Therapists in Wilmington, DE

Photo of Cheryl Wagner, Marriage & Family Therapist in Wilmington, DE
Cheryl Wagner
Marriage & Family Therapist, LMFT
Verified Verified
Wilmington, DE 19808
Cheryl Wagner is a Licensed Marriage and Family Therapist in Delaware who has been practicing since 2017. She graduated from Liberty University, a Christian-based university. Cheryl has experience with anxiety, depression, teen issues, couple issues, life transitions, grief and loss, and substance abuse. She offers a warm, inviting, person-centered approach. Cheryl is skilled in systemic models, CBT, Motivational Interviewing, Narrative Therapy, Christian Counseling, Solution-focused therapy, Trauma, Grief/loss, and relapse prevention. Outside of work, Cheryl is passionate about helping animals and the environment.
Cheryl Wagner is a Licensed Marriage and Family Therapist in Delaware who has been practicing since 2017. She graduated from Liberty University, a Christian-based university. Cheryl has experience with anxiety, depression, teen issues, couple issues, life transitions, grief and loss, and substance abuse. She offers a warm, inviting, person-centered approach. Cheryl is skilled in systemic models, CBT, Motivational Interviewing, Narrative Therapy, Christian Counseling, Solution-focused therapy, Trauma, Grief/loss, and relapse prevention. Outside of work, Cheryl is passionate about helping animals and the environment.
(302) 508-0669 View (302) 508-0669
Photo of Caroline Brown in Wilmington, DE
Caroline Brown
MSN, PMHNP
Verified Verified
Wilmington, DE 19803
Welcome! I’m glad you're here! Choosing to begin therapy is not an easy decision. It takes courage to address challenges we are experiencing and choose to make changes in our lives. As a psychiatric and mental health nurse practitioner (PMHNP), my goal is to provide a safe, nurturing environment for you to share your thoughts and feelings. I am here to be by your side as you discover underlying thoughts and prior experiences that may be influencing your day-to-day life. I can help you process these prior experiences and challenge the thoughts surrounding them.
Welcome! I’m glad you're here! Choosing to begin therapy is not an easy decision. It takes courage to address challenges we are experiencing and choose to make changes in our lives. As a psychiatric and mental health nurse practitioner (PMHNP), my goal is to provide a safe, nurturing environment for you to share your thoughts and feelings. I am here to be by your side as you discover underlying thoughts and prior experiences that may be influencing your day-to-day life. I can help you process these prior experiences and challenge the thoughts surrounding them.
(302) 305-3168 View (302) 305-3168
Photo of Dr. Debra Laino in Wilmington, DE
Dr. Debra Laino
DHS, MEd, MS, ACS, ABS
Verified Verified
1 Endorsed
Wilmington, DE 19805
My specialty is in Holistic Sex Therapy and Relationship Therapy/Coaching. I have over 20 years of experience working with individuals and couples. I treat a variety of issues from sexual function and dysfunction, relationship issues (communication, sexuality, anger, divorce, touch, and much more) to life coaching. I look at the whole person as humans are depthful and layered beings. I am a member of various professional organizations such as AASECT, ACS, and ABS. I am Board Certified by three professional Boards, The American College of Sexologists and The American Board of Sexologists and AASECT as a Sexuality Educator.
My specialty is in Holistic Sex Therapy and Relationship Therapy/Coaching. I have over 20 years of experience working with individuals and couples. I treat a variety of issues from sexual function and dysfunction, relationship issues (communication, sexuality, anger, divorce, touch, and much more) to life coaching. I look at the whole person as humans are depthful and layered beings. I am a member of various professional organizations such as AASECT, ACS, and ABS. I am Board Certified by three professional Boards, The American College of Sexologists and The American Board of Sexologists and AASECT as a Sexuality Educator.
(302) 751-0990 View (302) 751-0990
Photo of Leland G. Orlov, Ph.D., Psychologist in Wilmington, DE
Leland G. Orlov, Ph.D.
Psychologist, PhD
Verified Verified
Wilmington, DE 19808
I offer a unique blend of longevity as a therapist as well as an integration of the latest trends in treatment. My own life experiences have included several challenging medical and family issues. Learning to deal with these effectively has expanded my awareness on many levels and has made me a more compassionate and creative therapist. I am very comfortable working with children, adolescents, families and stepfamilies, single adults, married couples and committed partners, and seniors.
I offer a unique blend of longevity as a therapist as well as an integration of the latest trends in treatment. My own life experiences have included several challenging medical and family issues. Learning to deal with these effectively has expanded my awareness on many levels and has made me a more compassionate and creative therapist. I am very comfortable working with children, adolescents, families and stepfamilies, single adults, married couples and committed partners, and seniors.
(302) 319-2493 View (302) 319-2493
Photo of Michelle Milligan, Clinical Social Work/Therapist in Wilmington, DE
Michelle Milligan
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Wilmington, DE 19808  (Online Only)
I am a responsible and compassionate Licensed Social Worker, dedicated to helping individuals increase their quality of life! My empowering therapeutic skills have contributed to my successful record of counseling in a wide range of therapeutic disciplines.
I am a responsible and compassionate Licensed Social Worker, dedicated to helping individuals increase their quality of life! My empowering therapeutic skills have contributed to my successful record of counseling in a wide range of therapeutic disciplines.
(302) 416-6805 View (302) 416-6805
Photo of Allison Krauss Randall, Clinical Social Work/Therapist in Wilmington, DE
Allison Krauss Randall
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, DE 19810  (Online Only)
Welcome! My name is Allison Krauss Randall and I am a licensed clinical social worker with over 25 years of experience providing counseling services to women, men and children who have experienced trauma, loss and stress in their relationships and their lives. I am trauma informed and trained in evidence based practices such as EMDR and have trained over 200 therapists nationally regarding the impact of trauma on our attachments and our relationships throughout our life span.
Welcome! My name is Allison Krauss Randall and I am a licensed clinical social worker with over 25 years of experience providing counseling services to women, men and children who have experienced trauma, loss and stress in their relationships and their lives. I am trauma informed and trained in evidence based practices such as EMDR and have trained over 200 therapists nationally regarding the impact of trauma on our attachments and our relationships throughout our life span.
(302) 775-9137 View (302) 775-9137
Photo of Jeshonda Dennis, Clinical Social Work/Therapist in Wilmington, DE
Jeshonda Dennis
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, DE 19801  (Online Only)
Hi! Are you anxious/stressed, saddened, or have low self-esteem. Maybe struggling with trauma or having difficulty in managing relationships? Do you find change and transitions in life to be difficult? If any of these sound like you, then I can assist. I create a safe environment where you feel understood and non-judged while being open about your burdens. We will create a plan for you to overcome obstacles and begin healing along this journey. You will feel empowered to gain joy, love yourself and others, and walk confidently each day. You deserve inner peace. So let's rewrite your story so you can become transformed in this life!
Hi! Are you anxious/stressed, saddened, or have low self-esteem. Maybe struggling with trauma or having difficulty in managing relationships? Do you find change and transitions in life to be difficult? If any of these sound like you, then I can assist. I create a safe environment where you feel understood and non-judged while being open about your burdens. We will create a plan for you to overcome obstacles and begin healing along this journey. You will feel empowered to gain joy, love yourself and others, and walk confidently each day. You deserve inner peace. So let's rewrite your story so you can become transformed in this life!
(302) 303-8491 View (302) 303-8491
Photo of Steve Parker (New Day Behavioral Health), Psychologist in Wilmington, DE
Steve Parker (New Day Behavioral Health)
Psychologist, MC, MS
Verified Verified
Wilmington, DE 19808
A full range of behavioral health services are provided so you can achieve true emotional and psychological well-being in a timely manner. Since cognitive-behavior therapy has been shown by research to be the most successful treatment approach, you will learn new skills and techniques to improve your mood and self-esteem. Actively working as a team, we will focus on solutions tailored to your unique concerns in a warm, trusting, and empathic environment. If you have relationship problems, we will cover effective communication and conflict resolution skills from the world-famous Gottman Institute. I look forward to serving you!
A full range of behavioral health services are provided so you can achieve true emotional and psychological well-being in a timely manner. Since cognitive-behavior therapy has been shown by research to be the most successful treatment approach, you will learn new skills and techniques to improve your mood and self-esteem. Actively working as a team, we will focus on solutions tailored to your unique concerns in a warm, trusting, and empathic environment. If you have relationship problems, we will cover effective communication and conflict resolution skills from the world-famous Gottman Institute. I look forward to serving you!
(302) 364-0945 View (302) 364-0945
Photo of Kristy Filler, Clinical Social Work/Therapist in Wilmington, DE
Kristy Filler
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, DE 19801
Kristy Filler is a Licensed Clinical Social Worker (LSCW) who for 15 years has been helping children, adolescents, and adults find purpose and put the JOY back in their lives. Kristy specializes in family therapy and the treatment of mood disorders, depression, stress, and anxiety. She completed her Master of Social Work (MSW) at Widener University. If you are reading this, you are looking for change! Have you been feeling sad, stressed, or unfocused? Had a recent loss, feeling unfulfilled in your life or at work? Maybe you are just feeling a little lost or lonely right now.
Kristy Filler is a Licensed Clinical Social Worker (LSCW) who for 15 years has been helping children, adolescents, and adults find purpose and put the JOY back in their lives. Kristy specializes in family therapy and the treatment of mood disorders, depression, stress, and anxiety. She completed her Master of Social Work (MSW) at Widener University. If you are reading this, you are looking for change! Have you been feeling sad, stressed, or unfocused? Had a recent loss, feeling unfulfilled in your life or at work? Maybe you are just feeling a little lost or lonely right now.
(302) 200-5423 View (302) 200-5423
Photo of Carol Graham Shekhar, Psychologist in Wilmington, DE
Carol Graham Shekhar
Psychologist, PhD, SEP
Verified Verified
Wilmington, DE 19803  (Online Only)
Not accepting new clients
***I am not accepting new clients at this time*** I enjoy working with adults and older adults on issues such as depression, anxiety, acute and chronic trauma, grief and loss, life-role changes, and struggles involved in being a caregiver for a spouse or family member.
***I am not accepting new clients at this time*** I enjoy working with adults and older adults on issues such as depression, anxiety, acute and chronic trauma, grief and loss, life-role changes, and struggles involved in being a caregiver for a spouse or family member.
(302) 248-8234 View (302) 248-8234
Photo of Harrison Stigler, Clinical Social Work/Therapist in Wilmington, DE
Harrison Stigler
Clinical Social Work/Therapist, LCSW
Verified Verified
Wilmington, DE 19809  (Online Only)
Is something getting in your way of living the life you want and deserve? Anxiety, trauma, depression, and life’s obstacles can feel like impossible hurdles to tackle on your own. That’s where I come in. I believe that healing occurs through our relationships with others. You don’t have to face these challenges alone.
Is something getting in your way of living the life you want and deserve? Anxiety, trauma, depression, and life’s obstacles can feel like impossible hurdles to tackle on your own. That’s where I come in. I believe that healing occurs through our relationships with others. You don’t have to face these challenges alone.
(302) 200-4578 View (302) 200-4578
Photo of Joseph Howard Wright, Psychologist in Wilmington, DE
Joseph Howard Wright
Psychologist
Verified Verified
Wilmington, DE 19808
A moment ago, you were doing fine. Sitting at your desk, completing an assignment-when out of nowhere it hits. A tidal wave of anxiety crashes over you as you start to panic. Your mind races, your palms sweat, and every muscle in your body tenses up. Tring to calm down and tell yourself that it will pass is no use. The overwhelming sense of impending doom is impossible to shake. You're so sick and tired of your life being hijacked by uncontrollable emotions and painful memories. You know that unless you do something different, things will only continue to get worse. But you don't know how to make a change. It all feels so helpless!
A moment ago, you were doing fine. Sitting at your desk, completing an assignment-when out of nowhere it hits. A tidal wave of anxiety crashes over you as you start to panic. Your mind races, your palms sweat, and every muscle in your body tenses up. Tring to calm down and tell yourself that it will pass is no use. The overwhelming sense of impending doom is impossible to shake. You're so sick and tired of your life being hijacked by uncontrollable emotions and painful memories. You know that unless you do something different, things will only continue to get worse. But you don't know how to make a change. It all feels so helpless!
(302) 503-6582 View (302) 503-6582
Photo of Karen Russo, Psychologist in Wilmington, DE
Karen Russo
Psychologist, PhD
Verified Verified
Wilmington, DE 19808
I have been a psychologist for 30 years. I have a very client centered and interactive, accepting approach. I have a large array of skills, including CBT, EMDR, and mindfulness to name a few. I work with depression, anxiety, eating disorders, trauma, couples issues and body focused repetitive behaviors.
I have been a psychologist for 30 years. I have a very client centered and interactive, accepting approach. I have a large array of skills, including CBT, EMDR, and mindfulness to name a few. I work with depression, anxiety, eating disorders, trauma, couples issues and body focused repetitive behaviors.
(302) 297-8340 View (302) 297-8340
Photo of Tamara Perry, Psychologist in Wilmington, DE
Tamara Perry
Psychologist, PsyD
Verified Verified
1 Endorsed
Wilmington, DE 19808  (Online Only)
Please Note: I am only offering virtual sessions at this time. Seeking therapy takes a great deal of determination and courage. By visiting my page, you have taken the most important step towards making positive lasting changes in your life. I am a licensed psychologist who has extensive experience working with adolescents, and adults. I provide individual in a safe and supportive environment. My goal is to help you discover your strengths and increase your ability to cope with stressful life transitions that may lead to depression, anxiety, or emotional distress.
Please Note: I am only offering virtual sessions at this time. Seeking therapy takes a great deal of determination and courage. By visiting my page, you have taken the most important step towards making positive lasting changes in your life. I am a licensed psychologist who has extensive experience working with adolescents, and adults. I provide individual in a safe and supportive environment. My goal is to help you discover your strengths and increase your ability to cope with stressful life transitions that may lead to depression, anxiety, or emotional distress.
(302) 397-3890 View (302) 397-3890
Photo of Regina Vontelaray Ames in Wilmington, DE
Regina Vontelaray Ames
LPCMH, MS, NBCC
Verified Verified
Wilmington, DE 19805
I am a LPCMH dedicated to helping people become empowered to make positive change in their lives. Though life can be challenging and overwhelming at times, I believe that change, healing and growth is possible for anyone who is open to exploring their capacity to change from within. As a Licensed counselor, I believe my part is to be present , empathetic , authentic and supportive as you break through the barriers to success and healing. As a potential client, I believe your part is to be willing to put in the work that is necessary to re-write the story of your life and experience the healing and wellness you are seeking.
I am a LPCMH dedicated to helping people become empowered to make positive change in their lives. Though life can be challenging and overwhelming at times, I believe that change, healing and growth is possible for anyone who is open to exploring their capacity to change from within. As a Licensed counselor, I believe my part is to be present , empathetic , authentic and supportive as you break through the barriers to success and healing. As a potential client, I believe your part is to be willing to put in the work that is necessary to re-write the story of your life and experience the healing and wellness you are seeking.
(302) 483-7808 View (302) 483-7808
Photo of Mind Body & Sol Counseling and Consultation, Licensed Professional Counselor in Wilmington, DE
Mind Body & Sol Counseling and Consultation
Licensed Professional Counselor
Verified Verified
Wilmington, DE 19801
Mind Body & Sol Counseling and Consultation (MBS) is a virtual mental health therapy service that provides our clients with access to personal, present, and professional care. Our primary focus is to create a safe space for BIPOC individuals and families, however, we are not biased and will work with everyone. We provide individual, couples, and family therapy. Are you struggling with who you are? Do you often wake up thinking "how did I get here?" MBS is here to support through getting unstuck when feeling "stuck." Let us help you create a new path today!
Mind Body & Sol Counseling and Consultation (MBS) is a virtual mental health therapy service that provides our clients with access to personal, present, and professional care. Our primary focus is to create a safe space for BIPOC individuals and families, however, we are not biased and will work with everyone. We provide individual, couples, and family therapy. Are you struggling with who you are? Do you often wake up thinking "how did I get here?" MBS is here to support through getting unstuck when feeling "stuck." Let us help you create a new path today!
(717) 794-8589 View (717) 794-8589
Photo of Aya Counseling Services, Licensed Professional Counselor in Wilmington, DE
Aya Counseling Services
Licensed Professional Counselor, MS, NCC, LPCMH
Verified Verified
Wilmington, DE 19805
Precious Morris-Browning is a graduate of the University of Delaware, where she received her BA in sociology. She also received a MS in mental health counseling from Springfield College in 2015. She is also a National Certified Counselor. More recently Precious has worked as a clinical therapist, working with various populations. Precious has worked with adolescents, the substance abuse population, and those with serious and persistent mental health issues such as schizophrenia, PTSD, and depression. Precious is currently working towards obtaining her LPC license in an effort to continue to serve in an even greater capacity.
Precious Morris-Browning is a graduate of the University of Delaware, where she received her BA in sociology. She also received a MS in mental health counseling from Springfield College in 2015. She is also a National Certified Counselor. More recently Precious has worked as a clinical therapist, working with various populations. Precious has worked with adolescents, the substance abuse population, and those with serious and persistent mental health issues such as schizophrenia, PTSD, and depression. Precious is currently working towards obtaining her LPC license in an effort to continue to serve in an even greater capacity.
(302) 202-1301 View (302) 202-1301
Photo of Michael C Reichert, Psychologist in Wilmington, DE
Michael C Reichert
Psychologist, PhD
Verified Verified
Wilmington, DE 19806  (Online Only)
I have worked with individuals, couples and families in a wide variety of settings for over 25 years. During this time, I have developed a number of particular specialties, including adolescents and families, boys and men, and addiction treatment. Typically, I offer a 3-session initial evaluation, at the end of which I make treatment recommendations. If the recommendation is to continue treatment in my practice, I can work in a variety of modes - individual, couples and family - and emphasize strategies that mobilize relationships and problem solving.
I have worked with individuals, couples and families in a wide variety of settings for over 25 years. During this time, I have developed a number of particular specialties, including adolescents and families, boys and men, and addiction treatment. Typically, I offer a 3-session initial evaluation, at the end of which I make treatment recommendations. If the recommendation is to continue treatment in my practice, I can work in a variety of modes - individual, couples and family - and emphasize strategies that mobilize relationships and problem solving.
(610) 667-9503 View (610) 667-9503
Photo of Rachel Domenick, Counselor in Wilmington, DE
Rachel Domenick
Counselor
Verified Verified
Wilmington, DE 19810
Currently accepting new clients! Therapy should be a safe space to explore life’s challenges. All humans experience times where they could use extra support, a place to talk, and truly be heard. I aim to create a safe and compassionate space where clients can work through mood disorders, trauma, interpersonal conflicts, and more.
Currently accepting new clients! Therapy should be a safe space to explore life’s challenges. All humans experience times where they could use extra support, a place to talk, and truly be heard. I aim to create a safe and compassionate space where clients can work through mood disorders, trauma, interpersonal conflicts, and more.
(302) 405-5390 View (302) 405-5390
Photo of Cynthia Edwards, Counselor in Wilmington, DE
Cynthia Edwards
Counselor, LPCMH
Verified Verified
Wilmington, DE 19808
Dr. Cynthia Edwards earned her degrees from Immaculata University in Malvern, Pennsylvania: a Doctorate Degree in Clinical Psychology and a Master's Degree in Counseling Psychology. She is a Licensed Professional Counselor of Mental Health in the states of Delaware and Maryland, a Nationally Certified Counselor by NBCC (National Board of Certified Counselors) and is certified in EMDR (Eye Movement Desensitization Reprocessing) by EMDRIA (EMDR International Association). Dr. Cynthia Edwards worked for many years as a registered nurse in critical care and emergency room hospital units.
Dr. Cynthia Edwards earned her degrees from Immaculata University in Malvern, Pennsylvania: a Doctorate Degree in Clinical Psychology and a Master's Degree in Counseling Psychology. She is a Licensed Professional Counselor of Mental Health in the states of Delaware and Maryland, a Nationally Certified Counselor by NBCC (National Board of Certified Counselors) and is certified in EMDR (Eye Movement Desensitization Reprocessing) by EMDRIA (EMDR International Association). Dr. Cynthia Edwards worked for many years as a registered nurse in critical care and emergency room hospital units.
(302) 786-7639 View (302) 786-7639

How does your Therapist compare?

Number of Therapists in Wilmington, DE

500+

Average cost per session

$140

Therapists in Wilmington, DE who prioritize treating:

92% Anxiety
87% Depression
72% Self Esteem
70% Relationship Issues
68% Coping Skills
65% Trauma and PTSD
62% Grief

Average years in practice

13 Years

Top 3 insurances accepted

75% Aetna
75% BlueCross and BlueShield
70% Highmark

How Therapists in Wilmington, DE see their clients

66% In Person and Online
34% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Wilmington?

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.