Therapists in Ormond Beach, FL

Photo of Katelyn Lynch, Registered Mental Health Counselor Intern in Ormond Beach, FL
Katelyn Lynch
Registered Mental Health Counselor Intern, MS
Verified Verified
Ormond Beach, FL 32174
Not accepting new clients
Hello, thanks for stopping by! I wanted to start off by saying that if you’re new to counseling or looking for a new therapist, welcome. Whether you’ve done this before or looking to start with the first steppingstone, counseling can be a scary new journey. I know it can be terrifying to unlock parts of yourself you pushed away, I know it can also be rewarding to learn something about yourself that you’ve always thought was there. Regardless of the counseling you need, it’s a journey that I am more than grateful to be walking alongside you on.
Hello, thanks for stopping by! I wanted to start off by saying that if you’re new to counseling or looking for a new therapist, welcome. Whether you’ve done this before or looking to start with the first steppingstone, counseling can be a scary new journey. I know it can be terrifying to unlock parts of yourself you pushed away, I know it can also be rewarding to learn something about yourself that you’ve always thought was there. Regardless of the counseling you need, it’s a journey that I am more than grateful to be walking alongside you on.
(386) 854-3606 View (386) 854-3606
Photo of Debra Brandt Virtual Counseling, Clinical Social Work/Therapist in Ormond Beach, FL
Debra Brandt Virtual Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Ormond Beach, FL 32174  (Online Only)
If you are struggling with stress, I can help you! Welcome to Debra Brandt Virtual Counseling. I offer Telehealth services in the comfort of your home. My goal is to help you meet your goals. Working together we can create a better of how to help you manage your struggles. Therapy is a good place to truly open up and be yourself. Therapy allows you to reflect on what you want and how to improve upon the person you want to be. In a judgement-free support system, I will give you the tools needed to move forward through your journey of life.
If you are struggling with stress, I can help you! Welcome to Debra Brandt Virtual Counseling. I offer Telehealth services in the comfort of your home. My goal is to help you meet your goals. Working together we can create a better of how to help you manage your struggles. Therapy is a good place to truly open up and be yourself. Therapy allows you to reflect on what you want and how to improve upon the person you want to be. In a judgement-free support system, I will give you the tools needed to move forward through your journey of life.
(386) 202-9936 View (386) 202-9936
Photo of Jeannette Simmons, Counselor in Ormond Beach, FL
Jeannette Simmons
Counselor, MS, LMHC, NCC, LPC, MBA
Verified Verified
1 Endorsed
Ormond Beach, FL 32174  (Online Only)
Are you ready to embark on a journey towards a healthier, happier, and more fulfilling life? Whether you're experiencing anxiety, depression, ADHD, addiction, anger issues, stress, grief, negative thought patterns, relationship problems, battling imposter syndrome, self-esteem issues, struggling with people-pleasing tendencies or work issues, I'm here to provide support and help you move towards your desired goals.
Are you ready to embark on a journey towards a healthier, happier, and more fulfilling life? Whether you're experiencing anxiety, depression, ADHD, addiction, anger issues, stress, grief, negative thought patterns, relationship problems, battling imposter syndrome, self-esteem issues, struggling with people-pleasing tendencies or work issues, I'm here to provide support and help you move towards your desired goals.
(786) 841-6712 View (786) 841-6712
Photo of Michael Randall Hoffman, Psychologist in Ormond Beach, FL
Michael Randall Hoffman
Psychologist, PhD, NCSP
Verified Verified
Ormond Beach, FL 32174
I provide screening, assessment, behavioral modification, and counseling services to individuals (3 years through Adulthood) with mild to severe behavioral difficulties who are on the Autism Spectrum and/or have been diagnosed with ADHD. I have expertise with Autism assessment and ABA. I also provide support for the families of children/adolescents with Autism Spectrum Disorders. I provide psychoeducational assessments for individuals with Learning Disorders and Intellectual Disabilities. I am familiar with Florida DOE law and how parents/students can access services within public schools in Florida. I also provide CBT for Insomnia to adults and children/adolescents.
I provide screening, assessment, behavioral modification, and counseling services to individuals (3 years through Adulthood) with mild to severe behavioral difficulties who are on the Autism Spectrum and/or have been diagnosed with ADHD. I have expertise with Autism assessment and ABA. I also provide support for the families of children/adolescents with Autism Spectrum Disorders. I provide psychoeducational assessments for individuals with Learning Disorders and Intellectual Disabilities. I am familiar with Florida DOE law and how parents/students can access services within public schools in Florida. I also provide CBT for Insomnia to adults and children/adolescents.
(386) 530-4879 View (386) 530-4879
Photo of Sarah Allen, Counselor in Ormond Beach, FL
Sarah Allen
Counselor, LMHC, NCC
Verified Verified
Ormond Beach, FL 32174
Not accepting new clients
I am a Licensed Mental Health Counselor in Florida and a Board Certified Counselor. I work well with young professionals experiencing difficult life transitions, anxiety, and stress as well as persons who would like to process their trauma. Together, we will build coping techniques and resilience as we identify and change maladaptive thought patterns and you gain insight into yourself. I strive to provide a nonjudgmental, supportive and calm environment for you to safely express yourself.
I am a Licensed Mental Health Counselor in Florida and a Board Certified Counselor. I work well with young professionals experiencing difficult life transitions, anxiety, and stress as well as persons who would like to process their trauma. Together, we will build coping techniques and resilience as we identify and change maladaptive thought patterns and you gain insight into yourself. I strive to provide a nonjudgmental, supportive and calm environment for you to safely express yourself.
(386) 245-9924 View (386) 245-9924
Photo of Ruby Holmes, Counselor in Ormond Beach, FL
Ruby Holmes
Counselor, LMHC, MS, BS, NCC
Verified Verified
1 Endorsed
Ormond Beach, FL 32174
Whether you're fighting with addiction, anxiety, mood concerns, relationship issues or just the ups and down of life, I specialize in creating a space where you're able to learn and express yourself to improve your quality of life. Whether navigating a divorce, struggling with child custody or having family conflict- Let me help you figure out the best plan for you.
Whether you're fighting with addiction, anxiety, mood concerns, relationship issues or just the ups and down of life, I specialize in creating a space where you're able to learn and express yourself to improve your quality of life. Whether navigating a divorce, struggling with child custody or having family conflict- Let me help you figure out the best plan for you.
(386) 388-7404 View (386) 388-7404
Photo of Charlotte Harts in Ormond Beach, FL
Charlotte Harts
MS, LMHC
Verified Verified
2 Endorsed
Ormond Beach, FL 32174
Feeling welcome is so important, especially in a space where you're going to be vulnerable. Going to therapy can feel daunting, and sometimes uncomfortable as you discuss your experiences and explore how they've shaped you. Let me help you to create a space where you can let your guard down and ask for what you need. We can work together to help you develop healthier communication skills, a stronger sense of self, and learn how to build more fulfilling relationships - including the one with yourself.
Feeling welcome is so important, especially in a space where you're going to be vulnerable. Going to therapy can feel daunting, and sometimes uncomfortable as you discuss your experiences and explore how they've shaped you. Let me help you to create a space where you can let your guard down and ask for what you need. We can work together to help you develop healthier communication skills, a stronger sense of self, and learn how to build more fulfilling relationships - including the one with yourself.
(386) 388-6368 View (386) 388-6368
Photo of Christine Renuart, Clinical Social Work/Therapist in Ormond Beach, FL
Christine Renuart
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Ormond Beach, FL 32174
Christine received her Masters of Social Work from the University of Arkansas. She has provided out patient therapy for adults, Intensive Family Services, marital counseling, and adoption studies since 2005. Christine enjoys working with individuals (6 and up), couples, and families who want to increase communication, understanding, and commitment. Christine offers clients in person and telehealth counseling sessions in Florida. She is a Qualified Supervisor under the Florida guidelines for Social Work Interns. Christine will continue to offer her clients in Arkansas Telehealth counseling.
Christine received her Masters of Social Work from the University of Arkansas. She has provided out patient therapy for adults, Intensive Family Services, marital counseling, and adoption studies since 2005. Christine enjoys working with individuals (6 and up), couples, and families who want to increase communication, understanding, and commitment. Christine offers clients in person and telehealth counseling sessions in Florida. She is a Qualified Supervisor under the Florida guidelines for Social Work Interns. Christine will continue to offer her clients in Arkansas Telehealth counseling.
(479) 239-5742 View (479) 239-5742
Photo of Meredith Harts, Counselor in Ormond Beach, FL
Meredith Harts
Counselor, LMHC
Verified Verified
1 Endorsed
Ormond Beach, FL 32174
Do you find that you feel stuck in life and need some assistance? I help clients identify their needs and goals using a collaborative approach. You are encouraged to be your authentic self in a space where you feel seen, heard and valued. During therapy, you will be encouraged to explore you attachments, behavior patterns, emotions and boundaries. Additionally, you are encouraged to identify and process various patterns, traumas and beliefs that may be hindering your growth. Clients have reported an increase in their self awareness, healthy communication and coping skills following consistent treatment.
Do you find that you feel stuck in life and need some assistance? I help clients identify their needs and goals using a collaborative approach. You are encouraged to be your authentic self in a space where you feel seen, heard and valued. During therapy, you will be encouraged to explore you attachments, behavior patterns, emotions and boundaries. Additionally, you are encouraged to identify and process various patterns, traumas and beliefs that may be hindering your growth. Clients have reported an increase in their self awareness, healthy communication and coping skills following consistent treatment.
(386) 666-3509 View (386) 666-3509
Photo of Kian F Jacobs, Clinical Social Work/Therapist in Ormond Beach, FL
Kian F Jacobs
Clinical Social Work/Therapist, LCSW
Verified Verified
Ormond Beach, FL 32176  (Online Only)
Not accepting new clients
I am a Certified EMDR Therapist and find that EMDR can quickly offer relief and resources for those struggling. I combine Cognitive Behaviour Therapy with Internal Family Systems, online video therapy sessions. Attunement, creativity, brief solution focused treatment, trauma and process addictions work are my strengths. I work to counsel in a judgement free zone and have the unique ability to relate to people of all ages, ethnicity, race, sexual orientation, spirituality, and socioeconomic status. I will provide feedback. I am a resource, not a bobble head. Licensed and actively practicing in northeast Florida and CT.
I am a Certified EMDR Therapist and find that EMDR can quickly offer relief and resources for those struggling. I combine Cognitive Behaviour Therapy with Internal Family Systems, online video therapy sessions. Attunement, creativity, brief solution focused treatment, trauma and process addictions work are my strengths. I work to counsel in a judgement free zone and have the unique ability to relate to people of all ages, ethnicity, race, sexual orientation, spirituality, and socioeconomic status. I will provide feedback. I am a resource, not a bobble head. Licensed and actively practicing in northeast Florida and CT.
(386) 200-1424 View (386) 200-1424
Photo of Elizabeth Wigle, Licensed Mental Health Counselor in Ormond Beach, FL
Elizabeth Wigle
Licensed Mental Health Counselor, LMHC
Verified Verified
1 Endorsed
Ormond Beach, FL 32174
NOW accepting new clients as of 3/07/2024. Are you feeling stressed, depressed, or without purpose? I am a Licensed Mental Health Counselor in Florida with over 5 years of professional work experience and specialize in work with geriatric individuals. I regularly help clients with stress and anxiety, depression, pain management, communication issues, and caregiver fatigue. I am passionate about my work and strive to provide a caring, uplifting environment in which clients can heal, grow, and thrive.
NOW accepting new clients as of 3/07/2024. Are you feeling stressed, depressed, or without purpose? I am a Licensed Mental Health Counselor in Florida with over 5 years of professional work experience and specialize in work with geriatric individuals. I regularly help clients with stress and anxiety, depression, pain management, communication issues, and caregiver fatigue. I am passionate about my work and strive to provide a caring, uplifting environment in which clients can heal, grow, and thrive.
(386) 603-0542 View (386) 603-0542
Photo of Florida Counseling Space, LPC Intern in Ormond Beach, FL
Florida Counseling Space
LPC Intern, CMHC, MPA, IMH
Verified Verified
Ormond Beach, FL 32174
Waitlist for new clients
We specialize in all types of trauma. We treat anxiety, depression, relationship issues, and most mental health disorders. We offer addiction services , including assessments and interventions. We are experienced in all forms of couples, individual, and family therapy.
We specialize in all types of trauma. We treat anxiety, depression, relationship issues, and most mental health disorders. We offer addiction services , including assessments and interventions. We are experienced in all forms of couples, individual, and family therapy.
(386) 280-4932 View (386) 280-4932
Photo of Brenda Lynn Dornbach in Ormond Beach, FL
Brenda Lynn Dornbach
MA, LMHC, CBIS
Verified Verified
1 Endorsed
Ormond Beach, FL 32174
I specialize in helping adolescents and adults with an array of maladaptive behaviors including anxiety, depression, self-harm, mood disturbances, anger, and self-esteem struggles. I specialize in Bipolar Disorders and Borderline Personality Disorder. My goal is to help my patients redirect their negative and irrational thought patterns utilizing Cognitive Behavioral Therapy techniques. I also implement Dialectical Behavioral therapy to teach my clients skills to regulate their emotions. Concurrently utilizing Motivational Therapy to encourage setting short and long term obtainable goals for future life fulfillment.
I specialize in helping adolescents and adults with an array of maladaptive behaviors including anxiety, depression, self-harm, mood disturbances, anger, and self-esteem struggles. I specialize in Bipolar Disorders and Borderline Personality Disorder. My goal is to help my patients redirect their negative and irrational thought patterns utilizing Cognitive Behavioral Therapy techniques. I also implement Dialectical Behavioral therapy to teach my clients skills to regulate their emotions. Concurrently utilizing Motivational Therapy to encourage setting short and long term obtainable goals for future life fulfillment.
(386) 388-6812 View (386) 388-6812
Assessments Inc
Registered Mental Health Counselor Intern, CAP, SAP, IMH
Verified Verified
Ormond Beach, FL 32174
Welcome to Our Website! If you have been required to undergo a psychological evaluation by your physician, employer, or lawyer, we can help. Assessments Inc. specializes in providing these evaluations, in an unbiased, professional manner. Please visit our website at assessments.org.
Welcome to Our Website! If you have been required to undergo a psychological evaluation by your physician, employer, or lawyer, we can help. Assessments Inc. specializes in providing these evaluations, in an unbiased, professional manner. Please visit our website at assessments.org.
(386) 280-4436 View (386) 280-4436
Photo of Penelope L Norton, Psychologist in Ormond Beach, FL
Penelope L Norton
Psychologist, PhD
Verified Verified
Ormond Beach, FL 32174
I specialize in psychotherapy, promoting healing and personal growth through understanding of self and others. I provide psychotherapy to children, teens, adults, couples and families and seniors and groups. My broad training includes many forms of psychotherapy including relationship and family therapy, individual therapy, group therapy, cognitive therapy, play therapy, interpersonal therapy. My approach is tailored to meet the needs of the individual or family, the problem they present and the goals we set in collaboration. I help people move away from pain and discord, depression, anxiety and traumatic events, into renewed vitality and optimism.
I specialize in psychotherapy, promoting healing and personal growth through understanding of self and others. I provide psychotherapy to children, teens, adults, couples and families and seniors and groups. My broad training includes many forms of psychotherapy including relationship and family therapy, individual therapy, group therapy, cognitive therapy, play therapy, interpersonal therapy. My approach is tailored to meet the needs of the individual or family, the problem they present and the goals we set in collaboration. I help people move away from pain and discord, depression, anxiety and traumatic events, into renewed vitality and optimism.
(386) 200-1416 View (386) 200-1416
Photo of Carrie Oliver, Clinical Social Work/Therapist in Ormond Beach, FL
Carrie Oliver
Clinical Social Work/Therapist, LCSW
Verified Verified
Ormond Beach, FL 32174
My goal is to create a collaborative process with you in order to build rapport and help you find effective tools to create the quality of life that you want. My hope is that through counseling, you will gain a better understanding of yourself, clarity of what you want and need, and more hope for the future. In counseling sessions, you will learn effective coping skills to manage stress and emotions, healthy communication skills, boundaries, how to use your strengths to reach goals, and effective skills to manage trauma related symptoms and reactions.
My goal is to create a collaborative process with you in order to build rapport and help you find effective tools to create the quality of life that you want. My hope is that through counseling, you will gain a better understanding of yourself, clarity of what you want and need, and more hope for the future. In counseling sessions, you will learn effective coping skills to manage stress and emotions, healthy communication skills, boundaries, how to use your strengths to reach goals, and effective skills to manage trauma related symptoms and reactions.
(386) 449-8600 View (386) 449-8600
Photo of Wetherby Neuropsychological, Psychologist in Ormond Beach, FL
Wetherby Neuropsychological
Psychologist, PhD
Verified Verified
Ormond Beach, FL 32174
Neuropsychological evaluation provided for pre-k through college students to diagnose the specific reasons for learning, behavioral, social, or anxiety issues. Diagnoses often include ADHD, Autism Spectrum Disorder, Specific Learning Disorders, and more. Patients present with problems from concussion and traumatic brain injury, perinatal drug exposure, seizure disorder, other medical issues, or unknown cause. Sometimes children seem to be not reaching their academic potential for an unknown reason. At times, when workload increases such as in college or rigorous high school classes, difficulties emerge that were not evident before.
Neuropsychological evaluation provided for pre-k through college students to diagnose the specific reasons for learning, behavioral, social, or anxiety issues. Diagnoses often include ADHD, Autism Spectrum Disorder, Specific Learning Disorders, and more. Patients present with problems from concussion and traumatic brain injury, perinatal drug exposure, seizure disorder, other medical issues, or unknown cause. Sometimes children seem to be not reaching their academic potential for an unknown reason. At times, when workload increases such as in college or rigorous high school classes, difficulties emerge that were not evident before.
(386) 356-2603 View (386) 356-2603
Photo of Sari Mabe, Clinical Social Work/Therapist in Ormond Beach, FL
Sari Mabe
Clinical Social Work/Therapist, LMHC, QS
Verified Verified
3 Endorsed
Ormond Beach, FL 32174
I have been working in the counseling field for over 10 years. During that time I have developed a strong skill set for working with clients who struggle with relational challenges, parenting issues, adverse experiences and marital concerns. The complexity of family and marital issues can be challenging; I offer telehealth, in-person, and in-home services to best meet the needs of you and your family.
I have been working in the counseling field for over 10 years. During that time I have developed a strong skill set for working with clients who struggle with relational challenges, parenting issues, adverse experiences and marital concerns. The complexity of family and marital issues can be challenging; I offer telehealth, in-person, and in-home services to best meet the needs of you and your family.
(386) 272-3552 View (386) 272-3552
Photo of Erik Young, Licensed Professional Counselor in Ormond Beach, FL
Erik Young
Licensed Professional Counselor, MEd, LPC
Verified Verified
Ormond Beach, FL 32174
Parenting is hard. Parenting a special needs child is harder. Kids don't come with owner's manuals. If your child happens to have special needs, the situation is often confusing. You want nothing more than to help your child. It's what we do when our children are struggling. Sometimes you just don't know what to do to help. It can leave feeling helpless. You are not alone. I know from personal and professional experience what it takes to make major changes. No matter the nature of his struggle, be it autism, adhd, or some other challenge, you can help your child.
Parenting is hard. Parenting a special needs child is harder. Kids don't come with owner's manuals. If your child happens to have special needs, the situation is often confusing. You want nothing more than to help your child. It's what we do when our children are struggling. Sometimes you just don't know what to do to help. It can leave feeling helpless. You are not alone. I know from personal and professional experience what it takes to make major changes. No matter the nature of his struggle, be it autism, adhd, or some other challenge, you can help your child.
(484) 498-2983 View (484) 498-2983
Photo of Patricia Duff, Counselor in Ormond Beach, FL
Patricia Duff
Counselor, LMHC, CRC, MA, CCTP
Verified Verified
1 Endorsed
Ormond Beach, FL 32174  (Online Only)
Are you a woman experiencing depression, anxiety, feeling stuck due to trauma or past abusive experiences? Are you facing mental health challenges, coping with stress, wanting to improve relationships or seeking personal growth?
Are you a woman experiencing depression, anxiety, feeling stuck due to trauma or past abusive experiences? Are you facing mental health challenges, coping with stress, wanting to improve relationships or seeking personal growth?
(386) 222-6401 View (386) 222-6401

See more therapy options for Ormond Beach

How does your Therapist compare?

Number of Therapists in Ormond Beach, FL

90+

Average cost per session

$122

Therapists in Ormond Beach, FL who prioritize treating:

91% Anxiety
84% Depression
78% Coping Skills
73% Trauma and PTSD
70% Self Esteem
68% Relationship Issues
62% Stress

Average years in practice

12 Years

Top 3 insurances accepted

79% Aetna
72% UnitedHealthcare UHC | UBH
69% Cigna and Evernorth

How Therapists in Ormond Beach, FL see their clients

79% In Person and Online
21% Online Only

Gender breakdown

90% Female
9% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Ormond Beach?

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.