Therapists in Marietta, GA

Photo of Scott Pennington, Licensed Professional Counselor in Marietta, GA
Scott Pennington
Licensed Professional Counselor, MA, LPC, CPCS
Verified Verified
2 Endorsed
Marietta, GA 30062
Family dynamics can be stressful! Certified as a Prepare-Enrich and Level III Gottman Therapist, Scott works with couples, married or not, to build a healthy foundation & improve overall family relationships for the couple and with kids. With the "Prepare and Enrich" system, he uses a comprehensive assessment to evaluate a couple's strengths and weaknesses while the Gottman philosophy helps improve communication, appreciation, and empathy. Scott earned a BS in Psychology and a Master's in Professional Counseling from Liberty University and has worked in a clinical environment and private practice for over 10 yrs.
Family dynamics can be stressful! Certified as a Prepare-Enrich and Level III Gottman Therapist, Scott works with couples, married or not, to build a healthy foundation & improve overall family relationships for the couple and with kids. With the "Prepare and Enrich" system, he uses a comprehensive assessment to evaluate a couple's strengths and weaknesses while the Gottman philosophy helps improve communication, appreciation, and empathy. Scott earned a BS in Psychology and a Master's in Professional Counseling from Liberty University and has worked in a clinical environment and private practice for over 10 yrs.
(770) 464-5978 View (770) 464-5978
Photo of Dr. Keith Myers, Licensed Professional Counselor in Marietta, GA
Dr. Keith Myers
Licensed Professional Counselor, PhD, LPC, ACS
Verified Verified
10 Endorsed
Marietta, GA 30067
Hello, my name is Keith Myers, and one of my goals is to crush the stigma of mental health. Many have a story about mental health, but not everyone feels free to share that story. I have worked in the mental health profession for over 21 years working with adult men, women, and older adolescents. These include military clients, those who are struggling with complex trauma or PTSD, those who need to improve their emotional regulation skills, and those who are coping with relationship problems and/or divorce. I also treat other trauma therapists. I am comfortable sitting with you in your suffering and celebrating your successes.
Hello, my name is Keith Myers, and one of my goals is to crush the stigma of mental health. Many have a story about mental health, but not everyone feels free to share that story. I have worked in the mental health profession for over 21 years working with adult men, women, and older adolescents. These include military clients, those who are struggling with complex trauma or PTSD, those who need to improve their emotional regulation skills, and those who are coping with relationship problems and/or divorce. I also treat other trauma therapists. I am comfortable sitting with you in your suffering and celebrating your successes.
(404) 586-4072 View (404) 586-4072
Photo of Rachel Barlev, Pre-Licensed Professional in Marietta, GA
Rachel Barlev
Pre-Licensed Professional, LMSW
Verified Verified
1 Endorsed
Marietta, GA 30062
While active listening is an important skill for a therapist, listening can only go so far. All of the therapists here believe that what sets us apart from many other therapists is the fact we actually help you help yourself make the necessary changes in your life by giving you techniques, tools, skills, and guidance to achieve your goals. You'll almost always walk out of a session with a new technique or two that you can go home and start using immediately. All eight of our therapists are highly trained, personable, and ready to give you the stills and techniques you need.
While active listening is an important skill for a therapist, listening can only go so far. All of the therapists here believe that what sets us apart from many other therapists is the fact we actually help you help yourself make the necessary changes in your life by giving you techniques, tools, skills, and guidance to achieve your goals. You'll almost always walk out of a session with a new technique or two that you can go home and start using immediately. All eight of our therapists are highly trained, personable, and ready to give you the stills and techniques you need.
(678) 647-9860 View (678) 647-9860
Photo of Juliana C Brown, Licensed Professional Counselor in Marietta, GA
Juliana C Brown
Licensed Professional Counselor, MS, LPC
Verified Verified
Marietta, GA 30064  (Online Only)
I'm a Licensed Professional Counselor dedicated to cultivating supportive, accepting, and inclusive environments that allow clients to reach their fullest potential. I am experienced in treating anxiety, depression and behavioral and emotional challenges in teens, adults, couples and families.
I'm a Licensed Professional Counselor dedicated to cultivating supportive, accepting, and inclusive environments that allow clients to reach their fullest potential. I am experienced in treating anxiety, depression and behavioral and emotional challenges in teens, adults, couples and families.
(678) 839-7462 View (678) 839-7462
Photo of Robyn S. Gruber, Licensed Professional Counselor in Marietta, GA
Robyn S. Gruber
Licensed Professional Counselor, MA, LPC
Verified Verified
Marietta, GA 30062
Ever feel stuck? You've tried everything you know to overcome the challenges in your life, but it's two steps forward, three steps back. Sometimes it's hard to put the past behind you and live today. Whether you have experienced life-altering trauma or something you might consider a normal life challenge, counseling can help you move beyond the pull of your past. You can overcome your fears and find the freedom you thought you'd never experience. It's available today... one step at a time.
Ever feel stuck? You've tried everything you know to overcome the challenges in your life, but it's two steps forward, three steps back. Sometimes it's hard to put the past behind you and live today. Whether you have experienced life-altering trauma or something you might consider a normal life challenge, counseling can help you move beyond the pull of your past. You can overcome your fears and find the freedom you thought you'd never experience. It's available today... one step at a time.
(678) 665-8455 View (678) 665-8455
Photo of Megan Kuder, Licensed Professional Counselor in Marietta, GA
Megan Kuder
Licensed Professional Counselor, LPC, CPCS, NCC, EMDR
Verified Verified
3 Endorsed
Marietta, GA 30067
We all get in a rut from time to time and need some help walking towards health and wholeness again. I specialize in helping women and couples navigate issues related to anxiety disorders, depression, trauma, pregnancy/postpartum, life transitions and grief so that they can attain a greater sense of peace, hope and courage to live their life well. I help couples who are in need of help navigating complexities of relationship through building healthy communication & conflict resolution skills while exploring and facilitating healing in root areas of pain in a warm and directive environment.
We all get in a rut from time to time and need some help walking towards health and wholeness again. I specialize in helping women and couples navigate issues related to anxiety disorders, depression, trauma, pregnancy/postpartum, life transitions and grief so that they can attain a greater sense of peace, hope and courage to live their life well. I help couples who are in need of help navigating complexities of relationship through building healthy communication & conflict resolution skills while exploring and facilitating healing in root areas of pain in a warm and directive environment.
(678) 846-9484 View (678) 846-9484
Photo of Sarah Azotea, Clinical Social Work/Therapist in Marietta, GA
Sarah Azotea
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Marietta, GA 30064
My passion is working with people and bringing creativity to emotional expression and learning. I have over 10 years of professional experience assisting clients with coping with difficult emotions, increasing constructive communication, building positive relationships; and navigating life after traumatic or life changing events. It is my goal to meet you where you are in your journey and offer a safe and trusting environment for healing, growth, and learning.
My passion is working with people and bringing creativity to emotional expression and learning. I have over 10 years of professional experience assisting clients with coping with difficult emotions, increasing constructive communication, building positive relationships; and navigating life after traumatic or life changing events. It is my goal to meet you where you are in your journey and offer a safe and trusting environment for healing, growth, and learning.
(770) 738-4142 View (770) 738-4142
Photo of Rocio Del Milagro Woody, Clinical Social Work/Therapist in Marietta, GA
Rocio Del Milagro Woody
Clinical Social Work/Therapist, MAC, NCAC-II, CCS, CFVIP, LCSW
Verified Verified
1 Endorsed
Marietta, GA 30062
As you are considering scheduling an appointment, I would like to provide you with basic information about me and my practice. I am a Latina immigrant, a native Spanish speaker, and a naturalized United States Citizen since 1987. After learning English, I graduated from The University of Georgia, undergraduate and graduate school, with the highest academic honors. I am a Licensed Clinical Social Worker with over 35 years of education and practical experience which are the foundation of my clinical practice.
As you are considering scheduling an appointment, I would like to provide you with basic information about me and my practice. I am a Latina immigrant, a native Spanish speaker, and a naturalized United States Citizen since 1987. After learning English, I graduated from The University of Georgia, undergraduate and graduate school, with the highest academic honors. I am a Licensed Clinical Social Worker with over 35 years of education and practical experience which are the foundation of my clinical practice.
(678) 245-6168 View (678) 245-6168
Photo of Angela Denise Jackson, Licensed Professional Counselor in Marietta, GA
Angela Denise Jackson
Licensed Professional Counselor, MA, LPC
Verified Verified
Marietta, GA 30067
Hello, my name is Angela, I am a Licensed Professional Counselor. I have over ten years’ experience in mental health. I specialize in helping individuals navigate through life transitions by creating an environment that supports awareness, acceptance, and the ability to process difficult life scenarios. I assist clients with finding meaning in their everyday life. I am enthusiastic to help you reach your goals – manage your mental health. Expect to feel empowered, encouraged and in control of your life. I will provide you with the necessary tools and resources to tackle unexpected life challenges.
Hello, my name is Angela, I am a Licensed Professional Counselor. I have over ten years’ experience in mental health. I specialize in helping individuals navigate through life transitions by creating an environment that supports awareness, acceptance, and the ability to process difficult life scenarios. I assist clients with finding meaning in their everyday life. I am enthusiastic to help you reach your goals – manage your mental health. Expect to feel empowered, encouraged and in control of your life. I will provide you with the necessary tools and resources to tackle unexpected life challenges.
(770) 404-9670 View (770) 404-9670
Photo of Alan Behrman & Associates, PC, Psychologist in Marietta, GA
Alan Behrman & Associates, PC
Psychologist, PhD
Verified Verified
2 Endorsed
Marietta, GA 30062
While active listening is an important skill for a therapist, listening can only go so far. All of the therapists here believe that what sets us apart from many other therapists is the fact we actually help you help yourself make the necessary changes in your life by giving you techniques, tools, skills, and guidance to achieve your goals. You'll almost always walk out of a session with a new technique or two that you can go home and start using immediately. All eight of our therapists are highly trained, personable, and ready to give you the stills and techniques you need.
While active listening is an important skill for a therapist, listening can only go so far. All of the therapists here believe that what sets us apart from many other therapists is the fact we actually help you help yourself make the necessary changes in your life by giving you techniques, tools, skills, and guidance to achieve your goals. You'll almost always walk out of a session with a new technique or two that you can go home and start using immediately. All eight of our therapists are highly trained, personable, and ready to give you the stills and techniques you need.
(678) 245-6028 View (678) 245-6028
Photo of Marie Papini, Licensed Professional Counselor in Marietta, GA
Marie Papini
Licensed Professional Counselor, Ed S, LPC
Verified Verified
1 Endorsed
Marietta, GA 30064
My ideal client is open to the process of therapy and allows our work together to be collaborative. I have experience helping clients work through stress, anxiety, depression, relationship issues, anger/frustrations, grief/loss, and much more. As someone who has sat in both chairs (the therapist's and the client's), I know how nerve-wracking therapy can feel when you first get started. If you are willing to push through some of those initial discomforts and engage in the process, I have no doubts that you will gain valuable insight and experience personal growth.
My ideal client is open to the process of therapy and allows our work together to be collaborative. I have experience helping clients work through stress, anxiety, depression, relationship issues, anger/frustrations, grief/loss, and much more. As someone who has sat in both chairs (the therapist's and the client's), I know how nerve-wracking therapy can feel when you first get started. If you are willing to push through some of those initial discomforts and engage in the process, I have no doubts that you will gain valuable insight and experience personal growth.
(770) 766-5009 View (770) 766-5009
Photo of Mackenzie Suttles, Licensed Professional Counselor in Marietta, GA
Mackenzie Suttles
Licensed Professional Counselor, PhD, LPC, CRC
Verified Verified
5 Endorsed
Marietta, GA 30060
We all want to feel heard and express ourselves in a way that feels comfortable. For some, it may not solely be through verbal communication. I enjoy working alongside my clients to establish a therapeutic relationship that provides a foundation to identify goals and move toward them together utilizing mindfulness, skill building and person-centered talk therapy as appropriate. I focus on each individuals journey and meeting the individual where they are.
We all want to feel heard and express ourselves in a way that feels comfortable. For some, it may not solely be through verbal communication. I enjoy working alongside my clients to establish a therapeutic relationship that provides a foundation to identify goals and move toward them together utilizing mindfulness, skill building and person-centered talk therapy as appropriate. I focus on each individuals journey and meeting the individual where they are.
(678) 336-6835 View (678) 336-6835
Photo of The Good Place Health and Wellness. , Clinical Social Work/Therapist in Marietta, GA
The Good Place Health and Wellness.
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Marietta, GA 30066  (Online Only)
Waitlist for new clients
Growing up in Ghana, there was no such thing as talk therapy. Mental health was not a topic of discussion in my culture. I became fascinated with talk therapy during my college years here in America. Over the years, I have felt the need to bring talk therapy to the fore front of my community and all. My exprience has been working with adults with serious mental illnesses, children with family trauma and abandonments, individuals and families. I specialize in couples and groups as well. My approach is creating a safe space for you to be vulnerable and sincere in your disclosure of deep and personal thoughts. I am an LGBTQ ally.
Growing up in Ghana, there was no such thing as talk therapy. Mental health was not a topic of discussion in my culture. I became fascinated with talk therapy during my college years here in America. Over the years, I have felt the need to bring talk therapy to the fore front of my community and all. My exprience has been working with adults with serious mental illnesses, children with family trauma and abandonments, individuals and families. I specialize in couples and groups as well. My approach is creating a safe space for you to be vulnerable and sincere in your disclosure of deep and personal thoughts. I am an LGBTQ ally.
(678) 338-8272 View (678) 338-8272
Photo of Sonya Snow, Licensed Professional Counselor in Marietta, GA
Sonya Snow
Licensed Professional Counselor, MA, LPC, C-DBT
Verified Verified
1 Endorsed
Marietta, GA 30062
Life is filled with choices. Sometimes it appears as though the choices actually resemble a cyclic journey full of stress, hurt, pain, fear, anger and frustration. My goal is to meet clients right where they are in their journey! My approach is to maintain an open, supportive and non-judgmental atmosphere that empowers clients to unveil the source and navigate their journey towards change. I desire to be the voice that speaks a reminder to clients, just as Carl Jung once stated: "I am not what has happened to me. I am what I choose to become."
Life is filled with choices. Sometimes it appears as though the choices actually resemble a cyclic journey full of stress, hurt, pain, fear, anger and frustration. My goal is to meet clients right where they are in their journey! My approach is to maintain an open, supportive and non-judgmental atmosphere that empowers clients to unveil the source and navigate their journey towards change. I desire to be the voice that speaks a reminder to clients, just as Carl Jung once stated: "I am not what has happened to me. I am what I choose to become."
(404) 609-1692 View (404) 609-1692
Photo of Olivia Ellis, Associate Professional Counselor in Marietta, GA
Olivia Ellis
Associate Professional Counselor, MS, LAPC, CRC, NCC
Verified Verified
1 Endorsed
Marietta, GA 30060  (Online Only)
I understand that therapy can feel overwhelming and intimidating! My goal is to support you in navigating those emotions and guide you on your healing journey. As a clinician, I believe in providing a safe space where you can freely express yourself without fear of judgment for your actions or for who you are as a person. I place great importance on building a strong therapeutic relationship with you, so that we can work together to create the best approach that meets your unique needs.
I understand that therapy can feel overwhelming and intimidating! My goal is to support you in navigating those emotions and guide you on your healing journey. As a clinician, I believe in providing a safe space where you can freely express yourself without fear of judgment for your actions or for who you are as a person. I place great importance on building a strong therapeutic relationship with you, so that we can work together to create the best approach that meets your unique needs.
(470) 431-1076 View (470) 431-1076
Photo of Cecelia Mack, Licensed Professional Counselor in Marietta, GA
Cecelia Mack
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Marietta, GA 30064
Hey, I'm Cecelia. I specialize in assisting those who often feel overwhelmed, teaching them distress tolerance techniques and stress management skills. Let's work together to develop strategies for managing your emotions effectively. I understand that seeking therapy can be daunting, but you're taking a positive step forward. You deserve a nurturing environment to foster healing and personal growth.
Hey, I'm Cecelia. I specialize in assisting those who often feel overwhelmed, teaching them distress tolerance techniques and stress management skills. Let's work together to develop strategies for managing your emotions effectively. I understand that seeking therapy can be daunting, but you're taking a positive step forward. You deserve a nurturing environment to foster healing and personal growth.
(678) 661-2797 View (678) 661-2797
Photo of Jill G Sebaugh, Clinical Social Work/Therapist in Marietta, GA
Jill G Sebaugh
Clinical Social Work/Therapist, LCSW , QCSW, BC-TMHP, CFSW
Verified Verified
1 Endorsed
Marietta, GA 30060
Hello! Are you looking to take some concrete steps to improve your mental health? Then, I would love to work with you! I specialize in anxiety and depression, stress management, parenting, grief and loss, relationship issues, and life transitions including aging and seniors. Finding new ways to tackle life challenges is hard, but it's worth it, and I'm here to help make it easier. I would be honored to journey with you toward a greater sense of emotional, mental, and relational wholeness.
Hello! Are you looking to take some concrete steps to improve your mental health? Then, I would love to work with you! I specialize in anxiety and depression, stress management, parenting, grief and loss, relationship issues, and life transitions including aging and seniors. Finding new ways to tackle life challenges is hard, but it's worth it, and I'm here to help make it easier. I would be honored to journey with you toward a greater sense of emotional, mental, and relational wholeness.
(470) 329-7831 View (470) 329-7831
Photo of Anne S. Mayfield, Licensed Professional Counselor in Marietta, GA
Anne S. Mayfield
Licensed Professional Counselor, NCC, CSAT, RRT-P
Verified Verified
1 Endorsed
Marietta, GA 30067
As a certified RRT Practitioner and a CSAT offering psychotherapy, hypnotherapy, EMDR, and Rapid Resolution Therapy, I specialize in healing trauma as well as in sex, love, and relationship addiction. Counseling is, for me, about witnessing someone else's personal story and providing a safe place to experience the whole range of emotions. I provide a nurturing, supportive, and nonjudgmental environment in which to explore your issues. Together we will develop new strategies to help you deal with life's challenges so that you are better able to experience life's joys.
As a certified RRT Practitioner and a CSAT offering psychotherapy, hypnotherapy, EMDR, and Rapid Resolution Therapy, I specialize in healing trauma as well as in sex, love, and relationship addiction. Counseling is, for me, about witnessing someone else's personal story and providing a safe place to experience the whole range of emotions. I provide a nurturing, supportive, and nonjudgmental environment in which to explore your issues. Together we will develop new strategies to help you deal with life's challenges so that you are better able to experience life's joys.
(404) 238-7878 View (404) 238-7878
Photo of Sheryl Vaughn, Licensed Professional Counselor in Marietta, GA
Sheryl Vaughn
Licensed Professional Counselor, LPC, CCS, NBCC
Verified Verified
1 Endorsed
Marietta, GA 30060
What I want clients to know about me! I believe your dreams and goals are bigger than the obstacles you face. I have learned there is hope, even when your brain tells you there isn't! What can clients expect from me: Clients can expect honesty, compassion, and empathy. Also, clients can expect a safe environment where you can share thoughts and feelings, set your own goals, receive insight into your experiences, and identify some options for handling issues in healthy ways.
What I want clients to know about me! I believe your dreams and goals are bigger than the obstacles you face. I have learned there is hope, even when your brain tells you there isn't! What can clients expect from me: Clients can expect honesty, compassion, and empathy. Also, clients can expect a safe environment where you can share thoughts and feelings, set your own goals, receive insight into your experiences, and identify some options for handling issues in healthy ways.
(470) 748-4956 View (470) 748-4956
Photo of Irv Kooris, Licensed Professional Counselor in Marietta, GA
Irv Kooris
Licensed Professional Counselor, MEd, LPC, LMFT, CEAP, CPCC
Verified Verified
1 Endorsed
Marietta, GA 30062  (Online Only)
All of us have had many transitions throughout our lifetime. These transitions can be experienced as positive, neutral or negative. My belief is that all of these passages are opportunities for change and growth. For these reasons I enjoy working with individuals and couples that are in transition .
All of us have had many transitions throughout our lifetime. These transitions can be experienced as positive, neutral or negative. My belief is that all of these passages are opportunities for change and growth. For these reasons I enjoy working with individuals and couples that are in transition .
(678) 619-2577 View (678) 619-2577

How does your Therapist compare?

Number of Therapists in Marietta, GA

900+

Average cost per session

$140

Therapists in Marietta, GA who prioritize treating:

91% Anxiety
88% Depression
76% Relationship Issues
76% Self Esteem
72% Coping Skills
67% Stress
66% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
75% Cigna and Evernorth
69% BlueCross and BlueShield

How Therapists in Marietta, GA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Marietta?

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.