Photo of Anna McQuinn, PhD, MFT, PSY, Psychologist
Anna McQuinn
Psychologist, PhD, MFT, PSY
Verified Verified
San Carlos, CA 94070
Dr. McQuinn is a licensed Clinical Psychologist and a licensed Marital and Family therapist. Dr. Anna McQuinn has been a Tenured Professor of Notre Dame de Namur University where she has been chair of the Clinical Psychology Graduate Department since 1987. She has also been an Adjunct Faculty member at the University of San Francisco graduate Psychology program. Currently she is a Professor Emeritus at the NDNU & has a private practice in San Carlos. She believes that Psychotherapy Healing takes place within the relational model. There is a profound unconscious connection between therapist and client & a mutuality of influence.
Dr. McQuinn is a licensed Clinical Psychologist and a licensed Marital and Family therapist. Dr. Anna McQuinn has been a Tenured Professor of Notre Dame de Namur University where she has been chair of the Clinical Psychology Graduate Department since 1987. She has also been an Adjunct Faculty member at the University of San Francisco graduate Psychology program. Currently she is a Professor Emeritus at the NDNU & has a private practice in San Carlos. She believes that Psychotherapy Healing takes place within the relational model. There is a profound unconscious connection between therapist and client & a mutuality of influence.
(650) 508-1942 View (650) 508-1942
Photo of Hadi Koesnodihardjo, MA, MSc, LMFT, LPCC, Marriage & Family Therapist
Hadi Koesnodihardjo
Marriage & Family Therapist, MA, MSc, LMFT, LPCC
Verified Verified
San Carlos, CA 94070
Not accepting new clients
Sometime we have a hard time to deal with life events. You don't need to be alone to cope with it. Since you are searching here, please give therapy a try with any one of us. We are trained and licensed professionals with various skills and backgrounds. If you find me seem suitable to help you out, you could call me or meet in person for consultation. We will find out if we could work together. For marriage and couple therapy, I am well-versed in Marriage Builders®. For Tourette Syndrome, I use Comprehensive Behavioral Intervention for Tics or CBIT. For Brief Therapy, I am a TEAM - CBT certified clinician Level 3.
Sometime we have a hard time to deal with life events. You don't need to be alone to cope with it. Since you are searching here, please give therapy a try with any one of us. We are trained and licensed professionals with various skills and backgrounds. If you find me seem suitable to help you out, you could call me or meet in person for consultation. We will find out if we could work together. For marriage and couple therapy, I am well-versed in Marriage Builders®. For Tourette Syndrome, I use Comprehensive Behavioral Intervention for Tics or CBIT. For Brief Therapy, I am a TEAM - CBT certified clinician Level 3.
(415) 408-5976 View (415) 408-5976
Photo of Heidi Kiernan, MA, LMFT, Marriage & Family Therapist
Heidi Kiernan
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Carlos, CA 94070
I bring empathy, insight, and clinical skills, to the therapeutic process. I help clients struggling with stress/anxiety, depression, relationship or family issues, and life transitions. It is my intention to interact with clients in their personal process by increasing awareness of the source of your distress, implementing new ways of thinking to alter your experiences in a more positive way, and help you learn healthier coping responses in your life.
I bring empathy, insight, and clinical skills, to the therapeutic process. I help clients struggling with stress/anxiety, depression, relationship or family issues, and life transitions. It is my intention to interact with clients in their personal process by increasing awareness of the source of your distress, implementing new ways of thinking to alter your experiences in a more positive way, and help you learn healthier coping responses in your life.
(650) 549-9733 View (650) 549-9733
Photo of Elizabeth Bissell, MSSW, LCSW, Clinical Social Work/Therapist
Elizabeth Bissell
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
San Carlos, CA 94070
I specialize in working with young adults, adults, parents, caregivers, and older adults. I enjoy integrating Christian faith in sessions if welcomed. As a social worker, I also enjoy looking at practical solutions to life's challenges. My focus is on persistent depression, generalized anxiety, and adjustment issues.
I specialize in working with young adults, adults, parents, caregivers, and older adults. I enjoy integrating Christian faith in sessions if welcomed. As a social worker, I also enjoy looking at practical solutions to life's challenges. My focus is on persistent depression, generalized anxiety, and adjustment issues.
(650) 547-4035 View (650) 547-4035
Photo of Mariela Lopez, LCSW, PPSC, Clinical Social Work/Therapist
Mariela Lopez
Clinical Social Work/Therapist, LCSW, PPSC
Verified Verified
1 Endorsed
San Carlos, CA 94070  (Online Only)
My goal as your therapist is to create a safe space to share your story and be yourself. I believe in growth, change, breaking cycles, and building the best version of yourself. I value supporting diverse clients in all areas of life and meeting them where they are at. I have experience working with trauma, depression, anxiety and loss/grief. Therapeutic approaches I use are client centered, CBT, solution focused, mindfulness and trauma informed.
My goal as your therapist is to create a safe space to share your story and be yourself. I believe in growth, change, breaking cycles, and building the best version of yourself. I value supporting diverse clients in all areas of life and meeting them where they are at. I have experience working with trauma, depression, anxiety and loss/grief. Therapeutic approaches I use are client centered, CBT, solution focused, mindfulness and trauma informed.
(650) 487-1381 View (650) 487-1381
Photo of Anna Caitlin Izzo, MA, Marriage & Family Therapist
Anna Caitlin Izzo
Marriage & Family Therapist, MA
Verified Verified
San Carlos, CA 94070
What a time to be alive. Are you feeling isolated and alone, or like your situation is hopeless? Do you struggle to balance family and work and joy in our current world? Does your child seem to be losing their zest? If you are willing to try one more thing, I would love to be your ally. The journey has become gruesome. So is every hero’s tale, and what a tale we are living though. You are not alone!
What a time to be alive. Are you feeling isolated and alone, or like your situation is hopeless? Do you struggle to balance family and work and joy in our current world? Does your child seem to be losing their zest? If you are willing to try one more thing, I would love to be your ally. The journey has become gruesome. So is every hero’s tale, and what a tale we are living though. You are not alone!
(650) 753-5148 View (650) 753-5148
Photo of Paisley Scarberry, LCSW, Clinical Social Work/Therapist
Paisley Scarberry
Clinical Social Work/Therapist, LCSW
Verified Verified
San Carlos, CA 94070  (Online Only)
I trust in your capacity to heal. YOU are the expert in your healing. I will encourage you to listen to your body’s wisdom and authentic inner messages, guiding you to a more meaningful understanding of your experience. I will be a witness to your ever-evolving process, highlighting your strengths and internal resources along the way.
I trust in your capacity to heal. YOU are the expert in your healing. I will encourage you to listen to your body’s wisdom and authentic inner messages, guiding you to a more meaningful understanding of your experience. I will be a witness to your ever-evolving process, highlighting your strengths and internal resources along the way.
(650) 640-0427 View (650) 640-0427
Photo of Yen Hui, LMFT, Marriage & Family Therapist
Yen Hui
Marriage & Family Therapist, LMFT
Verified Verified
San Carlos, CA 94070
Who doesn't experience challenges at some time in their lives? When it becomes too overwhelming to manage on our own, therapy can offer an opportunity to discover our natural abilities to heal and grow. Trained in several therapeutic methods, I am eclectic in my style and work with you to discover the most effective approaches to achieve your personal goals...so, come as you are. Through this supportive, warm, and non-judgmental exploration we will gain a better understanding of who you are and build on your assets.
Who doesn't experience challenges at some time in their lives? When it becomes too overwhelming to manage on our own, therapy can offer an opportunity to discover our natural abilities to heal and grow. Trained in several therapeutic methods, I am eclectic in my style and work with you to discover the most effective approaches to achieve your personal goals...so, come as you are. Through this supportive, warm, and non-judgmental exploration we will gain a better understanding of who you are and build on your assets.
(415) 578-7688 View (415) 578-7688
Photo of Brendon Manno, MS, LMFT, LPCC, Marriage & Family Therapist
Brendon Manno
Marriage & Family Therapist, MS, LMFT, LPCC
Verified Verified
1 Endorsed
San Carlos, CA 94070  (Online Only)
As a therapist, it is my aim to help my clients cultivate the best version of themselves. As we move through life, our experiences may have shifted how we see ourselves and the world around us causing distress within and perhaps between others. I believe that we can effect change by getting to know ourselves on an entirely different level. Holding compassion and empathy for our own struggles is paramount to building back the trust in ourselves which can bring upon more satisfaction in our life. I am passionate about helping my clients connect and understand these parts about themselves to cultivate more harmony, balance and trust.
As a therapist, it is my aim to help my clients cultivate the best version of themselves. As we move through life, our experiences may have shifted how we see ourselves and the world around us causing distress within and perhaps between others. I believe that we can effect change by getting to know ourselves on an entirely different level. Holding compassion and empathy for our own struggles is paramount to building back the trust in ourselves which can bring upon more satisfaction in our life. I am passionate about helping my clients connect and understand these parts about themselves to cultivate more harmony, balance and trust.
(650) 860-4831 View (650) 860-4831
Photo of Alex Tsai, MBA, MA, LMFT, Marriage & Family Therapist
Alex Tsai
Marriage & Family Therapist, MBA, MA, LMFT
Verified Verified
7 Endorsed
San Carlos, CA 94070  (Online Only)
Thank you for being interested in my services. Living in the bay area, life can be hectic and stressful, and we all can benefit from empathetic and empowering support. Many circumstances may have brought you to the point where depression, anxiety, trauma, or relationship difficulties have made it difficult for you to find the balance or direction in life. My goal as a therapist is to support individuals navigating through the challenges and attaining a fulfilling life. Together, we can ease your suffering, explore your concerns, and implement positive changes to meet your individualized needs.
Thank you for being interested in my services. Living in the bay area, life can be hectic and stressful, and we all can benefit from empathetic and empowering support. Many circumstances may have brought you to the point where depression, anxiety, trauma, or relationship difficulties have made it difficult for you to find the balance or direction in life. My goal as a therapist is to support individuals navigating through the challenges and attaining a fulfilling life. Together, we can ease your suffering, explore your concerns, and implement positive changes to meet your individualized needs.
(650) 469-8114 View (650) 469-8114
Photo of Cameron Townsend, LMFT, Marriage & Family Therapist
Cameron Townsend
Marriage & Family Therapist, LMFT
Verified Verified
San Carlos, CA 94070
As a Licensed Marriage and Family Therapist, I specialize in working with people who struggle with depression, anxiety, relationship issues, trauma, and life transitions. My goal is to create a safe space for all of my clients to process their emotions, and build tools to guide them through their journey to heal.
As a Licensed Marriage and Family Therapist, I specialize in working with people who struggle with depression, anxiety, relationship issues, trauma, and life transitions. My goal is to create a safe space for all of my clients to process their emotions, and build tools to guide them through their journey to heal.
(650) 613-5081 View (650) 613-5081
Steven Hobbs
Psychologist, PhD, MA, LMFT
Verified Verified
San Carlos, CA 94070
Waitlist for new clients
Each meeting expands my approach to finding solutions to human problems. It's my pleasure to help people enhance their quality of life, improve stress management skills, and renew their emotional resilience, whether the challenge is one of relationship, health, or performance. I have skills in cognitive and health psychology, biofeedback, and hypnosis to aid in rapid progress toward goals. Learning how to quickly gain self-control of one's mind and body easily increases confidence and improves mood. Because I'm focused and active in my work, clients often find my approach refreshing and rewarding.
Each meeting expands my approach to finding solutions to human problems. It's my pleasure to help people enhance their quality of life, improve stress management skills, and renew their emotional resilience, whether the challenge is one of relationship, health, or performance. I have skills in cognitive and health psychology, biofeedback, and hypnosis to aid in rapid progress toward goals. Learning how to quickly gain self-control of one's mind and body easily increases confidence and improves mood. Because I'm focused and active in my work, clients often find my approach refreshing and rewarding.
(650) 924-9394 View (650) 924-9394
Photo of Sharon L Fu, LMFT, Marriage & Family Therapist
Sharon L Fu
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Carlos, CA 94070
Who doesn't need therapy? Therapy is unique. It is a safe space where you can be completely who you are. Within the therapy relationship, you are able to say things that you have bottled up, you are given opportunity to identify your blind spots without judgment or shame, and you are able to attune to what you really want in life. I am a big believer in hearing your own voice, getting in touch with your values, and making decisions that align with what is important to you.
Who doesn't need therapy? Therapy is unique. It is a safe space where you can be completely who you are. Within the therapy relationship, you are able to say things that you have bottled up, you are given opportunity to identify your blind spots without judgment or shame, and you are able to attune to what you really want in life. I am a big believer in hearing your own voice, getting in touch with your values, and making decisions that align with what is important to you.
(650) 263-8428 View (650) 263-8428
Photo of Tyler Webster, PsyD, Psychologist
Tyler Webster
Psychologist, PsyD
Verified Verified
4 Endorsed
San Carlos, CA 94070  (Online Only)
Are you feeling stuck in the same type of relationships, arguments, or habits? When you feel stuck, it can be helpful to talk with someone to consider a fresh perspective. Previous ways of facing obstacles in your life may not be working and you might want to learn new ways to cope, or you may need extra support while going through a challenging experience. Typically, I help clients with stress, depression, worries/anxiety, life transitions, professional/sport/academic performance, and substance abuse. I enjoy working with people who are interested in self-growth and are curious about themselves and others.
Are you feeling stuck in the same type of relationships, arguments, or habits? When you feel stuck, it can be helpful to talk with someone to consider a fresh perspective. Previous ways of facing obstacles in your life may not be working and you might want to learn new ways to cope, or you may need extra support while going through a challenging experience. Typically, I help clients with stress, depression, worries/anxiety, life transitions, professional/sport/academic performance, and substance abuse. I enjoy working with people who are interested in self-growth and are curious about themselves and others.
(650) 603-5046 View (650) 603-5046
Photo of Paul S Slattery, AMFT, Marriage & Family Therapist Associate
Paul S Slattery
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Carlos, CA 94070
Suffering is a certainty in our lives, but sometimes it becomes more than we can bear. Oftentimes, we can become caught up in blaming ourselves- and though sometimes there can be truth to the notion, it's not true enough to guide us towards healing. We may feel slowed down, stuck, agitated, angry, frustrated or sad. There is nothing wrong or unacceptable with you or your feelings in my practice. They are part of your truth that will guide you to a deeper level of knowing.
Suffering is a certainty in our lives, but sometimes it becomes more than we can bear. Oftentimes, we can become caught up in blaming ourselves- and though sometimes there can be truth to the notion, it's not true enough to guide us towards healing. We may feel slowed down, stuck, agitated, angry, frustrated or sad. There is nothing wrong or unacceptable with you or your feelings in my practice. They are part of your truth that will guide you to a deeper level of knowing.
(650) 418-2395 View (650) 418-2395
Photo of Jessica Cummins, PhD, LEP, Psychologist
Jessica Cummins
Psychologist, PhD, LEP
Verified Verified
San Carlos, CA 94070
I primarily work with students in preschool through graduate school who are experiencing learning difficulties, social challenges, intense frustration and/or low motivation. Challenges with planning and organization, memory, emotional regulation, social skills, visual/auditory processing, and/or attention are just some of the many possible hindrances to school achievement. Through the administration of comprehensive psycho-educational assessments, I diagnose cognitive, behavioral, and social/emotional disabilities in students and identify strengths that can be bolstered. I can help make sense of a student's unique learning profile.
I primarily work with students in preschool through graduate school who are experiencing learning difficulties, social challenges, intense frustration and/or low motivation. Challenges with planning and organization, memory, emotional regulation, social skills, visual/auditory processing, and/or attention are just some of the many possible hindrances to school achievement. Through the administration of comprehensive psycho-educational assessments, I diagnose cognitive, behavioral, and social/emotional disabilities in students and identify strengths that can be bolstered. I can help make sense of a student's unique learning profile.
(650) 667-7526 View (650) 667-7526
Photo of Audrey Vanessa Fairchild, LMFT , LPCC, Marriage & Family Therapist
Audrey Vanessa Fairchild
Marriage & Family Therapist, LMFT , LPCC
Verified Verified
1 Endorsed
San Carlos, CA 94070
Not accepting new clients
If you're feeling stuck and need support to find a better way of coping, I can help. If you're feeling grief, anxiety, or depression, I can listen and bring some supportive tools. Working with a past trauma can bring feelings of hopelessness, overwhelm, and anger, We can work to make a plan to change thoughts and behaviors that keep us all stuck. I am a parent and a classroom teacher also, so I can help navigate the school-family relationship, and offer some support about parenting frustrations, interpersonal conflicts, and stress around parenting. I work with youth often and really understand how tough that period of time is.
If you're feeling stuck and need support to find a better way of coping, I can help. If you're feeling grief, anxiety, or depression, I can listen and bring some supportive tools. Working with a past trauma can bring feelings of hopelessness, overwhelm, and anger, We can work to make a plan to change thoughts and behaviors that keep us all stuck. I am a parent and a classroom teacher also, so I can help navigate the school-family relationship, and offer some support about parenting frustrations, interpersonal conflicts, and stress around parenting. I work with youth often and really understand how tough that period of time is.
(650) 275-5450 View (650) 275-5450
Photo of Teresa Wace, LMFT, Marriage & Family Therapist
Teresa Wace
Marriage & Family Therapist, LMFT
Verified Verified
San Carlos, CA 94070  (Online Only)
I focus on helping you build healthy and rewarding relationships with yourself and others. My clients tell me that they benefit from my unique ability to transform psychological principles into practical tools they can use every day to better their lives. Some of my clients are experiencing grief, loss and anxiety. Others are navigating major life transitions. Clients I see want to improve their inner and outer world, and learn more about themselves in order to feel more joy, love, and fulfillment in their lives.
I focus on helping you build healthy and rewarding relationships with yourself and others. My clients tell me that they benefit from my unique ability to transform psychological principles into practical tools they can use every day to better their lives. Some of my clients are experiencing grief, loss and anxiety. Others are navigating major life transitions. Clients I see want to improve their inner and outer world, and learn more about themselves in order to feel more joy, love, and fulfillment in their lives.
(650) 542-6622 View (650) 542-6622
Photo of Bernadette Shu, MS, LMFT, Marriage & Family Therapist
Bernadette Shu
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Carlos, CA 94070
Therapy is your opportunity to receive support, validation, guidance and healing. We will work together to address your concerns in a safe, accepting and non-judgmental environment. I focus on helping women at various stages of life who are going through traumatic experiences, stressful life transitions, grief & loss and anxiety & depression. I'm also trained to help perinatal/ postpartum women and mothers. In addition to my clinical training, I bring 20 years of Corporate sector experience to this field.
Therapy is your opportunity to receive support, validation, guidance and healing. We will work together to address your concerns in a safe, accepting and non-judgmental environment. I focus on helping women at various stages of life who are going through traumatic experiences, stressful life transitions, grief & loss and anxiety & depression. I'm also trained to help perinatal/ postpartum women and mothers. In addition to my clinical training, I bring 20 years of Corporate sector experience to this field.
(650) 549-9842 View (650) 549-9842
Photo of Tanya T Wiser, LCSW, Clinical Social Work/Therapist
Tanya T Wiser
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
San Carlos, CA 94070
Do you wish you were more present for life, yourself, and the people you love? Would you like to be free from negative thoughts, old wounds, and past trauma? Do you feel like you are making life more complicated, conflicted, or painful than easeful, calm, and connected? Is it hard for you to feel self-compassion? Is past trauma haunting you and disrupting your ability to live the life you want? Would you like help, tools, and the support you need to be able to turn toward your difficulties with mindfulness, kindness, and clarity? Do you want to pause more, reflect and show up for life with compassion, integrity, and wisdom?
Do you wish you were more present for life, yourself, and the people you love? Would you like to be free from negative thoughts, old wounds, and past trauma? Do you feel like you are making life more complicated, conflicted, or painful than easeful, calm, and connected? Is it hard for you to feel self-compassion? Is past trauma haunting you and disrupting your ability to live the life you want? Would you like help, tools, and the support you need to be able to turn toward your difficulties with mindfulness, kindness, and clarity? Do you want to pause more, reflect and show up for life with compassion, integrity, and wisdom?
(650) 557-2658 View (650) 557-2658

How does your Therapist compare?

Number of Therapists in 94070

100+

Average cost per session

$200

Therapists in 94070 who prioritize treating:

97% Anxiety
93% Depression
85% Relationship Issues
74% Self Esteem
72% Coping Skills
72% Stress
66% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

43% Aetna
38% MHN | Health Net
38% UnitedHealthcare UHC | UBH

How Therapists in 94070 see their clients

81% In Person and Online
19% Online Only

Gender breakdown

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

How can I find a therapist in 94070?

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.