Therapists in East Greenwich, RI

Photo of Tara Monteiro, LCSW, Clinical Social Work/Therapist
Tara Monteiro
Clinical Social Work/Therapist, LCSW
Verified Verified
East Greenwich, RI 02818
Tara Monteiro Is A Licensed Clinical Social Worker In Rhode Island Who Has Been Practicing Since 2023. Tara Offers Collaborative, Client-Centered, Empathetic, And Trauma-Recovery Focused Therapy With An Emphasis On Human Empowerment And Quality Of Life. She Aims To Help Clients Heal Inner Wounds And Uncover Their Purpose While Leading With Compassion And Genuine Positive Regard. The Hope Is For Clients To Unlock Self-Love And Feel Limitless In The Preferred Futures That They Can Create For Themselves. Outside Of Work, Tara Enjoys Martial Arts, Scuba Diving And Reading.
Tara Monteiro Is A Licensed Clinical Social Worker In Rhode Island Who Has Been Practicing Since 2023. Tara Offers Collaborative, Client-Centered, Empathetic, And Trauma-Recovery Focused Therapy With An Emphasis On Human Empowerment And Quality Of Life. She Aims To Help Clients Heal Inner Wounds And Uncover Their Purpose While Leading With Compassion And Genuine Positive Regard. The Hope Is For Clients To Unlock Self-Love And Feel Limitless In The Preferred Futures That They Can Create For Themselves. Outside Of Work, Tara Enjoys Martial Arts, Scuba Diving And Reading.
(401) 389-3951 View (401) 389-3951
Photo of Carolyn Crews Forden, MS, LMFT, Marriage & Family Therapist
Carolyn Crews Forden
Marriage & Family Therapist, MS, LMFT
Verified Verified
East Greenwich, RI 02818  (Online Only)
***Currently accepting individuals, telehealth only*** Cheers to you for taking your first step toward the changes you seek. There is powerful scientific evidence that therapy works. You can learn better ways to relate to friends and family, approach conflict, identify and prioritize steps toward your life goals, or change patterns that keep you stuck. Using warmth and positive regard, I will work with you to establish an environment conducive to trust and willingness to lean into change. My approach will balance listening with gentle and transparent challenging of unproductive patterns of thinking and acting.
***Currently accepting individuals, telehealth only*** Cheers to you for taking your first step toward the changes you seek. There is powerful scientific evidence that therapy works. You can learn better ways to relate to friends and family, approach conflict, identify and prioritize steps toward your life goals, or change patterns that keep you stuck. Using warmth and positive regard, I will work with you to establish an environment conducive to trust and willingness to lean into change. My approach will balance listening with gentle and transparent challenging of unproductive patterns of thinking and acting.
(401) 375-5628 View (401) 375-5628
Photo of Alycia Bedrosian Hatch - Shine the Light Healing and Wellness, LICSW, AAT, MSCJ, Clinical Social Work/Therapist
Shine the Light Healing and Wellness
Clinical Social Work/Therapist, LICSW, AAT, MSCJ
Verified Verified
East Greenwich, RI 02818
Shine the Light is currently accepting new referrals for adults and children, for individual, couple, and/or family sessions. We have daytime, afternoon/after-school, evening, and Saturday morning availability for both in person and Telehealth. We are also accepting new referrals for psychiatric medication management, with our psychiatric nurse practitioner.
Shine the Light is currently accepting new referrals for adults and children, for individual, couple, and/or family sessions. We have daytime, afternoon/after-school, evening, and Saturday morning availability for both in person and Telehealth. We are also accepting new referrals for psychiatric medication management, with our psychiatric nurse practitioner.
(401) 409-8723 View (401) 409-8723
Photo of Elizabeth Crowell, MSW,  LICSW, Clinical Social Work/Therapist
Elizabeth Crowell
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
East Greenwich, RI 02818
Elizabeth Crowell is a Licensed Independent Clinical Social Worker in Rhode Island who has been practicing since 2021. She attended Rhode Island College for her Bachelors and Masters and is excited to begin her doctoral studies this Fall at the University of Pennsylvania in Clinical Social Work. Elizabeth offers a client centered approach. She recognizes where the client is at in their healing journey and meets them where they are ready. Along the way, Elizabeth recognizes and highlights clients’ strengths and finds a way to incorporate those strengths into their treatment.
Elizabeth Crowell is a Licensed Independent Clinical Social Worker in Rhode Island who has been practicing since 2021. She attended Rhode Island College for her Bachelors and Masters and is excited to begin her doctoral studies this Fall at the University of Pennsylvania in Clinical Social Work. Elizabeth offers a client centered approach. She recognizes where the client is at in their healing journey and meets them where they are ready. Along the way, Elizabeth recognizes and highlights clients’ strengths and finds a way to incorporate those strengths into their treatment.
(401) 266-3769 View (401) 266-3769
Photo of Grace Dulude, MA, LMHC, Counselor
Grace Dulude
Counselor, MA, LMHC
Verified Verified
East Greenwich, RI 02818
If you find yourself asking the questions, Why am I still doing this stuff when I know it doesn't work, When will I feel better and when will things be different, then I feel that I can help you on your journey to healing. I am a holistic therapist and yoga teacher incorporating a mind, body and spirit approach to therapy. I believe in providing a safe and supportive space to allow for my clients to access their inner wisdom and intuition to guide them in their process.
If you find yourself asking the questions, Why am I still doing this stuff when I know it doesn't work, When will I feel better and when will things be different, then I feel that I can help you on your journey to healing. I am a holistic therapist and yoga teacher incorporating a mind, body and spirit approach to therapy. I believe in providing a safe and supportive space to allow for my clients to access their inner wisdom and intuition to guide them in their process.
(401) 218-0958 View (401) 218-0958
Photo of Mary Onungwe, LMHC, Clinical Social Work/Therapist
Mary Onungwe
Clinical Social Work/Therapist, LMHC
Verified Verified
East Greenwich, RI 02818
Mary Onungwe, PhD, LMHC graduated from North Dakota State University in 2015. Areas of specialization include mental health, substance use disorders and career guidance. Integrated approach to counseling practices are utilized in navigating sessions with clients and their families. Hobbies include traveling, walking and fellowshipping with friends/family members.
Mary Onungwe, PhD, LMHC graduated from North Dakota State University in 2015. Areas of specialization include mental health, substance use disorders and career guidance. Integrated approach to counseling practices are utilized in navigating sessions with clients and their families. Hobbies include traveling, walking and fellowshipping with friends/family members.
(401) 812-2549 View (401) 812-2549
Photo of Lisa Davis, M Ed, MS, LMHC, Counselor
Lisa Davis
Counselor, M Ed, MS, LMHC
Verified Verified
East Greenwich, RI 02818
I offer a custom approach for each of my clients! I start with understanding where you are now and the challenges you are facing. I help you put a plan in place to help you move forward, and we celebrate your successes along the way. I offer an inclusive, safe space with virtual appointments to suit your schedule. Helping people live a better life is my passion. It might mean learning to set boundaries, working through a loss, life transition or helping you change a pattern of behaviour that is keeping you stuck. My goal is to help you feel better so you can live the life you’ve always dreamed of!
I offer a custom approach for each of my clients! I start with understanding where you are now and the challenges you are facing. I help you put a plan in place to help you move forward, and we celebrate your successes along the way. I offer an inclusive, safe space with virtual appointments to suit your schedule. Helping people live a better life is my passion. It might mean learning to set boundaries, working through a loss, life transition or helping you change a pattern of behaviour that is keeping you stuck. My goal is to help you feel better so you can live the life you’ve always dreamed of!
(401) 216-4411 View (401) 216-4411
Photo of Lauren Miller, LCSW, Clinical Social Work/Therapist
Lauren Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
East Greenwich, RI 02818
I’m passionate about helping individuals, couples, and families navigate the complexities of their relationships and emotions. With a decade of experience, I specialize in treatment of anxiety, family therapy (including couples and co-parenting), and support through life transitions including pregnancy/postpartum and young adulthood. I believe in the potential for growth and healing, and I provide a a welcoming space for open communication and understanding. I help individuals and families explore their dynamics, improve communication, foster deeper connections, and create actionable plans.
I’m passionate about helping individuals, couples, and families navigate the complexities of their relationships and emotions. With a decade of experience, I specialize in treatment of anxiety, family therapy (including couples and co-parenting), and support through life transitions including pregnancy/postpartum and young adulthood. I believe in the potential for growth and healing, and I provide a a welcoming space for open communication and understanding. I help individuals and families explore their dynamics, improve communication, foster deeper connections, and create actionable plans.
(401) 593-8312 View (401) 593-8312
Photo of Peter Gray, LICSW, Clinical Social Work/Therapist
Peter Gray
Clinical Social Work/Therapist, LICSW
Verified Verified
East Greenwich, RI 02818  (Online Only)
Now accepting adult, young adult, and adolescent clients for online therapy, I provide compassionate and personalized guidance for those dealing with anxiety, depression, relationship and family challenges, and substance use. I believe in creating a collaborative and trusting partnership where you can openly explore your thoughts and feelings. Together, you’ll engage in honest, focused conversations that cut through the noise, helping you to understand what truly matters and develop practical strategies for moving forward. In evening sessions, I offers a supportive space where you can tackle difficult emotions head-on,
Now accepting adult, young adult, and adolescent clients for online therapy, I provide compassionate and personalized guidance for those dealing with anxiety, depression, relationship and family challenges, and substance use. I believe in creating a collaborative and trusting partnership where you can openly explore your thoughts and feelings. Together, you’ll engage in honest, focused conversations that cut through the noise, helping you to understand what truly matters and develop practical strategies for moving forward. In evening sessions, I offers a supportive space where you can tackle difficult emotions head-on,
(401) 307-5314 View (401) 307-5314
Photo of Kimberly Endres, CAGS, LMHC, Counselor
Kimberly Endres
Counselor, CAGS, LMHC
Verified Verified
East Greenwich, RI 02818  (Online Only)
Not accepting new clients
Welcome, I am a compassionate therapist, ready to help you overcome any life difficulties that you may be experiencing. I work with a broad spectrum of clients in private practice. I particularly enjoy working with women going through some sort of life transition or daily life stressor and those looking to find better balance in their life(ie: work/ life balance, transition to parenthood, relationship guidance, transition to college or the work force, living a healthier lifestyle through diet and exercise, burnout, worry, and those just dealing with daily stress.
Welcome, I am a compassionate therapist, ready to help you overcome any life difficulties that you may be experiencing. I work with a broad spectrum of clients in private practice. I particularly enjoy working with women going through some sort of life transition or daily life stressor and those looking to find better balance in their life(ie: work/ life balance, transition to parenthood, relationship guidance, transition to college or the work force, living a healthier lifestyle through diet and exercise, burnout, worry, and those just dealing with daily stress.
(401) 433-7257 View (401) 433-7257
Photo of Melanie Clifford, LICSW, Clinical Social Work/Therapist
Melanie Clifford
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
East Greenwich, RI 02818
A "Licensed Independent Clinical Social Worker" who specializes in working with adults, adolescents, and couples. I have over 15 years experience working in community mental health and substance abuse agencies. I have been in private practice for over 10 years. My specialties include depression, anxiety/panic attacks, obsessive compulsive disorder, bipolar disorder, substance abuse, relationship difficulties, social skills, trauma/PTSD, grief/loss, self-esteem, conflict resolution and stress management.
A "Licensed Independent Clinical Social Worker" who specializes in working with adults, adolescents, and couples. I have over 15 years experience working in community mental health and substance abuse agencies. I have been in private practice for over 10 years. My specialties include depression, anxiety/panic attacks, obsessive compulsive disorder, bipolar disorder, substance abuse, relationship difficulties, social skills, trauma/PTSD, grief/loss, self-esteem, conflict resolution and stress management.
(401) 293-2271 View (401) 293-2271
Photo of Alexandra Szabo, LMHC, Counselor
Alexandra Szabo
Counselor, LMHC
Verified Verified
East Greenwich, RI 02818
Not accepting new clients
I am a Rhode Island and Massachusetts Licensed Mental Health Counselor with over fifteen years of experience. I have extensive training servicing all populations however specializes in the treatment of at-risk adolescents and their families through both individual and family based therapy.
I am a Rhode Island and Massachusetts Licensed Mental Health Counselor with over fifteen years of experience. I have extensive training servicing all populations however specializes in the treatment of at-risk adolescents and their families through both individual and family based therapy.
(401) 200-4162 View (401) 200-4162
Photo of Michelle Solitro, MS, LMFT, Marriage & Family Therapist
Michelle Solitro
Marriage & Family Therapist, MS, LMFT
Verified Verified
East Greenwich, RI 02818
I am a Licensed Marriage and Family Therapist who specializes in working with children, adolescents, adults, families and couples. I have 16+ years experience working in schools, community mental health, a hospital and a group private practice providing home based, outpatient and day treatment therapy. My specialties include the treatment of anxiety and panic attacks, depression, self-injurious behavior, obsessive compulsive disorder, bipolar disorder, attention and behavioral problems, post traumatic stress disorder, parenting skills, social skills, trauma, anger management, low self esteem and relationship difficulties.
I am a Licensed Marriage and Family Therapist who specializes in working with children, adolescents, adults, families and couples. I have 16+ years experience working in schools, community mental health, a hospital and a group private practice providing home based, outpatient and day treatment therapy. My specialties include the treatment of anxiety and panic attacks, depression, self-injurious behavior, obsessive compulsive disorder, bipolar disorder, attention and behavioral problems, post traumatic stress disorder, parenting skills, social skills, trauma, anger management, low self esteem and relationship difficulties.
(401) 386-5392 View (401) 386-5392
Photo of Chelsea Dufault, MS, LMHCA
Chelsea Dufault
MS, LMHCA
Verified Verified
East Greenwich, RI 02818
I have been passionate about being a mental health counselor for as long as I can remember and bring that passion into each session. I strongly believe that we each have the tools inside of us to move towards goals and overcome hardships - Through empathy, understanding, and full commitment to the positive change of each client, I will work alongside you to find those tools. Each client comes to therapy with a unique set of needs and expectations, and I place a lot of importance on making the counseling experience fit the comfort of each individual.
I have been passionate about being a mental health counselor for as long as I can remember and bring that passion into each session. I strongly believe that we each have the tools inside of us to move towards goals and overcome hardships - Through empathy, understanding, and full commitment to the positive change of each client, I will work alongside you to find those tools. Each client comes to therapy with a unique set of needs and expectations, and I place a lot of importance on making the counseling experience fit the comfort of each individual.
(401) 793-6118 View (401) 793-6118
Photo of Perinatal Mental Health Counselor Casey Arena, LMHC, LCDP, PMH-C
Perinatal Mental Health Counselor Casey Arena
Licensed Mental Health Counselor, LMHC, LCDP, PMH-C
Verified Verified
East Greenwich, RI 02818
Whether you're seeking therapy for maternal/perinatal mental health support, or looking to enhance your wellness through mindfulness practices, I am here to guide you on your journey to healing and growth.
Whether you're seeking therapy for maternal/perinatal mental health support, or looking to enhance your wellness through mindfulness practices, I am here to guide you on your journey to healing and growth.
(401) 388-6619 View (401) 388-6619
Photo of Jessica Britto, LMFT, Marriage & Family Therapist Associate
Jessica Britto
Marriage & Family Therapist Associate, LMFT
Verified Verified
4 Endorsed
East Greenwich, RI 02818
My passion is in helping individual's reach their highest potential through living a healthy lifestyle. I believe that therapy is not only beneficial for self health but it also creates this foundation that brings healing to the mind, body and soul. My past experience as a behavioral specialist at an elementary school for several years prior to pursuing a degree as a marriage and family therapist all taught me how to utilize the best evidence based practices in real life settings. As a mom and wife I understand the challenges that families endure and I can help with couples counseling, families, individual and group sessions.
My passion is in helping individual's reach their highest potential through living a healthy lifestyle. I believe that therapy is not only beneficial for self health but it also creates this foundation that brings healing to the mind, body and soul. My past experience as a behavioral specialist at an elementary school for several years prior to pursuing a degree as a marriage and family therapist all taught me how to utilize the best evidence based practices in real life settings. As a mom and wife I understand the challenges that families endure and I can help with couples counseling, families, individual and group sessions.
(401) 812-3243 View (401) 812-3243
Photo of Kristen Bierwirth, PhD, Pre-Licensed Professional
Kristen Bierwirth
Pre-Licensed Professional, PhD
Verified Verified
East Greenwich, RI 02818
Dr. Kristen P. Bierwirth is a nationally certified School Psychologist practicing since 2002 and earned her PhD from Fordham University in 2006. Dr. Bierwirth offers comprehensive psychological testing focused on the identification of learning and behavioral/emotional problems and provides consultation with school districts for special education/504 Plan classification. Outside of work, Dr. Bierwirth enjoys spending time with her husband, twins, and dog, traveling the country and the world, swimming, running/hiking, and yoga.
Dr. Kristen P. Bierwirth is a nationally certified School Psychologist practicing since 2002 and earned her PhD from Fordham University in 2006. Dr. Bierwirth offers comprehensive psychological testing focused on the identification of learning and behavioral/emotional problems and provides consultation with school districts for special education/504 Plan classification. Outside of work, Dr. Bierwirth enjoys spending time with her husband, twins, and dog, traveling the country and the world, swimming, running/hiking, and yoga.
(401) 498-7905 View (401) 498-7905
Photo of Joshua Bell - Joshua Bell, LMHC, Anchor Counseling Center Inc., MA, CAGS, LMHC, Counselor
Joshua Bell, LMHC, Anchor Counseling Center Inc.
Counselor, MA, CAGS, LMHC
Verified Verified
East Greenwich, RI 02818
I am the Assistant Clinical Director for the Anchor Counseling Center Inc. office in East Greenwich, RI. I am currently seeing clients of all ages focusing on an array of different mental health issues including but not limited to: depression, anxiety, ADHD, behavioral issues and relationship problems. I am a licensed mental health counselor who received a Master's degree and a Certificate in advanced graduate studies in mental health counseling from Rhode Island College.
I am the Assistant Clinical Director for the Anchor Counseling Center Inc. office in East Greenwich, RI. I am currently seeing clients of all ages focusing on an array of different mental health issues including but not limited to: depression, anxiety, ADHD, behavioral issues and relationship problems. I am a licensed mental health counselor who received a Master's degree and a Certificate in advanced graduate studies in mental health counseling from Rhode Island College.
(401) 239-1426 View (401) 239-1426
Photo of Josh Czerepica, LMHC, Counselor
Josh Czerepica
Counselor, LMHC
Verified Verified
East Greenwich, RI 02818
Josh Czerepica is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2020. Josh believes very strongly in the power of being truly heard and listened to. For this reason, he puts vigorous emphasis on fostering an authentic relationship and considers this to be the primary catalyst to healing in therapy. Josh takes a person-centered and strengths-based approach in helping people break negative cycles and create positive change in their lives.
Josh Czerepica is a Licensed Mental Health Counselor in Rhode Island who has been practicing since 2020. Josh believes very strongly in the power of being truly heard and listened to. For this reason, he puts vigorous emphasis on fostering an authentic relationship and considers this to be the primary catalyst to healing in therapy. Josh takes a person-centered and strengths-based approach in helping people break negative cycles and create positive change in their lives.
(401) 535-6109 View (401) 535-6109
Photo of Paul M Hoffman, LICSW, Clinical Social Work/Therapist
Paul M Hoffman
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
East Greenwich, RI 02818
I have been a therapist and life coach for more than 40 years. In an age of specialization, I believe that my experience with all ages and all problems gives me a unique perspective on the human condition. There is no textbook on YOU, and I strive to understand each client as an individual with his/her/their own unique life experiences. I've been told that I have a warm, engaging, personal style that makes for a relaxed, comfortable therapeutic environment. New clients can be seen within 24 hours.
I have been a therapist and life coach for more than 40 years. In an age of specialization, I believe that my experience with all ages and all problems gives me a unique perspective on the human condition. There is no textbook on YOU, and I strive to understand each client as an individual with his/her/their own unique life experiences. I've been told that I have a warm, engaging, personal style that makes for a relaxed, comfortable therapeutic environment. New clients can be seen within 24 hours.
(401) 218-0998 View (401) 218-0998

See more therapy options for East Greenwich

How does your Therapist compare?

Number of Therapists in East Greenwich, RI

100+

Average cost per session

$150

Therapists in East Greenwich, RI who prioritize treating:

97% Anxiety
90% Depression
80% Relationship Issues
77% Self Esteem
74% Coping Skills
65% Life Transitions
64% Grief

Average years in practice

12 Years

Top 3 insurances accepted

94% BlueCross and BlueShield
79% UnitedHealthcare UHC | UBH
55% Optum

How Therapists in East Greenwich, RI see their clients

75% In Person and Online
25% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in East Greenwich?

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.