Therapists in Northville, MI

Photo of Linda Potter, Limited Licensed Psychologist in Northville, MI
Linda Potter
Limited Licensed Psychologist, MA, LLP
Verified Verified
1 Endorsed
Northville, MI 48167
When we experience trauma or severe life stressors, it may feel like our lives are unraveling and out of control. My greatest passion is helping people re-establish their balance and sense of purpose.
When we experience trauma or severe life stressors, it may feel like our lives are unraveling and out of control. My greatest passion is helping people re-establish their balance and sense of purpose.
(248) 846-1678 View (248) 846-1678
Photo of Jessica Gardiner, Limited Licensed Psychologist in Northville, MI
Jessica Gardiner
Limited Licensed Psychologist, MA, TLLP
Verified Verified
1 Endorsed
Northville, MI 48167  (Online Only)
Everyone deserves this chance to better themselves and relieve the burden that mental health issues can bring to our daily lives. There are many reasons people seek therapy. There could be feelings of nervousness or sadness, or an urge to finally get what's bothering you off your chest. No matter what it is, therapy brings out the best in you, and may surprise you. I've interacted with many clients who come in for one problem, and then discover hidden pieces of themselves.
Everyone deserves this chance to better themselves and relieve the burden that mental health issues can bring to our daily lives. There are many reasons people seek therapy. There could be feelings of nervousness or sadness, or an urge to finally get what's bothering you off your chest. No matter what it is, therapy brings out the best in you, and may surprise you. I've interacted with many clients who come in for one problem, and then discover hidden pieces of themselves.
(734) 849-3971 View (734) 849-3971
Photo of Dr. Stephanie Christy, Clinical Social Work/Therapist in Northville, MI
Dr. Stephanie Christy
Clinical Social Work/Therapist, DSW, LMSW, LCSW, ICAADC, CIP
Verified Verified
Northville, MI 48168
Welcome! I began my work in the addiction, mental health, and recovery fields approximately two decades ago. I strongly believe in the impact addiction and mental health concerns have on the entire family and in the recovery of family system as a whole. My passion for recovery continues to lead me to work with both those suffering from addiction and mental health concerns and their families in multiple arenas. My quest is to impart the gifts of recovery to all individuals, families, and systems who seek it!
Welcome! I began my work in the addiction, mental health, and recovery fields approximately two decades ago. I strongly believe in the impact addiction and mental health concerns have on the entire family and in the recovery of family system as a whole. My passion for recovery continues to lead me to work with both those suffering from addiction and mental health concerns and their families in multiple arenas. My quest is to impart the gifts of recovery to all individuals, families, and systems who seek it!
(734) 294-3951 View (734) 294-3951
Photo of Michelle Hodges-Pietryka, Psychologist in Northville, MI
Michelle Hodges-Pietryka
Psychologist, PsyD, LP
Verified Verified
Northville, MI 48168  (Online Only)
Immediate Openings Available - Please contact for scheduling! I have a wide variety of experience working in settings ranging from the VA, those who have experienced incarceration, and common mental health distress. I am up for the challenge and greatly enjoy helping others see their potential. I have worked with people to explore various concerns ranging from trauma, to life transitions, to just trying to figure out what life is about. I do not believe in a one-size-fits-all model, and work best with those that are willing to be flexible and are ready to feel the way they want to feel.
Immediate Openings Available - Please contact for scheduling! I have a wide variety of experience working in settings ranging from the VA, those who have experienced incarceration, and common mental health distress. I am up for the challenge and greatly enjoy helping others see their potential. I have worked with people to explore various concerns ranging from trauma, to life transitions, to just trying to figure out what life is about. I do not believe in a one-size-fits-all model, and work best with those that are willing to be flexible and are ready to feel the way they want to feel.
(248) 920-9845 View (248) 920-9845
Photo of Rick Guttersohn, Master Social Work in Northville, MI
Rick Guttersohn
Master Social Work, LMSW
Verified Verified
Northville, MI 48168
Asking for help can be incredibly difficult, but I'd like to help change that. For years, my personal mission has been to bring hope to those who are hurting. Are you feeling overwhelmed, stuck, trapped, helpless or lost after a loss? Or maybe you feel anxious, angry, ashamed, stressed, or depressed while navigating a difficult life transition. You don’t have to navigate these feelings alone. I have years of experience guiding people through grief and loss through individual therapy, facilitating support groups, developing bereavement programs, and speaking at seminars, trainings, and events throughout Southeastern Michigan.
Asking for help can be incredibly difficult, but I'd like to help change that. For years, my personal mission has been to bring hope to those who are hurting. Are you feeling overwhelmed, stuck, trapped, helpless or lost after a loss? Or maybe you feel anxious, angry, ashamed, stressed, or depressed while navigating a difficult life transition. You don’t have to navigate these feelings alone. I have years of experience guiding people through grief and loss through individual therapy, facilitating support groups, developing bereavement programs, and speaking at seminars, trainings, and events throughout Southeastern Michigan.
(248) 920-9273 View (248) 920-9273
Photo of Hava Jongerius Zuidema, Counselor in Northville, MI
Hava Jongerius Zuidema
Counselor, MS, LPC
Verified Verified
1 Endorsed
Northville, MI 48167
When you have a long history of mental health struggles, healing can feel impossible. This can be especially true for those with a trauma history - trauma manifests in emotional and physical symptoms that can feel too big to confront. However, it is possible to feel better with the right tools and approach. At the heart of my practice is a deep respect for the courage it takes to seek healing. I believe in providing a safe, compassionate, and non-judgmental space for my clients to explore their experiences and emotions.
When you have a long history of mental health struggles, healing can feel impossible. This can be especially true for those with a trauma history - trauma manifests in emotional and physical symptoms that can feel too big to confront. However, it is possible to feel better with the right tools and approach. At the heart of my practice is a deep respect for the courage it takes to seek healing. I believe in providing a safe, compassionate, and non-judgmental space for my clients to explore their experiences and emotions.
(248) 422-2286 View (248) 422-2286
Photo of Breeana Sobieski, Clinical Social Work/Therapist in Northville, MI
Breeana Sobieski
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Northville, MI 48167  (Online Only)
Hello and welcome. As a therapist, I strive to provide a warm, safe and non-judgmental environment in which individuals feel comfortable exploring and applying growth and change. For some, the thought of seeking therapy can feel intimidating, and for others, it can feel empowering. I work with each client collaboratively to address concerns in a way they feel is comfortable, whether it is brief therapy focusing on problem solving for current life stressors, or it is further exploration and identification of deeper issues. My goal is to support and assist you in developing ways to adapt to, improve or overcome your challenges.
Hello and welcome. As a therapist, I strive to provide a warm, safe and non-judgmental environment in which individuals feel comfortable exploring and applying growth and change. For some, the thought of seeking therapy can feel intimidating, and for others, it can feel empowering. I work with each client collaboratively to address concerns in a way they feel is comfortable, whether it is brief therapy focusing on problem solving for current life stressors, or it is further exploration and identification of deeper issues. My goal is to support and assist you in developing ways to adapt to, improve or overcome your challenges.
(248) 712-3508 View (248) 712-3508
Photo of Rebecca Williamsen, Counselor in Northville, MI
Rebecca Williamsen
Counselor, MA-LLC, CTRS
Verified Verified
5 Endorsed
Northville, MI 48167
Whether you are working to manage anxiety or depression, navigating difficult conversations with a partner, boss, or loved one, struggling with addiction, or processing emotions related to any of these and more, it is not something you need to do alone; I would love to be there to support you.
Whether you are working to manage anxiety or depression, navigating difficult conversations with a partner, boss, or loved one, struggling with addiction, or processing emotions related to any of these and more, it is not something you need to do alone; I would love to be there to support you.
(734) 338-7172 View (734) 338-7172
Photo of Duane James Clemons, Limited Licensed Psychologist in Northville, MI
Duane James Clemons
Limited Licensed Psychologist, MA, TLLP
Verified Verified
1 Endorsed
Northville, MI 48167
One of the greatest aspect of therapy is that it helps you to grow - grow in the way you feel, grow in how you behave, grow in the way you understand yourself. The therapeutic relationship can be a vital tool for enacting the change that leads to your own growth as a human. I offer an empathetic and safe space for you to openly explore and bring to the light things that may be easier to leave in the dark. We are all unique in our experiences in this life, but the emotions left over from those experiences can be universally felt and understood. Growth and understanding are without a doubt a possibility. It only begins with you.
One of the greatest aspect of therapy is that it helps you to grow - grow in the way you feel, grow in how you behave, grow in the way you understand yourself. The therapeutic relationship can be a vital tool for enacting the change that leads to your own growth as a human. I offer an empathetic and safe space for you to openly explore and bring to the light things that may be easier to leave in the dark. We are all unique in our experiences in this life, but the emotions left over from those experiences can be universally felt and understood. Growth and understanding are without a doubt a possibility. It only begins with you.
(248) 965-1913 View (248) 965-1913
Photo of Kiera M. Kunkle, Limited Licensed Psychologist in Northville, MI
Kiera M. Kunkle
Limited Licensed Psychologist, MA, TLLP
Verified Verified
1 Endorsed
Northville, MI 48167
I work with adults and older adolescents experiencing difficulty in navigating life's many challenges and uncertainties. Concerns related to depression, anxiety, relationships, identity, trauma, or loss can impact our emotional well-being and functioning. At times, our ways of coping can create further distress. Through a deeper understanding of ourselves and our patterns, therapy can facilitate change. I recognize each client as a unique individual and appreciate the need to tailor therapeutic experiences to fit your needs. My goal is to promote curiosity, insight, and autonomy, allowing for healthier ways of coping & healing.
I work with adults and older adolescents experiencing difficulty in navigating life's many challenges and uncertainties. Concerns related to depression, anxiety, relationships, identity, trauma, or loss can impact our emotional well-being and functioning. At times, our ways of coping can create further distress. Through a deeper understanding of ourselves and our patterns, therapy can facilitate change. I recognize each client as a unique individual and appreciate the need to tailor therapeutic experiences to fit your needs. My goal is to promote curiosity, insight, and autonomy, allowing for healthier ways of coping & healing.
(313) 355-0187 View (313) 355-0187
Photo of Adrian Accetta-Trombley, Licensed Professional Counselor in Northville, MI
Adrian Accetta-Trombley
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Northville, MI 48167  (Online Only)
Waitlist for new clients
We all need a safe space to share our inner thoughts, examine our current behaviors, and seek out our truest selves. We all deserve someone that helps you feel safe and understood. Collaboration and partnership are key to a successful therapeutic relationship. My approach is non judgmental and client centered. Whether you are looking for support in life, dealing with loss, difficult times, or facing a variety of obstacles, I am here to help guide you through. You are the expert on your life, the goal is to help you live the life you envision.
We all need a safe space to share our inner thoughts, examine our current behaviors, and seek out our truest selves. We all deserve someone that helps you feel safe and understood. Collaboration and partnership are key to a successful therapeutic relationship. My approach is non judgmental and client centered. Whether you are looking for support in life, dealing with loss, difficult times, or facing a variety of obstacles, I am here to help guide you through. You are the expert on your life, the goal is to help you live the life you envision.
(248) 218-9584 View (248) 218-9584
Photo of Donna Marie, Limited Licensed Psychologist in Northville, MI
Donna Marie
Limited Licensed Psychologist, MA, LLP
Verified Verified
Northville, MI 48168
Are you feeling out of sorts? Maybe overwhelmed, sad, down, worry too much, hurt too much, and don’t know what do to next? Or maybe you are experiencing deep grief and would like some relief from the relentless tears and sadness. Believe me you are not alone. Remembering times in my life when I did not even know what I was feeling, I felt so isolated, lost and confused. I happened to stumble upon a professional that helped me. Someone that I could trust and felt very comfortable with. I was very hesitant to take this step but somehow I did. It was by far the best thing I have ever done for myself. This is why I became a therapist.
Are you feeling out of sorts? Maybe overwhelmed, sad, down, worry too much, hurt too much, and don’t know what do to next? Or maybe you are experiencing deep grief and would like some relief from the relentless tears and sadness. Believe me you are not alone. Remembering times in my life when I did not even know what I was feeling, I felt so isolated, lost and confused. I happened to stumble upon a professional that helped me. Someone that I could trust and felt very comfortable with. I was very hesitant to take this step but somehow I did. It was by far the best thing I have ever done for myself. This is why I became a therapist.
(734) 619-6021 View (734) 619-6021
Photo of Vicki Bucciere, Clinical Social Work/Therapist in Northville, MI
Vicki Bucciere
Clinical Social Work/Therapist, LMSW, ACSW, DOT SAP
Verified Verified
1 Endorsed
Northville, MI 48167  (Online Only)
Hello, if you are struggling right now to cope with some of the tough life challenges coming your way, know that mental health therapy is highly effective with results that can be life-changing and very gratifying. As a licensed LMSW trained by the U of M in Ann Arbor with many years of individual, couples, family and group experience, my clients tell me I’m easy to talk with and I look forward to compassionately and collaboratively providing the emotional support you need.
Hello, if you are struggling right now to cope with some of the tough life challenges coming your way, know that mental health therapy is highly effective with results that can be life-changing and very gratifying. As a licensed LMSW trained by the U of M in Ann Arbor with many years of individual, couples, family and group experience, my clients tell me I’m easy to talk with and I look forward to compassionately and collaboratively providing the emotional support you need.
(248) 997-4319 View (248) 997-4319
Photo of Grant Flood, Clinical Social Work/Therapist in Northville, MI
Grant Flood
Clinical Social Work/Therapist, LMSW
Verified Verified
5 Endorsed
Northville, MI 48167
Not accepting new clients
Life is predictably unpredictable. Despite this, adapting to challenges may not always feel familiar or simple. Feeling understood and accepted is a powerful aspect to dealing with change, but not always available or prevalent. My goal is to provide support and tools while navigating through a variety of struggles and challenges. I strive to provide a holistic therapeutic approach that best fits each individual I work with.
Life is predictably unpredictable. Despite this, adapting to challenges may not always feel familiar or simple. Feeling understood and accepted is a powerful aspect to dealing with change, but not always available or prevalent. My goal is to provide support and tools while navigating through a variety of struggles and challenges. I strive to provide a holistic therapeutic approach that best fits each individual I work with.
(947) 600-4034 View (947) 600-4034
Photo of Restore Life PLC, Marriage & Family Therapist in Northville, MI
Restore Life PLC
Marriage & Family Therapist, LMFT
Verified Verified
Northville, MI 48168
I enjoy meeting amazing individuals each and every day and consider it a privilege to join you on this journey of discovery and healing. Most often we seek therapy because something in life just isn’t working. Maybe you feel depressed, anxious or suicidal; maybe you’ve experienced trauma or extreme stress. I have great respect for your decision to enter this process. I will work with you to determine goals and imagine a better tomorrow. We will focus on validating your life experiences, while giving space your emotions and building on your existing skills to reduce distressing thoughts and increase self-compassion!
I enjoy meeting amazing individuals each and every day and consider it a privilege to join you on this journey of discovery and healing. Most often we seek therapy because something in life just isn’t working. Maybe you feel depressed, anxious or suicidal; maybe you’ve experienced trauma or extreme stress. I have great respect for your decision to enter this process. I will work with you to determine goals and imagine a better tomorrow. We will focus on validating your life experiences, while giving space your emotions and building on your existing skills to reduce distressing thoughts and increase self-compassion!
(734) 619-8135 View (734) 619-8135
Photo of Michael Davis, Clinical Social Work/Therapist in Northville, MI
Michael Davis
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
Northville, MI 48168
Are you struggling in some way, and need to talk to someone? Do you feel stuck? Do you want a safe space to be yourself? Are you looking for support in an area of your life? I want to empower you and help tap into your strengths, so that together we can aid you in making your desired changes in your life.
Are you struggling in some way, and need to talk to someone? Do you feel stuck? Do you want a safe space to be yourself? Are you looking for support in an area of your life? I want to empower you and help tap into your strengths, so that together we can aid you in making your desired changes in your life.
(248) 665-8437 View (248) 665-8437
Photo of Tamia Buckley, Clinical Social Work/Therapist in Northville, MI
Tamia Buckley
Clinical Social Work/Therapist, LLMSW
Verified Verified
1 Endorsed
Northville, MI 48167
“Just when the caterpillar thought the world was over, it became a butterfly.” (Anonymous Proverb). Do you often feel misunderstood, stressed, damaged, or insecure? Are you overwhelmed by sadness, anxiousness, hopelessness, and feelings of worthlessness? I’ll let you in on a little secret: You are NOT alone! I understand how difficult it can be to express these feelings to others out of fear of judgement, mistrust, or even shame. Let's explore this ongoing internal conflict and work towards creating a positive, intentional relationship with self. Together, we will develop a plan to promote healing, growth, and hope!
“Just when the caterpillar thought the world was over, it became a butterfly.” (Anonymous Proverb). Do you often feel misunderstood, stressed, damaged, or insecure? Are you overwhelmed by sadness, anxiousness, hopelessness, and feelings of worthlessness? I’ll let you in on a little secret: You are NOT alone! I understand how difficult it can be to express these feelings to others out of fear of judgement, mistrust, or even shame. Let's explore this ongoing internal conflict and work towards creating a positive, intentional relationship with self. Together, we will develop a plan to promote healing, growth, and hope!
(734) 849-3180 View (734) 849-3180
Photo of Pamela Manela, Clinical Social Work/Therapist in Northville, MI
Pamela Manela
Clinical Social Work/Therapist, LMSW-CM, LMFT, ACSW, BCD, SSW
Verified Verified
Northville, MI 48167
Asking for therapy is not easy, but it is a sign of strength that I support.My practice is client-centered, based on a systems approach & family-of-origin themes/issues. I focus on helping my clients to find solutions to their emotional challenges and to work through transitions, crises, trauma & adjustments so they can develop & enhance their behavioral health. I avoid "cookbook" approaches, and use evidence & strength-based psychotherapy & counseling to guide adults, youth, families & couples to achieve their own positive solutions.I enjoy helping young adults, teens, & other helping professionals/educators deal with life stressors effectively.
Asking for therapy is not easy, but it is a sign of strength that I support.My practice is client-centered, based on a systems approach & family-of-origin themes/issues. I focus on helping my clients to find solutions to their emotional challenges and to work through transitions, crises, trauma & adjustments so they can develop & enhance their behavioral health. I avoid "cookbook" approaches, and use evidence & strength-based psychotherapy & counseling to guide adults, youth, families & couples to achieve their own positive solutions.I enjoy helping young adults, teens, & other helping professionals/educators deal with life stressors effectively.
(248) 997-4137 View (248) 997-4137
Photo of Rene Roberts, Limited Licensed Psychologist in Northville, MI
Rene Roberts
Limited Licensed Psychologist, MSCP, LLP, CCTP
Verified Verified
3 Endorsed
Northville, MI 48168  (Online Only)
Waitlist for new clients
Life comes with ups and downs... sometimes expected, other times not... and in the face of these realities, we can often use some help working through it all. Maybe you find yourself stuck in self-defeating patterns of living, feeling unfulfilled, unable to be happy in a relationship or job, or starting over. Perhaps you are experiencing low self-esteem or social anxiety and find have that you are having difficulty pursuing the activities or relationships that you desire.
Life comes with ups and downs... sometimes expected, other times not... and in the face of these realities, we can often use some help working through it all. Maybe you find yourself stuck in self-defeating patterns of living, feeling unfulfilled, unable to be happy in a relationship or job, or starting over. Perhaps you are experiencing low self-esteem or social anxiety and find have that you are having difficulty pursuing the activities or relationships that you desire.
(734) 823-4124 View (734) 823-4124
Photo of Briana Shumake, Clinical Social Work/Therapist in Northville, MI
Briana Shumake
Clinical Social Work/Therapist, LMSW, LCSW
Verified Verified
Northville, MI 48168  (Online Only)
When life becomes overwhelming and you just need a listening ear to help you figure out why and where to start, I'm here to help. I specialize in trauma focused care, anxiety, and with children however, no matter your age or issue I help guide you to finding what lies beyond the surface of you. Partner with me today for moment to breathe easier.
When life becomes overwhelming and you just need a listening ear to help you figure out why and where to start, I'm here to help. I specialize in trauma focused care, anxiety, and with children however, no matter your age or issue I help guide you to finding what lies beyond the surface of you. Partner with me today for moment to breathe easier.
(248) 368-0418 View (248) 368-0418

How does your Therapist compare?

Number of Therapists in Northville, MI

200+

Average cost per session

$150

Therapists in Northville, MI who prioritize treating:

92% Anxiety
88% Depression
80% Self Esteem
79% Relationship Issues
75% Stress
74% Coping Skills
69% Grief

Average years in practice

12 Years

Top 3 insurances accepted

96% BlueCross and BlueShield
63% Blue Care Network
48% Aetna

How Therapists in Northville, MI see their clients

76% In Person and Online
24% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Northville?

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.