Therapists in Gastonia, NC

Photo of Emily Lundy, Clinical Social Work/Therapist in Gastonia, NC
Emily Lundy
Clinical Social Work/Therapist, MSSA, LCSW
Verified Verified
2 Endorsed
Gastonia, NC 28054
Waitlist for new clients
Hey there. If you’re reading this, there’s a good chance that you are currently in a season of life that has you reaching for some direction. If that’s the case, I want you to know that I admire the steps you’re taking. With that being said, please feel free to continue reading to see if I may be the right fit for you when considering your next steps.
Hey there. If you’re reading this, there’s a good chance that you are currently in a season of life that has you reaching for some direction. If that’s the case, I want you to know that I admire the steps you’re taking. With that being said, please feel free to continue reading to see if I may be the right fit for you when considering your next steps.
(704) 327-0320 View (704) 327-0320
Photo of Bethany Ramos, Clinical Social Work/Therapist in Gastonia, NC
Bethany Ramos
Clinical Social Work/Therapist, MSW, LCSW, CDP
Verified Verified
Gastonia, NC 28054  (Online Only)
In today's fast-paced world, finding a therapist who not only understands your needs but also offers tailored approaches is essential. My commitment lies in providing personalized sessions, acknowledging that every individual's journey is unique, and one-size-fits-all solutions simply don't suffice. Whether you're navigating trauma, anxiety, stress, or seeking personal growth, I'm here to offer a safe space and effective strategies tailored to your specific needs
In today's fast-paced world, finding a therapist who not only understands your needs but also offers tailored approaches is essential. My commitment lies in providing personalized sessions, acknowledging that every individual's journey is unique, and one-size-fits-all solutions simply don't suffice. Whether you're navigating trauma, anxiety, stress, or seeking personal growth, I'm here to offer a safe space and effective strategies tailored to your specific needs
(704) 326-7558 View (704) 326-7558
Photo of Jerry Wayne Guy, Licensed Clinical Mental Health Counselor in Gastonia, NC
Jerry Wayne Guy
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS
Verified Verified
1 Endorsed
Gastonia, NC 28052
Whether you are facing struggles in your marriage, dealing with anxiety, depression, divorce or want to learn how to communicate more effectively. Together we will help you grow and overcome the issues and barriers that are holding you back from the life you want. I specialize in working with couples and adults to identify and create solutions for the obstacles you face. At the Groves Counseling Center, we focus on providing a space for you to explore the life you have and work towards the life you want. I look forward to partnering with you and your loved ones to help you thrive, not just survive.
Whether you are facing struggles in your marriage, dealing with anxiety, depression, divorce or want to learn how to communicate more effectively. Together we will help you grow and overcome the issues and barriers that are holding you back from the life you want. I specialize in working with couples and adults to identify and create solutions for the obstacles you face. At the Groves Counseling Center, we focus on providing a space for you to explore the life you have and work towards the life you want. I look forward to partnering with you and your loved ones to help you thrive, not just survive.
(980) 434-0019 View (980) 434-0019
Photo of Chelsea Matson, Licensed Clinical Mental Health Counselor in Gastonia, NC
Chelsea Matson
Licensed Clinical Mental Health Counselor, LCMHC, MEd, EdS
Verified Verified
2 Endorsed
Gastonia, NC 28054
Life is messy, complex, and full of paradoxes. It is not easy to navigate life’s highs and lows, much less create a peaceful and authentic life in a world that often feels confusing and chaotic. My hope as a counselor is to provide a space that ultimately allows you to access your intrinsic strengths needed to design the life you truly want. I can join you on your journey to heal from trauma, unlearn patterns of suffering, and reconnect to your values. I am a Certified IFS Therapist and primarily use Internal Family Systems therapy with clients.
Life is messy, complex, and full of paradoxes. It is not easy to navigate life’s highs and lows, much less create a peaceful and authentic life in a world that often feels confusing and chaotic. My hope as a counselor is to provide a space that ultimately allows you to access your intrinsic strengths needed to design the life you truly want. I can join you on your journey to heal from trauma, unlearn patterns of suffering, and reconnect to your values. I am a Certified IFS Therapist and primarily use Internal Family Systems therapy with clients.
(704) 312-7420 View (704) 312-7420
Photo of Precious Jackson, Licensed Professional Counselor in Gastonia, NC
Precious Jackson
Licensed Professional Counselor, MA, LCMHC-S, BC-TMH
Verified Verified
Gastonia, NC 28054
I enjoy counseling with all age populations. I will look at interactions, behaviors, and temperaments of the individuals and how family, friends, and society influence reactions. In assessing the situation, we will focus on the here and the now and reflect on the past only to promote change and growth in the present. New skills will be taught, and individuals are encouraged to take responsibility for their actions.
I enjoy counseling with all age populations. I will look at interactions, behaviors, and temperaments of the individuals and how family, friends, and society influence reactions. In assessing the situation, we will focus on the here and the now and reflect on the past only to promote change and growth in the present. New skills will be taught, and individuals are encouraged to take responsibility for their actions.
(704) 327-0607 View (704) 327-0607
Photo of Hannah Sanii, Clinical Social Work/Therapist in Gastonia, NC
Hannah Sanii
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Gastonia, NC 28056
Waitlist for new clients
Counseling is a voluntary and collaborative process. This requires that you be actively involved and willing to set and work toward specific goals. Counseling is a tool that individuals can use to deal with problems in a way that is best for that individual. Your counselor cannot “fix,” “cure,” or “heal” you in any way. However, unconditional acceptance, listening and understanding, professional expertise, and honest communication can help you reach your goals to achieving a happier, healthier life!
Counseling is a voluntary and collaborative process. This requires that you be actively involved and willing to set and work toward specific goals. Counseling is a tool that individuals can use to deal with problems in a way that is best for that individual. Your counselor cannot “fix,” “cure,” or “heal” you in any way. However, unconditional acceptance, listening and understanding, professional expertise, and honest communication can help you reach your goals to achieving a happier, healthier life!
(704) 286-9135 View (704) 286-9135
Photo of Jasmine Goode, Lic Clinical Mental Health Counselor Associate in Gastonia, NC
Jasmine Goode
Lic Clinical Mental Health Counselor Associate, MEd, LCMHCA
Verified Verified
1 Endorsed
Gastonia, NC 28054
My passion for counseling started when one of my loved ones was diagnosed with an Anxiety Disorder. Seeing a family member suffer on a daily basis made me want to help other individuals facing similar struggles. I know that when times get hard, you may start to feel alone, but you no longer have to feel that way. As a therapist, I hope to guide and support you through the challenges that you may be facing. My role is to assist you in reaching your therapy goals by providing non-judgmental support and helping to facilitate your journey.
My passion for counseling started when one of my loved ones was diagnosed with an Anxiety Disorder. Seeing a family member suffer on a daily basis made me want to help other individuals facing similar struggles. I know that when times get hard, you may start to feel alone, but you no longer have to feel that way. As a therapist, I hope to guide and support you through the challenges that you may be facing. My role is to assist you in reaching your therapy goals by providing non-judgmental support and helping to facilitate your journey.
(704) 237-6533 View (704) 237-6533
Photo of Quincy Johnson, Licensed Professional Counselor in Gastonia, NC
Quincy Johnson
Licensed Professional Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Gastonia, NC 28054  (Online Only)
Next-day appointments available! Another day of arguments, misunderstandings, and frustration. Feeling overwhelmed and underappreciated. It feels like you are just going through the motions in your marriage and not finding true fulfillment. You are finding that your time at work is more enjoyable than your time at home. These experiences lead you to ask yourself questions like, “Do I still want this relationship? Did I choose the wrong person?” Just thinking about spending the rest of your life in a horrible or mediocre marriage makes you sick to your stomach and causes dread. All you want is to feel loved, heard, and appreciated.
Next-day appointments available! Another day of arguments, misunderstandings, and frustration. Feeling overwhelmed and underappreciated. It feels like you are just going through the motions in your marriage and not finding true fulfillment. You are finding that your time at work is more enjoyable than your time at home. These experiences lead you to ask yourself questions like, “Do I still want this relationship? Did I choose the wrong person?” Just thinking about spending the rest of your life in a horrible or mediocre marriage makes you sick to your stomach and causes dread. All you want is to feel loved, heard, and appreciated.
(910) 557-9546 View (910) 557-9546
Photo of Steven C. Land, Licensed Professional Counselor in Gastonia, NC
Steven C. Land
Licensed Professional Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Gastonia, NC 28054
I enjoy working with individuals who want to find out who they are and where they want to go. I specialize in working with people going through major life transitions, desire to have a stronger sense of identity, and asking serious questions about their view of life. Because of this, I specialize in working with those who are in the LGBTQ+ community, Gen Z and Millennials, and those impacted by major changes such as moving away from home, divorce, job changes, and more. Further, I work closely with those going through spiritual questioning, no matter their faith.
I enjoy working with individuals who want to find out who they are and where they want to go. I specialize in working with people going through major life transitions, desire to have a stronger sense of identity, and asking serious questions about their view of life. Because of this, I specialize in working with those who are in the LGBTQ+ community, Gen Z and Millennials, and those impacted by major changes such as moving away from home, divorce, job changes, and more. Further, I work closely with those going through spiritual questioning, no matter their faith.
(980) 414-8383 View (980) 414-8383
Photo of Chad Mcghee, Marriage & Family Therapist in Gastonia, NC
Chad Mcghee
Marriage & Family Therapist, LMFTA, MACC
Verified Verified
Gastonia, NC 28056
Not accepting new clients
As a licensed marriage and family therapist (LMFTA) I enjoy working with individuals, couples and families. I have experience working with Anxiety, Depression, trauma, grief, marital and pre-marital to name a few.
As a licensed marriage and family therapist (LMFTA) I enjoy working with individuals, couples and families. I have experience working with Anxiety, Depression, trauma, grief, marital and pre-marital to name a few.
(704) 440-4695 View (704) 440-4695
Photo of Claire Jones, Clinical Social Work/Therapist in Gastonia, NC
Claire Jones
Clinical Social Work/Therapist, MS, LCSW, PMH-C
Verified Verified
1 Endorsed
Gastonia, NC 28054
Many people find themselves "coping" with life as opposed to LIVING it. With the many competing demands of our busy lifestyles, it is not uncommon to lose connection with your authentic self and to feel discouraged, unwell or just..."off". When we discover that our health and wellbeing are suffering, or feel “stuck”, we often need support to change thought patterns, and empower ourselves to make different choices, so that we can live in a more meaningful and fulfilling capacity. Whether you have specific goals, or simply know that you just want to feel better but don't know where to begin, the first step is to reach out for help.
Many people find themselves "coping" with life as opposed to LIVING it. With the many competing demands of our busy lifestyles, it is not uncommon to lose connection with your authentic self and to feel discouraged, unwell or just..."off". When we discover that our health and wellbeing are suffering, or feel “stuck”, we often need support to change thought patterns, and empower ourselves to make different choices, so that we can live in a more meaningful and fulfilling capacity. Whether you have specific goals, or simply know that you just want to feel better but don't know where to begin, the first step is to reach out for help.
(704) 228-2129 View (704) 228-2129
Photo of Carla Gray, Counselor in Gastonia, NC
Carla Gray
Counselor, LCMHC
Verified Verified
Gastonia, NC 28056  (Online Only)
About me I am licensed in North Carolina with 20 years of professional work experience in clinical counseling and am working on my doctoral research in psychology. I grew up in Waynesville, NC so I am a mountain girl. For now, I live near Charlotte, NC with my husband and 16-year-old son. We have a 7-acre working farm that we share with my retired showhorse, three rescue dogs, and a rescue cat.
About me I am licensed in North Carolina with 20 years of professional work experience in clinical counseling and am working on my doctoral research in psychology. I grew up in Waynesville, NC so I am a mountain girl. For now, I live near Charlotte, NC with my husband and 16-year-old son. We have a 7-acre working farm that we share with my retired showhorse, three rescue dogs, and a rescue cat.
(704) 850-6930 View (704) 850-6930
Photo of Kerri B Morris, Counselor in Gastonia, NC
Kerri B Morris
Counselor, MAEdS, LCMHC
Verified Verified
Gastonia, NC 28052
I am a Christian Counselor with a deep genuine desire and compassion to meet people where they are and to walk alongside them through struggles or challenges they may be facing. I enjoy working with families, kids, teenagers, parents, adults, and couples: specifically, pre-marital and marital counseling. Some other interests include: healing from a traumatic past or stressful childhood, setting healthy boundaries in one's own life and in relationships, working with parents to set consistent boundaries or adjusting to life with a baby/child, spiritual growth and development, fear/anxiety, depression, stress, self-confidence, and lack of motivation.
I am a Christian Counselor with a deep genuine desire and compassion to meet people where they are and to walk alongside them through struggles or challenges they may be facing. I enjoy working with families, kids, teenagers, parents, adults, and couples: specifically, pre-marital and marital counseling. Some other interests include: healing from a traumatic past or stressful childhood, setting healthy boundaries in one's own life and in relationships, working with parents to set consistent boundaries or adjusting to life with a baby/child, spiritual growth and development, fear/anxiety, depression, stress, self-confidence, and lack of motivation.
(704) 826-7348 View (704) 826-7348
Photo of Joyce Smith, Clinical Social Work/Therapist in Gastonia, NC
Joyce Smith
Clinical Social Work/Therapist, LCSW, MSW, MPH
Verified Verified
Gastonia, NC 28054
We are each designed uniquely. Deep down, at the core of our being, we all have a longing for wholeness. The way we experience this basic desire in our day-to-day lives may differ. Maybe it’s a sense of belonging when we experience significance with someone or are accepted. Maybe it is a hollow feeling of disconnection or loneliness, or perhaps it is a compulsion to ease pain in an unhealthy way. Whatever the case, the desire for wholeness is basic to our design and the human experience.
We are each designed uniquely. Deep down, at the core of our being, we all have a longing for wholeness. The way we experience this basic desire in our day-to-day lives may differ. Maybe it’s a sense of belonging when we experience significance with someone or are accepted. Maybe it is a hollow feeling of disconnection or loneliness, or perhaps it is a compulsion to ease pain in an unhealthy way. Whatever the case, the desire for wholeness is basic to our design and the human experience.
(704) 368-3804 View (704) 368-3804
Photo of Jennifer Pennington, Licensed Professional Counselor in Gastonia, NC
Jennifer Pennington
Licensed Professional Counselor, MA, EDS, LCMHCS, NCC, RPT
Verified Verified
Gastonia, NC 28054
Waitlist for new clients
I am passionate about working with children, adolescents, and their families. I specialize in play therapy and solution focused therapy. I look forward to helping you or your child work through the every day struggles and sometimes overwhelming struggles of everyday life. I approach counseling from a holistic perspective and feel the child will benefit more from counseling if the family unit is healthy. This is why I invite the family to be a part of therapy and work to make the family a healthy place for the child/teen to grow and mature.
I am passionate about working with children, adolescents, and their families. I specialize in play therapy and solution focused therapy. I look forward to helping you or your child work through the every day struggles and sometimes overwhelming struggles of everyday life. I approach counseling from a holistic perspective and feel the child will benefit more from counseling if the family unit is healthy. This is why I invite the family to be a part of therapy and work to make the family a healthy place for the child/teen to grow and mature.
(980) 430-6897 View (980) 430-6897
Photo of Mary Mccrystal, Marriage & Family Therapist in Gastonia, NC
Mary Mccrystal
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Gastonia, NC 28054  (Online Only)
Causing and Creating Inspired Transformation~Are you feeling like you are in a transition at this point in your life and need someone to help see you through it? Maybe there's a block in an area of your life that could be helped with new perspective? Possibly you want to learn about visualization, intentional creativity, or creating sacred space? I Love working with people who are in transitional space and are ready for growth and change. Today you are one step closer to feeling empowered, passionate about life, and on a positive path to growth and well-being.
Causing and Creating Inspired Transformation~Are you feeling like you are in a transition at this point in your life and need someone to help see you through it? Maybe there's a block in an area of your life that could be helped with new perspective? Possibly you want to learn about visualization, intentional creativity, or creating sacred space? I Love working with people who are in transitional space and are ready for growth and change. Today you are one step closer to feeling empowered, passionate about life, and on a positive path to growth and well-being.
(704) 666-5405 x707479 View (704) 666-5405 x707479
Photo of Garrison Counseling Services, Licensed Clinical Mental Health Counselor in Gastonia, NC
Garrison Counseling Services
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Gastonia, NC 28054
Welcome! Part of the reason you’ve found you’re way here might involve overwhelming anxiety, stress from relationships or school, lack of boundaries, wanting to increase or better your communication skills, work through new transitions or changes in major life “things”, or doing the deeper dives into trauma. We can explore these things together; work on your healing and feeling more like “you”, and allowing me to support you along the way.
Welcome! Part of the reason you’ve found you’re way here might involve overwhelming anxiety, stress from relationships or school, lack of boundaries, wanting to increase or better your communication skills, work through new transitions or changes in major life “things”, or doing the deeper dives into trauma. We can explore these things together; work on your healing and feeling more like “you”, and allowing me to support you along the way.
(704) 459-4402 View (704) 459-4402
Photo of Jasmine C Colegrove, Clinical Social Work/Therapist in Gastonia, NC
Jasmine C Colegrove
Clinical Social Work/Therapist, MSW, LCSW, LISW-CP
Verified Verified
Gastonia, NC 28056
Not accepting new clients
Reach out today for a free consultation. Note for new clients I currently accept BCBS NC commercial/ state health plan, Aetna & United Healthcare. Are you new to therapy or maybe returning to therapy due to recent changes or events? Then Journey Counseling PLLC is where you begin working through your mental and emotional life experiences. Outpatient treatment is seen as the lowest level of care, meaning that support is provided on a weekly basis with time to allow you to practice the things that happen in session.
Reach out today for a free consultation. Note for new clients I currently accept BCBS NC commercial/ state health plan, Aetna & United Healthcare. Are you new to therapy or maybe returning to therapy due to recent changes or events? Then Journey Counseling PLLC is where you begin working through your mental and emotional life experiences. Outpatient treatment is seen as the lowest level of care, meaning that support is provided on a weekly basis with time to allow you to practice the things that happen in session.
(704) 665-0768 View (704) 665-0768
Photo of Sharon Hoyng, Licensed Clinical Mental Health Counselor in Gastonia, NC
Sharon Hoyng
Licensed Clinical Mental Health Counselor, MS, LPC, PLLC
Verified Verified
2 Endorsed
Gastonia, NC 28052
Not accepting new clients
I enjoy working with children and adults.I have twenty years of experience in the mental health field. I know it's difficult to make that decision to ask for help.My job is to put you at ease, really listen, and help you find a way to move forward, whether that means resolving an issue from the past; changing a behavior or creating a plan for the future. My goal is to improve your quality of life. What's most important is the what happens outside therapy. The best client is ready and willing to make that change.
I enjoy working with children and adults.I have twenty years of experience in the mental health field. I know it's difficult to make that decision to ask for help.My job is to put you at ease, really listen, and help you find a way to move forward, whether that means resolving an issue from the past; changing a behavior or creating a plan for the future. My goal is to improve your quality of life. What's most important is the what happens outside therapy. The best client is ready and willing to make that change.
(704) 665-0328 View (704) 665-0328
Photo of Roberta Mason, Licensed Clinical Mental Health Counselor in Gastonia, NC
Roberta Mason
Licensed Clinical Mental Health Counselor, LCMHC, MA, EdS
Verified Verified
1 Endorsed
Gastonia, NC 28054
Do you find yourself struggling to understand why life seems so hard at times? Do you want to enjoy life instead of bearing it? If so we need to talk. I see clients from 5 years of age to adults who are struggling to move through life in a joyful and meaningful way. I help children struggling in academic, social, and familial settings; while frequently working with their schools to develop academic accommodations to best suit the individual's needs.
Do you find yourself struggling to understand why life seems so hard at times? Do you want to enjoy life instead of bearing it? If so we need to talk. I see clients from 5 years of age to adults who are struggling to move through life in a joyful and meaningful way. I help children struggling in academic, social, and familial settings; while frequently working with their schools to develop academic accommodations to best suit the individual's needs.
(704) 802-1248 View (704) 802-1248

How does your Therapist compare?

Number of Therapists in Gastonia, NC

100+

Average cost per session

$125

Therapists in Gastonia, NC who prioritize treating:

93% Anxiety
90% Depression
78% Relationship Issues
78% Self Esteem
77% Coping Skills
71% Trauma and PTSD
70% Stress

Average years in practice

9 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
71% Aetna
57% UnitedHealthcare UHC | UBH

How Therapists in Gastonia, NC see their clients

82% In Person and Online
18% Online Only

Gender breakdown

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

How can I find a therapist in Gastonia?

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.