Therapists in Riverview, FL

Photo of Angela Ostrander, Counselor in Riverview, FL
Angela Ostrander
Counselor, PsyD, LMFT, LMHC
Verified Verified
5 Endorsed
Riverview, FL 33578  (Online Only)
My goal is to accommodate your schedule with evening availability. It is okay to ask for help from time to time, when something becomes overwhelming and you're unsure how to make a change. My hope is to inspire new insight into your life and facilitate your growth as an individual. Together, we will uncover your uniqueness and promote self-discovery.
My goal is to accommodate your schedule with evening availability. It is okay to ask for help from time to time, when something becomes overwhelming and you're unsure how to make a change. My hope is to inspire new insight into your life and facilitate your growth as an individual. Together, we will uncover your uniqueness and promote self-discovery.
(813) 519-5491 View (813) 519-5491
Photo of Tuff Counseling Services LLC, Mental Health Counselor in Riverview, FL
Tuff Counseling Services LLC
Mental Health Counselor, LMHC
Verified Verified
Riverview, FL 33579  (Online Only)
Donna Tuff Owner, Tuff Counseling Services LLC Licensed Professional Mental Health Counselor. Donna’s specialty is providing a safe, comfortable, interactive environment for her clients.
Donna Tuff Owner, Tuff Counseling Services LLC Licensed Professional Mental Health Counselor. Donna’s specialty is providing a safe, comfortable, interactive environment for her clients.
(813) 565-9842 View (813) 565-9842
Photo of Jamaruz Thompkins, Registered Mental Health Counselor Intern in Riverview, FL
Jamaruz Thompkins
Registered Mental Health Counselor Intern, MS
Verified Verified
Riverview, FL 33569
I look forward to serving children, and teens who may be experiencing trauma issues at school with behaviors, or needing interventions for ADHD and other Cognitive, Emotional, and Behavioral Issues. I look forward to serving couples and marriages on their journey towards Restoration. Also serving those who struggle with Substance Abuse and their journey to sobriety, with the many therapeutic approaches, am excited about serving our families to ensure they become a better version of themselves Prioritizing the needs of our clients, showing empathy, and being present is always top priority for client care, safety and stability.
I look forward to serving children, and teens who may be experiencing trauma issues at school with behaviors, or needing interventions for ADHD and other Cognitive, Emotional, and Behavioral Issues. I look forward to serving couples and marriages on their journey towards Restoration. Also serving those who struggle with Substance Abuse and their journey to sobriety, with the many therapeutic approaches, am excited about serving our families to ensure they become a better version of themselves Prioritizing the needs of our clients, showing empathy, and being present is always top priority for client care, safety and stability.
(813) 945-4095 View (813) 945-4095
Photo of Dr. Grissel M. Lloyd, Psychologist in Riverview, FL
Dr. Grissel M. Lloyd
Psychologist, PsyD, LMHC, BCBA
Verified Verified
1 Endorsed
Riverview, FL 33569
We all encounter obstacles and challenges along our journey in this adventure that is life. Sometimes, despite previous experiences and present resources, it becomes overwhelming. Seeking assistance can be difficult, but therapy can provide a completely objective space where YOU can be seen and heard, unencumbered by fear of judgement or of your vulnerability being used against you. Together we can modify your thought habits, behavioral patterns, and subconscious roadblocks that are currently preventing you from making that change you desire or moving towards living your best life.
We all encounter obstacles and challenges along our journey in this adventure that is life. Sometimes, despite previous experiences and present resources, it becomes overwhelming. Seeking assistance can be difficult, but therapy can provide a completely objective space where YOU can be seen and heard, unencumbered by fear of judgement or of your vulnerability being used against you. Together we can modify your thought habits, behavioral patterns, and subconscious roadblocks that are currently preventing you from making that change you desire or moving towards living your best life.
(813) 669-2299 View (813) 669-2299
Photo of Uniquely Human Counseling, Counselor in Riverview, FL
Uniquely Human Counseling
Counselor, LMHC
Verified Verified
Riverview, FL 33578  (Online Only)
I’m so glad you’re here. As the founder of Uniquely Human Counseling, it’s my mission to help people get the care they need to thrive in life. I create an individualized treatment plan for each client that aims to move away from the one-size-fits-all therapy model that seeks to label and treat you simply as a diagnosis. Using Process-Based Counseling, we’ll rely on scientifically proven techniques to identify the ideals that mean the most to you and give you the tools to start living in alignment with your values. Experience the full range of human emotions without feeling overwhelmed by negative thoughts and feelings.
I’m so glad you’re here. As the founder of Uniquely Human Counseling, it’s my mission to help people get the care they need to thrive in life. I create an individualized treatment plan for each client that aims to move away from the one-size-fits-all therapy model that seeks to label and treat you simply as a diagnosis. Using Process-Based Counseling, we’ll rely on scientifically proven techniques to identify the ideals that mean the most to you and give you the tools to start living in alignment with your values. Experience the full range of human emotions without feeling overwhelmed by negative thoughts and feelings.
(813) 670-7894 View (813) 670-7894
Photo of Amanda Altu, Counselor in Riverview, FL
Amanda Altu
Counselor, LMHC
Verified Verified
Riverview, FL 33578  (Online Only)
Hello! Congratulations on taking this leap of faith and making the decision to explore therapy as a means to reach your goals. I am so proud of you! As a clinician, I am committed to creating a non-judgmental, collaborative and safe space where each client feels heard, seen and supported. It is an honor and a privilege to work with clients in this capacity and a responsibility I take very seriously. I love working with both children and their families, young adults and fellow helping professionals on maintaining healthy work/life balance.
Hello! Congratulations on taking this leap of faith and making the decision to explore therapy as a means to reach your goals. I am so proud of you! As a clinician, I am committed to creating a non-judgmental, collaborative and safe space where each client feels heard, seen and supported. It is an honor and a privilege to work with clients in this capacity and a responsibility I take very seriously. I love working with both children and their families, young adults and fellow helping professionals on maintaining healthy work/life balance.
(813) 652-0072 View (813) 652-0072
Photo of Karen L Kennedy, Licensed Mental Health Counselor in Riverview, FL
Karen L Kennedy
Licensed Mental Health Counselor, LMHC, MCAP
Verified Verified
2 Endorsed
Riverview, FL 33569
Waitlist for new clients
How many hats do you wear? Let’s be honest, in today’s face paced world, many of us wear too many hats causing our lives to become unmanageable. If you are feeling overwhelmed, confused, stuck and/or depressed, it’s time to try on a new hat! One that is more aligned and uniquely fit for Just For You! Hi! My name is Karen L Kennedy and I’m a Licensed Mental Health Counselor (LMHC) and Master's Level Certified Addiction Professional (MCAP), specializing in trauma therapy. I am committed to guiding individuals through their journey of healing and growth.
How many hats do you wear? Let’s be honest, in today’s face paced world, many of us wear too many hats causing our lives to become unmanageable. If you are feeling overwhelmed, confused, stuck and/or depressed, it’s time to try on a new hat! One that is more aligned and uniquely fit for Just For You! Hi! My name is Karen L Kennedy and I’m a Licensed Mental Health Counselor (LMHC) and Master's Level Certified Addiction Professional (MCAP), specializing in trauma therapy. I am committed to guiding individuals through their journey of healing and growth.
(813) 548-3785 View (813) 548-3785
Photo of Kimberly S Yeany, Counselor in Riverview, FL
Kimberly S Yeany
Counselor, LMHC
Verified Verified
Riverview, FL 33578  (Online Only)
I am a Licensed Mental Health Counselor in the state of Florida and have worked in the mental health field for 24 years. I have my Master's Degree in Mental Health Counseling. Throughout my career I worked in community settings. I have worked with children, adolescents, families, and individuals with a wide range of concerns, including depression, anxiety, parenting, family conflict, grief and loss.
I am a Licensed Mental Health Counselor in the state of Florida and have worked in the mental health field for 24 years. I have my Master's Degree in Mental Health Counseling. Throughout my career I worked in community settings. I have worked with children, adolescents, families, and individuals with a wide range of concerns, including depression, anxiety, parenting, family conflict, grief and loss.
(727) 594-4250 View (727) 594-4250
Photo of Allison Stainton, Clinical Social Work/Therapist in Riverview, FL
Allison Stainton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
4 Endorsed
Riverview, FL 33578
I have been working with individuals and families in Hillsborough County for the past eleven years. I have extensive experience working with women experiencing postpartum depression and/or anxiety. I am passionate about helping new mothers navigate the stressors of a major life transition. I have also supported many families through the loss of a child during pregnancy as well as after birth.
I have been working with individuals and families in Hillsborough County for the past eleven years. I have extensive experience working with women experiencing postpartum depression and/or anxiety. I am passionate about helping new mothers navigate the stressors of a major life transition. I have also supported many families through the loss of a child during pregnancy as well as after birth.
(813) 285-7524 View (813) 285-7524
Photo of Demetric Watkins, Counselor in Riverview, FL
Demetric Watkins
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Riverview, FL 33578  (Online Only)
I work with individuals dealing with many issues, including anxiety, depression, identity, trauma, and adjustment concerns. I help individuals longing for peace and resolve to inner conflict by helping them gain true clarity and confidence in themselves. I support them in coping with the challenges that life undoubtedly throws at us, including managing and reducing fear and anxiety. Diverse and LGBTQ+ clients are welcome.
I work with individuals dealing with many issues, including anxiety, depression, identity, trauma, and adjustment concerns. I help individuals longing for peace and resolve to inner conflict by helping them gain true clarity and confidence in themselves. I support them in coping with the challenges that life undoubtedly throws at us, including managing and reducing fear and anxiety. Diverse and LGBTQ+ clients are welcome.
(813) 683-8749 View (813) 683-8749
Photo of Crystal Clark, Counselor in Riverview, FL
Crystal Clark
Counselor, LMHC
Verified Verified
1 Endorsed
Riverview, FL 33579  (Online Only)
Let me help you GROW through life changes. Growing Through Changes Therapy, PLLC is here for people of all backgrounds. I understand how hard the process of finding the right person to confide in may be. My goal is to make you feel comfortable with where you are at in life and working together to achieve personal goals. Therapy works best in an environment of openness and trust. Therefore, finding the right therapist to confide is important and I welcome any questions that will make this process comfortable.
Let me help you GROW through life changes. Growing Through Changes Therapy, PLLC is here for people of all backgrounds. I understand how hard the process of finding the right person to confide in may be. My goal is to make you feel comfortable with where you are at in life and working together to achieve personal goals. Therapy works best in an environment of openness and trust. Therefore, finding the right therapist to confide is important and I welcome any questions that will make this process comfortable.
(813) 294-9128 View (813) 294-9128
Photo of Stephanie Bardales, Marriage & Family Therapist in Riverview, FL
Stephanie Bardales
Marriage & Family Therapist, LMFT
Verified Verified
Riverview, FL 33578
Do you need help with mental health challenges, like depression, anxiety, OCD, bipolar disorder, or ADHD? Are you having difficulty with your relationship and need help to work through problems like infidelity, communication, or frequent fighting? Has life become difficult and you are having a hard time coping or keeping up? If so, I am here to help!
Do you need help with mental health challenges, like depression, anxiety, OCD, bipolar disorder, or ADHD? Are you having difficulty with your relationship and need help to work through problems like infidelity, communication, or frequent fighting? Has life become difficult and you are having a hard time coping or keeping up? If so, I am here to help!
(813) 544-6649 View (813) 544-6649
Photo of Katherine Sierota-Creativity the Art of Expression, Counselor in Riverview, FL
Katherine Sierota-Creativity the Art of Expression
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Riverview, FL 33579
With locations in the Riverview and North Tampa areas in person and virtual. Finding the right fit is essential when working with any therapist. I offer a free telephone consultation that allows us to discuss your goals and to decide whether I am the right person to help you accomplish them. I am a warm and compassionate Licensed Art Therapist, Certified Telehealth provider, and Mental Health Counselor with over 20 years of experience. I provide affordable, convenient, and private counseling services and genuinely want to help you heal by working together to accomplish your goals
With locations in the Riverview and North Tampa areas in person and virtual. Finding the right fit is essential when working with any therapist. I offer a free telephone consultation that allows us to discuss your goals and to decide whether I am the right person to help you accomplish them. I am a warm and compassionate Licensed Art Therapist, Certified Telehealth provider, and Mental Health Counselor with over 20 years of experience. I provide affordable, convenient, and private counseling services and genuinely want to help you heal by working together to accomplish your goals
(813) 773-2557 View (813) 773-2557
Photo of Claudia Dorego, Counselor in Riverview, FL
Claudia Dorego
Counselor, MA, NCC, LMHC
Verified Verified
2 Endorsed
Riverview, FL 33578  (Online Only)
EMDR Certification coming August 2024. CBT, DBT, Mindfulness, Family systems and Solution Focused. Lifestyle coach and Licensed Mental Health Therapist. Claudia believes that the best way to live your life is by putting the best version of yourself into everything that you do. Finding that version of yourself can be challenging especially when life is filled with obstacles. Her mindfulness approach includes health and wellness strategies that can help you prioritize self care and self awareness. Claudia can help you and your best self get through those days!
EMDR Certification coming August 2024. CBT, DBT, Mindfulness, Family systems and Solution Focused. Lifestyle coach and Licensed Mental Health Therapist. Claudia believes that the best way to live your life is by putting the best version of yourself into everything that you do. Finding that version of yourself can be challenging especially when life is filled with obstacles. Her mindfulness approach includes health and wellness strategies that can help you prioritize self care and self awareness. Claudia can help you and your best self get through those days!
(401) 343-6712 View (401) 343-6712
Photo of Patricia Mendez, Registered Mental Health Counselor Intern in Riverview, FL
Patricia Mendez
Registered Mental Health Counselor Intern, MA
Verified Verified
Riverview, FL 33569
Clients that seek therapy want an empathetic and supportive therapist that actively listens and validates their thoughts, feelings, culture and life experiences. Whether you are struggling with anger, fear, depression, anxiety, or any other type of mental health challenge, therapy will help you gain insight into how you think, feel, and behave. It will also be an opportunity to learn and develop effective strategies to manage stress, regulate emotions, build healthier relationships, and navigate challenging situations more adaptively.
Clients that seek therapy want an empathetic and supportive therapist that actively listens and validates their thoughts, feelings, culture and life experiences. Whether you are struggling with anger, fear, depression, anxiety, or any other type of mental health challenge, therapy will help you gain insight into how you think, feel, and behave. It will also be an opportunity to learn and develop effective strategies to manage stress, regulate emotions, build healthier relationships, and navigate challenging situations more adaptively.
(813) 592-7793 View (813) 592-7793
Photo of Christa Jallorina Christian Counseling, LLC, Clinical Social Work/Therapist in Riverview, FL
Christa Jallorina Christian Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Riverview, FL 33579  (Online Only)
In 2018, Because of the busyness in Northern Virginia, I opened an online practice to make Christian counseling more accessible. After moving to Florida, I expanded the services. I am licensed as an LCSW in both Virginia and Florida. You can receive professional support from the comfort of your own space. I enjoy working with individuals who suffer from anxiety disorders, depression, relationship difficulties and stress management. I tailor your counseling experience to you, using worksheets, talk therapy, art, DBT workbooks, CBT and a variety of other research-based methods.
In 2018, Because of the busyness in Northern Virginia, I opened an online practice to make Christian counseling more accessible. After moving to Florida, I expanded the services. I am licensed as an LCSW in both Virginia and Florida. You can receive professional support from the comfort of your own space. I enjoy working with individuals who suffer from anxiety disorders, depression, relationship difficulties and stress management. I tailor your counseling experience to you, using worksheets, talk therapy, art, DBT workbooks, CBT and a variety of other research-based methods.
(813) 590-1559 View (813) 590-1559
Photo of Dr. Ronda E. Porter, Marriage & Family Therapist in Riverview, FL
Dr. Ronda E. Porter
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Riverview, FL 33578
Need help with your relationships? I have experience working with adults and adolescents and my goals are to assist individuals in repairing and strengthening their relationships, gaining better control of their behaviors, and their lives, and help couples and families sustain fulfilling life long relationships. I use a systemic approach and teach techniques that encourage loving relationships between couples and family members. I am a Licensed Marriage Counselor and Certified Sex Therapist with over twenty years of experience working with individuals interested in finding happiness and creating change in their lives.
Need help with your relationships? I have experience working with adults and adolescents and my goals are to assist individuals in repairing and strengthening their relationships, gaining better control of their behaviors, and their lives, and help couples and families sustain fulfilling life long relationships. I use a systemic approach and teach techniques that encourage loving relationships between couples and family members. I am a Licensed Marriage Counselor and Certified Sex Therapist with over twenty years of experience working with individuals interested in finding happiness and creating change in their lives.
(813) 358-1420 View (813) 358-1420
Photo of Dr. Robert B. Carey, Psychologist in Riverview, FL
Dr. Robert B. Carey
Psychologist, PsyD
Verified Verified
1 Endorsed
Riverview, FL 33579
Welcome! Thank you for reviewing my page. I primarily offer two (2) services - Psychotherapy and Psychological Evaluations. I provide psychotherapy to treat: Anxiety, Panic, Depression, Grief and Loss, Sexual/Pornography Addiction, and Compulsive Eating. I provide treatment from a Cognitive and/or Behavioral perspective, which helps clients to understand how their thinking impacts feelings and behavior. I also offer faith-based counseling methods for those seeking such a treatment perspective. For evaluation I provide comprehensive evaluations to diagnose, determine treatment, assess competency, and for a variety of legal issues.
Welcome! Thank you for reviewing my page. I primarily offer two (2) services - Psychotherapy and Psychological Evaluations. I provide psychotherapy to treat: Anxiety, Panic, Depression, Grief and Loss, Sexual/Pornography Addiction, and Compulsive Eating. I provide treatment from a Cognitive and/or Behavioral perspective, which helps clients to understand how their thinking impacts feelings and behavior. I also offer faith-based counseling methods for those seeking such a treatment perspective. For evaluation I provide comprehensive evaluations to diagnose, determine treatment, assess competency, and for a variety of legal issues.
(813) 213-4205 View (813) 213-4205
Photo of Brittany DeFiore, Clinical Social Work/Therapist in Riverview, FL
Brittany DeFiore
Clinical Social Work/Therapist, LCSW
Verified Verified
Riverview, FL 33569  (Online Only)
Hi, I'm Brittany, nice to meet you virtually! Are you in need of a listening ear? Someone who will help you sort through unpleasant feelings and unkind thoughts? Whether these unkind thoughts are internal, coming from someone in your life, or from a traumatic experience, therapy can help move you along in the healing process. I work to help you understand your negative thought patterns and reframe them to better cope with life and everyday stressors. Together we can explore the way you feel about yourself and the world to allow you to get back to living your best life.
Hi, I'm Brittany, nice to meet you virtually! Are you in need of a listening ear? Someone who will help you sort through unpleasant feelings and unkind thoughts? Whether these unkind thoughts are internal, coming from someone in your life, or from a traumatic experience, therapy can help move you along in the healing process. I work to help you understand your negative thought patterns and reframe them to better cope with life and everyday stressors. Together we can explore the way you feel about yourself and the world to allow you to get back to living your best life.
(352) 775-0369 View (352) 775-0369
Photo of Danica Garbett, Pre-Licensed Professional in Riverview, FL
Danica Garbett
Pre-Licensed Professional, RMHCI, CRC
Verified Verified
1 Endorsed
Riverview, FL 33569
Hi, I'm Danica! I aim to create genuine holistic connections with my clients. My passion lies with children, adolescents, and adults navigating times of anxiety, depression, or other mood related disorders. As well, I specialize working with people with autism, ADHD, and other neurodivergent concerns. Finally, I am devoted to working with athletes, aiding in building confidence, resilience, and addressing mental health struggles inherent in high-level sports.
Hi, I'm Danica! I aim to create genuine holistic connections with my clients. My passion lies with children, adolescents, and adults navigating times of anxiety, depression, or other mood related disorders. As well, I specialize working with people with autism, ADHD, and other neurodivergent concerns. Finally, I am devoted to working with athletes, aiding in building confidence, resilience, and addressing mental health struggles inherent in high-level sports.
(727) 761-7304 x136 View (727) 761-7304 x136

How does your Therapist compare?

Number of Therapists in Riverview, FL

100+

Average cost per session

$125

Therapists in Riverview, FL who prioritize treating:

93% Anxiety
86% Depression
76% Coping Skills
75% Self Esteem
72% Stress
70% Relationship Issues
69% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

91% Aetna
86% UnitedHealthcare UHC | UBH
84% Cigna and Evernorth

How Therapists in Riverview, FL see their clients

72% In Person and Online
28% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Riverview?

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.