Therapists in Victor, NY

Photo of Diara Anderson, Postdoc, Pre-Licensed Professional
Diara Anderson
Pre-Licensed Professional, Postdoc
Verified Verified
1 Endorsed
Victor, NY 14564
Diara Anderson obtained her doctorate degree in clinical psychology from Capella University after earning both her graduate and undergraduate degrees in forensic psychology from Argosy University and John Jay College of Criminal Justice in Manhattan, NY. Dr. Anderson has over 13 years of therapy experience. Her focus is person-centered therapy, Cognitive Behavioral Therapy (CBT), dialectical Behavioural Therapy (DBT) approaches, Mindfulness, and Eye Movement Desensitization Reprocessing (EMDR). Dr. Anderson started her career in an adult inpatient psychiatric unit, providing individual therapy.
Diara Anderson obtained her doctorate degree in clinical psychology from Capella University after earning both her graduate and undergraduate degrees in forensic psychology from Argosy University and John Jay College of Criminal Justice in Manhattan, NY. Dr. Anderson has over 13 years of therapy experience. Her focus is person-centered therapy, Cognitive Behavioral Therapy (CBT), dialectical Behavioural Therapy (DBT) approaches, Mindfulness, and Eye Movement Desensitization Reprocessing (EMDR). Dr. Anderson started her career in an adult inpatient psychiatric unit, providing individual therapy.
(585) 986-8517 x1 View (585) 986-8517 x1
Photo of Caroline Dennis, LMSW
Caroline Dennis
Licensed Master Social Worker, LMSW
Verified Verified
2 Endorsed
Victor, NY 14564
Welcome and congratulations on making the first step in your mental health journey! -Currently accepting new clients for both Telehealth and in person sessions - Email is the fastest and most direct way to get in touch for new client inquiries. I specialize in working with children, adolescents, and parents but am open to all individuals. Anxiety, depression, suicidal ideation, family conflict, and navigating life challenges are just a few of the problem areas I help clients with. No matter what area you need a mindful ear to listen or talk with, I feel blessed to be a part of your journey.
Welcome and congratulations on making the first step in your mental health journey! -Currently accepting new clients for both Telehealth and in person sessions - Email is the fastest and most direct way to get in touch for new client inquiries. I specialize in working with children, adolescents, and parents but am open to all individuals. Anxiety, depression, suicidal ideation, family conflict, and navigating life challenges are just a few of the problem areas I help clients with. No matter what area you need a mindful ear to listen or talk with, I feel blessed to be a part of your journey.
(585) 648-5246 View (585) 648-5246
Photo of Kaitlyn Coon, LCSW, Clinical Social Work/Therapist
Kaitlyn Coon
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Victor, NY 14564
My ideal client is anyone ready to begin their healing journey but may not know where to start. I am looking to work with teens, and young to older adults, who are seeking additional support in making a change in their life. I specialize in working with those who struggle with anxiety, depression, trauma, mood issues, grief and addiction.
My ideal client is anyone ready to begin their healing journey but may not know where to start. I am looking to work with teens, and young to older adults, who are seeking additional support in making a change in their life. I specialize in working with those who struggle with anxiety, depression, trauma, mood issues, grief and addiction.
(585) 636-2431 x1 View (585) 636-2431 x1
Photo of Suzanne Bamonto, PsyD, Psychologist
Suzanne Bamonto
Psychologist, PsyD
Verified Verified
1 Endorsed
Victor, NY 14564
I am a compassionate licensed psychologist with over two decades of experience working in school and university settings. I am dedicated to helping children and adolescents overcome the challenges they face in their academic and personal lives. I earned my Ph.D. in School Psychology from the University of Oregon, where I received specialized training on ADHD, learning disorders, and behavior disorders. I have passed on that knowledge over the past 20 years as a tenured faculty member in the School Psychology Program at RIT.
I am a compassionate licensed psychologist with over two decades of experience working in school and university settings. I am dedicated to helping children and adolescents overcome the challenges they face in their academic and personal lives. I earned my Ph.D. in School Psychology from the University of Oregon, where I received specialized training on ADHD, learning disorders, and behavior disorders. I have passed on that knowledge over the past 20 years as a tenured faculty member in the School Psychology Program at RIT.
(585) 468-4711 View (585) 468-4711
Photo of Kenneth Alcorn, Clinical Social Work/Therapist
Kenneth Alcorn
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Victor, NY 14564  (Online Only)
Welcome! Come on in, I’m glad you’re here. The challenges of life can be overwhelming; the past making the present feel like less of a gift. You may feel stuck, like it’s impossible to move forward. Life transitions have a way of stirring up emotions and throwing you off balance. This mounting weight can impact your relationships, work, social life, and everything around you. I want you to know that you don’t have to face all of this alone. Together we can create a plan to help you feel better and achieve the changes you are seeking. Here, you will have a safe place to learn and to grow to overcome the challenges you face.
Welcome! Come on in, I’m glad you’re here. The challenges of life can be overwhelming; the past making the present feel like less of a gift. You may feel stuck, like it’s impossible to move forward. Life transitions have a way of stirring up emotions and throwing you off balance. This mounting weight can impact your relationships, work, social life, and everything around you. I want you to know that you don’t have to face all of this alone. Together we can create a plan to help you feel better and achieve the changes you are seeking. Here, you will have a safe place to learn and to grow to overcome the challenges you face.
(585) 366-8493 x1 View (585) 366-8493 x1
Photo of Dan DePasquale, LMSW, Clinical Social Work/Therapist
Dan DePasquale
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Victor, NY 14564  (Online Only)
Hello, my name is Dan Depasquale, LMSW. After realizing that becoming a teacher was not for me, and experiencing the impact that therapy had on my life, I decided to pursue social work and specialize in helping others, specifically pre teens and older struggling with anxiety, teens adjusting to adult life, and those struggling with the problematic use of modern technology (social media, smartphones, etc.). I have worked with adults of all ages and children as young as 5 years old. However most of my clinical experience has been with teenagers and up. Developing a good therapeutic relationship is particularly important.
Hello, my name is Dan Depasquale, LMSW. After realizing that becoming a teacher was not for me, and experiencing the impact that therapy had on my life, I decided to pursue social work and specialize in helping others, specifically pre teens and older struggling with anxiety, teens adjusting to adult life, and those struggling with the problematic use of modern technology (social media, smartphones, etc.). I have worked with adults of all ages and children as young as 5 years old. However most of my clinical experience has been with teenagers and up. Developing a good therapeutic relationship is particularly important.
(585) 496-9558 x1 View (585) 496-9558 x1
Photo of Robert Adams, LMHC, Counselor
Robert Adams
Counselor, LMHC
Verified Verified
1 Endorsed
Victor, NY 14564
Hello! My name is Robert Adams, LMHC. If you are an adult struggling with anxiety, depression, difficult life transitions, mood disorders, or have been through traumatic events in your life, then I would love to help you work through and move past any of these burdens. I believe everybody is capable of growing and changing themselves and their life for the better. In all my sessions I view the client as an expert on themselves who is in charge of their growth and what we work through.
Hello! My name is Robert Adams, LMHC. If you are an adult struggling with anxiety, depression, difficult life transitions, mood disorders, or have been through traumatic events in your life, then I would love to help you work through and move past any of these burdens. I believe everybody is capable of growing and changing themselves and their life for the better. In all my sessions I view the client as an expert on themselves who is in charge of their growth and what we work through.
(585) 531-8028 x1 View (585) 531-8028 x1
Photo of Jessica Cary, LMHC, CBE, Counselor
Jessica Cary
Counselor, LMHC, CBE
Verified Verified
Victor, NY 14564
I do not see my job as telling you what to do, but to help you quiet the noise that gets in the way of hearing your own voice. ​In our work together, you will find support and patience as you walk through whatever cross-roads life presents in front of you. You will have the freedom to explore yourself, your life and your experiences. I believe that everyone I work with is the expert on their own life so for this reason, I feel the best way to serve my clients is to work as a mirror; assisting people in transformation through reflection. Powerful healing and change occurs with the felt sense of being truly seen and heard.
I do not see my job as telling you what to do, but to help you quiet the noise that gets in the way of hearing your own voice. ​In our work together, you will find support and patience as you walk through whatever cross-roads life presents in front of you. You will have the freedom to explore yourself, your life and your experiences. I believe that everyone I work with is the expert on their own life so for this reason, I feel the best way to serve my clients is to work as a mirror; assisting people in transformation through reflection. Powerful healing and change occurs with the felt sense of being truly seen and heard.
(585) 312-6995 View (585) 312-6995
Photo of Marlies Brandt, LCSW, Clinical Social Work/Therapist
Marlies Brandt
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Victor, NY 14564
I am a Clinical Social Worker and through working in outpatient mental health I have gained extensive experience helping people with a wide range of mental health symptoms. I provide a caring non-judgmental environment for you to share your story.
I am a Clinical Social Worker and through working in outpatient mental health I have gained extensive experience helping people with a wide range of mental health symptoms. I provide a caring non-judgmental environment for you to share your story.
(585) 501-3074 x1 View (585) 501-3074 x1
Photo of Jeffrey R Eveland, MS, LMHC, Counselor
Jeffrey R Eveland
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Victor, NY 14564
We all encounter personal challenges that threaten our sense of well-being and joy. It might be family and relationship tensions, marriage or parenting, or perhaps issues of anxiety or depression. Whatever the need, don't face it alone. Why not reach out and connect with someone who will come alongside you to provide the encouragement and support you need to move forward? You can feel better! Things can change! There is hope! Together we can focus on you gaining a greater measure of emotional, relational, and if faith is important to you, spiritual health. You've shown courage in coming this far! Keep moving forward.
We all encounter personal challenges that threaten our sense of well-being and joy. It might be family and relationship tensions, marriage or parenting, or perhaps issues of anxiety or depression. Whatever the need, don't face it alone. Why not reach out and connect with someone who will come alongside you to provide the encouragement and support you need to move forward? You can feel better! Things can change! There is hope! Together we can focus on you gaining a greater measure of emotional, relational, and if faith is important to you, spiritual health. You've shown courage in coming this far! Keep moving forward.
(315) 329-6291 View (315) 329-6291
Photo of Jeffrey Young - Renew Hope and Healing - East Utica, LCSW, PsyD, LMHC, LMFT, Clinical Social Work/Therapist
Renew Hope and Healing - East Utica
Clinical Social Work/Therapist, LCSW, PsyD, LMHC, LMFT
Verified Verified
Victor, NY 14564  (Online Only)
Immediate Openings! Get scheduled in 7 days. Most insurances accepted. We have over 70 clinicians with all different specialities so we are confident that we can find the right fit for you! "I have been referring patients to Jeff Young for more than a decade. He is professional, caring, and insightful. Patients comment back to me how much their time with Jeff has been both helpful and healing. He is a gifted therapist!" - Michael Brennan, Doctor Nurse Practitioner (DNP)
Immediate Openings! Get scheduled in 7 days. Most insurances accepted. We have over 70 clinicians with all different specialities so we are confident that we can find the right fit for you! "I have been referring patients to Jeff Young for more than a decade. He is professional, caring, and insightful. Patients comment back to me how much their time with Jeff has been both helpful and healing. He is a gifted therapist!" - Michael Brennan, Doctor Nurse Practitioner (DNP)
(585) 628-1969 x1 View (585) 628-1969 x1
Photo of Marissa Davitt - Marissa Davitt Coaching, LMHC-LP, MS, Coach
Marissa Davitt Coaching
LMHC-LP, MS, Coach
Verified Verified
Victor, NY 14564
You're tired of feeling tired. Over time you've lost your self-confidence, discipline and spark. You know what needs to be done, but you just cant seem to stay consistent with the healthy behaviors. You're ready to ask for accountability and support. You need it.
You're tired of feeling tired. Over time you've lost your self-confidence, discipline and spark. You know what needs to be done, but you just cant seem to stay consistent with the healthy behaviors. You're ready to ask for accountability and support. You need it.
(585) 378-5655 View (585) 378-5655
Photo of Dr. Marisol Valencia-Payne, Psy D, M A, Psychologist
Dr. Marisol Valencia-Payne
Psychologist, Psy D, M A
Verified Verified
Victor, NY 14564  (Online Only)
Reaching out is often the toughest step and it is very important (and can be rewarding) to find the right fit! Each individual has their own unique story and experiences and therefore deserving of an individualized approach to therapy. The therapeutic relationship should foster one's personal journey to self exploration and growth. My goal is to help you find your best fit and support you in your personal growth, healing, and self-empowering journey. My approach is often described as supportive, warm, empowering, challenging (when you need it), and humorous.
Reaching out is often the toughest step and it is very important (and can be rewarding) to find the right fit! Each individual has their own unique story and experiences and therefore deserving of an individualized approach to therapy. The therapeutic relationship should foster one's personal journey to self exploration and growth. My goal is to help you find your best fit and support you in your personal growth, healing, and self-empowering journey. My approach is often described as supportive, warm, empowering, challenging (when you need it), and humorous.
(585) 541-3285 View (585) 541-3285
Photo of Dorothy Weishaar, LMHC, NCC, ACS, CFLE, Counselor
Dorothy Weishaar
Counselor, LMHC, NCC, ACS, CFLE
Verified Verified
Victor, NY 14564  (Online Only)
My ideal client is an individual who either has been contemplating change or is ready to make changes in their life and would like to have someone objective to talk with. I am open minded and love to learn from my clients. I think that continuing education is vital and that mental health is as important as physical health. My ideal client would be someone who would take what they think is beneficial from our session and practice it in their everyday life. Then we would discuss in future sessions how the practice went and what needs to be adjusted-if anything!
My ideal client is an individual who either has been contemplating change or is ready to make changes in their life and would like to have someone objective to talk with. I am open minded and love to learn from my clients. I think that continuing education is vital and that mental health is as important as physical health. My ideal client would be someone who would take what they think is beneficial from our session and practice it in their everyday life. Then we would discuss in future sessions how the practice went and what needs to be adjusted-if anything!
(585) 522-1137 View (585) 522-1137
Photo of Melissa Cuevas, LMHC, Counselor
Melissa Cuevas
Counselor, LMHC
Verified Verified
1 Endorsed
Victor, NY 14564  (Online Only)
Melissa is a passionate and client-centered practitioner who is motivated by the challenges she has worked to overcome through therapeutic practices. She prioritizes advocating for her clients and values the unique experiences each of her clients brings to the therapeutic process. Her approach includes a nonjudgement space and unconditional positive regard while using modalities such as solution-focused, cognitive processing, cognitive-behavioral, and psychodynamic treatment to assist clients experiencing mental and emotional hardships. This includes depression, anxiety, stress, relational/family challenges, grief, and trauma.
Melissa is a passionate and client-centered practitioner who is motivated by the challenges she has worked to overcome through therapeutic practices. She prioritizes advocating for her clients and values the unique experiences each of her clients brings to the therapeutic process. Her approach includes a nonjudgement space and unconditional positive regard while using modalities such as solution-focused, cognitive processing, cognitive-behavioral, and psychodynamic treatment to assist clients experiencing mental and emotional hardships. This includes depression, anxiety, stress, relational/family challenges, grief, and trauma.
(585) 207-3831 x1 View (585) 207-3831 x1
Photo of Harry Barsuk, LMHC, Counselor
Harry Barsuk
Counselor, LMHC
Verified Verified
1 Endorsed
Victor, NY 14564
Dr. Barsuk’s initial counseling experience was as a case worker and mental health counselor for a therapeutic foster care agency. His background also includes experience as a school counselor and school-based mental health counselor, an eating disorder specialist, an alcohol and other drugs of abuse specialist, a traumatic brain injury specialist, and a military family life consultant. In those roles, Dr. Barsuk has treated individual clients, couples, families, and groups with concerns spanning the entire diagnostic spectrum.
Dr. Barsuk’s initial counseling experience was as a case worker and mental health counselor for a therapeutic foster care agency. His background also includes experience as a school counselor and school-based mental health counselor, an eating disorder specialist, an alcohol and other drugs of abuse specialist, a traumatic brain injury specialist, and a military family life consultant. In those roles, Dr. Barsuk has treated individual clients, couples, families, and groups with concerns spanning the entire diagnostic spectrum.
(585) 302-2515 x1 View (585) 302-2515 x1
Photo of Nora Hug, Clinical Social Work/Therapist
Nora Hug
Clinical Social Work/Therapist
Verified Verified
Victor, NY 14564  (Online Only)
Are you having a hard time "getting over" or "moving on" from something? Are you having trouble adjusting to a change in your life? Do you feel stuck and aren't sure about what to do next? Maybe it's a move, a breakup, a loss, or another life event that you're having a hard time accepting.
Are you having a hard time "getting over" or "moving on" from something? Are you having trouble adjusting to a change in your life? Do you feel stuck and aren't sure about what to do next? Maybe it's a move, a breakup, a loss, or another life event that you're having a hard time accepting.
(585) 636-2897 View (585) 636-2897
Photo of Heather Morrow, LMSW, Pre-Licensed Professional
Heather Morrow
Pre-Licensed Professional, LMSW
Verified Verified
1 Endorsed
Victor, NY 14564
Hello my name is Heather Morrow and I am a Licensed Master Social Worker. I have 15 years of experience working with adults in a variety of settings. I use a client-centered approach to build on your strengths and I will create a non-judgmental collaborative partnership with you. I enjoy working with adults who experience anxiety, depression and substance abuse. My practice includes Mindfulness, Conflict Resolution, Motivational Interviewing, Solution-Focused Brief Therapy and Cognitive Behavioral Therapy (CBT).
Hello my name is Heather Morrow and I am a Licensed Master Social Worker. I have 15 years of experience working with adults in a variety of settings. I use a client-centered approach to build on your strengths and I will create a non-judgmental collaborative partnership with you. I enjoy working with adults who experience anxiety, depression and substance abuse. My practice includes Mindfulness, Conflict Resolution, Motivational Interviewing, Solution-Focused Brief Therapy and Cognitive Behavioral Therapy (CBT).
(585) 517-1906 x1 View (585) 517-1906 x1
Photo of Vickie McVay, LCSW, Clinical Social Work/Therapist
Vickie McVay
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Victor, NY 14564  (Online Only)
I am a Licensed Clinical Mental Health Social Worker and have been working with clients ages 14 and up for the last fourteen years. I started as a Domestic Violence Advocate in 2008 and received both my Bachelor's Degree in Psychology and Master Degree in Social Work from Roberts Wesleyan College. I interned as a Social Worker at Strong Memorial Partial Hospitalization for Teens and at Genesee/Orleans Council on Alcoholism and Substance Abuse. I work with individuals, couples, as well as families who have a history of domestic violence, trauma, depression, anxiety, attention deficit disorder, and those who have experienced bullying.
I am a Licensed Clinical Mental Health Social Worker and have been working with clients ages 14 and up for the last fourteen years. I started as a Domestic Violence Advocate in 2008 and received both my Bachelor's Degree in Psychology and Master Degree in Social Work from Roberts Wesleyan College. I interned as a Social Worker at Strong Memorial Partial Hospitalization for Teens and at Genesee/Orleans Council on Alcoholism and Substance Abuse. I work with individuals, couples, as well as families who have a history of domestic violence, trauma, depression, anxiety, attention deficit disorder, and those who have experienced bullying.
(585) 449-4120 View (585) 449-4120
Photo of Diane Marie Welch, LMHC
Diane Marie Welch
Licensed Mental Health Counselor, LMHC
Verified Verified
Victor, NY 14564
As a Licensed Mental Health Therapist, I understand that everyone is just trying to find their own way. This is why I take a whole person approach to help you discover what is really going on for you. Together we can work on clarity, confidence, and the tools necessary to navigate triggers and cognitive distortions that may exist. We can explore ways to look at things differently and find an approach that you are comfortable with and one that fits you. I am available via zoom and in person.
As a Licensed Mental Health Therapist, I understand that everyone is just trying to find their own way. This is why I take a whole person approach to help you discover what is really going on for you. Together we can work on clarity, confidence, and the tools necessary to navigate triggers and cognitive distortions that may exist. We can explore ways to look at things differently and find an approach that you are comfortable with and one that fits you. I am available via zoom and in person.
(585) 632-1673 View (585) 632-1673
1

How does your Therapist compare?

Number of Therapists in Victor, NY

100+

Average cost per session

$125

Therapists in Victor, NY who prioritize treating:

97% Anxiety
89% Depression
77% Trauma and PTSD
73% Relationship Issues
64% Self Esteem
63% Stress
63% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

67% Excellus BlueCross BlueShield
59% Aetna
43% UnitedHealthcare UHC | UBH

How Therapists in Victor, NY see their clients

74% In Person and Online
26% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Victor?

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.