo of Blanca Valdez, Licensed Professional Counselor, LPC
Blanca Valdez
Licensed Professional Counselor, LPC
San Angelo, TX 76903
Congratulations! You are taking the first step in becoming a better version of yourself. I specialize in empowering children and adults who struggle with their brain health. I am here to walk alongside your journey and equip you with tools to help you live a more abundant life. My goal is to help each client identify their strengths and help each individual overcome feelings of anxiety, depression, stress, anger, or grief. I've helped clients gain a healthier perspective toward healing by equipping them with tools to overcome obstacles.
Congratulations! You are taking the first step in becoming a better version of yourself. I specialize in empowering children and adults who struggle with their brain health. I am here to walk alongside your journey and equip you with tools to help you live a more abundant life. My goal is to help each client identify their strengths and help each individual overcome feelings of anxiety, depression, stress, anger, or grief. I've helped clients gain a healthier perspective toward healing by equipping them with tools to overcome obstacles.
(325) 750-3447 View (325) 750-3447
Photo of LeAnn Rutherford, Licensed Professional Counselor, LPC
LeAnn Rutherford
Licensed Professional Counselor, LPC
1 Endorsed
San Angelo, TX 76904
If you feel overwhelmed by anxiety, stuck in depression, or navigating relationship stress or major life changes, you do not have to handle it alone. I want to provide you with practical tools and meaningful progress. Many of my clients struggle with ADHD, stress, burnout, or patterns that leave them feeling disconnected or frustrated. Together, we focus on building clarity, emotional balance, and strategies that help you feel more confident, grounded, and in control of your life. We can stop being consumed by what feels wrong, and notice what remains right.
If you feel overwhelmed by anxiety, stuck in depression, or navigating relationship stress or major life changes, you do not have to handle it alone. I want to provide you with practical tools and meaningful progress. Many of my clients struggle with ADHD, stress, burnout, or patterns that leave them feeling disconnected or frustrated. Together, we focus on building clarity, emotional balance, and strategies that help you feel more confident, grounded, and in control of your life. We can stop being consumed by what feels wrong, and notice what remains right.
(325) 252-4056 View (325) 252-4056
Photo of Tara Haidinger Neurodivergent-Affirming, Licensed Professional Counselor, LPC-S, CCTP-II
Tara Haidinger Neurodivergent-Affirming
Licensed Professional Counselor, LPC-S, CCTP-II
Online Only
I work with teens and adults across Texas who are neurodivergent (ADHD, autistic, highly sensitive, or unsure), especially those feeling overwhelmed, burned out, or like they’ve had to “push through” life in ways that don’t fit. Many come to therapy after it hasn’t worked before. Together, we slow things down, reduce overwhelm, and build ways of functioning that actually match how your brain works—without shame or pressure to be different.
I work with teens and adults across Texas who are neurodivergent (ADHD, autistic, highly sensitive, or unsure), especially those feeling overwhelmed, burned out, or like they’ve had to “push through” life in ways that don’t fit. Many come to therapy after it hasn’t worked before. Together, we slow things down, reduce overwhelm, and build ways of functioning that actually match how your brain works—without shame or pressure to be different.
(325) 221-0163 View (325) 221-0163
Photo of Tara Joiner - Concho Valley Counseling, PLLC, Licensed Professional Counselor, MS, LPC
Concho Valley Counseling, PLLC
Licensed Professional Counselor, MS, LPC
1 Endorsed
Online Only
Do you feel overwhelmed by intrusive thoughts, obsessive doubts, compulsive behaviors, and a pervasive sense of worry that impacts your ability to lead a fulfilling life? Have you ever felt like a prisoner in your own mind? Are persistent worries affecting your relationships, work, or overall well-being? If so, you’re not alone. I specialize in helping individuals restore their sense of trust in themselves and break free from the cycle of anxiety and OCD.
Do you feel overwhelmed by intrusive thoughts, obsessive doubts, compulsive behaviors, and a pervasive sense of worry that impacts your ability to lead a fulfilling life? Have you ever felt like a prisoner in your own mind? Are persistent worries affecting your relationships, work, or overall well-being? If so, you’re not alone. I specialize in helping individuals restore their sense of trust in themselves and break free from the cycle of anxiety and OCD.
(325) 221-0871 View (325) 221-0871
Photo of David Devereaux, Licensed Professional Counselor, LPC
David Devereaux
Licensed Professional Counselor, LPC
San Angelo, TX 76904
I am a Licensed Professional Counselor and I love what I do. There is a profound sense of purpose- individually and shared- when I engage in this work with my clients. Helping others improve themselves and their relationships, learn strategies to confront life’s challenges, find fulfillment, and gain a sense of meaning is what compels me. Whether you’ve been through therapy before or this is your first time engaging in the therapeutic process, together, with my array of skills gained through diverse modalities and specific training, and your desire to improve, change is possible.
I am a Licensed Professional Counselor and I love what I do. There is a profound sense of purpose- individually and shared- when I engage in this work with my clients. Helping others improve themselves and their relationships, learn strategies to confront life’s challenges, find fulfillment, and gain a sense of meaning is what compels me. Whether you’ve been through therapy before or this is your first time engaging in the therapeutic process, together, with my array of skills gained through diverse modalities and specific training, and your desire to improve, change is possible.
(832) 539-7519 View (832) 539-7519
Photo of Lydia M. Jimenez, Licensed Professional Counselor Associate, MA, LCDC
Lydia M. Jimenez
Licensed Professional Counselor Associate, MA, LCDC
San Angelo, TX 76903
My ideal client is ready to explore personal growth and take meaningful steps toward a more fulfilling life. I have worked with individuals recovering from substance abuse, healing from narcissistic relationships, adjusting to life post-divorce, Veterans readjustment concerns, and parents dealing with daily life. Many of my clients seek support in rebuilding their identity, improving emotional regulation, and creating new patterns of connection and resilience. Whether you're early in your journey or seeking to deepen long standing work, I provide a compassionate nonjudgmental space to explore heal and grow.
My ideal client is ready to explore personal growth and take meaningful steps toward a more fulfilling life. I have worked with individuals recovering from substance abuse, healing from narcissistic relationships, adjusting to life post-divorce, Veterans readjustment concerns, and parents dealing with daily life. Many of my clients seek support in rebuilding their identity, improving emotional regulation, and creating new patterns of connection and resilience. Whether you're early in your journey or seeking to deepen long standing work, I provide a compassionate nonjudgmental space to explore heal and grow.
(325) 326-4110 View (325) 326-4110
Photo of Susan Self, Licensed Professional Counselor
Susan Self
Licensed Professional Counselor
Online Only
Hello friend. I am Susan and I am a Licensed Professional Counselor. I want you to know that you are not alone in what you may be going through, and that therapy can really help you to feel better. As your therapist, I will support you being the best version of you that you can be. I was an educator and school counselor for 30 years so I am very comfortable with teens and children, but I also help adults and veterans. Your concerns are important to me and I truly believe that people can find solutions and can feel better. Therapy should not be a scary undertaking.
Hello friend. I am Susan and I am a Licensed Professional Counselor. I want you to know that you are not alone in what you may be going through, and that therapy can really help you to feel better. As your therapist, I will support you being the best version of you that you can be. I was an educator and school counselor for 30 years so I am very comfortable with teens and children, but I also help adults and veterans. Your concerns are important to me and I truly believe that people can find solutions and can feel better. Therapy should not be a scary undertaking.
(325) 313-6095 View (325) 313-6095
Photo of Selena C. Rivero, Licensed Professional Counselor Associate, MA
Selena C. Rivero
Licensed Professional Counselor Associate, MA
Online Only
Life brings unique challenges that can feel overwhelming, especially when identity, culture, or family transitions are part of the journey. My approach to therapy is grounded in compassion, curiosity, and respect for each person’s story. I believe healing happens when people feel seen, understood, and equipped with tools that actually work in everyday life.
Life brings unique challenges that can feel overwhelming, especially when identity, culture, or family transitions are part of the journey. My approach to therapy is grounded in compassion, curiosity, and respect for each person’s story. I believe healing happens when people feel seen, understood, and equipped with tools that actually work in everyday life.
(325) 648-0656 View (325) 648-0656
Photo of Amber Rodgers, Clinical Social Work/Therapist, LCSW-S
Amber Rodgers
Clinical Social Work/Therapist, LCSW-S
2 Endorsed
San Angelo, TX 76904
Amber has experience working with children, adolescents, and adults in various social work settings: Veteran Affairs, Judicial System, Mental Health, and Psychiatric Hospital Social Work. In these roles, she worked with a wide scope of matters including substance abuse, relational conflict, anxiety, depression, domestic violence, mood disorders, and trauma. Amber has additionally worked at the federal level with military individuals facing the judicial system and incarceration. She is also a Veteran of the United States Coast Guard.
Amber has experience working with children, adolescents, and adults in various social work settings: Veteran Affairs, Judicial System, Mental Health, and Psychiatric Hospital Social Work. In these roles, she worked with a wide scope of matters including substance abuse, relational conflict, anxiety, depression, domestic violence, mood disorders, and trauma. Amber has additionally worked at the federal level with military individuals facing the judicial system and incarceration. She is also a Veteran of the United States Coast Guard.
(325) 309-7526 View (325) 309-7526
Photo of Mallory Morrison, Pre-Licensed Professional
Mallory Morrison
Pre-Licensed Professional
San Angelo, TX 76903
Waitlist for new clients
My ideal clients are teenagers and young adults who feel overwhelmed by life’s challenges—whether related to identity, relationships, addiction, or emotional regulation. They’re seeking a safe, nonjudgmental space to talk openly, gain insight, and develop tools to make healthier choices. My goal is to help them understand their emotions, build resilience, and navigate life with confidence and self-awareness, while remaining open to supporting individuals of all ages on their journey toward growth and healing.
My ideal clients are teenagers and young adults who feel overwhelmed by life’s challenges—whether related to identity, relationships, addiction, or emotional regulation. They’re seeking a safe, nonjudgmental space to talk openly, gain insight, and develop tools to make healthier choices. My goal is to help them understand their emotions, build resilience, and navigate life with confidence and self-awareness, while remaining open to supporting individuals of all ages on their journey toward growth and healing.
(325) 240-5414 View (325) 240-5414
Photo of Lileanna Flores, Clinical Social Work/Therapist, LCSW
Lileanna Flores
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Hello, I’m happy you’re here. My name is Lileanna, and I am an LCSW in Texas. My background is in crisis and suicide prevention. I have the opportunity to hold space for individuals feeling at their worst. I also am a believer that we do not need to wait until we are in crisis to receive help. I am a huge advocate for therapy and what it can do for your mental health and overall functioning. I currently specialize in young adults, life transitions, and first-generation. If you’re struggling to navigate these transitions or engage with your mental health for the first time, you’re not alone.
Hello, I’m happy you’re here. My name is Lileanna, and I am an LCSW in Texas. My background is in crisis and suicide prevention. I have the opportunity to hold space for individuals feeling at their worst. I also am a believer that we do not need to wait until we are in crisis to receive help. I am a huge advocate for therapy and what it can do for your mental health and overall functioning. I currently specialize in young adults, life transitions, and first-generation. If you’re struggling to navigate these transitions or engage with your mental health for the first time, you’re not alone.
(325) 326-5027 View (325) 326-5027
Photo of Traci Eichin, Counselor, LPC
Traci Eichin
Counselor, LPC
Online Only
Are you stuck and unable to move forward in your life? Do you suffer from past trauma and have symptoms such as panic attacks, flashbacks, or vivid dreams related to your trauma? Are your relationships and quality of life affected? I am a veteran of the U.S. Armed Forces, a Licensed Professional Counselor with 10 years of experience, and a Certified Eye Movement Desensitization Reprocessing (EMDR) therapist. I live in West Texas with my husband and two rescue dogs.
Are you stuck and unable to move forward in your life? Do you suffer from past trauma and have symptoms such as panic attacks, flashbacks, or vivid dreams related to your trauma? Are your relationships and quality of life affected? I am a veteran of the U.S. Armed Forces, a Licensed Professional Counselor with 10 years of experience, and a Certified Eye Movement Desensitization Reprocessing (EMDR) therapist. I live in West Texas with my husband and two rescue dogs.
(850) 498-4857 View (850) 498-4857
Photo of Lynsey Coalson, Licensed Professional Counselor Associate, MEd, LPC-A
Lynsey Coalson
Licensed Professional Counselor Associate, MEd, LPC-A
San Angelo, TX 76904
Do you find yourself feeling overwhelmed, anxious, or emotionally exhausted? Maybe your mind never slows down, you're navigating a life transition, or you've spent so much time caring for others that you've lost sight of yourself. If you're hoping to feel more like yourself again, you're not alone. I enjoy supporting women as they gain insight, build practical coping skills, and move forward with greater confidence. I also enjoy supporting preteens and adolescents as they build confidence and navigate the challenges of growing up.
Do you find yourself feeling overwhelmed, anxious, or emotionally exhausted? Maybe your mind never slows down, you're navigating a life transition, or you've spent so much time caring for others that you've lost sight of yourself. If you're hoping to feel more like yourself again, you're not alone. I enjoy supporting women as they gain insight, build practical coping skills, and move forward with greater confidence. I also enjoy supporting preteens and adolescents as they build confidence and navigate the challenges of growing up.
(325) 241-2720 View (325) 241-2720
Photo of Lauren Williams, Pre-Licensed Professional, LPC
Lauren Williams
Pre-Licensed Professional, LPC
San Angelo, TX 76903
I am a student counselor working under a supervised LPC-S counselor. I have a bachelor's degree in Psychology and certifications in mental health and human development. I am working on my master's in professional counseling M.S. I am taking new clients and I offer trauma-informed, client-centered therapy for individuals navigating anxiety, trauma, substance use, and life transitions. I help clients build emotional regulation skills, gain insight into patterns, and develop practical tools that support healing, stability, and personal growth.
I am a student counselor working under a supervised LPC-S counselor. I have a bachelor's degree in Psychology and certifications in mental health and human development. I am working on my master's in professional counseling M.S. I am taking new clients and I offer trauma-informed, client-centered therapy for individuals navigating anxiety, trauma, substance use, and life transitions. I help clients build emotional regulation skills, gain insight into patterns, and develop practical tools that support healing, stability, and personal growth.
(325) 335-5488 View (325) 335-5488
Photo of Pat L Pastors, Licensed Professional Counselor, MRC, LPC
Pat L Pastors
Licensed Professional Counselor, MRC, LPC
1 Endorsed
San Angelo, TX 76904
Waitlist for new clients
I have years of working with individuals who came to a place in life they were not expecting and needed help. My goal is to offer a safe environment to be able to share those issues with someone who cares, trained and has life experiences critical for a therapist. I create a place for individuals to have total privacy and confidentiality to share the most personal details about their lives.
I have years of working with individuals who came to a place in life they were not expecting and needed help. My goal is to offer a safe environment to be able to share those issues with someone who cares, trained and has life experiences critical for a therapist. I create a place for individuals to have total privacy and confidentiality to share the most personal details about their lives.
(325) 422-1924 View (325) 422-1924
Photo of Jaci Wright, Clinical Social Work/Therapist, LCSW
Jaci Wright
Clinical Social Work/Therapist, LCSW
Online Only
The new year often comes with a lot of pressure to set big resolutions and “get it right.” I take a different approach. I believe in resets, not resolutions—small, realistic changes that help you feel more grounded, clear, and supported in your everyday life. As a clinical social worker, I work with people who feel stuck, overwhelmed, burned out, or just ready for something to shift. Therapy with me is a space to slow down, talk things through, and figure out what’s actually working for you—and what’s not.
The new year often comes with a lot of pressure to set big resolutions and “get it right.” I take a different approach. I believe in resets, not resolutions—small, realistic changes that help you feel more grounded, clear, and supported in your everyday life. As a clinical social worker, I work with people who feel stuck, overwhelmed, burned out, or just ready for something to shift. Therapy with me is a space to slow down, talk things through, and figure out what’s actually working for you—and what’s not.
(325) 399-7571 View (325) 399-7571
Photo of Libby Marie Crouch, Marriage & Family Therapist Associate, LMFT-A, MS
Libby Marie Crouch
Marriage & Family Therapist Associate, LMFT-A, MS
4 Endorsed
San Angelo, TX 76903
Waitlist for new clients
You and your loved ones might be feeling stuck, overwhelmed, or unsure how to move forward together. Trust me, I’ve been there! Maybe anxiety or stress is keeping you from fully engaging in your marriage or family, or ongoing conflict leaves everyone drained and disconnected. Perhaps you’re navigating a major life transition—like marriage, parenthood, blending families, or adjusting to changing roles—and it feels heavier than expected. Some couples and families also carry the weight of trauma, grief, or unresolved pain, longing for a safe space to process, heal, and reconnect.
You and your loved ones might be feeling stuck, overwhelmed, or unsure how to move forward together. Trust me, I’ve been there! Maybe anxiety or stress is keeping you from fully engaging in your marriage or family, or ongoing conflict leaves everyone drained and disconnected. Perhaps you’re navigating a major life transition—like marriage, parenthood, blending families, or adjusting to changing roles—and it feels heavier than expected. Some couples and families also carry the weight of trauma, grief, or unresolved pain, longing for a safe space to process, heal, and reconnect.
(325) 246-4354 View (325) 246-4354

See more therapy options for San Angelo

How does your Therapist compare?

Number of Therapists in San Angelo, TX

80+

Average cost per session

$120

Therapists in San Angelo, TX who prioritize treating:

90% Anxiety
90% Social Anxiety
90% Health Anxiety
90% Driving Anxiety
83% Depression
70% Trauma and PTSD
70% Complex PTSD

Average years in practice

7 Years

Top 3 insurances accepted

90% Aetna
85% BlueCross and BlueShield
76% Cigna and Evernorth

How Therapists in San Angelo, TX see their clients

62% In Person and Online
38% Online Only

Gender breakdown

93% Female
6% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Angelo?

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.