Photo of Rachelle L Bevilacqua, MS, LPC, DCEP, MMT, Licensed Professional Counselor
Rachelle L Bevilacqua
Licensed Professional Counselor, MS, LPC, DCEP, MMT
Verified Verified
Zieglerville, PA 19492
Therapy can feel like remembering who you really are and ultimately a deep sense of freedom. Challenging? Sometimes. Change requires moving outside our comfort zone. Maybe taking this step to seek support is that for you. Worth it? YES, you are! Live the life you deserve without spending months in talk therapy or retraumatizing yourself. It's about real change and real relief. I specialize in incorporating evidence-based work with the subtle energy systems, the body and mindfulness to help you heal. Release trauma, anxiety, phobia, fears and doubts by restoring your energy flow and developing emotional intelligence.
Therapy can feel like remembering who you really are and ultimately a deep sense of freedom. Challenging? Sometimes. Change requires moving outside our comfort zone. Maybe taking this step to seek support is that for you. Worth it? YES, you are! Live the life you deserve without spending months in talk therapy or retraumatizing yourself. It's about real change and real relief. I specialize in incorporating evidence-based work with the subtle energy systems, the body and mindfulness to help you heal. Release trauma, anxiety, phobia, fears and doubts by restoring your energy flow and developing emotional intelligence.
(484) 939-6889 View (484) 939-6889
Photo of Anne K Fanelli, MEd, MSW, LSW, Clinical Social Work/Therapist
Anne K Fanelli
Clinical Social Work/Therapist, MEd, MSW, LSW
Verified Verified
Zieglerville, PA 19492
Congratulations! You've listened to your inner wisdom and realized that you can't do this on your own so you've made the decision to seek help. That's a big step and you've taken it. Now you're wondering who's the right therapist for you, who will you feel comfortable with? Those are great questions because, bottom line, therapy is about the relationship you form with your therapist. In our sessions, we're just human beings working together to make your life better. You're the expert on your life and, where ever you are on your journey, my first responsibility is to listen and understand where you're coming from.
Congratulations! You've listened to your inner wisdom and realized that you can't do this on your own so you've made the decision to seek help. That's a big step and you've taken it. Now you're wondering who's the right therapist for you, who will you feel comfortable with? Those are great questions because, bottom line, therapy is about the relationship you form with your therapist. In our sessions, we're just human beings working together to make your life better. You're the expert on your life and, where ever you are on your journey, my first responsibility is to listen and understand where you're coming from.
(267) 699-7860 View (267) 699-7860

More Therapists Nearby

Photo of Cynthia Dempsey, MS, LPC, NBCC, Licensed Professional Counselor
Cynthia Dempsey
Licensed Professional Counselor, MS, LPC, NBCC
Verified Verified
1 Endorsed
Harleysville, PA 19438
10/30/24 - accepting new clients. Hello! I am a Licensed Professional Counselor in the state of Pennsylvania and can see clients located anywhere in PA. I hold a BA in Psychology from the University of Delaware and an MS in Clinical Health and Counseling Psychology from PCOM. I work with teens and adults dealing with stress, anxiety and trauma-related issues and I am an EMDRIA trained EMDR therapist as well a CBT and DBT trained therapist. I use a mix of many different styles in order to customize therapy to the direct needs of each individual client. I would be happy to discuss more and answer any questions you might have!
10/30/24 - accepting new clients. Hello! I am a Licensed Professional Counselor in the state of Pennsylvania and can see clients located anywhere in PA. I hold a BA in Psychology from the University of Delaware and an MS in Clinical Health and Counseling Psychology from PCOM. I work with teens and adults dealing with stress, anxiety and trauma-related issues and I am an EMDRIA trained EMDR therapist as well a CBT and DBT trained therapist. I use a mix of many different styles in order to customize therapy to the direct needs of each individual client. I would be happy to discuss more and answer any questions you might have!
(215) 770-1283 View (215) 770-1283
Photo of Elizabeth Higginbotham, LSW, Clinical Social Work/Therapist
Elizabeth Higginbotham
Clinical Social Work/Therapist, LSW
Verified Verified
Royersford, PA 19468
I believe that every individual has the power within themselves to achieve any treatment goal they come to Harmony Bay to work towards. My ideal client would be willing to put in the hard work needed to heal, who is willing to learn how to see the power and strength within themselves, and who believes that change is possible. If you are here at Harmony Bay seeking support from our services, you are already there!
I believe that every individual has the power within themselves to achieve any treatment goal they come to Harmony Bay to work towards. My ideal client would be willing to put in the hard work needed to heal, who is willing to learn how to see the power and strength within themselves, and who believes that change is possible. If you are here at Harmony Bay seeking support from our services, you are already there!
(484) 878-5690 View (484) 878-5690
Photo of Michelle Perna, LPC, Licensed Professional Counselor
Michelle Perna
Licensed Professional Counselor, LPC
Verified Verified
Royersford, PA 19468
I am experienced in depression, anxiety, stress, trauma, relational conflict, family systems, addiction, criminal justice, anger management, eating disorders/body image, and mood disorders. The ideal client actively wants to explore their behaviors and thinking patterns and identify the underlying causes of these behaviors. In addition, the ideal client will be willing to tackle goals inside & outside therapy sessions. My ideal client would be an individual who is internally and externally motivated to change their life. They show up to sessions on time consistently and make a conscious effort to engage in the therapeutic process.
I am experienced in depression, anxiety, stress, trauma, relational conflict, family systems, addiction, criminal justice, anger management, eating disorders/body image, and mood disorders. The ideal client actively wants to explore their behaviors and thinking patterns and identify the underlying causes of these behaviors. In addition, the ideal client will be willing to tackle goals inside & outside therapy sessions. My ideal client would be an individual who is internally and externally motivated to change their life. They show up to sessions on time consistently and make a conscious effort to engage in the therapeutic process.
(484) 255-4965 View (484) 255-4965
Photo of Caylin Jenkins, MS, LSW, Clinical Social Work/Therapist
Caylin Jenkins
Clinical Social Work/Therapist, MS, LSW
Verified Verified
1 Endorsed
Royersford, PA 19468
Life can be unpredictable and challenging. If this resonates with you, know that you're in the right place. It can be difficult to reach out for help, but I'm here to support you with whatever you are facing. As a therapist specializing in anxiety and relationship issues, I use evidence-based techniques to help my clients develop healthier coping mechanisms and build stronger connections. I'm passionate about helping people deepen their understanding and overcome barriers. If you're feeling overwhelmed, burnt out, or a bit (or very) lost, let's work together to create positive change in your life.
Life can be unpredictable and challenging. If this resonates with you, know that you're in the right place. It can be difficult to reach out for help, but I'm here to support you with whatever you are facing. As a therapist specializing in anxiety and relationship issues, I use evidence-based techniques to help my clients develop healthier coping mechanisms and build stronger connections. I'm passionate about helping people deepen their understanding and overcome barriers. If you're feeling overwhelmed, burnt out, or a bit (or very) lost, let's work together to create positive change in your life.
(484) 956-7173 View (484) 956-7173
Photo of Courtney Pursell, LPC, NCC, C-DBT, CCTP, Licensed Professional Counselor
Courtney Pursell
Licensed Professional Counselor, LPC, NCC, C-DBT, CCTP
Verified Verified
Limerick, PA 19468
Struggling with overwhelming emotions or constant anxiety? Are you finding it hard to break free from negative thinking patterns & triggers? I’m here to help. As a Licensed Professional Counselor and Certified Clinical Trauma Professional, I specialize in treating Anxiety, Depression, Bipolar Disorder, and Borderline Personality Disorder. My goal is to support you in managing your thoughts & feelings, reducing distress, and achieving a sense of inner calm and happiness. I understand that navigating life’s challenges can feel daunting, especially if you’re unsure where to start.
Struggling with overwhelming emotions or constant anxiety? Are you finding it hard to break free from negative thinking patterns & triggers? I’m here to help. As a Licensed Professional Counselor and Certified Clinical Trauma Professional, I specialize in treating Anxiety, Depression, Bipolar Disorder, and Borderline Personality Disorder. My goal is to support you in managing your thoughts & feelings, reducing distress, and achieving a sense of inner calm and happiness. I understand that navigating life’s challenges can feel daunting, especially if you’re unsure where to start.
(484) 559-9073 View (484) 559-9073
Photo of Elizabeth Gambier, LMFT, Marriage & Family Therapist
Elizabeth Gambier
Marriage & Family Therapist, LMFT
Verified Verified
Perkiomenville, PA 18074  (Online Only)
My name is Elizabeth Sutton, and as a Licensed Marriage and Family Therapist, my passion is for helping people build their healthiest relationships. Whether with a spouse, a child, a business partner, or even yourself, our relationships impact our quality of life. I can help you use the strengths you already have to create your best life, your way, with your healthiest relationships.
My name is Elizabeth Sutton, and as a Licensed Marriage and Family Therapist, my passion is for helping people build their healthiest relationships. Whether with a spouse, a child, a business partner, or even yourself, our relationships impact our quality of life. I can help you use the strengths you already have to create your best life, your way, with your healthiest relationships.
(610) 998-3595 View (610) 998-3595
Photo of Khalida Sethi, LCSW, Clinical Social Work/Therapist
Khalida Sethi
Clinical Social Work/Therapist, LCSW
Verified Verified
Limerick, PA 19468
My ideal client would be ready for a challenge. Someone who wants their worldview expanded, prepared to find internal and external connection with the world. My ideal client would be someone who also wants their race, sexuality, or gender affirmed by their clinician.
My ideal client would be ready for a challenge. Someone who wants their worldview expanded, prepared to find internal and external connection with the world. My ideal client would be someone who also wants their race, sexuality, or gender affirmed by their clinician.
(267) 309-2636 View (267) 309-2636
Photo of Sophie Hans, LSW, Clinical Social Work/Therapist
Sophie Hans
Clinical Social Work/Therapist, LSW
Verified Verified
Royersford, PA 19468
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerne as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerne as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
(267) 282-6221 View (267) 282-6221
Photo of Laura Dougherty, LSW, BCBA, Pre-Licensed Professional
Laura Dougherty
Pre-Licensed Professional, LSW, BCBA
Verified Verified
Harleysville, PA 19438
I enjoy working with children with anxiety, ADHD, and autism spectrum disorders. My goal is always to create a warm, fun environment that children enjoy and to model skills that are practical to take out of the office and use at home. I use a combination of ABA and CBT techniques based on the needs of the child and family. I'm also skilled in working with young adults on the autism spectrum on social/self-management skills and women in the pregnancy and postpartum stages of their lives. As a mother and parent myself, I am particularly honored to hold space for women navigating the challenges of pregnancy and new parenthood.
I enjoy working with children with anxiety, ADHD, and autism spectrum disorders. My goal is always to create a warm, fun environment that children enjoy and to model skills that are practical to take out of the office and use at home. I use a combination of ABA and CBT techniques based on the needs of the child and family. I'm also skilled in working with young adults on the autism spectrum on social/self-management skills and women in the pregnancy and postpartum stages of their lives. As a mother and parent myself, I am particularly honored to hold space for women navigating the challenges of pregnancy and new parenthood.
(484) 573-6353 View (484) 573-6353
Photo of Dr. Victoria Patricia Panna, PhD, ACS, NCC, MS, MEd, Licensed Professional Counselor
Dr. Victoria Patricia Panna
Licensed Professional Counselor, PhD, ACS, NCC, MS, MEd
Verified Verified
Limerick, PA 19468  (Online Only)
Managing stressors; improving self-esteem and self-efficacy; overcoming significant events; and becoming our true and genuine selves are often what we strive for in life. Our own negative and self-defeating thoughts, actions, and negative impactful experiences can overshadow this. In my years of practice as a therapist and life coach, I have helped people overcome these barriers to become their genuine and authentic selves.
Managing stressors; improving self-esteem and self-efficacy; overcoming significant events; and becoming our true and genuine selves are often what we strive for in life. Our own negative and self-defeating thoughts, actions, and negative impactful experiences can overshadow this. In my years of practice as a therapist and life coach, I have helped people overcome these barriers to become their genuine and authentic selves.
View
Photo of Khalilah Yadullah, LPC, Licensed Professional Counselor
Khalilah Yadullah
Licensed Professional Counselor, LPC
Verified Verified
Limerick, PA 19468
Are you struggling with depression and/or substance use? Do you feel hopelessness and helplessness, have poor sleep, poor appetite, and increased alcohol intake? Your Goals may be to improve sleep, use 2-3 skills to help identify and work through ANT/Cognitive Distortions, keep a food mood diary, and incorporate foods to improve mood. You may be seeking psychoeducation surrounding the effects of alcohol, including it being a depressant, identifying 2-3 techniques used to promote physical wellness, and using 4-6 days per week (cardio, yoga, stretching, etc.).
Are you struggling with depression and/or substance use? Do you feel hopelessness and helplessness, have poor sleep, poor appetite, and increased alcohol intake? Your Goals may be to improve sleep, use 2-3 skills to help identify and work through ANT/Cognitive Distortions, keep a food mood diary, and incorporate foods to improve mood. You may be seeking psychoeducation surrounding the effects of alcohol, including it being a depressant, identifying 2-3 techniques used to promote physical wellness, and using 4-6 days per week (cardio, yoga, stretching, etc.).
(484) 897-7329 View (484) 897-7329
Photo of Cynthia Rumery, MS, LPC, Licensed Professional Counselor
Cynthia Rumery
Licensed Professional Counselor, MS, LPC
Verified Verified
Limerick, PA 19468
Are you feeling overwhelmed by anxiety, struggling with mood swings, or facing challenges with anger and behavioral issues? With over a decade of experience in mental health crisis management, trauma-informed care, & addiction needs, I specialize in helping navigate complex emotions and behaviors. We will identify your strengths and resources, empowering you to take charge of your mental health and work towards a more fulfilling life.
Are you feeling overwhelmed by anxiety, struggling with mood swings, or facing challenges with anger and behavioral issues? With over a decade of experience in mental health crisis management, trauma-informed care, & addiction needs, I specialize in helping navigate complex emotions and behaviors. We will identify your strengths and resources, empowering you to take charge of your mental health and work towards a more fulfilling life.
(267) 309-2636 View (267) 309-2636
Photo of Diana Cofsky, LPC, Licensed Professional Counselor
Diana Cofsky
Licensed Professional Counselor, LPC
Verified Verified
Royersford, PA 19468
I am a licensed professional counselor that has been working in behavioral health for over 20 years. I am a lifelong resident of South Jersey and obtained my Bachelors and Masters degrees from La Salle University in Philadelphia.
I am a licensed professional counselor that has been working in behavioral health for over 20 years. I am a lifelong resident of South Jersey and obtained my Bachelors and Masters degrees from La Salle University in Philadelphia.
(267) 282-6221 View (267) 282-6221
Photo of Christina Calkins, LPC, Licensed Professional Counselor
Christina Calkins
Licensed Professional Counselor, LPC
Verified Verified
Royersford, PA 19468
Are you feeling overwhelmed by emotional challenges, struggling with past trauma, or navigating complex relationships? I’m here to help. As an LPC specializing in Mood Disorders, Personality Disorders, and Trauma/PTSD, my passion lies in supporting individuals who have experienced traumatic events. I create a safe, non-judgmental space for you to explore your feelings, identify triggers, and develop positive coping skills. Together, we'll address your unique needs and work towards a more balanced, fulfilling life.
Are you feeling overwhelmed by emotional challenges, struggling with past trauma, or navigating complex relationships? I’m here to help. As an LPC specializing in Mood Disorders, Personality Disorders, and Trauma/PTSD, my passion lies in supporting individuals who have experienced traumatic events. I create a safe, non-judgmental space for you to explore your feelings, identify triggers, and develop positive coping skills. Together, we'll address your unique needs and work towards a more balanced, fulfilling life.
(267) 282-6221 View (267) 282-6221
Photo of Shanaysha Davis, LSW, Clinical Social Work/Therapist
Shanaysha Davis
Clinical Social Work/Therapist, LSW
Verified Verified
Royersford, PA 19468
I have a background working with individuals who have experienced grief/loss, suffer from severe mental health disorders, and deal with substance use. My ideal client would be aware that they need help. They are also prepared and open to doing the necessary work to address their issue. They understand that therapy is a process, not something that can be completed overnight. They understand that their previous methods have failed and are willing to try again with me.
I have a background working with individuals who have experienced grief/loss, suffer from severe mental health disorders, and deal with substance use. My ideal client would be aware that they need help. They are also prepared and open to doing the necessary work to address their issue. They understand that therapy is a process, not something that can be completed overnight. They understand that their previous methods have failed and are willing to try again with me.
(267) 309-2636 View (267) 309-2636
Photo of Rebecca Austin, LCSW, Clinical Social Work/Therapist
Rebecca Austin
Clinical Social Work/Therapist, LCSW
Verified Verified
Royersford, PA 19468
Are you struggling with overwhelming emotions or persistent negative thoughts? Maybe you're finding it hard to express your needs to loved ones, or you're feeling stuck in a cycle of anxiety and depression. I primarily focus on treating anxiety, depression, & mood disorders while also supporting clients with coping skills development, life transitions, substance use, & relationship issues. My focus is to help you regain control over your emotions, find lasting relief from emotional distress, and achieve a sense of inner peace and happiness.
Are you struggling with overwhelming emotions or persistent negative thoughts? Maybe you're finding it hard to express your needs to loved ones, or you're feeling stuck in a cycle of anxiety and depression. I primarily focus on treating anxiety, depression, & mood disorders while also supporting clients with coping skills development, life transitions, substance use, & relationship issues. My focus is to help you regain control over your emotions, find lasting relief from emotional distress, and achieve a sense of inner peace and happiness.
(484) 469-6993 View (484) 469-6993
Photo of Andrew Reynolds - Compass Counseling Center, LLC, LPC, MS, Licensed Professional Counselor
Compass Counseling Center, LLC
Licensed Professional Counselor, LPC, MS
Verified Verified
2 Endorsed
Schwenksville, PA 19473
There are many different reasons why someone would want to meet with a therapist, but it all comes down to addressing the pain and uncertainty of the challenges that come with life. You may need help coping with depression, anxiety, a very difficult experience you're trying to make sense of, or what feels like a broken relationship. You've probably done everything that you can think of to try to move forward, but you still just feel stuck. You need someone who can help guide you through this experience, and we're here to help.
There are many different reasons why someone would want to meet with a therapist, but it all comes down to addressing the pain and uncertainty of the challenges that come with life. You may need help coping with depression, anxiety, a very difficult experience you're trying to make sense of, or what feels like a broken relationship. You've probably done everything that you can think of to try to move forward, but you still just feel stuck. You need someone who can help guide you through this experience, and we're here to help.
(484) 207-5701 View (484) 207-5701
Photo of Hannah Gilmore, LSW, MSW, Clinical Social Work/Therapist
Hannah Gilmore
Clinical Social Work/Therapist, LSW, MSW
Verified Verified
Royersford, PA 19468
Whether you are coming to therapy for anxiety, depression, grief, relationship issues, a life change, or just a general sense of unease, facing these issues can be scary. Healing isn’t easy because it involves confronting our pain and hurts. Healing can also be full of joy, hope, connection, and freedom as we experience new possibilities of being and relating. My approach is warm, relational, and integrative. I strive to offer a space where you can feel safe enough to look inward – to gently and compassionately welcome all parts of yourself with less judgment and shame.
Whether you are coming to therapy for anxiety, depression, grief, relationship issues, a life change, or just a general sense of unease, facing these issues can be scary. Healing isn’t easy because it involves confronting our pain and hurts. Healing can also be full of joy, hope, connection, and freedom as we experience new possibilities of being and relating. My approach is warm, relational, and integrative. I strive to offer a space where you can feel safe enough to look inward – to gently and compassionately welcome all parts of yourself with less judgment and shame.
(484) 276-1499 View (484) 276-1499

See more therapy options for 19492

How does your Therapist compare?

Number of Therapists in 19492

< 10

Therapists in 19492 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Trauma and PTSD
100% Self Esteem
100% Stress
100% Life Transitions

Average years in practice

28 Years

Top 3 insurances accepted

100% Aetna
100% ComPsych
100% UnitedHealthcare UHC | UBH

How Therapists in 19492 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 19492?

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.