Therapists in 02131

Photo of Nance Aronoff - Nance Aronoff, LICSW, Clinical Social Work/Therapist, LICSW
Nance Aronoff, LICSW
Clinical Social Work/Therapist, LICSW
Roslindale, MA 02131
I believe that good Supervision is a conduit for mental, emotional and spiritual well-being. Having worked with individuals, couples and families I have seen my clients grow and change in the most positive and rewarding ways. In my practice I work closely with people to identify the changes they want to make in their lives. We then focus on the strengths that have helped them thus far and the challenges that have held them back. Effective supervision brings deep understanding of oneself, builds strong self-esteem, and provides an emotional, mental, and spiritual foundation for a gratifying and prosperous Psychotherapy Practice.
I believe that good Supervision is a conduit for mental, emotional and spiritual well-being. Having worked with individuals, couples and families I have seen my clients grow and change in the most positive and rewarding ways. In my practice I work closely with people to identify the changes they want to make in their lives. We then focus on the strengths that have helped them thus far and the challenges that have held them back. Effective supervision brings deep understanding of oneself, builds strong self-esteem, and provides an emotional, mental, and spiritual foundation for a gratifying and prosperous Psychotherapy Practice.
(617) 446-3138 View (617) 446-3138
Photo of Amy R Offenberg, Clinical Social Work/Therapist, MSW, MPH, LICSW
Amy R Offenberg
Clinical Social Work/Therapist, MSW, MPH, LICSW
2 Endorsed
Roslindale, MA 02131
It is easy to get overwhelmed with life and it's day to day challenges.Sometimes all it takes to make things easier, is someone to listen and help us see things from a different perspective. Asking for help at a difficult time is not easy. I value the opportunity to work with my clients to provide support and direction during challenging times.
It is easy to get overwhelmed with life and it's day to day challenges.Sometimes all it takes to make things easier, is someone to listen and help us see things from a different perspective. Asking for help at a difficult time is not easy. I value the opportunity to work with my clients to provide support and direction during challenging times.
(857) 313-3853 View (857) 313-3853
Photo of S. Campbell Brown, Clinical Social Work/Therapist, LCSW
S. Campbell Brown
Clinical Social Work/Therapist, LCSW
Roslindale, MA 02131
Hi there! I’m Campbell, and I’m so glad you’re here. Starting therapy can feel like a big step, and I hope to make that a little easier. My goal is to create a space where you feel safe, supported, and truly heard. I believe therapy works best when it feels like a collaboration, and we’ll work together to figure out what feels right for you. I have experience working with young adults on a wide range of concerns including stress, anxiety, depression, executive functioning challenges, life transitions, relationships, and navigating neurodiversity. I also have unique prior experience working with collegiate student-athletes.
Hi there! I’m Campbell, and I’m so glad you’re here. Starting therapy can feel like a big step, and I hope to make that a little easier. My goal is to create a space where you feel safe, supported, and truly heard. I believe therapy works best when it feels like a collaboration, and we’ll work together to figure out what feels right for you. I have experience working with young adults on a wide range of concerns including stress, anxiety, depression, executive functioning challenges, life transitions, relationships, and navigating neurodiversity. I also have unique prior experience working with collegiate student-athletes.
(857) 273-2124 View (857) 273-2124
Photo of Alex Bauermeister, Clinical Social Work/Therapist, LCSW, IAYT, RYT
Alex Bauermeister
Clinical Social Work/Therapist, LCSW, IAYT, RYT
1 Endorsed
Boston, MA 02131
I'm so glad you're here. Certain life chapters have a way of challenging us to dig deep and open ourselves up to more support. As a Licensed Clinical Social Worker (LCSW) and certified Somatic Yoga Therapist, I'm honored to work with individuals and couples who are navigating anxiety, depression, trauma, and relationship challenges (including relational OCD), and seeking more peace in their bodies, minds, hearts, and attachment connections. Whether you’re here for individual therapy or couples therapy, I’m honored to accompany you on this journey.
I'm so glad you're here. Certain life chapters have a way of challenging us to dig deep and open ourselves up to more support. As a Licensed Clinical Social Worker (LCSW) and certified Somatic Yoga Therapist, I'm honored to work with individuals and couples who are navigating anxiety, depression, trauma, and relationship challenges (including relational OCD), and seeking more peace in their bodies, minds, hearts, and attachment connections. Whether you’re here for individual therapy or couples therapy, I’m honored to accompany you on this journey.
(857) 855-4465 View (857) 855-4465
Photo of Jeannetta Montissol - Wells of Wellbeing, Counselor, LMHC
Wells of Wellbeing
Counselor, LMHC
Boston, MA 02131
You may have found what you've been looking for. Take a deep breath, and answer these questions: are you struggling with anxiety, depression, or a life transition?
You may have found what you've been looking for. Take a deep breath, and answer these questions: are you struggling with anxiety, depression, or a life transition?
(857) 349-9973 View (857) 349-9973
Photo of Maya Sisodia, Clinical Social Work/Therapist, LCSW
Maya Sisodia
Clinical Social Work/Therapist, LCSW
Boston, MA 02131
Hi there! My name is Maya and I'm a clinical social worker and therapist. I have a Master of Social Work degree from Boston College and have previously worked in residential mental health care and behavioral health within a large community health center. I have experience working with clients from all walks of life on a range of issues, including anxiety, depression, trauma, body image, neurodivergence, relationship and family issues, self-esteem, and self-exploration. I believe that the therapeutic relationship is of paramount importance in creating a warm and safe space where healing and growth can occur.
Hi there! My name is Maya and I'm a clinical social worker and therapist. I have a Master of Social Work degree from Boston College and have previously worked in residential mental health care and behavioral health within a large community health center. I have experience working with clients from all walks of life on a range of issues, including anxiety, depression, trauma, body image, neurodivergence, relationship and family issues, self-esteem, and self-exploration. I believe that the therapeutic relationship is of paramount importance in creating a warm and safe space where healing and growth can occur.
(857) 392-3736 View (857) 392-3736
Photo of Jerell Smith, Clinical Social Work/Therapist, LICSW
Jerell Smith
Clinical Social Work/Therapist, LICSW
1 Endorsed
Boston, MA 02131
Hi, I’m Jerell—a Licensed Independent Clinical Social Worker with over a decade of experience supporting individuals, couples, youth, and families through life’s challenges. I specialize in helping people navigate ADHD, anxiety, depression, relationship dynamics, conflict, life transitions, and systems that often feel overwhelming or difficult to manage. My goal is to create a safe and affirming space where you can feel seen, heard, and supported.
Hi, I’m Jerell—a Licensed Independent Clinical Social Worker with over a decade of experience supporting individuals, couples, youth, and families through life’s challenges. I specialize in helping people navigate ADHD, anxiety, depression, relationship dynamics, conflict, life transitions, and systems that often feel overwhelming or difficult to manage. My goal is to create a safe and affirming space where you can feel seen, heard, and supported.
(857) 375-6291 View (857) 375-6291
Photo of Marley Sepinuck, Clinical Social Work/Therapist, LCSW
Marley Sepinuck
Clinical Social Work/Therapist, LCSW
Roslindale, MA 02131
Hi! I’m Marley, and I work with adolescents (12+), young adults, and adults navigating eating disorders, disordered eating, body image concerns, anxiety, mild OCD, mild depression, self-esteem, life transitions, school dynamics, and stress. I can provide therapeutic support to parents of adolescents struggling with eating disorders as well. Through my own identity and lived experiences, I am also able to offer support to clients of the Jewish faith, and am committed to providing a safe space for clients to process Antisemitism, as well as other cultural and/or religious dynamics.
Hi! I’m Marley, and I work with adolescents (12+), young adults, and adults navigating eating disorders, disordered eating, body image concerns, anxiety, mild OCD, mild depression, self-esteem, life transitions, school dynamics, and stress. I can provide therapeutic support to parents of adolescents struggling with eating disorders as well. Through my own identity and lived experiences, I am also able to offer support to clients of the Jewish faith, and am committed to providing a safe space for clients to process Antisemitism, as well as other cultural and/or religious dynamics.
(857) 754-5686 View (857) 754-5686
Photo of Marion Simoneau, Clinical Social Work/Therapist, LICSW
Marion Simoneau
Clinical Social Work/Therapist, LICSW
3 Endorsed
Roslindale, MA 02131
I understand the importance of a good match when looking for a therapist, and I'm honored that you're considering me. I believe that you want to be well and that you are doing the best you can, but sometimes stuff gets in the way. When things don't make sense, I get curious, and I want to work with you to understand how your life works and to uncover and strengthen the skills you already have.
I understand the importance of a good match when looking for a therapist, and I'm honored that you're considering me. I believe that you want to be well and that you are doing the best you can, but sometimes stuff gets in the way. When things don't make sense, I get curious, and I want to work with you to understand how your life works and to uncover and strengthen the skills you already have.
(857) 367-1319 View (857) 367-1319
Photo of Lucy Prothero, Clinical Social Work/Therapist, LCSW
Lucy Prothero
Clinical Social Work/Therapist, LCSW
Roslindale, MA 02131
Hi there! My name is Lucy and I am a psychotherapist with a MSW from The University of North Carolina at Chapel Hill. I have experience providing therapy to emerging adult and adult clients in a community clinic and a private practice. Before my master's, I worked with adolescents in a public high school. I have worked with clients with various presenting problems including anxiety, depression, obsessive-compulsive disorder (OCD), and more. Additionally, I have walked alongside and empowered clients as they navigate life transitions, neurodiversity, relationship struggles, trauma, body image distress, self-worth issues, and more.
Hi there! My name is Lucy and I am a psychotherapist with a MSW from The University of North Carolina at Chapel Hill. I have experience providing therapy to emerging adult and adult clients in a community clinic and a private practice. Before my master's, I worked with adolescents in a public high school. I have worked with clients with various presenting problems including anxiety, depression, obsessive-compulsive disorder (OCD), and more. Additionally, I have walked alongside and empowered clients as they navigate life transitions, neurodiversity, relationship struggles, trauma, body image distress, self-worth issues, and more.
(857) 754-6632 View (857) 754-6632
Photo of April Marie Anderson, Counselor, LMHC
April Marie Anderson
Counselor, LMHC
Boston, MA 02131
Greetings, peace, and blessings. My name is April-Marie Anderson, and I am a licensed mental health counselor with over 10 yrs. experience in the mental health field within the Boston/Greater Boston area and own my practice. I provide outpatient therapy, group facilitation, and diagnostic evaluations/bio-psycho-social assessments. My primary theoretical approach is solution-focused therapy (combined with traditional talk therapies and mindfulness exercises) to reduce the unique stressors of my clients’ issues.
Greetings, peace, and blessings. My name is April-Marie Anderson, and I am a licensed mental health counselor with over 10 yrs. experience in the mental health field within the Boston/Greater Boston area and own my practice. I provide outpatient therapy, group facilitation, and diagnostic evaluations/bio-psycho-social assessments. My primary theoretical approach is solution-focused therapy (combined with traditional talk therapies and mindfulness exercises) to reduce the unique stressors of my clients’ issues.
(857) 663-8448 View (857) 663-8448
Photo of Mk Moskowitz, Clinical Social Work/Therapist, LCSW
Mk Moskowitz
Clinical Social Work/Therapist, LCSW
Roslindale, MA 02131
Welcome! I provide support to teenagers and adults across a wide range of experiences, including trauma, gender and sexuality exploration, chronic illness and disability, perinatal concerns, and more. At the center of my work is the belief that people do not need to be “fixed”. Instead, I believe in expanding on your existing resources and networks to support your growth. My approach to therapy is trauma-informed, relational, compassion-focused, and non-pathologizing. Together, we will also explore the ways that dominant messaging and systems of oppression are impacting your experiences and sense of self.
Welcome! I provide support to teenagers and adults across a wide range of experiences, including trauma, gender and sexuality exploration, chronic illness and disability, perinatal concerns, and more. At the center of my work is the belief that people do not need to be “fixed”. Instead, I believe in expanding on your existing resources and networks to support your growth. My approach to therapy is trauma-informed, relational, compassion-focused, and non-pathologizing. Together, we will also explore the ways that dominant messaging and systems of oppression are impacting your experiences and sense of self.
(857) 776-0553 View (857) 776-0553
Photo of Hannah Ashe, Clinical Social Work/Therapist, MSW, LCSW
Hannah Ashe
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Roslindale, MA 02131
Hi there :) I'm so glad you've landed on my page. I have experience working with adolescents and adults experiencing depression, anxiety, PTSD, grief, gender and sexuality exploration, and relationship struggles. I also see couples who are looking for support in managing conflict, communication, and expansive relationship structures like polyamory and non-monogamy. I've facilitated accountability groups for white people engaging in anti-racism work, and I'm passionate about supporting people in deepening their capacity for accountability so that they may be in more right relationship with themselves and their communities.
Hi there :) I'm so glad you've landed on my page. I have experience working with adolescents and adults experiencing depression, anxiety, PTSD, grief, gender and sexuality exploration, and relationship struggles. I also see couples who are looking for support in managing conflict, communication, and expansive relationship structures like polyamory and non-monogamy. I've facilitated accountability groups for white people engaging in anti-racism work, and I'm passionate about supporting people in deepening their capacity for accountability so that they may be in more right relationship with themselves and their communities.
(857) 371-8371 View (857) 371-8371
Photo of Georgia Thomas-Diaz, Counselor, LMHC, LADC1, CTS
Georgia Thomas-Diaz
Counselor, LMHC, LADC1, CTS
1 Endorsed
Roslindale, MA 02131
I firmly believe in everyone's potential to heal from the wounds caused by life's challenges. My experience includes working with individuals struggling with overwhelming worry, low mood, relationship difficulties, low self-esteem, grief, substance use, and trauma. In my practice, I adopt a collaborative approach with my clients, developing creative and compelling plans to build strengths and support emotional growth.
I firmly believe in everyone's potential to heal from the wounds caused by life's challenges. My experience includes working with individuals struggling with overwhelming worry, low mood, relationship difficulties, low self-esteem, grief, substance use, and trauma. In my practice, I adopt a collaborative approach with my clients, developing creative and compelling plans to build strengths and support emotional growth.
(857) 349-5178 View (857) 349-5178
Photo of Nathan Whitson, Pre-Licensed Professional, MA
Nathan Whitson
Pre-Licensed Professional, MA
Roslindale, MA 02131
Nathan Whitson (he/him/his) is a psychotherapist with experience working primarily with adults, college students, and adolescents. He earned his bachelor’s degree in psychology from New York University and his master’s degree in clinical mental health counseling from Boston College. Nathan has worked with clients spanning a wide range of presenting issues, including depression, anxiety, bipolar disorders, trauma-related disorders, and substance use. Nathan sees clients in our Roslindale office, or via Telehealth.
Nathan Whitson (he/him/his) is a psychotherapist with experience working primarily with adults, college students, and adolescents. He earned his bachelor’s degree in psychology from New York University and his master’s degree in clinical mental health counseling from Boston College. Nathan has worked with clients spanning a wide range of presenting issues, including depression, anxiety, bipolar disorders, trauma-related disorders, and substance use. Nathan sees clients in our Roslindale office, or via Telehealth.
(857) 267-9572 View (857) 267-9572
Photo of Kaleel Sakakeeny, BA, MFA, MA, CGE
Kaleel Sakakeeny
Verified Verified
Boston, MA 02131
As a Credentialed Grief Educator and Counselor, Certified Pet Loss and Bereavement therapist and Ordained Pastor, I try to provide guidance to those going through the pain and sorrow of loss. The loss could be lost love, a pet, friend, sibling, job, relationship...Regardless, when any deep bond is severed, the sadness and broken heart are profound. But loss and grief are not mental health issues. And while there are meds for depression, there is no pill for a broken heart. These are spiritual and emotional matters. Things of the heart and soul. The Grief Journey is complex and demanding. Please let me know if I can help
As a Credentialed Grief Educator and Counselor, Certified Pet Loss and Bereavement therapist and Ordained Pastor, I try to provide guidance to those going through the pain and sorrow of loss. The loss could be lost love, a pet, friend, sibling, job, relationship...Regardless, when any deep bond is severed, the sadness and broken heart are profound. But loss and grief are not mental health issues. And while there are meds for depression, there is no pill for a broken heart. These are spiritual and emotional matters. Things of the heart and soul. The Grief Journey is complex and demanding. Please let me know if I can help
(857) 227-9230 View (857) 227-9230
Photo of Brett Gannon, Clinical Social Work/Therapist
Brett Gannon
Clinical Social Work/Therapist
1 Endorsed
Boston, MA 02131
Life’s transitions and challenges can feel overwhelming, but you don’t have to face them alone. I provide compassionate and expert guidance to help you find clarity and cultivate resilience. Let’s work together to create a path toward calm, confidence, and fulfillment. Reach out today to take the next step.
Life’s transitions and challenges can feel overwhelming, but you don’t have to face them alone. I provide compassionate and expert guidance to help you find clarity and cultivate resilience. Let’s work together to create a path toward calm, confidence, and fulfillment. Reach out today to take the next step.
(978) 780-5474 View (978) 780-5474
Photo of Catherine Givens, Clinical Social Work/Therapist, MSW, LICSW
Catherine Givens
Clinical Social Work/Therapist, MSW, LICSW
Boston, MA 02131
I love being a social worker! With over 40 years of experience helping people from all walks of life, I’ve seen how much positive change is possible. My approach is flexible, nonjudgmental, and focused on creating a safe, supportive space for self-discovery. I specialize in guiding individuals and families through life transitions—such as changes in relationships, work, health, and aging. I’ve also taught healthcare professionals how to communicate effectively and build stronger partnerships with those they serve. Most of all, I continue to learn from my clients and feel honored to be part of their journeys.
I love being a social worker! With over 40 years of experience helping people from all walks of life, I’ve seen how much positive change is possible. My approach is flexible, nonjudgmental, and focused on creating a safe, supportive space for self-discovery. I specialize in guiding individuals and families through life transitions—such as changes in relationships, work, health, and aging. I’ve also taught healthcare professionals how to communicate effectively and build stronger partnerships with those they serve. Most of all, I continue to learn from my clients and feel honored to be part of their journeys.
(857) 367-2591 View (857) 367-2591
Photo of Claralys Gonzalez, Clinical Social Work/Therapist, LICSW
Claralys Gonzalez
Clinical Social Work/Therapist, LICSW
1 Endorsed
Boston, MA 02131
Many of my clients come to therapy feeling stuck, overwhelmed, or unsure how to move forward. You may be struggling with anxiety, depression, trauma, ADHD, grief, life transitions, or postpartum challenges. I’m Claralys, a bilingual (Spanish/English) therapist who works with children, teens, young adults, and new or expectant mothers. I provide a supportive and compassionate space where you can explore difficulties, build coping skills, and move toward meaningful, lasting change. If you are coping with loss, low self-esteem, difficulty focusing, or feeling overwhelmed by daily stressors, therapy can help.
Many of my clients come to therapy feeling stuck, overwhelmed, or unsure how to move forward. You may be struggling with anxiety, depression, trauma, ADHD, grief, life transitions, or postpartum challenges. I’m Claralys, a bilingual (Spanish/English) therapist who works with children, teens, young adults, and new or expectant mothers. I provide a supportive and compassionate space where you can explore difficulties, build coping skills, and move toward meaningful, lasting change. If you are coping with loss, low self-esteem, difficulty focusing, or feeling overwhelmed by daily stressors, therapy can help.
(857) 375-6733 View (857) 375-6733
Photo of Faith McVicker, Counselor, LMHC
Faith McVicker
Counselor, LMHC
Roslindale, MA 02131
Hi! My name is Faith McVicker and I am a psychotherapist who enjoys working with a wide variety of adults and adolescents. My goal is to create a safe, non-judgmental, warm, empowering space for my clients. I create treatment goals with my client based on their own personal wants, needs, and desires and I foster a space that allows for growth and self-discovery. I received my Master's in School Counseling from Boston College and my Master's in Mental Health Counseling from Cambridge College. I have worked in Schools, Partial Hospitalization Programs, and Community-based agencies.
Hi! My name is Faith McVicker and I am a psychotherapist who enjoys working with a wide variety of adults and adolescents. My goal is to create a safe, non-judgmental, warm, empowering space for my clients. I create treatment goals with my client based on their own personal wants, needs, and desires and I foster a space that allows for growth and self-discovery. I received my Master's in School Counseling from Boston College and my Master's in Mental Health Counseling from Cambridge College. I have worked in Schools, Partial Hospitalization Programs, and Community-based agencies.
(857) 273-2124 View (857) 273-2124

See more therapy options for 02131

How does your Therapist compare?

Number of Therapists in 02131

100+

Average cost per session

$151

Therapists in 02131 who prioritize treating:

94% Anxiety
83% Depression
77% Relationship Issues
75% Trauma and PTSD
73% Self Esteem
63% Stress
53% Grief

Average years in practice

12 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
77% Aetna
62% Optum

How Therapists in 02131 see their clients

55% Online Only
45% In Person and Online

Gender breakdown

75% Female
19% Male
6% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 02131?

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.