Therapists in Coral Gables, FL

Photo of Lina Osorio, Counselor in Coral Gables, FL
Lina Osorio
Counselor, LMHC
Verified Verified
Coral Gables, FL 33134  (Online Only)
As a Licensed Mental Health Counselor, I believe support, genuineness and respect is a key part of the process. Getting clarity about your feelings, taking the time to understand and learn ways to express them is something you deserve.
As a Licensed Mental Health Counselor, I believe support, genuineness and respect is a key part of the process. Getting clarity about your feelings, taking the time to understand and learn ways to express them is something you deserve.
(954) 504-9135 View (954) 504-9135
Photo of Joel Plattor, Psychologist in Coral Gables, FL
Joel Plattor
Psychologist, PhD
Verified Verified
Coral Gables, FL 33146
Dr. Joel Plattor has been working as a healer in professional psychology for over 40 years. He has experience working with a wide variety of populations and settings. Therefore he is able to bring a significant level of knowledge and experience to all psychotherapeutic endeavors. Dr. Plattor works with all of his clients to establish a mutually agreed on course of action with goals that are realistic yet can lift clients into a level of satisfaction with life that they may not have previously thought possible.
Dr. Joel Plattor has been working as a healer in professional psychology for over 40 years. He has experience working with a wide variety of populations and settings. Therefore he is able to bring a significant level of knowledge and experience to all psychotherapeutic endeavors. Dr. Plattor works with all of his clients to establish a mutually agreed on course of action with goals that are realistic yet can lift clients into a level of satisfaction with life that they may not have previously thought possible.
(305) 928-1807 View (305) 928-1807
Photo of Giulia Dias Roncoletta, Registered Mental Health Counselor Intern in Coral Gables, FL
Giulia Dias Roncoletta
Registered Mental Health Counselor Intern, RMHCI
Verified Verified
Coral Gables, FL 33146
Are you ready to embark on a transformative journey towards mental wellness and personal growth? I am here to guide and support you every step of the way. As a compassionate therapist, I am dedicated to helping individuals of all ages navigate the challenges of life while fostering lasting positive change. I am a Mental Health Counselor specializing in an integrative approach to therapy, tailored to meet your unique needs. I speak three languages (English, Portuguese, and Spanish) and treat diverse age groups, ensuring that children, adolescents, adults, and seniors receive the care they deserve.
Are you ready to embark on a transformative journey towards mental wellness and personal growth? I am here to guide and support you every step of the way. As a compassionate therapist, I am dedicated to helping individuals of all ages navigate the challenges of life while fostering lasting positive change. I am a Mental Health Counselor specializing in an integrative approach to therapy, tailored to meet your unique needs. I speak three languages (English, Portuguese, and Spanish) and treat diverse age groups, ensuring that children, adolescents, adults, and seniors receive the care they deserve.
(786) 772-5941 View (786) 772-5941
Photo of Viviana Arroyave, Clinical Social Work/Therapist in Coral Gables, FL
Viviana Arroyave
Clinical Social Work/Therapist, LCSW
Verified Verified
Coral Gables, FL 33134
As a Licensed Clinical Social Worker with nearly 15 years of experience in supporting clients at the residential level of care with a nationally recognized organization, I am hoping to continue fulfilling my purpose in providing high quality therapy outside of the residential setting. I've had the privilege of walking alongside clients as they break free from the chains of depression, anxiety, trauma, self-harm and suicidality, and eating disorders; and work towards developing a better relationship with themselves through building up their feelings of self-compassion, esteem and confidence.
As a Licensed Clinical Social Worker with nearly 15 years of experience in supporting clients at the residential level of care with a nationally recognized organization, I am hoping to continue fulfilling my purpose in providing high quality therapy outside of the residential setting. I've had the privilege of walking alongside clients as they break free from the chains of depression, anxiety, trauma, self-harm and suicidality, and eating disorders; and work towards developing a better relationship with themselves through building up their feelings of self-compassion, esteem and confidence.
(305) 419-1458 View (305) 419-1458
Photo of Raquel Espinel Suarez, Counselor in Coral Gables, FL
Raquel Espinel Suarez
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Coral Gables, FL 33146
My therapeutic approach is uniquely tailored to your individual needs and is collaborative, interactive, and practical. I am passionate about providing a warm and empathic space to heal, grow, and thrive. Utilizing a cognitive behavioral framework, we will develop coping skills that enable you to make better choices and lead a happier and healthier existence. I have over two decades of clinical experience and have helped countless people change their lives for the better. I look forward to doing the same for you!
My therapeutic approach is uniquely tailored to your individual needs and is collaborative, interactive, and practical. I am passionate about providing a warm and empathic space to heal, grow, and thrive. Utilizing a cognitive behavioral framework, we will develop coping skills that enable you to make better choices and lead a happier and healthier existence. I have over two decades of clinical experience and have helped countless people change their lives for the better. I look forward to doing the same for you!
(305) 748-2869 View (305) 748-2869
Photo of Daniela Sliwkowski, Counselor in Coral Gables, FL
Daniela Sliwkowski
Counselor, LMHC
Verified Verified
Coral Gables, FL 33134
After years of working in a nationally recognized eating disorder treatment center, I have decided to take my experience into private practice. My goal is to provide individualized treatment using an integrative approach of evidenced based interventions combined with process oriented and experiential techniques.
After years of working in a nationally recognized eating disorder treatment center, I have decided to take my experience into private practice. My goal is to provide individualized treatment using an integrative approach of evidenced based interventions combined with process oriented and experiential techniques.
(786) 659-1781 x7 View (786) 659-1781 x7
Photo of Patricia Rodriguez Gilmore, Counselor in Coral Gables, FL
Patricia Rodriguez Gilmore
Counselor, LMHC
Verified Verified
1 Endorsed
Coral Gables, FL 33146
I am a psychoanalyst and psychotherapist specializing in talk therapy. My clients often come to me feeling angry, depressed and disappointed with their relationships, careers and their lives and are at a loss as to how to live a fulfilling life. Working together with clients within a supportive relationship, I help them articulate their feelings more authentically and uncover unconscious conflicts that get in the way of living life with vitality. I have found that when people truly engage in the process of therapy, they can experience healing, acceptance of themselves, stress reduction, personal growth, and increased fulfillment.
I am a psychoanalyst and psychotherapist specializing in talk therapy. My clients often come to me feeling angry, depressed and disappointed with their relationships, careers and their lives and are at a loss as to how to live a fulfilling life. Working together with clients within a supportive relationship, I help them articulate their feelings more authentically and uncover unconscious conflicts that get in the way of living life with vitality. I have found that when people truly engage in the process of therapy, they can experience healing, acceptance of themselves, stress reduction, personal growth, and increased fulfillment.
(305) 834-4373 View (305) 834-4373
Photo of Penny M Freedman, Licensed Psychoanalyst in Coral Gables, FL
Penny M Freedman
Licensed Psychoanalyst, PhD, CAP, TASA
Verified Verified
Coral Gables, FL 33146
I am in the private practice of psychotherapy and psychoanalysis with adult and adolescent patients who, despite their innate capacities, are experiencing difficulties in relationships, academics or career. Our work focuses on identifying and dealing with those issues which are outside of awareness, but are interfering with the freedom to succeed in the various areas or their lives; e.g.. interpersonal relationships, anxiety, depression, chronic trauma, medical trauma, difficulty in finding intimacy, and academic and creative blocks.
I am in the private practice of psychotherapy and psychoanalysis with adult and adolescent patients who, despite their innate capacities, are experiencing difficulties in relationships, academics or career. Our work focuses on identifying and dealing with those issues which are outside of awareness, but are interfering with the freedom to succeed in the various areas or their lives; e.g.. interpersonal relationships, anxiety, depression, chronic trauma, medical trauma, difficulty in finding intimacy, and academic and creative blocks.
(305) 834-4464 View (305) 834-4464
Photo of Mark C. Smith, Psychologist in Coral Gables, FL
Mark C. Smith
Psychologist, PsyD
Verified Verified
Coral Gables, FL 33134
Excellent psychotherapy offers a deep appreciation for an individual's thoughts, emotions and wishes. I try to establish a collaborative and interactive relationship with my clients. We work on trying to resolve areas of immediate distress as well as trying to understand how the past may be effecting your current situation. Regardless of what brings a person to therapy-a desire for deeper understanding of self, alleviation of symptoms is the main focus. I see a wide range of clients- including children and families, college students and adults. I have two broad areas of clinical practice.
Excellent psychotherapy offers a deep appreciation for an individual's thoughts, emotions and wishes. I try to establish a collaborative and interactive relationship with my clients. We work on trying to resolve areas of immediate distress as well as trying to understand how the past may be effecting your current situation. Regardless of what brings a person to therapy-a desire for deeper understanding of self, alleviation of symptoms is the main focus. I see a wide range of clients- including children and families, college students and adults. I have two broad areas of clinical practice.
(305) 902-6092 View (305) 902-6092
Photo of Jonathan Anthony Rojas, Marriage & Family Therapist in Coral Gables, FL
Jonathan Anthony Rojas
Marriage & Family Therapist, MS
Verified Verified
1 Endorsed
Coral Gables, FL 33134
I work with my clients to help them repair and nurture the relationships they have with their loved ones. Though I am trained in treating couples and families, my therapy also values a focus on the individual. I find it important to promote a balance between rational and emotional orientations to our experiences, and I help my clients to reflect this balance in multiple facets of their lives.
I work with my clients to help them repair and nurture the relationships they have with their loved ones. Though I am trained in treating couples and families, my therapy also values a focus on the individual. I find it important to promote a balance between rational and emotional orientations to our experiences, and I help my clients to reflect this balance in multiple facets of their lives.
(954) 231-1469 View (954) 231-1469
Photo of Ilene Beth Donin, Psychologist in Coral Gables, FL
Ilene Beth Donin
Psychologist, PhD
Verified Verified
Coral Gables, FL 33134  (Online Only)
My 30 years of professional experience has largely focused on people with chronic pain. I trained with Dr. John Sarno at the Rusk Institute for Rehabilitation Medicine who authored many books on the mind body connection. Research and clinical experience led him to conclude that most chronic pain s psychophysiologic. Unresolved emotions are the source of these physical manifestations of pain. Helping to identify one's buried feelings as well as develop needed coping skills is central to my work. Additionally, I help my clients to address relationship issues, emotional responses to life transitions, and mood disorders.
My 30 years of professional experience has largely focused on people with chronic pain. I trained with Dr. John Sarno at the Rusk Institute for Rehabilitation Medicine who authored many books on the mind body connection. Research and clinical experience led him to conclude that most chronic pain s psychophysiologic. Unresolved emotions are the source of these physical manifestations of pain. Helping to identify one's buried feelings as well as develop needed coping skills is central to my work. Additionally, I help my clients to address relationship issues, emotional responses to life transitions, and mood disorders.
(786) 471-3208 View (786) 471-3208
Photo of Orit Benayoun, Counselor in Coral Gables, FL
Orit Benayoun
Counselor, MS, LMHC
Verified Verified
Coral Gables, FL 33146  (Online Only)
I am a Licensed Mental Health Counselor who graduated from Nova Southeastern University in 2017. I speak English and Spanish. I specialize working with clients going through panic attacks, anxiety, depression, and bipolar disorder. My main goal as your counselor is to help you see your choices and bring awareness to the here and now. I provide you with a safe, judgement free environment in which you will feel ready to explore and navigate through life's challenges. Engaging in Psychotherapy means gifting yourself time to bring upon yourself that desired change, and hope while getting to understand your past decisions and actions.
I am a Licensed Mental Health Counselor who graduated from Nova Southeastern University in 2017. I speak English and Spanish. I specialize working with clients going through panic attacks, anxiety, depression, and bipolar disorder. My main goal as your counselor is to help you see your choices and bring awareness to the here and now. I provide you with a safe, judgement free environment in which you will feel ready to explore and navigate through life's challenges. Engaging in Psychotherapy means gifting yourself time to bring upon yourself that desired change, and hope while getting to understand your past decisions and actions.
(786) 504-4750 View (786) 504-4750
Photo of Annie Khan, Psychologist in Coral Gables, FL
Annie Khan
Psychologist, PsyD
Verified Verified
1 Endorsed
Coral Gables, FL 33134
As a Caribbean female who has resided in Trinidad & Tobago, Canada, and America, I have a deep respect for individuals regardless of their culture and ethnicity, age and gender, and religious and sexual preference. Therapeutically, I work to help individuals learn more about themselves within their unique situation; I empower people to choose their path and to live in a way that is rewarding for them.
As a Caribbean female who has resided in Trinidad & Tobago, Canada, and America, I have a deep respect for individuals regardless of their culture and ethnicity, age and gender, and religious and sexual preference. Therapeutically, I work to help individuals learn more about themselves within their unique situation; I empower people to choose their path and to live in a way that is rewarding for them.
(786) 661-3806 View (786) 661-3806
Photo of Francesca Vazquez, Psychologist in Coral Gables, FL
Francesca Vazquez
Psychologist, PsyD
Verified Verified
Coral Gables, FL 33134
I combine my knowledge in nutritional psychology and as a health psychologist to guide my clients in gaining mind-body wellness. If you are experiencing stress, anxiety, low mood, health issues, chronic pain, insomnia, addiction, emotional sequelae after injury or medical diagnoses, I can help. If your goal is to use more than just talk therapy and want to actually heal both your mind and body through nutrition, relaxation training, guidance/support, and lifestyle changes, you’re in the right place! ​ As a licensed psychologist and a yoga instructor, I have developed a holistic approach to mental health and treatment.
I combine my knowledge in nutritional psychology and as a health psychologist to guide my clients in gaining mind-body wellness. If you are experiencing stress, anxiety, low mood, health issues, chronic pain, insomnia, addiction, emotional sequelae after injury or medical diagnoses, I can help. If your goal is to use more than just talk therapy and want to actually heal both your mind and body through nutrition, relaxation training, guidance/support, and lifestyle changes, you’re in the right place! ​ As a licensed psychologist and a yoga instructor, I have developed a holistic approach to mental health and treatment.
(844) 912-3682 View (844) 912-3682
Photo of Monica Ziegler, Counselor in Coral Gables, FL
Monica Ziegler
Counselor, MA, LMHC, NCC
Verified Verified
Coral Gables, FL 33146
Are you depressed, anxious or fearful? Do you have relationship issues? Do you want to feel better and be happy? Through therapy, I help my clients learn how to enjoy their lives instead of just "hanging in there". I help people with depression, anxiety or fears, relationship issues, divorce, loss or grief, trauma, low self esteem and more. I want to help you feel better and live a happier life. I am not the right therapist for patients who are under the age of 12. If you are struggling and want to feel better, I may be the therapist for you. I am a licensed mental health counselor. I'm fluent in English & Spanish.
Are you depressed, anxious or fearful? Do you have relationship issues? Do you want to feel better and be happy? Through therapy, I help my clients learn how to enjoy their lives instead of just "hanging in there". I help people with depression, anxiety or fears, relationship issues, divorce, loss or grief, trauma, low self esteem and more. I want to help you feel better and live a happier life. I am not the right therapist for patients who are under the age of 12. If you are struggling and want to feel better, I may be the therapist for you. I am a licensed mental health counselor. I'm fluent in English & Spanish.
(786) 465-2316 View (786) 465-2316
Photo of Leah R Ackerman, Licensed Mental Health Counselor in Coral Gables, FL
Leah R Ackerman
Licensed Mental Health Counselor, LMHC
Verified Verified
1 Endorsed
Coral Gables, FL 33133  (Online Only)
Do you find yourself feeling stuck and unable to move forward? Are you having a hard time adjusting to a significant change in your life? Psychotherapy is an opportunity to work through issues that interfere with one's ability to live a more fulfilling, meaningful, and authentic life. Whether it be past or present dilemmas, I provide a healing compassionate environment to help you work through challenges towards a place of acceptance and resolution. Using evidence based practice, I collaboratively work with you to understand your goals and meet your full potential in life.
Do you find yourself feeling stuck and unable to move forward? Are you having a hard time adjusting to a significant change in your life? Psychotherapy is an opportunity to work through issues that interfere with one's ability to live a more fulfilling, meaningful, and authentic life. Whether it be past or present dilemmas, I provide a healing compassionate environment to help you work through challenges towards a place of acceptance and resolution. Using evidence based practice, I collaboratively work with you to understand your goals and meet your full potential in life.
(305) 871-9657 View (305) 871-9657
Photo of Ashley Marie Arana, Pre-Licensed Professional in Coral Gables, FL
Ashley Marie Arana
Pre-Licensed Professional, MSEd
Verified Verified
Coral Gables, FL 33134
I believe that the purpose of therapy is to supply others with guidance towards developing tools and skills that allow them to ultimately set themselves free. I am here to offer support in helping you achieve your goals, meeting you where you are, and providing you with a comfortable non-judgmental space that would allow to open up. My hope is to connect with individuals, create a space that normalizes expressing feelings and assist in helping them through life transitions, others develop a plan towards reaching new goals, & be the bridge to their personal growth journey.
I believe that the purpose of therapy is to supply others with guidance towards developing tools and skills that allow them to ultimately set themselves free. I am here to offer support in helping you achieve your goals, meeting you where you are, and providing you with a comfortable non-judgmental space that would allow to open up. My hope is to connect with individuals, create a space that normalizes expressing feelings and assist in helping them through life transitions, others develop a plan towards reaching new goals, & be the bridge to their personal growth journey.
(305) 526-4025 View (305) 526-4025
Photo of Manuela Maria Menendez, Psychologist in Coral Gables, FL
Manuela Maria Menendez
Psychologist, PsyD
Verified Verified
6 Endorsed
Coral Gables, FL 33146
Psychotherapy can help you feel better. Psychotherapy can reduce your symptoms and increase your capacity to deal with future hardships and struggles in your life. Counseling can give you a different perspective on your thoughts and feelings concerning your hardships and/or confusion. This can lead to significant change in the way you handle or manage your problems; thus increasing satisfaction within yourself and with the most important people in your life. It begins by exploring your problems with an open and collaborative attitude in an environment where your thoughts and feelings can be safely explored.
Psychotherapy can help you feel better. Psychotherapy can reduce your symptoms and increase your capacity to deal with future hardships and struggles in your life. Counseling can give you a different perspective on your thoughts and feelings concerning your hardships and/or confusion. This can lead to significant change in the way you handle or manage your problems; thus increasing satisfaction within yourself and with the most important people in your life. It begins by exploring your problems with an open and collaborative attitude in an environment where your thoughts and feelings can be safely explored.
(786) 288-2366 View (786) 288-2366
Photo of Jessica Aleman, Psychologist in Coral Gables, FL
Jessica Aleman
Psychologist, PsyD
Verified Verified
Coral Gables, FL 33134
I help clients identify their problematic thinking patterns, develop coping mechanisms, process their trauma, and understand how past experiences affect their current level of functioning. I value the transformative nature of strong therapeutic relationships, and am proficient in providing therapy for individuals, groups, couples, and families. My goal is to apply my compassion and expertise to the therapeutic process, while helping my clients improve their lives, ultimately attaining a sense of peace and fulfillment.
I help clients identify their problematic thinking patterns, develop coping mechanisms, process their trauma, and understand how past experiences affect their current level of functioning. I value the transformative nature of strong therapeutic relationships, and am proficient in providing therapy for individuals, groups, couples, and families. My goal is to apply my compassion and expertise to the therapeutic process, while helping my clients improve their lives, ultimately attaining a sense of peace and fulfillment.
(305) 676-7047 View (305) 676-7047
Photo of Jesus Pinero, Clinical Social Work/Therapist in Coral Gables, FL
Jesus Pinero
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Coral Gables, FL 33134
Psychological Evaluations for Hardship Waivers, Visa U, Vawa Visa, Cancellation Removal We are providing Tele-Psych services, given the impact of Covid-19; therefore, following social distancing guidance and ensure safety. Psychological evaluations and therapy sessions are being conducted via Tele-psych, clients do not have to worry about coming to our office or having a computer or any special equipment, they just need to call our office.
Psychological Evaluations for Hardship Waivers, Visa U, Vawa Visa, Cancellation Removal We are providing Tele-Psych services, given the impact of Covid-19; therefore, following social distancing guidance and ensure safety. Psychological evaluations and therapy sessions are being conducted via Tele-psych, clients do not have to worry about coming to our office or having a computer or any special equipment, they just need to call our office.
(786) 514-9847 View (786) 514-9847

See more therapy options for Coral Gables

How does your Therapist compare?

Number of Therapists in Coral Gables, FL

400+

Average cost per session

$175

Therapists in Coral Gables, FL who prioritize treating:

94% Anxiety
86% Depression
78% Relationship Issues
78% Self Esteem
70% Coping Skills
62% Stress
61% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
74% Cigna and Evernorth
74% UnitedHealthcare UHC | UBH

How Therapists in Coral Gables, FL see their clients

76% In Person and Online
24% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Coral Gables?

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.