Photo of Haley Pettingell, LPC-C, MA, Pre-Licensed Professional
Haley Pettingell
Pre-Licensed Professional, LPC-C, MA
Verified Verified
1 Endorsed
Tulsa, OK 74137
As your therapist, my goal is to create a safe and compassionate space where you feel heard, understood, and supported every step of the way. I work with both individuals and couples, with a special focus on navigating the complexities of relationships. My approach emphasizes fostering open communication, understanding, and mutual respect, leading partners toward deeper connections and healthier dynamics.
As your therapist, my goal is to create a safe and compassionate space where you feel heard, understood, and supported every step of the way. I work with both individuals and couples, with a special focus on navigating the complexities of relationships. My approach emphasizes fostering open communication, understanding, and mutual respect, leading partners toward deeper connections and healthier dynamics.
(918) 265-4532 View (918) 265-4532
Photo of Joanna Jackson, MS, NCC, LPC-C, Pre-Licensed Professional
Joanna Jackson
Pre-Licensed Professional, MS, NCC, LPC-C
Verified Verified
Tulsa, OK 74137
Not accepting new clients
Navigating past traumatic experiences while rising to meet the demands of life often leaves us emotionally overwhelmed, anxious, and living in “survival mode.” I am passionate about working with individuals experiencing anxiety, trauma, and general life stressors. Helping clients navigate life transitions, spiritual deconstruction/reconstruction, increasing self-esteem, and setting healthy boundaries are also central to my work as a therapist.
Navigating past traumatic experiences while rising to meet the demands of life often leaves us emotionally overwhelmed, anxious, and living in “survival mode.” I am passionate about working with individuals experiencing anxiety, trauma, and general life stressors. Helping clients navigate life transitions, spiritual deconstruction/reconstruction, increasing self-esteem, and setting healthy boundaries are also central to my work as a therapist.
(918) 303-5020 View (918) 303-5020
Photo of Michael McClendon, PsyD, LHSP, Psychologist
Michael McClendon
Psychologist, PsyD, LHSP
Verified Verified
Tulsa, OK 74137
When we have the courage to walk into our story and own it, we get to write the ending - Brene Brown. It takes an immense amount of effort and intention to own our failings, limits, insecurities, shame, regrets, and pains. Yet the work of embracing those aspects of our lives frees us from the prison of pretending that they do not exist. My clinical and professional work has been to help people move away from mindsets fixated on the fantasy of perfectionism in order to live into a reality of grace, acceptance, and appreciation or ourselves as we are rather than who we believe we "should" be.
When we have the courage to walk into our story and own it, we get to write the ending - Brene Brown. It takes an immense amount of effort and intention to own our failings, limits, insecurities, shame, regrets, and pains. Yet the work of embracing those aspects of our lives frees us from the prison of pretending that they do not exist. My clinical and professional work has been to help people move away from mindsets fixated on the fantasy of perfectionism in order to live into a reality of grace, acceptance, and appreciation or ourselves as we are rather than who we believe we "should" be.
(918) 303-7321 View (918) 303-7321
Photo of Mary L. Mihelich - Mary Mihelich, PhD, PhD, LPC, LMFT, Licensed Professional Counselor
Mary Mihelich, PhD
Licensed Professional Counselor, PhD, LPC, LMFT
Verified Verified
Tulsa, OK 74137
I have enjoyed the private practice of outpatient mental health in Oklahoma and around the world with our military. In addition to a doctorate in clinical psychology from the University of Tulsa, I am a graduate of the Menninger's Institute Program for Community Practitioners of Marriage and Family Therapy. Working with couples who desire to save their marriage and with families struggling to succeed with adolescent challenges are some of my favorite areas of focus. My doctoral level research involved conducting a clinical trial investigating the effectiveness of the EMDR method.
I have enjoyed the private practice of outpatient mental health in Oklahoma and around the world with our military. In addition to a doctorate in clinical psychology from the University of Tulsa, I am a graduate of the Menninger's Institute Program for Community Practitioners of Marriage and Family Therapy. Working with couples who desire to save their marriage and with families struggling to succeed with adolescent challenges are some of my favorite areas of focus. My doctoral level research involved conducting a clinical trial investigating the effectiveness of the EMDR method.
(918) 376-7620 View (918) 376-7620
Photo of Rena Krystal Taliaferro, MS, LPC, Licensed Professional Counselor
Rena Krystal Taliaferro
Licensed Professional Counselor, MS, LPC
Verified Verified
Tulsa, OK 74137  (Online Only)
I have been a licensed therapist in Oklahoma for almost 7 years and primarily worked in the community counseling setting. Proceeding my work within a large agency setting I gained more experience working with BetterHelp. Currently, I am working to grow my own practice. Clients who are wanting to be challenged with a compassionate touch are often a good fit with me. During our sessions we may dig deep to find the events in life that are still affecting you negatively. However, we will also be working on increasing healthy behaviors, thoughts, and emotions (e.g. communication/boundaries, coping skills, adaptive positive thinking).
I have been a licensed therapist in Oklahoma for almost 7 years and primarily worked in the community counseling setting. Proceeding my work within a large agency setting I gained more experience working with BetterHelp. Currently, I am working to grow my own practice. Clients who are wanting to be challenged with a compassionate touch are often a good fit with me. During our sessions we may dig deep to find the events in life that are still affecting you negatively. However, we will also be working on increasing healthy behaviors, thoughts, and emotions (e.g. communication/boundaries, coping skills, adaptive positive thinking).
(918) 228-6726 View (918) 228-6726
Photo of Chris Green, LMFT, Marriage & Family Therapist
Chris Green
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Tulsa, OK 74137
The last few years have been rough on everyone, but they've been particularly rough on relationships. How do you shift from "survival mode" into something better? How do you reconnect and create a better version of your partnership? Something's got to give. You're tired of just barely keeping your head above water while pretending everything is okay. It's time for a change.
The last few years have been rough on everyone, but they've been particularly rough on relationships. How do you shift from "survival mode" into something better? How do you reconnect and create a better version of your partnership? Something's got to give. You're tired of just barely keeping your head above water while pretending everything is okay. It's time for a change.
(918) 417-1262 View (918) 417-1262
Photo of Swarna L Singhal, PhD, LPC, BCB-sr, fellow, Licensed Professional Counselor
Swarna L Singhal
Licensed Professional Counselor, PhD, LPC, BCB-sr, fellow
Verified Verified
1 Endorsed
Tulsa, OK 74137
Through guidance/coaching/therapy with unconditional love and regard, I inspire clients to realize their limitless potential. When our mind, body, and heart are in alignment, possibilities for growth are endless. With four Master's degrees and a Doctoral degree in Clinical psychology; 40 years of counseling experience, and 47 years of marriage and raising three daughters, I believe I would resonate with many of you. My book on marital relationships and a memoir of my departed soul-mate are listed on Amazon.com. 1. When Heaven Meets the Earth: Making Meaning of the Marital Journey, 2. Eternal Engagement: A memoir. Check them out.
Through guidance/coaching/therapy with unconditional love and regard, I inspire clients to realize their limitless potential. When our mind, body, and heart are in alignment, possibilities for growth are endless. With four Master's degrees and a Doctoral degree in Clinical psychology; 40 years of counseling experience, and 47 years of marriage and raising three daughters, I believe I would resonate with many of you. My book on marital relationships and a memoir of my departed soul-mate are listed on Amazon.com. 1. When Heaven Meets the Earth: Making Meaning of the Marital Journey, 2. Eternal Engagement: A memoir. Check them out.
(918) 863-2184 View (918) 863-2184
Photo of Shae Rowland, LCSW, EMDR, Clinical Social Work/Therapist
Shae Rowland
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
2 Endorsed
Tulsa, OK 74137
Does it seem like you’ve resolved to this being “as good as it gets”? Are you struggling with healing or feeling like your past just won’t let go? Are you struggling with past abuse, neglect, or toxic relationships that have resulted in lasting anxiety, depression, or negative thoughts about yourself? Have you tried to solve these problems on your own and realize you need help from someone? If you answered yes then you have made the right choice by being here. Seeking help can be hard but you don't have to do it alone. If you’ve been debating seeking help for days, months, or even years; allow me to be with you on this journey.
Does it seem like you’ve resolved to this being “as good as it gets”? Are you struggling with healing or feeling like your past just won’t let go? Are you struggling with past abuse, neglect, or toxic relationships that have resulted in lasting anxiety, depression, or negative thoughts about yourself? Have you tried to solve these problems on your own and realize you need help from someone? If you answered yes then you have made the right choice by being here. Seeking help can be hard but you don't have to do it alone. If you’ve been debating seeking help for days, months, or even years; allow me to be with you on this journey.
(918) 262-5101 View (918) 262-5101
Photo of Grace Evans, LPC, CEDS, RYT, Licensed Professional Counselor
Grace Evans
Licensed Professional Counselor, LPC, CEDS, RYT
Verified Verified
1 Endorsed
Tulsa, OK 74137
I am honored and humbled to be a part of the journey towards growth and healing. I view the therapeutic relationship as a partnership where we can work together to accomplish your goals. I would love to help you increase your overall level of happiness, reduce anxiety, and replace negative self-talk and beliefs with more productive thoughts and actions.
I am honored and humbled to be a part of the journey towards growth and healing. I view the therapeutic relationship as a partnership where we can work together to accomplish your goals. I would love to help you increase your overall level of happiness, reduce anxiety, and replace negative self-talk and beliefs with more productive thoughts and actions.
(918) 731-2232 View (918) 731-2232
Photo of Hayley Brown, LPC, Licensed Professional Counselor
Hayley Brown
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Tulsa, OK 74137
Hello, I'm Hayley Brown M.S., LPC. I provide individual, family, and marriage therapy in a supportive setting. I strive to help others get in touch with their highest self. I believe those of us that suffer with mental health issues have experienced trauma, are struggling with life transitions, relational issues, grief, or have a genetic predisposition. I come from a holistic place, and have a deep understanding of brain health(Amen clinics), how to help my clients heal from trauma, and how to restructure distressing, intrusive, and/or negative thoughts.
Hello, I'm Hayley Brown M.S., LPC. I provide individual, family, and marriage therapy in a supportive setting. I strive to help others get in touch with their highest self. I believe those of us that suffer with mental health issues have experienced trauma, are struggling with life transitions, relational issues, grief, or have a genetic predisposition. I come from a holistic place, and have a deep understanding of brain health(Amen clinics), how to help my clients heal from trauma, and how to restructure distressing, intrusive, and/or negative thoughts.
(918) 276-8335 View (918) 276-8335
Photo of Meredith L. Fields, LCSW, Clinical Social Work/Therapist
Meredith L. Fields
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Tulsa, OK 74137
Immediate openings for Couples - Helping people and couples move out of survival mode & into a thriving life is my passion. My specialties are trauma recovery & relationships using EMDR & Gottman Couples Therapy (and other therapy approaches). Perhaps your relationship is full of conflict or emotional distance & you feel lost on what to do to make it better. Or you were raised in a religious belief system that you are starting to see was harmful to you & your relationships but don't know what to do about that. Or maybe, has been an affair and you want help to rebuild your relationship. I believe all people deserve hope for healing.
Immediate openings for Couples - Helping people and couples move out of survival mode & into a thriving life is my passion. My specialties are trauma recovery & relationships using EMDR & Gottman Couples Therapy (and other therapy approaches). Perhaps your relationship is full of conflict or emotional distance & you feel lost on what to do to make it better. Or you were raised in a religious belief system that you are starting to see was harmful to you & your relationships but don't know what to do about that. Or maybe, has been an affair and you want help to rebuild your relationship. I believe all people deserve hope for healing.
(918) 417-6086 View (918) 417-6086
Photo of Katie E Evans, MEd, LPC, Licensed Professional Counselor
Katie E Evans
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Tulsa, OK 74137
Sometimes all we need is to have someone to help guide and support us through tough times. Whether it's anxiety/depression, trauma, life changes, or everyday struggles, I am here to help you address those concerns in a safe, comfortable, friendly environment. I have clinical experience working with teens and adults helping them through whatever challenge life brings them.
Sometimes all we need is to have someone to help guide and support us through tough times. Whether it's anxiety/depression, trauma, life changes, or everyday struggles, I am here to help you address those concerns in a safe, comfortable, friendly environment. I have clinical experience working with teens and adults helping them through whatever challenge life brings them.
(539) 202-7403 View (539) 202-7403
Photo of Bonny Parkhurst, MS, LPC, Licensed Professional Counselor
Bonny Parkhurst
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Tulsa, OK 74137  (Online Only)
You are not broken. You matter and you are worthy of love. As you search for an opportunity to learn, grow, and heal, just know that you deserve to be heard and you deserve to be seen.
You are not broken. You matter and you are worthy of love. As you search for an opportunity to learn, grow, and heal, just know that you deserve to be heard and you deserve to be seen.
(918) 208-0360 View (918) 208-0360
Photo of Laura A Sullivan, MS, LPC-S, Licensed Professional Counselor
Laura A Sullivan
Licensed Professional Counselor, MS, LPC-S
Verified Verified
Tulsa, OK 74137  (Online Only)
As a Mental Health Counselor since 2007, I’m deeply committed to supporting the well-being of all my clients. Together, we will explore ways to improve relationships and to achieve your full life’s potential. I specialize in individuals across the lifespan and have additional experience in treating teens and veterans/active duty military personnel. Some conditions that I have treated in the past include, mood disturbances/bipolar disorder, relationship issues, stress/sleep problems, and self esteem issues. Please take action today, it’s never too late to have a new beginning. Feel free to book online at www.sullivanpsych.com
As a Mental Health Counselor since 2007, I’m deeply committed to supporting the well-being of all my clients. Together, we will explore ways to improve relationships and to achieve your full life’s potential. I specialize in individuals across the lifespan and have additional experience in treating teens and veterans/active duty military personnel. Some conditions that I have treated in the past include, mood disturbances/bipolar disorder, relationship issues, stress/sleep problems, and self esteem issues. Please take action today, it’s never too late to have a new beginning. Feel free to book online at www.sullivanpsych.com
(918) 972-1118 View (918) 972-1118
Photo of Amber Gene Cox, LPC, Licensed Professional Counselor
Amber Gene Cox
Licensed Professional Counselor, LPC
Verified Verified
Tulsa, OK 74137
The hardest part of going to therapy is attending the first appointment. It takes courage, and a lot of it! Trauma, addiction, depression, and anxiety can feel overwhelming and overtaking at times, but if you have the courage to attend the first session, you have the courage to face and process what is causing you pain. As a counselor, I take a gentle, yet honest approach to help you cultivate the strengths within you to overcome what is holding you back and walk with you as you find your path to hope and healing.
The hardest part of going to therapy is attending the first appointment. It takes courage, and a lot of it! Trauma, addiction, depression, and anxiety can feel overwhelming and overtaking at times, but if you have the courage to attend the first session, you have the courage to face and process what is causing you pain. As a counselor, I take a gentle, yet honest approach to help you cultivate the strengths within you to overcome what is holding you back and walk with you as you find your path to hope and healing.
(918) 393-4827 View (918) 393-4827
Photo of Rachel Ojeda, MS, LPC, Licensed Professional Counselor
Rachel Ojeda
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Tulsa, OK 74137
As a counselor, I believe that each person was created with inherent value, individual experiences, and a deep history that forms who they are and who they are becoming. After time to reflect and process, meaning and purpose can be found in the most difficult circumstances. People often have the answers they are seeking within themselves, they just need a place to process through the possibilities. Watching people discover their capabilities is one of my greatest joys! I love being able to work with people to strengthen self-awareness, self-acceptance, self-compassion, & coping skills.
As a counselor, I believe that each person was created with inherent value, individual experiences, and a deep history that forms who they are and who they are becoming. After time to reflect and process, meaning and purpose can be found in the most difficult circumstances. People often have the answers they are seeking within themselves, they just need a place to process through the possibilities. Watching people discover their capabilities is one of my greatest joys! I love being able to work with people to strengthen self-awareness, self-acceptance, self-compassion, & coping skills.
(918) 233-1138 View (918) 233-1138
Photo of Eric Paul Hyde - Eric Hyde Counseling, LLC, MS, LPC, Licensed Professional Counselor
Eric Hyde Counseling, LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
Tulsa, OK 74137
"Know thyself," said Socrates along with every wise person before and after him. I take it as axiomatic that each person is a complex web of experiences, desires, fears, joys, strengths, and weaknesses forged in one's unique history, biology, and current life circumstances. This means that each individual's road to mental health is particular to them and lies within them; of course, finding this road is easier said than done. It is my deep honor to work alongside my clients on their personal journey, helping them arrive at the life they want to live.
"Know thyself," said Socrates along with every wise person before and after him. I take it as axiomatic that each person is a complex web of experiences, desires, fears, joys, strengths, and weaknesses forged in one's unique history, biology, and current life circumstances. This means that each individual's road to mental health is particular to them and lies within them; of course, finding this road is easier said than done. It is my deep honor to work alongside my clients on their personal journey, helping them arrive at the life they want to live.
(539) 210-3783 View (539) 210-3783
Photo of Amber J Thaxton, MS, LPC, Licensed Professional Counselor
Amber J Thaxton
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Tulsa, OK 74137
Waitlist for new clients
My personal therapy approach is to acknowledge and support my client through accepting that God is the expert and change agent in life. I consider it an honor to partner with others through this part of life's journey to seek healing and recovery through acceptance, knowledge and effort. As a professional counselor I will assist my client in in setting realistic goals, and helping to recognize strengths and supports to compensate you in your pursuit towards wholeness.
My personal therapy approach is to acknowledge and support my client through accepting that God is the expert and change agent in life. I consider it an honor to partner with others through this part of life's journey to seek healing and recovery through acceptance, knowledge and effort. As a professional counselor I will assist my client in in setting realistic goals, and helping to recognize strengths and supports to compensate you in your pursuit towards wholeness.
(539) 233-0870 View (539) 233-0870
Photo of Kara Jade Barton, LCSW, Clinical Social Work/Therapist
Kara Jade Barton
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tulsa, OK 74137
I approach my work with a strengths-based perspective, recognizing the inherent resilience within each individual. By fostering a therapeutic alliance built on trust and empathy, I strive to create a safe environment where clients feel seen, heard, and supported. My dedication extends beyond alleviating immediate challenges to instilling a sense of hope and agency in the face of adversity.
I approach my work with a strengths-based perspective, recognizing the inherent resilience within each individual. By fostering a therapeutic alliance built on trust and empathy, I strive to create a safe environment where clients feel seen, heard, and supported. My dedication extends beyond alleviating immediate challenges to instilling a sense of hope and agency in the face of adversity.
(918) 393-3182 View (918) 393-3182
Photo of Janet Leane Shannon, MS, LPC, RPT™, Licensed Professional Counselor
Janet Leane Shannon
Licensed Professional Counselor, MS, LPC, RPT™
Verified Verified
Tulsa, OK 74137
You love your child, but you just don't know what to do. Maybe she seems to worry about everything. She can't fall asleep at night without you by her side. She bites her nails constantly and gets headaches and stomachaches more days than not. Maybe your son whom you adopted and was the sweetest angel just a few months ago suddenly seems to get angry with little to no provocation, throwing tantrums or hitting you, other children, or even his teachers. Or maybe your child suddenly seems withdrawn or anxious or just not quite themselves but they won't talk to you? You've tried everything you can or you just want some professional help.
You love your child, but you just don't know what to do. Maybe she seems to worry about everything. She can't fall asleep at night without you by her side. She bites her nails constantly and gets headaches and stomachaches more days than not. Maybe your son whom you adopted and was the sweetest angel just a few months ago suddenly seems to get angry with little to no provocation, throwing tantrums or hitting you, other children, or even his teachers. Or maybe your child suddenly seems withdrawn or anxious or just not quite themselves but they won't talk to you? You've tried everything you can or you just want some professional help.
(918) 818-3486 View (918) 818-3486
1

How does your Therapist compare?

Number of Therapists in 74137

80+

Average cost per session

$137

Therapists in 74137 who prioritize treating:

94% Anxiety
87% Depression
76% Self Esteem
73% Relationship Issues
71% Trauma and PTSD
65% Grief
65% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

76% Health Choice
73% BlueCross and BlueShield
64% UnitedHealthcare UHC | UBH

How Therapists in 74137 see their clients

90% In Person and Online
10% Online Only

Gender breakdown

74% Female
26% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 74137?

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.

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