Therapists in Fairlee, VT

Photo of Wesley Wolter, MS, MA, LCMHC , LADC, RYT500, Counselor
Wesley Wolter
Counselor, MS, MA, LCMHC , LADC, RYT500
Verified Verified
Fairlee, VT 05045
Hello, I am currently offering vid/tele counseling and in-person psychotherapy. I have 15 years of mental health experience and created Milldale Farm Ctr4Wellness. I focus on developing a safe and trusting relationship offering alternative approach’s through empowering you and your greatest qualities to navigate addictions, trauma and other mental health issues, for all people of all ages. I specialize in treating trauma related challenges through offering EMDR, IFS,specific mind/body therapies, holistic wellness, breath-work and soon psycadelic psychotherapy. Look forward to meeting the amazing you and being of service.
Hello, I am currently offering vid/tele counseling and in-person psychotherapy. I have 15 years of mental health experience and created Milldale Farm Ctr4Wellness. I focus on developing a safe and trusting relationship offering alternative approach’s through empowering you and your greatest qualities to navigate addictions, trauma and other mental health issues, for all people of all ages. I specialize in treating trauma related challenges through offering EMDR, IFS,specific mind/body therapies, holistic wellness, breath-work and soon psycadelic psychotherapy. Look forward to meeting the amazing you and being of service.
(802) 613-0309 View (802) 613-0309

More Therapists Nearby

Photo of Tracy M Thompson, LCSW, Clinical Social Work/Therapist
Tracy M Thompson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
Hello! With nearly 20 years of experience, I am committed to helping you achieve your goals by leveraging your unique strengths. My extensive background spans community mental health, school-based counseling, day treatment, and short-term residential treatment, working with individuals of all ages.
Hello! With nearly 20 years of experience, I am committed to helping you achieve your goals by leveraging your unique strengths. My extensive background spans community mental health, school-based counseling, day treatment, and short-term residential treatment, working with individuals of all ages.
(833) 584-1716 View (833) 584-1716
Photo of Gregory V Wilson, DMin, Pastoral Counselor
Gregory V Wilson
Pastoral Counselor, DMin
Not Verified Not Verified
Vershire, VT 05079
Dr. Gregory Wilson offers affordable counseling for individuals, families, couples, and children. He has thirty years' experience, including working with codependency, anxiety and depression, and intimacy and communication issues. The focus is based on this question,” What needs to change to get you going where you want to go?, and what is gong on that the change has yet to happen? “The more the drive toward life is thwarted, the stronger is the drive toward destruction; the more life is realized, the less is the strength of destructiveness. Destructiveness is the outcome of unlived life.”
Dr. Gregory Wilson offers affordable counseling for individuals, families, couples, and children. He has thirty years' experience, including working with codependency, anxiety and depression, and intimacy and communication issues. The focus is based on this question,” What needs to change to get you going where you want to go?, and what is gong on that the change has yet to happen? “The more the drive toward life is thwarted, the stronger is the drive toward destruction; the more life is realized, the less is the strength of destructiveness. Destructiveness is the outcome of unlived life.”
(772) 919-8043 View (772) 919-8043
Photo of Cynthia Abry, LCMHC, CCATP, NCC, NCCMHC, Counselor
Cynthia Abry
Counselor, LCMHC, CCATP, NCC, NCCMHC
Verified Verified
Online Only
Waitlist for new clients
My specialty is working with adults to improve communication and facilitate healing from trauma and/or issues that are impacting life in a negative way. I have extensive experience working to address the effects of sexual and physical abuse history, PTSD, OCD, as well as anxiety and depression. I am passionate about working with women who are dealing with transitions, marital, relationship and other challenges. I focus on building a trusting relationship, identifying solutions and strengths in order to facilitate transformation. I am trained in IFS, EMDR, and Play Therapy, among other approaches.
My specialty is working with adults to improve communication and facilitate healing from trauma and/or issues that are impacting life in a negative way. I have extensive experience working to address the effects of sexual and physical abuse history, PTSD, OCD, as well as anxiety and depression. I am passionate about working with women who are dealing with transitions, marital, relationship and other challenges. I focus on building a trusting relationship, identifying solutions and strengths in order to facilitate transformation. I am trained in IFS, EMDR, and Play Therapy, among other approaches.
(802) 529-4054 View (802) 529-4054
Photo of John Langfitt, PhD, ABPP, Psychologist
John Langfitt
Psychologist, PhD, ABPP
Verified Verified
Randolph, VT 05060
I offer therapy to clients who have struggled with anxiety, depression and physical symptoms that get worse with emotional stress. I also am a board-certified, clinical neuropsychologist who provides neuropsychological evaluations. I do NOT provide evaluations for ADHD. More information about me and my practice is at my website, www.johnlangfittphd.com
I offer therapy to clients who have struggled with anxiety, depression and physical symptoms that get worse with emotional stress. I also am a board-certified, clinical neuropsychologist who provides neuropsychological evaluations. I do NOT provide evaluations for ADHD. More information about me and my practice is at my website, www.johnlangfittphd.com
(802) 278-6379 View (802) 278-6379
Photo of Amy Woodward, MS, LCMHC, LPC, Counselor
Amy Woodward
Counselor, MS, LCMHC, LPC
Verified Verified
2 Endorsed
Online Only
Not accepting new clients
Welcome! I'm so glad you're here. The decision to read this, and even consider counseling, is a huge step. I have spent my career working in mental health and am dedicated to helping people live the life they want. I have worked with people challenged by anxiety, depression, mood disorders, trauma, substance use, relationship issues, and difficult life transitions. It is my goal to understand where you are and be with you as you decide where you want to go. I believe that together we can develop a plan that works for you, identify strategies and skills to get you there, and the confidence to keep it going long after.
Welcome! I'm so glad you're here. The decision to read this, and even consider counseling, is a huge step. I have spent my career working in mental health and am dedicated to helping people live the life they want. I have worked with people challenged by anxiety, depression, mood disorders, trauma, substance use, relationship issues, and difficult life transitions. It is my goal to understand where you are and be with you as you decide where you want to go. I believe that together we can develop a plan that works for you, identify strategies and skills to get you there, and the confidence to keep it going long after.
(802) 444-8235 View (802) 444-8235
Photo of Susannah Davis, MA, LCMHC, Counselor
Susannah Davis
Counselor, MA, LCMHC
Verified Verified
Barre, VT 05641
I offer a combination of therapeutic modalities to help pre-teens, adolescents, and adults navigate and cope with their diverse life experiences. My approach is warm, relational, and client-centered, creating a non-judgmental space to explore feelings and concerns. We will discuss and agree upon your therapeutic goals at the outset, and then start the journey toward better life balance and understanding.
I offer a combination of therapeutic modalities to help pre-teens, adolescents, and adults navigate and cope with their diverse life experiences. My approach is warm, relational, and client-centered, creating a non-judgmental space to explore feelings and concerns. We will discuss and agree upon your therapeutic goals at the outset, and then start the journey toward better life balance and understanding.
(802) 992-1852 View (802) 992-1852
Photo of Eve DesJardins, MA , MHC , DMT, Pre-Licensed Professional
Eve DesJardins
Pre-Licensed Professional, MA , MHC , DMT
Verified Verified
Chelsea, VT 05038
My strength-based practice welcomes children, tweens, primary caregivers - and individual adults. I work with men, women and non binary individuals. In my role as therapist, I act as guide, collaborator, and psycho-educator to help clients learn how to relate to thoughts, feelings, and a new sense of being. I support people to transform struggles into challenges that provide opportunity for growth. In sitting with you and your experiences, I offer validation, radical acceptance and compassion. I also invite clients to speak their truth about how I can best serve them. In these ways we share trust.
My strength-based practice welcomes children, tweens, primary caregivers - and individual adults. I work with men, women and non binary individuals. In my role as therapist, I act as guide, collaborator, and psycho-educator to help clients learn how to relate to thoughts, feelings, and a new sense of being. I support people to transform struggles into challenges that provide opportunity for growth. In sitting with you and your experiences, I offer validation, radical acceptance and compassion. I also invite clients to speak their truth about how I can best serve them. In these ways we share trust.
(802) 866-6599 View (802) 866-6599
Photo of Licia L Berry-Berard, LICSW, Clinical Social Work/Therapist
Licia L Berry-Berard
Clinical Social Work/Therapist, LICSW
Verified Verified
North Thetford, VT 05054
With over 25 years of experience working with individuals and families, I offer three services: Counseling, Care Management and End-of-Life Doula. Through Counseling, we will explore challenges, opportunities and steps to support you in moving toward your goals. As a Care Manager, I will work with you and your loved ones to effectively manage health conditions and support care plans. We will identify needs and ways to work to meet those needs. As an End-of-Life Doula, I offer emotional and physical support, education about the dying process, preparation for what’s to come and support while grieving.
With over 25 years of experience working with individuals and families, I offer three services: Counseling, Care Management and End-of-Life Doula. Through Counseling, we will explore challenges, opportunities and steps to support you in moving toward your goals. As a Care Manager, I will work with you and your loved ones to effectively manage health conditions and support care plans. We will identify needs and ways to work to meet those needs. As an End-of-Life Doula, I offer emotional and physical support, education about the dying process, preparation for what’s to come and support while grieving.
(802) 441-6685 View (802) 441-6685
Photo of Eilis O'Herlihy, LICSW, MSW, Clinical Social Work/Therapist
Eilis O'Herlihy
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
2 Endorsed
Barre, VT 05641
Waitlist for new clients
The most important element in therapy is creating a safe and empowering relationship. There are many barriers to seeking support and I believe it is my job to break those down. I encourage prospective clients to ask questions and develop trust in whatever way feels right to them. My education in social work has taught me to look at each individual as part of a larger picture, and to work with each individual from a place of empowerment and strength.
The most important element in therapy is creating a safe and empowering relationship. There are many barriers to seeking support and I believe it is my job to break those down. I encourage prospective clients to ask questions and develop trust in whatever way feels right to them. My education in social work has taught me to look at each individual as part of a larger picture, and to work with each individual from a place of empowerment and strength.
(802) 386-2097 View (802) 386-2097
Photo of Theressa Harrigan, MS, JD, LCMHC, Counselor
Theressa Harrigan
Counselor, MS, JD, LCMHC
Verified Verified
Online Only
Over the last several years, we have all learned a great deal about our values. We have learned what we do and do not want out of life and our relationships. What is important is much clearer than before. Therapy can help navigate the way to that new life and to healthier relationships. I work with adults and couples of all ages with an emphasis on providing uncomplicated tools and communication skills strongly supported by research. Many clients struggle to stand up for themselves. I can teach that! Client sessions include humor, as it is a coping skill available to all of us.
Over the last several years, we have all learned a great deal about our values. We have learned what we do and do not want out of life and our relationships. What is important is much clearer than before. Therapy can help navigate the way to that new life and to healthier relationships. I work with adults and couples of all ages with an emphasis on providing uncomplicated tools and communication skills strongly supported by research. Many clients struggle to stand up for themselves. I can teach that! Client sessions include humor, as it is a coping skill available to all of us.
(802) 454-3144 View (802) 454-3144
Photo of Renee L Schulze, MSW, LICSW, BCD, Clinical Social Work/Therapist
Renee L Schulze
Clinical Social Work/Therapist, MSW, LICSW, BCD
Verified Verified
Wells River, VT 05081
Not accepting new clients
I have treated people with all forms of mental health issues including depression, anxiety, mood disorders, PTSD, and ADHD. I’m an EAP therapist and help employees with work stress and coping with difficult situations at work . I’m also trained in relief from narcissistic abuse and understanding “gaslighting” and “deflection” skills . I believe that people can feel better emotionally. I moved to VT in 2002 from CT where I worked for 14 years as a therapist in state facilities for the Department of Children and Families, the Department of Mental Health and the Department of Corrections.
I have treated people with all forms of mental health issues including depression, anxiety, mood disorders, PTSD, and ADHD. I’m an EAP therapist and help employees with work stress and coping with difficult situations at work . I’m also trained in relief from narcissistic abuse and understanding “gaslighting” and “deflection” skills . I believe that people can feel better emotionally. I moved to VT in 2002 from CT where I worked for 14 years as a therapist in state facilities for the Department of Children and Families, the Department of Mental Health and the Department of Corrections.
(802) 789-8467 View (802) 789-8467
Photo of Sarah Norton, MA, LCMHC, Counselor
Sarah Norton
Counselor, MA, LCMHC
Verified Verified
Plainfield, VT 05667
Not accepting new clients
My role as a psychotherapist is to help you develop a stronger sense of self-presence and self worth, to help you understand and validate feelings, to provide support for anxiety, depression and grief, and to help you develop the ability to find comfort and wisdom within yourself. Psychotherapy as I practice it is a collaborative exploration between you and me in an atmosphere of empathy and without judgment. Sessions take place in a confidential setting and follow the lead of your needs, thus validating your integrity, uniqueness and depth.
My role as a psychotherapist is to help you develop a stronger sense of self-presence and self worth, to help you understand and validate feelings, to provide support for anxiety, depression and grief, and to help you develop the ability to find comfort and wisdom within yourself. Psychotherapy as I practice it is a collaborative exploration between you and me in an atmosphere of empathy and without judgment. Sessions take place in a confidential setting and follow the lead of your needs, thus validating your integrity, uniqueness and depth.
(802) 328-9943 View (802) 328-9943
Photo of Marge Crowe - Marjorie R Crowe, MSW, MSW, LICSW, ACSW, Clinical Social Work/Therapist
Marjorie R Crowe, MSW
Clinical Social Work/Therapist, MSW, LICSW, ACSW
Verified Verified
Randolph, VT 05060
Not accepting new clients
I am most effective with people who want to do deep exploration and to grow spiritually and emotionally. We start with body awareness, developing skills to tolerate strong emotions and cultivate deeper connection with the resources that are inherent to us all. Using the Internal Family Systems model as the foundation, we will get to know parts of you who are burdened with painful emotions and beliefs and restore them to their natural state. We will increase your ability to live life from a calm, clear state.
I am most effective with people who want to do deep exploration and to grow spiritually and emotionally. We start with body awareness, developing skills to tolerate strong emotions and cultivate deeper connection with the resources that are inherent to us all. Using the Internal Family Systems model as the foundation, we will get to know parts of you who are burdened with painful emotions and beliefs and restore them to their natural state. We will increase your ability to live life from a calm, clear state.
(802) 589-4720 View (802) 589-4720
Photo of Susan G Jacobs, MA, LCMHC, LADC, EMDR, DCC, Counselor
Susan G Jacobs
Counselor, MA, LCMHC, LADC, EMDR, DCC
Verified Verified
Randolph, VT 05060
I really appreciate clients who are willing to look at themselves and are brave enough to ask for help. Asking for help shows a desire to understand themselves on a deeper more spiritual level. I work with people going through transitions in life ages 4-94. It doesn't matter the age, it is the heart behind the age that counts. I work with individuals, family, couples, and those working on addictions issues that are facing crossroads in their life. Therapy gives hope and renewed vision and allows support to those facing the fear of change.
I really appreciate clients who are willing to look at themselves and are brave enough to ask for help. Asking for help shows a desire to understand themselves on a deeper more spiritual level. I work with people going through transitions in life ages 4-94. It doesn't matter the age, it is the heart behind the age that counts. I work with individuals, family, couples, and those working on addictions issues that are facing crossroads in their life. Therapy gives hope and renewed vision and allows support to those facing the fear of change.
(802) 523-2848 View (802) 523-2848
Photo of Bonnie Haldeman Pomerantz, MA, MTS
Bonnie Haldeman Pomerantz
Unlicensed Psychotherapist, MA, MTS
Verified Verified
Online Only
Are you longing for greater joy? Happier relationships? Is your marriage or parenting feeling more challenging than you can sometimes bear? Are you needing support or are you ready for a change? I would like to be of help. While I specialize in couples and family work, I also work individually. I am excited to facilitate greater harmony, peace and happiness in all your relationships, relating to self as well as relating to others. Underneath our depression, sadness, anxiety, anger, heartache and hurt is a wellspring of love. I would like to help you connect with your well within.
Are you longing for greater joy? Happier relationships? Is your marriage or parenting feeling more challenging than you can sometimes bear? Are you needing support or are you ready for a change? I would like to be of help. While I specialize in couples and family work, I also work individually. I am excited to facilitate greater harmony, peace and happiness in all your relationships, relating to self as well as relating to others. Underneath our depression, sadness, anxiety, anger, heartache and hurt is a wellspring of love. I would like to help you connect with your well within.
(802) 431-0628 View (802) 431-0628
Photo of Kimberly Lawrence Kol, PsyD, Psychologist
Kimberly Lawrence Kol
Psychologist, PsyD
Verified Verified
East Thetford, VT 05043
I am an active therapist, sensitive and authentic, with a deep respect for diversity and the individual's own path. Together we'll examine your life, alert to possible contradictions, exploring the wisdom or effectiveness of certain behaviors or beliefs. Through supportive listening, education, empowerment and expert guidance, you can become more aware of unhealthy patterns and hidden strengths, leading you to make positive changes to improve your life experience, strengthening your sense of what you want and what makes you feel good, moment to moment and long term. I do therapy with people struggling with a range of problems:
I am an active therapist, sensitive and authentic, with a deep respect for diversity and the individual's own path. Together we'll examine your life, alert to possible contradictions, exploring the wisdom or effectiveness of certain behaviors or beliefs. Through supportive listening, education, empowerment and expert guidance, you can become more aware of unhealthy patterns and hidden strengths, leading you to make positive changes to improve your life experience, strengthening your sense of what you want and what makes you feel good, moment to moment and long term. I do therapy with people struggling with a range of problems:
(802) 858-4993 View (802) 858-4993
Photo of Noah Jacobson-Goodhue, MSW, LICSW, Clinical Social Work/Therapist
Noah Jacobson-Goodhue
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Thetford, VT 05074
I am a clinical social worker with an office, easily accessible, in Lebanon, NH. My work is informed by a client centered, strength-based perspective with a trauma focused foundation. My specialty is working with individuals to help them learn to navigate their own internal world and to realize how that can impact their relationships in various areas such as home, school and work.
I am a clinical social worker with an office, easily accessible, in Lebanon, NH. My work is informed by a client centered, strength-based perspective with a trauma focused foundation. My specialty is working with individuals to help them learn to navigate their own internal world and to realize how that can impact their relationships in various areas such as home, school and work.
(855) 782-4022 View (855) 782-4022
Photo of Jessica B Londa, PhD, Psychologist
Jessica B Londa
Psychologist, PhD
Verified Verified
Thetford, VT 05074
The guiding philosophy of my practice is to help people understand themselves in the service of personal development within the context of a safe and reliable relationship with another person. I believe that deep and rich self-examination requires rigorous and systematic pursuit on the part of both therapist and patient as they work together. My philosophy places a high value on curiosity, creativity, purposeful aims, tolerance of discomfort, and the strength for meaningful work and satisfying relationships. These are experienced or learned through the medium of the psychotherapeutic relationship.
The guiding philosophy of my practice is to help people understand themselves in the service of personal development within the context of a safe and reliable relationship with another person. I believe that deep and rich self-examination requires rigorous and systematic pursuit on the part of both therapist and patient as they work together. My philosophy places a high value on curiosity, creativity, purposeful aims, tolerance of discomfort, and the strength for meaningful work and satisfying relationships. These are experienced or learned through the medium of the psychotherapeutic relationship.
(802) 785-2434 View (802) 785-2434
Photo of Robin B Osborne, PhD, Psychologist
Robin B Osborne
Psychologist, PhD
Verified Verified
East Thetford, VT 05043
Not accepting new clients
Thank you for your interest in my practice. At this time, I am no longer accepting new clients as I wind down my practice over time. I am maintaining this profile so that current/recent clients can contact me if they wish to schedule a session. If you are a current or recent client, or if you are seeking projective personality testing, you can reach me at 603-359-1339 - by text or voicemail. I will be moving my office on June 1, 2021 and will be located about a hundred yards away from my current office in the Bushway Insurance building on Rt. 5 in E. Thetford. The building is brown and sits just south of the Post Office.
Thank you for your interest in my practice. At this time, I am no longer accepting new clients as I wind down my practice over time. I am maintaining this profile so that current/recent clients can contact me if they wish to schedule a session. If you are a current or recent client, or if you are seeking projective personality testing, you can reach me at 603-359-1339 - by text or voicemail. I will be moving my office on June 1, 2021 and will be located about a hundred yards away from my current office in the Bushway Insurance building on Rt. 5 in E. Thetford. The building is brown and sits just south of the Post Office.
(802) 735-0681 View (802) 735-0681

How does your Therapist compare?

Number of Therapists in Fairlee, VT

< 10

Therapists in Fairlee, VT who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Addiction
100% Child
100% ADHD
100% Chronic Pain

Average years in practice

14 Years

How Therapists in Fairlee, VT see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Fairlee?

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.