Therapists in Salida, CA

Photo of Amy Tackett, PhD, Psychologist
Amy Tackett
Psychologist, PhD
Verified Verified
Salida, CA 95368
Dr. Amy Tackett is a Psychologist in California who has been practicing since 2014. She received her philosophy doctorate in Clinical Forensic Psychology from Alliant International University, Fresno. Dr. Tackett believes mental health is a way of living in harmony with our values, strengths, limitations, and realities. It's often difficult and sometimes we will suffer, but in the end, mental health is the fundamental difference between surviving and thriving. If you want support on your process of mental health, please reach out. You don't have to do it alone.
Dr. Amy Tackett is a Psychologist in California who has been practicing since 2014. She received her philosophy doctorate in Clinical Forensic Psychology from Alliant International University, Fresno. Dr. Tackett believes mental health is a way of living in harmony with our values, strengths, limitations, and realities. It's often difficult and sometimes we will suffer, but in the end, mental health is the fundamental difference between surviving and thriving. If you want support on your process of mental health, please reach out. You don't have to do it alone.
(209) 553-6093 View (209) 553-6093
Photo of Thomas Cagle, MS,  LMFT, Marriage & Family Therapist
Thomas Cagle
Marriage & Family Therapist, MS, LMFT
Verified Verified
Salida, CA 95368
Thomas Cagle is a Licensed Marriage and Family Therapist in California who has been practicing since 2019. His education includes a B.A. in Psychology and an M.S. in Marriage, Family & Child Counseling. Thomas’s goal is to provide you with a safe, non-judgmental space to explore your challenges, develop coping skills, gain insights, and work towards positive changes and growth that align with your unique needs and aspirations. Outside of work, Thomas enjoys exercising, going for walks with his dog and is an avid artist.
Thomas Cagle is a Licensed Marriage and Family Therapist in California who has been practicing since 2019. His education includes a B.A. in Psychology and an M.S. in Marriage, Family & Child Counseling. Thomas’s goal is to provide you with a safe, non-judgmental space to explore your challenges, develop coping skills, gain insights, and work towards positive changes and growth that align with your unique needs and aspirations. Outside of work, Thomas enjoys exercising, going for walks with his dog and is an avid artist.
(209) 619-3565 View (209) 619-3565
Photo of Ruben Gabriel Colon, LCSW, Clinical Social Work/Therapist
Ruben Gabriel Colon
Clinical Social Work/Therapist, LCSW
Verified Verified
Salida, CA 95368  (Online Only)
Could my therapist skill set be the perfect match for your therapy needs? I have worked as a social worker for the past 23 years and 14 of those years as a therapist. I have served children, youth and adults in various settings such as adoption and foster care; child welfare services; outpatient mental health and services for developmentally disabled individuals. Over the years, I have developed a passion for helping individuals heal from trauma, adjust to major life transitions and foster a healthy sense of identity. I am committed making sure the plan for treatment is centered on the goals and needs that we develop together.
Could my therapist skill set be the perfect match for your therapy needs? I have worked as a social worker for the past 23 years and 14 of those years as a therapist. I have served children, youth and adults in various settings such as adoption and foster care; child welfare services; outpatient mental health and services for developmentally disabled individuals. Over the years, I have developed a passion for helping individuals heal from trauma, adjust to major life transitions and foster a healthy sense of identity. I am committed making sure the plan for treatment is centered on the goals and needs that we develop together.
(855) 731-7060 View (855) 731-7060
Photo of Alyssa Chacon, MSW,  LCSW, Clinical Social Work/Therapist
Alyssa Chacon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Salida, CA 95368
As a clinician starting out during a pandemic, Alyssa was offered the opportunity to work in treatment centers serving as a clinician to individuals in a time of crisis. She has seen, firsthand, how bad it can get. Alyssa hopes to work with people who don’t want it to get “that bad.” She would love to work and support individuals with more preventative measures and education to warning signs, coping skills, and psychoeducation to help individuals understand their diagnoses. People struggle every day, but that does not mean we have to let those struggle dictate the way we experience life.
As a clinician starting out during a pandemic, Alyssa was offered the opportunity to work in treatment centers serving as a clinician to individuals in a time of crisis. She has seen, firsthand, how bad it can get. Alyssa hopes to work with people who don’t want it to get “that bad.” She would love to work and support individuals with more preventative measures and education to warning signs, coping skills, and psychoeducation to help individuals understand their diagnoses. People struggle every day, but that does not mean we have to let those struggle dictate the way we experience life.
(209) 332-9671 View (209) 332-9671
Photo of Cheryl Fink, MS, LMFT, Marriage & Family Therapist
Cheryl Fink
Marriage & Family Therapist, MS, LMFT
Verified Verified
Salida, CA 95368
I want clients to feel comfortable seeking and coming to therapy, and my first goal is to make clients feel and safe and supported, to do the work they are wanting to do. Together we can uncover solutions to help you live the happy healthy life you want. Whether it's too much sadness, too much worry, grief and loss, problems with relationships, being unable heal from past events, not feeling good about yourself, trouble coping, or any other issue. Therapy can be a great way to find solutions and gain the support you need to make changes. You don't have to feel alone or helpless. Help can be just a phone call or email away!
I want clients to feel comfortable seeking and coming to therapy, and my first goal is to make clients feel and safe and supported, to do the work they are wanting to do. Together we can uncover solutions to help you live the happy healthy life you want. Whether it's too much sadness, too much worry, grief and loss, problems with relationships, being unable heal from past events, not feeling good about yourself, trouble coping, or any other issue. Therapy can be a great way to find solutions and gain the support you need to make changes. You don't have to feel alone or helpless. Help can be just a phone call or email away!
(209) 676-8559 View (209) 676-8559
Photo of Isabel D Van Sicklen, MS, MFT, Marriage & Family Therapist
Isabel D Van Sicklen
Marriage & Family Therapist, MS, MFT
Verified Verified
Salida, CA 95368
Counseling is not so much about addressing "dysfunction" as about having a rich and safe space to be heard, and helped. I tell teens (who believe that seeing a counselor means they're crazy), that I work with normal kids and normal problems. I believe that about all my clients. "Normal" problems are daunting when they appear as depression, anxiety, relationship struggles, divorce, difficulties with kids, and/or burnout. My belief is that every human difficulty makes sense, but sometimes they require a translator and guide. My intention is to provide the space that leads to wellbeing and fulfilling relationships.
Counseling is not so much about addressing "dysfunction" as about having a rich and safe space to be heard, and helped. I tell teens (who believe that seeing a counselor means they're crazy), that I work with normal kids and normal problems. I believe that about all my clients. "Normal" problems are daunting when they appear as depression, anxiety, relationship struggles, divorce, difficulties with kids, and/or burnout. My belief is that every human difficulty makes sense, but sometimes they require a translator and guide. My intention is to provide the space that leads to wellbeing and fulfilling relationships.
(209) 230-9709 View (209) 230-9709
Photo of Barbara Israels, MA, LMFT, Marriage & Family Therapist
Barbara Israels
Marriage & Family Therapist, MA, LMFT
Verified Verified
Salida, CA 95368
Relationship struggles are part of the normal development of a relationship. Finding the way to get through this stage of growth will make the relationship strong and healthy. I have been privileged to receive excellent continuing professional couples training with leaders in our field. I provide the most effective strategies and interventions in my work with couples to lead to a more satisfying and healthy relationship.
Relationship struggles are part of the normal development of a relationship. Finding the way to get through this stage of growth will make the relationship strong and healthy. I have been privileged to receive excellent continuing professional couples training with leaders in our field. I provide the most effective strategies and interventions in my work with couples to lead to a more satisfying and healthy relationship.
(209) 390-8921 View (209) 390-8921
Photo of Erika Ayón Navarrete, LCSW, Clinical Social Work/Therapist
Erika Ayón Navarrete
Clinical Social Work/Therapist, LCSW
Verified Verified
Salida, CA 95368
Not accepting new clients
Life is full of changes. We often struggle with changes at work, relationships, family, losses or financial hardship. How do we bounce back from disappointments, disasters, trauma and other adversities? Most of us benefit from connecting with others. Turning to others for support is a source of strength which builds resilience. Learning how to understand our own emotions and connecting with others is part of the journey of life. I am here to support you though this journey in a safe and confidential environment with many years of experience working with diverse populations.
Life is full of changes. We often struggle with changes at work, relationships, family, losses or financial hardship. How do we bounce back from disappointments, disasters, trauma and other adversities? Most of us benefit from connecting with others. Turning to others for support is a source of strength which builds resilience. Learning how to understand our own emotions and connecting with others is part of the journey of life. I am here to support you though this journey in a safe and confidential environment with many years of experience working with diverse populations.
(209) 583-9403 View (209) 583-9403
Photo of Coral Boyle-Day, LMFT, PCC, Marriage & Family Therapist
Coral Boyle-Day
Marriage & Family Therapist, LMFT, PCC
Verified Verified
1 Endorsed
Salida, CA 95368
I have been working with children and families in the local community for 10 years. I believe in individualized client centered care. Lets work together to meet your individual needs and goals, while identifying strategies to sustain your progress outside of therapy. I look forward to working with you.
I have been working with children and families in the local community for 10 years. I believe in individualized client centered care. Lets work together to meet your individual needs and goals, while identifying strategies to sustain your progress outside of therapy. I look forward to working with you.
(209) 791-7140 View (209) 791-7140

More Therapists Nearby

Photo of Roselia Ortega - Roselia Ortega (Deep Wellness Center), MSW, ASW, Pre-Licensed Professional
Roselia Ortega (Deep Wellness Center)
Pre-Licensed Professional, MSW, ASW
Verified Verified
1 Endorsed
Modesto, CA 95356
Hello, my name is Roselia Ortega, and I am fluent in English and Spanish. I am an Associate Clinical Social Worker who specializes in individual, couples, and family therapy. I have extensive experience working with couples struggling with conflicts and communication issues, co-parenting, and enhancing family dynamics. I also have over thirteen years of experience working with neglected, abused, and high-risk children and their families.
Hello, my name is Roselia Ortega, and I am fluent in English and Spanish. I am an Associate Clinical Social Worker who specializes in individual, couples, and family therapy. I have extensive experience working with couples struggling with conflicts and communication issues, co-parenting, and enhancing family dynamics. I also have over thirteen years of experience working with neglected, abused, and high-risk children and their families.
(209) 806-4773 View (209) 806-4773
Photo of David Lopez - David Lopez, MS, MFT, MFT, Marriage & Family Therapist
David Lopez, MS, MFT
Marriage & Family Therapist, MFT
Verified Verified
Modesto, CA 95356
I began my professional training in 2005 with a focus to provide quality and skilled services that will assist clients in achieving their goals and ambitions in a way that is welcoming and meaningful. Whether it pertains to learning how to cope with particular emotional symptoms, or trying to figure out how to problem-solve life's most difficult challenges, I aim to partner with you in discovering new and effective strategies to living your life to it's full potential.
I began my professional training in 2005 with a focus to provide quality and skilled services that will assist clients in achieving their goals and ambitions in a way that is welcoming and meaningful. Whether it pertains to learning how to cope with particular emotional symptoms, or trying to figure out how to problem-solve life's most difficult challenges, I aim to partner with you in discovering new and effective strategies to living your life to it's full potential.
(209) 794-4346 View (209) 794-4346
Photo of Brenda Ramirez - Brenda Ramirez (Deep Wellness Center), APCC, MS, LPC Intern
Brenda Ramirez (Deep Wellness Center)
LPC Intern, APCC, MS
Verified Verified
2 Endorsed
Modesto, CA 95356
I am a Professional Clinical Counselor. As a counselor, I specialize in assisting clients in overcoming challenges such as relationship issues, new life transition, children and teens with issues related to stress, anxiety, family conflicts, academic and school related issues.
I am a Professional Clinical Counselor. As a counselor, I specialize in assisting clients in overcoming challenges such as relationship issues, new life transition, children and teens with issues related to stress, anxiety, family conflicts, academic and school related issues.
(209) 802-0543 View (209) 802-0543
Photo of Tanary Cerros - Tanary Cerros (Deep Wellness Center), AMFT, MS, Pre-Licensed Professional
Tanary Cerros (Deep Wellness Center)
Pre-Licensed Professional, AMFT, MS
Verified Verified
1 Endorsed
Modesto, CA 95356
Hello, my name is Tanary Cerros. I am a bilingual Associate Marriage Family Therapist. I have a genuine interest in helping adults, families, and adolescents achieve personal growth, live well, and accomplish their full potential. In life, we experience many different challenges that impact our sense of well-being. Seeking mental health services in times of despair and distress can provide guidance and support. My goal as a therapist is to foster personal self-growth, and self-efficacy, and create a safe environment that allows my clients to express themselves freely while learning to overcome various challenges in life.
Hello, my name is Tanary Cerros. I am a bilingual Associate Marriage Family Therapist. I have a genuine interest in helping adults, families, and adolescents achieve personal growth, live well, and accomplish their full potential. In life, we experience many different challenges that impact our sense of well-being. Seeking mental health services in times of despair and distress can provide guidance and support. My goal as a therapist is to foster personal self-growth, and self-efficacy, and create a safe environment that allows my clients to express themselves freely while learning to overcome various challenges in life.
(209) 989-1927 View (209) 989-1927
Photo of Alyssa Wells, MA, LMFT, Marriage & Family Therapist
Alyssa Wells
Marriage & Family Therapist, MA, LMFT
Verified Verified
Modesto, CA 95356  (Online Only)
Hi there! I’ve been a Licensed Marriage and Family Therapist since 2019 and am honored to work in a profession dedicated to the support, development and healing of others. I have clinical experience in a wide range of settings, from mild/moderate care to crisis intervention. I am pleased to offer treatment to women who are experiencing burnout, perfectionism, internal conflict due to anxiety, depression or low self-esteem, relational issues, life transitions and history of trauma.
Hi there! I’ve been a Licensed Marriage and Family Therapist since 2019 and am honored to work in a profession dedicated to the support, development and healing of others. I have clinical experience in a wide range of settings, from mild/moderate care to crisis intervention. I am pleased to offer treatment to women who are experiencing burnout, perfectionism, internal conflict due to anxiety, depression or low self-esteem, relational issues, life transitions and history of trauma.
(209) 780-0508 View (209) 780-0508
Photo of Juan Teran - Juan Teran (Deep Wellness Center), MS, AMFT, Marriage & Family Therapist Associate
Juan Teran (Deep Wellness Center)
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
1 Endorsed
Modesto, CA 95356
Hello! I am passionate about working together with individuals to guide them through any struggles, emotional barriers and challenges they might be facing. I am an Associate Marriage & Family Therapist with over 10 years working within the mental health field with at-risk youth, young adults, families, parenting, & adults of a diverse background. I am here to assist you in gaining more tools to help you move forward with your mental health needs. I enjoy working with children & adults with ADHD, anxiety, relationships issues, oppositional defiance, family conflict, suicidal ideation, sexual assault, & behavioral issues.
Hello! I am passionate about working together with individuals to guide them through any struggles, emotional barriers and challenges they might be facing. I am an Associate Marriage & Family Therapist with over 10 years working within the mental health field with at-risk youth, young adults, families, parenting, & adults of a diverse background. I am here to assist you in gaining more tools to help you move forward with your mental health needs. I enjoy working with children & adults with ADHD, anxiety, relationships issues, oppositional defiance, family conflict, suicidal ideation, sexual assault, & behavioral issues.
(209) 231-4088 View (209) 231-4088
Photo of Jacqueline Niedzwiecki, LMFT, Marriage & Family Therapist
Jacqueline Niedzwiecki
Marriage & Family Therapist, LMFT
Verified Verified
Modesto, CA 95356
Hello! My name is Jacqueline Niedzwiecki and I am a licensed Marriage and Family Therapist (LMFT). I currently live in Tennessee, but do most of my work via telehealth with California residents (where I use to live!). My specialties and interests are supporting and empowering mothers having difficulty with pre- and postpartum, parenting transitions, new baby care, parenting challenges with toddlers/teens, or adapting to a child's new diagnosis. I also have a lot of experience with trauma-informed care, anxiety, and depression within the adult population.
Hello! My name is Jacqueline Niedzwiecki and I am a licensed Marriage and Family Therapist (LMFT). I currently live in Tennessee, but do most of my work via telehealth with California residents (where I use to live!). My specialties and interests are supporting and empowering mothers having difficulty with pre- and postpartum, parenting transitions, new baby care, parenting challenges with toddlers/teens, or adapting to a child's new diagnosis. I also have a lot of experience with trauma-informed care, anxiety, and depression within the adult population.
(209) 255-5425 View (209) 255-5425
Photo of Jovanny Hernandez Cruz - Jovanny Hernandez Cruz (Deep Wellness Center), AMFT, MS, Marriage & Family Therapist Associate
Jovanny Hernandez Cruz (Deep Wellness Center)
Marriage & Family Therapist Associate, AMFT, MS
Verified Verified
1 Endorsed
Modesto, CA 95356
Deciding to seek support for your mental health needs can be one of the most empowering decisions you make. It can also be a challenging one- figuring out what steps to take or what to look for in a therapist. I’ve had the opportunity to support children, adolescents, and families of different backgrounds and I serve a client base with diverse mental health needs, including anxiety, depression, ADHD, and PTSD.
Deciding to seek support for your mental health needs can be one of the most empowering decisions you make. It can also be a challenging one- figuring out what steps to take or what to look for in a therapist. I’ve had the opportunity to support children, adolescents, and families of different backgrounds and I serve a client base with diverse mental health needs, including anxiety, depression, ADHD, and PTSD.
(209) 236-4361 View (209) 236-4361
Photo of Elizabeth Maria Domingos-Shepard, LMFT, Marriage & Family Therapist
Elizabeth Maria Domingos-Shepard
Marriage & Family Therapist, LMFT
Verified Verified
Modesto, CA 95356
Hello, I am a Licensed Marriage and Family Therapist with 20+ years of experience in the field of mental health. I work with clients experiencing various issues, such as anxiety, relationship concerns, and self-esteem issues. However, I specialize in trauma and attachment, including trauma related to experiences of social injustices and generational trauma.
Hello, I am a Licensed Marriage and Family Therapist with 20+ years of experience in the field of mental health. I work with clients experiencing various issues, such as anxiety, relationship concerns, and self-esteem issues. However, I specialize in trauma and attachment, including trauma related to experiences of social injustices and generational trauma.
(916) 301-4294 View (916) 301-4294
Photo of Michelle Lee - Michelle Lee (Deep Wellness Center), APCC, MA, PPS, Pre-Licensed Professional
Michelle Lee (Deep Wellness Center)
Pre-Licensed Professional, APCC, MA, PPS
Verified Verified
1 Endorsed
Modesto, CA 95356
My name is Michelle and I'm bilingual in English and Mien. I specialize in working with children, teens, and young adults with anxiety, trauma, depression, relationship problems, eating disorders, LGBTQ+, school related stress, and family/cultural dynamics. My hope is to create an environment that you feel safe to share, express yourself freely, and adapt to life changes whether expected or unexpected.
My name is Michelle and I'm bilingual in English and Mien. I specialize in working with children, teens, and young adults with anxiety, trauma, depression, relationship problems, eating disorders, LGBTQ+, school related stress, and family/cultural dynamics. My hope is to create an environment that you feel safe to share, express yourself freely, and adapt to life changes whether expected or unexpected.
(209) 307-7270 View (209) 307-7270
Photo of Brenda Estrada - Brenda Estrada (Deep Wellness Center), MS, AMFT, Marriage & Family Therapist Associate
Brenda Estrada (Deep Wellness Center)
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
1 Endorsed
Modesto, CA 95356
Hello! My name is Brenda Estrada Ramirez, and I am a bilingual Associate Marriage and Family Therapist. I have a genuine interest in helping children, adults and families achieve a greater sense of wellness in their lives. Throughout our time we experience life changes that are unexpected or difficult to manage. During tough times one can find themselves overwhelmed, stressed, and feeling alone. It is important for individuals who are experiencing life changes or mental health challenges to reach out for additional support.
Hello! My name is Brenda Estrada Ramirez, and I am a bilingual Associate Marriage and Family Therapist. I have a genuine interest in helping children, adults and families achieve a greater sense of wellness in their lives. Throughout our time we experience life changes that are unexpected or difficult to manage. During tough times one can find themselves overwhelmed, stressed, and feeling alone. It is important for individuals who are experiencing life changes or mental health challenges to reach out for additional support.
(209) 457-5850 View (209) 457-5850

See more therapy options for Salida

How does your Therapist compare?

Number of Therapists in Salida, CA

< 10

Therapists in Salida, CA who prioritize treating:

89% Depression
89% Anxiety
67% Grief
67% Life Transitions
56% Relationship Issues
56% Child
56% Family Conflict

Average years in practice

12 Years

Top 3 insurances accepted

71% Aetna
71% Cigna and Evernorth
71% Optum

How Therapists in Salida, CA see their clients

89% In Person and Online
11% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Salida?

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.