Photo of Randall Rubida, LMFT, Marriage & Family Therapist
Randall Rubida
Marriage & Family Therapist, LMFT
Verified Verified
Reading, PA 19606  (Online Only)
Welcome! I'm a Licensed Marriage and Family Therapist (LMFT) currently living in Pennsylvania, but was born and raised in California (Bay Area). I have been practicing for 17 years, and am licensed in both states. I find therapy rewarding at all ages, but specifically enjoy working with adults and families.
Welcome! I'm a Licensed Marriage and Family Therapist (LMFT) currently living in Pennsylvania, but was born and raised in California (Bay Area). I have been practicing for 17 years, and am licensed in both states. I find therapy rewarding at all ages, but specifically enjoy working with adults and families.
(610) 553-6124 View (610) 553-6124
Photo of Mihtesham Janjua - Horizonz LLC, MD
Horizonz LLC
MD
Verified Verified
Reading, PA 19606
Horizonz LLC is an outpatient treatment facility, which provides psychiatric and counseling services for persons experiencing mental health concerns. A psychiatrist is available for medication management, and there are English & Spanish Speaking counseling professionals experienced in helping patients enhance the quality of their lives. Our staff specializes in depression, bipolar disorders, anxiety, anger management, child & family therapy, and couples counseling.
Horizonz LLC is an outpatient treatment facility, which provides psychiatric and counseling services for persons experiencing mental health concerns. A psychiatrist is available for medication management, and there are English & Spanish Speaking counseling professionals experienced in helping patients enhance the quality of their lives. Our staff specializes in depression, bipolar disorders, anxiety, anger management, child & family therapy, and couples counseling.
(610) 880-0127 View (610) 880-0127
Photo of Erin Goodhart, LPC, CAADC, Licensed Professional Counselor
Erin Goodhart
Licensed Professional Counselor, LPC, CAADC
Verified Verified
Reading, PA 19606  (Online Only)
Are anxiety, fear, depression, relationship challenges, trauma responses or substance use hindering your life’s progress? Are you prepared to make enduring changes that will enhance your life? If so, I’m here to assist. I employ a variety of therapeutic techniques, including Internal Family Systems (IFS), Eye-Movement Desensitization and Reprocessing (EMDR), and Cognitive Processing Therapy (CPT). These methods can help you improve your quality of life and heal from past traumas.
Are anxiety, fear, depression, relationship challenges, trauma responses or substance use hindering your life’s progress? Are you prepared to make enduring changes that will enhance your life? If so, I’m here to assist. I employ a variety of therapeutic techniques, including Internal Family Systems (IFS), Eye-Movement Desensitization and Reprocessing (EMDR), and Cognitive Processing Therapy (CPT). These methods can help you improve your quality of life and heal from past traumas.
(610) 998-3847 View (610) 998-3847
Photo of Kelsey Reube, LMFT, Marriage & Family Therapist
Kelsey Reube
Marriage & Family Therapist, LMFT
Verified Verified
Reading, PA 19606  (Online Only)
Are you feeling stuck and need some guidance for growth? I won't offer band-aid solutions, only lasting and meaningful change. Therapy to me is a process of identifying and understanding who you are and where you want to go. I want to journey with you to the deeper levels of your struggles and find the light. The arrow is a powerful symbol to me that represents the growth we are capable of. In order for an arrow to aim forward, it must be pulled back with the bow to gain strength.
Are you feeling stuck and need some guidance for growth? I won't offer band-aid solutions, only lasting and meaningful change. Therapy to me is a process of identifying and understanding who you are and where you want to go. I want to journey with you to the deeper levels of your struggles and find the light. The arrow is a powerful symbol to me that represents the growth we are capable of. In order for an arrow to aim forward, it must be pulled back with the bow to gain strength.
(610) 215-2454 View (610) 215-2454
Photo of Elizabeth Hernandez-Collazo - Innovative Minds Counseling LLC, LCSW, Clinical Social Work/Therapist
Innovative Minds Counseling LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Reading, PA 19606
I am a bilingual (Spanish) Licensed Clinical Social worker, who has been in the field for over 20 years. My field work began in NYC working in Children/Family services including counseling teenage girls in juvenile detention, case management and foster care. I have lived in PA for the last 10 years and have focused on treatment that has included anxiety, depression, PTSD, Trauma, co-occurring, parenting and career and life transition. I received my B.A in Forensic Psychology from John Jay Criminal Justice in 1998 and graduated from Adelphi University with a Masters degree in 2006. I currently hold an LCSW in PA since 2013.
I am a bilingual (Spanish) Licensed Clinical Social worker, who has been in the field for over 20 years. My field work began in NYC working in Children/Family services including counseling teenage girls in juvenile detention, case management and foster care. I have lived in PA for the last 10 years and have focused on treatment that has included anxiety, depression, PTSD, Trauma, co-occurring, parenting and career and life transition. I received my B.A in Forensic Psychology from John Jay Criminal Justice in 1998 and graduated from Adelphi University with a Masters degree in 2006. I currently hold an LCSW in PA since 2013.
(610) 801-1849 View (610) 801-1849
Photo of Kendal McDowell, MA, NCC, LPC, Licensed Professional Counselor
Kendal McDowell
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Reading, PA 19606  (Online Only)
Hi, I’m Kendal McDowell and I have years of experience working with teens and older, with a primary focus on working with college students and college athletes. Having been a college athlete myself, I'm familiar with the joys and stressors of collegiate life. College can be an exciting and eye opening experience, but sometimes it can also open our eyes to some things within ourselves or those around us we may not have noticed before.
Hi, I’m Kendal McDowell and I have years of experience working with teens and older, with a primary focus on working with college students and college athletes. Having been a college athlete myself, I'm familiar with the joys and stressors of collegiate life. College can be an exciting and eye opening experience, but sometimes it can also open our eyes to some things within ourselves or those around us we may not have noticed before.
(610) 467-2362 View (610) 467-2362
Photo of Kevin Caridad - Cognitive Behavior Institute, Clinical Social Work/Therapist
Cognitive Behavior Institute
Clinical Social Work/Therapist
Verified Verified
Reading, PA 19606  (Online Only)
Welcome to Cognitive Behavior Institute! We are committed to providing the best care possible through established treatment methods. These treatment methods are proven to be effective for a wide range of mental health diagnoses and psychological distresses. Cognitive Behavior Institute (CBI) is proud to employ adept licensed clinicians, board-certified psychiatrists, and compassionate administrative staff with diverse experience in their respective fields.
Welcome to Cognitive Behavior Institute! We are committed to providing the best care possible through established treatment methods. These treatment methods are proven to be effective for a wide range of mental health diagnoses and psychological distresses. Cognitive Behavior Institute (CBI) is proud to employ adept licensed clinicians, board-certified psychiatrists, and compassionate administrative staff with diverse experience in their respective fields.
(610) 798-6464 View (610) 798-6464
Photo of Paulina Colonna, LMFT, Marriage & Family Therapist
Paulina Colonna
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Reading, PA 19606
Not accepting new clients
I am an individual and couples therapist dedicated to helping clients gain new perspectives in order to improve communication and intimacy within their relationships. My ideal clients are ready to release themselves from patterns and habits that just don't work and they need a new game plan. Even if you have a hard time identifying what the problem is or where your happiness has gone, therapy can be a great way to untangle your thoughts and find some clarity. My hope is to help my clients work on goals that we set together and guide them along the process of achieving them.
I am an individual and couples therapist dedicated to helping clients gain new perspectives in order to improve communication and intimacy within their relationships. My ideal clients are ready to release themselves from patterns and habits that just don't work and they need a new game plan. Even if you have a hard time identifying what the problem is or where your happiness has gone, therapy can be a great way to untangle your thoughts and find some clarity. My hope is to help my clients work on goals that we set together and guide them along the process of achieving them.
(570) 391-0244 View (570) 391-0244
Photo of Ashley (Borgatta) Moser, LCSW, MHA, Clinical Social Work/Therapist
Ashley (Borgatta) Moser
Clinical Social Work/Therapist, LCSW, MHA
Verified Verified
2 Endorsed
Reading, PA 19606
If you have ever found yourself wondering how to manage your relationships, stabilize your mood, or deal with difficult feelings and talking to friends or family isn't enough, seeking professional assistance is a great next step. When you are ready, finding the right therapist is important. I work closely with each individual client in order to properly assess their needs. Based on your individual needs, therapy modalities are chosen and implemented. As an eclectic therapist, I employ a wide range of techniques derived from modalities such as: CBT, DBT, RET, AA, Refuge Recovery, and SMART.
If you have ever found yourself wondering how to manage your relationships, stabilize your mood, or deal with difficult feelings and talking to friends or family isn't enough, seeking professional assistance is a great next step. When you are ready, finding the right therapist is important. I work closely with each individual client in order to properly assess their needs. Based on your individual needs, therapy modalities are chosen and implemented. As an eclectic therapist, I employ a wide range of techniques derived from modalities such as: CBT, DBT, RET, AA, Refuge Recovery, and SMART.
(610) 624-2978 View (610) 624-2978
Photo of Heather Kramer Almquist, LPC, NCC, CCMHC, ACS, CDWF, Licensed Professional Counselor
Heather Kramer Almquist
Licensed Professional Counselor, LPC, NCC, CCMHC, ACS, CDWF
Verified Verified
2 Endorsed
Reading, PA 19606
Hello there! Are you feeling stuck in the same pain, the same repeated patterns? Are you struggling to feel truly connected and safe in your relationships? You're not alone, & help is available. With nearly 20 years of experience, I specialize in helping individuals find lasting change and healing. My approach is grounded in psychodynamic therapy, delving into unconscious motivations and conflicts shaping thoughts, feelings, and behaviors. By addressing emotional core experiences, we unveil the root causes of struggles and cultivate new ways to navigate life and connect with others.
Hello there! Are you feeling stuck in the same pain, the same repeated patterns? Are you struggling to feel truly connected and safe in your relationships? You're not alone, & help is available. With nearly 20 years of experience, I specialize in helping individuals find lasting change and healing. My approach is grounded in psychodynamic therapy, delving into unconscious motivations and conflicts shaping thoughts, feelings, and behaviors. By addressing emotional core experiences, we unveil the root causes of struggles and cultivate new ways to navigate life and connect with others.
(610) 385-3155 View (610) 385-3155
Photo of Kate Floren, LMFT, Marriage & Family Therapist
Kate Floren
Marriage & Family Therapist, LMFT
Verified Verified
Reading, PA 19606
Kate is passionate about providing her clients with a therapeutic experience that fits their presenting needs, taking into account the person's culture, sexual orientation, identified gender, and spirituality. With over five years experience working in the clinical setting with individuals, youth, families, and couples, Kate has come to understand that each person's journey to healing will be as unique as the path that brought them to counseling. By using evidence-based treatments, combined with a genuine belief in each person's ability to adapt and thrive, Kate is able to treat a variety of mental health concerns.
Kate is passionate about providing her clients with a therapeutic experience that fits their presenting needs, taking into account the person's culture, sexual orientation, identified gender, and spirituality. With over five years experience working in the clinical setting with individuals, youth, families, and couples, Kate has come to understand that each person's journey to healing will be as unique as the path that brought them to counseling. By using evidence-based treatments, combined with a genuine belief in each person's ability to adapt and thrive, Kate is able to treat a variety of mental health concerns.
(910) 460-6387 View (910) 460-6387
Photo of Rachael Livingston, LPC, CAADC, CCTP-II, Licensed Professional Counselor
Rachael Livingston
Licensed Professional Counselor, LPC, CAADC, CCTP-II
Verified Verified
2 Endorsed
Reading, PA 19606
I am a licensed professional counselor (LPC) within the state of Pennsylvania. I am a trauma informed therapist who offers specialized care in the treatment of trauma as well as addiction related concerns. I hold certifications as a certified clinical trauma professional level 2 (CCTP-II) and certified advanced alcohol and drug counselor (CAADC). I also offer support for other common challenges such as depression, anxiety, relationship/attachment concerns, life stressors, perinatal concerns, and struggles with self-esteem/identity. I am an LGBTQ+ ally and offer virtual and in person therapy sessions for adults ages 18+.
I am a licensed professional counselor (LPC) within the state of Pennsylvania. I am a trauma informed therapist who offers specialized care in the treatment of trauma as well as addiction related concerns. I hold certifications as a certified clinical trauma professional level 2 (CCTP-II) and certified advanced alcohol and drug counselor (CAADC). I also offer support for other common challenges such as depression, anxiety, relationship/attachment concerns, life stressors, perinatal concerns, and struggles with self-esteem/identity. I am an LGBTQ+ ally and offer virtual and in person therapy sessions for adults ages 18+.
(610) 753-5434 View (610) 753-5434
Photo of Christine DiPrinzio Guerrero, MA, LPC, CAADC, NBCC, Licensed Professional Counselor
Christine DiPrinzio Guerrero
Licensed Professional Counselor, MA, LPC, CAADC, NBCC
Verified Verified
Reading, PA 19606
Life is full of challenges and sometimes you need help to feel your best. I use a solution-focused approach that can result in rapid progress for depression, anxiety, adjustment problems, anger management, problem gambling, drug/alcohol, process addictions, codependency, DUI's, and Relationship/Marital issues. Hypnotherapy is available for in-person clients, and I can personalize it for almost any treatment issue, including anxiety, phobias, and smoking cessation. Call for more information. Evening hours available.
Life is full of challenges and sometimes you need help to feel your best. I use a solution-focused approach that can result in rapid progress for depression, anxiety, adjustment problems, anger management, problem gambling, drug/alcohol, process addictions, codependency, DUI's, and Relationship/Marital issues. Hypnotherapy is available for in-person clients, and I can personalize it for almost any treatment issue, including anxiety, phobias, and smoking cessation. Call for more information. Evening hours available.
(610) 810-1273 View (610) 810-1273
Photo of Erika Kao - Erika Kao: Managing ADHD in Adulthood, LSW, LMSW
Erika Kao: Managing ADHD in Adulthood
Licensed Social Worker, LSW, LMSW
Verified Verified
Reading, PA 19606
As a therapist specializing in adult ADHD, especially for those diagnosed later in life, I offer a supportive environment to help you turn your ADHD into a superpower. Together, we'll delve into your attention and focus history, identify the habits you want to cultivate, and apply effective strategies to achieve them. I'll provide the support and accountability you need to master your symptoms, enhance your organizational skills, spend more time in environments where your mind excels, and achieve your personal and professional goals.
As a therapist specializing in adult ADHD, especially for those diagnosed later in life, I offer a supportive environment to help you turn your ADHD into a superpower. Together, we'll delve into your attention and focus history, identify the habits you want to cultivate, and apply effective strategies to achieve them. I'll provide the support and accountability you need to master your symptoms, enhance your organizational skills, spend more time in environments where your mind excels, and achieve your personal and professional goals.
(973) 370-8295 View (973) 370-8295
Photo of Christopher Ryan Ferraro - Christopher Ferraro L.P.C., MS, LPC, Licensed Professional Counselor
Christopher Ferraro L.P.C.
Licensed Professional Counselor, MS, LPC
Verified Verified
Reading, PA 19606  (Online Only)
Are mental health issues hampering your ability to be present and enjoy what this life has to offer? Have your life experiences left you feeling tired, fed up, anxious, and depressed? Are these issues impacting your health, relationships, or career? Counseling can be the safe harbor you need to break up old patterns of thoughts/emotions/behaviors, so that you can move forward in this life feeling more whole and integrated.
Are mental health issues hampering your ability to be present and enjoy what this life has to offer? Have your life experiences left you feeling tired, fed up, anxious, and depressed? Are these issues impacting your health, relationships, or career? Counseling can be the safe harbor you need to break up old patterns of thoughts/emotions/behaviors, so that you can move forward in this life feeling more whole and integrated.
(717) 864-8318 View (717) 864-8318
Photo of Elizabeth (Betsy) Rider-Williams, MA, LPC, PMH-C, Licensed Professional Counselor
Elizabeth (Betsy) Rider-Williams
Licensed Professional Counselor, MA, LPC, PMH-C
Verified Verified
Reading, PA 19606
My primary goal is to be helpful. Gaining self-awareness and making positive change is what I encourage. I try to be a safe place for you to discuss and share your personal problems and concerns. I see myself as a problem-solver. I am solution focused. I want to help you create or maintain a healthy lifestyle and believe a connection to nature is important for your well-being.
My primary goal is to be helpful. Gaining self-awareness and making positive change is what I encourage. I try to be a safe place for you to discuss and share your personal problems and concerns. I see myself as a problem-solver. I am solution focused. I want to help you create or maintain a healthy lifestyle and believe a connection to nature is important for your well-being.
(610) 904-8574 View (610) 904-8574
Photo of Ina L. Gould, MS,  MEd, LPC, Licensed Professional Counselor
Ina L. Gould
Licensed Professional Counselor, MS, MEd, LPC
Verified Verified
Reading, PA 19606
I believe counseling can be one of the most amazing and transformational experiences of your life when you feel validated, safe, and supported to explore your life’s struggles. My primary goal in every session is that each of my clients feel safe and supported so that they have the opportunity to realize and achieve the goals they set out and want for their lives. Sometimes that means walking down some difficult paths. I walk alongside each of my clients providing support through this struggle.
I believe counseling can be one of the most amazing and transformational experiences of your life when you feel validated, safe, and supported to explore your life’s struggles. My primary goal in every session is that each of my clients feel safe and supported so that they have the opportunity to realize and achieve the goals they set out and want for their lives. Sometimes that means walking down some difficult paths. I walk alongside each of my clients providing support through this struggle.
(610) 686-9846 View (610) 686-9846
Photo of Adrian P Quinn, PsyD, Psychologist
Adrian P Quinn
Psychologist, PsyD
Verified Verified
Reading, PA 19606
Dr. Quinn delivers an engaging, thought provoking, interpersonal psychotherapy, allowing patients to move to the heart of their lived experiences. There, they may discover the root of their longings, and move toward human flourishing.
Dr. Quinn delivers an engaging, thought provoking, interpersonal psychotherapy, allowing patients to move to the heart of their lived experiences. There, they may discover the root of their longings, and move toward human flourishing.
(484) 406-1034 View (484) 406-1034
Photo of Jennifer Wegman, MA, NCC, CCC, CCSP, Pre-Licensed Professional
Jennifer Wegman
Pre-Licensed Professional, MA, NCC, CCC, CCSP
Verified Verified
1 Endorsed
Reading, PA 19606
When the alarm goes off in the morning, do you dread getting out of bed and going to work, school, or dealing with your family? Have you experienced workplace or home trauma due to ongoing harassment, gaslighting, or lack of support of psychological safety? Do you struggle with boundaries, balance or self-compassion? Do you feel like you’ve outgrown your role, lost your identity, or are constantly searching for purpose in your life? Do you question what’s next for you or your loved ones but have no one to talk to about your concerns? If so, then we should talk.
When the alarm goes off in the morning, do you dread getting out of bed and going to work, school, or dealing with your family? Have you experienced workplace or home trauma due to ongoing harassment, gaslighting, or lack of support of psychological safety? Do you struggle with boundaries, balance or self-compassion? Do you feel like you’ve outgrown your role, lost your identity, or are constantly searching for purpose in your life? Do you question what’s next for you or your loved ones but have no one to talk to about your concerns? If so, then we should talk.
(717) 294-0352 View (717) 294-0352
Photo of Caroline Culverhouse, MSS, LCSW, ERYT, CGP, Clinical Social Work/Therapist
Caroline Culverhouse
Clinical Social Work/Therapist, MSS, LCSW, ERYT, CGP
Verified Verified
1 Endorsed
Reading, PA 19606
I am delighted you found me! I am here to work with you on whatever issues and potentials for growth you'd like to explore. I work holistically-mind-body-spirit. I am a licensed LCSW in the states of Hawaii and Pennsylvania as well as a certified psychoanalytic psychotherapist, certified group psychotherapist and certified clinical trauma professional. I work with children, teens and adults. For more info on me and my specialties please visit www.hOMePYM.com and www.integrative-awakening.com
I am delighted you found me! I am here to work with you on whatever issues and potentials for growth you'd like to explore. I work holistically-mind-body-spirit. I am a licensed LCSW in the states of Hawaii and Pennsylvania as well as a certified psychoanalytic psychotherapist, certified group psychotherapist and certified clinical trauma professional. I work with children, teens and adults. For more info on me and my specialties please visit www.hOMePYM.com and www.integrative-awakening.com
(610) 427-8979 View (610) 427-8979
1

How does your Therapist compare?

Number of Therapists in 19606

20+

Average cost per session

$127

Therapists in 19606 who prioritize treating:

95% Anxiety
86% Depression
82% Self Esteem
73% Trauma and PTSD
68% Relationship Issues
68% Life Transitions
64% Grief

Average years in practice

11 Years

Top 3 insurances accepted

80% Highmark
73% Aetna
73% BlueCross and BlueShield

How Therapists in 19606 see their clients

69% In Person and Online
31% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 19606?

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.