Therapists in Piscataway, NJ

Photo of Ashley Leger, LPC, Licensed Professional Counselor
Ashley Leger
Licensed Professional Counselor, LPC
Verified Verified
Piscataway, NJ 08854  (Online Only)
Welcome all! I have been working in the mental health field for several years and one of the most important factors in whether therapy succeeds or fails is the goal of each party in session. As a therapist, my goal is to understand where you are going and where you have been. Together we can create a roadmap to success — that looks different for each person. I am here to focus on the needs of each client and help people feel heard so that each individual can focus on the best version of themselves.
Welcome all! I have been working in the mental health field for several years and one of the most important factors in whether therapy succeeds or fails is the goal of each party in session. As a therapist, my goal is to understand where you are going and where you have been. Together we can create a roadmap to success — that looks different for each person. I am here to focus on the needs of each client and help people feel heard so that each individual can focus on the best version of themselves.
(732) 889-5901 View (732) 889-5901
Photo of Tina Collins, MSW,  LCSW, Clinical Social Work/Therapist
Tina Collins
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Piscataway, NJ 08854
Tina M. Collins is a Licensed Independent Clinical Social Worker in New Jersey who has been practicing since 2001. She has an MSW from Rutgers University. Outside of work, Tina likes to read and do arts and crafts.
Tina M. Collins is a Licensed Independent Clinical Social Worker in New Jersey who has been practicing since 2001. She has an MSW from Rutgers University. Outside of work, Tina likes to read and do arts and crafts.
(732) 573-6721 View (732) 573-6721
Photo of Jacqueline Conte-Ainsworth - Bridge to Balance Inc. , LPC, ATR, Licensed Professional Counselor
Bridge to Balance Inc.
Licensed Professional Counselor, LPC, ATR
Verified Verified
Piscataway, NJ 08854
Working with children, adolescents and adults, my focus is to create a positive, collaborative and thought-provoking environment for all of my clients. With a combination of the therapeutic relationship, traditional talk-therapy, and the creative process of art therapy, we can work towards your goals and aspirations.
Working with children, adolescents and adults, my focus is to create a positive, collaborative and thought-provoking environment for all of my clients. With a combination of the therapeutic relationship, traditional talk-therapy, and the creative process of art therapy, we can work towards your goals and aspirations.
(732) 561-5867 View (732) 561-5867
Photo of Vanessa Bell - Turnaround Counseling Services, MS, LPC, LCADC, Licensed Professional Counselor
Turnaround Counseling Services
Licensed Professional Counselor, MS, LPC, LCADC
Verified Verified
Piscataway, NJ 08854  (Online Only)
Has life become overwhelming and left you feeling stuck? Are you struggling with improving your personal wellness and meeting life goals? Have you been reluctant to try therapy or have other therapeutic treatments failed? Together we can develop a treatment plan that is designed specifically for you. My focus is on helping individuals, couples and families understand emotions and learn how to communicate more effectively, thus creating an atmosphere of peace, harmony and growth.
Has life become overwhelming and left you feeling stuck? Are you struggling with improving your personal wellness and meeting life goals? Have you been reluctant to try therapy or have other therapeutic treatments failed? Together we can develop a treatment plan that is designed specifically for you. My focus is on helping individuals, couples and families understand emotions and learn how to communicate more effectively, thus creating an atmosphere of peace, harmony and growth.
(732) 587-6626 View (732) 587-6626
Photo of Rebecca Burns, LCSW, Clinical Social Work/Therapist
Rebecca Burns
Clinical Social Work/Therapist, LCSW
Verified Verified
Piscataway, NJ 08854
Rebecca Burns is a Licensed Clinical Social Worker practicing in the state of New Jersey. Rebecca earned her Bachelor's degree from Fordham University. She later went on to receive her Masters in Social Work degree from Rutgers University. Rebecca is trained and certified in cognitive-based therapies, including CBT and TF-CBT.
Rebecca Burns is a Licensed Clinical Social Worker practicing in the state of New Jersey. Rebecca earned her Bachelor's degree from Fordham University. She later went on to receive her Masters in Social Work degree from Rutgers University. Rebecca is trained and certified in cognitive-based therapies, including CBT and TF-CBT.
(732) 686-6074 View (732) 686-6074
Photo of Rene Baez, LPC, Licensed Professional Counselor
Rene Baez
Licensed Professional Counselor, LPC
Verified Verified
Piscataway, NJ 08854  (Online Only)
My therapeutic approach and philosophy is holistic and client-centered. I incorporate mindfulness, solution-focused techniques, support, patience, understanding, and a collaborative approach. I believe in a holistic approach that takes into consideration the whole person—physical, emotional, mental, and spiritual needs. I have applied this approach and mindset with my clients, and have been very successful in assisting my clients in their growth and healing.
My therapeutic approach and philosophy is holistic and client-centered. I incorporate mindfulness, solution-focused techniques, support, patience, understanding, and a collaborative approach. I believe in a holistic approach that takes into consideration the whole person—physical, emotional, mental, and spiritual needs. I have applied this approach and mindset with my clients, and have been very successful in assisting my clients in their growth and healing.
(551) 266-4236 View (551) 266-4236
Photo of Katherine McDonald, LPC, Licensed Professional Counselor
Katherine McDonald
Licensed Professional Counselor, LPC
Verified Verified
Piscataway, NJ 08854  (Online Only)
I'm grateful to connect with you on the path towards emotional well-being. Believing in self-discovery and growth, I guide individuals through life's challenges and help them embrace change. Through my experience, I have honed my approach to therapy, which combines elements of Mindfulness-based Cognitive Therapy and Dialectical Behavior Therapy. This allows me to tailor treatment to each person. Going on this journey requires courage and self-compassion. Together, we'll navigate through challenges and gain insight into positive change.
I'm grateful to connect with you on the path towards emotional well-being. Believing in self-discovery and growth, I guide individuals through life's challenges and help them embrace change. Through my experience, I have honed my approach to therapy, which combines elements of Mindfulness-based Cognitive Therapy and Dialectical Behavior Therapy. This allows me to tailor treatment to each person. Going on this journey requires courage and self-compassion. Together, we'll navigate through challenges and gain insight into positive change.
(551) 209-3729 View (551) 209-3729
Photo of Jackie Coburger, LCSW, Clinical Social Work/Therapist
Jackie Coburger
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Piscataway, NJ 08854
Hello, do any of the these statements sound like what you are going through? Replaying the past or rehearsing the future. Difficulty adjusting to a transition ,even a positive change can be difficult. Struggling in your relationships, or struggling internally. You feel like you can't keep up with all the stressors and pressures in your life. You are barely holding on. These are some of the reasons you may be considering therapy. I know it can be really hard to decide to try therapy, and to take the leap to make that first call/email. Psychotherapy can open the door for you to live your life with clarity and a true sense of peace.
Hello, do any of the these statements sound like what you are going through? Replaying the past or rehearsing the future. Difficulty adjusting to a transition ,even a positive change can be difficult. Struggling in your relationships, or struggling internally. You feel like you can't keep up with all the stressors and pressures in your life. You are barely holding on. These are some of the reasons you may be considering therapy. I know it can be really hard to decide to try therapy, and to take the leap to make that first call/email. Psychotherapy can open the door for you to live your life with clarity and a true sense of peace.
(732) 538-8233 View (732) 538-8233
Photo of Rebecca Siegel, LCSW, Clinical Social Work/Therapist
Rebecca Siegel
Clinical Social Work/Therapist, LCSW
Verified Verified
Piscataway, NJ 08854  (Online Only)
The world can be a complex place and it has become more challenging than ever to find safe outlets to process life. I am here to provide a space for you to explore your thoughts, vent your feelings, and develop healthy coping strategies. In my 10+ years of experience working in outpatient clinics, I've been able to hone my skills with diverse populations. I am also trained in a specific treatment modality to address/manage symptoms of OCD. I focus on creating a safe, comfortable, and non-judgmental atmosphere where you can let your true self shine through.
The world can be a complex place and it has become more challenging than ever to find safe outlets to process life. I am here to provide a space for you to explore your thoughts, vent your feelings, and develop healthy coping strategies. In my 10+ years of experience working in outpatient clinics, I've been able to hone my skills with diverse populations. I am also trained in a specific treatment modality to address/manage symptoms of OCD. I focus on creating a safe, comfortable, and non-judgmental atmosphere where you can let your true self shine through.
(908) 952-2076 View (908) 952-2076
Photo of Therese Reseska, LPC, Counselor
Therese Reseska
Counselor, LPC
Verified Verified
Piscataway, NJ 08854  (Online Only)
Therapy is a multi-faceted process that involves increasing self-awareness and problem-solving. The process is enhanced by active engagement between a client and a therapist, who build a collaborative and trusting relationship. I am a Licensed Professional Counselor (LPC) and a Licensed Clinical and Alcohol Drug Counselor (LCADC) in the state of New Jersey, and I have over 20+ years of experience as a Mental Health Clinician within a local community mental health agency in central NJ. I help individuals resolve problems and transform patterns of feeling, thinking, and behavior, so they can create a life that is more fulfilling.
Therapy is a multi-faceted process that involves increasing self-awareness and problem-solving. The process is enhanced by active engagement between a client and a therapist, who build a collaborative and trusting relationship. I am a Licensed Professional Counselor (LPC) and a Licensed Clinical and Alcohol Drug Counselor (LCADC) in the state of New Jersey, and I have over 20+ years of experience as a Mental Health Clinician within a local community mental health agency in central NJ. I help individuals resolve problems and transform patterns of feeling, thinking, and behavior, so they can create a life that is more fulfilling.
(201) 350-1621 View (201) 350-1621
Photo of Christina Wozniak, LPC, Licensed Professional Counselor
Christina Wozniak
Licensed Professional Counselor, LPC
Verified Verified
Piscataway, NJ 08854  (Online Only)
I received my Master's Degree in Clinical Mental Health Counseling from Georgian Court University in 2015. After graduation, my internship site offered me a position in a partial hospitalization setting where I completed the necessary experience and supervision to attain my license. In that setting, I worked with a diverse presentation of mental health issues, ranging from depression and anxiety to personality disorders and trauma, many times co-occurring with addictions.
I received my Master's Degree in Clinical Mental Health Counseling from Georgian Court University in 2015. After graduation, my internship site offered me a position in a partial hospitalization setting where I completed the necessary experience and supervision to attain my license. In that setting, I worked with a diverse presentation of mental health issues, ranging from depression and anxiety to personality disorders and trauma, many times co-occurring with addictions.
(201) 267-2178 View (201) 267-2178
Photo of Jessica Bradley, LCSW, Clinical Social Work/Therapist
Jessica Bradley
Clinical Social Work/Therapist, LCSW
Verified Verified
Piscataway, NJ 08854  (Online Only)
My therapy style is collaborative, client-centered, and empathetic, creating a safe and supportive environment for clients to explore their thoughts and feelings. I build strong therapeutic relationships, fostering trust and open communication. Using Motivational Interviewing, Mindfulness, and Strength-Based Approaches, I empower clients to recognize and build on their strengths. I also incorporate Family Systems Therapy, Harm Reduction, and Solution-Focused Therapy. My flexible approach is tailored to each individual's needs, promoting personal growth and well-being.
My therapy style is collaborative, client-centered, and empathetic, creating a safe and supportive environment for clients to explore their thoughts and feelings. I build strong therapeutic relationships, fostering trust and open communication. Using Motivational Interviewing, Mindfulness, and Strength-Based Approaches, I empower clients to recognize and build on their strengths. I also incorporate Family Systems Therapy, Harm Reduction, and Solution-Focused Therapy. My flexible approach is tailored to each individual's needs, promoting personal growth and well-being.
(908) 970-8996 View (908) 970-8996
Photo of Erica Bogart, LPC, Counselor
Erica Bogart
Counselor, LPC
Verified Verified
Piscataway, NJ 08854
Erica Bogart, LPC Erica Bogart is a Licensed Professional Counselor in New Jersey who has been practicing since 2010. She has a Master's Degree in Counseling Psychology with an Art Therapy Specialization. Erica's help has focused on working with children, adolescents, and adults who have experienced trauma, social-emotional struggles, life changes and behavioral challenges. Erica believes working from a person-centered, strength-based approach with an individual in a self-paced journey can move towards healing that increases self-awareness, develops healthy coping skills, gains empowerment, and encourages emotional growth.
Erica Bogart, LPC Erica Bogart is a Licensed Professional Counselor in New Jersey who has been practicing since 2010. She has a Master's Degree in Counseling Psychology with an Art Therapy Specialization. Erica's help has focused on working with children, adolescents, and adults who have experienced trauma, social-emotional struggles, life changes and behavioral challenges. Erica believes working from a person-centered, strength-based approach with an individual in a self-paced journey can move towards healing that increases self-awareness, develops healthy coping skills, gains empowerment, and encourages emotional growth.
(732) 931-2113 View (732) 931-2113
Photo of Jessica Glassman, LCSW, Clinical Social Work/Therapist
Jessica Glassman
Clinical Social Work/Therapist, LCSW
Verified Verified
Piscataway, NJ 08854
Jessica Glassman is a Licensed Clinical Social Worker in New York who has been practicing since 2017. She graduated from Hunter College School of Social Work in 2009. Jessica has worked with individuals of all ages and backgrounds in a variety of settings. She utilizes various treatment modalities, including CBT, solution focused, trauma informed, and attachment-based therapies. Jessica's approach is relaxed and patient, with the goal of encouraging the individual to be as authentic as possible, in an affirming and safe environment. Outside of work, Jessica is a drummer, foodie, and likes working out and yoga.
Jessica Glassman is a Licensed Clinical Social Worker in New York who has been practicing since 2017. She graduated from Hunter College School of Social Work in 2009. Jessica has worked with individuals of all ages and backgrounds in a variety of settings. She utilizes various treatment modalities, including CBT, solution focused, trauma informed, and attachment-based therapies. Jessica's approach is relaxed and patient, with the goal of encouraging the individual to be as authentic as possible, in an affirming and safe environment. Outside of work, Jessica is a drummer, foodie, and likes working out and yoga.
(732) 860-2099 View (732) 860-2099
Photo of Terri Hunter, LPC, Licensed Professional Counselor
Terri Hunter
Licensed Professional Counselor, LPC
Verified Verified
Piscataway, NJ 08854  (Online Only)
I use various modalities in my sessions, depending on the client and their unique needs. I pride myself on having clients become active partners in their treatment and provide feedback and encouragement as needed. Cognitive Behavioral Therapy is a structured approach that allows us to address how our thoughts and feelings are connected to our behaviors. Using this approach, I will encourage you to be open to various interventions such as role-playing, and challenging irrational thoughts to change them to adaptive healthy thoughts to address your concerns as they arise during our sessions.
I use various modalities in my sessions, depending on the client and their unique needs. I pride myself on having clients become active partners in their treatment and provide feedback and encouragement as needed. Cognitive Behavioral Therapy is a structured approach that allows us to address how our thoughts and feelings are connected to our behaviors. Using this approach, I will encourage you to be open to various interventions such as role-playing, and challenging irrational thoughts to change them to adaptive healthy thoughts to address your concerns as they arise during our sessions.
(732) 313-0515 View (732) 313-0515
Photo of Stacy Fazio, LCSW, Clinical Social Work/Therapist
Stacy Fazio
Clinical Social Work/Therapist, LCSW
Verified Verified
Piscataway, NJ 08854  (Online Only)
How we perceive something will directly impact our emotional and behavioral responses. Learning to understand the process of perception will offer ongoing opportunities for an individual to enact change in his or her life. In my practice, I draw from my intensive training in both Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) to teach these fundamental skills to clients and help them to achieve their goals.
How we perceive something will directly impact our emotional and behavioral responses. Learning to understand the process of perception will offer ongoing opportunities for an individual to enact change in his or her life. In my practice, I draw from my intensive training in both Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) to teach these fundamental skills to clients and help them to achieve their goals.
(201) 903-7141 View (201) 903-7141
Photo of Kristin King, LSW
Kristin King
Licensed Social Worker, LSW
Verified Verified
Piscataway, NJ 08854
The first step in an individual’s path to healing is to seek help from others. Understanding how our life experiences affect us while simultaneously learning new ways to cope enables us to become more grounded; ultimately leading to better quality of life. My goal is to create a safe and nonjudgmental environment where we can explore your life on a deeper level. I am eager to build a relationship with you and provide guidance throughout your journey.
The first step in an individual’s path to healing is to seek help from others. Understanding how our life experiences affect us while simultaneously learning new ways to cope enables us to become more grounded; ultimately leading to better quality of life. My goal is to create a safe and nonjudgmental environment where we can explore your life on a deeper level. I am eager to build a relationship with you and provide guidance throughout your journey.
(908) 866-8478 View (908) 866-8478
Photo of Sarah Aladhamy, LAC, Counselor
Sarah Aladhamy
Counselor, LAC
Verified Verified
Piscataway, NJ 08854
Sarah Aladhamy is a Licensed Associate Counselor in New Jersey who has been practicing since 2022. She received a Bachelor's degree from CUNY College of Staten Island in Psychology. She then received her Master's degree from Monmouth University in Clinical Mental Health Counseling. Sarah's approach is being open, honest, empathetic, patient, and non-judgmental. Developing rapport and building therapeutic alliances is very important in the therapeutic relationship. Additionally, authenticity is essential when working with clients of any age range. Outside of work, Sarah enjoys exercising, martial arts, yoga, and playing video games.
Sarah Aladhamy is a Licensed Associate Counselor in New Jersey who has been practicing since 2022. She received a Bachelor's degree from CUNY College of Staten Island in Psychology. She then received her Master's degree from Monmouth University in Clinical Mental Health Counseling. Sarah's approach is being open, honest, empathetic, patient, and non-judgmental. Developing rapport and building therapeutic alliances is very important in the therapeutic relationship. Additionally, authenticity is essential when working with clients of any age range. Outside of work, Sarah enjoys exercising, martial arts, yoga, and playing video games.
(732) 226-1487 View (732) 226-1487
Photo of Michelle S Reuben - Perspectives Counseling Center, MEd, LPC, Licensed Professional Counselor
Perspectives Counseling Center
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Piscataway, NJ 08854
Are you or your loved one experiencing difficulty managing emotions, chaotic relationships, overwhelming stress, or high risk behaviors? Have other treatments been unsuccessful? We offer evidenced based treatments designed to help you gain control of your life and adopt healthy and balanced thinking/behaviors. Individuals will gain greater awareness of self, ability to manage emotions, improve relationships, and build a life worth living. We offer a safe environment, personalized treatment plans, and are dedicated to helping you reach your personal goals.
Are you or your loved one experiencing difficulty managing emotions, chaotic relationships, overwhelming stress, or high risk behaviors? Have other treatments been unsuccessful? We offer evidenced based treatments designed to help you gain control of your life and adopt healthy and balanced thinking/behaviors. Individuals will gain greater awareness of self, ability to manage emotions, improve relationships, and build a life worth living. We offer a safe environment, personalized treatment plans, and are dedicated to helping you reach your personal goals.
(732) 831-7534 View (732) 831-7534
Photo of Dominique Dominguez, LPC, Licensed Professional Counselor
Dominique Dominguez
Licensed Professional Counselor, LPC
Verified Verified
Piscataway, NJ 08854  (Online Only)
I am so excited to connect with you and be a part of your therapeutic journey! I believe in empowering my clients through insight and internal healing work. You are the expert on your story, and I am here to listen. I have over 10 years of experience working with adults of all ages to understand themselves more deeply, so they feel empowered to be their most authentic selves. I work with individuals who feel disconnected from themselves and their needs. This can show up as people pleasing, deep sadness, perfectionism, fear or worry, low self-worth, and difficulties in relationships. I Look forward to helping you on your journey.
I am so excited to connect with you and be a part of your therapeutic journey! I believe in empowering my clients through insight and internal healing work. You are the expert on your story, and I am here to listen. I have over 10 years of experience working with adults of all ages to understand themselves more deeply, so they feel empowered to be their most authentic selves. I work with individuals who feel disconnected from themselves and their needs. This can show up as people pleasing, deep sadness, perfectionism, fear or worry, low self-worth, and difficulties in relationships. I Look forward to helping you on your journey.
(908) 408-2235 View (908) 408-2235

How does your Therapist compare?

Number of Therapists in Piscataway, NJ

100+

Average cost per session

$150

Therapists in Piscataway, NJ who prioritize treating:

94% Anxiety
90% Depression
66% Stress
61% Life Transitions
58% Grief
58% Trauma and PTSD
56% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

89% Aetna
76% Cigna and Evernorth
29% BlueCross and BlueShield

How Therapists in Piscataway, NJ see their clients

56% Online Only
44% In Person and Online

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Piscataway?

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.