Therapists in Lulu, FL

Photo of Danielle Beatt, LCSW, Clinical Social Work/Therapist
Danielle Beatt
Clinical Social Work/Therapist, LCSW
Verified Verified
Lulu, FL 32061
My name is Danielle Bloch Beatt, and I am a Licensed Clinical Social Worker based in Sarasota, Florida. I am passionate about helping people navigate the emotional challenges in their lives in a warm, compassionate, and non-judgemental way. As our lives have become increasingly complex, more and more we are becoming anxious, depressed, lonely, and confused about how to navigate relationships. I love working with young adults and people in transitional phases of life. Major life changes such as college graduation, taking a new job, having a baby, or moving to a new city can be especially stressful.
My name is Danielle Bloch Beatt, and I am a Licensed Clinical Social Worker based in Sarasota, Florida. I am passionate about helping people navigate the emotional challenges in their lives in a warm, compassionate, and non-judgemental way. As our lives have become increasingly complex, more and more we are becoming anxious, depressed, lonely, and confused about how to navigate relationships. I love working with young adults and people in transitional phases of life. Major life changes such as college graduation, taking a new job, having a baby, or moving to a new city can be especially stressful.
(786) 983-5479 View (786) 983-5479

More Therapists Nearby

Photo of Jessica Bechtold - CDS Family and Behavioral Health Services
CDS Family and Behavioral Health Services
Verified Verified
Lake City, FL 32025
All CDS Family and Behavioral Health services are FREE of cost to families and youth. CDS provides free non-residential prevention counseling services and short-term residential stays for youth ages 6-17 (Non-residential) and 10-17 (residential) and their families. One of the main goals of our programs is prevention. To this, we try to address the problematic behaviors before they are beyond the control of the youth or the parent. Non Residential provides 12 weeks of free counseling and/or Case management for ungovernable or at risk youth while also working with the family system.
All CDS Family and Behavioral Health services are FREE of cost to families and youth. CDS provides free non-residential prevention counseling services and short-term residential stays for youth ages 6-17 (Non-residential) and 10-17 (residential) and their families. One of the main goals of our programs is prevention. To this, we try to address the problematic behaviors before they are beyond the control of the youth or the parent. Non Residential provides 12 weeks of free counseling and/or Case management for ungovernable or at risk youth while also working with the family system.
(352) 499-1283 View (352) 499-1283
Photo of Sally Haynes, LCMHC, LCAS-A, EMDR, Counselor
Sally Haynes
Counselor, LCMHC, LCAS-A, EMDR
Verified Verified
1 Endorsed
Lake City, FL 32025
I offer structured outpatient individual and group counseling for those adolescents and adults who struggle with life and all it's challenges. I believe that all people are able to make positive changes in their lives and find the lifestyle they desire. I strive to enhance and restore the worth and dignity of all individuals in need of counseling services.
I offer structured outpatient individual and group counseling for those adolescents and adults who struggle with life and all it's challenges. I believe that all people are able to make positive changes in their lives and find the lifestyle they desire. I strive to enhance and restore the worth and dignity of all individuals in need of counseling services.
(904) 454-8599 View (904) 454-8599
Photo of Jaime R Picanol, PsyD, CCTP, Psychologist
Jaime R Picanol
Psychologist, PsyD, CCTP
Verified Verified
Lake City, FL 32024
Not accepting new clients
Life can present itself with challenging situations that can overwhelm our capacity to cope and to even be unable to realize that something is not right. Reach out for help and never lose hope; the Sun always rises! My focus is to help people find themselves and become the artist of their life.
Life can present itself with challenging situations that can overwhelm our capacity to cope and to even be unable to realize that something is not right. Reach out for help and never lose hope; the Sun always rises! My focus is to help people find themselves and become the artist of their life.
(786) 629-1919 View (786) 629-1919
Photo of Burton David Burt - Recovery Awareness LLC, LMHC, MCAP, SAP, SAE, Counselor
Recovery Awareness LLC
Counselor, LMHC, MCAP, SAP, SAE
Verified Verified
Lake City, FL 32024
An ideal client recognizes their substance use has become problematic and is motivated to make positive changes. They may face physical, emotional, and interpersonal issues and feel overwhelmed. Services they may require include diagnosis, counseling, group therapy, and referrals for additional resources. Their goals may include abstinence, physical/mental health improvement, relationship repair, and healthy coping strategies. Motivations for seeking help vary, but clients must have a desire for a fulfilling life free from negative consequences of substance abuse. Support and empowerment are essential in the journey to recovery.
An ideal client recognizes their substance use has become problematic and is motivated to make positive changes. They may face physical, emotional, and interpersonal issues and feel overwhelmed. Services they may require include diagnosis, counseling, group therapy, and referrals for additional resources. Their goals may include abstinence, physical/mental health improvement, relationship repair, and healthy coping strategies. Motivations for seeking help vary, but clients must have a desire for a fulfilling life free from negative consequences of substance abuse. Support and empowerment are essential in the journey to recovery.
(352) 415-2472 View (352) 415-2472
John Philip Frazier
Clinical Social Work/Therapist, MSW, ACSW, LCSW, BCD
Verified Verified
Lake City, FL 32055
I have been in the profession of helping people for 36 years. It is my approach to treat the whole person not just the symptoms. In that regard we begin a process that resolves not only the symptoms they present to me, but returns to them the feeling of being alive and in command of their own lives in a fashion that allows them to have healthy relationships, function well in their jobs and work, and have a positive sense of themselves.
I have been in the profession of helping people for 36 years. It is my approach to treat the whole person not just the symptoms. In that regard we begin a process that resolves not only the symptoms they present to me, but returns to them the feeling of being alive and in command of their own lives in a fashion that allows them to have healthy relationships, function well in their jobs and work, and have a positive sense of themselves.
(352) 678-6116 View (352) 678-6116
Photo of Susan Lane, LMFT, Marriage & Family Therapist
Susan Lane
Marriage & Family Therapist, LMFT
Verified Verified
Lake City, FL 32055
I've been a therapist for over 25 years. I have helped many through broken hearts, troubled marriages, victims of trauma and narcissistic abuse, and healing from toxic behaviors and patterns. I have a no-nonsense, straight-to-the-point style that helps people want to see immediate results that will save you money and time. I also have a good listening ear and compassion to help sort out your issues, so you can feel supported and guided to be the best you can be.
I've been a therapist for over 25 years. I have helped many through broken hearts, troubled marriages, victims of trauma and narcissistic abuse, and healing from toxic behaviors and patterns. I have a no-nonsense, straight-to-the-point style that helps people want to see immediate results that will save you money and time. I also have a good listening ear and compassion to help sort out your issues, so you can feel supported and guided to be the best you can be.
(727) 947-1834 View (727) 947-1834
Photo of Josey S Corbett - Oasis of Hope Therapy, LLC, LCSW, Clinical Social Work/Therapist
Oasis of Hope Therapy, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Lake City, FL 32025
Hello, my name is Josey S Corbett, LCSW and I am the owner of Oasis of Hope Therapy, LLC. We are a group of collaborative therapists serving Columbia and Suwannee Counties in North Florida. Each of us specializes in different areas. Most of us use a strength based perspective and we have experience treating many different Mental Health concerns. We are also gearing up to offer groups and trainings to serve more people in need. Reach out today and let us match you with a therapist who will meet your needs.
Hello, my name is Josey S Corbett, LCSW and I am the owner of Oasis of Hope Therapy, LLC. We are a group of collaborative therapists serving Columbia and Suwannee Counties in North Florida. Each of us specializes in different areas. Most of us use a strength based perspective and we have experience treating many different Mental Health concerns. We are also gearing up to offer groups and trainings to serve more people in need. Reach out today and let us match you with a therapist who will meet your needs.
(386) 703-9892 View (386) 703-9892
Photo of Lauren W DePaola - Better Beginnings, MSW, LCSW, Clinical Social Work/Therapist
Better Beginnings
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lake City, FL 32025
LOCATIONS IN ALACHUA AND ORANGE PARK/JACKSONVILLE. Better Beginnings is Florida's premier practice specializing in mental health surrounding fertility, pregnancy, loss and early parenting years. Our levels of care include prenatal preparation, traditional weekly outpatient visits and Florida's first Mother/Baby Partial Hospitalization Program (an intensive, outpatient day program). All of our team have received additional training and education in working during the time of pregnancy and postpartum. We look forward to partnering with you in your care.
LOCATIONS IN ALACHUA AND ORANGE PARK/JACKSONVILLE. Better Beginnings is Florida's premier practice specializing in mental health surrounding fertility, pregnancy, loss and early parenting years. Our levels of care include prenatal preparation, traditional weekly outpatient visits and Florida's first Mother/Baby Partial Hospitalization Program (an intensive, outpatient day program). All of our team have received additional training and education in working during the time of pregnancy and postpartum. We look forward to partnering with you in your care.
(386) 518-6089 View (386) 518-6089
Photo of Jessica Brown, LCSW, Clinical Social Work/Therapist
Jessica Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Lake City, FL 32024  (Online Only)
Have you ever felt like you cannot find the energy or motivation to do the most basic tasks? Or constantly going over the "what-ifs" in your mind? Have you ever struggled with losing someone that you love and feel as if you will never make it out of the fog? Have you experienced a traumatic event and need help managing the thoughts and feelings that come up after the experience? Are you feeling stuck in your life, or just listless? Are you struggling with substance abuse and the impact of usage in your professional and/or personal life? Do you have a history of self-harm or self-harming thoughts?
Have you ever felt like you cannot find the energy or motivation to do the most basic tasks? Or constantly going over the "what-ifs" in your mind? Have you ever struggled with losing someone that you love and feel as if you will never make it out of the fog? Have you experienced a traumatic event and need help managing the thoughts and feelings that come up after the experience? Are you feeling stuck in your life, or just listless? Are you struggling with substance abuse and the impact of usage in your professional and/or personal life? Do you have a history of self-harm or self-harming thoughts?
(352) 308-1993 View (352) 308-1993
Photo of Kellie Foster, MS, LMHC, Counselor
Kellie Foster
Counselor, MS, LMHC
Verified Verified
Lake City, FL 32025  (Online Only)
Hello, and welcome. I would first like to acknowledge your strength and courage in taking this step toward making your mental health and wellness a priority. I view therapy as a collaborative partnership, in which the therapeutic alliance sets the foundation for successful outcomes. As an integrated therapist, I reject a “one size fits all” approach. I draw from various modalities as necessitated by the presenting issue, and believe that techniques should be tailored to individualized needs. I seek to minimize “labeling,” and strive to make a genuine human connection with clients as they share their unique worldview and experiences.
Hello, and welcome. I would first like to acknowledge your strength and courage in taking this step toward making your mental health and wellness a priority. I view therapy as a collaborative partnership, in which the therapeutic alliance sets the foundation for successful outcomes. As an integrated therapist, I reject a “one size fits all” approach. I draw from various modalities as necessitated by the presenting issue, and believe that techniques should be tailored to individualized needs. I seek to minimize “labeling,” and strive to make a genuine human connection with clients as they share their unique worldview and experiences.
(386) 753-3015 View (386) 753-3015
Photo of David Leland Patrick, LCSW, Clinical Social Work/Therapist
David Leland Patrick
Clinical Social Work/Therapist, LCSW
Verified Verified
Lake City, FL 32025
I am the type of therapist that meets my clients where they are. I am easy going and do not have an agenda. I think my clients are the experts on themselves. I create a warm and encouraging aura that helps clients discover there problem area's and then I guide and accompany them on a journey to bring clarity, hope, and peace.
I am the type of therapist that meets my clients where they are. I am easy going and do not have an agenda. I think my clients are the experts on themselves. I create a warm and encouraging aura that helps clients discover there problem area's and then I guide and accompany them on a journey to bring clarity, hope, and peace.
(406) 380-3951 View (406) 380-3951
Photo of Helen Roberts, MSE, LMHC, CSAT, NCMHCE, LCPC, Counselor
Helen Roberts
Counselor, MSE, LMHC, CSAT, NCMHCE, LCPC
Verified Verified
1 Endorsed
Lake City, FL 32025
Hi! My name is Helen Roberts and I am a Licensed Mental Health Counselor in Florida, Wisconsin, Michigan, and Iowa. I’ve been counseling children, teens, adults, couples, and families for over 20 years - But in my experience, that’s not really what you want to know. What you really want to know is can I help you? And is there hope for things to change for you? As a matter of fact, there is and I hope you’ll give me an opportunity to take that journey towards healing and empowerment with you. We can change the direction of your life right now and give you hope and power again!
Hi! My name is Helen Roberts and I am a Licensed Mental Health Counselor in Florida, Wisconsin, Michigan, and Iowa. I’ve been counseling children, teens, adults, couples, and families for over 20 years - But in my experience, that’s not really what you want to know. What you really want to know is can I help you? And is there hope for things to change for you? As a matter of fact, there is and I hope you’ll give me an opportunity to take that journey towards healing and empowerment with you. We can change the direction of your life right now and give you hope and power again!
(941) 213-8988 View (941) 213-8988
Photo of Emily Franck Hoon, PhD, Psychologist
Emily Franck Hoon
Psychologist, PhD
Verified Verified
1 Endorsed
Lake City, FL 32055
"Challenges are what make life interesting; overcoming them is what makes life meaningful" Joshua J Marine Life is full of twists, turns, peeks, and valleys. That is what makes it such an adventure. Like all adventures obstacles can get in the way, preventing us from moving forward, leaving us confused and feeling alone. Are you finding yourself blocked by circumstances, distressing emotions or challenging personal or professional relationships? Please know that you don't have to go it alone. Allow me to walk with you through those times. Through psychotherapy you can take charge and improve your quality of life.
"Challenges are what make life interesting; overcoming them is what makes life meaningful" Joshua J Marine Life is full of twists, turns, peeks, and valleys. That is what makes it such an adventure. Like all adventures obstacles can get in the way, preventing us from moving forward, leaving us confused and feeling alone. Are you finding yourself blocked by circumstances, distressing emotions or challenging personal or professional relationships? Please know that you don't have to go it alone. Allow me to walk with you through those times. Through psychotherapy you can take charge and improve your quality of life.
(352) 577-0905 View (352) 577-0905
Photo of Jessica Delgatto, LMHC, Counselor
Jessica Delgatto
Counselor, LMHC
Verified Verified
Lake City, FL 32025
I am a licensed clinical mental health therapist in the state of Florida and Wyoming. I approach therapy by developing a collaborative approach to meet your needs and develop goals. My practice focus is on areas of trauma recovery, anxiety, relationships, and those negatively impacted by trauma/abuse aspects from engagement in social media/technology. I work with all ages though have specialization with children, adolescents, and young adults. I look forward to hearing from you.
I am a licensed clinical mental health therapist in the state of Florida and Wyoming. I approach therapy by developing a collaborative approach to meet your needs and develop goals. My practice focus is on areas of trauma recovery, anxiety, relationships, and those negatively impacted by trauma/abuse aspects from engagement in social media/technology. I work with all ages though have specialization with children, adolescents, and young adults. I look forward to hearing from you.
(786) 983-6902 View (786) 983-6902
Photo of Aliyatta P. Weston, MS, LMHC, CEAP, SAP, Counselor
Aliyatta P. Weston
Counselor, MS, LMHC, CEAP, SAP
Verified Verified
1 Endorsed
Lake City, FL 32025  (Online Only)
Welcome to a safe space for healing & self-discovery!I'm here to support you on your journey towards a happier & more fulfilled life. My passion lies in helping those who are dedicated to self-improvement & seeking guidance on a path to healing. Life is often challenging, we all face obstacles that can take a toll on our mental health. Whether it's difficult relationships, life transitions, past traumas, or ups and downs that come with being human, it's completely natural to experience moments of doubt & struggle. It's during these times that I want to extend my hand to help you find your way back to a place of balance and strength.
Welcome to a safe space for healing & self-discovery!I'm here to support you on your journey towards a happier & more fulfilled life. My passion lies in helping those who are dedicated to self-improvement & seeking guidance on a path to healing. Life is often challenging, we all face obstacles that can take a toll on our mental health. Whether it's difficult relationships, life transitions, past traumas, or ups and downs that come with being human, it's completely natural to experience moments of doubt & struggle. It's during these times that I want to extend my hand to help you find your way back to a place of balance and strength.
(352) 254-3743 View (352) 254-3743
Photo of Monica R Grey - Florida Acupuncture and Counseling, Inc., LCSW, LMT, Clinical Social Work/Therapist
Florida Acupuncture and Counseling, Inc.
Clinical Social Work/Therapist, LCSW, LMT
Verified Verified
Lake City, FL 32055
My career as a therapist, since 1993, along with my life experience, and study of both traditional, and complementary modalities, has provided me with the skills, insight, and ability to work with a diverse population. We live in challenging times. We are often faced with life situations that are difficult to deal with. By helping clients to address issues, supporting them to find their own answers, as well as providing helpful tools to improve coping, symptoms of depression and anxiety can be reduced or eliminated. My goal is to help you to live a better life, enjoy your relationships and families, and work efficiently.
My career as a therapist, since 1993, along with my life experience, and study of both traditional, and complementary modalities, has provided me with the skills, insight, and ability to work with a diverse population. We live in challenging times. We are often faced with life situations that are difficult to deal with. By helping clients to address issues, supporting them to find their own answers, as well as providing helpful tools to improve coping, symptoms of depression and anxiety can be reduced or eliminated. My goal is to help you to live a better life, enjoy your relationships and families, and work efficiently.
(352) 535-0982 View (352) 535-0982
Photo of Bruce Evan Jennings - Bruce Jennings at Sarkis Family Psychiatry, LMHC, Counselor
Bruce Jennings at Sarkis Family Psychiatry
Counselor, LMHC
Verified Verified
Lake City, FL 32025
My name is Bruce Jennings. I am currently seeing clients virtually and in-office at Sarkis Family Psychiatry in Gainesville, Florida. I have provided counseling services since 1983. I am confident in my ability to help children, adolescents and adults who are struggling with depression, anxiety, anger, ADHD, and relationship challenges (including those related to ADHD).
My name is Bruce Jennings. I am currently seeing clients virtually and in-office at Sarkis Family Psychiatry in Gainesville, Florida. I have provided counseling services since 1983. I am confident in my ability to help children, adolescents and adults who are struggling with depression, anxiety, anger, ADHD, and relationship challenges (including those related to ADHD).
(352) 453-8792 View (352) 453-8792
Photo of Amanda Nicole Bailey - Willow Tree Therapy Services, LLC, MS, LMHC, RPT, Counselor
Willow Tree Therapy Services, LLC
Counselor, MS, LMHC, RPT
Verified Verified
1 Endorsed
Lake City, FL 32055
I offer individual mental health counseling to children, adolescents, and families. Children can often times be difficult for adults to understand. Even those children who act like "little grownups" need help communicating their needs and feelings in a developmentally appropriate way. At times we have to uncover those challenging feelings that are suppressed, which become the root of problematic symptoms. When facing difficulties, the entire family system can be impacted. I believe people are so resilient and have the inherent capability to work towards healing and growth when provided with a safe and supportive space.
I offer individual mental health counseling to children, adolescents, and families. Children can often times be difficult for adults to understand. Even those children who act like "little grownups" need help communicating their needs and feelings in a developmentally appropriate way. At times we have to uncover those challenging feelings that are suppressed, which become the root of problematic symptoms. When facing difficulties, the entire family system can be impacted. I believe people are so resilient and have the inherent capability to work towards healing and growth when provided with a safe and supportive space.
(904) 685-4379 View (904) 685-4379
Photo of Amanda Manske - Sacred Wings Counseling, LCSW, CCTP, RPT, TPC, Clinical Social Work/Therapist
Sacred Wings Counseling
Clinical Social Work/Therapist, LCSW, CCTP, RPT, TPC
Verified Verified
Lake City, FL 32025
I have a passion for helping people work through life challenges that can have a deep impact on emotions. Finding the right therapist can be tricky at times. We all have different personalities and approaches to life. There is power in recognizing you need help and asking for it. As a Licensed Clinical Social Worker, Certified Clinical Trauma Professional and Registered Play Therapist, I offer individual and group therapy. (A4PT.org)
I have a passion for helping people work through life challenges that can have a deep impact on emotions. Finding the right therapist can be tricky at times. We all have different personalities and approaches to life. There is power in recognizing you need help and asking for it. As a Licensed Clinical Social Worker, Certified Clinical Trauma Professional and Registered Play Therapist, I offer individual and group therapy. (A4PT.org)
(386) 800-2011 View (386) 800-2011

How does your Therapist compare?

Number of Therapists in Lulu, FL

< 10

Therapists in Lulu, FL who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Life Coaching
100% Grief
100% Divorce
100% Career Counseling

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in Lulu, FL see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Lulu?

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.