Photo of Melissa Buchanan, Licensed Professional Counselor in 37214, TN
Melissa Buchanan
Licensed Professional Counselor, MS, LPC, CCTP
Verified Verified
1 Endorsed
Nashville, TN 37214
Hi, my name is Melissa Buchanan and I would love the chance to hear your story and walk alongside you on your journey. As a therapist, I aim to be in your corner, creating a safe, dependable place to help you process, think outside the box, and feel supported through life's tough moments. I believe many factors impact who you are today (trauma, upbringing, culture, relationship influences, etc), but they do not have to determine your future. While counseling with me, we can get through your concerns together by identifying patterns and focusing more on your goals, in lieu of the things weighing you down and causing you pain.
Hi, my name is Melissa Buchanan and I would love the chance to hear your story and walk alongside you on your journey. As a therapist, I aim to be in your corner, creating a safe, dependable place to help you process, think outside the box, and feel supported through life's tough moments. I believe many factors impact who you are today (trauma, upbringing, culture, relationship influences, etc), but they do not have to determine your future. While counseling with me, we can get through your concerns together by identifying patterns and focusing more on your goals, in lieu of the things weighing you down and causing you pain.
(615) 800-6900 View (615) 800-6900
Photo of Silver Lake Psychology, Psychologist in 37214, TN
Silver Lake Psychology
Psychologist
Verified Verified
Nashville, TN 37214
We strive to build relationships that heal. Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
We strive to build relationships that heal. Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(615) 398-8582 View (615) 398-8582
Photo of Pierre Womble, Licensed Professional Counselor in 37214, TN
Pierre Womble
Licensed Professional Counselor, MS, LPC, MHSP
Verified Verified
Nashville, TN 37214
Choosing a therapist is a very personal decision. Therapy is only as effective as the relationship between the therapist and client and because of this I believe the best way to determine if a therapist is right for you is to book a session and simply meet in person and to trust your instincts. My focus is to help individuals heal, energize, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan.
Choosing a therapist is a very personal decision. Therapy is only as effective as the relationship between the therapist and client and because of this I believe the best way to determine if a therapist is right for you is to book a session and simply meet in person and to trust your instincts. My focus is to help individuals heal, energize, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan.
(615) 570-3499 View (615) 570-3499
Photo of Nashville BrainCore Therapy in 37214, TN
Nashville BrainCore Therapy
DC
Verified Verified
Nashville, TN 37214
Nashville BrainCore provides a unique, drugless, painless, noninvasive approach to treating brainwave dysregulation associated with symptoms of many neurological-based conditions like Anxiety, Depression, Insomnia, Memory Loss, Post-Traumatic Stress Disorder (PTSD), Panic Attacks, Autism, Post-Stroke, Attention Deficit Disorder (ADD), Attention Deficit Hyperactivity Disorder (ADHD), Traumatic Brain Injury (e.g. Concussions), and many more. The relaxing and therapeutic treatment involves our Neurofeedback Practitioner, first, identifying the brainwave dysregulation with a noninvasive and painless brainwave analysis, and then determining a proper treatment plan that is tailored to your needs.
Nashville BrainCore provides a unique, drugless, painless, noninvasive approach to treating brainwave dysregulation associated with symptoms of many neurological-based conditions like Anxiety, Depression, Insomnia, Memory Loss, Post-Traumatic Stress Disorder (PTSD), Panic Attacks, Autism, Post-Stroke, Attention Deficit Disorder (ADD), Attention Deficit Hyperactivity Disorder (ADHD), Traumatic Brain Injury (e.g. Concussions), and many more. The relaxing and therapeutic treatment involves our Neurofeedback Practitioner, first, identifying the brainwave dysregulation with a noninvasive and painless brainwave analysis, and then determining a proper treatment plan that is tailored to your needs.
(615) 374-7125 View (615) 374-7125
Photo of Shelby Measel, Pre-Licensed Professional in 37214, TN
Shelby Measel
Pre-Licensed Professional, MS
Verified Verified
Nashville, TN 37214  (Online Only)
Taking a step toward sharing parts of your life is scary, especially with a stranger. I would be honored to walk the pathway with you to discovering yourself. I hold focus in Cognitive Behavioral Therapy, Acceptance and Commitment Therapy and Solution Focused Therapy. I have dedicated many years to serving communities to grow in skill sets and confidence to reach their goals, while holding space for the heavy things. As humans we are constantly evolving and facing challenges, my goal is to create a safe space to process emotions and encourage carving individual pathways to the clients desired outcome.
Taking a step toward sharing parts of your life is scary, especially with a stranger. I would be honored to walk the pathway with you to discovering yourself. I hold focus in Cognitive Behavioral Therapy, Acceptance and Commitment Therapy and Solution Focused Therapy. I have dedicated many years to serving communities to grow in skill sets and confidence to reach their goals, while holding space for the heavy things. As humans we are constantly evolving and facing challenges, my goal is to create a safe space to process emotions and encourage carving individual pathways to the clients desired outcome.
(615) 903-0772 View (615) 903-0772
Photo of Lindsey Stevens, Marriage & Family Therapist Associate in 37214, TN
Lindsey Stevens
Marriage & Family Therapist Associate, LMFT, (temp)
Verified Verified
4 Endorsed
Nashville, TN 37214
I believe we can all use a little help sometimes. We all experience situations when we need some help figuring out how to move forward in life. It can feel like we've hit a wall and the ways we once faced our problems are no longer working for us. Or we've come up against something we never expected and we're not quite sure how to handle it. I think from the time we are little and through our different experiences we learn how to handle our problems and there comes a time when the way we've learned to handle things does not serve us well. Ultimately I believe this can lead to incredible growth and an opportunity to re-evaluate.
I believe we can all use a little help sometimes. We all experience situations when we need some help figuring out how to move forward in life. It can feel like we've hit a wall and the ways we once faced our problems are no longer working for us. Or we've come up against something we never expected and we're not quite sure how to handle it. I think from the time we are little and through our different experiences we learn how to handle our problems and there comes a time when the way we've learned to handle things does not serve us well. Ultimately I believe this can lead to incredible growth and an opportunity to re-evaluate.
(615) 805-6573 View (615) 805-6573
Photo of Jennifer Strickland, Licensed Professional Counselor in 37214, TN
Jennifer Strickland
Licensed Professional Counselor, LPC, MHSP
Verified Verified
2 Endorsed
Nashville, TN 37214
I understand how hard it is to ask for help during one of life's challenges and I honor the courage it takes to begin the counseling process. I partner with clients by meeting each person where they are and by providing a safe, non-judgmental therapuetic space to work through problems, process feelings and find solutions. I provide a sounding board and empowerment to each person by using sense of humor, direct communication and a strong, diverse counseling skill set to help individuals reach their goals.
I understand how hard it is to ask for help during one of life's challenges and I honor the courage it takes to begin the counseling process. I partner with clients by meeting each person where they are and by providing a safe, non-judgmental therapuetic space to work through problems, process feelings and find solutions. I provide a sounding board and empowerment to each person by using sense of humor, direct communication and a strong, diverse counseling skill set to help individuals reach their goals.
(615) 645-3753 View (615) 645-3753
Photo of Cindy Slover, Licensed Professional Counselor in 37214, TN
Cindy Slover
Licensed Professional Counselor, LPCMHSP
Verified Verified
Nashville, TN 37214
Making the choice to see a therapist is the first and often the scariest step on the journey to emotional wellness. It is also a rewarding one because eventually it can lead you to your goal of a more balanced and fulfilling life. I would like to help you achieve your goals by offering a safe, supportive and confidential environment where you can develop these tools and techniques to navigate your life’s most difficult times.
Making the choice to see a therapist is the first and often the scariest step on the journey to emotional wellness. It is also a rewarding one because eventually it can lead you to your goal of a more balanced and fulfilling life. I would like to help you achieve your goals by offering a safe, supportive and confidential environment where you can develop these tools and techniques to navigate your life’s most difficult times.
(615) 813-2558 View (615) 813-2558
Photo of Dr. D. Lee McGahey, Licensed Professional Counselor in 37214, TN
Dr. D. Lee McGahey
Licensed Professional Counselor, EdD, LPC, NCC, CISD
Verified Verified
Nashville, TN 37214
Hey there, most of my patients just call me "Doc" to keep it simple. My specialty areas include anxiety, relationship issues for couples, PTSD, & gastric bypass evaluations. Listen, life does not have to hurt ALL the time, & it is way too short to STAY unhappy & overwhelmed. You have the power to take back control of your life, job, family, & future. Rome, as great a city as it was in its prime, was not built in a day; it took time & a "plan". Together, we can develop a "plan" to get to the greatness inside you. Success is achievable; you just need the right coach. Call or email today & let me help you.
Hey there, most of my patients just call me "Doc" to keep it simple. My specialty areas include anxiety, relationship issues for couples, PTSD, & gastric bypass evaluations. Listen, life does not have to hurt ALL the time, & it is way too short to STAY unhappy & overwhelmed. You have the power to take back control of your life, job, family, & future. Rome, as great a city as it was in its prime, was not built in a day; it took time & a "plan". Together, we can develop a "plan" to get to the greatness inside you. Success is achievable; you just need the right coach. Call or email today & let me help you.
(615) 257-8457 View (615) 257-8457
Photo of Michael J Smith, Marriage & Family Therapist in 37214, TN
Michael J Smith
Marriage & Family Therapist, LMFT
Verified Verified
Nashville, TN 37214
I work with individuals, couples and families who are dealing with problems which hinder them from growing in their personal life and their relationships. I use a non-judgmental systems approach to understand all the factors relevant to the issues you are facing. Then, to assist you, in finding the "best" path for your healing and growth. I am glad to offer non-denominational Christian based counseling to anyone who desires to work from that spiritual background. Although, I am happy to work with people of all thoughts and belief systems.
I work with individuals, couples and families who are dealing with problems which hinder them from growing in their personal life and their relationships. I use a non-judgmental systems approach to understand all the factors relevant to the issues you are facing. Then, to assist you, in finding the "best" path for your healing and growth. I am glad to offer non-denominational Christian based counseling to anyone who desires to work from that spiritual background. Although, I am happy to work with people of all thoughts and belief systems.
(615) 208-5509 View (615) 208-5509
Photo of Brian A Edwards, Clinical Social Work/Therapist in 37214, TN
Brian A Edwards
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Nashville, TN 37214  (Online Only)
My virtual office is a "judgment free zone." And I want to help you feel better about yourself! Life can be difficult. And depression, anxiety, trauma, relationship problems, etc. all place a heavy burden upon us and take away our joy. I want to help you rediscover your joy in life. My focus is on improving mental health, improving your quality of life. I want you to feel comfortable discussing anything. Your peace of mind is crucial, and I'm here to help you find positive change. (FYI! I am private fee only - insurance not accepted.)
My virtual office is a "judgment free zone." And I want to help you feel better about yourself! Life can be difficult. And depression, anxiety, trauma, relationship problems, etc. all place a heavy burden upon us and take away our joy. I want to help you rediscover your joy in life. My focus is on improving mental health, improving your quality of life. I want you to feel comfortable discussing anything. Your peace of mind is crucial, and I'm here to help you find positive change. (FYI! I am private fee only - insurance not accepted.)
(615) 288-5966 View (615) 288-5966
Photo of Elaine Willis, Licensed Professional Counselor in 37214, TN
Elaine Willis
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Nashville, TN 37214
Do you struggle with anxiety, depression, grief, a challenging relationship, loss of a sense of self that affects your day-to-day life? Do you feel exhausted, overwhelmed and/or stuck in areas of your life? We all have times in our lives when we want things to be different, but we are just not sure how to make that change or what is holding us back. I believe that together we can figure out a plan that will move you forward in the change that you desire.
Do you struggle with anxiety, depression, grief, a challenging relationship, loss of a sense of self that affects your day-to-day life? Do you feel exhausted, overwhelmed and/or stuck in areas of your life? We all have times in our lives when we want things to be different, but we are just not sure how to make that change or what is holding us back. I believe that together we can figure out a plan that will move you forward in the change that you desire.
(615) 965-5119 View (615) 965-5119
Photo of Olivia Carrie Taylor, Licensed Professional Counselor in 37214, TN
Olivia Carrie Taylor
Licensed Professional Counselor, LPCMHSP
Verified Verified
2 Endorsed
Nashville, TN 37214
Olivia Taylor, LPC-MHSP is a licensed clinician at New Directions Wellness Center in Nashville, TN. Olivia has eleven plus years as a therapist specializing in providing therapy for children, adolescents and families. She has previous experience working with family court, DCS, and juvenile corrections. She comes to New Directions after working with children, adolescents, and adults in a community mental health setting for over 2 years.
Olivia Taylor, LPC-MHSP is a licensed clinician at New Directions Wellness Center in Nashville, TN. Olivia has eleven plus years as a therapist specializing in providing therapy for children, adolescents and families. She has previous experience working with family court, DCS, and juvenile corrections. She comes to New Directions after working with children, adolescents, and adults in a community mental health setting for over 2 years.
(615) 437-9503 View (615) 437-9503
Photo of Meadow Alsobrook, Licensed Professional Counselor in 37214, TN
Meadow Alsobrook
Licensed Professional Counselor, LPCMHSP
Verified Verified
1 Endorsed
Nashville, TN 37214
I have a passion for helping individuals and couples work through conflict by providing hands on tools for daily challenges. I also have a desire to help those who struggle with addiction in all forms, not just substances. I offer trauma informed therapy for individuals who have endured complex trauma of all kinds with Brainspotting techniques. If you suffer from anxiety or depression I provide more than just “talk therapy”. I have a background in the public school system in Nashville. I will see both adolescent or adult clients on a sliding scale, and provide superbills for reimbursement through insurance.
I have a passion for helping individuals and couples work through conflict by providing hands on tools for daily challenges. I also have a desire to help those who struggle with addiction in all forms, not just substances. I offer trauma informed therapy for individuals who have endured complex trauma of all kinds with Brainspotting techniques. If you suffer from anxiety or depression I provide more than just “talk therapy”. I have a background in the public school system in Nashville. I will see both adolescent or adult clients on a sliding scale, and provide superbills for reimbursement through insurance.
(615) 235-1503 View (615) 235-1503
Photo of Marissa Smarto, Pre-Licensed Professional in 37214, TN
Marissa Smarto
Pre-Licensed Professional, LPC, MHSP, (temp), NCC, MEd
Verified Verified
Nashville, TN 37214
Instead of being taught how to cope skillfully with painful experiences and feelings, many of us are taught to numb, hide, or ignore them. This often intensifies the suffering, and also is often the only thing we know. I provide a safe space where clients can express, process, and learn about their thoughts, feelings, and emotions without judgment. I help clients to develop more workable coping skills and habits so that they can move toward their goals. If "being positive" hasn't worked for you, you may be in the right place.
Instead of being taught how to cope skillfully with painful experiences and feelings, many of us are taught to numb, hide, or ignore them. This often intensifies the suffering, and also is often the only thing we know. I provide a safe space where clients can express, process, and learn about their thoughts, feelings, and emotions without judgment. I help clients to develop more workable coping skills and habits so that they can move toward their goals. If "being positive" hasn't worked for you, you may be in the right place.
(615) 471-7011 View (615) 471-7011
Photo of Behavioral and Counseling Services, Clinical Social Work/Therapist in 37214, TN
Behavioral and Counseling Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Nashville, TN 37214
I love working with motivated clients who are ready to address some hard issues. I am often inspired by people's bravery when they are ready to face issues head on. Therapy is about progress, not perfection and I want to walk side by side with those who are striving for progress.
I love working with motivated clients who are ready to address some hard issues. I am often inspired by people's bravery when they are ready to face issues head on. Therapy is about progress, not perfection and I want to walk side by side with those who are striving for progress.
(615) 247-6931 View (615) 247-6931
Photo of Kevin Smith, Clinical Social Work/Therapist in 37214, TN
Kevin Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Nashville, TN 37214
I believe that you have the ability to achieve fulfilling life goals and to make healthy life choices for yourself. As a mental health therapist, my job is to be the tool to assist you in the decision-making process and to achieve those goals. I have worked across all levels of care - from outpatient therapy services all the way up to psychiatric hospitals - while treating a variety of issues for teens and adults.
I believe that you have the ability to achieve fulfilling life goals and to make healthy life choices for yourself. As a mental health therapist, my job is to be the tool to assist you in the decision-making process and to achieve those goals. I have worked across all levels of care - from outpatient therapy services all the way up to psychiatric hospitals - while treating a variety of issues for teens and adults.
(615) 802-5798 View (615) 802-5798
Photo of Lani Ramos, Licensed Professional Counselor in 37214, TN
Lani Ramos
Licensed Professional Counselor, MA, ATR, LPC-MHS
Verified Verified
Nashville, TN 37214
Not accepting new clients
At any age, we can experience complication or change. Whether these moments are predictable or sudden, support can help. Counseling can assist with clarity and build confidence to lower the complexity.
At any age, we can experience complication or change. Whether these moments are predictable or sudden, support can help. Counseling can assist with clarity and build confidence to lower the complexity.
View
Photo of Junie Welsh, Pre-Licensed Professional in 37214, TN
Junie Welsh
Pre-Licensed Professional, MA, NCC, LPCtemp, LADACII, CAADC
Verified Verified
2 Endorsed
Nashville, TN 37214
My name is Junie Welsh and I am a therapist in TN and CA! I have my master's in clinical mental health, I am a nationally certified counselor, a licensed drug and alcohol counselor level II, I have my LPC temp under supervision, and I am EMDR trained in the state of TN. I am a certified advanced alcohol and drug addiction counseling in the state of CA. I treat young adults struggling with trauma, current or past substance abuse, those that have been affected by the substance abuse of a loved one, PTSD, depression, anxiety, and personality disorders. It would be a privilege to work with you!
My name is Junie Welsh and I am a therapist in TN and CA! I have my master's in clinical mental health, I am a nationally certified counselor, a licensed drug and alcohol counselor level II, I have my LPC temp under supervision, and I am EMDR trained in the state of TN. I am a certified advanced alcohol and drug addiction counseling in the state of CA. I treat young adults struggling with trauma, current or past substance abuse, those that have been affected by the substance abuse of a loved one, PTSD, depression, anxiety, and personality disorders. It would be a privilege to work with you!
(615) 283-9974 View (615) 283-9974
Photo of Johnathan A Johnson, Counselor in 37214, TN
Johnathan A Johnson
Counselor, MS, LPC, MHSP
Verified Verified
17 Endorsed
Nashville, TN 37214
I believe that in order to be healthy and happy, the individual must be focused on growth and change. If you are not healthy or happy, then change is needed. However, several factors complicate this simple truth. We give too much or allow our power to be stolen rather than exchanged; Fear, anger, and sadness can override logic and wisdom. How we act and think affects our experience of reality. I work clients to help increase their sense of self-direction, align their behaviors with their goals, and replace the negative thoughts and behaviors with a more positive perspective.
I believe that in order to be healthy and happy, the individual must be focused on growth and change. If you are not healthy or happy, then change is needed. However, several factors complicate this simple truth. We give too much or allow our power to be stolen rather than exchanged; Fear, anger, and sadness can override logic and wisdom. How we act and think affects our experience of reality. I work clients to help increase their sense of self-direction, align their behaviors with their goals, and replace the negative thoughts and behaviors with a more positive perspective.
(615) 442-7022 View (615) 442-7022

How does your Therapist compare?

Number of Therapists in 37214

90+

Average cost per session

$130

Therapists in 37214 who prioritize treating:

91% Anxiety
86% Depression
81% Self Esteem
77% Relationship Issues
72% Coping Skills
70% Stress
69% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

92% Cigna and Evernorth
79% Aetna
67% UnitedHealthcare UHC | UBH

How Therapists in 37214 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

69% Female
31% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 37214?

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.