Therapists in Spanish Fort, AL

Photo of Laura W Anderson, MS, LPC, Licensed Professional Counselor
Laura W Anderson
Licensed Professional Counselor, MS, LPC
Verified Verified
Spanish Fort, AL 36527
Waitlist for new clients
Many people have experienced trauma and deep woundedness, but we don’t have to keep living out those stories in our present lives. These messages and stories that we’ve learned about ourselves may be the major voice in our head, but they don’t have to stay that way. My passion is helping clients connect with the true version of who they are now and learn coping skills and strategies to reconnect with all parts of themselves. This reconnection allows them to function their best in all their relationships: personal, professional, and most importantly their relationship with themselves.
Many people have experienced trauma and deep woundedness, but we don’t have to keep living out those stories in our present lives. These messages and stories that we’ve learned about ourselves may be the major voice in our head, but they don’t have to stay that way. My passion is helping clients connect with the true version of who they are now and learn coping skills and strategies to reconnect with all parts of themselves. This reconnection allows them to function their best in all their relationships: personal, professional, and most importantly their relationship with themselves.
(251) 325-0081 View (251) 325-0081
Photo of Dr. Kendra Lee Ann LaConsay, PsyD, Psychologist
Dr. Kendra Lee Ann LaConsay
Psychologist, PsyD
Verified Verified
Spanish Fort, AL 36527
Working with adult individuals who are seeking a Christian perspective to whatever challenges they are facing is my main focus. In addition to providing therapy services, I also provide psychological testing and evaluations of all kinds, including (but not limited to) specific learning disabilities, attention-deficit hyperactivity disorder, personality, and vocational/career interests.
Working with adult individuals who are seeking a Christian perspective to whatever challenges they are facing is my main focus. In addition to providing therapy services, I also provide psychological testing and evaluations of all kinds, including (but not limited to) specific learning disabilities, attention-deficit hyperactivity disorder, personality, and vocational/career interests.
(251) 732-2193 View (251) 732-2193
Photo of Karen M Abercrombie, MS, LMFT, Marriage & Family Therapist
Karen M Abercrombie
Marriage & Family Therapist, MS, LMFT
Verified Verified
Spanish Fort, AL 36527
As a Christian Counselor, I most often work with individuals, couples, and families who are struggling with emotional, behavioral, and/or spiritual concerns. I have over 30 years of professional experience specializing in marital, family, and individual counseling with adolescents and adults. I am blessed to be in practice with my husband, Dr. Ab Abercrombie, and we often work together when counseling couples and families.
As a Christian Counselor, I most often work with individuals, couples, and families who are struggling with emotional, behavioral, and/or spiritual concerns. I have over 30 years of professional experience specializing in marital, family, and individual counseling with adolescents and adults. I am blessed to be in practice with my husband, Dr. Ab Abercrombie, and we often work together when counseling couples and families.
(850) 378-3442 View (850) 378-3442
Photo of Emily Tisdale - With Great Love, LLC, MA, BCBA, LBA
With Great Love, LLC
MA, BCBA, LBA
Verified Verified
Spanish Fort, AL 36527
Not accepting new clients
Mrs. Tisdale has been a Board Certified Behavior Analyst since 2018 (and an Assistant Behavior Analyst since 2014). She has worked with neurotypical and those with Autism Spectrum Disorder ranging from 2 years old - those in their 30s. She has worked with patients who have also suffered from: Obsessive Compulsive Disorder (OCD), feeding issues, mental illness and mood disorders, Intermittent Explosive Disorder, Schizophrenia, Intellectual Disabilities, and a variety of other health impairments. Mrs. Tisdale specializes in not only children, but also in young adults that want to learn how to be independent with daily living.
Mrs. Tisdale has been a Board Certified Behavior Analyst since 2018 (and an Assistant Behavior Analyst since 2014). She has worked with neurotypical and those with Autism Spectrum Disorder ranging from 2 years old - those in their 30s. She has worked with patients who have also suffered from: Obsessive Compulsive Disorder (OCD), feeding issues, mental illness and mood disorders, Intermittent Explosive Disorder, Schizophrenia, Intellectual Disabilities, and a variety of other health impairments. Mrs. Tisdale specializes in not only children, but also in young adults that want to learn how to be independent with daily living.
(251) 250-6254 View (251) 250-6254
Photo of Madison Heflin, ALC, NCC, Counselor
Madison Heflin
Counselor, ALC, NCC
Verified Verified
Spanish Fort, AL 36527
Do you find yourself feeling lost about the direction your life is headed? Does constant worry have you playing out every worst case scenario possible? Is recurring conflict causing distance in your relationship?
Do you find yourself feeling lost about the direction your life is headed? Does constant worry have you playing out every worst case scenario possible? Is recurring conflict causing distance in your relationship?
(251) 235-5359 View (251) 235-5359
Photo of Christopher Cordon- Alabama Coastal Counseling Services, LICSW, Clinical Social Work/Therapist
Christopher Cordon- Alabama Coastal Counseling Services
Clinical Social Work/Therapist, LICSW
Verified Verified
Spanish Fort, AL 36527
If you are someone who is self-motivated, insightful and open to exploring unique and new ways of viewing yourself and others, then I am the right therapist for you. I have treated a range of mental health issues, from everyday life complications to depression, anxiety, and PTSD, among others. As I have told clients I have worked with in the past, the ultimate goal in therapy is to not only feel better but to get better and be willing to make any and all necessary changes to overcome your current difficulties and stressors.
If you are someone who is self-motivated, insightful and open to exploring unique and new ways of viewing yourself and others, then I am the right therapist for you. I have treated a range of mental health issues, from everyday life complications to depression, anxiety, and PTSD, among others. As I have told clients I have worked with in the past, the ultimate goal in therapy is to not only feel better but to get better and be willing to make any and all necessary changes to overcome your current difficulties and stressors.
(251) 202-9290 View (251) 202-9290
Photo of Tunisia Brina London, MSW, LICSW, PIP, Clinical Social Work/Therapist
Tunisia Brina London
Clinical Social Work/Therapist, MSW, LICSW, PIP
Verified Verified
1 Endorsed
Spanish Fort, AL 36527  (Online Only)
Accepting New Clients Now! Hi, I’m Tunisia London, but most call me Sabrina. You might recognize me from Hulu’s “Love In Fairhope,” where I had the privilege of helping a couple navigate their differences and rediscover love after divorce. As a licensed therapist, I specialize in addressing the core concerns that often lead people to therapy, such as anxiety, relationships, and personal growth. I believe that the journey to self-improvement isn’t always straightforward; it can be complex and challenging. So, I will provide a toolbox of strategies, teach effective communication, and help you find your purpose. What sets me apart?
Accepting New Clients Now! Hi, I’m Tunisia London, but most call me Sabrina. You might recognize me from Hulu’s “Love In Fairhope,” where I had the privilege of helping a couple navigate their differences and rediscover love after divorce. As a licensed therapist, I specialize in addressing the core concerns that often lead people to therapy, such as anxiety, relationships, and personal growth. I believe that the journey to self-improvement isn’t always straightforward; it can be complex and challenging. So, I will provide a toolbox of strategies, teach effective communication, and help you find your purpose. What sets me apart?
(904) 842-4066 View (904) 842-4066
Photo of Liz Reinking - A Better You, ALC, MBA, MA, Licensed Professional Counselor
A Better You
Licensed Professional Counselor, ALC, MBA, MA
Verified Verified
Spanish Fort, AL 36527
If you suffer from anxiety, trauma, abuse or workplace problems I am trained to help you cope, and not just survive, but thrive. In 2001 I began helping clients cope with nightmares, low self esteem, women's issues and trauma using EMDR. This is a natural healing method that is quicker and more effective than talk therapy alone. To get started on a healthier, happier life, call me. Together, we can cope and make your life better!
If you suffer from anxiety, trauma, abuse or workplace problems I am trained to help you cope, and not just survive, but thrive. In 2001 I began helping clients cope with nightmares, low self esteem, women's issues and trauma using EMDR. This is a natural healing method that is quicker and more effective than talk therapy alone. To get started on a healthier, happier life, call me. Together, we can cope and make your life better!
(616) 899-4081 View (616) 899-4081
Photo of Joanna Snow, MA, LPC-S, Licensed Professional Counselor
Joanna Snow
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Spanish Fort, AL 36527
Finding the right counselor is important for your needs. I offer a positive, solution-focused approach, deeply caring about my clients' success. With extensive training in relationship dynamics, trauma, and mood regulation, I help clients thrive in their personal life through realistic steps. My first goal is creating a safe and nurturing environment where individuals feel understood, validated, and empowered to explore their emotions and experiences.
Finding the right counselor is important for your needs. I offer a positive, solution-focused approach, deeply caring about my clients' success. With extensive training in relationship dynamics, trauma, and mood regulation, I help clients thrive in their personal life through realistic steps. My first goal is creating a safe and nurturing environment where individuals feel understood, validated, and empowered to explore their emotions and experiences.
(251) 220-5724 View (251) 220-5724
Photo of Kate Nelson-Dooley - Jubilee Counseling LLC, LICSW, PIP, Clinical Social Work/Therapist
Jubilee Counseling LLC
Clinical Social Work/Therapist, LICSW, PIP
Verified Verified
2 Endorsed
Spanish Fort, AL 36527  (Online Only)
Feeling lonely, anxious, or want a nonbiased person to vent to? You are taking a phenomenal first step. I believe that each person and situation is unique and special, so I strive to understand the client and all the types of stress involved. I have a supportive and creative approach that puts my clients at ease. Many families seek services to cope with loneliness, low self-esteem, depression, stress, anxiety, irritability, anger, grief and loss, difficulty adjusting, family relationships, chronic illness, and much more. I provide teletherapy services which allow you to receive quality clinical services in your home.
Feeling lonely, anxious, or want a nonbiased person to vent to? You are taking a phenomenal first step. I believe that each person and situation is unique and special, so I strive to understand the client and all the types of stress involved. I have a supportive and creative approach that puts my clients at ease. Many families seek services to cope with loneliness, low self-esteem, depression, stress, anxiety, irritability, anger, grief and loss, difficulty adjusting, family relationships, chronic illness, and much more. I provide teletherapy services which allow you to receive quality clinical services in your home.
(251) 215-4108 View (251) 215-4108
Photo of Robyn Koser, MEd, LPC, Licensed Professional Counselor
Robyn Koser
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Spanish Fort, AL 36527
Not accepting new clients
I want to help you with the difficulties and changes of life. I can help whether your struggles are emotional or physical. I am a licensed counselor working with children, adolescents, adults, and caregivers. I believe strongly in the relationship formed with each client. I use primarily Cognitive Behavioral techniques focusing on the connection of thoughts, feelings and behaviors. I have specific experience in depression, anxiety, OCD, Phobias, anger, bi-polar, adjustment problems, grief, ADHD/ADD, parenting issues, Hospice caregiver care, LGBTQ issues. With hard work, you can make positive change in your life and feel better.
I want to help you with the difficulties and changes of life. I can help whether your struggles are emotional or physical. I am a licensed counselor working with children, adolescents, adults, and caregivers. I believe strongly in the relationship formed with each client. I use primarily Cognitive Behavioral techniques focusing on the connection of thoughts, feelings and behaviors. I have specific experience in depression, anxiety, OCD, Phobias, anger, bi-polar, adjustment problems, grief, ADHD/ADD, parenting issues, Hospice caregiver care, LGBTQ issues. With hard work, you can make positive change in your life and feel better.
(251) 259-4052 View (251) 259-4052
Photo of Hiram Keith Johnson, MA, LCSW, PIP, Clinical Social Work/Therapist
Hiram Keith Johnson
Clinical Social Work/Therapist, MA, LCSW, PIP
Verified Verified
Spanish Fort, AL 36527
Hiram has over 30 years of clinical counseling experience and the genuine passion for helping people in need. He specializes in individuals, marriage/relationships, and adolescents. Key issues include anxiety/depression, communication, conflict resolution, grief/trauma, divorce, blended families, parenting skills, substance abuse, pornography, infidelity and the mending of trust, ADD for all ages, and anger management issues. It does take a great amount of courage to reach out. Counseling helps to empower you in overcoming and/or managing life's numerous painful challenges.
Hiram has over 30 years of clinical counseling experience and the genuine passion for helping people in need. He specializes in individuals, marriage/relationships, and adolescents. Key issues include anxiety/depression, communication, conflict resolution, grief/trauma, divorce, blended families, parenting skills, substance abuse, pornography, infidelity and the mending of trust, ADD for all ages, and anger management issues. It does take a great amount of courage to reach out. Counseling helps to empower you in overcoming and/or managing life's numerous painful challenges.
(251) 216-1351 View (251) 216-1351
Photo of Stephanie Philpot - Stephanie Philpot Professional Counseling, LLC, MS, LPC, Licensed Professional Counselor
Stephanie Philpot Professional Counseling, LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
Spanish Fort, AL 36527
We are more capable of change than we believe. Before change is attainable, we must believe change is possible. Stephanie is Level II trained in EMDR, a psychotherapy that enables people to heal from symptoms & emotional distress that are the result of disturbing life experiences. In a relaxed environment using natural conversation, Stephanie helps clients become aware of self-defeating thoughts & behaviors that contribute to feeling overwhelmed & low self-esteem. By recognizing & changing these patterns, growth & healthy emotional responses develop, while self-doubt & confusion are transformed to self-confidence, clarity, & peace.
We are more capable of change than we believe. Before change is attainable, we must believe change is possible. Stephanie is Level II trained in EMDR, a psychotherapy that enables people to heal from symptoms & emotional distress that are the result of disturbing life experiences. In a relaxed environment using natural conversation, Stephanie helps clients become aware of self-defeating thoughts & behaviors that contribute to feeling overwhelmed & low self-esteem. By recognizing & changing these patterns, growth & healthy emotional responses develop, while self-doubt & confusion are transformed to self-confidence, clarity, & peace.
(251) 254-2784 View (251) 254-2784
Photo of Alana Wright, MS, LPC, Licensed Professional Counselor
Alana Wright
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Spanish Fort, AL 36527
Ready to make a positive change with real results? Excessive worry, stress, depression, and anxiety can all lead to health complications and strained relationships. I help my clients move beyond those barriers to lead a more healthy and productive life. I work with individuals, couples, and families for a broad range of issues, with appointment times to accommodate your scheduling needs.
Ready to make a positive change with real results? Excessive worry, stress, depression, and anxiety can all lead to health complications and strained relationships. I help my clients move beyond those barriers to lead a more healthy and productive life. I work with individuals, couples, and families for a broad range of issues, with appointment times to accommodate your scheduling needs.
(251) 333-9773 View (251) 333-9773
Photo of Susan Galberry, MS, LPC, Licensed Professional Counselor
Susan Galberry
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Spanish Fort, AL 36527
Feeling tired, stressed, overwhelmed? Depleted, depressed, anxious? Of course you are! We live in a crazy fast-paced world. Are you feeling the effects of daily pressures? How about your teen? They feel it too! They don't always know how to express their stress, so they act out which stresses you even more! Whether you are seeking help for yourself or are concerned about you teen, talking things through and finding new perspectives can make a huge difference in everyday life.
Feeling tired, stressed, overwhelmed? Depleted, depressed, anxious? Of course you are! We live in a crazy fast-paced world. Are you feeling the effects of daily pressures? How about your teen? They feel it too! They don't always know how to express their stress, so they act out which stresses you even more! Whether you are seeking help for yourself or are concerned about you teen, talking things through and finding new perspectives can make a huge difference in everyday life.
(251) 220-9569 View (251) 220-9569
Photo of Lucas Hester, LMFT, Marriage & Family Therapist
Lucas Hester
Marriage & Family Therapist, LMFT
Verified Verified
Spanish Fort, AL 36527
Hey there, my name’s Lucas, and I’m a licensed therapist who works with teens, adults, and couples! I work with clients on specific issues they highlight and see as the things that need to be addressed the most, but I also take a holistic approach and address whatever you and I through therapy identify as compounding factors - be they internal, such as trauma, or external, such as relationship troubles.
Hey there, my name’s Lucas, and I’m a licensed therapist who works with teens, adults, and couples! I work with clients on specific issues they highlight and see as the things that need to be addressed the most, but I also take a holistic approach and address whatever you and I through therapy identify as compounding factors - be they internal, such as trauma, or external, such as relationship troubles.
(251) 572-1050 View (251) 572-1050
Photo of Anna Barksdale, MSCP, LPC-S, LLC, Licensed Professional Counselor
Anna Barksdale
Licensed Professional Counselor, MSCP, LPC-S, LLC
Verified Verified
Spanish Fort, AL 36527
As a counselor who specializes in anxiety and depression, I understand the unique challenges that you face. I am passionate about helping you find happiness and peace in your life. Whether it’s navigating changes such as aging, perimenopause and menopause and midlife changes, grief & loss, re-evaluation of relationships and self-worth, I can help. My goal is to provide support and guidance so that my clients can achieve the happiness they deserve.
As a counselor who specializes in anxiety and depression, I understand the unique challenges that you face. I am passionate about helping you find happiness and peace in your life. Whether it’s navigating changes such as aging, perimenopause and menopause and midlife changes, grief & loss, re-evaluation of relationships and self-worth, I can help. My goal is to provide support and guidance so that my clients can achieve the happiness they deserve.
(251) 281-0514 View (251) 281-0514
Photo of Kathryn Everette, LPC, Licensed Professional Counselor
Kathryn Everette
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Spanish Fort, AL 36527
I have worked with clients with various life problems such as work stress, family conflict, anxiety, depression, trauma symptoms, and parenting problems. While I have the most experience working with teenagers, in recent years I have branched out to work with adults and younger children. I have helped clients identify, process, and move past what is blocking them from living the life they want. I come from a therapeutic style of compassion, understanding, educating, and not judging. I believe that we all need to have a kind, unbiased, and honest person with whom we can trust to help where we need it sometimes.
I have worked with clients with various life problems such as work stress, family conflict, anxiety, depression, trauma symptoms, and parenting problems. While I have the most experience working with teenagers, in recent years I have branched out to work with adults and younger children. I have helped clients identify, process, and move past what is blocking them from living the life they want. I come from a therapeutic style of compassion, understanding, educating, and not judging. I believe that we all need to have a kind, unbiased, and honest person with whom we can trust to help where we need it sometimes.
View
K. Shea Miller
Licensed Professional Counselor, LPC-S, LMHC, RPT
Verified Verified
Spanish Fort, AL 36527
​Though my area of specialization have been in trauma recovery and play therapy with children, teens, and adults, I also have had successful experience working with the following, in no particular order: Depression, Anxiety, Autism Spectrum Disorders, Sensory Processing Disorders, ADD/ ADHD, Bipolar Disorder, Grief/ Loss, Life Transitions, Behavior Management, Parenting Concerns, Hoarding, and Post Traumatic Stress Disorder. Sessions are conducted indiividually, in family sessions, and also as couples.
​Though my area of specialization have been in trauma recovery and play therapy with children, teens, and adults, I also have had successful experience working with the following, in no particular order: Depression, Anxiety, Autism Spectrum Disorders, Sensory Processing Disorders, ADD/ ADHD, Bipolar Disorder, Grief/ Loss, Life Transitions, Behavior Management, Parenting Concerns, Hoarding, and Post Traumatic Stress Disorder. Sessions are conducted indiividually, in family sessions, and also as couples.
(251) 270-2296 View (251) 270-2296
Photo of Melissa A. Smilie, MEd, LPC-S, Licensed Professional Counselor
Melissa A. Smilie
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
1 Endorsed
Spanish Fort, AL 36527
Do you find yourself feeling "stuck" in life? Do you feel unsatisfied with the way your life "should" or "shouldn't" be? Therapy is a great way to discuss these concerns with a professional and to learn ways to take control over what feels like the uncontrollable.
Do you find yourself feeling "stuck" in life? Do you feel unsatisfied with the way your life "should" or "shouldn't" be? Therapy is a great way to discuss these concerns with a professional and to learn ways to take control over what feels like the uncontrollable.
(251) 227-4427 View (251) 227-4427

See more therapy options for Spanish Fort

How does your Therapist compare?

Number of Therapists in Spanish Fort, AL

30+

Average cost per session

$140

Therapists in Spanish Fort, AL who prioritize treating:

91% Anxiety
86% Depression
80% Stress
77% Relationship Issues
77% Self Esteem
69% Coping Skills
63% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
48% New Directions | Lucet
44% Aetna

How Therapists in Spanish Fort, AL see their clients

92% In Person and Online
8% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Spanish Fort?

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.