Photo of Kim Stasny, MSW, LICSW, Clinical Social Work/Therapist
Kim Stasny
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Boston, MA 02102
You are not meant to face your struggles all alone. Most people have inner strength to cope when life becomes challenging. It takes additional courage to connect with others in these times to learn more skills to cope well. Ideally we should all have someone with compassion & wisdom to listen and provide feedback that allows you to heal and grow from the pressure you are currently under. My goal is to hear your experience, and then give perspective and guidance that can bring relief and even joy to your life. If interested in working with me, I am taking new clients for in-person therapy starting the first week of July 2024.
You are not meant to face your struggles all alone. Most people have inner strength to cope when life becomes challenging. It takes additional courage to connect with others in these times to learn more skills to cope well. Ideally we should all have someone with compassion & wisdom to listen and provide feedback that allows you to heal and grow from the pressure you are currently under. My goal is to hear your experience, and then give perspective and guidance that can bring relief and even joy to your life. If interested in working with me, I am taking new clients for in-person therapy starting the first week of July 2024.
(978) 591-6730 View (978) 591-6730
Photo of Andrea Horowitz, LMHC, BC-TMH, Counselor
Andrea Horowitz
Counselor, LMHC, BC-TMH
Verified Verified
1 Endorsed
Boston, MA 02102  (Online Only)
In the beginning there was fun, excitement and sex in your relationship. Now your relationship has moved to roommate status and you don’t know how to get the spark back.You love your partner but lately things have not felt the same. TV and phones have replaced long conversations and kids take up any “adult” time the two of you can have together. Sometimes you find yourself thinking some pretty negative things about your partner and sometimes they come out of your mouth, which leads to a fight or worse, stoney silence.
In the beginning there was fun, excitement and sex in your relationship. Now your relationship has moved to roommate status and you don’t know how to get the spark back.You love your partner but lately things have not felt the same. TV and phones have replaced long conversations and kids take up any “adult” time the two of you can have together. Sometimes you find yourself thinking some pretty negative things about your partner and sometimes they come out of your mouth, which leads to a fight or worse, stoney silence.
(518) 348-4345 View (518) 348-4345
Photo of Maria Rose, MSW, LICSW, Clinical Social Work/Therapist
Maria Rose
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Boston, MA 02102  (Online Only)
As a board certified professional christian counselor, my hope is to provide a safe space for you to process past and current issues including trauma, abuse, dissatisfaction with life and relationship challenges. It is my firm belief that God and His word are an integral part of our work, so I include prayer and scripture in our sessions; allowing space for the Holy Spirit to direct our discussion and provide healing. I look forward to hearing from you to answer any questions you may have. Matthew 6:33
As a board certified professional christian counselor, my hope is to provide a safe space for you to process past and current issues including trauma, abuse, dissatisfaction with life and relationship challenges. It is my firm belief that God and His word are an integral part of our work, so I include prayer and scripture in our sessions; allowing space for the Holy Spirit to direct our discussion and provide healing. I look forward to hearing from you to answer any questions you may have. Matthew 6:33
(339) 201-6992 View (339) 201-6992
Photo of Matthew Malowski, Counselor
Matthew Malowski
Counselor
Verified Verified
2 Endorsed
Boston, MA 02102
Many athletes struggle with the mental aspect of sports, yet it's often the most overlooked part of an athlete's training. Elite athletes must focus as much on their mindset as their physical abilities. Mental toughness is not just for some people. Having a mental game coach to guide you through some of your personal mental and emotional obstacles could be the game changer you've been seeking for years. Maybe you're a young athlete looking to play at the next level? Perhaps you're just trying to perform better in your local league? A mental game coach can pinpoint your blocks and move you beyond them to play with confidence.
Many athletes struggle with the mental aspect of sports, yet it's often the most overlooked part of an athlete's training. Elite athletes must focus as much on their mindset as their physical abilities. Mental toughness is not just for some people. Having a mental game coach to guide you through some of your personal mental and emotional obstacles could be the game changer you've been seeking for years. Maybe you're a young athlete looking to play at the next level? Perhaps you're just trying to perform better in your local league? A mental game coach can pinpoint your blocks and move you beyond them to play with confidence.
(508) 219-6710 View (508) 219-6710
Photo of Renee Santos - Kink-Informed Sex Therapist Renee Santos , MEd, LMHC, LPCC, Counselor
Kink-Informed Sex Therapist Renee Santos
Counselor, MEd, LMHC, LPCC
Verified Verified
2 Endorsed
Boston, MA 02102  (Online Only)
I offer a safe and non-judgmental space to explore your thoughts, emotions, and behaviors. If you want to achieve greater self-awareness and understanding, and develop the skills and insights necessary to make positive changes in your life, then let’s talk. I’d love to help you live a fulfilling and satisfying life, free from fear of discrimination or stigma, while cultivating healthy and fulfilling relationships that align with your values and desires. Additionally, if you are a member of the LGBTQIA+ community, I want to provide you with a safe and affirming space.
I offer a safe and non-judgmental space to explore your thoughts, emotions, and behaviors. If you want to achieve greater self-awareness and understanding, and develop the skills and insights necessary to make positive changes in your life, then let’s talk. I’d love to help you live a fulfilling and satisfying life, free from fear of discrimination or stigma, while cultivating healthy and fulfilling relationships that align with your values and desires. Additionally, if you are a member of the LGBTQIA+ community, I want to provide you with a safe and affirming space.
(619) 494-1944 View (619) 494-1944
Photo of Jose Velasquez, PhD, LCSW, BCD, Clinical Social Work/Therapist
Jose Velasquez
Clinical Social Work/Therapist, PhD, LCSW, BCD
Verified Verified
Boston, MA 02102  (Online Only)
I am a clinical social worker with over ten years of experience and licensed in multiple states. I am a U.S. Army veteran with much experience working with service members, veterans, and military family members. I have experience helping clients with stress and anxiety, trauma, abuse, sleeping disorders, and depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs.
I am a clinical social worker with over ten years of experience and licensed in multiple states. I am a U.S. Army veteran with much experience working with service members, veterans, and military family members. I have experience helping clients with stress and anxiety, trauma, abuse, sleeping disorders, and depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs.
(850) 679-6981 View (850) 679-6981
Photo of Sasha Pansovoy, LICSW, Clinical Social Work/Therapist
Sasha Pansovoy
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02102  (Online Only)
Perhaps you feel discouraged and are seeking therapy because you have tried to make changes but haven’t noticed a difference. Maybe you continue to be impacted by overwhelming events from the past. You could be reaching out because you’re experiencing anxiety, sadness, disconnection from others, or difficulty with navigating life transitions and managing stress. Maybe you’ve noticed your child is having a hard time and are reaching out on their behalf. You may want to build up your self esteem and have more fulfilling relationships, or to feel more connected to yourself, to grow, and to enjoy life.
Perhaps you feel discouraged and are seeking therapy because you have tried to make changes but haven’t noticed a difference. Maybe you continue to be impacted by overwhelming events from the past. You could be reaching out because you’re experiencing anxiety, sadness, disconnection from others, or difficulty with navigating life transitions and managing stress. Maybe you’ve noticed your child is having a hard time and are reaching out on their behalf. You may want to build up your self esteem and have more fulfilling relationships, or to feel more connected to yourself, to grow, and to enjoy life.
(617) 826-9916 View (617) 826-9916
Photo of Kubra Aydin, LMHC, LPC, Counselor
Kubra Aydin
Counselor, LMHC, LPC
Verified Verified
Boston, MA 02102  (Online Only)
P.S: Please click on "Website" to schedule 15 minutes consultation. Kubra is a Licensed Mental Health Counselor experienced in trauma, depression, anxiety, and relational problems. Her passion for working with a diverse population led her to acquire the Global Mental Health: Immigration and Trauma Certificate from Harvard University. Kubra sees her clients beyond their diagnoses and seeks to bring awareness to societal and environmental challenges that prevent clients from fulfilling their true potential.
P.S: Please click on "Website" to schedule 15 minutes consultation. Kubra is a Licensed Mental Health Counselor experienced in trauma, depression, anxiety, and relational problems. Her passion for working with a diverse population led her to acquire the Global Mental Health: Immigration and Trauma Certificate from Harvard University. Kubra sees her clients beyond their diagnoses and seeks to bring awareness to societal and environmental challenges that prevent clients from fulfilling their true potential.
(617) 675-4586 View (617) 675-4586
Photo of Orianna Natsis, LMHC, Counselor
Orianna Natsis
Counselor, LMHC
Verified Verified
1 Endorsed
Boston, MA 02102  (Online Only)
As a therapist, I believe in treating the whole person, recognizing that mental, emotional, and physical well-being are interconnected. Together, we'll explore your unique strengths and challenges, uncovering new insights and strategies for growth. I strive to create a warm and non-judgmental environment where you feel heard, understood, and supported. Whether you're facing specific challenges or simply seeking personal growth, I'm here to walk alongside you every step of the way.
As a therapist, I believe in treating the whole person, recognizing that mental, emotional, and physical well-being are interconnected. Together, we'll explore your unique strengths and challenges, uncovering new insights and strategies for growth. I strive to create a warm and non-judgmental environment where you feel heard, understood, and supported. Whether you're facing specific challenges or simply seeking personal growth, I'm here to walk alongside you every step of the way.
(781) 660-7460 View (781) 660-7460
Photo of Samantha Goldfrad, LICSW, Clinical Social Work/Therapist
Samantha Goldfrad
Clinical Social Work/Therapist, LICSW
Verified Verified
Boston, MA 02102
Samantha is a Licensed Independent Clinical Social Worker with 6 years of experience in the mental health field. Her clinical experience has focused on helping adults 18+ to work through their fears and develop attainable goals. Her experience treating patients in community health centers, schools, and in-patient facilities has assisted in developing her understanding of how to help her clients work through milestone events. Samantha specializes in anxiety, depression, and substance use, as well as anger and stress management.
Samantha is a Licensed Independent Clinical Social Worker with 6 years of experience in the mental health field. Her clinical experience has focused on helping adults 18+ to work through their fears and develop attainable goals. Her experience treating patients in community health centers, schools, and in-patient facilities has assisted in developing her understanding of how to help her clients work through milestone events. Samantha specializes in anxiety, depression, and substance use, as well as anger and stress management.
(617) 609-1161 View (617) 609-1161
Photo of Anne Beth Manske - Anne Manske Counseling, MA-MFT, LPC, LMHC, CACR, Licensed Professional Counselor
Anne Manske Counseling
Licensed Professional Counselor, MA-MFT, LPC, LMHC, CACR
Verified Verified
Boston, MA 02102  (Online Only)
I love helping couples who are longing for connection with their partner but feel stuck and just want to give up. I help awaken people and teach them to operate in a whole new, healthy, functional way from what they could imagine! I use RLT, or Relational Life Therapy. This approach works, and it's so effective that change happens rapidly if you are yearning for better more loving connections and communication with your loved one. Also, I help people with anxiety and depression, and adjustment issues. There are over 50 tools and methods that I use with T.E.A.M. CBT if you are ready to roll up your sleeves and start making changes.
I love helping couples who are longing for connection with their partner but feel stuck and just want to give up. I help awaken people and teach them to operate in a whole new, healthy, functional way from what they could imagine! I use RLT, or Relational Life Therapy. This approach works, and it's so effective that change happens rapidly if you are yearning for better more loving connections and communication with your loved one. Also, I help people with anxiety and depression, and adjustment issues. There are over 50 tools and methods that I use with T.E.A.M. CBT if you are ready to roll up your sleeves and start making changes.
(210) 348-3895 View (210) 348-3895
Photo of Esther Gallois - Jungian Psychotherapy, LCSW, CYT, Clinical Social Work/Therapist
Esther Gallois - Jungian Psychotherapy
Clinical Social Work/Therapist, LCSW, CYT
Verified Verified
Boston, MA 02102
I have the privilege of supporting individuals who are on a journey of self-discovery. They have tried various methods to manage their needs but seek something more meaningful. By prioritizing long-term therapy, they are committed to discovering who they are and what they want from their lives. They want to experience wonder, make major changes, and find a sense of purpose. I have noticed that those who have shown openness to spiritual practices such as yoga, meditation, religion, or art-making often find my work to be transformative. It is an honor to support my client on their path to self-discovery and growth.
I have the privilege of supporting individuals who are on a journey of self-discovery. They have tried various methods to manage their needs but seek something more meaningful. By prioritizing long-term therapy, they are committed to discovering who they are and what they want from their lives. They want to experience wonder, make major changes, and find a sense of purpose. I have noticed that those who have shown openness to spiritual practices such as yoga, meditation, religion, or art-making often find my work to be transformative. It is an honor to support my client on their path to self-discovery and growth.
(401) 389-1381 View (401) 389-1381
Photo of Marcy Beinert, LICSW, Clinical Social Work/Therapist
Marcy Beinert
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Boston, MA 02102  (Online Only)
I believe that therapy can be transformational at any stage or phase of your life. My goals are to help clients investigate and explore their feelings and what might be causing their emotional distress or discomfort. By identifying these things and developing healthy ways to manage them, you can start feeling better and living a more fulfilling life.
I believe that therapy can be transformational at any stage or phase of your life. My goals are to help clients investigate and explore their feelings and what might be causing their emotional distress or discomfort. By identifying these things and developing healthy ways to manage them, you can start feeling better and living a more fulfilling life.
(978) 850-5948 View (978) 850-5948
Photo of Christine Smith - Nantucket Family Counseling, MSW, LICSW, Clinical Social Work/Therapist
Nantucket Family Counseling
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Boston, MA 02102  (Online Only)
It has not been an easy step for you to come to counseling. It may take months, or even years, to get up the courage to call for an appointment. For many, coming to counseling can feel both frightening and yet a relief. I do not have a waiting list, and can get you in to see me fairly quickly. My unique style is to educate, motivate and inspire you, providing a solid foundation for a healthy life. I am a down to earth, "regular" person with a style that puts most people at ease. I also now offer hourly supervisory services to masters level students in a social work or mental health counseling programs.
It has not been an easy step for you to come to counseling. It may take months, or even years, to get up the courage to call for an appointment. For many, coming to counseling can feel both frightening and yet a relief. I do not have a waiting list, and can get you in to see me fairly quickly. My unique style is to educate, motivate and inspire you, providing a solid foundation for a healthy life. I am a down to earth, "regular" person with a style that puts most people at ease. I also now offer hourly supervisory services to masters level students in a social work or mental health counseling programs.
(508) 348-7203 View (508) 348-7203
Photo of Michelle Gawronski, LMHC, NCC, IFS, IFIO, Counselor
Michelle Gawronski
Counselor, LMHC, NCC, IFS, IFIO
Verified Verified
1 Endorsed
Boston, MA 02102  (Online Only)
As an IFS therapist, I offer a warm and welcoming approach to counseling. Trust, non-judgment, creativity, empowerment, and individualized goals are central to my practice. It is my hope to always provide a safe, culturally conscious space, grounded in trust. My ability to listen, hold space, and provide compassionate understanding creates an atmosphere where everyone feels safe and comfortable navigating their internal system of “parts” at their own pace.
As an IFS therapist, I offer a warm and welcoming approach to counseling. Trust, non-judgment, creativity, empowerment, and individualized goals are central to my practice. It is my hope to always provide a safe, culturally conscious space, grounded in trust. My ability to listen, hold space, and provide compassionate understanding creates an atmosphere where everyone feels safe and comfortable navigating their internal system of “parts” at their own pace.
(850) 757-2671 View (850) 757-2671
Photo of Priyanka Deb, LMHC, Counselor
Priyanka Deb
Counselor, LMHC
Verified Verified
1 Endorsed
Boston, MA 02102  (Online Only)
I am a licensed mental health counselor with experience working in outpatient community mental health, providing individual counseling and group counseling. I specialize in multi-cultural issues, anxiety, depression, mood disorders, dual diagnosis substance abuse, and life transitions.
I am a licensed mental health counselor with experience working in outpatient community mental health, providing individual counseling and group counseling. I specialize in multi-cultural issues, anxiety, depression, mood disorders, dual diagnosis substance abuse, and life transitions.
(781) 745-3803 View (781) 745-3803
Photo of Emily Daniels, Pre-Licensed Professional
Emily Daniels
Pre-Licensed Professional
Verified Verified
Boston, MA 02102
Emily Daniels is a master's level Clinical Mental Health Counselor with a few years of experience in mental health. She is passionate about helping adolescents, teens, adults, couples, and families develop positive coping skills and creating a therapeutic relationship. She specializes in anxiety, trauma, depression, ADHD, relationship issues, women's issues, life transitions, overall wellness, and self-care. Her background is working with people experiencing homelessness, in which there was a large focus on trauma and its impact. Emily is working toward her LMHC and is eager to embark on a fulfilling journey as a clinician.
Emily Daniels is a master's level Clinical Mental Health Counselor with a few years of experience in mental health. She is passionate about helping adolescents, teens, adults, couples, and families develop positive coping skills and creating a therapeutic relationship. She specializes in anxiety, trauma, depression, ADHD, relationship issues, women's issues, life transitions, overall wellness, and self-care. Her background is working with people experiencing homelessness, in which there was a large focus on trauma and its impact. Emily is working toward her LMHC and is eager to embark on a fulfilling journey as a clinician.
(617) 618-6493 View (617) 618-6493
Photo of Neillee S Harold, LMHC, Counselor
Neillee S Harold
Counselor, LMHC
Verified Verified
Boston, MA 02102  (Online Only)
Are you feeling frustrated with the direction of your life? Unsatisfied in your relationships, irritable, worried and overwhelmed? Do you feel like you put everyone else’s needs before yours and struggle to find time for yourself? Are you a woman struggling with challenges associated with perimenopause and menopause and feel unheard around your symptoms? If this sounds like you, let’s talk! Gaining solid skills to manage life's overwhelming ups and downs will improve symptoms dramatically! “Though nobody can go back and make a new beginning, anyone can start over and make a new ending.” I am excited to start this journey with you!
Are you feeling frustrated with the direction of your life? Unsatisfied in your relationships, irritable, worried and overwhelmed? Do you feel like you put everyone else’s needs before yours and struggle to find time for yourself? Are you a woman struggling with challenges associated with perimenopause and menopause and feel unheard around your symptoms? If this sounds like you, let’s talk! Gaining solid skills to manage life's overwhelming ups and downs will improve symptoms dramatically! “Though nobody can go back and make a new beginning, anyone can start over and make a new ending.” I am excited to start this journey with you!
(508) 978-5890 View (508) 978-5890
Photo of David Rosmarin, PhD, Psychologist
David Rosmarin
Psychologist, PhD
Verified Verified
Boston, MA 02102
Dr. Rosmarin has developed an expertise in evidence-based approaches for treating mental health and has a passion for helping others understand the reason for their struggle. He has helped many clients work through their anxiety-related issues and find meaning in their life using this evidence-based approach.
Dr. Rosmarin has developed an expertise in evidence-based approaches for treating mental health and has a passion for helping others understand the reason for their struggle. He has helped many clients work through their anxiety-related issues and find meaning in their life using this evidence-based approach.
(508) 709-1557 View (508) 709-1557
Photo of Sheri Flaherty, MSW, LISCW, Clinical Social Work/Therapist
Sheri Flaherty
Clinical Social Work/Therapist, MSW, LISCW
Verified Verified
Boston, MA 02102
In my role as a therapist, I strive to provide that special and trusting relationship that can help clients achieve their potential happiness. Through Cognitive Behavioral, Strengths Based, and Solution Focused approaches to therapy, my goal is to support and guide clients to find the answers they need. These approaches gently support clients through their transitions out of their present distress and toward a more carefree and mindful way to live life.
In my role as a therapist, I strive to provide that special and trusting relationship that can help clients achieve their potential happiness. Through Cognitive Behavioral, Strengths Based, and Solution Focused approaches to therapy, my goal is to support and guide clients to find the answers they need. These approaches gently support clients through their transitions out of their present distress and toward a more carefree and mindful way to live life.
(603) 280-4175 View (603) 280-4175
1

How does your Therapist compare?

Number of Therapists in 02102

50+

Average cost per session

$150

Therapists in 02102 who prioritize treating:

92% Anxiety
83% Depression
71% Stress
67% Coping Skills
67% Self Esteem
65% Trauma and PTSD
60% Relationship Issues

Average years in practice

10 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
83% UnitedHealthcare UHC | UBH
73% Aetna

How Therapists in 02102 see their clients

65% Online Only
35% In Person and Online

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 02102?

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.