Therapists in Asheville, NC

Arness Krause
Pre-Licensed Professional, LCSWA
Verified Verified
Asheville, NC 28801
We all come to therapy to improve our quality of life. I appreciate working with indivudals and couples that are motivated for change and insight. I have experience working with Veterans and really enjoy managing with the stressors of deployment. I also appreciate the struggle of transitioning back to civillian life and creating a new sense of balance. Being from a military family myself really helps me to understand the nuances of this process. There are so many challenges we face as humans, and I am ready to help those who show up with a desire to create a life worth living.
We all come to therapy to improve our quality of life. I appreciate working with indivudals and couples that are motivated for change and insight. I have experience working with Veterans and really enjoy managing with the stressors of deployment. I also appreciate the struggle of transitioning back to civillian life and creating a new sense of balance. Being from a military family myself really helps me to understand the nuances of this process. There are so many challenges we face as humans, and I am ready to help those who show up with a desire to create a life worth living.
(828) 845-8230 View (828) 845-8230
Photo of Kara Catrelle, Clinical Social Work/Therapist in Asheville, NC
Kara Catrelle
Clinical Social Work/Therapist, MSW, LCSW, CVA, CAP
Verified Verified
Asheville, NC 28805  (Online Only)
With over 25 years in the mental health field and 13 years in private practice, I offer a multitude of personal and professional experience. Much of our suffering is due to dissatisfaction in relationships. Sadly, many relationships end prematurely when we are most hurt and emotionally vulnerable. However, this is the time when the very intimacy we were lacking prior has the potential to finally break through. I give you tools and insight to heal old wounds that are holding you back from experiencing the love you seek within yourself and others. Together we address the intrapsychic conflicts and longings of the soul.
With over 25 years in the mental health field and 13 years in private practice, I offer a multitude of personal and professional experience. Much of our suffering is due to dissatisfaction in relationships. Sadly, many relationships end prematurely when we are most hurt and emotionally vulnerable. However, this is the time when the very intimacy we were lacking prior has the potential to finally break through. I give you tools and insight to heal old wounds that are holding you back from experiencing the love you seek within yourself and others. Together we address the intrapsychic conflicts and longings of the soul.
(828) 782-3435 View (828) 782-3435
Photo of Nole Lafferty, Counselor in Asheville, NC
Nole Lafferty
Counselor, LCMHC-A, LCAS-A
Verified Verified
2 Endorsed
Asheville, NC 28801
I believe your identities and how you move through the world are important and deserve to take up space in the therapy room. The ways white supremacy and other oppressive parts of our world affect your journey are often parts that go unrecognized by others. I especially love working with folks who are LGBTQIA+, neurodivergent, and/or have an identity that is marginalized in some way by our normative culture.
I believe your identities and how you move through the world are important and deserve to take up space in the therapy room. The ways white supremacy and other oppressive parts of our world affect your journey are often parts that go unrecognized by others. I especially love working with folks who are LGBTQIA+, neurodivergent, and/or have an identity that is marginalized in some way by our normative culture.
(828) 367-7478 View (828) 367-7478
Photo of Mackenzie Kozak, Licensed Professional Counselor in Asheville, NC
Mackenzie Kozak
Licensed Professional Counselor, LCMHC, MA, MFA, NCC, CGCS
Verified Verified
8 Endorsed
Asheville, NC 28801
As humans, I believe we need a soft place to land. Being in the world brings with it a variety of feelings, thoughts, and sensations, but often we struggle to find space in our lives to process these experiences. I believe the connection and safety offered through individual therapy creates an opportunity to name the parts of us that feel painful or confusing or joyful — to allow us to move toward greater self-acceptance by noticing and being heard.
As humans, I believe we need a soft place to land. Being in the world brings with it a variety of feelings, thoughts, and sensations, but often we struggle to find space in our lives to process these experiences. I believe the connection and safety offered through individual therapy creates an opportunity to name the parts of us that feel painful or confusing or joyful — to allow us to move toward greater self-acceptance by noticing and being heard.
(828) 332-5185 View (828) 332-5185
Photo of Amanda Beason, Lic Clinical Mental Health Counselor Associate in Asheville, NC
Amanda Beason
Lic Clinical Mental Health Counselor Associate, LCMHC-A, LCAS, MA
Verified Verified
1 Endorsed
Asheville, NC 28801
Trained in couples counseling, addictions counseling, sex therapy, EFT, EMDR, and attachment-based modalities. Life is hard. It's beautiful, it's devastating, it's complicated. And it does not have to be lived alone. It is my privilege and purpose in life to walk alongside you as you seek your own fulfillment, direction, and answers. Our therapeutic relationship will be caring, kind and full of curiosity.
Trained in couples counseling, addictions counseling, sex therapy, EFT, EMDR, and attachment-based modalities. Life is hard. It's beautiful, it's devastating, it's complicated. And it does not have to be lived alone. It is my privilege and purpose in life to walk alongside you as you seek your own fulfillment, direction, and answers. Our therapeutic relationship will be caring, kind and full of curiosity.
(919) 820-8196 View (919) 820-8196
Photo of Holly Gillespie, Licensed Professional Counselor in Asheville, NC
Holly Gillespie
Licensed Professional Counselor, MS, LPCA
Verified Verified
Asheville, NC 28806
I believe in meeting each individual where they are in their journey with acceptance and curiosity. I offer compassion, authenticity, and care to help you uncover and satisfy your unmet needs. Many of us are wounded, but we are not broken. When we discover and meet our needs, our nervous systems reset and offer up a whole new place from which to live life. Counseling can help you understand and undo patterns of thought and behavior that unconsciously keep you from truly connecting with yourself and others. You can find peace.
I believe in meeting each individual where they are in their journey with acceptance and curiosity. I offer compassion, authenticity, and care to help you uncover and satisfy your unmet needs. Many of us are wounded, but we are not broken. When we discover and meet our needs, our nervous systems reset and offer up a whole new place from which to live life. Counseling can help you understand and undo patterns of thought and behavior that unconsciously keep you from truly connecting with yourself and others. You can find peace.
(828) 457-8112 View (828) 457-8112
Photo of Jennifer Daigle, Licensed Professional Counselor in Asheville, NC
Jennifer Daigle
Licensed Professional Counselor, LPC, LMFT
Verified Verified
Asheville, NC 28801
The most powerful tool available to you is not merely realization of who you are...it is the option to create who you want to be. My privilege is to work with clients who are growing choice in how they think, respond, and, therefore, feel. Unique as your story is, you are not alone in your needs - relief from anxiety, resolution of conflict, or ability to trust. Whether you feel stuck completely or have been circling the same chapter without evolving...good news. You have permission to turn the page.
The most powerful tool available to you is not merely realization of who you are...it is the option to create who you want to be. My privilege is to work with clients who are growing choice in how they think, respond, and, therefore, feel. Unique as your story is, you are not alone in your needs - relief from anxiety, resolution of conflict, or ability to trust. Whether you feel stuck completely or have been circling the same chapter without evolving...good news. You have permission to turn the page.
(828) 484-2141 View (828) 484-2141
Photo of Meagan Tucker-Wiles, Psychologist in Asheville, NC
Meagan Tucker-Wiles
Psychologist, PhD
Verified Verified
Asheville, NC 28801  (Online Only)
Are you overwhelmed and depleted by the historic stressors of the past several years…or decades? Has your role as a parent or partner diminished your sense of self? Does acknowledging your own needs trigger your inner critic and feelings of guilt? I am a seasoned cognitive behavioral therapist with additional specialization in pregnancy/postpartum mental health and couples therapy. As social beings, our relationships can be powerful catalysts for personal healing and growth. Many former clients describe how deepening intimate bonds in the present brings healing to past wounds and long-held insecurities.
Are you overwhelmed and depleted by the historic stressors of the past several years…or decades? Has your role as a parent or partner diminished your sense of self? Does acknowledging your own needs trigger your inner critic and feelings of guilt? I am a seasoned cognitive behavioral therapist with additional specialization in pregnancy/postpartum mental health and couples therapy. As social beings, our relationships can be powerful catalysts for personal healing and growth. Many former clients describe how deepening intimate bonds in the present brings healing to past wounds and long-held insecurities.
(828) 900-1846 View (828) 900-1846
Photo of Heather Bossong, Psychologist in Asheville, NC
Heather Bossong
Psychologist, MA, PsyD
Verified Verified
Asheville, NC 28801
Dr. Heather Bossong is a clinical psychologist licensed by the state of Florida and North Carolina. She is passionate about helping individuals improve mental health and wellness through Psychological Evaluations and individual therapy. Dr. Bossong specializes in conducting psychological evaluations with children, adolescents, and adults. Her specialties are in the treatment and evaluation of learning disorders, developmental disorders, PTSD, depression, anxiety, and relationship challenges.
Dr. Heather Bossong is a clinical psychologist licensed by the state of Florida and North Carolina. She is passionate about helping individuals improve mental health and wellness through Psychological Evaluations and individual therapy. Dr. Bossong specializes in conducting psychological evaluations with children, adolescents, and adults. Her specialties are in the treatment and evaluation of learning disorders, developmental disorders, PTSD, depression, anxiety, and relationship challenges.
(828) 332-5326 View (828) 332-5326
Photo of Lindsay Minnema, Counselor in Asheville, NC
Lindsay Minnema
Counselor, MA, LCMHCA
Verified Verified
Asheville, NC 28801
I am an LCMHCA with a Master’s in Clinical Mental Health Counseling from Concordia University Irvine. My clinical foundation is based in a person-centered approach utilizing evidence-based therapeutic techniques. This means that through a non-judgmental, authentic relationship we will work together to develop new skills and work toward your unique goals. I am open to working with a range of ages and concerns with a particular interest in treating trauma, anxiety, depression, family of origin difficulties, self-esteem issues, grief and loss, and life transitions. I am currently training in and able to practice EMDR therapy.
I am an LCMHCA with a Master’s in Clinical Mental Health Counseling from Concordia University Irvine. My clinical foundation is based in a person-centered approach utilizing evidence-based therapeutic techniques. This means that through a non-judgmental, authentic relationship we will work together to develop new skills and work toward your unique goals. I am open to working with a range of ages and concerns with a particular interest in treating trauma, anxiety, depression, family of origin difficulties, self-esteem issues, grief and loss, and life transitions. I am currently training in and able to practice EMDR therapy.
(828) 367-1010 View (828) 367-1010
Photo of Eric J Davis, Licensed Professional Counselor in Asheville, NC
Eric J Davis
Licensed Professional Counselor, MS, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28801
Life is a funny thing. And often terribly complicated. During our journey in this world, we often face challenges that can feel too big or ongoing. Whether it’s with chronic feelings of anxiousness, depression, emptiness, issues about sexual orientation, gender, or ethnicity, relationship conflict, sleep disturbances, substance misuse, school or work issues, or any combination of those, many of us struggle silently. But you don't have to. It can help to work with a therapist with a deep understanding of what it’s like with some of those struggles and who is passionate about helping others learn to thrive despite these adversities.
Life is a funny thing. And often terribly complicated. During our journey in this world, we often face challenges that can feel too big or ongoing. Whether it’s with chronic feelings of anxiousness, depression, emptiness, issues about sexual orientation, gender, or ethnicity, relationship conflict, sleep disturbances, substance misuse, school or work issues, or any combination of those, many of us struggle silently. But you don't have to. It can help to work with a therapist with a deep understanding of what it’s like with some of those struggles and who is passionate about helping others learn to thrive despite these adversities.
(828) 490-4137 View (828) 490-4137
Photo of Emma Scott, Lic Clinical Mental Health Counselor Associate in Asheville, NC
Emma Scott
Lic Clinical Mental Health Counselor Associate, LCMHCA
Verified Verified
1 Endorsed
Asheville, NC 28806  (Online Only)
I provide individual counseling and psychotherapy for adults and young adults from all walks of life. My approach is informed by modern psychoanalysis which tells us emotional and behavioral challenges often stem from wounds in our past, and they manifest in our lives through distressing symptoms and patterns of painful experience. When left unattended, these patterns will continue to surface again and again until we bring awareness to them.
I provide individual counseling and psychotherapy for adults and young adults from all walks of life. My approach is informed by modern psychoanalysis which tells us emotional and behavioral challenges often stem from wounds in our past, and they manifest in our lives through distressing symptoms and patterns of painful experience. When left unattended, these patterns will continue to surface again and again until we bring awareness to them.
(828) 656-5453 View (828) 656-5453
Photo of Rana K Jackson, Clinical Social Work/Therapist in Asheville, NC
Rana K Jackson
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Asheville, NC 28801
Do you feel overwhelmed? Have you endured unbearable circumstances in the past? Do you feel like you spend your life in a rushed and hurried state, longing to slow down, only to be unable to relax when you have the chance? Do you feel a persistent aloneness or separateness, even in the midst of your acquaintances, friends, family, and colleagues? Do you feel stuck in some area of of your life, be it love, work, home, or even your spiritual life? If so, I can help!
Do you feel overwhelmed? Have you endured unbearable circumstances in the past? Do you feel like you spend your life in a rushed and hurried state, longing to slow down, only to be unable to relax when you have the chance? Do you feel a persistent aloneness or separateness, even in the midst of your acquaintances, friends, family, and colleagues? Do you feel stuck in some area of of your life, be it love, work, home, or even your spiritual life? If so, I can help!
(828) 538-2315 View (828) 538-2315
Photo of Alice H Myer, Clinical Social Work/Therapist in Asheville, NC
Alice H Myer
Clinical Social Work/Therapist, LCSW, AAPC
Verified Verified
Asheville, NC 28801
Not accepting new clients
Thank you for visiting my site. I provide a safe, non-judgmental , and compassionate environment to work through your concerns and gain insight into your experiences. I believe that everyone has within them the inner desire to be healthy and experience wholeness.
Thank you for visiting my site. I provide a safe, non-judgmental , and compassionate environment to work through your concerns and gain insight into your experiences. I believe that everyone has within them the inner desire to be healthy and experience wholeness.
(828) 548-1412 View (828) 548-1412
Photo of Chandler Ray, Counselor in Asheville, NC
Chandler Ray
Counselor, MA, LCMHCA, NCC
Verified Verified
2 Endorsed
Asheville, NC 28801
I have worked with children, adolescents, teens, and adults in various settings including summer camps, therapeutic boarding schools, and residential rehabilitation. This has allowed a wide breadth of experience in areas from supporting children and adolescents as they embark through developmental stages, as well as teens and adults as they learn, grow, heal and empower themselves through life’s many challenges. I have experience in supporting clients through various areas including: depression, suicidal ideation/self-harm, anxiety, perfectionism, OCD, trauma, attachment, substance use and process addictions, and supporting LGBTQ+
I have worked with children, adolescents, teens, and adults in various settings including summer camps, therapeutic boarding schools, and residential rehabilitation. This has allowed a wide breadth of experience in areas from supporting children and adolescents as they embark through developmental stages, as well as teens and adults as they learn, grow, heal and empower themselves through life’s many challenges. I have experience in supporting clients through various areas including: depression, suicidal ideation/self-harm, anxiety, perfectionism, OCD, trauma, attachment, substance use and process addictions, and supporting LGBTQ+
(828) 554-7746 View (828) 554-7746
Photo of Christen Rinaldi, Licensed Clinical Mental Health Counselor in Asheville, NC
Christen Rinaldi
Licensed Clinical Mental Health Counselor, RMT, LCMHC
Verified Verified
1 Endorsed
Asheville, NC 28801
You already know yourself very well. And because of this- You are looking for a different kind of therapy space. You are seeking a space in which you can find humor, grace, and wonder while navigating this human experience. One in which your intuition, spirituality, and inner knowing will be honored and used as a tool to transform your lived experience. A space where context matters and is used to create new perspectives and deeper understanding. A space to unpack your stories, unravel your deepest beliefs, and become friends (yes… I said friends) with your inner shadowy parts.
You already know yourself very well. And because of this- You are looking for a different kind of therapy space. You are seeking a space in which you can find humor, grace, and wonder while navigating this human experience. One in which your intuition, spirituality, and inner knowing will be honored and used as a tool to transform your lived experience. A space where context matters and is used to create new perspectives and deeper understanding. A space to unpack your stories, unravel your deepest beliefs, and become friends (yes… I said friends) with your inner shadowy parts.
(828) 383-9640 View (828) 383-9640
Photo of Brianna Cuthrell, Clinical Social Work/Therapist in Asheville, NC
Brianna Cuthrell
Clinical Social Work/Therapist, MSW, LCSW, LCAS, MAC
Verified Verified
2 Endorsed
Asheville, NC 28801
Life can be downright hard when you are trying to juggle everything life is throwing at you. Perhaps you want more clarity in life or want to find a new direction. You may feel stuck and having a hard time moving forward. It can be exhausting trying to muster up the energy to get out of bed and take care of your responsibilities and yourself. You may have thoughts you are not worthy or have a fractured sense of self. What would it feel like to have the energy and motivation to finally take on the day again, to feel worthy to live the life you want, or to smash those goals you have put off?
Life can be downright hard when you are trying to juggle everything life is throwing at you. Perhaps you want more clarity in life or want to find a new direction. You may feel stuck and having a hard time moving forward. It can be exhausting trying to muster up the energy to get out of bed and take care of your responsibilities and yourself. You may have thoughts you are not worthy or have a fractured sense of self. What would it feel like to have the energy and motivation to finally take on the day again, to feel worthy to live the life you want, or to smash those goals you have put off?
(828) 949-1834 View (828) 949-1834
Photo of Louise Lettre, Clinical Social Work/Therapist in Asheville, NC
Louise Lettre
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Asheville, NC 28801
Not accepting new clients
Change is a constant. Our ability to adapt isn't. There are times you need extra support to adjust to challenging situations, heal past hurt, cope with family and relationship issues, or learn new skills to increase your resiliency. I work with adults of all ages who have a variety of goals. Together, we will work to define goals that are meaningful to you, and make a plan for how to achieve these goals. My hope is that our work together supports a sense of increased freedom and wellbeing for you.
Change is a constant. Our ability to adapt isn't. There are times you need extra support to adjust to challenging situations, heal past hurt, cope with family and relationship issues, or learn new skills to increase your resiliency. I work with adults of all ages who have a variety of goals. Together, we will work to define goals that are meaningful to you, and make a plan for how to achieve these goals. My hope is that our work together supports a sense of increased freedom and wellbeing for you.
(828) 373-2245 View (828) 373-2245
Photo of Leah Stephens, Clinical Social Work/Therapist in Asheville, NC
Leah Stephens
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Asheville, NC 28803  (Online Only)
Accepting new clients for online therapy! Are you having trouble setting boundaries or rebuilding your life after trauma? Has religious trauma left you feeling lost and needing support in building a life where you feel free to live authentically? Or maybe you need a guide to support you in living a joyful and empowered life in a fat-phobic society? I’m here to support you on your journey to connect with yourself, find your strengths, and navigate your daily life with less anxiety and more meaningful connections. I specialize in and have many years of experience in treating trauma.
Accepting new clients for online therapy! Are you having trouble setting boundaries or rebuilding your life after trauma? Has religious trauma left you feeling lost and needing support in building a life where you feel free to live authentically? Or maybe you need a guide to support you in living a joyful and empowered life in a fat-phobic society? I’m here to support you on your journey to connect with yourself, find your strengths, and navigate your daily life with less anxiety and more meaningful connections. I specialize in and have many years of experience in treating trauma.
(828) 408-0302 View (828) 408-0302
Photo of Amber Lavin- True Nature Coaching in Asheville, NC
Amber Lavin- True Nature Coaching
BAed, CLC, CRC
Verified Verified
Asheville, NC 28801
I believe loving compassion underpins all the best parts of life. That includes the work we do, building our coaching relationships and working through your personal challenges. Through compassion, we grow. I specialize in working with individuals around mindful & intentional dating/relationships. As well as neurodivergent adults. Together, we'll practice proven goal and habit-setting techniques that will help you achieve more than you set out to.
I believe loving compassion underpins all the best parts of life. That includes the work we do, building our coaching relationships and working through your personal challenges. Through compassion, we grow. I specialize in working with individuals around mindful & intentional dating/relationships. As well as neurodivergent adults. Together, we'll practice proven goal and habit-setting techniques that will help you achieve more than you set out to.
(828) 827-5056 View (828) 827-5056

How does your Therapist compare?

Number of Therapists in Asheville, NC

1,000+

Average cost per session

$140

Therapists in Asheville, NC who prioritize treating:

92% Anxiety
85% Depression
78% Relationship Issues
77% Self Esteem
75% Trauma and PTSD
69% Stress
68% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
71% Aetna
50% UnitedHealthcare UHC | UBH

How Therapists in Asheville, NC see their clients

69% In Person and Online
31% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Asheville?

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.