Therapists in 78680
![Photo of Leena Batra, PhD, Psychologist](https://photos.psychologytoday.com/3d6cef7f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
You crave balance and joy in your career and your family. You worry about whether you are "doing it right," this balancing act of motherhood, relationships, and career growth. Expectations of yourself and others sometimes create unbearable stress and pressure.
You crave balance and joy in your career and your family. You worry about whether you are "doing it right," this balancing act of motherhood, relationships, and career growth. Expectations of yourself and others sometimes create unbearable stress and pressure.
![Photo of Diana Elaine Damer - Anxiety Treatment Center of Austin, PhD, Psychologist](https://photos.psychologytoday.com/7ef9777a-c515-4d55-abc3-e794e1fc0a6e/3/320x400.jpeg)
Anxiety Treatment Center of Austin
Psychologist, PhD
Verified Verified
5 Endorsed
Round Rock, TX 78680
Anxiety protects you from harm and motivates you to succeed. Anxiety is problematic, however, when it becomes out of proportion to the situation and interferes with your life. Often the strategies you use to cope with your anxiety--such as avoidance--make it worse. The treatment that we provide is geared toward interrupting this vicious cycle by helping you gradually face your fears and build your confidence in a collaborative and supportive environment. We utilize a flexible cognitive-behavioral approach which incorporates mindfulness, cognitive techniques, and exposure-based interventions.
Anxiety protects you from harm and motivates you to succeed. Anxiety is problematic, however, when it becomes out of proportion to the situation and interferes with your life. Often the strategies you use to cope with your anxiety--such as avoidance--make it worse. The treatment that we provide is geared toward interrupting this vicious cycle by helping you gradually face your fears and build your confidence in a collaborative and supportive environment. We utilize a flexible cognitive-behavioral approach which incorporates mindfulness, cognitive techniques, and exposure-based interventions.
![Photo of Jenna Virginia Eyerly, MC, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3de374a2-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Jenna Virginia Eyerly
Marriage & Family Therapist, MC, LMFT
Verified Verified
1 Endorsed
Round Rock, TX 78680
We all face challenges throughout our lives. My focus is on helping individuals see what anxiety is—it started out as a protective strategy. Its job is to make you aware of all possible problems before they even arise…and then it got out of control. You can learn how to handle this stress differently. Remember, it is how you handle a challenge that makes the experience a "grind" or a "growing experience".
We all face challenges throughout our lives. My focus is on helping individuals see what anxiety is—it started out as a protective strategy. Its job is to make you aware of all possible problems before they even arise…and then it got out of control. You can learn how to handle this stress differently. Remember, it is how you handle a challenge that makes the experience a "grind" or a "growing experience".
![Photo of Kimberly Weaster, MEd, LPC-ACS, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/8370b462-6cfa-4d67-a386-79ae221a2574/2/320x400.jpeg)
Kimberly Weaster
Licensed Professional Counselor, MEd, LPC-ACS, NCC
Verified Verified
1 Endorsed
Round Rock, TX 78680
Therapy is not a one size fits all process, and I am not a one size fits all person or professional. I work with individuals throughout the life span to promote personal growth. My theoretical orientation is strengths-based and wellness-focused, and I believe passionately in the ability of the individual to change. Much of my experience and education has been in working with individuals, couples, families, groups - and people in all kinds of relationships - who identify with emotional/behavioral exceptionalities. I am highly respectful of differences and the importance of individualizing treatment.
Therapy is not a one size fits all process, and I am not a one size fits all person or professional. I work with individuals throughout the life span to promote personal growth. My theoretical orientation is strengths-based and wellness-focused, and I believe passionately in the ability of the individual to change. Much of my experience and education has been in working with individuals, couples, families, groups - and people in all kinds of relationships - who identify with emotional/behavioral exceptionalities. I am highly respectful of differences and the importance of individualizing treatment.
![Photo of Mary K. Combs, MEd, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/8ed5a826-63b9-48ae-b626-e7d27322c8f2/1/320x400.jpeg)
Mary K. Combs
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Round Rock, TX 78680
I am devoted to helping individuals explore their obstacles to well being and foster healing. At sometime, almost all face an abyss which may be accompanied by feelings of pain, sadness, uncertainty and we need a gentle hand to guide us. I offer such a hand. My approach is unique for each person, helping you navigate the challenging dynamics in a caring way.
I am devoted to helping individuals explore their obstacles to well being and foster healing. At sometime, almost all face an abyss which may be accompanied by feelings of pain, sadness, uncertainty and we need a gentle hand to guide us. I offer such a hand. My approach is unique for each person, helping you navigate the challenging dynamics in a caring way.
![Photo of Judith L. Sloan-Price, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3dec10fd-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Judith L. Sloan-Price
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Round Rock, TX 78680
Not accepting new clients
Currrent Reviews at www.jsptherapy.com. Parenting and relationships don't come with instructions. Couples often say: "We constantly argue and never resolve anything. Give us some communication tools." Individuals tell me: "I'm stuck. Anxious. Depressed. I want to enjoy life." These are fixable problems. For over 25 years, I have helped people identify what stands in the way of them giving and receiving the love they want and the life success they desire. If you are exhausted from trying, or the one most hurt, I can help you focus on what's within your control to change situations.
Currrent Reviews at www.jsptherapy.com. Parenting and relationships don't come with instructions. Couples often say: "We constantly argue and never resolve anything. Give us some communication tools." Individuals tell me: "I'm stuck. Anxious. Depressed. I want to enjoy life." These are fixable problems. For over 25 years, I have helped people identify what stands in the way of them giving and receiving the love they want and the life success they desire. If you are exhausted from trying, or the one most hurt, I can help you focus on what's within your control to change situations.
![Photo of Dr. Robin Golson, PsyD, Psychologist](https://photos.psychologytoday.com/3f9021e7-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
It is an honor and a privilege to walk alongside my clients in the journey of their lives. I strive to provide true healing through support, comfort, containment, and truth. Therapy is client driven and focused on the goals that clients choose. I consider the whole person in my practice. I address emotional, intellectual, and spiritual concerns . Let's begin the healing process today!
It is an honor and a privilege to walk alongside my clients in the journey of their lives. I strive to provide true healing through support, comfort, containment, and truth. Therapy is client driven and focused on the goals that clients choose. I consider the whole person in my practice. I address emotional, intellectual, and spiritual concerns . Let's begin the healing process today!
![Photo of Anita Sheridan-Normann, PhD, LPC-S, NCC, BC-TMH, CCTP, Licensed Professional Counselor](https://photos.psychologytoday.com/fa035c84-7db3-416a-9439-a53967653f89/1/320x400.jpeg)
Anita Sheridan-Normann
Licensed Professional Counselor, PhD, LPC-S, NCC, BC-TMH, CCTP
Verified Verified
Round Rock, TX 78680 (Online Only)
We all face challenges in life that can be hard to deal with and change that can seem overwhelming. Or are certain people in your life the source of stress and anxiety? Are there relationships you would like to improve? If talking to family members or friends is not getting you the results you want; maybe turning to a therapist can help.
We all face challenges in life that can be hard to deal with and change that can seem overwhelming. Or are certain people in your life the source of stress and anxiety? Are there relationships you would like to improve? If talking to family members or friends is not getting you the results you want; maybe turning to a therapist can help.
![Photo of Valeria R. Franco, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/02626db7-047b-40e8-af66-a7d7cd72e558/3/320x400.jpeg)
Valeria R. Franco
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Round Rock, TX 78680
Seeking help can be overwhelming and takes courage to reach out; therefore, I welcome you to this experience. I have worked with individuals from different backgrounds and issues throughout their lifespan. If you currently need help with depression, anxiety, relationship issues, trauma, and/or grief I hope my approach is a good match for your needs. I focus on helping individuals' strengths and skills that fit their worldview. I speak Spanish and I am culturally sensitive to diversity and complex issues that individuals experience throughout their lives. Please email me for consultation options.
Seeking help can be overwhelming and takes courage to reach out; therefore, I welcome you to this experience. I have worked with individuals from different backgrounds and issues throughout their lifespan. If you currently need help with depression, anxiety, relationship issues, trauma, and/or grief I hope my approach is a good match for your needs. I focus on helping individuals' strengths and skills that fit their worldview. I speak Spanish and I am culturally sensitive to diversity and complex issues that individuals experience throughout their lives. Please email me for consultation options.
![Photo of Alejandra Menchaca Guedea, Licensed Professional Counselor](https://photos.psychologytoday.com/abc2a17c-c361-4ce1-ba7a-95d7fc974db8/2/320x400.jpeg)
Alejandra Menchaca Guedea
Licensed Professional Counselor
Verified Verified
Round Rock, TX 78680 (Online Only)
Hi, my name is Alejandra!
Hi, my name is Alejandra!
![Photo of Janise Baxter, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/afa18c67-3b45-44d7-8f5c-3b54c6e67e7c/2/320x400.jpeg)
Janise Baxter
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Round Rock, TX 78680
Are you finding it difficult to show up as your authentic self in your interpersonal relationships? Are you experiencing increased anxiety due to major life transitions? Or are you finding it difficult to navigate on your own path out of fear that you are being left behind? I have a special interest in working with teens, young adults, and adults who are just trying to make sense of it all. Whether it's relational trauma, inability to regulate intense emotions, or finding your identity, I see the value in becoming more self-aware and learning to release control of situations that aren't your burden to carry.
Are you finding it difficult to show up as your authentic self in your interpersonal relationships? Are you experiencing increased anxiety due to major life transitions? Or are you finding it difficult to navigate on your own path out of fear that you are being left behind? I have a special interest in working with teens, young adults, and adults who are just trying to make sense of it all. Whether it's relational trauma, inability to regulate intense emotions, or finding your identity, I see the value in becoming more self-aware and learning to release control of situations that aren't your burden to carry.
![Photo of Paulina Pina, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4a40a223-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I understand it can be scary and perhaps off-putting to reach out and seek counseling services. However, I sincerely believe the positive outcomes that may follow are well worth taking a chance. It is important to me to remain genuine and to always foster a safe space free of judgement. My first priority is always to establish a connection and a respectful relationship based on honesty, consistency and a sense of humor.
I understand it can be scary and perhaps off-putting to reach out and seek counseling services. However, I sincerely believe the positive outcomes that may follow are well worth taking a chance. It is important to me to remain genuine and to always foster a safe space free of judgement. My first priority is always to establish a connection and a respectful relationship based on honesty, consistency and a sense of humor.
![Photo of Andrea M Mosley, LPC, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/23e974e2-e1ed-492d-a1bc-5a25c319ba39/1/320x400.jpeg)
Andrea M Mosley
Marriage & Family Therapist, LPC, LMFT
Verified Verified
Round Rock, TX 78680 (Online Only)
As a licensed Professional Counselor and Marriage and Family Therapist, I have extensive experience working with diverse clients. My therapy approach is post-modern, meaning you are the expert in your life. Together, we will explore solutions that work for you, considering your unique needs and goals.
As a licensed Professional Counselor and Marriage and Family Therapist, I have extensive experience working with diverse clients. My therapy approach is post-modern, meaning you are the expert in your life. Together, we will explore solutions that work for you, considering your unique needs and goals.
![Photo of Nancy E Spence, MEd, LPC, CSC, Licensed Professional Counselor](https://photos.psychologytoday.com/d3898244-9078-495f-8d3d-42d7205fc3ce/2/320x400.jpeg)
Nancy E Spence
Licensed Professional Counselor, MEd, LPC, CSC
Verified Verified
1 Endorsed
Round Rock, TX 78680
I am a licensed professional counselor with a background in education who enjoys working with kids 10 and older, teens, and adults from all backgrounds and lifestyles. My approach to counseling is that life is messy but we are in this together. Everyone, whether child or adult, has a unique perspective with a need to feel love, belonging, and a chance to flourish. Together, we will explore finding that authentic inner voice through compassionate self-reflection and inquiry as we work towards personal goals, behavior changes, or perspective taking.
I am a licensed professional counselor with a background in education who enjoys working with kids 10 and older, teens, and adults from all backgrounds and lifestyles. My approach to counseling is that life is messy but we are in this together. Everyone, whether child or adult, has a unique perspective with a need to feel love, belonging, and a chance to flourish. Together, we will explore finding that authentic inner voice through compassionate self-reflection and inquiry as we work towards personal goals, behavior changes, or perspective taking.
![Photo of Charles Meiske, LPC, LCDC, Licensed Professional Counselor](https://photos.psychologytoday.com/b0fc1f5d-b205-4fb8-9a7a-ab3ec211497d/3/320x400.jpeg)
Charles Meiske
Licensed Professional Counselor, LPC, LCDC
Verified Verified
Round Rock, TX 78680 (Online Only)
I have worked with clients in community mental health, schools, and also a residential substance abuse center. It is a privilege to help others work with anxiety, depression, trauma, substance use, grief and loss among many other issues.
I have worked with clients in community mental health, schools, and also a residential substance abuse center. It is a privilege to help others work with anxiety, depression, trauma, substance use, grief and loss among many other issues.
![Photo of April Pearce, LCSW-S, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d6c82acd-5f83-4f7e-91c1-ed56c2887ea9/2/320x400.jpeg)
April Pearce
Clinical Social Work/Therapist, LCSW-S, MSW
Verified Verified
Round Rock, TX 78680
Not accepting new clients
I am a Licensed Clinical Social Worker with over 10 years of experience counseling individuals, groups, and families. I earned my master’s of social work degree from Baylor University and my bachelor’s of science in psychology from Florida State University. My passion is helping children, adolescents, young adults, and their families. Common issues I help clients with include anxiety, depression, adjustment, separation, trauma, grief, behavioral issues, peer relationship issues, social skills, anger, self-esteem, and coping skills.
I am a Licensed Clinical Social Worker with over 10 years of experience counseling individuals, groups, and families. I earned my master’s of social work degree from Baylor University and my bachelor’s of science in psychology from Florida State University. My passion is helping children, adolescents, young adults, and their families. Common issues I help clients with include anxiety, depression, adjustment, separation, trauma, grief, behavioral issues, peer relationship issues, social skills, anger, self-esteem, and coping skills.
![Photo of Daniel Ray Coborn, M Ed](https://photos.psychologytoday.com/dee8a113-bc11-407e-abdb-207d78a4383d/1/320x400.jpeg)
Are you struggling to make a decision? Have you lost touch with who you thought you were? Do you seem to find yourself in the same situation over and over? Maybe you're dealing with stress, anxiety, depression, or grief. You might just need someone to talk to. If any of this sounds familiar, I'd love to speak with you. I'm interested in working with any and all adults and teenagers (15+). I have a special interest in working with young adults, musicians and other artists, people who are feeling directionless, and those trying to reconcile their beliefs about the "big questions" that go along with the experience of being human.
Are you struggling to make a decision? Have you lost touch with who you thought you were? Do you seem to find yourself in the same situation over and over? Maybe you're dealing with stress, anxiety, depression, or grief. You might just need someone to talk to. If any of this sounds familiar, I'd love to speak with you. I'm interested in working with any and all adults and teenagers (15+). I have a special interest in working with young adults, musicians and other artists, people who are feeling directionless, and those trying to reconcile their beliefs about the "big questions" that go along with the experience of being human.
![Photo of Whitney Bradley - Whitney B. Therapy, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/c5fb5b14-5d50-47ea-b3ab-4ae6d447344a/2/320x400.jpeg)
Whitney B. Therapy
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Round Rock, TX 78680
Imagine your ideal self: someone who struggles with anxiety, depression, or relationship conflicts, yet deeply desires to improve communication, heal from past wounds, and establish a strong sense of identity. You seek a safe space to explore your feelings and develop practical strategies to overcome your challenges. Your goals are to alleviate distress, build meaningful connections, and achieve personal growth and fulfillment. You want to live a life of authenticity and emotional well-being because you believe you deserve to thrive, not just survive. I am here to support you on this journey towards becoming your best self.
Imagine your ideal self: someone who struggles with anxiety, depression, or relationship conflicts, yet deeply desires to improve communication, heal from past wounds, and establish a strong sense of identity. You seek a safe space to explore your feelings and develop practical strategies to overcome your challenges. Your goals are to alleviate distress, build meaningful connections, and achieve personal growth and fulfillment. You want to live a life of authenticity and emotional well-being because you believe you deserve to thrive, not just survive. I am here to support you on this journey towards becoming your best self.
![Photo of Tommy Lee Estes - Tommy Estes, MA](https://photos.psychologytoday.com/cd5f2d84-f73e-4a38-8173-e0c717efe2a5/2/320x400.jpeg)
HI! I'm Tommy Estes! I am a Combat Veteran and I personally know what it's like to struggle with trauma and hopelessness. But, I have learned that there is hope and tools to help us process and heal from our struggles. By using the Bowen Family Systems Theory, I will join you in unraveling the roots of long lasting patterns that may be holding you back from living a fulfilling and meaningful life. Our process will begin gently and each new insight will help us move forward at a pace that feels right for you. My goal is to walk and lock arms with you in this journey towards healing.
HI! I'm Tommy Estes! I am a Combat Veteran and I personally know what it's like to struggle with trauma and hopelessness. But, I have learned that there is hope and tools to help us process and heal from our struggles. By using the Bowen Family Systems Theory, I will join you in unraveling the roots of long lasting patterns that may be holding you back from living a fulfilling and meaningful life. Our process will begin gently and each new insight will help us move forward at a pace that feels right for you. My goal is to walk and lock arms with you in this journey towards healing.
![Photo of Cissy Castillo, LMFT, LCDC-I, Marriage & Family Therapist](https://photos.psychologytoday.com/fb04a667-4f25-4b05-a53a-8ac201fdffdf/1/320x400.jpeg)
Cissy Castillo
Marriage & Family Therapist, LMFT, LCDC-I
Verified Verified
3 Endorsed
Round Rock, TX 78680
Are you conflicted, unhappy, in crisis, in transition, struggling with mental health symptoms, or just feeling that something is off? Are you struggling with consistent conflict or miscommunication in your relationships and ready to do something different? Change isn’t easy and sometimes even scary but I can help you embrace change to enhance your relationships. I offer non-judgmental support around the challenges and stressors you’re dealing with.
Are you conflicted, unhappy, in crisis, in transition, struggling with mental health symptoms, or just feeling that something is off? Are you struggling with consistent conflict or miscommunication in your relationships and ready to do something different? Change isn’t easy and sometimes even scary but I can help you embrace change to enhance your relationships. I offer non-judgmental support around the challenges and stressors you’re dealing with.
See more therapy options for 78680
How does your Therapist compare?
Number of Therapists in 78680
20+
Average cost per session
$140
Therapists in 78680 who prioritize treating:
100% | Anxiety |
96% | Depression |
77% | Relationship Issues |
77% | Stress |
73% | Grief |
73% | Coping Skills |
69% | Self Esteem |
Average years in practice
15 Years
Top 3 insurances accepted
88% | Aetna |
76% | BlueCross and BlueShield |
76% | UnitedHealthcare UHC | UBH |
How Therapists in 78680 see their clients
74% | In Person and Online | |
26% | Online Only |
Gender breakdown
88% | Female | |
12% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 78680?
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
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.
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.
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.