Therapists in Lubbock, TX

Photo of Next Level Counseling PLLC, Licensed Professional Counselor in Lubbock, TX
Next Level Counseling PLLC
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Lubbock, TX 79414
Happy New Year from Next Level Counseling! 2023 was a great year for us and we are looking forward to an even better 2024! We are currently accepting new clients and are accepting Traditional Medicaid, Superior, First Care as well as most private insurances! We currently have low to no wait times for new clients! We are also offering free 15 minute phone consultations to all new and prospective clients. Next Level Counseling provides a safe place to open up to discuss sensitive topics such as relationship issues, behavioral issues, and anxiety & depression. All ages welcome!
Happy New Year from Next Level Counseling! 2023 was a great year for us and we are looking forward to an even better 2024! We are currently accepting new clients and are accepting Traditional Medicaid, Superior, First Care as well as most private insurances! We currently have low to no wait times for new clients! We are also offering free 15 minute phone consultations to all new and prospective clients. Next Level Counseling provides a safe place to open up to discuss sensitive topics such as relationship issues, behavioral issues, and anxiety & depression. All ages welcome!
(806) 491-1581 View (806) 491-1581
Photo of Mike Ford, Marriage & Family Therapist in Lubbock, TX
Mike Ford
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Lubbock, TX 79424
Do you seem to be caught in a cycle of constant conflict over the same issues? Do you live with a sense of isolation from your partner? Do you struggle with anger, anxiety, sadness/grief, or insecurity? I work with individuals and couples in gaining control over the emotional reactiveness that seems to derail our best efforts at life and relationships. Through a Process Experiential and Emotionally Focused Therapy approach I help individuals and couples to gain insight and reorganize their experiences in order to create new patterns of dealing with the challenges they face in relationships and in life.
Do you seem to be caught in a cycle of constant conflict over the same issues? Do you live with a sense of isolation from your partner? Do you struggle with anger, anxiety, sadness/grief, or insecurity? I work with individuals and couples in gaining control over the emotional reactiveness that seems to derail our best efforts at life and relationships. Through a Process Experiential and Emotionally Focused Therapy approach I help individuals and couples to gain insight and reorganize their experiences in order to create new patterns of dealing with the challenges they face in relationships and in life.
(806) 329-0661 View (806) 329-0661
Photo of April Sizemore, Licensed Professional Counselor in Lubbock, TX
April Sizemore
Licensed Professional Counselor, MMFT, LPC, LMFT
Verified Verified
1 Endorsed
Lubbock, TX 79424
I can help you uncover your inner strengths and develop new skills so you can experience a more fulfilling and meaningful life. We will work to gain a deeper understanding of how beliefs, thoughts, emotions and behaviors are keeping you from experiencing the self confidence, peace of mind, and joy that you seek. My areas of expertise include depression, grief, healing from trauma, and relationship issues.
I can help you uncover your inner strengths and develop new skills so you can experience a more fulfilling and meaningful life. We will work to gain a deeper understanding of how beliefs, thoughts, emotions and behaviors are keeping you from experiencing the self confidence, peace of mind, and joy that you seek. My areas of expertise include depression, grief, healing from trauma, and relationship issues.
(806) 472-4543 View (806) 472-4543
Photo of Jaclyn D Cravens, Marriage & Family Therapist in Lubbock, TX
Jaclyn D Cravens
Marriage & Family Therapist, PhD, LMFT
Verified Verified
3 Endorsed
Lubbock, TX 79424
I am a licensed marriage and family therapy associate with 10 years of experience. I am trained to and enjoy working with a wide variety of clients and clinical issues from a relational perspective. I provide individual, couple, and family therapy services to clients facing a variety of concerns, including but not limited to: relationship/marital issues, online and offline infidelity, communication, depression, anxiety, and other mental health diagnoses, intimate partner violence, sexual intimacy, and grief and loss.
I am a licensed marriage and family therapy associate with 10 years of experience. I am trained to and enjoy working with a wide variety of clients and clinical issues from a relational perspective. I provide individual, couple, and family therapy services to clients facing a variety of concerns, including but not limited to: relationship/marital issues, online and offline infidelity, communication, depression, anxiety, and other mental health diagnoses, intimate partner violence, sexual intimacy, and grief and loss.
(252) 755-0258 View (252) 755-0258
Photo of Marie Luna, Licensed Professional Counselor in Lubbock, TX
Marie Luna
Licensed Professional Counselor, MS, LPC-S
Verified Verified
1 Endorsed
Lubbock, TX 79423
I have a unique background of working as an Elementary School Counselor and have many years of experience providing support to children and their parents. I love working with teens and young adults who struggle with identify, self-esteem and anxiety and want to create a life that has deep meaning and purpose. I also love walking alongside young adults in navigating big changes and transitions. I excel in working with parents to help their children and teens be more successful. I also specialize in helping clients who struggle with phobias, performance anxiety and past trauma and who want to build self compassion and resiliency.
I have a unique background of working as an Elementary School Counselor and have many years of experience providing support to children and their parents. I love working with teens and young adults who struggle with identify, self-esteem and anxiety and want to create a life that has deep meaning and purpose. I also love walking alongside young adults in navigating big changes and transitions. I excel in working with parents to help their children and teens be more successful. I also specialize in helping clients who struggle with phobias, performance anxiety and past trauma and who want to build self compassion and resiliency.
(806) 203-6308 View (806) 203-6308
Photo of Sarah Fuhrmeister Lpc Associate -Supervised By Dr. Katye Galloway Lpc-S, LPC Intern in Lubbock, TX
Sarah Fuhrmeister Lpc Associate -Supervised By Dr. Katye Galloway Lpc-S
LPC Intern, MEd
Verified Verified
1 Endorsed
Lubbock, TX 79423
Another day underway... Went to bed exhausted, woke up the same way. Spent an hour last night staring at the ceiling…drift off and bam, time to wake up. Living the dream...not. More like another frickin' long day...spent 20 minutes (you didn't have) searching for your keys. Driving to work, everyone's out to piss you off with their driving. Cut off twice, honked at, and the person tapping their brakes 100 times pushed you over the edge. 15-hour work shifts draining what little energy you have. Mind's all over the place. Overwhelmed and stuck. On your 4th argument of the week with your partner, it’s only Wednesday.
Another day underway... Went to bed exhausted, woke up the same way. Spent an hour last night staring at the ceiling…drift off and bam, time to wake up. Living the dream...not. More like another frickin' long day...spent 20 minutes (you didn't have) searching for your keys. Driving to work, everyone's out to piss you off with their driving. Cut off twice, honked at, and the person tapping their brakes 100 times pushed you over the edge. 15-hour work shifts draining what little energy you have. Mind's all over the place. Overwhelmed and stuck. On your 4th argument of the week with your partner, it’s only Wednesday.
(806) 615-2962 View (806) 615-2962
Photo of Kimberly Durbin, Licensed Professional Counselor in Lubbock, TX
Kimberly Durbin
Licensed Professional Counselor, MEd, LPC, CCTP, CPLC
Verified Verified
Lubbock, TX 79414
I am an advocate for the healing power of counseling. I can offer guidance and support to the individuals and couples that are willing to start that journey. Life is about facing adversity and coming out stronger on the other side. No one should have to face the world alone. I can offer my clients a safe and understanding environment where they are free to work through the issues that keep them from living the life that gives them meaning. I work with my clients to develop the best treatment goals for meeting their needs. I meet each client where they are and walk with them through their healing journey.
I am an advocate for the healing power of counseling. I can offer guidance and support to the individuals and couples that are willing to start that journey. Life is about facing adversity and coming out stronger on the other side. No one should have to face the world alone. I can offer my clients a safe and understanding environment where they are free to work through the issues that keep them from living the life that gives them meaning. I work with my clients to develop the best treatment goals for meeting their needs. I meet each client where they are and walk with them through their healing journey.
(806) 478-1350 View (806) 478-1350
Photo of Maddie Johnson, Licensed Professional Counselor in Lubbock, TX
Maddie Johnson
Licensed Professional Counselor, LPC-A
Verified Verified
1 Endorsed
Lubbock, TX 79413
I believe that all people are valuable and worthy of experiencing peace; however many factors make it difficult to achieve that. Counseling is one way to navigate those factors whether they are mild or debilitating. Often times, we are capable of healing and finding relief from painful experiences, we only need the right resources to begin. I am here to provide those and offer a healthy relationship to support you in the process. I can help by offering a safe and judgement free space for you to be honest, maybe for the first time.
I believe that all people are valuable and worthy of experiencing peace; however many factors make it difficult to achieve that. Counseling is one way to navigate those factors whether they are mild or debilitating. Often times, we are capable of healing and finding relief from painful experiences, we only need the right resources to begin. I am here to provide those and offer a healthy relationship to support you in the process. I can help by offering a safe and judgement free space for you to be honest, maybe for the first time.
(806) 304-5741 View (806) 304-5741
Photo of Eliot Dennard, Psychologist in Lubbock, TX
Eliot Dennard
Psychologist, PhD
Verified Verified
6 Endorsed
Lubbock, TX 79424
Are you having problems in your most important relationships? Are you feeling down, tired, and unmotivated? Do seemingly small things send you over the edge? Are you struggling with communicating your feelings? Has it been difficult for you to adjust to a major life change, such as being a college student or new parent? Are you struggling to come to terms with an infertility diagnosis? Are you finding yourself coping through obsessions with food, weight, and your body image? Do you want to learn new ways of managing life?
Are you having problems in your most important relationships? Are you feeling down, tired, and unmotivated? Do seemingly small things send you over the edge? Are you struggling with communicating your feelings? Has it been difficult for you to adjust to a major life change, such as being a college student or new parent? Are you struggling to come to terms with an infertility diagnosis? Are you finding yourself coping through obsessions with food, weight, and your body image? Do you want to learn new ways of managing life?
(806) 598-6605 View (806) 598-6605
Photo of Emily Rose, Licensed Professional Counselor in Lubbock, TX
Emily Rose
Licensed Professional Counselor, LPC, MEd, RPT
Verified Verified
Lubbock, TX 79424
Are you a parent or a caregiver struggling to know where to turn to find support as you navigate the path of raising a child? Do you find yourself asking “why is this so much more difficult than I thought it would be”? Are you worried about your child’s mood, behaviors, or overall emotional well-being? Or maybe you are raising a neuro-divergent child or a child with challenging behaviors and traditional parenting just isn’t working.
Are you a parent or a caregiver struggling to know where to turn to find support as you navigate the path of raising a child? Do you find yourself asking “why is this so much more difficult than I thought it would be”? Are you worried about your child’s mood, behaviors, or overall emotional well-being? Or maybe you are raising a neuro-divergent child or a child with challenging behaviors and traditional parenting just isn’t working.
(806) 203-5083 View (806) 203-5083
Photo of Scott Jacobs, Licensed Professional Counselor in Lubbock, TX
Scott Jacobs
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
1 Endorsed
Lubbock, TX 79424
Accepting Evening Appointments. Making this call can be one of the hardest first steps you ever take. I have worked with men, women, couples, and adolescents struggling with anxiety and depression, substance abuse issues, chronic pain, interpersonal conflicts, decision making, life adjustments, grief and loss, serious mental illness as well as those experiencing suicidal thoughts.
Accepting Evening Appointments. Making this call can be one of the hardest first steps you ever take. I have worked with men, women, couples, and adolescents struggling with anxiety and depression, substance abuse issues, chronic pain, interpersonal conflicts, decision making, life adjustments, grief and loss, serious mental illness as well as those experiencing suicidal thoughts.
(806) 304-5279 View (806) 304-5279
Photo of Gerianne Ontiveros, Licensed Professional Counselor Associate in Lubbock, TX
Gerianne Ontiveros
Licensed Professional Counselor Associate, LPC-A, LMHC
Verified Verified
Lubbock, TX 79424
Life is a full of seasons; seasons of struggle and challenges, seasons of processing, and seasons of healing. I am a support system you can use to help navigate your season. Many clients I work with have experienced significant trauma. They seek counseling because they battle with the anxiety, depression, addiction, or PTSD that so commonly follows those events. I am very passionate about supporting my clients in establishing genuine identity and relationship stability. The counseling process can help you develop the emotional and cognitive “muscles” you need to experience freedom and confidence in YOUR world.
Life is a full of seasons; seasons of struggle and challenges, seasons of processing, and seasons of healing. I am a support system you can use to help navigate your season. Many clients I work with have experienced significant trauma. They seek counseling because they battle with the anxiety, depression, addiction, or PTSD that so commonly follows those events. I am very passionate about supporting my clients in establishing genuine identity and relationship stability. The counseling process can help you develop the emotional and cognitive “muscles” you need to experience freedom and confidence in YOUR world.
(806) 608-2355 View (806) 608-2355
Photo of D'Shawn Yeager, Licensed Professional Counselor in Lubbock, TX
D'Shawn Yeager
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
Lubbock, TX 79423
My name is D’Shawn Yeager, I am an LPC and LCDC. I am pleased to offer psychotherapy in Texas, specifically in person in Lubbock regions and virtually elsewhere. I work primarily with adolescents and young adults who are struggling with anxiety, depression, and trauma. I also collaborate with clients who have disordered eating patterns or struggle with body image. I am trained in Dialectical Behavioral Therapy (DBT) and Eye Movement Desensitization Reprocessing (EMDR). Because of this pairing of DBT and EMDR I am in a unique position to help individuals with PTSD, addictions, and traumas - big or small.
My name is D’Shawn Yeager, I am an LPC and LCDC. I am pleased to offer psychotherapy in Texas, specifically in person in Lubbock regions and virtually elsewhere. I work primarily with adolescents and young adults who are struggling with anxiety, depression, and trauma. I also collaborate with clients who have disordered eating patterns or struggle with body image. I am trained in Dialectical Behavioral Therapy (DBT) and Eye Movement Desensitization Reprocessing (EMDR). Because of this pairing of DBT and EMDR I am in a unique position to help individuals with PTSD, addictions, and traumas - big or small.
(832) 723-5906 View (832) 723-5906
Photo of Phoenix Arise, Licensed Professional Counselor in Lubbock, TX
Phoenix Arise
Licensed Professional Counselor
Verified Verified
3 Endorsed
Lubbock, TX 79414
Current daytime and evening availability! Phoenix Arise is a group counseling office owned by Dr. Nicole Black, PhD, LPC-S, LCDC, RPT in Lubbock, TX. When creating Phoenix Arise, she envisioned a counseling office that would be focused on treating clients through a trauma informed lens. Phoenix Arise has 13 therapists who offer counseling to a wide range of populations with various modalities such as EMDR, DBT, solution focused therapy, talk therapy, and more. What makes our counselors unique is the underlying focus and emphasis on trauma recovery.
Current daytime and evening availability! Phoenix Arise is a group counseling office owned by Dr. Nicole Black, PhD, LPC-S, LCDC, RPT in Lubbock, TX. When creating Phoenix Arise, she envisioned a counseling office that would be focused on treating clients through a trauma informed lens. Phoenix Arise has 13 therapists who offer counseling to a wide range of populations with various modalities such as EMDR, DBT, solution focused therapy, talk therapy, and more. What makes our counselors unique is the underlying focus and emphasis on trauma recovery.
(806) 203-6023 View (806) 203-6023
Photo of Jaime Coy, Licensed Professional Counselor in Lubbock, TX
Jaime Coy
Licensed Professional Counselor, MS, LPC, EMDR
Verified Verified
6 Endorsed
Lubbock, TX 79423
Trauma and its aftershocks suck. Trauma wounds the mind, body and spirit. It's confusing and debilitating, and it leaves you wondering whether life will get better. Trauma can make you feel, and believe, that there is something wrong with you, that you are going crazy, or that you are broken or stupid. But none of it is true. The truth is this: trauma is healable.
Trauma and its aftershocks suck. Trauma wounds the mind, body and spirit. It's confusing and debilitating, and it leaves you wondering whether life will get better. Trauma can make you feel, and believe, that there is something wrong with you, that you are going crazy, or that you are broken or stupid. But none of it is true. The truth is this: trauma is healable.
(806) 454-5850 View (806) 454-5850
Photo of Jonathan Forkner, Licensed Professional Counselor Associate in Lubbock, TX
Jonathan Forkner
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
Lubbock, TX 79424
It takes a lot of guts to begin the process of your healing journey. I commend you on your courage to seek help. Here, you will be the guide to your own treatment plan.
It takes a lot of guts to begin the process of your healing journey. I commend you on your courage to seek help. Here, you will be the guide to your own treatment plan.
(806) 557-3982 View (806) 557-3982
Photo of Matt Short, LPC Intern in Lubbock, TX
Matt Short
LPC Intern, MS, LPC-A, NCC
Verified Verified
Lubbock, TX 79414
At Tactical Counseling, I’m committed to providing dedicated support for first responders and their families, as well as individuals, couples, and parents navigating life's complexities. With a compassionate and empathetic approach, I strive to create a safe and nurturing environment where you can explore your challenges and work toward healing and growth. Whether you're managing stress, overcoming trauma, or seeking personal development, I'm here to guide you every step of the way, fostering resilience and facilitating positive transformations in your life.
At Tactical Counseling, I’m committed to providing dedicated support for first responders and their families, as well as individuals, couples, and parents navigating life's complexities. With a compassionate and empathetic approach, I strive to create a safe and nurturing environment where you can explore your challenges and work toward healing and growth. Whether you're managing stress, overcoming trauma, or seeking personal development, I'm here to guide you every step of the way, fostering resilience and facilitating positive transformations in your life.
(806) 692-2586 View (806) 692-2586
Photo of Susan Lilly, Licensed Professional Counselor in Lubbock, TX
Susan Lilly
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
Lubbock, TX 79413
I believe counseling is a unique opportunity to assist individuals by meeting them where they are in life's journey. I think it is essential to work with individuals and families from a strengths-based approach and in ways that best meet their needs. Counseling is a collaborative effort between the counselor and client, and it is designed to help individuals identify goals and solutions to the problems that disrupt their lives.
I believe counseling is a unique opportunity to assist individuals by meeting them where they are in life's journey. I think it is essential to work with individuals and families from a strengths-based approach and in ways that best meet their needs. Counseling is a collaborative effort between the counselor and client, and it is designed to help individuals identify goals and solutions to the problems that disrupt their lives.
(806) 605-0224 View (806) 605-0224
Photo of Adrienne Rains (Supervised By Dr. Mark White), Marriage & Family Therapist Associate in Lubbock, TX
Adrienne Rains (Supervised By Dr. Mark White)
Marriage & Family Therapist Associate, MS, LMFT-A, AMFT
Verified Verified
1 Endorsed
Lubbock, TX 79423
Are you struggling within a relationship? Do you want to grow closer to your partner? Are you pregnant or recently have a baby? Is your teen struggling with adolescence? Are you struggling with communicating with your teen or older child? Do you have trouble making it from one day to the next? Are you having a hard time with motivation? Did you recently lose someone close to you?
Are you struggling within a relationship? Do you want to grow closer to your partner? Are you pregnant or recently have a baby? Is your teen struggling with adolescence? Are you struggling with communicating with your teen or older child? Do you have trouble making it from one day to the next? Are you having a hard time with motivation? Did you recently lose someone close to you?
(806) 496-8057 View (806) 496-8057
Photo of Leigh Green, Licensed Professional Counselor in Lubbock, TX
Leigh Green
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
2 Endorsed
Lubbock, TX 79413
We all want to be the best versions of ourselves but sometimes encounter challenges in life. Whether it be a life transition, a relationship issue, a brief or ongoing issue, the counseling process can provide you tools and strategies to be your best self. I believe that everyone has it within themselves to find solutions to their challenges. We will work together in a supportive, nonjudgmental space to transform your life to meet your goals and dreams.
We all want to be the best versions of ourselves but sometimes encounter challenges in life. Whether it be a life transition, a relationship issue, a brief or ongoing issue, the counseling process can provide you tools and strategies to be your best self. I believe that everyone has it within themselves to find solutions to their challenges. We will work together in a supportive, nonjudgmental space to transform your life to meet your goals and dreams.
(806) 310-5189 x445 View (806) 310-5189 x445

How does your Therapist compare?

Number of Therapists in Lubbock, TX

300+

Average cost per session

$120

Therapists in Lubbock, TX who prioritize treating:

92% Anxiety
90% Depression
77% Self Esteem
73% Relationship Issues
72% Coping Skills
69% Trauma and PTSD
68% Grief

Average years in practice

8 Years

Top 3 insurances accepted

79% UnitedHealthcare UHC | UBH
75% Aetna
74% BlueCross and BlueShield

How Therapists in Lubbock, TX see their clients

80% In Person and Online
20% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lubbock?

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.