Therapists in Saint Peters, MO

Photo of Kaitlin Pennington, Licensed Professional Counselor in Saint Peters, MO
Kaitlin Pennington
Licensed Professional Counselor, LPC
Verified Verified
Saint Peters, MO 63376
Kaitlin Pennington is a Licensed Professional Counselor in Missouri who has been practicing since 2020. She has a Master of Art in Clinical Mental Health Counseling from McKendree University. Kaitlin offers Trauma-Focused Cognitive Behavioral Therapy that helps those with trauma exposure or PTSD. She primarily works with children, adolescents, and their families to help them understand and communicate their emotions. In her spare time, Kaitlin enjoys making art, reading, playing video games, and playing with her dogs.
Kaitlin Pennington is a Licensed Professional Counselor in Missouri who has been practicing since 2020. She has a Master of Art in Clinical Mental Health Counseling from McKendree University. Kaitlin offers Trauma-Focused Cognitive Behavioral Therapy that helps those with trauma exposure or PTSD. She primarily works with children, adolescents, and their families to help them understand and communicate their emotions. In her spare time, Kaitlin enjoys making art, reading, playing video games, and playing with her dogs.
(636) 306-4521 View (636) 306-4521
Photo of Carissa Rupp, Licensed Professional Counselor in Saint Peters, MO
Carissa Rupp
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376
Waitlist for new clients
Counseling can be a challenging yet enjoyable process of exploration, discovery, and healing. My hope and intention is create a warm, comfortable and safe environment that meets your needs for change, support, growth, and/or healing. I am experienced in trauma, grief/loss, anxiety, ADHD, and self-harm. I work with adolescents, adults and couples, and adopt a thoughtful, trauma-informed approach with clients. I have also received specialized training in EMDR therapy.
Counseling can be a challenging yet enjoyable process of exploration, discovery, and healing. My hope and intention is create a warm, comfortable and safe environment that meets your needs for change, support, growth, and/or healing. I am experienced in trauma, grief/loss, anxiety, ADHD, and self-harm. I work with adolescents, adults and couples, and adopt a thoughtful, trauma-informed approach with clients. I have also received specialized training in EMDR therapy.
(636) 264-8520 View (636) 264-8520
Photo of Amy Claeys, Licensed Professional Counselor in Saint Peters, MO
Amy Claeys
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376
Life can be hard. Often times, mental health or life circumstances can get in the way of us living the life we thought we would. My goal is to provide an atmosphere where there is no judgement and to walk alongside you as you navigate through life stressors. People come to therapy for all different reasons and I have helped clients address concerns such as anxiety, depression, self-injury, grief, loss, and temporary transition. I have worked with children, adolescents, adults, and seniors. Whether you are coming to therapy to work on a specific goal or you’re not quite sure why you’re here, I want to help.
Life can be hard. Often times, mental health or life circumstances can get in the way of us living the life we thought we would. My goal is to provide an atmosphere where there is no judgement and to walk alongside you as you navigate through life stressors. People come to therapy for all different reasons and I have helped clients address concerns such as anxiety, depression, self-injury, grief, loss, and temporary transition. I have worked with children, adolescents, adults, and seniors. Whether you are coming to therapy to work on a specific goal or you’re not quite sure why you’re here, I want to help.
(636) 245-5192 View (636) 245-5192
Photo of Mark Hale, Clinical Social Work/Therapist in Saint Peters, MO
Mark Hale
Clinical Social Work/Therapist, LMSW
Verified Verified
Saint Peters, MO 63376
Mark Hale II, MSW, LMSW earned his bachelor's degree in social work from Lindenwood University, and Master's in Social Work with an emphasis in Behavioral Health at the University of Missouri, St. Louis. Mark is working on his licensure in clinical social work. During his studies, Mark was a member of the Behavioral Health Workforce and Education Training program (BHWET) where he received specialized training in integrated behavioral health.
Mark Hale II, MSW, LMSW earned his bachelor's degree in social work from Lindenwood University, and Master's in Social Work with an emphasis in Behavioral Health at the University of Missouri, St. Louis. Mark is working on his licensure in clinical social work. During his studies, Mark was a member of the Behavioral Health Workforce and Education Training program (BHWET) where he received specialized training in integrated behavioral health.
(636) 495-1194 View (636) 495-1194
Photo of Tiffany Happel, Licensed Professional Counselor in Saint Peters, MO
Tiffany Happel
Licensed Professional Counselor, LPC
Verified Verified
Saint Peters, MO 63376
My name is Tiffany Happel, and I am a Licensed Professional Counselor dedicated to assisting you in navigating life's challenges. My goal is to offer a safe and comforting space where you can delve into your thoughts and feelings freely. I have a background rooted in addressing diverse challenges, including depression, anxiety, relationship issues, complex trauma, and PTSD. I look forward to working alongside you as we strive to understand the issues that may be holding you back. Together, we will embark on a journey of self-discovery and healing.
My name is Tiffany Happel, and I am a Licensed Professional Counselor dedicated to assisting you in navigating life's challenges. My goal is to offer a safe and comforting space where you can delve into your thoughts and feelings freely. I have a background rooted in addressing diverse challenges, including depression, anxiety, relationship issues, complex trauma, and PTSD. I look forward to working alongside you as we strive to understand the issues that may be holding you back. Together, we will embark on a journey of self-discovery and healing.
(636) 452-2878 View (636) 452-2878
Photo of Sandra Carol Glatz-Nekula, Counselor in Saint Peters, MO
Sandra Carol Glatz-Nekula
Counselor, MA, PLPC
Verified Verified
Saint Peters, MO 63376
Whether it's ODD, Conduct Disorder, ADHD, Anxiety, Depression, Childhood Trauma, families in the midst of divorce, individual or marriage counseling , I am here to provide you with coping skills or strategies to get you through the rough times and teach you how to continue using these strategies throughout your life.
Whether it's ODD, Conduct Disorder, ADHD, Anxiety, Depression, Childhood Trauma, families in the midst of divorce, individual or marriage counseling , I am here to provide you with coping skills or strategies to get you through the rough times and teach you how to continue using these strategies throughout your life.
(636) 294-2694 View (636) 294-2694
Photo of Kimberly Burns, Clinical Social Work/Therapist in Saint Peters, MO
Kimberly Burns
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Peters, MO 63376
I am a Licensed Clinical Social Worker with 32 years experience in providing support to clients in need of support for their mental health well being. I use my training in Mental Health and Children/Youth to help young people to navigate the rough waters of life, problem solve and be confident with themselves. I also work with adults feeling overwhelmed with life.
I am a Licensed Clinical Social Worker with 32 years experience in providing support to clients in need of support for their mental health well being. I use my training in Mental Health and Children/Youth to help young people to navigate the rough waters of life, problem solve and be confident with themselves. I also work with adults feeling overwhelmed with life.
(636) 747-1380 View (636) 747-1380
Photo of Nikki Redecker, Pre-Licensed Professional in Saint Peters, MO
Nikki Redecker
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Saint Peters, MO 63304
Welcome! I am happy to see that you found me. I am here to help life feel less overwhelming and tough. Lets meet where you are in life and allow me to be a helping light to guide you to where you are wanting to be. Just bring you! However you are, and lets take some time to curl up on the couch while we unravel what is tangled so that we can navigate our way through what it is that is holding you back. Lets do this together! You are not alone. My goal is to use a holistic, whole person approach, individualized to you and what you need in a safe, caring, and non-judgmental environment.
Welcome! I am happy to see that you found me. I am here to help life feel less overwhelming and tough. Lets meet where you are in life and allow me to be a helping light to guide you to where you are wanting to be. Just bring you! However you are, and lets take some time to curl up on the couch while we unravel what is tangled so that we can navigate our way through what it is that is holding you back. Lets do this together! You are not alone. My goal is to use a holistic, whole person approach, individualized to you and what you need in a safe, caring, and non-judgmental environment.
(636) 442-0075 View (636) 442-0075
Photo of Janza Preston, Counselor in Saint Peters, MO
Janza Preston
Counselor, MA, LPC
Verified Verified
Saint Peters, MO 63376  (Online Only)
I have created a genuine, engaging therapeutic relationship with clients and apply my skills to provide a healing course of treatment. My experience includes individual sessions involving substance abuse, schizophrenia, developmental disability, career building, depression, and suicidal ideation. My goal for the clients is to enhance their basic emotional, behavioral, and spiritual skills to attain peace in the midst of their storm. Thus, enabling them to apply wisdom in current and future situations.
I have created a genuine, engaging therapeutic relationship with clients and apply my skills to provide a healing course of treatment. My experience includes individual sessions involving substance abuse, schizophrenia, developmental disability, career building, depression, and suicidal ideation. My goal for the clients is to enhance their basic emotional, behavioral, and spiritual skills to attain peace in the midst of their storm. Thus, enabling them to apply wisdom in current and future situations.
(636) 422-5993 View (636) 422-5993
Photo of Meredith McCannon, Licensed Professional Counselor in Saint Peters, MO
Meredith McCannon
Licensed Professional Counselor, LPC
Verified Verified
Saint Peters, MO 63376
My name is Meredith McCannon. I am a licensed professional counselor in the state of Missouri. My approach to therapy is client-centered and solution focused. I have a degree in Community counseling and have worked with all ages. The most common diagnosis is PTSD, MDD, GAD, Bi-polar, and borderline personality disorder. My therapeutic approach has a few theories involved. I used DBT and CBT for mindfulness and thought, feeling, behavior chain. I believe in building rapport and trust with clients to be able to work together on solutions.
My name is Meredith McCannon. I am a licensed professional counselor in the state of Missouri. My approach to therapy is client-centered and solution focused. I have a degree in Community counseling and have worked with all ages. The most common diagnosis is PTSD, MDD, GAD, Bi-polar, and borderline personality disorder. My therapeutic approach has a few theories involved. I used DBT and CBT for mindfulness and thought, feeling, behavior chain. I believe in building rapport and trust with clients to be able to work together on solutions.
(636) 782-3264 View (636) 782-3264
Photo of Tara Lusby, Licensed Professional Counselor in Saint Peters, MO
Tara Lusby
Licensed Professional Counselor, LCSW
Verified Verified
Saint Peters, MO 63376
Tara Lusby LPC and LCSW believes the client knows the best route for treatment, meeting them where they are at and partnering on their mental health journey. Specializes in individual therapy for adults 18-99 with a focus on anxiety, depression and trauma. Adult clients aged 18-99 with a focus on anxiety, depression, attachment issues and trauma. I have experience working with individuals who experience self-harming behaviors or suicidal thoughts.
Tara Lusby LPC and LCSW believes the client knows the best route for treatment, meeting them where they are at and partnering on their mental health journey. Specializes in individual therapy for adults 18-99 with a focus on anxiety, depression and trauma. Adult clients aged 18-99 with a focus on anxiety, depression, attachment issues and trauma. I have experience working with individuals who experience self-harming behaviors or suicidal thoughts.
(636) 422-6183 View (636) 422-6183
Photo of Clint R Limoges, Licensed Professional Counselor in Saint Peters, MO
Clint R Limoges
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Saint Peters, MO 63376
I specialize in working with children and adolescent using creative counseling modalities (e.g., sand play, bibliotherapy, and creative therapeutic techniques), across a multitude of diagnoses and behavioral issues. I believe that for children or adolescents to make meaningful change, they must learn skills by seeing, hearing, and doing them. Additionally, I recognize the importance of parental involvement in the treatment process and provide important tools for parent to use with their child in the home.
I specialize in working with children and adolescent using creative counseling modalities (e.g., sand play, bibliotherapy, and creative therapeutic techniques), across a multitude of diagnoses and behavioral issues. I believe that for children or adolescents to make meaningful change, they must learn skills by seeing, hearing, and doing them. Additionally, I recognize the importance of parental involvement in the treatment process and provide important tools for parent to use with their child in the home.
(636) 821-8628 View (636) 821-8628
Photo of Charlie Smerz, Clinical Social Work/Therapist in Saint Peters, MO
Charlie Smerz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Peters, MO 63376
Insecurities, traumas, relationship drama, emotional distress--sometimes we get stuck in life's junk and struggle to move beyond it, causing undue pain and suffering. If this has happened to you, you have the power to take back your peace of mind. Let me help you with that. I have a passion to help others work through life's difficulties to cultivate something better. I love working with people of all ages, and I specialize in working with teenagers, those transitioning to adulthood, and adults under 60.
Insecurities, traumas, relationship drama, emotional distress--sometimes we get stuck in life's junk and struggle to move beyond it, causing undue pain and suffering. If this has happened to you, you have the power to take back your peace of mind. Let me help you with that. I have a passion to help others work through life's difficulties to cultivate something better. I love working with people of all ages, and I specialize in working with teenagers, those transitioning to adulthood, and adults under 60.
(636) 238-1879 View (636) 238-1879
Photo of Lori Browning, Clinical Social Work/Therapist in Saint Peters, MO
Lori Browning
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Saint Peters, MO 63376
My name is Lori Browning and I am a Licensed Clinical Social Worker (LCSW) who provides counseling to individuals 15 years and older. I obtained my master's in social work degree from St. Louis University in 1998 and I have over 24 years of experience working in both inpatient and outpatient mental health settings. I serve and treat a variety of different populations including adults, adolescents, parents, and families.
My name is Lori Browning and I am a Licensed Clinical Social Worker (LCSW) who provides counseling to individuals 15 years and older. I obtained my master's in social work degree from St. Louis University in 1998 and I have over 24 years of experience working in both inpatient and outpatient mental health settings. I serve and treat a variety of different populations including adults, adolescents, parents, and families.
(636) 466-8198 View (636) 466-8198
Photo of Danni Stennett, Clinical Social Work/Therapist in Saint Peters, MO
Danni Stennett
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Saint Peters, MO 63376
Waitlist for new clients
Are you feeling stuck or trapped with behaviors or thoughts that no longer serve you? Maybe you have seen a few therapists, talked endlessly about your trauma, learned coping skills, and you know in your mind that it’s over and in the past but your body still feels disconnected, on high alert, or both. I am certified in EMDR Therapy, a trauma-focused therapy that works with our brain’s natural capacity to digest difficult experiences that keep us stuck. Whether your lived experiences have led you to struggle with depression, emotion dysregulation, or relationship difficulties; I am here to carry it with you.
Are you feeling stuck or trapped with behaviors or thoughts that no longer serve you? Maybe you have seen a few therapists, talked endlessly about your trauma, learned coping skills, and you know in your mind that it’s over and in the past but your body still feels disconnected, on high alert, or both. I am certified in EMDR Therapy, a trauma-focused therapy that works with our brain’s natural capacity to digest difficult experiences that keep us stuck. Whether your lived experiences have led you to struggle with depression, emotion dysregulation, or relationship difficulties; I am here to carry it with you.
(636) 249-2129 View (636) 249-2129
Photo of Melanie Henderson, Licensed Professional Counselor in Saint Peters, MO
Melanie Henderson
Licensed Professional Counselor, MA LPC
Verified Verified
1 Endorsed
Saint Peters, MO 63376
Depression, anxiety, anger, relationship struggles, and trauma effects everyone sometime in his/her life. It is important to have coping skills to battle these issues. I am passionate about seeing people not only enjoy life, but thrive to their fullest potential.
Depression, anxiety, anger, relationship struggles, and trauma effects everyone sometime in his/her life. It is important to have coping skills to battle these issues. I am passionate about seeing people not only enjoy life, but thrive to their fullest potential.
(636) 442-0239 View (636) 442-0239
Photo of Colleen Larson, Clinical Social Work/Therapist in Saint Peters, MO
Colleen Larson
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Peters, MO 63376
Colleen Larson is a Licensed Clinical Social Worker in Missouri who has been practicing since 2022. Colleen has been working with adults and children for several years. She thinks that what makes her successful is her ability to build relationships and find strengths in her clients. She hopes that her clients walk away from sessions feeling calm, heard, and valued. Outside of work, Colleen enjoys spending time with her family, going to the zoo, and learning how to cook.
Colleen Larson is a Licensed Clinical Social Worker in Missouri who has been practicing since 2022. Colleen has been working with adults and children for several years. She thinks that what makes her successful is her ability to build relationships and find strengths in her clients. She hopes that her clients walk away from sessions feeling calm, heard, and valued. Outside of work, Colleen enjoys spending time with her family, going to the zoo, and learning how to cook.
(636) 339-4461 View (636) 339-4461
Photo of Diane Appal, Counselor in Saint Peters, MO
Diane Appal
Counselor, MS, LPC
Verified Verified
Saint Peters, MO 63376
Diane Appal, MS, LPC works with patients 25 and over for individual, couples and family therapy. She enjoys helping clients navigate through difficult circumstances including, but not limited to, loss of interest, boundary setting, lack of motivation, guilt, shame, anxiety, depression, grief, worry, low self-esteem and poor self-care. Accomplishing this requires establishing a trusting, authentic relationship that enables clients to play an active role in their own recovery.
Diane Appal, MS, LPC works with patients 25 and over for individual, couples and family therapy. She enjoys helping clients navigate through difficult circumstances including, but not limited to, loss of interest, boundary setting, lack of motivation, guilt, shame, anxiety, depression, grief, worry, low self-esteem and poor self-care. Accomplishing this requires establishing a trusting, authentic relationship that enables clients to play an active role in their own recovery.
(636) 429-4865 View (636) 429-4865
Photo of River A. Dowdy, Pre-Licensed Professional in Saint Peters, MO
River A. Dowdy
Pre-Licensed Professional, NCC, DvT2, PLPC
Verified Verified
Saint Peters, MO 63376
Are you seeking meaningful healing and ready to embark on a transformative journey? Whether you are navigating life with a dissociative system, feeling the weight of burnout as a nurse or healthcare worker, or grappling with conditions such as Ehlers-Danlos syndrome, Mast Cell activation syndrome, severe allergies, anaphylaxis, Dysautonomia, or "medical" PTSD, I am here to walk alongside you. My mission is to provide unwavering support as you reclaim control, find solace, and rediscover your resilience. Together, we will navigate the complexities, unveiling new paths toward healing, growth, and a renewed sense of purpose.
Are you seeking meaningful healing and ready to embark on a transformative journey? Whether you are navigating life with a dissociative system, feeling the weight of burnout as a nurse or healthcare worker, or grappling with conditions such as Ehlers-Danlos syndrome, Mast Cell activation syndrome, severe allergies, anaphylaxis, Dysautonomia, or "medical" PTSD, I am here to walk alongside you. My mission is to provide unwavering support as you reclaim control, find solace, and rediscover your resilience. Together, we will navigate the complexities, unveiling new paths toward healing, growth, and a renewed sense of purpose.
(314) 470-9897 View (314) 470-9897
Photo of Megan Helwig, Licensed Professional Counselor in Saint Peters, MO
Megan Helwig
Licensed Professional Counselor, LPC
Verified Verified
Saint Peters, MO 63376
Megan Helwig MA,LPC, has been working in the behavioral field since 2002. She is honored to have worked in a variety of settings and roles, including case management; individual, family, and group/IOP therapy; and as Clinical Director of a Community Mental Health Center in Arizona. Megan graduated Summa Cum Laude from Ottawa University in Phoenix, AZ with a Master's Degree in Professional Counseling. She also earned a Certificate of Advanced Graduate Studies in Clinical Mental Health Counseling and is a member of the National Board of Certified Counselors.
Megan Helwig MA,LPC, has been working in the behavioral field since 2002. She is honored to have worked in a variety of settings and roles, including case management; individual, family, and group/IOP therapy; and as Clinical Director of a Community Mental Health Center in Arizona. Megan graduated Summa Cum Laude from Ottawa University in Phoenix, AZ with a Master's Degree in Professional Counseling. She also earned a Certificate of Advanced Graduate Studies in Clinical Mental Health Counseling and is a member of the National Board of Certified Counselors.
(636) 452-5608 View (636) 452-5608

See more therapy options for Saint Peters

How does your Therapist compare?

Number of Therapists in Saint Peters, MO

100+

Average cost per session

$120

Therapists in Saint Peters, MO who prioritize treating:

91% Anxiety
86% Depression
71% Coping Skills
70% Relationship Issues
69% Grief
66% Self Esteem
64% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

83% UnitedHealthcare UHC | UBH
79% Aetna
78% Cigna and Evernorth

How Therapists in Saint Peters, MO see their clients

87% In Person and Online
13% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Peters?

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.