Therapists in Manteo, NC

Photo of Kirsten Justice, Licensed Professional Counselor in Manteo, NC
Kirsten Justice
Licensed Professional Counselor, LCMHC, NCC
Verified Verified
2 Endorsed
Manteo, NC 27954
Are you experiencing a loss of passion or a sense of disconnect in your intimate relationship? Are you struggling with who you are, want to be, or are expected to be? Do you have health issues, belief systems, or relationship challenges that create blocks to sexual expression? Are there aspects of your relationship you would like to strengthen? Does your life feel less creative and zesty than you would like? I would love to help.
Are you experiencing a loss of passion or a sense of disconnect in your intimate relationship? Are you struggling with who you are, want to be, or are expected to be? Do you have health issues, belief systems, or relationship challenges that create blocks to sexual expression? Are there aspects of your relationship you would like to strengthen? Does your life feel less creative and zesty than you would like? I would love to help.
(919) 344-0823 View (919) 344-0823
Photo of Katie Dunavant, Licensed Professional Counselor in Manteo, NC
Katie Dunavant
Licensed Professional Counselor, MAEd, LCMHC, NCC
Verified Verified
2 Endorsed
Manteo, NC 27954
Even the most successful & competent individuals need help sometimes. It's nothing to be ashamed of. In fact, asking for help is healthy & demonstrates a level of self-awareness that many people don't possess. I'd love to assist you in removing obstacles that are in the way of living your best life. You will be amazed at what you are capable of!
Even the most successful & competent individuals need help sometimes. It's nothing to be ashamed of. In fact, asking for help is healthy & demonstrates a level of self-awareness that many people don't possess. I'd love to assist you in removing obstacles that are in the way of living your best life. You will be amazed at what you are capable of!
(252) 596-0598 View (252) 596-0598
Photo of Jessica Owen, Licensed Professional Counselor in Manteo, NC
Jessica Owen
Licensed Professional Counselor, LCMHC, LCAS
Verified Verified
Manteo, NC 27954  (Online Only)
Hey there, I'm Jessica, a licensed clinical mental health counselor in NC. I'm here to help you sort through the things that are difficult right now, and offer you a safe place to be open and honest without fear of judgement. I specialize in working with Adults and Adolescents who are feeling stuck or overwhelmed. I believe everyone has the inner strengths needed to live their best life. But, it can be hard to recognize those strengths through the fog our stress response triggers. Whether you are a parent seeking support for your teen, or an adult looking for your own peace and stability, you have come to the right place.
Hey there, I'm Jessica, a licensed clinical mental health counselor in NC. I'm here to help you sort through the things that are difficult right now, and offer you a safe place to be open and honest without fear of judgement. I specialize in working with Adults and Adolescents who are feeling stuck or overwhelmed. I believe everyone has the inner strengths needed to live their best life. But, it can be hard to recognize those strengths through the fog our stress response triggers. Whether you are a parent seeking support for your teen, or an adult looking for your own peace and stability, you have come to the right place.
(252) 680-2358 View (252) 680-2358
Photo of Christina M Minoguchi, Clinical Social Work/Therapist in Manteo, NC
Christina M Minoguchi
Clinical Social Work/Therapist, MSW, LISW-S, CCTP, LCSW-S
Verified Verified
2 Endorsed
Manteo, NC 27954  (Online Only)
Currently providing telehealth for Ohio and North Carolina. Hello! I understand you may be facing numerous challenges in your life that have led you here. Whether something occurred in your past or more recently, it has likely triggered flashbacks, anxiety, depression, stress, relational difficulties, work-related issues, or an overall sense of being overwhelmed. You might have sought therapy previously without finding lasting relief, finding yourself inundated once again with memories and negative thoughts. I teach each client in their 1st session how to control their symptoms through amazing neuroscience techniques.
Currently providing telehealth for Ohio and North Carolina. Hello! I understand you may be facing numerous challenges in your life that have led you here. Whether something occurred in your past or more recently, it has likely triggered flashbacks, anxiety, depression, stress, relational difficulties, work-related issues, or an overall sense of being overwhelmed. You might have sought therapy previously without finding lasting relief, finding yourself inundated once again with memories and negative thoughts. I teach each client in their 1st session how to control their symptoms through amazing neuroscience techniques.
(614) 328-5079 View (614) 328-5079
Photo of Amberly Dyer, Clinical Social Work/Therapist in Manteo, NC
Amberly Dyer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Manteo, NC 27954
Not accepting new clients
Life can be so overwhelming that we can't imagine a different tomorrow - one full of the satisfaction of a life well lived. Whether poor family relationships, job dissatisfaction or a lack of vision, you feel stuck and unfulfilled. Here's the secret - you have the answers now! I help you excavate them, sorting out what is helpful from what is not. An integrative and holistic approach uses techniques best suited for your unique needs and goals while addressing your mind-body-spirit connections.
Life can be so overwhelming that we can't imagine a different tomorrow - one full of the satisfaction of a life well lived. Whether poor family relationships, job dissatisfaction or a lack of vision, you feel stuck and unfulfilled. Here's the secret - you have the answers now! I help you excavate them, sorting out what is helpful from what is not. An integrative and holistic approach uses techniques best suited for your unique needs and goals while addressing your mind-body-spirit connections.
(252) 616-1390 View (252) 616-1390
Photo of Grace Assessment & Therapy Services, LLC, Psychologist in Manteo, NC
Grace Assessment & Therapy Services, LLC
Psychologist
Verified Verified
Manteo, NC 27954
Note: Grace Assessment and Therapy Services is currently only accepting new patients for psychological and educational evaluations. At Grace Assessment and Therapy Services, we specialize in psychological and educational evaluations. Our assessment, diagnostic, and treatment approaches integrate current research with time-tested methods. Our highly trained providers with multiple years of psychological testing experience provide thorough psychological and educational evaluations.
Note: Grace Assessment and Therapy Services is currently only accepting new patients for psychological and educational evaluations. At Grace Assessment and Therapy Services, we specialize in psychological and educational evaluations. Our assessment, diagnostic, and treatment approaches integrate current research with time-tested methods. Our highly trained providers with multiple years of psychological testing experience provide thorough psychological and educational evaluations.
(540) 274-1127 View (540) 274-1127

More Therapists Nearby

Photo of Holland And Associates Counseling, PLLC, Lic Clinical Mental Health Counselor Supervisor in Manteo, NC
Holland And Associates Counseling, PLLC
Lic Clinical Mental Health Counselor Supervisor
Verified Verified
Nags Head, NC 27959
Although we are unable to change the past, it assists us in bringing awareness in the present moment. In doing so, we are able to review the past while participating in the moment and preparing for future experiences. Whether you are looking to better understand yourself, change long-standing behavioral and thought patterns, or enhance the quality of your life, Holland and Associates Counseling looks forward to working along side you.
Although we are unable to change the past, it assists us in bringing awareness in the present moment. In doing so, we are able to review the past while participating in the moment and preparing for future experiences. Whether you are looking to better understand yourself, change long-standing behavioral and thought patterns, or enhance the quality of your life, Holland and Associates Counseling looks forward to working along side you.
(252) 336-9479 View (252) 336-9479
Photo of Christina M Strayer, Licensed Professional Counselor in Manteo, NC
Christina M Strayer
Licensed Professional Counselor, EdD, LCMHCS, LCASA, AAT-I, THTC
Verified Verified
Kill Devil Hills, NC 27948
I work with a variety of clients with my animal co-therapists to guide clients with PTSD, Trauma, Addiction issues, Depression, Anxiety, Highly Sensitive People (HSP's), Panic Disorder, Grief/Loss, Life Stressors/Transitions, collaboratively to identify their unique strengths and areas of need. Clients I work with want to get "unstuck', move forward, identify healthy coping skills, process their emotions/cognitions in a supportive environment and develop a maintenance plan for their mental health to empower them! I also provide face to face and online supervision for LCMHC's.
I work with a variety of clients with my animal co-therapists to guide clients with PTSD, Trauma, Addiction issues, Depression, Anxiety, Highly Sensitive People (HSP's), Panic Disorder, Grief/Loss, Life Stressors/Transitions, collaboratively to identify their unique strengths and areas of need. Clients I work with want to get "unstuck', move forward, identify healthy coping skills, process their emotions/cognitions in a supportive environment and develop a maintenance plan for their mental health to empower them! I also provide face to face and online supervision for LCMHC's.
(984) 214-4755 View (984) 214-4755
Photo of Adriana Gomez-Nichols, Licensed Professional Counselor in Manteo, NC
Adriana Gomez-Nichols
Licensed Professional Counselor, MA, LCMHC
Verified Verified
2 Endorsed
Kill Devil Hills, NC 27948  (Online Only)
Waitlist for new clients
New clients welcomed! Feeling seen, heard, and understood can be some of the most empowering feelings we experience in life. On the other hand, feeling lost, misunderstood, disconnected, and overwhelmed can be extremely isolating. Whether this is due to trauma, life transitions, identity, relationships, dysfunctional family dynamics, anxious/depressive thoughts, etc. I know how hard it is to feel alone. Therapy can be a great tool to know yourself fully, work through those isolating experiences and feelings, and ultimately live more authentically.
New clients welcomed! Feeling seen, heard, and understood can be some of the most empowering feelings we experience in life. On the other hand, feeling lost, misunderstood, disconnected, and overwhelmed can be extremely isolating. Whether this is due to trauma, life transitions, identity, relationships, dysfunctional family dynamics, anxious/depressive thoughts, etc. I know how hard it is to feel alone. Therapy can be a great tool to know yourself fully, work through those isolating experiences and feelings, and ultimately live more authentically.
View
Photo of Mary Edith Watkins, Licensed Clinical Mental Health Counselor in Manteo, NC
Mary Edith Watkins
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Nags Head, NC 27959  (Online Only)
Throughout my forty (40) years as a therapist in Private Practice, I have provided empathy, insight, information, validation and a confidential, non-judgmental and listening ear to hundreds of clients. My clients sought counseling to gain strategies for: anxiety/depression, assertive communication skills, grief/loss, trauma, lack of self-esteem, relationship issues and change on life situations. My clients need to be heard without being judged, to be understood, to be offered realistic and workable options to issues they have, and to know that they are valued and have worth as a person.
Throughout my forty (40) years as a therapist in Private Practice, I have provided empathy, insight, information, validation and a confidential, non-judgmental and listening ear to hundreds of clients. My clients sought counseling to gain strategies for: anxiety/depression, assertive communication skills, grief/loss, trauma, lack of self-esteem, relationship issues and change on life situations. My clients need to be heard without being judged, to be understood, to be offered realistic and workable options to issues they have, and to know that they are valued and have worth as a person.
(252) 888-5906 View (252) 888-5906
Photo of Steve Taylor, Licensed Clinical Mental Health Counselor in Manteo, NC
Steve Taylor
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Kill Devil Hills, NC 27948
OPEN space for new clients! At times, life feels heavy and mundane. Other times, you feel anxious and on edge. You're probably aware of some of the trauma and unresolved emotions you're holding onto, but you have no idea what to do with them. Chances are you're great at caring for others but struggle to take time for your own healing. If you're someone who has tried talk therapy and meds before with little results, I assure you there are alternative ways to release the emotional blocks and make peace with your past without unproductive, surface level conversations.
OPEN space for new clients! At times, life feels heavy and mundane. Other times, you feel anxious and on edge. You're probably aware of some of the trauma and unresolved emotions you're holding onto, but you have no idea what to do with them. Chances are you're great at caring for others but struggle to take time for your own healing. If you're someone who has tried talk therapy and meds before with little results, I assure you there are alternative ways to release the emotional blocks and make peace with your past without unproductive, surface level conversations.
(252) 368-8934 View (252) 368-8934
Photo of Vanessa L Britton, Licensed Professional Counselor in Manteo, NC
Vanessa L Britton
Licensed Professional Counselor, LPC
Verified Verified
Kill Devil Hills, NC 27948  (Online Only)
Hello! Thank you for taking this step and looking for a therapist. You're on the right track! I have known since middle school that helping others was the job for me. In one context or another I have been in the counseling field for 15 years, from settings such as prisons, to drug and alcohol centers, in home therapy, counseling in public schools and the community office setting. My number one priority is the client. If you are questioning taking the step to call or email, I encourage you to do so!
Hello! Thank you for taking this step and looking for a therapist. You're on the right track! I have known since middle school that helping others was the job for me. In one context or another I have been in the counseling field for 15 years, from settings such as prisons, to drug and alcohol centers, in home therapy, counseling in public schools and the community office setting. My number one priority is the client. If you are questioning taking the step to call or email, I encourage you to do so!
(724) 402-5710 View (724) 402-5710
Photo of Deep Connections Counseling, Clinical Social Work/Therapist in Manteo, NC
Deep Connections Counseling
Clinical Social Work/Therapist, PhD, MA, LCSW
Verified Verified
2 Endorsed
Kill Devil Hills, NC 27948  (Online Only)
Available Appointments for Couple Therapy! Do you feel disconnected and lonely in your relationship? I can help you re-connect and feel again the bond you once had. I use Emotionally Focused Couple Therapy, Gottman Therapy and Developmental Couple Therapy.
Available Appointments for Couple Therapy! Do you feel disconnected and lonely in your relationship? I can help you re-connect and feel again the bond you once had. I use Emotionally Focused Couple Therapy, Gottman Therapy and Developmental Couple Therapy.
(757) 364-0449 View (757) 364-0449
Photo of Kelsey Coffield, Licensed Clinical Mental Health Counselor in Manteo, NC
Kelsey Coffield
Licensed Clinical Mental Health Counselor, LCMHC, LCAS
Verified Verified
1 Endorsed
Kill Devil Hills, NC 27948  (Online Only)
The label of "anxious" has followed you around for a while now, put there by your family, friends and maybe even yourself. Living with anxiety feels like that tightness in your chest, cramping in your stomach and like you can’t quite catch your breath. Are you spending so much time just trying to survive between the moments of anxiety that you can’t remember the last time you actually enjoyed yourself? Maybe your thoughts and feeling have been manageable in the past but they feel out of control lately. I can help you. I believe you have the ability to live the life you want to. Let's work together to unlock your potential.
The label of "anxious" has followed you around for a while now, put there by your family, friends and maybe even yourself. Living with anxiety feels like that tightness in your chest, cramping in your stomach and like you can’t quite catch your breath. Are you spending so much time just trying to survive between the moments of anxiety that you can’t remember the last time you actually enjoyed yourself? Maybe your thoughts and feeling have been manageable in the past but they feel out of control lately. I can help you. I believe you have the ability to live the life you want to. Let's work together to unlock your potential.
(252) 616-2186 View (252) 616-2186
Photo of Christie McEwan, Drug & Alcohol Counselor in Manteo, NC
Christie McEwan
Drug & Alcohol Counselor, MS, MEd, LCAS, MAC, ICCDP
Verified Verified
Kill Devil Hills, NC 27948
Not accepting new clients
Here on the Outer Banks of NC, some of us comb the beach looking for bits of glass, that have been softened by time spent in tumultuous waters. Sea glass started out intact and then by some misfortune or someone's carelessness, ended up adrift and eventually broken at the bottom of the sea. Like sea glass, you, too, are a treasure, waiting to be found. Rather than feeling invisible, unimportant, or damaged, I can assist you in discovering who you really are-your inherent value, beauty and resilience. I have extensive training in the area of trauma treatment.
Here on the Outer Banks of NC, some of us comb the beach looking for bits of glass, that have been softened by time spent in tumultuous waters. Sea glass started out intact and then by some misfortune or someone's carelessness, ended up adrift and eventually broken at the bottom of the sea. Like sea glass, you, too, are a treasure, waiting to be found. Rather than feeling invisible, unimportant, or damaged, I can assist you in discovering who you really are-your inherent value, beauty and resilience. I have extensive training in the area of trauma treatment.
(252) 377-4185 View (252) 377-4185
Photo of Rebekah Cahoon, Licensed Clinical Mental Health Counselor in Manteo, NC
Rebekah Cahoon
Licensed Clinical Mental Health Counselor, LCMHC, LCAS
Verified Verified
Kill Devil Hills, NC 27948
Life is complicated. I want to help clients navigate life’s challenges to find their path to peace. My ideal client could be someone who is dealing with unresolved conflict from the past or present. My ideal client could also be someone someone with relationship issues such as codependency or being raised in a toxic home. This could also include someone with mood stability issues or someone who struggles with negative and irrational thought patterns. I often work well with those who work in public service. We can work as a team to find the tools you need to navigate the messy parts of life.
Life is complicated. I want to help clients navigate life’s challenges to find their path to peace. My ideal client could be someone who is dealing with unresolved conflict from the past or present. My ideal client could also be someone someone with relationship issues such as codependency or being raised in a toxic home. This could also include someone with mood stability issues or someone who struggles with negative and irrational thought patterns. I often work well with those who work in public service. We can work as a team to find the tools you need to navigate the messy parts of life.
(252) 542-2860 View (252) 542-2860
Photo of Integrated Journey, Licensed Professional Counselor in Manteo, NC
Integrated Journey
Licensed Professional Counselor, LPC, LCMHC
Verified Verified
1 Endorsed
Kill Devil Hills, NC 27948  (Online Only)
No matter what life brings you, treatment can bring you "home." All walks of life and all experiences are unique, so your treatment will be tailored to fit for you. Direction, support, guidance and healing available now.
No matter what life brings you, treatment can bring you "home." All walks of life and all experiences are unique, so your treatment will be tailored to fit for you. Direction, support, guidance and healing available now.
(252) 429-0145 View (252) 429-0145
Photo of Roots to Blooms Counseling PLLC , Counselor in Manteo, NC
Roots to Blooms Counseling PLLC
Counselor, LCMHCS , LCAS, CCS, LPC
Verified Verified
Kill Devil Hills, NC 27948  (Online Only)
I HAVE OPENINGS FOR NEW CLIENTS!! Are you feeling stuck? Do you feel trapped by your strong emotional reactions? Are you feeling alone and disconnected in your relationship? Anxious or not good enough? We all have moments in our lives when we need support, and we are not meant to suffer alone. There is no shame in reaching out for help. I help clients work through current struggles & emotional pain by so they can experience calm, self-compassion, freedom and meaning in their lives.
I HAVE OPENINGS FOR NEW CLIENTS!! Are you feeling stuck? Do you feel trapped by your strong emotional reactions? Are you feeling alone and disconnected in your relationship? Anxious or not good enough? We all have moments in our lives when we need support, and we are not meant to suffer alone. There is no shame in reaching out for help. I help clients work through current struggles & emotional pain by so they can experience calm, self-compassion, freedom and meaning in their lives.
(252) 336-9687 View (252) 336-9687
Photo of Megan Hiner, Clinical Social Work/Therapist in Manteo, NC
Megan Hiner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Nags Head, NC 27959
My ideal client is someone who is open to the process of change and motivated to change. They may be trying to cope with a loss, past trauma, or going through current life changes and stressors and looking for support and learn new skills to cope. Therapy is a process, so patience with one's self and the process is key.
My ideal client is someone who is open to the process of change and motivated to change. They may be trying to cope with a loss, past trauma, or going through current life changes and stressors and looking for support and learn new skills to cope. Therapy is a process, so patience with one's self and the process is key.
(252) 421-5076 View (252) 421-5076

Online Therapists

Photo of Kelly Nail, Clinical Social Work/Therapist in Manteo, NC
Kelly Nail
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Greenville, NC 27858
Are you someone that seems to have it all together on the outside but in reality mask your struggles? Maybe you are often seen as resilient, successful, creative, and helpful yet you are challenged daily with perfectionism, isolation, and self-neglect. These are the reasons many seek therapy to find relief. I am a licensed clinical social worker and addiction specialist and my specialty involves working with children and adults that have experienced a life stressor, trauma, or abuse that continues to impact them physically and emotionally.
Are you someone that seems to have it all together on the outside but in reality mask your struggles? Maybe you are often seen as resilient, successful, creative, and helpful yet you are challenged daily with perfectionism, isolation, and self-neglect. These are the reasons many seek therapy to find relief. I am a licensed clinical social worker and addiction specialist and my specialty involves working with children and adults that have experienced a life stressor, trauma, or abuse that continues to impact them physically and emotionally.
(252) 552-5622 View (252) 552-5622

See more therapy options for Manteo

How does your Therapist compare?

Number of Therapists in Manteo, NC

< 10

Therapists in Manteo, NC who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
83% Coping Skills
83% Women's Issues
83% Stress
67% Relationship Issues

Average years in practice

11 Years

Top 3 insurances accepted

100% Other
75% Cigna and Evernorth
50% BlueCross and BlueShield

How Therapists in Manteo, NC see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Manteo?

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.