Therapists in Fayetteville, AR

Photo of Hannah Olson, Clinical Social Work/Therapist in Fayetteville, AR
Hannah Olson
Clinical Social Work/Therapist, LCSW
Verified Verified
Fayetteville, AR 72703
I work with adults, children and families to encourage self-exploration, seek greater understanding and experience growth through relationally-focused therapy. I am trained in Play Therapy and my family practice is Theraplay informed. I’d love to talk more about what partnering with me would look like for you or your family.
I work with adults, children and families to encourage self-exploration, seek greater understanding and experience growth through relationally-focused therapy. I am trained in Play Therapy and my family practice is Theraplay informed. I’d love to talk more about what partnering with me would look like for you or your family.
(479) 346-2961 View (479) 346-2961
Photo of Becky Gonelli PLLC, Counselor in Fayetteville, AR
Becky Gonelli PLLC
Counselor, MS, LPC, RPT
Verified Verified
1 Endorsed
Fayetteville, AR 72701
Each of us has a story. Our past can influence or shape our lives, but it doesn't define or limit who we are. It doesn't have the power to tell us who we can become. My initial goal is to provide a non-judgmental and safe place for my clients to feel seen, heard and understood. I would like to believe that therapy provides the opportunity to discover and make use of the healing power of our stories to make us stronger. My goal is to help others achieve their potential. I work with ages 18-65. I especially enjoy working with our college population or professionals dealing with work related stress or burnout.
Each of us has a story. Our past can influence or shape our lives, but it doesn't define or limit who we are. It doesn't have the power to tell us who we can become. My initial goal is to provide a non-judgmental and safe place for my clients to feel seen, heard and understood. I would like to believe that therapy provides the opportunity to discover and make use of the healing power of our stories to make us stronger. My goal is to help others achieve their potential. I work with ages 18-65. I especially enjoy working with our college population or professionals dealing with work related stress or burnout.
(479) 282-2868 View (479) 282-2868
Photo of Brittni Huckabay, Licensed Professional Counselor in Fayetteville, AR
Brittni Huckabay
Licensed Professional Counselor, MS, LPC, RPT
Verified Verified
2 Endorsed
Fayetteville, AR 72703
I specialize in working with children and adolescents and I tailor my approach to meet their unique needs. I can assist people of all ages in managing stressors, anxiety, depression and overcoming trauma, however my true passion is providing play therapy to children. I recognize the significance of building a strong connection with my clients and aim to provide them with a safe and nonjudgmental space to explore their emotions and experiences.
I specialize in working with children and adolescents and I tailor my approach to meet their unique needs. I can assist people of all ages in managing stressors, anxiety, depression and overcoming trauma, however my true passion is providing play therapy to children. I recognize the significance of building a strong connection with my clients and aim to provide them with a safe and nonjudgmental space to explore their emotions and experiences.
(479) 239-8718 View (479) 239-8718
Photo of Maryam Grimwood, Licensed Professional Counselor in Fayetteville, AR
Maryam Grimwood
Licensed Professional Counselor, LPC
Verified Verified
Fayetteville, AR 72701
At its core therapy is about having a place where your story is heard and you are seen as the whole person you are. I have a devotion toward helping women and very young children and have years of experience focused on trauma, abuse, infertility, anxiety, depression and family issues. I have worked with kids as young as two and am so amazed by their resiliency and ability to process through play. Women and men come in thinking they are alone with issues related to infertility, parenting, sexuality, and more because these are not things people talk about openly but life is messy and having a safe place process it helps.
At its core therapy is about having a place where your story is heard and you are seen as the whole person you are. I have a devotion toward helping women and very young children and have years of experience focused on trauma, abuse, infertility, anxiety, depression and family issues. I have worked with kids as young as two and am so amazed by their resiliency and ability to process through play. Women and men come in thinking they are alone with issues related to infertility, parenting, sexuality, and more because these are not things people talk about openly but life is messy and having a safe place process it helps.
Photo of Jeffrey Dupuis, Clinical Social Work/Therapist in Fayetteville, AR
Jeffrey Dupuis
Clinical Social Work/Therapist, LCSW, LAC, MBA
Verified Verified
Fayetteville, AR 72703
Asking for help is difficult, sometimes overwhelming. Most people are touched by anxiety, depression, relationship issues and even addiction at some point in their lives, either within themselves or a family member. I create a safe, relaxing and inviting space for you to begin dealing with these difficult, but treatable issues. Many people, particularly men, are socialized to ignore or never discuss their innermost feelings and worries. College students often struggle with questions about whom they are and whom they want to become. Parents often feel powerless to help their children. Together, we can work toward achieving your goals.
Asking for help is difficult, sometimes overwhelming. Most people are touched by anxiety, depression, relationship issues and even addiction at some point in their lives, either within themselves or a family member. I create a safe, relaxing and inviting space for you to begin dealing with these difficult, but treatable issues. Many people, particularly men, are socialized to ignore or never discuss their innermost feelings and worries. College students often struggle with questions about whom they are and whom they want to become. Parents often feel powerless to help their children. Together, we can work toward achieving your goals.
(479) 309-8366 View (479) 309-8366
Photo of Analisa Chavez, Counselor in Fayetteville, AR
Analisa Chavez
Counselor, MSMFT, LPC
Verified Verified
1 Endorsed
Fayetteville, AR 72701
Know that YOU are valuable! If you are struggling with believing that, I can help. Let's work through past trauma, negative self-talk, self-acceptance, and everything in between. Let's improve your relationships by becoming a more whole you, finding your worth, and setting boundaries. You are the one person you have for your entire life; therefore, stop treating yourself like your worst enemy and be your best friend.
Know that YOU are valuable! If you are struggling with believing that, I can help. Let's work through past trauma, negative self-talk, self-acceptance, and everything in between. Let's improve your relationships by becoming a more whole you, finding your worth, and setting boundaries. You are the one person you have for your entire life; therefore, stop treating yourself like your worst enemy and be your best friend.
(501) 242-5330 View (501) 242-5330
Photo of Kimberly Marie Shuler, Clinical Social Work/Therapist in Fayetteville, AR
Kimberly Marie Shuler
Clinical Social Work/Therapist, LCSW
Verified Verified
Fayetteville, AR 72703
Therapy is about you the client. Therapy focuses on meeting you where you are and focusing on what is working and what is not working in your life through self reflection. We all struggle with different issues from time to time and may benefit from therapy. Therapy can empower you through a supportive encouraging avenue to focus on making positive changes in your life. Therapy can assist you with developing healthy coping skills, more satisfying relationships, and overall sense of well being.
Therapy is about you the client. Therapy focuses on meeting you where you are and focusing on what is working and what is not working in your life through self reflection. We all struggle with different issues from time to time and may benefit from therapy. Therapy can empower you through a supportive encouraging avenue to focus on making positive changes in your life. Therapy can assist you with developing healthy coping skills, more satisfying relationships, and overall sense of well being.
(479) 282-2121 View (479) 282-2121
Photo of Erica Walter, Counselor in Fayetteville, AR
Erica Walter
Counselor, MS, LAC
Verified Verified
3 Endorsed
Fayetteville, AR 72703
I am a Licensed Associate Counselor, wife, and mother of four who recognizes that some of life's hurdles are just plain unavoidable, but giving up should not be an option. I have experience treating individuals facing a variety of issues. I specialize in treating women who are dealing with anxiety, feelings of inadequacy and depression.
I am a Licensed Associate Counselor, wife, and mother of four who recognizes that some of life's hurdles are just plain unavoidable, but giving up should not be an option. I have experience treating individuals facing a variety of issues. I specialize in treating women who are dealing with anxiety, feelings of inadequacy and depression.
(479) 777-9601 View (479) 777-9601
Photo of Tammi Harris, Clinical Social Work/Therapist in Fayetteville, AR
Tammi Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
Fayetteville, AR 72701
I love working with adolescents and adults to guide them through life's difficulties to live a more fulfilling life. I provide individual, family, and couples counseling in a comfortable and private setting. I received my Bachelor's and Master's degrees in Social Work from the University of Arkansas, and have been practicing for 18 years. I utilize a variety of techniques including Cognitive Behavioral Therapy, Psychodynamic, Systems Approach, coping and relaxation skills, Mindfulness, and Self-Care. My primary focus is on adults and adolescents coping with anxiety, depression, adjustment to life's changes, and seeking overall personal growth.
I love working with adolescents and adults to guide them through life's difficulties to live a more fulfilling life. I provide individual, family, and couples counseling in a comfortable and private setting. I received my Bachelor's and Master's degrees in Social Work from the University of Arkansas, and have been practicing for 18 years. I utilize a variety of techniques including Cognitive Behavioral Therapy, Psychodynamic, Systems Approach, coping and relaxation skills, Mindfulness, and Self-Care. My primary focus is on adults and adolescents coping with anxiety, depression, adjustment to life's changes, and seeking overall personal growth.
(479) 777-0822 View (479) 777-0822
Photo of Theresa J Driver, Licensed Professional Counselor in Fayetteville, AR
Theresa J Driver
Licensed Professional Counselor, MS, LPC-S, RPT, LADAC, CRC
Verified Verified
1 Endorsed
Fayetteville, AR 72703
I am here to assist your child and you through difficult times. I am a Licensed Professional Therapist and a Registered Play Therapist. I have specialized training using dogs and horses in my therapy sessions. When young children have problems, they aren't yet emotionally equipped to sit down and tell you or a therapist what is bothering them, but they can tell a trained therapist what is wrong through their play. In a play therapy room, equipped with specific toys and designed to make a child feel safe and secure, many feelings can be expressed through play.
I am here to assist your child and you through difficult times. I am a Licensed Professional Therapist and a Registered Play Therapist. I have specialized training using dogs and horses in my therapy sessions. When young children have problems, they aren't yet emotionally equipped to sit down and tell you or a therapist what is bothering them, but they can tell a trained therapist what is wrong through their play. In a play therapy room, equipped with specific toys and designed to make a child feel safe and secure, many feelings can be expressed through play.
(479) 668-3816 View (479) 668-3816
Photo of Frances Woods, Psychologist in Fayetteville, AR
Frances Woods
Psychologist, PhD
Verified Verified
Fayetteville, AR 72701
You are in the world and world is in you. Have you ever looked at a rose plant and really thought about all it takes to produce those beautiful fragrant blossoms? Or watched a perfect alley-oop slam dunk by a professional basketball player and wondered how that kind of skill comes about? To answer those questions one needs to examine all the relevant contributing factors. Similarly, to understand your unique situation, one needs to adopt a comprehensive, ecological model to create/access effective change points. You, the rose and the slam dunk are all part of vast complex systems.
You are in the world and world is in you. Have you ever looked at a rose plant and really thought about all it takes to produce those beautiful fragrant blossoms? Or watched a perfect alley-oop slam dunk by a professional basketball player and wondered how that kind of skill comes about? To answer those questions one needs to examine all the relevant contributing factors. Similarly, to understand your unique situation, one needs to adopt a comprehensive, ecological model to create/access effective change points. You, the rose and the slam dunk are all part of vast complex systems.
(479) 269-4624 View (479) 269-4624
Photo of Jennifer Leigh Niles, Licensed Professional Counselor in Fayetteville, AR
Jennifer Leigh Niles
Licensed Professional Counselor, MS, LPC, LMFT
Verified Verified
Fayetteville, AR 72703
I enjoy working with clients who are looking for ways to create sustainable life changes in their physical, emotional, spiritual and relational health. I work with clients to reduce stress and anxiety, increase self awareness and create healthier connections and relationships with themselves and others. I work with clients facing health challenges such as depression, anxiety, eating and weight concerns, trauma, and relationship distress. I see the client as an integrated mind-body system and often work in supporting the client learn from the wisdom and experience of their body to help in their healing and growth process.
I enjoy working with clients who are looking for ways to create sustainable life changes in their physical, emotional, spiritual and relational health. I work with clients to reduce stress and anxiety, increase self awareness and create healthier connections and relationships with themselves and others. I work with clients facing health challenges such as depression, anxiety, eating and weight concerns, trauma, and relationship distress. I see the client as an integrated mind-body system and often work in supporting the client learn from the wisdom and experience of their body to help in their healing and growth process.
(479) 755-9094 View (479) 755-9094
Photo of Tammy Callahan, Licensed Professional Counselor in Fayetteville, AR
Tammy Callahan
Licensed Professional Counselor, LPC
Verified Verified
Fayetteville, AR 72701
Trauma does not discriminate and can negatively impact one's daily life. Has trauma impacted your life? Have you been looking for someone who understands and hears your struggles and is ready to help those struggles become a thing of the past? I hear you. I understand. I’m ready to help put those intrusive, self-blaming, and self-sabotaging thoughts behind you. I have over 5 years experience in treating severe, emotionally disturbed or serious mentally ill clients, ranging from the age of 6 up to adulthood. I am an advocate for minorities and cultures such as LGBTQIA and the disabled.
Trauma does not discriminate and can negatively impact one's daily life. Has trauma impacted your life? Have you been looking for someone who understands and hears your struggles and is ready to help those struggles become a thing of the past? I hear you. I understand. I’m ready to help put those intrusive, self-blaming, and self-sabotaging thoughts behind you. I have over 5 years experience in treating severe, emotionally disturbed or serious mentally ill clients, ranging from the age of 6 up to adulthood. I am an advocate for minorities and cultures such as LGBTQIA and the disabled.
View
Photo of Samantha Hickmon, Counselor in Fayetteville, AR
Samantha Hickmon
Counselor, MS, LPC, TA-c
Verified Verified
Fayetteville, AR 72703
Are you struggling? Do you pray and hope for healing, but feel like it will always be this way? I know that struggle; it is what led me to create Alpas Counseling PLLC. It is my passion as a counselor and follower of Jesus to provide a place where the truth and hope of God’s word combine with evidence-based practices in Cognitive Behavioral Therapy. Scripture points to the importance of challenging our negative thoughts and beliefs allowing for truth to take its place. CBT helps break that process down into tangible and practical steps.
Are you struggling? Do you pray and hope for healing, but feel like it will always be this way? I know that struggle; it is what led me to create Alpas Counseling PLLC. It is my passion as a counselor and follower of Jesus to provide a place where the truth and hope of God’s word combine with evidence-based practices in Cognitive Behavioral Therapy. Scripture points to the importance of challenging our negative thoughts and beliefs allowing for truth to take its place. CBT helps break that process down into tangible and practical steps.
(479) 323-3140 View (479) 323-3140
Photo of LeeAnne Rhodes, Licensed Professional Counselor in Fayetteville, AR
LeeAnne Rhodes
Licensed Professional Counselor, MS, LPC-S, LMFT-S, A-CBT
Verified Verified
Fayetteville, AR 72703
As necessary as change often is, it can also be one of the hardest things to do. It seems safe to stay with what we know even if it's not what's for our best. The good news is is that change is indeed possible! Having an outside perspective to process your story and to begin to interpret and understand things differently can be a vital as you pursue growth and change. The lens of Cognitive Behavioral Therapy (CBT) considers your thoughts, feelings, and behaviors and how these interact as well as how they influence our interactions with others; it acknowledge the past while focusing primarily on growth in the present and future.
As necessary as change often is, it can also be one of the hardest things to do. It seems safe to stay with what we know even if it's not what's for our best. The good news is is that change is indeed possible! Having an outside perspective to process your story and to begin to interpret and understand things differently can be a vital as you pursue growth and change. The lens of Cognitive Behavioral Therapy (CBT) considers your thoughts, feelings, and behaviors and how these interact as well as how they influence our interactions with others; it acknowledge the past while focusing primarily on growth in the present and future.
(479) 358-9714 View (479) 358-9714
Photo of Melody Mortenson, Clinical Social Work/Therapist in Fayetteville, AR
Melody Mortenson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fayetteville, AR 72703
Do you think of the same thing over and over again or imagine the worst case scenario often? Do you worry that you will let others down? Or maybe you have suffered a loss that is difficult to accept. Irritable? Tired? Stuck? Stress, Grief, Trauma and Life Changes can all affect your well being. You can learn to control, manage or eliminate these thoughts and feelings that are holding you back and I am here to help!
Do you think of the same thing over and over again or imagine the worst case scenario often? Do you worry that you will let others down? Or maybe you have suffered a loss that is difficult to accept. Irritable? Tired? Stuck? Stress, Grief, Trauma and Life Changes can all affect your well being. You can learn to control, manage or eliminate these thoughts and feelings that are holding you back and I am here to help!
(479) 777-0712 View (479) 777-0712
Photo of Crystal Mapes, Counselor in Fayetteville, AR
Crystal Mapes
Counselor, MS
Verified Verified
Fayetteville, AR 72704  (Online Only)
Therapy can help you navigate difficult emotional, behavioral, and relationship challenges to discover more meaning and peace in your life. I specialize in ADHD (including late diagnosis), trauma and PTSD, and those struggling with relationship trauma and codependency. Whether you are struggling to navigate life's many hurdles, coming to terms with a late diagnosis, struggling with anxiety or depression, or looking for peace and centeredness in yourself and your relationships, I am here to help. As your therapist, I aim to support you as you overcome obstacles, reclaim peace, and thrive in your journey toward healing and growth.
Therapy can help you navigate difficult emotional, behavioral, and relationship challenges to discover more meaning and peace in your life. I specialize in ADHD (including late diagnosis), trauma and PTSD, and those struggling with relationship trauma and codependency. Whether you are struggling to navigate life's many hurdles, coming to terms with a late diagnosis, struggling with anxiety or depression, or looking for peace and centeredness in yourself and your relationships, I am here to help. As your therapist, I aim to support you as you overcome obstacles, reclaim peace, and thrive in your journey toward healing and growth.
(479) 346-1129 View (479) 346-1129
Photo of Myrna B. Young, Licensed Professional Counselor in Fayetteville, AR
Myrna B. Young
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Fayetteville, AR 72703
Tengo experiencia trabajando con personas con problemas relacionados con los trastornos de ansiedad, la depresión, el estrés, adaptación y la falta de autoestima. En este momento también estoy ofreciendo los servicios de evaluaciones de salud mental para casos de deportación y otros casos de inmigración (no las cubren los seguros de salud). Utilizo la Terapia Cognitivo-Conductual (CBT) y La terapia centrada en el cliente para ayudar a mis clientes en su trayectoria a más saludables y mejores formas de vidas.
Tengo experiencia trabajando con personas con problemas relacionados con los trastornos de ansiedad, la depresión, el estrés, adaptación y la falta de autoestima. En este momento también estoy ofreciendo los servicios de evaluaciones de salud mental para casos de deportación y otros casos de inmigración (no las cubren los seguros de salud). Utilizo la Terapia Cognitivo-Conductual (CBT) y La terapia centrada en el cliente para ayudar a mis clientes en su trayectoria a más saludables y mejores formas de vidas.
(479) 202-8579 View (479) 202-8579
Photo of Laura Camargo, Clinical Social Work/Therapist in Fayetteville, AR
Laura Camargo
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fayetteville, AR 72703
It is my belief that everyone experiences struggles at some point in their life and can benefit from sharing those experiences in a safe, supportive environment. My goal as a therapist is to help you reach the goals you set and empower you to make the changes in your life you would like to see.
It is my belief that everyone experiences struggles at some point in their life and can benefit from sharing those experiences in a safe, supportive environment. My goal as a therapist is to help you reach the goals you set and empower you to make the changes in your life you would like to see.
(479) 349-3150 View (479) 349-3150
Photo of Cheyenne Blevins, Licensed Professional Counselor in Fayetteville, AR
Cheyenne Blevins
Licensed Professional Counselor, LPC
Verified Verified
Fayetteville, AR 72701
It can be really tough to reach out and make that first step in seeking a better quality of life. Everyone needs someone in their corner, whether it be to listen or provide an unbiased perspective to work towards positive life changes. Maybe it's needing someone that doesn't judge you, knowing that, here, you are accepted for exactly who you are. Here, you get to let that out and work on being you in all areas of your life.
It can be really tough to reach out and make that first step in seeking a better quality of life. Everyone needs someone in their corner, whether it be to listen or provide an unbiased perspective to work towards positive life changes. Maybe it's needing someone that doesn't judge you, knowing that, here, you are accepted for exactly who you are. Here, you get to let that out and work on being you in all areas of your life.
(479) 346-3490 View (479) 346-3490

See more therapy options for Fayetteville

How does your Therapist compare?

Number of Therapists in Fayetteville, AR

400+

Average cost per session

$150

Therapists in Fayetteville, AR who prioritize treating:

94% Anxiety
90% Depression
77% Self Esteem
76% Trauma and PTSD
72% Relationship Issues
72% Stress
69% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
69% Ambetter
50% QualChoice

How Therapists in Fayetteville, AR see their clients

85% In Person and Online
15% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Fayetteville?

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.