Therapists in 07417

Photo of Kathleen Dumpert, Psychologist in 07417, NJ
Kathleen Dumpert
Psychologist, PsyD
Verified Verified
1 Endorsed
Franklin Lakes, NJ 07417  (Online Only)
Finding a therapist you can trust and feel comfortable with is essential. I have extensive experience providing individual therapy to children, adolescents and adults of all ages, and I maintain a small private practice in order to ensure a high level of attention to each individual. My approach is integrative, collaborative, caring, and engaging. If you are coming to therapy in response to unexpected life changes, seeking assistance on how to manage challenging thoughts, feelings or behaviors, or you are seeking self-exploration and personal growth, my goal is to support you along each step of that process.
Finding a therapist you can trust and feel comfortable with is essential. I have extensive experience providing individual therapy to children, adolescents and adults of all ages, and I maintain a small private practice in order to ensure a high level of attention to each individual. My approach is integrative, collaborative, caring, and engaging. If you are coming to therapy in response to unexpected life changes, seeking assistance on how to manage challenging thoughts, feelings or behaviors, or you are seeking self-exploration and personal growth, my goal is to support you along each step of that process.
(201) 762-0843 View (201) 762-0843
Photo of Pari Sharif (Sharifkashani), Licensed Professional Counselor in 07417, NJ
Pari Sharif (Sharifkashani)
Licensed Professional Counselor, MA, LPC, LRC, CTTS, PsyA
Verified Verified
Adolescents: Peer pressur, School anxiety, parent/child conflict. Young Adults and Adults: Career chosen/ change, Anxiety, Depression, Any relationship issues, Sleep problems, Weight problems, Smoke cession. No problem is too small to ignore.
Adolescents: Peer pressur, School anxiety, parent/child conflict. Young Adults and Adults: Career chosen/ change, Anxiety, Depression, Any relationship issues, Sleep problems, Weight problems, Smoke cession. No problem is too small to ignore.
(201) 254-5147 View (201) 254-5147
Photo of MHINJ.org - Grace Valdes Hexter, Clinical Social Work/Therapist in 07417, NJ
MHINJ.org - Grace Valdes Hexter
Clinical Social Work/Therapist, LCSW, PsyA, FSW
Verified Verified
Healthy is Wealth! Stress is a normal part of life caused by the challenges we face everyday. But when these challenges become overwhelming and lead to excessive crying, sadness, anxiousness, fatigue, or triggers us to abuse food, alcohol, drugs, or engage in risky activities, then it’s time to seek professional help. Negative thoughts/behaviors are our body's "alarm system" that informs us something's wrong and needs our attention. Left untreated, mental health problems can wreak havoc on our mind and body. Let's talk and see what's going on.
Healthy is Wealth! Stress is a normal part of life caused by the challenges we face everyday. But when these challenges become overwhelming and lead to excessive crying, sadness, anxiousness, fatigue, or triggers us to abuse food, alcohol, drugs, or engage in risky activities, then it’s time to seek professional help. Negative thoughts/behaviors are our body's "alarm system" that informs us something's wrong and needs our attention. Left untreated, mental health problems can wreak havoc on our mind and body. Let's talk and see what's going on.
(551) 239-1858 View (551) 239-1858
Photo of Sally G Harrison, Clinical Social Work/Therapist in 07417, NJ
Sally G Harrison
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
1 Endorsed
Developing non-judgemental, collaborative, safe and trusting relationships with my clients has always been the core focus of my practice. I believe it is through the strength of these relationships, whatever the presenting problems, that issues can be resolved and new and better coping skills can be created.
Developing non-judgemental, collaborative, safe and trusting relationships with my clients has always been the core focus of my practice. I believe it is through the strength of these relationships, whatever the presenting problems, that issues can be resolved and new and better coping skills can be created.
(201) 891-7878 View (201) 891-7878
Photo of Melissa Emily Dropkin, Clinical Social Work/Therapist in 07417, NJ
Melissa Emily Dropkin
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
I enjoy working with clients of all ages and backgrounds. I specialize in anxiety and depressive disorders. Additionally, I work with ADHD, behavioral problems, anger and frustration issues, OCD, sleep disorders, eating disorders, and personality disorders. However, I am comfortable working with clients with a variety of presenting problems; whether it be relationship, school/work, or health problems. I work with children, teenagers, young adults, adults, couples, and families. I use an individualized approach with each and every client.
I enjoy working with clients of all ages and backgrounds. I specialize in anxiety and depressive disorders. Additionally, I work with ADHD, behavioral problems, anger and frustration issues, OCD, sleep disorders, eating disorders, and personality disorders. However, I am comfortable working with clients with a variety of presenting problems; whether it be relationship, school/work, or health problems. I work with children, teenagers, young adults, adults, couples, and families. I use an individualized approach with each and every client.
(201) 817-2594 View (201) 817-2594
Photo of Alexandra Reiter, Clinical Social Work/Therapist in 07417, NJ
Alexandra Reiter
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Welcome, lets get started! As a therapist, my goal is to help individuals gain insight into their everyday lives, thought process, behavior patterns, and overall well-being. Life can be challenging, to say the least. Whether its relationships, family dynamics, self-esteem, or all of the other ongoing life stressors and responsibilities you have to manage, I am here to support you in striving to achieve your full potential. By providing a safe and judgement free environment, I strongly believe that meaningful growth can be made, and that no one should have to do it alone.
Welcome, lets get started! As a therapist, my goal is to help individuals gain insight into their everyday lives, thought process, behavior patterns, and overall well-being. Life can be challenging, to say the least. Whether its relationships, family dynamics, self-esteem, or all of the other ongoing life stressors and responsibilities you have to manage, I am here to support you in striving to achieve your full potential. By providing a safe and judgement free environment, I strongly believe that meaningful growth can be made, and that no one should have to do it alone.
(201) 862-7736 View (201) 862-7736
Photo of Victoria Drob, Licensed Professional Counselor in 07417, NJ
Victoria Drob
Licensed Professional Counselor, LPC, NCC, MA
Verified Verified
Franklin Lakes, NJ 07417  (Online Only)
Do not underestimate the mind-body connection. A mind distraught is a body at risk. Psychological unease affects all aspects of our lives, as well as the lives of those nearest to us. Though our predicaments can often feel hopeless, and seeking relief can feel futile, psychotherapy proves daily that, in the care of a specialist, an altered perspective can offer life-changing insight, as well as the development of healthy and effective coping strategies to deal with a multitude of challenges.
Do not underestimate the mind-body connection. A mind distraught is a body at risk. Psychological unease affects all aspects of our lives, as well as the lives of those nearest to us. Though our predicaments can often feel hopeless, and seeking relief can feel futile, psychotherapy proves daily that, in the care of a specialist, an altered perspective can offer life-changing insight, as well as the development of healthy and effective coping strategies to deal with a multitude of challenges.
(248) 206-3760 View (248) 206-3760
Photo of Yara Goldstein, Clinical Social Work/Therapist in 07417, NJ
Yara Goldstein
Clinical Social Work/Therapist, LCSW, PLLC
Verified Verified
Hello and welcome to my practice. Asking for help is not easy, so I am so glad you are here! Therapists are not a one size fits all and finding the right fit for you, your family, and/or your child is so important for therapy to be successful. My approach with clients is always collaborative, genuine and warm, and I use both empathy and humor. I am client-centered, strengths based, and solutions focused. I utilize multiple therapeutic modalities to correspond with the needs of each individual client, meeting them where they are at.
Hello and welcome to my practice. Asking for help is not easy, so I am so glad you are here! Therapists are not a one size fits all and finding the right fit for you, your family, and/or your child is so important for therapy to be successful. My approach with clients is always collaborative, genuine and warm, and I use both empathy and humor. I am client-centered, strengths based, and solutions focused. I utilize multiple therapeutic modalities to correspond with the needs of each individual client, meeting them where they are at.
(845) 382-8213 View (845) 382-8213
Photo of Patrycja Szymczak, Counselor in 07417, NJ
Patrycja Szymczak
Counselor, LPC, LMHC, NCC
Verified Verified
Franklin Lakes, NJ 07417  (Online Only)
Are you struggling through a challenging time right now? Do you feel stressed and overwhelmed by your current circumstances? You may be wondering if there was anything else you could have done and find it hard to control your emotions at times. You feel sad, angry, depressed and worried about the future, since your life was not supposed to look this way. You may feel like you are going through this transition even though you did not ask for it. If you suffered a loss, life will never be the same. You wonder when and if you will feel better, and where to start.
Are you struggling through a challenging time right now? Do you feel stressed and overwhelmed by your current circumstances? You may be wondering if there was anything else you could have done and find it hard to control your emotions at times. You feel sad, angry, depressed and worried about the future, since your life was not supposed to look this way. You may feel like you are going through this transition even though you did not ask for it. If you suffered a loss, life will never be the same. You wonder when and if you will feel better, and where to start.
(929) 205-3419 View (929) 205-3419
Photo of Elizabeth M Rende-Bakshi, Clinical Social Work/Therapist in 07417, NJ
Elizabeth M Rende-Bakshi
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Franklin Lakes, NJ 07417  (Online Only)
I am a clinical social worker, licensed in New York and New Jersey. I am passionate about helping others and have dedicated my professional life to doing so over the last 15 years. All of my work during my private practice career has been via telehealth, and I've found that I have established some of the most meaningful connections with individuals this way. In my work with individuals, virtual sessions continue to allow for deep reflection & opportunities to shift perspectives; whether you're coping with grief/loss, struggling with anxiety and/or depression, navigating a major life change.
I am a clinical social worker, licensed in New York and New Jersey. I am passionate about helping others and have dedicated my professional life to doing so over the last 15 years. All of my work during my private practice career has been via telehealth, and I've found that I have established some of the most meaningful connections with individuals this way. In my work with individuals, virtual sessions continue to allow for deep reflection & opportunities to shift perspectives; whether you're coping with grief/loss, struggling with anxiety and/or depression, navigating a major life change.
(347) 941-0620 View (347) 941-0620
Photo of Emily Greco, Clinical Social Work/Therapist in 07417, NJ
Emily Greco
Clinical Social Work/Therapist, MS, MSW, LICSW
Verified Verified
Franklin Lakes, NJ 07417  (Online Only)
Welcome! Thank you for visiting my profile and for taking this important and brave step in seeking treatment for yourself or your child. I specialize in working with children, adolescents and young adults and have been working with youth for my entire professional career. As a Clinical Social Worker/Therapist, my priority is to build a strong therapeutic connection with my clients. Research tells us that the most important predictor of successful outcomes in therapy is a strong therapeutic alliance between the client and their therapist. I always work hard to get to know my clients, their strengths and their passions.
Welcome! Thank you for visiting my profile and for taking this important and brave step in seeking treatment for yourself or your child. I specialize in working with children, adolescents and young adults and have been working with youth for my entire professional career. As a Clinical Social Worker/Therapist, my priority is to build a strong therapeutic connection with my clients. Research tells us that the most important predictor of successful outcomes in therapy is a strong therapeutic alliance between the client and their therapist. I always work hard to get to know my clients, their strengths and their passions.
(508) 594-3175 View (508) 594-3175
Photo of Dr. Marissa Norman, Psychologist in 07417, NJ
Dr. Marissa Norman
Psychologist, PsyD, CMPC
Verified Verified
3 Endorsed
Franklin Lakes, NJ 07417  (Online Only)
Not accepting new clients
Participating in sports is a fulfilling privilege that offers personal growth, opportunities, and exclusive experiences. However, it also comes with its own set of challenges, such as injury, sacrifice, and stress. As an athlete, you face a range of unique experiences and obstacles that require empathy and support from someone who truly understands.
Participating in sports is a fulfilling privilege that offers personal growth, opportunities, and exclusive experiences. However, it also comes with its own set of challenges, such as injury, sacrifice, and stress. As an athlete, you face a range of unique experiences and obstacles that require empathy and support from someone who truly understands.
(201) 879-6511 View (201) 879-6511
Photo of Dr. Maria Elena Misito, Clinical Social Work/Therapist in 07417, NJ
Dr. Maria Elena Misito
Clinical Social Work/Therapist, PsyD, LCSW
Verified Verified
Are you feeling anxious, depressed, having trouble sleeping? Difficulty in your marriage or other personal relationships? Is your child having trouble in school or at home? There is evidence that shows talk therapy is an effective way to deal with these issues. I specialize in adults, adolescents and families. I also conduct best interest evaluations when special situations might occur that require specialized evaluations such as child custody evaluations, domestic violence, anger management, parenting coordinating, parental capacity cases, reunification therapy and social and educational evaluations.
Are you feeling anxious, depressed, having trouble sleeping? Difficulty in your marriage or other personal relationships? Is your child having trouble in school or at home? There is evidence that shows talk therapy is an effective way to deal with these issues. I specialize in adults, adolescents and families. I also conduct best interest evaluations when special situations might occur that require specialized evaluations such as child custody evaluations, domestic violence, anger management, parenting coordinating, parental capacity cases, reunification therapy and social and educational evaluations.
(973) 317-8142 View (973) 317-8142
Photo of Kristin Pannorfi, Psychologist in 07417, NJ
Kristin Pannorfi
Psychologist, PhD
Verified Verified
The complexity and stresses of life affect all of us. These stressors impact our thoughts, feelings, and decision making. I work to help you gain knowledge about yourself so you can participate with confidence in your life. During our sessions, we will discover ways to better understand your emotions, gaining insight into your behaviors while promoting activities that are healthy for your body and mind. Let me help you quiet the outside noise and your inside critic so you can progress to a point in your life where you can thrive.
The complexity and stresses of life affect all of us. These stressors impact our thoughts, feelings, and decision making. I work to help you gain knowledge about yourself so you can participate with confidence in your life. During our sessions, we will discover ways to better understand your emotions, gaining insight into your behaviors while promoting activities that are healthy for your body and mind. Let me help you quiet the outside noise and your inside critic so you can progress to a point in your life where you can thrive.
(973) 718-9729 View (973) 718-9729
Photo of Denise R Cooney-Zajkowski, Clinical Social Work/Therapist in 07417, NJ
Denise R Cooney-Zajkowski
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
RELATIONSHIPS and LIFE'S ISSUES are the "blueprint" to your journey. REDEFINE your world. WELCOME you have taken the first step.Therapy is a journey we make together to explore your life. You have within you the answers to your own questions about life.My clients often state that I was able to help them put into words what they were experiencing and feeling but never knew how to how to express it before. Together we look at the pieces of your life that fell apart and how to put your life together in a way that works for you. I work with clients from all walks of life including: LEO, Fire, EMS and medical professionals.
RELATIONSHIPS and LIFE'S ISSUES are the "blueprint" to your journey. REDEFINE your world. WELCOME you have taken the first step.Therapy is a journey we make together to explore your life. You have within you the answers to your own questions about life.My clients often state that I was able to help them put into words what they were experiencing and feeling but never knew how to how to express it before. Together we look at the pieces of your life that fell apart and how to put your life together in a way that works for you. I work with clients from all walks of life including: LEO, Fire, EMS and medical professionals.
(201) 688-7249 View (201) 688-7249
Photo of Jolene Arasz, Psychologist in 07417, NJ
Jolene Arasz
Psychologist, PsyD
Verified Verified
Dr. Jolene Arasz is an adolescent and family licensed psychologist with extensive experience working with adolescents, adults and families. Author of the book, Why On Earth Do I Feel This Way: Understanding anxiety and mental health through control theory, Dr. Arasz incorporates her own theory with a neuropsychological perspective to educate and treat her clients' array of mental health issues. Dr. Arasz consults with schools, providing mental health education to students (K-college), teachers and parents. She brings science to her practice, resulting in immediate and sustainable mental health management.
Dr. Jolene Arasz is an adolescent and family licensed psychologist with extensive experience working with adolescents, adults and families. Author of the book, Why On Earth Do I Feel This Way: Understanding anxiety and mental health through control theory, Dr. Arasz incorporates her own theory with a neuropsychological perspective to educate and treat her clients' array of mental health issues. Dr. Arasz consults with schools, providing mental health education to students (K-college), teachers and parents. She brings science to her practice, resulting in immediate and sustainable mental health management.
(781) 780-8296 View (781) 780-8296
Photo of Compete: Mental Performance Training, Clinical Social Work/Therapist in 07417, NJ
Compete: Mental Performance Training
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Mental Performance Training (sometimes referred to as sport psychology) is the approach of harnessing the power of the mind to maximize performance. Mental skills have been used for decades. Any activity that requires performance can be enhanced through the knowledge and use of mental skills! So, what it boils down to is this: Do you believe that there is a mental side of performance? Have you ever experienced the phenomenon of being in the zone? Most athletes we work with do, yet few dedicate time toward training that aspect of their game. At Compete, we teach skills to hone the power of the mind to allow your thousands of hours of
Mental Performance Training (sometimes referred to as sport psychology) is the approach of harnessing the power of the mind to maximize performance. Mental skills have been used for decades. Any activity that requires performance can be enhanced through the knowledge and use of mental skills! So, what it boils down to is this: Do you believe that there is a mental side of performance? Have you ever experienced the phenomenon of being in the zone? Most athletes we work with do, yet few dedicate time toward training that aspect of their game. At Compete, we teach skills to hone the power of the mind to allow your thousands of hours of
(201) 331-6776 View (201) 331-6776
Photo of Isabelle Murray Kayal, Licensed Professional Counselor in 07417, NJ
Isabelle Murray Kayal
Licensed Professional Counselor, LPC, MA, LMFT, MEd, NCSC
Verified Verified
11 Endorsed
Are you struggling with issues in your life? Are you looking to make significant changes in your life and/or relationships? This may seem overwhelming to you but I assure you that it is possible. I will help you identify and understand the issue, help to create and implement a plan, and assist you in reaching your goals. As a result you will live a more fulfilling and rewarding life. The first step is believing that you are worth it! BECAUSE YOU ARE!
Are you struggling with issues in your life? Are you looking to make significant changes in your life and/or relationships? This may seem overwhelming to you but I assure you that it is possible. I will help you identify and understand the issue, help to create and implement a plan, and assist you in reaching your goals. As a result you will live a more fulfilling and rewarding life. The first step is believing that you are worth it! BECAUSE YOU ARE!
(973) 435-6252 View (973) 435-6252
Photo of Joseph A. DeMeyer, PhD, PC & Associates, Psychologist in 07417, NJ
Joseph A. DeMeyer, PhD, PC & Associates
Psychologist, PhD
Verified Verified
to examine deeply and thoroughly motivations, emotions and behavior, especially interpersonal; focused on positive changes leading to long-lasting existential and transformational life improvements and increased self-awareness; responsible in accepting that these changes will affect-for the better- lives of loved ones, friends and other significant persons (including those that are not yet around) ; increased openness towards life-changes ; to take calculated, rational risks, mindful of other persons; serious commitment to longer-term therapy when indicated to be necessary, in order to achieve the above desired results.
to examine deeply and thoroughly motivations, emotions and behavior, especially interpersonal; focused on positive changes leading to long-lasting existential and transformational life improvements and increased self-awareness; responsible in accepting that these changes will affect-for the better- lives of loved ones, friends and other significant persons (including those that are not yet around) ; increased openness towards life-changes ; to take calculated, rational risks, mindful of other persons; serious commitment to longer-term therapy when indicated to be necessary, in order to achieve the above desired results.
(973) 528-7504 View (973) 528-7504
Photo of Lisa D. Landis, Clinical Social Work/Therapist in 07417, NJ
Lisa D. Landis
Clinical Social Work/Therapist, LCSW
Verified Verified
Welcome to the journey of entering into therapy and creating self growth. I have been a therapist for over 20 years and love the work that I do. I have been told my approach is warm and engaging. Its essential to conduct therapy at a pace that is conducive to where the individual wants to travel in their emotional gains. I use an eclectic approach that incorporates mindfulness with a psychodynamic background.
Welcome to the journey of entering into therapy and creating self growth. I have been a therapist for over 20 years and love the work that I do. I have been told my approach is warm and engaging. Its essential to conduct therapy at a pace that is conducive to where the individual wants to travel in their emotional gains. I use an eclectic approach that incorporates mindfulness with a psychodynamic background.
(201) 819-2113 View (201) 819-2113

See more therapy options for 07417

How does your Therapist compare?

Number of Therapists in 07417

60+

Average cost per session

$177

Therapists in 07417 who prioritize treating:

96% Anxiety
87% Depression
86% Relationship Issues
77% Self Esteem
70% Coping Skills
67% Family Conflict
65% Stress

Average years in practice

12 Years

Top 3 insurances accepted

61% Cigna and Evernorth
58% UnitedHealthcare UHC | UBH
55% Aetna

How Therapists in 07417 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

86% Female
14% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 07417?

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.