Therapists in Curtis, MI

Photo of Ashley Hilkey, LPC, Licensed Professional Counselor
Ashley Hilkey
Licensed Professional Counselor, LPC
Verified Verified
Curtis, MI 49820  (Online Only)
I offer a warm, relational, and person centered approach to people of all ages struggling with anxiety, depression, life transitions, perinatal mood disorders (postpartum), trauma/ptsd, family concerns, and other mental and emotional health concerns. I have worked across the lifespan throughout my career - but currently see a lot of young to middle aged adults. I am currently providing telehealth throughout the state of Michigan and Indiana.
I offer a warm, relational, and person centered approach to people of all ages struggling with anxiety, depression, life transitions, perinatal mood disorders (postpartum), trauma/ptsd, family concerns, and other mental and emotional health concerns. I have worked across the lifespan throughout my career - but currently see a lot of young to middle aged adults. I am currently providing telehealth throughout the state of Michigan and Indiana.
(906) 356-9821 View (906) 356-9821
Photo of John J Swangler, LLP-D, Limited Licensed Psychologist
John J Swangler
Limited Licensed Psychologist, LLP-D
Verified Verified
2 Endorsed
Curtis, MI 49820
Everyone has the right to be a better version of themselves
Everyone has the right to be a better version of themselves
(906) 257-7246 x2 View (906) 257-7246 x2
Photo of Susan (Sue) Nelson, LCSW-C, RN, Clinical Social Work/Therapist
Susan (Sue) Nelson
Clinical Social Work/Therapist, LCSW-C, RN
Verified Verified
Curtis, MI 49820
Today’s world is a very complex place and our stress levels are often off the charts. Many times, it would be good to just have someone to talk to. Someone to discuss struggles with. You may have difficult relationships, parenting, workplace issues, fear with aging and loss, or addictions. We would love to be able to sit down with you and help in any way we can. I have 20+ years in helping with all of these issues and more.
Today’s world is a very complex place and our stress levels are often off the charts. Many times, it would be good to just have someone to talk to. Someone to discuss struggles with. You may have difficult relationships, parenting, workplace issues, fear with aging and loss, or addictions. We would love to be able to sit down with you and help in any way we can. I have 20+ years in helping with all of these issues and more.
(906) 569-4695 View (906) 569-4695

Online Therapists

Photo of Kathy A. Katke, MS, LPC, Licensed Professional Counselor
Kathy A. Katke
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Gaylord, MI 49735
Today you are one step closer to a positive path to healing, growth, and well-being. My goal is to assist you in creating and leading a life worth celebrating. If you are struggling with depression, anxiety, PTSD, mood swings, grief, loss, relationships, or with a life transition it's important for you to know there is hope and you are not alone. I encourage you to take your first step and contact me.
Today you are one step closer to a positive path to healing, growth, and well-being. My goal is to assist you in creating and leading a life worth celebrating. If you are struggling with depression, anxiety, PTSD, mood swings, grief, loss, relationships, or with a life transition it's important for you to know there is hope and you are not alone. I encourage you to take your first step and contact me.
(989) 656-9062 x2 View (989) 656-9062 x2
Photo of Sarah Santiago - Sarah Santiago | Bloom Counseling & Wellness, LPC, NCC, Licensed Professional Counselor
Sarah Santiago | Bloom Counseling & Wellness
Licensed Professional Counselor, LPC, NCC
Verified Verified
9 Endorsed
Marquette, MI 49855  (Online Only)
Are you a college student feeling overwhelmed, alone, and often putting others' needs before your own? Do you struggle with anxiety, self-esteem, or an eating disorder? Do you sometimes worry your problems aren’t “big enough” for therapy? If you're juggling school, work, & life, but deep down, you're also struggling, now is the time to connect with a therapist who understands. Let's work on building your confidence so you can stop criticizing yourself & start embracing your worthiness. Continue reading to learn how booking a session can help you break free from this cycle & allow yourself to start prioritizing your own wellbeing.
Are you a college student feeling overwhelmed, alone, and often putting others' needs before your own? Do you struggle with anxiety, self-esteem, or an eating disorder? Do you sometimes worry your problems aren’t “big enough” for therapy? If you're juggling school, work, & life, but deep down, you're also struggling, now is the time to connect with a therapist who understands. Let's work on building your confidence so you can stop criticizing yourself & start embracing your worthiness. Continue reading to learn how booking a session can help you break free from this cycle & allow yourself to start prioritizing your own wellbeing.
(906) 448-2508 View (906) 448-2508
Photo of Ali Fitzgibbon, LMSW, Clinical Social Work/Therapist
Ali Fitzgibbon
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Traverse City, MI 49684  (Online Only)
I am a compassionate therapist with over 20 years of experience in the mental health field. I am dedicated to supporting my clients by staying present and committed to helping them achieve positive change. I offer a holistic approach to treating trauma, anxiety, depression, shame, eating disorders, body image concerns, PTSD, self-esteem/self-worth challenges, inner critic, anger management and passive aggressive behaviors. I implement CBT (cognitive behavior therapy) and IFS (Internal Family Systems) techniques with a strong focus on self-compassion.
I am a compassionate therapist with over 20 years of experience in the mental health field. I am dedicated to supporting my clients by staying present and committed to helping them achieve positive change. I offer a holistic approach to treating trauma, anxiety, depression, shame, eating disorders, body image concerns, PTSD, self-esteem/self-worth challenges, inner critic, anger management and passive aggressive behaviors. I implement CBT (cognitive behavior therapy) and IFS (Internal Family Systems) techniques with a strong focus on self-compassion.
(231) 422-3949 View (231) 422-3949
Photo of Emily K Knapp - Leelanau Life Counseling, PLLC, MA, LPC, Counselor
Leelanau Life Counseling, PLLC
Counselor, MA, LPC
Verified Verified
2 Endorsed
Traverse City, MI 49684
I have a passion for helping others achieve the best version of themselves. Taking the first step to become a happier person can be a daunting task. I want to reassure you that you are not alone. We will work together to rebuild relationships, overcome anxieties, fears, and negative behaviors. I will strive to help you achieve the best version of yourself. Located in the heart of downtown Traverse City, MI.
I have a passion for helping others achieve the best version of themselves. Taking the first step to become a happier person can be a daunting task. I want to reassure you that you are not alone. We will work together to rebuild relationships, overcome anxieties, fears, and negative behaviors. I will strive to help you achieve the best version of yourself. Located in the heart of downtown Traverse City, MI.
(231) 225-4186 View (231) 225-4186
Photo of Jill Valliere, MA, LPC, NCC, Counselor
Jill Valliere
Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Boyne City, MI 49712
At Pyramid of Hope Counseling, LLC my goal is provide the best mental health services for individuals, couples and families in Northern Michigan. I have been blessed with working with clinicians with similar values and passion that have expertise in working with Infants, Children, Adolescents, Adults, Parents & Couples that experience difficulties with; Depression, Anxiety, Grief/Loss, Trauma, Relationships, Addictions, Behavioral, Adjustment & Phase of Life Transitions & Career-Related Issues.
At Pyramid of Hope Counseling, LLC my goal is provide the best mental health services for individuals, couples and families in Northern Michigan. I have been blessed with working with clinicians with similar values and passion that have expertise in working with Infants, Children, Adolescents, Adults, Parents & Couples that experience difficulties with; Depression, Anxiety, Grief/Loss, Trauma, Relationships, Addictions, Behavioral, Adjustment & Phase of Life Transitions & Career-Related Issues.
(231) 881-5001 View (231) 881-5001
Photo of Amelia Ann Fettig - Amelia Fettig Counseling , LMSW, TIST, Clinical Social Work/Therapist
Amelia Fettig Counseling
Clinical Social Work/Therapist, LMSW, TIST
Verified Verified
Petoskey, MI 49770
Welcome! I understand contacting a stranger to share your most intimate details can be overwhelming and frightening. With this knowledge my job is to gain your trust, make you feel comfortable, and walk with you as you gain new tools to help you navigate your life better. I work with adults navigating traumas aftermath of symptoms, struggling with traits of a personality disorder or suffering with high suicidal ideation.
Welcome! I understand contacting a stranger to share your most intimate details can be overwhelming and frightening. With this knowledge my job is to gain your trust, make you feel comfortable, and walk with you as you gain new tools to help you navigate your life better. I work with adults navigating traumas aftermath of symptoms, struggling with traits of a personality disorder or suffering with high suicidal ideation.
(231) 201-3506 View (231) 201-3506
Photo of Linda Smith, LMSW, Clinical Social Work/Therapist
Linda Smith
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Traverse City, MI 49684
I enjoy counseling children, adolescents & adults in addressing their cognitive, behavioral & emotional challenges. I support my clients through individualized therapeutic approaches to help them understand & express their emotions in developmentally appropriate & healthy ways. I provide therapy for children, adolescents & their families experiencing challenges such as divorce, adoption, anxiety, depression, bullying, self-esteem, medical procedures, domestic violence, abuse & neglect, grief & loss, self-harm, trauma and PTSD. I also offer counseling for military families and understand the unique stress they face. I utilize a strengths-based approach to counsel children, teens & adults to help them gain confidence in their abilities to face challenges head on.
I enjoy counseling children, adolescents & adults in addressing their cognitive, behavioral & emotional challenges. I support my clients through individualized therapeutic approaches to help them understand & express their emotions in developmentally appropriate & healthy ways. I provide therapy for children, adolescents & their families experiencing challenges such as divorce, adoption, anxiety, depression, bullying, self-esteem, medical procedures, domestic violence, abuse & neglect, grief & loss, self-harm, trauma and PTSD. I also offer counseling for military families and understand the unique stress they face. I utilize a strengths-based approach to counsel children, teens & adults to help them gain confidence in their abilities to face challenges head on.
(231) 790-2549 x702 View (231) 790-2549 x702
Photo of Mary Conaway Ritter, MEd, LPC, NCC, CAADC, Counselor
Mary Conaway Ritter
Counselor, MEd, LPC, NCC, CAADC
Verified Verified
Marquette, MI 49855
I offer confidential counseling to adults and adolescents. My specialty areas include: depression, anxiety, eating disorders, substance abuse, family issues, PTSD, and grief and loss issues. I offer competitive rates and discounts for cash clients. I can also accept court referrals for substance abuse assessments. I like to think that I help people make changes in their lives to live better and more fulfilled.
I offer confidential counseling to adults and adolescents. My specialty areas include: depression, anxiety, eating disorders, substance abuse, family issues, PTSD, and grief and loss issues. I offer competitive rates and discounts for cash clients. I can also accept court referrals for substance abuse assessments. I like to think that I help people make changes in their lives to live better and more fulfilled.
(906) 214-4637 View (906) 214-4637
Photo of Heather Carson, LMSW, Clinical Social Work/Therapist
Heather Carson
Clinical Social Work/Therapist, LMSW
Verified Verified
Traverse City, MI 49684
I believe that all humans are innately driven to seek balance and congruence, and that when this drive is disrupted, whether it be due to emotional difficulties, relational stressors, or other life changes, we begin to suffer. It is my privilege to accompany my clients in their process of establishing balance and integration, ultimately achieving a sense of wholeness and security. I recognize that sometimes talk therapy isn't enough so I use a variety of additional therapies, including EMDR, which facilitate change by reprocessing emotionally-charged memories or experiences that often show up as physical sensations in the body.
I believe that all humans are innately driven to seek balance and congruence, and that when this drive is disrupted, whether it be due to emotional difficulties, relational stressors, or other life changes, we begin to suffer. It is my privilege to accompany my clients in their process of establishing balance and integration, ultimately achieving a sense of wholeness and security. I recognize that sometimes talk therapy isn't enough so I use a variety of additional therapies, including EMDR, which facilitate change by reprocessing emotionally-charged memories or experiences that often show up as physical sensations in the body.
(231) 714-6425 View (231) 714-6425
Photo of Emma Smith, MA, LLPC, Counselor
Emma Smith
Counselor, MA, LLPC
Verified Verified
1 Endorsed
Traverse City, MI 49686
At Blue Thistle Therapy, I value holistic healing and authenticity. My practice is rooted in relationship-based counseling, and I dig deep in order to connect with the real you. I am not a “smile and nod” therapist. I believe that therapy should be challenging, and I’m here to partner with you in your journey toward positive growth.
At Blue Thistle Therapy, I value holistic healing and authenticity. My practice is rooted in relationship-based counseling, and I dig deep in order to connect with the real you. I am not a “smile and nod” therapist. I believe that therapy should be challenging, and I’m here to partner with you in your journey toward positive growth.
(231) 310-1766 View (231) 310-1766
Photo of Amy Thomas, LMSW, Clinical Social Work/Therapist
Amy Thomas
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Empire, MI 49630  (Online Only)
Waitlist for new clients
What would it be like to feel like yourself again? So often in life, we push others away when we feel our worst. The things we enjoy quickly depart with them. We are left engulfed in feelings of hopelessness and despair, losing our sense of self and purpose. Although these issues are our responsibility, we don’t need to address them on our own. Therapy can help.I believe that we are not museums meant to preserve our negative experiences. Our past issues can be resolved. Through resolution of past experiences we are able to enter into a loving relationship with ourselves.
What would it be like to feel like yourself again? So often in life, we push others away when we feel our worst. The things we enjoy quickly depart with them. We are left engulfed in feelings of hopelessness and despair, losing our sense of self and purpose. Although these issues are our responsibility, we don’t need to address them on our own. Therapy can help.I believe that we are not museums meant to preserve our negative experiences. Our past issues can be resolved. Through resolution of past experiences we are able to enter into a loving relationship with ourselves.
(231) 389-5449 View (231) 389-5449
Photo of Jennifer A Cramer - Jenny Cramer, LMSW, PLLC, LMSW, Clinical Social Work/Therapist
Jenny Cramer, LMSW, PLLC
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Elk Rapids, MI 49629
Life can be overwhelming at times. Clients often express a loss of their sense of self, struggles with anxiety, and symptoms of depression. Societal expectations for people can seem crushingly unrealistic, leaving individuals to believe they are not good enough. Many are impacted by trauma and have formed deep-seeded, skewed values that have led to regrettable decisions, failed or troubled relationships, or any number of other situations. Each person needs to feel heard, understood, and connected. Finding a sense of joy, peace, and increased self-worth is not impossible. Help is here, judgement-free.
Life can be overwhelming at times. Clients often express a loss of their sense of self, struggles with anxiety, and symptoms of depression. Societal expectations for people can seem crushingly unrealistic, leaving individuals to believe they are not good enough. Many are impacted by trauma and have formed deep-seeded, skewed values that have led to regrettable decisions, failed or troubled relationships, or any number of other situations. Each person needs to feel heard, understood, and connected. Finding a sense of joy, peace, and increased self-worth is not impossible. Help is here, judgement-free.
(231) 251-2329 View (231) 251-2329
Photo of Jean Moree, LPC, NCC, CCTS-I, Licensed Professional Counselor
Jean Moree
Licensed Professional Counselor, LPC, NCC, CCTS-I
Verified Verified
Boyne City, MI 49712  (Online Only)
Serving anyone in the following states: Michigan, Missouri, Florida, and South Carolina. I believe counseling is a collaborative process based on honesty, respect, and empowerment in which we work together toward the change you desire. I believe in authenticity, flexibility, and meeting you where you are. So, please come as you are – there are no expectations here! YOU drive the bus in this therapeutic journey and you are the expert of your own experience.
Serving anyone in the following states: Michigan, Missouri, Florida, and South Carolina. I believe counseling is a collaborative process based on honesty, respect, and empowerment in which we work together toward the change you desire. I believe in authenticity, flexibility, and meeting you where you are. So, please come as you are – there are no expectations here! YOU drive the bus in this therapeutic journey and you are the expert of your own experience.
(231) 227-8385 View (231) 227-8385
Photo of Kathryn Holmes, MA, LPC-S, NCC, Counselor
Kathryn Holmes
Counselor, MA, LPC-S, NCC
Verified Verified
Gaylord, MI 49735
I am a Licensed Professional Counselor who has been working with adults, adolescents, and children in northern Michigan for more than 30 years. I believe it's possible to redefine one's potential by understanding each person's unique strengths and limitations, and incorporating these into attainable goals. My focus is to help clients of all ages cope with challenging issues such as divorce, abuse, trauma, depression, self-image, grief and anxiety. I have specialized training in EMDR, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) and am a Registered Play Therapist.
I am a Licensed Professional Counselor who has been working with adults, adolescents, and children in northern Michigan for more than 30 years. I believe it's possible to redefine one's potential by understanding each person's unique strengths and limitations, and incorporating these into attainable goals. My focus is to help clients of all ages cope with challenging issues such as divorce, abuse, trauma, depression, self-image, grief and anxiety. I have specialized training in EMDR, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) and am a Registered Play Therapist.
(989) 202-1016 View (989) 202-1016
Photo of Heidi Fraser, MA, LPC, CAADC, Licensed Professional Counselor
Heidi Fraser
Licensed Professional Counselor, MA, LPC, CAADC
Verified Verified
Gaylord, MI 49735
Your pain does not define you. But, it sure does taint our view of ourselves. It's hard to see the best version of us. I would love to help you see how wonderful you are! I offer appointment times after work hours or on the weekends. You will find me to be a fun therapist who thrives on incorporating all aspects of emotion into her sessions. We may cry, but we will laugh too! We will take about fear, but we will take about courage too! I truly believe that the most change occurs when you feel like you can connect with your therapist! Give me a call and I'll get you in for an appointment as soon as I can!
Your pain does not define you. But, it sure does taint our view of ourselves. It's hard to see the best version of us. I would love to help you see how wonderful you are! I offer appointment times after work hours or on the weekends. You will find me to be a fun therapist who thrives on incorporating all aspects of emotion into her sessions. We may cry, but we will laugh too! We will take about fear, but we will take about courage too! I truly believe that the most change occurs when you feel like you can connect with your therapist! Give me a call and I'll get you in for an appointment as soon as I can!
(989) 301-4199 View (989) 301-4199
Photo of Jessica R. Stefanski, LMSW, LCSW, Clinical Social Work/Therapist
Jessica R. Stefanski
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
Petoskey, MI 49770
Waitlist for new clients
Welcome. I am so happy you are here. As humans we are extremely resilient and adaptive to our surroundings. At times, this can be a gift and it can also lead us on a path that is no longer serving us. Therapy has the potential to change the quality of our lives, as well as for those around us, for generations to come. I specialize in guiding people back to themselves, while setting the conditions for healing to take place. Given the right conditions our bodies and minds can heal. You already carry everything you need from within. My approach is rooted in authenticity, compassion, and client empowerment.
Welcome. I am so happy you are here. As humans we are extremely resilient and adaptive to our surroundings. At times, this can be a gift and it can also lead us on a path that is no longer serving us. Therapy has the potential to change the quality of our lives, as well as for those around us, for generations to come. I specialize in guiding people back to themselves, while setting the conditions for healing to take place. Given the right conditions our bodies and minds can heal. You already carry everything you need from within. My approach is rooted in authenticity, compassion, and client empowerment.
(231) 227-4309 View (231) 227-4309
Photo of Susan Mary Hoffman - Susan M Hoffman LMSW, LLC, LMSW, ACSW, CAADC, Clinical Social Work/Therapist
Susan M Hoffman LMSW, LLC
Clinical Social Work/Therapist, LMSW, ACSW, CAADC
Verified Verified
5 Endorsed
Petoskey, MI 49770  (Online Only)
Waitlist for new clients
With more than 35 years of experience as a Clinical Social Worker, I have learned invaluable lessons in the fields of mental health and addiction. I have been actively involved in guiding others as a trusted supervisor, with endorsements from the NASW as a Supervisor and holding a CAADC credential for substance use disorders.
With more than 35 years of experience as a Clinical Social Worker, I have learned invaluable lessons in the fields of mental health and addiction. I have been actively involved in guiding others as a trusted supervisor, with endorsements from the NASW as a Supervisor and holding a CAADC credential for substance use disorders.
(231) 487-6619 View (231) 487-6619

See more therapy options for Curtis

How does your Therapist compare?

Number of Therapists in Curtis, MI

< 10

Therapists in Curtis, MI who prioritize treating:

100% Anxiety
100% Trauma and PTSD
67% Relationship Issues
67% Depression
67% Addiction
67% Grief
67% Other

Average years in practice

5 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Medicaid

How Therapists in Curtis, MI see their clients

67% In Person and Online
33% Online Only

Gender breakdown

67% Female
33% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Curtis?

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.