Therapists in Warwick, RI

Photo of Hayley Vine, Drug & Alcohol Counselor in Warwick, RI
Hayley Vine
Drug & Alcohol Counselor, MSW, LCDP, LCSW
Verified Verified
Warwick, RI 02886
No one can guarantee that all life’s problems will cease, however it is possible to find peace and develop skills that help us cope with our day-to-day struggles. As a Licensed Chemical Dependency Professional (LCDP) and a Licensed Clinical Social Worker (LCSW) currently working at the Northeast Family Services SUD Recovery Center, I am hopeful I can help you reach your desired goals. I provide a safe, secure, validating, non-judgmental, peaceful space for people to explore and build a healthy mindset.
No one can guarantee that all life’s problems will cease, however it is possible to find peace and develop skills that help us cope with our day-to-day struggles. As a Licensed Chemical Dependency Professional (LCDP) and a Licensed Clinical Social Worker (LCSW) currently working at the Northeast Family Services SUD Recovery Center, I am hopeful I can help you reach your desired goals. I provide a safe, secure, validating, non-judgmental, peaceful space for people to explore and build a healthy mindset.
(401) 556-4445 View (401) 556-4445
Photo of Amanda Stevens, Clinical Social Work/Therapist in Warwick, RI
Amanda Stevens
Clinical Social Work/Therapist, LMHC
Verified Verified
Warwick, RI 02886
Amanda Stevens is a Licensed Mental Health Counselor candidate in Rhode Island who has been practicing since 2023. She earned her Bachelor’s degree in Psychology from Southern New Hampshire University online in 2021. She continued attending SNHU online for her Master’s where she graduated in 2023. Amanda has always had a passion for mental health and has worked in the childcare field for 13 years. This includes working in special education, foster care and working with individuals with developmental disabilities. Amanda takes her experience and knowledge to challenge and push her clients to be the best they could be.
Amanda Stevens is a Licensed Mental Health Counselor candidate in Rhode Island who has been practicing since 2023. She earned her Bachelor’s degree in Psychology from Southern New Hampshire University online in 2021. She continued attending SNHU online for her Master’s where she graduated in 2023. Amanda has always had a passion for mental health and has worked in the childcare field for 13 years. This includes working in special education, foster care and working with individuals with developmental disabilities. Amanda takes her experience and knowledge to challenge and push her clients to be the best they could be.
(401) 227-3144 View (401) 227-3144
Photo of Palma Terranova, Counselor in Warwick, RI
Palma Terranova
Counselor, MS, CAGS, LMHC
Verified Verified
Warwick, RI 02886
Accepting New Patients. Specializing in anxiety, depression, academic and career placement, grief and loss, transition and relationships. Developing and maintaining balance within our lives can be quite challenging given the complicated lives we lead. We all have a journey to walk and we do have choices within that journey. It's important to recognize when our balance is off in our journey and seek out professional help for guidance or just to listen. Look forward to working with individuals who are motivated to work toward their own emotional growth and balance.
Accepting New Patients. Specializing in anxiety, depression, academic and career placement, grief and loss, transition and relationships. Developing and maintaining balance within our lives can be quite challenging given the complicated lives we lead. We all have a journey to walk and we do have choices within that journey. It's important to recognize when our balance is off in our journey and seek out professional help for guidance or just to listen. Look forward to working with individuals who are motivated to work toward their own emotional growth and balance.
(401) 753-3541 View (401) 753-3541
Photo of Diane Ferrara, Clinical Social Work/Therapist in Warwick, RI
Diane Ferrara
Clinical Social Work/Therapist, LICSW
Verified Verified
Warwick, RI 02886  (Online Only)
I believe the most important part of therapy is having a connection and feeling comfortable with your therapist. My goal is to create a safe, warm, judgement free space for you to grow and to learn to love yourself.
I believe the most important part of therapy is having a connection and feeling comfortable with your therapist. My goal is to create a safe, warm, judgement free space for you to grow and to learn to love yourself.
(401) 740-3511 View (401) 740-3511
Photo of Infused With Love Therapy, LLC, Counselor in Warwick, RI
Infused With Love Therapy, LLC
Counselor, MS, LMHC
Verified Verified
Warwick, RI 02886
We are a husband and wife private practice based in Rhode Island with a focus on Talk Therapy, Ketamine Therapy, Life Coaching, EMDR, Frequency Therapy, and Numerology. Alyea, is a licensed Psychotherapist with over 17 years of experience and Joseph is a certified Life/Recovery coach and Numerologist. We have combined our experiences and skills to bring you an unparalleled level of mental health service that can be catered to your unique needs and goals. We are passionate about helping you get back on track in any area of your life. With that being said, we would love to meet you and we are genuinely excited to go on this journey
We are a husband and wife private practice based in Rhode Island with a focus on Talk Therapy, Ketamine Therapy, Life Coaching, EMDR, Frequency Therapy, and Numerology. Alyea, is a licensed Psychotherapist with over 17 years of experience and Joseph is a certified Life/Recovery coach and Numerologist. We have combined our experiences and skills to bring you an unparalleled level of mental health service that can be catered to your unique needs and goals. We are passionate about helping you get back on track in any area of your life. With that being said, we would love to meet you and we are genuinely excited to go on this journey
(401) 200-3566 View (401) 200-3566
Photo of Rudo Cusack, Counselor in Warwick, RI
Rudo Cusack
Counselor, LMHC, CRC, MBA
Verified Verified
1 Endorsed
Warwick, RI 02886  (Online Only)
I believe one of the bravest things you can do is begin to understand your own story. My ideal client is focused on personal growth and healing. If you feel stressed, anxious, and scared, this is a great time to reach out and find support. If you are dealing with loss, a traumatic past, relationship issues, women's issues, or work stresses, let's work together to help you cope with life's stressors. My goal is to help you navigate challenges, make sense of your experiences, and find hope, joy, and healing.
I believe one of the bravest things you can do is begin to understand your own story. My ideal client is focused on personal growth and healing. If you feel stressed, anxious, and scared, this is a great time to reach out and find support. If you are dealing with loss, a traumatic past, relationship issues, women's issues, or work stresses, let's work together to help you cope with life's stressors. My goal is to help you navigate challenges, make sense of your experiences, and find hope, joy, and healing.
(401) 240-1842 View (401) 240-1842
Photo of Healing Rhode Clinical Services, LLC, Counselor in Warwick, RI
Healing Rhode Clinical Services, LLC
Counselor, LMHC
Verified Verified
Warwick, RI 02888
Healing Rhode Clinical Services, LLC, is a small private practice located in Warwick, RI, which offers professional and evidenced based mental health treatment to those who have suffered traumatic events in their lives, struggle with depression, anxiety, or relational conflicts and are seeking an empathetic and teamed based approach in their recovery process.
Healing Rhode Clinical Services, LLC, is a small private practice located in Warwick, RI, which offers professional and evidenced based mental health treatment to those who have suffered traumatic events in their lives, struggle with depression, anxiety, or relational conflicts and are seeking an empathetic and teamed based approach in their recovery process.
(401) 903-3981 View (401) 903-3981
Photo of Heather Wilder, Psychologist in Warwick, RI
Heather Wilder
Psychologist, PsyD
Verified Verified
Warwick, RI 02886
Not accepting new clients
** CURRENTING NOT ACCEPTING NEW CLIENTS ** I believe we each do our best to survive whatever environment we are in. Sometimes, the things we do to survive are not as effective as they once were. We may need to consider other ways to cope or enhance those that we already have. Therapy can be a way to do that. My goal is to provide a supportive, nonjudgmental place for you to explore ways to feel better and to understand your distress. Working together, we will find the path that works best for you.
** CURRENTING NOT ACCEPTING NEW CLIENTS ** I believe we each do our best to survive whatever environment we are in. Sometimes, the things we do to survive are not as effective as they once were. We may need to consider other ways to cope or enhance those that we already have. Therapy can be a way to do that. My goal is to provide a supportive, nonjudgmental place for you to explore ways to feel better and to understand your distress. Working together, we will find the path that works best for you.
(401) 308-4092 View (401) 308-4092
Photo of Center For Change , Psychologist in Warwick, RI
Center For Change
Psychologist, PsyD, LMHC, LICSW
Verified Verified
1 Endorsed
Warwick, RI 02888
Our goal is to provide a peaceful environment, free of judgment, in order to facilitate healing. Our offices are private with plenty of off street parking. We work with couples, individuals, and families to help them get the most from their relationships and their lives. We use proven approaches with a focus on relieving symptoms and relapse prevention. Through this work you may free yourself from stress, anger, sadness, anxiety and help you live your life to the fullest .
Our goal is to provide a peaceful environment, free of judgment, in order to facilitate healing. Our offices are private with plenty of off street parking. We work with couples, individuals, and families to help them get the most from their relationships and their lives. We use proven approaches with a focus on relieving symptoms and relapse prevention. Through this work you may free yourself from stress, anger, sadness, anxiety and help you live your life to the fullest .
(401) 415-7200 View (401) 415-7200
Photo of Sandy Gomes, Clinical Social Work/Therapist in Warwick, RI
Sandy Gomes
Clinical Social Work/Therapist, LICSW, MSW, CCTP II, CGP
Verified Verified
1 Endorsed
Warwick, RI 02886
Hi there! I acknowledge that seeking therapeutic services may feel uncomfortable; however, seeking support shows courage and strength. I’m an integrative therapist combining multiple evidence-based treatment approaches and modalities. I foster a therapeutic environment of safety, warmth, strengths-based, compassion, and unconditional positive regard. Together we'll create a space for you to explore your authentic self, emotional exploration, and healing, leading to a more balanced life. The start of your therapeutic journey and improved sense of self starts today, and you deserve it!
Hi there! I acknowledge that seeking therapeutic services may feel uncomfortable; however, seeking support shows courage and strength. I’m an integrative therapist combining multiple evidence-based treatment approaches and modalities. I foster a therapeutic environment of safety, warmth, strengths-based, compassion, and unconditional positive regard. Together we'll create a space for you to explore your authentic self, emotional exploration, and healing, leading to a more balanced life. The start of your therapeutic journey and improved sense of self starts today, and you deserve it!
(401) 329-9791 View (401) 329-9791
Photo of Jenny DeSilva, Counselor in Warwick, RI
Jenny DeSilva
Counselor, LMHC
Verified Verified
1 Endorsed
Warwick, RI 02886  (Online Only)
I am a Licensed Mental Health Counselor in Rhode Island. I have over 10 years experience in trauma-informed work, including family dynamics, children, teens, young adults, and adults. I completed a my Masters of Arts in Professional Counseling from Seton Hall University and I previously worked in private practice, agency, and in-home settings. 
Using a variety of psychodynamic approaches as well as holistic strategies, I work with each client to create a treatment plan that reflects the goals and lifestyle of each individual.
I am a Licensed Mental Health Counselor in Rhode Island. I have over 10 years experience in trauma-informed work, including family dynamics, children, teens, young adults, and adults. I completed a my Masters of Arts in Professional Counseling from Seton Hall University and I previously worked in private practice, agency, and in-home settings. 
Using a variety of psychodynamic approaches as well as holistic strategies, I work with each client to create a treatment plan that reflects the goals and lifestyle of each individual.
(401) 409-8760 View (401) 409-8760
Photo of Stavroula Kulpa, Counselor in Warwick, RI
Stavroula Kulpa
Counselor, LMHC
Verified Verified
Warwick, RI 02888
I first developed an interest in psychology at the age of 13. I remember telling my parents I was going to be a child psychology. I loved children and wanted to help those children who were less fortunate than myself. I began my career working with adolescents in a group home at the age of 20 as a milieu counselor. I was their to support the residences during times of high stress as well as assist them in completing their daily responsibilities.
I first developed an interest in psychology at the age of 13. I remember telling my parents I was going to be a child psychology. I loved children and wanted to help those children who were less fortunate than myself. I began my career working with adolescents in a group home at the age of 20 as a milieu counselor. I was their to support the residences during times of high stress as well as assist them in completing their daily responsibilities.
(401) 358-6352 View (401) 358-6352
Photo of Cassie Leigh Perry in Warwick, RI
Cassie Leigh Perry
MA
Verified Verified
1 Endorsed
Warwick, RI 02886
Masters level Outpatient Therapist currently working at Northeast Family Services. University of Massachusetts Dartmouth Alumni where I received my Masters degree in Clinical Psychology. I have over 10 years of clinical experience working with diverse populations and a multitude of diagnoses. My current areas of clinical focus include treating complex trauma, Substance Use, NSSI, Disorders of Sex and Gender, MIPSB, Anxiety related Disorders, Affective Disorders and Personality Disorders. I have a strengths based, person centered clinical orientation with robust knowledge in Postive Psychology.
Masters level Outpatient Therapist currently working at Northeast Family Services. University of Massachusetts Dartmouth Alumni where I received my Masters degree in Clinical Psychology. I have over 10 years of clinical experience working with diverse populations and a multitude of diagnoses. My current areas of clinical focus include treating complex trauma, Substance Use, NSSI, Disorders of Sex and Gender, MIPSB, Anxiety related Disorders, Affective Disorders and Personality Disorders. I have a strengths based, person centered clinical orientation with robust knowledge in Postive Psychology.
(401) 262-4380 View (401) 262-4380
Photo of Samuel P Lauro, Clinical Social Work/Therapist in Warwick, RI
Samuel P Lauro
Clinical Social Work/Therapist, LCSW
Verified Verified
Warwick, RI 02886
Children and Adults ages 6-65. Assist with a whole host of diagnoses and issues that clients present with, specializing in treatment for ADHD, Depression and Anxiety. Samuel likes to facilitate sessions in a way where the client is made to feel comfortable and safe while having a friendly rapport, taking the "friendly ear versus service robot" approach.
Children and Adults ages 6-65. Assist with a whole host of diagnoses and issues that clients present with, specializing in treatment for ADHD, Depression and Anxiety. Samuel likes to facilitate sessions in a way where the client is made to feel comfortable and safe while having a friendly rapport, taking the "friendly ear versus service robot" approach.
(401) 556-4445 View (401) 556-4445
Photo of Elizabeth Holtzman, Psychologist in Warwick, RI
Elizabeth Holtzman
Psychologist, PsyD
Verified Verified
Warwick, RI 02888
Elizabeth Gibbons Holtzman, Ph.D. is a licensed psychologist who provides strength- based therapy for children, adolescents and young adults. Her work has been informed by cognitive behavioral therapies, attachment theory and her own mindfulness practice. Dr. Holtzman is committed to developing a responsive and productive therapeutic relationship which allows for both the desired and often unexpected growth and change that occurs in the context of open, supportive, held space.
Elizabeth Gibbons Holtzman, Ph.D. is a licensed psychologist who provides strength- based therapy for children, adolescents and young adults. Her work has been informed by cognitive behavioral therapies, attachment theory and her own mindfulness practice. Dr. Holtzman is committed to developing a responsive and productive therapeutic relationship which allows for both the desired and often unexpected growth and change that occurs in the context of open, supportive, held space.
(401) 340-3365 View (401) 340-3365
Photo of Kathleen O'Rourke, Counselor in Warwick, RI
Kathleen O'Rourke
Counselor, MA, CAGS, LMHC
Verified Verified
2 Endorsed
Warwick, RI 02886
The depression, anxiety, panic and relationship issues we experience are often signals that we need to stop and explore new ways of managing or new ways of thinking. Sometimes the stressors in our lives become overwhelming. Transitions for children, teens, young adults and even older adults can be daunting, scary and full of stress. It is often so helpful to take the time to explore new solutions or new perspectives and in my office we work together to make this happen. In this therapeutic process, you will safely and effectively learn to manage present time difficulties as well as heal past emotional injuries and loss.
The depression, anxiety, panic and relationship issues we experience are often signals that we need to stop and explore new ways of managing or new ways of thinking. Sometimes the stressors in our lives become overwhelming. Transitions for children, teens, young adults and even older adults can be daunting, scary and full of stress. It is often so helpful to take the time to explore new solutions or new perspectives and in my office we work together to make this happen. In this therapeutic process, you will safely and effectively learn to manage present time difficulties as well as heal past emotional injuries and loss.
(401) 523-8968 View (401) 523-8968
Photo of Emily C Flavin, Mental Health Counselor in Warwick, RI
Emily C Flavin
Mental Health Counselor, MS, LMHC
Verified Verified
Warwick, RI 02888  (Online Only)
Together we will learn your unique attributes and qualities and hold space to determine which direction is right for you. My approach is client centered, while also utilizing some additional therapeutic tools and frameworks from modalities such as cognitive behavioral therapy, acceptance and commitment therapy, psychodynamic and family of origin frameworks, trauma focused care, self compassion framework and mindfulness therapy. We will work together to generate some traction along the way. Life is a journey, and so we do our best to work on taking the next step.
Together we will learn your unique attributes and qualities and hold space to determine which direction is right for you. My approach is client centered, while also utilizing some additional therapeutic tools and frameworks from modalities such as cognitive behavioral therapy, acceptance and commitment therapy, psychodynamic and family of origin frameworks, trauma focused care, self compassion framework and mindfulness therapy. We will work together to generate some traction along the way. Life is a journey, and so we do our best to work on taking the next step.
(401) 208-2771 View (401) 208-2771
Photo of Whitney Hall, Clinical Social Work/Therapist in Warwick, RI
Whitney Hall
Clinical Social Work/Therapist, LICSW
Verified Verified
Warwick, RI 02886
Whitney Hall is a Licensed Independent Clinical Social Worker in Rhode Island with 10 years of experience providing clinical services to individuals and families ranging from age 10 to age 89. She received her Master's degree in Social Work from Rhode Island College, specializing in Psychiatric Health. Whitney's philosophy utilizes an empathic, compassionate, and collaborative approach with a goal to help individuals identify their needs and provide practical skills that will enhance their ability to prosper, while acknowledging and fostering personal strengths.
Whitney Hall is a Licensed Independent Clinical Social Worker in Rhode Island with 10 years of experience providing clinical services to individuals and families ranging from age 10 to age 89. She received her Master's degree in Social Work from Rhode Island College, specializing in Psychiatric Health. Whitney's philosophy utilizes an empathic, compassionate, and collaborative approach with a goal to help individuals identify their needs and provide practical skills that will enhance their ability to prosper, while acknowledging and fostering personal strengths.
(401) 681-8822 View (401) 681-8822
Photo of Michaela Cook, Clinical Social Work/Therapist in Warwick, RI
Michaela Cook
Clinical Social Work/Therapist, LICSW
Verified Verified
Warwick, RI 02888
Michaela Cook is a Licensed Independent Clinical Social Worker in Rhode Island who has been practicing since 2014. She has a Master's of Clinical Social Work from Boston University School of Social Work and a Dual Bachelor's of Arts Elementary Education and Sociology/Anthropology from Saint Michael's College. Michaela will empower her clients to fulfill their potential while making changes for the betterment of their true selves while supporting their ability to be true to their authentic selves. "Never give up on someone with a mental illness. When I is replaced by We, illness becomes wellness" Shannon L.
Michaela Cook is a Licensed Independent Clinical Social Worker in Rhode Island who has been practicing since 2014. She has a Master's of Clinical Social Work from Boston University School of Social Work and a Dual Bachelor's of Arts Elementary Education and Sociology/Anthropology from Saint Michael's College. Michaela will empower her clients to fulfill their potential while making changes for the betterment of their true selves while supporting their ability to be true to their authentic selves. "Never give up on someone with a mental illness. When I is replaced by We, illness becomes wellness" Shannon L.
(401) 343-7834 View (401) 343-7834
Photo of Shelby Petro, Counselor in Warwick, RI
Shelby Petro
Counselor, LMHC
Verified Verified
Warwick, RI 02886
Waitlist for new clients
Hi, I am a trauma-informed therapist who is licensed in both Rhode Island and Massachusetts, I am currently accepting new clients starting at 18 years of age. Are you struggling with managing the stressors of life? Do you feel like it's hard to connect with professionals who genuinely understand you? Is it challenging to separate your previous life experiences from the present moment? Together, we will work to find the approach that is best tailored toward your needs and utilize evidenced based practices such as EMDR, DBT, CBT, and the FLASH technique.
Hi, I am a trauma-informed therapist who is licensed in both Rhode Island and Massachusetts, I am currently accepting new clients starting at 18 years of age. Are you struggling with managing the stressors of life? Do you feel like it's hard to connect with professionals who genuinely understand you? Is it challenging to separate your previous life experiences from the present moment? Together, we will work to find the approach that is best tailored toward your needs and utilize evidenced based practices such as EMDR, DBT, CBT, and the FLASH technique.
(401) 388-3711 View (401) 388-3711

How does your Therapist compare?

Number of Therapists in Warwick, RI

300+

Average cost per session

$125

Therapists in Warwick, RI who prioritize treating:

96% Anxiety
91% Depression
70% Relationship Issues
67% Trauma and PTSD
67% Self Esteem
63% Coping Skills
58% Grief

Average years in practice

12 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
84% UnitedHealthcare UHC | UBH
66% Optum

How Therapists in Warwick, RI see their clients

79% In Person and Online
21% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Warwick?

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.