Therapists in West Seneca, NY

Photo of Lisa Beckwith, LCSW, Clinical Social Work/Therapist
Lisa Beckwith
Clinical Social Work/Therapist, LCSW
Verified Verified
West Seneca, NY 14224
Waitlist for new clients
If you are reading this, you have already taken the most difficult step-deciding to reach out for support. As a therapist who has worked with individuals of all ages over the past 11 years, the majority of my experiences have been within intensive settings treating youth with anxiety, PTSD, Autism Spectrum Disorder, depression, family conflict, anger management, and emotional dysregulation. My experiences also include the child welfare system, educational system, inpatient treatment, domestic violence, group settings, family systems and an extensive knowledge base of outpatient services and supports.
If you are reading this, you have already taken the most difficult step-deciding to reach out for support. As a therapist who has worked with individuals of all ages over the past 11 years, the majority of my experiences have been within intensive settings treating youth with anxiety, PTSD, Autism Spectrum Disorder, depression, family conflict, anger management, and emotional dysregulation. My experiences also include the child welfare system, educational system, inpatient treatment, domestic violence, group settings, family systems and an extensive knowledge base of outpatient services and supports.
(716) 321-5207 x18 View (716) 321-5207 x18
Photo of Elise A Franco, LCSW-R, Clinical Social Work/Therapist
Elise A Franco
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
West Seneca, NY 14224
Have you been struggling with feelings of depression, sadness, anxiety? Do you feel “stuck” in your current patterns and feel like you can’t break them? It takes immense courage to ask for help and I would like to walk that journey with you.
Have you been struggling with feelings of depression, sadness, anxiety? Do you feel “stuck” in your current patterns and feel like you can’t break them? It takes immense courage to ask for help and I would like to walk that journey with you.
(716) 300-2664 View (716) 300-2664
Photo of Richard Neil Rutherford - RNR Counseling Services LCSW, PLLC, LCSW, Clinical Social Work/Therapist
RNR Counseling Services LCSW, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
West Seneca, NY 14224
My name is Rich Rutherford, LCSW therapist and owner of RNR Counseling Services. I am available in the evening Mon-Thurs and on Sat and Sun if needed for sessions. I have extensive experience working with both children and adults ages 12 and up. I have worked with adult clients to develop coping skills to help with anxiety, improve self-esteem, and to discuss and manage trauma. I have worked with children 12 and up and their families to improve school performance and behavior as well as improve parent-child relationship. This is where I am the strongest and look forward to working with.
My name is Rich Rutherford, LCSW therapist and owner of RNR Counseling Services. I am available in the evening Mon-Thurs and on Sat and Sun if needed for sessions. I have extensive experience working with both children and adults ages 12 and up. I have worked with adult clients to develop coping skills to help with anxiety, improve self-esteem, and to discuss and manage trauma. I have worked with children 12 and up and their families to improve school performance and behavior as well as improve parent-child relationship. This is where I am the strongest and look forward to working with.
(716) 567-8303 View (716) 567-8303
Photo of Dawn Barie, LCSW, MSW, MA, Clinical Social Work/Therapist
Dawn Barie
Clinical Social Work/Therapist, LCSW, MSW, MA
Verified Verified
West Seneca, NY 14224  (Online Only)
Waitlist for new clients
Hello, welcome to my page! I am licensed in New York and Pennsylvania and offer Teletherapy in both states. You will receive warm, supportive and nonjudgmental sessions to explore and learn ways to feel better. Are you experiencing relationship conflict, depression, anxiety or feeling stuck during a period of life transition? Learn to shift unhealthy patterns of thinking and behaving while engaging life more fully. Sessions offer an opportunity for growth and change so you can uncover greater meaning and personal satisfaction.
Hello, welcome to my page! I am licensed in New York and Pennsylvania and offer Teletherapy in both states. You will receive warm, supportive and nonjudgmental sessions to explore and learn ways to feel better. Are you experiencing relationship conflict, depression, anxiety or feeling stuck during a period of life transition? Learn to shift unhealthy patterns of thinking and behaving while engaging life more fully. Sessions offer an opportunity for growth and change so you can uncover greater meaning and personal satisfaction.
(716) 300-2389 View (716) 300-2389
Photo of Eric Todd - Eric Todd, LCSW, LCSW, Clinical Social Work/Therapist
Eric Todd, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
West Seneca, NY 14224
Not accepting new clients
Sometimes our lives can seem out of balance. Our relationships may feel strained or stuck. We may notice our thoughts racing. Maybe we are confused about who we are and where we fit in. When this happens, we may turn to unhealthy ways of coping.
Sometimes our lives can seem out of balance. Our relationships may feel strained or stuck. We may notice our thoughts racing. Maybe we are confused about who we are and where we fit in. When this happens, we may turn to unhealthy ways of coping.
(716) 281-5657 View (716) 281-5657
Photo of Danielle Smith - SPARK Counseling, LMHC, CCTS-I, Counselor
SPARK Counseling
Counselor, LMHC, CCTS-I
Verified Verified
West Seneca, NY 14224  (Online Only)
I believe that the vehicle of healing is the relationship between the client and the therapist. As a therapist, I strive to be the spark that lights the fire for change & growth within you, occupying the passenger seat while you bravely navigate the vehicle along that path of healing and wellness, helping to empower you, motivate you, support you, and assist you in tearing down any roadblocks that may come your way.
I believe that the vehicle of healing is the relationship between the client and the therapist. As a therapist, I strive to be the spark that lights the fire for change & growth within you, occupying the passenger seat while you bravely navigate the vehicle along that path of healing and wellness, helping to empower you, motivate you, support you, and assist you in tearing down any roadblocks that may come your way.
(716) 929-6106 View (716) 929-6106
Photo of Ronald Villano - Family and Personal Counseling, LMHC
Family and Personal Counseling
Mental Health Counselor, LMHC
Verified Verified
West Seneca, NY 14224
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start...and we will answer your call TODAY. We have 5 locations on Long Island and offer Telehealth to all of New York State.
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start...and we will answer your call TODAY. We have 5 locations on Long Island and offer Telehealth to all of New York State.
(716) 303-3450 View (716) 303-3450
Photo of Wadeline Theodore, LMHC, Counselor
Wadeline Theodore
Counselor, LMHC
Verified Verified
West Seneca, NY 14224
I am a licensed mental health counselor who understands that life can be challenging and that a positive support system to help find balance is important. I believe that everyone needs a compassionate and non-judgmental atmosphere to explore the feeling of being faced with a brick wall and swimming against the waves. I do and can provide that support. I am experienced in working with adolescents, adults and families. I utilize a holistic, trauma informed approach to help optimize your overall well-being and to strengthen the skills you already have within.
I am a licensed mental health counselor who understands that life can be challenging and that a positive support system to help find balance is important. I believe that everyone needs a compassionate and non-judgmental atmosphere to explore the feeling of being faced with a brick wall and swimming against the waves. I do and can provide that support. I am experienced in working with adolescents, adults and families. I utilize a holistic, trauma informed approach to help optimize your overall well-being and to strengthen the skills you already have within.
(716) 517-4297 View (716) 517-4297
Photo of Catherine Broom, LMHC, Counselor
Catherine Broom
Counselor, LMHC
Verified Verified
1 Endorsed
West Seneca, NY 14224  (Online Only)
Women and teen girls. Struggling with challenges related to anxiety, depression, stress, self-esteem, adjustment issues and relationship conflict. Looking to explore your habits, patterns, lifestyle choices and mindset. Wanting to heal from trauma and resolve barriers, improve self esteem/self confidence, identify and follow through with goals and future planning, overcome anxiety and depression. Open to a holistic and whole person approach to therapy to help you to generate real change!
Women and teen girls. Struggling with challenges related to anxiety, depression, stress, self-esteem, adjustment issues and relationship conflict. Looking to explore your habits, patterns, lifestyle choices and mindset. Wanting to heal from trauma and resolve barriers, improve self esteem/self confidence, identify and follow through with goals and future planning, overcome anxiety and depression. Open to a holistic and whole person approach to therapy to help you to generate real change!
(716) 800-4116 View (716) 800-4116
Photo of Margaret Root, Clinical Social Work/Therapist
Margaret Root
Clinical Social Work/Therapist
Verified Verified
West Seneca, NY 14224
I work with individuals and couples of all ages and backgrounds. Experience as a therapist includes community mental health & work with children, teens & parents (primarily in school settings). My therapy focus is on wholeness regardless of the problem, but to provide a context, the work I do addresses residual post-trauma effects, ADD, grief and loss, chronic depression, social (and other forms of) anxiety, and self-integration needs following separation and/or divorce. A therapeutic fit with a good counselor is a huge relief; it helps us recover an inner resilience we either lost or never knew we possessed.
I work with individuals and couples of all ages and backgrounds. Experience as a therapist includes community mental health & work with children, teens & parents (primarily in school settings). My therapy focus is on wholeness regardless of the problem, but to provide a context, the work I do addresses residual post-trauma effects, ADD, grief and loss, chronic depression, social (and other forms of) anxiety, and self-integration needs following separation and/or divorce. A therapeutic fit with a good counselor is a huge relief; it helps us recover an inner resilience we either lost or never knew we possessed.
(716) 325-1488 View (716) 325-1488
Photo of Alison Lesakowski, MA, CASAC, Drug & Alcohol Counselor
Alison Lesakowski
Drug & Alcohol Counselor, MA, CASAC
Verified Verified
1 Endorsed
West Seneca, NY 14224
Maybe you have already tried traditional talk therapy and wish to explore and know yourself on a deeper level. Maybe you feel like you are carrying past burdens and have a desire to be free from the burdens and traumas of the past. Others may desire a need to identify patterns in behavior and relationships, understand difficult emotions, or challenges that arise with partners, family, or at work. If any of this sounds familiar and if you desire to gain clarity in any of these areas, Internal family systems may be a good fit for you.
Maybe you have already tried traditional talk therapy and wish to explore and know yourself on a deeper level. Maybe you feel like you are carrying past burdens and have a desire to be free from the burdens and traumas of the past. Others may desire a need to identify patterns in behavior and relationships, understand difficult emotions, or challenges that arise with partners, family, or at work. If any of this sounds familiar and if you desire to gain clarity in any of these areas, Internal family systems may be a good fit for you.
(716) 592-6453 View (716) 592-6453
Photo of Kim Rogers, MS, LMHC, Counselor
Kim Rogers
Counselor, MS, LMHC
Verified Verified
2 Endorsed
West Seneca, NY 14224  (Online Only)
My approach begins with guiding female young adults and adults in understanding and managing their thoughts, feelings, and behaviors. Together, we establish a safe and supportive relationship for optimal self-learning and personal growth. We create strategies for lifetime success through the use of customized activities and evidence based therapies, that develop awareness and promote healing. Individuals are taught and encouraged to practice self-regulation skills and techniques to improve outlook and quality of life. I use humor and a lighthearted approach, when appropriate, to bring a sense of comfort and ease to sessions.
My approach begins with guiding female young adults and adults in understanding and managing their thoughts, feelings, and behaviors. Together, we establish a safe and supportive relationship for optimal self-learning and personal growth. We create strategies for lifetime success through the use of customized activities and evidence based therapies, that develop awareness and promote healing. Individuals are taught and encouraged to practice self-regulation skills and techniques to improve outlook and quality of life. I use humor and a lighthearted approach, when appropriate, to bring a sense of comfort and ease to sessions.
(716) 253-6439 View (716) 253-6439
Ann Chojnacki
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
West Seneca, NY 14224
Not accepting new clients
There are a lot of people who move through life in emotional pain. I am an EMDR trained therapist who specializes in helping you understand the impact that life events have on your current thoughts and behaviors. Once this understanding is created it allows us to move forward with treatment that creates a pathway for improved mental health and inner peace. I also help you to understand the relationships in your life, improve communication and manage the interactions.
There are a lot of people who move through life in emotional pain. I am an EMDR trained therapist who specializes in helping you understand the impact that life events have on your current thoughts and behaviors. Once this understanding is created it allows us to move forward with treatment that creates a pathway for improved mental health and inner peace. I also help you to understand the relationships in your life, improve communication and manage the interactions.
(716) 376-4013 View (716) 376-4013
Photo of Alexandrea Wallgren, LMHC, MS, Counselor
Alexandrea Wallgren
Counselor, LMHC, MS
Verified Verified
West Seneca, NY 14224  (Online Only)
Waitlist for new clients
We may experience things in our lives that feel like they change who we are and our view of the world. As a result, we may feel loneliness, distrust, anger, sadness, numbness, shame, and guilt. We may not allow ourselves to experience the wide range of human emotions and limit our connection with others as a way to protect ourselves. I believe that people are resilient, able to heal from trauma, and can reconnect with their authentic, genuine selves.
We may experience things in our lives that feel like they change who we are and our view of the world. As a result, we may feel loneliness, distrust, anger, sadness, numbness, shame, and guilt. We may not allow ourselves to experience the wide range of human emotions and limit our connection with others as a way to protect ourselves. I believe that people are resilient, able to heal from trauma, and can reconnect with their authentic, genuine selves.
(716) 321-2137 View (716) 321-2137
Photo of Jadelyn Mol, LCSW, Clinical Social Work/Therapist
Jadelyn Mol
Clinical Social Work/Therapist, LCSW
Verified Verified
West Seneca, NY 14224
Welcome! Our lives are in a constant state of change, which can feel exhausting and overwhelming. My approach to therapy is to not only help you cope with your struggles, but to work through them. I strive to make a genuine and healing connection that transfers into your relationship with yourself and others.
Welcome! Our lives are in a constant state of change, which can feel exhausting and overwhelming. My approach to therapy is to not only help you cope with your struggles, but to work through them. I strive to make a genuine and healing connection that transfers into your relationship with yourself and others.
(716) 274-9311 x165 View (716) 274-9311 x165
Photo of Meichle L. Latham - Meichle L. Latham, LCSW, PLLC, LCSW-R, Clinical Social Work/Therapist
Meichle L. Latham, LCSW, PLLC
Clinical Social Work/Therapist, LCSW-R
Verified Verified
West Seneca, NY 14224  (Online Only)
Looking for a Life Coach or counseling/therapy with someone who listens, guides and supports you to swiftly transform distress to de-stress & wellness?!? Someone who.... Exudes positivity & optimism, and inspires hope? Elevates your confidence? Understands what it feels like to navigate heightened stress and burnout? Is accepting new clients & has immediate openings? Accepts insurance private pay? Is a highly recommended professional with high Google Review ratings? That's me- I can help! Contact me at 716.539.0498 to schedule your 1st session or book a free 30 min. consult at meichlelatham.com to confirm the right fit!
Looking for a Life Coach or counseling/therapy with someone who listens, guides and supports you to swiftly transform distress to de-stress & wellness?!? Someone who.... Exudes positivity & optimism, and inspires hope? Elevates your confidence? Understands what it feels like to navigate heightened stress and burnout? Is accepting new clients & has immediate openings? Accepts insurance private pay? Is a highly recommended professional with high Google Review ratings? That's me- I can help! Contact me at 716.539.0498 to schedule your 1st session or book a free 30 min. consult at meichlelatham.com to confirm the right fit!
(716) 454-3399 View (716) 454-3399
Photo of Kathy Jeffries-Coppola, LMFT, RN, Marriage & Family Therapist
Kathy Jeffries-Coppola
Marriage & Family Therapist, LMFT, RN
Verified Verified
West Seneca, NY 14224
Do you feel like you want to make some changes in your life but just don't know where to begin. You are certainly not alone to feel overwhelmed, stressed, sad and hopeless or lost. My approach is simple, direct, and focuses on trying to help you reduce conflicts and make you feel more secure with your decisions which ultimately helps improve your happiness and peace in life. Clients say they appreciate my warm and accepting approach and my diverse background. I believe therapy is a powerful experience involving trust which I take very seriously. I enjoy working with adolescents, families, couples, and individuals.
Do you feel like you want to make some changes in your life but just don't know where to begin. You are certainly not alone to feel overwhelmed, stressed, sad and hopeless or lost. My approach is simple, direct, and focuses on trying to help you reduce conflicts and make you feel more secure with your decisions which ultimately helps improve your happiness and peace in life. Clients say they appreciate my warm and accepting approach and my diverse background. I believe therapy is a powerful experience involving trust which I take very seriously. I enjoy working with adolescents, families, couples, and individuals.
(716) 309-5306 View (716) 309-5306
Photo of Kristen Corbran, LMHC, Counselor
Kristen Corbran
Counselor, LMHC
Verified Verified
West Seneca, NY 14224
Hey there! I first want to congratulate you on taking the first step in reaching out for help. I have worked in a variety of treatment centers including residential, outpatient and inpatient treatment. I am currently serving adolescents, adults and couples. My experience includes working with clients who have trauma, anxiety, depression, attachment issues, and relationship conflict. My goals are to help you get to the root of your distress, manage your symptoms better, and to provide you a safe place to express yourself without judgment.
Hey there! I first want to congratulate you on taking the first step in reaching out for help. I have worked in a variety of treatment centers including residential, outpatient and inpatient treatment. I am currently serving adolescents, adults and couples. My experience includes working with clients who have trauma, anxiety, depression, attachment issues, and relationship conflict. My goals are to help you get to the root of your distress, manage your symptoms better, and to provide you a safe place to express yourself without judgment.
(716) 296-4687 View (716) 296-4687
Photo of Ellen Silver Lcswr, LCSW, ACSW, Clinical Social Work/Therapist
Ellen Silver Lcswr
Clinical Social Work/Therapist, LCSW, ACSW
Verified Verified
West Seneca, NY 14224  (Online Only)
Waitlist for new clients
Therapy is a journey toward self discovery, self realization, growth and change. Many people find themselves struggling with issues such as low self-esteem, anxiety, fear and depression. They create inaccurate beliefs about themselves based on false and negative thoughts. The secret to building positive self-esteem is to learn to see the whole you not just your mistakes, failures or imperfections. "To love oneself is the beginning of a lifelong romance" Oscar Wilde
Therapy is a journey toward self discovery, self realization, growth and change. Many people find themselves struggling with issues such as low self-esteem, anxiety, fear and depression. They create inaccurate beliefs about themselves based on false and negative thoughts. The secret to building positive self-esteem is to learn to see the whole you not just your mistakes, failures or imperfections. "To love oneself is the beginning of a lifelong romance" Oscar Wilde
(716) 216-5241 View (716) 216-5241
Photo of Temperance F Weremblewski, LCSW, CASAC, MA Psy, Clinical Social Work/Therapist
Temperance F Weremblewski
Clinical Social Work/Therapist, LCSW, CASAC, MA Psy
Verified Verified
West Seneca, NY 14224
I have worked in the counseling field for 18 years. I am experienced in treating individuals with co-occurring mental health and substance use disorders. That along with trauma are my current areas of focus in my practice. I have previous experience with multiple populations of people and various age groups. I have experience treating mood disorders, anxiety disorders and behavioral problems. I understand every individual is different and requires an individualized treatment approach. I will work diligently to develop a strong therapeutic alliance that empowers individuals to fulfill their potential.
I have worked in the counseling field for 18 years. I am experienced in treating individuals with co-occurring mental health and substance use disorders. That along with trauma are my current areas of focus in my practice. I have previous experience with multiple populations of people and various age groups. I have experience treating mood disorders, anxiety disorders and behavioral problems. I understand every individual is different and requires an individualized treatment approach. I will work diligently to develop a strong therapeutic alliance that empowers individuals to fulfill their potential.
(716) 296-4303 View (716) 296-4303

See more therapy options for West Seneca

How does your Therapist compare?

Number of Therapists in West Seneca, NY

70+

Average cost per session

$125

Therapists in West Seneca, NY who prioritize treating:

93% Anxiety
92% Depression
89% Self Esteem
81% Coping Skills
80% Trauma and PTSD
80% Stress
70% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

65% Aetna
65% Independent Health
55% Highmark BCBS of Western New York

How Therapists in West Seneca, NY see their clients

76% In Person and Online
24% Online Only

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in West Seneca?

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.