Photo of Raymond Michael Belicose, PhD, LCSW, Clinical Social Work/Therapist
Raymond Michael Belicose
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Online Only
My best wishes to you for a Happy and Healthy New Year 2024. My practice is currently online only and currently accepting new patients. Please call or text me at 207-409-3459 if you would like to have an opportunity to discuss your interest in pursuing individual or couples counseling. In my work with others I have found many struggle with aligning their life values and goals with living a meaningful and purposeful life in areas of relationship to self and others. Being able to patiently listen to your self as well as sharing your "voice" in relationship with others is so important to this life journey. You may be stuck, not broken!
My best wishes to you for a Happy and Healthy New Year 2024. My practice is currently online only and currently accepting new patients. Please call or text me at 207-409-3459 if you would like to have an opportunity to discuss your interest in pursuing individual or couples counseling. In my work with others I have found many struggle with aligning their life values and goals with living a meaningful and purposeful life in areas of relationship to self and others. Being able to patiently listen to your self as well as sharing your "voice" in relationship with others is so important to this life journey. You may be stuck, not broken!
(207) 222-7687 View (207) 222-7687
Photo of George Mageles, MA, LMFT, Marriage & Family Therapist
George Mageles
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
I view as some of my most important work that which instills hope and eases emotional pain -- in particular with our youth. Anger, Addiction and the struggles of Adolescence can be addressed, and a path to a better life can be found. I work with individuals from adolescence through late adulthood, couples, and families. My areas of specialization include: Anger, Addiction, Adolescence, Family Issues, Grief and Loss, and Relationships.
I view as some of my most important work that which instills hope and eases emotional pain -- in particular with our youth. Anger, Addiction and the struggles of Adolescence can be addressed, and a path to a better life can be found. I work with individuals from adolescence through late adulthood, couples, and families. My areas of specialization include: Anger, Addiction, Adolescence, Family Issues, Grief and Loss, and Relationships.
(408) 359-5824 View (408) 359-5824
Photo of Jada Kouba, LCPC, Counselor
Jada Kouba
Counselor, LCPC
Verified Verified
2 Endorsed
Online Only
Hi, I'm Jada and I am a LCPC who works in an online setting treating a variety of conditions in adults. I am skilled in identifying and treating Anxiety, Depression, Panic Disorders, OCD, ADD/ADHD, grief, and issues related to the Family System. I would consider myself to be a sensitive and integrative counselor who cares for the health and wellbeing of every client. I encourage my clients to define their own goals throughout therapy, and I will seek to support, guide and motivate them toward change and growth. I also offer Christian based counseling to clients who wish to incorporate their faith into the therapeutic process.
Hi, I'm Jada and I am a LCPC who works in an online setting treating a variety of conditions in adults. I am skilled in identifying and treating Anxiety, Depression, Panic Disorders, OCD, ADD/ADHD, grief, and issues related to the Family System. I would consider myself to be a sensitive and integrative counselor who cares for the health and wellbeing of every client. I encourage my clients to define their own goals throughout therapy, and I will seek to support, guide and motivate them toward change and growth. I also offer Christian based counseling to clients who wish to incorporate their faith into the therapeutic process.
(207) 506-2442 View (207) 506-2442
Photo of Adam Dubay, MA, LCPC, Counselor
Adam Dubay
Counselor, MA, LCPC
Verified Verified
1 Endorsed
Scarborough, ME 04070
Waitlist for new clients
A journey of 1000 miles starts with a single step and sometimes the biggest step is asking for help. My name is Adam Dubay. I am a Licensed Clinical Professional Counselor. I have been in the mental health field for more than 20 years and in private practice for over 15 years. I have extensive professional training and experience in trauma treatment, and employ a wide variety of therapeutic techniques to help clients heal from the traumatic events that have occurred, reintegrate the mind-body connection, gain access to their inner resources and become better skilled at self-care.
A journey of 1000 miles starts with a single step and sometimes the biggest step is asking for help. My name is Adam Dubay. I am a Licensed Clinical Professional Counselor. I have been in the mental health field for more than 20 years and in private practice for over 15 years. I have extensive professional training and experience in trauma treatment, and employ a wide variety of therapeutic techniques to help clients heal from the traumatic events that have occurred, reintegrate the mind-body connection, gain access to their inner resources and become better skilled at self-care.
(207) 618-9016 View (207) 618-9016
Photo of Beth Clarke, LCSW, Clinical Social Work/Therapist
Beth Clarke
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am a seasoned licensed therapist with a private practice in Portland. I specialize in relationship challenges, mild to chronic mental health issues and life transitions including school, work, health, aging and more. For more information, please check my website at www.clarkecumberlandcounseling.com. Thank you and I look forward to meeting!
I am a seasoned licensed therapist with a private practice in Portland. I specialize in relationship challenges, mild to chronic mental health issues and life transitions including school, work, health, aging and more. For more information, please check my website at www.clarkecumberlandcounseling.com. Thank you and I look forward to meeting!
(207) 613-0788 View (207) 613-0788
Photo of Emily Newburn, LCSW, LICSW, Clinical Social Work/Therapist
Emily Newburn
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Scarborough, ME 04070
Please Email for inquires. I am now offering Equine Assisted Therapy addition to my practice ( Monday daytime hours only) . Are you ready for change? I believe in people's resiliency and capacity for growth. Often when we are feeling stressed and overwhelmed, it is difficult to recognize our strengths. I enjoy working with people who are motivated and ready to engage in the therapy process. I can assist you in your journey towards positive change in your life
Please Email for inquires. I am now offering Equine Assisted Therapy addition to my practice ( Monday daytime hours only) . Are you ready for change? I believe in people's resiliency and capacity for growth. Often when we are feeling stressed and overwhelmed, it is difficult to recognize our strengths. I enjoy working with people who are motivated and ready to engage in the therapy process. I can assist you in your journey towards positive change in your life
(207) 518-7709 View (207) 518-7709
Photo of Tom Allan - Tom Allan, LCSW, Clinical Social Work/Therapist
Tom Allan
Clinical Social Work/Therapist, LCSW
Verified Verified
Scarborough, ME 04070
Not accepting new clients
There are times when we all struggle to make sense of the world and our place in it. And there are times in life when we all need help, support and guidence to work our way through lifes challenges. It takes courage to reach out and ask for help. My commitment to you is to honor and respect who you are as a person and to support you to uncover and discover the strength that's already in you to face your challenges. I would love to have the opportunity to work with you.
There are times when we all struggle to make sense of the world and our place in it. And there are times in life when we all need help, support and guidence to work our way through lifes challenges. It takes courage to reach out and ask for help. My commitment to you is to honor and respect who you are as a person and to support you to uncover and discover the strength that's already in you to face your challenges. I would love to have the opportunity to work with you.
(207) 245-1440 View (207) 245-1440
Photo of Monica Delehanty, LCPC
Monica Delehanty
Clinical Professional Counselor, LCPC
Verified Verified
Online Only
We try to take care of ourselves, connect with supportive people, and make good decisions - but being alive can be overwhelming at times - losses of health, loved ones, our sense of balance. When this happens it may bring up older unresolved issues or we may feel depressed or anxious. Sometimes it helps to just slow things down and look at what's going on with curiosity rather than judgment. It might be time to take a step back to look at what your goals are, what obstructs you enjoying your life more and getting satisfaction from your relationships - to look at creating new meaning from your experiences.
We try to take care of ourselves, connect with supportive people, and make good decisions - but being alive can be overwhelming at times - losses of health, loved ones, our sense of balance. When this happens it may bring up older unresolved issues or we may feel depressed or anxious. Sometimes it helps to just slow things down and look at what's going on with curiosity rather than judgment. It might be time to take a step back to look at what your goals are, what obstructs you enjoying your life more and getting satisfaction from your relationships - to look at creating new meaning from your experiences.
(207) 518-7877 View (207) 518-7877
Photo of Paula A. Gentile, APRN, MSN, PMHNP
Paula A. Gentile
APRN, MSN, PMHNP
Verified Verified
Scarborough, ME 04070
Waitlist for new clients
I am a board certified psychiatric nurse practitioner with expertise in both therapy and medication management. I am passionate about helping people learn how to manage stress and anxiety, heal from past wounds, and working with those that are in recovery from alcohol and substance use disorders. It is a privilege for me to both witness and assist people on their journey of harnessing their own resilience and transforming their lives.
I am a board certified psychiatric nurse practitioner with expertise in both therapy and medication management. I am passionate about helping people learn how to manage stress and anxiety, heal from past wounds, and working with those that are in recovery from alcohol and substance use disorders. It is a privilege for me to both witness and assist people on their journey of harnessing their own resilience and transforming their lives.
(207) 721-2024 View (207) 721-2024
Photo of Kelly Gayle, LCSW, CADC, Clinical Social Work/Therapist
Kelly Gayle
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
2 Endorsed
Scarborough, ME 04070
There is no better investment that you. Some of us struggle to live day to day and have stopped dreaming. Why is dreaming left to childhood? If you are searching for peace or to heal an invisible scar, you do not need to suffer or problem solve alone. I am a licensed clinical social worker whose passion for the past 30 years has been creating a safe space for the human experience that we all share. It has been my understanding that you may already have what you need and I have the privilege to be alongside you on that journey. Risks are scary but this may be a good one to take. I hope you reach out!
There is no better investment that you. Some of us struggle to live day to day and have stopped dreaming. Why is dreaming left to childhood? If you are searching for peace or to heal an invisible scar, you do not need to suffer or problem solve alone. I am a licensed clinical social worker whose passion for the past 30 years has been creating a safe space for the human experience that we all share. It has been my understanding that you may already have what you need and I have the privilege to be alongside you on that journey. Risks are scary but this may be a good one to take. I hope you reach out!
(207) 218-0430 View (207) 218-0430
Photo of Kierstin Leigh Oliver, MS, BFA, LPC, LCPC, Licensed Professional Counselor
Kierstin Leigh Oliver
Licensed Professional Counselor, MS, BFA, LPC, LCPC
Verified Verified
Scarborough, ME 04070
I am client-centered, creative, and interested in a holistic approach to therapy. I work to support individuals coping with: depression, anxiety, women's issues, trauma, and relational issues. I am connected to issues faced by the LGBTQ community. As a mother and an artist, I enjoy working with other creatives and parents. I offer traditional talk therapy, and 'walk & talk' therapy in Portland, Oregon. To learn more about the way I work please visit kierstinolivercounseling.com. I believe in nature as co-therapist, and try to get outside with clients when possible. You get to design your life, I am happy to help with the process.
I am client-centered, creative, and interested in a holistic approach to therapy. I work to support individuals coping with: depression, anxiety, women's issues, trauma, and relational issues. I am connected to issues faced by the LGBTQ community. As a mother and an artist, I enjoy working with other creatives and parents. I offer traditional talk therapy, and 'walk & talk' therapy in Portland, Oregon. To learn more about the way I work please visit kierstinolivercounseling.com. I believe in nature as co-therapist, and try to get outside with clients when possible. You get to design your life, I am happy to help with the process.
(503) 300-2980 View (503) 300-2980
Photo of Casie Rizza, Pre-Licensed Professional
Casie Rizza
Pre-Licensed Professional
Verified Verified
1 Endorsed
Online Only
I am a clinical mental health intern under the supervision of Tiffany Manson at The Canvas of Life Counseling. Taking the first step toward healing takes courage, and I would be honored to walk alongside you on your journey. I believe in each person's ability to move toward greater peace and purpose. I am passionate about supporting adults, especially women, through life’s challenges. I view the counseling relationship as a sacred space where profound transformation can occur, altering the trajectory of one's life. Together, we can create a path forward that reflects your strengths, values, and goals, empowering you to thrive.
I am a clinical mental health intern under the supervision of Tiffany Manson at The Canvas of Life Counseling. Taking the first step toward healing takes courage, and I would be honored to walk alongside you on your journey. I believe in each person's ability to move toward greater peace and purpose. I am passionate about supporting adults, especially women, through life’s challenges. I view the counseling relationship as a sacred space where profound transformation can occur, altering the trajectory of one's life. Together, we can create a path forward that reflects your strengths, values, and goals, empowering you to thrive.
(207) 886-9114 View (207) 886-9114
Photo of Harleigh McCloskey, Clinical Social Work/Therapist
Harleigh McCloskey
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Scarborough, ME 04070
Hi, I'm Harleigh! I'm passionate about providing access to therapy that feels validating, safe, and non-judgemental, and creating a space where you can feel welcome to work through any issues that are interfering with your ability to be your authentic self. I have experience helping with depression, anxiety, self-esteem, academic/occupational performance, suicidal thoughts, life transitions, and providing support to college students and the LGTBQIA+ population. At this time, I work with adults between the ages of 18-35, living in the Greater Portland area.
Hi, I'm Harleigh! I'm passionate about providing access to therapy that feels validating, safe, and non-judgemental, and creating a space where you can feel welcome to work through any issues that are interfering with your ability to be your authentic self. I have experience helping with depression, anxiety, self-esteem, academic/occupational performance, suicidal thoughts, life transitions, and providing support to college students and the LGTBQIA+ population. At this time, I work with adults between the ages of 18-35, living in the Greater Portland area.
(207) 803-5686 View (207) 803-5686
Photo of David Lee, LMSW-cc, MBA
David Lee
Licensed Master Social Worker, LMSW-cc, MBA
Verified Verified
Scarborough, ME 04070
I have extensive experience working with people experiencing substance use disorders and mental illness. I specialize in the collaborative treatment of anxiety and depression, the promotion of overall health, happiness and self-worth. I utilize motivational interviewing, cognitive behavioral therapy, and psychodynamic approaches.
I have extensive experience working with people experiencing substance use disorders and mental illness. I specialize in the collaborative treatment of anxiety and depression, the promotion of overall health, happiness and self-worth. I utilize motivational interviewing, cognitive behavioral therapy, and psychodynamic approaches.
(207) 383-1544 View (207) 383-1544
Photo of Lauren Scogin, LCSW, LICSW, Clinical Social Work/Therapist
Lauren Scogin
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Online Only
Not accepting new clients
I currently have a waitlist for clients - - - I am a licensed clinical social worker with 15 years experience supporting adults through life transitions. I support clients through various life changes, coping with grief and loss. I support those navigating relationships, coping with family struggles, postpartum wellness and support through pregnancy loss.
I currently have a waitlist for clients - - - I am a licensed clinical social worker with 15 years experience supporting adults through life transitions. I support clients through various life changes, coping with grief and loss. I support those navigating relationships, coping with family struggles, postpartum wellness and support through pregnancy loss.
(207) 975-8271 View (207) 975-8271
Photo of Jessica Welch, LCSW, Clinical Social Work/Therapist
Jessica Welch
Clinical Social Work/Therapist, LCSW
Verified Verified
Scarborough, ME 04070
Not accepting new clients
I enjoy working with people who find themselves at a fork in the road; at that place in life where they are ready to act or think differently or find themselves struggling to function when life becomes different. I have a passion for supporting cancer survivors and their families throughout the many stages of treatment including diagnosis, treatment, recovery, survivorship and grief. I also have spent a great deal of my career working with neurodivergent folks navigating the unique challenges of functioning in a neurotypical world. If any of this resonates with you, we may be a good fit.
I enjoy working with people who find themselves at a fork in the road; at that place in life where they are ready to act or think differently or find themselves struggling to function when life becomes different. I have a passion for supporting cancer survivors and their families throughout the many stages of treatment including diagnosis, treatment, recovery, survivorship and grief. I also have spent a great deal of my career working with neurodivergent folks navigating the unique challenges of functioning in a neurotypical world. If any of this resonates with you, we may be a good fit.
(207) 386-4597 View (207) 386-4597
Photo of Christopher Johnson - Sound Mind Psychology LLC, PsyD, Psychologist
Sound Mind Psychology LLC
Psychologist, PsyD
Verified Verified
Scarborough, ME 04070
Not accepting new clients
Hello, my name is Dr. Christopher Johnson. Sound Mind Psychology LLC is my private practice & I enjoy working with individuals dealing with a variety of issues. I have found that many of my clients seek meaning and purpose in their lives, deeper connection to others, or answers to difficult life questions. Over time, these issues can lead to stress, anxiety, depression or other forms of mental health struggle. When this happens, daily tasks can seem pointless and exhausting. I value meeting people in these situations so that together we can explore goals and solutions for the future. Please email me at drcmjohnson32@smpsychology.com
Hello, my name is Dr. Christopher Johnson. Sound Mind Psychology LLC is my private practice & I enjoy working with individuals dealing with a variety of issues. I have found that many of my clients seek meaning and purpose in their lives, deeper connection to others, or answers to difficult life questions. Over time, these issues can lead to stress, anxiety, depression or other forms of mental health struggle. When this happens, daily tasks can seem pointless and exhausting. I value meeting people in these situations so that together we can explore goals and solutions for the future. Please email me at drcmjohnson32@smpsychology.com
(207) 742-8718 View (207) 742-8718
Photo of Emily Brazier, LMSW-CC, Clinical Social Work/Therapist
Emily Brazier
Clinical Social Work/Therapist, LMSW-CC
Verified Verified
Scarborough, ME 04070
Taking the step to find a therapist can be an exceptionally daunting task, I applaud you for being here. I have experience working with adults with various mental health problems such as anxiety, depression, eating disorders, body image issues, trauma, and perinatal mood disorders. One of my passions is working with people who are on their fertility journey. Whether it’s someone who is trying to navigate conception, the prenatal phase, the post-partum period, or just simply the rollercoaster that is parenthood, I'm happy to support your mental health while you expand your family.
Taking the step to find a therapist can be an exceptionally daunting task, I applaud you for being here. I have experience working with adults with various mental health problems such as anxiety, depression, eating disorders, body image issues, trauma, and perinatal mood disorders. One of my passions is working with people who are on their fertility journey. Whether it’s someone who is trying to navigate conception, the prenatal phase, the post-partum period, or just simply the rollercoaster that is parenthood, I'm happy to support your mental health while you expand your family.
(866) 805-0562 View (866) 805-0562
Photo of Zachary Brown, LCSW, Clinical Social Work/Therapist
Zachary Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Scarborough, ME 04070
I am committed to meeting people where they are at, and work at the pace of each individual. I am trained in Internal Family Systems (IFS) and work with adults and adolescents seeking relief from the symptoms of trauma, addiction, anxiety, and depression. IFS helps people understand different aspects of their personality in compassionate and non-judgmental ways that leads to improved emotional regulation and overall sense of well being. It is an evidenced based practice that is effective at treating the various symptoms of trauma, anxiety and depression.
I am committed to meeting people where they are at, and work at the pace of each individual. I am trained in Internal Family Systems (IFS) and work with adults and adolescents seeking relief from the symptoms of trauma, addiction, anxiety, and depression. IFS helps people understand different aspects of their personality in compassionate and non-judgmental ways that leads to improved emotional regulation and overall sense of well being. It is an evidenced based practice that is effective at treating the various symptoms of trauma, anxiety and depression.
(207) 230-6840 View (207) 230-6840
Photo of Doreen Peasley, LMFT, Marriage & Family Therapist
Doreen Peasley
Marriage & Family Therapist, LMFT
Verified Verified
Scarborough, ME 04070
I am a licensed Marriage and Family Therapist in both Maine and California. With over forty years of experience, I have successfully assisted individuals, couples, and families in discovering and achieving their goals, helping them live more engaged and meaningful lives. I have had the privilege of supporting our military by working with service members and their families at military bases in the United States, Europe, and Asia for over twelve years. I completed my Bachelor of Arts in English and Psychology at San Diego State University and earned my Master of Arts in Psychology at Pepperdine University.
I am a licensed Marriage and Family Therapist in both Maine and California. With over forty years of experience, I have successfully assisted individuals, couples, and families in discovering and achieving their goals, helping them live more engaged and meaningful lives. I have had the privilege of supporting our military by working with service members and their families at military bases in the United States, Europe, and Asia for over twelve years. I completed my Bachelor of Arts in English and Psychology at San Diego State University and earned my Master of Arts in Psychology at Pepperdine University.
(207) 819-9122 View (207) 819-9122
1

See more therapy options for 04070

How does your Therapist compare?

Number of Therapists in 04070

30+

Average cost per session

$130

Therapists in 04070 who prioritize treating:

97% Anxiety
92% Depression
83% Self Esteem
81% Relationship Issues
81% Coping Skills
81% Stress
81% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

83% Aetna
67% Anthem
63% BlueCross and BlueShield

How Therapists in 04070 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 04070?

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.