Therapists in Palm Beach, FL

Photo of Dr. Sara Marchon, DSW, LCSW , Clinical Social Work/Therapist
Dr. Sara Marchon
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Palm Beach, FL 33480  (Online Only)
With over 12 years of experience working in the mental health field, I have a strong dedication to meeting individuals where they are and helping create goals to increase emotional health. I work with individuals, families, and couples and provide a safe and empathetic environment to address treatment goals.
With over 12 years of experience working in the mental health field, I have a strong dedication to meeting individuals where they are and helping create goals to increase emotional health. I work with individuals, families, and couples and provide a safe and empathetic environment to address treatment goals.
(702) 766-3463 View (702) 766-3463
Photo of undefined - Lotus Lifestyles, LCSW, QS, Clinical Social Work/Therapist
Lotus Lifestyles
Clinical Social Work/Therapist, LCSW, QS
Verified Verified
Palm Beach, FL 33480  (Online Only)
Not accepting new clients
Life's a blur. Not sure if you're coming or going. Struggling to maintain, much less get ahead. Stressed out. No time for yourself. You've lost sight of your goals and you're not sure how to get back on track. Feeling depressed or anxious about personal growth and transitional periods such as: Relocations, Educational Advancements, Wellness Journeys, Career Transitions/Development, Change in Family or Household Dynamics. Sometimes life can weigh us down. No matter how bad your situation feels, it can change. Lotus Lifestyles offers virtual counseling and support through life's transitions and the issues that arise along the way.
Life's a blur. Not sure if you're coming or going. Struggling to maintain, much less get ahead. Stressed out. No time for yourself. You've lost sight of your goals and you're not sure how to get back on track. Feeling depressed or anxious about personal growth and transitional periods such as: Relocations, Educational Advancements, Wellness Journeys, Career Transitions/Development, Change in Family or Household Dynamics. Sometimes life can weigh us down. No matter how bad your situation feels, it can change. Lotus Lifestyles offers virtual counseling and support through life's transitions and the issues that arise along the way.
(561) 257-5562 View (561) 257-5562
Photo of Molly M Maguire, LCSW, Clinical Social Work/Therapist
Molly M Maguire
Clinical Social Work/Therapist, LCSW
Verified Verified
Palm Beach, FL 33480  (Online Only)
Most of us have learned that “there are no free passes in life.” We are all vulnerable to life’s curveballs. But sometimes we get tired of fielding them by ourselves. That’s where I come in…. Perhaps you, or a loved one, is struggling with anxiety, depression, grief, loss, trauma, or abuse, among other concerns. It does not matter how overwhelming the problem is, healing and growth are always possible. We will work collaboratively by combining your knowledge of the situations you confront, with my professional experience in the healing process of counseling. You’ll see - the possibilities are remarkable.
Most of us have learned that “there are no free passes in life.” We are all vulnerable to life’s curveballs. But sometimes we get tired of fielding them by ourselves. That’s where I come in…. Perhaps you, or a loved one, is struggling with anxiety, depression, grief, loss, trauma, or abuse, among other concerns. It does not matter how overwhelming the problem is, healing and growth are always possible. We will work collaboratively by combining your knowledge of the situations you confront, with my professional experience in the healing process of counseling. You’ll see - the possibilities are remarkable.
(561) 316-2482 View (561) 316-2482
Photo of Holly LaSalle-Ricci, PhD, Psychologist
Holly LaSalle-Ricci
Psychologist, PhD
Verified Verified
4 Endorsed
Palm Beach, FL 33480
Welcome to Ricci Psychology! Our team of psychologists have offices in Palm Beach and Jupiter. My specialty areas are in cognitive-behavioral therapy for the obsessive-compulsive spectrum. While I provide traditional office-based psychotherapy, many patients require tailored treatments specific to their diagnoses. I'm highly successful treating a variety of anxiety-based disorders by offering exposure therapy in clinically relevant settings. Regardless of a patient's diagnosis, I create an individualized treatment plan to help patients reach his or her goals.
Welcome to Ricci Psychology! Our team of psychologists have offices in Palm Beach and Jupiter. My specialty areas are in cognitive-behavioral therapy for the obsessive-compulsive spectrum. While I provide traditional office-based psychotherapy, many patients require tailored treatments specific to their diagnoses. I'm highly successful treating a variety of anxiety-based disorders by offering exposure therapy in clinically relevant settings. Regardless of a patient's diagnosis, I create an individualized treatment plan to help patients reach his or her goals.
(561) 288-8036 View (561) 288-8036
Photo of Dr. Cristina Crego, PhD, Psychologist
Dr. Cristina Crego
Psychologist, PhD
Verified Verified
Palm Beach, FL 33480  (Online Only)
Is managing your stress, anxiety, and panic overwhelming and impacting your quality of life? Do you feel physically and emotionally drained and unable to manage daily tasks? Is it hard to relax or do you struggle with sleep? You deserve to feel happy, capable, and whole again! Together we will identify your inner strengths to overcome the emotional and mental health challenges you are experiencing so that you can feel confident, carefree, and fulfilled. I have over 12 years of experience helping clients who are feeling overwhelmed, burnt out, stuck, and struggling to manage the stress and anxiety present in their lives.
Is managing your stress, anxiety, and panic overwhelming and impacting your quality of life? Do you feel physically and emotionally drained and unable to manage daily tasks? Is it hard to relax or do you struggle with sleep? You deserve to feel happy, capable, and whole again! Together we will identify your inner strengths to overcome the emotional and mental health challenges you are experiencing so that you can feel confident, carefree, and fulfilled. I have over 12 years of experience helping clients who are feeling overwhelmed, burnt out, stuck, and struggling to manage the stress and anxiety present in their lives.
(434) 442-6738 View (434) 442-6738
Photo of Donna Marks, MS, EdD, LMHC, CAP, Counselor
Donna Marks
Counselor, MS, EdD, LMHC, CAP
Verified Verified
Palm Beach, FL 33480
My concierge practice developed from 32 years of experience and work with thousands of patients. My passion is helping people break self-defeating patterns and be able to embrace the life each person desires. The treatment is psychoanalytic and spiritual in nature and requires a deep commitment by both the therapist and the patient. Therapy is designed to heal the past, remove the blocks, and work through resistance. This process requires the willingness to stay engaged in the process until treatment is complete.
My concierge practice developed from 32 years of experience and work with thousands of patients. My passion is helping people break self-defeating patterns and be able to embrace the life each person desires. The treatment is psychoanalytic and spiritual in nature and requires a deep commitment by both the therapist and the patient. Therapy is designed to heal the past, remove the blocks, and work through resistance. This process requires the willingness to stay engaged in the process until treatment is complete.
(561) 288-3914 View (561) 288-3914
Photo of Sharon Katz Rimland, LCSW, Clinical Social Work/Therapist
Sharon Katz Rimland
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Palm Beach, FL 33480
Are you struggling to do what matters to you? Are you triggered by old wounds or perhaps experiencing symptoms that you have never had before? You may feel like your Brain is controlling you with negative messages about yourself and others. It would therefore be helpful to have someone to talk to AND teach you skills that will help you manage these difficult times. Are you a young adult having to live home due to economic and other concerns? You may feel invalidated by your loved ones and need support in order to move forward in your life. Is chronic illness exacerbating your symptoms?
Are you struggling to do what matters to you? Are you triggered by old wounds or perhaps experiencing symptoms that you have never had before? You may feel like your Brain is controlling you with negative messages about yourself and others. It would therefore be helpful to have someone to talk to AND teach you skills that will help you manage these difficult times. Are you a young adult having to live home due to economic and other concerns? You may feel invalidated by your loved ones and need support in order to move forward in your life. Is chronic illness exacerbating your symptoms?
(551) 284-0335 View (551) 284-0335
Photo of Julia Christodoulou, LMHC
Julia Christodoulou
Licensed Mental Health Counselor, LMHC
Verified Verified
1 Endorsed
Palm Beach, FL 33480
Are you feeling tired, depressed, anxious, dissatisfied, or possibly experiencing a difficult life transition? Reaching out for support takes courage. Counseling is an aspect of healthy living that can help restore balance to your life. Gaining clarity through increased awareness helps you learn positive skills and regain hope and confidence. I will walk with you through this process by encouraging self-exploration and by collaboratively creating goals that suit your needs while also promoting healing and lasting change in a safe, comfortable environment.
Are you feeling tired, depressed, anxious, dissatisfied, or possibly experiencing a difficult life transition? Reaching out for support takes courage. Counseling is an aspect of healthy living that can help restore balance to your life. Gaining clarity through increased awareness helps you learn positive skills and regain hope and confidence. I will walk with you through this process by encouraging self-exploration and by collaboratively creating goals that suit your needs while also promoting healing and lasting change in a safe, comfortable environment.
(561) 770-6424 View (561) 770-6424
Photo of Jennifer Leupp: People Pleasing And Trauma Recovery, LCSW, Clinical Social Work/Therapist
Jennifer Leupp: People Pleasing And Trauma Recovery
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Palm Beach, FL 33480  (Online Only)
Are you feeling anxious? resentful? guilty? Do you have a hard time saying no? Maybe you feel frustrated with a loved one or coworker, or it seems that your efforts to help them are never enough. You may not be able to recall a time when things were better. But one thing is certain: you're ready to find some relief. You're ready to be free of these feelings and find some peace!
Are you feeling anxious? resentful? guilty? Do you have a hard time saying no? Maybe you feel frustrated with a loved one or coworker, or it seems that your efforts to help them are never enough. You may not be able to recall a time when things were better. But one thing is certain: you're ready to find some relief. You're ready to be free of these feelings and find some peace!
(305) 614-3474 View (305) 614-3474
Photo of Tina Goodin, PhD, ABPP, Psychologist
Tina Goodin
Psychologist, PhD, ABPP
Verified Verified
Palm Beach, FL 33480
Are you looking for exceptional therapy? Are you finding it difficult to call? It is sometimes not easy to take the first step toward beginning therapy. For some it is about having thought they could do it themselves, for others they think it is a sign of weakness, and yet others sometimes worry about using therapy as a crutch. Then there are those who can hardly wait to begin, perhaps begin again, with a new and different therapist, eager to enter the journey of self discovery and self improvement. All this is normal. Either way, you will feel understood and cared for.
Are you looking for exceptional therapy? Are you finding it difficult to call? It is sometimes not easy to take the first step toward beginning therapy. For some it is about having thought they could do it themselves, for others they think it is a sign of weakness, and yet others sometimes worry about using therapy as a crutch. Then there are those who can hardly wait to begin, perhaps begin again, with a new and different therapist, eager to enter the journey of self discovery and self improvement. All this is normal. Either way, you will feel understood and cared for.
(561) 459-8153 View (561) 459-8153
Photo of Amy Saleeby, MBA, MS, LMHC, Counselor
Amy Saleeby
Counselor, MBA, MS, LMHC
Verified Verified
2 Endorsed
Palm Beach, FL 33480
Welcome to my page! I am so glad you found me. My name is Amy and I am a licensed mental health counselor. I completed my undergraduate studies at the University of Florida, where I fell in love with the field of psychology. After that, I went on to earn my Masters of Science in Mental Health Counseling from PBAU, where I honed my skills in helping people overcome life's challenges. I have worked with a wide range of clients, from individuals to couples to families, and I have helped them navigate through a variety of issues.
Welcome to my page! I am so glad you found me. My name is Amy and I am a licensed mental health counselor. I completed my undergraduate studies at the University of Florida, where I fell in love with the field of psychology. After that, I went on to earn my Masters of Science in Mental Health Counseling from PBAU, where I honed my skills in helping people overcome life's challenges. I have worked with a wide range of clients, from individuals to couples to families, and I have helped them navigate through a variety of issues.
(561) 331-4484 View (561) 331-4484
Photo of Jennifer Sabin, PCC, CMC, MBA, ACCP
Jennifer Sabin
PCC, CMC, MBA, ACCP
Verified Verified
Palm Beach, FL 33480
I have been working with Entrepreneurs. Professionals, Executives and Business Owners for 25 years. We address, we create and we partner to realize the most positive, healthy and productive outcome in all areas. The bottom line is that with our work and professions, there are not many trusting spaces to sort out, discern, and resolve the challenges, the stress, the pressure, the uncertainty, the leadership issues, the responsibilities, the communication breakdowns, the difficult relationship, the politics, the finances, the uncertainty, the indecision, the fears,and the overwhelm. My commitment is to your success in all areas of life.
I have been working with Entrepreneurs. Professionals, Executives and Business Owners for 25 years. We address, we create and we partner to realize the most positive, healthy and productive outcome in all areas. The bottom line is that with our work and professions, there are not many trusting spaces to sort out, discern, and resolve the challenges, the stress, the pressure, the uncertainty, the leadership issues, the responsibilities, the communication breakdowns, the difficult relationship, the politics, the finances, the uncertainty, the indecision, the fears,and the overwhelm. My commitment is to your success in all areas of life.
(561) 739-2545 View (561) 739-2545
Photo of Stephanie Gilliam, RMHCI, Pre-Licensed Professional
Stephanie Gilliam
Pre-Licensed Professional, RMHCI
Verified Verified
Palm Beach, FL 33480
I am trained as a Support Group Facilitator for the Alzheimer’s Association, and have a passion for helping caregivers understand the personality and behavior changes in their loved ones. Therapy can offer a safe space to share your feelings while learning strategies to reduce stress, anxiety and loneliness that can come with caring for a friend or family member.
I am trained as a Support Group Facilitator for the Alzheimer’s Association, and have a passion for helping caregivers understand the personality and behavior changes in their loved ones. Therapy can offer a safe space to share your feelings while learning strategies to reduce stress, anxiety and loneliness that can come with caring for a friend or family member.
(561) 782-0140 View (561) 782-0140
Photo of Jean E Frank, Dr, MS, LMHC, Counselor
Jean E Frank
Counselor, Dr, MS, LMHC
Verified Verified
Palm Beach, FL 33480  (Online Only)
I have experience in a variety of clinical settings and institutions.I integrate modalities with the aim of facilitating a collaborative space to help you get unstuck, break repetitive patterns and overcome your struggles towards a more fulfilling life. I will help you to gain insight, relate past to present while learning skills through practices that have proven to be effective. My practice in mental health reflects both my background in psychology at the Master level and my Doctoral degree in Biology.
I have experience in a variety of clinical settings and institutions.I integrate modalities with the aim of facilitating a collaborative space to help you get unstuck, break repetitive patterns and overcome your struggles towards a more fulfilling life. I will help you to gain insight, relate past to present while learning skills through practices that have proven to be effective. My practice in mental health reflects both my background in psychology at the Master level and my Doctoral degree in Biology.
(561) 867-2793 View (561) 867-2793
Photo of Jeannine Bellon Piliero, MSW, LCSW, Clinical Social Work/Therapist
Jeannine Bellon Piliero
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Palm Beach, FL 33480
All of us, over the course of our lives, have found ourselves faced with challenging life events - some small and others so much bigger than ourselves that we become overwhelmed and unable to face them alone. We may experience feelings of grief, loss, depression, anxiety, trauma, family conflicts, marital strife, illness, or addiction to mention a few. However, what is most important is that we not face these alone, and remember there is help and relief. Each one of us has a sense of resiliency to meet our life challenges - even in our worst times. Finding that resiliency is the beginning to healing and living our best lives.
All of us, over the course of our lives, have found ourselves faced with challenging life events - some small and others so much bigger than ourselves that we become overwhelmed and unable to face them alone. We may experience feelings of grief, loss, depression, anxiety, trauma, family conflicts, marital strife, illness, or addiction to mention a few. However, what is most important is that we not face these alone, and remember there is help and relief. Each one of us has a sense of resiliency to meet our life challenges - even in our worst times. Finding that resiliency is the beginning to healing and living our best lives.
(561) 283-1429 View (561) 283-1429
Photo of Brian DePalma, LMFT, Marriage & Family Therapist
Brian DePalma
Marriage & Family Therapist, LMFT
Verified Verified
Palm Beach, FL 33480
Hi! I'm a Licensed Marriage and Family Therapist (LMFT), based in Florida. I got my Masters at a holistic-therapy school called CIIS and I've been practicing with a full-spectrum of populations for 7 years!
Hi! I'm a Licensed Marriage and Family Therapist (LMFT), based in Florida. I got my Masters at a holistic-therapy school called CIIS and I've been practicing with a full-spectrum of populations for 7 years!
(561) 924-1832 View (561) 924-1832
Photo of Ariana Wolk, LCSW, Clinical Social Work/Therapist
Ariana Wolk
Clinical Social Work/Therapist, LCSW
Verified Verified
Palm Beach, FL 33480  (Online Only)
I’m a compassionate and warm therapist with a passion for empowering women navigate and heal from unhealthy relationships while fostering self-growth and healthy connections with themselves and the world around them.
I’m a compassionate and warm therapist with a passion for empowering women navigate and heal from unhealthy relationships while fostering self-growth and healthy connections with themselves and the world around them.
(321) 334-3103 View (321) 334-3103
Photo of Barrett Platzner, RMHCI, CAC, CBHCM
Barrett Platzner
Registered Mental Health Counselor Intern, RMHCI, CAC, CBHCM
Verified Verified
Palm Beach, FL 33480
Hello and welcome. My name is Barrett and I'm here to help you understand and accept yourself, while equipping you with the resources to navigate through the stressors of life. I am skilled at working with clients who are struggling with depression, anxiety, cognitive difficulties, memory issues, grief and loss, PTSD, and substance abuse. I also have extensive experience working with families and couples.
Hello and welcome. My name is Barrett and I'm here to help you understand and accept yourself, while equipping you with the resources to navigate through the stressors of life. I am skilled at working with clients who are struggling with depression, anxiety, cognitive difficulties, memory issues, grief and loss, PTSD, and substance abuse. I also have extensive experience working with families and couples.
(561) 782-7388 View (561) 782-7388
Photo of Theradventure Darlene Mayers, LMFT, Marriage & Family Therapist
Theradventure Darlene Mayers
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Palm Beach, FL 33480  (Online Only)
I believe life can be hard, but solutions don't have to be! Sometimes we just need help navigating through difficulties. I am a Licensed Marriage and Family Therapist in Florida with over 25 years of experience in the mental health field. I have extensive experience working with individuals experiencing trauma and trauma responses, anxiety, panic attacks, grief, mood disorders, relationship difficulties, personality disorders, parenting challenges and more. I completed my undergraduate studies in Psychology at Palm Beach Atlantic University and my graduate studies in Marriage and Family Therapy at Nova Southeastern University.
I believe life can be hard, but solutions don't have to be! Sometimes we just need help navigating through difficulties. I am a Licensed Marriage and Family Therapist in Florida with over 25 years of experience in the mental health field. I have extensive experience working with individuals experiencing trauma and trauma responses, anxiety, panic attacks, grief, mood disorders, relationship difficulties, personality disorders, parenting challenges and more. I completed my undergraduate studies in Psychology at Palm Beach Atlantic University and my graduate studies in Marriage and Family Therapy at Nova Southeastern University.
(863) 204-0346 View (863) 204-0346
Photo of Jordan Heiden, LPC, LMHC, NCC, Licensed Professional Counselor
Jordan Heiden
Licensed Professional Counselor, LPC, LMHC, NCC
Verified Verified
Palm Beach, FL 33480  (Online Only)
OCD is a heavy burden. And it feels even heavier when nothing seems to help, including therapy. Maybe you feel that OCD is just something you have to tolerate for the rest of your life. I don’t believe that “coping” is your only option. I believe OCD is treatable. And I believe you can make deep-seated and long-lasting change. Together, we’ll look beyond your diagnosis and subtype, and understand the beliefs that maintain the OCD in your life. This can be daunting, but I’ll be there with you every step of the way offering guidance and support.
OCD is a heavy burden. And it feels even heavier when nothing seems to help, including therapy. Maybe you feel that OCD is just something you have to tolerate for the rest of your life. I don’t believe that “coping” is your only option. I believe OCD is treatable. And I believe you can make deep-seated and long-lasting change. Together, we’ll look beyond your diagnosis and subtype, and understand the beliefs that maintain the OCD in your life. This can be daunting, but I’ll be there with you every step of the way offering guidance and support.
(561) 944-7821 View (561) 944-7821

How does your Therapist compare?

Number of Therapists in Palm Beach, FL

300+

Average cost per session

$160

Therapists in Palm Beach, FL who prioritize treating:

92% Anxiety
85% Depression
81% Self Esteem
78% Relationship Issues
73% Stress
70% Coping Skills
68% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

80% Aetna
69% Cigna and Evernorth
65% UnitedHealthcare UHC | UBH

How Therapists in Palm Beach, FL see their clients

52% Online Only
48% In Person and Online

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Palm Beach?

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.