Photo of Brandy S Wade - Inner Beauty Wellness, MA, LPCMHSP, Temp, Pre-Licensed Professional
Inner Beauty Wellness
Pre-Licensed Professional, MA, LPCMHSP, Temp
Verified Verified
2 Endorsed
Nashville, TN 37210
My focus is you and understanding how your mind works. It is challenging trying to identify with your inner light while going through the motions of life. Searching for strength, courage, happiness, and peace without a clear understanding of life purpose, can be overwhelming. Our partnership in your emotional journey will explore your soul, identify the root of your issues and navigate a plan to elevate your self worth through integrative mental health and holistic approaches. My goal is to empower you to live purposely and authentically.
My focus is you and understanding how your mind works. It is challenging trying to identify with your inner light while going through the motions of life. Searching for strength, courage, happiness, and peace without a clear understanding of life purpose, can be overwhelming. Our partnership in your emotional journey will explore your soul, identify the root of your issues and navigate a plan to elevate your self worth through integrative mental health and holistic approaches. My goal is to empower you to live purposely and authentically.
(615) 627-9666 View (615) 627-9666
Photo of Charlie Health
Charlie Health
Verified Verified
Nashville, TN 37210  (Online Only)
Charlie Health is a leading provider of virtual mental health treatment for people in need of more than once-weekly therapy. Whether you're struggling with anxiety, depression, trauma, self-harm, suicidal ideation, or any ongoing mental health issue, Charlie Health’s Clinical Team is ready to help you start your healing journey today. You don’t have to struggle alone – we’re here for you. To get started today, reach out at t.ly/ch-tn
Charlie Health is a leading provider of virtual mental health treatment for people in need of more than once-weekly therapy. Whether you're struggling with anxiety, depression, trauma, self-harm, suicidal ideation, or any ongoing mental health issue, Charlie Health’s Clinical Team is ready to help you start your healing journey today. You don’t have to struggle alone – we’re here for you. To get started today, reach out at t.ly/ch-tn
(629) 253-6512 View (629) 253-6512
Photo of Emily Simpson, LPCMHSP, RPT-S, Licensed Professional Counselor
Emily Simpson
Licensed Professional Counselor, LPCMHSP, RPT-S
Verified Verified
1 Endorsed
Nashville, TN 37210
All of us can benefit from having someone walk with us through life's challenges. Reaching out takes courage. I'm passionate about building relationships with clients of all ages, rooted in developing trust and safety, to create the space and awareness to be who you were created to be. I believe we are designed to heal. Sometimes the strategies we developed to navigate the world initially helped us to survive, but they are no longer serving us, and are actually keeping us from living life fully. I journey alongside my clients as they reconnect with their true selves, rediscover hope, and step into a richer experience of life.
All of us can benefit from having someone walk with us through life's challenges. Reaching out takes courage. I'm passionate about building relationships with clients of all ages, rooted in developing trust and safety, to create the space and awareness to be who you were created to be. I believe we are designed to heal. Sometimes the strategies we developed to navigate the world initially helped us to survive, but they are no longer serving us, and are actually keeping us from living life fully. I journey alongside my clients as they reconnect with their true selves, rediscover hope, and step into a richer experience of life.
(615) 857-3890 View (615) 857-3890
Photo of Karen Moran, LADC II, NCAC II, QCS, Drug & Alcohol Counselor
Karen Moran
Drug & Alcohol Counselor, LADC II, NCAC II, QCS
Verified Verified
1 Endorsed
Nashville, TN 37210
Change is hard. It's particularly challenging when a lifestyle is built around behaviors that used to work. Fear, guilt, embarrassment, and anger often are a normal part of the process of becoming aware of the need for change. Sometimes these feelings create a barrier to the necessary change that brings relief. If you struggle with problematic substance use, either your own or someone else's, you know these statements are true. You just want reassurance that it is possible for life to be different...easier. It can be. Once a decision is made to take action...any new action...hope begins to come into focus.
Change is hard. It's particularly challenging when a lifestyle is built around behaviors that used to work. Fear, guilt, embarrassment, and anger often are a normal part of the process of becoming aware of the need for change. Sometimes these feelings create a barrier to the necessary change that brings relief. If you struggle with problematic substance use, either your own or someone else's, you know these statements are true. You just want reassurance that it is possible for life to be different...easier. It can be. Once a decision is made to take action...any new action...hope begins to come into focus.
(615) 436-5739 View (615) 436-5739
Photo of Emily McCord, MA, LMFT, Marriage & Family Therapist
Emily McCord
Marriage & Family Therapist, MA, LMFT
Verified Verified
Nashville, TN 37210
I have dedicated my life to helping individuals realize their fullest selves by creating spaces of vulnerability and honesty. I would love to help you in your own personal journey to wholeness and healing. I began my career working with college students and have spent the last 15 years helping families navigate chronic medical and end of life challenges. In both ends of life, I have learned that we are all looking for places that remind us that we are not alone. I'd love to be one of those places for you.
I have dedicated my life to helping individuals realize their fullest selves by creating spaces of vulnerability and honesty. I would love to help you in your own personal journey to wholeness and healing. I began my career working with college students and have spent the last 15 years helping families navigate chronic medical and end of life challenges. In both ends of life, I have learned that we are all looking for places that remind us that we are not alone. I'd love to be one of those places for you.
(615) 909-2993 View (615) 909-2993
Photo of Vanessa Ribeiro, LPC, MHSP, Licensed Professional Counselor
Vanessa Ribeiro
Licensed Professional Counselor, LPC, MHSP
Verified Verified
Nashville, TN 37210
Hi! If you are on this page, chances are, you are in pain or discomfort. It can be helpful to have a someone listen and identify an evidence based therapy that can aid you in resolving your pain. I have worked in the mental health field for almost two decades and I am committed to helping you identify where you are stuck and offer researched practices to help you either manage the difficulty or heal it altogether.
Hi! If you are on this page, chances are, you are in pain or discomfort. It can be helpful to have a someone listen and identify an evidence based therapy that can aid you in resolving your pain. I have worked in the mental health field for almost two decades and I am committed to helping you identify where you are stuck and offer researched practices to help you either manage the difficulty or heal it altogether.
(629) 300-5077 View (629) 300-5077
Photo of Ginny Runyan, LPC, MHSP, NCC, Licensed Professional Counselor
Ginny Runyan
Licensed Professional Counselor, LPC, MHSP, NCC
Verified Verified
Nashville, TN 37210
Not accepting new clients
I love having the opportunity to work with women to help them become healed, healthy and whole. I use cognitive behavioral therapy to help clients learn new ways of thinking and relating to their world. I also use EMDR (Eye Movement Desensitization Reprocesing) as a dynamic tool for processing traumatic memories and replacing negative beliefs clients may have about themselves. It is my desire to join you wherever you are in your journey. We will confront the past, share insights about the present and develop the tools you need to move toward an empowered and hopeful future.
I love having the opportunity to work with women to help them become healed, healthy and whole. I use cognitive behavioral therapy to help clients learn new ways of thinking and relating to their world. I also use EMDR (Eye Movement Desensitization Reprocesing) as a dynamic tool for processing traumatic memories and replacing negative beliefs clients may have about themselves. It is my desire to join you wherever you are in your journey. We will confront the past, share insights about the present and develop the tools you need to move toward an empowered and hopeful future.
(615) 412-0118 View (615) 412-0118
Photo of Douglas Herr - Douglas R Herr, Psy.D., PsyD
Douglas R Herr, Psy.D.
PsyD
Verified Verified
Nashville, TN 37210  (Online Only)
I help adults who struggle with ADHD to get their lives together. This is you: A constant stream of great ideas in your mind, but you don't get things done. You're struggling with imposter syndrome, slammed by self-critical thoughts, and leave lots of things unfinished. You second-guess yourself in relationships, worried about being judged. People see you as less than you are, and worst of all, so you do. You're living way below your potential, you don't know how to change, and therapy, apps, and books haven't helped yet. You try things but get bored or forget to keep doing them, so nothing works. Does this sound like you?
I help adults who struggle with ADHD to get their lives together. This is you: A constant stream of great ideas in your mind, but you don't get things done. You're struggling with imposter syndrome, slammed by self-critical thoughts, and leave lots of things unfinished. You second-guess yourself in relationships, worried about being judged. People see you as less than you are, and worst of all, so you do. You're living way below your potential, you don't know how to change, and therapy, apps, and books haven't helped yet. You try things but get bored or forget to keep doing them, so nothing works. Does this sound like you?
(629) 276-6348 View (629) 276-6348
Photo of Sarah Malanchuk, LPC, Counselor
Sarah Malanchuk
Counselor, LPC
Verified Verified
Nashville, TN 37210
I have experience and training in working with adults who may be navigating difficult life challenges. I value listening and understanding from my clients’ point of views, and walking alongside my clients towards healing. This is done through developing a connection, trust, and a safe space. Additionally, I have a specialization in working with women who are experiencing perinatal mood disorders, such as postpartum anxiety and depression.
I have experience and training in working with adults who may be navigating difficult life challenges. I value listening and understanding from my clients’ point of views, and walking alongside my clients towards healing. This is done through developing a connection, trust, and a safe space. Additionally, I have a specialization in working with women who are experiencing perinatal mood disorders, such as postpartum anxiety and depression.
(615) 488-4747 View (615) 488-4747
Photo of Jason Adkins, MMFT, Pre-Licensed Professional
Jason Adkins
Pre-Licensed Professional, MMFT
Verified Verified
2 Endorsed
Nashville, TN 37210  (Online Only)
What we experience as hardship is life asking us to take a journey. “If it’s in the way, it’s the way,” as Eugene Cash said. Feelings that won’t resolve, thoughts that won’t be stilled, and behaviors that we cannot change can point us to a treasure within ourselves. When we reframe our problems as trailheads where the path to our own mystery begins, it opens us up to the possibility of finally listening to our lives in their own voices. When we listen and respond to these parts of ourselves, energy, love and clarity are released into our lives. Internal Family Systems is an evidence-based model that helps us walk this path.
What we experience as hardship is life asking us to take a journey. “If it’s in the way, it’s the way,” as Eugene Cash said. Feelings that won’t resolve, thoughts that won’t be stilled, and behaviors that we cannot change can point us to a treasure within ourselves. When we reframe our problems as trailheads where the path to our own mystery begins, it opens us up to the possibility of finally listening to our lives in their own voices. When we listen and respond to these parts of ourselves, energy, love and clarity are released into our lives. Internal Family Systems is an evidence-based model that helps us walk this path.
(629) 284-0173 View (629) 284-0173
Photo of Jack Justin Dreher, LPCMHSP, Licensed Professional Counselor
Jack Justin Dreher
Licensed Professional Counselor, LPCMHSP
Verified Verified
4 Endorsed
Nashville, TN 37210  (Online Only)
I recognize that the journey that brought you to therapy may not have been an easy one. I work to assist you in your self-exploration, learning, and growth by creating a safe, nurturing, respectful, yet challenging environment. I prioritize your autonomy and personal responsibility throughout the healing process.
I recognize that the journey that brought you to therapy may not have been an easy one. I work to assist you in your self-exploration, learning, and growth by creating a safe, nurturing, respectful, yet challenging environment. I prioritize your autonomy and personal responsibility throughout the healing process.
(615) 488-7683 View (615) 488-7683
Photo of Cathy Hacker, PhD, SPE
Cathy Hacker
PhD, SPE
Verified Verified
2 Endorsed
Nashville, TN 37210
I work with couples and individuals to heal, evolve, and thrive. I utilize transpersonal and psychodynamic approaches along with EMDR, Internal Family Systems, somatic and emotion focused therapy, and Buddhist themes of compassion and meditation techniques to help my clients move through tough relational patterns, old or new traumas, grief, loss, anxiety, depression, and addictions, life transitions, and spiritual deepening or existential questions. Because of life experience as well as extensive training, I can offer practical tools that can help you find relief that can last long after you leave my office.
I work with couples and individuals to heal, evolve, and thrive. I utilize transpersonal and psychodynamic approaches along with EMDR, Internal Family Systems, somatic and emotion focused therapy, and Buddhist themes of compassion and meditation techniques to help my clients move through tough relational patterns, old or new traumas, grief, loss, anxiety, depression, and addictions, life transitions, and spiritual deepening or existential questions. Because of life experience as well as extensive training, I can offer practical tools that can help you find relief that can last long after you leave my office.
(615) 956-2169 View (615) 956-2169
Photo of Sherry Knox, MEd, BCC, LPCMHSP, S, Counselor
Sherry Knox
Counselor, MEd, BCC, LPCMHSP, S
Verified Verified
2 Endorsed
Nashville, TN 37210  (Online Only)
I am an energetic, personable therapist who enjoy helping others find solutions that they can adapt to for a more productive lifestyle. My mission statement focuses on being "committed to HEALING the WHOLE family". With this mission in mind, I offer individual and family therapy to persons who are ready and willing to work on barriers that may be impacting their lives in a negative manner. I embrace diversity without being judgmental. Willingness to be open to options are the types of clients I have found to best fit the services offered.
I am an energetic, personable therapist who enjoy helping others find solutions that they can adapt to for a more productive lifestyle. My mission statement focuses on being "committed to HEALING the WHOLE family". With this mission in mind, I offer individual and family therapy to persons who are ready and willing to work on barriers that may be impacting their lives in a negative manner. I embrace diversity without being judgmental. Willingness to be open to options are the types of clients I have found to best fit the services offered.
(615) 815-1283 View (615) 815-1283
Photo of Christina Lafferty-Neal, LPC, MHSP, Counselor
Christina Lafferty-Neal
Counselor, LPC, MHSP
Verified Verified
1 Endorsed
Nashville, TN 37210
In therapy with me you'll learn the language of your nervous system to become your own best medicine & healer. Life is too short to be anyone but yourself, and if you're not experiencing your life the way you'd like to… we can change that. As a trauma and anxiety specialist, I can tell you that you don't have to feel so stuck & unfulfilled. Happy lives & relationships aren't just what happen to other people. You know that wise inner voice of yours? The one quietly telling you that things don't have to be this way? That's a voice that we'll work to amplify in our work together with high compassion, low B.S.
In therapy with me you'll learn the language of your nervous system to become your own best medicine & healer. Life is too short to be anyone but yourself, and if you're not experiencing your life the way you'd like to… we can change that. As a trauma and anxiety specialist, I can tell you that you don't have to feel so stuck & unfulfilled. Happy lives & relationships aren't just what happen to other people. You know that wise inner voice of yours? The one quietly telling you that things don't have to be this way? That's a voice that we'll work to amplify in our work together with high compassion, low B.S.
(863) 659-4234 View (863) 659-4234
Photo of Tina Waymire-Collier - Tina Waymire Collier, LMFT, Marriage & Family Therapist
Tina Waymire Collier
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Nashville, TN 37210
I serve individuals, children/adolescents, couples and families in embracing hope when you may otherwise feel lost. I provide a nurturing and secure atmosphere of trust while establishing a "partnership" with you regarding your care. I provide the type of therapy specific for your need and will utilize a variety of techniques to assist you in your journey. My goal is to educate my clients as to how to recognize their stressors in their lives, the impact on their mental health, how to deal with said stressors, and to learn preventative techniques.
I serve individuals, children/adolescents, couples and families in embracing hope when you may otherwise feel lost. I provide a nurturing and secure atmosphere of trust while establishing a "partnership" with you regarding your care. I provide the type of therapy specific for your need and will utilize a variety of techniques to assist you in your journey. My goal is to educate my clients as to how to recognize their stressors in their lives, the impact on their mental health, how to deal with said stressors, and to learn preventative techniques.
(615) 246-5108 View (615) 246-5108
Photo of Chris Gonzalez - Lipscomb Family Therapy Center, Marriage & Family Therapist
Lipscomb Family Therapy Center
Marriage & Family Therapist
Verified Verified
Nashville, TN 37210
With fees as low as $10 per session, we work to make talk therapy services available for everyone in the Nashville community. As a center for couples, families, and individuals, Lipscomb Family Therapy Center provides a comfortable and confidential therapy setting to discuss issues you may be struggling with. All LFTC therapist interns provide services on a sliding fee scale that runs from $10 to $50 per session based on client income. At LFTC, we welcome opportunities to work with everyone, regardless of religious or spiritual background. We believe that seeking help shows strength and a commitment to becoming a healthier person.
With fees as low as $10 per session, we work to make talk therapy services available for everyone in the Nashville community. As a center for couples, families, and individuals, Lipscomb Family Therapy Center provides a comfortable and confidential therapy setting to discuss issues you may be struggling with. All LFTC therapist interns provide services on a sliding fee scale that runs from $10 to $50 per session based on client income. At LFTC, we welcome opportunities to work with everyone, regardless of religious or spiritual background. We believe that seeking help shows strength and a commitment to becoming a healthier person.
(615) 398-6580 View (615) 398-6580
Photo of Nick Choate, LPC, MHSP, CSAT, EMDR, Licensed Professional Counselor
Nick Choate
Licensed Professional Counselor, LPC, MHSP, CSAT, EMDR
Verified Verified
5 Endorsed
Nashville, TN 37210
MEN - We're expected to juggle a lot: work, school, relationships, our health, stress, you name! And, those things aren’t suppose to bother us. For a time we can handle just about anything thrown at us and not be phased...till we can't. The facade can only go on for a little while, then, our masks begin to crack. At least that's my story! How about yours? We look one way, feel another, all while stuffing what's really going on deep down and out of sight. We WILL begin to unravel and that’s when we turn to things that help us numb and check-out. In retrospect, those things worked well but now they're just us causing more problems.
MEN - We're expected to juggle a lot: work, school, relationships, our health, stress, you name! And, those things aren’t suppose to bother us. For a time we can handle just about anything thrown at us and not be phased...till we can't. The facade can only go on for a little while, then, our masks begin to crack. At least that's my story! How about yours? We look one way, feel another, all while stuffing what's really going on deep down and out of sight. We WILL begin to unravel and that’s when we turn to things that help us numb and check-out. In retrospect, those things worked well but now they're just us causing more problems.
(615) 656-3409 View (615) 656-3409
Photo of Rita Cuellar, MS, LMFT, Marriage & Family Therapist
Rita Cuellar
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Nashville, TN 37210
Ready to support Individuals, Couples and Families through conflicts and difficult times. Life has many ups and downs, but when we understand ourselves and those around us, life struggles can be easier to process. "Building one another up" is a great way to get started.
Ready to support Individuals, Couples and Families through conflicts and difficult times. Life has many ups and downs, but when we understand ourselves and those around us, life struggles can be easier to process. "Building one another up" is a great way to get started.
(629) 205-9638 View (629) 205-9638
Photo of Sharee Moore, T-MFT, Pre-Licensed Professional
Sharee Moore
Pre-Licensed Professional, T-MFT
Verified Verified
6 Endorsed
Nashville, TN 37210
Whether you're experiencing depression, anxiety, trauma, or relationship problems, one thing is probably true: you just want to be happier and feel better. Wouldn't it feel amazing to finally connect with someone who can understand you and help you achieve that?
Whether you're experiencing depression, anxiety, trauma, or relationship problems, one thing is probably true: you just want to be happier and feel better. Wouldn't it feel amazing to finally connect with someone who can understand you and help you achieve that?
(931) 329-5513 View (931) 329-5513
Photo of Kendyl Matthews Davidson, MA, Pre-Licensed Professional
Kendyl Matthews Davidson
Pre-Licensed Professional, MA
Verified Verified
Nashville, TN 37210
Counseling can be incredibly helpful for a variety of life’s challenges. Are you going through a life transition? Have you recently experienced a loss? Is there trauma from your past that you are struggling to navigate? Are you struggling with sexuality, intimacy, fertility, pregnancy or postpartum? Are you struggling to connect with yourself and/or others? Are you feeling worthless, feeling like it’s impossible to love yourself? Does the concept of existing as a human feel really overwhelming right now? If you answered yes to any of these questions, this can be a wonderful indicator that counseling may be beneficial right now.
Counseling can be incredibly helpful for a variety of life’s challenges. Are you going through a life transition? Have you recently experienced a loss? Is there trauma from your past that you are struggling to navigate? Are you struggling with sexuality, intimacy, fertility, pregnancy or postpartum? Are you struggling to connect with yourself and/or others? Are you feeling worthless, feeling like it’s impossible to love yourself? Does the concept of existing as a human feel really overwhelming right now? If you answered yes to any of these questions, this can be a wonderful indicator that counseling may be beneficial right now.
(615) 375-4337 View (615) 375-4337
1

How does your Therapist compare?

Number of Therapists in 37210

30+

Average cost per session

$130

Therapists in 37210 who prioritize treating:

91% Relationship Issues
88% Anxiety
79% Depression
76% Trauma and PTSD
76% Self Esteem
71% Coping Skills
71% Stress

Average years in practice

11 Years

Top 3 insurances accepted

86% Aetna
86% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Therapists in 37210 see their clients

83% In Person and Online
17% Online Only

Gender breakdown

76% Female
24% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 37210?

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.