Therapists in Burnsville, MN

Photo of Mary E. Woodward, Psychologist in Burnsville, MN
Mary E. Woodward
Psychologist, MA, LP, CST
Verified Verified
Burnsville, MN 55337  (Online Only)
If you are seeking specialized help with a sexual problem for yourself or for your relationship, you have come to the right place. Common concerns include low/high sexual desire, problems with erections, ejaculation, painful sex, and sexual addiction. LGBT clients are a regular and welcome part of Mary's practice, though most clients identify as straight. Mary E. Woodward, MA, LP, CST is a Psychologist and AASECT Certified Sex Therapist with over 28 years of experience in general therapy as well as sex and couples therapy. She has had therapy experience in medical settings, crisis centers, mental health clinics and in
If you are seeking specialized help with a sexual problem for yourself or for your relationship, you have come to the right place. Common concerns include low/high sexual desire, problems with erections, ejaculation, painful sex, and sexual addiction. LGBT clients are a regular and welcome part of Mary's practice, though most clients identify as straight. Mary E. Woodward, MA, LP, CST is a Psychologist and AASECT Certified Sex Therapist with over 28 years of experience in general therapy as well as sex and couples therapy. She has had therapy experience in medical settings, crisis centers, mental health clinics and in
(651) 314-1261 View (651) 314-1261
Photo of Timothy L Panula, Counselor in Burnsville, MN
Timothy L Panula
Counselor, MDiv, MSEd, LPCC
Verified Verified
Burnsville, MN 55337
“I’ve experienced many things throughout my lifetime that have contributed to me having the background and insight that is essential in providing compassion, care and understanding for couples and individuals who are struggling. Of all the various vocations that I've had, I feel most rewarded personally as a counselor.” Tim & Kathy have been married nearly 44 years. TIM’S PERSONAL MISSION STATEMENT "My desire is to provide Christ – centered soul care by coming along side individuals and couples to bring help and support; to encourage faith, hope and wellness physically, mentally, emotionally and spiritually."
“I’ve experienced many things throughout my lifetime that have contributed to me having the background and insight that is essential in providing compassion, care and understanding for couples and individuals who are struggling. Of all the various vocations that I've had, I feel most rewarded personally as a counselor.” Tim & Kathy have been married nearly 44 years. TIM’S PERSONAL MISSION STATEMENT "My desire is to provide Christ – centered soul care by coming along side individuals and couples to bring help and support; to encourage faith, hope and wellness physically, mentally, emotionally and spiritually."
(651) 370-9438 View (651) 370-9438
Photo of Megan Kelly, Marriage & Family Therapist in Burnsville, MN
Megan Kelly
Marriage & Family Therapist, MA, LMFT
Verified Verified
Burnsville, MN 55337
It is truly my joy and privilege to walk alongside individuals, couples, and families on their journey towards hope and healing. People consider therapy for many reasons and every reason is significant. Life can be difficult and suffering is inevitable at times. Relationships can also be challenging and people often desire more positive connection and understanding in relationship with those they love. I work with individuals, including children (age 7+), couples, and families to address these issues. My caseload primarily includes clients experiencing anxiety, depression, attachment difficulties, and marital and family conflict.
It is truly my joy and privilege to walk alongside individuals, couples, and families on their journey towards hope and healing. People consider therapy for many reasons and every reason is significant. Life can be difficult and suffering is inevitable at times. Relationships can also be challenging and people often desire more positive connection and understanding in relationship with those they love. I work with individuals, including children (age 7+), couples, and families to address these issues. My caseload primarily includes clients experiencing anxiety, depression, attachment difficulties, and marital and family conflict.
(952) 522-3160 View (952) 522-3160
Photo of Kotatee Tamba, Clinical Social Work/Therapist in Burnsville, MN
Kotatee Tamba
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Burnsville, MN 55337
Not accepting new clients
I have experience working with individuals, groups, and families. I have worked with individuals across the lifespan from age six to later adulthood. My therapeutic approach incorporates principles of client-centered, strengths-based, solution-focused, narrative and cognitive-behavioral therapy along with trauma informed care. I work with clients utilizes an individualized treatment approach because no two people are alike and each person's therapeutic journey is a unique experience. Although these are my approaches to therapy, I believes it is imperative to support clients the way they want to be supported and give them the opportunity to live life more meaningfully.
I have experience working with individuals, groups, and families. I have worked with individuals across the lifespan from age six to later adulthood. My therapeutic approach incorporates principles of client-centered, strengths-based, solution-focused, narrative and cognitive-behavioral therapy along with trauma informed care. I work with clients utilizes an individualized treatment approach because no two people are alike and each person's therapeutic journey is a unique experience. Although these are my approaches to therapy, I believes it is imperative to support clients the way they want to be supported and give them the opportunity to live life more meaningfully.
(952) 260-9460 View (952) 260-9460
Photo of InVision Therapy, PLLC, Clinical Social Work/Therapist in Burnsville, MN
InVision Therapy, PLLC
Clinical Social Work/Therapist, MSW, LICSW, C-SSWS
Verified Verified
Burnsville, MN 55337
Sometimes happiness feels just beyond your fingertips. You are struggling to juggle all of the aspects of life. You are feeling overwhelmed, worried, deep sadness, numb, exhausted, and/or you just don't feel good enough no matter what you do. Maybe you have had a recent life change/transition or maybe you have experienced trauma. You want to feel relief and you want to feel joy. You need an appointment soon and you want it to be with a therapist who is genuine, can understand your situation and needs, and who is able to help you accomplish your goals.
Sometimes happiness feels just beyond your fingertips. You are struggling to juggle all of the aspects of life. You are feeling overwhelmed, worried, deep sadness, numb, exhausted, and/or you just don't feel good enough no matter what you do. Maybe you have had a recent life change/transition or maybe you have experienced trauma. You want to feel relief and you want to feel joy. You need an appointment soon and you want it to be with a therapist who is genuine, can understand your situation and needs, and who is able to help you accomplish your goals.
(952) 592-6850 View (952) 592-6850
Photo of Water's Edge Counseling & Healing Center, Psychologist in Burnsville, MN
Water's Edge Counseling & Healing Center
Psychologist, PhD
Verified Verified
Burnsville, MN 55306
We are dedicated to reclaiming lives limited by eating disorders, depression, anxiety, trauma and other psychological/behavioral struggles for all ages. Water's Edge CHC believes that ultimate healing happens when one approaches healing from a whole-person perspective (biological, psychological, social and spiritual) within a caring, confidential and collaborative relationship. Water's Edge CHC strives to provide this treatment within a safe and homelike environment. We offer individual, group and intensive services.
We are dedicated to reclaiming lives limited by eating disorders, depression, anxiety, trauma and other psychological/behavioral struggles for all ages. Water's Edge CHC believes that ultimate healing happens when one approaches healing from a whole-person perspective (biological, psychological, social and spiritual) within a caring, confidential and collaborative relationship. Water's Edge CHC strives to provide this treatment within a safe and homelike environment. We offer individual, group and intensive services.
(952) 388-2292 View (952) 388-2292
Photo of Keith Narr, LADC, Drug & Alcohol Counselor in Burnsville, MN
Keith Narr, LADC
Drug & Alcohol Counselor, MPS , LADC, MBA
Verified Verified
1 Endorsed
Burnsville, MN 55337
I'm a Substance Use Disorder (SUD) Counselor in Private Practice who specifically addresses healing from substance use disorder through assessment, treatment planning, goal setting and implementing actions toward biological, psychological and sociological health. Evidence shows that SUD is as manageable as any other chronic disease when there's a plan in place - and the actions in support of that plan are working. Let me help you on your journey to recovery and a better life.
I'm a Substance Use Disorder (SUD) Counselor in Private Practice who specifically addresses healing from substance use disorder through assessment, treatment planning, goal setting and implementing actions toward biological, psychological and sociological health. Evidence shows that SUD is as manageable as any other chronic disease when there's a plan in place - and the actions in support of that plan are working. Let me help you on your journey to recovery and a better life.
(952) 592-3116 View (952) 592-3116
Photo of Joy Piccolino, Psychologist in Burnsville, MN
Joy Piccolino
Psychologist, PsyD, LP
Verified Verified
3 Endorsed
Burnsville, MN 55337
We all have times when we feel stuck or the stresses in our lives become overwhelming, and we need encouragement to move forward and thrive. I believe that together, you and I can navigate through the hard times and get through the pain, to get you back to a place of feeling happy, healthy, and satisfied in your relationships. If you are ready to take the next step, I am here to help.
We all have times when we feel stuck or the stresses in our lives become overwhelming, and we need encouragement to move forward and thrive. I believe that together, you and I can navigate through the hard times and get through the pain, to get you back to a place of feeling happy, healthy, and satisfied in your relationships. If you are ready to take the next step, I am here to help.
(952) 435-4074 View (952) 435-4074
Photo of Chase Claflin, Pre-Licensed Professional in Burnsville, MN
Chase Claflin
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Burnsville, MN 55337
Many men want healthy relationships but find themselves living a double life. Do you find yourself hiding infidelity, seeking out anonymous partners, compulsively using pornography, or struggling being open and honest in your relationships? Do you feel like there is a part of you that is uncontrollable, that you can't stop even though you are facing consequences - from your partner, your family, or your own shame and guilt?
Many men want healthy relationships but find themselves living a double life. Do you find yourself hiding infidelity, seeking out anonymous partners, compulsively using pornography, or struggling being open and honest in your relationships? Do you feel like there is a part of you that is uncontrollable, that you can't stop even though you are facing consequences - from your partner, your family, or your own shame and guilt?
(952) 230-1677 View (952) 230-1677
Photo of Angela Hoch, Clinical Social Work/Therapist in Burnsville, MN
Angela Hoch
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Burnsville, MN 55337
I believe therapy can create positive change in anyones life. It is important to carve out time in our busy world to explore ones sense of self and work towards bettering our lives. As a therapist I provide a supportive, honest and compassionate space. I focus on client-centered counseling and I believe everyone can change and has the ability to build a happy, healthy, full life. I have experience in: Substance abuse, AA, anxiety, depression, trauma, grief, loss, mood disorders, bipolar, schizophrenia, PTSD, and self harm.
I believe therapy can create positive change in anyones life. It is important to carve out time in our busy world to explore ones sense of self and work towards bettering our lives. As a therapist I provide a supportive, honest and compassionate space. I focus on client-centered counseling and I believe everyone can change and has the ability to build a happy, healthy, full life. I have experience in: Substance abuse, AA, anxiety, depression, trauma, grief, loss, mood disorders, bipolar, schizophrenia, PTSD, and self harm.
(612) 431-8804 View (612) 431-8804
Photo of Jerry Jorgenson, Pre-Licensed Professional in Burnsville, MN
Jerry Jorgenson
Pre-Licensed Professional, LGSW
Verified Verified
1 Endorsed
Burnsville, MN 55337
Seeking counseling as a man can be intimidating with all of the "bro codes" and expectations we put on ourselves. Whether there are issues with anxiety, depression, identity, trauma, relational issues, communication problems, I am here to help figure out how to navigate the emotions in a nonjudgmental way.
Seeking counseling as a man can be intimidating with all of the "bro codes" and expectations we put on ourselves. Whether there are issues with anxiety, depression, identity, trauma, relational issues, communication problems, I am here to help figure out how to navigate the emotions in a nonjudgmental way.
(952) 522-2424 View (952) 522-2424
Photo of Charles Schutt, Counselor in Burnsville, MN
Charles Schutt
Counselor, LPCC, LADC, CAMS-II
Verified Verified
Burnsville, MN 55337  (Online Only)
I want to help anyone who feels they are not able to be their best, most authentic self. I work with clients to help them achieve their goals, whatever they may be. I specifically want to ensure that people who may not have diagnosed mental health or substance use disorders have access to any help they may need.
I want to help anyone who feels they are not able to be their best, most authentic self. I work with clients to help them achieve their goals, whatever they may be. I specifically want to ensure that people who may not have diagnosed mental health or substance use disorders have access to any help they may need.
(612) 688-3995 View (612) 688-3995
Photo of Lexie McCarthy, Clinical Social Work/Therapist in Burnsville, MN
Lexie McCarthy
Clinical Social Work/Therapist, LICSW
Verified Verified
Burnsville, MN 55337  (Online Only)
I believe building trust and rapport with my clients is essential throughout their therapeutic journey. I view my space as an atmosphere of relaxation where individuals, couples and families can feel safe in expressing themselves. I understand the healing process is not linear, and each individual has their own unique journey toward recovery. I utilize a strength-based perspective with my clients and emphasize the distinctive strengths each individual holds which assist them in dealing with challenging situations that emerge in life. I am flexible with scheduling during evening hours.
I believe building trust and rapport with my clients is essential throughout their therapeutic journey. I view my space as an atmosphere of relaxation where individuals, couples and families can feel safe in expressing themselves. I understand the healing process is not linear, and each individual has their own unique journey toward recovery. I utilize a strength-based perspective with my clients and emphasize the distinctive strengths each individual holds which assist them in dealing with challenging situations that emerge in life. I am flexible with scheduling during evening hours.
(952) 260-6966 View (952) 260-6966
Photo of Jim Anderson, Psychologist in Burnsville, MN
Jim Anderson
Psychologist, MS, LP
Verified Verified
Burnsville, MN 55337
I've been working with children since 1991, mostly at the elementary and preschool age level. In the 90's I developed a passion for play therapy and began my own training and experience. Twenty years later I have my ideal space at Cashman Center where I provide play therapy every day, addressing everything from anxiety to trauma to attachment, teaching new skills including assertiveness, self-advocacy, and emotional independence, and consulting with families. With over twenty years of experience doing assessments in the schools, I continue to do assessments for learning styles, behavior and mood dysregulation, autism, and ADHD.
I've been working with children since 1991, mostly at the elementary and preschool age level. In the 90's I developed a passion for play therapy and began my own training and experience. Twenty years later I have my ideal space at Cashman Center where I provide play therapy every day, addressing everything from anxiety to trauma to attachment, teaching new skills including assertiveness, self-advocacy, and emotional independence, and consulting with families. With over twenty years of experience doing assessments in the schools, I continue to do assessments for learning styles, behavior and mood dysregulation, autism, and ADHD.
(952) 260-0311 View (952) 260-0311
Photo of Molly Shields-Englin, Marriage & Family Therapist Associate in Burnsville, MN
Molly Shields-Englin
Marriage & Family Therapist Associate, MA, LAMFT
Verified Verified
2 Endorsed
Burnsville, MN 55306
Taking the initial step in your healing journey can be challenging, especially when the path ahead is unclear. Maybe you need someone to walk that path with you, and I would be honored to be that person. I am a faith-based psychotherapist who enjoys working with adolescent and adult individuals, couples, and families. Whether you are processing past trauma, navigating current relationships, or ready to learn new skills to be your best self, I am here to help.
Taking the initial step in your healing journey can be challenging, especially when the path ahead is unclear. Maybe you need someone to walk that path with you, and I would be honored to be that person. I am a faith-based psychotherapist who enjoys working with adolescent and adult individuals, couples, and families. Whether you are processing past trauma, navigating current relationships, or ready to learn new skills to be your best self, I am here to help.
(952) 295-3981 View (952) 295-3981
Photo of Michaela Arellano, Licensed Professional Clinical Counselor in Burnsville, MN
Michaela Arellano
Licensed Professional Clinical Counselor, MPS, LPCC, LADC
Verified Verified
3 Endorsed
Burnsville, MN 55337
Waitlist for new clients
For many, going to therapy is a helpful component of their journey towards a healthier life. You may be considering therapy to overcome negative life experiences, change unhealthy thought patterns, work toward recovery from addiction, or to just feel healthier and happier. You may find yourself struggling with anxiety, depression, trauma, or relationships. I approach the therapeutic relationship as a collaborative effort wherein we can work together toward your goals. While growth is never easy, it is immensely rewarding!
For many, going to therapy is a helpful component of their journey towards a healthier life. You may be considering therapy to overcome negative life experiences, change unhealthy thought patterns, work toward recovery from addiction, or to just feel healthier and happier. You may find yourself struggling with anxiety, depression, trauma, or relationships. I approach the therapeutic relationship as a collaborative effort wherein we can work together toward your goals. While growth is never easy, it is immensely rewarding!
(612) 702-6012 View (612) 702-6012
Photo of Jessica DuPay Ellison, Counselor in Burnsville, MN
Jessica DuPay Ellison
Counselor, MA, LPCC
Verified Verified
1 Endorsed
Burnsville, MN 55337
We all possess the strength and ability to learn what motivates us and what holds us back. Together I'd like to create a plan to aid in reducing the pain and suffering with whatever struggles you have in life and learn new ways to find happiness and inner-peace. My passion for guiding youth has always been at the forefront of my practice. It can be difficult as a parent or guardian and see your child struggle with depression, anxiety, anger or self-esteem. I want to support your child in a way to become a happy healthy adult.
We all possess the strength and ability to learn what motivates us and what holds us back. Together I'd like to create a plan to aid in reducing the pain and suffering with whatever struggles you have in life and learn new ways to find happiness and inner-peace. My passion for guiding youth has always been at the forefront of my practice. It can be difficult as a parent or guardian and see your child struggle with depression, anxiety, anger or self-esteem. I want to support your child in a way to become a happy healthy adult.
(612) 326-9655 View (612) 326-9655
Photo of Robert Lopno and Associates, Psychologist in Burnsville, MN
Robert Lopno and Associates
Psychologist, MS Ed, LP
Verified Verified
Burnsville, MN 55337
You will have your concerns and needs readily understood and acknowledged throughout our important time together professionally. You may feel at a loss in your search for help and will find a kind, passionate, and respectful therapist here. Often "blind spots" stem from a long pattern of fear/avoidance of your authentic feelings, thoughts, and needs to grow fully into the person of whom you are intended. Together we will co-create a lifestyle and clear perspective more free from burdens.
You will have your concerns and needs readily understood and acknowledged throughout our important time together professionally. You may feel at a loss in your search for help and will find a kind, passionate, and respectful therapist here. Often "blind spots" stem from a long pattern of fear/avoidance of your authentic feelings, thoughts, and needs to grow fully into the person of whom you are intended. Together we will co-create a lifestyle and clear perspective more free from burdens.
(612) 688-5026 View (612) 688-5026
Photo of Phyllis Kulhanek, Psychologist in Burnsville, MN
Phyllis Kulhanek
Psychologist, MA, LP, LADC
Verified Verified
1 Endorsed
Burnsville, MN 55306
When we first meet, the first question I will ask you is "What can I help you with" and together we will begin your work. I will travel with you on YOUR journey, providing support and the skills needed, so you are able to find the meaning and happiness you are seeking. If your goal is to find more happiness in your life, and issues with anxiety, depression, mood disorders, managing anger, grief and loss, trauma, addiction and relationship problems, are getting in the way of achieving your goal, I am here to help.
When we first meet, the first question I will ask you is "What can I help you with" and together we will begin your work. I will travel with you on YOUR journey, providing support and the skills needed, so you are able to find the meaning and happiness you are seeking. If your goal is to find more happiness in your life, and issues with anxiety, depression, mood disorders, managing anger, grief and loss, trauma, addiction and relationship problems, are getting in the way of achieving your goal, I am here to help.
(952) 260-4096 View (952) 260-4096
Photo of Lauren Anderson, Marriage & Family Therapist Associate in Burnsville, MN
Lauren Anderson
Marriage & Family Therapist Associate, MA, LAMFT
Verified Verified
2 Endorsed
Burnsville, MN 55337  (Online Only)
Are you ready to go from feeling overwhelmed and barely making it to thriving by living fully present, authentic, and connected? If you answered yes, I'm your girl! I help high functioning women and couples heal and grow so they can live in the fullness of who God created them to be! What would it look like if you could live confidently connected to yourself and others, knowing that vulnerability is powerful, communication is key, and your experiences don't define you? Anxiety, fear, relational conflict, and self-doubt don't get the final word! You were created for more.
Are you ready to go from feeling overwhelmed and barely making it to thriving by living fully present, authentic, and connected? If you answered yes, I'm your girl! I help high functioning women and couples heal and grow so they can live in the fullness of who God created them to be! What would it look like if you could live confidently connected to yourself and others, knowing that vulnerability is powerful, communication is key, and your experiences don't define you? Anxiety, fear, relational conflict, and self-doubt don't get the final word! You were created for more.
(952) 592-9651 View (952) 592-9651

How does your Therapist compare?

Number of Therapists in Burnsville, MN

100+

Average cost per session

$150

Therapists in Burnsville, MN who prioritize treating:

93% Anxiety
92% Depression
83% Relationship Issues
80% Self Esteem
75% Trauma and PTSD
73% Coping Skills
70% Stress

Average years in practice

11 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
73% UCare
72% Aetna

How Therapists in Burnsville, MN see their clients

81% In Person and Online
19% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Burnsville?

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.