Therapists in Dallas, TX

View neighborhoods in Dallas
Photo of Bailey Hill, Pre-Licensed Professional
Bailey Hill
Pre-Licensed Professional
Verified Verified
Dallas, TX 75219
I desire to work with children, teens and young adults experiencing anxiety, depression, relational conflict, transitions and other life concerns. Her goal is to work with clients to help them develop their own sense of self and build the skills needed to thrive. Bailey believes that change can happen when the therapist and client build a strong relationship! She approaches this by showing constant empathy and support for her clients by providing a safe space to accompany them in their healing.
I desire to work with children, teens and young adults experiencing anxiety, depression, relational conflict, transitions and other life concerns. Her goal is to work with clients to help them develop their own sense of self and build the skills needed to thrive. Bailey believes that change can happen when the therapist and client build a strong relationship! She approaches this by showing constant empathy and support for her clients by providing a safe space to accompany them in their healing.
(214) 571-7542 View (214) 571-7542
Photo of Margaret Stone, MS, LPC, LMHC, Licensed Professional Counselor
Margaret Stone
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
Dallas, TX 75231
Do you feel like you attract bad relationships into your life? Have you experienced emotional or physical abuse at the hands of your partner or family member? Are you concerned your partner may be a narcissist or you have been subject to narcissistic abuse? Are you ready to find your perfect partner but only seem to find men who are dishonest, and are emotionally unavailable? I help women who feel that they are stuck in the same unhappy relationships over and over again. If this is you, I can help you break free from toxic relationships and heal, all while bringing positive relationships into your life!
Do you feel like you attract bad relationships into your life? Have you experienced emotional or physical abuse at the hands of your partner or family member? Are you concerned your partner may be a narcissist or you have been subject to narcissistic abuse? Are you ready to find your perfect partner but only seem to find men who are dishonest, and are emotionally unavailable? I help women who feel that they are stuck in the same unhappy relationships over and over again. If this is you, I can help you break free from toxic relationships and heal, all while bringing positive relationships into your life!
View
Photo of Shawna Hedger, LPC, Licensed Professional Counselor
Shawna Hedger
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75254  (Online Only)
My name is Shawna and I have lived in Texas my whole life.I have been practicing as LPC since July 2020, before that I was and LPC intern for over 3 years. I am also a Licensed Social Worker in Texas, and worked in nursing homes for almost 5 years before beginning my masters program to be a counselor.
My name is Shawna and I have lived in Texas my whole life.I have been practicing as LPC since July 2020, before that I was and LPC intern for over 3 years. I am also a Licensed Social Worker in Texas, and worked in nursing homes for almost 5 years before beginning my masters program to be a counselor.
(469) 874-1446 View (469) 874-1446
Photo of Crispin Feliciano, LPC, Licensed Professional Counselor
Crispin Feliciano
Licensed Professional Counselor, LPC
Verified Verified
Dallas, TX 75208  (Online Only)
I am a Licensed Professional Counselor and have worked with individuals experiencing depression, anxiety, self-esteem issues, relationship difficulties, stress, and addictions. My approach to counseling is drawn from a variety of therapeutic techniques. I believe that there is no one size fits all modality of treatment. Using a client-centered approach, I work collaboratively to develop an authentic and trusting relationship drawing from Motivational Interviewing, Cognitive Behavioral Therapy, Trauma-Sensitive Mindfulness, and Acceptance Commitment Therapy to create a more holistic approach to counseling.
I am a Licensed Professional Counselor and have worked with individuals experiencing depression, anxiety, self-esteem issues, relationship difficulties, stress, and addictions. My approach to counseling is drawn from a variety of therapeutic techniques. I believe that there is no one size fits all modality of treatment. Using a client-centered approach, I work collaboratively to develop an authentic and trusting relationship drawing from Motivational Interviewing, Cognitive Behavioral Therapy, Trauma-Sensitive Mindfulness, and Acceptance Commitment Therapy to create a more holistic approach to counseling.
(682) 328-0443 View (682) 328-0443
Photo of Tamiko Stanley, LMSW, EMDR-T, Clinical Social Work/Therapist
Tamiko Stanley
Clinical Social Work/Therapist, LMSW, EMDR-T
Verified Verified
2 Endorsed
Dallas, TX 75225
Sometimes when things are falling apart they may actually be falling into place. Feeling lost or alone in your addiction or mental health? There are many roads to recovery and they all don't look the same. Therapy is hard, let's face it but you don't have to be alone in your struggles. Working on the clinical side of psychiatry for many years has given me a unique insight into the origins of addiction and mental health. Through my real experience and personal life experience, I will help you develop tools and come to solutions that empower you to change behaviors and ultimately your life.
Sometimes when things are falling apart they may actually be falling into place. Feeling lost or alone in your addiction or mental health? There are many roads to recovery and they all don't look the same. Therapy is hard, let's face it but you don't have to be alone in your struggles. Working on the clinical side of psychiatry for many years has given me a unique insight into the origins of addiction and mental health. Through my real experience and personal life experience, I will help you develop tools and come to solutions that empower you to change behaviors and ultimately your life.
(469) 812-8915 View (469) 812-8915
Photo of Esther J Aguilar-Tejada, MEd, EdS, PsyD, Pre-Licensed Professional
Esther J Aguilar-Tejada
Pre-Licensed Professional, MEd, EdS, PsyD
Verified Verified
3 Endorsed
Dallas, TX 75230
Sometimes, our mind can stop us from taking necessary steps in our day to day lives or in making big decisions. You might find yourselves feeling really stuck or you might notice difficulty sleeping or excess tension in your body. You might find that your thoughts go back to the same worry over and over again while you’re trying to enjoy time with friends, family, or even watching TV. You’re not alone in this feeling; I am here to help. Asking for help can be challenging, and there may be a myriad of reasons that keep us from reaching out. Some of us fear stigma, while others believe that needing support is a sign of weakness.
Sometimes, our mind can stop us from taking necessary steps in our day to day lives or in making big decisions. You might find yourselves feeling really stuck or you might notice difficulty sleeping or excess tension in your body. You might find that your thoughts go back to the same worry over and over again while you’re trying to enjoy time with friends, family, or even watching TV. You’re not alone in this feeling; I am here to help. Asking for help can be challenging, and there may be a myriad of reasons that keep us from reaching out. Some of us fear stigma, while others believe that needing support is a sign of weakness.
(469) 908-3384 View (469) 908-3384
Photo of Nakhal Zafar, Pre-Licensed Professional
Nakhal Zafar
Pre-Licensed Professional
Verified Verified
1 Endorsed
Dallas, TX 75243
Are you searching for a space where you're free to express your thoughts and emotions without fear of judgment? Allow me to introduce myself – Nakhal Zafar. My aim is to foster a nurturing, empathetic space for individuals, couples, and families to openly navigate their experiences – challenges or triumphs. My approach is rooted in empathy, cultural sensitivity, and a deep respect for individual experiences.
Are you searching for a space where you're free to express your thoughts and emotions without fear of judgment? Allow me to introduce myself – Nakhal Zafar. My aim is to foster a nurturing, empathetic space for individuals, couples, and families to openly navigate their experiences – challenges or triumphs. My approach is rooted in empathy, cultural sensitivity, and a deep respect for individual experiences.
(214) 427-8057 View (214) 427-8057
Photo of Jasmine Baranpourian, LPC, CCTP, Licensed Professional Counselor
Jasmine Baranpourian
Licensed Professional Counselor, LPC, CCTP
Verified Verified
Dallas, TX 75240
I am so happy that you made it here. Though I do not know the many steps that led you to this page, I can imagine the road has been dark at times. It was like this for me, too - a thousand lost steps in the dark. The healing journey can be wrought with confusion, uncertainty and self-defeat. I learned early on that this journey is not meant to be walked alone. Over the years, I have integrated many wisdoms into a realized practice for the whole soul. And in gratitude, I'd like to share with you what I've learned.
I am so happy that you made it here. Though I do not know the many steps that led you to this page, I can imagine the road has been dark at times. It was like this for me, too - a thousand lost steps in the dark. The healing journey can be wrought with confusion, uncertainty and self-defeat. I learned early on that this journey is not meant to be walked alone. Over the years, I have integrated many wisdoms into a realized practice for the whole soul. And in gratitude, I'd like to share with you what I've learned.
(214) 833-0617 View (214) 833-0617
Photo of Samia Geraghty, MA, LPC, Licensed Professional Counselor
Samia Geraghty
Licensed Professional Counselor, MA, LPC
Verified Verified
Dallas, TX 75214
As a therapist with 20 years of experience, I offer support, empathy, guidance and a safe space to explore any problem you may bring, big or small. Together we can work to identify your goals and find solutions to any issues you are currently facing. I work with adults and adolescents with a wide range of issues including but not limited to anxiety, phobias, depression, bipolar disorder, LGBTQIA, personality disorders, chronic pain, sexual abuse, trauma, job stress and relationship difficulties.
As a therapist with 20 years of experience, I offer support, empathy, guidance and a safe space to explore any problem you may bring, big or small. Together we can work to identify your goals and find solutions to any issues you are currently facing. I work with adults and adolescents with a wide range of issues including but not limited to anxiety, phobias, depression, bipolar disorder, LGBTQIA, personality disorders, chronic pain, sexual abuse, trauma, job stress and relationship difficulties.
(469) 352-2304 View (469) 352-2304
Photo of Julia Bickerstaff, LPC-A
Julia Bickerstaff
Licensed Professional Counselor Associate, LPC-A
Verified Verified
Dallas, TX 75214
I am a Licensed Professional Counselor Associate in Texas, supervised by Renee Osborne, LPC-S & Dr. Crystal Gayle, PhD, LSSP. I enjoy working with older adolescents & young adults; the desire to better yourself takes a big leap of faith, & to do so while simultaneously navigating the stressors of these life stages is admirable and courageous. I specialize in anxiety disorders, OCD, & other related disorders such as body-focused repetitive behaviors (BFRBs) & body dysmorphic disorder (BDD). I also have experience treating depression, trauma, & life transitions.
I am a Licensed Professional Counselor Associate in Texas, supervised by Renee Osborne, LPC-S & Dr. Crystal Gayle, PhD, LSSP. I enjoy working with older adolescents & young adults; the desire to better yourself takes a big leap of faith, & to do so while simultaneously navigating the stressors of these life stages is admirable and courageous. I specialize in anxiety disorders, OCD, & other related disorders such as body-focused repetitive behaviors (BFRBs) & body dysmorphic disorder (BDD). I also have experience treating depression, trauma, & life transitions.
(214) 915-2304 View (214) 915-2304
Photo of Bianca Hemphill, MA, LPA, Psychological Associate
Bianca Hemphill
Psychological Associate, MA, LPA
Verified Verified
4 Endorsed
Dallas, TX 75206
I've worked with children & adolescents in clinical outpatient settings, including individual, family, & group therapy, and intensive in-home services. I have provided community support services to adults with mental health & substance abuse diagnoses to help increase self-sufficiency. I've worked in research settings studying the effects of domestic violence on children and evaluating the effectiveness of Systems of Care for children with severe emotional / behavioral disturbances. I have experience with psychological testing, including intellectual / personality assessment and tests of academic achievement. I use psychological assessment for diagnostic clarification, level of care determinations, and providing other therapeutic recommendations.
I've worked with children & adolescents in clinical outpatient settings, including individual, family, & group therapy, and intensive in-home services. I have provided community support services to adults with mental health & substance abuse diagnoses to help increase self-sufficiency. I've worked in research settings studying the effects of domestic violence on children and evaluating the effectiveness of Systems of Care for children with severe emotional / behavioral disturbances. I have experience with psychological testing, including intellectual / personality assessment and tests of academic achievement. I use psychological assessment for diagnostic clarification, level of care determinations, and providing other therapeutic recommendations.
(469) 382-3541 View (469) 382-3541
Photo of Tabatha Sik, LISW, LCSW, Clinical Social Work/Therapist
Tabatha Sik
Clinical Social Work/Therapist, LISW, LCSW
Verified Verified
1 Endorsed
Dallas, TX 75208  (Online Only)
Everyone has a story to tell. Some stories are funny and happy, but others may be more difficult to share. Sometimes events in our lives leave us in pieces and we don’t know what to do or who we can trust with our stories. Sometimes we just need a little help to sort out how we are feeling and process through our past experiences. Sometimes we're just burnt out and exhausted from the demands of our jobs, family situations, or life in general. And, sometimes, we just need someone to vent to and talk to about what it is we are dealing with.
Everyone has a story to tell. Some stories are funny and happy, but others may be more difficult to share. Sometimes events in our lives leave us in pieces and we don’t know what to do or who we can trust with our stories. Sometimes we just need a little help to sort out how we are feeling and process through our past experiences. Sometimes we're just burnt out and exhausted from the demands of our jobs, family situations, or life in general. And, sometimes, we just need someone to vent to and talk to about what it is we are dealing with.
(469) 272-8840 View (469) 272-8840
Photo of Dana Maurice, LPC-A, MA
Dana Maurice
Licensed Professional Counselor Associate, LPC-A, MA
Verified Verified
2 Endorsed
Dallas, TX 75230
Summer Special! Receive up to 8 sessions for just $75 each. When you contact me to book your first session, please reference this discounted rate. I am EMDR trained. People search for a therapist for all sorts of reasons. Maybe you are facing an unexpected loss, or life has become overwhelming. Perhaps you are experiencing relational conflicts and are looking for wisdom and effective tools for life-giving change. Even if the source of your struggle isn’t clear yet, I believe hope is available for you.
Summer Special! Receive up to 8 sessions for just $75 each. When you contact me to book your first session, please reference this discounted rate. I am EMDR trained. People search for a therapist for all sorts of reasons. Maybe you are facing an unexpected loss, or life has become overwhelming. Perhaps you are experiencing relational conflicts and are looking for wisdom and effective tools for life-giving change. Even if the source of your struggle isn’t clear yet, I believe hope is available for you.
(469) 840-1671 View (469) 840-1671
Madi Brewer
Pre-Licensed Professional
Verified Verified
Dallas, TX 75219
Due to my own personal challenges throughout my life, I have acquired a passion for helping anyone and everyone tap into their innate potential for growth in order to lead a happy and healthy life. I strive to make the counseling process comfortable and judgement free by showing empathy, compassion, and positive regard to each client. Seeking out counseling is the first step towards this growth and I know it can be hard, so I applaud you for having the will and strength to do so!
Due to my own personal challenges throughout my life, I have acquired a passion for helping anyone and everyone tap into their innate potential for growth in order to lead a happy and healthy life. I strive to make the counseling process comfortable and judgement free by showing empathy, compassion, and positive regard to each client. Seeking out counseling is the first step towards this growth and I know it can be hard, so I applaud you for having the will and strength to do so!
(469) 224-1571 x700 View (469) 224-1571 x700
Photo of Vincent Hochstatter, LCSW, Clinical Social Work/Therapist
Vincent Hochstatter
Clinical Social Work/Therapist, LCSW
Verified Verified
Dallas, TX 75216  (Online Only)
Welcome! My name is Vincent Hochstatter and I am a Licensed Clinical Social Worker in Texas with over 10 years experience in the mental health field serving individuals, adolescents and families. I specialize in several issues in including anxiety, depression, relationship issues, stress, and life transitions, amongst others.
Welcome! My name is Vincent Hochstatter and I am a Licensed Clinical Social Worker in Texas with over 10 years experience in the mental health field serving individuals, adolescents and families. I specialize in several issues in including anxiety, depression, relationship issues, stress, and life transitions, amongst others.
(830) 240-3919 View (830) 240-3919
Photo of Carrie Eggart, MSW, LCSW, Clinical Social Work/Therapist
Carrie Eggart
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Dallas, TX 75220
I am passionate about my clients and believe in the therapeutic process. If my client is ready, willing, and committed, change is possible! Successful treatment is achieved through mutual trust and respect cultivated in a safe, kind, judgment-free space.
I am passionate about my clients and believe in the therapeutic process. If my client is ready, willing, and committed, change is possible! Successful treatment is achieved through mutual trust and respect cultivated in a safe, kind, judgment-free space.
(469) 256-4850 View (469) 256-4850
Photo of Maureen Joan Lumley, PhD, MA, LMFT, Marriage & Family Therapist
Maureen Joan Lumley
Marriage & Family Therapist, PhD, MA, LMFT
Verified Verified
Dallas, TX 75230  (Online Only)
Not accepting new clients
I believe that therapy is a collaborative endeavor to which we each bring different knowledge and life experiences. You are the expert on your life and have the resources to help you meet your goals. I bring my life experiences, my training and knowledge to assist you in meeting your goals. As a Jungian my knowledge entails understanding the psyche which is another word for soul. As an aide to understanding the soul I published a book entitled, The Journey: An Archetypal Story, available on Amazon.com. It tells, in metaphor and image, the journey of the soul and its goal in fulfilling its life purpose on this journey we call life
I believe that therapy is a collaborative endeavor to which we each bring different knowledge and life experiences. You are the expert on your life and have the resources to help you meet your goals. I bring my life experiences, my training and knowledge to assist you in meeting your goals. As a Jungian my knowledge entails understanding the psyche which is another word for soul. As an aide to understanding the soul I published a book entitled, The Journey: An Archetypal Story, available on Amazon.com. It tells, in metaphor and image, the journey of the soul and its goal in fulfilling its life purpose on this journey we call life
(469) 208-4330 View (469) 208-4330
Photo of Alex Krueger, MS, LPC, Licensed Professional Counselor
Alex Krueger
Licensed Professional Counselor, MS, LPC
Verified Verified
Dallas, TX 75204
I specialize in treating adults experiencing anxiety, depression, grief, trauma, and PTSD. I also have expertise in treating ADHD and disordered eating. I have a passion for working with members of the LGBTQ+ community and helping people overcome religious trauma to live a life aligned with their values.
I specialize in treating adults experiencing anxiety, depression, grief, trauma, and PTSD. I also have expertise in treating ADHD and disordered eating. I have a passion for working with members of the LGBTQ+ community and helping people overcome religious trauma to live a life aligned with their values.
(512) 768-2731 View (512) 768-2731
Photo of Sharla Austin, MS, Marriage & Family Therapist
Sharla Austin
Marriage & Family Therapist, MS
Verified Verified
7 Endorsed
Dallas, TX 75251
Relationships are complicated and often bring emotional pain, loneliness, anxiety, and discouragement. Committing to someone requires courage and strength. I work with couples, families, and individuals applying the principles of Emotionally Focused Therapy (EFT) which is a research-based treatment for clients seeking emotional connection and fulfillment in relationships. EFT helps clients understand the interactional patterns that cause emotional disconnection. I would love to offer you these tools, deeper understanding, and helpful insight as you seek to repair your most important relationships.
Relationships are complicated and often bring emotional pain, loneliness, anxiety, and discouragement. Committing to someone requires courage and strength. I work with couples, families, and individuals applying the principles of Emotionally Focused Therapy (EFT) which is a research-based treatment for clients seeking emotional connection and fulfillment in relationships. EFT helps clients understand the interactional patterns that cause emotional disconnection. I would love to offer you these tools, deeper understanding, and helpful insight as you seek to repair your most important relationships.
(469) 284-0618 View (469) 284-0618
Photo of Dr. Robyn Jardine - Life Solutions Counseling & Family Therapy, PLLC, LMFT-S, LPC, NCC, Marriage & Family Therapist
Life Solutions Counseling & Family Therapy, PLLC
Marriage & Family Therapist, LMFT-S, LPC, NCC
Verified Verified
Dallas, TX 75201  (Online Only)
Life Solutions Counseling and Family Therapy, PLLC customizes therapeutic services to meet the individual, couple, family, and/or groups goals. Clients can expect a welcoming environment in an effort to make real life changes. With an emphasis on systemic therapy, we take a nonpathological approach to looking at human relationships and challenges. This benefits the client (s) as they learn how to interact and change problems between themselves and others. Congratulations! Problems are not in you, they are between you and another person(s).
Life Solutions Counseling and Family Therapy, PLLC customizes therapeutic services to meet the individual, couple, family, and/or groups goals. Clients can expect a welcoming environment in an effort to make real life changes. With an emphasis on systemic therapy, we take a nonpathological approach to looking at human relationships and challenges. This benefits the client (s) as they learn how to interact and change problems between themselves and others. Congratulations! Problems are not in you, they are between you and another person(s).
(214) 571-7846 View (214) 571-7846
1
...

How does your Therapist compare?

Number of Therapists in Dallas, TX

3,000+

Average cost per session

$140

Therapists in Dallas, TX who prioritize treating:

91% Anxiety
86% Depression
73% Self Esteem
68% Relationship Issues
68% Coping Skills
65% Trauma and PTSD
65% Stress

Average years in practice

9 Years

Top 3 insurances accepted

82% Aetna
75% UnitedHealthcare UHC | UBH
74% BlueCross and BlueShield

How Therapists in Dallas, TX see their clients

51% In Person and Online
49% Online Only

Gender breakdown

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

How can I find a therapist in Dallas?

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.