Therapists in 29006

Photo of Carl Johnson, MA, PC
Carl Johnson
Verified Verified
Batesburg, SC 29006
My approach is solution focused, with an emphasis on both the practical and spiritual elements of life that may be hindering my clients from achieving their potential. I have helped people through marriage difficulties, depression/suicidal ideations, anxiety, grief, parenting problems, dealing with loss and stress and many other difficult life experiences. I offer premarital counseling, new father, teens and children, pastoral support, and corporate support. I’ve learned a lot from the people I’ve helped and I look forward to more learning and helping in the years to come.
My approach is solution focused, with an emphasis on both the practical and spiritual elements of life that may be hindering my clients from achieving their potential. I have helped people through marriage difficulties, depression/suicidal ideations, anxiety, grief, parenting problems, dealing with loss and stress and many other difficult life experiences. I offer premarital counseling, new father, teens and children, pastoral support, and corporate support. I’ve learned a lot from the people I’ve helped and I look forward to more learning and helping in the years to come.
(803) 784-1424 View (803) 784-1424
Photo of Elizabeth Henderson, Licensed Professional Counselor Associate, MA, LPC/A, NCC
Elizabeth Henderson
Licensed Professional Counselor Associate, MA, LPC/A, NCC
Serves Area
If you’ve been feeling overwhelmed by your past or stuck in patterns of anxiety, depression, addiction, or self-doubt, you’re not alone, and you don’t have to carry it by yourself. I offer a warm, compassionate, and nonjudgmental space where you can move at your own pace as we gently explore your story. Together, we’ll build practical tools to help you regulate emotions, strengthen your sense of self, and create more peace, confidence, and connection in your daily life. I work with individuals, couples, and kids 8 and up.
If you’ve been feeling overwhelmed by your past or stuck in patterns of anxiety, depression, addiction, or self-doubt, you’re not alone, and you don’t have to carry it by yourself. I offer a warm, compassionate, and nonjudgmental space where you can move at your own pace as we gently explore your story. Together, we’ll build practical tools to help you regulate emotions, strengthen your sense of self, and create more peace, confidence, and connection in your daily life. I work with individuals, couples, and kids 8 and up.
(803) 991-4946 View (803) 991-4946
Photo of Shakeyla Boulware, Licensed Clinical Mental Health Counselor, MA, LPC
Shakeyla Boulware
Licensed Clinical Mental Health Counselor, MA, LPC
3 Endorsed
Online Only
You’ve been holding it together for everyone else but inside, you feel overwhelmed, anxious, and disconnected from yourself. Maybe you’re used to being the strong one, but lately the stress, overthinking, and emotional weight have been harder to manage. You might be struggling with anxiety, low mood, past experiences you haven’t fully processed, or difficulty setting boundaries without guilt. At The Flourishing Place, I help individuals move from survival mode to healing by building self-esteem, processing trauma, setting healthy boundaries, and developing realistic coping skills.
You’ve been holding it together for everyone else but inside, you feel overwhelmed, anxious, and disconnected from yourself. Maybe you’re used to being the strong one, but lately the stress, overthinking, and emotional weight have been harder to manage. You might be struggling with anxiety, low mood, past experiences you haven’t fully processed, or difficulty setting boundaries without guilt. At The Flourishing Place, I help individuals move from survival mode to healing by building self-esteem, processing trauma, setting healthy boundaries, and developing realistic coping skills.
(980) 414-4928 View (980) 414-4928
Photo of Bertha Y Myers, Licensed Professional Counselor, MA, LPC
Bertha Y Myers
Licensed Professional Counselor, MA, LPC
Online Only
Many elements impact our lives; some are anxiety, stress, anger, depression, grief, addiction, and conflict. These issues decline our physical and mental health. The ideal client is ready for change and desires additional coping skills; one who is willing to progress daily towards goals that WE establish; one who understands that life can be rigid, but daily living can be fluid, and adjusting can be the benefit of counseling. Changing is difficult; refusing to change or not knowing that change is necessary is dysfunctional.
Many elements impact our lives; some are anxiety, stress, anger, depression, grief, addiction, and conflict. These issues decline our physical and mental health. The ideal client is ready for change and desires additional coping skills; one who is willing to progress daily towards goals that WE establish; one who understands that life can be rigid, but daily living can be fluid, and adjusting can be the benefit of counseling. Changing is difficult; refusing to change or not knowing that change is necessary is dysfunctional.
(803) 599-2023 View (803) 599-2023
Photo of Jenna Lapointe, Clinical Social Work/Therapist, MSW, LICSW, LCSW
Jenna Lapointe
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Online Only
I believe the cornerstone to therapy is empathetic understanding paired with proactive behavioral change. Together we will create a secure place in which you can explore your thoughts, feelings, and behaviors in a non-judgmental way in order to understand what they are trying to provide to you. By reframing our cognitive, somatic, and behavioral actions in this way, we can learn to make sense of even the largest, scariest life experiences. With that new understanding, we will then discuss and practice applicable techniques you can utilize outside of therapy to achieve your goals in a meaningful, healthier way.
I believe the cornerstone to therapy is empathetic understanding paired with proactive behavioral change. Together we will create a secure place in which you can explore your thoughts, feelings, and behaviors in a non-judgmental way in order to understand what they are trying to provide to you. By reframing our cognitive, somatic, and behavioral actions in this way, we can learn to make sense of even the largest, scariest life experiences. With that new understanding, we will then discuss and practice applicable techniques you can utilize outside of therapy to achieve your goals in a meaningful, healthier way.
(304) 632-6871 View (304) 632-6871

More Therapists Nearby

Photo of DeShelle R Burrowes, Licensed Professional Counselor, NCC, LPC, CLC, CMC-1
DeShelle R Burrowes
Licensed Professional Counselor, NCC, LPC, CLC, CMC-1
8 Endorsed
Serves Area
Trying to keep up with everything is getting to be too much. The projects at work or maintaining a business have become challenging. The chores and the to-do list have gotten longer. The kids have yet another event scheduled and you are not in the mood to cook dinner. Not only that, your mental health has suffered due to past trauma or stressors, leaving your relationships in shambles, your goals left undone, your mood on a constant rollercoaster, and your needs last on the list. I know this story all too well because I am not afraid to admit, I’ve been where you are. I get it and you’re ready to shift out of it.
Trying to keep up with everything is getting to be too much. The projects at work or maintaining a business have become challenging. The chores and the to-do list have gotten longer. The kids have yet another event scheduled and you are not in the mood to cook dinner. Not only that, your mental health has suffered due to past trauma or stressors, leaving your relationships in shambles, your goals left undone, your mood on a constant rollercoaster, and your needs last on the list. I know this story all too well because I am not afraid to admit, I’ve been where you are. I get it and you’re ready to shift out of it.
(678) 509-6664 View (678) 509-6664
Photo of Teresa Cameron, Licensed Professional Counselor Associate, MS, LPC-A
Teresa Cameron
Licensed Professional Counselor Associate, MS, LPC-A
3 Endorsed
Columbia, SC 29201
Are you feeling stuck or simply need someone to talk to? Whether you are navigating stress, anxiety, relationship challenges, or adjusting to big life changes, you don’t have to figure it out alone.
Are you feeling stuck or simply need someone to talk to? Whether you are navigating stress, anxiety, relationship challenges, or adjusting to big life changes, you don’t have to figure it out alone.
(803) 927-8777 View (803) 927-8777
Photo of Denise Sue Heberlein, Licensed Professional Counselor, MA, LPC
Denise Sue Heberlein
Licensed Professional Counselor, MA, LPC
1 Endorsed
Lexington, SC 29072
As human beings, we have inherent value, and we all have different needs and issues. Working collaboratively, our work will be tailored to fit your lifestyle and goals, making it individualized. This belief aids in cultivating positive and effective change in your life. My diverse background experiences in life, work, and education enable me to utilize various therapeutic interventions in all walks of life. We were not meant to live in isolation but to be in community together. When we walk together through life, this is when we are at our best, offering hope to those who may feel hopeless.
As human beings, we have inherent value, and we all have different needs and issues. Working collaboratively, our work will be tailored to fit your lifestyle and goals, making it individualized. This belief aids in cultivating positive and effective change in your life. My diverse background experiences in life, work, and education enable me to utilize various therapeutic interventions in all walks of life. We were not meant to live in isolation but to be in community together. When we walk together through life, this is when we are at our best, offering hope to those who may feel hopeless.
(803) 676-1278 View (803) 676-1278
Photo of Brandon Aaron, Licensed Professional Counselor, LPC
Brandon Aaron
Licensed Professional Counselor, LPC
Serves Area
I recognize the importance of being able to share your thoughts, feelings, & emotions without being judged. I’m a firm believer in what a person thinks, affects the way they feel, which ultimately affects the way they act. So my goal is to work with my clients to help them become the best version of themselves at their own pace.
I recognize the importance of being able to share your thoughts, feelings, & emotions without being judged. I’m a firm believer in what a person thinks, affects the way they feel, which ultimately affects the way they act. So my goal is to work with my clients to help them become the best version of themselves at their own pace.
(803) 991-6825 View (803) 991-6825
Photo of Jamie Rice, Licensed Professional Counselor, LPC
Jamie Rice
Licensed Professional Counselor, LPC
Irmo, SC 29063
Life’s unexpected challenges can impact even the strongest individuals, leaving them feeling overwhelmed, stuck, or uncertain about the next step. Seeking support is not a weakness—it’s a powerful step toward healing and growth. I work alongside clients to help them navigate life transitions, regain balance, and reconnect with purpose and meaning.
Life’s unexpected challenges can impact even the strongest individuals, leaving them feeling overwhelmed, stuck, or uncertain about the next step. Seeking support is not a weakness—it’s a powerful step toward healing and growth. I work alongside clients to help them navigate life transitions, regain balance, and reconnect with purpose and meaning.
(803) 991-6913 View (803) 991-6913
Photo of Susan E Hardwicke, Clinical Social Work/Therapist, LMSW, LCSW-S, CHT, SAP, ADS
Susan E Hardwicke
Clinical Social Work/Therapist, LMSW, LCSW-S, CHT, SAP, ADS
Serves Area
I work with a wide variety of clients such as relationship issues; trauma and grief work. I also do hypnotherapy to deal with anxiety,pain management, sports improvement,smoking cessation, weight management , and relaxation, plus many other issues. I also have a degree in addictions to help folks who are in addiction as well as those who want to maintain their sobriety and want balance in their lives.I am a Daniel Amen Affiliate as well as a SAP counselor.
I work with a wide variety of clients such as relationship issues; trauma and grief work. I also do hypnotherapy to deal with anxiety,pain management, sports improvement,smoking cessation, weight management , and relaxation, plus many other issues. I also have a degree in addictions to help folks who are in addiction as well as those who want to maintain their sobriety and want balance in their lives.I am a Daniel Amen Affiliate as well as a SAP counselor.
(803) 450-2401 View (803) 450-2401
Photo of Jesse Inman, Licensed Professional Counselor, LPC
Jesse Inman
Licensed Professional Counselor, LPC
Columbia, SC 29201
I am a licensed professional counselor with 9 years of experience supporting clients through anxiety, depression, addiction, lgbtqia+ concerns, life transitions, and self-esteem challenges. I take an open-minded and eclectic approach to treatment, drawing from cbt, motivational interviewing, and person-centered strategies to help clients feel safe, understood, and empowered to explore their experiences without judgment.
I am a licensed professional counselor with 9 years of experience supporting clients through anxiety, depression, addiction, lgbtqia+ concerns, life transitions, and self-esteem challenges. I take an open-minded and eclectic approach to treatment, drawing from cbt, motivational interviewing, and person-centered strategies to help clients feel safe, understood, and empowered to explore their experiences without judgment.
(803) 884-2652 View (803) 884-2652
Photo of John Joseph M Delany, Licensed Professional Counselor, MA, LPC
John Joseph M Delany
Licensed Professional Counselor, MA, LPC
2 Endorsed
Columbia, SC 29201
I see clients of all ages and who are dealing with major life changes, traumatic events, relationship problems, and anxiety and depression. The clients I work with are dedicated to making meaning changes in their life, looking to heal from past wounds, and engaged in understanding the nature of their problems better. When people walk through my door, they are taking an important step in vulnerability and relinquishing a sense of control. They are admitting what we all have to admit: that we are broken. However, they recognize another truth: their potential to solve those problems and the choice to take responsibility for their life.
I see clients of all ages and who are dealing with major life changes, traumatic events, relationship problems, and anxiety and depression. The clients I work with are dedicated to making meaning changes in their life, looking to heal from past wounds, and engaged in understanding the nature of their problems better. When people walk through my door, they are taking an important step in vulnerability and relinquishing a sense of control. They are admitting what we all have to admit: that we are broken. However, they recognize another truth: their potential to solve those problems and the choice to take responsibility for their life.
(803) 991-7864 View (803) 991-7864
Photo of Carolyn Klejment-Lavin, Licensed Professional Counselor Associate, MA, LPC/A, NCC
Carolyn Klejment-Lavin
Licensed Professional Counselor Associate, MA, LPC/A, NCC
1 Endorsed
Lexington, SC 29072
When life feels fragmented, therapy can be a space to reconnect—with yourself, your story, and what matters most. I often work with people facing complex trauma, anxiety, and life transitions who may feel stuck, overwhelmed, or disconnected despite appearing high-functioning. They want more than symptom relief—they seek clarity, self-understanding, and connection. I provide a compassionate, trauma-informed space where clients can safely explore their inner world and find healing from the inside out.
When life feels fragmented, therapy can be a space to reconnect—with yourself, your story, and what matters most. I often work with people facing complex trauma, anxiety, and life transitions who may feel stuck, overwhelmed, or disconnected despite appearing high-functioning. They want more than symptom relief—they seek clarity, self-understanding, and connection. I provide a compassionate, trauma-informed space where clients can safely explore their inner world and find healing from the inside out.
(803) 674-5520 x5021 View (803) 674-5520 x5021
Photo of Renee Best, Licensed Clinical Mental Health Counselor, LCMHC, LPC, QS
Renee Best
Licensed Clinical Mental Health Counselor, LCMHC, LPC, QS
3 Endorsed
Columbia, SC 29210
Have you been hesitant about starting therapy, but decided to take a chance. I am passionate about removing the negative stigma attached to therapy and support my clients on their journey to growth and healing. I am dedicated in helping clients find ways to process their emotions and learns ways to handle everyday stress. I tend to gravitate towards clients dealing with past trauma. I want you to feel empowered and leave my office feeling refreshed. I want to bring out the best in my clients and encourage them to not be afraid of their feelings.
Have you been hesitant about starting therapy, but decided to take a chance. I am passionate about removing the negative stigma attached to therapy and support my clients on their journey to growth and healing. I am dedicated in helping clients find ways to process their emotions and learns ways to handle everyday stress. I tend to gravitate towards clients dealing with past trauma. I want you to feel empowered and leave my office feeling refreshed. I want to bring out the best in my clients and encourage them to not be afraid of their feelings.
(984) 205-3750 View (984) 205-3750
Photo of Jules Rippy, Licensed Professional Counselor, MS, LPC, ADC
Jules Rippy
Licensed Professional Counselor, MS, LPC, ADC
Aiken, SC 29801
I strive to provide a safe, nonjudgmental space for adults and teens seeking support and skills to better navigate burnout, stress, anxiety or life transitions such as grief, divorce, big moves or career changes. If you find yourself asking, “now what?” I can help you find the answers to those questions by combining traditional cognitive behavioral techniques along with existential, relational and somatic approaches. I’m a big believer that we sometimes have to look back and process the past in order to better support ourselves in the future.
I strive to provide a safe, nonjudgmental space for adults and teens seeking support and skills to better navigate burnout, stress, anxiety or life transitions such as grief, divorce, big moves or career changes. If you find yourself asking, “now what?” I can help you find the answers to those questions by combining traditional cognitive behavioral techniques along with existential, relational and somatic approaches. I’m a big believer that we sometimes have to look back and process the past in order to better support ourselves in the future.
(803) 471-4717 View (803) 471-4717
Photo of Troy Pharis, Licensed Professional Counselor, LPC-S
Troy Pharis
Licensed Professional Counselor, LPC-S
Columbia, SC 29201
Hi, I'm Dr. Troy Pharis, a licensed professional counselor with over 10 years of experience and a doctoral degree in health science. For the past five years, my clinical work has focused on active-duty military, veterans, first responders, and their families—people who often carry high-stress experiences long after service ends. Having served 20 years myself, I understand life in uniform and aim to provide a space where you don't have to explain the basics to be understood. I typically work with clients who are dealing with trauma, stress, anxiety, irritability, difficulty adjusting, or feeling stuck with no momentum for change.
Hi, I'm Dr. Troy Pharis, a licensed professional counselor with over 10 years of experience and a doctoral degree in health science. For the past five years, my clinical work has focused on active-duty military, veterans, first responders, and their families—people who often carry high-stress experiences long after service ends. Having served 20 years myself, I understand life in uniform and aim to provide a space where you don't have to explain the basics to be understood. I typically work with clients who are dealing with trauma, stress, anxiety, irritability, difficulty adjusting, or feeling stuck with no momentum for change.
(803) 681-2484 View (803) 681-2484
Photo of Ivey G Drawdy, Licensed Professional Counselor, MA, LPC
Ivey G Drawdy
Licensed Professional Counselor, MA, LPC
1 Endorsed
Lexington, SC 29072
Is your child and/or adolescent struggling to adapt to life's changes? Are they exhibiting behavioral, emotional, or cognitive problems that are beyond that of what is typically seen for their age? Being a parent is the hardest, yet most rewarding part of life. However, a parent's job becomes increasingly more difficult and complicated when your child is struggling to express feelings, explore relationships, and build self-esteem. It affects not only the child, but the family as a unit.
Is your child and/or adolescent struggling to adapt to life's changes? Are they exhibiting behavioral, emotional, or cognitive problems that are beyond that of what is typically seen for their age? Being a parent is the hardest, yet most rewarding part of life. However, a parent's job becomes increasingly more difficult and complicated when your child is struggling to express feelings, explore relationships, and build self-esteem. It affects not only the child, but the family as a unit.
(888) 537-2453 View (888) 537-2453
Photo of Kadie Ann Bourgoin, Licensed Professional Counselor, LPC
Kadie Ann Bourgoin
Licensed Professional Counselor, LPC
3 Endorsed
Serves Area
Are you navigating an unfamiliar life chapter? Feeling directionless, or unable to move forward? Experiencing frequent worry, persistent unhappiness, or diminished drive? Please know that you don't have to face these challenges alone. I'm here to offer guidance and support on your journey forward. My name is Kadie Ann Bourgoin, LPC. I have specialized in providing therapy for these concerns for the past 15 years. I’ve found that with a healthy perspective, life’s most difficult challenges, painful emotions, and even our own imperfections can shape us towards becoming our best selves. If you are ready for change, I'm here to help!
Are you navigating an unfamiliar life chapter? Feeling directionless, or unable to move forward? Experiencing frequent worry, persistent unhappiness, or diminished drive? Please know that you don't have to face these challenges alone. I'm here to offer guidance and support on your journey forward. My name is Kadie Ann Bourgoin, LPC. I have specialized in providing therapy for these concerns for the past 15 years. I’ve found that with a healthy perspective, life’s most difficult challenges, painful emotions, and even our own imperfections can shape us towards becoming our best selves. If you are ready for change, I'm here to help!
(803) 927-8873 View (803) 927-8873
Photo of Kira Mendoza, Licensed Professional Counselor, LPC
Kira Mendoza
Licensed Professional Counselor, LPC
2 Endorsed
Columbia, SC 29201
There are times when emotions, stress, or life changes begin to feel difficult to manage alone. I work with children, teens, adults, and families who are navigating anxiety, behavioral challenges, relationship stress, and emotional overwhelm. Some may feel stuck in patterns, unsure how to move forward, or struggling to understand their emotional responses. Others may find it difficult to communicate their needs, feel heard, or maintain a sense of balance in daily life. Through a supportive and structured approach, I help clients develop insight, strengthen coping skills, and move toward greater stability, confidence, and clarity.
There are times when emotions, stress, or life changes begin to feel difficult to manage alone. I work with children, teens, adults, and families who are navigating anxiety, behavioral challenges, relationship stress, and emotional overwhelm. Some may feel stuck in patterns, unsure how to move forward, or struggling to understand their emotional responses. Others may find it difficult to communicate their needs, feel heard, or maintain a sense of balance in daily life. Through a supportive and structured approach, I help clients develop insight, strengthen coping skills, and move toward greater stability, confidence, and clarity.
(803) 866-6930 View (803) 866-6930

How does your Therapist compare?

Number of Therapists in 29006

< 10

Therapists in 29006 who prioritize treating:

100% Depression
100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
80% Trauma and PTSD
80% Self Esteem

Average years in practice

6 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Optum

How Therapists in 29006 see their clients

60% Online Only
40% In Person and Online

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 29006?

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.