Therapists in Lafayette, LA

Photo of Building Bridges Counseling, LLC, Licensed Professional Counselor in Lafayette, LA
Building Bridges Counseling, LLC
Licensed Professional Counselor, LPC
Verified Verified
Lafayette, LA 70503  (Online Only)
Suffering with stress, anxiety, sadness, difficult family relationships, or anger and not knowing where it’s coming from could feel as if there is no way you can feel better. It can feel as if you will never be “normal” and that it’s so far away from being the person you want to be. “I wish I wasn’t like this, I wish I can be like everyone else, my anxiety is controlling my life” It doesn’t have to! Change is possible, and it starts by recognizing that something needs to change in order to heal. Congrats on making it this far, now lets build your bridge that leads to change!
Suffering with stress, anxiety, sadness, difficult family relationships, or anger and not knowing where it’s coming from could feel as if there is no way you can feel better. It can feel as if you will never be “normal” and that it’s so far away from being the person you want to be. “I wish I wasn’t like this, I wish I can be like everyone else, my anxiety is controlling my life” It doesn’t have to! Change is possible, and it starts by recognizing that something needs to change in order to heal. Congrats on making it this far, now lets build your bridge that leads to change!
(337) 628-4756 View (337) 628-4756
Photo of Rebekah Daugereaux, Licensed Professional Counselor in Lafayette, LA
Rebekah Daugereaux
Licensed Professional Counselor, MS, LPC-S, LAC
Verified Verified
5 Endorsed
Lafayette, LA 70508
Hi there, I'm Beka. I tend to work with people who might feel lost, stuck, and overwhelmed. A lot of my clients often struggle with not feeling good enough and find themselves trapped in people pleasing and striving to prove their worth. They tend to take care of others and put everyone else's needs above their own, which can lead to burnout, resentment, and depression. Co-dependency, low self-esteem, and societal pressures all collide to create a storm of expectations you can't live up to. It doesn't have to be this way. Let's get curious about what's not working, and learn more about what you need and how to improve your life.
Hi there, I'm Beka. I tend to work with people who might feel lost, stuck, and overwhelmed. A lot of my clients often struggle with not feeling good enough and find themselves trapped in people pleasing and striving to prove their worth. They tend to take care of others and put everyone else's needs above their own, which can lead to burnout, resentment, and depression. Co-dependency, low self-esteem, and societal pressures all collide to create a storm of expectations you can't live up to. It doesn't have to be this way. Let's get curious about what's not working, and learn more about what you need and how to improve your life.
(337) 541-2794 View (337) 541-2794
Photo of Lindsey Boxie, Licensed Professional Counselor in Lafayette, LA
Lindsey Boxie
Licensed Professional Counselor, MS, LPC
Verified Verified
Lafayette, LA 70506  (Online Only)
Choosing to connect with a therapist can be a difficult decision to make. I am proud of you for making it this far! My professional experience has consisted of working with individuals who experience depression, anxiety, difficult life transitions, perinatal mental health (a focus on mental health and all things pregnancy related), grief/loss, self-care (caring for yourself, setting health boundaries), and family systems (family conflict, learning who you are in your family system etc.). If you are looking to process your challenges, and learn healthy tools to address them, I am excited to be one of your resources.
Choosing to connect with a therapist can be a difficult decision to make. I am proud of you for making it this far! My professional experience has consisted of working with individuals who experience depression, anxiety, difficult life transitions, perinatal mental health (a focus on mental health and all things pregnancy related), grief/loss, self-care (caring for yourself, setting health boundaries), and family systems (family conflict, learning who you are in your family system etc.). If you are looking to process your challenges, and learn healthy tools to address them, I am excited to be one of your resources.
(337) 324-9596 View (337) 324-9596
Photo of Sheena Stakes, Clinical Social Work/Therapist in Lafayette, LA
Sheena Stakes
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lafayette, LA 70503
Hi! My name is, Sheena Stakes, and I am a Licensed Clinical Social Worker with many years of experience working with those with depression, anxiety, addiction, and trauma related issues. If you are looking for a therapist with compassion, empathy, non-judgmental mentality, and supportive of personal goals, then let's chat. I have a passion for people and find fulfillment in helping others succeed. And I want that for you too. I would love the opportunity to be a part of your healing journey and help empower you to recognize your own strengths and capabilities. NOW offering weekly GROUP therapy sessions.
Hi! My name is, Sheena Stakes, and I am a Licensed Clinical Social Worker with many years of experience working with those with depression, anxiety, addiction, and trauma related issues. If you are looking for a therapist with compassion, empathy, non-judgmental mentality, and supportive of personal goals, then let's chat. I have a passion for people and find fulfillment in helping others succeed. And I want that for you too. I would love the opportunity to be a part of your healing journey and help empower you to recognize your own strengths and capabilities. NOW offering weekly GROUP therapy sessions.
(337) 227-9357 View (337) 227-9357
Photo of Andi McMurry Acadian Counseling Center, Pre-Licensed Professional in Lafayette, LA
Andi McMurry Acadian Counseling Center
Pre-Licensed Professional, MA, PLMFT, PLPC
Verified Verified
Lafayette, LA 70508
Hi, I'm Andi! I have experience with working with outpatient mental health, emotional, sexual and physical abuse, crisis intervention, couples and family therapy & individual therapy. My preference is to work with clients that need guidance in personal development and growth, acceptance and effective coping with daily life stressors, life transitions and life adjustments and strengthening the relationship and family dynamic.
Hi, I'm Andi! I have experience with working with outpatient mental health, emotional, sexual and physical abuse, crisis intervention, couples and family therapy & individual therapy. My preference is to work with clients that need guidance in personal development and growth, acceptance and effective coping with daily life stressors, life transitions and life adjustments and strengthening the relationship and family dynamic.
(337) 492-0574 View (337) 492-0574
Photo of Kelsea Walls, Provisional Licensed Professional Counselor in Lafayette, LA
Kelsea Walls
Provisional Licensed Professional Counselor, MS, PLPC
Verified Verified
Lafayette, LA 70501
Life is hard sometimes. Navigating the ebbs and flows of the human experience can be challenging to say the least. Having a safe, comfortable space to feel and process emotions and experiences can provide you the needed space to navigate gracefully. It is my goal to create a judgement free, safe environment to be with my clients and filter through thoughts, feelings and behavior patterns that may be blocking them from living a free, full, and healthy life.
Life is hard sometimes. Navigating the ebbs and flows of the human experience can be challenging to say the least. Having a safe, comfortable space to feel and process emotions and experiences can provide you the needed space to navigate gracefully. It is my goal to create a judgement free, safe environment to be with my clients and filter through thoughts, feelings and behavior patterns that may be blocking them from living a free, full, and healthy life.
(337) 570-2857 View (337) 570-2857
Photo of Leon C Winters, Clinical Social Work/Therapist in Lafayette, LA
Leon C Winters
Clinical Social Work/Therapist, LCSW, BACS
Verified Verified
1 Endorsed
Lafayette, LA 70506
While I am not accepting new clients, we have a team of therapists available to assist you. Please check out my connections listed below or visit our website for further information. Do you feel stuck? Are you having difficulties with your child? Do you consistently feel sad and do not know why? You are not alone. As your therapist we can work through those issues and get you on the road to leading a healthier life. Contact me now to start your road to recovery. Please note that telehealth is available.
While I am not accepting new clients, we have a team of therapists available to assist you. Please check out my connections listed below or visit our website for further information. Do you feel stuck? Are you having difficulties with your child? Do you consistently feel sad and do not know why? You are not alone. As your therapist we can work through those issues and get you on the road to leading a healthier life. Contact me now to start your road to recovery. Please note that telehealth is available.
(337) 504-7278 View (337) 504-7278
Photo of Frances Elizabeth Perez, Licensed Professional Counselor in Lafayette, LA
Frances Elizabeth Perez
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Lafayette, LA 70508
Frances Perez is a Licensed Professional Counselor (LPC) who is fluent in both English and Spanish. She operates her counseling practice in both Louisiana and Colorado. Frances holds a dual Masters degree in Mental Health Counseling and School Counseling from The University of Louisiana at Lafayette. Beyond her counseling expertise, she is a certified yoga instructor and mindfulness educator. This unique skill set allows her to guide clients towards mental and physical harmony, fostering a deeper level of healing.
Frances Perez is a Licensed Professional Counselor (LPC) who is fluent in both English and Spanish. She operates her counseling practice in both Louisiana and Colorado. Frances holds a dual Masters degree in Mental Health Counseling and School Counseling from The University of Louisiana at Lafayette. Beyond her counseling expertise, she is a certified yoga instructor and mindfulness educator. This unique skill set allows her to guide clients towards mental and physical harmony, fostering a deeper level of healing.
(337) 221-9140 View (337) 221-9140
Photo of Kristen Baroni, Licensed Professional Counselor in Lafayette, LA
Kristen Baroni
Licensed Professional Counselor, MS, LPC, PMH-C
Verified Verified
1 Endorsed
Lafayette, LA 70508
Hi, my name is Kristen (she/her). Life is full of unexpected challenges, regardless of what path we are on. Sometimes, these challenges become more than we can handle by ourselves. My goal is to walk alongside you on your journey of life. I strive to provide a space where we can work together and safely deconstruct your stresses and alter them to fit better with you on your journey. I hope to give you the tools to access your bravery and strength that I know is in there so that you never give up on yourself.
Hi, my name is Kristen (she/her). Life is full of unexpected challenges, regardless of what path we are on. Sometimes, these challenges become more than we can handle by ourselves. My goal is to walk alongside you on your journey of life. I strive to provide a space where we can work together and safely deconstruct your stresses and alter them to fit better with you on your journey. I hope to give you the tools to access your bravery and strength that I know is in there so that you never give up on yourself.
(337) 201-9438 View (337) 201-9438
Photo of Paul Koerner- Headspace Counseling And Recovery, Licensed Professional Counselor in Lafayette, LA
Paul Koerner- Headspace Counseling And Recovery
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Lafayette, LA 70508
Paul works individually with adults (18 and older) experiencing anxiety, depression, and difficulty adjusting to changing life circumstances.
Paul works individually with adults (18 and older) experiencing anxiety, depression, and difficulty adjusting to changing life circumstances.
(337) 573-5884 View (337) 573-5884
Photo of Diane Dodt, Licensed Professional Counselor in Lafayette, LA
Diane Dodt
Licensed Professional Counselor, MS, LPC
Verified Verified
Lafayette, LA 70508
Have you identified as a people pleaser? Do you lack self-worth? Do you lack joy? Do you have a strong Inner Critic? I am here to help you get to the core of your difficulties, develop a deep understanding of yourself and provide the skills you need experience freedom and live in a way you have never felt before, Whether you are experiencing a deep sense of sadness, excess worry, grieving a loss, anger, difficulties with family or friends, going through a life changing event OR you simply can't define how you feel, I can help you. I have skills I can teach you to get relief from your suffering.
Have you identified as a people pleaser? Do you lack self-worth? Do you lack joy? Do you have a strong Inner Critic? I am here to help you get to the core of your difficulties, develop a deep understanding of yourself and provide the skills you need experience freedom and live in a way you have never felt before, Whether you are experiencing a deep sense of sadness, excess worry, grieving a loss, anger, difficulties with family or friends, going through a life changing event OR you simply can't define how you feel, I can help you. I have skills I can teach you to get relief from your suffering.
(337) 508-0044 View (337) 508-0044
Photo of Katie Lynn Simon, Clinical Social Work/Therapist in Lafayette, LA
Katie Lynn Simon
Clinical Social Work/Therapist
Verified Verified
Lafayette, LA 70508
Hello! thank you for taking time to make yourself a priority. With all of the aspects of life that we are expected to handle in our modern world, it can become overwhelming. We often aren't taught how to take care of ourselves or we are told taking care of ourselves is selfish. You aren't alone. Simply by researching a therapist to see, you are taking the first step in caring for yourself. My name is Katie Simon. I have been a practicing social worker for 6 years. My goal is to remind you that you aren't alone. I would like to help you find the peace and balance you deserve.
Hello! thank you for taking time to make yourself a priority. With all of the aspects of life that we are expected to handle in our modern world, it can become overwhelming. We often aren't taught how to take care of ourselves or we are told taking care of ourselves is selfish. You aren't alone. Simply by researching a therapist to see, you are taking the first step in caring for yourself. My name is Katie Simon. I have been a practicing social worker for 6 years. My goal is to remind you that you aren't alone. I would like to help you find the peace and balance you deserve.
(337) 227-9997 View (337) 227-9997
Photo of Seeley Lane Massey, LPC Intern in Lafayette, LA
Seeley Lane Massey
LPC Intern, BS
Verified Verified
1 Endorsed
Lafayette, LA 70503
As a dedicated and empathetic counselor, I am committed to facilitating positive change and personal growth in individuals and couples. My approach is rooted in the belief that every person possesses the resilience and strength to navigate life's challenges with support. With a degree in Psychology and experience working with diverse populations, I have honed my skills in providing a safe and non-judgmental space for clients to explore their thoughts and emotions. My therapeutic approach is integrative with a person-centered perspective, tailoring interventions to meet the unique needs of each individual.
As a dedicated and empathetic counselor, I am committed to facilitating positive change and personal growth in individuals and couples. My approach is rooted in the belief that every person possesses the resilience and strength to navigate life's challenges with support. With a degree in Psychology and experience working with diverse populations, I have honed my skills in providing a safe and non-judgmental space for clients to explore their thoughts and emotions. My therapeutic approach is integrative with a person-centered perspective, tailoring interventions to meet the unique needs of each individual.
(337) 545-2778 View (337) 545-2778
Photo of Claudia S Abell, Clinical Social Work/Therapist in Lafayette, LA
Claudia S Abell
Clinical Social Work/Therapist, LCSW
Verified Verified
Lafayette, LA 70506
I am a Licensed Clinical Social Worker who enjoys working with children, individuals and families. I have worked with families who have experienced infant loss and bereavement, children who have been sexually abused as well as children, adolescents and teens who are struggling with relationships, body image, depression and anxiety. Through my experience working with a variety of clients, I am able to provide resources and help to others during the difficult times.
I am a Licensed Clinical Social Worker who enjoys working with children, individuals and families. I have worked with families who have experienced infant loss and bereavement, children who have been sexually abused as well as children, adolescents and teens who are struggling with relationships, body image, depression and anxiety. Through my experience working with a variety of clients, I am able to provide resources and help to others during the difficult times.
(337) 541-2656 View (337) 541-2656
Photo of Crystal Kennedy, Licensed Professional Counselor in Lafayette, LA
Crystal Kennedy
Licensed Professional Counselor, MA, LPC-S
Verified Verified
Lafayette, LA 70508
I pride myself in being the Professional that dedicates myself in being an active listener in order to help clients work through and overcome life stressors that result in anxiety, depression, and a host of other symptoms that impair one's ability to live life to the fullest.
I pride myself in being the Professional that dedicates myself in being an active listener in order to help clients work through and overcome life stressors that result in anxiety, depression, and a host of other symptoms that impair one's ability to live life to the fullest.
View
Photo of Meaghan Landry, Pre-Licensed Professional in Lafayette, LA
Meaghan Landry
Pre-Licensed Professional, MS, PLPC
Verified Verified
1 Endorsed
Lafayette, LA 70508
Waitlist for new clients
Do you often struggle with boundaries and negative core beliefs about yourself, others, and the world? Perhaps you are a chronic people pleaser and feeling stuck in how to prioritize you. I am here to help you see that life can be lived differently. My passion lies in helping teens, adults, and women heal from deep, emotional wounds. My goal is to provide you the best opportunity to create profound meaning in your life while honoring your most authentic self. Allow me to support you in your journey to work through difficult seasons of life. Together, we will dig deep to rewrite your story in a way that fully honors you.
Do you often struggle with boundaries and negative core beliefs about yourself, others, and the world? Perhaps you are a chronic people pleaser and feeling stuck in how to prioritize you. I am here to help you see that life can be lived differently. My passion lies in helping teens, adults, and women heal from deep, emotional wounds. My goal is to provide you the best opportunity to create profound meaning in your life while honoring your most authentic self. Allow me to support you in your journey to work through difficult seasons of life. Together, we will dig deep to rewrite your story in a way that fully honors you.
(337) 486-3935 View (337) 486-3935
Photo of Lucy Freeman, Psychologist in Lafayette, LA
Lucy Freeman
Psychologist, PhD
Verified Verified
Lafayette, LA 70506
Are you feeling anxious or sad? Do you have trouble completing tasks? Do you find yourself getting angry for little or no reason or do you find yourself being angry all the time and can't get over it? Often it's helpful to evaluate what is going on in your world and consider options that may be immediately helpful. I have worked with clients with these issues for many years and have developed a path of recovery that leads to increased control of one's emotions and thoughts. There is hope and I can help you find it.
Are you feeling anxious or sad? Do you have trouble completing tasks? Do you find yourself getting angry for little or no reason or do you find yourself being angry all the time and can't get over it? Often it's helpful to evaluate what is going on in your world and consider options that may be immediately helpful. I have worked with clients with these issues for many years and have developed a path of recovery that leads to increased control of one's emotions and thoughts. There is hope and I can help you find it.
(337) 210-7281 View (337) 210-7281
Photo of Christie Paul Dronette, Licensed Professional Counselor in Lafayette, LA
Christie Paul Dronette
Licensed Professional Counselor, MS, LPC, CLC
Verified Verified
Lafayette, LA 70508
Waitlist for new clients
Sometimes, life throws a curve-ball when you least expect it, and you’re faced with picking up the pieces and finding the strength to move forward. Whether it stems from a betrayal of trust, the loss of a loved one, a relationship ending, or an unexpected life change, there is hope for a brighter future. I use an integrated therapeutic approach to work with both adolescents and adults who are seeking help for generalized anxiety and depression, life transitions, relationships issues, divorce/post-divorce issues, low self-esteem, bullying, and general stress.
Sometimes, life throws a curve-ball when you least expect it, and you’re faced with picking up the pieces and finding the strength to move forward. Whether it stems from a betrayal of trust, the loss of a loved one, a relationship ending, or an unexpected life change, there is hope for a brighter future. I use an integrated therapeutic approach to work with both adolescents and adults who are seeking help for generalized anxiety and depression, life transitions, relationships issues, divorce/post-divorce issues, low self-esteem, bullying, and general stress.
(337) 427-8574 View (337) 427-8574
Photo of Mark Jude Stanford, Clinical Social Work/Therapist in Lafayette, LA
Mark Jude Stanford
Clinical Social Work/Therapist, LCSW
Verified Verified
Lafayette, LA 70508
Waitlist for new clients
Would you like to learn how to overcome the internal critic that keeps you from experiencing your best self? There are ways of unlocking your potential. Whether overcoming depression, anxiety, or other emotional or psychological problems, you are worthy of a better life. Many people are "stuck" due to traumas whether large or small that occur at any point in life. Therapy can give you an opportunity to live free from these constraints.
Would you like to learn how to overcome the internal critic that keeps you from experiencing your best self? There are ways of unlocking your potential. Whether overcoming depression, anxiety, or other emotional or psychological problems, you are worthy of a better life. Many people are "stuck" due to traumas whether large or small that occur at any point in life. Therapy can give you an opportunity to live free from these constraints.
(337) 242-8562 View (337) 242-8562
Photo of SWS Counseling & Consulting , Licensed Professional Counselor in Lafayette, LA
SWS Counseling & Consulting
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Lafayette, LA 70501  (Online Only)
I feel one of the most valuable things you can have in life is genuine relationships. It’s impossible to prepare for every obstacle ahead, but having a strong support system makes overcoming obstacles and achieving goals easier . We all need a cheerleader when life gets rough; counseling gives you a space to be vulnerable, feel safe , and unpack your issues . Everyone needs a space where they can be honest with themselves and remain free of judgment. I am ready to fill your cup up and help you along your journey!
I feel one of the most valuable things you can have in life is genuine relationships. It’s impossible to prepare for every obstacle ahead, but having a strong support system makes overcoming obstacles and achieving goals easier . We all need a cheerleader when life gets rough; counseling gives you a space to be vulnerable, feel safe , and unpack your issues . Everyone needs a space where they can be honest with themselves and remain free of judgment. I am ready to fill your cup up and help you along your journey!
(337) 409-5985 View (337) 409-5985

How does your Therapist compare?

Number of Therapists in Lafayette, LA

300+

Average cost per session

$130

Therapists in Lafayette, LA who prioritize treating:

95% Anxiety
91% Depression
82% Self Esteem
81% Coping Skills
79% Relationship Issues
73% Stress
67% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
63% UnitedHealthcare UHC | UBH
55% Aetna

How Therapists in Lafayette, LA see their clients

82% In Person and Online
18% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lafayette?

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.