Therapists in Hoboken, NJ

Photo of Matthew Harris Peltz, Clinical Social Work/Therapist in Hoboken, NJ
Matthew Harris Peltz
Clinical Social Work/Therapist, LCSW, CBT, TGH
Verified Verified
Hoboken, NJ 07030
Do you find yourself burdened by stress or pressure from work, family, finances or personal health? Have you experienced a traumatic event or personal pain? As a clinician with 14 years of work experience in supporting various, different patient populations connecting with me for support can be very helpful.
Do you find yourself burdened by stress or pressure from work, family, finances or personal health? Have you experienced a traumatic event or personal pain? As a clinician with 14 years of work experience in supporting various, different patient populations connecting with me for support can be very helpful.
(848) 235-9250 View (848) 235-9250
Photo of Dr. Diana Chacon, Psychologist in Hoboken, NJ
Dr. Diana Chacon
Psychologist, PhD
Verified Verified
Hoboken, NJ 07030  (Online Only)
I am a N.J. and N.Y. state licensed clinical psychologist with over 25 years of experience specializing in individual and couple's therapy. My style is warm, engaging, practical, collaborative and compassionate. The psychotherapeutic space I create is peaceful, safe and nonjudgmental.
I am a N.J. and N.Y. state licensed clinical psychologist with over 25 years of experience specializing in individual and couple's therapy. My style is warm, engaging, practical, collaborative and compassionate. The psychotherapeutic space I create is peaceful, safe and nonjudgmental.
(201) 831-7742 View (201) 831-7742
Photo of Mindful Power LLC, Clinical Social Work/Therapist in Hoboken, NJ
Mindful Power LLC
Clinical Social Work/Therapist, LSW
Verified Verified
Hoboken, NJ 07030
Arianna specializes in working with children and adolescents who experience anxiety, communication challenges, challenging behaviors, and struggles with focus and attention. She has extensive experience in the field of special needs and believes in taking a whole child approach, including family members in the process, to reach therapeutic goals.
Arianna specializes in working with children and adolescents who experience anxiety, communication challenges, challenging behaviors, and struggles with focus and attention. She has extensive experience in the field of special needs and believes in taking a whole child approach, including family members in the process, to reach therapeutic goals.
(551) 258-8699 View (551) 258-8699
Photo of Rachel Cohen, Clinical Social Work/Therapist in Hoboken, NJ
Rachel Cohen
Clinical Social Work/Therapist, LCSW
Verified Verified
Hoboken, NJ 07030  (Online Only)
The choice to pursue therapy is important, as is finding the right fit in a therapist. I work in a collaborative style with clients to maximize their time and get the most out of the process as possible. I am not locked in to any one style of therapy, rather I try to work with what works best for each individual. That said, I believe our history shapes who we are, but we also need to deal with practical solutions in the here and now. Therefore, we have to balance both to make lasting change.
The choice to pursue therapy is important, as is finding the right fit in a therapist. I work in a collaborative style with clients to maximize their time and get the most out of the process as possible. I am not locked in to any one style of therapy, rather I try to work with what works best for each individual. That said, I believe our history shapes who we are, but we also need to deal with practical solutions in the here and now. Therefore, we have to balance both to make lasting change.
(201) 890-6848 View (201) 890-6848
Photo of Steven M Bielarski, Clinical Social Work/Therapist in Hoboken, NJ
Steven M Bielarski
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Hoboken, NJ 07030
I've been working with women and men to improve their lives for over twenty years. I began working with adolescents and young adults in an inpatient psychiatric environment and have expanded to include work in outpatient psychiatry and counseling, research, training and professional development. I received my MS in Social Work from Columbia University and am a Licensed Clinical Social Worker (LCSW) in both New Jersey and New York. I have completed over ten years of supervised psychotherapy experience at Beth Israel Medical Center and Washington Square Institute. In my Hoboken Psychotherapy practice, I specialize in working with adults to maximize their potential.
I've been working with women and men to improve their lives for over twenty years. I began working with adolescents and young adults in an inpatient psychiatric environment and have expanded to include work in outpatient psychiatry and counseling, research, training and professional development. I received my MS in Social Work from Columbia University and am a Licensed Clinical Social Worker (LCSW) in both New Jersey and New York. I have completed over ten years of supervised psychotherapy experience at Beth Israel Medical Center and Washington Square Institute. In my Hoboken Psychotherapy practice, I specialize in working with adults to maximize their potential.
(201) 351-2242 View (201) 351-2242
Photo of Mee-Hyea Kim, Licensed Professional Counselor in Hoboken, NJ
Mee-Hyea Kim
Licensed Professional Counselor, MA, LPC
Verified Verified
Hoboken, NJ 07030
At times, unconscious patterns get in the way of being your best self. Work, school, relationships, health, family, addiction, or financial stressors affect your daily life. Maybe you need a confidant, coach, or ally, to help guide you through difficult times and manage day to day stress. I believe that by building increased insight and awareness into these patterns leads to emotional growth, emotional wellbeing and mental resilience.
At times, unconscious patterns get in the way of being your best self. Work, school, relationships, health, family, addiction, or financial stressors affect your daily life. Maybe you need a confidant, coach, or ally, to help guide you through difficult times and manage day to day stress. I believe that by building increased insight and awareness into these patterns leads to emotional growth, emotional wellbeing and mental resilience.
(551) 210-4573 View (551) 210-4573
Photo of Heidi Sommers, Clinical Social Work/Therapist in Hoboken, NJ
Heidi Sommers
Clinical Social Work/Therapist, LICSW, LSW, LMSW
Verified Verified
1 Endorsed
Hoboken, NJ 07030
Heidi Sommers is a psychotherapist focused on providing therapy to adults struggling with anxiety, depression, trauma, and adjustment disorders. She has experience working with grief, self-esteem concerns, interpersonal difficulties, and life transitions. She further specializes in work with young adults and students within academic institutions, as well as young professionals struggling with work stressors.
Heidi Sommers is a psychotherapist focused on providing therapy to adults struggling with anxiety, depression, trauma, and adjustment disorders. She has experience working with grief, self-esteem concerns, interpersonal difficulties, and life transitions. She further specializes in work with young adults and students within academic institutions, as well as young professionals struggling with work stressors.
(551) 465-9587 View (551) 465-9587
Photo of Suni Kuriakose, Licensed Professional Counselor in Hoboken, NJ
Suni Kuriakose
Licensed Professional Counselor, LPC, LCADC, NCC
Verified Verified
Hoboken, NJ 07030  (Online Only)
Life can be a battle field with many challenges and obstacle courses to overcome, which in return disrupts our well-being both internally and externally. There are many wins and many losses and how do we handle them? Are you ready to take the next steps in investing in a healthier you? Together, we can embark this journey of healing the wounds and embracing the beauty of a new chapter.
Life can be a battle field with many challenges and obstacle courses to overcome, which in return disrupts our well-being both internally and externally. There are many wins and many losses and how do we handle them? Are you ready to take the next steps in investing in a healthier you? Together, we can embark this journey of healing the wounds and embracing the beauty of a new chapter.
(551) 305-4997 View (551) 305-4997
Photo of Daniel Brewer, LPC, Licensed Professional Counselor in Hoboken, NJ
Daniel Brewer, LPC
Licensed Professional Counselor, MS, LPC
Verified Verified
Hoboken, NJ 07030
As a Professional Counselor, I have had the unique opportunity to successfully counsel a diverse population of clients in Hoboken, New Jersey and surrounding communities. My work has focused on the diagnosis and treatment of presentations including ADHD, adjustment disorders, mood disorders, anxiety disorders, oppositional and defiant behavior, and parenting difficulties, employing evidence-based cognitive-behavioral and psychodynamic interventions. My client population has predominantly consisted of children, adolescents, young adults, and families. Individuals have achieved an increased ability to manage disturbances in mood, learned anxiety management strategies, and improved adjustment to major life transitions among other achievements.
As a Professional Counselor, I have had the unique opportunity to successfully counsel a diverse population of clients in Hoboken, New Jersey and surrounding communities. My work has focused on the diagnosis and treatment of presentations including ADHD, adjustment disorders, mood disorders, anxiety disorders, oppositional and defiant behavior, and parenting difficulties, employing evidence-based cognitive-behavioral and psychodynamic interventions. My client population has predominantly consisted of children, adolescents, young adults, and families. Individuals have achieved an increased ability to manage disturbances in mood, learned anxiety management strategies, and improved adjustment to major life transitions among other achievements.
(201) 578-4921 View (201) 578-4921
Photo of Guiding Transformations, Clinical Social Work/Therapist in Hoboken, NJ
Guiding Transformations
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Hoboken, NJ 07030  (Online Only)
Engaging in therapy can be challenging for various reasons, and it's normal to have concerns that may make the process seem overwhelming. However, seeking help for your mental well-being is a sign of inner strength and resilience, which makes it all the more worthwhile. Whether your goal is to address concerns like anxiety, depression, life transitions, or trauma, we are dedicated to assisting you in your pursuit of healing. Our approach to therapy is holistic and person-centered, which means we prioritize your well-being and provide a safe space for self-discovery. We'll be there every step of the way, offering empathy and support.
Engaging in therapy can be challenging for various reasons, and it's normal to have concerns that may make the process seem overwhelming. However, seeking help for your mental well-being is a sign of inner strength and resilience, which makes it all the more worthwhile. Whether your goal is to address concerns like anxiety, depression, life transitions, or trauma, we are dedicated to assisting you in your pursuit of healing. Our approach to therapy is holistic and person-centered, which means we prioritize your well-being and provide a safe space for self-discovery. We'll be there every step of the way, offering empathy and support.
(908) 808-4442 View (908) 808-4442
Photo of Jody E Smith, Licensed Professional Counselor in Hoboken, NJ
Jody E Smith
Licensed Professional Counselor, MA, LPC
Verified Verified
Hoboken, NJ 07030
Please find me at my new practice: Clarity Counseling Network. Most individuals through life will encounter milestones & life events in which they need some guidance or simply to have someone to listen with a loving ear. My goal is to help to guide you through whatever life has thrown in your path in a healthy therapeutic way in which you feel safe and at ease with yourself. As you begin to understand difficult emotions such as anger, grief, trauma, anxiety, childhood events etc. you will begin to allow yourself to heal and work through these emotions in a healthy & positive way. Looking forward to being apart of your journey.
Please find me at my new practice: Clarity Counseling Network. Most individuals through life will encounter milestones & life events in which they need some guidance or simply to have someone to listen with a loving ear. My goal is to help to guide you through whatever life has thrown in your path in a healthy therapeutic way in which you feel safe and at ease with yourself. As you begin to understand difficult emotions such as anger, grief, trauma, anxiety, childhood events etc. you will begin to allow yourself to heal and work through these emotions in a healthy & positive way. Looking forward to being apart of your journey.
(201) 380-7095 View (201) 380-7095
Photo of Pamela Gordon, Clinical Social Work/Therapist in Hoboken, NJ
Pamela Gordon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Hoboken, NJ 07030
I have been helping clients realize their full potential in a caring and supportive atmosphere for over 20 years. Most of my time has been spent in private practice in Hoboken, NJ. I believe in tailoring my approach to the client, keeping in mind what techniques are most successful for specific issues. My style is feedback oriented as I believe meaningful interaction is critical to success for the client. I offer individual, marriage/couples, and family psychotherapy utilizing a solution-oriented approach. My areas of specialty are depression, anxiety, relationships and grief counseling.
I have been helping clients realize their full potential in a caring and supportive atmosphere for over 20 years. Most of my time has been spent in private practice in Hoboken, NJ. I believe in tailoring my approach to the client, keeping in mind what techniques are most successful for specific issues. My style is feedback oriented as I believe meaningful interaction is critical to success for the client. I offer individual, marriage/couples, and family psychotherapy utilizing a solution-oriented approach. My areas of specialty are depression, anxiety, relationships and grief counseling.
(201) 297-6933 View (201) 297-6933
Photo of Michael R Buckhout, Clinical Social Work/Therapist in Hoboken, NJ
Michael R Buckhout
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Hoboken, NJ 07030
Waitlist for new clients
I am passionately committed to supporting individuals and couples in their pursuit of more expansive community, creativity, connection, and adaptive habits toward relational intelligence and self growth. I welcome all folks including queer/ LGBTQ+ communities, as well as twins and multiples - I’m both gay and a twin!
I am passionately committed to supporting individuals and couples in their pursuit of more expansive community, creativity, connection, and adaptive habits toward relational intelligence and self growth. I welcome all folks including queer/ LGBTQ+ communities, as well as twins and multiples - I’m both gay and a twin!
(551) 310-3850 View (551) 310-3850
Photo of Wellness Counseling, Licensed Professional Counselor in Hoboken, NJ
Wellness Counseling
Licensed Professional Counselor, PhD, LCSW, LPC
Verified Verified
Hoboken, NJ 07030
If you are struggling with depression, anxiety, feelings of low self-worth or want to make changes in your life we are here to help you. We will support you on your counseling journey but also challenge you and bring insight into your situation to show you where blindspots may occur. If you are in a new relationship and don't want to sabotage where things are going or are newly engaged or married we are here to help you transition to the next stage of your life. Our office works with a lot of clients experiencing a quarter life crisis figuring out the many challenges that happen after college into a work life balance.
If you are struggling with depression, anxiety, feelings of low self-worth or want to make changes in your life we are here to help you. We will support you on your counseling journey but also challenge you and bring insight into your situation to show you where blindspots may occur. If you are in a new relationship and don't want to sabotage where things are going or are newly engaged or married we are here to help you transition to the next stage of your life. Our office works with a lot of clients experiencing a quarter life crisis figuring out the many challenges that happen after college into a work life balance.
(551) 266-5518 View (551) 266-5518
Photo of Marrium Guirguis, Clinical Social Work/Therapist in Hoboken, NJ
Marrium Guirguis
Clinical Social Work/Therapist, LCSW
Verified Verified
Hoboken, NJ 07030  (Online Only)
Hey, my name is Marrium Guirguis and I am here to help you wherever you are in life. I believe we all have a story to tell and regardless of how similar two experiences sound, they will still be very different from each other and deserve to be heard, validated and worked with uniquely. Throughout my career, I have specialized in working with adults and adolescents 14+ with PTSD, Anxiety, working with survivors of human trafficking and domestic violence, family dynamics, supportive therapy through challenges, people with disabilities, and young couples.
Hey, my name is Marrium Guirguis and I am here to help you wherever you are in life. I believe we all have a story to tell and regardless of how similar two experiences sound, they will still be very different from each other and deserve to be heard, validated and worked with uniquely. Throughout my career, I have specialized in working with adults and adolescents 14+ with PTSD, Anxiety, working with survivors of human trafficking and domestic violence, family dynamics, supportive therapy through challenges, people with disabilities, and young couples.
(551) 292-8734 View (551) 292-8734
Photo of Marielle Smith, Licensed Social Worker in Hoboken, NJ
Marielle Smith
Licensed Social Worker, LSW
Verified Verified
1 Endorsed
Hoboken, NJ 07030  (Online Only)
Are you feeling anxious, worried, sad, stressed, unmotivated, lacking self-esteem, feeling detached from other people and activities that you once enjoyed? Begin your journey to self-discovery to bring joy and happiness back into your life with one on one virtual counseling. Every day we may face difficulties, adversities, or traumatic events that may lead to us feeling lonely, depressed, anxious, or stressed. In our work we will create a therapeutic relationship that is centered around empathy, compassion, and understanding in order to discover what may be contributing to those difficult thoughts and feelings of low self-worth.
Are you feeling anxious, worried, sad, stressed, unmotivated, lacking self-esteem, feeling detached from other people and activities that you once enjoyed? Begin your journey to self-discovery to bring joy and happiness back into your life with one on one virtual counseling. Every day we may face difficulties, adversities, or traumatic events that may lead to us feeling lonely, depressed, anxious, or stressed. In our work we will create a therapeutic relationship that is centered around empathy, compassion, and understanding in order to discover what may be contributing to those difficult thoughts and feelings of low self-worth.
(551) 465-5311 View (551) 465-5311
Photo of Rebecca Bischoff, Clinical Social Work/Therapist in Hoboken, NJ
Rebecca Bischoff
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Hoboken, NJ 07030
You are a young adult who isn’t feeling like yourself and you don’t know where to begin. You may be going through a transition in life that is difficult to navigate. You’re dealing with depression, anxiety, trauma, loss, or addiction. Perhaps you are starting a new job, going through a breakup or graduating college. You are experiencing feelings of frustration, sadness, mood instability, stress, increased substance use, and lack of motivation. My goal is to provide you with a comfortable, safe space where we can work together on your goals, as I draw from your existing strengths.
You are a young adult who isn’t feeling like yourself and you don’t know where to begin. You may be going through a transition in life that is difficult to navigate. You’re dealing with depression, anxiety, trauma, loss, or addiction. Perhaps you are starting a new job, going through a breakup or graduating college. You are experiencing feelings of frustration, sadness, mood instability, stress, increased substance use, and lack of motivation. My goal is to provide you with a comfortable, safe space where we can work together on your goals, as I draw from your existing strengths.
(201) 464-2605 View (201) 464-2605
Photo of Lauren Zehner, Clinical Social Work/Therapist in Hoboken, NJ
Lauren Zehner
Clinical Social Work/Therapist, LCSW
Verified Verified
Hoboken, NJ 07030
Therapy enables you to live more fully, with increased awareness and self-acceptance. However, it requires that you trust someone to travel with you to difficult places you might otherwise avoid. Whether you are experiencing a difficult life transition, wrestling with a problematic pattern, or wish to have a better relationship with yourself or others, it is important to feel that you are working with someone attuned to your needs and knowledgeable about how to handle them.
Therapy enables you to live more fully, with increased awareness and self-acceptance. However, it requires that you trust someone to travel with you to difficult places you might otherwise avoid. Whether you are experiencing a difficult life transition, wrestling with a problematic pattern, or wish to have a better relationship with yourself or others, it is important to feel that you are working with someone attuned to your needs and knowledgeable about how to handle them.
(917) 791-4143 View (917) 791-4143
Photo of Taylor Pini, Licensed Professional Counselor in Hoboken, NJ
Taylor Pini
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Hoboken, NJ 07030
Waitlist for new clients
Step into a space of growth and self-discovery, where your journey is guided by compassion, lightheartedness, and acceptance. I’m a therapist who believes in the transformative power of embracing life’s imperfections. With me, you’ll experience a directive, nonjudgmental approach that compassionately challenges you to uncover your own insights, fostering meaningful change. In our sessions, you’ll find moments of laughter and lightheartedness, a testament to the humanness we all share.
Step into a space of growth and self-discovery, where your journey is guided by compassion, lightheartedness, and acceptance. I’m a therapist who believes in the transformative power of embracing life’s imperfections. With me, you’ll experience a directive, nonjudgmental approach that compassionately challenges you to uncover your own insights, fostering meaningful change. In our sessions, you’ll find moments of laughter and lightheartedness, a testament to the humanness we all share.
(201) 357-6889 View (201) 357-6889
Photo of Jane Kober, Clinical Social Work/Therapist in Hoboken, NJ
Jane Kober
Clinical Social Work/Therapist, LCSW
Verified Verified
Hoboken, NJ 07030
We all struggle to improve our lives - to change and grow in ways that make us feel more fulfilled. As a psychotherapist for over 20 years, I often see people who are stuck, in unsatisfying relationships or jobs, alcohol/drug dependence or struggling with anxiety, depression or fears that hold them back from living more fully. My background in fine arts and personal experience as a painter has made me especially attuned to issues of artists who feel blocked in their creativity. Helping people with inhibitions in expressing feelings and asserting themselves is another area of interest.
We all struggle to improve our lives - to change and grow in ways that make us feel more fulfilled. As a psychotherapist for over 20 years, I often see people who are stuck, in unsatisfying relationships or jobs, alcohol/drug dependence or struggling with anxiety, depression or fears that hold them back from living more fully. My background in fine arts and personal experience as a painter has made me especially attuned to issues of artists who feel blocked in their creativity. Helping people with inhibitions in expressing feelings and asserting themselves is another area of interest.
(201) 870-4133 View (201) 870-4133

How does your Therapist compare?

Number of Therapists in Hoboken, NJ

500+

Average cost per session

$175

Therapists in Hoboken, NJ who prioritize treating:

96% Anxiety
89% Depression
77% Relationship Issues
77% Self Esteem
73% Stress
68% Life Transitions
66% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

86% Aetna
67% Cigna and Evernorth
60% UnitedHealthcare UHC | UBH

How Therapists in Hoboken, NJ see their clients

52% Online Only
48% In Person and Online

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Hoboken?

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.