Therapists in Mount Vernon, NY

Photo of Jasmin Milliner, Clinical Social Work/Therapist in Mount Vernon, NY
Jasmin Milliner
Clinical Social Work/Therapist, LCSW
Verified Verified
Mount Vernon, NY 10552  (Online Only)
Welcome and congratulations on taking the first step towards improving your mental health! My name is Jasmin Milliner and I am a Licensed Clinical Social Worker (LCSW) practicing in the state of New York. Working with children and their families for almost 10 years, I have gained the experience and tools needed to help individuals and families reach their highest potential. I am here to create an open, judgment free zone of healing and growth.
Welcome and congratulations on taking the first step towards improving your mental health! My name is Jasmin Milliner and I am a Licensed Clinical Social Worker (LCSW) practicing in the state of New York. Working with children and their families for almost 10 years, I have gained the experience and tools needed to help individuals and families reach their highest potential. I am here to create an open, judgment free zone of healing and growth.
(914) 825-6549 View (914) 825-6549
Photo of Mindy Convie, Clinical Social Work/Therapist in Mount Vernon, NY
Mindy Convie
Clinical Social Work/Therapist, LCSW
Verified Verified
Mount Vernon, NY 10550
Are you looking for somebody to talk to about challenging transitions, life events or relationships? If anxiety, stress or self doubt are holding you back, there is hope. Therapy is a safe place for you to connect deeply with yourself from a place of compassion. Often the emotional reactions that we struggle with in adulthood were helpful and served a purpose during our earlier years. In therapy you can learn to connect with every part of yourself and foster a sense of safety within your mind, body and heart. If you are ready to feel more present and grounded in your daily life, therapy can help.
Are you looking for somebody to talk to about challenging transitions, life events or relationships? If anxiety, stress or self doubt are holding you back, there is hope. Therapy is a safe place for you to connect deeply with yourself from a place of compassion. Often the emotional reactions that we struggle with in adulthood were helpful and served a purpose during our earlier years. In therapy you can learn to connect with every part of yourself and foster a sense of safety within your mind, body and heart. If you are ready to feel more present and grounded in your daily life, therapy can help.
(914) 559-9137 View (914) 559-9137
Photo of Tracey Prisca Stephen, Clinical Social Work/Therapist in Mount Vernon, NY
Tracey Prisca Stephen
Clinical Social Work/Therapist, LCSW
Verified Verified
Mount Vernon, NY 10550  (Online Only)
Not accepting new clients
I am a compassionate and thoughtful individual psychotherapist. I have significant areas of expertise in working with young adults and adults (18-60 years old) struggling with mood issues such as anxiety, depression and relationship and work issues like work-related stress and inter-generational conflict. I am especially skilled in working on conflict and emotional and mental stress due to current and historical racial animus. I utilize practices such as motivational interviewing, cognitive-behavioral therapy, and supportive therapy in accordance with your needs and comfort level.
I am a compassionate and thoughtful individual psychotherapist. I have significant areas of expertise in working with young adults and adults (18-60 years old) struggling with mood issues such as anxiety, depression and relationship and work issues like work-related stress and inter-generational conflict. I am especially skilled in working on conflict and emotional and mental stress due to current and historical racial animus. I utilize practices such as motivational interviewing, cognitive-behavioral therapy, and supportive therapy in accordance with your needs and comfort level.
(914) 279-8760 View (914) 279-8760
Mind Speak Inc
LCSW, RYT 200
Verified Verified
Mount Vernon, NY 10550
Founded by Nina Ythier in 2017, Mind Speak, Inc. is a private psychotherapy practice and certified Woman Minority Owned Business Enterprise that proudly provides specialized in person mental health treatment and advocacy services to people of all ages and stages in life that are dually diagnosed with intellectual/developmental disabilities and mental health conditions in New York City and Westchester County. Though we specialize in collaborating with this community, we warmly welcome anyone in need of assistance and support.
Founded by Nina Ythier in 2017, Mind Speak, Inc. is a private psychotherapy practice and certified Woman Minority Owned Business Enterprise that proudly provides specialized in person mental health treatment and advocacy services to people of all ages and stages in life that are dually diagnosed with intellectual/developmental disabilities and mental health conditions in New York City and Westchester County. Though we specialize in collaborating with this community, we warmly welcome anyone in need of assistance and support.
(914) 768-4998 View (914) 768-4998
Photo of Briana A Scott, Clinical Social Work/Therapist in Mount Vernon, NY
Briana A Scott
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Mount Vernon, NY 10550  (Online Only)
Are things shifting in your life and you find yourself looking for the proper footing to take life by the reins? Are you trying to figure out your purpose, impact, and strengths? Do you find yourself struggling to communicate in your relationships? You are not alone. I am here to relate to you in an authentic way, offering you transparency, and partnering with you through every step of the work. I will help you feel confident knowing and communicating your wants, needs, and desires through your life transitions. I also provide coaching and/or family therapy to help parents and children communicate better.
Are things shifting in your life and you find yourself looking for the proper footing to take life by the reins? Are you trying to figure out your purpose, impact, and strengths? Do you find yourself struggling to communicate in your relationships? You are not alone. I am here to relate to you in an authentic way, offering you transparency, and partnering with you through every step of the work. I will help you feel confident knowing and communicating your wants, needs, and desires through your life transitions. I also provide coaching and/or family therapy to help parents and children communicate better.
(914) 687-5282 View (914) 687-5282
Photo of Shayon Hewitt, Clinical Social Work/Therapist in Mount Vernon, NY
Shayon Hewitt
Clinical Social Work/Therapist, LMSW
Verified Verified
Mount Vernon, NY 10553
Therapy is a space where the past and present can be looked at through with new lenses, re-contextualized and re-understood. The more aware we are of our motives, feelings, thoughts, actions & perceptions the less we are controlled by them & less likely to be stuck in old patterns that no longer work. Therapy can be a short-term experience navigating crisis or it can be a longer process to learn more about who you are. There is no cookie cutter process with therapy therefore I utilize a person centered approach.
Therapy is a space where the past and present can be looked at through with new lenses, re-contextualized and re-understood. The more aware we are of our motives, feelings, thoughts, actions & perceptions the less we are controlled by them & less likely to be stuck in old patterns that no longer work. Therapy can be a short-term experience navigating crisis or it can be a longer process to learn more about who you are. There is no cookie cutter process with therapy therefore I utilize a person centered approach.
(347) 970-7230 View (347) 970-7230
Photo of Gabrielle Hamilton, Clinical Social Work/Therapist in Mount Vernon, NY
Gabrielle Hamilton
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Mount Vernon, NY 10552
Not accepting new clients
I believe that sharing your thoughts and feelings with me in my safe and confidential office will help you to feel better. I have worked in the field for almost 30 years in crisis teams, mental health clinics, schools, domestic violence programs, and geriatric services. I am non-judgmental and happy to help you recover from crisis, bereavement (grief or loss), the stress of long-term debilitating illness, ongoing anxiety or fear, mood disorders, and school related issues.
I believe that sharing your thoughts and feelings with me in my safe and confidential office will help you to feel better. I have worked in the field for almost 30 years in crisis teams, mental health clinics, schools, domestic violence programs, and geriatric services. I am non-judgmental and happy to help you recover from crisis, bereavement (grief or loss), the stress of long-term debilitating illness, ongoing anxiety or fear, mood disorders, and school related issues.
(914) 219-0308 View (914) 219-0308
Photo of Therapy-Helps LCSW, PLLC, Clinical Social Work/Therapist in Mount Vernon, NY
Therapy-Helps LCSW, PLLC
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Mount Vernon, NY 10550  (Online Only)
I believe in using a tailored approach to assist with developing clear, attainable treatment goals instead of adopting one methodology for all individuals and issues. I have extensive experience working with adolescence and adults who present with challenges managing depression, anxiety, stress, trauma, co-dependency, parenting, self esteem, addictions, psychological effects of disease management and much more. We are all on a journey of change and growth and I am here to take these steps with you. I am Licensed in New York and Connecticut.
I believe in using a tailored approach to assist with developing clear, attainable treatment goals instead of adopting one methodology for all individuals and issues. I have extensive experience working with adolescence and adults who present with challenges managing depression, anxiety, stress, trauma, co-dependency, parenting, self esteem, addictions, psychological effects of disease management and much more. We are all on a journey of change and growth and I am here to take these steps with you. I am Licensed in New York and Connecticut.
(914) 342-7370 View (914) 342-7370
Photo of Angela Lobdell, Counselor in Mount Vernon, NY
Angela Lobdell
Counselor, LMHC
Verified Verified
Mount Vernon, NY 10552  (Online Only)
I have always felt that my purpose in life was to serve in some capacity. While completing my undergraduate degree in psychology, I discovered a passion for human service and the field of counseling. I realized through my studies and personal experiences in therapy that what people seek the most is a safe place that is free from judgment and centered around acceptance. My goal is to be able to provide the same quality of care to every human being I encounter on their personal journey of healing.
I have always felt that my purpose in life was to serve in some capacity. While completing my undergraduate degree in psychology, I discovered a passion for human service and the field of counseling. I realized through my studies and personal experiences in therapy that what people seek the most is a safe place that is free from judgment and centered around acceptance. My goal is to be able to provide the same quality of care to every human being I encounter on their personal journey of healing.
(914) 785-6589 View (914) 785-6589
Photo of Stephanie Massiah, Counselor in Mount Vernon, NY
Stephanie Massiah
Counselor, LMHC
Verified Verified
Mount Vernon, NY 10550
Life is not easy, it is full of joy, pain, sadness, obstacles, and successes and I believe everyone has a story to tell. You may be looking for relief from life’s daily stressors, anxiety, or trauma. Please know there is hope. Together, through counseling, you can begin to feel better in times like these as well as other transitions in your life so you can begin a fresh path.
Life is not easy, it is full of joy, pain, sadness, obstacles, and successes and I believe everyone has a story to tell. You may be looking for relief from life’s daily stressors, anxiety, or trauma. Please know there is hope. Together, through counseling, you can begin to feel better in times like these as well as other transitions in your life so you can begin a fresh path.
(929) 346-4866 View (929) 346-4866
Photo of Michelle Grennan, Psychologist in Mount Vernon, NY
Michelle Grennan
Psychologist, PhD
Verified Verified
1 Endorsed
Mount Vernon, NY 10552
My specialty is trauma, with the understanding that trauma is often not just one major event, but also the cumulative effect of both severe and more subtle traumas over a lifetime, ranging from emotional deprivation, bullying, verbal abuse to rejections and perceived failures. Since I believe that trauma contributes to most issues, I work with a broad range of patients, including those struggling with interpersonal problems, having difficulty reaching personal and professional goals, or lacking confidence and positive self-image. I also work with patients experiencing mental illness, ranging from depression to psychotic disorders.
My specialty is trauma, with the understanding that trauma is often not just one major event, but also the cumulative effect of both severe and more subtle traumas over a lifetime, ranging from emotional deprivation, bullying, verbal abuse to rejections and perceived failures. Since I believe that trauma contributes to most issues, I work with a broad range of patients, including those struggling with interpersonal problems, having difficulty reaching personal and professional goals, or lacking confidence and positive self-image. I also work with patients experiencing mental illness, ranging from depression to psychotic disorders.
(914) 996-4698 View (914) 996-4698
Photo of Kasandra Reyes, Counselor in Mount Vernon, NY
Kasandra Reyes
Counselor, LMHC
Verified Verified
Mount Vernon, NY 10552  (Online Only)
My ideal client not only seeks symptom relief, they hope to understand the roots of their challenges, develop coping strategies, and embark on a journey toward greater resilience and well-being. They are motivated by the desire for a more fulfilling life, aligned with their authentic self, and are open to actively participating in the therapeutic process to achieve these goals.
My ideal client not only seeks symptom relief, they hope to understand the roots of their challenges, develop coping strategies, and embark on a journey toward greater resilience and well-being. They are motivated by the desire for a more fulfilling life, aligned with their authentic self, and are open to actively participating in the therapeutic process to achieve these goals.
(914) 340-0536 View (914) 340-0536
Photo of Paris Johnson-Distant, Licensed Master Social Worker in Mount Vernon, NY
Paris Johnson-Distant
Licensed Master Social Worker, LCSW
Verified Verified
Mount Vernon, NY 10550  (Online Only)
I aim to offer a pure experience and room for self awareness, motivation, thought modification and behavior change. I am a firm believer in providing therapeutic services in an authentic and genuine manner by remaining respectful to and knowledgeable of cultural differences.
I aim to offer a pure experience and room for self awareness, motivation, thought modification and behavior change. I am a firm believer in providing therapeutic services in an authentic and genuine manner by remaining respectful to and knowledgeable of cultural differences.
(914) 732-4755 View (914) 732-4755
Photo of Dr. Naeema Burgess, Psychologist in Mount Vernon, NY
Dr. Naeema Burgess
Psychologist, MS, PsyD, ABSNP-D, LP
Verified Verified
Mount Vernon, NY 10550
Are you experiencing turmoil in reaching your life goals? Are you at a standstill in life and need coaching to set goals and jump back on the road to success? Are you experiencing a challenge in parenting a child with special needs or emotional disturbance? Are you experiencing a challenge in navigating the education system for your child? Does your child have behavioral challenges that you may need help with resolving? Sometimes people need an ear of support to help them to regroup or to really take a step back and better understand what is happening and to help develop a plan to make progress. WE PROVIDE: Neurofeeback.
Are you experiencing turmoil in reaching your life goals? Are you at a standstill in life and need coaching to set goals and jump back on the road to success? Are you experiencing a challenge in parenting a child with special needs or emotional disturbance? Are you experiencing a challenge in navigating the education system for your child? Does your child have behavioral challenges that you may need help with resolving? Sometimes people need an ear of support to help them to regroup or to really take a step back and better understand what is happening and to help develop a plan to make progress. WE PROVIDE: Neurofeeback.
(914) 371-3771 View (914) 371-3771
Photo of Jennifer Simon, Pre-Licensed Professional in Mount Vernon, NY
Jennifer Simon
Pre-Licensed Professional, MS Ed, MHC-LP
Verified Verified
1 Endorsed
Mount Vernon, NY 10550  (Online Only)
Not accepting new clients
I can't do this anymore. I need direction. I’m lost. I can't move forward. I hear you. Are fear and anxiety preventing you from achieving your goals? Are you thinking about new career opportunities and growth possibilities? While we desire to become the best possible version of ourselves, obstacles either self-made or external can hinder our growth. Together, we would co-create solutions to help you move forward.
I can't do this anymore. I need direction. I’m lost. I can't move forward. I hear you. Are fear and anxiety preventing you from achieving your goals? Are you thinking about new career opportunities and growth possibilities? While we desire to become the best possible version of ourselves, obstacles either self-made or external can hinder our growth. Together, we would co-create solutions to help you move forward.
(914) 342-7479 View (914) 342-7479
Photo of Sandra Christina Vilar-Ferreira, Clinical Social Work/Therapist in Mount Vernon, NY
Sandra Christina Vilar-Ferreira
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Mount Vernon, NY 10552
Welcome! I am a bilingual LCSW-R, practicing therapy for the last 23 years. I have specialized in Complex trauma, anxiety, and depression. I am currently taking individual therapy appointments and Family Therapy as well. I also do group work with adolescents and adults. I am EMDR trained and work with the whole body and mind in the processing of challenging memories and emotions.
Welcome! I am a bilingual LCSW-R, practicing therapy for the last 23 years. I have specialized in Complex trauma, anxiety, and depression. I am currently taking individual therapy appointments and Family Therapy as well. I also do group work with adolescents and adults. I am EMDR trained and work with the whole body and mind in the processing of challenging memories and emotions.
(914) 594-5458 View (914) 594-5458
Photo of Mind Muse Therapy , Clinical Social Work/Therapist in Mount Vernon, NY
Mind Muse Therapy
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Mount Vernon, NY 10550  (Online Only)
Greetings! I am a licensed clinical social worker, and an EMDR trained therapist. I focus on the here and now while working with individuals to understand how past experiences have influenced the present. I work with individuals and practice using a variety of contemporary approaches, including cognitive behavioral therapy, EMDR, meditation, and mindfulness. I create a safe and nonjudgmental space for patients to explore and process their feelings while sharing experiences. I offer a free, brief consultation to answer any questions, learn about your needs, and see if we will be a good fit.
Greetings! I am a licensed clinical social worker, and an EMDR trained therapist. I focus on the here and now while working with individuals to understand how past experiences have influenced the present. I work with individuals and practice using a variety of contemporary approaches, including cognitive behavioral therapy, EMDR, meditation, and mindfulness. I create a safe and nonjudgmental space for patients to explore and process their feelings while sharing experiences. I offer a free, brief consultation to answer any questions, learn about your needs, and see if we will be a good fit.
(646) 904-4209 View (646) 904-4209
Photo of Lamar R Johnson, Pre-Licensed Professional in Mount Vernon, NY
Lamar R Johnson
Pre-Licensed Professional
Verified Verified
Mount Vernon, NY 10550  (Online Only)
Life has its ups and downs. Through it all, we are told to persevere and let nothing deter you from stopping until you "make it". What we aren't told is that we CAN be helped along the way. What we aren't told is that we DON'T have to face that journey, that climb, alone. What we aren't told is that IT IS ok to confide in others and have someone to have your back during the hard times life tends to throw at you. If you are looking for that person, look no further: I can provide you that supporting role! Just hearing validation like, "I understand" or "I totally get where you're coming from" can make all the difference in the world!
Life has its ups and downs. Through it all, we are told to persevere and let nothing deter you from stopping until you "make it". What we aren't told is that we CAN be helped along the way. What we aren't told is that we DON'T have to face that journey, that climb, alone. What we aren't told is that IT IS ok to confide in others and have someone to have your back during the hard times life tends to throw at you. If you are looking for that person, look no further: I can provide you that supporting role! Just hearing validation like, "I understand" or "I totally get where you're coming from" can make all the difference in the world!
(718) 524-3240 View (718) 524-3240
Photo of Alma T Watkins, Licensed Professional Counselor in Mount Vernon, NY
Alma T Watkins
Licensed Professional Counselor, LMHC, CASAC
Verified Verified
Mount Vernon, NY 10550
My ideal client is ready to explore their own patterns of behavior and gain insight into the ways these patterns impact their relationships. I specialize in family therapy, relationship therapy and group work. This includes work with multiple couples in a group format as well groups of friends. If you have a relationship that you're interested in improving, I'm here to help. We learn a lot about ourselves from the relationships and friendships that we choose. I enjoy helping individuals gain insight about themselves based on these connections while taking your relationships and friendships to the next level.
My ideal client is ready to explore their own patterns of behavior and gain insight into the ways these patterns impact their relationships. I specialize in family therapy, relationship therapy and group work. This includes work with multiple couples in a group format as well groups of friends. If you have a relationship that you're interested in improving, I'm here to help. We learn a lot about ourselves from the relationships and friendships that we choose. I enjoy helping individuals gain insight about themselves based on these connections while taking your relationships and friendships to the next level.
(914) 380-3874 View (914) 380-3874
Photo of Carriel C. Brodie, Counselor in Mount Vernon, NY
Carriel C. Brodie
Counselor, LMHC, NCC
Verified Verified
Mount Vernon, NY 10550  (Online Only)
Waitlist for new clients
Potential generally refers to someone’s current unrealized ability. If you’re reading this you may have already come to the realization that you need assistance in reaching your full potential. Whether that may be assistance with daily life stressors, difficulty with adjustment, depression, anxiety or exploring traumas, it would be a privilege to walk alongside you in your journey. If you are searching for someone who will listen without judgment and offer supportive feedback I can be of service. I like to consider myself a present-day therapist in which I aspire to encourage my clients to bring their experiences and lifestyles.
Potential generally refers to someone’s current unrealized ability. If you’re reading this you may have already come to the realization that you need assistance in reaching your full potential. Whether that may be assistance with daily life stressors, difficulty with adjustment, depression, anxiety or exploring traumas, it would be a privilege to walk alongside you in your journey. If you are searching for someone who will listen without judgment and offer supportive feedback I can be of service. I like to consider myself a present-day therapist in which I aspire to encourage my clients to bring their experiences and lifestyles.
(914) 785-6848 View (914) 785-6848

See more therapy options for Mount Vernon

How does your Therapist compare?

Number of Therapists in Mount Vernon, NY

70+

Average cost per session

$150

Therapists in Mount Vernon, NY who prioritize treating:

94% Depression
94% Anxiety
76% Coping Skills
74% Self Esteem
73% Relationship Issues
72% Stress
71% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

84% Aetna
81% UnitedHealthcare UHC | UBH
71% Cigna and Evernorth

How Therapists in Mount Vernon, NY see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Mount Vernon?

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.