Photo of Angeline Walker, LCMHC
Angeline Walker
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
East Bend, NC 27018
My name is Angeline Walker, and I am a Licensed Clinical Mental Health Counselor (LCMHC) in the state of North Carolina. I have over 20 years of counseling experience. I have worked with clients with concerns that include depression, stress, anxiety, trauma, abuse, and relationship and self-esteem issues. I have helped children, adolescents, and adults discover new skills and healthy coping strategies to overcome trauma, stress, anxiety, and depression.
My name is Angeline Walker, and I am a Licensed Clinical Mental Health Counselor (LCMHC) in the state of North Carolina. I have over 20 years of counseling experience. I have worked with clients with concerns that include depression, stress, anxiety, trauma, abuse, and relationship and self-esteem issues. I have helped children, adolescents, and adults discover new skills and healthy coping strategies to overcome trauma, stress, anxiety, and depression.
(704) 908-6280 View (704) 908-6280

More Therapists Nearby

Photo of LaVonne L Russell, MS, LCASA
LaVonne L Russell
Certified Alcohol and Drug Counsellor, MS, LCASA
Verified Verified
Clemmons, NC 27012
Do you find yourself being sad, mad, irritable, scared or just no longer joyful? Stress and emotional pain certainly impact performance, interpersonal relationship, physical and mental health. Chronic stress and emotional pain can lead to symptoms of depression, anxiety, grief, behavior complications and misguided coping through substances. This contributes to conflict with friends and family. Situations you once could manage become overwhelming.
Do you find yourself being sad, mad, irritable, scared or just no longer joyful? Stress and emotional pain certainly impact performance, interpersonal relationship, physical and mental health. Chronic stress and emotional pain can lead to symptoms of depression, anxiety, grief, behavior complications and misguided coping through substances. This contributes to conflict with friends and family. Situations you once could manage become overwhelming.
(336) 920-8906 View (336) 920-8906
Photo of Paula Fleming, LPC, Licensed Professional Counselor
Paula Fleming
Licensed Professional Counselor, LPC
Verified Verified
Winston Salem, NC 27103  (Online Only)
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(843) 279-2558 View (843) 279-2558
Photo of Korinthia Dixon - Finding Peace LLC, LCMHC-A, Counselor
Finding Peace LLC
Counselor, LCMHC-A
Verified Verified
2 Endorsed
Winston Salem, NC 27101  (Online Only)
I'm a Black woman specializing in supporting individuals of all ages, including those dealing with substance abuse. With a deep understanding of human behavior and therapeutic approaches gained from my personal experience in therapy for over 8 years, I recognize the challenges life can bring and the transformative power of therapy.
I'm a Black woman specializing in supporting individuals of all ages, including those dealing with substance abuse. With a deep understanding of human behavior and therapeutic approaches gained from my personal experience in therapy for over 8 years, I recognize the challenges life can bring and the transformative power of therapy.
(984) 538-9031 View (984) 538-9031
Photo of Michael V. Kirch, PhD, Psychologist
Michael V. Kirch
Psychologist, PhD
Verified Verified
Winston Salem, NC 27101
Is your life held back by feeling overwhelmed, depressed, worried, stressed, poor sleep, bad habits, grief or mood-related problems? It would be a privilege to help you in a confidential, safe environment where we can work together to improve your quality of life one meaningful new perspective at a time. Let me help you return to your old, reliable self and even better! Providing a unique combination of approaches including psychotherapy, hypnosis, life-coaching, mindfulness practices, and informed mentoring.
Is your life held back by feeling overwhelmed, depressed, worried, stressed, poor sleep, bad habits, grief or mood-related problems? It would be a privilege to help you in a confidential, safe environment where we can work together to improve your quality of life one meaningful new perspective at a time. Let me help you return to your old, reliable self and even better! Providing a unique combination of approaches including psychotherapy, hypnosis, life-coaching, mindfulness practices, and informed mentoring.
(336) 895-1446 View (336) 895-1446
Photo of Angel Dianna Joel, LCMHC-A, LCAS-A, NCC, Counselor
Angel Dianna Joel
Counselor, LCMHC-A, LCAS-A, NCC
Verified Verified
Winston Salem, NC 27103
Hello! Considering therapy is a big step! I'm glad you've landed on my page. If you are finding yourself struggling with your identity, substance use, family boundary concerns that have resulted in symptoms of depression, anxiety, or any other emotional dysregulation, I'm the therapist for you! I work with adult individuals, couples, and families, especially those who are South Asian and Indian. As an Asian Indian woman who was born and raised in North Carolina, I know what it's like to live in between two worlds and the feelings that come as a result.
Hello! Considering therapy is a big step! I'm glad you've landed on my page. If you are finding yourself struggling with your identity, substance use, family boundary concerns that have resulted in symptoms of depression, anxiety, or any other emotional dysregulation, I'm the therapist for you! I work with adult individuals, couples, and families, especially those who are South Asian and Indian. As an Asian Indian woman who was born and raised in North Carolina, I know what it's like to live in between two worlds and the feelings that come as a result.
(336) 677-0371 View (336) 677-0371
Photo of Zay McCullough, MSW, LCSWA, Clinical Social Work/Therapist
Zay McCullough
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Winston Salem, NC 27103  (Online Only)
You know... healing takes time. If you're reading this, that means you're seeking help for yourself or your child(ren), which is courageous & demonstrates determination! For that, I admire and applaud you! Congrats on taking the first step to self improvement. I'm the empathetic & compassionate guide/coach/personal hype man for those wanting to break free from what has them in bondage or is hindering them. I'm accepting clients aged 10+ for virtual sessions struggling with various issues. I take the time to get to know each client in efforts to promote utilization of their strengths to help achieve the goals they want!
You know... healing takes time. If you're reading this, that means you're seeking help for yourself or your child(ren), which is courageous & demonstrates determination! For that, I admire and applaud you! Congrats on taking the first step to self improvement. I'm the empathetic & compassionate guide/coach/personal hype man for those wanting to break free from what has them in bondage or is hindering them. I'm accepting clients aged 10+ for virtual sessions struggling with various issues. I take the time to get to know each client in efforts to promote utilization of their strengths to help achieve the goals they want!
(336) 810-0975 View (336) 810-0975
Photo of Judith Rio Collins - Rio Collins, Psy.D., PsyD, Psychologist
Rio Collins, Psy.D.
Psychologist, PsyD
Verified Verified
Winston Salem, NC 27106  (Online Only)
The best therapy always starts with being accurately listened to, so you can feel deeply known. Then as we learn more about yourself, you build your inner awareness of your emotions, thinking patterns and interpersonal processes. I will be with you in each moment, neutrally observing you, and coaching you to do the same for yourself. Watching together instead of judging. Moving your personal narrative into your embodied experience. We then work together applying many tools for change. My therapeutic style supports you, taking your vague desires, or back burner dreams and making them into actionable words, goals, tools.
The best therapy always starts with being accurately listened to, so you can feel deeply known. Then as we learn more about yourself, you build your inner awareness of your emotions, thinking patterns and interpersonal processes. I will be with you in each moment, neutrally observing you, and coaching you to do the same for yourself. Watching together instead of judging. Moving your personal narrative into your embodied experience. We then work together applying many tools for change. My therapeutic style supports you, taking your vague desires, or back burner dreams and making them into actionable words, goals, tools.
(980) 446-3487 View (980) 446-3487
Jenifer Shadrick
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Winston Salem, NC 27104  (Online Only)
I am a Licensed Clinical Mental Health Counselor (LCMHC). I obtained my Bachelor's degree in Psychology Christian Counseling with a minor in Special Education in 2013 from Liberty University, and then went on to graduate with a Master’s degree in Professional Counseling in 2015. I work with individuals struggling with communication, impulse control, relationships, social skills, self-esteem, anxiety, addictions, and adjustment issues.
I am a Licensed Clinical Mental Health Counselor (LCMHC). I obtained my Bachelor's degree in Psychology Christian Counseling with a minor in Special Education in 2013 from Liberty University, and then went on to graduate with a Master’s degree in Professional Counseling in 2015. I work with individuals struggling with communication, impulse control, relationships, social skills, self-esteem, anxiety, addictions, and adjustment issues.
(336) 276-2753 View (336) 276-2753
Photo of Derrick Samuel Pegg, LCSW, Clinical Social Work/Therapist
Derrick Samuel Pegg
Clinical Social Work/Therapist, LCSW
Verified Verified
Winston Salem, NC 27101  (Online Only)
For me, therapy is about creating a nonjudgemental space where you feel comfortable to express whatever it is that you took time out of your week to talk about. In our sessions, we will work together to identify your goals and develop strategies to achieve them. My goal is to help you discover the tools and insights needed to navigate life with greater ease and confidence. I have extensive experience working with the LGBTQ+ community, neurodivergence, chronic pain, HIV, and other chronic health issues.
For me, therapy is about creating a nonjudgemental space where you feel comfortable to express whatever it is that you took time out of your week to talk about. In our sessions, we will work together to identify your goals and develop strategies to achieve them. My goal is to help you discover the tools and insights needed to navigate life with greater ease and confidence. I have extensive experience working with the LGBTQ+ community, neurodivergence, chronic pain, HIV, and other chronic health issues.
(984) 985-2556 View (984) 985-2556
Photo of Aleigh Everhart, Licensed Professional Counselor
Aleigh Everhart
Licensed Professional Counselor
Verified Verified
1 Endorsed
Winston Salem, NC 27110  (Online Only)
Have you found yourself in question - about relationships, career or even yourself? In the last few years, we have all experienced a shift. We have experienced challenges in many aspects of our lives. By simply scheduling THIS appointment, YOU are in control - to improve the trajectory of your life forever! Diagnoses can provide clarity, but they are simply a collection of symptoms that meet certain criteria. In therapy, you are not defined by a diagnosis. The focus is on understanding the challenges you're facing and addressing the symptoms to help you regain control. The goal is to empower you to take charge of your life.
Have you found yourself in question - about relationships, career or even yourself? In the last few years, we have all experienced a shift. We have experienced challenges in many aspects of our lives. By simply scheduling THIS appointment, YOU are in control - to improve the trajectory of your life forever! Diagnoses can provide clarity, but they are simply a collection of symptoms that meet certain criteria. In therapy, you are not defined by a diagnosis. The focus is on understanding the challenges you're facing and addressing the symptoms to help you regain control. The goal is to empower you to take charge of your life.
(980) 456-8657 View (980) 456-8657
Photo of Georgianna Blake Lazarus - Grove Counseling, PLLC, LCSW, Clinical Social Work/Therapist
Grove Counseling, PLLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Winston Salem, NC 27103
“Vulnerability sounds like truth and feels like courage. Truth and courage aren’t always comfortable, but they’re never weakness.” -Brene Brown. When life feels overwhelming and scary, asking for help can feel like a huge risk. We offer a safe space where you will be heard, seen, and valued as the unique and complex individual that you are. Life is hard, but you don't have to do it alone. We can help you process trauma, work through big feelings, cope with change, and be your best self.
“Vulnerability sounds like truth and feels like courage. Truth and courage aren’t always comfortable, but they’re never weakness.” -Brene Brown. When life feels overwhelming and scary, asking for help can feel like a huge risk. We offer a safe space where you will be heard, seen, and valued as the unique and complex individual that you are. Life is hard, but you don't have to do it alone. We can help you process trauma, work through big feelings, cope with change, and be your best self.
(980) 983-0624 View (980) 983-0624
Photo of Chris Vasilos, LCMHC, MA
Chris Vasilos
Licensed Clinical Mental Health Counselor, LCMHC, MA
Verified Verified
Winston Salem, NC 27106
In my work as a therapist, I will strive to assist you in making lasting positive changes in your life. I have been in practice since 2013 and have worked in various mental health settings, including psychiatric hospitals, day treatment centers for troubled youth, intensive in-home therapy, and community-based outpatient treatment. I have experience in working with clients who struggle in the following areas: anxiety, anger management, depression, low self-esteem, ADHD, self-harm, trauma, and sports-related performance issues.
In my work as a therapist, I will strive to assist you in making lasting positive changes in your life. I have been in practice since 2013 and have worked in various mental health settings, including psychiatric hospitals, day treatment centers for troubled youth, intensive in-home therapy, and community-based outpatient treatment. I have experience in working with clients who struggle in the following areas: anxiety, anger management, depression, low self-esteem, ADHD, self-harm, trauma, and sports-related performance issues.
(336) 360-3925 View (336) 360-3925
Photo of Araby Boykin, LCMHC, Licensed Professional Counselor
Araby Boykin
Licensed Professional Counselor, LCMHC
Verified Verified
Kernersville, NC 27284  (Online Only)
Hello! I’ve worked as a licensed counselor since 2017, with previous experience as a social worker. My focus is working with adults who have experienced trauma, anxiety, depressive symptoms, relational difficulties, family issues, substance use, and severe mental illnesses. My theoretical orientation is an integration of Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Solution Focused Behavioral Therapy (SFBT), Motivational Interviewing (MI), and Mindfulness. I have learned that no two people are the same and that everyone must be treated individually and holistically.
Hello! I’ve worked as a licensed counselor since 2017, with previous experience as a social worker. My focus is working with adults who have experienced trauma, anxiety, depressive symptoms, relational difficulties, family issues, substance use, and severe mental illnesses. My theoretical orientation is an integration of Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Solution Focused Behavioral Therapy (SFBT), Motivational Interviewing (MI), and Mindfulness. I have learned that no two people are the same and that everyone must be treated individually and holistically.
(336) 652-3497 View (336) 652-3497
Photo of Jordan Gwyn Stoltzfus Parigi, LCMHC, MA, Licensed Professional Counselor
Jordan Gwyn Stoltzfus Parigi
Licensed Professional Counselor, LCMHC, MA
Verified Verified
1 Endorsed
Elkin, NC 28621
I am a Licensed Mental Health therapist in the state of North Carolina. I am actively accepting new patients and work with individuals that are 18 and older. Through my years of experience, I have learned to connect with a wide range of individuals that are experiencing symptoms such as: Anxiety, Depression, Bipolar, PTSD, and a wide range of other concerns and diagnosis. The main therapeutic approaches are: EMDR, CBT, ACT, and Motivational Interviewing. I specialize in transitional times in life that raise a sense of uncertainty and begin to create a foundation with the client that creates a sense of stability.
I am a Licensed Mental Health therapist in the state of North Carolina. I am actively accepting new patients and work with individuals that are 18 and older. Through my years of experience, I have learned to connect with a wide range of individuals that are experiencing symptoms such as: Anxiety, Depression, Bipolar, PTSD, and a wide range of other concerns and diagnosis. The main therapeutic approaches are: EMDR, CBT, ACT, and Motivational Interviewing. I specialize in transitional times in life that raise a sense of uncertainty and begin to create a foundation with the client that creates a sense of stability.
(336) 606-3889 View (336) 606-3889
Photo of Marlee Prather, LCSWA, MSW, Clinical Social Work/Therapist
Marlee Prather
Clinical Social Work/Therapist, LCSWA, MSW
Verified Verified
Winston Salem, NC 27103
You have already taken the biggest step by deciding to look for help and I would be honored to assist you in the next steps of your journey. I specialize in treating depression, anxiety, maternal mental health, stress, trauma and PTSD, relationship issues, and self esteem in adults.
You have already taken the biggest step by deciding to look for help and I would be honored to assist you in the next steps of your journey. I specialize in treating depression, anxiety, maternal mental health, stress, trauma and PTSD, relationship issues, and self esteem in adults.
(704) 457-7624 View (704) 457-7624
Photo of Ricky A Speller, LCMHC, LCASA, Licensed Professional Counselor
Ricky A Speller
Licensed Professional Counselor, LCMHC, LCASA
Verified Verified
Winston Salem, NC 27106
I am dedicated to knowing the client and building rapport based off culture, specific needs and the client's ways of expressing themselves and how they view assistance from therapy. At Virgie's Prayer Counseling Service PLLC, I strive to change individuals' opinion about therapy and provide personalized therapy sessions to address specific needs. I have experience working with children, teens and adults in various settings such as schools, office, probation and level III group homes. I have assisted clients to process trauma, grief, depression, anxiety, family issues, stress, and helped couples navigate through challenges.
I am dedicated to knowing the client and building rapport based off culture, specific needs and the client's ways of expressing themselves and how they view assistance from therapy. At Virgie's Prayer Counseling Service PLLC, I strive to change individuals' opinion about therapy and provide personalized therapy sessions to address specific needs. I have experience working with children, teens and adults in various settings such as schools, office, probation and level III group homes. I have assisted clients to process trauma, grief, depression, anxiety, family issues, stress, and helped couples navigate through challenges.
(336) 443-8865 View (336) 443-8865
Photo of Katie Mosher, MSW, LCSW, Clinical Social Work/Therapist
Katie Mosher
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Winston Salem, NC 27103
Life can be unpredictable, messy, and overwhelming at times. Asking for help can feel awkward and scary so I am grateful that you are here thinking about taking that first step. It takes a lot of courage to reach out and I am honored to walk alongside you on this journey. I firmly believe that you are the expert of your own life and my job is to provide a safe and non judgemental space to explore yourself and face life’s challenges. I specialize in working with children ages 5 and older, adolescents, and adults. I am also passionate about providing a safe and inclusive space for LGBTQIA+ individuals.
Life can be unpredictable, messy, and overwhelming at times. Asking for help can feel awkward and scary so I am grateful that you are here thinking about taking that first step. It takes a lot of courage to reach out and I am honored to walk alongside you on this journey. I firmly believe that you are the expert of your own life and my job is to provide a safe and non judgemental space to explore yourself and face life’s challenges. I specialize in working with children ages 5 and older, adolescents, and adults. I am also passionate about providing a safe and inclusive space for LGBTQIA+ individuals.
(336) 443-8515 View (336) 443-8515
Photo of Edward Curlee, LPC, LCAS, CS-I, Licensed Professional Counselor
Edward Curlee
Licensed Professional Counselor, LPC, LCAS, CS-I
Verified Verified
Mocksville, NC 27028
Waitlist for new clients
I provide discreet professional behavioral health assessment/diagnostics, psychotherapy, individual and group counseling, and addiction-related treatments. I also offer secure video appointments if desired and if appropriate (delivered similar to FaceTime/Skype).
I provide discreet professional behavioral health assessment/diagnostics, psychotherapy, individual and group counseling, and addiction-related treatments. I also offer secure video appointments if desired and if appropriate (delivered similar to FaceTime/Skype).
(704) 769-1252 View (704) 769-1252
Photo of Renee Heagney, LCMHC, NCC, BC-DMT
Renee Heagney
Licensed Clinical Mental Health Counselor, LCMHC, NCC, BC-DMT
Verified Verified
1 Endorsed
Winston Salem, NC 27103
Hi, my name is Renee Heagney, LCMHC. I earned my degree in Dance/Movement Therapy from Pratt Institute in Brooklyn, NY. I am a licensed clinical mental health counselor and board certified dance/movement therapist. I also have training in adaptive yoga interventions. My work experience has been in hospitals, schools, and community mental health settings. I am rostered to provide TF-CBT, and specialize in treating trauma and working with and advocating for the LGBTQIA+ community.
Hi, my name is Renee Heagney, LCMHC. I earned my degree in Dance/Movement Therapy from Pratt Institute in Brooklyn, NY. I am a licensed clinical mental health counselor and board certified dance/movement therapist. I also have training in adaptive yoga interventions. My work experience has been in hospitals, schools, and community mental health settings. I am rostered to provide TF-CBT, and specialize in treating trauma and working with and advocating for the LGBTQIA+ community.
(336) 344-9635 View (336) 344-9635

How does your Therapist compare?

Number of Therapists in 27018

< 10

Therapists in 27018 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Grief
100% Spirituality
100% Trauma and PTSD
100% Divorce

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in 27018 see their clients

100% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 27018?

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.