Therapists in New Brighton, MN

Photo of Stacy Coleman Symons, Psychologist in New Brighton, MN
Stacy Coleman Symons
Psychologist, PhD, LP
Verified Verified
New Brighton, MN 55112  (Online Only)
Not accepting new clients
I work with individuals (adults and adolescents), couples, and families. I enjoy working closely with my clients to treat a wide variety of medical and mental health conditions. My specialty areas include mood and anxiety disorders, trauma, complicated grief, and severe mental illness. I also work to help individuals and families cope with the psychological challenges associated with a variety of acute and chronic medical conditions, including cancer, rare developmental and genetic conditions and organ failure/transplant. I particularly enjoy working with armed forces veterans and their families, as well as members of the LGBTQ+ community and their allies.
I work with individuals (adults and adolescents), couples, and families. I enjoy working closely with my clients to treat a wide variety of medical and mental health conditions. My specialty areas include mood and anxiety disorders, trauma, complicated grief, and severe mental illness. I also work to help individuals and families cope with the psychological challenges associated with a variety of acute and chronic medical conditions, including cancer, rare developmental and genetic conditions and organ failure/transplant. I particularly enjoy working with armed forces veterans and their families, as well as members of the LGBTQ+ community and their allies.
(612) 294-7310 View (612) 294-7310
Photo of Heather A Liebswager, Counselor in New Brighton, MN
Heather A Liebswager
Counselor, MA, LPCC
Verified Verified
New Brighton, MN 55112
I have helped many people succeed with life transitions that were struggling to make changes on their own. It’s difficult to know what to do when you’re hurting while also navigating a change in relationship or job or moving. It can feel very isolating. In therapy you’re able to take the time for you to get the answers you’re looking for and the relief from the pain. If you are a person who is suffering from separation or divorce, a person who is anxious about a change in career, or has experienced trauma(s) that impact you today I can help.
I have helped many people succeed with life transitions that were struggling to make changes on their own. It’s difficult to know what to do when you’re hurting while also navigating a change in relationship or job or moving. It can feel very isolating. In therapy you’re able to take the time for you to get the answers you’re looking for and the relief from the pain. If you are a person who is suffering from separation or divorce, a person who is anxious about a change in career, or has experienced trauma(s) that impact you today I can help.
(651) 376-2604 View (651) 376-2604
Photo of Dr. Priya Ratty, Pre-Licensed Professional in New Brighton, MN
Dr. Priya Ratty
Pre-Licensed Professional, PsyD
Verified Verified
New Brighton, MN 55112  (Online Only)
Vulnerability drives the therapeutic process which leads to personal growth and transformation, however, the path to vulnerability lies in the collaborative relationship between the therapist and the client. It is essential to understand that the journey toward healing starts with a deeper understanding of oneself, followed by acceptance of who you are before any positive change can be achieved. The central themes and patterns that we develop during the early stage of our lives play a vital role in the quality of relationships that we develop with ourselves and others as we transcend into our adulthood.
Vulnerability drives the therapeutic process which leads to personal growth and transformation, however, the path to vulnerability lies in the collaborative relationship between the therapist and the client. It is essential to understand that the journey toward healing starts with a deeper understanding of oneself, followed by acceptance of who you are before any positive change can be achieved. The central themes and patterns that we develop during the early stage of our lives play a vital role in the quality of relationships that we develop with ourselves and others as we transcend into our adulthood.
(651) 240-6133 View (651) 240-6133
Photo of Mark Sundby, Psychologist in New Brighton, MN
Mark Sundby
Psychologist, MDiv, PhD, LP
Verified Verified
New Brighton, MN 55112
What would you give to feel satisfied with life again? I can help. Together, we'll implement practices demonstrated by psychological science for over fifty years to be highly effective in restoring peace of mind and offering hope for the future. You will begin to understand how certain thoughts and behaviors interfere with well-being, how others create happiness, and how to consciously choose to live in a way that contributes to greater life satisfaction for yourself and others. I have seen countless lives transformed through learning these straightforward and easy-to-understand techniques. In fact, I practice them myself.
What would you give to feel satisfied with life again? I can help. Together, we'll implement practices demonstrated by psychological science for over fifty years to be highly effective in restoring peace of mind and offering hope for the future. You will begin to understand how certain thoughts and behaviors interfere with well-being, how others create happiness, and how to consciously choose to live in a way that contributes to greater life satisfaction for yourself and others. I have seen countless lives transformed through learning these straightforward and easy-to-understand techniques. In fact, I practice them myself.
(651) 321-5197 View (651) 321-5197
Photo of Dr. Sydney Rose Eckert, Pre-Licensed Professional in New Brighton, MN
Dr. Sydney Rose Eckert
Pre-Licensed Professional, PhD
Verified Verified
New Brighton, MN 55112
Waitlist for new clients
Living in hell? I am here to help. If you are experiencing anxiety, depression, PTSD, or BPD, I may be a great fit for you. I provide skills to alleviate symptoms like suicidality, self-harm, emotion dysregulation, relationship problems, sleep disturbances, and feeling out of control. If you are diagnosed with a medical condition, have cognitive impairment, or are a caregiver, I also may be a great fit. I find value in supporting clients and their families through life-changing medical events or diagnoses, end-of-life care, and disability. Let's work together to help you move through and out of hell.
Living in hell? I am here to help. If you are experiencing anxiety, depression, PTSD, or BPD, I may be a great fit for you. I provide skills to alleviate symptoms like suicidality, self-harm, emotion dysregulation, relationship problems, sleep disturbances, and feeling out of control. If you are diagnosed with a medical condition, have cognitive impairment, or are a caregiver, I also may be a great fit. I find value in supporting clients and their families through life-changing medical events or diagnoses, end-of-life care, and disability. Let's work together to help you move through and out of hell.
(651) 371-7996 View (651) 371-7996
Photo of Jari Welle, Marriage & Family Therapist in New Brighton, MN
Jari Welle
Marriage & Family Therapist, MA, LMFT, RYT500
Verified Verified
3 Endorsed
New Brighton, MN 55112
Do you feel sad or anxious daily? Is this getting in the way of you living the life you really want to live? My approach in working with clients involves empowering, emotionally focused work, which includes building a connection for better growth during your therapy journey. I believe in supporting each client along the path of their own healing journey toward positive transformation, and in doing so, helping clients live a more happy and balanced life. I enjoy seeing clients with relationship issues, depression and anxiety.
Do you feel sad or anxious daily? Is this getting in the way of you living the life you really want to live? My approach in working with clients involves empowering, emotionally focused work, which includes building a connection for better growth during your therapy journey. I believe in supporting each client along the path of their own healing journey toward positive transformation, and in doing so, helping clients live a more happy and balanced life. I enjoy seeing clients with relationship issues, depression and anxiety.
(651) 433-6295 View (651) 433-6295
Photo of Benjamin Graham Monseth, Marriage & Family Therapist in New Brighton, MN
Benjamin Graham Monseth
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
New Brighton, MN 55112
I am a practitioner that firmly believes everyone's story matters and deserves a validating, attentive, and non-anxious guiding presence through the hope, support and the healing it desires. I'm a practitioner that utilizes a variety of theories and practices in supporting each client's hopes and needs. I am a practitioner of family systems theory, as well as relational, spiritual and trauma-informed approaches. This means that in addition to assessment, diagnosis, treatment, and utilization of several therapy modalities, I take seriously the intergenerational, relational, spiritual and trauma narrative of each client.
I am a practitioner that firmly believes everyone's story matters and deserves a validating, attentive, and non-anxious guiding presence through the hope, support and the healing it desires. I'm a practitioner that utilizes a variety of theories and practices in supporting each client's hopes and needs. I am a practitioner of family systems theory, as well as relational, spiritual and trauma-informed approaches. This means that in addition to assessment, diagnosis, treatment, and utilization of several therapy modalities, I take seriously the intergenerational, relational, spiritual and trauma narrative of each client.
(763) 230-0131 View (763) 230-0131
Photo of Alexis Stone, Marriage & Family Therapist Intern in New Brighton, MN
Alexis Stone
Marriage & Family Therapist Intern, MHP
Verified Verified
1 Endorsed
New Brighton, MN 55112
If you are looking for a therapist who is present, genuine, and offers a caring and therapeutic space, then we might be a match. I love working with clients who are brand new to therapy and might feel a bit nervous. And clients who have been in therapy previously and may already know what they want out of the experience. Wherever you are on your journey, my mission is to meet you right where you are and walk alongside you to achieve the goals and dreams you have, or perhaps work to develop them altogether. I am also trained in Brainspotting which can be especially powerful for clients with a history of trauma.
If you are looking for a therapist who is present, genuine, and offers a caring and therapeutic space, then we might be a match. I love working with clients who are brand new to therapy and might feel a bit nervous. And clients who have been in therapy previously and may already know what they want out of the experience. Wherever you are on your journey, my mission is to meet you right where you are and walk alongside you to achieve the goals and dreams you have, or perhaps work to develop them altogether. I am also trained in Brainspotting which can be especially powerful for clients with a history of trauma.
(651) 409-3487 View (651) 409-3487
Photo of Estefania Sedarski, Pre-Licensed Professional in New Brighton, MN
Estefania Sedarski
Pre-Licensed Professional, MA
Verified Verified
New Brighton, MN 55112
I am a therapist for those who are looking to find their own place within this cosmos of existence. With all the cultural programming within this world it is difficult to find our own core truths and how to navigate within them towards our own version of a fulfilling life. I work with individuals and relationships looking to find and understand their own truths about themselves, their existence and how to navigate in a world that so often is not built for our own wellness. From highly sensitive persons, to artists, and Queer folx, immigrants and multiracial persons, I am here to help you find what is getting in the way of thriving.
I am a therapist for those who are looking to find their own place within this cosmos of existence. With all the cultural programming within this world it is difficult to find our own core truths and how to navigate within them towards our own version of a fulfilling life. I work with individuals and relationships looking to find and understand their own truths about themselves, their existence and how to navigate in a world that so often is not built for our own wellness. From highly sensitive persons, to artists, and Queer folx, immigrants and multiracial persons, I am here to help you find what is getting in the way of thriving.
(651) 362-4587 View (651) 362-4587
Photo of Conscious Healing Counseling, Counselor in New Brighton, MN
Conscious Healing Counseling
Counselor
Verified Verified
New Brighton, MN 55112
Deciding to change takes courage. Starting therapy takes courage. Many only call a therapist when they have tried everything they know to do. Others are tired of reaching the same crossroads time and again - whether in our personal lives (with issues such as anxiety, depression, fear), in our relationships (communication, intimacy, etc.), or a past experience that keeps one from living the full life once imagined. Whatever brings you to therapy, Conscious Healing Counseling is happy to discuss the many options available to you and how we can be most helpful.
Deciding to change takes courage. Starting therapy takes courage. Many only call a therapist when they have tried everything they know to do. Others are tired of reaching the same crossroads time and again - whether in our personal lives (with issues such as anxiety, depression, fear), in our relationships (communication, intimacy, etc.), or a past experience that keeps one from living the full life once imagined. Whatever brings you to therapy, Conscious Healing Counseling is happy to discuss the many options available to you and how we can be most helpful.
(651) 321-5962 View (651) 321-5962
Photo of Lydia Musiimenta Heaney, Pre-Licensed Professional in New Brighton, MN
Lydia Musiimenta Heaney
Pre-Licensed Professional, MS
Verified Verified
New Brighton, MN 55112
In my sessions, I am intentional about offering you a safe space while I be the human who listens with genuine curiosity. I want to walk this unpredictable journey of life alongside you. Life is full of moments, some are joyful, others are depressing and everything in between. All these moments are worth being seen, you are worth being seen and heard. Come in and let us do this life thing together!
In my sessions, I am intentional about offering you a safe space while I be the human who listens with genuine curiosity. I want to walk this unpredictable journey of life alongside you. Life is full of moments, some are joyful, others are depressing and everything in between. All these moments are worth being seen, you are worth being seen and heard. Come in and let us do this life thing together!
(651) 615-3508 View (651) 615-3508
Photo of Whitney Bergstresser, Drug & Alcohol Counselor in New Brighton, MN
Whitney Bergstresser
Drug & Alcohol Counselor, LADC
Verified Verified
2 Endorsed
New Brighton, MN 55112
Through personal experience during my time in the military as well as occupational experience working within the chemical dependency field I have seen first hand the curveballs that life can throw at us sometimes. But the beauty is that you don’t have to walk through these experiences alone. Some of the biggest signs of true strength come from embracing our vulnerability and reaching out to ask for help. I embrace empathy, curiosity and humor when working with clients. I work with adolescents (15+) and adults. My areas of interest include working with individuals struggling with addiction, anxiety, depression, and trauma.
Through personal experience during my time in the military as well as occupational experience working within the chemical dependency field I have seen first hand the curveballs that life can throw at us sometimes. But the beauty is that you don’t have to walk through these experiences alone. Some of the biggest signs of true strength come from embracing our vulnerability and reaching out to ask for help. I embrace empathy, curiosity and humor when working with clients. I work with adolescents (15+) and adults. My areas of interest include working with individuals struggling with addiction, anxiety, depression, and trauma.
(651) 661-3382 View (651) 661-3382
Photo of Ashley Toussaint, Pre-Licensed Professional in New Brighton, MN
Ashley Toussaint
Pre-Licensed Professional, MA
Verified Verified
New Brighton, MN 55112
I am passionate about working with pre-teens, teens, and young adults to support their emotional well-being and healthy relationships. As someone with extensive experience working with children, and having children of my own, I am also passionate about supporting parents in the many ups and downs of parenting, and supporting mothers in the tender post-partum months and years. My areas of interest include anxiety, depression, self-esteem, trauma, life transitions, parenting, and relationship concerns.
I am passionate about working with pre-teens, teens, and young adults to support their emotional well-being and healthy relationships. As someone with extensive experience working with children, and having children of my own, I am also passionate about supporting parents in the many ups and downs of parenting, and supporting mothers in the tender post-partum months and years. My areas of interest include anxiety, depression, self-esteem, trauma, life transitions, parenting, and relationship concerns.
(651) 504-0163 View (651) 504-0163
Photo of Dr. Chris Pfleghaar, Psychologist in New Brighton, MN
Dr. Chris Pfleghaar
Psychologist, PsyD
Verified Verified
New Brighton, MN 55112  (Online Only)
I have been practicing therapy in various settings since 2013. I enjoy working with adults, older-adults and have a specific passion for helping emerging adults. In therapy, I engage with my clients through curiosity, creativity, humor, empathy and collaboration. I also emphasize skills-building, value-guided behaviors, and mindfulness as a means to encourage and support my clients as they identify their path in life.
I have been practicing therapy in various settings since 2013. I enjoy working with adults, older-adults and have a specific passion for helping emerging adults. In therapy, I engage with my clients through curiosity, creativity, humor, empathy and collaboration. I also emphasize skills-building, value-guided behaviors, and mindfulness as a means to encourage and support my clients as they identify their path in life.
View
Photo of Amy B Johnson, Clinical Social Work/Therapist in New Brighton, MN
Amy B Johnson
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
New Brighton, MN 55112  (Online Only)
It takes courage to seek out professional help. Good therapy gives clients the ability to recognize their inherent strengths and the healing possibility in their situations. My goal is to create a supportive, therapeutic environment where clients can begin to understand their feelings while discovering the barriers limiting their full potential.
It takes courage to seek out professional help. Good therapy gives clients the ability to recognize their inherent strengths and the healing possibility in their situations. My goal is to create a supportive, therapeutic environment where clients can begin to understand their feelings while discovering the barriers limiting their full potential.
(612) 712-7584 View (612) 712-7584
Photo of Donny Hobbs, Marriage & Family Therapist in New Brighton, MN
Donny Hobbs
Marriage & Family Therapist, MA, LMFT, CEC
Verified Verified
2 Endorsed
New Brighton, MN 55112
I work with individuals who are impacted by anxiety, depression, and low self-esteem. My treatment approach focuses on improving confidence and personal resilience while reducing emotional distress. I also provide counseling for couples and families who are working through relational challenges and life-cycle transitions.I work from a holistic perspective, and my approach is goal driven and solution-focused. Together we identify your goals and ideal outcomes and work through challenges and unhelpful patterns to achieve success. I use accountability coaching to help you achieve your goals and step into the next chapter of life.
I work with individuals who are impacted by anxiety, depression, and low self-esteem. My treatment approach focuses on improving confidence and personal resilience while reducing emotional distress. I also provide counseling for couples and families who are working through relational challenges and life-cycle transitions.I work from a holistic perspective, and my approach is goal driven and solution-focused. Together we identify your goals and ideal outcomes and work through challenges and unhelpful patterns to achieve success. I use accountability coaching to help you achieve your goals and step into the next chapter of life.
(651) 927-8109 View (651) 927-8109
Photo of Gillian Koch, Counselor in New Brighton, MN
Gillian Koch
Counselor, MEd, LPCC
Verified Verified
1 Endorsed
New Brighton, MN 55112
I specialize in working with women in their 20s-40s who are navigating major life transitions, processing grief and loss, or experiencing anxiety. I am experienced in working with clients navigating religious trauma, including those who identify as LGBTQIA+. I enjoy working with folks in the helping professions (teachers, nurses, physician's assistants, doctors, etc) and with people who identify as highly sensitive. I also have extensive training in peripartum and postpartum mental health and love supporting expecting and new parents of all genders!
I specialize in working with women in their 20s-40s who are navigating major life transitions, processing grief and loss, or experiencing anxiety. I am experienced in working with clients navigating religious trauma, including those who identify as LGBTQIA+. I enjoy working with folks in the helping professions (teachers, nurses, physician's assistants, doctors, etc) and with people who identify as highly sensitive. I also have extensive training in peripartum and postpartum mental health and love supporting expecting and new parents of all genders!
(833) 285-3207 View (833) 285-3207
Photo of Lindsay Strong, Pre-Licensed Professional in New Brighton, MN
Lindsay Strong
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
New Brighton, MN 55112
“We have to continually be jumping off cliffs and developing our wings on the way down.” I am a therapist for the weirdos and misfits, those who feel they don’t quite belong. Weird is a good word around here! I work with folks of all genders to explore identity, stories, and what it all means. I’m a therapist for artists and artisans, creatives, and highly sensitive people. I work alongside you to uncover the things that hold us back, keep us stuck, and to tap into the good enoughness that is inherent to all of us.In our work together, you get to do some deep thinking and ask big questions.
“We have to continually be jumping off cliffs and developing our wings on the way down.” I am a therapist for the weirdos and misfits, those who feel they don’t quite belong. Weird is a good word around here! I work with folks of all genders to explore identity, stories, and what it all means. I’m a therapist for artists and artisans, creatives, and highly sensitive people. I work alongside you to uncover the things that hold us back, keep us stuck, and to tap into the good enoughness that is inherent to all of us.In our work together, you get to do some deep thinking and ask big questions.
View
Photo of Kari J Nelson, Psychologist in New Brighton, MN
Kari J Nelson
Psychologist, PsyD, LP
Verified Verified
New Brighton, MN 55112  (Online Only)
At various points in life we can become frustrated, stuck or confused and uncertain about how to move beyond the frustration or confusion. I welcome adolescents and adults who find themselves in a difficult place in life and are eager to move forward in their lives. I see these as valuable opportunities to engage with clients to make sure I understand their current situation and their desired outcomes, even when the client may be initially unsure themselves. I will provide the direction needed for you to more clearly see those goals & from there we will work together to identify an array of options available for forward movement.
At various points in life we can become frustrated, stuck or confused and uncertain about how to move beyond the frustration or confusion. I welcome adolescents and adults who find themselves in a difficult place in life and are eager to move forward in their lives. I see these as valuable opportunities to engage with clients to make sure I understand their current situation and their desired outcomes, even when the client may be initially unsure themselves. I will provide the direction needed for you to more clearly see those goals & from there we will work together to identify an array of options available for forward movement.
(763) 265-6240 View (763) 265-6240
Photo of Taylor West, Pre-Licensed Professional in New Brighton, MN
Taylor West
Pre-Licensed Professional, MS
Verified Verified
3 Endorsed
New Brighton, MN 55112
“What mental health needs is more sunlight, more candor, and more unashamed conversation.” — Glenn Close
“What mental health needs is more sunlight, more candor, and more unashamed conversation.” — Glenn Close
(651) 927-4405 View (651) 927-4405

See more therapy options for New Brighton

How does your Therapist compare?

Number of Therapists in New Brighton, MN

60+

Average cost per session

$175

Therapists in New Brighton, MN who prioritize treating:

92% Anxiety
81% Depression
78% Relationship Issues
72% Self Esteem
72% Stress
70% Trauma and PTSD
66% Grief

Average years in practice

11 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
80% HealthPartners of MN and WI
76% UnitedHealthcare UHC | UBH

How Therapists in New Brighton, MN see their clients

80% In Person and Online
20% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in New Brighton?

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.