Therapists in Bluffview, Dallas, TX

Photo of Dr. Latonia Wade, PhD, LCSW, Psychologist
Dr. Latonia Wade
Psychologist, PhD, LCSW
Verified Verified
1 Endorsed
Bluffview, Dallas, TX 75209  (Online Only)
I believe that therapy is for anyone seeking to improve their lives and their relationships. Sometimes life gets difficult to manage and we feel overwhelmed by expectations of ourselves and those around us. You may find it difficult to understand past experiences that remain hurtful or that continue to cause difficulty in navigating current relationships both personally and professionally. Traumatic experiences, grief/loss and life transitions can leave us feeling lost, doubtful, anxious and depressed. What if I told you that you can find the peace you need to live a life fulfilled? Well…you have already taken the first step!
I believe that therapy is for anyone seeking to improve their lives and their relationships. Sometimes life gets difficult to manage and we feel overwhelmed by expectations of ourselves and those around us. You may find it difficult to understand past experiences that remain hurtful or that continue to cause difficulty in navigating current relationships both personally and professionally. Traumatic experiences, grief/loss and life transitions can leave us feeling lost, doubtful, anxious and depressed. What if I told you that you can find the peace you need to live a life fulfilled? Well…you have already taken the first step!
(469) 457-3256 View (469) 457-3256
Photo of Michael Guziejka, MA, LMFT, Marriage & Family Therapist
Michael Guziejka
Marriage & Family Therapist, MA, LMFT
Verified Verified
Bluffview, Dallas, TX 75209
How often are you able to sit with someone who is willing to explore absolutely anything going on in your life without judgment? The therapy relationship is unlike any other relationship. I believe that when we feel safe enough to talk about what may be difficult to talk about, and our vulnerability is met with curiosity and understanding, real change and healing can happen.
How often are you able to sit with someone who is willing to explore absolutely anything going on in your life without judgment? The therapy relationship is unlike any other relationship. I believe that when we feel safe enough to talk about what may be difficult to talk about, and our vulnerability is met with curiosity and understanding, real change and healing can happen.
(469) 283-5567 View (469) 283-5567
Photo of Julianne Cantwell, MS, NCC
Julianne Cantwell
Licensed Professional Counselor Associate, MS, NCC
Verified Verified
4 Endorsed
Bluffview, Dallas, TX 75220
Sometimes we need to be heard without judgment. Sometimes we need to make sense of pain in our past to make living in the present a little less difficult. Whatever your need, I hope to provide you with the opportunity for increased growth, connection, and restoration. I am committed to empowering clients as they deal with concerns such as self-esteem, perfectionism, relationship difficulties, spirituality, life transitions, and anxiety. I also enjoy working with young couples preparing for marriage as well as helping couples of all ages navigate the intricacies of communication, intimacy, connection, and a satisfying relationship.
Sometimes we need to be heard without judgment. Sometimes we need to make sense of pain in our past to make living in the present a little less difficult. Whatever your need, I hope to provide you with the opportunity for increased growth, connection, and restoration. I am committed to empowering clients as they deal with concerns such as self-esteem, perfectionism, relationship difficulties, spirituality, life transitions, and anxiety. I also enjoy working with young couples preparing for marriage as well as helping couples of all ages navigate the intricacies of communication, intimacy, connection, and a satisfying relationship.
(214) 393-4540 View (214) 393-4540
Photo of Marla Jones
Marla Jones
Licensed Professional Counselor Associate
Verified Verified
Bluffview, Dallas, TX 75220
I specialize in trauma and behaviors caused by substance abuse, personality disorders, and dysfunctional relationships. I use an empathetic and direct approach which helps the client understand what negative thoughts are holding them back. I aim to create a safe and supportive environment for my clients to explore their emotions, heal past wounds, and work towards positive change. I am currently working toward Licensed Chemical Dependency Counselor certification and becoming EMDR Trained.
I specialize in trauma and behaviors caused by substance abuse, personality disorders, and dysfunctional relationships. I use an empathetic and direct approach which helps the client understand what negative thoughts are holding them back. I aim to create a safe and supportive environment for my clients to explore their emotions, heal past wounds, and work towards positive change. I am currently working toward Licensed Chemical Dependency Counselor certification and becoming EMDR Trained.
(469) 746-4743 View (469) 746-4743
Photo of Margaret Keeling, LMFT-S, Marriage & Family Therapist
Margaret Keeling
Marriage & Family Therapist, LMFT-S
Verified Verified
Bluffview, Dallas, TX 75209
Maggie works with adults using Dialectical Behavior Therapy to help clients build a life that they believe to be truly worth living! She offers in-person sessions in Dallas and telehealth across the state of Texas. Maggie and her team at North Texas DBT Associates provide comprehensive DBT, which is comprised of highly structured weekly individual sessions, weekly group skills classes, and access to 24/7 phone coaching support. For more information, visit our website, ntxdbt.com.
Maggie works with adults using Dialectical Behavior Therapy to help clients build a life that they believe to be truly worth living! She offers in-person sessions in Dallas and telehealth across the state of Texas. Maggie and her team at North Texas DBT Associates provide comprehensive DBT, which is comprised of highly structured weekly individual sessions, weekly group skills classes, and access to 24/7 phone coaching support. For more information, visit our website, ntxdbt.com.
(469) 552-7816 View (469) 552-7816
Photo of Leigh S Mann, LMFT, Marriage & Family Therapist
Leigh S Mann
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Bluffview, Dallas, TX 75209
We all have resilience within us. No matter what obstacles we find in our way, with the right tools, we can emerge from fear and pain and build a life with purpose and meaning. We all have times in our lives when issues arise involving depression, anxiety, grief, anger, addiction and recovery, parenting, or marital problems. Together we can chart a course to help you flourish.
We all have resilience within us. No matter what obstacles we find in our way, with the right tools, we can emerge from fear and pain and build a life with purpose and meaning. We all have times in our lives when issues arise involving depression, anxiety, grief, anger, addiction and recovery, parenting, or marital problems. Together we can chart a course to help you flourish.
(214) 953-7674 View (214) 953-7674
Photo of Jennifer Zigler - Edge Counseling & Consulting, LPC, Licensed Professional Counselor
Edge Counseling & Consulting
Licensed Professional Counselor, LPC
Verified Verified
Bluffview, Dallas, TX 75220
All too often, children and young adults are not given enough credit for how challenging this time of their lives can be. My ideal clients range from school-aged children and teens to young adults working through life transitions. I support individuals, and when appropriate, the entire family system, in navigating life's stressors. Further, as an educational consultant, I help families investigate and solidify the right educational environment for their children. School fit is crucial and I am their partner in navigating a pathway to success.
All too often, children and young adults are not given enough credit for how challenging this time of their lives can be. My ideal clients range from school-aged children and teens to young adults working through life transitions. I support individuals, and when appropriate, the entire family system, in navigating life's stressors. Further, as an educational consultant, I help families investigate and solidify the right educational environment for their children. School fit is crucial and I am their partner in navigating a pathway to success.
(214) 833-6933 View (214) 833-6933
Photo of Lorri Lancashire, MA, LPC, CEDS, PC, Licensed Professional Counselor
Lorri Lancashire
Licensed Professional Counselor, MA, LPC, CEDS, PC
Verified Verified
1 Endorsed
Bluffview, Dallas, TX 75209
Typically, people seek out therapy because they are experiencing a certain amount of pain in their life. I offer clients the opportunity the chance to deepen their understanding of why they are experiencing uncertainty and the HOW to get out of pain. I am solution oriented and am mindful of you wanting fast results. I don't offer a magic pill, but have many tools to utilize so that you can quickly uncover and transcend your pain points. I will collaborate with you to uncover a solution. I hope that I will have the pleasure of guiding you through this time in your life.
Typically, people seek out therapy because they are experiencing a certain amount of pain in their life. I offer clients the opportunity the chance to deepen their understanding of why they are experiencing uncertainty and the HOW to get out of pain. I am solution oriented and am mindful of you wanting fast results. I don't offer a magic pill, but have many tools to utilize so that you can quickly uncover and transcend your pain points. I will collaborate with you to uncover a solution. I hope that I will have the pleasure of guiding you through this time in your life.
(469) 899-9012 View (469) 899-9012
Photo of Missy Overstreet Desaloms, LMSW, PIT, Clinical Social Work/Therapist
Missy Overstreet Desaloms
Clinical Social Work/Therapist, LMSW, PIT
Verified Verified
Bluffview, Dallas, TX 75209
I specialize in the treatment of trauma, anxiety, depression, codependency, betrayed partners of sex addicts, addiction and relationship issues. The underlying components of codependency, self-destructive behaviors and addictions can stem from negative core beliefs that are deeply-rooted and eventually make our lives unbearable. These negative core beliefs are implanted in our brains making us believe thoughts such as, “I am not good enough”, “I am unlovable” and can eventually lead to troubled relationships, codependency, depression, anxiety, and addiction.
I specialize in the treatment of trauma, anxiety, depression, codependency, betrayed partners of sex addicts, addiction and relationship issues. The underlying components of codependency, self-destructive behaviors and addictions can stem from negative core beliefs that are deeply-rooted and eventually make our lives unbearable. These negative core beliefs are implanted in our brains making us believe thoughts such as, “I am not good enough”, “I am unlovable” and can eventually lead to troubled relationships, codependency, depression, anxiety, and addiction.
(469) 217-4645 x7 View (469) 217-4645 x7
Photo of Ashley Evans, CPC, MA, LPC, Licensed Professional Counselor
Ashley Evans
Licensed Professional Counselor, CPC, MA, LPC
Verified Verified
Bluffview, Dallas, TX 75209
Is your stress level through the roof? Do you feel exhausted, but yet you can’t sleep? Overwhelmed with worry or frustration? Are your relationships on edge? Or do you feel "stuck"? It's easy to lose your focus, your joy and your presence when you are inundated with stress and overwhelming emotion. I work with clients wanting to move beyond emotional pain from their past. By doing this, we improve relationships, increase self-esteem, and build resilience.
Is your stress level through the roof? Do you feel exhausted, but yet you can’t sleep? Overwhelmed with worry or frustration? Are your relationships on edge? Or do you feel "stuck"? It's easy to lose your focus, your joy and your presence when you are inundated with stress and overwhelming emotion. I work with clients wanting to move beyond emotional pain from their past. By doing this, we improve relationships, increase self-esteem, and build resilience.
(469) 382-4299 View (469) 382-4299
Photo of David Hanson, MA, MDiv, CSAT, EMDR, SE, Licensed Professional Counselor
David Hanson
Licensed Professional Counselor, MA, MDiv, CSAT, EMDR, SE
Verified Verified
Bluffview, Dallas, TX 75209
Many people see therapy as a one-sided conversation, with little opportunity for interaction or getting to experience each other as real people. I can promise you that I am as real as it gets! I want to help you achieve whatever solutions and life changes you are looking for while enjoying the process as much as possible and experiencing yourself in new ways. Simply put, I don't believe therapy has to always be a painful thing. Calling a therapist can be intimidating, but I hope you will take a moment (and maybe a deep breath) to call and see how I can help.
Many people see therapy as a one-sided conversation, with little opportunity for interaction or getting to experience each other as real people. I can promise you that I am as real as it gets! I want to help you achieve whatever solutions and life changes you are looking for while enjoying the process as much as possible and experiencing yourself in new ways. Simply put, I don't believe therapy has to always be a painful thing. Calling a therapist can be intimidating, but I hope you will take a moment (and maybe a deep breath) to call and see how I can help.
(469) 300-5247 View (469) 300-5247
Photo of Ashley Tarrant, LCSW, Clinical Social Work/Therapist
Ashley Tarrant
Clinical Social Work/Therapist, LCSW
Verified Verified
Bluffview, Dallas, TX 75209  (Online Only)
Hi! I'm so glad you found your way here. Therapy is often the first step to becoming the best version of ourselves! Depending on where you are my approach is to help you define the life you want, set goals and support your efforts through talk therapy. Sometimes that means unpacking past trauma, other times it means focusing on the here and now! Together we will decide what's best based on where you are currently and where you'd like to see yourself in 30, 60, 90 days and beyond! I am able to treat Anxiety, Depression, relationship and parental issues. I also have extensive experience with trauma and crisis intervention.
Hi! I'm so glad you found your way here. Therapy is often the first step to becoming the best version of ourselves! Depending on where you are my approach is to help you define the life you want, set goals and support your efforts through talk therapy. Sometimes that means unpacking past trauma, other times it means focusing on the here and now! Together we will decide what's best based on where you are currently and where you'd like to see yourself in 30, 60, 90 days and beyond! I am able to treat Anxiety, Depression, relationship and parental issues. I also have extensive experience with trauma and crisis intervention.
(469) 829-4936 View (469) 829-4936
Photo of Courtney Hicks - North Texas DBT Associates, MS, LMFT, Marriage & Family Therapist
North Texas DBT Associates
Marriage & Family Therapist, MS, LMFT
Verified Verified
Bluffview, Dallas, TX 75209
DBT is an evidence based cognitive behavioral treatment that emphasizes individual psychotherapy and group skills classes to help people learn new strategies to develop a life that they experience as worth living. DBT skills include mindfulness, emotion regulation, distress tolerance and interpersonal effectiveness. DBT is effective in treating a wide range of issues such as suicidal ideation, nonsuicidal self-injury, depression, addictive behavior, PTSD, eating disorders and Borderline Personality Disorder. It has been shown to be more effective than hospitalization in the treatment of suicidality.
DBT is an evidence based cognitive behavioral treatment that emphasizes individual psychotherapy and group skills classes to help people learn new strategies to develop a life that they experience as worth living. DBT skills include mindfulness, emotion regulation, distress tolerance and interpersonal effectiveness. DBT is effective in treating a wide range of issues such as suicidal ideation, nonsuicidal self-injury, depression, addictive behavior, PTSD, eating disorders and Borderline Personality Disorder. It has been shown to be more effective than hospitalization in the treatment of suicidality.
(401) 648-2866 View (401) 648-2866
Photo of Caroline Brasch, PhD, Psychologist
Caroline Brasch
Psychologist, PhD
Verified Verified
5 Endorsed
Bluffview, Dallas, TX 75209
Coming to therapy requires courage, and I offer an empathic and supportive space where patients can feel understood, valued, and accepted as they are. I approach therapy through an important lens: that lasting change and healing comes from understanding the present-day impact of one’s past experiences and relationships, most importantly with oneself. Whether you are hoping to better manage stress and anxiety, navigate a challenging time in your life, strengthen your relationships, let go of feelings of insecurity, or improve your overall wellbeing, I can help.
Coming to therapy requires courage, and I offer an empathic and supportive space where patients can feel understood, valued, and accepted as they are. I approach therapy through an important lens: that lasting change and healing comes from understanding the present-day impact of one’s past experiences and relationships, most importantly with oneself. Whether you are hoping to better manage stress and anxiety, navigate a challenging time in your life, strengthen your relationships, let go of feelings of insecurity, or improve your overall wellbeing, I can help.
(972) 851-6974 View (972) 851-6974
Photo of Elizabeth Dunlap, LCSW, Clinical Social Work/Therapist
Elizabeth Dunlap
Clinical Social Work/Therapist, LCSW
Verified Verified
Bluffview, Dallas, TX 75209
My goal is to help clients access a deeper level of healing and self actualization. It’s my belief that we all have the right to become the most genuine version of exactly who we were created to be.
My goal is to help clients access a deeper level of healing and self actualization. It’s my belief that we all have the right to become the most genuine version of exactly who we were created to be.
(706) 202-3116 View (706) 202-3116
Photo of Gene Klassen, MEd, LPC, CSAT, CMAT, Licensed Professional Counselor
Gene Klassen
Licensed Professional Counselor, MEd, LPC, CSAT, CMAT
Verified Verified
2 Endorsed
Bluffview, Dallas, TX 75209
In a culture, where judging or joking about the sexuality of others is common, talking about personal challenges with our own sexuality is often difficult and embarrassing. You may have just learned about an affair or other act of infidelity and are feeling angry, confused, and hurt; may be wondering why you cannot seem to stop compulsive behavior with prostitutes, anonymous partners, or pornography; may have been sexually abused, not knowing how to find peace and move on; or may feel so much anxiety about sex that you are unable to enjoy it. I provide a safe place to talk.
In a culture, where judging or joking about the sexuality of others is common, talking about personal challenges with our own sexuality is often difficult and embarrassing. You may have just learned about an affair or other act of infidelity and are feeling angry, confused, and hurt; may be wondering why you cannot seem to stop compulsive behavior with prostitutes, anonymous partners, or pornography; may have been sexually abused, not knowing how to find peace and move on; or may feel so much anxiety about sex that you are unable to enjoy it. I provide a safe place to talk.
(214) 390-5800 x2 View (214) 390-5800 x2
Photo of Carrie Eggart, MSW, LCSW, Clinical Social Work/Therapist
Carrie Eggart
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bluffview, Dallas, TX 75220
I am passionate about my clients and believe in the therapeutic process. If my client is ready, willing, and committed, change is possible! Successful treatment is achieved through mutual trust and respect cultivated in a safe, kind, judgment-free space.
I am passionate about my clients and believe in the therapeutic process. If my client is ready, willing, and committed, change is possible! Successful treatment is achieved through mutual trust and respect cultivated in a safe, kind, judgment-free space.
(469) 256-4850 View (469) 256-4850
Mary Elizabeth Berger
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Bluffview, Dallas, TX 75209  (Online Only)
I really don't have an ideal client. However, I prefer to work with people who are motivated to address their issues. I have experience in working with depression and anxiety. Issues of crisis intervention, post-traumatic stress, veterans concerns, and sexual abuse are all part of my skill set. Most people need support and compassion. The presenting problem may be related to other issues. Family of origin circumstances are frequently an issue. I work in conjunction with the client to develop a treatment plan. We devise goals and define what they hope to accomplish.
I really don't have an ideal client. However, I prefer to work with people who are motivated to address their issues. I have experience in working with depression and anxiety. Issues of crisis intervention, post-traumatic stress, veterans concerns, and sexual abuse are all part of my skill set. Most people need support and compassion. The presenting problem may be related to other issues. Family of origin circumstances are frequently an issue. I work in conjunction with the client to develop a treatment plan. We devise goals and define what they hope to accomplish.
(214) 239-1597 View (214) 239-1597
Photo of Laurie DeMarco, LCSW-S, Clinical Social Work/Therapist
Laurie DeMarco
Clinical Social Work/Therapist, LCSW-S
Verified Verified
Bluffview, Dallas, TX 75209
I have a psychotherapy practice in the Lovers/Inwood area of Dallas. I also offer services via teletherapy. I work with children, adolescents, and adults in need of guidance and support with difficulties arising from life changing events, family/relationship conflicts, traumatic experiences, academic and behavioral concerns, or grief and loss issues. I provide an initial phone consultation at no charge, so that together we can determine whether I am the right therapist for you and/or your family. My hours are flexible, and include early mornings, evenings, and weekends. Visit my website for more information www.lauriedemarco.com
I have a psychotherapy practice in the Lovers/Inwood area of Dallas. I also offer services via teletherapy. I work with children, adolescents, and adults in need of guidance and support with difficulties arising from life changing events, family/relationship conflicts, traumatic experiences, academic and behavioral concerns, or grief and loss issues. I provide an initial phone consultation at no charge, so that together we can determine whether I am the right therapist for you and/or your family. My hours are flexible, and include early mornings, evenings, and weekends. Visit my website for more information www.lauriedemarco.com
(214) 833-9851 View (214) 833-9851
Photo of Fay Howell Lidji, LCSW, Clinical Social Work/Therapist
Fay Howell Lidji
Clinical Social Work/Therapist, LCSW
Verified Verified
Bluffview, Dallas, TX 75209
Hi. I am Fay Lidji and I am a solutions oriented therapist. Counseling with me will show you how to improve relationships, help you change negative behavior patterns, and relieve the pain that brought you in. I work efficiently to help you gain a better perspective on your life, and then teach you new tools to bring about the desired change.
Hi. I am Fay Lidji and I am a solutions oriented therapist. Counseling with me will show you how to improve relationships, help you change negative behavior patterns, and relieve the pain that brought you in. I work efficiently to help you gain a better perspective on your life, and then teach you new tools to bring about the desired change.
(214) 838-7082 View (214) 838-7082
1

See more therapy options for Bluffview, Dallas

How does your Therapist compare?

Number of Therapists in Bluffview, Dallas, TX

100+

Average cost per session

$165

Therapists in Bluffview, Dallas, TX who prioritize treating:

95% Anxiety
88% Depression
68% Relationship Issues
68% Stress
63% Self Esteem
60% Trauma and PTSD
57% Family Conflict

Average years in practice

9 Years

Top 3 insurances accepted

86% Aetna
66% Cigna and Evernorth
45% UnitedHealthcare UHC | UBH

How Therapists in Bluffview, Dallas, TX see their clients

61% In Person and Online
39% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bluffview, Dallas?

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.