Therapists in Arapahoe County, CO

View cities in Arapahoe County
Photo of Hazel Richards, LCSW, Clinical Social Work/Therapist
Hazel Richards
Clinical Social Work/Therapist, LCSW
Verified Verified
Littleton, CO 80120  (Online Only)
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(303) 586-6385 View (303) 586-6385
Photo of Jamie Gibbs (Online Therapy), LPC, NCC, CSAT, CST, EMDR-C, Licensed Professional Counselor
Jamie Gibbs (Online Therapy)
Licensed Professional Counselor, LPC, NCC, CSAT, CST, EMDR-C
Verified Verified
Aurora, CO 80014  (Online Only)
“What is wrong with me?” you think to yourself. You feel disconnected from others. You don’t feel as though anyone truly understands you or gets you. You keep talking to your family, friends, or partner about the same issue but there is no resolution. They keep asking, “What do you actually want?” but your mind goes blank. Or you know what you want, but you vocalizing your wants would hurt important people in your life. Or you don’t think what you want is important as you’ve navigated your entire life with putting your wants and needs last.
“What is wrong with me?” you think to yourself. You feel disconnected from others. You don’t feel as though anyone truly understands you or gets you. You keep talking to your family, friends, or partner about the same issue but there is no resolution. They keep asking, “What do you actually want?” but your mind goes blank. Or you know what you want, but you vocalizing your wants would hurt important people in your life. Or you don’t think what you want is important as you’ve navigated your entire life with putting your wants and needs last.
(720) 613-5203 View (720) 613-5203
Photo of Daniel Brown - Guided Passage Counseling, MA, LPC, Licensed Professional Counselor
Guided Passage Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Aurora, CO 80014
Not accepting new clients
Do you or your teen feel lonely and isolated, even in a crowd of friends or family? Or maybe you feel like you can't live up to the expectations of family, friends, or teachers and the pressure is slowly crushing you to death? Do these experiences lead to feeling unmotivated, lethargic, hopeless, or numb? Afraid that you'll never be enough? I know those feelings all too well and I just want to tell you that you don't have to suffer alone.
Do you or your teen feel lonely and isolated, even in a crowd of friends or family? Or maybe you feel like you can't live up to the expectations of family, friends, or teachers and the pressure is slowly crushing you to death? Do these experiences lead to feeling unmotivated, lethargic, hopeless, or numb? Afraid that you'll never be enough? I know those feelings all too well and I just want to tell you that you don't have to suffer alone.
(720) 408-7506 View (720) 408-7506
Photo of Cindy Collinsworth, MA, LPC, Licensed Professional Counselor
Cindy Collinsworth
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Littleton, CO 80120
I am passionate about creating a safe place for you to experience healing as you struggle with some of life’s most difficult challenges. I enjoy working with clients across the lifespan; and I want to get to know you! My experience has taught me that therapy is most effective when it is relational versus transactional; and collaborative versus prescriptive. Education and transparency are two very important values that inform my approach to your healing. Collaboratively, we will blend trauma-informed and person-centered approaches to ensure you receive personalized resources.
I am passionate about creating a safe place for you to experience healing as you struggle with some of life’s most difficult challenges. I enjoy working with clients across the lifespan; and I want to get to know you! My experience has taught me that therapy is most effective when it is relational versus transactional; and collaborative versus prescriptive. Education and transparency are two very important values that inform my approach to your healing. Collaboratively, we will blend trauma-informed and person-centered approaches to ensure you receive personalized resources.
(720) 619-6503 View (720) 619-6503
Photo of Suandria V. Lewis, MA, LPC, NCC, CFTP, Licensed Professional Counselor
Suandria V. Lewis
Licensed Professional Counselor, MA, LPC, NCC, CFTP
Verified Verified
1 Endorsed
Englewood, CO 80112  (Online Only)
Healing isn’t the absence of pain. Healing is living fully engaged, courageous and confident that you can create a life you can be proud of. It’s learning to trust yourself to face, manage and move through difficulties. It’s being able to imagine an amazing future. Let me help you recognize, identify, and use the inner power you’re struggling to see.
Healing isn’t the absence of pain. Healing is living fully engaged, courageous and confident that you can create a life you can be proud of. It’s learning to trust yourself to face, manage and move through difficulties. It’s being able to imagine an amazing future. Let me help you recognize, identify, and use the inner power you’re struggling to see.
(720) 496-0285 View (720) 496-0285
Photo of Lea Mousso, MS, LPCC, NCC
Lea Mousso
Licensed Professional Counselor Candidate , MS, LPCC, NCC
Verified Verified
Aurora, CO 80012  (Online Only)
I'm a pre-licensed therapist, who enjoys working with clients pursuing treatment for relational concerns, family conflict, self-esteem and identity issues, and attachment trauma. I take an integrative approach to counseling, operating through a relational, attachment-based lens. I believe my clients are the writers of their own life story, and the experts of themselves. Everyone deserves the opportunity to feel truly seen and heard, and my overarching goal is to provide that feeling to all of my clients, through the development of a non-judgmental, authentic, therapeutic relationship.
I'm a pre-licensed therapist, who enjoys working with clients pursuing treatment for relational concerns, family conflict, self-esteem and identity issues, and attachment trauma. I take an integrative approach to counseling, operating through a relational, attachment-based lens. I believe my clients are the writers of their own life story, and the experts of themselves. Everyone deserves the opportunity to feel truly seen and heard, and my overarching goal is to provide that feeling to all of my clients, through the development of a non-judgmental, authentic, therapeutic relationship.
(720) 580-6277 View (720) 580-6277
Photo of Cheyenne Bellarosa, LCSW, Clinical Social Work/Therapist
Cheyenne Bellarosa
Clinical Social Work/Therapist, LCSW
Verified Verified
Aurora, CO 80014
As a multicultural woman myself, I understand feeling stuck in a web of intersectional wounds. Whether you're experiencing facets of historical and/or intergenerational trauma, depression, anxiety, grief, relational struggle, identity obstacles, and more, I find many people struggle to access the strengths they innately possess to move through life’s challenges and traumas. Many internal AND external factors contribute to the disempowerment of self, which is why I’m grateful to be here to walk alongside your path and venture through to recover your full self, together.
As a multicultural woman myself, I understand feeling stuck in a web of intersectional wounds. Whether you're experiencing facets of historical and/or intergenerational trauma, depression, anxiety, grief, relational struggle, identity obstacles, and more, I find many people struggle to access the strengths they innately possess to move through life’s challenges and traumas. Many internal AND external factors contribute to the disempowerment of self, which is why I’m grateful to be here to walk alongside your path and venture through to recover your full self, together.
(720) 664-5291 View (720) 664-5291
Photo of Miles Cook, MA, LPC, Licensed Professional Counselor
Miles Cook
Licensed Professional Counselor, MA, LPC
Verified Verified
Denver, CO 80247  (Online Only)
Not accepting new clients
I began my career working with victim's of crime, current and past abuse, and identity based violence. I am proudly a neurodivergent mental health practitioner who has worked with late-diagnosis ADHD, Autism, Anxiety, and Depression. I utilize EMDR, Acceptance & Commitment Therapy, Existential techniques, and Mindfulness based CBT.
I began my career working with victim's of crime, current and past abuse, and identity based violence. I am proudly a neurodivergent mental health practitioner who has worked with late-diagnosis ADHD, Autism, Anxiety, and Depression. I utilize EMDR, Acceptance & Commitment Therapy, Existential techniques, and Mindfulness based CBT.
View
Photo of Christina Szarka, MSW, MSTL
Christina Szarka
MSW, MSTL
Verified Verified
Centennial, CO 80112
Are you experiencing relationship/family problems? Are you tired of experiencing the same pain over and over? Using an integrated solution focused approach, individuals and families will gain resources for healing and growth. Working together we can uncover your true purpose while addressing current stressors, past trauma, and future goals. While we can't change difficult past situations, we can better understand and resolve challenges negatively affecting our current situation.
Are you experiencing relationship/family problems? Are you tired of experiencing the same pain over and over? Using an integrated solution focused approach, individuals and families will gain resources for healing and growth. Working together we can uncover your true purpose while addressing current stressors, past trauma, and future goals. While we can't change difficult past situations, we can better understand and resolve challenges negatively affecting our current situation.
(720) 924-4012 View (720) 924-4012
Photo of Now Accepting New Client! Kiara Faulkner, MA LPCC
Now Accepting New Client! Kiara Faulkner
Licensed Professional Counselor Candidate, MA LPCC
Verified Verified
Aurora, CO 80016  (Online Only)
NOW accepting new clients! The journey of self-discovery is not always meant to be done alone. As a clinician my goal is to create a safe space for you to be able to work towards achieving your goals. You want someone who can listen provide compassion to you and help you to develop strategies and skills to move forward instead of being worried about the past - Kiara can help you with that!
NOW accepting new clients! The journey of self-discovery is not always meant to be done alone. As a clinician my goal is to create a safe space for you to be able to work towards achieving your goals. You want someone who can listen provide compassion to you and help you to develop strategies and skills to move forward instead of being worried about the past - Kiara can help you with that!
(720) 893-9106 View (720) 893-9106
Photo of Sophia Jacob Atwood, LPCC
Sophia Jacob Atwood
Licensed Professional Counselor Candidate, LPCC
Verified Verified
Littleton, CO 80121
Being a first-generation immigrant from South Asia, I am aware of the problems and issues faced by Asian families regarding their children and the problems they face at school. I agree with Dr. Ross Greene’s statement, ‘If kids could do well, they would.’ I have worked as a lead teacher for 20-plus years, as an assistant teacher, and as an emergency educator. During all this time, I have seen students struggle to connect with their peers, make friends, and struggle with academic stress and anxiety. I believe that through self-knowledge, acceptance, and confidence-building skills, any and every child/adolescent can achieve success.
Being a first-generation immigrant from South Asia, I am aware of the problems and issues faced by Asian families regarding their children and the problems they face at school. I agree with Dr. Ross Greene’s statement, ‘If kids could do well, they would.’ I have worked as a lead teacher for 20-plus years, as an assistant teacher, and as an emergency educator. During all this time, I have seen students struggle to connect with their peers, make friends, and struggle with academic stress and anxiety. I believe that through self-knowledge, acceptance, and confidence-building skills, any and every child/adolescent can achieve success.
(720) 650-0503 View (720) 650-0503
Photo of Porche Corley, LCSW, Clinical Social Work/Therapist
Porche Corley
Clinical Social Work/Therapist, LCSW
Verified Verified
Aurora, CO 80013
I am a Licensed Clinical Social Worker with 5 years of professional work experience. I obtained a Bachelor of Science in Human Services with a Concentration in Family and Child Services from the University of Phoenix and a Master of Social Work from Capella University. I hold the Board Certified-TeleMental Health Provider and Human Services-Board Certified Practitioner credentials from the Center for Credentialing and Education. I am a certified specialist in anger management and grief/loss.
I am a Licensed Clinical Social Worker with 5 years of professional work experience. I obtained a Bachelor of Science in Human Services with a Concentration in Family and Child Services from the University of Phoenix and a Master of Social Work from Capella University. I hold the Board Certified-TeleMental Health Provider and Human Services-Board Certified Practitioner credentials from the Center for Credentialing and Education. I am a certified specialist in anger management and grief/loss.
(720) 599-5743 View (720) 599-5743
Photo of Lindsey Boes - Boes Therapy Services, LLC, MS, LMFT, Marriage & Family Therapist
Boes Therapy Services, LLC
Marriage & Family Therapist, MS, LMFT
Verified Verified
Littleton, CO 80120
Hello! If you take care of others and often feel anxious and burned out, you're in the right place. I help socially-aware helping professionals who feel resentful and overwhelmed at work and at home to feel appreciated, grounded, and confident. We accomplish this by deep self-reflection and setting healthy boundaries. You may have an overloaded to-do list and feel unappreciated by your loved ones. Growing up you may not have had great role models for emotional repair so you learned how to wear a smile and "move on." Sometimes these old pains resurface but you don't know how to process and heal so you can react with irritability.
Hello! If you take care of others and often feel anxious and burned out, you're in the right place. I help socially-aware helping professionals who feel resentful and overwhelmed at work and at home to feel appreciated, grounded, and confident. We accomplish this by deep self-reflection and setting healthy boundaries. You may have an overloaded to-do list and feel unappreciated by your loved ones. Growing up you may not have had great role models for emotional repair so you learned how to wear a smile and "move on." Sometimes these old pains resurface but you don't know how to process and heal so you can react with irritability.
(720) 571-8318 View (720) 571-8318
Photo of Wendy Jea Theis - Jea Theis Therapy LLC, MSW, LCSW, Clinical Social Work/Therapist
Jea Theis Therapy LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Accepting new clients. "Your present circumstances do not determine where you will go, they merely determine where you have been " - Nido Qubein. I am so glad you are here. I believe in a strengths-based approach that honors the experiences and unique aspects of you and I have a passion for collaborating with clients for successful outcomes.
Accepting new clients. "Your present circumstances do not determine where you will go, they merely determine where you have been " - Nido Qubein. I am so glad you are here. I believe in a strengths-based approach that honors the experiences and unique aspects of you and I have a passion for collaborating with clients for successful outcomes.
(866) 885-2375 View (866) 885-2375
Photo of Amy Stambuk, LCSW, Clinical Social Work/Therapist
Amy Stambuk
Clinical Social Work/Therapist, LCSW
Verified Verified
7 Endorsed
Englewood, CO 80112
Therapy should captivate and transform you. When you are struggling to move past conflicts or getting stuck in all-too-familiar patterns, there should be something so direct, personal, and real about what you discover and practice in therapy that it should dramatically change how you think, feel, and act with others. That's my specialty. Yet, even though therapy is serious work, there should be room for play: for trying things on, for practice, for being human. As a family therapist I care about the quality of your relationships. My approach? Connecting. Pragmatic. Thorough. Creative.
Therapy should captivate and transform you. When you are struggling to move past conflicts or getting stuck in all-too-familiar patterns, there should be something so direct, personal, and real about what you discover and practice in therapy that it should dramatically change how you think, feel, and act with others. That's my specialty. Yet, even though therapy is serious work, there should be room for play: for trying things on, for practice, for being human. As a family therapist I care about the quality of your relationships. My approach? Connecting. Pragmatic. Thorough. Creative.
(720) 463-1757 View (720) 463-1757
Photo of Stephanie Luther, LPC, LAC, Licensed Professional Counselor
Stephanie Luther
Licensed Professional Counselor, LPC, LAC
Verified Verified
Centennial, CO 80112
Does life feel overwhelming at times? Do you find it hard to find joy? Do you struggle with procrastination or motivation? Or are you feeling stuck? Life doesn’t have to be that way. Did you know that short-term therapy (6-10 sessions) can be incredibly effective? It's all about empowering you with the skills you need to navigate life's challenges. I focus on pulling out your innate strengths and help you find the courage to thrive. It's not about dependency on me, but empowerment in yourself. Ready to start your journey?"
Does life feel overwhelming at times? Do you find it hard to find joy? Do you struggle with procrastination or motivation? Or are you feeling stuck? Life doesn’t have to be that way. Did you know that short-term therapy (6-10 sessions) can be incredibly effective? It's all about empowering you with the skills you need to navigate life's challenges. I focus on pulling out your innate strengths and help you find the courage to thrive. It's not about dependency on me, but empowerment in yourself. Ready to start your journey?"
(303) 529-9148 View (303) 529-9148
Photo of John McDowell, LPC , Licensed Professional Counselor
John McDowell
Licensed Professional Counselor, LPC
Verified Verified
Aurora, CO 80013
John McDowell, LPC. A core desire in life is to be fully known and accepted. At the heart of being known is the need for full honesty with ourselves and others in the midst of growth in changing life experiences. Honesty with love and humility leads us into dynamic freedom. Many people hide their realities or internal struggles in shame, fear, and performance.
John McDowell, LPC. A core desire in life is to be fully known and accepted. At the heart of being known is the need for full honesty with ourselves and others in the midst of growth in changing life experiences. Honesty with love and humility leads us into dynamic freedom. Many people hide their realities or internal struggles in shame, fear, and performance.
(720) 706-9736 View (720) 706-9736
Photo of Christina Romano, MA, LPC, CAS, Licensed Professional Counselor
Christina Romano
Licensed Professional Counselor, MA, LPC, CAS
Verified Verified
Centennial, CO 80112
Not accepting new clients
I have a passion for helping people embody and cherish their truest selves and develop long-lasting, healthy relationships. In therapy, my goal is to partner with clients to help them achieve their personal goals and move towards their most fulfilling life. The most important thing to me as a therapist is that my clients feel safe to be fully themselves. I strive to provide an empowering, non-judgmental setting for children, teens, and adults alike. I hope to help my clients identify ways in which their beliefs, thoughts, or behaviors have been keeping them stuck from the life they want to be living.
I have a passion for helping people embody and cherish their truest selves and develop long-lasting, healthy relationships. In therapy, my goal is to partner with clients to help them achieve their personal goals and move towards their most fulfilling life. The most important thing to me as a therapist is that my clients feel safe to be fully themselves. I strive to provide an empowering, non-judgmental setting for children, teens, and adults alike. I hope to help my clients identify ways in which their beliefs, thoughts, or behaviors have been keeping them stuck from the life they want to be living.
(833) 545-1338 View (833) 545-1338
Photo of Sarah Senst, LPC, LPCS, Licensed Professional Counselor
Sarah Senst
Licensed Professional Counselor, LPC, LPCS
Verified Verified
I help people feel better. I hear clients say they feel "stuck", "unsure", "confused", "anxious" and/or "afraid". Many of them don’t feel very good about themselves. This can cause problems in their relationships, on their job, not feeling motivated or becoming unable to take joy in everyday activities. My clients typically want to make it through a day without anxiety, to not feel so sad everyday and to feel confident! I understand these experiences and have had many of them in my past. With an excellent therapist and fantastic coaches along the way, I’ve learned, healed and grown. And you can to!
I help people feel better. I hear clients say they feel "stuck", "unsure", "confused", "anxious" and/or "afraid". Many of them don’t feel very good about themselves. This can cause problems in their relationships, on their job, not feeling motivated or becoming unable to take joy in everyday activities. My clients typically want to make it through a day without anxiety, to not feel so sad everyday and to feel confident! I understand these experiences and have had many of them in my past. With an excellent therapist and fantastic coaches along the way, I’ve learned, healed and grown. And you can to!
(720) 605-5551 View (720) 605-5551
Photo of Keith David Long - Keith Long, LPC, LLC, MA, LPC, Licensed Professional Counselor
Keith Long, LPC, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Aurora, CO 80014  (Online Only)
I have over 15 years of experience as a Licensed Professional Counselor. I enjoy working with individuals, couples and families, adults and adolescents.I can assist you if you are feeling stuck, depressed, anxious, distressed in relationships, dealing with, trauma, PTSD, grief/loss or life transitions. My style is collaborative and strength-based focusing on personal accomplishments. I make use of person-centered, cognitive, and brief solution-focused therapy to identify causes contributing to problems in emotions, behaviors, and relationships. This approach helps clients to find solutions to their most concerning personal issues.
I have over 15 years of experience as a Licensed Professional Counselor. I enjoy working with individuals, couples and families, adults and adolescents.I can assist you if you are feeling stuck, depressed, anxious, distressed in relationships, dealing with, trauma, PTSD, grief/loss or life transitions. My style is collaborative and strength-based focusing on personal accomplishments. I make use of person-centered, cognitive, and brief solution-focused therapy to identify causes contributing to problems in emotions, behaviors, and relationships. This approach helps clients to find solutions to their most concerning personal issues.
(303) 816-3268 View (303) 816-3268
1
...

See more therapy options for Arapahoe County

How does your Therapist compare?

Number of Therapists in Arapahoe County, CO

2,000+

Average cost per session

$144

Therapists in Arapahoe County, CO who prioritize treating:

93% Anxiety
87% Depression
76% Relationship Issues
75% Trauma and PTSD
74% Self Esteem
69% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

75% Aetna
67% Cigna and Evernorth
67% UnitedHealthcare UHC | UBH

How Therapists in Arapahoe County, CO see their clients

71% In Person and Online
29% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Arapahoe County?

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.