Therapists in Baton Rouge, LA

Photo of Lindsey Landry Pierce, Psychologist in Baton Rouge, LA
Lindsey Landry Pierce
Psychologist, PhD
Verified Verified
Baton Rouge, LA 70810
Not accepting new clients
Psychological services should be a collaborative effort to determine the best approach to support your child’s developmental and mental health needs. My services include psychological evaluation, therapy, parent consultation, and/or school consultation. I can support you in deciding which service may be the next best step for your child. An evaluation may assist in understanding more about your child's cognitive and emotional/behavioral functioning, therapy can help build skills, & parent/school consultations are valuable for the implementation of strategies to best support your child’s social-emotional-behavioral development.
Psychological services should be a collaborative effort to determine the best approach to support your child’s developmental and mental health needs. My services include psychological evaluation, therapy, parent consultation, and/or school consultation. I can support you in deciding which service may be the next best step for your child. An evaluation may assist in understanding more about your child's cognitive and emotional/behavioral functioning, therapy can help build skills, & parent/school consultations are valuable for the implementation of strategies to best support your child’s social-emotional-behavioral development.
(225) 330-7416 View (225) 330-7416
Photo of Kyndal C Jacoby, Clinical Social Work/Therapist in Baton Rouge, LA
Kyndal C Jacoby
Clinical Social Work/Therapist, MSW, LCSW, BACS
Verified Verified
Baton Rouge, LA 70809
Waitlist for new clients
I am a Licensed Clinical Social Worker committed to helping you navigate through the challenges of life. My desire is to walk with you in life's most difficult times in order for you to receive healing, clarity, and peace. I aim to foster a caring, safe, and trusting environment to support positive growth. I have experience working with individuals, couples, children, adolescents, and adults dealing with emotional, spiritual, behavioral, and relationship concerns. I utilize a variety of approaches and methods in order to meet your unique needs and receive optimal benefit from your time in counseling.
I am a Licensed Clinical Social Worker committed to helping you navigate through the challenges of life. My desire is to walk with you in life's most difficult times in order for you to receive healing, clarity, and peace. I aim to foster a caring, safe, and trusting environment to support positive growth. I have experience working with individuals, couples, children, adolescents, and adults dealing with emotional, spiritual, behavioral, and relationship concerns. I utilize a variety of approaches and methods in order to meet your unique needs and receive optimal benefit from your time in counseling.
(225) 435-5594 View (225) 435-5594
Photo of Dominique “Nikki” Debetaz, Clinical Social Work/Therapist in Baton Rouge, LA
Dominique “Nikki” Debetaz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Baton Rouge, LA 70810
I am very passionate about suicide education and response, as well as working with those who have experienced sexual trauma and domestic violence, among others. I have had the privilege of working with hundreds of trauma survivors of all ages. Other specialties include, but are not limited to: anxiety, depression, PTSD, family/relationship conflict, and working with LGBTQ+ individuals. My approach to therapy is eclectic and involves multiple perspectives and techniques depending on what works for you.
I am very passionate about suicide education and response, as well as working with those who have experienced sexual trauma and domestic violence, among others. I have had the privilege of working with hundreds of trauma survivors of all ages. Other specialties include, but are not limited to: anxiety, depression, PTSD, family/relationship conflict, and working with LGBTQ+ individuals. My approach to therapy is eclectic and involves multiple perspectives and techniques depending on what works for you.
(225) 777-6824 View (225) 777-6824
Photo of Libby Knox, Licensed Professional Counselor in Baton Rouge, LA
Libby Knox
Licensed Professional Counselor, LPC, NCC
Verified Verified
Baton Rouge, LA 70802
As a Licensed Professional Counselor with over six years of experience, I have had the privilege of helping strong individuals on their journey to live their best life. Many have been coping with substance abuse, depression, anxiety and bipolar disorder, personality disorders, obsessive-compulsive tendencies, panic attacks, chronic pain, co-occuring disorders, low self-worth, codependency and phobias. I have a background facilitating group therapy sessions for adults in recovery and lead family and couples sessions as well as individual counseling sessions.
As a Licensed Professional Counselor with over six years of experience, I have had the privilege of helping strong individuals on their journey to live their best life. Many have been coping with substance abuse, depression, anxiety and bipolar disorder, personality disorders, obsessive-compulsive tendencies, panic attacks, chronic pain, co-occuring disorders, low self-worth, codependency and phobias. I have a background facilitating group therapy sessions for adults in recovery and lead family and couples sessions as well as individual counseling sessions.
(225) 307-3467 View (225) 307-3467
Photo of Jessica Golden Cooper, Clinical Social Work/Therapist in Baton Rouge, LA
Jessica Golden Cooper
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Baton Rouge, LA 70808
Helping and problem solving are my passion. I became a Social Worker so I could do just that. My goal is to work with my clients as a team so together we can tackle whatever issues they want to work on. I specialize in anxiety disorders, adolescents and young adults, working with parents and children on behavioral problems, ADHD, family communication issues, depression, and more.
Helping and problem solving are my passion. I became a Social Worker so I could do just that. My goal is to work with my clients as a team so together we can tackle whatever issues they want to work on. I specialize in anxiety disorders, adolescents and young adults, working with parents and children on behavioral problems, ADHD, family communication issues, depression, and more.
(225) 465-0727 View (225) 465-0727
Photo of Shawn Campbell Joseph, Licensed Professional Counselor in Baton Rouge, LA
Shawn Campbell Joseph
Licensed Professional Counselor, LPC-S, LMFT, NCC
Verified Verified
1 Endorsed
Baton Rouge, LA 70816
As CEO/Owner of Gordon and Gordon Counseling LLC, the focus of my private practice is to incorporate a healthy perspective of one's mental health. Helping clients maneuver through daily challenges and identifing triggers will help them use coping skills to reduce stressors.
As CEO/Owner of Gordon and Gordon Counseling LLC, the focus of my private practice is to incorporate a healthy perspective of one's mental health. Helping clients maneuver through daily challenges and identifing triggers will help them use coping skills to reduce stressors.
(225) 396-4828 View (225) 396-4828
Photo of Kathy Norakate Vilas, Clinical Social Work/Therapist in Baton Rouge, LA
Kathy Norakate Vilas
Clinical Social Work/Therapist, LCSW, JD
Verified Verified
1 Endorsed
Baton Rouge, LA 70810
I have limited availability for new clients. Let’s start with a chat to see how I can help you move forward to a brighter future. If you are experiencing the feelings of loss, pain, grief or a life transition, I can assist you in moving forward. It’s been my privilege to help people work thru some of the most difficult times of their lives, times of heartache, inconsolable grief, being overwhelmed, or reeling from a tragedy and don’t know where to turn. My clients are from every walk of life whose lives have been turned upside down - maybe from the loss of a loved one, a tragedy, or an unexpected ending.
I have limited availability for new clients. Let’s start with a chat to see how I can help you move forward to a brighter future. If you are experiencing the feelings of loss, pain, grief or a life transition, I can assist you in moving forward. It’s been my privilege to help people work thru some of the most difficult times of their lives, times of heartache, inconsolable grief, being overwhelmed, or reeling from a tragedy and don’t know where to turn. My clients are from every walk of life whose lives have been turned upside down - maybe from the loss of a loved one, a tragedy, or an unexpected ending.
(225) 398-3234 x2 View (225) 398-3234 x2
Photo of Katherine Kirsch, Clinical Social Work/Therapist in Baton Rouge, LA
Katherine Kirsch
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Baton Rouge, LA 70809
I earned my MSW in 2019 and am currently a PhD candidate at LSU. As an LCSW, I have worked in many settings, including the Baton Rouge Children’s Advocacy Center, an inpatient adolescent psychiatric unit, private practice, and as an adjunct instructor at LSU. My interests and approaches include trauma-informed care, attachment, play therapy, and parent-child interactions. I am trained and utilize a variety of modalities, including TraumaPlay and Eye Movement Desensitization and Reprocessing (EMDR).
I earned my MSW in 2019 and am currently a PhD candidate at LSU. As an LCSW, I have worked in many settings, including the Baton Rouge Children’s Advocacy Center, an inpatient adolescent psychiatric unit, private practice, and as an adjunct instructor at LSU. My interests and approaches include trauma-informed care, attachment, play therapy, and parent-child interactions. I am trained and utilize a variety of modalities, including TraumaPlay and Eye Movement Desensitization and Reprocessing (EMDR).
(225) 623-4283 View (225) 623-4283
Photo of Lynn Gresham, Licensed Professional Counselor in Baton Rouge, LA
Lynn Gresham
Licensed Professional Counselor, MEd, LPC
Verified Verified
3 Endorsed
Baton Rouge, LA 70808
Trying to manage the stress in our relationships can be overwhelming, frustrating, and painful. Are you questioning the commitment you made, and wondering if things can get any better? Did an event happen causing your relationship to change? Do you want to take the next step in your commitment, but would like to identify strengths and examine potential roadblocks before moving forward? Maybe you're doing well, but could strengthen intimacy, communication, or understanding within your relationship.
Trying to manage the stress in our relationships can be overwhelming, frustrating, and painful. Are you questioning the commitment you made, and wondering if things can get any better? Did an event happen causing your relationship to change? Do you want to take the next step in your commitment, but would like to identify strengths and examine potential roadblocks before moving forward? Maybe you're doing well, but could strengthen intimacy, communication, or understanding within your relationship.
(225) 442-9620 View (225) 442-9620
Photo of Cindy Pechon, Clinical Social Work/Therapist in Baton Rouge, LA
Cindy Pechon
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Baton Rouge, LA 70809
At some point in their lives, most people struggle with a mental or emotional issue, perhaps resulting from unwanted changes, inability to cope, loss, abuse, or something else. I am skilled in dealing with mood disorders, personality disorders and some substance use disorders. Further, I have extensive experience in the area of domestic violence. While I do see some clients in person, most of my practice is online/telehealth through the SimplePractice platform. I'm licensed to see clients in Louisiana and Mississippi.
At some point in their lives, most people struggle with a mental or emotional issue, perhaps resulting from unwanted changes, inability to cope, loss, abuse, or something else. I am skilled in dealing with mood disorders, personality disorders and some substance use disorders. Further, I have extensive experience in the area of domestic violence. While I do see some clients in person, most of my practice is online/telehealth through the SimplePractice platform. I'm licensed to see clients in Louisiana and Mississippi.
(985) 236-4714 View (985) 236-4714
Photo of Rae B Falgout, Licensed Professional Counselor in Baton Rouge, LA
Rae B Falgout
Licensed Professional Counselor, LPC, LAC, NCC
Verified Verified
Baton Rouge, LA 70816
Are you looking to have non-superficial healing relationship with a compassionate helper? Do you often question the world, life's meaning, your purpose, and seek to share your thoughts with someone who understands? I wish to build a lasting rapport with my clients and help them reach their goals. I am allied in LGBTQ+ and have a soft heart for the underdog. My therapeutic approach incorporates the best lesson I have ever learned which is: “We have two lives; the second begins when we realise we only have one." -Confucius
Are you looking to have non-superficial healing relationship with a compassionate helper? Do you often question the world, life's meaning, your purpose, and seek to share your thoughts with someone who understands? I wish to build a lasting rapport with my clients and help them reach their goals. I am allied in LGBTQ+ and have a soft heart for the underdog. My therapeutic approach incorporates the best lesson I have ever learned which is: “We have two lives; the second begins when we realise we only have one." -Confucius
(225) 269-4920 View (225) 269-4920
Photo of Tracy H. Dossett, JD, PhD, LLC, Psychologist in Baton Rouge, LA
Tracy H. Dossett, JD, PhD, LLC
Psychologist, PhD, MP
Verified Verified
Baton Rouge, LA 70809
Feeling overwhelmed, stressed, sad, or anxious? Struggling with a major life change, having problems in a relationship or at work, or grieving the loss of a loved one? Is your child having problems at home or school? Hold on. There is hope. I am a psychologist who provides individual counseling and psychological assessments for adults, adolescents, and children. I also provide family and couples counseling. My goal is to provide a warm and accepting environment where you can work towards creating a more meaningful and fulfilling life.
Feeling overwhelmed, stressed, sad, or anxious? Struggling with a major life change, having problems in a relationship or at work, or grieving the loss of a loved one? Is your child having problems at home or school? Hold on. There is hope. I am a psychologist who provides individual counseling and psychological assessments for adults, adolescents, and children. I also provide family and couples counseling. My goal is to provide a warm and accepting environment where you can work towards creating a more meaningful and fulfilling life.
(225) 763-6300 View (225) 763-6300
Photo of Alora Cleere Wilder, Licensed Professional Counselor in Baton Rouge, LA
Alora Cleere Wilder
Licensed Professional Counselor, MEd, LPC, EFP
Verified Verified
4 Endorsed
Baton Rouge, LA 70810
Waitlist for new clients
I am passionate about working with those who suffer the effects of trauma, whether it be a one-time event, or many experiences that built up over time. My clients are brave enough to share their experiences with me, and in turn, I create a safe space for them to share in. We work together to understand and process what has happened in the past, what coping skills they have implemented to help them survive until now, and what we can do to best grow and move forward. My clients are the experts in their healing journey, but I will never leave them without the tools and support necessary to navigate that process.
I am passionate about working with those who suffer the effects of trauma, whether it be a one-time event, or many experiences that built up over time. My clients are brave enough to share their experiences with me, and in turn, I create a safe space for them to share in. We work together to understand and process what has happened in the past, what coping skills they have implemented to help them survive until now, and what we can do to best grow and move forward. My clients are the experts in their healing journey, but I will never leave them without the tools and support necessary to navigate that process.
(225) 777-8031 View (225) 777-8031
Photo of Jennifer Robert Jones, Licensed Professional Counselor in Baton Rouge, LA
Jennifer Robert Jones
Licensed Professional Counselor, MHS LPC, CRC CCM, LRC-S
Verified Verified
Baton Rouge, LA 70806  (Online Only)
From youth to adulthood, whether individually, in a marriage, or in a family, there are many benefits of professional counseling services. When you are experiencing difficulties in your life, or just need to purge the daily stresses, The Family Counselor, LLC provides the benefit of an experienced, trained professional to offer the assistance you need.
From youth to adulthood, whether individually, in a marriage, or in a family, there are many benefits of professional counseling services. When you are experiencing difficulties in your life, or just need to purge the daily stresses, The Family Counselor, LLC provides the benefit of an experienced, trained professional to offer the assistance you need.
(225) 421-6462 View (225) 421-6462
Photo of Stephanie Ennen, Licensed Professional Counselor in Baton Rouge, LA
Stephanie Ennen
Licensed Professional Counselor, LPC
Verified Verified
Baton Rouge, LA 70803  (Online Only)
Therapy dissects life occurrences and issues and identifies the obstacles that may be limiting personal performance. Once the obstacles are identified, emotional growth can occur through a process of learning to adapt or removing negative thinking. My job, as a therapist, is to support my clients' feelings and thoughts, while at the same time to encourage the transformation of those emotions and thoughts toward the pursuit of a fuller, more satisfying life.
Therapy dissects life occurrences and issues and identifies the obstacles that may be limiting personal performance. Once the obstacles are identified, emotional growth can occur through a process of learning to adapt or removing negative thinking. My job, as a therapist, is to support my clients' feelings and thoughts, while at the same time to encourage the transformation of those emotions and thoughts toward the pursuit of a fuller, more satisfying life.
(225) 615-8565 View (225) 615-8565
Photo of Leslie Cates, Licensed Professional Counselor in Baton Rouge, LA
Leslie Cates
Licensed Professional Counselor, LPC
Verified Verified
Baton Rouge, LA 70827  (Online Only)
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(225) 314-8764 View (225) 314-8764
Photo of Sarah M Tipton, Licensed Professional Counselor in Baton Rouge, LA
Sarah M Tipton
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Baton Rouge, LA 70808
Not accepting new clients
Hello, my name is Sarah Mecholsky Tipton and I am a Licensed Professional Counselor with a Masters in Community Counseling from LSU. I am passionate about the work I do, and what fuels my passion is my clients. I see counseling as a collaborative process where I work together with you to explore and define the present problem situations. I value the insight and perspective each of my clients brings to the therapy room, since each person provides invaluable insights into their own life. I take a person-centered approach and will employ an eclectic counseling style, dependent on what each client needs.
Hello, my name is Sarah Mecholsky Tipton and I am a Licensed Professional Counselor with a Masters in Community Counseling from LSU. I am passionate about the work I do, and what fuels my passion is my clients. I see counseling as a collaborative process where I work together with you to explore and define the present problem situations. I value the insight and perspective each of my clients brings to the therapy room, since each person provides invaluable insights into their own life. I take a person-centered approach and will employ an eclectic counseling style, dependent on what each client needs.
(225) 425-3705 View (225) 425-3705
Photo of Erin Kimbrough, Clinical Social Work/Therapist in Baton Rouge, LA
Erin Kimbrough
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Baton Rouge, LA 70816
Welcome to Kimbrough Therapy Services. Therapy is a place to identify and build on current strengths, learn problem solving strategies, develop or enhance coping skills, learn more effective ways to communicate with others, and receive support and feedback. My goal is to provide a comfortable and supportive environment conducive to insight, healing, and personal growth. Your role will be to identify goals that you would like to achieve during the course of therapy and be willing to examine any obstacles and strengths that will either hinder or help you move forward.
Welcome to Kimbrough Therapy Services. Therapy is a place to identify and build on current strengths, learn problem solving strategies, develop or enhance coping skills, learn more effective ways to communicate with others, and receive support and feedback. My goal is to provide a comfortable and supportive environment conducive to insight, healing, and personal growth. Your role will be to identify goals that you would like to achieve during the course of therapy and be willing to examine any obstacles and strengths that will either hinder or help you move forward.
(225) 263-4594 View (225) 263-4594
Photo of Paige Porter in Baton Rouge, LA
Paige Porter
MS, PLPC, NCC
Verified Verified
1 Endorsed
Baton Rouge, LA 70810
I believe we all have the ability to achieve the goals & desires we have for ourselves. We just need to be equipped with the right tools to do so. I work best with clients who are interested in exploring foundational pieces to foster understanding on the path to change.
I believe we all have the ability to achieve the goals & desires we have for ourselves. We just need to be equipped with the right tools to do so. I work best with clients who are interested in exploring foundational pieces to foster understanding on the path to change.
(225) 401-6059 View (225) 401-6059
Photo of Lisa Head, Licensed Professional Counselor in Baton Rouge, LA
Lisa Head
Licensed Professional Counselor, MA, MDiv, LPC
Verified Verified
1 Endorsed
Baton Rouge, LA 70806
Waitlist for new clients
I work with all ages of clients: adults, adolescents and children older than 6. My adult clients generally have a trauma or grief background and are ready to stop letting their past define their current lives. I do work from a Story Informed Trauma Therapy approach with EMDR, and together, we look deeply into your stories and begin recognizing patterns that were once very helpful, but now no longer working. By understanding why you made past choices, my clients find that they can begin to transform unwanted thoughts and behaviors into a healthier way of life. With children, I focus on grief, anxiety and life issues related to kids.
I work with all ages of clients: adults, adolescents and children older than 6. My adult clients generally have a trauma or grief background and are ready to stop letting their past define their current lives. I do work from a Story Informed Trauma Therapy approach with EMDR, and together, we look deeply into your stories and begin recognizing patterns that were once very helpful, but now no longer working. By understanding why you made past choices, my clients find that they can begin to transform unwanted thoughts and behaviors into a healthier way of life. With children, I focus on grief, anxiety and life issues related to kids.
(225) 414-6183 View (225) 414-6183

How does your Therapist compare?

Number of Therapists in Baton Rouge, LA

500+

Average cost per session

$122

Therapists in Baton Rouge, LA who prioritize treating:

91% Anxiety
88% Depression
77% Coping Skills
76% Relationship Issues
75% Self Esteem
72% Stress
65% Grief

Average years in practice

11 Years

Top 3 insurances accepted

76% BlueCross and BlueShield
70% UnitedHealthcare UHC | UBH
66% Aetna

How Therapists in Baton Rouge, LA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Baton Rouge?

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.