Therapists in Atlanta, GA

View neighborhoods in Atlanta
Photo of Karen Coefield, Licensed Professional Counselor in Atlanta, GA
Karen Coefield
Licensed Professional Counselor, LPC
Verified Verified
Atlanta, GA 30326  (Online Only)
Karen Coefield is a licensed professional counselor with a passion for assisting adults in overcoming major life challenges and transitions. She has a Masters in Professional Counseling from Georgia State University and has worked in a variety of settings providing quality support and care to adults dealing with anxiety, life stressors, major life transitions, depression, substance use disorders, work life balance, to name a few. She focuses on discovering each individuals unique challenges and strengths and utilizes various evidenced based techniques in the context of cultural awareness to help them reach their goals.
Karen Coefield is a licensed professional counselor with a passion for assisting adults in overcoming major life challenges and transitions. She has a Masters in Professional Counseling from Georgia State University and has worked in a variety of settings providing quality support and care to adults dealing with anxiety, life stressors, major life transitions, depression, substance use disorders, work life balance, to name a few. She focuses on discovering each individuals unique challenges and strengths and utilizes various evidenced based techniques in the context of cultural awareness to help them reach their goals.
(404) 531-2065 View (404) 531-2065
Photo of Reginald Leonard, Counselor in Atlanta, GA
Reginald Leonard
Counselor, MA, APC
Verified Verified
Atlanta, GA 30310  (Online Only)
I am passionate about helping you meet all of your goals. Whether it is personal and or professional, I will walk beside you as you take the steps necessary to live your best life.
I am passionate about helping you meet all of your goals. Whether it is personal and or professional, I will walk beside you as you take the steps necessary to live your best life.
(404) 999-3594 View (404) 999-3594
Photo of Creative Connections Comprehensive Servives , Licensed Professional Counselor in Atlanta, GA
Creative Connections Comprehensive Servives
Licensed Professional Counselor, MS, LPC
Verified Verified
Atlanta, GA 30324  (Online Only)
NOTE: Lets have a conversation. At Creative Connections Sharron Cross and her team provide mental health services to individuals, couples, and families tailored to meet an individual's needs with "just a conversation" in a "non judgmental" zone for breakthroughs and personal growth. We believe that a practice with therapists qualified to meet varying needs is an essential component to servicing the community. We at Creative Connections like to think of our time together as self care. Whether you are struggling with life's challenges, need a little encouragement or a place to share testimonies of personal growth we are here for YOU!
NOTE: Lets have a conversation. At Creative Connections Sharron Cross and her team provide mental health services to individuals, couples, and families tailored to meet an individual's needs with "just a conversation" in a "non judgmental" zone for breakthroughs and personal growth. We believe that a practice with therapists qualified to meet varying needs is an essential component to servicing the community. We at Creative Connections like to think of our time together as self care. Whether you are struggling with life's challenges, need a little encouragement or a place to share testimonies of personal growth we are here for YOU!
(404) 948-5903 View (404) 948-5903
Photo of Courtney Dombrowski, Licensed Professional Counselor in Atlanta, GA
Courtney Dombrowski
Licensed Professional Counselor, MA, LPC
Verified Verified
Atlanta, GA 30303  (Online Only)
I have extensive training and experience working with fortune 10 Executives, Attorneys, Lobbyist, Physicians, Nurses, NP/APRN, PA’s, Pilots, individuals with security clearances, even professional athletes have been referred to me for therapy. I specialize in providing confidential, safe and effective Individual and Group counseling services to impaired and recovering professionals. So what is impairment? Impairment might include substance use, struggles with grief and loss, depression, life transitions…really any experiences that are interfering with a person's ability to function at their full capacity in their professions.
I have extensive training and experience working with fortune 10 Executives, Attorneys, Lobbyist, Physicians, Nurses, NP/APRN, PA’s, Pilots, individuals with security clearances, even professional athletes have been referred to me for therapy. I specialize in providing confidential, safe and effective Individual and Group counseling services to impaired and recovering professionals. So what is impairment? Impairment might include substance use, struggles with grief and loss, depression, life transitions…really any experiences that are interfering with a person's ability to function at their full capacity in their professions.
(678) 825-8619 View (678) 825-8619
Photo of Danielle Ferguson, Licensed Professional Counselor in Atlanta, GA
Danielle Ferguson
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
3 Endorsed
Atlanta, GA 30342
I assist those whose anxiety takes over at the worst possible moments. Say, at work, school, the grocery store, in the car, or home alone and nothing is working to calm down or make it stop. I walk along side those whose inner critic, insecurities, and low self-esteem has taken their life from them but can't pinpoint the cause or "why". I also work with those whose emotions are so overwhelming so they act out of character, overly people-please, fear rejection, and hide their true selves away. For those "black sheeps" struggling with imposter syndrome and becoming exhausted daily keeping up with the expectations and goals of others.
I assist those whose anxiety takes over at the worst possible moments. Say, at work, school, the grocery store, in the car, or home alone and nothing is working to calm down or make it stop. I walk along side those whose inner critic, insecurities, and low self-esteem has taken their life from them but can't pinpoint the cause or "why". I also work with those whose emotions are so overwhelming so they act out of character, overly people-please, fear rejection, and hide their true selves away. For those "black sheeps" struggling with imposter syndrome and becoming exhausted daily keeping up with the expectations and goals of others.
View
Photo of Melanie G. Calhoun, Counselor in Atlanta, GA
Melanie G. Calhoun
Counselor, MBA, APC, NCC
Verified Verified
Atlanta, GA 30303  (Online Only)
I am Melanie Calhoun, an LAPC focusing on women’s issues and maternal mental health at Push Thru Therapy. My specialization lies in providing support to women facing life’s challenges, from everything in relationships, careers, and motherhood, such as mood and anxiety disorders and fertility issues, and navigating the impact of parenting on personal and professional aspects of life.
I am Melanie Calhoun, an LAPC focusing on women’s issues and maternal mental health at Push Thru Therapy. My specialization lies in providing support to women facing life’s challenges, from everything in relationships, careers, and motherhood, such as mood and anxiety disorders and fertility issues, and navigating the impact of parenting on personal and professional aspects of life.
(404) 738-8706 View (404) 738-8706
Photo of Jeanne Simpson, Clinical Social Work/Therapist in Atlanta, GA
Jeanne Simpson
Clinical Social Work/Therapist, LCSW
Verified Verified
Atlanta, GA 30305
Hi, my name is Jeanne Simpson. I am a Licensed Clinical Social Worker in the state Georgia. Finding a balance with work, relationships, self-care and managing every day life can be challenging. Counseling is the perfect tool to help gain perspective of the challenges we face. I am here to support you in that process. I have experience in helping clients with stress and anxiety, depression, grief and loss, depression, work-related stressors, adjustment concerns, self-esteem issues, and aging.
Hi, my name is Jeanne Simpson. I am a Licensed Clinical Social Worker in the state Georgia. Finding a balance with work, relationships, self-care and managing every day life can be challenging. Counseling is the perfect tool to help gain perspective of the challenges we face. I am here to support you in that process. I have experience in helping clients with stress and anxiety, depression, grief and loss, depression, work-related stressors, adjustment concerns, self-esteem issues, and aging.
(470) 664-6939 View (470) 664-6939
Photo of Jack Boyan, Marriage & Family Therapist in Atlanta, GA
Jack Boyan
Marriage & Family Therapist, MEd, LMFT
Verified Verified
Atlanta, GA 30319
Work with adults individually, as a couple, family & in groups. Mostly concerned with persons meeting the goals they set for themselves increasing the quality if their lives & relationships. Strongly believe in persons expressing what needs to be said & felt to me & an other(s). Believe nothing that a person holds inside can not be communicated with support. Interested in helping the adult of all ages know & speak their truth.
Work with adults individually, as a couple, family & in groups. Mostly concerned with persons meeting the goals they set for themselves increasing the quality if their lives & relationships. Strongly believe in persons expressing what needs to be said & felt to me & an other(s). Believe nothing that a person holds inside can not be communicated with support. Interested in helping the adult of all ages know & speak their truth.
(404) 900-7643 View (404) 900-7643
Photo of Essence Fiddemon, Counselor in Atlanta, GA
Essence Fiddemon
Counselor, LPC, NCC
Verified Verified
2 Endorsed
Atlanta, GA 30315
Struggling with feeling inadequate and not good enough? Are you someone that struggles with enmeshment, boundaries, perfectionism, anxiety, depression and trauma? Do your personal struggles impact your relationships with others? I work with parents and individuals who live with Borderline personality disorder, clinical anxiety, unhealthy enmeshment, perfectionism and depression. I do treat trauma. I pride myself on giving my clients skills that they need to be successful while also building insight into their struggles. We will work towards taking accountability and setting boundaries while validating our struggles.
Struggling with feeling inadequate and not good enough? Are you someone that struggles with enmeshment, boundaries, perfectionism, anxiety, depression and trauma? Do your personal struggles impact your relationships with others? I work with parents and individuals who live with Borderline personality disorder, clinical anxiety, unhealthy enmeshment, perfectionism and depression. I do treat trauma. I pride myself on giving my clients skills that they need to be successful while also building insight into their struggles. We will work towards taking accountability and setting boundaries while validating our struggles.
(404) 689-2936 View (404) 689-2936
Photo of Sharrisse El Amrani, Counselor in Atlanta, GA
Sharrisse El Amrani
Counselor, LPC
Verified Verified
Atlanta, GA 30308  (Online Only)
Greetings, My name is Sharrisse Amrani LPC. I am a Licensed Professional Counselor in the State of Georgia. I have worked in the mental health field for over 10 years, and my expertise is related to working with individuals that experience hardships such as divorce, change, and etc, as well as symptoms of depression, anxiety, mood disorders, and etc. I specialize in working with all ages with trauma.
Greetings, My name is Sharrisse Amrani LPC. I am a Licensed Professional Counselor in the State of Georgia. I have worked in the mental health field for over 10 years, and my expertise is related to working with individuals that experience hardships such as divorce, change, and etc, as well as symptoms of depression, anxiety, mood disorders, and etc. I specialize in working with all ages with trauma.
(470) 646-6906 View (470) 646-6906
Photo of Sara Ellison, Counselor in Atlanta, GA
Sara Ellison
Counselor, MS, LPC, NCC
Verified Verified
Atlanta, GA 30312
I provide individual therapy to adults and adolescents experiencing a variety of presenting concerns, including depression, anxiety, perfectionism, self-harm, suicidality, and issues related to trauma and overcontrol. I am guided by the philosophy that all individuals have the intrinsic capacity for resilience and healing, and meet clients with warmth, authenticity, and empathy to develop a plan of treatment based on their specific needs and unique strengths.
I provide individual therapy to adults and adolescents experiencing a variety of presenting concerns, including depression, anxiety, perfectionism, self-harm, suicidality, and issues related to trauma and overcontrol. I am guided by the philosophy that all individuals have the intrinsic capacity for resilience and healing, and meet clients with warmth, authenticity, and empathy to develop a plan of treatment based on their specific needs and unique strengths.
(404) 738-8345 View (404) 738-8345
Photo of Wanda D. Dennis, Psychologist in Atlanta, GA
Wanda D. Dennis
Psychologist, PhD
Verified Verified
Atlanta, GA 30331
Dr. Dennis is a Clinical Psychologist licensed in Georgia and Michigan with over 20 years of experience. She is trained to assess and treat adults and children. With compassion and understanding, she works with each individual to help them build on their strengths and attain the personal growth they are committed to accomplishing. She is fairly eclectic in her approach to treatment. She integrates complementary methodologies and techniques to offer a highly personalized approach tailored to each client. She employs aspects of behavioral, cognitive-behavioral, solution-focused, play, client-centered and psychodynamic therapy.
Dr. Dennis is a Clinical Psychologist licensed in Georgia and Michigan with over 20 years of experience. She is trained to assess and treat adults and children. With compassion and understanding, she works with each individual to help them build on their strengths and attain the personal growth they are committed to accomplishing. She is fairly eclectic in her approach to treatment. She integrates complementary methodologies and techniques to offer a highly personalized approach tailored to each client. She employs aspects of behavioral, cognitive-behavioral, solution-focused, play, client-centered and psychodynamic therapy.
(947) 222-5182 View (947) 222-5182
Photo of Rimsha Khan, Marriage & Family Therapist Intern in Atlanta, GA
Rimsha Khan
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Atlanta, GA 30318
Hello! I'm delighted to welcome you here. The journey to find the right therapist can be quite challenging, and I deeply appreciate your commitment to taking this important step. In our therapeutic space, you can exhale and let go.My commitment is to provide a safe, empathetic, and non-judgmental space where you can find the strength and insight to thrive. Your well-being is my utmost priority, and I look forward to supporting you on this path of transformation.
Hello! I'm delighted to welcome you here. The journey to find the right therapist can be quite challenging, and I deeply appreciate your commitment to taking this important step. In our therapeutic space, you can exhale and let go.My commitment is to provide a safe, empathetic, and non-judgmental space where you can find the strength and insight to thrive. Your well-being is my utmost priority, and I look forward to supporting you on this path of transformation.
(470) 291-7131 View (470) 291-7131
Photo of Elia Lintz, Licensed Professional Counselor in Atlanta, GA
Elia Lintz
Licensed Professional Counselor, LPC, NCC
Verified Verified
Atlanta, GA 30312
Hello and welcome! I provide a creative and exploratory environment for children, preteens, teens, and their families to navigate through the anxiety and struggles of life's challenges. With a foundation in expressive therapy and play therapy, based on client presentation and needs, I integrate both directive and non-directive play therapy, Cognitive Behavioral Therapy, Person Centered Therapy, and mind/body connection. I find that therapy is not a one size fits all experience and I strive to engage clients in creatively finding what will support them within the therapeutic experience.
Hello and welcome! I provide a creative and exploratory environment for children, preteens, teens, and their families to navigate through the anxiety and struggles of life's challenges. With a foundation in expressive therapy and play therapy, based on client presentation and needs, I integrate both directive and non-directive play therapy, Cognitive Behavioral Therapy, Person Centered Therapy, and mind/body connection. I find that therapy is not a one size fits all experience and I strive to engage clients in creatively finding what will support them within the therapeutic experience.
(404) 882-5122 View (404) 882-5122
Photo of Samantha McGirt, Licensed Professional Counselor in Atlanta, GA
Samantha McGirt
Licensed Professional Counselor, LPC
Verified Verified
Atlanta, GA 30319
Samantha McGirt is a Licensed Professional Counselor in South Carolina who has been practicing since 2017. She has a Masters of Arts in Counseling from Webster University. Samantha's therapeutic approach is integrative, utilizing EMDR, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mind Body Therapeutic Approaches, Client Focused, and others to provide her clients with effective coping skills to manage mental disorders. Samantha specializes in providing therapy to victims of trauma, first responders, educators, women dealing with hormonal based mood disorders, perinatal care, parents, and so much more.
Samantha McGirt is a Licensed Professional Counselor in South Carolina who has been practicing since 2017. She has a Masters of Arts in Counseling from Webster University. Samantha's therapeutic approach is integrative, utilizing EMDR, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mind Body Therapeutic Approaches, Client Focused, and others to provide her clients with effective coping skills to manage mental disorders. Samantha specializes in providing therapy to victims of trauma, first responders, educators, women dealing with hormonal based mood disorders, perinatal care, parents, and so much more.
(404) 737-0239 View (404) 737-0239
Photo of Kendal Harrod, Marriage & Family Therapist in Atlanta, GA
Kendal Harrod
Marriage & Family Therapist, LMFT
Verified Verified
Atlanta, GA 30326  (Online Only)
My goal is to provide a safe, non-judgmental space for self-exploration and development of tools to navigate life's challenges. My therapeutic approach is highlighted through a person-centered, solution-focused approach by helping identify individual strengths and increase self-esteem/confidence.
My goal is to provide a safe, non-judgmental space for self-exploration and development of tools to navigate life's challenges. My therapeutic approach is highlighted through a person-centered, solution-focused approach by helping identify individual strengths and increase self-esteem/confidence.
(470) 782-8457 View (470) 782-8457
Photo of Katie Pinholster, Licensed Professional Counselor in Atlanta, GA
Katie Pinholster
Licensed Professional Counselor, LPC, CRC
Verified Verified
Atlanta, GA 30328
I hold a masters degree in Counseling from Georgia State University, and am licensed as a professional counselor in the state of Georgia. In addition, I am a nationally certified rehabilitation counselor. I work with children, teens and adults. Although I have a particular affinity for connecting with adolescents in a genuine, authentic way to help them work through family, peer, and academic issues, I am also passionate about helping adults. My other areas of expertise include eating disorders, substance use, and women's issues.
I hold a masters degree in Counseling from Georgia State University, and am licensed as a professional counselor in the state of Georgia. In addition, I am a nationally certified rehabilitation counselor. I work with children, teens and adults. Although I have a particular affinity for connecting with adolescents in a genuine, authentic way to help them work through family, peer, and academic issues, I am also passionate about helping adults. My other areas of expertise include eating disorders, substance use, and women's issues.
(404) 857-1827 View (404) 857-1827
Photo of Ena Melton-Myers, Licensed Professional Counselor in Atlanta, GA
Ena Melton-Myers
Licensed Professional Counselor, LPC
Verified Verified
Atlanta, GA 30310
My name is Ena (pronounced ee-nah) Melton-Myers. I am currently a Licensed Professional Counselor in Georgia. For me, therapy is about growth for you in whatever way is going to have the most positive impact on you at this time. In some phases of our life, growth is in small steps that help break down the things that seem overwhelming. In other phases of our life, we are ready for growth that feels like leaps and bounds. Our time together should focus on what you need at this moment to be better tomorrow. I've been very fortunate to work with a wide array of clients and am comfortable treating most conditions.
My name is Ena (pronounced ee-nah) Melton-Myers. I am currently a Licensed Professional Counselor in Georgia. For me, therapy is about growth for you in whatever way is going to have the most positive impact on you at this time. In some phases of our life, growth is in small steps that help break down the things that seem overwhelming. In other phases of our life, we are ready for growth that feels like leaps and bounds. Our time together should focus on what you need at this moment to be better tomorrow. I've been very fortunate to work with a wide array of clients and am comfortable treating most conditions.
(470) 450-4877 View (470) 450-4877
Photo of Ramona Charles, Pre-Licensed Professional in Atlanta, GA
Ramona Charles
Pre-Licensed Professional, CMHC, LAPC
Verified Verified
1 Endorsed
Atlanta, GA 30341
My approach to counseling is beneficial to those who need guidance and support while navigating through conflicts, grief, depression/anxiety, self-esteem, challenges to confidence, women's issues, adulting, relationship issues, adjustments/life transitions, and corporate wellness (building work/life balance, addressing burnout, maintaining professional wellness). Group sessions starting October: popwellness.eventbrite.com
My approach to counseling is beneficial to those who need guidance and support while navigating through conflicts, grief, depression/anxiety, self-esteem, challenges to confidence, women's issues, adulting, relationship issues, adjustments/life transitions, and corporate wellness (building work/life balance, addressing burnout, maintaining professional wellness). Group sessions starting October: popwellness.eventbrite.com
(678) 672-6675 View (678) 672-6675
Photo of Carolyn Amayo, Pre-Licensed Professional in Atlanta, GA
Carolyn Amayo
Pre-Licensed Professional
Verified Verified
Atlanta, GA 30308
As a counselor with Clinical Mental Health training from Richmont Graduate University, I specialize in guiding teens and young adults through unique challenges. For teens, I address anxiety in changing social, school, and family dynamics. I resonate with the distinctive challenges posed by new environments and school dynamics, and I provide the necessary support to shape a new narrative. For young adults, I assist in navigating the transitions from college to career, including complexities in dating, family, and work. I offer a safe space to explore self-identity and receive support in achieving desired life goals.
As a counselor with Clinical Mental Health training from Richmont Graduate University, I specialize in guiding teens and young adults through unique challenges. For teens, I address anxiety in changing social, school, and family dynamics. I resonate with the distinctive challenges posed by new environments and school dynamics, and I provide the necessary support to shape a new narrative. For young adults, I assist in navigating the transitions from college to career, including complexities in dating, family, and work. I offer a safe space to explore self-identity and receive support in achieving desired life goals.
(470) 598-3384 View (470) 598-3384

How does your Therapist compare?

Number of Therapists in Atlanta, GA

3,000+

Average cost per session

$150

Therapists in Atlanta, GA who prioritize treating:

92% Anxiety
87% Depression
76% Self Esteem
73% Relationship Issues
70% Coping Skills
67% Stress
62% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

85% Aetna
76% Cigna and Evernorth
72% UnitedHealthcare UHC | UBH

How Therapists in Atlanta, GA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Atlanta?

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.