Therapists in Sequim, WA

Intergenerational Healing and Wellness Collective
Clinical Social Work/Therapist, MSW, CMHS, LICSW
Verified Verified
1 Endorsed
Sequim, WA 98382
For over 20 years, I have gotten to do what I love every day. I believe the healing journey is sacred. Allowing someone to walk with you on this journey is always an honor and privilege. I provide therapy services for individuals needing behavioral health support to write the next chapter in their lives. This is done by assisting individuals in recognizing options, problem-solving, identifying and using resources, trying things a new way, encouraging them to discover and build on their strengths and supporting the people they care about. The first step on this journey begins with you.
For over 20 years, I have gotten to do what I love every day. I believe the healing journey is sacred. Allowing someone to walk with you on this journey is always an honor and privilege. I provide therapy services for individuals needing behavioral health support to write the next chapter in their lives. This is done by assisting individuals in recognizing options, problem-solving, identifying and using resources, trying things a new way, encouraging them to discover and build on their strengths and supporting the people they care about. The first step on this journey begins with you.
(360) 873-5911 View (360) 873-5911
Photo of Skyla Baker, MSW, LICSW, MHP, Clinical Social Work/Therapist
Skyla Baker
Clinical Social Work/Therapist, MSW, LICSW, MHP
Verified Verified
Sequim, WA 98382
Providing client-centered mental health therapy and support for adult individuals and couples. Specialized in the treatment of Trauma, I can help you in dealing with Anxiety, Depression, Grief, Anger Management issues, and a variety of temporary disruptive life changes. With 30+ years’ experience in a variety of counseling roles, I approach our counseling relationship as a collaborative partnership with you, working together to navigate life's challenges in meeting your personal and relationship goals.
Providing client-centered mental health therapy and support for adult individuals and couples. Specialized in the treatment of Trauma, I can help you in dealing with Anxiety, Depression, Grief, Anger Management issues, and a variety of temporary disruptive life changes. With 30+ years’ experience in a variety of counseling roles, I approach our counseling relationship as a collaborative partnership with you, working together to navigate life's challenges in meeting your personal and relationship goals.
(360) 516-1420 View (360) 516-1420
Photo of Anita Rachel Trevino, LPC Intern
Anita Rachel Trevino
LPC Intern
Verified Verified
1 Endorsed
Sequim, WA 98382
I am a clinical mental health counseling student. I have completed coursework in counseling and helping relationships, theories of personality and clinical practice, social and cultural counseling, crisis and trauma, professional ethics and clinical practice, group counseling, and psychopathology and diagnostic practice. I currently provide mental health counseling services for individuals and groups as a student intern with my qualified clinical supervisor, Joshua Talbert, LMHC. I, as your counselor, will come alongside you as you strive to set and attain your goals.
I am a clinical mental health counseling student. I have completed coursework in counseling and helping relationships, theories of personality and clinical practice, social and cultural counseling, crisis and trauma, professional ethics and clinical practice, group counseling, and psychopathology and diagnostic practice. I currently provide mental health counseling services for individuals and groups as a student intern with my qualified clinical supervisor, Joshua Talbert, LMHC. I, as your counselor, will come alongside you as you strive to set and attain your goals.
(360) 854-3529 x1 View (360) 854-3529 x1
Photo of Dr. Will Sol - Sol Transformative Therapy, PhD , MSW, LICSW, Clinical Social Work/Therapist
Sol Transformative Therapy
Clinical Social Work/Therapist, PhD , MSW, LICSW
Verified Verified
Sequim, WA 98382  (Online Only)
The past influences your present state of mind, emotions, and lived-experience, but the past never fully controls your future. You have the ultimate power—the power to change. Your transformative journey can start now and I am here to help. Mindful, compassionate, and knowledgeable; I am a licensed psychotherapist, professor of applied psychology, and your integral partner in transformation. I will strive to understand your point of view so that together we can explore what it will take to get you were you want to be: mentally, emotionally and spiritually. Anxiety, depression, & existential/spiritual issues are my specialities.
The past influences your present state of mind, emotions, and lived-experience, but the past never fully controls your future. You have the ultimate power—the power to change. Your transformative journey can start now and I am here to help. Mindful, compassionate, and knowledgeable; I am a licensed psychotherapist, professor of applied psychology, and your integral partner in transformation. I will strive to understand your point of view so that together we can explore what it will take to get you were you want to be: mentally, emotionally and spiritually. Anxiety, depression, & existential/spiritual issues are my specialities.
(360) 506-6181 View (360) 506-6181
Photo of Dena Crosby, MS, LPC, LMHC, LIMHP, Licensed Professional Counselor
Dena Crosby
Licensed Professional Counselor, MS, LPC, LMHC, LIMHP
Verified Verified
Sequim, WA 98382  (Online Only)
Waitlist for new clients
Welcome! Do you find yourself overwhelmed? Are you in a transition period feeling stuck in your life, relationships, finances, confused with your own reactions and needs? Do you feel anxious, a lack of motivation, depressed? How do you cope? Maybe you're tired of just 'coping'. You've come to the right place. If you feel ready to throw in the towel with yourself, your relationships, life, I can help.
Welcome! Do you find yourself overwhelmed? Are you in a transition period feeling stuck in your life, relationships, finances, confused with your own reactions and needs? Do you feel anxious, a lack of motivation, depressed? How do you cope? Maybe you're tired of just 'coping'. You've come to the right place. If you feel ready to throw in the towel with yourself, your relationships, life, I can help.
(360) 860-5835 View (360) 860-5835
Photo of Gaelen E Billingsley, LMFT, Marriage & Family Therapist
Gaelen E Billingsley
Marriage & Family Therapist, LMFT
Verified Verified
Sequim, WA 98382
I love helping couples and individuals discover an adventurous sense that there might be a lot to know about you that you don’t already know. I am the collaborator who wakes clients to the manner in which you co-create the very experiences and situations that are most distressing to you. I support you in freeing yourself from the beliefs, attitudes, and behaviors that do not serve you, so you can move from positions of unconscious pre-programmed reactivity, to places of conscious and intentional creation.
I love helping couples and individuals discover an adventurous sense that there might be a lot to know about you that you don’t already know. I am the collaborator who wakes clients to the manner in which you co-create the very experiences and situations that are most distressing to you. I support you in freeing yourself from the beliefs, attitudes, and behaviors that do not serve you, so you can move from positions of unconscious pre-programmed reactivity, to places of conscious and intentional creation.
(360) 569-1925 View (360) 569-1925
Photo of Teresa Shiraishi, LICSW, Clinical Social Work/Therapist
Teresa Shiraishi
Clinical Social Work/Therapist, LICSW
Verified Verified
Sequim, WA 98382
Not accepting new clients
I consider it the deepest honor to walk along side someone in their healing journey. Whether you are struggling with anxiety, depression, trauma, grief or relationship issues - I am here to help. I believe that each person is an expert in their own lives and has what they need to heal. My role is to help you discover what you need and support you in achieving your goals. I am committed to creating a welcoming environment for those with marginalized identities.
I consider it the deepest honor to walk along side someone in their healing journey. Whether you are struggling with anxiety, depression, trauma, grief or relationship issues - I am here to help. I believe that each person is an expert in their own lives and has what they need to heal. My role is to help you discover what you need and support you in achieving your goals. I am committed to creating a welcoming environment for those with marginalized identities.
(360) 810-5781 View (360) 810-5781
Photo of Logan Billingsley, MA, LMHCA, Counselor
Logan Billingsley
Counselor, MA, LMHCA
Verified Verified
Sequim, WA 98382
I work with adults and teens who are struggling with life challenges including anxiety and depression, trauma and PTSD, relationship difficulties, and existential concerns. I am also comfortable working with spiritual concerns and experiences, and eco-grief and eco-anxiety. I view therapy as a voluntary engagement with a process of discovery and transformation. I seek to foster your natural curiosity about yourself and your life, and help you connect to the parts of yourself that have grown distant. Everyone's process is different, and I view my expertise as a supplement to your natural capacity for self-healing and growth.
I work with adults and teens who are struggling with life challenges including anxiety and depression, trauma and PTSD, relationship difficulties, and existential concerns. I am also comfortable working with spiritual concerns and experiences, and eco-grief and eco-anxiety. I view therapy as a voluntary engagement with a process of discovery and transformation. I seek to foster your natural curiosity about yourself and your life, and help you connect to the parts of yourself that have grown distant. Everyone's process is different, and I view my expertise as a supplement to your natural capacity for self-healing and growth.
(360) 967-9732 View (360) 967-9732
Photo of Jackie Moser, MS, LPC, LMHC, Licensed Professional Counselor
Jackie Moser
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
1 Endorsed
Sequim, WA 98382  (Online Only)
We ARE accepting new referrals at this time. We are virtual only. If this is a good format for you please contact us. We focus on adjustment issues related to life transitions, ADHD, stress management, behavioral issues with children, family and relationship conflicts. We have an empathetic approach and believe together, a solution can be found that matches your views and beliefs. It is important to us when seeking a therapist, you are matched with someone whom you are comfortable, can trust, and want to be open with.
We ARE accepting new referrals at this time. We are virtual only. If this is a good format for you please contact us. We focus on adjustment issues related to life transitions, ADHD, stress management, behavioral issues with children, family and relationship conflicts. We have an empathetic approach and believe together, a solution can be found that matches your views and beliefs. It is important to us when seeking a therapist, you are matched with someone whom you are comfortable, can trust, and want to be open with.
(816) 298-0557 View (816) 298-0557
Photo of Kristin Warner - Kristin Warner Counseling PLLC, LMHC, ATR-BC, NCC, Counselor
Kristin Warner Counseling PLLC
Counselor, LMHC, ATR-BC, NCC
Verified Verified
Sequim, WA 98382  (Online Only)
Not accepting new clients
I believe the most successful outcomes in counseling and psychotherapy include the development of a trusting therapeutic relationship. My approach to this is having genuine acceptance, respect, and empathy toward those who are looking for help. Whether you are going through a difficult transition in life, having relationship problems, struggling with anxiety, depression, or trauma, finding the right therapist for you is part of the solution. Depending on what your needs are, I can help you navigate this experience of working on what you want to resolve or change in your life.
I believe the most successful outcomes in counseling and psychotherapy include the development of a trusting therapeutic relationship. My approach to this is having genuine acceptance, respect, and empathy toward those who are looking for help. Whether you are going through a difficult transition in life, having relationship problems, struggling with anxiety, depression, or trauma, finding the right therapist for you is part of the solution. Depending on what your needs are, I can help you navigate this experience of working on what you want to resolve or change in your life.
(360) 526-8309 View (360) 526-8309
Photo of Doug Blessington - Sequim Counseling, Counselor
Sequim Counseling
Counselor
Verified Verified
Sequim, WA 98382
We have over 40 therapists to help you with whatever you are experiencing. From anxiety to depression to relationship struggles, we've got you covered. We will match you with the provider that works best for you. If it's not a good fit, no worries. We can easily match you with another therapist. We accept insurance and can quickly get you an appointment. Just give us a call or email us and we'll reach out to start getting you the help you need.
We have over 40 therapists to help you with whatever you are experiencing. From anxiety to depression to relationship struggles, we've got you covered. We will match you with the provider that works best for you. If it's not a good fit, no worries. We can easily match you with another therapist. We accept insurance and can quickly get you an appointment. Just give us a call or email us and we'll reach out to start getting you the help you need.
(360) 309-0334 View (360) 309-0334
Photo of Ed Fitzpatrick, MSW, LICSW, Clinical Social Work/Therapist
Ed Fitzpatrick
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Sequim, WA 98382
What I've discovered since beginning my career in mental health in 1991, is that we can find hope in the middle of really tough circumstances. And, that hope begins when we choose to look outside of ourselves for help from others that are trustworthy. Further, life doesn't always have to be about struggling or trying harder. Yet, it is about doing life differently in such a way that we find the peace and the rest we are looking for.
What I've discovered since beginning my career in mental health in 1991, is that we can find hope in the middle of really tough circumstances. And, that hope begins when we choose to look outside of ourselves for help from others that are trustworthy. Further, life doesn't always have to be about struggling or trying harder. Yet, it is about doing life differently in such a way that we find the peace and the rest we are looking for.
(360) 938-4050 View (360) 938-4050
Photo of Annette Berlin, MA, LMHCA, Counselor
Annette Berlin
Counselor, MA, LMHCA
Verified Verified
Sequim, WA 98382
Do you feel isolated? Are you facing difficult situations and life decisions Alone and don't know where to turn? Are you getting sucked into negativity and drama around you? Do you need support navigating the new challenges that are happening in your life and everywhere around you? You deserve to get the support you need moving past your obstacles. Give yourself some breathing room, calm down, and let me help you help yourself. Reaching out is a healthy step in caring for yourself. It is time to get past your challenges in a better way to handle life.
Do you feel isolated? Are you facing difficult situations and life decisions Alone and don't know where to turn? Are you getting sucked into negativity and drama around you? Do you need support navigating the new challenges that are happening in your life and everywhere around you? You deserve to get the support you need moving past your obstacles. Give yourself some breathing room, calm down, and let me help you help yourself. Reaching out is a healthy step in caring for yourself. It is time to get past your challenges in a better way to handle life.
(360) 401-8777 View (360) 401-8777
Photo of Julia E Eakes, MA, LMFT, Marriage & Family Therapist
Julia E Eakes
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Sequim, WA 98382  (Online Only)
I love to work with older teens and adults from the comfort of your own home through telehealth. I offer a safe and trusting environment that is conducive to emotional and spiritual growth. You will find that we are partners in a journey of discovery; we'll explore ways to empower, encourage and support your expression of what's troubling you. I offer the opportunity to explore personal growth through mind, body, and spirit. As a therapist, I tend to be eclectic, humanistic, and enthusiastic about Journaling, Energy Healing, Mindful Self Compassion, Mindfulness, Solution-Focused, and CBT.
I love to work with older teens and adults from the comfort of your own home through telehealth. I offer a safe and trusting environment that is conducive to emotional and spiritual growth. You will find that we are partners in a journey of discovery; we'll explore ways to empower, encourage and support your expression of what's troubling you. I offer the opportunity to explore personal growth through mind, body, and spirit. As a therapist, I tend to be eclectic, humanistic, and enthusiastic about Journaling, Energy Healing, Mindful Self Compassion, Mindfulness, Solution-Focused, and CBT.
(360) 310-4136 View (360) 310-4136
Photo of Stanley Atkins - Atkins Behavioral Health, LICSW, SUDP, Clinical Social Work/Therapist
Atkins Behavioral Health
Clinical Social Work/Therapist, LICSW, SUDP
Verified Verified
Sequim, WA 98382  (Online Only)
I have worked for over a decade with folks who have lived with mental health disorders and substance use disorders. I was trained to establish a trusting relationship to allow the people I help to grow from their past and become the person they deserve to be. I work with people with all diagnosis of the behavioral health spectrum. I look forward to hearing your story and walking through your future with you.
I have worked for over a decade with folks who have lived with mental health disorders and substance use disorders. I was trained to establish a trusting relationship to allow the people I help to grow from their past and become the person they deserve to be. I work with people with all diagnosis of the behavioral health spectrum. I look forward to hearing your story and walking through your future with you.
(360) 535-7409 View (360) 535-7409
Photo of Terrance Wolf, MACP, LMFT, Marriage & Family Therapist
Terrance Wolf
Marriage & Family Therapist, MACP, LMFT
Verified Verified
1 Endorsed
Sequim, WA 98382
My work with clients involves nonjudgemental listening, psycho-education, inquiry and self awareness. One important goal is to develop the capacity and willingness to tolerate the unpleasant feelings that come with every negative emotion. This work is done in the present moment and is little dependent on our past. The work usually goes quickly and very directly... but sometimes we need to go slow. A typical successful series might be 10-12 meetings. Spiritual matters are usually an important area of concern...What's really important? Is our behavior congruent with those values? So, please say more about that...
My work with clients involves nonjudgemental listening, psycho-education, inquiry and self awareness. One important goal is to develop the capacity and willingness to tolerate the unpleasant feelings that come with every negative emotion. This work is done in the present moment and is little dependent on our past. The work usually goes quickly and very directly... but sometimes we need to go slow. A typical successful series might be 10-12 meetings. Spiritual matters are usually an important area of concern...What's really important? Is our behavior congruent with those values? So, please say more about that...
(360) 529-4709 View (360) 529-4709
Photo of Kirsten Rene, Psychologist
Kirsten Rene
Psychologist
Verified Verified
Sequim, WA 98382
Waitlist for new clients
Hello and welcome! I am a licensed psychologist offering in person and remote therapy. I work with children, teens and young-mid adults working to manage anxiety, stress, trauma, depression, attention/executive function challenges, relationship difficulties and life transitions. I know starting therapy can be an intimidating process, and work hard to build a safe and trusting relationship from the start. I will do my best to help you achieve your goals and improve your well-being, which often includes taking the skills you learn during our time together into other relationships/settings in your life.
Hello and welcome! I am a licensed psychologist offering in person and remote therapy. I work with children, teens and young-mid adults working to manage anxiety, stress, trauma, depression, attention/executive function challenges, relationship difficulties and life transitions. I know starting therapy can be an intimidating process, and work hard to build a safe and trusting relationship from the start. I will do my best to help you achieve your goals and improve your well-being, which often includes taking the skills you learn during our time together into other relationships/settings in your life.
(360) 467-8261 View (360) 467-8261
Photo of Elisabeth Ramsey, Pre-Licensed Professional
Elisabeth Ramsey
Pre-Licensed Professional
Verified Verified
Sequim, WA 98382
As a compassionate and dedicated mental health counselor, I firmly believe in the profound impact of play and trust in the therapeutic process. My professional journey has led me to develop expertise in working with at-risk populations, including homeless individuals and families. I am also skilled in mentoring and providing outreach services to middle school girls. As a mental health counselor, my focus lies in play therapy, developmental psychology, and alcohol and substance dependence treatment.
As a compassionate and dedicated mental health counselor, I firmly believe in the profound impact of play and trust in the therapeutic process. My professional journey has led me to develop expertise in working with at-risk populations, including homeless individuals and families. I am also skilled in mentoring and providing outreach services to middle school girls. As a mental health counselor, my focus lies in play therapy, developmental psychology, and alcohol and substance dependence treatment.
(360) 818-2773 View (360) 818-2773
Photo of Angela Soley, AMFT, Marriage & Family Therapist Associate
Angela Soley
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Sequim, WA 98382  (Online Only)
My heart's desire is for everyone to connect with their innate love, joy, and peace. I believe love and joy are always present within us, they are just often hidden under layers of pain and misunderstanding. Together, we can peel back the layers and bring back your vitality. I love to listen and ask questions, which helps clients get clear on who they are, what they want, and where they are going! You are safe to share your complete (sometimes tangled) truth with me. Tears, laughter, growls, and silence are welcome.
My heart's desire is for everyone to connect with their innate love, joy, and peace. I believe love and joy are always present within us, they are just often hidden under layers of pain and misunderstanding. Together, we can peel back the layers and bring back your vitality. I love to listen and ask questions, which helps clients get clear on who they are, what they want, and where they are going! You are safe to share your complete (sometimes tangled) truth with me. Tears, laughter, growls, and silence are welcome.
(714) 924-4624 View (714) 924-4624
Photo of Lindsay Hood, MA, LMHC, Counselor
Lindsay Hood
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Sequim, WA 98382  (Online Only)
You want things to change and aren’t sure how. You have an inner voice constantly telling you that you’ll never be enough. You have unrealistically high standards for yourself and beat yourself up for not meeting them, for not being perfect. You struggle making decisions because you worry about doing everything perfectly. You feel unworthy, an imposter always doubting yourself. We will pick that apart. We will push back on the guilt and shame cycles. We will work together to recognize your value and live authentically within the reality that creates.
You want things to change and aren’t sure how. You have an inner voice constantly telling you that you’ll never be enough. You have unrealistically high standards for yourself and beat yourself up for not meeting them, for not being perfect. You struggle making decisions because you worry about doing everything perfectly. You feel unworthy, an imposter always doubting yourself. We will pick that apart. We will push back on the guilt and shame cycles. We will work together to recognize your value and live authentically within the reality that creates.
(360) 215-2383 View (360) 215-2383
1

See more therapy options for Sequim

How does your Therapist compare?

Number of Therapists in Sequim, WA

60+

Average cost per session

$140

Therapists in Sequim, WA who prioritize treating:

94% Anxiety
91% Trauma and PTSD
86% Depression
84% Relationship Issues
77% Grief
73% Self Esteem
64% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

81% Premera Blue Cross
79% Aetna
76% Regence

How Therapists in Sequim, WA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

76% Female
21% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sequim?

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.