Therapists in Lewis County, TN

Photo of Dr. Sarah S Nunley, EDDCP, MS, LMFT, Marriage & Family Therapist
Dr. Sarah S Nunley
Marriage & Family Therapist, EDDCP, MS, LMFT
Verified Verified
Hohenwald, TN 38462  (Online Only)
Dr Nunley is an addiction psychologist and licensed marriage family therapist. She works with private clients, interns needing clinical supervision and consults for organizations that serve people with trauma and mental health struggles. Trauma-focused treatment is utilized as well as other holistic methods to achieve optimal wellness. Other areas of treatment specialty include substance misuse, body wellness, depression, anxiety, sexual trauma and first responder/military therapy.
Dr Nunley is an addiction psychologist and licensed marriage family therapist. She works with private clients, interns needing clinical supervision and consults for organizations that serve people with trauma and mental health struggles. Trauma-focused treatment is utilized as well as other holistic methods to achieve optimal wellness. Other areas of treatment specialty include substance misuse, body wellness, depression, anxiety, sexual trauma and first responder/military therapy.
(951) 363-2395 View (951) 363-2395
Photo of Christa Mashburn, MS, LBA, BCBA
Christa Mashburn
MS, LBA, BCBA
Verified Verified
Hohenwald, TN 38462
I enjoying working with a wide range of clients, including children and adults of all ages with challenging behaviors. My experience includes conducting Functional Behavior Assessments and implementing Behavior Plan Interventions for individuals with complex behavioral needs. I have worked primarily with children diagnosed with developmental disorders and children with complex behavioral concerns in both the home and school setting. Applied Behavior Analysis includes a vital parent/caregiver training component that is necessary for intervention success.
I enjoying working with a wide range of clients, including children and adults of all ages with challenging behaviors. My experience includes conducting Functional Behavior Assessments and implementing Behavior Plan Interventions for individuals with complex behavioral needs. I have worked primarily with children diagnosed with developmental disorders and children with complex behavioral concerns in both the home and school setting. Applied Behavior Analysis includes a vital parent/caregiver training component that is necessary for intervention success.
(833) 625-0169 View (833) 625-0169

Online Therapists

Photo of Alyssa Birmingham, LMFT, Marriage & Family Therapist
Alyssa Birmingham
Marriage & Family Therapist, LMFT
Verified Verified
15 Endorsed
Nashville, TN 37212
There is something beautiful about becoming the most authentic version of yourself. My passion lies in helping individuals and couples work to uncover what is keeping them stuck and develop a more fulfilling life. Through therapy, we will develop a relationship where you feel heard, understood, and respected while working to recognize and change the unhelpful thoughts, behaviors, and patterns in your life that are no longer serving you. Our sessions will feel like a conversation, where I will offer a fresh perspective and tangible ways to achieve your therapy goals.
There is something beautiful about becoming the most authentic version of yourself. My passion lies in helping individuals and couples work to uncover what is keeping them stuck and develop a more fulfilling life. Through therapy, we will develop a relationship where you feel heard, understood, and respected while working to recognize and change the unhelpful thoughts, behaviors, and patterns in your life that are no longer serving you. Our sessions will feel like a conversation, where I will offer a fresh perspective and tangible ways to achieve your therapy goals.
(615) 784-5752 View (615) 784-5752
Photo of Bre’Onna Joyce Logothetis
Bre’Onna Joyce Logothetis
Verified Verified
1 Endorsed
Nashville, TN 37208
There is a stigma that seeking counseling is weak or only for those who are going through “really hard things” - both of those statements are simply not true. Taking time to focus on who you are and pouring into your mental health is a great way to love yourself. With that being said, it takes a great amount of vulnerability and courage to open up to someone about things you may have never talked to anyone about before. My desire as a counselor is to build trust and create a safe environment as we work together.
There is a stigma that seeking counseling is weak or only for those who are going through “really hard things” - both of those statements are simply not true. Taking time to focus on who you are and pouring into your mental health is a great way to love yourself. With that being said, it takes a great amount of vulnerability and courage to open up to someone about things you may have never talked to anyone about before. My desire as a counselor is to build trust and create a safe environment as we work together.
(615) 905-1344 View (615) 905-1344
Photo of Blake M Howard, MEd, Licensed Professional Counselor
Blake M Howard
Licensed Professional Counselor, MEd
Verified Verified
2 Endorsed
Brentwood, TN 37027
Life can be really hard sometimes, and nobody should have to go through it alone. Human connection and compassion can be so powerful and our greatest tool towards healing. I believe that we are all experts of our own experience and that sometimes we need someone to walk alongside with us because it's okay to not be 'okay'. I work primarily with trauma (complex and acute), grief/depression, anxiety, personality disorders, relational issues, and sitting through difficult life transitions and stressors. I am eager to work collaboratively with you to begin your work towards inner peace and healing.
Life can be really hard sometimes, and nobody should have to go through it alone. Human connection and compassion can be so powerful and our greatest tool towards healing. I believe that we are all experts of our own experience and that sometimes we need someone to walk alongside with us because it's okay to not be 'okay'. I work primarily with trauma (complex and acute), grief/depression, anxiety, personality disorders, relational issues, and sitting through difficult life transitions and stressors. I am eager to work collaboratively with you to begin your work towards inner peace and healing.
(615) 857-3166 View (615) 857-3166
Photo of Maranda Carney, LPC-MHS, (temp), NCC, Pre-Licensed Professional
Maranda Carney
Pre-Licensed Professional, LPC-MHS, (temp), NCC
Verified Verified
Smyrna, TN 37167  (Online Only)
We all have have a story to tell as we navigate through life. Everyone deserves a safe space to share their story, build new skills, and learn new insights into who they are. I offer telehealth sessions so you can heal and grow in the comfort of your own home. I believe there is no one size fits all approach when it comes to therapy. My job is to work collaboratively with you to tailor a treatment plan that is as unique as you. You are the expert on your own life, my role is to work with you to help find solutions to improve your life.
We all have have a story to tell as we navigate through life. Everyone deserves a safe space to share their story, build new skills, and learn new insights into who they are. I offer telehealth sessions so you can heal and grow in the comfort of your own home. I believe there is no one size fits all approach when it comes to therapy. My job is to work collaboratively with you to tailor a treatment plan that is as unique as you. You are the expert on your own life, my role is to work with you to help find solutions to improve your life.
(629) 299-1831 View (629) 299-1831
Photo of Kristen Turbeville, LPC, MHSP, Licensed Professional Counselor
Kristen Turbeville
Licensed Professional Counselor, LPC, MHSP
Verified Verified
Dickson, TN 37055
I hope to create a space where you feel able to fully express yourself, without judgement or an emotionally-charged response. Opening up to someone, especially a stranger, can be scary. I believe that healing can come when we trust others enough with our problems to ask for help. Everyone at some point in their life could use someone to help them process through the difficult experiences that life sometimes holds. I would like to explore these issues together, in a setting where you feel comfortable being heard and understood.
I hope to create a space where you feel able to fully express yourself, without judgement or an emotionally-charged response. Opening up to someone, especially a stranger, can be scary. I believe that healing can come when we trust others enough with our problems to ask for help. Everyone at some point in their life could use someone to help them process through the difficult experiences that life sometimes holds. I would like to explore these issues together, in a setting where you feel comfortable being heard and understood.
(615) 475-5125 View (615) 475-5125
Photo of Elizabeth (Liz) Lynne Merriweather, LCSW, LICSW, Clinical Social Work/Therapist
Elizabeth (Liz) Lynne Merriweather
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Nashville, TN 37203  (Online Only)
The right support and knowledge will help you achieve your vision. With over 30 years of experience, I've helped thousands achieve their goals and I'd be honored to support your journey. I am a graduate of Eastern Michigan University with a Master's Degree in social work. I use a cognitive behavioral and psychodynamic approach to therapy, centered on achieving the goals you have for your life. I honor you as the expert in your life and believe that despite any pain you're experiencing, you are creative, resourceful and whole. I look forward to partnering with you to discover your path to living a mindful, peaceful life.
The right support and knowledge will help you achieve your vision. With over 30 years of experience, I've helped thousands achieve their goals and I'd be honored to support your journey. I am a graduate of Eastern Michigan University with a Master's Degree in social work. I use a cognitive behavioral and psychodynamic approach to therapy, centered on achieving the goals you have for your life. I honor you as the expert in your life and believe that despite any pain you're experiencing, you are creative, resourceful and whole. I look forward to partnering with you to discover your path to living a mindful, peaceful life.
(850) 788-2320 View (850) 788-2320
Photo of Mary Margaret Johnson, LMFT, LPC, MHSP, CST, Marriage & Family Therapist
Mary Margaret Johnson
Marriage & Family Therapist, LMFT, LPC, MHSP, CST
Verified Verified
9 Endorsed
Franklin, TN 37067
It isn't easy to ask for help. It’s easy to get discouraged in life, and in relationships. It’s hard to break patterns that keep us stuck and to move past the pain and anxieties we face. With an integrative approach to therapy, I help clients break destructive patterns, heal wounds, develop better coping strategies, improve relational skills, and gain richer understanding of themselves and others. The common challenges I work with include: sexual intimacy. codependency, anxiety, infidelity, loss, personality growth, trauma, family conflict, parenting, eating disorders, spiritual abuse and Christian spiritual direction.
It isn't easy to ask for help. It’s easy to get discouraged in life, and in relationships. It’s hard to break patterns that keep us stuck and to move past the pain and anxieties we face. With an integrative approach to therapy, I help clients break destructive patterns, heal wounds, develop better coping strategies, improve relational skills, and gain richer understanding of themselves and others. The common challenges I work with include: sexual intimacy. codependency, anxiety, infidelity, loss, personality growth, trauma, family conflict, parenting, eating disorders, spiritual abuse and Christian spiritual direction.
(615) 209-9278 View (615) 209-9278
Photo of Abby Doores, MA, LMFT, Marriage & Family Therapist
Abby Doores
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Brentwood, TN 37027
I love helping young women and couples find wholeness in relationship with themselves, others, and God. Whether you are someone(s) overcoming trauma or family of origin issues, discerning your own belief system, striving to create a life of alignment, strengthening the intertwining of two unique lives before or after marriage, navigating sexual intimacy struggles, or simply going through a big life adjustment and need a safe space to process, I so look forward to meeting you and joining in on the adventure.
I love helping young women and couples find wholeness in relationship with themselves, others, and God. Whether you are someone(s) overcoming trauma or family of origin issues, discerning your own belief system, striving to create a life of alignment, strengthening the intertwining of two unique lives before or after marriage, navigating sexual intimacy struggles, or simply going through a big life adjustment and need a safe space to process, I so look forward to meeting you and joining in on the adventure.
(629) 258-8928 View (629) 258-8928
Photo of Jerry Lawson, MA, LMHC, QS, Counselor
Jerry Lawson
Counselor, MA, LMHC, QS
Verified Verified
Mount Juliet, TN 37122
If you are searching to regain hope in your life, relationships, and career, then I would love to work with you. I have been working in the mental health field since 2015. I received my undergraduate degree in Biology from Clearwater Christian College and I later received my Masters of Arts in Professional Counseling from Liberty University. My own six year struggle with opioids and prescription medication addiction led him to want to inspire and help others face their mental health struggles and walk them through their recovery.
If you are searching to regain hope in your life, relationships, and career, then I would love to work with you. I have been working in the mental health field since 2015. I received my undergraduate degree in Biology from Clearwater Christian College and I later received my Masters of Arts in Professional Counseling from Liberty University. My own six year struggle with opioids and prescription medication addiction led him to want to inspire and help others face their mental health struggles and walk them through their recovery.
(321) 320-6249 View (321) 320-6249
Photo of Alex Bettis, PhD, Psychologist
Alex Bettis
Psychologist, PhD
Verified Verified
Nashville, TN 37228
Are you struggling with feeling anxious, worried, or overwhelmed? Are you having a hard time feeling motivated or finding joy in your daily life? Have you experienced a major life stressor or change? I'm here to help! I have worked for over 10 years with children, teens, and adults who are struggling with anxiety, OCD, depression, and stressful life events and transitions. I offer therapy in person or virtually for clients in the Nashville area and around Tennessee. I also offer virtual therapy for clients living in a state with PSYPACT legislation (this includes 42 participating states!).
Are you struggling with feeling anxious, worried, or overwhelmed? Are you having a hard time feeling motivated or finding joy in your daily life? Have you experienced a major life stressor or change? I'm here to help! I have worked for over 10 years with children, teens, and adults who are struggling with anxiety, OCD, depression, and stressful life events and transitions. I offer therapy in person or virtually for clients in the Nashville area and around Tennessee. I also offer virtual therapy for clients living in a state with PSYPACT legislation (this includes 42 participating states!).
(866) 509-2376 View (866) 509-2376
Photo of Suanna Kay Cummings - A Beautiful Mind LLC, LPCMHSP, CPC, Licensed Professional Counselor
A Beautiful Mind LLC
Licensed Professional Counselor, LPCMHSP, CPC
Verified Verified
Savannah, TN 38372
A Beautiful Mind is located in Las Vegas, NV & Savannah, TN. We are not just another therapy practice. We provide support and guidance for people who face difficulties, a safe place where recovery starts, and opportunities for positive change. Our team of dedicated therapists is united by a passion for helping others navigate the complexities of mental health with grace and resilience. Each therapist brings their own unique gifts and specialties to the table, creating a rich tapestry of healing modalities including CBT, DBT, TFCBT, IFS, and EMDR.
A Beautiful Mind is located in Las Vegas, NV & Savannah, TN. We are not just another therapy practice. We provide support and guidance for people who face difficulties, a safe place where recovery starts, and opportunities for positive change. Our team of dedicated therapists is united by a passion for helping others navigate the complexities of mental health with grace and resilience. Each therapist brings their own unique gifts and specialties to the table, creating a rich tapestry of healing modalities including CBT, DBT, TFCBT, IFS, and EMDR.
(731) 503-3190 View (731) 503-3190
Photo of Lindsay Fisher-Worster, LPC, Licensed Professional Counselor
Lindsay Fisher-Worster
Licensed Professional Counselor, LPC
Verified Verified
Clarksville, TN 37043
I have been working as a licensed therapist in private practice as well as community mental health for 10 years now. I work with trauma, mood disorders, personality disorders, depression and anxiety. I strive to help my clients heal from past trauma, learn and utilize coping skills, and challenge and change negative thought patterns to more rational and positive ones.
I have been working as a licensed therapist in private practice as well as community mental health for 10 years now. I work with trauma, mood disorders, personality disorders, depression and anxiety. I strive to help my clients heal from past trauma, learn and utilize coping skills, and challenge and change negative thought patterns to more rational and positive ones.
(931) 340-6642 View (931) 340-6642
Photo of Kerissa Frazier, M Ed, Pre-Licensed Professional
Kerissa Frazier
Pre-Licensed Professional, M Ed
Verified Verified
2 Endorsed
Smyrna, TN 37167  (Online Only)
I am a compassionate and dedicated counselor committed to helping you navigate life’s challenges. If you are dealing with anxiety, depression, relationship issues, or feeling stuck, I am here to provide a supportive and non-judgmental space where you can explore your thoughts and feelings. With a holistic approach to therapy, I tailor my methods to suit your unique needs, ensuring that our sessions are as effective and meaningful as possible. I believe in the power of empathy, active listening, and evidence-based techniques to foster personal growth.
I am a compassionate and dedicated counselor committed to helping you navigate life’s challenges. If you are dealing with anxiety, depression, relationship issues, or feeling stuck, I am here to provide a supportive and non-judgmental space where you can explore your thoughts and feelings. With a holistic approach to therapy, I tailor my methods to suit your unique needs, ensuring that our sessions are as effective and meaningful as possible. I believe in the power of empathy, active listening, and evidence-based techniques to foster personal growth.
(615) 709-5437 View (615) 709-5437
Photo of Missy Loftis, LMFT, Marriage & Family Therapist
Missy Loftis
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Murfreesboro, TN 37129
As a marriage and family therapist, I see individuals, families, and couples. My experience is in working with anxiety, depression, marital conflict, divorce recovery, and various forms of trauma including domestic violence situations. My goal with every client is to provide a safe space which invites the client to connect with the deeper emotions underlying presenting issues. I see each client as a unique and complex individual and collaborate with the client to tailor a treatment plan to meet therapy goals.
As a marriage and family therapist, I see individuals, families, and couples. My experience is in working with anxiety, depression, marital conflict, divorce recovery, and various forms of trauma including domestic violence situations. My goal with every client is to provide a safe space which invites the client to connect with the deeper emotions underlying presenting issues. I see each client as a unique and complex individual and collaborate with the client to tailor a treatment plan to meet therapy goals.
(615) 829-8818 View (615) 829-8818
Photo of DeAnna Barco Chavez, Pre-Licensed Professional
DeAnna Barco Chavez
Pre-Licensed Professional
Verified Verified
Clarksville, TN 37040
Life can be very complicated, stressful, and at times difficult to manage. The hard truth is that many of us lack the skills we need to navigate through the challenges it may bring. You may find that you have been putting in a lot of effort to make things better, but parts of your life aren't quite the way you want them to be. Congrats on taking a big step to making a change in your life. For those of you that does not like change...I know- It disrupts, it causes discomfort, and it never stays the same. Someone once said, " Change is not something that passively happens to you, but rather something you are in conversation with".
Life can be very complicated, stressful, and at times difficult to manage. The hard truth is that many of us lack the skills we need to navigate through the challenges it may bring. You may find that you have been putting in a lot of effort to make things better, but parts of your life aren't quite the way you want them to be. Congrats on taking a big step to making a change in your life. For those of you that does not like change...I know- It disrupts, it causes discomfort, and it never stays the same. Someone once said, " Change is not something that passively happens to you, but rather something you are in conversation with".
(931) 567-0068 x2 View (931) 567-0068 x2
Photo of Kara Beasley, MA, Pre-Licensed Professional
Kara Beasley
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Mount Juliet, TN 37122
I take a holistic approach to treatment and call it an honor to be able to sit with each person as they share their testimonies. I firmly believe that each individual has the power within themselves to reach their highest potential. It is a priviledge to walk in step with you on your journey to personal growth and healing.
I take a holistic approach to treatment and call it an honor to be able to sit with each person as they share their testimonies. I firmly believe that each individual has the power within themselves to reach their highest potential. It is a priviledge to walk in step with you on your journey to personal growth and healing.
(629) 247-3726 x3010 View (629) 247-3726 x3010
Photo of Rhonda D Johnson - Counseling & Relationship Center of Murfreesboro, LCSW, Rhonda, Johnson, Clinical Social Work/Therapist
Counseling & Relationship Center of Murfreesboro
Clinical Social Work/Therapist, LCSW, Rhonda, Johnson
Verified Verified
4 Endorsed
Murfreesboro, TN 37130
Relationships can be a source of great joy and comfort. When they get off track our life becomes unsettled and nothing feels right. I enjoy helping couples get back on track, solve conflicts and reclaim their connection. I do not discriminate against any individual on the basis of race, color, religion, age, sex, sexual orientation or gender identity. I am an attentive listener and am invested in helping you get your relationship back on track.
Relationships can be a source of great joy and comfort. When they get off track our life becomes unsettled and nothing feels right. I enjoy helping couples get back on track, solve conflicts and reclaim their connection. I do not discriminate against any individual on the basis of race, color, religion, age, sex, sexual orientation or gender identity. I am an attentive listener and am invested in helping you get your relationship back on track.
(615) 538-0274 View (615) 538-0274
Photo of Jessie Omer, M Ed, NCC, Licensed Professional Counselor
Jessie Omer
Licensed Professional Counselor, M Ed, NCC
Verified Verified
1 Endorsed
Nashville, TN 37203
I have a passion for counseling young adult women, adolescents, parents, and children. I practice therapy from a client-centered approach while incorporating Cognitive Behavioral Therapy, Emotionally Focused Therapy, Solution-Focused, and Mindfulness Based therapies to provide treatment. The utilization of these techniques allows for a blend of flexibility and structure in therapy while meeting the unique needs of each individual that I work with.
I have a passion for counseling young adult women, adolescents, parents, and children. I practice therapy from a client-centered approach while incorporating Cognitive Behavioral Therapy, Emotionally Focused Therapy, Solution-Focused, and Mindfulness Based therapies to provide treatment. The utilization of these techniques allows for a blend of flexibility and structure in therapy while meeting the unique needs of each individual that I work with.
(615) 709-7257 View (615) 709-7257

See more therapy options for Lewis County

How does your Therapist compare?

Number of Therapists in Lewis County, TN

< 10

Therapists in Lewis County, TN who prioritize treating:

100% Child
50% Relationship Issues
50% Depression
50% Anxiety
50% Addiction
50% Chronic Pain
50% Eating Disorders

Average years in practice

9 Years

Gender breakdown

100% Female

How Therapists in Lewis County, TN see their clients

50% In Person and Online
50% Online Only
FAQs - About Therapy and Counseling

How can I find a therapist in Lewis County?

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.