Therapists in Simi Valley, CA

Photo of Jennifer Su'apa'ia, Marriage & Family Therapist in Simi Valley, CA
Jennifer Su'apa'ia
Marriage & Family Therapist, LMFT
Verified Verified
Simi Valley, CA 93065
I have been working in the Mental Health field for about 15 years where I gained valuable experience working in various settings, including clinics, schools, and private practices. My approach to therapy is client-centered, meaning that I work collaboratively with my clients to identify their unique goals and needs. I believe that each person has their own journey, and my role as a therapist is to help them navigate it. I provide a safe and non-judgmental space for my clients to express themselves freely and work towards healing and growth.
I have been working in the Mental Health field for about 15 years where I gained valuable experience working in various settings, including clinics, schools, and private practices. My approach to therapy is client-centered, meaning that I work collaboratively with my clients to identify their unique goals and needs. I believe that each person has their own journey, and my role as a therapist is to help them navigate it. I provide a safe and non-judgmental space for my clients to express themselves freely and work towards healing and growth.
(805) 472-6154 View (805) 472-6154
Photo of Mary Rios, Marriage & Family Therapist in Simi Valley, CA
Mary Rios
Marriage & Family Therapist, LMFT
Verified Verified
Simi Valley, CA 93065
Hi, my name is Mary Rios, I am a licensed marriage and family therapist. I would like to work with and support you, as we work together to problem solve and process issues that are stopping you from being the best person you strive to be. Let’s work together to achieve your goals. I work well with adults. I have extensive experience with major depression as well as bipolar disorders. Interpersonal issues and relationship problems such as communication and self-care are important to me.
Hi, my name is Mary Rios, I am a licensed marriage and family therapist. I would like to work with and support you, as we work together to problem solve and process issues that are stopping you from being the best person you strive to be. Let’s work together to achieve your goals. I work well with adults. I have extensive experience with major depression as well as bipolar disorders. Interpersonal issues and relationship problems such as communication and self-care are important to me.
(805) 977-6154 View (805) 977-6154
Photo of Jennifer Gigena, Marriage & Family Therapist in Simi Valley, CA
Jennifer Gigena
Marriage & Family Therapist, LMFT
Verified Verified
Simi Valley, CA 93063
My name is Jennifer Gigena. As a Licensed Marriage and Family Therapist, my focus is to foster an environment for individuals who are encountering challenges with various issues. My areas of focus include life transitions, complex trauma, PTSD, depression, anxiety, grief, and relationship conflict. Our work together will be built on a solid foundation of trust, compassion, and respect. Harnessing the fear of what lies ahead with the curiosity that has brought you here today will guide us toward ending painful patterns, extinguishing thoughts of self-doubt, and creating the life that you want.
My name is Jennifer Gigena. As a Licensed Marriage and Family Therapist, my focus is to foster an environment for individuals who are encountering challenges with various issues. My areas of focus include life transitions, complex trauma, PTSD, depression, anxiety, grief, and relationship conflict. Our work together will be built on a solid foundation of trust, compassion, and respect. Harnessing the fear of what lies ahead with the curiosity that has brought you here today will guide us toward ending painful patterns, extinguishing thoughts of self-doubt, and creating the life that you want.
(805) 977-5514 View (805) 977-5514
Sue White
Marriage & Family Therapist, MA, LMFT
Verified Verified
Simi Valley, CA 93063
I offer practical, down to earth counseling using primarily cognitive behavioral and family systems therapy. My main areas of focus are in the treatment of anxiety, depression, loss and grief and relationships. I treat adults with the majority of my referrals coming from previous clients, insurance companies and the church community. I am a graduate of Pepperdine University with a Masters Degree in Clinical Psychology with an Emphasis in Marriage and Family Counseling.
I offer practical, down to earth counseling using primarily cognitive behavioral and family systems therapy. My main areas of focus are in the treatment of anxiety, depression, loss and grief and relationships. I treat adults with the majority of my referrals coming from previous clients, insurance companies and the church community. I am a graduate of Pepperdine University with a Masters Degree in Clinical Psychology with an Emphasis in Marriage and Family Counseling.
(805) 765-2428 View (805) 765-2428
Photo of Yashwanthi Mirji, Marriage & Family Therapist in Simi Valley, CA
Yashwanthi Mirji
Marriage & Family Therapist, MS, LMFT
Verified Verified
Simi Valley, CA 93065
Are you anxious, depressed or sad? Have you experienced a traumatic event? Are you finding yourself stuck in unhealthy patterns in your relationships/career ? Recognizing that you need help, can be difficult as well as intimidating. As a Licensed Marriage and Family Therapist I have had extensive training and experience working with adults (individuals and couples), children and adolescents for over 10 years.
Are you anxious, depressed or sad? Have you experienced a traumatic event? Are you finding yourself stuck in unhealthy patterns in your relationships/career ? Recognizing that you need help, can be difficult as well as intimidating. As a Licensed Marriage and Family Therapist I have had extensive training and experience working with adults (individuals and couples), children and adolescents for over 10 years.
(805) 262-9147 View (805) 262-9147
Photo of Debbie Ciulla, Marriage & Family Therapist in Simi Valley, CA
Debbie Ciulla
Marriage & Family Therapist, MA, LMFT, RPT
Verified Verified
10 Endorsed
Simi Valley, CA 93063
As a Licensed Marriage and Family Therapist, I am dedicated to providing compassionate and effective therapy to individuals and families who are navigating the complexities of trauma within the framework of their Christian faith. I believe in the power of integrating psychological principles with spiritual guidance to promote healing, growth, and restoration. Having witnessed firsthand the profound impact that trauma can have on individuals and their relationships, I am committed to creating a safe and supportive environment where clients can explore their experiences, process their emotions and find hope in the midst of pain.
As a Licensed Marriage and Family Therapist, I am dedicated to providing compassionate and effective therapy to individuals and families who are navigating the complexities of trauma within the framework of their Christian faith. I believe in the power of integrating psychological principles with spiritual guidance to promote healing, growth, and restoration. Having witnessed firsthand the profound impact that trauma can have on individuals and their relationships, I am committed to creating a safe and supportive environment where clients can explore their experiences, process their emotions and find hope in the midst of pain.
(805) 422-7797 View (805) 422-7797
Photo of Joshua Duke, Marriage & Family Therapist Associate in Simi Valley, CA
Joshua Duke
Marriage & Family Therapist Associate, AMFT
Verified Verified
7 Endorsed
Simi Valley, CA 93063
You feel unmotivated. You feel stuck. Your life feels like a lukewarm bath; not warm enough to get comfortable, not cold enough to make you want to get out. The monotony of your story feels alienating, and you can see it affecting your relationships, your job, and even how you view yourself. Within you is a desire to discover an authentic and passionate journey, one where you look back at the story of your life and say “That was my life, and it was an amazing one.” Now is the time to start that journey.
You feel unmotivated. You feel stuck. Your life feels like a lukewarm bath; not warm enough to get comfortable, not cold enough to make you want to get out. The monotony of your story feels alienating, and you can see it affecting your relationships, your job, and even how you view yourself. Within you is a desire to discover an authentic and passionate journey, one where you look back at the story of your life and say “That was my life, and it was an amazing one.” Now is the time to start that journey.
(805) 590-8562 View (805) 590-8562
Photo of Allison Jackson, Marriage & Family Therapist Associate in Simi Valley, CA
Allison Jackson
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
11 Endorsed
Simi Valley, CA 93065
Are you struggling to navigate the intricate emotions of life, grappling with relationship challenges, battling negative self-image, or just feeling overwhelmed by anxious thoughts? If you're seeking a turning point toward a path to self-discovery and personal growth, therapy may be the next step in fostering meaningful insights, cultivating resilience, and building a foundation for positive change in your life.
Are you struggling to navigate the intricate emotions of life, grappling with relationship challenges, battling negative self-image, or just feeling overwhelmed by anxious thoughts? If you're seeking a turning point toward a path to self-discovery and personal growth, therapy may be the next step in fostering meaningful insights, cultivating resilience, and building a foundation for positive change in your life.
(424) 397-2619 View (424) 397-2619
Photo of Grechell Siy, Marriage & Family Therapist in Simi Valley, CA
Grechell Siy
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Simi Valley, CA 93065
My name is Grechell Siy, and I am a Licensed Marriage and Family Therapist in California via telehealth. I primarily focused on working with individual adults struggling with anxiety, depression, PTSD, other relational trauma, grief, and chronic pain using a client-centered approach. I love working with individual adults who are ready to enrich their relationship with themselves due to the impact of relational or childhood trauma.
My name is Grechell Siy, and I am a Licensed Marriage and Family Therapist in California via telehealth. I primarily focused on working with individual adults struggling with anxiety, depression, PTSD, other relational trauma, grief, and chronic pain using a client-centered approach. I love working with individual adults who are ready to enrich their relationship with themselves due to the impact of relational or childhood trauma.
(805) 749-2095 View (805) 749-2095
Photo of Jose Mejia, Marriage & Family Therapist in Simi Valley, CA
Jose Mejia
Marriage & Family Therapist, LMFT
Verified Verified
Simi Valley, CA 93065
My name is Jose Mejia I'm a Licensed Marriage and Family Therapist, LMFT 134857. My approach towards therapy is empowering the client and exposing their strengths. I am the client center meaning the client is the expert of their lives and should be the one in control of their treatment. I'm an expert working with adolescents and families. However, I do work with people ages 12 and up. Most of all I am an expert working with families that exclusively speak Spanish.
My name is Jose Mejia I'm a Licensed Marriage and Family Therapist, LMFT 134857. My approach towards therapy is empowering the client and exposing their strengths. I am the client center meaning the client is the expert of their lives and should be the one in control of their treatment. I'm an expert working with adolescents and families. However, I do work with people ages 12 and up. Most of all I am an expert working with families that exclusively speak Spanish.
(805) 977-5866 View (805) 977-5866
Photo of Elizabeth Hope Sorenson, Marriage & Family Therapist Associate in Simi Valley, CA
Elizabeth Hope Sorenson
Marriage & Family Therapist Associate, AMFT
Verified Verified
Simi Valley, CA 93065  (Online Only)
Welcome! Getting started in therapy can be challenging as you may find you are looking for a space to really feel understood. Our journey toward authenticity often requires an integration of self that a professional can provide the feedback needed to get on the path that works best for you. Often we believe things about ourselves that can get in the way of how we want to navigate our lives. These beliefs are often conditioned by trauma, society, and inexperience. Who we are is the key to finding where we belong. I would be honored to explore with you a new path that works specifically for you as an individual, couple, or family.
Welcome! Getting started in therapy can be challenging as you may find you are looking for a space to really feel understood. Our journey toward authenticity often requires an integration of self that a professional can provide the feedback needed to get on the path that works best for you. Often we believe things about ourselves that can get in the way of how we want to navigate our lives. These beliefs are often conditioned by trauma, society, and inexperience. Who we are is the key to finding where we belong. I would be honored to explore with you a new path that works specifically for you as an individual, couple, or family.
(661) 215-8212 View (661) 215-8212
Photo of Leslie Powers, Clinical Social Work/Therapist in Simi Valley, CA
Leslie Powers
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Simi Valley, CA 93065
My specialty is empowering adults to find inner peace and achieve their personal goals. My work is compassionate, person-centered, and trauma-sensitive. Your active participation is requested. I assist you through cognitive behavioral reflection, task-centered goal setting, accountability, motivational clarification, values prioritization, habit change strategies, coping skills enhancement, trauma healing, and emotional and spiritual support. I offer EMDR among other healing modalities.
My specialty is empowering adults to find inner peace and achieve their personal goals. My work is compassionate, person-centered, and trauma-sensitive. Your active participation is requested. I assist you through cognitive behavioral reflection, task-centered goal setting, accountability, motivational clarification, values prioritization, habit change strategies, coping skills enhancement, trauma healing, and emotional and spiritual support. I offer EMDR among other healing modalities.
(805) 779-8356 View (805) 779-8356
Photo of Edgar Cruz, Marriage & Family Therapist in Simi Valley, CA
Edgar Cruz
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Simi Valley, CA 93063
You may be feeling confused or lost, and are searching for answers and ways to manage what you are experiencing right now. You are hoping to find someone that can create a safe space to process your thoughts and feelings. Someone that may help you feel less alone and accompany you in your journey towards finding answers. The sadness, worries, fears, and hopelessness may seem so daunting and you feel like there is no end in sight. You are here because you're ready to address these and the impact it has on your relationship with yourself, partner, child, or family.
You may be feeling confused or lost, and are searching for answers and ways to manage what you are experiencing right now. You are hoping to find someone that can create a safe space to process your thoughts and feelings. Someone that may help you feel less alone and accompany you in your journey towards finding answers. The sadness, worries, fears, and hopelessness may seem so daunting and you feel like there is no end in sight. You are here because you're ready to address these and the impact it has on your relationship with yourself, partner, child, or family.
(805) 329-3658 View (805) 329-3658
Photo of Louise Sturm, Marriage & Family Therapist in Simi Valley, CA
Louise Sturm
Marriage & Family Therapist, LMFT
Verified Verified
Simi Valley, CA 93065
Hi, I'm Louise. I am a Licensed Marriage and Family Therapist (LMFT) based in Santa Cruz, California, and work with clients statewide via Telehealth and in person. I work with children, families, and adults using Cognitive Behavioral Therapy and Dialectical Behavioral Therapy to help my clients learn healthy behavioral patterns. I specialize in treating anxiety, trauma, and transitional and relational life experiences.
Hi, I'm Louise. I am a Licensed Marriage and Family Therapist (LMFT) based in Santa Cruz, California, and work with clients statewide via Telehealth and in person. I work with children, families, and adults using Cognitive Behavioral Therapy and Dialectical Behavioral Therapy to help my clients learn healthy behavioral patterns. I specialize in treating anxiety, trauma, and transitional and relational life experiences.
(805) 334-8988 View (805) 334-8988
Lynn Comley
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Simi Valley, CA 93065
Lynn Comley, PsyD, MFT30361, is a psychotherapist in private practice who brings a broad spectrum of experience, skills, and knowledge to her life and work. With a rich mix of humor and compassion, and the standing, practice, and methods of a consummate healing professional, Dr. Comley guides her clients through difficult transitions toward benefit and well-being. "The big question is whether you are going to be able to say a hearty yes to your adventure". (Joseph Campbell)
Lynn Comley, PsyD, MFT30361, is a psychotherapist in private practice who brings a broad spectrum of experience, skills, and knowledge to her life and work. With a rich mix of humor and compassion, and the standing, practice, and methods of a consummate healing professional, Dr. Comley guides her clients through difficult transitions toward benefit and well-being. "The big question is whether you are going to be able to say a hearty yes to your adventure". (Joseph Campbell)
(805) 419-3868 View (805) 419-3868
Photo of Lindsay Anne Hall, Marriage & Family Therapist Associate in Simi Valley, CA
Lindsay Anne Hall
Marriage & Family Therapist Associate, AMFT
Verified Verified
4 Endorsed
Simi Valley, CA 93063
You find yourself feeling stuck, confused, or just plain overwhelmed. You yearn for someone to hear you, but often feel unheard. Perhaps you’ve tried a lot already, but mostly it just feels like distracting yourself or a temporary release from what you’re really going through. Life’s changes may feel uncomfortable, stressful and new. Struggling to “find yourself” and manage the never-ending list of responsibilities adds to the already existing pressure you feel. Coping with these feelings and life changes are difficult. Questions like, “Who do I want to be?” are so big, and it can be hard to know where to start.
You find yourself feeling stuck, confused, or just plain overwhelmed. You yearn for someone to hear you, but often feel unheard. Perhaps you’ve tried a lot already, but mostly it just feels like distracting yourself or a temporary release from what you’re really going through. Life’s changes may feel uncomfortable, stressful and new. Struggling to “find yourself” and manage the never-ending list of responsibilities adds to the already existing pressure you feel. Coping with these feelings and life changes are difficult. Questions like, “Who do I want to be?” are so big, and it can be hard to know where to start.
(805) 429-4089 x1 View (805) 429-4089 x1
Photo of Courtney Reddick, Marriage & Family Therapist in Simi Valley, CA
Courtney Reddick
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Simi Valley, CA 93063
I am passionate about working with kids, teens, and adults to help navigate those challenges and guide you on that journey. I got into this work because I believe everyone deserves a safe space in which they can navigate their inner and outer worlds, overcome barriers, and be heard and valued. I believe by offering unconditional acceptance and empathetic listening, I can help you find your unique strengths which can move you towards healing and growth.
I am passionate about working with kids, teens, and adults to help navigate those challenges and guide you on that journey. I got into this work because I believe everyone deserves a safe space in which they can navigate their inner and outer worlds, overcome barriers, and be heard and valued. I believe by offering unconditional acceptance and empathetic listening, I can help you find your unique strengths which can move you towards healing and growth.
(805) 301-9907 View (805) 301-9907
Photo of Liezel Lauguico, Marriage & Family Therapist Associate in Simi Valley, CA
Liezel Lauguico
Marriage & Family Therapist Associate, AMFT
Verified Verified
10 Endorsed
Simi Valley, CA 93063
Are you feeling alone with struggles and challenges in your life? You are feeling limited in your abilities to cope with worry and overwhelmed with things outside your control. There is a feeling of hopelessness and uncertainty of which direction to take. Whether you are going through a big change or you are having difficulty understanding your emotions, you do not need to do this alone. I welcome you into a safe space, where you can feel comfortable to share your thoughts and feelings
Are you feeling alone with struggles and challenges in your life? You are feeling limited in your abilities to cope with worry and overwhelmed with things outside your control. There is a feeling of hopelessness and uncertainty of which direction to take. Whether you are going through a big change or you are having difficulty understanding your emotions, you do not need to do this alone. I welcome you into a safe space, where you can feel comfortable to share your thoughts and feelings
(805) 301-9642 View (805) 301-9642
Photo of Avrille Birnbaum, Psychologist in Simi Valley, CA
Avrille Birnbaum
Psychologist, LCP
Verified Verified
Simi Valley, CA 93065
Hi, I'm Avrille Birnbaum! I'm a Clinical Psychologist, practicing therapy via video for clients who are in need but might not be able to take time off weekly to come to an office. I am a believer in doing what I can to make self-care accessible and relevant for each client, and I strive to make each person feel that they are having a conversation in which they feel supported, heard, and receive tools to use in their daily lives. Most often, my clients come to me struggling with issues regarding neurodivergence, depression, social anxiety, living with bipolar disorder, chronic pain, and autoimmune disorders.
Hi, I'm Avrille Birnbaum! I'm a Clinical Psychologist, practicing therapy via video for clients who are in need but might not be able to take time off weekly to come to an office. I am a believer in doing what I can to make self-care accessible and relevant for each client, and I strive to make each person feel that they are having a conversation in which they feel supported, heard, and receive tools to use in their daily lives. Most often, my clients come to me struggling with issues regarding neurodivergence, depression, social anxiety, living with bipolar disorder, chronic pain, and autoimmune disorders.
(805) 360-4291 View (805) 360-4291
Photo of Jillian Zamora, Pre-Licensed Professional in Simi Valley, CA
Jillian Zamora
Pre-Licensed Professional, MSW, ACSW
Verified Verified
Simi Valley, CA 93063  (Online Only)
Life transitions and stressful events can cause us to feel anxious or isolated. We often realize in times of transition or high stress that unhealed pain from the past rises to the surface. This can be an ideal time to reach out for support and a safe place to process your feelings. I can help you cope with your present challenges and make sense of unresolved emotions from the past. Whether you are looking to enter therapy as an individual to find your own sense of peace, as a couple to reconnect or repair a relationship, or as a family to achieve harmony and understanding, it would be an honor to be a part of your journey.
Life transitions and stressful events can cause us to feel anxious or isolated. We often realize in times of transition or high stress that unhealed pain from the past rises to the surface. This can be an ideal time to reach out for support and a safe place to process your feelings. I can help you cope with your present challenges and make sense of unresolved emotions from the past. Whether you are looking to enter therapy as an individual to find your own sense of peace, as a couple to reconnect or repair a relationship, or as a family to achieve harmony and understanding, it would be an honor to be a part of your journey.
(805) 749-5395 View (805) 749-5395

How does your Therapist compare?

Number of Therapists in Simi Valley, CA

200+

Average cost per session

$165

Therapists in Simi Valley, CA who prioritize treating:

96% Anxiety
90% Depression
73% Coping Skills
72% Relationship Issues
70% Self Esteem
64% Trauma and PTSD
63% Stress

Average years in practice

13 Years

Top 3 insurances accepted

83% Aetna
82% Optum
80% Cigna and Evernorth

How Therapists in Simi Valley, CA see their clients

78% In Person and Online
22% Online Only

Gender breakdown

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

How can I find a therapist in Simi Valley?

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.