Therapists in Puritas Longmead, Cleveland, OH

Photo of Zachary Pichler, LPCC, Counselor
Zachary Pichler
Counselor, LPCC
Verified Verified
Puritas Longmead, Cleveland, OH 44135  (Online Only)
Many of my clients come to me because they feel overwhelmed with life. It might be related to depression, anxiety, grief, anger, stress, and many other issues. I find that my clients often want someone to be able to hear them, support them in their healing, challenge them in new ways and at the core of it all, just want someone to help them be a better version of themselves. For me, this means that each client is an individual on their own journey and sometimes need someone who thinks a little bit differently than other people they have seen before.
Many of my clients come to me because they feel overwhelmed with life. It might be related to depression, anxiety, grief, anger, stress, and many other issues. I find that my clients often want someone to be able to hear them, support them in their healing, challenge them in new ways and at the core of it all, just want someone to help them be a better version of themselves. For me, this means that each client is an individual on their own journey and sometimes need someone who thinks a little bit differently than other people they have seen before.
(216) 238-0989 View (216) 238-0989
Photo of Deandra Poythress, LISW, Clinical Social Work/Therapist
Deandra Poythress
Clinical Social Work/Therapist, LISW
Verified Verified
Puritas Longmead, Cleveland, OH 44111  (Online Only)
Trauma is a catalyst that can either bind us in grief or propel us toward greatness. By accepting what cannot be changed and learning how to properly cope with what is, we can all live a life we envision. In my experience as a therapist, I have noticed the impact grief, loss and trauma can have on an individual's psyche. With that being said, I have also noticed- and have profound appreciation for- the innate resilience evidenced in the healing process. For the past 10 years, I’ve worked tirelessly in community mental health, school based and psychiatric sites where I provided individual, family, and group therapy.
Trauma is a catalyst that can either bind us in grief or propel us toward greatness. By accepting what cannot be changed and learning how to properly cope with what is, we can all live a life we envision. In my experience as a therapist, I have noticed the impact grief, loss and trauma can have on an individual's psyche. With that being said, I have also noticed- and have profound appreciation for- the innate resilience evidenced in the healing process. For the past 10 years, I’ve worked tirelessly in community mental health, school based and psychiatric sites where I provided individual, family, and group therapy.
(216) 503-0567 View (216) 503-0567
Photo of Anthony W McWilliams, MSW, LSW
Anthony W McWilliams
Licensed Social Worker, MSW, LSW
Verified Verified
1 Endorsed
Puritas Longmead, Cleveland, OH 44135
I have experience working with adolescents, young adults, and adult men and women. Each person carries a ton of pressure from internal and external forces. Why go down that road alone? I am here to be a helper in your journey. The goal is to help you be the person you want to be. My primary focus is mood disorders, anxiety, and post-traumatic stress. Overall, we shall look to assist you in becoming emotionally and mentally sound.
I have experience working with adolescents, young adults, and adult men and women. Each person carries a ton of pressure from internal and external forces. Why go down that road alone? I am here to be a helper in your journey. The goal is to help you be the person you want to be. My primary focus is mood disorders, anxiety, and post-traumatic stress. Overall, we shall look to assist you in becoming emotionally and mentally sound.
(216) 282-3733 View (216) 282-3733
Photo of Cristian Shofar, LPCC-S, Counselor
Cristian Shofar
Counselor, LPCC-S
Verified Verified
1 Endorsed
Puritas Longmead, Cleveland, OH 44135
Not accepting new clients
I am currently fully booked, I will be updating once I have open availability. I look forward to working with you towards achieving goals and overall improved mental health. My goal is to provide a safe, secure, non-judgmental place so that we can to take the steps needed to get us where you'd like to be.
I am currently fully booked, I will be updating once I have open availability. I look forward to working with you towards achieving goals and overall improved mental health. My goal is to provide a safe, secure, non-judgmental place so that we can to take the steps needed to get us where you'd like to be.
(440) 332-0596 View (440) 332-0596
Photo of Wendy Jo Biello - Lakewood Counseling, LLC, MSW, LISW-S, Clinical Social Work/Therapist
Lakewood Counseling, LLC
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Puritas Longmead, Cleveland, OH 44135
Life is no easy task. It can knock us around causing regrets and unwanted feelings. Emotional pain can be elusive, idling for years as the culprit of failed partnerships, loneliness, underachievement, despair, and fear. Mental pain does not send us to the emergency room for stitches but can leave us feeling at war with ourselves. When left unattended this pain can lead to debilitating mood disorders and maladaptive coping strategies. As a partner of Lakewood Counseling, I am here to help you tend to your mental health, restore your inner strength and reclaim control over the life that you deserve.
Life is no easy task. It can knock us around causing regrets and unwanted feelings. Emotional pain can be elusive, idling for years as the culprit of failed partnerships, loneliness, underachievement, despair, and fear. Mental pain does not send us to the emergency room for stitches but can leave us feeling at war with ourselves. When left unattended this pain can lead to debilitating mood disorders and maladaptive coping strategies. As a partner of Lakewood Counseling, I am here to help you tend to your mental health, restore your inner strength and reclaim control over the life that you deserve.
(440) 703-6723 View (440) 703-6723
Photo of Kate Riznyk, MSSA, LISW-S, Clinical Social Work/Therapist
Kate Riznyk
Clinical Social Work/Therapist, MSSA, LISW-S
Verified Verified
Puritas Longmead, Cleveland, OH 44135
I am compassionate about connecting with others to reduce emotional distress and impact positive healing and growth. It is my intention to provide a warm and accepting therapeutic alliance.
I am compassionate about connecting with others to reduce emotional distress and impact positive healing and growth. It is my intention to provide a warm and accepting therapeutic alliance.
(216) 350-0440 View (216) 350-0440
Photo of Elaine Sanford-Sawyer, LCSW, LISW-S, Clinical Social Work/Therapist
Elaine Sanford-Sawyer
Clinical Social Work/Therapist, LCSW, LISW-S
Verified Verified
Puritas Longmead, Cleveland, OH 44135  (Online Only)
Counseling should be a conversation in a private, peaceful setting where you can explore issues that are impacting your life. In a private peaceful therapeutic environment I will listen to you without judgment, provide support, insight and feedback to help you address current or long standing issues that are impacting your life and possibly interfering with your emotional well-being. I have years of experience working with individual and families to address mood instability, depression, anxiety, personal trauma, grief/loss, relationships and interpersonal problems due to, chronic illness, substance abuse and spiritual concerns.
Counseling should be a conversation in a private, peaceful setting where you can explore issues that are impacting your life. In a private peaceful therapeutic environment I will listen to you without judgment, provide support, insight and feedback to help you address current or long standing issues that are impacting your life and possibly interfering with your emotional well-being. I have years of experience working with individual and families to address mood instability, depression, anxiety, personal trauma, grief/loss, relationships and interpersonal problems due to, chronic illness, substance abuse and spiritual concerns.
(984) 224-7849 View (984) 224-7849
Photo of Jackie Garn, MSSA, LISW-S, Clinical Social Work/Therapist
Jackie Garn
Clinical Social Work/Therapist, MSSA, LISW-S
Verified Verified
7 Endorsed
Puritas Longmead, Cleveland, OH 44135
You may have ended up here if you have found yourself trying all of the fad diets only to have gained the weight back. When someone pulls out the dessert at events, you probably feel embarrassed, ashamed, and tend to withdraw because the thoughts you have about food consume you. It makes total sense that you believe if you were “the right size” you’d be happy and content with your body. The way we think and feel about our bodies and food directly impact our mental and physical health. In reality, the guilt and anxiety you have around food is what you need some support around – I get that and I am here for you!
You may have ended up here if you have found yourself trying all of the fad diets only to have gained the weight back. When someone pulls out the dessert at events, you probably feel embarrassed, ashamed, and tend to withdraw because the thoughts you have about food consume you. It makes total sense that you believe if you were “the right size” you’d be happy and content with your body. The way we think and feel about our bodies and food directly impact our mental and physical health. In reality, the guilt and anxiety you have around food is what you need some support around – I get that and I am here for you!
(440) 389-3311 View (440) 389-3311
Photo of Dorian Mahulawde, LPCC-S
Dorian Mahulawde
Licensed Professional Clinical Counselor, LPCC-S
Verified Verified
1 Endorsed
Puritas Longmead, Cleveland, OH 44135
Are you feeling burnt out from the stress of life? Do you find it hard to be mentally present for your loved ones? Do you ever question your thought patterns? I specialize in helping people find or regain their life direction. I work with clients dealing with depression, anxiety, mood disorders, trauma, suicidal/homicidal thoughts, and other mental health issues. I have experience helping teenagers, young adults, adult men, and women - both single and married - as well as couples."
Are you feeling burnt out from the stress of life? Do you find it hard to be mentally present for your loved ones? Do you ever question your thought patterns? I specialize in helping people find or regain their life direction. I work with clients dealing with depression, anxiety, mood disorders, trauma, suicidal/homicidal thoughts, and other mental health issues. I have experience helping teenagers, young adults, adult men, and women - both single and married - as well as couples."
(216) 238-2169 View (216) 238-2169
Photo of Angela Banks - The Clarity Couch, LPCC
The Clarity Couch
Licensed Professional Clinical Counselor , LPCC
Verified Verified
1 Endorsed
Puritas Longmead, Cleveland, OH 44135  (Online Only)
The Clarity Couch is a private counseling practice based in Cleveland, Ohio. We specialize in providing care for Black folx, Folx of Color and we enjoy working with clients of all different backgrounds. Our goal is for you to have a safe space to talk through your concerns, learn new coping strategies and manage symptoms related to anxiety, depression and past trauma. Our goal extends beyond individual therapy sessions; we aim to educate the community on important topics like mental health, self-love, and fostering healthy relationships.
The Clarity Couch is a private counseling practice based in Cleveland, Ohio. We specialize in providing care for Black folx, Folx of Color and we enjoy working with clients of all different backgrounds. Our goal is for you to have a safe space to talk through your concerns, learn new coping strategies and manage symptoms related to anxiety, depression and past trauma. Our goal extends beyond individual therapy sessions; we aim to educate the community on important topics like mental health, self-love, and fostering healthy relationships.
(216) 750-3163 View (216) 750-3163
Photo of Victoria Voeung, MEd, LPC, Licensed Professional Counselor
Victoria Voeung
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Puritas Longmead, Cleveland, OH 44135
Life is a beautiful journey - but also one that can become challenging and hard. Are you struggling to work through big life transitions? Has depression or anxiety been weighing you down? Are you stuck in cycles you want to break? If so, you're not alone. Life's twists and turns can sometimes leave us feeling lost, overwhelmed, or stuck in a rut. But it's important to remember that there is support available to help you navigate through these challenging times!
Life is a beautiful journey - but also one that can become challenging and hard. Are you struggling to work through big life transitions? Has depression or anxiety been weighing you down? Are you stuck in cycles you want to break? If so, you're not alone. Life's twists and turns can sometimes leave us feeling lost, overwhelmed, or stuck in a rut. But it's important to remember that there is support available to help you navigate through these challenging times!
(216) 284-1050 View (216) 284-1050
Photo of Gabrielle Schmidt, MA,  LPC, Licensed Professional Counselor
Gabrielle Schmidt
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Puritas Longmead, Cleveland, OH 44135
Do you feel overwhelmed navigating the complexities of everyday life? If you struggle with anxiety, depression, trauma, adjusting to a new life change, interpersonal conflict, disordered eating, body image distress, or are simply seeking to enhance your mental health, I’m here for you. As your counselor, I aim to empower you to navigate life’s challenges and create your life worth living. I offer a warm and understanding environment where your story is heard without judgment.
Do you feel overwhelmed navigating the complexities of everyday life? If you struggle with anxiety, depression, trauma, adjusting to a new life change, interpersonal conflict, disordered eating, body image distress, or are simply seeking to enhance your mental health, I’m here for you. As your counselor, I aim to empower you to navigate life’s challenges and create your life worth living. I offer a warm and understanding environment where your story is heard without judgment.
(216) 677-5928 View (216) 677-5928
Photo of Myra Kruzer, LSW, LICDC-S
Myra Kruzer
LSW, LICDC-S
Verified Verified
Puritas Longmead, Cleveland, OH 44135
I once read, "We Are All Just Walking Each Other Home." I liked that so much. It's a heart-opening image. Yet, it's not always smooth sailing, is it? We grapple with emotions, encounter unexpected behavior from others, face conflicts, and then, how do we meet our own expectations? There's a complexity to it all—moments where we feel overwhelmed. Yet, with unwavering faith, we try again, waking up every morning and continuing to face life head-on. We become heroes with each act of kindness, each shared smile, and each glimmer of hope we offer to others.
I once read, "We Are All Just Walking Each Other Home." I liked that so much. It's a heart-opening image. Yet, it's not always smooth sailing, is it? We grapple with emotions, encounter unexpected behavior from others, face conflicts, and then, how do we meet our own expectations? There's a complexity to it all—moments where we feel overwhelmed. Yet, with unwavering faith, we try again, waking up every morning and continuing to face life head-on. We become heroes with each act of kindness, each shared smile, and each glimmer of hope we offer to others.
(440) 335-5954 View (440) 335-5954
Photo of Chaska Scealf, CT, Counselor
Chaska Scealf
Counselor, CT
Verified Verified
1 Endorsed
Puritas Longmead, Cleveland, OH 44135
I am passionate about collaborating with others who feel misunderstood, and those who have had to contend with adverse life experiences. It is an honor and a privilege to work alongside you in your journey.
I am passionate about collaborating with others who feel misunderstood, and those who have had to contend with adverse life experiences. It is an honor and a privilege to work alongside you in your journey.
(440) 901-1033 View (440) 901-1033
Photo of Anne Elizabeth Raleigh, MSSA, LISW-S, Clinical Social Work/Therapist
Anne Elizabeth Raleigh
Clinical Social Work/Therapist, MSSA, LISW-S
Verified Verified
5 Endorsed
Puritas Longmead, Cleveland, OH 44135  (Online Only)
I am a licensed independent social worker in Ohio with certification in Dialectical Behavior Therapy. I received my MSSA from Case Western Reserve University. I have experience working with at-risk adults who are living with severe mental illness in both agency and community settings. My areas of expertise include: moderate to severe mood and behavioral disorders, trauma-related disorders, personality disorders and issues related to grief and loss.
I am a licensed independent social worker in Ohio with certification in Dialectical Behavior Therapy. I received my MSSA from Case Western Reserve University. I have experience working with at-risk adults who are living with severe mental illness in both agency and community settings. My areas of expertise include: moderate to severe mood and behavioral disorders, trauma-related disorders, personality disorders and issues related to grief and loss.
(440) 482-8238 View (440) 482-8238

Online Therapists

Photo of Shana Cronican, Clinical Social Work/Therapist
Shana Cronican
Clinical Social Work/Therapist
Verified Verified
Cleveland, OH 44111  (Online Only)
Hello! My name is Shana Cronican and I completed a Masters in Women, Gender and Sexuality Studies, a Masters in Social Work with an independent license credential (LISW). With over twenty years of experience, advocacy, education and direct service; my adult life is dedicated to improving the lives of survivors and individuals whom seek guidance and help in order to strengthen their lives, relationships and purpose.
Hello! My name is Shana Cronican and I completed a Masters in Women, Gender and Sexuality Studies, a Masters in Social Work with an independent license credential (LISW). With over twenty years of experience, advocacy, education and direct service; my adult life is dedicated to improving the lives of survivors and individuals whom seek guidance and help in order to strengthen their lives, relationships and purpose.
(216) 877-8422 View (216) 877-8422
Photo of Caroline A Coreno, LPCCS, LPAT, Counselor
Caroline A Coreno
Counselor, LPCCS, LPAT
Verified Verified
Cleveland, OH 44135  (Online Only)
One of my favorite quotes is "Broken crayons still color." I am a license professional art therapist and counselor. My approach is to give you space to express your thoughts and encourage you to find a clear direction to make changes in your life. I have a background in CBT, art therapy and mindfulness techniques. See my website www.zenartandwellness.com for more information. Message me if you are interested in an art therapy session, counseling or both. Online sessions only. I do not accept insurance, self-pay only at this time.
One of my favorite quotes is "Broken crayons still color." I am a license professional art therapist and counselor. My approach is to give you space to express your thoughts and encourage you to find a clear direction to make changes in your life. I have a background in CBT, art therapy and mindfulness techniques. See my website www.zenartandwellness.com for more information. Message me if you are interested in an art therapy session, counseling or both. Online sessions only. I do not accept insurance, self-pay only at this time.
(234) 813-4287 View (234) 813-4287
Photo of Kara Haines, LISW, Clinical Social Work/Therapist
Kara Haines
Clinical Social Work/Therapist, LISW
Verified Verified
Cleveland, OH 44114  (Online Only)
I believe that seeking mental health treatment is a sign of strength and I will continue to empower you to use your strengths and resilience to live a more fulfilling and purposeful life. Using evidence-based treatment methods like DBT (Dialectical Behavioral Therapy) and CBT (Cognitive Behavioral Therapy) we can change maladaptive behaviors and emotions to restore happiness and hope. I have a Master's degree from the Ohio State University and experience working with individuals experiencing anxiety, depression, grief, trauma, life adjustments, and stressors.
I believe that seeking mental health treatment is a sign of strength and I will continue to empower you to use your strengths and resilience to live a more fulfilling and purposeful life. Using evidence-based treatment methods like DBT (Dialectical Behavioral Therapy) and CBT (Cognitive Behavioral Therapy) we can change maladaptive behaviors and emotions to restore happiness and hope. I have a Master's degree from the Ohio State University and experience working with individuals experiencing anxiety, depression, grief, trauma, life adjustments, and stressors.
(216) 477-4153 View (216) 477-4153
Photo of Sandra L Miller-Jones - SunWalk Counseling & Consulting Services, LLC, PhD, LPC, NCC, Licensed Professional Counselor
SunWalk Counseling & Consulting Services, LLC
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
2 Endorsed
Cleveland, OH 44121
Let's talk about grief, and loss! Have you had a major loss, a love one died, a relationship ended, loss a job/career, loss of trust, or good health? Have you experienced a traumatic event either for yourself or witnessed trauma to someone else? The Grief Recovery Method is an educational intervention that provides both group and one-on-one support to address losses of all kinds and especially includes the death of a loved one. The Grief Recovery Method can be offered as a one-on-one service or a group experience. EMDR is another supportive technique/therapy used to address traumatic life experiences and life anxieties and stresses.
Let's talk about grief, and loss! Have you had a major loss, a love one died, a relationship ended, loss a job/career, loss of trust, or good health? Have you experienced a traumatic event either for yourself or witnessed trauma to someone else? The Grief Recovery Method is an educational intervention that provides both group and one-on-one support to address losses of all kinds and especially includes the death of a loved one. The Grief Recovery Method can be offered as a one-on-one service or a group experience. EMDR is another supportive technique/therapy used to address traumatic life experiences and life anxieties and stresses.
(440) 493-1290 View (440) 493-1290
Photo of Katharine Miles - Take Your Time Counseling, LLC. , LCSW, CTRP-E, Clinical Social Work/Therapist
Take Your Time Counseling, LLC.
Clinical Social Work/Therapist, LCSW, CTRP-E
Verified Verified
Cleveland, OH 44101
I specialize in working with young adults who have been impacted by many stressors including; learning disabilities, mental health challenges and neurodivergence who are seeking guidance in navigating the complexities of daily life. Whether it’s managing time, finances, building social connections, or boosting your self-esteem, I focus on practical strategies that align with your goals, strengths, and lifestyle. Alongside this, I help you address and manage mental health challenges such as anxiety and depression, which often accompany the stress of living in a world that isn’t always accommodating to those experiencing challenges.
I specialize in working with young adults who have been impacted by many stressors including; learning disabilities, mental health challenges and neurodivergence who are seeking guidance in navigating the complexities of daily life. Whether it’s managing time, finances, building social connections, or boosting your self-esteem, I focus on practical strategies that align with your goals, strengths, and lifestyle. Alongside this, I help you address and manage mental health challenges such as anxiety and depression, which often accompany the stress of living in a world that isn’t always accommodating to those experiencing challenges.
(504) 370-0441 View (504) 370-0441

See more therapy options for Puritas Longmead, Cleveland

How does your Therapist compare?

Number of Therapists in Puritas Longmead, Cleveland, OH

10+

Average cost per session

$130

Therapists in Puritas Longmead, Cleveland, OH who prioritize treating:

87% Depression
87% Self Esteem
80% Anxiety
80% Trauma and PTSD
73% Stress
67% Coping Skills
60% Relationship Issues

Average years in practice

7 Years

Top 3 insurances accepted

80% Aetna
80% Medical Mutual
80% CareSource

How Therapists in Puritas Longmead, Cleveland, OH see their clients

67% In Person and Online
33% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Puritas Longmead, Cleveland?

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.